All language subtitles for Grey s Anatomy - 11x10 - The Beds Too Big Without You.HDTV.x264-LOL.en

They found this guy in Maine

who had been living
completely alone in the woods

for 30 years.

They called him the last true hermit.

30 years without the warmth of human touch.

Without conversation.

The hermit felt more lonely
when he was out in the world...

Alex! Alex!

Than he ever felt in the woods by himself.

Surrounded by people but
drowning in solitude...

That kind of loneliness?

Can swallow you whole.

Hey! I texted you.

Yeah, I saw that. I was busy.

Well, Cristina would've responded.

That's not how it works.

Not if she was doing what I was doing.

You pause. That's the rule.

What? If the text is urgent,

Cristina would say to Owen, "pause,"

and I would say to Derek, "pause,"

then we'd text each other back.

- In the middle of sex?
- If the the text is urgent.

The fact you are checking
a text while you're doing it

- is already sad.
- We had a special ringtone.

Hey, you want a special ringtone?

No. Wait, this pause thing...

Like, your legs are in the air

- and you're screaming and...
- Pause.

No, I don't pause. Jo doesn't pause.

She fast-forwards and she rewinds,

- but she doesn't pause.
- Okay, that's gross.

Do you wanna scrub in on my I.V.C. sarcoma?

- Is it a kid?
- No.

Then no. Why?

Because I want some company.

- Get a resident.
- I have a resident.

- I want a grownup.
- Bye.

Cristina would've scrubbed
in. You're no good at this.

Bailey!

You wanna scrub in on my I.V.C. sarcoma?

Well, you don't need me for
that. Don't you have a resident?

Residents are boring. All
they wanna do is learn.

Come on. It's gonna be good.

It's all over the liver, hepatic vein.

It's gonna be bloody and gross.

Does look like fun.

Page me when you're
ready. See you in the O.R.

Adrian Nelson, 51. Presents
with abdominal pain.

Scans show a leiomyosarcoma

behind the liver, including the I.V.C.

What's the surgical plan?

Laparotomy to isolate the vessel,

resect the tumor, and
then replace with a graft.

It's a pretty straightforward
procedure, Adrian.

I don't foresee any problems.

Could I ask you to...

I... It's silly. Never mind.

What is it?

She wants you to... to swear on the book.

"The odyssey."

It's... it's the first
book I ever sold Adrian.

The day we met.

Michael's a rare book vendor.

Our hands touched when
I was ringing her up...

And it was... It was such a high.

It was electric.

We were both too shy to ask for a date.

So I wrote my number on a bookmark.

I saw it as soon as I got
home, and then I called.

We've been together ever since.

This book, it's... it's...
it's our wedding ring.

Could you swear on the book, Dr. Grey,

- that you'll do your best?
- It would mean so much.

Dr. Wilson, too.

- Sure.
- I swear.

So Dr. Wilson will prep you,
and I'll see you up there.

They're adorable.

They're weirdos.

Okay, you're gonna feel
a little bit of pressure.

And this will tell us conclusively

if the osteogenesis
imperfecta is type II or III?

- Yeah.
- It's probably type III though, right?

I mean, so far there's been no
indication of fetal distress.

Well, we'll know soon enough.

It'll be okay. O.I. type
III, it's hard, sure,

when there's surgeries and
challenges, but we're surgeons.

We can... We can handle challenges, right?

- Mm-hmm.
- I mean, we'll...

We'll still be able to give
our baby a wonderful life.

Right?

Many type III babies live
very, very happy lives.

Shouldn't Dr. Herman be doing this?

Mm, it's a very routine procedure.

Dr. Herman is the big gun.

We only fire the big gun
when we need the big gun.

I'm the little gun, so...

Let the little gun work.

Thank you so much. I know that
took up a lot of your time.

I just wanna get all of the views

with the thinnest cross sections I can get.

And I find that adorable.

