19x13 - Cowgirls Don't Cry

[bunniefuu]

I feel like I'll say the wrong thing.

You really can't.

There are no wrong answers here.

Okay.

His kindness.

He's very kind.

Something you love and

appreciate about Maggie?

Yeah.

I guess I am

Well, I love I love that

she's here this morning,

because that means that

she's finally admitting

that we need help communicating.

So

And I

I appreciate how hard Maggie works.

How is that a bad thing?

How is what I said bad?

Every life on the planet

begins as a single cell,

which splits and multiplies

over and over again.

Each cell has a purpose.

Okay, the kids are dressed and ready,

and you're still not up.

I can't. I feel awful.

Can you take Luna to day care

for me so that I can sleep?

- Yeah.

- Thank you.

And as it forms, internal and

external forces converge on it.

I know what you're doing.

What, trying to spend a

little more time with my wife?

Now, you're gonna have to go home

and then come back

at the end of the day.

Yeah, well, I got the

day off, so I got time.

Two extra trips,

more carbon footprint,

k*lling the planet

Think of our children.

You see?

They've extended the security perimeter,

perfectly safe.

Signaling to the cell

what it will become.

We call this process differentiation.

Thanks for the ride.

- Love you.

- It'll be fine.

An arm, a bone, a brain

Hi, good morning.

Perfectly safe.

All cells take a journey

from generalized to specialized.

Sorry, sorry. I know I'm a little late.

I have roommates, tandem parking.

Anyway, I am here for

my plasma donation.

We don't call it a donation

when you're taking $75 for it.

Fair point.

They go from nothing to something

You're three pounds underweight.

Can't give plasma today.

Not possible. I do this every

two months. Check your records.

Check the scale.

Come back when you qualify.

Or what you could be to what you are.

- Hey.

- Good morning.

Do you want to meet up if you

have a break, on-call room on four?

Sounds fun.

Might take me a while to get there.

I'm in Phoenix.

Why?

Because that's where my next job is.

- I finished my gig in Seattle.

- What?

You never said anything.

I was with you two days ago.

Well, you always seem more interested

in the on-call room on

four than actually talking.

I

I got to go.

Let me know if you're ever in Phoenix.

I mean, I'd just as soon elope,

but Trey and his family

Super into tradition.

When he asked his brother

to be his best man, he cried.

My sister and I hardly speak, and

She's trying to say that

she needs a maid of honor.

Oh, I like you so much, but

I would be bad at that job.

- Hey, what the hell? You left me again.

- Be on time.

You know, if your

silver-spoon, nepotism ass

isn't in the seat by

7:00, you are out of luck.

Tough, punctual, efficient

There's your maid of honor.

- What?

- Forget it.

- But you said 6:45.

- Yes, because we gave you a fake time

that's 15 minutes before we're

actually planning to leave.

And yet, you still can't make it.

Well, you could have woken me up.

Does anybody have my back here?

No.

[WHIMSICAL MUSIC]

♪

Oh, okay. Yes, I understand.

And I appreciate it, but

Okay. Thank you.

Busy morning?

How come no one ever mentions

that part of the chief job

is actually being a reference

for other institutions

- who are looking to poach your surgeons?

- Not following.

Harvard Med, NYU,

Heart Center of Chicago,

they're all on my call list

because they are interested in Pierce.

How long has she been working here?

Maybe there is something in her contract

that prohibits her from leaving.

- Leaving? Maggie?

- Yeah.

That article has given

her a lot of attention.

Look, I don't wanna hold anyone

back, but we just lost Grey.

I mean, how do we get Pierce to stay?

Yeah, I'm on it.

- Oh, great. Thanks. I'm sorry

- [CELL PHONE RINGING]

yeah, hi. This is she.

- [COUGHING]

- So cough and sniffles, bed six.

Nothing like half a decade of

medical training to use on a runny nose.

You know, I had a

patient who had sniffles.

Turned out he had a CSF

leak in his brain, so

Uh, oh, complex trauma case

transferred from a rural hospital.

Kwan, you wanna see the helipad?

- Oh, yeah.

