1 00:00:02,128 --> 00:00:03,791 When patients leave the hospital, 2 00:00:03,924 --> 00:00:06,785 they're often taking home a brand-new regimen of medication: 3 00:00:06,918 --> 00:00:09,181 physical therapy and aftercare. 4 00:00:11,177 --> 00:00:13,173 We really should go. 5 00:00:13,305 --> 00:00:14,370 Should we though? 6 00:00:15,036 --> 00:00:16,333 No. 7 00:00:22,652 --> 00:00:24,350 -Wait, wait, wait. Damn it. -What? 8 00:00:24,484 --> 00:00:26,246 We used the last condom last night. 9 00:00:26,380 --> 00:00:29,041 In our dreams, every patient would do exactly as they're told. 10 00:00:29,174 --> 00:00:30,936 -Don't move. -Yes, ma'am. 11 00:00:31,070 --> 00:00:33,133 But reality is a different story. 12 00:00:36,658 --> 00:00:38,853 Kwan, if you use the last condom, buy more. 13 00:00:38,988 --> 00:00:41,350 You are unemployed. You have no excuse to... 14 00:00:43,478 --> 00:00:44,575 Morning. 15 00:00:45,807 --> 00:00:46,805 Not Kwan. 16 00:00:46,938 --> 00:00:48,468 -Nope. -Nope. 17 00:00:48,600 --> 00:00:50,332 -Can you pass me a towel? -Yep. 18 00:00:50,464 --> 00:00:52,592 Too often medication costs, memory lapses, 19 00:00:52,726 --> 00:00:55,454 and poor health literacy impede patients' recovery. 20 00:00:56,551 --> 00:00:58,714 You are gorgeous. You know that? 21 00:01:09,160 --> 00:01:12,087 -What time is it? -I've set an alarm. 22 00:01:12,221 --> 00:01:13,750 Don't you worry. 23 00:01:17,676 --> 00:01:20,071 - What? - No. We have time. 24 00:01:20,637 --> 00:01:22,633 No, you have time. 25 00:01:22,765 --> 00:01:25,894 I am a resident. I should have been there an hour ago. 26 00:01:29,684 --> 00:01:33,012 And as their surgeon, there's not a whole lot you can do about it. 27 00:01:36,039 --> 00:01:37,870 In other words, 28 00:01:38,434 --> 00:01:40,098 you can lead a horse to water, 29 00:01:40,964 --> 00:01:42,327 but you can't make it drink. 30 00:01:46,984 --> 00:01:48,380 Wow. 31 00:01:49,445 --> 00:01:51,043 We should be forced to dress up more often. 32 00:01:51,176 --> 00:01:52,539 Have you seen Bubbles? 33 00:01:52,672 --> 00:01:54,968 Nardi can't find him in Luna's stuff. 34 00:01:55,101 --> 00:01:58,460 No. But if you wanna sneak off to our room for a few minutes... 35 00:01:58,593 --> 00:02:00,689 These things never start on time. 36 00:02:02,585 --> 00:02:04,382 Wait. This is it. Hang on. 37 00:02:05,446 --> 00:02:10,403 No, this is my "I almost died" box. Hmm. 38 00:02:11,600 --> 00:02:12,699 I'm fine. 39 00:02:13,596 --> 00:02:16,424 My therapist just said that I should toss anything 40 00:02:16,557 --> 00:02:19,120 that reminded me of my birth trauma, so... 41 00:02:19,719 --> 00:02:20,949 I'll take care of it tonight. 42 00:02:21,514 --> 00:02:22,713 Okay. 43 00:02:22,845 --> 00:02:24,675 You told Joey to pick Pru up from school, right? 44 00:02:24,809 --> 00:02:26,438 You know I did. 45 00:02:26,570 --> 00:02:29,233 And can you please remind people that I am not chief resident anymore? 46 00:02:29,398 --> 00:02:33,025 With Wright back from family leave, I gotta put all my focus on plastics. 47 00:02:33,158 --> 00:02:35,552 As soon as I register for school. 48 00:02:35,687 --> 00:02:37,382 But they just accepted your application. 49 00:02:37,515 --> 00:02:39,811 Yeah, as a last-minute admission, right? 50 00:02:39,945 --> 00:02:41,675 Final registration's today. 51 00:02:43,005 --> 00:02:44,268 Miranda Bailey. 52 00:02:44,402 --> 00:02:48,526 MD, FACS, MPH. 53 00:02:48,993 --> 00:02:50,323 That's a lot of letters. 54 00:02:50,456 --> 00:02:53,185 I am unbenched from surgery, I'm getting my master's. 55 00:02:53,317 --> 00:02:55,613 Watch out, world. She's coming for you. 56 00:02:55,746 --> 00:02:58,240 And she is talking about herself in third person. 57 00:02:58,374 --> 00:03:02,232 If only we didn't have to spend all morning at this PR circus. 58 00:03:04,828 --> 00:03:06,291 Oh. 59 00:03:06,924 --> 00:03:08,022 Good morning, Dr. Bailey. 60 00:03:08,155 --> 00:03:10,117 -Good morning. -Ndugu. Millin. 61 00:03:29,745 --> 00:03:30,909 Where are you? 62 00:03:31,042 --> 00:03:32,439 I thought you were gonna be here half an hour ago. 63 00:03:32,573 --> 00:03:34,502 It's total gridlock by the airport. No one's moving. 64 00:03:34,635 --> 00:03:37,295 Catherine told them the surgeon whose name is on the building 65 00:03:37,429 --> 00:03:39,291 - would be here for the photo. - I know. 66 00:03:39,425 --> 00:03:40,656 Tell Catherine I'm sorry. 67 00:03:40,789 --> 00:03:42,486 I'll be there as soon as I can. 68 00:03:47,241 --> 00:03:51,767 All right. Who's ready to see Grey Sloan's new crown jewel? 69 00:03:51,900 --> 00:03:53,263 Follow me. 70 00:04:00,017 --> 00:04:01,547 Welcome to the Olympic Floor. 71 00:04:01,681 --> 00:04:04,043 Welcome to paradise. 72 00:04:06,304 --> 00:04:07,602 Oh, my God. 73 00:04:08,334 --> 00:04:10,430 We made it. We made it. 74 00:04:22,871 --> 00:04:24,535 What is this? 75 00:04:27,794 --> 00:04:29,325 Oh, my God. 76 00:04:36,143 --> 00:04:39,638 With the addition of the Olympic Floor, Grey Sloan joins 77 00:04:39,770 --> 00:04:44,394 the leading hospitals in this country by offering a VIP wing. 78 00:04:44,993 --> 00:04:46,491 The Seahawks are gonna love this. 79 00:04:46,624 --> 00:04:49,585 Mm-hmm. Espresso machines, seven o'clock. 80 00:04:49,717 --> 00:04:53,344 We are very fortunate to have developed our VIP program 81 00:04:53,477 --> 00:04:56,770 with Dr. Seth Norton, CEO of Olympic Regent Health. 82 00:04:56,903 --> 00:04:58,799 Let's give him a warm welcome. 83 00:05:01,127 --> 00:05:02,159 Thank you. 84 00:05:02,293 --> 00:05:03,423 That guy looks like this floor. 85 00:05:03,557 --> 00:05:05,187 -What, slick? -Rich. 86 00:05:06,050 --> 00:05:07,881 It's like dogs and their owners. 87 00:05:08,013 --> 00:05:09,677 - At least the food is good. - Good morning. 88 00:05:09,811 --> 00:05:14,901 I am thrilled to raise the bar on Grey Sloan's already stellar reputation. 89 00:05:15,065 --> 00:05:19,624 Patients will have private suites with high-level security, hotel-quality bedding 90 00:05:19,757 --> 00:05:23,184 and meals tailored to their health needs by a gourmet chef. 91 00:05:23,316 --> 00:05:26,877 I've been covering for Hunt and Altman, but we have money for a gourmet chef? 92 00:05:27,008 --> 00:05:28,806 I should have asked for a raise. 93 00:05:28,937 --> 00:05:31,434 It will no longer be a hospital stay. 94 00:05:31,566 --> 00:05:33,363 It will be a luxury experience. 95 00:05:33,497 --> 00:05:34,925 Mmm. We should vacation here. 96 00:05:35,060 --> 00:05:36,955 But all of these amenities pale in comparison 97 00:05:37,089 --> 00:05:39,650 to the unparalleled access patients will have 98 00:05:39,784 --> 00:05:42,711 to the hospital's most important asset: you. 99 00:05:42,845 --> 00:05:46,636 From fast-tracking through the ER to 24-7 post-op access, 100 00:05:46,770 --> 00:05:50,562 your patients will not doubt for a single second how much you care about them. 101 00:05:50,695 --> 00:05:53,357 All right. Enough talk. Let's cut the ribbon. 