All language subtitles for Greys.Anatomy.S22E03.1080p.WEB.h264-GRACE_track3_[eng]

♪ Aye, aye, aye ♪

Meredith:
For most of history,

doctors had no way
to stop pain.

Hey.

Hi.
Hi.

I know I said you couldn't
have a chocolate croissant,

but they were out of bagels,
so you're welcome.

Thank you.

Is everything okay?
Oh, look, Sam's mom's here.

♪ Aye, aye, aye,
leave a little ♪

Have fun at camp!

Yeah.
See you later!

What was that about?

He'll tell you
when he's ready.

Seriously?

During surgery, patients felt
every cut and stitch

until they inevitably
passed out.

What are you doing?

It's my
chief-resident dance.

Oh, you know this job is
nothing to dance about.

It is when you
assign yourself

a cutting-edge
transplant surgery.

Ahh.
Oh, hey.

I'm excited to be working
with you today.

It is gonna be groundbreaking.

We'll see.

Richard: Hey.
Good morning.

Hey. Looking forward
to joining you

in the O.R. today.

Oh, is that why
you're so chipper?

For sure. I just parked
in the chief's parking space.

Isn't that the space
just next to your old one?

This one doesn't have
a dip in the asphalt.

Mm-hmm. It's the perks
of being a chief.

They're mighty fine.

Yeah, I've done
both those jobs.

So I know that chiefing
is mostly scheduling

and HR issues
and being buried in paperwork.

Um...

does the chief resident
still have his own desk?

Already got it stocked
with snacks.

That's what
I'm talking about.

Hit the bulk store
and everything.

All the surgeons could do to
minimize pain was work faster.

That all changed when
the first surgery was performed

using ether as anesthetic.

Morning, benchwarmers.

He's just jealous because
he doesn't get to scrub in

on the double-lung
transplant today.

Au contraire.

I am on plastics.

Since when were you
interested in that?

Huge scope and range
in terms of anatomy,

cutting-edge
research opportunities,

high demand.

I think plastics might be
the one.

I hope you and plastics
are very happy together.

Now surgeons faced
a new dilemma.

If a patient can't feel pain...

Excuse me.
...when do you stop?

Are we assigned
a cubby?

Your first day?

I-I missed the actual
first day.

Preplanned vacation

for my grandparents'
anniversary.

Bold for an autotroph.

Bottom
of the food chain.

Intern locker room's
down the hall.

Sorry, but I'm --

Hey, pro tip.
Excuses make it worse.

Your resident
will thank me.

Oh, really?

Trust me.
Who do you have?

Kwan.

Well, I guess
I'll have to thank myself.

What'd you say
your name was?

Mohanty.
Kavita Mohanty.

I don't see you
on my roster.

That's because
you're on mine.

I'm the new
plastics fellow.

You're on my service.

[ Chuckles softly ]

[ Telephone ringing ]

[ Indistinct conversations ]

Wes: Dr. Griffith.
Hey, uh,

how does an intern get in
on this insane

double-lung transplant?

I don't make
the assignments.

Talk to Warren.
Also, you're late.

But you can put in a good word
for me, though, right?

No, you don't get
to ask me favors.

Go make yourself useful.

Wow.
What'd he do to you?

We need to make a pact.
Uh-huh.

We're second years.
We need to focus.

No sex,
no relationships.

You with me?

[ Gasps ]
You had sex with him.

It was an accident.

How?
Did you fall on it?

The logistics don't matter.
Are you in?

Oh, I'm not the one
sleeping with an intern.

I'm...[ Groans ]

[ Telephone rings ]

Woman over P.A. system:
Dr. Peguero to the NICU.

Dr. Christina Peguero
to the NICU.

Hey. Do you know
anything about cars?

Should I get
the extended warranty?

Well, I mean, it depends on
the car, your budget,

how long you plan
on keeping it.

My lease is up
in 12 hours.

Wow. You cut it close.

We need a bigger car,
but I hate negotiating.

I thought Link would be
out of the hospital

and he could handle it,
but...

Well, I spent the last year
negotiating every penny

for this hospital.

You just have to be
patient and clear

on what your goals are.
Anything is possible.

You know, last month,
I got an MRI machine at cost.

Do you want to go
with me?

Uh, I have patients,
but --

Cass: Hey, you.
Hi.

