All language subtitles for Greys.Anatomy.S22E13.WEB (SDH)

[Grey] When my mother
was diagnosed
with Alzheimer's disease,

her cousin said she must've
gotten it because she didn't
take fish oil.

I picked up everything
on the list,
except they ran out of Dijon,

so I got whole grain instead,
which... Yeah, I know...
is inferior, but...

[♪ "Wish You Well" playing]

-Who are you?
-[Wilson] Hey.

Hey, you're, uh, back early.

Yeah, I decided to do
the groceries first and pick up
your car after. Who's this?

That's Elroy, the contractor
I hired to babyproof for us.

These stairs aren't safe.

Naked sides.

Don't worry.

-I can fix them.
-[Wilson] Okay.

I told you I was gonna do that.

Yeah, back when Scout
and Luna were babies,

and now
we have two more babies.

-[scoffs]
-[phone chimes]

My patient
with a myoelectric prosthesis
was just brought into the ER.

Mountain bike accident.

-I should go.
-Wait, wait, wait.
What about my car?

Ask Elroy.

[Grey] Her neighbor thought
it was because my mother,

a world renowned surgeon,
didn't do enough
crossword puzzles.

♪ Just where I'm gonna go ♪

[Kwan moans]

Is this your way of thanking me
for the coffee?

I'm stressed about the M&M.

Well, I am ready to help.

♪ Under the pressure
They say I'm gonna break ♪

[grunts]

[phone buzzing]

[groans]
Shepherd. I'm on her service.

♪ Out here trying
To get something
worth having ♪

♪ Ain't gonna happen here ♪

You better go.

I'll ask her if I can
sneak away to come watch,
but if not, good luck.

[Grey] I told them to shove it.

They always want
to cast blame,
something to fear and avoid.

But the only thing to blame...

is everything.

[stammers, gasps]
Bless you. Oh.

You left out the door so early,
I figured you needed
a pick-me-up.

Well, I thought keeping busy
would take my mind off things,

but it just means
I'm tired and hangry.

Yeah. How's Katie doing?

[sighs]
I'm waiting for her labs,

but I'm guessing
she has carcinomatosis
and a partial obstruction.

-Well, how often
are they draining her?
-Twice a day.

[groans] Okay, well, listen,
if there's anything I can do,
just let me know--

[Webber] Warren.

-You're with me.
-[sighs]

Okay, go. I'm okay. [giggles]

-Dr. Bailey. [chuckles]
-Welcome back.

First day back in the OR.
How's it feel?

Well, I'm working
with my chief resident.

I have an M&M later today,
and the cafeteria is
serving shepherd's pie.

Feels like Christmas.

Well, wait till you see
our first consult.

[Webber] Good morning.

Oh, Russell, this is Dr. Webber
and Dr. Warren.

-These are the headliners.
-[both chuckle]

Russell's
a community theater director.

Right now, he's putting up
a production of Hamlet.

"When sorrows come,
they come not single spies"...

..."but in battalions."

-Yes, okay. [laughing]
-Yeah. [laughs]

You would demote my Claudius
to an understudy.

-Hamlet's
my favorite Shakespeare.
-Mmm.

-Um, Dr. Meade?
-Much Ado About Nothing.

He wants you
to present the case.

Right. Sorry, um...

"Russell West, 34, with history
of beta thalassemia

with blood transfusions
every three months for anemia.

Admitted for splenic
sequestration crisis
two weeks ago."

His abdomen has been getting
increasingly distended.

Uh, we're consulting today
for a splenectomy.

I thought I was just gaining
a little weight... [chuckles]

...but then my stomach
just kept getting
bigger and bigger.

-Can I take a look?
-Yeah.

I'll call for an ultrasound.

Oh, let's go old school
while we wait.

When was the last time
you did percussion?

Uh... [chuckles]

All right, you hear that?
It's hollow. That's his lung.

Here. That's dull.
That's the spleen from here...

to here.

Your spleen extends
from the left upper quadrant

all the way
to the right lower quadrant.

It's taking up
your entire abdomen.

This needs
to come out immediately.

I'm in the middle of tech week.
I can't...

Won't it just shrink
on its own?

It's unlikely in a case
this severe. Plus, you'd run
the risk of rupturing it.

Okay, that sounds bad.

