All language subtitles for Greys.Anatomy.S21E18.1080p.x265-ELiTE

[♪ "Me, Myself and I" playing]

[Grey] When training for a marathon,

a runner's body composition
physiologically changes.

Guess the wedding wasn't a cash bar.

Where's Adams?

I really screwed up.

Hey.

You two aren't exclusive, are you?

- Nope.
- Okay, great.

Listen, last night was fun.

I put my number in your phone
in case you ever wanna have more, uh, fun.

Breakfast. All right.

Way to close out your intern year.

I think I'm gonna throw up. [grunts]

♪ I know
I'm finally letting this go... ♪

- [elevator bell dings]
- [Grey] With consistent exercise,

the heart improves its efficiency
to send oxygen to the muscles.

[moaning, kissing]

- That was your floor.
- I don't care.

[moans] Oh, we need a honeymoon.

- I'm thinking beach.
- Beach. Yeah.

[elevator bell dings]

Have a good day.

♪ I'm really tryin'
I don't want to be the same ♪

♪ No matter what I say, it hurts ♪

♪ Fake friends, the worst ♪

♪ It's me, I'm cursed ♪

♪ I finally figured it out
It's me who's missing out ♪

♪ Who cares what they talk about
Yeah, life is better now ♪

♪ Life is better now ♪

[Grey] Muscles adapt
to storing and using energy,

while bone density increases
to make bones stronger.

Oh. Um, I-I'm-I'm so sorry.
I should've knocked.

No. I should have locked the door.

[Millin] Uh...

[stammers] Um, did-did you sleep in here?

I was up late.
I was working on Nora Young's case.

- Mm-hmm.
- Yeah.

♪ I know that somethings gotta change ♪

♪ 'Cause people pleasin'
never got me anything... ♪

- Uh, Millin.
- Oh, yeah. [scoffs]

Maybe don't come out right after me.

- Somebody might get the wrong idea.
- Yeah, yeah.

[Grey] On average,
the process take around 20 weeks

of mental and physical dedication,
stamina, and complete exhaustion

to compete in a race that's over in a day.

[tap water running]

After I tell you what happened to me,

you're gonna have to tell me
what's going on there.

[stammers] O-Out of my way, people.
[stammers] Move.

Goodness! Okay.

All right, you are all one shift away
from completing your intern year.

Tomorrow, you will be second-years.

You will wear coats
with your names on top.

And you will help me teach
a new group of liabilities.

When are the new interns arriving?

They will be here onboarding all day.

In the meantime, I have a gift for you.

Everyone gets to scrub in today.

[all cheer]

Yeah. So, Adams, you're with Beltran.
Kwan, Ndugu. Griffith, Shepherd.

Millin, Altman.

And, Collins, Webber.

- I got your page. What's up?
- That's...

Okay, so Altman's office
will be reaching out

to set up a meeting
for the end of the day.

She will not be recommending
to permanently bring you on board.

- I do not know the details. But...
- Where do you need me today?

I just wanted you to hear it from me.

Miranda, if this is my last day,
I wanna work.

Uh, there's an MVC patient from last night
in the ICU, Carter Samuels.

He is status post ex lap
with a shattered liver.

Keep an eye on him.

You got it.

Mmm.

[Adams] Dylan Gatlin, nine years old.

Day five post-op from resection
of a cavernous angioma of the brain stem.

Diagnosed with locked-in syndrome
following complications of surgery.

Repeat MRI shows no change
of the small hematoma...

We get it. Nothing's changed.

The swelling hasn't gone down at all?

Unfortunately, the bleeding has
not reabsorbed like we hoped.

So, what now?

I know this is difficult to hear,
but we'd still like to wait.

- No.
- [Aaron whispers] Jenna.

No, more waiting.

- [Shepherd] Mrs. Gatlin.
- [Jenna] Do you have kids?

- No.
- I have a son.

[Jenna] Imagine him trapped like this.

He can't tell you he's cold or hungry.
He can't walk, he can't move.