You really think you can
pull off your plan, huh?

I've got all your past medical records.

Once I get a firm grasp

on the roads your other
surgeons took to get to "no,"

I can cut away a clear path to "yes."

By the time I'm done with your tumor,

I'm gonna be able to tell you

what street this bastard grew up on

- and where it lost its virginity.
- Hmm.

Well, you certainly are confident.

- Thank you.
- Or delusional.

One of the two.

It's hard to tell.

They look so similar.

So I think we need to talk
about what we'll decide

if it turns out the baby's type III.

I already told you, he won't be.

Yeah, I know that's what you
believe. So do I, obviously.

But if he is type II,
then it's so terrible...

- I know.
- And fatal...

Usually.

All right? And before
that, it's even worse.

I... I know all of this. I just...
I don't wanna talk about it.

But we should talk about
it. We need to talk about it.

Why? Why can't we just wait until tomorrow?

Because we should have
a plan. What do you mean?

Okay, well, uh, what do you wanna do?

That's what I'm saying.
I think we should decide.

No, no. I'm... I'm...
I'm asking what you want.

I want for us to figure this out together.

I don't... I don't think that's true.

I think that you already
know what you would wanna do.

- So...
- What?

Just... yeah, just say it out loud.

- Don't...
- Right now. Well, what do you wanna do?

If our baby is type II, I...

I think we should terminate.

And I don't care whether our
baby is type II or type III.

Either way, I wanna keep him.

Wh... April.

I told you I didn't wanna talk about this.

Look at all these adhesions.

No way to see 'em coming.

Sneaky little bastards
won't show up on the scan.

And there's more of them posteriorly, too.

I need some more exposure.

You're thinking of extending the incision?

I have to. I can't see what's up in there.

This tumor just keeps coming.

And all the landmarks are obscured.

I'm lost in here. It's like going in blind.

Hey, uh, would you bring
those scans closer, please?

Yes, Doctor.

See, the tumor should be in
the suprahepatic I.V.C. only.

That can't be right.

It doesn't show any further local invasion.

Show me the coronal view?

What's the tumor doing
all the way over there?

That's what I want to know.

How old are these scans?
They're only two weeks old.

And they're completely outdated.

I mean, this thing is growing too fast.

Nothing is where it's supposed to be.

Tumor has extended to
the I.V.C. tributaries.

- Yeah, these scans are useless.
- I can't see what I'm doing.

Oh, God. It's also spreading

- through the diaphragm.
- Suction.

- I can't even see where...
- Neither can I.

Don't touch that. It's tearing.

Well, the tumor's extended all
the way up between the lungs.

Someone page cardio!

It's all the way up into the pericardium.

Get the suction out. Don't
touch it. Don't do anything.

Page... page cardio 9-1-1!

We gotta get out. Everybody out. Hands off.

What are we doing? What's going on?

Can someone say something?
What are we doing?

It's spread from her major
blood vessels to her liver,

diaphragm, pericardium,
maybe even her heart.

How can one tumor grow this big this fast?

- It is everywhere.
- It's a monster.

So what do we do?

I have no idea.

Sync and corrections by Albanda
www.Addic7ed.com

Michael, I'm afraid Adrian's tumor

has grown considerably

and it's now reaching around her heart.

So Dr. Pierce is here.

Her... her heart?

It's entangled through
the vein that stretches up

from her liver to her heart.

And it's growing more
rapidly than anticipated.

So we need to take her for more MRI's

so we can see how extensive
the tumor's growth is.

Now there's all of you.

Three doctors.

Three is a lot.

Look, um, Odysseus didn't
return to Ithaca all by himself.

He needed a lot of help,
right, from the Phaeacians?

Well, we're the Phaeacians.

You want all the Phaeacians you can get.

We are going to figure this tumor out.

Oh.

Mmm! So light.

And it's last year's model.

We're weeks away from unveiling
one that will weigh 30% less.

