All language subtitles for Greys.Anatomy.S21E09.WEB

In a rare instance
when a patient died

while hooked up
to brain monitors,

doctors saw an increase
in brain activity

right before
and after his heart stopped.

Call 911.

Come on.

- Come on.
- What's your emergency

The brain waves
that surged

were associated with dreaming,

- information processing
and memory recall.

- Push another epi.
- Please, Jackie.

Still nothing.

Someone get me
a TEE right now.

It confirms
what we often hear

when we revive a patient
in cardiac arrest,

that right before
their heart stopped,

they saw their life flash
before their eyes.

After everything
we've been through,

I thought this was impossible.

Me too. Not that I remember
it all, but...

ER. I have to go.

Can you stay?

I'll look for you
as soon as I can.

I have nowhere else to be.

Ah.

Bailey, have you seen Yasuda?

I paged her ten minutes ago,
nothing.

It's because
she doesn't work here anymore.

-She quit the program.
-What happened?

Just being back here
where her sister died.

It was too hard.

It's just unthinkable.

I wish there was more
I could've done to help her.

Uh, she's tough, all right?
She'll... She'll find a way.

Not so sure about the others.

Millin isn't handling it
very well.

First year of residency,

your fellow interns are
all you got.

-Mmm.
-I'll keep an eye on her.

Thank you.

- I thought we were closed
to trauma.

Bring it in this way.
All right, hold it right there.

Watch yourself. Watch yourself.

Watch your backs, folks.
Watch your backs.

Make room
for the emergency vehicles.

What the hell happened?

Warren left us open to trauma,

so you're looking
at the consequences.

Look, I was going to set up
an additional triage tent

then I was gonna come up
with some work-arounds.

I was chief of staff
of the Army Medical Command.

This is not a work-around.
This is a fireable offense.

So if you get the urge to make
another decision

without consulting me, don't.

Uh, this is Altman. Go ahead.

-What did you do?
-Not the time.

- Ben!
- All right.
That's the last one!

We are closing to trauma!

-Adams!
-I... I'm okay.
It's not all mine.

Jo Wilson,
38-year-old female.

- Wilson!
- Jo.

I'm gonna have to call you back.

-What happened?
-Got a gunshot wound over here.

Yeah. His name is Damian,
28-year-old male,

GSW to the right chest.
No exit wound.
Intubated on the scene.

-He was with you?
-He held up the store.

All right, I'll go.
Stay with Wilson.

Let's get her inside.

She's bleeding.

- You were shot?
- No. I...

I'm pregnant.

I got you.

I really appreciate you
taking me to my hotel.

I know they need you
at the hospital.

Teddy hired a bunch
of outside doctors to pitch in.

She has plenty of help.

- I can't believe you still
drive a truck.

What was it that you used
to drive? An old Silverado?

I just remember
it took up two parking spaces.

Yeah. And it didn't
go over 45 miles an hour.

And only one of the handles
worked.

It was not what you'd call
a chick magnet.

You could've driven an RV
and I would've thought

it was the sexiest truck
on earth.

What?
You... You hated me.

I was madly in love with you.
I thought you knew.

Hold on.

Okay, you were mean to me.

You were
my best friend's older brother,

and I was a teenage girl
who didn't know

how to tell a boy I liked him.

Wha... Wow.

Are you okay?

Yeah, I'm fine. It's just, um...

It's pain
where I had the surgery.

It happens sometimes.

You had the surgery weeks ago.

-I'm running you back
to the hospital.
-That's not necessary.

Any amount of pain could
indicate a complication.

We're not taking any chances.

Beautiful day, isn't it?

It's 108 degrees.

Sun is out.

Everyone's working together
towards a common goal--

Mika quit.

What? Why?

Well, her sister died here,
and she almost died.

And I think
she wasn't into the weather,

but that's just an observation.

You okay? You two were close.

I didn't come here to make
lifelong friends. Did you?

No.

People come and go.
And I still have a job to do.

Do you see anything?

What's going on? Why won't
her heart start? Ndugu?