Yeah, really bad.
Instant death.

[Warren clears throat]

You... You want
to take care of this
sooner rather than later.

Dr. Meade can take you
for a CT scan so we can plan
a surgical approach.

Yeah, could he do it instead?

[stammers] I'll go with you.

Yeah.

-Well?
-It's better than Christmas.

[laughing]

[softly]
...had been compromised.

We then used 4-0 VICRYL sutures
to inset the--

Are you reciting
your presentation?

You know how when you lie,
your cheeks get flushed
and your voice gets all high?

You do both of those things,
and so do I
when I give presentations,

and I also sweat
and sometimes faint.

[Ndugu sighs]

-Interesting case?
-Your sternal reconstruction
patient.

Scott Hill?

Beckman's out.
Someone has to check on him.

Well, Dr. Wright is supposed
to be attempting
another flap tomorrow.

Hope it takes.

[elevator dings]

See you at the M&M.

It'll be fine.

I've successfully avoided him
after lying
to help his patient.

Oh, that was weeks ago.
He's probably forgotten.

You truly are a terrible liar.

Sorry for interrupting
your parental leave.

Was Jo annoyed?

Yeah, but not because of that.

Oh, here they are.

Okay, "Jon Ellison, 40.
Status post-mountain
biking accident.

No LOC or signs of head trauma.

He has bruising on his chest,
and X-rays show
multiple rib fractures.

He had targeted
muscle reinnervation surgery

a few months ago for
an advanced arm prosthesis"--

I know. I did it.

After I amputated his arm.

Jon.

Pauline.

What happened?

I was training
at Tiger Mountain.

The hand just let go.

I lost my balance and fell.

He crashed
straight into a boulder.

-Tell 'em about the last time.
-Yeah, it did the same thing
last month.

I sideswiped a tree
and almost missed qualifying
for the World Championships.

-When's the competition?
-Three months.

I can still compete though,
right? I'm up for sponsorships.

The nerve we rerouted
to your upper arm

should be sending
precise signals to your hand.

We'll get some scans.
We'll check it out.

Kwan, call CT.
Let 'em know we're coming.

Yeah.

What are we playing?

Five-card stud.

-You play?
-Uh, not anymore.

But I ran a weekly
poker night in med school.

-Were you any good?
-Graduated debt-free.

[chuckles, coughs]

How are you feeling today?

They drained
another liter this morning.

She's still nauseous. We asked
for ice chips 30 minutes ago.

Oh, it must have gotten lost
in the morning handoff.

-I'll get them myself.
-Can you grab some
for my mom too?

-She needs to chill.
-You see how she treats me?

[Bailey, mother chuckle]

Uh, I'll... I'll get you
those ice chips.

How bad?

[sighs] Katie's creatinine is
elevated, albumin low.

Her AST, ALT, and INR are
through the roof.

She's in multiple
organ failure.

The TPN is too hard
on her liver.

It's the only thing
giving her nutrition.

Call palliative care.

[sighs] I thought I was late.

Bailey does not need
another reason to yell at me.

-Hey, how's Katie?
-Yes.

Her INR is getting worse.
She needs
two more units of FFP. Correct.

-Thank you.
-[phone beeps]

Katie?
What, is her liver failing?

What did the repeat scans show?

[sighs] She doesn't know yet.
We're gonna tell her
after the M&M.

I wanna be there.

You are not part
of her care team.

Do I need
to write you a reminder?

Hi. Good morning, everyone.

Are we ready to begin?

-Dr. Millin?
-Yes.

Uh, Scott Hill, age 73,
presented four months ago

with shortness of breath
and chest pain.

See what I told you?
The spleen has taken over
the entire abdomen.

It has sequestered
so much of his blood supply.

I mean, how would you
even mobilize that?

You tell me.

Uh, well, um...

If it were a smaller spleen,
I would enter the lesser sac,

take down attachments,
and medially rotate it

to access the pedicle,
but this...

Yeah, I have no clue.

Plus, once we're in there,
one nick to the organ

and Russell could
bleed out in seconds.

When I was a resident,

I scrubbed in
on a liver teratoma I thought
was impossible to resect.

But I had an attending,
Dr. Rathbone,

who did a total
vascular exclusion of the liver
to create a bloodless field.

It was brilliant,
and it taught me
to always keep an open mind.