102 00:05:53,489 --> 00:05:54,654 Come on, Dr. Shepherd. 103 00:05:54,787 --> 00:05:57,548 Join us. All right, come on. 104 00:05:57,681 --> 00:05:58,844 -Join us. Join us. -All right. 105 00:05:58,977 --> 00:06:00,142 Here we go. 106 00:06:04,268 --> 00:06:06,297 Two planes collided on the runway at the airport. 107 00:06:06,431 --> 00:06:08,193 - We're about to get slammed. - All right. 108 00:06:08,327 --> 00:06:11,321 That's enough celebrating for me. I'll send everyone down. 109 00:06:11,453 --> 00:06:12,551 Come on. 110 00:06:13,449 --> 00:06:15,246 All right. Everyone, stay calm. 111 00:06:17,441 --> 00:06:20,102 Hey. Sorry about this morning. I probably should have locked the door. 112 00:06:20,236 --> 00:06:21,766 That's okay. We don't need to talk about it. 113 00:06:21,932 --> 00:06:24,427 -Kwan and I were up late playing games. -Still talking about it. 114 00:06:24,560 --> 00:06:26,623 We're good? It's nothing you haven't seen before, right? 115 00:06:26,756 --> 00:06:29,051 This place looks like a dump compared to the new floor. 116 00:06:29,184 --> 00:06:30,948 Took you long enough. 117 00:06:31,080 --> 00:06:33,874 Between that dog-and-pony show and this trauma, the whole day is thrown off. 118 00:06:34,009 --> 00:06:38,633 Most elective classes-- I mean, cases-- are pushed. 119 00:06:38,764 --> 00:06:40,428 So go where you're needed. 120 00:06:40,562 --> 00:06:43,456 Millin, I saw what happened this morning. 121 00:06:44,255 --> 00:06:46,649 I don't tolerate tardiness in my residency program. 122 00:06:46,781 --> 00:06:48,945 -It won't happen again. -Hmm. 123 00:06:56,164 --> 00:06:57,528 Meredith, you made it. 124 00:06:57,660 --> 00:06:59,091 Just in time for the chaos, I see. 125 00:06:59,225 --> 00:07:00,488 -Yeah. -How mad is Catherine? 126 00:07:00,621 --> 00:07:01,985 Uh, are you staying to help? 127 00:07:02,118 --> 00:07:04,048 Well, it'll probably make up for missing the big unveiling. 128 00:07:04,181 --> 00:07:06,410 -Yeah. It couldn't hurt. Mm-hmm. -I'll go change. 129 00:07:07,308 --> 00:07:09,004 Excuse me. Hey, hey. 130 00:07:09,537 --> 00:07:10,569 Hey! 131 00:07:11,134 --> 00:07:12,364 What do you need? 132 00:07:12,963 --> 00:07:15,059 Do you work here? I've already been here six hours. 133 00:07:15,193 --> 00:07:17,421 Okay. There's a big emergency that's just come in. 134 00:07:17,554 --> 00:07:18,652 I have to run upstairs. 135 00:07:18,785 --> 00:07:20,680 I will check on you when I get back, okay? 136 00:07:25,670 --> 00:07:28,033 Hey. Good thing you weren't flying in today. 137 00:07:29,165 --> 00:07:30,228 Also, hi. 138 00:07:30,362 --> 00:07:32,790 How was, uh, visiting your mom in Wisconsin? 139 00:07:32,923 --> 00:07:35,019 Uh, it was my dad in Michigan. 140 00:07:35,153 --> 00:07:37,646 Right. Yes. I did know that. Uh... 141 00:07:38,279 --> 00:07:41,306 What are you doing after work? You wanna grab food and talk? 142 00:07:41,938 --> 00:07:44,300 -You're kidding, right? -You're still mad? 143 00:07:45,066 --> 00:07:46,828 -We've been texting. -Yeah, we work together. 144 00:07:46,962 --> 00:07:48,492 I can't exactly ignore you. 145 00:07:49,157 --> 00:07:53,116 Bree Wong, 31. Status: post-plane crash on the tarmac. GCS: 15. Vitals stable. 146 00:07:53,249 --> 00:07:55,478 Has facial bruising and one episode of epistaxis. 147 00:07:55,610 --> 00:07:56,808 Nasal packing inserted. 148 00:07:56,942 --> 00:07:58,871 She also had episodes of intermittent paralysis. 149 00:07:59,004 --> 00:08:00,268 I don't know what happened. 150 00:08:00,867 --> 00:08:04,260 The sound, the crunching metal, screams. 151 00:08:04,394 --> 00:08:06,922 -You were on one of the planes? -I'm the pilot. 152 00:08:07,054 --> 00:08:08,717 Today's my first day as captain. 153 00:08:08,851 --> 00:08:11,113 - How many passengers? - 212. Full flight. 154 00:08:11,246 --> 00:08:14,274 -And that's just one of the planes. -Okay. Let's go Trauma 1. 155 00:08:15,937 --> 00:08:18,232 Anyone who's not down here already needs to report to the ER now. 156 00:08:18,365 --> 00:08:20,028 -I'll get the word out. -All right. 157 00:08:20,162 --> 00:08:22,856 Hell of a time to be down three surgeons. 158 00:08:28,878 --> 00:08:31,006 Uh, my name is Benson. 159 00:08:33,202 --> 00:08:34,566 I am a doctor. 160 00:08:38,425 --> 00:08:39,756 Nope. 161 00:08:40,222 --> 00:08:44,846 Je ne suis pas médecin because médecin can kiss my derrière. 162 00:08:44,978 --> 00:08:46,110 Yeah. 163 00:08:48,538 --> 00:08:53,362 Let's pick up from last week by practicing our names and jobs. 164 00:08:53,495 --> 00:08:54,526 Benson. 165 00:09:01,545 --> 00:09:05,603 - Self-employed. - Ah! 166 00:09:08,132 --> 00:09:09,962 Yeah, it is. 167 00:09:12,656 --> 00:09:13,688 Monica. 168 00:09:14,453 --> 00:09:18,211 Your mother's told me so much about you, Ms. Annabelle. 169 00:09:18,811 --> 00:09:21,439 -How is your mother? -Uh, stuck in Milan. 170 00:09:21,571 --> 00:09:23,867 - She sends her love. - Nice. 171 00:09:24,000 --> 00:09:26,296 How do you like our new VIP floor, huh? 172 00:09:26,429 --> 00:09:28,724 Almost as nice as Mount Sinai. 173 00:09:28,857 --> 00:09:30,720 Is it okay to examine you, Ms. Chase? 174 00:09:32,250 --> 00:09:34,381 - Not him. - Of course not. 175 00:09:34,512 --> 00:09:36,076 Uh, Dr. Spencer. 176 00:09:38,571 --> 00:09:39,602 Oh. Hmm. 177 00:09:40,068 --> 00:09:41,998 Oh, uh. Does he bite or... 178 00:09:42,130 --> 00:09:45,359 Uh, you were, um, diagnosed with gallstones. 179 00:09:45,490 --> 00:09:48,917 I was at a conference in Aspen for my dog rescue when I started feeling pain. 180 00:09:49,050 --> 00:09:51,347 I went to the emergency room. They said I needed surgery. 181 00:09:51,478 --> 00:09:52,509 Mmm. 182 00:09:53,208 --> 00:09:55,137 -Any tenderness here? -No. 183 00:09:55,271 --> 00:09:57,268 But I want them gone today. 184 00:09:58,730 --> 00:10:02,989 Um... You know, let's do some labs, and then we'll get an ultrasound, 185 00:10:03,121 --> 00:10:04,751 and then we'll take it from there. 186 00:10:04,885 --> 00:10:06,914 Would you like a warm blanket while you're waiting? 187 00:10:07,047 --> 00:10:09,176 Could I get two? I forgot Prince's sweater. 188 00:10:09,311 --> 00:10:10,673 Of course. 189 00:10:10,806 --> 00:10:12,469 -Spencer... -Of course. 190 00:10:13,634 --> 00:10:15,696 Isn't he cute? Hello. 191 00:10:17,659 --> 00:10:19,089 -What'd I miss? -Captain Wong was flying 192 00:10:19,224 --> 00:10:20,719 one of the planes in the collision. 