- Just Kwan or

Adams, code phlegm.

Bed five needs a Neti pot.

Thank God you're here.

[COUGHING]

Ma'am, please try to keep your mask on.

Agh, help!

- I need a doctor.

- Move.

- I saw him first.

- Nope.

No [GASPING]

Hey, hey.

Have you been injured?

Okay, rodeo wreck rider in Oregon

got bucked off and stomped

on by a 1,000-pound bull.

It's barbaric bull riding.

Nothing but testosterone addicts

getting off on torturing animals

because it makes them

feel more like a man.

Huh. Let's go.

Kay, what do we got?

Georgia Arkins, 16. Crush injuries

from being trampled by a bull.

GCS 15, CT scan shows a

retrohepatic hematoma from an IVC tear,

multiple lumbar burst fractures.

Vital signs are stable.

She's been given sedatives for transfer,

so she's a little out of it.

Local hospital didn't

feel equipped to handle

- her complex injuries.

- Thank you.

Can I go again?

The bull, can I go again?

I only got to 5 seconds.

So anything you want to add

to your initial assessment, Kwan?

Look up for me.

- He's exaggerating.

- Ever since the interview, she's received

half a dozen amazing offers,

including a position in

bioartificial heart research.

So we inject an extracellular matrix

of a pig's heart, which

serves as, like, scaffolding,

with human stem cells, that it can grow

cardiac muscle tissue.

And then we electrically

stimulate them to twitch,

cell by cell, until they

start to b*at together,

essentially as one b*ating heart.

It's beautiful.

Yeah, which means more

hearts for people who need them.

The research is at the

Heart Center of Chicago.

Oh. Well, that's a fantastic city.

Yes, it is!

It's the Art Institute and Steppenwolf,

deep dish pizza.

You can keep those winters, though,

with the wind just ripping

in off the lake like that.

That's what parkas and mittens are for.

And it's weak pizza, really.

It's just quantity over quality.

So are you considering it?

Well, I might like to, but

Look, I've already moved

across the country for you once.

And then, when I tried

to change my specialty,

also for you, you lost

all respect for me.

- So

- Please don't put words into my mouth.

Those are your words.

You put those words in your own mouth.

[PHONE BEEPS]

[SCOFFS] I have to go.

- You have to go now?

- Can we pick this up?

God's sake, Maggie, I have waited weeks,

weeks of just tiptoeing around,

going along with this

ceasefire that you proposed

until we could get in

here and try to fix this.

And now you're on the hot seat,

so you just want to walk out?

You know, no, I'm not even

that surprised by this.

I'm on trauma call, Winston.

Please excuse me.

[SOMBER MUSIC]

♪

Hey, what are you doing here?

- The kids okay?

- Everyone's fine, except you.

You're not fine.

And you're also not sick.

I am sick. What are you doing here?

I took the kids to day care,

and I took a personal day,

because your body does this.

My body does what?

It aches so that you'll

rest because it's learned

that if it aches, you'll stay in bed,

when nothing else works

to keep you in bed.

You need a day off, but you're not sick,

which is why you get a latte

and [CLEARS THROAT]

The little doughnuts

with the pink frosting.

[CHUCKLES]

You took the day off?

Yeah, I figured you

could use the company.

Plus, after I eat three boxes

of these, I'm no good at work.

You ate three boxes?

No, but I'm about to.

- You might want to look away.

- [LAUGHS]

- I'm just gonna go.

- [LAUGHING] No.

- Ow!

- Any feeling of nausea?

[GROANS] Ah, not really.

Is there anything you

can do about the pain?

It feels like someone's

dicing my intestines.

We'll take care of that

for you in a moment.

But I need to finish this physical exam

- before we can

- Look, I came here

because Grey-Sloan's

supposed to be the best.

So please, you gotta help me.

- It could be a positive McBurney sign.

- Which could be caused by

- Appendicitis.

- Diverticulitis.

Yo! What the hell?

I was seeing if the pain was

exacerbated by jostling movements.

Can we wait to play school

until I'm not in agony?

Let's get him comfortable.