I saved a piece of that tumor
in a jar for years after.

Maybe after this
you can, uh, save a piece
of Russell's spleen, huh?

[scoffs] Do I have to?

Okay, let's take a page
from Rathbone's playbook.

Let's call IR, have them
embolize the splenic artery,

then we'll open him up
and see what we got.

Uh, what about the M&M?
We're already late.

No, M&Ms happen every week.

But a spleen like this?

It happens once in a lifetime.

We then used interrupted
4-0 VICRYL sutures
to inset the omental flap.

You can see
the healthy flap here.

Did his pre-op scans show
any sign for concern
about pedicle tension?

No, the team agreed
that the distance

between the epigastrium
and the superior sternum
was acceptable.

And at this point,
"the team" was...

Me and Dr. Mohanty.

You had finished
harvesting the omentum,

and Dr. Wright and Dr. Warren
were needed on another case.

So, the, uh, the changes
in the flap's appearance
progressed rapidly post-op.

As you can see here,
uh, it is dark and swollen.

Did you check Doppler flow
after inset?

-Yes, there was
biphasic signal.
-And which one of you did that?

Well, we can both confirm
that there was a signal.

When we realized there was
no blood flow to the flap--

I'm sorry, so the two of you
both heard the signal?

Were roles clearly defined
during the inset?

-I believe so.
-You believe so?

Who placed the stitch causing
tension around the pedicle?

Look, this patient, my patient,
hasn't left the hospital
in weeks

due to a gaping hole
in his chest,
which I believed we had fixed.

He's still here
because of someone's negligence

and it sure as hell
isn't mine, so...

who placed the stitch?

That's on me.

I should have watched
my resident more carefully.

I take full responsibility
as her supervisor.

[phone buzzes]

He is all set.

Would either of you mind
if I catch the last part
of the M&M?

-Start the scan, Kwan.
-We do.

[phone buzzes]

-Everything okay?
-I'm a handy person.

Did I miss the first part
of this conversation?

Jo's getting an estimate
from a contractor
to babyproof our place,

even though I told her
I can do it. I want to do it.

Are you sure
you still need me here?

The babies can't even roll over
on their own.

They're nowhere close
to crawling.

We have a minute before
the stairs are an actual risk.

So, you'll just wait till Scout
and Luna are teenagers?

-Kwan?
-Yes, all right,

three right-sided
rib fractures.
He has a small pneumothorax.

He probably doesn't need
a chest tube, but the muscle
in the TMR looks good.

All right,
admit him for observation

and then just do
a follow-up X-ray with him
later today.

I'm sorry you had to come in
for rib fractures,

but maybe now you can go home
and babyproof.

We should still check
the signals to his bionic arm.

I mean, there's no hematoma
or bleeding around the nerves
in the TMR.

The signals should be fine.

Yeah, but he's still
falling off his bike.

Kwan, get Jon back to his room
and set up for EMG testing.

-Yeah.
-[Shepherd] Mm-hmm.

When a pedicle passes through
narrow tunnels, we're
essentially working blind.

Uh, Dr. Millin,
when you placed the stitch,
did you use a lot of tension?

Excuse me?

I asked if you used
a lot of tension
when you placed the stitch.

I-I didn't place the stitch.

Dr. Mohanty, did you
or did you not allow Dr. Millin
to place the stitch?

She specifically asked
to do some of the suturing--

And you said no. Th-This is
a huge miscommunication.

[stutters]
Are you saying she's lying?

I didn't say that.

But you are denying
that it was you.

If you're both saying
you didn't place the suture,

one of you is
not telling the truth.

I only closed the abdomen.
I wasn't anywhere near
the pedicle.

Dr. Millin, admitting
your mistakes is
an important part to learning.

If you can't own up
to them, we've got
a much more serious problem.

What the hell was that?

-Dr. Millin.
-You placed that stitch,
and you know it.

Can we talk about this, please?

Oh, I'm sorry. Do you not want
to get dragged in public?

Sometimes M&Ms go south.

Everyone knows this.

Is that supposed
to be an apology?

You're a resident.

Residents are supposed
to make mistakes.

Well, I didn't screw up.

You lied,
and I got scorched for it.

I have patients to see.

[breathing heavily]

Okay, let me know
if you feel any discomfort.

