1 00:00:03,754 --> 00:00:05,214 Woman: Man: What was that?! 2 00:00:08,217 --> 00:00:09,551 Man: Get away from the building! 3 00:00:11,887 --> 00:00:15,432 Meredith: When a patient consents to surgery, 4 00:00:15,432 --> 00:00:17,851 they're not just trusting their lives to a surgeon. 5 00:00:19,186 --> 00:00:21,897 They're trusting an entire team. 6 00:00:24,274 --> 00:00:28,362 An anesthesiologist must continually monitor sedation, 7 00:00:28,362 --> 00:00:31,573 respiratory and heart rate, blood pressure. 8 00:00:33,158 --> 00:00:35,452 Let's go! Let's go! Ben: Clear. Clear. 9 00:00:35,452 --> 00:00:38,038 Come on. Hustle. Hustle. Hustle. 10 00:00:38,038 --> 00:00:39,998 Clear! Clear! Look out! 11 00:00:39,998 --> 00:00:41,333 Sir! Sir, you can't enter. No, you don't understand. 12 00:00:41,333 --> 00:00:43,043 You need to -- No, you don't understand! 13 00:00:43,043 --> 00:00:44,628 You need to evacuate now! You don't understand! 14 00:00:44,628 --> 00:00:45,837 You need to evacuate now! 15 00:00:45,837 --> 00:00:47,631 No! No! Go back! 16 00:00:47,631 --> 00:00:50,759 A first assist suctions and retracts, 17 00:00:50,759 --> 00:00:53,387 helping with every suture and staple. 18 00:01:00,936 --> 00:01:04,982 A scrub tech organizes and hands over surgical tools, 19 00:01:04,982 --> 00:01:07,651 saving valuable seconds and blood spilled. 20 00:01:14,157 --> 00:01:17,536 And circulating nurses document the case, 21 00:01:17,536 --> 00:01:19,913 keeping track of who touches the patient, 22 00:01:19,913 --> 00:01:21,665 what's used and when. 23 00:01:29,548 --> 00:01:33,635 Help! Help us! We need some help in here! 24 00:01:33,635 --> 00:01:35,053 Help! 25 00:01:36,346 --> 00:01:38,348 Somebody help us! We need help! 26 00:01:39,725 --> 00:01:42,185 Every member of the team shares responsibility 27 00:01:42,185 --> 00:01:44,062 in the patient's survival. 28 00:01:46,940 --> 00:01:49,318 If someone's not there... 29 00:01:53,196 --> 00:01:55,282 ...you're in trouble. 30 00:02:02,581 --> 00:02:05,375 If you don't sit still for one damn minute... 31 00:02:05,375 --> 00:02:07,210 The elevators are shut down. Dr. Webber! 32 00:02:07,210 --> 00:02:09,170 This department exits through the east stairwell. Sir. 33 00:02:09,170 --> 00:02:11,048 Sir! Okay. 34 00:02:11,048 --> 00:02:13,342 Everybody stay calm. That's the generators kicking in. 35 00:02:13,342 --> 00:02:16,011 People, keep your phones on for updated evacuation alerts. 36 00:02:16,011 --> 00:02:17,596 Has anyone gotten through to the sixth floor? 37 00:02:17,596 --> 00:02:18,972 Dr. Webber! What?! 38 00:02:18,972 --> 00:02:21,224 It's the acetylene tank. It wasn't empty. 39 00:02:21,224 --> 00:02:22,934 It was leaking gas the entire time. 40 00:02:22,934 --> 00:02:24,436 Woman: All personnel... Oh, my God. 41 00:02:24,436 --> 00:02:25,812 I need to speak to that fire chief right now. 42 00:02:25,812 --> 00:02:27,397 You're going nowhere 43 00:02:27,397 --> 00:02:29,316 but downstairs so we can evaluate that head. 44 00:02:29,316 --> 00:02:30,817 We don't have time. 45 00:02:30,817 --> 00:02:32,152 I need to lock this hospital down again. 46 00:02:32,152 --> 00:02:34,363 We'll do it on the way. Come on. 47 00:02:34,363 --> 00:02:35,947 Teddy: All patients on the third floor and above 48 00:02:35,947 --> 00:02:38,200 will be moved to a secure area. 49 00:02:38,200 --> 00:02:40,744 We need full cooperation from everyone. 50 00:02:40,744 --> 00:02:43,038 Do not leave the marked safe zones. 51 00:02:43,038 --> 00:02:45,874 Seattle Fire is working quickly to assess 52 00:02:45,874 --> 00:02:48,710 the structural integrity of the north side of the building. 53 00:02:48,710 --> 00:02:51,088 If we remain calm, our patients will. 54 00:02:51,088 --> 00:02:53,256 Thank you. 55 00:02:53,256 --> 00:02:55,008 How can I help? We're evacuating the CCU. 56 00:02:55,008 --> 00:02:56,343 That includes Nora Young. 57 00:02:56,343 --> 00:02:57,803 She's too critical to stay here, 58 00:02:57,803 --> 00:02:59,846 so I want to transfer her to Seattle Pres. 59 00:02:59,846 --> 00:03:02,265 Teddy. Uh, head upstairs. 60 00:03:02,265 --> 00:03:04,184 That woman was my patient's mother. 61 00:03:04,184 --> 00:03:05,894 We don't know that it's related. 62 00:03:05,894 --> 00:03:07,729 If Dylan's outcome had been better -- 63 00:03:07,729 --> 00:03:09,022 if I had been better -- Amelia. 64 00:03:09,022 --> 00:03:10,357 Put me somewhere I can help. 65 00:03:10,357 --> 00:03:12,067 I will evacuate patients, triage, 66 00:03:12,067 --> 00:03:13,235 whatever you need, please. Okay. 67 00:03:13,235 --> 00:03:15,195 Richard has sustained a head lac. 68 00:03:15,195 --> 00:03:16,279 He is heading down to the E.R. 69 00:03:16,279 --> 00:03:18,699 He will need a neuro evaluation. 70 00:03:18,699 --> 00:03:20,826 Here you go. Thank you. 71 00:03:20,826 --> 00:03:22,411 Meredith: Hi, Nick. It's me. 72 00:03:22,411 --> 00:03:24,079 Listen, something happened at the hospital, 73 00:03:24,079 --> 00:03:25,372 and you're gonna hear about it on the news. 74 00:03:25,372 --> 00:03:27,499 But just know that I'm okay. I love you. 75 00:03:27,499 --> 00:03:29,209 Can't let you in. E.R.'s completely full. 76 00:03:29,209 --> 00:03:32,129 Fire department's orders. Okay. Well, I'm Meredith Grey, 77 00:03:32,129 --> 00:03:33,713 and I work here. Badge, please. 78 00:03:33,713 --> 00:03:35,507 I've worked here for a really long time. 79 00:03:35,507 --> 00:03:37,801 I am a surgeon. 80 00:03:37,801 --> 00:03:40,762 My name is on the building. Meredith Grey. Badge, please. 81 00:03:40,762 --> 00:03:43,223 You know, can you just call Teddy Altman or Richard Webber? 82 00:03:43,223 --> 00:03:44,933 Is your phone broken? 83 00:03:46,351 --> 00:03:48,019 There's people out here that are injured. 84 00:03:48,019 --> 00:03:49,855 Fire department says -- Where are they supposed to go? 85 00:03:49,855 --> 00:03:51,440 Some transfers are going to Seattle Pres. 86 00:03:51,440 --> 00:03:53,024 Otherwise, we need to wait for beds to clear. 87 00:03:53,024 --> 00:03:53,984 What if they don't have that kind of time? 88 00:03:53,984 --> 00:03:55,444 Fire department says -- Yes! 89 00:03:55,444 --> 00:03:57,988 You've said it. I understand. 90 00:03:57,988 --> 00:03:59,072 What... 91 00:04:00,699 --> 00:04:02,284 Are you -- Do you all work here? 92 00:04:02,284 --> 00:04:03,493 Uh, in eight hours, we do. Yeah. 93 00:04:03,493 --> 00:04:05,537 We just finished our intern orientation. 94 00:04:05,537 --> 00:04:07,164 We want to help, but the guy won't let us in 95 00:04:07,164 --> 00:04:09,791 until we are officially activated. 96 00:04:09,791 --> 00:04:11,960 Meredith: Oh, good. Somebody who knows what she's doing. 97 00:04:11,960 --> 00:04:13,336 Okay. Follow me. 98 00:04:13,336 --> 00:04:14,963 The rest of you, try to find gurneys. 99 00:04:14,963 --> 00:04:16,923 Uh, where are the gurneys? 100 00:04:16,923 --> 00:04:19,134 Where's your fancy white coat? Not the time. 101 00:04:22,179 --> 00:04:24,473 It's locked. What? 102 00:04:29,269 --> 00:04:31,104 Give me that IV pole. 103 00:04:31,104 --> 00:04:32,606 You need it for a patient or something? 