Right there.
The aortic root aneurysm

dissected and extended down,

occluding
the left coronary artery.

The blockage is
keeping her heart from starting?

It's the tear.
It caused a massive infarction.

We need to revascularize
her coronary artery

to restore blood flow,
then put in an aortic graft.

Let's prep for a sternotomy.

I know you wanted
to take care of this first,

but I maintain
that this was the right call.

She could have dissected
no matter what.

At least she did it
in the safest place

where we can treat it.

An aortic dissection
is never safe.

Jackie's already been under
for hours.

We need to move faster.
Let's go.

- Dr. Shepherd.
- Whatever it is,
it's gotta wait.

It's Dr. Adams.
He wants you to know he's okay.

Get us up to speed.

Single GSW
to the right chest.

No exit wound.

He's hypoxic.
He has a right hemothorax.

His FAST exam on his heart
was negative.

We need to prep
for a chest tube.

Bullet fragments are localized
in the right chest.

Let's order a type and cross
and trauma panel.

-Can I do the chest tube?
-Get her sterile gloves.

His sats are dropping
so we need to move quickly.

I bet when he walked out
of the house with a gun today,

he didn't expect
to be the one getting shot.

- Ready?
- Mm-hmm.

All right.
You're gonna make an incision

between the fourth
and fifth rib space.

Now you're gonna pop
through the pleura.

Mm-hmm. Good. And now dilate
by opening the clamp.

Time for the tube.
Yeah, keep going.

All right. He's putting out a
lot of blood. We need to call
up to the OR.

Nice work, Millin.

Her BP is 105 over 65.

That's good.
Uh, how many weeks are you?

Sixteen weeks. I, uh, had
an appointment a week ago

and everything looked fine.

Have you paged OB? I can do it.

No, you will not.
You will get yourself checked.

-Dr. Warren.
-Come on, you heard her.
Let's go.

I was just grazed. It can wait.

Do you think
your colleague wants you

to see me do her ultrasound?

No. Go. Now.

-Don't let him
out of your sight.
-Wait, wait. Adams.

Thank you.

Come on. Let's go.

Bailey, I need
to see for myself.

You are not your doctor.

- Okay? We paged OB.
- In the meantime...

All right.
The placenta looks great.

Hey, no abruption.

And where is the--

- We have a strong heartbeat
right there.

Mmm.

What about the other one?

There's an "other one"?

Okay, let me see.

Oh.

There it is.

Oh, beautiful.

It's just these two, right?

As far as I'm aware.
Yeah.

-You okay?
-Mmm.

No. Okay.

All right. Someone help me get
her to OB. And where is Lincoln?

All right. Hold on. Thank you.

-We were finishing a surgery.
-Are you okay?

It's just superficial abrasions.

Steri-Strips and I'm good.

-I've got psych coming down
for an eval.

-I don't need that.
-Hospital policy.

You have to be cleared
before you can go back to work.

It's important.
You gotta process.

-You called your mom?
Want me to call her?
-I really do not.

Oh. They just extubated Jackie.

Yeah, uh, go check
on your patient, all right?

There's already too many people
standing around this bed.

All right.
You stay with him.

Kwan can cover post-op.

Okay.

And, uh, I also have
to go check on... something.

What happened?

Wilson and I went

to the convenience store
to get ice.

A guy tried to rob it.

I got lucky.
He's on his way up to the OR.

Thank God you're okay.

Griffith, I need you
to help Millin

transport this patient
up to the OR.

That's him.

That's...

-No, I can't. No.
-Yeah. You can.
He's just another patient.

-Except he tried to shoot you.
-But he didn't.

-Just another patient.
-Mmm.

I have to do a consult.

Have him prepped
by the time I get up there.

Chief, I'm on Ndugu's service--

It's all hands on deck.

And if he's got a problem with
that, frankly, I don't care.

So Dr. Marcus is on his way.

No. Absolutely not.

Literally anybody else.

Uh, well, DeLuca is in Italy,

Patel's on leave,
Kincade's in the OR.