It's been a minute.
How is everything?

Good.
I'm -- I'm great.

What are you doing here?

David left his wallet
at home.

How was your
pineapple pizza?

Uh, pizza?
Yeah.

We ran into Owen and the kids
last night picking up dinner.

I admit,
I was a little judgmental

when I heard your order.

Oh, yeah. I was working late.
Big, big, big trauma.

Just -- I didn't get home
before they devoured everything.

Oh.
[ Chuckles awkwardly ]

Well -- Hi. We haven't met.
Oh.

I'm Jo Wilson.

Hi. Cass.

Sorry. Um, Jo Wilson.
Um, Cass, um, Beckman.

Um, she's just
an incredible trauma surgeon.

Uh, she's married to David.

Oh, yeah. I've worked
with David.

Right.
He's great.

Can't remember his wallet
to save his life,

but he does
an excellent CABG.

[ Elevator bell dings ]
Yeah.

Uh, this is me.

Nice to meet you, Jo.

Mm-hmm.

I'm really glad I ran into you.

So...
we'll take your car?

Satellite Pharmacy 2-6-2-2.

Hey, hey, I hear
we're playing musical chairs

with some lungs today.

Oh, shoot. I'm sorry.
I must have the wrong room.

I'm looking
for Ryan Delgadillo.

He's about this high.
He loves airplanes.

It's me.

What?! You?!
You must have grown, like,

six inches
since the last time I saw you.

I'm in kindergarten.

You're in kindergarten?

Wow, that's big kid stuff
right there.

Uh, you've all met
Dr. Ndugu,

who recently pioneered
a breakthrough cardio surgery.

We're lucky to have him.

I'm happy to help.
Dr. Griffith.

Ryan Delgadillo, age 6,

diagnosed with bronchiolitis
obliterans at age 2.

He's been on ECMO
for four weeks.

Today, we will be performing
a bilateral lung transplant

from living donors.

Each parent is donating
one lower lobe.

Transplanted together, they
will act as Ryan's new lungs.

You sure this is
the right way to go?

We shouldn't wait longer
for a pair of lungs

from a deceased donor?

You having second thoughts?

About me?
No.

I'd give Ry all my lungs
if I could.

Can we have a moment?

Of course.
We'll be right back.

Okay. And how is this?
Is it comfortable?
Yeah.

We just want to make sure
that small pieces of our lungs

are as good as a full set
from someone his own size.

It's a valid concern.

Look, getting two lungs from
a deceased donor is preferable.

But we haven't found a match.

And Ryan's been on ECMO
for weeks now.

And the risks of bleeding,
blood clotting, organ damage,

they've all quadrupled.
Our window to act is closing.

And, uh, you think
it'll work?

Based
on the extensive work-ups

we've done on all of you,
we do.

Once you sign the consent forms,

we can get you prepped
for surgery.

♪♪

[ Speaking
indistinctly ]

[ Siren wailing ]

Okay.
Where do you want me?

There is fine.

Which one of these rigs
has my patient?

Who's your patient?
Katie!

Katie Rogers.
27, auto versus tree.

Restrained passenger.
Negative L.O.C.

GCS 15, moving all extremities.
Minor scrapes and bruises.

Dr. Bailey,
can I still do chemo today?

Okay. We need
to examine you first.

She also has stage II
gastric cancer.

If I can't, can you still
operate next month?

One step at a time.
Let's get her inside.

Ow!
Hey, move.

I'm all good.
Out of the way!

My -- My bag.
I need my laptop.

Um, Adams, Bryant,
go find it.

You go in, I got this.

I don't mind taking
a look at the rig.

You're not on a tour.

Did I do something
to piss you off?

Yeah. You slept
with my girlfriend.

Sle--

[ Sighs ]

♪♪

Cass Beckman
seems nice.

Yeah. She's great. What about
something like this?

Nah. It's small.

What was
the big, big trauma?

I was on call last night.
I didn't hear about it.

Oh, it must have been
another night.

What about
the one outside?

Oh, wait. Oh.
This is perfect.

This is gonna be
way out of your budget.

No, you have all
that negotiating experience.

You said yourself,
anything is possible.

Please don't make me
drive a minivan.

Can I help you, ladies?

Can we test-drive this car?

Sales manager to the desk.

