19x01 - Everything has Changed

Episode transcripts for the TV show "Grey's Anatomy". Aired: March 2005 to present.*
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A drama centered on the personal and professional lives of five surgical interns and their supervisors.
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19x01 - Everything has Changed

Post by bunniefuu »

[BEADIE'S "ROLL WITH
THE GOOD TIMES" PLAYS]

♪♪

♪ Baby, you know how I roll ♪

♪ Go and get the gas t*nk full ♪

MEREDITH: Transplant surgeons
typically transport


donor organs by carefully
packing them on ice


and racing as fast as they can
to the recipient.


♪ Shining in the sun, sun ♪

♪ Maybe we should ♪

♪ Go and make some fun, fun ♪

The organ can only survive
a certain amount of time


until it's placed into its new body.

- Oh!
- Oh!

At best, the heart and lungs

only have four to six hours.

- Link!
- Jules?

- [SIGHS]
- Hey, uh...

- Hey.
- Yeah.

I said I would call, and...
and I meant to, but...

Oh, it's okay. No, I'm not here for you.

Um, I actually just... I work here now.

Don't suppose you could
point me to the scrubs?

Actually, never mind.

I recognize her
from the interviews. Bye.

Hi. Hi. I'm Jules Millin.

Mika Yasuda.

Think I might have, um,
accidentally slept

with an attending already.

You work fast.

♪ Got nowhere to be all day ♪

But recently, scientists
have developed machines


that can improve these odds.

Oh! I really needed coffee.

♪ You look so fine ♪

♪ Coming my way ♪

Essentially, certain organs
can now travel in a box


that continuously
perfuses them with nutrients,


preserving their viability.

Hey. I'm Lucas Adams.

Or Luke. Just don't call me Skywalker.

- [CHUCKLES]
- ♪ Bum rum rum rum rum ♪

♪ Bum rum rum rum rum ♪

First day. Who's nervous?

Wow, who is a ten but he won't shut up?

What was that?

- Nothing.
- What'd she say?

[MAN CHUCKLES]

- What was so funny?
- Nothing.

- Now, come on.
- [SIGHS]

Just... sizing up the competition
and liking my odds.

[CHUCKLES] Because I said hello?

Don't worry, Skywalker.

Jules here already slept
with an attending.

♪♪

Wow.

You didn't say it was a secret.

♪♪

This innovation has allowed us
to increase


the number of organs
available for transplantation.


♪ Boom-clap, tick-tack ♪

♪ Spin it all around then jump back ♪

♪ One-two, nine-ten ♪

♪ If you wanna groove just climb in ♪

♪ One-two, nine-ten ♪

♪ If you wanna groove just climb in ♪

♪ Climb in ♪

♪♪

♪ Just roll with the good times, yeah ♪

♪ Roll, roll with the good times, yeah ♪

- Hey, Dr. Griffith.
- [SHOES SQUEAK]

Slow down.
You're creating a safety hazard.

Sorry... Late... Tornado.

The tornado was yesterday.

Yes, sir.

Alright.

♪ Bum rum rum rum rum ♪

Uh, the door.

♪ Bum rum rum rum rum ♪

And for over a hundred thousand
people in this country


who are currently waiting
for an organ...


♪ Bum rum rum rum rum ♪

...it's a chance at a new life.

[CLICKS, ELECTRICITY HUMMING]

Congratulations. You all made it.

You're here.

♪♪

I know this OR looks like
a high-tech fever dream,

but it's all real and very
expensive, so don't touch...

that scanner cost as much as my house.

I see and appreciate your awe,

but all of this high-tech
equipment is useless

without highly skilled
surgeons to operate it.

It's useless without you.

You will use it to save lives.

You will use it to end them

because that's the game we're in.

When we have a bad day, we end a life.

You knew that and you went
to med school anyway,

and that makes you brave.

We didn't pick you for your grades.

We picked you for your fight.

We're all getting
a second chance here today.

We're...

♪♪

Griffith. Thanks for joining us.

I'm not sure interrupting
my opening speech

is a great way to start off.

Do you want to explain yourself?

The tornado created
a family situation, Chief Grey.

I assure you, won't happen again.

Let's allow for some extra time
in the morning, Griffith.

If you want to succeed here,
learn to expect the unexpected.


- That goes for all of you.
- Hmm.

Now a bit about... Bailey! [GASPS]

- Are you back?!
- MAN: Hey.

Do I look like I'm back?

- No.
- No, I heard about the new class,

the new OR.

Couldn't resist coming
to see for myself.

Oh, looks like we all had the same idea.

Okay, I see baby surgeons.

I see an attending surgeon.

Where are the senior residents?

Well, we're still working
on recruiting senior residents.

Our prior class is all happy
in their new residencies.

- [SCREAMING]
- Push! Push! Push!

- Ah. Okay.
- Okay, Dr. Schmitt,

don't forget to brace the head.

- Oh.
- Fix your face, Schmitt.

- Okay.
- Okay, Rhadha, one more big push.

And... let's go.

One.