Isn't, um, Dr. Marcus
the chief OB resident?

It's doesn't matter.

He's not taking a trip
down there.

- Okay. I know
it can be difficult

to be the patient with
someone you usually work with,

but you need somebody in--

Wilson. God, I... I just heard
what happened. Are you okay?

You're... ...Marcus?

Yes, I finished med school.

Undergrad only took me two
years. It's Bailey, right?

I apologize.

Wow, twins? It's a party.

- So, based
on the initial workup,

it's likely stress
that's causing the bleeding.

Okay. Okay. That's good.

- Uh...
- That's good.

She's also having
acute back pain.

Wilson, next steps.

Kidding.

Uh, pain and bleeding
could also indicate

other complications,
so I'd like to...

I was just getting
the kids settled.

I came as fast as I could.

It's okay. I'm okay.

What about the bleeding?

It's slowed down, but I'm...
I'm feeling heaviness below.

-I'd like to do
a pelvic ultrasound.
-Mmm.

I'm assuming you're Dad.

Oh, God.

So, let's give them a minute.
Mm-hmm.

- No, you're right there.
- Hey, uh...

Do you need a minute or...

My son is throwing a tantrum,

and my ex wants me
to calm him down.

Tell me you have good news.

Well, your EKG is normal,

but your white blood cell count
is elevated, which means--

I know what that means.
Last time I needed surgery.

Is that what's happening?

Do I have to go through this
all over again?

It could just be
a mild infection.

Or even stress, or dehydration.

Let's not worry
until there's something

-to worry about, okay?
-Okay.

Hey, what's happening?

Uh, just some chest pains

and hopefully a disproportionate
amount of anxiety.

Her EKG's normal
but she has leukocytosis

and she's slightly febrile.

Uh, we're still waiting
on blood cultures.

All right. Let's admit her.

Start her
on broad spectrum antibiotics,

get a chest X-ray
and CT with contrast.

Is now a good time to worry?

It's just...
It's been such a day.

You know,
why don't you go with her?

I can get Cass
to come down and help out.

It'll help with the scans
going much quicker
if you're there.

As long as you and Beckman
have it covered.

Yeah.

Yes.

No, I know.

No, I... I do still love you.

I just...
I just needed some space.

And like a minute
away from school.

I'll...
I'll call you tomorrow.

Dave?

Uh, yeah. He... He called like
eight times. I had to pick up.

I just...
I didn't know what to say.

I didn't want him
to know that I was here,

so I just... I just tried
to pretend like everything
was normal.

-It's... It's fine.
-It's anything but fine.

I didn't think this through,
and you're slammed.

I... I shouldn't have
just showed up out of nowhere.

-No, it's really okay.
-At some point,

I need to give Dave an answer.

It's not his fault
that this is...

this is what it is.

I really need
to answer this.

But I want a chance
to talk about this.

Hang out at my place,

and we'll talk
all about this tonight.

If you need to go home,
you'll go home.

I will never understand
how a person can point

a loaded gun at a stranger.

Well, people can hurt each other
in all kinds of ways.

I'm sure it's killing Yasuda
having to leave you--

Don't.

I'm sorry.
I didn't mean to bring it up.

When you wanna talk about it,
we will talk about it.

I won't be talking
about it with you.

-Did I do something?
-I'm just sick of pretending

like we all mean something
to each other.

I get that intern year is hard

and that we're all
trauma bonded or whatever,

but we're just coworkers.

I don't need you to comfort me
or to understand how I feel.

I can take care of myself.

I've been doing it
my entire life.

How's it going in here?

- Great.
- Fine.

He's about to code.

All right. Griffith,
strap him in. Millin, prep him.

Can you grab
the other side of the belt?

Yeah, I got it.

Did anybody contact
the blood bank

to activate the MTP?

I'm not sure.
I can check it.

You are the intern
on this case.

You need to make sure
that you're on top of orders.

I'll do it right now.

All right,
he can't wait.

We need
to scrub in right now.

Yeah.

