All language subtitles for Greys.Anatomy.S22E11.1080p.WEB.h264-ETHEL_track3_[eng]

♪♪

Meredith: If you think choosing
a college major is hard,

wait until you have to choose
your medical specialty.

How late were you up
researching treatments

for that patient?

Late.
You need sleep.

I'll get right on that.

You have no idea
how many e-mails you get

until you come back
from a three-month sabbatical.

"Delete all."
Wait.

What if some of those
are important?

I'm practicing
healthy boundaries.

If they need me,
they can pick up the phone.

♪♪

It's not just what medicine
you'll practice.

It's your whole life.

Should I pull the drains
on Mr. Sherwood before we round?

No.
Adams can do that.

Um, Toni Wright is down
a resident,

so I took the liberty
of moving you to her service.

I hope that's okay.

Dr. Toni Wright?
Yeah.

NIH grant recipient

for research on myofibroblasts
for wound healing,

pioneer in lymphedema
Dr. Toni Wright?

[ Laughing ] Yes.
Okay. Yeah.

I may have read up
on her.

Play it cool.

Yeah, yeah.
I got to go prep.

Uh, Ben Warren--
Hey, hey, hey.

Come on. I was -- Look.
I was born cool.

Yeah. Okay.

Oh, my God.

I'm playing.
I'm playing.

♪♪

Who you'll work with,

whether you'll be home in time
for dinner

or never see your kids.

I love how they think we have
time to go to the doctor.

Last year,
I had a dental student

pull one of my teeth
in the cath lab.

Have you considered
egg freezing?

Have I considered
giving myself a series of shots

and screwing up
my hormones

and then going through
an uncomfortable procedure

and then paying forever
to store my eggs in a freezer

on the chance
that I might want kids?

You could've just said no.

I might do it.
I want to keep my options open.

Why do they need to know when
your mom had her first period?

Oh. I hope they don't, 'cause I
have no idea and no way to ask.

[ Gasps ]
Ooh. Smoothies.

The choice is yours,
and so are the consequences.

Hey.

Hey.

Hey.
So my lawyer wanted to check in.

They still haven't received
any papers to sign.

Yeah.
I still have them.

Your lawyer mentioned
wanting to file

before the end
of the month.

I-I just --
I've been slammed with work.

If we don't do it soon,
they're gonna make us pay

additional retainers.
[ Phone buzzes ]

I am aware. I'm -- I'm sorry.
I-I have a consult.

But I-I will get to them
as soon as I can.

Okay.
Woman on P.A.:
Dr. Morales to the ICU.

Dr. Martha Morales to the ICU.

Dr. Wright.
Hey.

Ben Warren.
Thrilled to be on your service.
Nice to meet you.

Benson, back on my service
again?

Yeah. Can't get enough.
And people call me Blue.

After the Joni Mitchell
album?

No.
Oh.
Well, that's too bad.

It's one of
the all-time greats.

I applied to three colleges
in California

solely because I thought
it'd be cool to sing that line

about coming home there
and literally mean it.

Do either of you
play guitar?

Um, not really.
A little.

Well...Enh.

Listen.
Um, feel free to push me.

You know,
I like to work hard,

and I'm actually applying
for a plastics fellowship.

Good for you.

You should've told her
you play guitar.

[ Siren wailing ]

Five minutes
to answer a page.

Patient could've died
in that time.

Did somebody die?
That's irrelevant.

♪♪

Okay.
What have we got?
Randall Lutton, 62.

He has scrotal swelling
and severe pain

after blunt trauma.

BP is slightly elevated.
Gave 2 of morphine en route.

[ Groaning ] Oh, God.
It hurts like hell.

Okay. We're gonna get
you more inside, okay?

Got up to use the bathroom
in the middle of the night

and walked right into
the dresser.

I'm gonna need an ultrasound
and some gel.

Are you a doctor?

Urologist.
No need to comment on the irony.

Okay.
Let's get him in trauma one.

♪♪

[ Indistinct conversations,
telephone ringing ]

Hey, Corban.

Just double-checking you're
getting your IV antibiotics

before rounds
with Dr. Altman.

Um, do you think you could slip
me the staff Wi-Fi password?

I know.
The guest Wi-Fi is spotty.

But ours is used for things like
imaging and staff messaging,

so they're pretty strict
about it.

Could you make
an exception?

I just -- I really want to see
my cousin get married

in Big Sur today.

Second cousin.
Second marriage.

And he's not that great.

You didn't get it
from me.

Thank you.

Somehow I am always
in the hospital

for my friends' and family's
big life events.

This is his second aortic graft
to get infected in a year.

No offense to Dr. Altman,

but if this one doesn't take,
we need a second opinion.

Well, Dr. Altman's
extremely skilled.