- Mm.
- Wow. Very impressive.

Your project is impressive.

Robotic limbs for injured vets?

Sexy as hell.

And we at Cybersystems are
dying to climb into bed with you.

Well, that's very flattering.

- Mm-hmm.
- Good. I want it to be.

I'll leave you this folder

so you can go over the materials.

I'll be in Seattle another day,

so please, call me if you need... anything.

Thank you. Thank you for coming in.

So... What do you think?

- I think you should definitely go for it.
- Really?

'Cause I was not that impressed
with these transducers.

What? No.

No, those... those things are crap.

I'm talking about her.

Her vibes? You didn't feel her vibes?

Major vibage for Major Hunt.

You read that totally wrong.

Oh, please.

"Your project's sexy as hell.

Ooh, ooh, let's climb into bed."

I was actually uncomfortable.

Stop it!

There you are. Where have you been?

I was performing a C.V.S. on April Kepner.

We're just waiting for the
results. God, I hate waiting.

In peds, it is... it's much easier.

You know, the parents are right there.

And... and you talk to them,

and then their kid is right there,

so they can hold them
close and hope for the best.

The cat's on the roof.

With this, there's no kid to hold.

The problem feels so theoretical.

You know, there's no cat, there's no roof.

There's just two scared parents
feeling totally helpless.

And you've had the results rushed?

Yeah. I should get them in, like, 24 hours.

Well, then there's nothing
more to do about it today,

which is good.

I have been working miracles.

I have found us the most
incredible surgeries,

all for the next few weeks.

Look, a T.T.T.S. in a 19-weeker.

A 21-week T.R.A.P. sequence
that needs an R.F.A.

A unilateral pulmonary agenesis.

And that is just the beginning.

- The beginning of what?
- Your crash course.

I have hunted down the most screwed up,

medically compromised
fetuses that I could find,

and I'm bringing them
all here to this hospital

for you to learn and us to save.

And you'll get to fix them all?

We will.

Start reading.

You can thank me later.

Mm.

And then... and this sounds
crazy, I know, so don't even...

I'll... I'll build in a distribution

of a radioactive seed during surgery,

keeping Dr. Herman's tumor
bed free of recurring cells.

I thought you were gonna use a laser.

I am. I already did. We're way past that.

Try and keep up.

Uh, I'm sorry, Shepherd, but
this is a great opportunity

- for them to learn.
- I know. It's fine.

The laser is for ablating
cells off the optic nerve...

It's a massive butterfly glioma.

Well, it's not just massive. I mean...

- It's magnificent.
- No, no, no.

I mean that, won't a laser take months?

Again, uh, before that, I'll be using

the ultrasonic surgical aspirator
to mush and flush the cells,

then the sexy laser and the... Yeah.

I'm sorry. I'm just lost.

Um, you were just talking
about laser ablation.

So is that confined to the optic chiasm

- or will that extend...
- Guys, step back.

Look at the whole big,
beautiful, shapely thing.

Every part of this tumor's
body will respond differently.

You will need a multitude of approaches.

You will have to be gentle with one part

and rough with the other.

That is the only way she will respond.

Get it?

I don't see tumors the way she does.

Didn't five surgeons say

any one of these approaches
would likely kill the patient?

Six.

But none of them tried
it all at the same time.

It should work.

Maybe we should start over
again from the beginning.

Okay.

I will begin with a,
uh, bifrontal approach.

Is that the right atrium? I can't tell.

Everything looks like mush.

Well, look at this angle right here.

Is that invading the right atrium?

I think that's a motion artifact.

- Crap.
- Adrian's back in her room.

Stable for now. How we doing here?

Has the cyclops revealed himself?

The cyclops?

Well, the patient's a fan of "The Odyssey,"

so I'm calling the tumor the cyclops

'cause it's a big, ugly monster.

And I feel like I'm working with one eye

because I can see it, but I can't
get a sense of the whole thing.