- [RHADHA SCREAMING]
- Okay, oh!

[SIGHS]

I... No.

- I'm sorry. I have to.
- You promised!

- I vouched for you!
- I'm sorry.

I'm so sorry. [STAMMERS]

Schmitt!

You went gallivanting around the world

while your wife
threw a mountain of money

at new surgical equipment.

Then you opened up the residency program

six months before you should have.

You made a residency class
from the bottom of the barrel...

the rejects.

Yeah, that smacks of desperation.

I will not cosign.

Well, look, they are
an excellent group, Bailey.

They are a carefully cultivated group.

We got hundreds of applications,

and we combed through them
to find the gems.

This class... they may not have
gotten straight A's like you,

but they have stories
and they have heart.

They have empathy.

And when you're trying to build
a solid surgeon,

that counts for a lot.

And I would highly recommend
gallivanting around the world.

It changes your thinking.

It just... It opens up your...
your mind.

You're telling me I'm closed-minded?

I-I did no such thing.

Dr. Webber!

I promised Jo Wilson that if she
got me a spot in OB-GYN,

I would see the residency through,

no matter when the surgery
program opened back up.

So, presently,
I'm risking not only my job,

but also my friendship.

That being said, I hate it.

I hate it so much.

You need senior surgical residents.

I... I might so far as to say
you need a Chief Resident.

And if you make me him, I will be mean.

I will be bossy.

And if I'm ever tempted to go soft,

I will picture a return to OB,
and I will get stronger.

Stronger like a vag*na,
which I've been forced to learn

can stretch to times
its natural size

and lift a pound weight
just by flexing.

I'll be the vag*na...

of the program if you'd let me.

Or, um, you might, um,
prefer the term backbone, sir.

I wish you all the best of luck.

♪♪

You'll need to speak
to Chief Grey, Schmitt.

And, um, I would suggest you...

modify the... the speech there.

[CLEARS THROAT]

Yesterday's tornado came out of nowhere

and blew a bus off a cliff.

The bus flipped over and landed
after a -foot drop,

and because many of the passengers

were not wearing seatbelts,

we have an inordinate number of patients

who may have experienced
catastrophic brain injury.

How do we declare brain death?

Dr. Kwan.

Numerous criteria must be met

before determination of brain death,

including at least two clinical exams

and a confirmatory test
such as a brain scan.

- Correct.
- How many are there?

We raise our hands and we wait
to be called on, Dr. Adams.

It may seem infantilizing,
but it maintains

a necessary pecking order
that keeps people alive.

Dr. Adams.

How many are potentially brain-dead?

- .
- Whoa.

Well, how many are donors?

- Dr. Griffith.
- How many of those

are potential organ donors?

- Nine.
- Whoa. Organpalooza. [CHUCKLES]

I can't overstate
how inappropriate that is.

I have a dark sense of humor.

You don't get to talk
for the rest of the day.

- I was just...
- I mean it.

Every one of those organs
came from a person

who was living their life yesterday.

A person with family and friends
who are devastated today

and praying for a miracle.

- I'm so sorry. I...
- Don't be sorry. Just don't talk.

[SIREN WAILING IN DISTANCE]

We'll ask the families to move
to the waiting room

while we run confirmatory tests.

We have already alerted
the OPO for potential donors.

We have transplant surgeons on standby

from all over the country to make sure

that not one precious,
life-giving organ goes to waste.

♪♪

[MONITORS BEEPING]

♪♪

This just got super real.

♪♪

♪♪

AMELIA: No blood flow on
the transcranial Doppler.

Adams, his mother is
in the waiting area.

Uh, you want me to tell her
that her son is brain-dead?

You will take time and care.
You will be kind.

You will be gentle,
and you will be clear.

That goes for all of you.

♪ It's not what you know ♪

♪ No, no ♪

♪ So young ♪

♪ It's what you have ♪

No spontaneous respiratory effort,

hypercarbia, and no ocular reflexes.

She's gone.

Griffith, her husband
was also in the accident.

He is a post-op surgical patient.

♪ The waiting weighs ♪

♪ Believe me ♪

♪ It wasn't mine, and now it's yours ♪

No cough reflex.

- Kwan...
- On it.

♪ The age is new,
it grows with you, maybe ♪

♪ Growing always has its pains, baby ♪

♪ No hidden meaning,
no trick to reveal ♪

♪ And that's the deal ♪

♪ And I say ♪

AMELIA: Her eyes are tracking.

She still has some brain activity.

She's not brain-dead.

She is not dead.

- Oh, thank God.
- Mm-hmm.

- ♪ You're not alone ♪
- [BREATHES SHARPLY]

♪♪

Hey, I rounded on your post-ops,

and Mrs. Shaugnessy
says her incision hurts,

but there's no sign of infection,

- so I just upped her morphine for today.
- Okay.

Oh, and Mr., uh, Mulligan asked me

to thank you again for...

Why... Why are you pacing?

Oh, 'cause, um, I think
we have a match for Howard.

And I love Howard.