We'll send him up for the basic labs,

and then let's take him

up to CT for some scans.

Did I hear correctly, a bull?

T-bird. He's feisty.

I just didn't get out

over his front end in time.

When T-bird trampled over Georgia,

he crushed her liver

and likely tore her IVC.

There's a big hematoma

in the retrohepatic space,

which it looks contained

for now, stable HNH.

She's got unstable T10

through L3 burst fractures.

Please don't tell my parents.

They freak out whenever

stuff like this happens.

This has happened before?

I had a huge cut on my back,

a broken wrist, a broken leg.

Oh, and I have this massive scar.

- Whoa, whoa!

- Push two of midazolam.

Okay, this burst L3

fracture is too unstable.

Without immediate surgery,

we're talking about paralysis.

Once Maggie goes in and repairs the IVC,

I will stabilize the spine.

I don't think I should go in.

There's a massive hematoma.

And it's sitting in a minefield.

The hematoma is stable for now.

But you should go in

and repair the spine,

and I will be there to monitor her.

Just use a posterior approach

to avoid rupturing it.

What if it happens anyway?

Then we'll flip her,

- and I will control the bleeding.

- No, I'm not sure I should go in.

If you don't, she never walks again.

Are Georgia's parents here?

Look. All I need is antibiotics.

It'll clear up in a few days or so.

Maybe.

But I am hearing some

wheezing in the left lung.

- [COUGHS]

- Okay.

We should get a chest X-ray, make

sure we're not looking at pneumonia.

No. No chest X-ray.

There's no discomfort involved.

Until the bill comes.

When my husband d*ed, I was lucky enough

to find work in a bookstore.

It's lovely.

The owner is kind,

but low wages and no

[COUGHS] No benefits.

Without the X-ray,

I can't tell how serious this is, so

I can hardly afford antibiotics.

Anything else is out of the question.

Look, I'll get you the antibiotics,

but just stay here.

Okay? I'll be right back.

Dr. Sutton, Dr. Tracy,

psych to recovery.

Dr. Sutton to recovery.

He didn't even tell me he was leaving.

He insinuated that I wouldn't care

because I only cared about the sex.

I didn't use him for sex.

He used me for sex, and then he left.

- I'm the victim here.

- You're the doctor.

He's the nurse.

You've got all the power.

You clearly don't

understand gay male culture.

He's hotter.

He has all the power.

Doesn't sound like he felt that way.

Why aren't you sad for me?

I'm the nice guy who,

once again, got left.

Well, the interns who have come in here

after working and being

yelled at for 16 hours

definitely don't feel

like you're the nice guy.

I don't yell!

That wasn't yelling.

That was loud talking.

I'm nice.

I love you. I mean it.

If the hematoma ruptures

while you're fixing the spine,

she could die.

But if it doesn't rupture,

- it could heal on its own?

- That's right.

The safest option is to just

monitor Georgia in the ICU.

She may not walk again,

but she would be alive.

Sounds like this thing

could rupture any time.

I mean, hell, it could

be rupturing right now.

Cody [SWALLOWS] She

He's not wrong.

[PENSIVE MUSIC]

♪

Do the spinal surgery.

Sir, I wanna make sure

that you understand

We do.

Save our daughter's ability to ride.

No stranding, appendix looks normal.

No evidence of colitis.

That's an awfully

quick assessment, Adams.

You know, scans are like a piece of art,

a still life, say.

Maybe you first look

at it and you shrug.

Looks like a pear, or tulip.

But you sit with it for a while,

learn to open up your mind,

and maybe it might guide your eye

to something that the

artist wants you to see.

Hold up. It turns out Seth's

been to five different Seattle ERs

in the past three weeks,

all discharged with a script

for controlled pain meds.

Seattle Pres, two

nights, Pacific Gen, one,

- St. Anne's, two hours.

- Okay.

I get what you're implying.

And according to their records,

you have a history of drug use

that you didn't bother to tell us about.

We can't help you if you're

not telling the truth.

Oh, my God. I I don't have

[GRUNTS]

Back in the day, I did

Adderall to stay up.