There must be something you can do.

Please.

Dr. Shepherd, Ms. Alvarado's surgery
will be in OR 2.

I have to go, but I will come back
and check on her as soon as I can.

[over P.A.] Dr. Morrissey to the OR.
Dr. Nicolas Morrissey to the OR.

I saw Boston on the schedule
for later this month. Important business?

Very. Harriet's dance recital.

Oh, Well. [chuckles] Okay.

[Webber] Meredith? What... [stammers]
I thought you were coming tomorrow.

You still planning to meet the new class?
I already told them you were coming.

I am, but I have a meeting with Catherine.

[stammers]

My Alzheimer's research with female mice

is yielding
significant preliminary results.

Oh, congratulations.

Whatever. Can we just get to it?

Get to what?

I'm selling my hospital shares.

Are you cutting ties with Grey-Sloan?

Not at all. I'm pursuing my research.

But I can't bankrupt my family
while doing it.

Amelia and I would apply
for federal funding,

but our research is focused on women.

And we all know how that would go.

You grew up here. I mean,
th-this hospital is part of who you are.

Part of who I was.

We will build you a new aorta
out of a synthetic graph

that connects the ascending aortic arch
to your abdominal aorta.

And this would eliminate blood flow
in the infected area.

And once the graft is in place,

we'll staple off the old graft
and remove it.

Why not try what you did before?
What was it, a kind of bypass?

- I told you, Mom. It doesn't...
- I don't love you being a guinea pig.

The last time that we tried to do
a bypass, her heart stopped.

We were essentially bypassing an artery

the diameter of a golf ball
with something the width of a straw.

At this point, any extra anatomical bypass
could do more harm than good

because she's hypercoagulable.

- What does that mean?
- Her blood's more likely to clot

because of the sepsis.

Owen, is this true?

I've known you for years.
Don't sugarcoat it.

I'm afraid so.
We were lucky to get her back.

Are you sure you wanna do this?

They don't even know if this will work.
And if it doesn't...

[Nora] I think it's my only chance.

Do I have time to see my kids?

Teddy, hey, hey, are you sure
this is a good idea?

Stapling the largest artery
in the human body

goes against everything that I know
about heart surgery.

A stapler doesn't even exist
for this type of thing.

So no, I am not sure
that it's a good idea,

but it's the only one that I have.

So, why not wait a beat?
Look at other case studies.

Who are you concerned about, Owen?
Me or Nora?

You came up with this procedure
ten hours ago on a cocktail napkin.

I saw you last night with Nora.

- [scoffs]
- Was there a trauma

or did you just lie so that you could
spend quality time with your girlfriend?

My gir... [sighs]

Teddy, she is dying, and she has no one.

Seems like she has you.

Are you in love with her?

Teddy, I told you.

I told you, sleeping with her
meant nothing.

I'm not talking about that night.
I am talking about right now.

- Are you in love with her?
- Teddy, I am married to you.

That's not what I asked.
I have to go prep.

They're bringing Ms. Alvarado up.

- Are you okay?
- Absolutely.

I'm prepped on the patient's aneurysm.

I've studied her scans,
memorized the steps.

That's not what I'm asking.

I always know
when something is off with Lucas.

- I know that relationships at work are...
- I'm good.

Dr. Shepherd, I'm focused.
I'm clearheaded.

- I would never put Ms. Alvarado in danger.
- Stop talking.

- Jenna, what are you doing?
- This tank is full of acetylene.

One exploded at my husband's work site,
and it took down half the building.

Okay, why don't you take it outside...

You're gonna put your phone
on the counter.

And then you're gonna operate on Dylan,
and you're gonna fix her.

And if you don't... If you don't save her,

I'm taking everyone down with me.

[over P.A.] Dr. Lux to Radiology.
Dr. Beverly Lux to Radiology.

Hey, have you seen Dr. Beltran?

- I don't know. Try the peds floor.
- Well, she's not there,

and she's not responding to my pages.

[phone rings]

Hey, have you seen Dr. Beltran?