I was able to successfully clip
the posterior aneurysm,

but we ran into a complication

when we tried
to wean her off bypass.

Uh, so what happened?

- Jackie's stable.
- Mm-hmm.

But she had
an aortic dissection,

which caused a heart attack.

My 17-year-old had
a heart attack?

I opened her chest,
and I put in a graft.

And thankfully,
she's an athlete,

so her heart was able
to recover from the MI.

I... I don't understand.

Uh, why do these complications
keep happening?

Well, we knew
her heart was at risk

due to the root aneurysm--

-Her brain was at greater risk.
-At the time.

-Her post-op labs came in.
-Thank you, Dr. Kwan.

How long does
the anesthesia last?

Hey, baby.

You still feeling groggy?

In my feet.

Your feet?

And my legs.

Dr. Kwan, would you get me
a needle, please?

Yeah.

All right, Jackie, let me know
when you start to feel this.

Did you start yet?

Why can't she feel her legs?

There's no written rule on it,

but people usually stand
on the other side

during a pelvic exam
to respect the area.

Right. Sorry.

I need you to relax, Wilson.

Okay.

You heard about Kincade's
uterine sarcoma case?

Poor woman's second recurrence.

She got four kids
and a death sentence.

You should see the scans.
They're awful.

Honestly,
it's like a horror movie.

Puppies. Mmm.
They're adorable and calming.

I'm thinking
about getting one for Pru.

So, your cervix is
18 millimeters.

So, an imminent risk
for preterm labor.

But you're just 16 weeks.

She's 16 weeks.

Which is why I'd recommend
a cervical cerclage.

It's placing a suture around
the cervix to keep it closed.

-He's a doctor.
-Aw.

Hospital babies. Are you gonna
name 'em Grey and Sloan?

What are the risks
of the cerclage?

Um, well, I could
get an infection,

or it could cause damage
to my cervix

like, um, scarring or stenosis.

Other options, please.

This is the option besides
terminating the pregnancy.

Cervical cerclage is very safe

and it is the absolute best way
to preserve the health

of Dr. Wilson
and the babies right now.

But if you'd like, I could give
you some time to think about it.

- No. Give me the consent forms.
- That'd be great.
Thanks.

My four-year-old listens
better than you do.

Yeah, well, unless your toddler
is also a surgeon

during
a record-breaking heat wave,

I don't think
that's a fair comparison.

You shouldn't
be seeing patients.

I'm still on the schedule
and the ER is over capacity.

Okay. Let me rephrase.

I can't let you
treat patients right now.

I'm fine. All right?

I see life and death every
single day. Business as usual.

All right. You know what? Fine.
If you want a job to do,

why don't you head over to the
clinic and help out

with the cooling center.

Mrs. Long in bed six needs
more stool softener.

- Do you see anything?
- Not yet.

You championed me.

-What?
-You told Sky I could do this.

You told me I could do this.

Now I'm sitting here
silently panicking

about what I've done
to this young woman,

-and you're hardly saying
a word.
-You don't think I'm panicking?

You're not the only one
who operated on her.

I should have said no.
From the second
you brought me in,

-I had a bad feeling about this.
-Why didn't you say anything?

Because you prematurely
accepted the case.

You knew it had a cardiothoracic
component to it,

but you accepted it
before getting my opinion on it.

She was admitted
before I even saw her.

No. No. Do not put this on me.

You could have said no right
after you walked out the door.

Maybe you didn't because
of how you treated her mother.

Nurse Connie said
a cold front's coming in.

The heat should break soon.

At least there's that.

Scans are up.
Kwan, what do you see?

Uh, head CT is negative
for stroke.

But the CTA shows
the dissection flap

propagating into the descending
aorta. Which means--

Blood flow to the spinal cord
is compromised.

I think it's...

-Okay, is this... this the way?
-Hey.

Radiology's a little backed up.

We'll get you in there
as soon as we can.

You don't have to babysit me.

Remember how annoyed
you would get

when your mom would make you
watch me and Megan

when she went to the store?