And, um, you know,
I'm just bursting to tell him,

but it's not official yet.

And I also don't want it to seem like

I'm rooting for somebody's death, so -

- I'm not.
- Uh, Dr. Pierce?

Yes.

I recognized you
from that article you wrote

about racial disparities in
outcomes after bypass surgery. Yes.

Well, wasn't a great picture.
[CHUCKLES]

- Okay.
- I'm saying that I recognized you

even though that photo
looks nothing like you

because I am a huge fan of that paper.

I read it three times.

- You are brilliant.
- Oh.

And, uh, I'm Dr. Jules Millin.

I'm a first year surgical intern.

WINSTON: Dr. Millin,
are you just fangirling

or did you come here
to tell her something?

Oh, sorry. Yes.

Um, I was told to tell you
that we got a call from UNOS...

You have a heart for Howard?

Is Howard Mr. Jones?

Yes!

Yay! Yay, yay!

- Winston, will you...
- Yeah, I'll... I'll...

- I'll start the paperwork.
- Yeah.

[SIGHS] Oh, my gosh.

Uh, Dr. Pierce, um,

can I please join you?

I just had to tell a family
the worst news of their life,

and I could really use
some of the opposite.

[TELEPHONE RINGS IN DISTANCE]

Ms. Milton, I'm Dr. Yasuda.

Your daughter Marina
is showing distinct signs

of brain activity.

Her eyes are fixating
on stationary objects.

But... But I saw everyone.

I saw all the other parents.

You're... You're saying
there's a chance she might live?

She might live through this?

We're continuing to make adjustments

to her ventilator and her medications

and hoping
the brain swelling comes down.

And, yes, there is a chance
that she might live.

[SIGHS]

I'm...

too afraid to hope.

♪♪

Okay.

I get that.

How about if I hope for you?

I have seven sisters, and one
of them is around Marina's age.

So I will hope for Marina

the way I would hope for my own sister.

♪♪

Um, I'll keep you posted.

♪♪

[CRYING]

Don't mind him. He's a cry baby.

[CRYING] I am.

- It's okay.
- I'm emotional, too. [LAUGHS]

You've waited so long for this, Howard.

I honestly didn't think
this day would come.

Dr. Millin, why don't you check

Howard's blood pressure
while we're here?

What is it...
bring your kid to work day?

Our surgical residency program
just opened back up today,

so we finally have interns again.

You look . Are you ?

Uh, no, sir. [CHUCKLES]

We're just old, babe.

We're so old that the young
adults look like children.

And now you'll get to grow
even older together.

[CRYING]

Oh, no.

- He had just stopped.
- Sorry.

[CRYING CONTINUES]

Yay! They're here!

The black scrubs are here!

Who are the black scrubs for?

Uh, for me, for OB.

The female body has become
a w*r zone in this country,

and pink is a peacetime color.

Got it. So it's a statement.

- No, it's more a state of mind.
- Yeah.

Need some help?

I'm good. You?

Actually, yeah, I do.

Um, do you remember that girl
from Saturday night?

Um, the blonde?

No, that was Thursday.

Oh, um... Oh, oh, yeah!

The one that kind of looks
like the Snow White

- to your Prince Charming?
- Yeah.

And she had a Disney princessy
kind of name.

- Jules.
- Yes!

Yeah. Turns out she works here now.

[ELEVATOR BELL DINGS]

Doing what?

Surgical intern.

[LAUGHING] Oh, my God!

[CHUCKLES]

I'm... I'm fired, right?

I should just go pack my things?

You didn't know when you
brought her into our home

that she was an incoming resident?

Well, there were drinks.
The bar was loud.

She might have said it,
and I might have nodded

- like I heard it.
- With your old man ears?

That hurts. Okay,
so what am I supposed to do?

Get ahead of it. Talk to the chief.

WOMAN ON P.A.: Dr. Coen to PEDs ICU.

Dr. Coen, report to PEDs ICU, please.

- Oh, hey, man.
- NICK: Hey.

- [CHUCKLING] Hey.
- How you doing?

- Good.
- Good, good, good.

Hell of a day, man.

Yeah, yeah.

It's been a while since I've seen you.

Yeah.

What do we do now?

[INDISTINCT CONVERSATIONS]

Dr. Ndugu, may I join you?

I would love to see
what's involved with procuring

an organ for a transplant.

Yeah, I guess that's fine.

- Yeah.
- What, me too?

O-Okay. Yeah.

[SIGHS]

Man, I've never seen a line like this.

Yeah, it's pretty crazy.

I've never heard of eight donors
in one hospital in one day.

Freak storm, you know? Terrible day.

- lives.
- You said what?

It's the worst math.
It's transplant surgeon math.

We do it to comfort ourselves.

deaths saves up to lives,

and that's not including
skin and corneas.

So, yes, it is a horrible day,
but it is also a beautiful day,

and it all coexists.

That is a little comforting.

[TELEPHONE RINGING IN DISTANCE]

[INDISTINCT CONVERSATIONS]

[CHUCKLES]

So how's everything been here,
uh, since the shut down?