BP's 122 over 68,

heart rate is sitting
in the low hundreds.

Katie: I feel dizzy.

Bailey: Uh, you might be
dehydrated.

Let's hang another
bag of fluids

and give her something
for the pain.

So what happened?

My rideshare had a chance
encounter with the tree.

These injuries don't look
as nice as that sounds.

Well, I'm a couples therapist,

so I'd like to put a
positive flip on first meetings.

Oh.
She's tender.

Mm.

Free fluid
in the splenorenal recess.

That doesn't sound
like a stop on a road

to Cancer-freeville.

Should I be worried?

What do I always tell you?

Don't worry
until you look worried.

Alright, uh, Adams,
Bryant, get her to CT

and page me when
the scans are up.

Uh, Dr. Bailey,
I can take her myself.

Bryant can go with you.

Uh, do I look like
his resident?

Yeah, but he'll
learn more with you.

Of course he will.

But then you won't learn
to teach.

Dr. Mitchell to Oncology.
Dr. Tandi Mitchell to Oncology.

Mr. Lee,
how are we doing today?

I'm the same
as yesterday.

But you don't look
like Dr. Kayise.

He was pulled
into an emergency case.

I'm Dr. Mohanty.
This is Dr. Kwan.

We'll be your doctors today.

Ray Lee, 35, presenting

after skull injury
while hiking --

Technically camping.
I'd just finished Storm King.

3% TBSA
partial thickness burns

affecting left forearm,

Status post-bedside debridement
and skin grafts,

post-op day one.

Can we take a look?

Be my guest.

Uh, no. Dr. Mohanty is
the plastic surgery fellow.

She is very experienced
and accomplished.

Sorry about that.
It's an honest mistake.

Anyone can make it.
She's so youthful.

In a good way.
Not that she's old.

I think he gets it.

Let's remove the dressing,
shall we?

I'm guessing
this makes the last time

I make mac and cheese
on a camp stove.

This was
a cooking accident?

I'm the punchline
in those jokes about cooks

who can't boil water.

Looks like it's healing
appropriately.

Dr. Kwan will redress it
for you

and I'll check back in a bit.

I forgot to ask
if I can have some crackers.

Can we page her?

Ah, let's not bother her
for a snack.

What do you want?
Grahams or saltines?

Alright.
Starting your scans.

Hold still.

I didn't know.

Whatever.

Hello?
Is anybody there?

Yeah. We're here.
Everything okay?

Yeah.
It's just, it's quiet.

Seemed like a bad sign.

Everything's fine.

We're just waiting on
your scans.

Okay.

I'm used to listening
to people talk all day.

Cheating husband,

wife who resents
giving up her career.

You know, it's my job
to help people communicate.

In my work, talking is good.

Screaming, crying.
It's all fine.

It's only
when my clients go silent.

That's when I can't help them.

But I guess that
doesn't happen here.

Nope.

Dr. Savoy ext. 2-2-1-9.

Hey!
Yeah.

Griffin and Millin
filled me in.

You want me
on the dads?

Yeah.

Kim's flight got canceled,
so now he's stuck in Florida.

Are you okay
being my assist?

Of course.
But you owe me.

Yes.
Does Bailey have
a girlfriend?

I'm not
answering that.

Boyfriend?

He asked me not
to say anything.

You want me
to break his trust?
I do.

You're unbelievable.
I'm his mother.

Okay. Hey.
Winston: Hey.

Webber and Warren
got held up,

but we should get started
without them.

Okay.
What are we looking at?

Three lungs.
Two healthy,

one with extensive
mosaic perfusion

and air trappings, looks like
bronchiolitis obliterans.

Technically true.
Not the answer I'm looking for.

In this first scan, we have
two nonspecific granulomas.

We are looking
at a family, okay?

That's who will be
on our operating tables today.

And, look, I know it goes
without saying,

but I want it
on record.

There is no room
for error. None.

One mistake
and a whole family suffers.

If you're this concerned,

maybe we should consider
holding a beat.

I'm sorry. [ Stammers ]
Are you having cold feet?

No, no, but I've
always had reservations.

You know as well as I do,

this is not the standard
of care.

Yeah, Ryan's not
a standard case.

Of course not.
But there's a reason

that no one does living-donor
lung transplants anymore.