104 00:04:34,649 --> 00:04:36,443 Stand back. 105 00:04:36,443 --> 00:04:38,111 Oh! 106 00:04:45,702 --> 00:04:47,704 Whoo! Clinic's open. 107 00:04:48,747 --> 00:04:51,792 All right. One way to do it. Come on, guys. 108 00:04:51,792 --> 00:04:54,586 Owen: Patients need to be evacuated from the O.R. 109 00:04:54,586 --> 00:04:56,963 Stretchers are over here. We go in in teams of four. 110 00:04:56,963 --> 00:04:59,174 If anybody gets lightheaded or has shortness of breath, 111 00:04:59,174 --> 00:05:00,717 say something immediately. 112 00:05:00,717 --> 00:05:02,469 Hunt! Hunt! Have you seen Miranda? 113 00:05:02,469 --> 00:05:03,678 Normally, she texts me when she's heading into surgery, 114 00:05:03,678 --> 00:05:05,806 but maybe she got pulled into something. 115 00:05:05,806 --> 00:05:07,724 By the time I got here, SFD had already started moving people. 116 00:05:07,724 --> 00:05:10,185 I heard the blast was in O.R. 2. Was anyone in there? 117 00:05:10,185 --> 00:05:11,269 We can check the O.R. schedule. 118 00:05:11,269 --> 00:05:13,480 I'm not going anywhere until I find her! 119 00:05:13,480 --> 00:05:16,900 Keep the hose line steady at the stairwell door! 120 00:05:20,153 --> 00:05:22,531 Ben! 121 00:05:26,368 --> 00:05:27,869 Oh! 122 00:05:29,037 --> 00:05:30,413 You okay? Mm-hmm. 123 00:05:30,413 --> 00:05:31,706 You okay? I-I'm okay. 124 00:05:31,706 --> 00:05:34,417 But Lincoln is not. 125 00:05:34,417 --> 00:05:35,835 Come. 126 00:05:49,975 --> 00:05:51,560 Jo. Jo was going home. 127 00:05:51,560 --> 00:05:53,144 She went home, right? She wasn't in the building? 128 00:05:53,144 --> 00:05:54,396 I saw her leave. She saved you. 129 00:05:54,396 --> 00:05:56,231 You want me to call her? No. 130 00:05:56,231 --> 00:05:58,567 She'll want to come here. It's not safe. 131 00:05:58,567 --> 00:06:00,151 Her blood pressure and the babies. 132 00:06:00,151 --> 00:06:01,820 We'll call her when we have to. 133 00:06:01,820 --> 00:06:02,904 Obvious blunt trauma to the chest. 134 00:06:02,904 --> 00:06:04,656 Systolic's in the high 90s. 135 00:06:04,656 --> 00:06:06,658 Heart rate's been hovering in the 110s. Okay. 136 00:06:06,658 --> 00:06:09,536 Link -- Link, does it hurt more on one side? 137 00:06:09,536 --> 00:06:11,580 It's pretty excruciating across the board, 138 00:06:11,580 --> 00:06:13,915 but, um, I can't feel my right arm, so start there. 139 00:06:13,915 --> 00:06:15,125 Bailey: Ben. 140 00:06:17,085 --> 00:06:18,628 Okay. 141 00:06:18,628 --> 00:06:20,046 Owen: Here we go. 142 00:06:20,046 --> 00:06:21,840 No. Stop! We need to stop. 143 00:06:21,840 --> 00:06:23,633 Why? What's happening? 144 00:06:25,010 --> 00:06:27,053 Somebody say something. 145 00:06:27,053 --> 00:06:28,179 I think a piece of the ceiling 146 00:06:28,179 --> 00:06:29,806 is penetrating below your clavicle. 147 00:06:29,806 --> 00:06:31,349 You got to get it out. 148 00:06:31,349 --> 00:06:33,101 Please, g-get it out. 149 00:06:33,101 --> 00:06:34,227 Stay calm. Try not to panic. 150 00:06:34,227 --> 00:06:36,354 Please, you got to get it out. 151 00:06:36,354 --> 00:06:37,272 Link, try not to panic, okay? Get this thing off me! 152 00:06:43,111 --> 00:06:45,155 Monica: 153 00:06:45,155 --> 00:06:46,656 It's too heavy. No kidding. 154 00:06:47,699 --> 00:06:49,534 Help! Hello?! 155 00:06:51,077 --> 00:06:53,246 Um, okay, so, are you having trouble breathing? 156 00:06:53,246 --> 00:06:56,625 No, no, I just -- I think part of my pelvis is shattered. 157 00:06:56,625 --> 00:06:58,919 But I'm more worried about Parker. 158 00:07:01,296 --> 00:07:02,964 Your patient needs you. Go. 159 00:07:04,132 --> 00:07:05,550 Uh... 160 00:07:07,093 --> 00:07:08,386 Okay. No burns. 161 00:07:08,386 --> 00:07:10,013 Um, no shrapnel injuries. 162 00:07:10,013 --> 00:07:11,389 Good. How are his vitals? 163 00:07:11,389 --> 00:07:13,183 They're holding steady for now. 164 00:07:13,183 --> 00:07:15,143 T-There's no bleeding at the port site. 165 00:07:15,143 --> 00:07:16,227 Man: Hello? Anyone in there? 166 00:07:16,227 --> 00:07:18,229 Yes! Help! We're in here! Help! 167 00:07:18,229 --> 00:07:19,105 We're working on getting you out! 168 00:07:19,105 --> 00:07:20,857 Just stay calm! 169 00:07:23,109 --> 00:07:24,903 O2 is tanking. We need, uh... 170 00:07:26,905 --> 00:07:28,490 How are we going to keep Parker alive 171 00:07:28,490 --> 00:07:30,116 if we don't have anesthesia? 172 00:07:30,116 --> 00:07:31,993 We can't panic. Not yet. 173 00:07:39,125 --> 00:07:41,169 Tell me there's news. 174 00:07:41,169 --> 00:07:42,837 Fire chief said he doesn't know the extent of the fire, 175 00:07:42,837 --> 00:07:45,382 the damage, or how long until it's contained. 176 00:07:45,382 --> 00:07:47,634 Fatalities? At least one. 177 00:07:47,634 --> 00:07:50,345 A patient on the O.R. floor. 178 00:07:50,345 --> 00:07:53,306 I want to call the family myself. Of course. 179 00:07:53,306 --> 00:07:55,183 How are you feeling? 180 00:07:55,183 --> 00:07:57,060 I keep telling everyone I'm fine. 181 00:07:57,060 --> 00:08:00,146 There's no sign of TBI or concussion on physical exam, 182 00:08:00,146 --> 00:08:01,272 but we should still scan you 183 00:08:01,272 --> 00:08:03,024 to rule out intracranial bleeding. 184 00:08:03,024 --> 00:08:04,359 It can manifest up to 10 hours after the impact. 185 00:08:04,359 --> 00:08:05,819 I'll take my chances. Okay? 186 00:08:05,819 --> 00:08:06,987 When do you think you're going? 187 00:08:06,987 --> 00:08:08,279 This hospital is on fire! 188 00:08:08,279 --> 00:08:10,865 And you think you gonna put it out? 189 00:08:10,865 --> 00:08:14,035 You can manage this from here. She's right. 190 00:08:14,035 --> 00:08:15,912 The scan will only take a few minutes. 191 00:08:15,912 --> 00:08:17,205 All right. Please keep your phone on. 192 00:08:17,205 --> 00:08:18,707 I will call you with any updates. 193 00:08:18,707 --> 00:08:21,042 Dr. Altman, where do you need me? 194 00:08:21,042 --> 00:08:23,461 Uh, help Kwan upstairs with evacuations. 195 00:08:23,461 --> 00:08:24,921 I've got to call Jackson. 196 00:08:24,921 --> 00:08:27,132 If you get out of that bed, 197 00:08:27,132 --> 00:08:29,467 there'll be hell to pay, Richard Webber. 198 00:08:29,467 --> 00:08:32,595 Woman on P.A.: All rapid-response teams report to CCU for immediate... 199 00:08:32,595 --> 00:08:34,013 Hey, I had to sneak in 200 00:08:34,013 --> 00:08:35,849 through the maintenance entrance. 201 00:08:35,849 --> 00:08:36,933 Are you okay? 202 00:08:36,933 --> 00:08:38,768 I-It's just a scratch. 203 00:08:38,768 --> 00:08:40,270 Have you seen Link? 204 00:08:40,270 --> 00:08:42,020 He's not answering his phone. 205 00:08:42,020 --> 00:08:44,065 He was heading into surgery, and -- 206 00:08:45,859 --> 00:08:47,986 Where is he? 207 00:08:47,986 --> 00:08:49,612 He's on the O.R. floor. 208 00:08:49,612 --> 00:08:51,906 They're bringing him down as fast as they can. 209 00:08:51,906 --> 00:08:54,284 He's with Hunt and Bailey. 210 00:08:54,284 --> 00:08:56,077 Winston: All right. 211 00:08:56,077 --> 00:08:58,413 There's a rig standing by to take him to Seattle Pres. 212 00:08:58,413 --> 00:09:01,583 Oh, my God. Can you tell these guys I need more morphine? 213 00:09:01,583 --> 00:09:03,084 It's on the way. 214 00:09:03,084 --> 00:09:05,295 Oh, we need that blood. Here, here. 215 00:09:05,295 --> 00:09:07,422 Are you thinking subclavian injury? No telling what else. 216 00:09:07,422 --> 00:09:09,090 We need to extricate him to fully assess him. 217 00:09:09,090 --> 00:09:11,176 We need to give the blood and fluid a chance to work! 218 00:09:11,176 --> 00:09:12,552 We need to get off this floor ASAP. 219 00:09:12,552 --> 00:09:14,012 We don't know if it's structurally stable! 