I'm a private equity analyst.

All-nighters go with the

territory when you're starting out.

But I haven't done it in years.

And I didn't tell you

because I didn't want you

to write me off like all

those other hospitals.

We're not writing you off.

Addiction is a disease.

It's a disease I don't have.

And your scans are clean.

And I got on the phone with

colleagues of those other hospitals,

who also found nothing on your scans.

Maybe they didn't sit

long enough with the scans.

These aren't interns, Adams.

These are world-class surgeons

with decades of experience.

So you're just gonna kick me out

on the street like everyone else?

No, we are gonna exercise our

due diligence and take extra tests,

and if they show nothing,

then we will discharge you

with a referral to an

addiction specialist.

I should never have

admitted I ever used dr*gs.

You screw up once,

you're a screw-up forever.

She's about prepped and ready.

Why didn't you tell me

about all the job offers?

Offers come in every time I publish.

- Happens to everyone.

- Not like this.

Look, it doesn't matter

where you are, right?

I mean, it matters what you're doing.

If you just ask Teddy or Richard

for whatever you need

research-wise, they will get it for you.

You don't have to move

to do your next big thing.

Meredith and I managed to pull off

the Parkinson's procedure

right down the hall.

She's ready.

All right.

So when you all told me about those 8:30

surgical study sessions,

what time were they really?

What do you think

about Chilaiditi syndrome for Seth?

Thinking it's usually associated

with ascitic and cirrhotic patients.

Also, we would have

seen it in the scans.

And we have our answer.

All those tests came back clean,

except his urinalysis,

which is positive for opiates.

Because all those other

hospitals gave him meds.

Webber said to discharge him.

I'm gonna discharge him.

Tessa Hobbes.

Why would you bring up Tessa?

You know that still hurts.

Because my gut told me that

we should have taken her

straight to the OR.

You heard me say it,

but I didn't fight for it.

And now my gut's saying that

Seth's telling the truth.

Nothing I've seen makes

me think Webber's wrong.

Yeah, but do you think there

might be a chance that I'm right?

I mean, I've always had your back.

Could you at least have mine?

- I'm already on my second residency.

- He's not gonna fire us.

Have suction ready.

Blood pressure's steady.

Chief, I have a wheezing

60-year-old patient in the ER,

possible pneumonia.

She needs a chest X-ray

and a nebulizer treatment,

but can't afford it.

Can we do it pro bono?

You'll have to fill out

the forms with accounting.

They're gonna want to confirm her income

and make sure that she qualifies.

It may take a day or so.

But she needs to be treated now.

If we break the rules for one patient,

it's not fair for the others.

[SCOFFS]

I was eating doughnuts from the trash

because I need to gain

weight in order to be eligible

to donate my plasma because I am broke.

So is my patient.

I don't need your help,

and I am not looking for handouts.

I just want to take care of my patient.

I'm sorry. You have to go

through the proper channels.

Yasuda, I have protein

bars in my office.

You're welcome to them any time.

Removing the lamina.

Can't stop thinking about that father.

I'm reconstructing a spine just

to have her go back out there

and wreck it all over again.

Yeah, lots of parents live out

their fantasies through their kids.

So her last shock panel

showed a hemoglobin of 11.

So the bleed is stable. Just be

careful with your instrumentation.

I'm not sure you hovering is gonna

make things go more smoothly.

How many times have we fixed

up a pro football player

just so he can go back out

in the field in the hopes

of making the playoffs?

Don't get me started on football.

Except rodeo is the only gig

with a poor animal out

there against their will.

- It's cruel.

- Can we keep

all nonessential chatter to a minimum?

Georgia has a giant

bleed hanging over her

that could burst in any second.

Pedicle screw, please.

I think it's a connection. I think

Adams, Griffith!

Is everything okay, Dr. Schmidt?

Just checking in on

how you two are doing.

How's life?

What's up?

- I don't understand.

- What are you working on?

Okay, we we know Webber

said to discharge him.

But we really think

that there's something

more to this patient.

And if we could just

have a little more time

to study his case, we can figure it out.

Okay. No.

