All language subtitles for Greys Anatomy S21E16 - Papa Was a Rollin Stone

Medical textbooks
from the Middle Ages

contained a chart called the
"Sphere of Life and Death."

Doctors used it to predict health
outcomes based only on a patient's name.

Morning.

What are you doing?

I am practicing
my running sutures

for my fem-pop bypass
with Ndugu today.

That's supposed to be my dinner.

And I'm also saving
you from salmonella.

- You want a turn with Meryl Peep?
- I'm moving the spare key.

The sphere was based on numerology,
the zodiac, the moon and stars.

It's pseudoscience,
compared to modern metrics.

But humans have always
craved certainty.

What about Cedar Valley
Estate with a fountain?

- Looks bucolic.
- I saw them.

Also saw they have a
250-person minimum.

- Wildwood Gardens?
- I thought you wanted a live band.

- They don't allow live music?
- No, not after 8:00 p.m.

Well, what if we have a small
ceremony here at the chapel,

and then host dinner in the
back room at Nicoletti's?

Mmm, I don't know.

Well, we'd bring
our own flowers...

When someone hesitates and says, "I
don't know," it means "I don't want it."

- Copy that.
- Diagnosis,

prognosis, genetic
predisposition,

they're all ways of placing
ourselves on the sphere.

We ask science to protect us
from the simplest fact of life.

It's full of surprises.

Do you know that the first
fem-pop bypass was performed

in 1948 on a patient
with a foot ulcer?

I do, because I know everything there
is to know about this procedure.

I postponed Mr. Hall's fem-pop.

His INR was too high. Gotta
wait for it to come down.

No, I sutured raw
chicken to prep for this.

Ah, I gotta check
in with Dr. Webber.

Can you pull the chest
tube on Mrs. Babbitt?

Does she need a fem-pop?

- I will handle it.
- All right.

- Hey, good morning.
- Good morning.

Listen, I know that you think

there's something going on
between me and Dr. Millin.

I said no such thing.

You did with your eyes, and
I just want to clear it up.

I'm her mentor,
she's my student.

- Nothing more.
- Whatever you say.

Hey, heard you're
not remediating.

Congrats on not
being a total reject.

Yeah, well, the attendings need
someone they can count on in the OR.

I thought I lost that mug.

Oh, I'm just keeping it
warm until you move back in.

Is that your way of saying
I'm never getting it back?

- You turned down Griffith?
- What are you talking about?

What are you talking about?

Wait, is Simone
asking me to move in?

Kwan, I need an assist.

- No, I... Say it.
- Gotta go.

Uh, is this about the hernia
repair? I saw it on your schedule.

- I have bigger problems than a hernia.
- A lap chole? A colectomy?

I had the perfect
incoming class,

and now I have to hurry up and
fill a Lucas Adams-size hole,

and I need you to help me sell a
prospective intern on our program.

A vacancy will be a red flag to
interns looking to match next year,

and it means more work for you.

- You want more work, Kwan?
- Uh, I kind of want the hernia repair.

This is your hernia repair.

Dylan Gatlin, nine years old, treated
by Dr. Beltran and Dr. Griffith

for a right radial
fracture a few weeks ago.

I fell out of a tree on
my Silver Star campout.

We were chaperoning.

Not our finest parenting moment.

When they ran a CT to check
for her head trauma post fall,

they made the incidental finding

of a cavernous angioma
in her brain stem.

Which is, uh, Dr. Griffith?

A benign but abnormal cluster
of blood vessels in the brain.

Yeah, she's scheduled for a resection
of the angioma this afternoon.

Are you ready?

I'm an expedition scout.

- I'm always ready.
- Mmm. Good.

- I'm sorry.
- So is Dr. Shepherd.

She goes on
expeditions every day.

Does she have any badges?

- Oh. So many. She leaves them at home.
- Mmm.

What is that?

It's a trail map for my
next campout to Deep Lake.

I'm planning it now to
get my navigation badge.

I mapped four routes
and they're color coded.

Wow, I can barely get
home using my GPS.

Guess what?

We are gonna make a
trail map of your brain.

How cool is that, bunny?

Pretty cool, I guess.

The brain stem is about
the size of a thumb.