Yeah, but that was a chore.
This is--

An excuse?

-You made that face earlier
with Teddy.

-What face?
-Thought I sensed some tension.

Um, sorry. You don't
have to answer that.

I... I... I think my surgical
complications removed my filter.

Or maybe it was my divorce,
or... I don't know, sorry.

It's fine. Marriage is...
Marriage is complicated.

But I can't let this
happen any longer.

-I...
-Are you trying
to go up or down?

- Up. I'm...
- Up? Okay.

-Damsel in distress.
I hate myself.
-No, it's okay.

-Yeah. Yeah.
-There.

Oh.

There.

Hi.

Hi.

-Um. Radiology's ready
for you, so, um...
-Oh.

-I'll go find a orderly. Okay?
-Okay. Good idea.

Yeah.

Why don't we just first start
you on progesterone

and increase your monitoring?

Why can't you trust
I'm making the right decision?

I'm a pregnant OB-GYN.
I want a cerclage.

I'm getting a cerclage.

Yeah, well, you can't wave your
specialty in front of my face

every time
we have a disagreement.

I've done hundreds of these.
I do them all the time.

But you don't get them all the
time. And what about Marcus?

How many has he done?
Shouldn't we be waiting

for somebody born before TikTok?

He's in my year.

I have T-shirts older than him.

-Link, you're...
-Your heart rate's elevated.

Um, maybe some deep breaths.

God, I wish Dr. DeLuca was here.

First of all, I would never have
had Marcus's hands inside of me.

And second of all, she would
tell you how safe a cerclage is.

And maybe she could tell you

that this isn't
just your decision.

She would never tell me that.

-Are you thinking clearly?
-What?

You witnessed a shooting today.

You could've been
seriously hurt--

Okay. Time-out.

Okay. You are now the one
who is seriously hurting her.

Her BP is 140 over 90,
and that's too damn high.

For her and for me.

Add to that
a 18-millimeter cervix,

and you are tripling her chances
for contractions.

-Take a walk.
-Okay. I'm sorry.

-I was just trying to--
-I am not asking!

Look at me.

In and out.

Good. In. Out.

I've exposed
the damaged tissue.

He's gonna lose an entire lobe
of his lung due to one bullet.

GIA stapler.

His bullet.
That he loaded into his gun.

We should invite the lawmakers
voting against background checks

to assist on these surgeries.

Well, violent crime rises
along with the temperature.

I read a story about a guy
who drove his truck
into a hardware store

during a heat wave.
It killed four people.

Well, there's some
bleeding at the staple line.

All right. 2-0 PDS.

Thank you, BokHee.

Damn it. I can't
get visualization. Suction.

No. All right, Griffith,
Millin, what do we do?

- Tilt it more.
- Tilt the table.

Exactly.
All right, team, you heard them.

Anesthesia when you're ready.

- Oh, my God.
- Why is he moving?

All right, stop, stop!

Watch his line!

Secure the airways
and lines. Page some orderlies!

Let's assess him
and get him back
on the table right now!

Gently, gently.

Let's keep him on Ambu
until we can get him back
on the table.

Where are those orderlies?

Damn it, his central line has come out.
Shut off all the lines.

- Got it.
- Lap sponge!

All right,
keep pressure on his IJ.

Should we pack
the thoracotomy?

No. Here you go.

All right, Millin,
get me a wet towel.

Millin!

All right, take this.

How the hell did this happen?

Must not have been
completely strapped in.

Millin, hold here.

If your wife finds out, she's
gonna fire me all over again.

Keep applying pressure.
Bring in the orderlies!

Come on, fellas.

We're gonna carefully
lift him back on the table.

Everyone set? On my count.

One, two, three.

You wanna puncture
her spine?

We'd place a small tube
in Jackie's lower back

to drain the excess fluid
around her spinal cord.

There is a chance that it could
reverse Jackie's paralysis.

This morning you assured us

that you could take care
of her aneurysms.

You seemed so certain about it.

That was before I saw
the larger aneurysm.