193 00:10:20,853 --> 00:10:22,948 Both pupils are equal and reactive. 194 00:10:23,081 --> 00:10:25,077 -Excuse me. -Nasal packing is fully saturated. 195 00:10:25,212 --> 00:10:27,473 I need to visualize the source to control the hemorrhaging. 196 00:10:27,605 --> 00:10:29,536 -Squeeze my fingers. -This isn't gonna feel very good. 197 00:10:29,668 --> 00:10:31,532 I'm sorry. 198 00:10:31,664 --> 00:10:34,126 Yeah. It looks like a LeFort fracture. She has maxillary instability. 199 00:10:34,260 --> 00:10:35,955 I'm gonna call for a CT Max/face. 200 00:10:36,089 --> 00:10:38,916 We were about to touch down when I heard the tower clear another plane 201 00:10:39,049 --> 00:10:40,780 for the intersection departure. 202 00:10:40,912 --> 00:10:42,476 Okay, she's neuro intact now, 203 00:10:42,609 --> 00:10:44,772 but there's midline tenderness and intermittent motor deficits. 204 00:10:44,904 --> 00:10:47,135 I need a stat CT head and C-spine. 205 00:10:47,699 --> 00:10:50,260 Uh, I couldn't go around. It was too late. 206 00:10:50,393 --> 00:10:53,222 My wing clipped the nose of the other plane. 207 00:10:53,354 --> 00:10:55,084 I need to check on a patient in the next room. 208 00:10:55,218 --> 00:10:56,847 Page me when scans are up. 209 00:10:57,579 --> 00:10:59,742 No, not so fast. We need to stabilize these facial fractures 210 00:10:59,874 --> 00:11:01,970 and stop the bleeding before she goes anywhere. 211 00:11:02,105 --> 00:11:03,767 Okay, I'll go get an MMF kit. 212 00:11:05,031 --> 00:11:06,097 It's okay. 213 00:11:06,228 --> 00:11:09,755 Uh, so sorry about all this chaos today. 214 00:11:09,887 --> 00:11:12,515 Reminds me of my med school rotation at LA County. 215 00:11:12,981 --> 00:11:17,206 Dr. Grey, I'd like to introduce you to Dr. Seth Norton, 216 00:11:17,339 --> 00:11:20,832 who is the founder/CEO of Olympic Regent Health. 217 00:11:20,965 --> 00:11:23,029 We missed you this morning. 218 00:11:23,162 --> 00:11:25,158 Can't exactly control a mass trauma. 219 00:11:25,290 --> 00:11:26,820 But it's a pleasure to finally meet you, sir. 220 00:11:26,953 --> 00:11:29,116 -Yes. -I take it it went well this morning. 221 00:11:29,249 --> 00:11:32,011 -I'd be happy to give you a private tour. -Oh. Good idea. 222 00:11:32,144 --> 00:11:34,106 Hey, why don't you two get to know each other? 223 00:11:34,239 --> 00:11:37,966 I'm gonna go find Ndugu, give him a piece of my mind about all this mess. 224 00:11:38,630 --> 00:11:40,526 My afternoon's booked, but I could squeeze you in now. 225 00:11:40,660 --> 00:11:44,418 Um, I'm pretty busy, and, you know, I don't really need the sales pitch. 226 00:11:44,551 --> 00:11:46,813 You're not skeptical about a VIP floor? 227 00:11:46,948 --> 00:11:49,575 Well, most private hospitals in big cities have them. 228 00:11:49,707 --> 00:11:52,104 -They're just trying to keep up. -I love a pragmatist. 229 00:11:53,400 --> 00:11:55,163 Uh, excuse me. I have a patient. 230 00:11:55,297 --> 00:11:57,559 I make an excellent tour guide. I'm here all day. 231 00:11:59,056 --> 00:12:00,419 Hey. Where are you going? 232 00:12:01,251 --> 00:12:02,349 To get my mom and dad. 233 00:12:02,916 --> 00:12:04,279 When they realize I still haven't been seen, 234 00:12:04,411 --> 00:12:05,742 -they're gonna be pissed. -Okay. 235 00:12:05,875 --> 00:12:09,169 Bryant, let's get him in an exam room and find his parents. 236 00:12:09,634 --> 00:12:12,163 -We're gonna get you seen. -All right. Just have a seat right here. 237 00:12:13,560 --> 00:12:15,755 Hey, Ndugu. Heads up. 238 00:12:15,890 --> 00:12:18,616 Supply's out of MMF kits, and Dr. Fox is looking for you. 239 00:12:18,749 --> 00:12:20,279 - So, I would hide. - All right. 240 00:12:20,413 --> 00:12:21,944 Running the ER is not my job. 241 00:12:22,076 --> 00:12:23,507 And check the cart by Trauma 3, all right? 242 00:12:23,639 --> 00:12:25,236 Okay. Oh. Um... 243 00:12:26,501 --> 00:12:28,230 I saw you and Millin this morning. 244 00:12:28,830 --> 00:12:29,862 In the elevator. 245 00:12:30,326 --> 00:12:31,657 With the coffee cups. 246 00:12:32,222 --> 00:12:36,880 Okay, I also saw the two of you coming out of an on-call room together. 247 00:12:37,445 --> 00:12:38,810 About a month ago? 248 00:12:40,373 --> 00:12:42,168 Promise it's not what you're thinking, okay? 249 00:12:42,302 --> 00:12:43,566 Ha. Okay. Yeah, fine. 250 00:12:44,032 --> 00:12:46,560 But just in case it is exactly what I think it is, 251 00:12:46,693 --> 00:12:50,552 I'm telling you, as a friend, come clean and get ahead of it. 252 00:12:51,150 --> 00:12:53,780 -Hey. OB sent me down here to help... -Okay. 253 00:12:53,913 --> 00:12:55,110 -...and now I see why. -Yeah. 254 00:12:55,642 --> 00:12:57,372 - Bed two. Thank you. - Yeah. 255 00:12:57,505 --> 00:13:00,632 Okay, sir, sir, you are at the hospital, so try to calm down. 256 00:13:00,765 --> 00:13:02,828 -We're gonna help you. -All right. What do we got? 257 00:13:02,962 --> 00:13:06,787 Larry Turner, 44. Acute chest pain radiating from the back, dyspnea. 258 00:13:06,920 --> 00:13:09,514 BP: 170 over 100. Heart rate: 112. 259 00:13:09,647 --> 00:13:12,175 -Ninety-three percent sats. -I'm so sorry. I'm so sorry. 260 00:13:12,309 --> 00:13:16,500 Okay, let's do a chest X-ray, CBC, BMP, troponins and an EKG, all right? 261 00:13:16,633 --> 00:13:19,094 -Just try to breathe, sir. Okay? -I can't. It's all my fault. 262 00:13:19,228 --> 00:13:20,759 I was the controller in the tower. 263 00:13:20,892 --> 00:13:23,553 I told them they were clear to land. It's all my fault. 264 00:13:24,051 --> 00:13:26,080 -Okay. Trauma 3. Let's go. -Yeah. 265 00:13:28,277 --> 00:13:29,741 Okay, okay. 266 00:13:31,936 --> 00:13:33,599 You sure we shouldn't go to CT first? 267 00:13:33,733 --> 00:13:35,196 Shepherd's not gonna like this. 268 00:13:35,328 --> 00:13:37,425 -Yeah, well, Shepherd's not here. -Why isn't she in CT? 269 00:13:37,558 --> 00:13:40,219 We were worried her facial fractures could compromise her airways, 270 00:13:40,352 --> 00:13:41,916 so we're doing fixation now. 271 00:13:42,381 --> 00:13:45,076 Before seeing if she has a head bleed or a serious spinal fracture? 272 00:13:45,209 --> 00:13:46,840 We need to get a full picture of what we're-- 273 00:13:46,972 --> 00:13:49,201 How do you propose we stop her facial bleeding in the meantime? 274 00:13:49,334 --> 00:13:50,732 Just repack her, hope for the best? 275 00:13:50,866 --> 00:13:52,596 If she has a brain injury, nothing else matters. 276 00:13:52,728 --> 00:13:55,056 Nothing else matters besides neuro. That tracks. 277 00:13:55,189 --> 00:13:58,117 If that is how you feel, then maybe you should have stayed in Wisconsin. 278 00:13:58,249 --> 00:14:00,213 -Michigan. -Same difference. 279 00:14:04,371 --> 00:14:05,736 You're right. 