Every view is incomplete.

Okay, what if we get a new
set of scans, with contrast,

this time with 3-D reconstruction?

Well, the woman's lying open in her bed.

We don't have time for
a lot of trial and error.

I just wanna reach in and grab it.

Well, we could go in with
these, but, yeah, I can't see.

If I could just hold it in my hand

so that I could see it...

Holy crap.

- What?
- She's having an idea.

I already had it last
year, and it's brilliant.

We are going to print it.

The whole tumor.

I tried it with the portal
veins, but it's not working.

But with this, we don't
need it to function.

She's got a functioning tumor.

We just need to be able to see it

- so we know how to kill it.
- Know your enemy.

- Is this gonna work?
- It'll work.

Ooh, 2% left to upload.

This is how we beat this thing.

This is how we get visualization.

We are going to have a
tangible, anatomically correct

3-D model of this exact tumor,

and correlate to the adjacent organs...

- Done!
- Loaded!

In 10 hours.

The longest documented surviving
type II case that I could find

lived for all of 18 months.

In an I.C.U. his entire life,

hooked up to a feeding
tubes and a ventilator.

That's not a life.

That's not a life I want for my son.

I... of c... neither do I. I...

Okay. So then how can you...

Because we don't know what will happen.

We don't even know if he's type II.

Okay, but what if he is?

Any amount of time that he survives...

Any amount of time that he lives will be...

Will be with us,

- in our arms...
- Yes.

Knowing that he's loved and wanted.

And his bones can break if you touch him.

His bones can break if
we're changing his diaper.

We're doctors. We can handle it.

If... if anyone can handle it, we can.

I'm not saying we can't handle it.

I'm asking if we should.
Yeah, we're doctors.

Maybe we are better equipped to
make an educated decision here.

And maybe we were given
this baby for a reason.

April.

You called your mom.

Yeah. People need their mom in a crisis.

No, not everybody does.

I came as soon as I got your call, sweetie.

It's okay. Everything's gonna be okay.

I'm here.

Are you working today?

- No.
- Then let's get out of here.

You could use a change of scenery.

That's actually a really good
idea. We should take the day,

go somewhere nice,
maybe drive to the ocean.

Let's go to church.

You'll find comfort there.

Yeah, go ahead.

Let's go pray.

She is doing fine.

Those chairs will kill your back.

You should go home and get some rest.

I can't.

I can't go home alone
when she's like this.

Thought I'd just stay and read.

Okay. That's fine.

But I can't read either.

Can't concentrate.

It's odd. I've... I've
never had that problem.

I think it's because...

I don't know where she is.

I always know where she is.

Well, she's right here.

It's just as if she's asleep
in the bed next to you.

Not really.

Because she might not wake up.

I feel like...

Like she's sailed away and

I don't know if she's coming back.

That's the feeling, you know?

Michael, we are working
very hard to solve this.

I know.

I know. I just...

I just want her to come back.

I do, too.

This H.L.H.S. case seems impossible.

Mother's pregnant for the third
time, and each baby was stillborn.

Well, this one will be, too.

22Q11 deletion?

She should adopt.

Now this one, however...

Tracheal balloon occlusion for C.D.H.?

Card that puppy.

How do you do this without...
I mean, these stories are awful.

They're patients, Robbins.

The more you find, the more you learn,

the more we save.

It's as simple as that.

Your work is making
these three categories...

Possible, impossible, maybe.

Any other approach is a waste of our time.

Ahh.

Oh, wow.

Holy crap.

It's fate!

Look! It's your sexy tech rep!

Your sexy tech rep!

She... she's not my sexy anything.

Not yet, but she could be.

I came out tonight with
you to... to unwind,

not to...

And she's a... she's a tech rep.
That's a conflict of interest.

Not if we don't buy her transducers.

- Mm.
- They're junk, anyway.