You're interns.

It doesn't matter what you think.

If you can't be trusted

to follow instructions,

then you can't be trusted in the OR.

Discharge the patient.

And never question

Dr. Webber ever again.

[WHIMSICAL MUSIC]

♪

I should probably go to

work and check on Tia.

Tia and her baby are both okay.

I've checked.

A car drove into human beings

and tried to k*ll you and your friends.

You've earned a day off.

Why is it so hard for me to rest?

[SCOFFS] How am I supposed to know that?

Because you knew that I wasn't sick

before I even knew that I wasn't sick.

I've known you a long time.

You notice things about somebody

when you've known them a long time.

You knew what my

favorite doughnuts were.

Same answer.

So why is it so hard for me to rest?

You don't have a theory?

[LAUGHS] I could tell you why I think

it's hard for me to rest.

Would that help?

Yes, please.

Well, I was a pretty

happy go-lucky kid.

I got cancer, and my parents

started to fight all the time.

And I was sick,

stuck in bed, listening to my

parents fight through the walls.

So I think I associate rest with misery.

I don't think that's it.

Okay.

You know me better than I know me.

I've known you a long time, and when

you've known someone a long time,

you notice things.

So what do you think it is?

I think you only have trouble resting

when you're not taking

care of somebody else.

You'll lay around all day

with a baby on your chest

if that baby needs you.

You lay in bed with me with

doughnuts if I need you.

And when you got cancer

and your parents started fighting,

you started to take care of

them so they wouldn't split up.

You learned to take emotional care

of the people who are supposed

to be taking care of you.

And that's why it's hard for you to rest

when you're by yourself.

You don't feel safe when you're not

taking care of somebody else.

That makes you anxious.

[SOFT MUSIC]

♪

And I think

you can't rest because you never

had anyone to take care of you.

So you stayed busy all the time

taking care of yourself.

And when you're still,

you feel that pain.

I need a nap.

Want me to go?

No.

That feels nice.

Harborview Med, last Tuesday, 2311,

- nothing.

- If Webber or Schmidt finds us, we're fired.

Yeah, well

You'd think that'd be annoying.

It clears my mind, helps me unwind.

- You have anything like that?

- Ice skating.

- What?

- [LAUGHS]

I just I wasn't expecting that.

Well, you don't know

everything about me.

True. I never pictured you as the type

to have a big fancy

wedding or matching dresses.

I don't want either.

I want the marriage, but not

the pomp and circumstance.

Not even a little pomp,

like meat on a stick

or chucking a bouquet at

your girls, group pics?

I truly hate you.

I think it's sweet that Trey wants

to create a moment in our lives

that we're gonna remember forever.

But he's a romantic.

Even when we're just out getting pizza,

he's like, "I wish I could

freeze this moment forever."

Oh, wait. Wait. Wait. That's it.

Moments that's..

Okay. These scans

they're not works of art.

They're they're moments.

They're frozen moments in time.

Oh, good. Glad we cleared that up.

Okay, look. Here we go.

There and there

Do you know where they came

up with the eight seconds

as the time the rider

has to stay on the bull?

It's because the bull

starts to lose its strength

to fight back and they stop bucking.

The official line is that it's

for the safety of the animals,

but it's really because

they become so weakened

that we stop being entertained.

- [MACHINES BEEPING]

- BP's dropping.

Pierce, is that what I think it is?

She's bleeding out.

The hematoma ruptured. Stop the fusion.

- We need to flip her.

- Her spine is exposed.

It doesn't matter.

Pack it and throw some ioban on it.

Hang 2 units of blood.

Prep for an x-flap and a sternotomy.

Every second counts here, people.

Until we get this bleed stopped,

this is my OR.

[HEART MONITORS BEEPING]

[SOMBER MUSIC]

♪

Okay. This is it.

When we get in there,

Kwan, you're gonna alternate

cardiac massage with Millin.

Scalpel.

Okay, Georgia, here we go.

Scalpel.

I've been looking for a sign ♪

Now I see a shining light ♪

Get the saw ready.

Starting pressors.