[Shepherd] I need you
to bring Dylan Gatlin up

to the corridor outside of OR 2.

I'll pick her up from there.

- Wait, why?
- [Shepherd] I'm gonna operate.

But the hematoma's stable.

[Shepherd] Don't argue. Just do it. Now.

[stammers] Where's Griffith?
[stammers] Hello?

All right, well,
I gotta run a patient up to the OR.

If you see Dr. Beltran,
can you please tell her to answer my page?

Nope.

He's bleeding from the wound vac,
by the way.

Page Dr. Bailey and book an OR.

I love you, and I'm gonna see you
when I wake up, okay? All of you.

We love you too, Mom. It's gonna be fine.

- Yeah.
- [Sarah] Come on, kids.

Okay, give me a hug. [chuckles]

- Let's go.
- [sobbing] Okay.

All right, I'm-I'm gonna be out very soon.

- I don't wanna go.
- It's okay. It's okay, honey, I'll be out.

I'll be out very soon, okay?

Okay, go with Nana.
I'll be out soon, okay?

[cries] Bye. It's okay.

- Mom, Mom, wait, I wanted to...
- I'll see you after your surgery.

Okay.

I can't do this.

Yes, you can.

What if that was the last time
I see my kids?

- Hey.
- [Nora] Hi.

Let's tell transport it's time.

- I'll see you in there.
- Okay.

Hey.

Hi.

Owen, when I told you
I loved you last night,

I thought I was dying.

And I know that I still could die.

But if Teddy's plan works,
then I want you to know

that if you're not there
when I wake up, I understand.

And if it doesn't work...

- Nora...
- Just please watch over my mom.

My ex will take care of the kids,
but my mom doesn't have anyone, so...

- I will, okay?
- Okay. Okay.

- All right.
- Mm-hmm.

Nora, you are going to make it
to the other side.

- Okay.
- Okay?

- Yeah. Okay?
- Yeah.

- You're good?
- Yeah. Yeah.

Lucas, you were supposed
to leave her outside and go.

Thank you. We've got it from here.

[Adams] Did you see something new
on Dylan's scans?

I don't know where Dr. Griffith is,
but Ms. Alvarado's husband's pissed.

What the hell is happening?

Dr. Shepherd is gonna save my daughter,
right, Dr. Griffith?

- Hey, let her go.
- [Jenna] Stop.

Jenna, the first time
we operated on Dylan,

I had an entire team for neuro monitoring
and imaging that helped guide me.

Going back into her brain without that
is extremely dangerous.

Let us go,
and we will talk about her options.

No one's leaving.

Not until you fix my daughter.

[Griffith breathes heavily]

All right,
let's transfer her to the table.

You have a presurgery ritual?

Does scrubbing count?

[Ndugu chuckles] Yeah,
if it gets you in the zone, sure.

We are about to attempt a Hail Mary.

I'm not sure what kind of mindset
I should be in.

[Ndugu] There's only one, right?
Go big or go home.

We hold people's lives in our hands
every day. We can do this.

You okay?

Let's go.

[Shepherd] Cotton line.

- She can't feel it.
- I know.

[Shepherd] Okay, we need to retrace
our steps and find the bleed.

Lucas.

[Adams] We need to call for help.

Acetylene's highly flammable.
What if she sets that thing off?

[Shepherd] Keep your voice down.

I cannot do this without your help.

- Can you do this?
- [Adams] Yes.

We'll go slowly.

We will look for the gel foams
that we placed earlier.

Those will be our markers.

Can you talk?

Well, I have a consult
for a physicians who works here.

It's not personal. It's just business.

Oh, you wanna talk business? Okay.

Your move to Boston cost this hospital
thousands of research dollars

in potential surgeries.

Who knows how many top-tier interns
decided to look elsewhere?

Like it or not, people come to Grey-Sloan
because of Meredith Grey.

So, should we just forget
about the millions of people

who are suffering from the disease
that I'm trying to end?