220 00:09:14,012 --> 00:09:15,513 This piece could be tamponading something. 221 00:09:15,513 --> 00:09:17,182 If we remove it too quickly, he could bleed out. 222 00:09:17,182 --> 00:09:18,808 Ben: BP's still unstable. 223 00:09:18,808 --> 00:09:20,226 He's not responding to blood alone. 224 00:09:20,226 --> 00:09:21,603 Hunt's right. We're running out of time. 225 00:09:21,603 --> 00:09:23,438 Okay. Okay. Okay. Good. 226 00:09:23,438 --> 00:09:24,773 Ready? 227 00:09:25,940 --> 00:09:27,150 Okay. On my count. 228 00:09:27,150 --> 00:09:29,569 Okay. One, two, three. 229 00:09:31,154 --> 00:09:32,155 Pressure. Pressure. We need a clamp. 230 00:09:32,155 --> 00:09:33,782 On it. 231 00:09:33,782 --> 00:09:34,699 Move, move, move. Go, go, go, go. 232 00:09:39,746 --> 00:09:41,539 All right. Can you see anything? 233 00:09:44,709 --> 00:09:46,085 Yep. Got it. 234 00:09:46,085 --> 00:09:48,338 If I'm going to Seattle Pres... 235 00:09:48,338 --> 00:09:50,089 we better start moving. 236 00:09:50,089 --> 00:09:52,050 Guys, the elevators are out. 237 00:09:53,384 --> 00:09:54,969 Then we take the stairs. 238 00:10:01,351 --> 00:10:03,520 Talk to me. 239 00:10:03,520 --> 00:10:05,396 I'm only getting breath sounds on the right-hand side. 240 00:10:05,396 --> 00:10:06,898 Maybe a left pneumothorax. 241 00:10:06,898 --> 00:10:08,525 Okay. Are there any signs of blunt trauma? 242 00:10:08,525 --> 00:10:10,527 Um, I don't see anything. 243 00:10:10,527 --> 00:10:12,529 Then I'm betting the ET tube got pushed 244 00:10:12,529 --> 00:10:14,322 further into his bronchus with the blast. 245 00:10:14,322 --> 00:10:16,366 Uh, I can try repositioning it. 246 00:10:16,366 --> 00:10:18,076 Okay. Yeah. J-Just keep bagging 247 00:10:18,076 --> 00:10:20,453 and pull the tube back slowly and then listen. 248 00:10:23,331 --> 00:10:24,499 Okay. 249 00:10:32,006 --> 00:10:34,884 I have bilateral breath sounds. 250 00:10:34,884 --> 00:10:38,096 And his O2 sat's improving. Nice work, Millin. 251 00:10:38,096 --> 00:10:40,098 How's your pain? Oh, I can barely feel it. 252 00:10:40,098 --> 00:10:41,432 We need to get you out of here. 253 00:10:41,432 --> 00:10:42,517 We need to get Parker out of here 254 00:10:42,517 --> 00:10:43,893 before his anesthesia wears off. 255 00:10:43,893 --> 00:10:45,145 We need to get you both out of here. 256 00:10:45,145 --> 00:10:46,896 What is taking so long?! 257 00:10:46,896 --> 00:10:48,439 They-- They're working on it. 258 00:10:48,439 --> 00:10:49,983 For now, we need to get his incisions closed up. 259 00:10:49,983 --> 00:10:52,777 And by "we," I mean you. 260 00:11:06,124 --> 00:11:08,543 Hey. Altman sent me to help. 261 00:11:08,543 --> 00:11:10,336 I'm glad you're not dead. 262 00:11:10,336 --> 00:11:12,297 Nora Young -- Altman and Ndugu 263 00:11:12,297 --> 00:11:14,966 built her a new aorta out of nothing two hours ago. 264 00:11:14,966 --> 00:11:18,303 Her M.A.P.s need to be above 65 and below 80 265 00:11:18,303 --> 00:11:19,971 for the entire transport. What happens if they don't? 266 00:11:19,971 --> 00:11:21,598 Too low, she dies. 267 00:11:21,598 --> 00:11:24,434 Too high, her new aorta blows, and she dies. 268 00:11:24,434 --> 00:11:26,603 Fun. 269 00:11:26,603 --> 00:11:29,230 Hey, have you seen Simone? She's not answering my texts. 270 00:11:29,230 --> 00:11:31,816 Uh, not since the locker room. Also, I haven't seen Millin. 271 00:11:31,816 --> 00:11:34,694 So, are you and Simone back together? 272 00:11:34,694 --> 00:11:37,405 Yeah. Yep. 273 00:11:37,405 --> 00:11:39,657 Great. Good for you. 274 00:11:41,159 --> 00:11:42,785 She's a bit tachy. 275 00:11:42,785 --> 00:11:44,537 Let's give her another bolus before we move. 276 00:11:44,537 --> 00:11:46,289 Code red, sixth floor. 277 00:11:46,289 --> 00:11:49,542 Evacuate all patients and staff via stairwell. 278 00:11:49,542 --> 00:11:51,002 I'm sure she's fine. 279 00:11:51,002 --> 00:11:52,670 Code red, sixth floor. 280 00:11:52,670 --> 00:11:54,756 Evacuate all patients and staff via stairwell. 281 00:11:54,756 --> 00:11:56,591 Yeah. 282 00:11:56,591 --> 00:11:57,634 Are we clear? Yes. 283 00:11:57,634 --> 00:11:58,968 Okay. 284 00:12:00,428 --> 00:12:02,764 We'll start with the left side. 285 00:12:02,764 --> 00:12:04,057 Okay, so I think -- 286 00:12:04,057 --> 00:12:06,893 Dr. Grey told me to find Griffith. 287 00:12:06,893 --> 00:12:08,436 Point me to Griffith. 288 00:12:08,436 --> 00:12:10,772 It's Dr. Griffith. 289 00:12:11,731 --> 00:12:13,441 Doc-- Okay. 290 00:12:13,441 --> 00:12:15,610 When was there time for me to learn that last night? 291 00:12:15,610 --> 00:12:17,362 Go. Assess the woman in bed three. 292 00:12:17,362 --> 00:12:19,280 Okay. 293 00:12:19,280 --> 00:12:21,616 Baseball cap, I need a doppler. 294 00:12:21,616 --> 00:12:24,327 Right. Doppler. 295 00:12:24,327 --> 00:12:26,079 Uh... Right here. 296 00:12:27,288 --> 00:12:29,207 Hey, um, I think maybe you can just ask me 297 00:12:29,207 --> 00:12:30,708 for stuff from now on. 298 00:12:30,708 --> 00:12:32,502 Why is that? 299 00:12:32,502 --> 00:12:33,836 Uh... 300 00:12:33,836 --> 00:12:35,338 I mean... 301 00:12:38,883 --> 00:12:41,094 Oops. Uh... 302 00:12:45,306 --> 00:12:46,724 Sorry. Right. Okay. 303 00:12:46,724 --> 00:12:48,935 Interns? Everyone over here. 304 00:12:48,935 --> 00:12:51,104 Quickly, please. 305 00:12:51,104 --> 00:12:53,272 Okay. Listen up. 306 00:12:53,272 --> 00:12:55,400 Okay. I'm not asking anyone to perform a Whipple. 307 00:12:55,400 --> 00:12:57,652 Put patients in beds. Take down information. 308 00:12:57,652 --> 00:12:59,362 It's basic triage. 309 00:12:59,362 --> 00:13:01,489 You've all matched with Grey-Sloan for a reason. 310 00:13:01,489 --> 00:13:04,575 Show me why. Do we have any questions? 311 00:13:04,575 --> 00:13:08,371 Um...Hi. Hi. Um, I'm Dani. 312 00:13:08,371 --> 00:13:10,081 Dani Spencer. Dr. Spencer. 313 00:13:10,081 --> 00:13:11,291 Right. Right. 314 00:13:11,291 --> 00:13:14,294 Um, what if you have a patient 315 00:13:14,294 --> 00:13:17,338 who sustained blunt trauma to the abdomen 316 00:13:17,338 --> 00:13:19,966 and is now experiencing some delayed pain? 317 00:13:19,966 --> 00:13:21,342 Which patient is that? 318 00:13:21,342 --> 00:13:22,927 Me. 319 00:13:22,927 --> 00:13:24,512 Oh! 320 00:13:24,512 --> 00:13:26,222 Let's get her in a bed. 321 00:13:32,061 --> 00:13:34,981 Let's move, let's move! Get 'em out! Get 'em out! 322 00:13:34,981 --> 00:13:37,984 Careful. Watch his lines. 323 00:13:37,984 --> 00:13:41,237 Uh, h-have you picked out names for the girls? 324 00:13:41,237 --> 00:13:42,989 Jo told you before me, didn't she? 325 00:13:42,989 --> 00:13:44,532 Uh, no. 326 00:13:44,532 --> 00:13:46,034 The twins are girls? 327 00:13:46,034 --> 00:13:47,744 Yikes. Congratulations. 328 00:13:47,744 --> 00:13:49,704 Oh, those girls are gonna have you wrapped 329 00:13:49,704 --> 00:13:51,539 around their little baby fingers before you've even blinked. 330 00:13:51,539 --> 00:13:53,291 I can't wait. Stop, stop. 331 00:13:53,291 --> 00:13:54,584 W-We need to stop. 332 00:13:54,584 --> 00:13:58,129 Okay. Oh, shoot. 333 00:13:58,129 --> 00:13:59,630 Okay, so we need a plan B. 334 00:13:59,630 --> 00:14:01,215 We just need to keep moving. 