We're talking a much higher
mortality rate.

Post-op,
Vivek and Steven are at risk

for bronchial stump leaks,
bleeding,

diminished lung capacity.

Yeah.
Meredith: I'm sorry.

Haven't they been made
aware of the risks?

Yes. They have.

But I'm concerned
that their understandable desire

to save their son
is clouding their judgment.

Yeah, of course it is.

They can't just sit back
and watch their kid die.

What happens if we do this
and he still dies?

Okay, I just want
to make sure

that we're thinking this
through, that's all.

I know, but if I --
if I knew you weren't all in,

I would have gone
to someone else.

You didn't really
give me a choice.

You'd be hard pressed
to find a cardiothoracic surgeon

that can get behind
a living lung donation.

Listen, I've been
working with Ryan

and his parents
for months now.

Months.
We are out of time.

We have to take a swing.
That is it.

I'm the one who's been seeing
his health decline

on ECMO every day,

calling UNOS
multiple times.

Hold on, hold on. Let's --

We can debate this all day long.

The only people
who can really make

the decision are Ryan's dads.

So why don't I -- we --
go speak to them?

Okay.
I'm coming, too.

No, no,
you should stay here.

Get some air
and I will fill you in.

Okay.

Switch services with me.
No.

The plastics fellow
hates me.

What did you do?
Why do you assume
I did something?

Because it's you.

Well, I heard your
boyfriend's working

with your other boyfriend.

You told Kwan
before you told me?

Yeah, yeah, yeah,
I knew first.

You should be mad at her.

Hey, switch with me so
you don't have to work together.

Not interested.
I've got my own problems.

[ Telephone rings ]

Dr. Seip call recovery.
Dr. Seip call recovery.

Is it time?

Not quite yet.
This is Dr. Grey.

She'll be joining
your surgical team.

It's nice to meet
both of you.

I know you've been made aware
of the risks of your surgeries,

but I'm new to the team,

so I just wanted
to make sure

that we're all
on the same page here.

We're in,
no matter the risks.

That's the page we're on.

You understand that you'll both
likely have diminished

lung capacity for the rest
of your lives.

I hate exercise.
But you could have bleeding.

You could need more surgeries,
develop infections.

We have insurance.
You could have a stroke.

Nothing that could
happen to me

would be worse
than losing my son.

Ryan was 2
when we met.

You can't really explain,

"This is daddy's boyfriend"
to a 2-year-old.

It was just a man
who was around sometimes

and gave him snacks.

But one night
the power went out

and Ryan panicked
and ran into my arms

and I realized...
he trusted me.

He felt safe with me.

I couldn't tell you
when it happened or how, but...

...I was his dad.

I felt helpless watching
him suffer.

If I can take that away, you're
giving me the greatest gift.

Well, he's lucky
to have you both.

I'll let the team know
we're good to go.

Alright?

♪♪

[ Elevator bell dings ]

Hey, uh, I need to give you
a heads up.

If it's that I'm working
with your boyfriend

you cheated on,
you're too late.

I didn't cheat.
We were broken up then and now.

Yeah, well, he's acting like
the two of you are married

and that he walked in on us
at the bar.

We agreed
that never happened.

Yeah, well, he didn't,

and he's pretty pissed for
somebody who you're not with.

Wes, it's over.

I swear.

That guy's a piece of work.

Hey, where are you going?

I'm gonna go tell him I'm
done putting up with this crap.

Dr. Reeves to Pediatrics.
Dr. Carol Reeves to Pediatrics.

[ Music playing over earbuds ]

[ Sighs ]

Uh...
Oh!

[ Both chuckle nervously ]

Sorry. I...

didn't mean to creep up
on you.

It's alright.
I was getting in the zone.

You always blast music
before your surgeries?

Yeah, I used to.
Yeah.

Now I just kind of save it
for the scary ones.

You're nervous?

You know we're doing

a living-donor
lung transplant today, right?

Yeah, but you built
a new aorta.

You can do anything.

That was a little luck
and a lot of Dr. Altman.

Do you really feel
that way?

I know I'm good at my job.
I'm not fishing for compliments.

But when you sign on
to a risky surgery

that you've never
done before,

you don't really know
if you have what it takes

until you succeed
or fail.

I just --
I don't want to fail today.

You're a terrible surgeon.