She's even kind of famous now.
She invented a new surgery.

Yeah.
But, like, a difficult one?

Don't look at me
like that.

I already know
I'm becoming Mom.

The surgery is
incredibly complicated.

She's on a podcast.
You can look it up.

Told you.
I just have bad luck.

Well, hopefully the new TEVAR
gives your aorta a break

so the antibiotics
can do their job.

That's what you said
last time.

I'll be back soon.

Woman on P.A.:
Dr. Maile Tanigawa to the ER.

[ Indistinct conversations ]

Welcome back,
Dr. Shepherd.

Ben:
Have you met our new plastics
attending, Dr. Toni Wright?

Relatively new.
Nice to meet you.

We should get started.
It's a LeFort fracture.

I'm sure there will
be questions.

Did you see that?

Uh, yes.
Uh, yeah. I don't know.

I don't think
she remembers me.
Should she?

Well, we went to
med school together.

We were in the same study group.
She hated me.

Well, maybe it's better
she doesn't remember.

Teresa Daniels, 49.

Post-op day five
from a hemicraniectomy

for subdural hematoma
after auto versus pedestrian.

Concomitant LeFort 1 fractures.

Please say you're fixing
my mom's face today.

That's up to
Dr. Shepherd.

She'll tell us if your mom's
head bleed is healed enough

for us to proceed.
I'll do a neuro exam
on her now

and make sure the EVD
is working.

So, uh,
what are you studying?

Data science.

I was gonna major in it,
but the intro course is hard.

I'm a freshman at UC Davis.

Do you have a study group?

I haven't found
the right people.

It does make
a big difference.

Hope:
My mom says to stick with it.

I was complaining to her
about it on the phone

when she got hit
by that idiot driver.

That's awful.
I'm so sorry.

She'll be happy to see you
when she wakes up.

ICP is 12,
and subdural is stable.

Great.

So we're good to go.

Let's order a CT max/face
before bringing her to the O.R.

[ Monitor beeping ]

Hey. Sorry I'm late.

How was Cousin Frank's wedding?
Were you able to stream it?

Still no contractions?

Don't jinx it.

Dr. Meade?

Corban Gregory,
28-year-old male.

Status post coarctation repair
when he was 2.

He subsequently had
two graft repairs.

Both became infected.

Has now developed
a pseudoaneurysm

and is here today
for his second TEVAR.

You made somebody
a new aorta?

He's stalking you online.
I told him it was weird.

And it said that the patient had
two repeat graft infections too.

Can I get this?
A TEVAR is still
a solution for you.

It's less invasive
and less risky.

For me or for you?

Corban, the patient
that you're reading about

was much sicker --

I don't want another band-aid
if there's a permanent fix.

I don't want to diminish what
you're going through, but --

You think you know
what I'm going through?

My favorite thing
is running,

but I can't remember the
last time I had a runner's high.

I won't be able to lift
my baby nephew.

I can't travel.
I can't visit my friends.

I have spent more time
in the CCU

than my own house
in the last year.

Is that not sick enough
for you?

You just don't care?

That's not true.

Then why won't you fix me?

I wish there was
an easy fix.

Just get out.

Get out!

Okay.

♪♪

♪♪

It's a larger patient load
than usual,

but with two of you --
Adams, please tell me

that you were at
the benefits fair

or rounding or anything
but late.

Sorry. I was on the phone
with Boise General.

They don't have Katie Rogers'
immunotherapy either.

The government cut off funding.
You're not gonna find it.

Okay. What about cytoreduction
surgery with HIPEC?

What about it?

Well, could Katie be
a candidate for it?

I e-mailed you
the case report.
Mm. Okay. No.

I appreciate your initiative,
and I will look at it.

But right now,
I need you to focus on patients

that are currently admitted
to the hospital.

We're down two residents due
to illness and a family wedding.

So I need you and Spencer to get
started on the floor, okay?

Ms. Hayes needs a Dobhoff tube
for tube feeds.

Oh! Well, I've never inserted
an NG tube on a real person.

Or a fake one, so...

Well, um,
Adams will help you.

Don't forget to check
your e-mail.

I -- [ Sighs ]

Just keep taking
deep breaths.

New pain medication
should kick in any second.

Can I take a look?
Yeah.
[ Exhales sharply ]

Wow.

That looks painful.

Last I checked,
it measured 20 centimeters.

I suspect a bleeding
testicular artery.

Do you see anything?
Uh, it looks like
it's expanding.

Let's get an ultrasound
and page urology.

Was the dresser sharp?
I do see a couple small lesions.

Uh, must have just snagged
a drawer pull.

Ah. Okay.

Let's get him some more
fluids and a full set of labs.

[ Groans ]

Okay.
Well, the testicles are intact.