335 00:14:01,215 --> 00:14:03,593 And I just need you to look at all the blood 336 00:14:03,593 --> 00:14:05,511 on the damn stairs. 337 00:14:05,511 --> 00:14:07,055 You think he's really gonna make it to Seattle Pres? 338 00:14:07,055 --> 00:14:09,724 The CCU is one floor down. We could operate there. 339 00:14:09,724 --> 00:14:11,476 They evacuated it. 340 00:14:11,476 --> 00:14:13,019 I'm waiting for a better idea. 341 00:14:13,019 --> 00:14:16,272 Man: Go! Come on! Come on! Let's go! 342 00:14:16,272 --> 00:14:18,649 Be careful! Be careful! Let's go! 343 00:14:21,402 --> 00:14:23,404 If you clip my heels one more time -- 344 00:14:23,404 --> 00:14:25,239 Nora's pump will get to Seattle Pres before she does. 345 00:14:25,239 --> 00:14:26,449 She's the chief's miracle patient. 346 00:14:26,449 --> 00:14:28,284 I'm not trying to kill her. 347 00:14:31,871 --> 00:14:34,082 Uh, tube's still in. Nothing's out of place. 348 00:14:34,082 --> 00:14:36,167 Okay. The screen says high volume. 349 00:14:36,167 --> 00:14:37,752 What do you know about ventilators? 350 00:14:37,752 --> 00:14:39,253 What do you know about ventilators? 351 00:14:39,253 --> 00:14:40,838 Okay. Uh, the pressure control 352 00:14:40,838 --> 00:14:42,507 has a set inspiratory pressure, right? 353 00:14:42,507 --> 00:14:44,634 Yeah, but tidal volume can vary. 354 00:14:44,634 --> 00:14:46,636 Okay, maybe we switch the setting to volume control. 355 00:14:46,636 --> 00:14:49,180 Or maybe we just call a resident from anesthesia. 356 00:14:49,180 --> 00:14:50,723 Screw it. 357 00:14:58,815 --> 00:15:00,650 How did you know that would work? 358 00:15:00,650 --> 00:15:02,110 I didn't. 359 00:15:03,152 --> 00:15:05,279 Let's go. 360 00:15:05,279 --> 00:15:08,866 Attention, engineering. Report to the east lobby. 361 00:15:08,866 --> 00:15:11,369 Some bruising on the right flank. 362 00:15:11,369 --> 00:15:13,079 She said a gurney slammed into her. 363 00:15:13,079 --> 00:15:15,039 Not here. On the sixth floor. 364 00:15:15,039 --> 00:15:16,749 It happened during the blast 365 00:15:16,749 --> 00:15:18,543 or explosion or whatever that was. 366 00:15:18,543 --> 00:15:20,503 And you didn't tell anyone about it? 367 00:15:20,503 --> 00:15:24,882 Um, technically, I wasn't supposed to be up there. 368 00:15:26,676 --> 00:15:31,848 Okay. I-I wanted a selfie in an O.R. 369 00:15:31,848 --> 00:15:35,309 Um, we finished onboarding, and I just wanted to take a picture 370 00:15:35,309 --> 00:15:38,104 and show it to my dad because he's so proud of me. 371 00:15:38,104 --> 00:15:41,274 He's ironed my white coat like three times for tomorrow. 372 00:15:42,692 --> 00:15:44,444 I can still start tomorrow, right? 373 00:15:44,444 --> 00:15:46,320 Well, we have to make sure 374 00:15:46,320 --> 00:15:47,905 the hospital is still standing first. 375 00:15:47,905 --> 00:15:50,366 Right. Ultrasound. 376 00:15:50,366 --> 00:15:53,744 Uh, can I do it? Just for, you know, learning purposes? 377 00:15:55,580 --> 00:15:59,292 Not unless you're gonna go in vaginally. 378 00:15:59,292 --> 00:16:01,169 This is normally a reproductive clinic. 379 00:16:01,169 --> 00:16:03,171 This is beyond humiliating. 380 00:16:03,171 --> 00:16:04,547 Well, half the battle of intern year 381 00:16:04,547 --> 00:16:07,008 is standing out from the rest of your class, 382 00:16:07,008 --> 00:16:09,051 so you're ahead of the game. 383 00:16:09,051 --> 00:16:11,095 Simone: Okay. Ready? 384 00:16:11,095 --> 00:16:12,346 Okay. Tell me what you see. 385 00:16:14,098 --> 00:16:15,975 Take your time. Go slow. 386 00:16:17,643 --> 00:16:20,688 There's some free fluid in Morrison's pouch. 387 00:16:20,688 --> 00:16:22,648 Yeah, but nowhere else. She seems stable. 388 00:16:22,648 --> 00:16:24,358 Okay. As soon as we have access to the hospital, 389 00:16:24,358 --> 00:16:25,776 she will need a scan. 390 00:16:25,776 --> 00:16:28,404 Until then, keep a very close eye on her. 391 00:16:28,404 --> 00:16:30,740 Welcome to Grey-Sloan. 392 00:16:41,042 --> 00:16:44,378 Okay. I've completed the periumbilical incision. 393 00:16:44,378 --> 00:16:47,215 Now what? Now you close the lateral port sites. 394 00:16:47,215 --> 00:16:49,175 Okay. 395 00:16:49,175 --> 00:16:51,427 He's getting more hypotensive and tachycardic. 396 00:16:51,427 --> 00:16:53,596 Oh, God. Is he waking up? Is he distended? 397 00:16:53,596 --> 00:16:55,681 Oh. 398 00:16:55,681 --> 00:16:57,266 Mm-hmm. 399 00:16:57,266 --> 00:16:59,810 He might be bleeding internally. 400 00:16:59,810 --> 00:17:01,729 But he wasn't bleeding from the incisions. 401 00:17:01,729 --> 00:17:04,732 But the move from the blast could have nicked something. 402 00:17:04,732 --> 00:17:06,608 It could have been building slowly. 403 00:17:09,237 --> 00:17:11,446 You're gonna have to open him up. 404 00:17:11,446 --> 00:17:13,449 Absolutely not! We're running out of anesthesia! 405 00:17:13,449 --> 00:17:14,825 Yeah, that's why you have to move fast. 406 00:17:14,825 --> 00:17:17,286 I-I haven't done a solo procedure 407 00:17:17,286 --> 00:17:19,038 on an adult, let alone a 6-year-old! 408 00:17:19,038 --> 00:17:21,832 Millin! We always do this. 409 00:17:21,832 --> 00:17:24,585 You always panic spiral, and I always snap you out of it. 410 00:17:24,585 --> 00:17:26,921 And we really don't have time for that right now. 411 00:17:26,921 --> 00:17:29,465 So unless you want to see that sweet little boy die, 412 00:17:29,465 --> 00:17:32,552 I suggest you open him up right now. 413 00:17:36,681 --> 00:17:39,517 Scalpel. 414 00:17:49,485 --> 00:17:51,696 Keep the second trauma bay open. 415 00:17:51,696 --> 00:17:54,532 We may have to reroute more post-op criticals. 416 00:17:54,532 --> 00:17:56,033 Should I transfer Dylan Gatlin? 417 00:17:56,033 --> 00:17:57,743 This wasn't her fault, 418 00:17:57,743 --> 00:17:59,787 and I don't want her to become the headline in this. 419 00:17:59,787 --> 00:18:02,248 All right. Well, we can try, but Seattle Pres 420 00:18:02,248 --> 00:18:05,334 has already taken 15 of our CCU patients. 421 00:18:05,334 --> 00:18:07,837 I hear that they're triaging patients in the hallways. 422 00:18:07,837 --> 00:18:09,588 Did we confirm if we lost any more patients 423 00:18:09,588 --> 00:18:11,257 on the O.R. floor? 424 00:18:11,257 --> 00:18:13,968 I can't share that information with you right now. 425 00:18:13,968 --> 00:18:15,469 Richard's scan came back negative. 426 00:18:15,469 --> 00:18:17,138 There's no clinical change. That's a good thing. 427 00:18:17,138 --> 00:18:18,848 I'll take that. 428 00:18:18,848 --> 00:18:20,766 And I'm still waiting to hear about Link's status. 429 00:18:20,766 --> 00:18:22,810 Link? 430 00:18:22,810 --> 00:18:24,604 What happened to Link? 431 00:18:29,317 --> 00:18:32,903 Trauma 2 needs to be transferred to Seattle Pres. 432 00:18:32,903 --> 00:18:35,364 We can see if they need some help. 433 00:18:35,364 --> 00:18:37,074 I thought you said your wife said 434 00:18:37,074 --> 00:18:38,784 you couldn't get out of bed. 435 00:18:38,784 --> 00:18:40,953 Do you see my wife? 436 00:18:44,123 --> 00:18:45,583 Bailey? 437 00:18:45,583 --> 00:18:46,876 Link: Hi. 438 00:18:46,876 --> 00:18:48,836 Before you say anything, 439 00:18:48,836 --> 00:18:50,338 I sound way worse than I am. 440 00:18:50,338 --> 00:18:51,964 Where are you? I want to find you. 441 00:18:51,964 --> 00:18:54,133 That's not safe. 442 00:18:54,133 --> 00:18:56,344 If anybody lets you up here, 443 00:18:56,344 --> 00:18:57,720 I'm gonna -- I'm gonna take them out. 444 00:18:59,263 --> 00:19:01,265 Or maybe start a rumor or something. 