I'm used to it.

Okay, Jon, I want you
to imagine your phantom limb

and start opening
and closing your hand.

-[swishing]
-[Pauline] That's a good sign,
right?

Yeah, the muscles are
receiving signal.

It's a really good sign.

And how's the prosthesis
treating you otherwise?

If I was wearing it,
I'd give you a thumbs up
or the middle finger.

Depends on my mood.

Oh, he's painted
the baby's room
and started cooking again.

It's changed his life at home.

I just can't do the one thing
I was really hoping for.

Well, your signals are good.

The TMR is not the problem.

Jon, when you ride,
do you experience
a high level of stress?

He's dodging trees
and jumping rocks and trying
not to fall off the trail.

I actually find it relaxing.

Right, but you're
still encountering
unexpected obstacles

and changes in terrain
that could cause
a reflexive reaction

in the muscles
that send signal
that could potentially

make your hand do things
you don't intend.

-Like let go of the bike?
-Exactly.

[scoffs] Mountain biking's
all about dealing
with the unexpected.

If I can't do that,
I can't ride,

and that means no sponsorships,
no prize money.

-Jon--
-And without that money,

we can't afford repairs
to my gear,

my training time,
part of our mortgage.

I've been working for months
to qualify for this race.

Now you're telling me
I could lose it all?

If you're getting
more exercise, your muscles
are getting stronger,

they might be sending
a stronger signal
than the prosthesis needs.

Let's take a look at that,
and we'll go from there.

[sighs]

[door opens]

Curtis. Up for a visit?

[chuckles]

From the chief?

Anytime.

-How are you?
-[sighs]

I told the nurses
I was cancer-roommates
with Richard Webber.

-Suddenly I got extra pillows.
-[chuckles]

And unlimited applesauce.

What's a fancy title for?
[chuckles]

You just missed
my wife and kids.

Really wish
you would've met them.

-Yeah, I would've
loved that too.
-Yeah.

How old are your kids?

Trevor's eight.

-He's my bookworm.
-[chuckles]

And, uh, Amani's five.

She's already running around
on her bike like a bat
out of hell. [laughs]

-She'll be trouble.
-[chuckles]

Now, that's the hardest part
of all this.

It's, uh...

leaving them behind.

[notification chimes]

Look, I'd...

I'd love to stay, Curtis,
but I'm needed in surgery.

Thank you for stopping by,
Dr. Webber.

Just Richard.

How long does she have?

If I give you an answer, it...

it's just my best guess.

But I have more energy today.

We removed the NG tube.

I ate a Popsicle
without throwing up.

Yeah, it's common
to have good days.

Our focus now is
on keeping you comfortable

so you can have
as many good days as possible.

And if you do
in-hospital hospice,
we can manage your symptoms

and pain here
for as long as you need.

No, I-I need to go home.

I need to...
to sleep in my own bed.

I need to eat my own food,
and maybe if we work
with the PT, I'll improve.

Then that's what we'll do.

We...

We can arrange
home health and PT,

but you'd only have someone
a couple of hours a week,

and you need more support.

If you do in-home hospice care,
well, they'll send
you someone 24/7,

but it could take a week
to get started.

I need to get out of here now.

I need to get better.

I'll take care of her
until everything's arranged.

She needs a hospital bed,
an oxygen concentrator,
a Hoyer lift--

I'll figure it out.

I did it with my mom.

If you do this,
Katie will be leaving

against medical advice.

The insurance won't cover
everything she needs at home
if she does that.

I've done everything
you've asked.

Every scan, every test,
every infusion, and here I am.

You... You don't know
if I'm dying.

You don't know anything.

If I go home...

I'll get better.

You'll see.

[stammers]

Okay. Then I will talk
with social work,

and we'll start the process.

Bailey, are you sure AMA is
the right move for Katie?

I most certainly am not.

Look, don't-don't make
any moves yet.

I know someone
she might listen to.

Hey, I'm still here.

Did you read the estimate?

I've been with my patient.

Well, in order
to fully babyproof the balcony,

we have to put up
a higher enclosure

which costs more than I can say
without throwing up.

I told you I... I could do it.

You know, I'm not even sure
the HOA will allow it,
so what do you want to do?

Now you want my opinion?

You really wanna
get into it again?