280 00:14:05,868 --> 00:14:08,197 You clearly have it under control. Do what you want. 281 00:14:08,329 --> 00:14:09,828 What? 282 00:14:10,924 --> 00:14:12,455 Okay. Let's move her. 283 00:14:20,139 --> 00:14:23,000 There are three ways to ask questions. 284 00:14:25,228 --> 00:14:27,092 Inversion. 285 00:14:28,854 --> 00:14:31,150 Intonation. 286 00:14:33,646 --> 00:14:35,475 Are you feeling okay? 287 00:14:38,603 --> 00:14:40,897 Okay. 288 00:14:44,058 --> 00:14:45,920 It's just a headache. 289 00:14:48,283 --> 00:14:51,243 Do you have any other symptoms? Are you... 290 00:14:51,908 --> 00:14:54,137 Okay, I-I'm a doctor. 291 00:14:54,271 --> 00:14:56,932 I can't do medicine in French. 292 00:14:57,064 --> 00:14:59,926 I've had a... a small fever 293 00:15:00,058 --> 00:15:04,517 for a few days and foggy vision, 294 00:15:05,382 --> 00:15:07,711 and, um... c'est bizarre. 295 00:15:08,576 --> 00:15:12,168 Touching my hair is p-painful. 296 00:15:12,301 --> 00:15:16,527 Okay, madame, this could be a medical emergency, okay? 297 00:15:17,058 --> 00:15:19,719 You need to go to Grey Sloan Memorial right now. 298 00:15:21,782 --> 00:15:24,544 Okay, well, class is over. Everyone sign off. 299 00:15:25,973 --> 00:15:27,870 I will see you at the hospital, okay? 300 00:15:32,495 --> 00:15:33,891 Okay. 301 00:15:34,024 --> 00:15:36,718 There's an NTSB officer at the desk. He's looking for Larry. 302 00:15:36,852 --> 00:15:38,814 -This is not a good time. -He asked for my manager. 303 00:15:38,947 --> 00:15:41,076 I'll deal with that in a minute. 304 00:15:41,210 --> 00:15:43,306 I've been working in that tower for 11 years. 305 00:15:43,439 --> 00:15:44,637 My record is spotless. 306 00:15:44,769 --> 00:15:46,534 Are-Are the pilots here? Are they alive? 307 00:15:46,665 --> 00:15:48,562 We can't disclose that information. I'm sorry. 308 00:15:48,694 --> 00:15:50,824 My brother is a pilot. So is my dad. 309 00:15:50,956 --> 00:15:52,321 I-I know how much they depend on us. 310 00:15:52,455 --> 00:15:54,317 Films show a widened mediastinum. 311 00:15:54,451 --> 00:15:56,480 -How's the EKG? -Uh, normal. 312 00:15:56,613 --> 00:15:58,443 We've been understaffed, so I've been working night shifts. 313 00:15:58,575 --> 00:15:59,938 I haven't been sleeping. My neighbor Martha, 314 00:16:00,072 --> 00:16:01,303 she called the police to do a welfare check 315 00:16:01,437 --> 00:16:03,798 because she hasn't seen me in so long. 316 00:16:03,930 --> 00:16:05,993 Look, I'm gonna step outside. 317 00:16:06,127 --> 00:16:08,754 -I can call your brother. -I've had nightmares about this happening. 318 00:16:08,887 --> 00:16:10,684 -It was so much worse. -Go. 319 00:16:10,816 --> 00:16:14,377 We'll order a CT angio, chest and abdomen, and we'll set up for an echo. 320 00:16:14,510 --> 00:16:17,405 Take some deep breaths. Now, sit back for me, okay? 321 00:16:18,867 --> 00:16:20,465 Cough. 322 00:16:21,030 --> 00:16:22,228 You first. 323 00:16:24,722 --> 00:16:26,553 You have an umbilical hernia. 324 00:16:26,685 --> 00:16:29,845 I can operate on it today, but I'll need consent from your parents. 325 00:16:29,978 --> 00:16:31,410 - Dr. Grey. - Yes. 326 00:16:31,543 --> 00:16:33,704 - Oh. You must be Charlie's dad. - Not exactly. 327 00:16:33,837 --> 00:16:37,996 A social worker, DCYF. Charlie is a ward of the state. 328 00:16:38,529 --> 00:16:40,225 It got me into a room, didn't it? 329 00:16:41,090 --> 00:16:43,917 He has a hernia, and I can operate on it, but I need consent. 330 00:16:44,051 --> 00:16:45,713 -How quick can you get it? -Depends. 331 00:16:45,846 --> 00:16:47,543 If I put a rush on it... 332 00:16:48,176 --> 00:16:49,440 I'll put a rush on it. 333 00:16:49,572 --> 00:16:51,701 Great. They're gonna take you to CT soon. 334 00:16:52,201 --> 00:16:53,233 Thank you. 335 00:16:54,962 --> 00:16:56,027 Okay. 336 00:16:57,491 --> 00:16:58,854 Dr. Grey is the best. 337 00:16:59,487 --> 00:17:00,517 All right? 338 00:17:00,650 --> 00:17:01,848 We'll see. 339 00:17:05,142 --> 00:17:07,736 Your ultrasound confirms gallstones. 340 00:17:07,869 --> 00:17:10,696 Uh, there is no evidence of acute inflammation, 341 00:17:10,830 --> 00:17:12,792 and, uh, your labs are clear. 342 00:17:12,926 --> 00:17:16,020 So we'd like to schedule surgery for next week. 343 00:17:16,153 --> 00:17:18,814 -But I cleared my afternoon. -Did you hear about the plane crash? 344 00:17:18,947 --> 00:17:22,307 Next week, I have our annual fundraising gala for all our top donors. 345 00:17:22,441 --> 00:17:23,372 I can't miss it. 346 00:17:23,504 --> 00:17:25,368 I thought this was the VIP floor. 347 00:17:25,500 --> 00:17:27,595 You don't pay first class just to board last. 348 00:17:27,729 --> 00:17:28,794 I'll get you in. 349 00:17:29,427 --> 00:17:32,287 And I want Grey or Sloan. 350 00:17:32,421 --> 00:17:35,746 There are also plenty of world-class surgeons-- 351 00:17:35,879 --> 00:17:38,840 Dr. Grey will be very happy to do your surgery. 352 00:17:38,974 --> 00:17:40,670 Richard, a word? 353 00:17:44,397 --> 00:17:45,860 His first day or something? 354 00:17:48,553 --> 00:17:50,218 I'm a catch, right? 355 00:17:51,349 --> 00:17:52,812 I don't think I should answer that. 356 00:17:53,279 --> 00:17:55,440 I am officially on the market. 357 00:17:55,573 --> 00:17:57,271 Do you have anyone to set me up with? 358 00:17:57,403 --> 00:17:59,200 Oh, I do. We meet up to skateboard-- 359 00:17:59,333 --> 00:18:00,830 I'm gonna stop you right there. 360 00:18:01,428 --> 00:18:03,158 Is your shoulder still bugging you? 361 00:18:03,292 --> 00:18:04,755 It's just stiff. 362 00:18:04,889 --> 00:18:06,119 Pain's better, though. 363 00:18:06,651 --> 00:18:08,779 How you doing, Bree? 364 00:18:08,914 --> 00:18:11,875 I'm second-guessing everything that I've learned in a decade of... 365 00:18:12,008 --> 00:18:13,769 Damn it. 366 00:18:15,367 --> 00:18:17,297 - She's hypoxic. -The bleeding's asphyxiating her. 367 00:18:17,429 --> 00:18:19,061 Wait, wait, wait, wait. 368 00:18:19,193 --> 00:18:21,487 Her CT head is clear, but her C-spine, she has an AO dissociation. 369 00:18:21,621 --> 00:18:23,517 There's nothing holding her head onto her body. 370 00:18:23,650 --> 00:18:27,708 The impact from the collision must have completely severed her alar ligaments. 371 00:18:27,843 --> 00:18:30,770 I don't remember the last time I saw an internal decapitation. 372 00:18:30,903 --> 00:18:32,100 I do, and it didn't end well. 373 00:18:32,234 --> 00:18:34,495 We need to intubate, but we cannot move her C-spine. 374 00:18:34,628 --> 00:18:36,791 Page Wright, call a code blue and get a crash cart. 375 00:18:36,925 --> 00:18:38,387 Code blue. 376 00:18:40,616 --> 00:18:42,913 Labs are up. Troponins are elevated. 