[SIGHS] Honestly, man,
it's been awful.

I mean, a teaching hospital
with no residents?

You know who ends up with all the scut?

- The junior attending.
- Mm.

You know who ends up holding the clamps?

The junior attending.

And you know when that starts
to feel like hell?

When the woman you love is your boss.

[CHUCKLES] So it's been rough.

I honestly just think I was
asking how Meredith's been.

Oh. Oh, yeah. Okay. Um, good.

She's a... She's a good chief.

So she made that job official, did she?

Her title is interim chief,

but, you know, six months in,
feels pretty official.

- Got it.
- Yeah.

[RESPIRATOR HISSING]

♪♪

Yeah.

♪♪

I do, I understand.

It's just my patient has been
waiting longer,

and her cardiac and liver
function are deteriorating fast.

Also, the donor is in this hospital.

Yes, I will hold.

- Um, I need you alone.
- Link was here first.

Oh, uh, yeah, I... I just...

I slept with an intern.

But I didn't know she was an intern.

It was... It was before.
It was not today.

It was... Wow. This is awkward. Um...

I'm in no position to judge you on this.

I do recommend you stay away
from elevators

for the foreseeable future.

Go to HR. They have paperwork
for this kind of thing.

- Thank you.
- Mm.

Good luck.

Nick's here.

He's here.

Nick Marsh!

Don't try to be calm,
and don't try to be chiefly.

The man you love is here,

waiting for an organ
in the surgical corridor.

Of course he is.
Half the transplant surgeons

in the country are here.

Well, then go talk to him, Meredith.

I'm on the phone with UNOS.

There's a triple organ match
for Sarah Martinez.

They're saying someone's
in line ahead of her.

Meredith, you have been sad
for six months.

Even Zola has noticed.

Last week, she asked me
for Nick's phone number

so that she could call him
and explain to him

why you never went to Minnesota

and that maybe he would
understand and come and visit.

And now he's here.

And you love him.

Don't be an idiot.

You never told me that story.

Yes, I'm here.

- Yes! Thank you so much.
- LEVI: Dr. Grey.

- Thank you.
- [DOOR CLOSES]

- Um, sorry to interrupt.
- Yes.

Uh, I have carefully considered,
and I feel... [INHALES DEEPLY]

- You hate OB.
- More than I hate w*r.

You'd make a good chief resident.

Seriously?

[ WOMAN SPEAKING INDISTINCTLY
OVER P.A.]

[INDISTINCT CONVERSATIONS]

♪♪

- Hi.
- Hello.

♪♪

Dr. Adams.

Did you bring the patient
down... Liam Collins?

Yes, Chief. They're prepping him now.

♪♪

- Dr. Marsh?
- Mm-hmm?

- I just got off the phone with UNOS.
- Uh-huh.

I have a triple organ transplant
match for my patient,

Sarah Martinez.

It's the first day
of the new residency program,

and I can't really disappear
into an OR for hours.

So if you'd be willing
to take point on this,

then I can find someone
to transport your organ

back to Minnesota?

[EXHALES DEEPLY, LAUGHS]

A triple organ transplant,
that's what we're talking about?

Those are super rare, yeah?

♪♪

Uh, ok... Um, do you feel comfortable

taking the liver back to Minnesota?

It's for Chen. It's his patient.
He's doing the transplant.

- No problem.
- Okay.

I will scrub in.

Great. This is... very helpful.

- Good.
- Shall we go and meet

Sarah Martinez and her family
and deliver the good news?

- Let's do it.
- Okay.

- Dr. Ndugu.
- Dr. Grey.

♪♪

That is not how I thought that would go.

No.

Who has patient number ,
Liam Collins?

Oh, that's me. Or, um...

I just sent him off to pre-op.

- Why didn't you talk to his family?
- I did.

You didn't. His mom is in the ICU,

screaming at Dr. Shepherd.

What? No, I...

Okay, I know I definitely spoke
to somebody's mother.

Congratulations on your first day...

I...

...and also your last.

Gotta be some sort of record, right?

Nope? Okay.

I really am so sorry.
I don't know how this happened,

- but I w... I will...
- [CRYING] You will what?

What can you possibly do to fix this?

Mrs. Collins,
I know that you have suffered

the worst loss of your life today,

and my intern made a terrible mistake

in speaking to the wrong parent,

but I did do the final
round of tests on your son.

I did declare him brain-dead.

How am I supposed to trust you?

I wasn't given the chance to say
goodbye to my child.

How am I supposed to trust your tests

when you and your staff are capable

of making this kind of mistake?!

[CRYING]

- Oh, my sweetheart.
- Okay.

Oh, my sweet love.

[CRYING]

Ma'am, I am so sorry.

Mrs. Collins, uh, would you like me

to run the last test again?

I would like you to run
all the tests again.

This is Dr. Grey's triple organ match.

Then you had better go talk to Dr. Grey.

♪♪

Go with him, please.

Make sure he doesn't screw this up, too.