I am not saying
that your work isn't invaluable.

This hospital shouldn't
be one of its costs.

Dr. Webber, I think
there's a hostage situation in OR 2.

A hostage situation?

It looked like the patient's mom
was holding an explosive to Griffith.

And Shepherd and Adams are operating.

You call 911. We're gonna have
to evacuate this whole OR floor.

[operator] 911.
[Beltran] Yes, I'm at Grey-Sloan Hospital...

[elevator bell dings]

[Bailey] Hey... Oh, how's Carter doing?

His bleeding picked up.

He's responsive to blood products
but he gets tachy between units.

So he needs a takedown washout
and re-exploration.

Mm-hmm, can I scrub in?
I'd like to see him through.

Of course.

Whoa, you need to take your patient back.

- This floor is locked down.
- I just booked an OR.

There is a potential hostage situation
in progress. The police are on their way.

We're trying to evacuate this floor
and divert all traumas ASAP.

Anything that is emergent
needs to go to the ICU.

Okay, I'll get the word out
to our residents.

- Okay, thank you.
- [Warren] That's it?

We just let him bleed out in the ICU?

[stammers]
No, we'll bridge with blood and FFP.

What if he gets acidotic?

B... Look, when the ORs reopen,
he'll be first in line.

[sighs]

Hey, I thought you had an arthroscopy.

Got moved.

Apparently,
they're evacuating the OR floor.

Hospital-wide page just went out.

Do we know why?

Probably nothing.

Last time, the suspicious package
turned out to be a nurse's lunch box.

[Wilson chuckles]

They're gonna page me
when things resume? Probably an hour.

Interesting, because I just have to round
before my C-section at 4:30.

- So we have time.
- We have time.

[siren wailing]

Who the hell is this woman?

How did she get on my OR floor
with a gas cylinder?

She's the mother
of a nine-year-old patient

that Dr. Shepherd and I have
been treating.

Until we can confirm
what that mother actually has,

we're evacuating floors above and below.

And we're turning off
the ventilation system as a precaution

since we're working with an unknown gas.

I want a direct line to that OR.
I need to know if my doctors are okay.

Meredith, you don't have to stay.

That's my family in there.

[phone rings]

[phone ringing continues]

[Jenna sighs]

Ignore it. Keep going.

[Shepherd] There's a lot of swelling
from the first procedure.

I don't know where I am. Suction.

[Adams] Is that the superior colliculi?

[Shepherd] Derek always said
if you're lost, find the normal anatomy.

A touchstone. I need a North Star.

[Shepherd]
There's the facial nerve fibers.

The floor of the fourth ventricle.

- [phone ringing]
- I cannot continue to work

in your daughter's brain
while that phone is ringing.

[line ringing]

- [Jenna] What do you want?
- Hello, Mrs. Gatlin, this is Dr. Webber.

I need you to tell me
if my doctors are okay.

They're in the middle of surgery.

Are they okay?

[Shepherd] We're okay.

[Officer] Good. Can you tell us
the substance that you have with you?

It's acetylene from my husband's truck.

If anyone comes in here,
I'm gonna light it up.

Look, Mrs. Gatlin, I know you're worried
about your daughter,

but I need to send a team in there
to take that tank.

- They can continue to work.
- [Shepherd] There.

I see the pathway back
to where the angioma was.

I know where I am. Irrigation.

[Webber] Mrs. Gatlin.

Unplug it. Now.

Go back to where you were. No more calls.

We need to talk to that husband.

If it is truly acetylene,
SWAT needs to get in here. Now.

- Hold on. Wait a second.
- Let's go.

That mother's not in a rational state.

If you send officers in there
right now, it's over.

Amelia has already started the surgery,

so the safest thing for us to do right now
is to let her finish.

Is now a good time to mention

that she is operating without
a neuro monitoring team or any imaging?

It's Amelia. She can do it.
What is the case?

[Altman] Fully dissected
around the supraceliac aorta.

Kwan, what's next?

[Kwan] Vessel loop for control.