Set me free ♪

♪

[DRILL BUZZING]

♪

Send a TEG.

♪

She's becoming more acidotic.

We can't lose her.

I need more suction.

Still no pulse.

Head under water and I can't breathe ♪

♪

Pull me up 'cause I'm too deep ♪

I've been looking for a sign ♪

Now I see a shining light ♪

Oh won't somebody

come and set me free ♪

Okay, I've got the infrahepatic IVC

and Pringle. Lap pads.

I've got the cava and the pericardium.

Millin, switch with Kwan.

We've maxed out on her pressors.

- Pickups?

- Still no pulse.

I feel the heart. I'm there.

I see the hepatic vein injury.

♪

[HEART MONITOR BEEPING RAPIDLY]

Ligating, push epi.

Packing the retrohepatic space.

Come on, Georgia.

Set me free ♪

[COUGHS] The nurse

brought the antibiotics

and the inhaler. I'm off to my shift.

Please don't go before getting an

X-ray and the nebulizer treatment.

We could do it pro bono, but

we just need to fill these forms out.

If I miss work, I don't get paid.

- And if I don't get paid

- You can't pay your bills. I get it.

- No

- But

No, you don't.

You're a doctor with a cushy salary.

Well, I am a surgical intern.

My salary is government

funded, and it is not enough

to keep me from drowning in loans.

Between undergrad and med school,

I owe more than two grand a month.

That doesn't even account

for what I send to my parents

to help them with their mortgage payment

because they co-signed all of my loans.

I literally sell my

blood in order to get by.

And if I thought that I had

pneumonia that could lead

to sepsis and respiratory failure

that could prove fatal

if left untreated,

or, at the very least,

keep me out of work for eight weeks,

I would get the X-ray

and the treatment.

And when the bill came, I

would pay the bare minimum.

And if it went to the

collection agencies,

I would pay them the bare minimum too.

And it might be a huge,

long, pain in the ass,

but I would be alive.

Where do I go for the chest X-ray?

Pick it up, guys, a little faster.

You know what they called

me when I was chief resident?

- The n*zi.

- That is wildly inappropriate

- Yes.

- On so many levels.

I mean, I wasn't a tough child,

not in the obvious ways.

I was sensitive all through high school

and undergrad and med school.

So as a resident, even

more so as chief resident,

I thought I had to overcompensate.

And for a while, I became someone

people didn't like very much.

And what did you do?

Well, I realized that my idea of myself

had come out of sync

with who I had become.

Schmidt, you are chief resident now.

You are no longer an underdog.

It's time for you to stop

seeing yourself that way.

You're saying I shouldn't demand

excellence from the interns?

I'm saying there's many ways to do that.

And the one that will work best for you

is likely the one that lets you be you.

I mean, you said you want us

to be the vag*na of the program

because vaginas are so strong.

Well, vaginas also bring pleasure.

They bring joy, bring life.

You got to be the whole vag*na,

Schmidt, not just the muscle.

It's like we were staring

at a single cell of film

and trying to watch a movie.

We have to look at all the scans

in order to see if they tell a story.

Okay, look look here, four to five.

There's a slight thickening

in the cecal wall here.

Yeah? And then six and seven

No more thickening,

but mild fat stranding.

Yeah. And then eight,

nine, ten, the pattern reappears.

The flare-ups come and go,

but the CT scans only

capture one moment in time.

Now our little film

tells a different story.

I mean, there's gotta

be something in there,

a foreign object

causing these reactions.

Like a fish bone, maybe,

or a piece of cartilage

that wasn't digested properly?

You want to tell me why the patient

I told you to discharge hours

ago is still stuck in my ER?

So she's gonna be okay?

Uh, yeah.

Georgia did well under

the circumstances,

against all odds.

But we would like to speak

with you about the bull riding.

I should wait for my husband.

We would like to have

a minute with just you.

Oh.

Georgia's father, her

grandfather, her uncles

They are all champion riders.

But Cody never wanted

Georgia to go near a bull.

Every Christmas, he would give her

a dollhouse, ballet

slippers, a soccer ball.