It's where the right and
left motor neurons cross,

which makes access tricky.

Thanks to new MRI technology, we will
be able to map Dylan's neural tracts,

which will be instrumental in
helping me reach the angioma.

Do I have to lie
in that tube again?

It's gonna be over
before you know it.

- All right. I will see you two up there.
- Yes.

- See you in a bit.
- Yeah. You ready?

Mm-hmm.

So then, it'll look like that.

Nice, right?

Looks great.

Hi. Mariana, I'm
so sorry I'm late.

I'm Dr. Wilson.

Hi, they sent me
from the clinic.

This cramping, it's...

it's... Ow.

Um, I have endometriosis,

so I'm used to the pain during my
period, but this is next-level.

And you reported
blood in your urine?

Yeah, is that bad?

- I'll run labs to find out more.
- Okay.

- May I examine you? Okay.
- Mm-hmm.

- Do you want me to call your mom?
- No.

No. She'll want to come over,

and then your mom will
want to come... ...over...

...then they'll start panicking
about the wedding and Grandpa Hector.

- We're getting married in four days.
- On a Thursday?

Mm-hmm. On the date
that our moms met.

They're friends?

Yeah, they're best friends.

They met here in the OB ward.

Edgar and I were preemies
in the NICU together,

so they bonded over
worrying about us.

Oh, my God, you're
the NICU couple.

I-I thought that
you looked familiar.

I pass by your engagement photo
every day on the bulletin board.

The bouquet... What is that?

- Sweet peas. They're our flower.
- Yes.

- Okay, a little pressure.
- Okay.

Ow! Ow, ow, ow, ow, oh.

- Okay, doing great.
- Ooh. Okay, sorry.

Those flowers are also really
hard to find on place cards,

so we're making them.

Edgar is. I'm... I'm... I'm
in too much pain to help.

I told you I don't mind. You
deserve to have a perfect day.

Ow, ow, ow, ow, ow.

- Please stop.
- Are you okay?

If okay feels like someone is ripping
my insides apart, then yeah, I'm great.

Your initial imaging is
consistent with endometriosis,

but we will order labs and
an MRI to get a closer look

and we will get you
something for your pain.

- Okay.
- Okay?

- Thank you, Doctor.
- Of course.

- It's okay.
- Okay.

This better be
cooler than a bypass.

You gotta let it go.

Let what go?

Nothing. What do we got?

Spencer Purdy, status
post-MVC. Restrained driver.

Rear-ended, then T-boned
on the driver's side.

GCS 15, hemodynamically
stable. Bad left chest injury.

Spencer, you're at
Grey-Sloan. We got you, okay?

On my count.

One, two, three.

I feel... I feel fine. I...

I need to go home. I...

I just got paid and the cash for rent is
in my wallet and w-we can't be late again.

- I'll find it.
- Is there someone we could call?

- A-A parent?
- Uh, yeah, my dad.

Can you just tell him
that it's not my fault?

Oh, my God.

His lung has herniated right
through his chest wall.

All right, I need X-ray in here,

a full trauma panel,
and a FAST exam.

Yeah, I don't care about
the bypass anymore.

I know this whole intern
thing is a priority,

but if we finish
early do you think...

If you ask me one more
time, I'm going to give

that hernia repair to Adams
and make you watch it.

There she is.

Hello, Dr. West.
Hi, I'm Dr. Bailey.

- This is Dr. Kwan.
- Hi.

- Everyone here calls me Blue.
- I don't.

Welcome to Grey-Sloan.

Ooh, I'm excited to be here.

It is colder than
in Durham, though.

- Uh-huh.
- You went to Duke?

No, I went to med
school in Grenada,

but it's difficult to match in the
US from an international school,

so I'm doing a prelim
year to beef up my résumé.

I went to medical
school in St. Kitts.

- Seriously?
- Yeah.

What a coincidence.

- Dr. Blue.
- Hmm?

Oh, yes, uh... Well, let me show
you what this program has to offer.

- Okay.
- Come on.

Okay, FAST is negative.

Where's my soaked gauze?
What's taking so long?

X-rays up.

Uh, Millin, what...
what do you see?

Uh, left pneumothorax, a couple of
broken ribs, nothing on the right side.