Come on! You gotta get back in the saddle.

And she's got a nice saddle.

Oh, yeah.

What? Whoa. Whoa. What are you doing?

Ahh.

Okay, so listen,

I'm not, uh, really great
at this kind of thing,

so I'm just gonna blurt it out.

I think that you were interested
in more than just our program today.

Oh, you picked up on that?

I was right! Ha ha ha!

I knew it! Okay. So this should be easy.

Owen is a little bit
shy, but he's a great guy.

And, uh... The feeling's mutual.

So...

So what do you say?

I would say that there's
something about him

that doesn't quite...
feel like he's my type.

What?! No! He's...

He's very attractive.
He's nice. He's funny.

People like funny, right? I
mean, come on. Give him a chance.

What about him isn't your type?

He has a penis.

Oh!

Ohh.

Oh.

Wait. No. You were...

You... you were flirty.

I was,

but not with him.

Oh.

Um...

Wow.

I am wildly saddened by my, uh, intense...

Lack of game right now.

I can't believe I didn't see that coming.

I... there was a time
when I would've been all,

"that's right. I know it's me."

But right now, I'm just like, uh,

"uh... "

'Cause, uh, you looking at me like that...

- You are gorgeous, by the way.
- Uh...

Do people just tell you that all the time?

Because you are gorgeous.

I'm not.

Am I?

No.

Am I?

No. Wait. No, no. Wait, wait.
Stop. Stop, stop, stop, stop.

- Not into women?
- No, no, no. I am, totally.

Women. Men. People, really.

I'm just... I'm just... I'm just...
I'm just not really shopping right now.

I'm... I'm divorced.

And it's... Was recent and painful

and brutal.

Brutal, actually.

Well, if you wanna forget
for just a little while,

I fly out tomorrow.

Doesn't have to be anything
more than one night.

I would love...

I would love to love
that. I'm just not ready.

I'm... I'm so sorry.

W...

- Hi, guys.
- Hey.

You're here late.

Well, we're on a timeline.

I, uh, was taking a
look at Dr. Wall's notes,

and I found some contradictory information.

He was the second opinion?

Wall is where?

Case Western.

Uh, he was third.

Mm. He's radiation.

Right. Just getting my dates straight.

What are all these?

Cases. Fetuses.

Each card represents a fetus that I'm gonna

teach Robbins how to fix.

That I... estimate we can
get to in the time I have.

- And those?
- Uh, these?

No. These are the ones that I could save,

uh, if I had time.

You should just think of
them as babies who will die

if it turns out that you're full of crap

and can't take out my tumor.

Ah. No pressure.

Oh, no. Pressure.

We're... we're on a timeline here, right?

Try being me.

Okay.

Dr. Meadows, labor and delivery.

Dr. Meadows, labor and delivery.

Oh, good! You're home!

Just in time for dinner.

Smells good.

How was church?

The choir was there,

practicing for their
service tomorrow night.

Really beautiful. We should all go to it.

Ah, I don't think

we'll know what we'll be
up for tomorrow, Karen.

Because of the test results?

April told me about
the test, and I told her

there's really no point in
even getting those results.

- Excuse me?
- God gives what he wants to give.

No test is going to change that.

And April's already so upset, so stressed.

It's not good for the baby.

Just focus on loving
that sweet little baby.

That's all that matters.

No, that's definitely not all that matters.

I know. It's hard to understand sometimes

how His plan will unfold.

Yeah, but I'm not worried
about His plan, am I?

I'm worried about our plan.

He never gives us more than we can handle.

Getting the results,

being informed about
our baby's condition...

- that's how we handle it.
- I called our pastor at home.

April spoke to him at
length. He was very helpful.

April.

Me. Let me help you.

Whatever happens, we
will shoulder the burden

- when it is placed upon us.
- We will.

You and I. We'll shoulder the burden.

She's just trying to help.

Is she, though? Really? Is she helping?