[Altman] Good. Vessel loop.

Didn't you see the page?
You were supposed to have evacuated.

[Altman] We are mid procedure.

- Damage control and close. Now.
- Well, do we know what's going on?

There's a disgruntled family member
with some kind of explosive.

You all need to leave.

[Altman] We have already isolated
the ascending and supraceliac aorta.

Her pressures aren't good.
If we close now, Nora is dead.

You should go.

- Teddy, you can't stay.
- Owen, please. Go.

[Ndugu] If anyone else wants to leave,
they should go. No judgment.

- [Kwan] I'm staying.
- [Millin] Me too.

[Warren sighs]
A hundred cc's in five minutes.

His bleeding's doubled in the last hour.
Where the hell is that ABG I ordered?

Sorry, it just came in.

[monitor beeping rapidly]

Lactate's higher, hemoglobin's down.
He's getting acidotic, damn it.

We have to reopen his ex lap.

Give me a gown and gloves,
a surgical tray, and a Bovie.

- No, you need to call an attending.
- There's no time.

Not if we don't get this bleeding
under control.

All right, let's move.

Floor sex is not comfortable
when you're pregnant with twins.

[Lincoln chuckles]

- Sorry, the um...
- Mm-hmm.

...the OB supply closet is not
the ideal place for a honeymoon.

[Wilson clears throat]

Was someone here before us?

- It's for the ultrasound machine.
- [laughs]

- Oh, my God.
- Do you hear that though?

What? You getting a text?

No, it's the waves crashing on the shore
outside of our beachfront hotel room.

[Wilson] Mmm.

I can hear it.
And the seagulls flying overhead.

- Palm leaves flapping in the trade winds.
- Mmm.

[siren wailing distantly]

[Warren]
No bleeding in the upper quadrant.

How's everything going in here?

Ben Warren, tell me
you are not operating on a man

- in the middle of the intensive care unit.
- I-I can't do that.

He started deteriorating
and I can't get him to the OR,

so I brought the OR to him.

You do not cut a patient open
outside of the OR

unless he's about to die.

What are they gonna do, fire me?

Well, they're not afraid to fire me.
They've done it before.

[Warren] Which is why I left you
out of it. Vistaseal.

You're gonna need help with that liver.
Just give me a damn gown.

Your parents must be so proud of you.

When Dylan was five,
she wanted to be a doctor.

[Shepherd] There you are.

What do you mean? What's happening?

I've reached the hematoma.

[Adams] Yeah, it's pretty big.

- [Shepherd] I'm aware.
- Talk so I can hear you.

Preparing to suction.

Here we go, Dylan.

- [siren wailing distantly]
- Has anybody heard from Hunt?

No.

This looks impossible to access.

Shepherd'll make it through this.
She has before.

She has a stake in this hospital.
She's here every day.

You really want to do this now?

I've cleared all the ORs except for one.

Teddy won't leave.
Ndugu, Kwan and Millin are with her.

- Then send the police in.
- Thank you.

Well, hold on.
What happened to giving Amelia time?

This mother doesn't wanna hurt anyone.
She wants to save her kid.

Her daughter has very little chance
of survival,

and everyone else up there does.

You just said Amelia can do this.

Dr. Grey, Dylan's morning labs
just came in.

- [Ndugu] all right, Millin. Suction.
- [Millin] Mm-hmm.

The anastomoses are complete.

Excellent job.
All that's left to do is staple the aorta.

And we don't need you for that.
Time to go.

[Millin] You want me to leave?

- What about Kwan?
- [Kwan] What about Kwan?

He's leaving too.

[Ndugu] We are your attendings,
and we're responsible for you.

We put you in enough danger today,
so get out.

[Altman] Let's go. Now.

[Ndugu sighs] All right.
Moment of truth. You ready to staple?

[Altman] No.

Why did I think that this could work?

This isn't the time for second-guessing.

The moment that we staple her aorta,

the pressure from her heart could blow
the staple line, and she'll die.