She is my only child.

When did you know
that this was going south?

Was it when you had
to open her skull?

Or when you had
to stop her heart?

Or when you noticed there was
something wrong with her spine?

- Sky-- -I mean, I need to know!
I need to know.

Did you ever think
that you could save my child?

Or was I just a fool
for believing it?

I did think
that I could save your child.

And she is alive
and aneurysm-free.

I do not make false promises

because I have seen
too many bad outcomes.

This is not a bad outcome.

Not yet. You trusted me once,
trust me again.

We have to act fast.

Okay.

I will trust you.

Mostly because I don't have
any other option.

All right,
her BP has settled down.

What do you think you're doing?

Jo clearly doesn't want me
in the room, neither do you,

so I thought I'd help
with an ex-fix in OR 3.

Well, you thought wrong.

Well, what the hell
am I supposed to think then?

Ever since we found out
it was twins, Jo has...

She's shut me out.

And I'm usually pretty good
at carrying on,

but today I can't.

Come here.

When I was in labor with my son,

his father was getting
emergent brain surgery.

Now, I initially
didn't know about it

because my OB never let it show
on her face.

She knew that I was
at my most vulnerable,

and she supported me
with a strength

that I will never forget.

Jo has to do that
on a daily basis.

She treats those at their
most vulnerable and stays calm.

Right, they could be bleeding
or have a prolapsed cord.

She stays strong
and encouraging.

Because that's her job.

But today, it should be yours.

She's terrified.

So pull yourself together,
so she can fall apart.

Okay, central line's back in.

There's no signs of bleeding
or expanding hematoma.

Well, there's some
bleeding from the intercostals,

probably from the fall.

2-0 silk.

I gave you specific instructions

to strap the patient in
on the table.

- Now is not the time--
- Let me finish.

Your mistake was
extremely dangerous

and completely unacceptable.

We give our patients
the very best care

that we are capable of giving,

no matter who the patient is
or what he has done.

And if we can't,
then we leave

before our personal distractions
kill someone.

I should kick you out
of this OR,

but instead,
I'm gonna make you stand there

and watch these repairs,
which shouldn't even

be happening in the first place.
Am I clear?

Hey.

Yeah, once the temperature
started to drop,

people started leaving.

Do you know where the fans go?

You've worked here
longer than me.

Well... Uh, so you don't know

where they keep
the extra ice packs?

Just pack it up.
Someone will figure it out.

-Who?
-Don't ask or it'll be you.

Don't move!

Lucas, no!

I hope
there's not another heat dome
anytime soon.

That's probably
just wishful thinking
at this point...

Adams?

Adams? Okay. Okay.

All right. Come here. Come here.

Come here. Just take a seat.

Take a seat.

Hey. You feel the ground
under your feet?

Do you feel the ground
under your feet?

Good. Good.
Just keep looking at me.

Keep looking at me. Right here.

You're in the clinic.
You're not alone.

And you're safe.

You are safe.

Just breathe.

I just came down
to say a prayer,

and I can't get the words out.

-May I?
-Yeah.

Yeah. Jackie's always
been so full of life.

Yeah, seeing her
in that bed just...

It just breaks my heart.

She's strong and resilient.

Whatever happens, she'll keep
kicking ass and taking names.

There's no doubt in my mind.

Yeah.

I'm not a very observant Jew.

But I've always been so moved...

watching people stand
during services

and give a Mi Shebeirach
for their loved ones.

It's the prayer for healing.

It's a mouthful, I know.

No, it sounds beautiful.

You okay?

Can't feel a thing, so no.

We're hoping to change that.

All right. I'm going
to insert the drain.

My mom's scared that this is
gonna make things worse.

She tries
to act all cool around me,

but deep down
I know she worries.

Are you scared?

Not really. I was scared
at first when I got diagnosed.

But now, I don't know.

I feel like
if I think too much about it,

I'll be too scared
to do anything.

Kinda like what Coach says
about overthinking free throws.

You just gotta shoot your shot.

All right. The drain is in.