Don't snap at her.

- Don't talk to her in that tone.
- What tone?

I'm not talking using a tone.
I'm trying to understand.

You're trying to talk my little girl

into doing something she
knows in her heart and soul

she does not want to do.

I'm not trying to talk her into anything.

I'm supporting her in trying
to make the best choice possible

for our baby, for her, for our family.

This is between April and her God.

- Okay.
- And if you think she is going to agree

- to abort her child...
- Our child!

- You are...
- Get that straight. It's our child.

Stop it! Stop it! Stop it! Stop it!

None of this is helping!

You are not helping, neither of you.

I am standing here,

listening to you tell me that
God only gives me one choice,

and you telling me that I
should forgo God's choice.

And the truth is, I don't know anything

expect that I am scared
and sad and I'm alone.

You're both just standing there,

yelling at each other and talking at me,

but I am alone, and it is terrifying!

And the louder you get,
the more terrified I become,

so I just need you both to just shut up!

Can you... Can you do that?

Can you please... can you
please both just shut up?

What are you guys still doing here?

We're solving a tumor by 3-D printing it.

Yeah.

What are you still doing here?

Also solving a tumor.

Maybe you should 3-D print your tumor.

Visibility is not my problem.

I can see my tumor in
all its problematic glory,

and it's giving me the middle finger

in front of Richard Webber
and a bunch of residents.

Where are the kids?

Upstairs.

Daycare. Nightcare. Whatever care.

It's open 24 hours.

You know that's only for
surgeons on call, right?

Bailey, don't judge me. Derek lives in D.C.

No, I'm saying if they ask you,

make up something about being on call.

When I had my genome lab,
I was on call twice a week.

You all realize that printing this thing

is gonna take, like, five more hours?

- 7-ish.
- 7 hours and 20 minutes.

7 and a half.

I'm just saying you could go
home, sleep, and then come back.

Someone has to stay in
case the printer crashes.

Plus, I don't mind. I like the sound.

It's kinda soothing.

It feels weird to sleep alone.

I'm not used to it. I don't know why.

He used to go away all the time,

but this time, he's...

He's gone,

and I know he's gone.

And the bed feels lonely.

It's like I don't know how to sleep alone.

You don't.

I mean, before three months
ago, any time I called your house

or came over or skyped or whatever,

Cristina was there.

There's no way you ever slept
alone. I mean, you had Derek.

And if you didn't have
Derek, you had Cristina.

I'm guessing if it came down to it,

you were, like, the middle
spoon in the middle of

a very weird spooning situation.

I've never met a less alone person

than you used...

Used to be.

I have to learn to sleep alone.

Ben snores.

And he sometimes talks in his sleep.

And he's hot.

Like... a furnace.

Like flames shootin' out of him.

He's lucky I love him.

And he's a resident and
hardly home at night.

Or he'd be dead.

I miss sleeping with a man in my bed.

You know, facing away from each other,

barely touching expect for just
the arm thrown over your waist.

When I'd wake up at night,

terrified of...

me,

I liked knowing he was there

and I wasn't by myself.

I cannot sleep with
someone lying next to me.

Literally cannot.

My one serious guy? Dean.

Dean just loved to spoon and snuggle,

and I would just... lie there,

Staring up silently,

counting the seconds
until he would fall asleep

and I could sneak off to sleep on the sofa.

And then I'd sneak back into bed

before he woke up in the morning.

Yeah, people think that's a cute
story. It's not a cute story.

That sofa was hard as
a rock. I was exhausted.

Dean is a really sweet guy.

He's tall and kind.

Civil rights lawyer.

He's funny.

So when he proposed, I explained to him

about the sleeping.

I said, "you know,

maybe you could sleep
in a room down the hall."

I wanted to sleep alone.

And what happened?

Well, he is now married to someone
who loves to spoon and snuggle.

And I sleep like a baby every night.

I might be too good at being alone.