-Look, I'm sorry. I should go.
-Same.

[sighs]

-You gotta go?
-No, it's fine. Let's continue.

Okay.

Okay,
this should test the grip.

Mm-hmm.

Hmm. And now finger rolls.

It's working well
within normal EMG signals,

and he says it works fine
when he's not biking, so...

-It's the stress.
-Yeah. [sighs]

He's done
with competitive racing.

That was lunch.

My life is over.

Are your organs failing
from stage-four gastric cancer?

It'll work out.

I've been there.

-You got kicked out
of your last program.
-Still worked out. I'm here.

Hey, your girlfriend is
not only a sloppy surgeon,
she's a liar.

The M&M did not go well.

She blamed me
for her crappy suture
that killed our patient's flap,

and now none of the attendings
will even look at me.

Kavita is not a liar.
Both her parents are doctors.

And that makes her immune
to being a horrible person?

Hey, wait,
she's not a horrible person.

No, you told me
to be nice to her, and I was,
and look where that got me.

Thrown under the freaking bus.

-You love the bus.
-Kwan.

This isn't a joke.

Hey! This is my career!

And you know what
makes it worse, is that you're
automatically taking her side.

Oh... Some friend you are.

-Where are you going?
-To... To fix this.

[Adams] Hey.

[mouthing] Thank you.

[chuckles] Anna Karenina?
This is what you want
to read right now?

It's pretty depressing.

Well, I'm making my way through
a list of a hundred books
you should read.

Yeah, I've read these.
You can skip them.

You've read all 100 books?

Uh, Moby Dick, a bunch of men
yelling on a boat.

Oh, and there's a whale.

Uh, War and Peace,
a lot of war, a little peace.

-[chuckles]
-That's two off your list.

Let's get out of here.

Let's go look
at the houseboats.

[Adams sighs]

We can't just leave.

-You're a patient.
-Didn't stop you before.

-And you were my doctor then.
-Yeah, it's not that simple.

You can't walk.

We'd need portable oxygen.

I can walk.
Just give me your hand.

Look, Katie, we just...

Can... Can you get my bag?

I can't. I don't even know
if I can get you in my car.

[groans, sighs]

[whispering] Okay.
It's okay. It's okay,
it's okay. I got you.

This is it for me, isn't it?

I really wanted to go home.

I'm so sorry.

[Webber] Okay.

Going through the fascia.

-[sighs] Metz.
-[Warren] You know,

Meade here has
been doing some research.

Fact, the largest spleen
ever recorded, 26 pounds
and 17 inches. [chuckles]

And based on our estimates,
this one could beat it, sir.

You ready to make history,
Dr. Webber?

Oh. [chuckles]
Oh, my God. That is...

-Nothing but spleen.
-[Warren chuckling]

Look, I don't want to hear
another word about records

or history until Russell is
on his way to post-op.

Okay, our focus should
be on this patient,
on this surgery.

-Understood?
-Loud and clear, boss.

We've got a lot of work
ahead of us. And I need
full visualization.

Titan.

Okay.

[Warren] All right, here we go.

She'll stay here until
her in-home hospice is set up.

Okay.

The social worker's on her way
to get the process started.

Did you mention we're hoping
they can rush this?

Yeah, and I might have
dropped your name.

[sighs] All right,
we'll see if it helps.

Oh.

So, what?

Now you bring in the doctors

with the sad smiles
and quiet voices

pretending to know
what it's like to die
before you're supposed to?

Our team will do everything
to make her more comfortable.

They'll also move her
into a room with more
natural light, fewer machines.

And the chaplain will
come too, right?

You had this same conversation
15 years ago about my mother.

And now you have
the gall to have it again
about my daughter.

She was doing better!

I know.

I am so sorry.

Stop saying you're sorry!

If this was one of your babies,

and their life-saving
medication was discontinued

and you had to watch the life
drain from their bodies,
what would you do?

I would fight.

But you didn't, did you?

Not for my baby.

Dr. Bailey.

[object clinks]

Whoa!

Come in, make yourself at home.
What is this?

I borrowed a few things
from Dr. Salley.

I wanted to see if adjusting
the grip on a body-powered
prosthesis helps.

Jon talked you into finding
another solution?

I couldn't tell him
that he can't use
the robotic one.