We always knew this was a possibility.
But if we do nothing, she dies.

This floor could blow up, and we all die.

But if the surgery goes wrong,
it'll be my hands that kill her.

[Adams]
All right. You got it. Almost there.

[Shepherd] She keeps oozing.

Dr. Shepherd, her labs
just came back from this morning.

[Adams] Damn it, we need FFP.

- [Shepherd] We don't have it.
- What are you talking about?

Dylan has started bleeding.

We can help her,
but we need to give her blood products.

[Jenna] You must have done something.
You made her bleed again?

[Shepherd] We always knew this was a risk
if I went back in.

- You fix her.
- [whimpers, grunts]

I want to save your daughter.

I have never wanted to do anything
but save your daughter!

I should've never let you operate on her
the first time!

She'd be fine! She'd be awake!
She'd be happy!

She'd be quizzing me
on the names of trees.

- [Shepherd] She can still do that.
- [Adams] She won't stop oozing.

She's nine, and I took that from her!
You fix her!

[Griffith]
Jenna, not everything can be fixed!

You did nothing wrong.
All you did is love your daughter.

No one could have predicted this,
but we can still fight for her, if you...

- Lucas, no!
- [Jenna] Don't come any closer!

[Grey] Stop! Stop!

Are you a cop?

[Grey] No, I'm a surgeon.
I'm here to help.

Dylan's coagulopathic,
which means her blood can't clot well.

We can treat it. This is FFP.
It's fresh frozen plasma.

It's got proteins with clotting factors.

[Shepherd] If we don't give it to her,
she will continue to bleed,

and we will not be able to close.

[Grey] I'm a mother too.

I actually had my son in this very OR.

I know we-we would do anything
for our kids.

We feel our kids' pain
as deeply as they do, if not more.

And we live to protect them.

Give her the FFP right now.

[monitor beeping rapidly]

Okay, go ahead.

[Jenna] Dylan was a breach, baby.

For the last eight weeks of my pregnancy,
her head was shoved up under my ribs.

Even after she was born,
she would climb up on my chest

and nuzzle her head in there.

It made her feel safe.

Even at nine, she does it.

She trusts me. She trusted me
to keep her safe, and I didn't.

What did I do to her?

[Grey] Come on.
Come on, come on, come on.

[Wilson sighs] Is your surgery back on?

Not yet. Think that's weird?

- Uh, maybe your patient bailed.
- [chuckles]

He's 82 and, pretty psyched to get back
to his ballroom dance class. So...

Ms. Simril hasn't paged me
for any more ice. So, there's that.

The second we open this door,
honeymoon's over.

I think we just proved
the honeymoon is wherever we are.

[Lincoln chuckles]

[Wilson] Okay.

[Wilson] Wait.

[staff] Okay. Leave that there.

Hey. What-What's happening?

Uh. There's a hostage situation
on the OR floor.

Yeah, the ICU's packed,
so we're moving overflow patients to OB.

What rock did you crawl out from?

[Ndugu] If you want me to try to do this
by myself, I will,

but this is a two-person job,
and the OR floors locked down.

Neither one of us should.
It's too risky. We need more time.

All right, let's just slow down a second
and-and take a breath.

[Altman exhales]

Okay, what if we slow Nora down?

If we lower her blood pressure
and fibrillate the heart before we staple.

Yeah, yeah. The staples have
a better chance of holding

while the blood is diverted
to the new aorta.

[Altman sighs]

- All right, let's finish what we started.
- [Ndugu] Yeah.

All right. Ready when you are.

Induce V-fib.

[Altman]
Okay, her pressure is coming down.

This'll give us the best chance.

[Ndugu] All right, clamps off.
All right, GIA stapler.

[Altman] Let's go, let's go.

- Ready?
- I'm ready.

[Ndugu] Oh, my God.

[Jenna] Is it working?

[Grey] Let's just give it some time.

[Shepherd] Come on, Dylan.
Come on, you can do this.

Come on.