She wouldn't touch them.

She wanted boots, spurs, a saddle.

Cody thought when she took her

first spill, she'd lose interest, but

but when she got laid up with a

crushed trachea, we said no more.

Guess what? She wouldn't eat,

wouldn't speak, couldn't sleep.

The light in her eyes was just gone.

To keep doing this will

very likely k*ll her.

You think I don't worry about that

every single day of my life?

But to take her dream away from her

That would for sure k*ll her.

Excuse me.

I'm gonna go find my husband.

Nothing is harder than parenting,

but you have to be the parent.

Would it have worked on you

when you were a teenager

doing hard dr*gs, risking your life?

Was your mom able to stop you?

I was using dr*gs to mask

some very real pain in my life.

Maybe it's the same for Georgia.

Maybe she's masking

the pain of having found

her one true passion

and hearing everyone around her

tell her that she is

selfish for chasing it.

- [COUGHING]

- Oh, no, no, no, no. Georgia, no.

- She's pulling the tube out.

- Increase her O2 and draw an ABG.

Hey.

Georgia, you're okay.

Just take a breath.

Georgia, calm down.

I need you to put this mask on.

Your body needs additional oxygen.

I've had kids self-extubate before.

Instinct and adrenaline kick in.

How long how long will it take?

You will be up and walking

in four to six weeks.

Ride.

Georgia, going back to

rodeo would be a mistake.

Most people do not survive the

surgery that Dr. Pierce just did.

I'm not most people!

Would you be saying the

same thing if I was a guy?

Georgia, I'm not like

most people either.

I was really good at something

when I was your age too.

I skipped grades, I won prizes,

and everybody thought it was my parents

that were pushing me,

but it was me. It was all me.

So I get your focus.

I get your passion.

And I certainly get what it's like to be

a girl in an all-guys' world.

Maybe you'll ride again someday.

But a few hours ago, you were

almost dead and paralyzed.

Stop fighting us and let

us save the possibility

of your future.

There's the ileocecal valve.

I hope we didn't just put a tube

into a patient for no reason.

Whoa, whoa, what's that

in the distal ileum?

Move the camera down and left.

- There!

- Is that a

Toothpick.

- I'll be damned.

- Oh, my God.

How did it not shred his

esophagus on the way down?

Well, it perfed the bowel.

Then it impacted into

the intestinal wall,

where it hid from the scanner's radar.

Adams, what's the game plan?

Use the endoscopy forceps

to fish it out carefully.

Being careful not to break

it and leave a piece behind

that could cause an abscess later.

All right, hold it steady.

Will this take away all of this pain?

It absolutely will.

Almost there.

Incredible save, Adams.

Incredible save.

Have I mentioned that I had my hand

on an actual b*ating heart?

Only about six times.

But hey, I heard you found

a bobby pin in some guy's ass

or something, so also cool.

I convinced a patient

to get a chest X-ray.

Hey, congratulations, Adams.

Yasuda's day was sadder than yours.

Yeah.

Hey, thanks for everything today.

If you need anything, I got your back.

I do need something.

I know this might be weird,

and if it's still hard

for you, you can say no.

But you know me better than anyone here,

better than anyone at

my old program, actually.

And I could really use a friend

to help me get through this.

[SOFT MUSIC]

I'm asking you to be my man of honor.

♪

Yeah, of course.

It'd be an honor.

Thank you.

Hey, everyone,

I want you to know I heard you all did

some incredible work today.

And so, if you're up for

it, I would like to invite

you all out for drinks.

[AWKWARD MUSIC]

I'm actually serious.

- Uh, oh.

- So just,

you know, meet me at Joe's.

♪

- Free drinks.

- Yeah.

[UPBEAT MUSIC PLAYING]

Any chance you need another bartender?

When would you sleep?

I'd figure it out.

Uh, yeah, yeah.

The manager is hiring

for the late shift.

I can put in a good word.

Thank you.

- Okay, people, this is my treat.

- Thank God.

- Yay, thank you.

- You're welcome.

- Thank you.

- Thanks, Dr. Schmidt.

- Cheers.