-Link.
-After his car accident,

he went really dark
when he couldn't ride.

I don't want him or Pauline
to have to repeat that.

[sighs]

Damn it, why can't I do this?

Last time I checked,
you're not a prosthetist.

I have reconstructed fingers.
I've replanted amputated hands.

I've replaced every joint
you can name.

I fix things.

It's what I do.

Sounds like you're trying
to fix things at home
in my lab.

My shoulder's still...
bugging me.

You had a major injury,
and that's gonna take time.

I know. I just I... [sighs]

...I felt pain
the last time I was in the OR.

It's also why
I'm behind on babyproofing.

What does Jo think?

You haven't told her.

She's got her own stuff.

I-I thought I was gonna
be back to normal
by the time the twins came.

Instead, I'm just icing
my shoulder

and hoping nobody face-plants
off the stairs.

[sighs]

You are very handy,
and you can fix
a lot of things.

But sometimes when you
let go of expectations,

you open yourself up
to other possibilities.

Yeah, you're right.

-Does that mean
I get my lab back?
-Soon.

[Shepherd] Mm-hmm.

You just gave me an idea.

[door opens]

Hey, I got your text.

I'm sorry I missed the M&M.

That's old news.

Wright said that Jackson Avery
called to check my references.

-That's huge.
-[chuckles]

Boston's in the bag.

It gets even better.

Apparently, she told him
that Grey Sloan wouldn't
give me up without a fight.

So you could stay here?

I don't have
any formal offers yet,
but as long as

I don't majorly
screw anything up,
I'm gonna have options.

Wow, um.

Can I ask you something?

Would stitching over
the pedicle in an omentum
be a major screwup?

Why do you ask?

Did you blame Jules
for your suture in the M&M?

I've been in school,
or residency, or fellowship
my entire life.

I'm so close
to it finally paying off.

So you did lie.

Surgery's cutthroat,
especially plastics.

Don't tell me you've never
told a small mistruth
to get what you needed.

Yeah, but this is more
than just a little white lie.

Every M&M feels
like the end of the world

when you're a resident,
but you get past them.

No one will even remember
this case tomorrow.

And I'll figure something out
to help Millin.

If I take
an attending job here,
I can help her even more.

Yeah, I guess that makes sense.

So you're actually considering
Grey Sloan over Boston?

Maybe.

As much as I love Boston,
Seattle's also...

growing on me.

[Kwan chuckles]

[groans]
Sixteen inches. So close.

Well,
it's still pretty damn big.

Hey, hey,
stand next to it for scale.

-Oh, uh, shouldn't it
be Dr. Webber?
-Yeah.

Hey, what about it, Chief?

You, uh... You want a picture
with the mega spleen?

Yeah, no pictures for me.

We should weigh it.

I mean, it's not
the biggest ever,
but it might be the heaviest.

Come on, here we go.

-Got it? You know what?
-I got it.

Hold on, let me...
let me help you.

You can just put it...

Oh, that's a damn shame.

It... it looks even bigger
on the floor. [chuckles]

Hey, you know what?

-Get down, get down.
-Okay.

-Yeah, yeah.
-No, no, no.

Look, that's enough.

Now no more pictures,
or jokes, or talking
about bragging rights.

Today was not a success
of medicine, it was a failure.

You think Russell wanted it
to get that bad?

It's a miracle
it didn't kill him.

You should be ashamed.

I know I am.

Clean this mess up.

[Meade whispers]
Yeah, of course. Got ya.

No, I-I replay the steps
in my head every night.

Could I have operated earlier?

Could I have
pushed oncology harder?

Could I have filed more appeals
with the drug manufacturer?

No, you did everything
you could.

I did everything I could
15 years ago
for Katie's grandmother.

But immunotherapies
didn't exist then.

She died from actual cancer,
but Katie...

No, Katie's dying
from bureaucratic stupidity.

Just years of hard work,

finally developed a medicine
that was working,

and instead of helping people
access it, our government is
dismantling science.

Just like that,
clinical trial gone.

And not just Katie, or cancer,

it's maternal health,
diabetes prevention,
substance abuse programs.

Space exploration is even
on the damn chopping block.

Just decades
of groundbreaking work...

without even a single thought
to its cost in human lives.

I can't even give Katie
a chance to spend

her last moments outside
of these hospital walls.