445 00:19:01,265 --> 00:19:03,100 I don't know. I-I know dirty stuff. 446 00:19:04,977 --> 00:19:07,021 I love you. 447 00:19:07,021 --> 00:19:10,232 I love you. And I love our kids. 448 00:19:10,232 --> 00:19:13,069 I feel -- I feel pretty damn stupid 449 00:19:13,069 --> 00:19:15,363 it took me so long to get my crap together to tell you that. 450 00:19:17,031 --> 00:19:18,699 Just tell me when you come down here. 451 00:19:20,076 --> 00:19:21,619 Yeah. 452 00:19:24,080 --> 00:19:25,998 Bailey, we need to keep moving. 453 00:19:25,998 --> 00:19:28,125 We will. 454 00:19:28,125 --> 00:19:30,211 Hey, it's gonna be okay, but, um... 455 00:19:31,462 --> 00:19:33,339 ...but just in case, my password book 456 00:19:33,339 --> 00:19:36,175 is in the second left drawer of my desk. 457 00:19:36,175 --> 00:19:37,635 What? And get a dog. 458 00:19:37,635 --> 00:19:38,803 Link, what are you doing? 459 00:19:38,803 --> 00:19:40,596 It'll drive Amelia crazy 460 00:19:40,596 --> 00:19:42,556 because we keep telling Scout no, but get a damn dog. 461 00:19:42,556 --> 00:19:44,642 Can you stop? 462 00:19:44,642 --> 00:19:49,146 Find one with big paws, 'cause, uh... 463 00:19:49,146 --> 00:19:53,484 'cause big -- big paws means... means it's a big dog. 464 00:19:55,069 --> 00:19:59,156 It's protection...for my girls. 465 00:19:59,156 --> 00:20:01,200 Link? 466 00:20:01,200 --> 00:20:02,576 -Come on, come on. -Starting compressions. 467 00:20:02,576 --> 00:20:04,703 Bailey? Bailey? 468 00:20:04,703 --> 00:20:06,664 Someone tell me what's happening! 469 00:20:06,664 --> 00:20:08,416 Link? 470 00:20:21,512 --> 00:20:23,889 Okay. This is the last unit. 471 00:20:23,889 --> 00:20:25,266 He's in hemorrhagic shock. 472 00:20:25,266 --> 00:20:26,809 Winston: Something else is going on. 473 00:20:26,809 --> 00:20:28,352 Maybe his rib fractures caused a lung injury. 474 00:20:28,352 --> 00:20:29,478 Could be a tension pneumo as well. 475 00:20:29,478 --> 00:20:30,896 Yeah. Let's decompress him. 476 00:20:30,896 --> 00:20:32,273 You have a 14-gauge angio-cath in there? 477 00:20:32,273 --> 00:20:34,525 Yeah, I got you. Okay, I'll hold his arm. 478 00:20:34,525 --> 00:20:36,694 Okay. 479 00:20:36,694 --> 00:20:38,195 There you go. 480 00:20:45,077 --> 00:20:46,787 Would you hold that for me? 481 00:20:46,787 --> 00:20:48,038 Bailey: Yeah. 482 00:20:54,587 --> 00:20:56,464 There's a weak pulse. 483 00:20:56,464 --> 00:20:58,007 Yeah, but he's still really hypotensive. 484 00:20:58,007 --> 00:20:59,717 He needs a chest tube. Let's get him to CCU right now. 485 00:20:59,717 --> 00:21:01,051 I'll stabilize the angio-cath. 486 00:21:01,051 --> 00:21:02,970 Can someone grab his legs? Yep. 487 00:21:02,970 --> 00:21:05,097 I'll help at the head. 488 00:21:06,307 --> 00:21:09,101 Ready. One. Two. Three. 489 00:21:10,811 --> 00:21:14,190 Millin: I can't find where the bleed is coming from. 490 00:21:14,190 --> 00:21:16,442 I'm gonna have to tell the mother of this kid 491 00:21:16,442 --> 00:21:17,735 that I killed her child. 492 00:21:17,735 --> 00:21:19,528 Come on, Millin, focus. 493 00:21:19,528 --> 00:21:20,988 I think it's coming from the mesentery, 494 00:21:20,988 --> 00:21:23,324 but I'm not sure. Okay. Clamp it. 495 00:21:23,324 --> 00:21:25,576 And then look around for bleeding in another area. 496 00:21:25,576 --> 00:21:27,077 Okay. Okay. 497 00:21:28,704 --> 00:21:30,623 Clamp is in place. 498 00:21:30,623 --> 00:21:32,333 You know, I had my first solo surgery on a kid 499 00:21:32,333 --> 00:21:35,169 when I was a second year, like you. 500 00:21:35,169 --> 00:21:37,463 My attending just handed me a scalpel 501 00:21:37,463 --> 00:21:39,924 and left to take a nap in the O.R. next door. 502 00:21:39,924 --> 00:21:42,009 Please tell me that this story has a happy ending. 503 00:21:42,009 --> 00:21:44,386 The patient's name was Demetrius. 504 00:21:44,386 --> 00:21:48,349 He was 4 years old, and he loved Spider-Man. 505 00:21:48,349 --> 00:21:50,309 I mean, he, uh, 506 00:21:50,309 --> 00:21:53,562 he asked me to surgically implant webs into his wrists. 507 00:21:53,562 --> 00:21:55,773 That was the surgery? No, no. 508 00:21:55,773 --> 00:21:57,525 It was a bowel resection. 509 00:21:57,525 --> 00:21:59,276 Poor guy had an obstruction, but... 510 00:22:00,569 --> 00:22:02,112 ...he did great. 511 00:22:02,112 --> 00:22:05,324 And, uh...I did great. 512 00:22:05,324 --> 00:22:09,578 I was so terrified, I almost passed out. 513 00:22:09,578 --> 00:22:12,039 But then I... 514 00:22:12,039 --> 00:22:14,625 Then I got to tell his parents he was okay. 515 00:22:16,043 --> 00:22:18,379 There is nothing better 516 00:22:18,379 --> 00:22:21,215 than the hug you get from a grateful mom. 517 00:22:21,215 --> 00:22:23,175 I mean, that... 518 00:22:23,175 --> 00:22:25,427 that makes you feel like the superhero. 519 00:22:27,346 --> 00:22:28,973 Bleeding stopped. 520 00:22:30,975 --> 00:22:32,643 His vitals are improving. 521 00:22:32,643 --> 00:22:34,812 Uh, what stitch do I use to ligate? 522 00:22:34,812 --> 00:22:36,105 What do you think? 523 00:22:38,023 --> 00:22:41,151 Um...3-0 silk? 524 00:22:41,151 --> 00:22:43,821 See? You don't even need me. 525 00:22:48,742 --> 00:22:51,871 140/90. 526 00:22:51,871 --> 00:22:53,539 Still a little high. 527 00:22:53,539 --> 00:22:55,249 Just keep taking deep breaths. 528 00:22:56,584 --> 00:22:59,420 We've only been married 36 hours. 529 00:23:01,505 --> 00:23:04,133 Link's tux is still on the bathroom floor. 530 00:23:05,634 --> 00:23:07,845 His parents were just here. 531 00:23:09,597 --> 00:23:11,140 His parents. 532 00:23:12,641 --> 00:23:14,643 Do I call them? 533 00:23:14,643 --> 00:23:16,145 What do I even say? 534 00:23:16,145 --> 00:23:19,523 We see miracles here every day. 535 00:23:19,523 --> 00:23:21,984 I haven't given up hope yet, and neither should you. 536 00:23:23,319 --> 00:23:25,029 He's the only family that I have. 537 00:23:26,655 --> 00:23:28,741 Oh, you know that's not true. 538 00:23:28,741 --> 00:23:33,203 Dr. Lloyd to the E.R. Dr. Emily Lloyd to the E.R. 539 00:23:35,414 --> 00:23:38,250 We work well together. What we did was wrong, 540 00:23:38,250 --> 00:23:39,877 and it wouldn't have ever happened if I had known -- 541 00:23:39,877 --> 00:23:41,754 You were my boss? Hey! 542 00:23:41,754 --> 00:23:44,465 What? Say it louder. 543 00:23:44,465 --> 00:23:49,094 I'm really tired. Intern year gets better, right? 544 00:23:49,094 --> 00:23:51,138 This is just, like, a really bad first day? 545 00:23:51,138 --> 00:23:53,265 No one has a good first day. 546 00:23:53,265 --> 00:23:54,767 Oh, she's really hypotensive. 547 00:23:54,767 --> 00:23:57,269 I can see that. I'm what? 548 00:23:57,269 --> 00:23:58,938 She's decompensating! 549 00:24:00,731 --> 00:24:03,025 What happened? BP's dropped to 70s over 40s. 550 00:24:03,025 --> 00:24:05,110 Heart rate's 130, up from the low 100s before. 551 00:24:05,110 --> 00:24:07,529 Aah! Ow! Abdomen is more distended. 552 00:24:07,529 --> 00:24:09,740 Bruising around the flank and now belly button. 553 00:24:09,740 --> 00:24:11,116 What do we call this? 554 00:24:11,116 --> 00:24:12,534 Grey Turner sign and Cullen's sign. 555 00:24:12,534 --> 00:24:14,703 They can indicate retroperitoneal bleeding. 