And they're in
the correct position.

But I do see some free fluid
in the scrotum.

Oh, my God, Randall!

Is it his heart?

Uh, no.
My heart's just fine.

Doctors, this is my wife,
Kimmy.

Hi.
Hi.

♪♪

Is that one of your...

Yeah.
I walked into the dresser.

[ Chuckles ]
Probably just a hematoma.

Is this gonna jack
your fertility?

I ovulate next week.

We're going to give you
some privacy.

♪♪

Woman on P.A.:
Dr. Marcozzi, dial Radiology.

[ Phone ringing ]
Oh.

You've been back three hours,
and you've already requested

a new 3-D microscope
with AR tech.

Why are you
reading e-mails

when you are supposed to be
on leave?

Catherine finally left
the house.

If that woman makes me take
one more nap,

I'm gonna lose my mind.

Um...

When did you hire
Toni Wright?

A few months ago.
I'm surprised we got her.

Jackson says she's the go-to
for facial reconstruction.

Jackson is the go-to
for facial reconstruction.

Is there a problem?

I j-- I just spent
the last few months

getting to
a really good place.

I took Scout camping.

I went to the grocery store
during normal hours.

I slept.

You need to get
to the point.

Wright and I have a history
in that --

in that historically, she...
pushes my buttons.

If I hired people

based on whose buttons
they push,

no one could work
at this damn hospital.

And your request
for a microscope is denied.

[ Phone beeps ]

[ Sighs ]

You know, I, uh,
I read that you won

the Goldstein Award
for excellence in teaching.

Hmm?

Um...No.

So, you know, you must be
an excellent teacher.

That's the name
of the award.

She is all set.
Okay.

[ Screen beeping ]
Yep.

Well, her nasofrontal
and ZF sutures are broken.

Good. What else?

Ben: Her zygomatic arch
is comminuted.

And it's a LeFort 3,
not a LeFort 1.

And this just got
a lot more complicated.

Yeah.

Should I call the O.R.,

let them know that we're gonna
push the surgery?

Her daughter's
gonna be crushed.

No.
We're not pushing anything.

Every day
that she's intubated,

it makes it tougher
for her to recover.

We're just gonna have to come up
with a new plan quickly.

Woman on P.A.:
Dr. Traversa to Radiology.

Dr. Valentina Traversa
to Radiology.

Is he asleep?

Just resting.

Did you get
my scans back?

Everything looks stable, so
you're all set for the TEVAR.

Corban.

He was hoping you'd say
that he got worse

so he could get that new...
aorta business.

The TEVAR really might work.

A new aorta
would definitely work.

If you survive it.

♪♪

I want to talk
to the other guy.

The doctor that did the new
surgery with Dr. Altman.

Doctor Ndugu.
He could give me
a second opinion, right?

Dr. Altman should be in
shortly.

You can ask her
any questions or --
I'm asking for Ndugu.

This is my life.

I'm not gonna ask permission
to hear about all my options.

Would you?

Just give me 10 minutes
with him, please.

I'll talk to him.
No promises.

♪♪

Catherine. I didn't know
you were here today.

Ooh. I had to get out
of that house.

For 10 days, I've been
taking care of my husband.

I don't know
how these nurses do it.

All right.
Where's my consult?

Randall?

Randall, what are you
doing here?

Good to see you.

Oh. We missed you
at the last AUA conference.

We were on our honeymoon.
Oh, that's right.

So, what --
what brings you in?

Uh, you...you have
more important things to do.

[ Laughing ]
I can see a resident.

Nonsense. I am here.
Dr. Hunt, what do we got?

Blunt trauma. Now experiencing
severe scrotal swelling.

It's the size of a coconut.

Thank you, Dr. Millin,
for that wonderful assessment.

Randall, may I?

Uh...

You don't have to be here
for this.

Why don't you
just go eat?

I'm sure you're starving
after Pilat...ees.

I am not leaving
your side.

How does it look?

Well, for a blunt trauma,

it doesn't seem to follow
the typical injury pattern.

Will this mess up
his sperm count?

Yes, it will.

From walking into a dresser?
How is it this bad?

I'll let Dr. Lutton
answer that.

[ Exhales deeply ]

I didn't walk into
anything.

Okay.
Please don't hate me.

I gave myself a vasectomy
last night.

Oh.

While I was at book club?

What the hell?
I will page Psych.

Mm-hmm. Yeah.

Keep swallowing.

It pushes the tube down your
esophagus to your intestine.

[ Weakly ] Okay.
[ Coughs ]

Does that look right?
Yeah.

Keep going until you hit the
mark we measured on the tube.

Are you sure you know
what you're doing?

Uh...

She does. Keep sipping.
[ Phone ringing ]

Chin down.
Is that mine?