Mediastinum looks good. The
soaked gauze is here. Can I?

Okay, I'll walk you through
reducing the lung into the chest.

- Spence?
- Dad? Dad, is that you?

I'm here. What
the hell happened?

Mr. Purdy, you're gonna
have to wait outside.

I need some light.
That looks serious.

Is he gonna need surgery?

Oh, God. Is-Is that my lung?

Oh, God. Oh, my God.

- You're okay. You're okay.
- Uh, his O2 is dropping.

- Breathe deep, son.
- We need to intubate.

- What's happening?
- Get him out of here.

Thinking of becoming
an expedition scout?

I wish. My dad
wouldn't let me.

He said he was afraid
I'd be mauled by a bear.

I think he just
wanted me at home.

Uh, speaking of home,

uh, have you and Kwan
decided what you're gonna do

with Yasuda's room yet?

We're still figuring it out.

Is it gonna hurt when
you cut my brain open?

Not even a little bit. You'll
be asleep the whole time.

You can relax now.

This is Dylan's brain with
diffusion tensor imaging.

What do the colors mean?

Blue are neural tracts
that go up and down,

green goes front to back,
and red goes side to side.

You've got to cut parallel to the
pathways so you don't sever them.

Well, someone came prepared.

And where everything crosses?

It's the brain stem.

Due to its complexity, tiny errors
can cause catastrophic damage.

- Mmm, no pressure.
- Right.

And ten years ago, this surgery
would have been impossible,

but these images give us a
clarity we have never had before.

How do you know
you're on course?

By mapping this onto
Dylan's brain in the OR.

It appears if I do an
extreme lateral approach,

I should be able to get deep enough
to get to Dylan's angioma right here.

Better than GPS.

Oh, a thousand times better.

And I checked Mr. DiBianca's
Dopplers, and they sound good.

Great, uh, let me know if
there's any decrease in signals.

- Okay.
- So much for the wedding.

Oh, we'll find a venue,
just not Prospect Estate.

A 30K deposit builds
resentment, not love.

No, not ours,
Mariana and Edgar's.

Grey-Sloan's NICU couple.

They were here at the NICU together
26 years ago, and now they're engaged.

Mariana and Edgar.

Mariana and Edgar.

Saying their name over and over again
isn't gonna make me remember them.

Their whole story was in
the hospital newsletter.

It's like a real-life fairy
tale, and I'm about to crush it.

Look, her endometriosis
has taken over her pelvis

and implanted in
her pubic synthesis.

- I've never seen anything like this.
- Me neither.

I've done a ton of
excision surgeries,

I've never seen tissue
invade bone like this before.

When was she diagnosed?

A couple of years ago.
After a decade of symptoms.

Endometrial lesions must have been
growing out of control for years.

Mm-hmm. If we put as much
money into researching this

as we did erectile dysfunction,
millions of women would have less pain.

I don't see how you treat this
without shaving down the bone.

I know.

- Can you help?
- Thought you'd never ask.

Mr. Purdy, uh, Spencer's
on his way to a pre-op.

We will take excellent
care of him in surgery.

That kid has had a lead foot
since he was on a tricycle.

I keep telling him nothing is so important
that you need to drive that fast.

Well, he said he
had to pay rent.

And as someone who also lives paycheck
to paycheck, rent is pretty important.

I just can't believe
this is happening.

I have a bag of his
personal belongings,

and I thought you might
want to hold on to it.

Thank you.

He always has his
Mariners hat on.

Nice to have a little
piece of him with me.

He's a good kid.
No thanks to me.

Oh, I'm sure that's not true.

Why don't you head
to the waiting room

and we'll come find you once
we have an update, okay?

- You gotta be kidding me.
- No, no. Leave it alone.

Spencer needs us more in the OR.

Come on.

You sure it won't hurt?

Oh, of course not.

This hospital has
really good medicine.

You can even pick the flavor.

Bubble gum, peach or strawberry.

Okay, everyone ready?

It's about that time.

I wanna go home.

We will, sweetie, in a few days.

The doctors, they're just
gonna fix you up, okay?

I wanna go home now.

I wanna sleep in my tent with
my stuffies and my lantern.