556 00:24:14,703 --> 00:24:16,789 Excellent deduction, Dr. Spencer. 557 00:24:16,789 --> 00:24:19,583 We're going to intubate you and prep you for an ex-lap. 558 00:24:19,583 --> 00:24:21,126 Does that mean I get to go to the O.R.? 559 00:24:21,126 --> 00:24:22,378 Something like that. Yeah. 560 00:24:22,378 --> 00:24:24,505 I need an intubation kit and a surgical tray. 561 00:24:24,505 --> 00:24:26,215 You want to do it here, in the clinic? 562 00:24:26,215 --> 00:24:27,925 Do you want to kill an intern on her first day? 563 00:24:27,925 --> 00:24:30,678 Not this one. Then get me a surgical tray. 564 00:24:38,143 --> 00:24:39,979 Simone's helping other patients, I'm sure. 565 00:24:39,979 --> 00:24:41,563 Just like us. 566 00:24:41,563 --> 00:24:43,982 How'd you know we broke up? 567 00:24:43,982 --> 00:24:45,776 What? Well, did she tell you last night? 568 00:24:45,776 --> 00:24:48,654 Was she upset or... 569 00:24:48,654 --> 00:24:50,155 Hold her down. 570 00:24:50,155 --> 00:24:51,991 I don't know what's wrong. 571 00:24:51,991 --> 00:24:53,367 Do we increase her sedation drip? 572 00:24:53,367 --> 00:24:54,785 Won't her pressure drop too low? 573 00:24:54,785 --> 00:24:56,495 I think we should risk it. 574 00:24:56,495 --> 00:24:59,665 Do it. Me? Me? It's -- It's your idea. 575 00:24:59,665 --> 00:25:01,333 I don't know how to do it. The nurse normally does it. 576 00:25:01,333 --> 00:25:03,168 S-So, what makes you think that I know how to do it? 577 00:25:04,420 --> 00:25:06,255 Oh, she's waking up. Oh, no, no, no, no. 578 00:25:06,255 --> 00:25:07,715 Uh, should we -- should we -- should we extubate her? 579 00:25:07,715 --> 00:25:10,676 I mean, worst case scenario is that we re-intubate. 580 00:25:10,676 --> 00:25:12,511 No, no, no, no, no. 581 00:25:12,511 --> 00:25:13,679 Worst case scenario is that she rips her chest open 582 00:25:13,679 --> 00:25:15,639 from coughing and bleeds out. 583 00:25:19,101 --> 00:25:21,812 Owen: Okay. Chest tube is in. 584 00:25:21,812 --> 00:25:23,605 Winston: All right. Uh, dissect a little farther. 585 00:25:23,605 --> 00:25:28,068 Bailey: I'm trying. The man has so much muscle. 586 00:25:28,068 --> 00:25:29,445 Okay. There. 587 00:25:29,445 --> 00:25:31,363 Oh, my God. What's his status? 588 00:25:31,363 --> 00:25:33,240 Ben: Penetrating trauma to the chest. 589 00:25:33,240 --> 00:25:34,408 Injuries to the subclavian vessels. 590 00:25:34,408 --> 00:25:36,618 Multiple rib fractures with pneumothorax. 591 00:25:36,618 --> 00:25:38,787 Sustained cardiac arrest, resuscitated with CPR 592 00:25:38,787 --> 00:25:40,581 and eight units of blood. 593 00:25:40,581 --> 00:25:42,458 We needed all the hands we could get. 594 00:25:42,458 --> 00:25:44,293 Amelia: He's A neg. He needs to be scanned. 595 00:25:44,293 --> 00:25:46,170 We need to rule out a brain bleed. 596 00:25:46,170 --> 00:25:47,629 Ben: BP's tanking. Pushing epi. 597 00:25:47,629 --> 00:25:48,714 No, he needs blood. 598 00:25:48,714 --> 00:25:49,715 Okay. We know. We got it. 599 00:25:49,715 --> 00:25:51,091 Okay, then do something. 600 00:25:51,091 --> 00:25:52,301 Somebody get her out of here right now! 601 00:25:52,301 --> 00:25:53,302 No, no. I'm fine, I'm fine. Amelia... 602 00:25:53,302 --> 00:25:54,428 No, no, no, no. Get off me. 603 00:25:54,428 --> 00:25:55,888 No, it's fine. I'm fine. 604 00:25:55,888 --> 00:25:57,514 Altman, take over. I'm okay, I'm okay. 605 00:25:57,514 --> 00:25:59,099 Amelia? Just calm down. 606 00:25:59,099 --> 00:26:01,059 No, I'm fine. Do not touch me. 607 00:26:01,059 --> 00:26:02,603 I'm fine. Please -- Amelia. 608 00:26:02,603 --> 00:26:04,396 No! I want to stay! Go. Right now. Come on. 609 00:26:04,396 --> 00:26:06,565 I need to be in there! Please! I want to help! 610 00:26:17,534 --> 00:26:19,912 I need retraction. 611 00:26:19,912 --> 00:26:21,038 Oh, we don't have a Bookwalter. 612 00:26:21,038 --> 00:26:22,956 We don't need one. 613 00:26:22,956 --> 00:26:26,668 Dr. Bryant, grab one of those towels and come over here. 614 00:26:26,668 --> 00:26:28,462 Put your hands where mine are. 615 00:26:29,546 --> 00:26:31,173 Hell of a way to start intern year. 616 00:26:31,173 --> 00:26:33,342 I don't mind being a human retractor. 617 00:26:33,342 --> 00:26:35,260 I meant for her. Meredith: Well, she'll learn 618 00:26:35,260 --> 00:26:37,012 what it feels like to be a patient. 619 00:26:37,012 --> 00:26:39,389 It takes some interns years to learn bedside manner. 620 00:26:39,389 --> 00:26:41,558 Okay, don't put too much pressure. Okay. 621 00:26:41,558 --> 00:26:43,352 But don't let her bowel slip out. 622 00:26:43,352 --> 00:26:44,978 That's the dopest thing I've ever seen. 623 00:26:44,978 --> 00:26:46,271 Okay, Griffith. What's next? 624 00:26:46,271 --> 00:26:47,981 Uh, in an O.R., I'd use a bovie 625 00:26:47,981 --> 00:26:50,275 to carefully divide the White Line of Toldt. 626 00:26:50,275 --> 00:26:52,069 Once in the retroperitoneum, I'd isolate the IVC. 627 00:26:52,069 --> 00:26:53,070 I'm in. 628 00:26:54,363 --> 00:26:57,449 You...dissected the retroperitoneum 629 00:26:57,449 --> 00:26:58,700 with your finger? 630 00:26:58,700 --> 00:27:00,369 It's the one tool we always have. 631 00:27:00,369 --> 00:27:02,454 Oh, my God. Got it. 632 00:27:02,454 --> 00:27:05,207 Nope. I lied. That is the dopest thing I've ever seen. 633 00:27:05,207 --> 00:27:06,959 Okay. Let's ligate the lumbar 634 00:27:06,959 --> 00:27:09,211 and close her up as soon as we can. 635 00:27:09,211 --> 00:27:11,380 Okay. We got to pull the tube out. 636 00:27:11,380 --> 00:27:13,006 It's the only way to keep her alive. 637 00:27:13,006 --> 00:27:14,550 Yeah, I thought that once about a patient, 638 00:27:14,550 --> 00:27:16,426 and it almost cost me my residency. 639 00:27:16,426 --> 00:27:19,012 I've already seen her die once. I'm not gonna watch it again. 640 00:27:25,644 --> 00:27:26,770 All right. 641 00:27:30,732 --> 00:27:32,651 Don't drop. Don't drop. Don't drop. Don't drop. 642 00:27:32,651 --> 00:27:34,736 Good breath sounds. 643 00:27:34,736 --> 00:27:37,239 Let's check her incision for bleeding. 644 00:27:45,372 --> 00:27:49,167 Hi, Nora. It's Dr. Kwan. 645 00:27:49,167 --> 00:27:51,587 I know. I heard you guys the whole time. 646 00:27:55,048 --> 00:27:57,259 Why are we in the hallway? 647 00:27:59,261 --> 00:28:01,597 We'll catch you up on the way. 648 00:28:06,351 --> 00:28:09,271 Teddy: All right. Graft is in. He's still hypotensive. 649 00:28:09,271 --> 00:28:11,398 I can't see any more bleeding, and there's minimal blood 650 00:28:11,398 --> 00:28:13,317 in the pleurovac. Why isn't he stabilizing? 651 00:28:13,317 --> 00:28:15,485 I made the wrong call. I should've taken him to Seattle Pres. 652 00:28:15,485 --> 00:28:17,446 No. We didn't lose him on the stairwell. 653 00:28:17,446 --> 00:28:19,364 We're not gonna lose him here. 654 00:28:19,364 --> 00:28:21,366 Don't think about what we didn't do or should have done. 655 00:28:21,366 --> 00:28:24,119 Think about what we can do. 656 00:28:24,119 --> 00:28:26,246 Okay. Let's do a thoracotomy 657 00:28:26,246 --> 00:28:28,123 and check the chest cavity for injuries. 658 00:28:28,123 --> 00:28:29,750 With minimal blood in the pleurovac, 659 00:28:29,750 --> 00:28:31,543 there's no indication. We should resuscitate him, 660 00:28:31,543 --> 00:28:33,670 take him to Seattle Pres for a full exploration. 