My cat-sitter's
supposed to be calling.

Excuse me.

Hi.
It's Dr. Adams.

[ Coughing ]
Uh, yeah.

Uh, actually,
I'm with a patient right now.

Can I call you back?

[ Coughing ]

Okay.
I'm done.

Ah.
All right.
Looks good.

All right,
pull out the stylet,

secure the tube
and start trickle tube feeds.

Then we got to do research
for Dr. Bailey.

She didn't mention anything
about research.

It's for her patient.
Oh. Well, she's in luck.

I'm really good
at research.

In med school,
I presented a poster --

Great. Finish up here,
and I'm gonna get started.

Where are you going?
[ Door opens ]

I'll text you.

[ Door closes ]
I'll text him.

[ Coughing ]

[ Indistinct conversations,
telephone ringing ]

Hey.
How's it going with Wright?

I have no idea.

Did you change services?

[ Sighs ] No.
I-I'm just getting zero vibe.

Because you're overvibing?

No. No, no, no, no. Okay.
I've been cool.

No excessive praise,
no impulsive moves.

Well, just give it time.

Hey, if it makes you
feel better,

I hear your residency director
is very impressed.

It does.
[ Elevator dings ]

Kimmy: What were you
even thinking?
Psych is on their way.

That man doesn't need
a psychiatrist.

He needs
a marriage counselor.

You think he was successful
doing it on himself?

We'll find out.

I got to get him in the O.R.
and evacuate that hematoma.

Can I scrub in?

I've never operated
on a DIY vasectomy before.

It'll be my second.
Wait.

You know somebody else who tried
to do their own vasectomy?

Another urologist.
Said he was embarrassed.

I don't know why these boys

don't just pick up the phone
and call me.

It's just a hollow tube
filled with sperm.

In fact,
if you ever want one --

I'm good down here.
Go scrub in.

Uh, wait.

Let's let Kimmy get in
another few rounds,

then go prep him.

I can't even count
how many fractures she has.

Yeah.
The number doesn't matter.

Okay. So h-how do we plate
her zygomatic arch?

It's like tempered glass.

There's nothing solid
to screw into.

Warren, any ideas?

Uh, create a scaffold
of cadaveric bone paste and BMP.

You've studied this.

I saw it once, years ago.

I-I was an anesthesiologist
before I went into surgery.

Mm.

Interesting.
Okay.

So our first step is gonna be
to wire her jaw

with her bite
in the proper place.

We won't be able to have her
orally intubated for anesthesia.

Warren, trach
or submental intubation?

Oh, trach. It's a straight shot
into the airway.

Less risky than going through
the chin into the mouth.

Spoken like
an anesthesiologist.

A plastic surgeon thinks
it'll take her three months

to heal from a trach.

A submental incision
will heal in a week.

Kwan, what are the steps
of a submental intubation?

You make an incision
under the chin, and...

Honestly,
I don't know.

Of course not.
You're a gen-surge resident.

You'll learn today.
Cool.

It is.
Take a look at this.

So we would create
a large segment of aorta

with a synthetic graft,

rerouting it from your chest
to your abdomen.

And then we would staple off
the infected piece here

and remove it
at a later time.

So then no more
TEVAR procedures?

If the surgery is successful,
yes, that's the idea.

And you really think
this could be a success for me?

I would need to
further study your case

before I could answer that,
so shoot me his latest imaging.

And I want to do another echo
before we --

Dr. Ndugu? Excuse me.
May I have a word, please?

Sure. Yeah.
Excuse us.

♪♪

Someone talk fast.

Corban asked for a second --
Not you.

You're talking to my patient
behind my back

about a procedure
that I've already said no to.

Okay.
I assumed you were aware.

Don't do that.

Don't put it
on the resident

to have the uncomfortable
conversation with her attending.

Your patient asked
if he was a good candidate

for a ventral aorta.

I simply explained
what it was.
No.
You got his hopes up.

And if you had come to me first,
I would have explained

that unlike Nora,
Corban has major scarring

from a previous
esophageal reconstruction.

He is a bad candidate
for it.
How do we know
who's a good candidate?

We've done this once.
And that might be all we ever
do if we kill Corban with it.

Nora hasn't even hit
the six-month mark.

We need more time
to see how she does.

Okay.
All right.

♪♪

Dr. Altman, I'm sorry.
I wasn't sure --

How did Corban even know
about the ventral aorta

in the first place?

If you shut me out again,
you are off this case.

I'm her boss.

Uh, didn't she make you chief...
while she was chief?

Okay. Well, so what?
Now I owe her?

If I made someone chief

and they gave my patient
a second opinion behind my back,

I would blow my stack too.
Yeah, yeah.

That -- That part was bad.
But I'm not wrong.

This surgery could cure
all kinds of aortic disease.