[ Chuckles ] Okay.

Thank you for that vote
of confidence.

You didn't
let me finish.

Do I want to?

You don't have a God complex
like every other surgeon,

myself included.

You know your limits,
and you don't push it.

If you hit a wall,
you go around it.

And that's why
you won't fail.

You're not in this
to prove something.

You're -- You're just trying
to be a good doctor.

That did get better.

Hmm.

I hope you're right.

The reality is,
is that no one can tell you

whether or not
to be together.

That is between you two.

Where's your intern?

I don't know.
I paged him twice.

Hey, we need to get straight
on something. I never knew --

There he is.

Katie:
Okay. Yeah, I gotta go.

We will talk
in our session next week.

Alright. Bye-bye.
I am so sorry.

Client emergency.

Hope they work things out.

Well, honestly,
they should call it,

but they can't
quit one another.

So how are my scans?

They show bleeding
in the spleen.

That was the fluid
we saw in the ultrasound.

Well, is there a spleen
band-aid for that?

Unfortunately, no.

We will have to remove
it surgically.

What about chemo?

Is this gonna interrupt
my treatment schedule?

You see my face?

You're not worried.

No, but I will be if you
don't let us remove your spleen.

Okay. Yeah. I was really
hoping chemo and I

would work out.
Yeah. Me too.

But let's take care
of this first.

Meredith: Okay. There's a lot
of moving pieces today,

so let's go over the plan
one more time.

Nick: Ndugu, Griffith,
and Millin

will be here
on Team Ryan.

Once they've prepped him
for the grafts,

Dr. Grey
and I will open Vivek.

As we prep the right lobe,

Dr. Webber and Dr. Warren
will procure Steven's left lobe.

We'll all meet back here
at the end.

Any questions?

I'm ready. Let's go.

Okay.
Good luck, everybody.

♪♪

[ Sighs ] Scalpel.

♪♪

Virtual personal assistant
in the car.

Now, that's a car
I can live in.

Stop talking about
how much you love this car.

You've got to, like, you
know, just play it cool.

I can do that.
I can be cool.

Look how cool I'm being
right now.

Alright, you know what?
Let me do the talking.

Here you are.
Thank you.

Jo!
What are you thinking?

Ready to move forward?

Oh, definitely.
It has everything we need.

The three rows
are just so...

But there are factors
that I'm factoring in.

[ Clears throat ]
Let's talk brass tacks.

What's your bottom line?

My manager says
I can give you $1,000 credit.

How...does this look to you?

We both know
you can do better than this.

Jo is a loyal customer.
Very loyal.

She's about
to have twins.

She can't take on this
kind of car payment.

I don't know your
financial situation,

but I can tell you people
grossly under budget for cars.

They think it's just
rubber and metal

and it's not worth
the hard-earned money.

But this isn't just a car.

This is your children's lives.

It's their memories.

Family road trips,

neighborhood carpool,
driving to soccer games.

Your kids are gonna grow up
in this car.

That's worth something.

No?

I'm sorry.
Um...[clears throat]

I just,
I need a minute.

Uh, she's a surgeon.

That's probably
a very important call.

I'll be right back.
Sorry.

♪♪

♪♪

[ Sobbing ]

♪♪

Hey. What's happening?

Is this
a negotiating tactic?

You are so good.

We never took
a family road trip.

I mean, we wanted to go
to Alaska with the kids,

but we just kept
pushing it off.

You can still go.

But not
as a whole...family.

Owen and I
are getting a divorce.

Oh, Teddy, I...

I am so sorry.

No, it was my choice.

But it's just...

Now the kids will never have
that memory.

Instead, they're bumping
into Cass Beckman

and eating strange pizza
without me.

Well, what good are
family memories

with a miserable mom?

Your kids deserve
the best version of you.

But I'm not.
I'm...

I'm not
the best version of me.

This morning,
I was crying in the shower,

just thinking about selling
the house and...

And tonight, Owen is
gonna be with the kids

while I'm in a hotel room,

eating room service

and watching
dumb reality TV.

That doesn't sound
so bad.

Well, it kind of
loses its luster

after three nights
in one week.

I've been divorced.

It's not like...
flipping a switch.

It takes time
to find your footing.

But when you do,
it is so worth it.

I'm happier now
than I have ever been.