- [Warren] The bleeding's coming from the...
- [Bailey] Mesentery. I see it.

Hemostat. And I also need a...

- [Warren] 0 silk on a passer.
- [Bailey] Exactly.

- And then you can...
- [Warren] Mayo scissors.

[Altman] All right,
let's get her pressure back up.

Let's pace her again.

[Altman whispers]
Come on, come on, come on.

[Ndugu] She's not capturing. Paddles.

- [Altman] Come on, Nora.
- [Ndugu] All right.

Charge to 20. Clear.

Nora, give us a rhythm.

My God.

[Ndugu] Here we go. Yep, yep.

The staple line is holding.

- We did it.
- [Altman sighs]

[Ndugu chuckles]

We actually did it.

Let's close and get the hell out of here.

[Shepherd] Irrigation.

[Adams] Did it stop...

[Shepherd]
Don't talk. She is no longer bleeding.

Is it over?

It's over.

- [cannister clatters]
- [all gasp]

[Jenna cries]

It's empty.

It's always been empty.

I'm sorry.

I'm sorry.

I'm so sorry.

Oh, God!

[Jenna continues crying]

[♪ dramatic music playing]

[♪ dramatic music continues]

Are you okay?

I'm sorry, I'm sorry.

- We should talk.
- I don't wanna be apart, Simone.

All I want is to be with you.

That whole time in the OR,

all I could think about is what I would do
if something were to happen to you.

I'm okay.

If we can make it through that,

the rest... [stammers] ...we'll figure it out.
The rest, it doesn't matter.

You did it. You and Altman, you did it.

I want back on your service.
I need to be back on your service.

Look, I told you that I need to make sure

the other interns are
hitting their case numbers.

Well, Kwan's already hit his,
and he's still on your service.

I mean, do you think
I'm not good enough or something?

No.

I mean, 'cause you can tell me.
In fact, I would rather you tell me.

Well, you are a very competent surgeon.

Well, do you find me annoying then?

- No.
- What is it?

Just tell me what it is,
and I will fix it.

You can't fix it, all right?
Just please let it go.

[elevator bell dings]

No, no, I'm not going to let it go
until you tell me the truth.

Okay.

We were spending
a lot of time together and I...

Lines were getting blurry.

Right? Did you not feel that?

The lines might have been blurry for you,
but they were very clear to me.

Well, I just did what I felt was right
given the situation.

Denying the opportunities to learn
was the right thing to do?

I'm not the only cardio surgeon.

No, you're not.

But you are the best one.

[♪ "Garlands" playing]

[elevator bell dings]

[police radio chatter]

Oh, look, you can see the Northern Cross
really well tonight.

You know, some cultures say it represents
the connection between heaven and earth.

Thanks to you, that patient will
stay firmly on the earth side tonight.

[Warren sighs]

[grunts] I should've stood up for you more
and protected you...

No, Miranda, if I was gonna get
my job back, I needed to do it on my own.

But, Miranda, I... Hey.

I have no regrets.

I stand by my choices to save lives.
Every time.

[sighs] You will find another program

- somewhere better for you.
- [phone chimes]

- [sighs, groans]
- Go. Go. I'll be okay.

That's right. You will.

I love you.

[sirens wailing]

How's Amelia?

Very rattled, but okay.

[sighs] Are you going home like this?

The ORs are starting up again.

Your arthroscopy patient?

He says the Foxtrot waits for no man.
Do you mind?

Yes, but I understand.

- [Wilson] Ow. [groans]
- Oh. You okay?

It's just a kick. Maybe the girls
are trying the Foxtrot.

Did you say girls?

Did I?

[laughs] We're having girls?

- Did you forget to tell me?
- I was busy on the beach.

I didn't even know
there was a hostage situation.

Okay, go.

[Wilson chuckles]

Jenna's in custody.

Paramedics are taking her vitals
and then Seattle PD will book her.

Dylan's INR looks good.

Oh, yeah. The poor girl's gonna wake up,
and she won't have her mom here.