You know?

Hey, Toni Wright just gave me
the cold shoulder again.

It's okay.
I was pretty much done.

Okay, she can do
a supermicro surgery

in a 30x magnified field,

but she can't say hi
to me?

A-Amelia, don't --

J-- I can't watch this.

Nope.

Hi!

Hi.

We went to med school together.
You hated me.

No.
I-I didn't hate you.

So you do remember me?

Yeah.

♪ My time to shine,
like a summer day ♪

I should've
thought this through.

I don't really know
what happens next.

Why did you think
I hated you?

You ran out
of your own birthday party

when I showed up
uninvited.

Oh, my God.
You changed study groups

and actively avoided me
in labs.

Because I liked you.

What?

I tried to kiss you in the
Mission during orientation.

You were drunk. I th--
I thought you stumbled into...

into me.

No.
I had a huge crush on you.

I mean, I thought you were
queer, but then I wasn't sure,

so I didn't want to get burned,
so I kept my distance.

But you have nothing
to worry about.

This is all way in the past.

And, um, frankly,
you're not my type.

[ Phone buzzing ]

My O.R. is ready.

[ Chuckles weakly ]

For some reason, I froze
when I saw you earlier.

I'm glad we cleared
the air.

I'm pretty sure
Altman hates me.

Yeah. If he didn't kick you off
the case, it's probably fine.

Let's talk about
something else.

Uh, my patient tried to
give himself a vasectomy.

Wow.
We will always have jobs.

Everyone thinks they can do
anything themselves

if they watch enough videos
on social media.

He's a board-certified
urologist.

You know,
that actually seems doable

with some lidocaine
and a mirror.

[ Phone buzzing, chiming ]
O.R.'s ready.

I'm out.

♪ Everything comin' up ♪

♪ I'm in bloom ♪

How come women
in their 20s

have to shell out big bucks
to preserve their fertility

but men in their 60s
are so worried about pregnancy,

they are giving themselves
vasectomies?

Evolution failed us.

Do it with me.

Our future and less-fertile
selves will thank us.

So we can both be hormonal
at the same time?

It's a hard pass.
But I will do your shots.

I am very good
at giving injections.

Don't ask why.

You can have the other half
of my sandwich if you're hungry.

I brought it from home.
Yeah. I'm good.

Did you e-mail me the results
for the immunotherapy study

from San Francisco?

I included it in the Chicago
study -- at the bottom.
Okay.

I like to cook.
Do you?

It makes me happy,
following directions and --

I wonder if we could file

a compassionate-use
application for her meds.

Or maybe we could get it
off label,

directly from
the manufacturer.

Why is this particular patient's
research so important?

I-I just meant weren't there
others in the trial?

What about them?
Look.

I-I care about
all the patients. I do.

I just...

Katie...

She's in her late 20s,
just like us.

She feels like a classmate.
Or more like a friend.

We've just spent
a lot of time together,

so she is now
kind of a friend.

I get it.

It's like when you
meet someone

and you feel like you've
already met them before.

Like...they're supposed to be
in your life.

♪♪

[ Phone chimes, ringing ]

Oh, no.
It's -- It's Wendy.

♪♪

Hey.
May I come in?

[ Clears throat ]

She wanted me to apologize.
Unbelievable.

It's okay.
Can we have a minute?

Sure.

Don't say anything stupid.

You're stressing me
and the baby out enough.

[ Telephone ringing,
monitor beeping ]

If you want Dr. Ndugu
to replace your aorta,

I won't stand
in your way,

but I do need you
to hear me out first.

Okay. Talk.

Okay.

We have done this once,

on a person with very,
very different anatomy,

who could have a complication
at any moment.

So it's not just a risk.
It's a complete unknown.

There is no way to know
what will happen

if we staple
your aorta shut.

And it's irreversible.

If the staples don't hold
and you hemorrhage, you'll die.

♪♪

I don't want to do
this surgery on you

because I want you to be able
to meet your nephew

and see your sister become a mom
and go running again

and visit your friends.

And I know the idea
of going through this again

is infuriating,
but at least...

at least
you'll still be alive.

♪♪

I'll give you more time.

♪♪

Thanks.

♪♪

Nice.
You didn't skive at all.

And now I will lift
the scalp flap...

to expose the face.

Hold up.
What have you got there?
A beaver blade.

What, are you trying to
keep us here all day?

Plastic surgeons use this
to make delicate incisions.

Yeah, sure,
if we're working on a cleft lip

or somewhere where
every millimeter counts.

The scalp's robust.
Get him the 15 blade.

[ Sighs ]

♪♪

Make sure to stay
in the same plane.

Good.

Oh.
There's some fluid.

♪♪

Get me a specimen tube.

♪♪

Paper towel.