377 00:18:43,510 --> 00:18:46,604 If only the officer could help with this unruly ER. 378 00:18:46,738 --> 00:18:48,467 Okay, wait, wait, right there. 379 00:18:50,429 --> 00:18:52,826 Okay, Larry, when was your last physical? 380 00:18:52,958 --> 00:18:53,924 Uh... 381 00:18:54,056 --> 00:18:55,619 I had to push it a couple of times. 382 00:18:55,753 --> 00:18:58,680 Could you roll onto your back for me? Your echo is showing 383 00:18:58,814 --> 00:19:00,877 a thoracic aortic aneurysm. 384 00:19:01,009 --> 00:19:03,303 It's usually asymptomatic until it starts to expand. 385 00:19:03,437 --> 00:19:06,133 I had pain this morning, but we're already down so many people. 386 00:19:06,264 --> 00:19:08,095 - That's comforting. - -What's happening with CT? 387 00:19:08,229 --> 00:19:09,391 They've been full for the last hour. 388 00:19:09,525 --> 00:19:11,156 Let's go and I'll make them fit us in. 389 00:19:11,287 --> 00:19:13,317 I shouldn't have gone to work. I should've just gone to the doctor. 390 00:19:13,450 --> 00:19:16,778 Larry, Larry, look at me. Hey, you're gonna be okay. 391 00:19:16,910 --> 00:19:19,338 - Just try to calm down. - Let's move. 392 00:19:19,472 --> 00:19:21,136 -Let's move. -All right. 393 00:19:21,267 --> 00:19:23,397 ...as quickly as possible. I am aware that your brother is inside. 394 00:19:23,529 --> 00:19:25,626 We will connect you as soon as we are able. The room is full 395 00:19:25,760 --> 00:19:27,190 of patients we have not yet seen. 396 00:19:27,322 --> 00:19:31,247 Simone. Hey, I'm looking for a patient. Uh, Madame Sylvie. 397 00:19:31,381 --> 00:19:32,579 Last name? 398 00:19:32,713 --> 00:19:33,777 I... I don't know. 399 00:19:34,275 --> 00:19:35,773 She's French. 400 00:19:35,906 --> 00:19:38,168 I'm sorry you're bored at home, but unless your French teacher was 401 00:19:38,300 --> 00:19:40,996 on the nonstop from Denver, there's absolutely no way I can see her today. 402 00:19:41,129 --> 00:19:43,323 Okay, I'm actually really enjoying unemployment right now, 403 00:19:43,456 --> 00:19:46,483 but Madame Sylvie might be having a stroke. There, there. 404 00:19:46,618 --> 00:19:50,842 -No. Excuse me, but I was here before her! -I was here before him. 405 00:19:50,976 --> 00:19:52,606 Stick her in an exam room, do the initial workup. 406 00:19:52,739 --> 00:19:55,333 -I will be there when I can. -We got here at the same time. 407 00:19:55,465 --> 00:19:57,862 -I was in front of you on the bus. -No, that is not true. 408 00:19:57,995 --> 00:19:59,392 -That is not true. -Hey, get off me! 409 00:19:59,525 --> 00:20:00,856 - Knock it off. - -All these people from the planes? 410 00:20:00,989 --> 00:20:02,319 -They're all hurt? -We're focused on you. 411 00:20:02,452 --> 00:20:03,983 Watch out for the gurney. Watch out for the gurney. 412 00:20:04,116 --> 00:20:05,979 Hey, watch out for the gurney, please. 413 00:20:06,112 --> 00:20:07,342 - Security! - No! 414 00:20:07,476 --> 00:20:09,271 Security! 415 00:20:09,404 --> 00:20:11,035 -What's the matter with you? -You okay? Hey, hey. 416 00:20:11,167 --> 00:20:12,765 - Whoa, hey, hey, stop. - Knock it off! 417 00:20:12,898 --> 00:20:15,493 Everyone, stop. This is an emergency room. 418 00:20:15,627 --> 00:20:18,220 We are processing patients as fast as we can, 419 00:20:18,353 --> 00:20:21,548 but if we don't help the people with severe injuries first, they could die. 420 00:20:21,680 --> 00:20:24,874 So sit down, and we'll be with you when we can, all right? 421 00:20:25,007 --> 00:20:26,237 All right. 422 00:20:26,370 --> 00:20:29,465 -Hey! -Hey, hey, I said sit down! 423 00:20:30,129 --> 00:20:31,628 Sit down! 424 00:20:33,024 --> 00:20:34,221 Okay. 425 00:20:37,182 --> 00:20:38,279 Fine. 426 00:20:51,187 --> 00:20:52,219 Hey. 427 00:20:53,350 --> 00:20:56,044 Oh. Tell me an expectant mother wasn't injured in the collision. 428 00:20:56,177 --> 00:20:58,073 No, I'm just raiding the OR for supplies. 429 00:20:59,505 --> 00:21:00,736 Damn it, he's coding. 430 00:21:00,869 --> 00:21:02,898 Uh, it's an aneurysm. Must have ruptured. 431 00:21:03,030 --> 00:21:06,391 -We need to do a thoracotomy now. -Here? You can't be serious. 432 00:21:06,524 --> 00:21:09,018 -He is serious. -Turn up the flow and hyperventilate. 433 00:21:09,584 --> 00:21:10,682 You're gonna make the incision. 434 00:21:19,365 --> 00:21:20,596 Okay. One more. 435 00:21:22,658 --> 00:21:23,756 Yeah. Yeah. 436 00:21:26,384 --> 00:21:27,748 Come on. 437 00:21:28,347 --> 00:21:31,972 All right, Millin, stick your hand in there and feel for the area of rupture. 438 00:21:34,402 --> 00:21:35,932 Okay, I got. 439 00:21:36,064 --> 00:21:39,658 All right, now hold pressure distally and proximally and do not move. 440 00:21:40,256 --> 00:21:41,420 Jamie... 441 00:21:41,554 --> 00:21:42,585 Jamie is... 442 00:21:43,350 --> 00:21:44,448 Oh. 443 00:21:45,146 --> 00:21:48,971 Well, we'll just take the next one down. It's-It's all fine. 444 00:21:50,868 --> 00:21:53,430 All right, start cardiac massage with the other hand 445 00:21:53,563 --> 00:21:55,226 and don't stop until the OR. 446 00:21:56,224 --> 00:21:58,520 Come on, Larry, hang in there. 447 00:22:01,514 --> 00:22:03,576 -A little more pressure. -This is what I was worried about. 448 00:22:03,709 --> 00:22:05,406 -What are you doing? -We're trying to intubate, 449 00:22:05,539 --> 00:22:07,202 but we can't hyperextend her neck because she-- 450 00:22:07,335 --> 00:22:09,598 -The AO dissociation. I heard. -Yes. 451 00:22:12,392 --> 00:22:14,055 I need a scalpel. We gotta crike her. 452 00:22:14,188 --> 00:22:17,014 I will stabilize the C-spine. You make the incision. 453 00:22:17,149 --> 00:22:19,178 -Okay. -Get a bougie and a 6-tube ready. 454 00:22:19,311 --> 00:22:21,872 -A little pressure here. -This neck is not going anywhere. 455 00:22:28,393 --> 00:22:30,023 More pressure. 456 00:22:32,784 --> 00:22:34,182 And tube. 457 00:22:38,306 --> 00:22:39,538 We're in. 458 00:22:46,357 --> 00:22:48,552 All right, bilateral chest rise and color change. 459 00:22:48,686 --> 00:22:50,615 -We've got an airway. -Great job, everyone. 460 00:22:50,748 --> 00:22:54,341 For now. We still need to get her to the OR without paralyzing her or killing her. 461 00:22:54,474 --> 00:22:56,038 We can do this. 462 00:22:56,170 --> 00:22:58,798 I will keep holding her, and we will just move slowly and carefully. 463 00:22:58,931 --> 00:23:00,762 -Is everybody ready? -OR floor is at capacity. 464 00:23:00,927 --> 00:23:02,258 They're gonna have to make room. 465 00:23:05,252 --> 00:23:07,913 -I can't. I already have a patient. -Well, now you have two. 466 00:23:08,047 --> 00:23:11,207 If the VIP lab chole is so important, have Norton do it himself. 467 00:23:11,340 --> 00:23:13,136 You were specifically requested. 