[stammers] Well, we're
setting her up with in-home
hospice care and she'll...

It'll be a miracle
if she makes it that long.

[♪ "Finifugal" playing]

♪ Stay ♪

♪ And I will... ♪

-Hey, I spoke to Kavita--
-Now's not a good time.

Uh, Dr. Wright.

How is Scott doing?

His heart's had minimal
tissue coverage for two weeks.

He's not great.

Can I help you?

I have worked really hard
to build a good reputation
for myself here,

and I-I can't
stand by and watch it
all go down the drain.

Dr. Mohanty lied in the M&M.
I didn't stitch over
the pedicle.

I wanted
to sew around the pedicle,
but she wouldn't let me.

And I don't know why she lied,
but I promise you it wasn't me.

That's quite the sob story
you've got there.

I'm setting
the record straight.

Look, hospitals are
high school.
Emotions are high.

Status matters.
People are competitive,
and desperate, and insecure.

I need my surgeons
to be mature, to rise above,

to not get sucked
into the drama
and the politics.

Did you have a good outcome
or a bad one?

-That's all I care about.
-Understood.

I will make sure that Scott has
his labs in the morning.

You're not
on his surgery anymore.

Hey, Kwan, have you ever done
a sternal reconstruction?

[Kwan] No.

You will tomorrow.

Come with me, and I'll give you
my notes on the case.

Did you figure it out?

Making the bionic hand work
for competitive
mountain biking?

-No.
-So that's it.

I'm done.

Not necessarily.

I've come up
with another option.

Now, this is just a prototype,
but the idea is

that instead
of your bionic hand
gripping the handlebar,

we build an attachment
to the bike

and a terminal device that
you'd wear only while biking.

Keep talking.

We'd make a custom,
activity-specific prosthetic

that would snap
into the bike attachment.

And it'd be built
so you could snap quickly
out of the receiver for safety.

If you like it,
we could find a prosthetist
to collaborate with

and maybe even a sponsor
will help cover the costs.

This is, uh...

This is amazing.

[chuckling] You made this. How?

No, no, this was
all Dr. Lincoln.
I know nothing about bikes.

Man, thank you.

I don't know
what I would have done if I--

You're welcome.

♪ I wanna know
what happens underneath ♪

Should I not ask?

Dr. Wright said
that I was being dramatic,

and she doesn't want to work
with me anymore.

I'm sorry, I know the truth.

I don't think
you're being dramatic.

Everyone who knows
and loves you feels the same.

I'm not so sure.

Hey, hey, I need a favor.

It's about Katie.

You know I can't disclose
her medical information,

but nice job getting her
to stick around.

What if we took her
to your place?

To what, die at my house?

You want her to die
at my house.

Well, okay, technically
it's my Aunt Meredith's house.

-All right?
-She's gonna go
to her own home next week.

She doesn't have that long.

You sure this is a good idea?

She's dying.

I'll ask for time off so I can
take care of her myself.

No.

We'll take shifts.

Thank you.

Count Kwan in too.

He owes me
for putting up with Mohanty.

[knocks on door]

Hey, uh, Chief, look, um...

I just wanted to apologize.

I-I got excited about
a flashy case and I-I let
things get out of hand.

A few weeks ago,
a case like that
would've made my year.

A spleen the size of a sandbag?

I'd have taken photos too.

But I'm feeling different now.

Bad different?

You know, I tried
to push it down and return
to work like nothing happened.

These days, the patients
that I can't stop
thinking about

are the ones we couldn't
get to in time.

And instead
of addressing the problem,

we're patting
ourselves on the back
for removing a massive spleen.

Look, having
a perspective shift
after cancer...

it's... it's natural.

I mean, I've been there.

But what if I can't unsee this?

Would that be so bad?

-Maybe it's time
to start a new chapter.
-Spoken like a younger man.

You know, I'm, um, just a guy
who has a lot of experience
starting over.

Look, I'm gonna go check
on our patient.

It really was quite a spleen,
though, wasn't it?

Lord have mercy. [chuckles]

♪ Gonna follow the moon
Till I'm home again ♪

Okay, monitor her pain
and oxygen requirements
and page me

if we need to take more fluid
off of her abdomen.

Hey, Dr. Bailey,
can we run something by you?

Why do I feel
like I'm not gonna like this?