♪♪

[SIGHS]

DAVIS: Group hug!

[LAUGHTER]

Everyone joins.

- Oh, everyone join.
- [LAUGHS]

I don't know who you are,

but those are the rules of group hug.

Davis, you're embarrassing yourself.

- I can live with that.
- And it's all three organs?

She's getting all three of them?

- Today?
- MEREDITH: Yes.

Well, if you don't crush
her surgeons first.

[LAUGHTER]

Oh, jeez.

Oh.

♪♪

Say it again. I want
to make sure I understand.

I spoke with the wrong family,
and so Liam's mom

almost didn't get
a chance to say goodbye.

And so she's... she's upset.

I'm sure "upset" doesn't begin to cover

how that woman feels right now.

Okay. Is she saying goodbye to him now?

- No.
- No?

- I need more, Adams.
- Uh, I-I'm sorry.

- I'm... I'm so sorry.
- Dr. Adams, save your shame

for after your shift.

Your shame spiral is about you,
and right now,

we need it to be all about our patients.

- You understand?
- Griffith?

The mom asked Dr. Shepherd
to run all of the tests again.

- Is she doing that?
- It felt like if she didn't,

the organs would not be donated.

Okay, what's the patient's status?

He's brain-dead.

I... Yes, I understand that,
but were his vitals stable?

Do you understand why he's asking that?

He's asking you that because
if the patient codes...

if the patient's heart stops

before Dr. Shepherd's
finished running the tests,

then you get to be the one who goes in

and tells that family that
their one-in-a-million match

just got wasted because of your error.

Stop looking at me like that.

Go help Dr. Shepherd!

♪♪

[VOMITS]

♪♪

[SIGHS, SNIFFLES]

Mrs. Collins
has her family doctor here now,

and she wants him
to sign off on the tests.

She does not trust us
as far as she can kick us,

and I cannot blame her.
[BREATHES SHARPLY]

- Dr. Griffith.
- I'll go get him.

Mm-hmm.

They had the same name.

And Mrs. Collins,
her first name is Jane,

and I said, "Are you Jane?"

And the other lady, she said yes,

and I guess they had the same name.

You used the first name.

Well, I was trying to be more personal

because I was about to tell her
her son was brain-dead.

Yeah, but you can see now
why we don't do that.

Yes.

Meanwhile, who did you talk to?

Is there someone named Jane
walking around now who...

who thinks that her child
is brain-dead...

- No, no.
- ...and he isn't?

No. I checked. Her name is Jane Miller

and her son is brain-dead... too.

Mrs. Collins? Dr. Shepherd sent me.

This is our family doctor, Dr. Shagrin.

Dr. Shagrin, I'm Dr. Griffith.

We're hoping we could get your opinion.

I know time is of the essence.

Lead the way.

[TELEPHONE RINGING IN DISTANCE]

- ♪ Ooh, ooh, ooh, ooh ♪
- [ELEVATOR BELL DINGS]

Oh, sorry. Coming through.
Thank you so much.

- Oh, yield, please!
- On your right. Excuse us.

Just gonna... Thanks so much.

And corner! Coming in hot!

Old guy, sorry. Don't got time.

♪ Got me walking on a thread ♪

Oh, gotta part the sea, y'all.
Thank you.

Oh, sorry. Excuse us
on the right, or the left.

Excuse... Dr. Shepherd!

♪ Like you mean it, mean it ♪

♪ Lasso ♪

♪ Drag me all over town ♪

♪ Yeah, you really drag me down ♪

- ♪ And I feel it, feel it ♪
- [ELEVATOR BELL DINGS]

♪♪

Crap, wrong floor.

- ♪ I want it all ♪
- Excuse me. Come on!

- ♪ I want it all ♪
- Come on.

♪ I want it, want it, want it ♪

♪ Ooh, ooh, ooh, ooh ♪

♪ Ooh, ooh, ooh, ooh ♪

♪♪

[TELEPHONE RINGING IN DISTANCE]

Mrs. Collins...

I am so deeply sorry for your loss,

but Dr. Shagrin has confirmed...

[CRYING]

[SOBBING LOUDLY]

Mrs. Collins...

my name is Dr. Benson Kwan,

and I lost my brother in an accident...

[VOICE BREAKING] ...when he was only .

[CRYING]

It was devastating, and my life
was never the same.

And there is nothing anyone can say

that can take your pain away,

but the lives my brother saved
when he donated his organs?

[CRYING CONTINUES]

I think about them.

I still think about the
little girl who got his heart,

the teenage boy who got his kidney,

and the grandmother who got his liver.

Because those people give his death

some little bit of meaning.

♪♪

And I cling to that.

I cling to it after all these years.

♪♪

Tell Dr. Shepherd I consent.

♪♪

♪♪

Thank you. Your brother just saved

a whole bunch more lives.

Never had a brother, but you're welcome.

I want in on
the triple organ transplant.

What does your gut say?

My gut? Uh...

My gut says she's getting
her organs today.

- Yeah?
- Mm-hmm.