Maybe I could... print a Derek.

Just for sleeping.

Hey, move your butts.

Hello again, cyclops.

It is crazy cool amazing.

It could not be more amazing.

Okay, hit me. What's next?

I think we can divide the diaphragm

to resect the pericardial component

- of the tumor.
- But carefully.

We'll need to dissect 2 to 3 centimeters

proximal to the I.V.C.
first to control flow.

Yep, and then we can clamp

and create the veno-venous bypass flap.

You sure you don't wanna do a sternotomy?

Now you have something to
say? Where were you yesterday?

- You should've showed me this.
- Karev, what's your point?

Well... I would do McGinn's technique

to access the chest with less invasiveness

to avoid diaphragmatic
hernia postradiation.

- He's got a point.
- Back to the beginning.

Okay, so feel this right here.

Okay, that's... What?

Like, 5 centimeters
superior to the renal vein?

Okay, but stop.

Close your eyes

- and just feel.
- Okay.

Because all we have to
go on is muscle memory.

Um, it's... 2 fingerbreadths

from the confluence of the hepatic veins.

And then we anastomose
the bifurcated graft.

- Bailey?
- Yeah.

Write that up.

You're their board bitch.

- You're jealous, aren't you?
- No.

A little.

- Wilson!
- Oh, yeah. Uh, on it.

Okay, my finger is in
the foramen of Winslow.

Bailey, can you feel me?

Yeah, I'm right behind you.

I can feel the edge of the lesser omentum.

I think that gives me enough space

to control the porta hepatis.

Mm-hmm.

Yes. Yes. I can palpate a good window.

Good. That works.

- No.
- All right, what next?

There is no next.

The wound-V.A.C. has frank blood.

She's bleeding. We have
to get her up to the O.R.

- You need an extra set of hands?
- Yes. Wilson's.

Take that white board. Bring
it up where everyone can see it.

We haven't even gotten to the
retroperitoneal dissection yet.

We will when we get up there.
We'll figure it out as we go.

You are coming with me.

I'm into the retrohepatic
area. More suction.

Okay, then you're on to step two.

Step two... access the pericardial I.V.C.

Bailey, a little more retraction?

Okay, I'm at the pericardium.

Well, it branches 2
centimeters in either direction,

so you're close.

Damn it. Adhesions here, too.

There's too much blood. Suction!

I need to do a partial
resection of the liver,

but I just can't see to do it.

Same problem up here. Can I
get some more suction, please?

Should we control the hepatic veins

- and resect part of the liver?
- I'm trying.

I think that's the only way. But without
visibility, I might hit a major vessel.

Pierce?

I can't see the field.

Yeah, I can't see anything.

Crap. They're drowning.

I'm not sure the model's gonna help them.

It's not telling them any
more than the scans did.

And they still can't see enough to...

The model is how they'll see,

without adhesions and bleeding in the way.

How the pieces relate to her anatomy.

It's the big picture.

Oh, my God.

I get it.

You're welcome.

How's it coming?

You know, by millimeters.

Your notebook-wielding minions got bored

and ditched me for another tumor.

Well, I thought you might need this.

Are you keeping tabs on me?

Is that what's happening?

No. Why would you say that?

Because you might be worried about me,

and that I...

Have decided I can do
something that cannot be done

just so that I can prove that I am okay

and that I deserve to be here.

That I'm overreaching.

Should I be keeping tabs on you?

I mean,

you saw the look on those
residents' faces yesterday.

They think that I am certifiable.

And... Why shouldn't they?

Why should I think that I can do this?

Why shouldn't I think that
I'm gonna kill this woman

- and all those little babies with her?
- You are not doing that.

- Nobody thinks that this can work.
- No one understands it.

You were talking way over
those residents' heads.

And you think so fast it made my eyes spin.

But you have a plan.

And just because you're the
only one that can see the endgame

doesn't mean that you're wrong.