You're gonna be home in your
tent so soon. I promise.

But what if the scans are wrong?

What if I don't need surgery?

I don't want surgery.

- I really don't want it. I'm scared.
- Okay, bunny.

- Okay.
- It's okay.

Please don't let them
take me anymore, Mommy.

Please don't let them take me.
I just wanna stay with you.

- It's okay.
- We're right here.

You're gonna be okay.

She's calmed down a bit.

Hey, sorry, um, I don't know how we're
gonna get her to leave that room.

I've never seen her like this.

It's completely normal
for Dylan to be scared.

This happens all the time.

Um, maybe we should just wait,

give you guys all, like, a
couple of extra days to prepare.

There's only one possible
approach to her angioma,

which could be
compromised if it grows.

We should do it now.

And if we do nothing...

- She could live another five to ten years.
- Mm-hmm.

Or she could die sooner.

- Could I talk to you for second?
- Uh-huh.

Five to ten years may not be
a long life, but it is a life.

I'm not giving up on her.

Neither am I. This is a
very, very, very big gamble.

The surgery could kill
her, you know that, right?

The surgery could
kill her, right?

It is very high-risk.

You asked me to find a way.

This is what I found.

Jenna?

If something happens to her...

- I know, but...
- You know.

Our daughter loves adventure.

And she loves hiking, and
camping, and swimming, and...

I don't know how because you and I can't
find our way out of a sleeping bag, but...

Dylan needs to lead a
full and robust life.

- Don't you want that for her?
- Of course I do.

She just looks so small
in that bed right now.

I know.

I wish I could go in there with
her and hold her hand, but I...

What if you could?

It's not every day a patient opens
up his own chest for surgery.

CT showed extensive damage
to the inferior lobe,

so it might be a long one.

You update the father?

If you mean the
jackass, yeah, we did.

That's not a term I would recommend
using for a patient's family members.

He stole money from his son.

We saw him take the cash
out of Spencer's wallet

and stuff it in his own pocket.

Well, maybe he took
it for safekeeping.

Or maybe he's a dirtbag. We
should have said something.

If you had gotten up in that man's face,
it would have turned into an ugly fight.

That does not help our patient.

Neither is getting evicted
because he can't pay rent.

We are doing a wedge resection,

and then we are going to figure
out how to cover the defect.

- Everybody ready?
- Right behind you.

So our residents typically
finish with over 1500 cases,

more than enough to
meet your requirements.

I just hit 175
procedures for the year.

Mmm, I'm at 230.

Uh, well, we are a
Level-1 trauma center,

so there's plenty of
interesting cases.

Impalements, MVCs, severe burns.

- I mean, we see it all.
- Gosh. I...

I wanted to be a trauma surgeon since my
mom and I were in an MVC when I was five.

Shoot. Uh, I'm
needed in the OR.

Keep going. Here.

And I'll find you.

I can show you the skills lab.

No, I wanna see what this
place is really like.

You wanna show me
the insider's tour?

I can show you
whatever you want.

- We shouldn't be doing this surgery.
- Why not?

It's extremely risky, and
her dad doesn't want it.

No, he came on board.

Because his wife
pushed him into it.

Should we ask Shepherd about it?

By "we," do you mean "you"?

Because I don't have
a problem with it.

Last time I questioned her,
it didn't go that well.

Why didn't you ask
me about moving in?

- How'd you...
- Kwan slipped.

We were talking about what
to do with Mika's room,

and you moving in was one option
in a long list of options.

Great. So I'm on a list between
what, aquarium and game room?

No.

Yeah, we haven't even known
each other for a year.

Can't we just enjoy
where we are right now...

Are you enjoying this?

Almost done.

That's great.

Though, at this rate, they're gonna
have to wheel me down the aisle.

Ow.

- Mariana.
- Hi.

Hi, this is Dr. Helm
and Dr. Lincoln.

He is the orthopedic surgeon who
will be helping me with your case.

Why do I need an
orthopedic surgeon?

Well, your scans
showed something called

deep infiltrative
endometriosis, or DIE.

D-I-E? Like, die?

It's not a great name.

Oh, no, it's also not fatal.

But it is very painful and affects up
to 15% of women with endometriosis.