468 00:23:14,234 --> 00:23:15,399 I don't even work here. 469 00:23:15,531 --> 00:23:16,996 Catherine's under a lot of pressure. 470 00:23:17,128 --> 00:23:20,122 This is day one of the VIP floor. It needs to impress. 471 00:23:22,684 --> 00:23:23,747 Who would do my hernia? 472 00:23:23,881 --> 00:23:25,743 No one. I gave the OR to your lab chole. 473 00:23:25,877 --> 00:23:28,672 The quicker you finish, the quicker you can get to your hernia. 474 00:23:39,151 --> 00:23:43,010 - How's it going? - Benson has been very attentive, 475 00:23:43,143 --> 00:23:45,871 but I-I think this is an overreaction. 476 00:23:46,003 --> 00:23:48,697 Physical exam showed very large arteries in the scalp 477 00:23:48,831 --> 00:23:51,326 and loud pulses in the subclavian artery. 478 00:23:51,459 --> 00:23:52,689 Blood work just came in. 479 00:23:53,522 --> 00:23:54,653 You put it under my name? 480 00:23:55,683 --> 00:23:57,514 Je m'appelle Griffith. 481 00:23:58,246 --> 00:24:01,140 Elevated ESR, platelets, liver enzymes. 482 00:24:01,274 --> 00:24:02,702 Oh, you gotta see this. 483 00:24:06,363 --> 00:24:07,927 -Halo sign. -Halo sign. Yeah. 484 00:24:08,991 --> 00:24:12,949 Sylvie, you have a condition called giant cell arteritis, 485 00:24:13,083 --> 00:24:14,746 which causes inflammation in the arteries. 486 00:24:14,880 --> 00:24:18,838 Everything just went dark in my left eye. 487 00:24:18,971 --> 00:24:20,535 Yeah. 488 00:24:22,797 --> 00:24:25,291 Okay, we need to start her on IV steroids immediately. 489 00:24:25,425 --> 00:24:27,787 Put in the order. Yes, you can use my name. 490 00:24:28,285 --> 00:24:30,116 That's okay. Sylvie, just deep breaths for us. 491 00:24:30,248 --> 00:24:31,480 Just temporary. Don't worry. 492 00:24:34,639 --> 00:24:35,970 Care to step in and help? 493 00:24:36,104 --> 00:24:38,332 Dr. Norton says that VIP patients pay too much 494 00:24:38,466 --> 00:24:39,496 to have interns operate. 495 00:24:39,629 --> 00:24:40,993 This is a teaching hospital. 496 00:24:41,127 --> 00:24:42,956 You want us to tell him that? 497 00:24:43,090 --> 00:24:46,749 No, but I want you to step in here and see what I'm doing, pay attention. 498 00:24:47,647 --> 00:24:50,009 There's a hundred accident victims downstairs, 499 00:24:50,141 --> 00:24:52,304 and patients whose surgeries have been rescheduled, 500 00:24:52,438 --> 00:24:55,863 but God forbid a VIP patient waits for a lab chole. 501 00:24:55,997 --> 00:24:59,024 - Well, money talks. - Spencer, finger. 502 00:25:00,853 --> 00:25:03,149 I've got Charlie Ramos's CT results. 503 00:25:07,507 --> 00:25:09,503 Spencer, you're closing. 504 00:25:09,636 --> 00:25:11,865 -Dr. Norton said that-- -You're more than competent to do this. 505 00:25:11,998 --> 00:25:13,561 Bryant, you're with me. 506 00:25:19,117 --> 00:25:21,978 I am very sorry to keep you waiting. We should go over these-- 507 00:25:23,342 --> 00:25:25,703 -What happened? -He vomited and can't sit up. 508 00:25:25,837 --> 00:25:28,032 -Okay. -Where the hell were you? 509 00:25:28,165 --> 00:25:29,629 I want another doctor. 510 00:25:29,762 --> 00:25:31,791 I need to see your stomach. Your bowel could be incarcerated. 511 00:25:31,925 --> 00:25:35,950 That means it's trapped, and it's dying. It's a very serious situation. 512 00:25:36,083 --> 00:25:37,313 Please let me take a look. 513 00:25:45,065 --> 00:25:47,293 -Bryant. -I'll book an OR. 514 00:25:47,428 --> 00:25:49,755 Let get him cleaned up. 515 00:25:57,141 --> 00:25:59,404 -How's it coming in here? -Almost done with the C2 pedicle screws. 516 00:25:59,536 --> 00:26:00,933 First day as captain. 517 00:26:01,066 --> 00:26:02,796 How do you recover from something like this? 518 00:26:02,929 --> 00:26:05,257 She was acting on the information she was given. 519 00:26:05,392 --> 00:26:06,721 This was not her fault. 520 00:26:06,855 --> 00:26:08,584 I'm not saying it was, but people still got hurt. 521 00:26:08,717 --> 00:26:10,913 - I listened back to the feed. - -You can do that? 522 00:26:11,046 --> 00:26:13,109 Even if she wanted to stop it, she couldn't. 523 00:26:13,241 --> 00:26:16,768 By the time they cleared the other plane, it was already too late. 524 00:26:17,566 --> 00:26:20,328 Well, at least it wasn't too late for Bree. 525 00:26:20,494 --> 00:26:21,758 Last screw's in. 526 00:26:21,891 --> 00:26:23,455 - How are the signals? - Still look good. 527 00:26:23,587 --> 00:26:24,951 I'm gonna stay and monitor her. 528 00:26:25,085 --> 00:26:26,681 Do what you need to do. 529 00:26:28,312 --> 00:26:29,443 We should get sterile. 530 00:26:31,471 --> 00:26:34,798 The medication will reduce swelling and prevent further complications. 531 00:26:34,931 --> 00:26:39,589 Thank you so much, Dr. Kwan. I feel so lucky you're my student. 532 00:26:43,447 --> 00:26:44,745 Dr. Webber. 533 00:26:45,443 --> 00:26:46,508 Can I help you? 534 00:26:46,641 --> 00:26:48,537 Well, I'm just checking on the overflow. 535 00:26:49,270 --> 00:26:50,500 -Catch me up. -Oh, we've... 536 00:26:50,633 --> 00:26:53,594 I've-I've-I've got it covered, and you're so busy. 537 00:26:53,726 --> 00:26:55,124 A-Any day now, Griffith. 538 00:26:55,258 --> 00:26:56,290 Right. 539 00:26:56,787 --> 00:26:58,983 Sylvie Bernard, 52, presented with headaches 540 00:26:59,116 --> 00:27:02,177 and temporal tenderness with one episode of left-sided transient vision loss. 541 00:27:02,310 --> 00:27:05,137 Her labs are notable for elevated ESR and CRP. 542 00:27:05,272 --> 00:27:08,531 Whoa, whoa, whoa, whoa. That's... You don't need to rush. Diagnosis? 543 00:27:09,230 --> 00:27:12,489 Bedside ultrasound was consistent with giant cell arteritis. 544 00:27:13,054 --> 00:27:14,485 You sure it isn't a migraine? 545 00:27:14,619 --> 00:27:17,181 A migraine wouldn't have elevated inflammatory markers, 546 00:27:17,313 --> 00:27:19,109 and there's no visual scintillation, no aura. 547 00:27:19,244 --> 00:27:21,206 I've started her on high-dose methylprednisolone, 548 00:27:21,338 --> 00:27:23,202 and I'll schedule a rheumatology follow-up 549 00:27:23,334 --> 00:27:25,962 and a confirmatory temporal artery biopsy. 550 00:27:26,894 --> 00:27:28,390 Nice catch, Griffith. 551 00:27:29,455 --> 00:27:31,950 You're in the hands of one of our best and brightest. 552 00:27:38,337 --> 00:27:40,533 Do I want to know? 553 00:27:42,262 --> 00:27:43,427 Non. 554 00:27:53,109 --> 00:27:55,470 Hey, I shouldn't have taken credit. I'll tell Dr. Webber 555 00:27:55,602 --> 00:27:57,199 -you made the diagnosis. -Don't bother. 556 00:27:57,332 --> 00:27:59,828 -Why not? If he knows it was you, maybe-- -He's gonna rehire me? 557 00:28:01,026 --> 00:28:03,156 I-I don't work here anymore, 558 00:28:03,287 --> 00:28:05,152 and every second that I'm here, it gets harder to accept. 