661 00:28:33,670 --> 00:28:35,339 He might not make it. 662 00:28:35,339 --> 00:28:36,924 He certainly won't if we cut his chest open. 663 00:28:36,924 --> 00:28:38,467 It is textbook. Trauma to the chest. 664 00:28:38,467 --> 00:28:40,719 Rib fractures. Hemothorax. You do a thoracotomy. 665 00:28:40,719 --> 00:28:43,055 In a controlled environment. This is too risky. 666 00:28:43,055 --> 00:28:45,766 Altman, look, I have driven a rig from here to Seattle Pres 667 00:28:45,766 --> 00:28:47,559 at least 100 times. Ben. 668 00:28:47,559 --> 00:28:49,686 With lights and sirens and God on your side... 669 00:28:49,686 --> 00:28:51,355 Bailey: Ben. ...minimum eight minutes. 670 00:28:51,355 --> 00:28:53,482 Link is bleeding out from somewhere. 671 00:28:53,482 --> 00:28:56,234 You really want to risk eight minutes? 672 00:28:58,487 --> 00:28:59,738 Chest tube is clogged. 673 00:28:59,738 --> 00:29:01,740 He's bleeding out into his chest. 674 00:29:01,740 --> 00:29:03,700 You still want to pack him? 675 00:29:03,700 --> 00:29:05,911 All right. Okay. All right. Uh, where's the scalpel? 676 00:29:05,911 --> 00:29:08,538 I've got it. Here we go. 677 00:29:08,538 --> 00:29:09,706 Bailey: Got it. All right. 678 00:29:09,706 --> 00:29:11,208 Hey. Let's go. 679 00:29:11,208 --> 00:29:13,126 Okay. 680 00:29:13,126 --> 00:29:14,336 ♪ Letters sent before... ♪ 681 00:29:14,336 --> 00:29:17,965 The bleeding stopped. The ligating worked. 682 00:29:17,965 --> 00:29:20,759 Monica: Try not to sound so surprised next time. 683 00:29:20,759 --> 00:29:22,970 Okay, so now irrigate 684 00:29:22,970 --> 00:29:26,515 and pack it with a wet, sterile towel as a temporary closure. 685 00:29:26,515 --> 00:29:29,059 Uh, and then what? 686 00:29:29,059 --> 00:29:32,813 Well, then we wait for them to get us the hell out of here, 687 00:29:32,813 --> 00:29:34,982 and we hope everybody else is okay. 688 00:29:36,108 --> 00:29:40,153 I, uh...hate babies. 689 00:29:42,406 --> 00:29:44,574 Birth and... 690 00:29:44,574 --> 00:29:49,121 their dependency and...tiny little organs 691 00:29:49,121 --> 00:29:53,166 that are impossible to suture. 692 00:29:53,166 --> 00:29:56,128 Not really a big fan of kids, either, but... 693 00:29:57,838 --> 00:30:01,633 ...you know, Parker... 694 00:30:01,633 --> 00:30:03,927 he might have broken through to me. 695 00:30:03,927 --> 00:30:07,347 You know, it might be my... my Demetrius. 696 00:30:10,058 --> 00:30:12,060 Dr. Beltran? 697 00:30:12,060 --> 00:30:15,897 ♪ ...cold wind, fate closing in ♪ 698 00:30:15,897 --> 00:30:17,566 Dr. Beltran? 699 00:30:17,566 --> 00:30:19,901 No. No. 700 00:30:19,901 --> 00:30:23,405 No, no, no, no, no, no, no, no, no, no, no. 701 00:30:26,325 --> 00:30:28,618 D-Damn it. 702 00:30:28,618 --> 00:30:32,289 Okay. Dr. Beltran, you have to open your eyes, okay? 703 00:30:32,289 --> 00:30:34,249 Wake up. 704 00:30:34,249 --> 00:30:35,709 You have to wake up and look at me. 705 00:30:35,709 --> 00:30:38,587 You wake up. Come on. Come on. 706 00:30:46,136 --> 00:30:48,013 I lost my dad when I was a kid. 707 00:30:50,057 --> 00:30:53,560 It's been... the defining fact of my life. 708 00:30:53,560 --> 00:30:55,354 Just this, like... 709 00:30:57,564 --> 00:30:59,775 ...unrelenting absence. 710 00:31:03,904 --> 00:31:06,073 I don't want that for Scout. 711 00:31:07,699 --> 00:31:10,368 And Jo. 712 00:31:10,368 --> 00:31:13,789 My dad's death wrecked my mom... 713 00:31:13,789 --> 00:31:15,540 probably forever. 714 00:31:17,709 --> 00:31:18,835 He'll pull through. 715 00:31:21,296 --> 00:31:23,840 If he doesn't, it'll be my fault. 716 00:31:25,926 --> 00:31:28,762 And I will never forgive myself. 717 00:31:33,892 --> 00:31:37,479 ♪ Oh, I push ♪ 718 00:31:40,398 --> 00:31:42,025 Teddy: Anything? Still looking. 719 00:31:46,696 --> 00:31:49,074 Come on. Come on. Come on. There! 720 00:31:49,074 --> 00:31:51,701 Yep. Intercostal artery... 721 00:31:53,787 --> 00:31:55,455 . .and a lung lac. 722 00:31:55,455 --> 00:31:57,040 You can do the repair. Okay. 723 00:31:58,250 --> 00:32:01,128 I feel it. All right. Stapler. 724 00:32:01,128 --> 00:32:03,588 Yep. Here we go. 725 00:32:03,588 --> 00:32:05,757 ♪ It's howling ♪ 726 00:32:09,594 --> 00:32:12,889 Man: Stand back! Coming in! 727 00:32:12,889 --> 00:32:17,978 ♪ I push ♪ 728 00:32:22,732 --> 00:32:26,361 You're too late. She's gone. 729 00:32:42,669 --> 00:32:45,505 So, we were finally able to get him into the scanner. 730 00:32:45,505 --> 00:32:48,341 The repair to the lung and to the subclavian is holding. 731 00:32:48,341 --> 00:32:51,094 And apart from the chest wall, there are no other injuries. 732 00:32:51,094 --> 00:32:55,265 But, Jo, this could be a tough road ahead. 733 00:32:55,265 --> 00:32:57,767 He has lost a lot of blood. 734 00:33:12,782 --> 00:33:15,035 I love you. 735 00:33:15,035 --> 00:33:17,662 I love you so much. 736 00:33:17,662 --> 00:33:20,123 I haven't seen anyone pull through like that 737 00:33:20,123 --> 00:33:21,833 in a long time. 738 00:33:21,833 --> 00:33:24,211 That man did not want to leave you. 739 00:33:24,211 --> 00:33:27,797 He's been my best friend for 20 years. 740 00:33:27,797 --> 00:33:29,090 He means everything to me. 741 00:33:29,090 --> 00:33:31,259 So thank you. Thank you so much. 742 00:33:31,259 --> 00:33:34,095 So, you have a half an hour, 743 00:33:34,095 --> 00:33:36,056 and then you need to get a blood-pressure check. 744 00:33:36,056 --> 00:33:37,682 Really? I'm fine. 745 00:33:37,682 --> 00:33:38,975 Dr. Webber's orders. 746 00:33:44,231 --> 00:33:46,816 Okay. So, check his CBC and coags in an hour. 747 00:33:46,816 --> 00:33:49,402 Warren. 748 00:33:49,402 --> 00:33:51,529 I'll see you at home. 749 00:33:54,032 --> 00:33:56,076 I'm sorry. I wasn't trying to question you -- 750 00:33:56,076 --> 00:34:00,080 Backing up Owen on the thoracotomy was the right move. 751 00:34:00,080 --> 00:34:03,250 We would have never made it to Seattle Pres, and... 752 00:34:03,250 --> 00:34:05,460 and Link would have died. 753 00:34:09,130 --> 00:34:12,342 I used to be a lot like you. 754 00:34:12,342 --> 00:34:16,679 I used to take risks and make decisions based on instinct 755 00:34:16,679 --> 00:34:18,514 and second-guess everything. 756 00:34:18,514 --> 00:34:20,934 But now I'm a suit, and I've become more cautious, 757 00:34:20,934 --> 00:34:22,268 and I shouldn't put that on you. 758 00:34:24,312 --> 00:34:27,107 Tomorrow I am gonna call the ACGME, 759 00:34:27,107 --> 00:34:28,817 and I'm gonna tell them 760 00:34:28,817 --> 00:34:30,819 that you're gonna finish your residency at Grey-Sloan. 761 00:34:32,529 --> 00:34:34,656 Oh. 762 00:34:34,656 --> 00:34:36,908 Thank you. Thank you. You won't regret it. 763 00:34:36,908 --> 00:34:39,536 But if I say that we're closed to trauma... 764 00:34:39,536 --> 00:34:40,829 Got it, Chief. 765 00:34:43,123 --> 00:34:44,873 Yes! 766 00:34:44,873 --> 00:34:46,751 Sorry. Sorry. 767 00:34:46,751 --> 00:34:48,587 Parker is stable. 768 00:34:48,587 --> 00:34:51,047 Um, we will need to bring him back for a permanent closure. 769 00:34:51,047 --> 00:34:52,757 But until then, you can see him in the NICU -- 770 00:34:52,757 --> 00:34:55,135 Thank you. 771 00:34:55,135 --> 00:34:56,844 Thank you so much. 772 00:34:56,844 --> 00:34:58,680 ♪ We're running out of time ♪ 773 00:34:58,680 --> 00:35:01,766 You have a very tough little boy. 774 00:35:01,766 --> 00:35:04,644 Millin! ♪ Oh, where have you gone? ♪ 775 00:35:04,644 --> 00:35:06,396 Millin! 