Well, I don't know.
Sometimes my gut is wrong.

I shouldn't have told you
to go back to Minnesota.

I called after you. You didn't hear me.

Oh, I... I heard you.

♪♪

- You did?
- Yeah, I heard you.

Yeah, but...

♪♪

I was hurt. I was.

I wanted you to do more
than call my name.

I wanted you to put in some effort.

It was a bad day.

[CHUCKLES] It's been six months.

It's been a very difficult six months.

Mm-hmm.

And you know how
I'm so stubborn and so proud.

Same.

Uh, you got approval. I got approval.

- Okay.
- Excuse you?

- We both got approval.
- Yeah.

MEREDITH: Okay, well, you both
can be in the surgery.

Whoa, whoa, whoa, whoa.
I thought I was lead surgeon.

- You are.
- Okay.

Yes. He...

You can both be in the surgery.

- [BREATHES SHARPLY]
- Okay, let's go.

- Let's go.
- Yeah.

I read that they can turn
your body into a pod

and plant you as fertilizer for a tree,

and that's what I want.

- What?
- Mom, don't be morose.

It's not morose. It's what I want.

I want to be a tree
that you and the kids

and all the grandkids can picnic under.

I want to make oxygen
and fight global warming.

I don't want to become pollution,

and that's what a casket is,
and that's what cremation is.

It's land pollution,
and it's air pollution.

If I die today, or when I die whenever,

just remember, sweetheart,
I want to be a tree.

I want to watch over our family.

♪♪

Forever.

You ready?

[BREATHING HEAVILY]

I'm ready.

♪♪

[CRYING]

♪♪

[SIGHS]

It's a no.

Uh, you said it's a no?

Dr. Millin, would you like
to close the chest?

- What?
- The heart has hematomas everywhere.

It is not usable for transplant.

I can close, Dr. Pierce.

Nonsense. She knows how to do
a running subcuticular stitch.

I'm sure she's practiced
on a thousand oranges.

Human flesh is a little bit firmer.

You're gonna have to pull
a little bit harder.

Uh, what about Howard?

You'll explain to Howard and his husband

that Howard will remain
on the transplant list,

but today was not his day.

B-But his husband couldn't stop crying.

I know. It sucks.

But we take the good
with the bad here, Dr. Millin.

Schmitt, keep an eye.

[MONITOR BEEPING]

O-Okay. Um, - Monocryl, please.

You say please to Bokhee!

I did.

Right here. There.

They just keep getting younger.

Right?

Adams, what are you doing?

I screwed up. I just want
to make sure she's okay.

- You want to scrub in?
- [SCOFFS] For real?

'Cause I'm pretty sure
I'm getting fired later.

[CHUCKLES]

Well, if they haven't fired you
yet, you still got a sh*t.

Look, here's the deal.

We all have bad days.
We all make mistakes.

You just got to learn from them.

You learn from them, you're good.

Right? What'd you learn today?

[SCOFFS] Uh.

Raise my hand before talking,

save the shame for the end of the day,

and use full names
when speaking with next of kin.

Yes. Okay.

That's good.

Come on.

End your day better than it started.

Okay? Let's go.

- Come on, let's go!
- [CHUCKLES]

[WATER RUNNING]

[CHUCKLES]

♪♪

[PEN CLICKING]

Okay, so this is going to be
a long, arduous surgery.

Let's pace ourselves.

And say a prayer now
if you're the praying kind.

The donor is Liam Collins.

He loved rugby, and he loved science.

The recipient is Sarah Martinez,
and she loves nature,

and she's about to be a grandmother.

It's a beautiful day to save lives.

♪♪

It's a beautiful day to save lives.

♪♪

Derek was a God to him.

♪♪

- I know.
- MAN: Scalpel.

And Lucas was Derek's favorite nephew,

and I do love him,
so I hate to keep saying this,

but I don't think he has what it takes.

- I know you don't.
- He's a mess.

He doesn't follow instructions.

He has to do everything his own way.

Did you hire him because
he reminds you of Derek?

No. Not Derek.

He is a mess. He does need
to do things his own way.

Mm-hmm.

But he also has a
stroke of the family genius.

- And he's a bit of a black sheep.
- [SIGHS]

You don't see it, do you?

♪♪

Is that why he drives me crazy?

[CHUCKLES]

He's me.

Yes, he's you.

He's got the spark.

He's got the drive.

He just needs a chance.

I had to be watched very closely
at that age.

Great.
Are you volunteering?

- Because I accept.
- [ Laughing ] No, I was not volunt--

Too late.

- I already accepted.
- [ Sighs ]

♪♪

♪ Call me a fool for thinking
maybe I could get over ♪

♪♪

♪ I could be stronger
than the fear in my mind ♪

♪♪

♪ And she said,
"Keep on getting stronger ♪

♪ Keep on getting wiser, my dear" ♪

♪♪

♪ Don't give in to the voices ♪

♪ Or succumb to your fears ♪

♪ Oh, sing with me now ♪

♪ For the change I can become ♪

♪♪

♪ Oh, sing with me now ♪

♪ For the change has just begun ♪

♪♪

[MONITOR BEEPING]

[BREATHES SHARPLY]

We have a heartbeat.