I don't know
what makes me happy anymore.

Well, you don't have to
transform your life overnight.

Start small.

Put yourself first
for once.

And then find

one tiny moment
of joy.

Ben:
Any word from Marsh?

Uh, no, not yet.

You know, you could
have held off on scrubbing in.

Yeah. I'd rather get
the patient prepped.

Don't want to be
the hold-up.

[ Cellphone dings ]

See? Is that him?

Oh, no. That's yours.

Really?

Um, do you mind?

"Follett lost her phone.

If you need her,
text Barnes."

Okay.

[ Cellphone dings ]

Um...

[ Clears throat ]

"Fukushima's
great aunt passed.

She'd like
next weekend off."

Whole weekend
for a great aunt?

I mean,
I'm sorry for her loss...

[ Cellphone dings ]

You want me to check?

I want you
to make it stop.

Well, that I can do.

Silent.
[ Chuckles ]

You know that doesn't make
the work go away, right?

Chief to chief,
it's called punting.

[ Both laugh ]

[ Monitor beeping ]

Did you do the post-op check
on Alex Brokaw?

She's on SBT.

She should be ready to wake up
soon and face reality,

unlike other people.

What the hell is
that supposed to mean?

I talked to Griffin.

She said you guys were over then
and now -- her words.

I'm not talking about this
with you.

I'm not gonna let your bruised
little ego ruin my career.

I don't need to get in
your way.

You can ruin it
all on your own.

Ready to go?

Katie deserves
all our focus.

♪♪

♪♪

Is Bailey worried
about soccer tryouts?

Is he fighting with a friend?
Is it guy stuff?

Meredith.
Okay, I'm just asking.

Uh, Ryan is on bypass,
and he's stable.

Thanks, Dr. Millin.

Let us know
if there's any changes.

Okay. Here we go.
Okay.

Scalpel.

We need to move
quickly and efficiently.

Wait. He's febrile.

102.1.

What was his white blood
cell count from this morning?

11.1.
Okay. It's borderline.

We can't remove part
of his lung

if he's fighting
an infection.

Let's reset the probe
and recheck his temp, please.

It's not gonna matter
if his white count's borderline.

Ryan is
running out of time.

Vivek would want us
to do everything we can.

Recheck the temp again,
please.

Still 102.1.

[ Sighs ]

We should postpone
for a few days.

Let's hope Ryan
has a few days.

Surgery's off.
Get him out of here.

♪♪

She just needs a minute.

I thought the car was
for you.
It is. Yeah.

It's for me and my kids.

Um...
do you have kids?

No.

Back to the car.
I thought you liked it.

I loved it.
I, uh, I think it's fine.

I wish the price was
more negotiable, but I...

Alright, Dan.
Can I call you Dan?

Uh, I prefer Daniel.

We are busy people, Dan.

I'm sure that you've got a lot
going on, too,

so let's make this quick.

She wants this car,

but she also wants to be
able to pay for college

someday for her kids.

So if you want the sale,
we will take the car at MSRP,

no market adjustment fee,
no preparation fee.

And, uh, we're declining
the extended warranty.

I'm only authorized
to take the price down $1,500.

An hour ago,
that was $1,000.

So you can see
why I'm skeptical.

Like I said,
everybody wants this car.

Well, then you're
just gonna have to sell

it to one of them.
Thank you so much for your time.

Uh, I'm sorry.

What are you doing?
I'm finding my joy.

I can run the numbers again.

Maybe there's a compromise.

We're listening.

You paged?

Mr. Lee's developed
a hematoma.

I need you
to book an O.R.

so we can drain
and evaluate the skin graft.

Another surgery?

Dr. Kwan will get
you prepped.

Wait.
We're taking him now?

We have to control
the bleeders ASAP.

You have a problem with that?
He just ate lunch.

He's NPO.
He can't have anything.

Who lifted the r?

I did. His surgery was done.
It had been hours.

He's on warfarin, which made
him a risk for a rebleed.

That's why the NPO
wasn't lifted.

You'd have known
if you'd bothered to ask.

Call anesthesia and see
what they're comfortable with.

This could be a long night.

Winston: This is the
worst-case scenario.

I know.
I got Ryan off ECMO.

Got him intubated,
put him on bypass,

and now I got to get him
off bypass and back on ECMO?