776 00:35:06,396 --> 00:35:09,524 ♪ No one ever finds the lonely one ♪ 777 00:35:09,524 --> 00:35:10,942 Hey. 778 00:35:12,152 --> 00:35:15,488 I heard you were... with Beltran. 779 00:35:17,490 --> 00:35:19,284 You okay? 780 00:35:19,284 --> 00:35:23,621 ♪ Days burn into nights ♪ 781 00:35:23,621 --> 00:35:28,126 ♪ Another sudden season's passed you by ♪ 782 00:35:29,919 --> 00:35:33,506 ♪ On this sullen road ♪ 783 00:35:35,008 --> 00:35:37,636 ♪ All these things unknown ♪ 784 00:35:37,636 --> 00:35:38,720 Millin... 785 00:35:38,720 --> 00:35:40,180 Millin. 786 00:35:40,180 --> 00:35:45,518 ♪ Oh, oh, sun is gone ♪ 787 00:35:45,518 --> 00:35:49,731 ♪ Oh, oh, sun is gone ♪ 788 00:35:49,731 --> 00:35:51,733 No. 789 00:35:53,401 --> 00:35:55,111 Are you in pain? 790 00:35:55,111 --> 00:35:57,364 I was really hoping this was just a bad dream. 791 00:35:57,364 --> 00:36:00,742 You tore your lumbar vein. We repaired it. 792 00:36:00,742 --> 00:36:03,036 You're gonna be okay. 793 00:36:03,036 --> 00:36:06,414 I am never going to live this down. 794 00:36:06,414 --> 00:36:08,833 If you were me, would you transfer programs? 795 00:36:08,833 --> 00:36:10,293 Being a surgeon is hard. 796 00:36:10,293 --> 00:36:11,920 I mean, you're gonna have days 797 00:36:11,920 --> 00:36:13,630 where you feel like everything you do is a mistake. 798 00:36:13,630 --> 00:36:15,590 That won't change no matter where you are. 799 00:36:15,590 --> 00:36:17,592 So you've -- you've worked here for a long time? 800 00:36:17,592 --> 00:36:20,804 Long enough to know that if you stay, it's worth it. 801 00:36:20,804 --> 00:36:23,348 Even without the O.R.s? 802 00:36:23,348 --> 00:36:25,141 The O.R.s don't make you a surgeon. 803 00:36:25,141 --> 00:36:27,227 The teachers and the patients do. 804 00:36:28,728 --> 00:36:31,856 Thank you. Doctor... 805 00:36:31,856 --> 00:36:33,775 Dr. Grey. 806 00:36:33,775 --> 00:36:36,611 As in, like, you're -- you're Meredith Grey? 807 00:36:36,611 --> 00:36:40,156 I am. Still doesn't seem to get me in the building, but... 808 00:36:40,156 --> 00:36:42,033 ♪ Oh, sun is gone ♪ 809 00:36:43,868 --> 00:36:46,746 ♪ Oh, oh, oh, sun is gone ♪ Oh, my God. 810 00:36:49,040 --> 00:36:53,420 Dr. Hara to radiology. Dr. Erica Hara to radiology. 811 00:37:05,849 --> 00:37:07,976 Why are you still here? Your shift doesn't start for another hour. 812 00:37:07,976 --> 00:37:09,269 Mm. I don't know. 813 00:37:09,269 --> 00:37:12,772 I thought I'd shower, get cleaned up. 814 00:37:12,772 --> 00:37:14,732 No. No, No. 815 00:37:14,732 --> 00:37:16,735 What? No smiling. No flirting. 816 00:37:16,735 --> 00:37:19,487 None of...that. 817 00:37:19,487 --> 00:37:22,282 We are strangers who met for the first time today. 818 00:37:22,282 --> 00:37:24,784 Yeah. Fresh start. No problem. 819 00:37:27,746 --> 00:37:29,748 After you, stranger. 820 00:37:29,748 --> 00:37:31,708 After you. 821 00:37:42,844 --> 00:37:44,262 Hey. Hey. 822 00:37:44,262 --> 00:37:46,473 Do you want to go home, 823 00:37:46,473 --> 00:37:48,391 sleep for three days, and then eat greasy food? 824 00:37:48,391 --> 00:37:50,602 I don't think... 825 00:37:50,602 --> 00:37:53,605 we should get back together, Lucas. 826 00:37:53,605 --> 00:37:55,899 We said a lot of things to each other the other night. 827 00:37:55,899 --> 00:37:58,818 I took them back. Because we almost died in a hostage situation. 828 00:37:58,818 --> 00:38:00,653 That's not real life. 829 00:38:00,653 --> 00:38:03,364 I think we just both need to take some time, 830 00:38:03,364 --> 00:38:05,158 focus on work, and if we find our way back to each other -- 831 00:38:05,158 --> 00:38:07,744 I don't want to take time. 832 00:38:07,744 --> 00:38:10,079 Simone, I love you. 833 00:38:10,079 --> 00:38:12,248 And, uh, I mean, we always work it out -- 834 00:38:12,248 --> 00:38:14,000 I slept with someone. 835 00:38:26,679 --> 00:38:29,891 Meredith: When something's been in your life for a long time, 836 00:38:29,891 --> 00:38:32,435 you can often forget it's there. 837 00:38:32,435 --> 00:38:34,562 Whether it's a person or a place, 838 00:38:34,562 --> 00:38:36,731 sometimes you can take it for granted. 839 00:38:36,731 --> 00:38:38,733 Hey. Hey. 840 00:38:38,733 --> 00:38:40,401 Thank you for last night. 841 00:38:40,401 --> 00:38:42,445 Link is stable, 842 00:38:42,445 --> 00:38:48,326 so I'm gonna go pick up Scout and not let him go for hours. 843 00:38:49,619 --> 00:38:52,831 I'm just gonna text Dylan Gatlin's latest labs 844 00:38:52,831 --> 00:38:55,250 over to Beltran, and then I am gone. 845 00:38:55,250 --> 00:38:56,793 What? 846 00:38:57,377 --> 00:39:00,463 ♪ A friend in you ♪ Is it Link? 847 00:39:00,463 --> 00:39:01,798 ♪ A friend in me ♪ W-What happened? 848 00:39:01,798 --> 00:39:03,800 It's Beltran. 849 00:39:05,844 --> 00:39:08,054 Monica, she... 850 00:39:09,764 --> 00:39:11,891 ...she was trapped on the O.R. floor. 851 00:39:14,018 --> 00:39:15,270 No. 852 00:39:16,855 --> 00:39:18,898 She didn't make it, Amelia. 853 00:39:22,569 --> 00:39:24,988 Monica's dead. 854 00:39:24,988 --> 00:39:27,866 You never consider that you won't walk in that door again 855 00:39:27,866 --> 00:39:29,284 or hear that voice. 856 00:39:31,536 --> 00:39:32,745 Nora? 857 00:39:32,745 --> 00:39:34,330 On her way to Seattle Pres. 858 00:39:34,330 --> 00:39:36,082 Sats are strong. Incision looks great. 859 00:39:36,082 --> 00:39:37,834 She looks like a different person already 860 00:39:37,834 --> 00:39:39,127 after that surgery. 861 00:39:39,127 --> 00:39:40,837 Thanks, Kwan. 862 00:39:42,839 --> 00:39:45,091 Hospital's been cleared of security threats 863 00:39:45,091 --> 00:39:47,844 and has been deemed structurally sound. 864 00:39:49,637 --> 00:39:52,056 They need me in a press briefing. 865 00:39:52,056 --> 00:39:53,933 Do you think we'll ever be what we were? 866 00:39:53,933 --> 00:39:55,935 Best friends. 867 00:39:55,935 --> 00:39:58,313 ♪ I'll take your pain ♪ 868 00:39:58,313 --> 00:39:59,856 I don't know. 869 00:39:59,856 --> 00:40:03,943 I don't know if I know who I am anymore. 870 00:40:03,943 --> 00:40:07,739 ♪ Each burning seed ♪ 871 00:40:07,739 --> 00:40:10,617 I'll check on the kids and then I'll... 872 00:40:10,617 --> 00:40:12,076 I'll look for a hotel room. 873 00:40:14,203 --> 00:40:16,539 Yet it happens every day. 874 00:40:19,334 --> 00:40:22,086 People experience unexpected loss... 875 00:40:32,889 --> 00:40:35,266 ...and, as impossible as it may seem... 876 00:40:35,266 --> 00:40:38,102 ♪ A friend in you ♪ 877 00:40:38,102 --> 00:40:40,688 ...don't give up. 878 00:40:40,688 --> 00:40:43,566 ♪ A friend in me ♪ 879 00:40:43,566 --> 00:40:48,196 Engineering says this floor might not be usable for weeks. 880 00:40:49,614 --> 00:40:51,741 I know you said you missed the O.R. 881 00:40:51,741 --> 00:40:54,911 and that you'd stay for surgeries, but... 882 00:40:54,911 --> 00:40:56,663 this? 883 00:40:56,663 --> 00:40:59,707 I'm here. Whatever you need. 884 00:41:01,960 --> 00:41:03,503 What are we going to do here? 885 00:41:08,424 --> 00:41:11,010 What we always do. 886 00:41:11,010 --> 00:41:13,137 We're gonna rebuild. 887 00:41:13,137 --> 00:41:15,890 You have to believe you'll find hope again.