Original subtitles

♪ 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.

♪♪

♪♪

♪♪

♪♪

♪♪