It just means it's lonely.

And scary.

You'd be a fool if you weren't scared.

I'm gonna leave you be.

Ugh. Don't. Then I'll
be alone with this thing.

What you were talking about yesterday...

The whole big, beautiful body?

Um, I think I get it.

I think.

So you do the fluoroscein first.

Tell me why.

So you can keep an eye
on the pituitary stalk

- even though you're nowhere near it.
- Because?

Because...

You want to appreciate
the whole thing at once.

- Right?
- Yes.

Thank you.

You can go now.

Oh, there. Got it. Just
ligated the hepatic veins.

- What's next?
- Okay, you just controlled

the lower end of the tumor, so...

That's as far as you
got. That's the last step.

Okay, so next we...

- Dissect around the diaphragm.
- Finish my dissection retroperitoneally.

- Uh, that's...
- Two ways to go.

Her heart can't handle all the clamping.

Whatever we do, we have to do it now.

You mean cut blind?

No. Wait. Jo, bring the cyclops over here.

- On it.
- Bring it over here,

hold it up, turn it slowly.

Okay, so we're gonna anastomose
the graft to the lower end.

And then I'll start
from the upper end, yeah.

Okay.

Find me.

I am at the diaphragm.

6-0 prolene and graft stat.

I'm on top of the right hepatic vein.

This is where we cut, right here.

That's my finger.

Oh. Okay.

No, it's, uh...

Got it. Here. It extends 10
cm off where the veins meet.

Right? This is it. This is it right here.

This is where we cut right here.

How much do you trust that thing?

I'll let you know in a second. Metz.

No excess bleeding.

Not any more than before.

Your dissection was flawless.

Then she's comin' out.

Okay, cyclops, show me that ugly face.

Ugh! So gross and so freaking cool!

Oh! Got some bleeders!

Beautiful bleeders, right
where we can see them.

Oh!

She was... really pretty.

The... woman.

- At the bar.
- Oh.

With the nice transducers.

Ugh. I'm not ready.

You gotta start sometime.

Owen...

The last woman that I kissed in that bar,

I ended up marrying.

Well, maybe just take
the next one home then.

- Uh...
- Right?

Shut up.

Hey, you're not ready either.

You know, I can't even imagine it.

- Mm.
- It's sex.

Sure, you know, I've gone out
and had one-night stands before.

- Mm-hmm.
- But...

I don't know.

I can't...

Something real?

I pulled that icicle out of her chest.

Hell, I bathed her when
she couldn't bathe herself.

I can't imagine belonging
to anyone like that again.

Have we used up all our happy?

You ever afraid of that,
that this is all there is now?

It's like I had a certain amount of happy

that was supposed to last my whole
life, and I've used it all up.

Do you think that's true?

- God, I hope not.
- Huh.

The last true hermit was found

and dragged out of
hiding and into the world.

Most might find his existence sad,

but the hermit knew something we didn't.

Mm! Pause!

No!

Oh! Steph's rocking
neuro with girl Shepherd.

She got assigned her crazy tumor! Yeah!

Who taught you "pause"?

Oh, um, Grey told me about
it when we were scrubbing out.

Great rule. Now...

Unpause.

He knew that when it comes down to it,

even when you're with someone...

Or in the noisy rush of people...

It's just you.

The one you can count on...

And lean on...

And depend on.

It has to be you.

- Hi.
- Hey.

Is something wrong?

No. Just... What are you doing?

Nothing.

Nothing. You?

I'm just lying in bed with my tumor.

Aw! You brought it home.

- Can I see it?
- Mm-hmm.

- And once you figure that out...

That's when being alone...

Well...

It's no 3-D husband, but it's something.

It'll do for now.

Oh, my God. I have to...

Becomes a choice.

Um, it'll be a minute.

Okay.

What?

This is a big guns conversation, isn't it?

Yeah.

April, Jackson,

we have your test results.

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