It's where your tissue invades
your organs and in your case,

the top of your pubic bone.

The only way to treat it
is to remove it surgically.

So, the idea is

I will go in and remove the
lesions throughout your pelvis,

and Dr. Lincoln will
shave your pubic bone.

What about the wedding?

Don't worry about
that right now.

No, you took a second
job to pay for it.

I wiped out my entire savings.

It's okay.

Will this surgery
actually stop the pain?

We're optimistic
that it will help.

Okay.

- Okay.
- Okay.

Uh, this disease has been
a never-ending nightmare.

Ten years of lying on
the bathroom floor,

writhing in pain
with every period,

and doctors told me
that it was normal.

One even thought I
was exaggerating,

so that I could get painkillers.

And now it's in my bones?

I want it to stop.

I need it to stop.

What if we got married now

before you go into surgery?

I mean, I could get the
hospital chaplain, right?

Look,

I know it wouldn't be our
picture-perfect wedding,

but it is kind of
perfect, right?

Two NICU babies getting married in
the hospital where they were born.

People would love that.

- What do you think?
- I, um...

I don't know.

Honey...

I'm so sorry we do have
to get her to pre-op,

so we can get the
paperwork started.

- To be continued.
- Yeah.

It was a dumb idea.

I love you.

I love you so much.

It's gonna be okay.

Dylan, remember the trail
map I told you about?

There it is.

See?

Look at how beautiful
your brain is.

Doing hard things even when we're
scared is what makes us brave.

This is gonna be your
biggest expedition yet,

and I'm gonna be right
here waiting for you.

It's not goodbye,
it's just good night.

You'll stay with me
until I fall asleep?

Of course.

Save my baby, please.

- I'll be right there.
- Okay.

I need a minute.

Listen, if I was in this OR
with any other neurosurgeon,

- I'd be scared out of my mind.
- You should be.

No other neurosurgeon
has done this.

Including me.

I've seen you do the impossible,

and this time you
have a road map.

Stop talking.

I don't need to hear how good I
am or how many successes I've had.

None of that has anything to do
with Dylan. She is nine years old.

She is their only kid.

And whether she lives
or dies is in my hands.

You're not alone in there.

I am the one who is slicing

into the part of her body
that controls all function.

I am the face they will remember
if something happens to their kid.

I am the one who will never forget
it if I kill her on the table,

so when I say I need a
minute, I need a damn minute.

All this lung is shredded.

I think most of it's
salvageable though.

Lovelace.

- Retract more here.
- Yep.

I understand you have a problem with how
I chose to handle our patient's situation.

- If by handle, you mean ignore?
- Millin.

My dad took me on a
drug run when I was ten.

He left me in the car
while he went and got high,

and then he made
me drive him home.

Um, well, I'm sorry
you went through that.

I survived, but I have a pretty
great radar for crappy dads.

I'll bet yours is a
wholesome sitcom dad.

Dr. Millin, are you too preoccupied
to be in here right now?

Are you kicking me out?

I'm asking, are you too
preoccupied to be in this OR?

No, I'm good.

GIA stapler.

Just a couple lesions on the rectum
and bladder, and it is your turn.

Take your time. I'm
not going anywhere.

And I'm guessing she's in no
hurry to get back to her Romeo.

Definitely trouble in paradise.

Clearly, you two
don't know them.

Do you? She hesitated.

Someone told me that means
she probably doesn't want it.

She was in pain.

In more ways than one.

The wedding is going to be epic.

Everything is handmade. Both
their moms are officiating.

There's a photo booth
and an oyster bar,

a string quartet,
and a live band.

Sounds like a good time.
- No, it's more than that.

They're made for each
other. They're...

Mariana and Edgar?

I once went to a
wedding with fireworks,

aerial bartenders, and life-sized ice
sculptures of the bride and groom.

- They annulled the marriage a week later.
- Ouch.

Yeah, weddings are
just a big party.

It has nothing to do
with what comes after.

Well, that may be true, but
I am still rooting for them.

Okay, I've excised and shaved
all the lesions that I can see.

You're up.

Periosteal elevator.

So this is the surgical ICU

where many of us have the luxury
of rotating on the night shift.