Uh, well, uh, Griffith offered
to take Katie to her home.

We all know
there's a good chance she won't
make it to her own home

if she waits for hospice
to be set up.

All she wants is to not die
in a hospital.

Yeah. What do you think?

[sighs] I think you two have
lost your ever-loving minds.

Katie is not a stray cat
to take in.

She needs 24/7 care.

Adams, Kwan,
and I would take shifts.

Yeah, and... and her mom can
stay in their spare bedroom.

-[Griffith grunts]
-[whispering] Sorry.

What about pain management?

We can get her scripts filled
and administer them
at the house.

Yeah, and I can drain
her abdomen when needed.

Look, it's literally
her dying wish.

[stutters] I hear you.

But as her surgeon
and a leader in this hospital,
I... I cannot advise it.

Okay, she would need
a... a hospital bed,
an oxygen concentrator.

Are you writing this down?

-Oh.
-Yeah.

[siren wailing]

Finally, I was about to go
to Saigon Palace by myself.

Yeah, I was looking over
Dr. Wright's notes
for the sternal reconstruction.

I heard
you were joining the case.

I'll fill you in over pho.

I can't do it.

Banh mi. Whatever.
I'm starving. Let's go.

I told Wright
to find another resident
for the procedure tomorrow.

-Why?
-Jules is my friend.

Turns out you and I aren't
as alike as we thought.

I already told Wright
that I was committed
to assist Altman tomorrow.

You didn't tell her about me?

I was going to give you
a chance to do it yourself.

I hope you get the job
in Boston.

[Grey] We often place blame
because it's easier
than taking responsibility.

If you always look outward,
you never have to turn inward.

Seriously?

-I get to leave?
-Yeah.

We arranged medical transport,
and Dr. Griffith

is working to get you
discharged right now.

I'll stock the fridge,
cook meals,
whatever I need to do.

No. That...
That's not necessary.

We, uh... We want to help.

[Katie] Thank you.

None of this would have
happened without you.

[Grey] But progress only comes
when you shine the light
on yourself.

Didn't I fold
all this laundry earlier?

Hattie spit up everywhere,
so did Peyton.

Luna got the ketchup bottle
and...

You know what?
I don't want to talk about it.

My shoulder still hurts.

I was hoping it'd get better,
and I'd go back to work

and build the safest staircase
ever to exist,

but obviously,
that hasn't happened.

Well, you don't have
to fix everything yourself.

Yeah, I've realized that.

But you might have
to go back to work eventually

so we can afford
to pay Elroy to do it.

[chortles]

[Wilson chuckles]

-I was wondering...
-Mm-hmm.

...what if Elroy didn't
actually fix this place?

We've really pushed our luck
already with these stairs,

the-the fireplace,
the balcony, the glass doors.

What if he fixed
my rental instead?

-You want us
to move into the man cave?
-[chuckles]

It's in a great neighborhood,
and it would be way easier
to babyproof.

This place just has
so many memories.

You know,
movie nights on this couch,

the Nicoletti's take-out
dinners on that table.

You proposed to me,
right there.

-Yeah.
-Guess we'll have
to make new memories.

We will.

[Grey] What do you think?

How do you feel?

Millin.

What are you doing here?

Uh, your front driver's side
tire is looking a little low.

You're checking my tires?

Today sucked in a lot of ways,

but the worst part is
that it confirmed
what you think about me.

-Millin--
-And I know
that I've disappointed you.

And you're not wrong, I haven't
always been honest with you.

Like, sometimes
when I'm too tired,
I don't dictate your op notes,

I make my interns do it.

And I know where
you keep your secret stash
of protein bars

at the nurses' station,

and I'll sneak one
if I don't have time
to get to the cafeteria.

And I coached your patient
behind your back

to get around his insurance,

so you would have to operate
on him that day.

He was in pain.

I didn't know
what else to do, so I lied,
but I didn't lie today.

I didn't sew
over Scott's pedicle,

and I wasn't trying
to frame Mohanty
or not take responsibility.

I just didn't do it,
and I need you to know that.

It's not my department.
I'm not the one
you need to convince.

I don't care
what anyone else thinks.

I believe you.

I'll, uh...
I'll see you tomorrow.

[Grey] Ask the questions,

and the answers
might surprise you.