I'll let you rest,
and I will check back in a bit.

Cool. If I'm not here
when you get back,

it's 'cause it worked
and I walked away.

There you go.

Sorry.
Uh, that was embarrassing.

No apologies necessary.

Yeah, I'm not really
a feelings guy.

Yeah, no kidding.

I can't tell if I'm enraged,
or sad, or freaked out.

Probably all of the above,
you know?

There's no one way to feel
about this sort of thing.

-So what do I do?
-As far as I know,

there's no rule book,
but I know where you can start.

Yeah. You wanna page psych
or should I?

Yeah, I'll do it.
When I feel ready.

All right.

Uh, but in the meantime,
back to work.

Really?

Yeah. You had a panic attack,
not a heart attack.

But I'll tell you what,
I'll, uh...

I'll figure out where all this
stuff goes so you don't have to.

Thank you.

Hey.

Is that for good behavior

or for you to soften the blow

for whatever
you're about to tell me?

Your scans are reassuring.
The stent is not infected.

Oh, my God. That's...
Thank you.

Your white count is
still elevated,

so we wanna keep you in
for a few more doses
of the antibiotics.

If that's okay with you.

Yeah. Of course.

Why do I think
there's more you wanna tell me?

I don't think I should
be on your care team anymore.

I'm sorry.
The freshman me resurfaced.

Or at least the part
that had a crush

on her friend's older brother.

-I... I shouldn't have tried
to kiss you.
-It's not only you.

Oh.

Yeah.

So, uh, I'll have Teddy
check in on you.

I'm just going to check
his vitals. I'll be quick.

He's a good guy. He just is
going through some stuff.

We both lost our jobs.

And then
his friend Eddie got sick.

And then he just shut down.

He stopped hanging out
with his friends

and stopped talking to me.

I just... I don't know why he
thinks he needs to do it alone.

Well, let's hope
this is a wake-up call.

I'll be back in the morning.
You should get some rest.

I'm getting the cerclage.

Good.

I'm sorry.

It's just a couple of hours ago,

I found out that you were
involved in a shooting.

Ten minutes later,
I'm hearing imminent labor.

I mean, our whole world was
in danger,

and I... I freaked out.

But I just wanna do whatever
will keep you safe

and whatever keeps them safe.

If that means Marcus
and a cerclage...

If I have
to get a cerclage--

Stop saying "cerclage."

I know you and I have been...

It's been rough.

But... I just wanna
be here for you,

for them.

Just tell me what you need.

Keep Marcus from talking
during the procedure.

Okay then.
All four of you ready for this?

Do you play tennis?

You'll have your own
built-in game of doubles now.

Marcus, I'm gonna need you
to keep all chatter

to medically-relevant
information.

I love you.

I love you.

How does the drain look?

-It's draining.
-How you feeling?

Same as
when you last checked.

I'd say, there go
my WNBA dreams,

but those were already
in the trash.

Well, I'm guessing
you'll have new dreams to chase.

Maybe. But basketball will
always be my true love.

There's gotta be a way
to keep it in my life.

Jackie, your toes are moving.

- They are?
- Yeah.

Oh, my God! They are.

Mom, look. It's working.
The drain's working.

Queue one hour neuro checks.
This is good.

Thank God.

Thank God you're okay.

Update me on her progress.

You're gonna keep going,
aren't you?

Impossible cases.

I'm never gonna be able
to look somebody in the eye

and tell them
I'm not gonna try to help them.

I mean, if that's a problem
for you--

No. I'm not scared
of a challenge, Amelia.

All right, I... I take in
the miracle. I always have.

But what you did today
was reckless.

I don't do reckless.
So, if you need a miracle,

okay, give me
all of the information up front,

or find another surgeon.

Hey. How you feelin'?

Cerclage went well.
No complications.

Babies are still inside,
so I'll take it.

But, um, I'll... I'll need
to take a few days off.

Yes, you do.

Hey, um...

Hmm?

Thank you for staying with me.

It really meant a lot
with, um...

with Link and Marcus.