I'm familiar.

The newest doctors keeping
the sickest patients alive.

While the attendings
get their beauty sleep.

Code blue.

- Surgical ICU.
- BP is crashing.

Do you need to help with that?

No. They got it.

And what about that one?

- Get an epi ready.
- Code blue.

- We have V-fib.
- Get the paddles.

Sats are plummeting.

He's tachy.

Diminished breath sounds
on the right side.

ET tube is in place.
He needs a chest tube.

Okay. What can I do?

Open these for me.
I'll get a crash cart.

Anyone know what's along
that red path there?

The lateral lemniscus.

- Which controls?
- Her hearing.

That's why we are
steering clear.

According to our map, splitting these
blue paths is the safest corridor.

- Do you need more room?
- I'm good. Thanks for asking.

- Is that...
- A developmental venous anomaly. Good eye.

Suction, Griffith. Now, please.

- Sorry.
- Don't apologize, just keep up.

- Damn it.
- What happened?

- There's bleeding.
- I see it.

- Tell us what you need.
- It's not stopping.

I need suction and Gelfoam now.

Dylan, hang on.

Spencer's out of surgery.

The damage to his chest
and lung was extensive,

but we were able to remove the
injured lung and cover the wound.

Oh, thank God.

This day took a turn, didn't it?

We could take you to
his room if you like.

Is he awake?

Ah, he should be soon. I
know he wants to see you.

I don't wanna bother
him if he's sleeping.

I haven't eaten all day.

Do you have any, uh,
recommendations around here?

I believe it's chili
day in the cafeteria

or if you want some fresh air,
La Belle is popular on Maple.

I think I'll do that.

I'll come right back.

I don't trust anyone who
doesn't like the hospital chili.

Well, good thing
you don't have to.

What are you doing?

Putting in a chest tube.

- Stop.
- I've done this before. It's fine.

Give me the scalpel.

Now.

- Gelfoam.
- It's right there on her hand.

I can't see and I can't
take my eyes off the field.

Just pass it to me.

Got it.

Bipolar, now.

Turn the coag down to five.

- Because why?
- Uh, because the higher...

We need energy as low as possible to
prevent thermal injury to the brain.

Correct. Come on.

Come on.

There.

Okay, bleeding has stopped.

All right, everyone,
gather yourselves.

That bleed is over, but
we may encounter more

and we still have to
wrestle the angioma.

Slow and steady, shall we?

The patient's stable.
What were you thinking?

His vitals were tanking.

You weren't even supposed to be
in this part of the hospital.

I have done chest tubes before.

Did you screw them up too?

Because you almost cut
into that man's liver.

I counted down to the
5th intercostal space.

- I was at the midaxillary line.
- You don't work here.

We have standards. We
put patients first,

and we definitely don't walk
in here like we own the place,

and if you can't figure that
out, you don't belong here.

You don't deserve to be
here, maybe anywhere.

Dr. Kwan.

I have to go.

No.

I will deal with you later.

How's he looking?

Only ten cc's out
of the chest tube.

Good. Keep checking every hour
and follow up on his labs.

Mmm.

Hey. Welcome back.

Your surgery went really
well, and you're doing great.

- Just sit back.
- Uh, what time is it?

It's a little past 6:00.

Oh, no, no, no.

- Rent was due at 5:00.
- Don't worry.

I can write you a very
compelling doctor's note.

Did you find my wallet?

I gave it to your dad.

Wha... Is he here? My dad?

He didn't wanna disturb
you while you were asleep.

He'll be back.

God, this is so embarrassing.

I swear I'm not a crier.

Well, sometimes we need our
parents, no matter how old we are.

And you just had a
very serious trauma,

so try to get some rest

and we'll be back in an
hour to check on you. Okay?

All right, call his dad and
let him know Spencer's awake.

Do you think that'll make him
come back from driving to Vegas?

Are you done?

Because I'm not
your co-intern BFF.

I am chief of the
cardiothoracic department.

I don't get messy in
my patients' lives,

and I don't gossip
with my mentees.

I keep my head down,
and I do my job.

And I suggest you do the same.

If I hear another word about
it, you're off my service.

Hey.

- You did great.
- Thanks.