♪♪

Blue: It's a halo sign.
Damn it.
She's leaking CSF.

We need neuro now.

♪♪

What happened?
She was fine.
I started the trickle feeds,

and her sats dropped.
What's wrong?

Hold on. We're gonna find out.
Just don't move.

[ Machinery beeping ]
[ Moans softly ]

Lucas:
The tube is in her lung.

Wait. You didn't see that
on the X-ray?

What X-ray?
Let me see.

Look, you have to get an X-ray
after you insert a Dobhoff,

most importantly,
before you start feeds.

Okay. Let's pull it out.
Quickly, now!

I'm -- I'm s-sorry.
This was my first one.

I-I didn't know.
It's okay.
And we can fix this.

Uh, prepare for a bronchoscopy
to suction the feeds out.

Okay.

[ Wendy moaning softly ]

♪♪

Suction.

Is it -- Is it weird operating
on your friend's scrotum?

[ Chuckles ]
My dear.

You've seen one testicle,
you've seen 'em all.

But ask me if I think
the man has a screw loose.

Ooh! Mm.

He must really
not want kids.

Of course not.
He's a grandfather.

That's when
all the fun starts.

Raising a child is hard.

This coming from the chairwoman
of a national hospital system.

I don't know
how you did it.
Me neither.

But I will tell you this.

As proud as I am
of all my accomplishments,

the best job I've ever had
was being Jackson's mom.

And the biggest surprise.

I didn't think
I wanted to be a parent.

I...I just never had
that pull.

But life is full
of surprises.

Yeah.
Just ask Kimmy.
Oh.

She better make sure that lawyer
is looking over that prenup.

Okay. Let us finish
this vasectomy in the right way.

I've palpated the vas deferens
and isolated it.

Now what is next?

Exteriorize, ligate both ends,
then divide and send to path.

Mm-hmm.

After you.

Um, 4-0 Vicryl.

♪♪

All right. What happened?
Toni: She has a CSF leak.

Okay. Show me where
the fluid's coming from.

Do you think it's
from the cranial base?

I can't see.
Let's light it up.

Dilute fluorescein, please.

Inject it into the EVD
and clamp it.

Injecting now.

All right. Now we wait.

Lights, please.
Blue: For what?

The drain is in her ventricle,
which is filled with CSF.

If this is a leak,
we should see...

Yeah, the fluorescence

is coming from the location
of the dural tear.

Is it weird that I think
that's beautiful?

Not at all.

All right. Let's sew this up.
5-0 nylon.

Actually, the dura is friable.
It's not gonna hold a stitch.

And the pericranium is too
scarred to harvest for a patch.

Want some fascia lata?
I think that might be
our only option.

Prep the thigh.
Not the only option.

Instead of another incision,
I can harvest fascia

from the existing field.

You think it'll have enough bite
to hold the dura?

Give me three minutes.
I'll show you.
Mm-hmm.

Scalpel.

♪♪

Okay, Mom.
What-- Whatever.

I'll let you know
when I know what he's decided.

Hey.
Everything okay?

Everything's fine.

I'm just...
a terrible person.

I have a hard time
believing that.

You're spending
your third trimester

with your brother
in the CCU.

My mom's a wreck

because her son is having
another big surgery

while she's recovering
from pneumonia.

And I just yelled at her because
she didn't have an opinion

on the paint color
of the nursery.

You want your mom's help.
It doesn't make you terrible.

I'm just overwhelmed.

Yeah. Of course you are.
There's a lot going on.

It's so stupid.

I am 36 years old.
I'm about to have a kid.

But I still just want
my mom.

I know the feeling.

♪♪

I should call her
and apologize.

I'll see you up there.

♪♪

♪ Soft eyes ♪

♪ Set warmth in me ♪

♪ Show me stillness ♪

♪ Patiently ♪

Corban made his decision.
He wants a TEVAR.

Right.

I'd page someone else,
but we're down residents today.

I'm good.

Do you need a minute?
Not at all.
I'll go prep him.

Okay.

♪ Keep holding me ♪

Dr. Bailey,
I am so sorry.

I take
full responsibility.

I should've told Spencer
to check the KUB

before starting feeds.
Yeah. Damn right.

And you better have
a good reason you didn't.

Yeah.
A pharmaceutical company called

with a lead on Katie's infusion,
so I just wanted --

No. The -- The last time
I checked, I asked you

to focus on your patients
admitted in the hospital.

I only picked up long enough

to let them know
that I was serious.

Wendy could've died
of chemical pneumonitis

or pneumonia.
She didn't.

And Katie could die
if we don't fight for her.
I know.

I am fighting
for her too.
Are you?

'Cause what options
have you found?

What research
have you done?

Have you exhausted
your contact list?