I told Webber
the surgery's off.

Okay. Look, we'll push it
a few days.

You suggested it yourself
earlier.

That was before we took
him off ECMO.

Ryan is 6 years old.

6. His lungs can't handle
the back and forth.

He's too small.

What if he could live with
one lobe instead of two?

Well, his heart could fail

if he only has lung tissue
on one side.

Are you thinking
we split Steven's

right lower lobe into two?

Isn't that what
you do with livers?

This isn't the same.

Yeah,
but could you do it?

Is it possible
without destroying

the remaining lobe segments?

♪♪

Um...hold on. Um...

Yeah. The ratio would have to be
less than 200%.

♪♪

♪♪

Yeah, the math checks out.

So then I should tell Webber
the surgery is back on?

No, no, because that doesn't
mean that I can pull it off.

The orientation of the
vasculature would be reversed.

So if we split the lobe
into two halves,

then the right side would fit
into the right side

of his chest cavity
without a problem.

But for the left,

we would need to invert it
to match the anastomosis.

Nick:
And that could work?

Yeah, that could work.
Let's try it.

Okay, great.
Let's go.
Okay.

♪♪

Bailey:
Dissection looks good.

Spleen is almost free.

I lost visualization.

You can just tell me
when you want me to move it.

That was easier.

Uh, how about walking your
intern through the next steps?

First, we identify the splenic
artery and the veins.

Then we clamp
and divide them

to free up the spleen
to send to path.

Then we ligate
the vessels.

Ready for specimen.

That's your cue
to hand me the metz.

Alright.

Okay.

Okay. Make sure you have
good hemostasis.

Suction is clogged.

Use some saline
to clear the line.

Hang on.

Bryant, will you take
the spleen to path

and put in a stat order for me?

Got it.
Mm-hmm.

[ Clears throat ]
I'll take that.

And 2-oh silk please.
I'm not done.

You are now.

Take over the retractor.

♪♪

♪♪

♪♪

♪♪

♪ With your feet on the air
and your head on the ground ♪

♪ Try this trick and spin it ♪

♪ Yeah ♪

♪ Your head will collapse,
and there's nothing in it ♪

♪ And you'll ask yourself ♪

♪ Where is my mind? ♪

♪♪

♪ Way out in the water,
see it swimmin' ♪

♪ Oh ♪

♪ I was swimming
in the Caribbean ♪

♪ Animals were hiding
behind the rocks ♪

♪ Except the little fish ♪

♪ Bumped into me, I swear he was
trying to talk to me ♪

♪ Koi-koi! ♪

♪ Where is my mind? ♪

♪♪

♪ Way out in the water,
she is swimmin' ♪

♪Oh ♪

♪ With your feet on the air
and your head on the ground ♪

♪♪

♪ Try this trick ♪

Nick: Good job, everyone.

We did it.
We saved a family today.

♪ And there's nothing in it ♪

♪ And you'll ask yourself ♪

♪ Where is my mind? ♪

Bailey: Good hemostasis
in the stomach.

So let's pack her and check the
other quadrants before we close.

Lap pads.

♪ Way out ♪

I don't know
what is going on

with you and Bryant,
but it has to stop.
Dr. Bailey --

What I do know is
that you've

already been kicked out
of an O.R.

once this month, and whatever
it is has been impacting

and affecting patients,
including this poor woman,

who sure as hell
has been through enough.

I can't have it.
Am I clear?

Yes, but --
Am I clear?

It's Katie's liver.
Do these look like tumors?

♪♪

Ohh.

♪♪

Jo: Are you sure you
don't want a ride?

I could use the air.

Well, thank you again.

And it does get better,
Teddy.

You just have to give yourself
permission to feel happy again.

♪♪

Is there anything else
I can do for you?

♪ I hear your voice
late into the night ♪

♪♪

♪ Say all the things
we never made right ♪

♪ The weight was more... ♪

How are you feeling?

Mm.
Tired, a little weak.

That makes sense.
You have an infection.

You spiked a fever
in the O.R.

We weren't able
to take your lobe.

What about Ryan?

He's doing great.

We were able to make two lungs
from your husband's one lobe.

He's gonna be okay?

Mm-hmm.

Thank you.

Thank you
for saving my son.

Lucas: Did you put in an order
for the post-op labs?