When you moved to Boston for Zola,

I thought just maybe once you graduated
from high school, you... you'd come back.

Well, we're a few years away
from that still.

Look, the point is that I just thought
that when I'd retire,

Bailey and you would be at the helm.

I'm gonna call your bluff on that
because you've been threatening to retire

since Bailey and I were residents.

[chuckles] That's fair. You need to do
what's right for you,

but just know that you and your work
will always have a home here.

Dr. Grey, your paperwork
is ready for signature.

[exhales heavily]

You know, I've been thinking.

It's been a while
since I've spent any time in OR 2.

I mean, today doesn't count. But I just...

I don't see the inside
of the operating rooms much anymore.

Are you hinting
you want your old job back?

No, I just... I don't know.

Maybe... maybe you could give me
lab space in Boston,

and I could spend my summer here
and work as a general surgeon.

Well, we already have a chief of general.

Well, that's great
'cause I don't want that.

I just wanna operate
and my kids could come here

and spend their summers
with their family and their friends.

And of course, I-I would be available
for consults during the year.

- Uh.
- It's a deal.

If it's okay with you.

- Deal.
- [Grey chuckles]

So much for a celebratory last day.

I don't know.
It almost went out with a bang.

Fine, too soon.

[chuckles] Yeah.

Oh.

You know you want to.

Okay, fine.

Feel different now?

I do feel better.

You talk to Adams?

None of your business.

[staff member] You'll each be assigned
individual lockers.

- Oh, my God.
- [Wes chuckles]

Well, think of it this way,
at least you already know I'm good, right?

I'll be seeing you.

Yep, it's definitely your business.

[over P.A.] Dr. Foster to Neurology.
Dr. Elizabeth Foster to Neurology.

She's still intubated,

but her pressor requirements
are coming down.

I need to go check in with Webber,
but you can go in and sit with her.

I am here to see you.

Teddy.

You changed what was possible today.
You changed medicine.

And yet, I still lose.

I do.

I do have feelings for her,
but I do not want to be with her.

When she leaves here,
I will never speak to her again.

I only wanna be with you.
I am in love with you.

You are the mother of our children,
and you're my best friend.

From the moment, the moment I met you,

you made my world feel whole.

I changed my career, I moved continents
because being without you felt impossible,

but sometimes,
what we think is impossible is just...

It's just failure of imagination.

There is no invisible force
keeping us together.

It was a choice.

Picking you every time.

And I'm not sure
I wanna make that choice again.

You're giving up on us?

I'm choosing me.

[Grey] When people cross a finish line
or complete an impossible task,

they often report feeling empty.

Dylan's stable, but we'll know a lot more
when she wakes up.

I'm sorry.

I can't tell you how sorry I am
for what my wife put you through.

I should've, uh...

I should've been there.
I was at a work site.

- I got here as soon as fast as possible.
- It's not your fault.

Yeah, ever since the diagnosis,
things have been rough. But no.

Jenna knows how flammable
those cylinders are, so...

Thank God the tank was empty.

And why do you think it was empty?

Well, she told us it was.
Well, she didn't mean to hurt anyone.

I don't have any empty tanks in my truck.

But the police said it was empty
when they checked.

Did Jenna ever open the valve?
Is anybody still up there?

Find Webber.

♪ Keep your eyes on the sky ♪

[Grey] Anticipation and motivation
become replaced

with apathy and disappointment.

Excuse me, can I scrub in
on your interception today?

Bailey, that okay with you?

[stammers] Uh. She's all yours.

- Have you seen Altman?
- Not for hours.

♪ Oh, to home ♪

[Grey] Science will tell you it's due
to a drop in dopamine levels.

♪ Running to the last good fight ♪

Cautery, please.

[Grey] But personally, I think it's 'cause
we're suddenly faced with the fear...

of not knowing what's next.

- [bystander] Oh, my God!
- [Ndugu] Out of the way.

[bystander] Oh, my God!

♪ Keep your eyes on the sky ♪

♪ I won't let you be afraid ♪