Because it feels like
you've given up.

Oh, so...you think after Katie
sobbed in my arms,

I shrugged and said,
"Good luck"?

That I gave her a goody bag
and sent her on her way?

She's dying, okay?
We --

And I think about it
every single day.

And I also think about
my 65-year-old

with decompensated cirrhosis
who's treatment-resistant

and --
and the 17-year-old

that's septic
and I can't figure out why.

Don't forget about John Doe
in the ICU,

whose abdomen
I had to leave open.

Yeah. He's also keeping
me up at night.

And now I guess you can add
Wendy to my list.

See, I haven't given up
on Katie,

but I also haven't given up
on the rest of my patients.

And that is where you and I
are different.

Get it together.

♪♪

Woman on P.A.:
Dr. Brooks to Oncology.

Dr. Brooks to Oncology.

Hi.

Randall did great.

He is recovering now,

and they will call you
when he's ready for visitors.

Is it bad
if I don't answer?

No one would hold it
against you.

I really do love him.

That's what makes this hurt
so much.

I mean, it's his body,
and he can do whatever he wants.

But if I want to stay married
to him,

I don't get a say
in whether I have a baby.

Well, you could always
ask him to reverse it.

[ Voice breaking ]
What's the point?

He obviously doesn't want to
have kids with me.

[ Sobs ]
Uh...

Well, can you get a puppy?

I'm allergic.

That's unfortunate.

♪♪

Hey.

Hey.

I did Corban's TEVAR.
He did great.

His numbers are improving.

Okay.

Look. I'm -- I'm sorry if I
came across as harsh earlier.

I-I still maintain

that the ventral aorta wasn't
the right call for this patient.

What about the next one?

You were more than happy
to talk about this surgery

on podcasts, publish
abstracts, present it.

You were the one
who came up with it.

What's the point
if you never do it again?

It's a "break the glass
in case of emergency" surgery.

But does it have to be?

Think of the number of people
suffering from aortic disease

with no options.

We might have something
that could help them.

Why don't you
want to use it?

♪ ...again ♪

♪ Chasing a thread ♪

♪♪

She looks terrible.

She'll look more like herself
when the swelling goes down.

And we'll keep monitoring
her brain function

to see what's intact.

Her intracranial pressure
is stable,

and she's not re-leaking
any fluid from her nose.

That's good.

♪♪

I think I have to drop out
of school.

I can't leave her
like this.

It's always been me
and her.

Have you thought about
contacting the school?

Maybe take a leave of absence
or do your coursework remotely.

You think they'd do that?

Yeah.
You've worked really hard.

And if you stop now,

then it's gonna be a lot harder
to start back up again.

Never hurts to ask.

♪ Creating all these stories
up in my head, oh, no ♪

Um, excuse me.

♪ Again ♪

Uh, Dr. Wright.

Um, I ordered Teresa's
post-op imaging,

but it probably won't
happen overnight,

so I'll make sure it's done
for first thing tomorrow.

Good.
Thank you.

All due respect, uh...
I don't want to be just good.

I want you to see me
as excellent.

So I'm asking --
What would that take?

Tell me what you need me to do,
and I will do it.

There's your problem.

That I'm not anticipating you
well enough?

You're trying
to anticipate me

when you should be trying
to anticipate the medicine.

Look. Over the years,
I've found

that the most
successful residents

focus on patient care
and surgical technique.

Mm-hmm.
They're confident
in who they are,

which translates into them
being confident in what they do.

And that is what leads
to excellence in plastics.

I didn't see that from you
today.

Maybe next time.

♪ I can keep a promise
but I can't pretend, oh, no ♪

♪ Here I go again ♪

♪ Chasing a thread ♪

Did you update, uh,
Ms. Cahill's outputs for Baxter?

He's on tonight.

You okay?
Super.

Look. Bailey was mad
at me, not you.

And she was way
out of line --
Bailey?

Bailey wasn't
the problem.

♪♪

Spencer --
I thought you were gonna
apologize to me.

For what?

Look, you might have
taken the heat

because you're
the second-year,

but I fed the tube
into Wendy's lungs.

And if you had told me
to get a KUB,

I would've taken a damn X-ray
and not initiated feeds.

Okay. But we managed it.
She's fine.

She had food
in her lungs!

♪♪

Oh. Okay.
Thank you.

Thank you.

I wasn't cool.

Oh, you're being hard
on yourself.

Oh, she said
in no uncertain terms

that she did not see
excellence in me today.

[ Laughing ]
I'm sorry.

You know what makes it worse?
She wasn't even mean about it.

She just said it
like it was a fact.

Ah.
You think
it's a fact?

Oh, no, no, no.

I was thinking about
how I yelled at Adams.

Ah.
What'd he do now?