Yep. For first thing
in the morning.

We should get a set now.

Okay. Sorry.
I can do that right now.

Look, I only asked
'cause I got it wrong

my first time.

♪ Counting the hours
till darkness repeats ♪

Bailey: Ahh, look who's back.

How'd it go?
Is my spleen okay?

Did you tell her
it wasn't her, it was me?

The operation went smoothly.

And, um, when can I
get back to work?

Uh, you still got to rest
for a few days.

Wes: Hopefully your clients
will understand.

Katie: Thank you.
This morning was pretty scary,

and I was kind of freaked out
by the whole spleen thing.

But I'm grateful that
you guys were able to fix it,

and I can...get back
to cancer treatment.

Well, don't worry, I know.
It's one day at a time.

♪ I'll stay with you ♪

What's wrong?

[ Clears throat ]

So while we were operating,
we found areas on your liver

that are concerning
for metastasis.

The cancer spread?

I thought, Dr. Sugihara, he
said that the chemo was working.

How bad is it?
Well, okay.

We won't know until we
get the biopsy results.

And we need new scans
to...restage you.

♪ I'll be right ♪
If you had to guess?

♪ Here ♪

Never mind.
I can see it on your face.

You're worried.

It's over, isn't it?

♪♪

No.

As long as
you're still here,

nothing's over.

He is right.

Get some rest

and we'll talk
more tomorrow.

♪♪

♪ The beauty in the rain ♪

♪ Ooo ooo oh ♪

♪ Ooo ooo oh ♪

♪ Ooo ooo oh ♪

Anesthesia said Ray
should be ready by 9:30.

Great.

Your noodles
look great.

I'm supposed to be on
a date at Nicoletti's right now.

Hey, uh, look, I think
we got off on the wrong foot,

and I admit it was
totally my fault.

And I'm sorry, but aside from
the occasional social faux pas,

I'm a pretty great
resident.

I'm highly skilled,
I'm good at taking direction,

and I'm very interested
in a plastic specialty.

Tell me what I need to do

to have another chance
to impress you.

And I will do it.
Anything at all.

Stop talking.

Copy that.

Dr. Sellers 4-6-1-9.
Dr. Mari Sellers 4-6-1-9.

I'm in.
In what?

The pact. I'm in.

I thought you didn't
need the pact.

Just being proactive.
Can't hurt.

Ryan's off pressors.

We'll be able to wean him
off ECMO in the next 48 hours.

He's doing great.

That's amazing.

Can you do a post-op check
on him before you go?

Of course.
Alright.

Oh, uh, Millin.
Hmm?

Thanks for the pep talk.

Any time.

What pep talk?

It's nothing.

I'm gonna go check
on Ryan.

Meredith: Anything can be
a race against the clock

if you let it.

Waiting for a promotion,

having a child, eating the last
yogurt in your refrigerator.

Oh.

Hey, you.

You okay?

I think my patient has
terminal cancer, and she's 27.

That's tough.
I'm sorry.

Um...

you gonna be a while.

Looks that way.

[ Laughs ]

I will pick up Pru.

Oh. And what brings you here?

Dropping off some items
to Warren.

[ Sighs ]
I'll see you at home.

So, what are those,
uh, intern payroll forms?

Insurance reimbursements.

[ Sighs ] The chief resident
has to do insurance, too?

Nope.
Chief of surgery does.

Oh.

Is your wife
always right?

I find it's always easiest
to assume yes.

[ Scoffs ]

Sometimes you really are
running out of time.

Most of the time,
it's all in your head.

Hey.

Turns out Vivek had
a sinus infection.

Ahh.
He's gonna be okay.

Good.

Thank you for hanging
in there with me today.

You know I don't give up
that easily.

That's an understatement.

And I don't need you to tell me
what's going on with Bailey.

What, are you trying
reverse psychology now?

No, it is not.

I think it's great
that my kids trust you enough

to share things with you.

You know I love those kids.

I know.
Come on, let's go home.

Okay.

And when you let go
of all that fear...

♪ Headed somewhere ♪

♪ Maybe I've been ♪

♪ Running right here ♪

♪ So I can run to you ♪

♪♪

Where are we going?

♪♪

...the possibilities
are infinite.

♪♪

♪♪

♪♪

♪♪

♪♪