- Yes!
- [LAUGHS]

Yes, yes, yes, yes, yes.

- Whoo!
- Alright!

♪♪

♪ Oh, sing with me now ♪

♪ For the change I can become ♪

♪♪

♪ Oh, sing with me now ♪

♪ For the change has just begun ♪

♪♪

♪ Mm-hmm ♪

♪♪

♪ But do you see me, oh, Lord ♪

♪ When I look to you for an answer? ♪

♪♪

♪ I need you to tell me
how to carry on ♪

♪♪

♪ And he said,
"Keep on getting stronger ♪

♪ Keep on getting wiser, my dear" ♪

♪♪

♪ Don't give in to the voices ♪

♪ Or succumb to your fears ♪

♪ Oh, sing with me now ♪

♪ For the change I can become ♪

♪♪

MAN: Weaning off ECMO.

♪ Oh, sing with me now ♪

♪ For the change has just begun ♪

WOMAN: Vitals are stable.

[CHEERS AND APPLAUSE]

- Whoo-hoo!
- Alright!

[CHEERING INTENSIFIES]

WOMAN: Nice.

♪♪

- Whoo!
- Yes!

♪♪

♪♪

♪♪

[SIGHS]

[DOOR OPENS]

[ WOMAN SPEAKING INDISTINCTLY
OVER P.A.]

Oh, hey.

- Hey.
- Hey, how's the first shift going?

- It's endless.
- I mean, it's exhilarating.

It's devastating.

I-I told a person
that his wife was dead today,

and then another man that his
husband wasn't getting a heart.

But I also sewed human flesh
on a living human being,

which was nothing like an orange
and different from a cadaver,

and I think I'm in love
with the whole thing.

That's great. That's great.

Hey, uh, listen,
this is a little awkward,

but, uh, would you mind signing this?

- What is it?
- This is HR paperwork.

It's just so things don't get muddy.

It just says that our relationship

pre-exists your employment here.

Uh, what... what relationship?

Uh, well...

Oh, Link.

Link, you're a nice guy,
and... and we had fun,

but we don't have a relationship.

I don't...
I, I don't want a relationship.

Okay, then why are you waiting outside

the intern locker room like a stalker?

I'm...

Okay, y-you're a nice guy, Link,

so let's, um... let's be friends, hm?

[SIGHS]

[SIGHS]

♪♪

Oh, my God.

♪♪

Oh, my God.

♪♪

- [GASPS] Ms. Milton!
- Mm-hmm?

Ms. Milton, Marina is awake.

♪♪

[GASPING]

♪♪

You did it!

You hoped.

[BREATHES SHARPLY]

I hoped.

Oh, baby.

[CRYING]

Oh.

♪♪

Oh.

It's okay.

How's that dark sense of humor
working out, Yasuda?

♪♪

Oh, my baby.

Okay, good. Good, good, good.

Okay, good.

Am I a tree?

- [MONITOR BEEPING]
- [CHUCKLES]

I'm sorry, are you a what, now?

Uh, not yet, Sarah.

[SIGHS]

Can I see my kids?

Uh, no, Sarah, not yet.

Y-You need to rest and recover,

and in a couple days,
we can talk about it.

Okay?

[DAVIS NAISH'S "RIPPLES" PLAYS]

- I want to thank the donor...
- ♪ Slowly ♪

- Mm-hmm.
- ...family.

Someone's child d*ed.

♪ I'm becoming steadfast ♪

I want to tell them
I know what they lost.

Of course. I understand, but, really...

you do need to rest.

- And then we'll talk about it more.
- Oh.

- Okay?
- Okay.

Okay.

♪ Part of me is far from ready ♪

♪ To come back ♪

♪♪

♪ I don't want to be
the last one chosen ♪

♪♪

Uh, you feel alright, Dr. Griffith?

♪ I don't wanna be the source
of all your grief ♪

My mom d*ed.

Um, I'm so sorry, um...

do you need a grief counselor,
a pastor, or...

- She d*ed when I was born.
- Oh.

In this hospital, so I haven't
been here since then.

Since you were born?

I haven't been here
since the birth of me

k*lled my mother somewhere
in one of these rooms,

which is why I was late my first day.

It had nothing to do with the tornado.

I had a... panic att*ck,

and then I saw the color of the walls.

I've been...

picturing this place my whole life.

When I think of my mother
and the walls are beige,

and then I get here and
they're blue, and it's just...

♪♪

...disorienting, disappointing.

♪♪

Got it wrong all this time.

♪ Soon there'll be still waters ♪

Well, they only painted
the walls blue a few years ago.

You got it right.

♪ Soon there'll be still waters ♪

♪♪

- ♪ Soon there'll be still waters ♪
- [SIGHS]

Makes me feel so...

so much better.

[LAUGHS]

Thank you. Thank you, Dr. Webber.

Of course.