559 00:28:05,283 --> 00:28:07,612 I-I have to move on. 560 00:28:08,842 --> 00:28:09,940 See you at home. 561 00:28:19,454 --> 00:28:21,984 Nicoletti's tonight? My treat. 562 00:28:22,715 --> 00:28:24,978 Are we celebrating something that I totally forgot about? 563 00:28:25,111 --> 00:28:29,434 No, but I just did a flawless spinal fusion on one of the pilots. 564 00:28:29,568 --> 00:28:32,828 God, every time this job starts to feel thankless or routine, 565 00:28:32,962 --> 00:28:35,190 something happens to remind me why we do this. 566 00:28:35,323 --> 00:28:36,388 Mm-hmm. 567 00:28:37,386 --> 00:28:39,215 I get my own garlic bread. 568 00:28:39,349 --> 00:28:40,878 Won't make that mistake twice. 569 00:28:41,444 --> 00:28:43,839 Ugh. Another consult. 570 00:28:46,035 --> 00:28:48,164 Hey, you okay? You seem a little... 571 00:28:49,095 --> 00:28:51,690 Hungry. So, thanks for that. 572 00:28:52,688 --> 00:28:54,451 Go to your consult. I'll see you later. 573 00:29:05,096 --> 00:29:06,928 All right, Dacron graft, please. 574 00:29:07,559 --> 00:29:10,519 Take these. All right, Dr. Millin, it is time to finish what you started. 575 00:29:10,652 --> 00:29:12,648 You'll be assisting in the anastomosis. 576 00:29:12,781 --> 00:29:14,145 Happy to as long as it's in here. 577 00:29:14,278 --> 00:29:16,074 Not a fan of the elevator? 578 00:29:17,671 --> 00:29:19,767 All right, start on the proximal end. Use 4-0 Prolene. 579 00:29:19,902 --> 00:29:21,430 Ndugu, you sure you don't want to do it? 580 00:29:21,564 --> 00:29:23,293 No, she's got it. I'm right here. 581 00:29:23,426 --> 00:29:25,622 Wow, feel this calcification. 582 00:29:25,756 --> 00:29:28,817 Aneurysm or not, he's lucky he hasn't collapsed from an MI. 583 00:29:28,949 --> 00:29:31,078 - Or the job. - Or both. 584 00:29:31,211 --> 00:29:33,206 I mean, how do you expect people 585 00:29:33,340 --> 00:29:35,902 not to mess up when they're overworked and underpaid? 586 00:29:36,034 --> 00:29:39,795 - Just sheer stupidity, if you ask me. 587 00:29:39,927 --> 00:29:41,124 -V-fib. -Damn it. All right. 588 00:29:41,257 --> 00:29:42,789 - Irrigation. - Here. 589 00:29:42,921 --> 00:29:45,150 - Millin, start cardiac massage. - -Come on now. 590 00:29:45,282 --> 00:29:47,445 Come on, Larry. You made it through the elevator. 591 00:29:47,578 --> 00:29:49,708 Don't do this here. Come on, now. 592 00:29:53,400 --> 00:29:56,061 Ah. You're awake. How are you feeling? 593 00:29:56,560 --> 00:29:58,290 Did you fix the thing? 594 00:29:58,423 --> 00:29:59,454 Surgery went well. 595 00:29:59,587 --> 00:30:02,649 Great. Then you can go. I'm good. 596 00:30:02,781 --> 00:30:04,111 Can we have the room, please? 597 00:30:04,244 --> 00:30:05,409 He's only 17. 598 00:30:05,542 --> 00:30:08,270 He'll be 18 in two months. I checked the chart. 599 00:30:08,836 --> 00:30:10,132 I'll update you thoroughly. 600 00:30:20,179 --> 00:30:24,771 Charlie, during surgery, we noticed an abnormal buildup of mucus in your abdomen. 601 00:30:24,903 --> 00:30:25,934 What does that mean? 602 00:30:26,067 --> 00:30:27,765 Well, could mean a few different things, 603 00:30:27,897 --> 00:30:30,559 and I did send some concerning nodules to pathology. 604 00:30:30,692 --> 00:30:31,857 Could it be bad? 605 00:30:33,253 --> 00:30:35,348 Like cancer? 606 00:30:35,482 --> 00:30:39,873 Possibly, and if it is, you would need more tests 607 00:30:40,005 --> 00:30:42,999 and surgery and possibly chemotherapy treatment. 608 00:30:43,499 --> 00:30:46,360 You have a... a foster parent listed in your chart. 609 00:30:46,493 --> 00:30:48,590 -Shall I call her? -I've been with her 13 days. 610 00:30:48,723 --> 00:30:50,685 You need to start all of this ASAP. 611 00:30:50,819 --> 00:30:52,914 And based on today, that'll be in, what, six months? 612 00:30:53,878 --> 00:30:55,275 I'm sorry about today. 613 00:30:55,408 --> 00:30:57,505 I hate that I let you down, but I'm here now. 614 00:30:57,638 --> 00:30:59,334 And if you agree to let me be your doctor, 615 00:30:59,467 --> 00:31:01,829 I promise I will not let you fall through the cracks. 616 00:31:04,424 --> 00:31:05,655 I want to be alone. 617 00:31:08,517 --> 00:31:09,548 Okay. 618 00:31:10,878 --> 00:31:12,241 We'll be right outside. 619 00:31:17,598 --> 00:31:20,258 Stitches look great. Just repack and then we'll redress. 620 00:31:20,392 --> 00:31:22,588 - You got it, boss. - -Signals are dropping. 621 00:31:22,721 --> 00:31:25,282 She's brady, and now v-fib. 622 00:31:25,416 --> 00:31:26,945 Starting compressions. 623 00:31:27,078 --> 00:31:29,741 The spinal fusion was perfect. Checking the drains. 624 00:31:30,903 --> 00:31:32,701 No, it's not a bleed. 625 00:31:32,833 --> 00:31:36,226 Okay, this has gotta be spinal cord edema. Push 20 of steroids and mannitol now. 626 00:31:37,025 --> 00:31:38,222 Push lido. 627 00:31:39,220 --> 00:31:40,485 Internal paddles. 628 00:31:41,516 --> 00:31:43,713 Charging to 20. 629 00:31:44,577 --> 00:31:46,173 Clear. 630 00:31:46,306 --> 00:31:48,735 - Okay, uh, how many units has he had? 631 00:31:51,064 --> 00:31:52,628 Okay, charging to 30. 632 00:31:53,958 --> 00:31:56,186 And clear. 633 00:31:56,321 --> 00:31:58,416 Charge to 200. 634 00:31:58,549 --> 00:31:59,979 Clear. 635 00:32:01,775 --> 00:32:03,871 - Nothing. - Charge again. 636 00:32:06,000 --> 00:32:07,464 Clear. 637 00:32:09,627 --> 00:32:11,357 - Still nothing. - Damn it. 638 00:32:11,490 --> 00:32:12,655 Not today, Bree. 639 00:32:22,966 --> 00:32:25,195 Pressure's coming back up. 640 00:32:39,965 --> 00:32:40,996 Dr. Shepherd. 641 00:32:41,895 --> 00:32:43,858 She was just getting started. I'm not giving up. 642 00:32:46,221 --> 00:32:47,883 - It's time. - No. 643 00:32:49,047 --> 00:32:50,378 Amelia. 644 00:33:01,588 --> 00:33:03,019 Time of death... 645 00:33:07,178 --> 00:33:08,443 18:09. 646 00:33:25,806 --> 00:33:29,532 Hey. His pressures are miraculously holding. 647 00:33:29,665 --> 00:33:31,296 Pilot didn't make it. 648 00:33:32,128 --> 00:33:34,689 Oh, man. He's never gonna forgive himself. 649 00:33:34,821 --> 00:33:35,853 Mmm. 650 00:33:38,316 --> 00:33:40,013 Oh, no. Ugh. 651 00:33:40,478 --> 00:33:43,339 I missed my registration deadline. 652 00:33:44,768 --> 00:33:48,961 I'm... I'm getting a master's in public health. 653 00:33:49,094 --> 00:33:50,458 Or I was. 654 00:33:50,590 --> 00:33:53,951 With everything going on today, I forgot about school. 655 00:33:54,482 --> 00:33:58,142 Just call. Tell them you were saving someone's life. 656 00:33:58,773 --> 00:34:04,130 You know, today has shown me that maybe I should rethink going at all. 657 00:34:04,264 --> 00:34:06,293 'Cause you missed a deadline? 