Oh, God, Marcus.

I can't stop picturing him
between my legs.

I might have to quit.

He saved your babies.
Just think about that.

Okay? Get some rest.

Uh...

And him.

Uh, sitter's all set.

How are you doing? You hungry?
Can I get you some food?

I, uh...

I've been making decisions
on my own my whole life.

And being
in a functional relationship

and allowing someone else
to weigh in on everything,

I... I'm... I'm still...

I know.

And I love you so much.

I love you.

And Harry and Fanny.

That's my favorite
great aunt and uncle.

What do you think?

-Is that your BP? Mmm.
-Yeah.

Should I get you a juice?

Yeah.
I'll take orange juice.

-Thank you.
-Okay.

Uh, Dr. Webber.

Millin, you okay?

It was me. I didn't strap
Damian to the table.

I thought I did, but I...
I must've gotten distracted.

And then when Dr. Altman
called Griffith out, I froze.

I should've taken responsibility
for it then and I didn't,

so I'm taking responsibility
for it now. I'm sorry.

I appreciate that.

But I'm not the one
who needs an apology.

Hey, go easy on that arm.

I've had worse injuries
playing soccer.

Are you okay?

You know, I wasn't sure
if this might have brought up

some memories for you.

Yeah. A few. I mean,
that day shaped my whole life.

Probably Derek's too.

You were his favorite, you know?

He always saw something in you.

-Oh, and you didn't?
-Oh, I found you infuriating.

But Scout and I love
having you around.

You coming home tonight?

Uh...

That's okay.
I'll see you tomorrow.

Hey, Chief, uh,
you got a minute?

No, but you're already here.

Um...

So, uh, about today.

I'm sorry. I was...
I was only trying to help.

You said that the hospital
doesn't have emergency plans

for heat domes.

Well, turns out that we don't
have ones for wildfires,

tsunamis and a few
other natural disasters.

And they're only increasing
with climate change.

So I wanna put together
a committee to fill in the gaps.

With... With your permission,
of course.

Permission not granted.

Uh, can I ask why not?

As much as you can't seem
to grasp this,

you are a resident.

On a trial basis.

You have no business devising
protocols that you can't follow.

If I were you,
I would spend less time assuming

that you have
a permanent position here

and more time proving
that you should have one.

We're done here, Dr. Warren.

Hey, you busy?

Well, a patient fell off
the OR table, so... yeah.

Um, do you mind
getting the kids?

Uh, sure. Sure, yeah.

Um...

Could you check in on Nora Young
before you leave?

Yeah. Of course.

After all these years,

she still gets under your skin,
doesn't she?

Yeah. Yeah, I guess she does.

What happens
in our brains

in the moments before we die

has puzzled scientists
for centuries.

While we have some evidence

of our lives flashing
before our eyes,

there are still many questions.

Temperature dropped 21 degrees
in two hours.

How's Adams?

He's okay. He's okay.

I'm used to seeing patients
come off rigs every day.

Hundreds of 'em.
Some worse than others,

but I can handle it.
Always have.

But if one more resident
comes off a rig,

I don't think I can.

You talked to Altman?

Not yet.

No one knows
exactly why it happens.

Some people think it's biology.

Others believe it's spiritual.

Simone.

- Hey.
- Hey.

There are people around.

I don't care.
It's been a long day.

What we know for sure is
that you can try to look away,

pushing down
all the uncertainty and pain.

You and me...

it feels like such a long shot.

I mean, you're here,
and I'm in California.

And it's...
it's already so messy.

Stop, stop, stop, stop.
Don't... Don't overthink it.

I have to "sort-of-think" it.

Then think about this.

I've never stopped loving you.
What if that's enough?

-Blue.
-Say no to Dave.

Turn down his proposal.

Look, I... I...
I don't wanna get this wrong.

If you and I start something

without breaking it off
with him,

it... it'll feel wrong.

So go home and tell him.

And when you come back...

I am never losing you again.

So say no.

But your life will
catch up with you in the end.