We got through the scar tissue and
removed as many lesions as we could,

and I was able to save your
uterus and your ovaries.

That's amazing.

Yeah.

We'll put you back on birth control
to slow the growth of the lesions,

but, as you know, endometriosis
is a lifelong journey.

Yeah. It can come back.

Yes, but we will
watch it closely.

- Mm-hmm.
- And if it gets worse, we'll be on top of it

and there are other hormonal
treatments that we can use, but...

hopefully, your
pain should improve.

I just never thought much
about life without it.

Thank you.

I'll tell Edgar you're awake.

Oh, actually, could
I have a minute?

Oh.

Of course.

You think I'm a monster?

Absolutely not.

I feel like one.

Yeah, we've been destined
to be together since birth.

Our moms call us their
great love story.

But...

it's not yours.

You know, he's...

He's wonderful.

- Yeah.
- And my best friend,

and I do love him. I do.

But I don't know if that's
because he's the one or...

Because that's what
you've always known.

- Yeah.
- He'll understand.

Eventually.

You know, most of our
guests are already in town.

Everything's already paid for.

It's just a party.

Take it from someone who's gotten
married for the wrong reasons.

It always catches up with you.

That's too bad.

Yeah.

Livingston Manor would have
made for a beautiful wedding.

Mr. Purdy, your son's
been waiting for you.

I'll be there in a minute.

If you want some, just ask.

Did you buy this with
your kid's rent money?

It's none of your damn business.

- The hell?
- Your son almost died today.

Do you realize that?

- Get off me!
- You're the parent!

You are supposed to take care of
him, provide for him, keep him safe.

You don't know what
you're talking about.

I know he's better off
without you. I know that.

You hear what I'm saying?

- He's alone by himself all day...
- What are you doing?

- ...and you left him there.
- Get off him!

Dr. West withdrew her
name from consideration.

You had one job, Kwan, one job.

- I know.
- She had top scores.

- Grades aren't everything.
- She had glowing recommendations,

including one from the Chief
of General Surgery at Duke.

- I-I didn't know.
- Of course you didn't.

But even if you did, what on
God's green earth made you think

you could treat her like that?

I found her about to cut into a
patient to place a chest tube,

and if there's anything I learned
this year, it's that overstepping is

one of the biggest mistakes
an intern can make.

Except she was about
to cut into the liver

instead of the pleural cavity,
which is also a pretty big mistake.

And I am sorry I scared her off.

Well, I guess we
dodged a bullet.

- We did?
- I've had enough rogue interns.

We'll find someone else.

So if I'm not in trouble, do you
think I could scrub in on your...

No.

But nice job on that chest tube.

You've come a long way.

Hey, are you okay?

- I... Move.
- What happened?

I should've listened to you, and I should
have said something to him earlier.

Well, I don't know about that

because then security would have
pulled you off him instead of me.

I have a difficult dad too.

And usually, I keep
all that buried deep,

especially when I run
into people like that

who don't do right
by their kids.

Turns out it's actually not
buried as deep as I thought.

Yeah, I get it. Trust me.

- All right.
- Uh, do you want to...

Do you wanna grab
a cup of coffee?

Just decaf. It's been a...

a long day and I feel like
we both need to decompress.

I think maybe we
both need sleep.

- I'll see you in the morning.
- Okay.

We are very pleased to present
you with our highest honor,

the Grey-Sloan Badge of Bravery.

- Yes.
- Wow.

Easiest badge ever.

I was asleep the whole time.

- Thank you, Dr. Shepherd. Thank you.
- Mm-hmm.

You gave us our
whole world back.

We're very grateful.

Dylan is an inspiration.

I can't wait to hear
about her adventures.

Yeah, now you gotta work on
your rest and recovery badge.

It requires a lot of
sleep and ice cream.

Oh, I think that could
be arranged, yes.

Second easiest badge ever.

Oh, right back at you, dill
pickle. Get some rest, okay?

I'm sorry for biting
your head off earlier.

I wasn't blowing smoke. I really
did believe you could do it.

Well, my brother couldn't.

He tried a few times,
and it freaked me out

'cause in my eyes,
he could do no wrong,

so if he couldn't do it,
what chance did I have?