Well, his concern
for one patient

got in the way of his care
for other patients.

Katie Rogers.
Yeah.

I mean, truth is,
if she was our only patient,

his dedication
would be admirable.

Mm.
I hope I wasn't
too hard on him.

Um, I guess we got to
have thick skin

if we're gonna do
this thing.

Want to go home?

Let's go home.

[ Chuckles ]

[ Engine revs, siren wails ]

Hey.

Everything okay?

I haven't signed
the papers yet.

But getting a divorce
was your idea.

I know.

I know.

Are you having
second thoughts?

No.

I keep taking the papers out
to sign, and then I don't do it,

and now they're just sitting
in my bag

with crumbs
and crayon marks on them.

Just because
it was my idea

doesn't mean
that I'm not scared.

What are you scared of?
I don't know.

That everything will just
explode and -- and fall apart.

But hasn't that happened
already?

[ Both chuckling ]

Y-You don't have to
do them right now.

I mean, I'll -- I'll take out
another retainer.

We don't have to rush this.
I have to do it sometime.

Okay.

♪♪

Meredith:
My sixth-grade teacher said,

"Your actions plus your choices
equals your life."

This is mostly true.

I can do a whole vasectomy
start to finish.

It's pretty straightforward.

Why are you looking at me?

♪♪

You change your mind?
Yeah.

Today, looking at questions
about my mom

and thinking about being a mom
just brought up

a lot of old feelings
I don't have time to deal with.

I need to focus on work.

Well...
what if I did it with you?

I don't have to be here
for this, right?

No.
No.

I thought
you didn't want kids.

I don't think I do.

But I also don't want to
wake up one day

and my eggs are all shriveled
and dusty

and realize that I do
and it's too late.

And then if we --
if we do it together,

I-I could be there for you
if you think about your mom.

You'd do that?
Yeah. Yeah.

And then I can tell you
about my mom,

which would
make you feel better.

Fertility friends?

Don't call it that.

[ Phone buzzing ]
♪ Open us up,
we all bleed the same ♪

No.

No.

But what it doesn't account for
is luck.
What is going on?

Leticia, you have to
wait outside.
Someone tell me
what's going on!

Get her out, please.

It's gonna be okay.
No.

It's gonna be okay.
What happened?

I got him back
after one round of epi,

but he's still hypotensive
with a narrow pulse pressure.

Did you get an X-ray?
Right here.

Good work.

Mediastinal widening.
The leak is expanding.

Page Altman. We need to get him
back to the angio suite.

♪ Look I'm here ♪

♪ Look I'm here ♪
Let's move.

Sometimes we encounter
unexpected twists of fate.

Hey.
Hey.

♪ It's time ♪

Thanks for today.

You're the only neurosurgeon
that's ever responded to my page

in under an hour.
Oh.

Well, it was my first day back,
so I didn't have a lot going on.

Um, not -- not to say
that I'm not always prompt.

Right.
Need me again,
I will come just as fast.

Okay.

Uh...

I-I made it weird.
No.

I swear to you,
the crush is all in the past.

I've had many crushes
since then.

Succeeded at several.

Changed programs
when others have failed.

You used to laugh more.

♪ ...making an enemy ♪

♪ See there is beauty
in thinking differently ♪

I also had a crush
on you.

[ Sighs ]
I mean, I didn't understand
what I was feeling,

but, you know,
I wish I had known.

Sorry. That --
That is...It's --

I'm not hitting on you
in the attendings' lounge.

Right.
This is work.

Do you want to...
go somewhere,

get a coffee?

♪♪

♪ Look I'm here ♪

And the best things in life
fall out of thin air.

♪♪

♪ Look I'm here ♪

♪ Look I'm here ♪

♪ Together... ♪
♪ Look I'm here ♪

All you have to do is catch it.

McSteamy, right?

Mark Sloan.

Oh. This is awkward.

We're the dirty mistresses.

I suppose we are.

I'll show you
the Sloan method.

How many nurses have you
slept with this week?

That's not a problem, man.
That's an adventure.

The Plastics Posse.

Kicking surgical ass
and taking names.

The Plastics Posse?

People don't come to me
to fix what's on the outside.

They come to me
to fix what's on the inside.

If that means giving someone
a straighter nose

or a bigger breast,
if that helps a person get by,

I don't run, I don't hide,
I don't take space.

I'm a dad.

We're parents.
Of a baby.

Why are you telling me
to give it time

when there's no guarantee
that time is gonna be there?

If you love someone,
you tell them,

even if you're scared
that it's not the right thing.

Even if you're scared that it'll
burn your life to the ground,

you say it
and you say it loud.

♪♪

Don't waste one single minute.

♪ Would you lie with me
and just forget the world ♪

♪♪

♪♪

♪♪