And I'm sorry that I was late
on my first day

and I lied about why.

It's understandable, Dr. Griffith.

It won't happen again.

[HUMMING]

♪♪

♪ Soon there'll be still waters ♪

♪♪

[LAUGHING] You waited outside
the intern locker room?

Uh-huh. Mnh. Alright.

You... You set me up, didn't you?

I mean, you did this on purpose.

Don't hate me. I needed a laugh.

So glad I could provide it.

- Hi.
- Keep walking, Schmitt,

we're not on speaking terms.

[SIGHS]

♪♪

Harsh.

Yeah, well, I can be mean
when I want to be.

Oh, I know.

[LAUGHS]

♪♪

Okay.

♪♪

[KNOCK ON DOOR]

Come in.

Hey. Uh...

- Hey.
- Thank you for that.

I-I've been at this a long time,

and I've never done a triple,
so thank you.

How's Sarah?

Well, she's not a tree.

[CHUCKLES]

Sorry, yeah, she's good. She's good.

S-She's awake, and she's grateful.

- That's excellent news.
- It is.

[BREATHES DEEPLY]

Okay, I'm gonna go.

Or don't.

[CHUCKLES]

Or don't.

I need a residency director.

MEREDITH: New beginnings
aren't always easy.


You're the best teacher I know.

This class is a lot like
you were at their age.

They either didn't match anywhere else

or got kicked out of their programs.

So, they're... they're
diamonds in the rough...

is that what you're saying?

Yes, and I think that
I would have never hired them

if I didn't know you
and I didn't know your story.

I think you inspired this whole thing.

[BREATHES SHARPLY]

And I need a residency director.

It's excellent pay, and you
wouldn't have to travel as much,

and I... would love it

if you would just at least consider it.

When you get a new organ,

you spend your life on medications

designed to suppress your immune system

so that your body won't reject it.

[RHYTHMIC KNOCK ON DOOR]

- Hi.
- Hey.

- Hey.
- Hey.

You're here.
Yeah, you called and we came.

Hey.

Right, but, I mean, I...
I did call you three weeks ago.

Well, I couldn't work
three weeks ago, but now I can.

- Sort of.
- Not sort of. I can.

Well, he has to be supervised.

You don't have to say it like that.

Well, how do you want me
to say it, Owen?

- You're very tan.
- Well, yeah,

Thank you.
...because he's been surfing every day

with a -year-old named Stella

while we've been paying out
our entire life savings

to a $ , -an-hour attorney.

Yeah. And she's been drinking
rosé angrily all day,

but you don't see me
criticizing her, so.

- Wow.
- Uh, I'm gonna go.

But you will think about it?

Yeah, I'll think about it.

♪♪

But at least you have a life to spend...

- Let's sit down.
- Great.

- Yes, yes.
- ...and a body to medicate.

So, the attorney got all
criminal charges dropped.

For the low, low price
of a quarter million dollars.

Wow, okay.

So do you have a medical license?

- W...
- A suspended medical license.

I just have to be supervised
for a little while.

- How long is a little while?
- Not that long.

Six months is that long, Owen.

[FINGERS SNAPPING RHYTHMICALLY]

[HUMMING]

[BREATHES SHARPLY] Yeah, six months.

[HUMMING]

Second chances can feel like an insult

if you can't get over what you
lost the first time around.


[SIGHS] My eyes hurt.

♪ Go ♪

Everything hurts.

I think my fingernails hurt.

Not mine. I feel high.

Saving lives is the most epic high.

- That's adrenaline.
- Plus dopamine.

Eh, I prefer to think of it as magic.

♪ Go, listen to the morning ♪

What do they call you, Griffith?

♪ Go be still among the trees ♪

Simone.

[CHUCKLING] What, no nickname?

Like, uh, Simmy or Simsim?

♪ Go, listen to the morning ♪

I am truly stunned
that you still work here.

Dude. One day
you're gonna screw up, too,

and I'm gonna [CLICKS TONGUE]
remember this.

[CLICKS TONGUE] Doubtful.

You want to know
what they call me, Skywalker?

- Mm?
- They call me Blue.

As in the color?

As in the ribbon because I always win.

That's embarrassing.
I'm embarrassed for you.

You definitely don't always win,

'cause this is a program
for rejects and losers.

Well, that's not how I identify.

- Uh, me neither.
- Me neither.

Okay, fine, me neither.

Eh, it's kind of how I identify,

but I intend to prove myself wrong.

♪ Go listen, go, go listen ♪

I still can't believe you lied
to that mother.

BLUE: I comforted that mother.
It was a win-win.

So, what'd you do to get in here?

Oh, wouldn't you like to know?

Or, it can feel like a miracle...

like a hard-fought victory...

♪ Riiiiiiise ♪

[CELLPHONES CHIMING]

- [GASPS]
- ♪ Go ♪

- Sheesh.
- [GRUNTS]

♪ Listen to the morning, go ♪

...a chance to live the life
you always wanted.


♪ Mother Nature's trying
to teach you well ♪
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