Well, as someone who's
never met your brother

and who only
compares you to you,

I can say with full confidence
that I would bet on you every time.

You were right. It
was worth the risk.

Yeah, well, I'm only right
about 5% of the time,

so it makes sense for
you to question it.

Now I'm gonna try
to take a risk.

I was gonna ask you to
move in the other night.

But when you started
talking about our future...

Just scared me.

Why?

Last time I planned a future with
a boyfriend, my life exploded.

I had to leave it all behind,
rebuild from the ground up.

I'm just not sure I'm ready to
open myself up to that again.

I'm not Trey.

- I know.
- I love you.

I want a future with you.

I just need a little more time.

Yeah, okay, why didn't
you just say that?

Because you were excited about
getting back into the class.

I didn't want you to think my
feelings for you had changed.

So instead, you just let Kwan
make me feel like an idiot?

Let's go pick up dinner.
We can go home and talk.

I-I-I thought you didn't
know your schedule.

- Lucas n...
- I'm on tonight anyway.

I'll see you tomorrow.

Mariana called off the wedding.

Aw, I'm sorry. How
are you holding up?

Well, um, I'm sad for them,
but it's for the best.

I think I just saw us in them.

They've known each
other their whole lives.

They're best friends.

I didn't wanna believe
they weren't gonna make it.

- We're not them.
- We're not.

By the way, I found
a perfect venue.

Thank God. I was about to suggest
the taco stand on the corner.

All right. Uh...

Livingston Manor.
It's gorgeous.

There's plenty of parking,
it's reasonably priced

and it has a place
for a live band.

- Sounds amazing.
- Right?

Do you think they'll have, uh,
availability in the next year?

They do, because there
was a cancellation.

Mariana and Edgar?

- No, no, no.
- Yes.

No, listen to me.

We need a wedding venue, and they
have one that they're not using.

In four days.

No, we can't possibly
be ready in four days.

We-We need, uh,
invitations, food, drinks.

If my mom's coming,
we need drinks.

Listen, I love you, and I can't wait to
marry you, and that's all that matters,

and-and the wedding is
just the icing on the cake.

And listen, if you and I can figure
out a way to relieve a woman's pain

after ten years of suffering,

we can throw a
wedding in four days.

Okay. Okay. All right,
let's get married.

Okay. Okay.

We're not gonna regret
it. It's gonna be amazing.

We trust science to
predict the future.

But even so,

surprises are the only
thing we can count on.

Okay, if Adams isn't moving in,

my friend's uncle's boss's
son is looking for a place.

- We've been over this. No strangers.
- Are you secretly rich?

- Give me some of them fries.
- Uh-uh.

- She's hot.
- Yeah, it's the intern from today.

- Mmm.
- I should buy her a drink.

Mm-mmm. Seriously, you are probably
the reason she is drinking.

You said she was hot.

Sometimes surprises are good.

They lift you up and
make life exquisite.

But then there's the
other kind of surprise,

when the bottom drops out.

Dr. Ndugu. How are you
doing this morning?

Honestly, I'm feeling
a little burnt out.

I'm gonna take a day and sit
behind a desk, decompress.

Do you think you
can take my intern?

Millin? Yeah, I'd be happy to.

Tell me we are doing
Mr. Honor's lobectomy today.

I stayed up all night
studying lung tissue.

You're with Dr. Webber
today, all right?

Is he okay?

He's taking an
administrative day.

- Oh.
- Hey, lucky for you.

I've got three feet of bowel
incarcerated in a man's groin.

Can't wait.

However desperate you might be,

don't look to the stars.

Dr. Adams, uh,
something's wrong.

She was fine when she
fell asleep last night.

- She woke up. She's not even...
- She can't move. She can't speak.

Hey, hey, hey, Dylan,
can you hear me?

Sweetie, answer him.

Dylan. Dylan...

Can you do something, please?

Sweetie. Why is
she not talking?

Dylan. Dylan. Why
is she not moving?

Hey, Dylan, it's Dr. Adams.

Can you do me a favor
and try to move?

Move anything, your
fingers, your head.

Oh, my God.

- Code blue.
- Oh, my God.

Code blue. Code blue.

Because they can't help you now.

Code blue.

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