- Yeah.

Welcome.

- Thank you.

- Mm-hmm.

- Mm.

- Oh.

Oh.

- Chaser?

- Mm-hmm.

What are you, her babysitter?

- Man of honor, actually.

- Oh, thank God.

I didn't wanna have to carry

around those blood vials.

You mix them together,

and you pour them out at the altar.

Why do you think a

maid of honor does that?

My mom did it at my uncle's wedding.

I cannot overstate

how not normal that is.

Whatever. I'm going to order food.

Anyone else?

Can you get me some fries?

I'm starving.

- So when's the wedding?

- Next month.

But it's in town so

no one has to travel.

And I don't need any extra time off.

Trey is gonna take care

of most of the logistics,

- so you won't

- Griffin, I

I was just asking.

- Sorry, yeah.

- That's okay.

- Next month.

- Okay.

Wanna get out of here?

I can't.

We said no feelings, and unfortunately,

I find your staunch

support of animal rights

hot.

Okay.

What if I have no feelings?

That works.

♪

You wanna pick up takeout?

I kind of feel like Italian.

I already ordered, Chang's Garden.

Right, of course you decided.

Stop.

Stop. I need to look

at you when I say this.

Okay.

You invited me to

dinner with your family,

and then you abandoned

me when things got tough.

What? When?

The first time that I met your family,

your father showed up,

and you became unhappy,

and then you logged off,

and you left me there.

My mother always used

to quote Maya Angelou.

She used to say, "When

someone shows you who they are,

believe them the first time."

Why didn't I believe you the first time?

You showed me who you were,

and I just didn't wanna see it.

- And who am I?

- You're a person who retreats.

When the going gets tough, you retreat.

You quit. You disappear.

You protect yourself, no matter

what it costs anybody else.

You're the one thinking

of taking a job in Chicago.

A job in Chicago is nothing, Winston.

Marriages can easily

survive a job in Chicago.

But you don't seem

to want us to survive.

You just seem to want to

punish me with your absence.

- I'm right here!

- But you're not.

You're not.

You took your love, and you retreated.

You disappeared inside yourself.

When the going got tough,

you protected yourself,

no matter what it cost anybody else.

I am right here.

You are gone.

You couldn't even think

of something nice to say

about me this morning.

Even when you wanted to quit cardio,

supposedly to save our marriage,

that was you quitting.

That was you retreating.

That was you giving up your gift

so that you could avoid direct conflict,

and that is what I don't respect.

It isn't your heart,

Winston, it's your cowardice.

Oh, wow, really, Maggie?

And the pizza in Chicago

is the best in the world.

So I'm gonna go there.

And I'm gonna take my

extraordinary passion,

and I'm going to use it to build hearts

that will save thousands of lives.

And you can stay here,

and you can pretend

like it was you who was abandoned,

but we both know the truth.

At a cellular level, we are

made of forks in the road.

A generalized cell is born,

and it splits and splits,

not having much choice in the matter.

Eventually, it's a body.

Eventually, it's you

- Come here, Scout.

- Out in the world.

He was down.

How are you feeling?

[MOODY MUSIC]

I

I feel

Better?

- If we survive ♪

- Yes, better.

- I feel better.

- Hear that, Scout?

She feels better. Whoo-hoo!

So maybe you are who you are.

All right, can you say whoo-hoo?

Maybe you can't choose who

you love or what you want

any more than a cell can choose

to be a liver, a lung, a heart.

But cells only take you so far.

Rough day?

Oh, thank you.

Oh, it was humbling.

I missed a diagnosis and

almost lost a patient.

But?

I was bailed out by a Shepherd.

- Hmm.

- You?

I'm afraid I might be

losing another sister.

In the end, you create yourself.

And your life is the life you've made.

But you hold your breath ♪

If we survive ♪

What the

Hey! Hey!

If we survive ♪

Hey! What the

- Oh, no.

- Ben?

- Ben, what's going on?

- I'll look for you ♪

Miranda.

On the other side ♪

♪

We are not fine, Miranda.

♪

But no one said it would be easy.

On the other side ♪