658 00:34:07,024 --> 00:34:11,316 Full-time surgeon, residency director, the clinic, 659 00:34:11,448 --> 00:34:13,012 being a wife, full-time mom. 660 00:34:13,146 --> 00:34:18,236 If I add more, I mean, something other than a deadline will suffer, 661 00:34:18,368 --> 00:34:19,731 or-or-or someone. 662 00:34:20,963 --> 00:34:24,923 Well, look, Larry made a mistake because he's working in a broken system. 663 00:34:25,055 --> 00:34:26,751 So are we. 664 00:34:26,885 --> 00:34:31,408 Yeah, so I was hoping, with a degree, I could help fix it. 665 00:34:32,639 --> 00:34:35,433 So ask for help. Delegate something. 666 00:34:35,566 --> 00:34:37,562 You know, let other people step up. 667 00:34:37,695 --> 00:34:39,691 Yeah, you can do this. We got you. 668 00:34:50,804 --> 00:34:52,732 Why is your shirt always off? 669 00:34:52,866 --> 00:34:54,928 I am literally in a place where people get dressed. 670 00:34:55,062 --> 00:34:56,557 I need boundaries. 671 00:34:57,488 --> 00:35:01,348 Okay, look, I know that the time we were drunk was a one-time thing 672 00:35:01,480 --> 00:35:03,079 and you're with Bryant now. 673 00:35:03,212 --> 00:35:05,840 Yes, I'm with Bryant now, so I can't see you in the shower naked. 674 00:35:05,973 --> 00:35:08,168 It's distracting. 675 00:35:09,998 --> 00:35:11,527 I need to move on, you know? 676 00:35:13,258 --> 00:35:14,722 I will keep my clothes on. 677 00:35:14,855 --> 00:35:18,446 It's not... ...only the clothes. It's, I... 678 00:35:19,312 --> 00:35:20,810 I just need a little space. 679 00:35:23,603 --> 00:35:24,635 Understood. 680 00:35:36,544 --> 00:35:38,573 Hey. Sorry I couldn't give you a ride. 681 00:35:38,707 --> 00:35:41,301 I needed to make sure I spoke to Larry's brother. 682 00:35:41,434 --> 00:35:43,597 It's probably best we don't travel together. 683 00:35:43,730 --> 00:35:45,926 -Less eyes on us. -Yeah, um... 684 00:35:48,222 --> 00:35:49,451 Ben knows. 685 00:35:50,084 --> 00:35:52,047 -How? -Guess he's seen us a couple times. 686 00:35:52,180 --> 00:35:54,541 I-I don't know. I-I denied it, but he didn't buy it. 687 00:35:54,675 --> 00:35:56,106 Does Bailey know? 688 00:35:56,238 --> 00:35:58,234 -I don't think so. -Are you sure? 689 00:35:59,066 --> 00:36:01,562 Pretty sure, yeah. She, uh... 690 00:36:02,492 --> 00:36:04,056 She made me residency director. 691 00:36:04,190 --> 00:36:06,417 -Wait, what? -Yeah, um... 692 00:36:07,050 --> 00:36:10,975 She said she needed something off her plate and-and she thought 693 00:36:11,109 --> 00:36:13,470 I did a great job teaching you today, and she thinks it's a great fit. 694 00:36:13,603 --> 00:36:14,835 And you accepted? 695 00:36:33,263 --> 00:36:35,192 We can still save this. 696 00:36:42,446 --> 00:36:44,141 Zach's asleep inside. 697 00:36:44,274 --> 00:36:47,502 -Sleeping with Cass was a huge mistake. -Amelia... 698 00:36:47,636 --> 00:36:49,198 -I was sure... -I can't... 699 00:36:49,331 --> 00:36:50,996 -...that you were getting back with Celine. -I can't deal with this. 700 00:36:51,127 --> 00:36:52,726 I was totally shattered. 701 00:36:52,858 --> 00:36:55,186 And how do you think I felt when I came to your door and saw her? 702 00:36:57,050 --> 00:36:59,278 It nearly destroyed me. I had to leave town. 703 00:37:00,044 --> 00:37:02,771 -I have a penchant for self-destruction. -Okay. Okay. 704 00:37:02,905 --> 00:37:07,462 I spent every day since wishing I could take it back because I... 705 00:37:07,596 --> 00:37:11,022 I've spent a long time waiting to feel this way. 706 00:37:11,154 --> 00:37:13,749 Like, when I'm with you, everything's right. 707 00:37:13,883 --> 00:37:17,609 Everything is exactly where it should be. I'm... 708 00:37:17,741 --> 00:37:19,271 I'm exactly where I should be. 709 00:37:19,405 --> 00:37:22,132 You said that you loved me. I love you too. 710 00:37:22,265 --> 00:37:25,692 I'm desperately, madly, dizzyingly in love with you, 711 00:37:25,825 --> 00:37:30,349 so if you're done with me, I will learn to accept it. 712 00:37:30,483 --> 00:37:36,005 But if there's any part of you that still feels the way you did... 713 00:37:39,331 --> 00:37:41,693 I'm begging you not to let this die. 714 00:37:49,611 --> 00:37:50,809 I'm not done. 715 00:38:02,951 --> 00:38:06,244 It's easy to judge people for their actions, 716 00:38:06,377 --> 00:38:08,673 but you don't always know what's driving them. 717 00:38:09,305 --> 00:38:11,301 Look at that. Hurricane slice. 718 00:38:11,434 --> 00:38:13,063 Are you hitting Y when you're pressing that? 719 00:38:13,197 --> 00:38:15,426 -Don't worry. Hurricane slice! -I don't know how you're doing that. 720 00:38:15,559 --> 00:38:16,889 -Okay, wait. -Who's winning? 721 00:38:17,022 --> 00:38:18,420 -Don't talk. -Just one sec. 722 00:38:18,553 --> 00:38:20,980 Come on. Come on. No, no, no, no, no, no, no, no! 723 00:38:21,945 --> 00:38:23,676 What the hell was that? 724 00:38:23,810 --> 00:38:26,004 That's a mega fireball. I unlocked it in the dungeon. 725 00:38:26,138 --> 00:38:27,535 -The mega-- -Yeah. 726 00:38:27,668 --> 00:38:29,996 -Okay, we need another round. -Another round? Another round? 727 00:38:30,129 --> 00:38:32,758 Another, uh, uh... Let's... I'm actually kind of tired. 728 00:38:32,891 --> 00:38:34,388 -No, you just don't want to lose. -It's okay. 729 00:38:34,521 --> 00:38:36,251 It gives me time to review my notes for tomorrow. 730 00:38:36,384 --> 00:38:38,414 Sure? Okay, okay. All right, cool. 731 00:38:38,546 --> 00:38:40,907 It'll only take me a minute to beat him again anyway. 732 00:38:41,040 --> 00:38:43,036 -Whup your butt. -Check this out right now. 733 00:38:43,669 --> 00:38:45,565 -Bam! -I keep letting him get this move off. 734 00:38:45,699 --> 00:38:46,730 That's it. 735 00:38:48,160 --> 00:38:50,422 You don't know what they were born into, 736 00:38:51,287 --> 00:38:52,883 struggles they've faced. 737 00:39:19,497 --> 00:39:22,791 Sometimes we make rash decisions with no idea why. 738 00:39:23,921 --> 00:39:27,481 Meredith. Beautiful, isn't it? 739 00:39:27,614 --> 00:39:29,511 We were just talking about you. 740 00:39:29,643 --> 00:39:32,803 You were so wonderful today with Annabelle Chase. Thank you. 741 00:39:32,936 --> 00:39:35,930 Well, do you still want my opinion? 742 00:39:37,295 --> 00:39:39,091 I don't know. Do I? 743 00:39:39,225 --> 00:39:41,221 Well, I have worked here since I was an intern, 744 00:39:41,353 --> 00:39:43,117 and this hospital has seen a lot of changes. 745 00:39:43,249 --> 00:39:46,576 Name changes, financial crises, tragedies. 746 00:39:46,709 --> 00:39:50,767 The one thing that has never changed is our standard of care. 747 00:39:50,900 --> 00:39:52,796 It has always been excellent. 748 00:39:52,930 --> 00:39:54,427 It never needed to be tiered. 749 00:39:54,560 --> 00:39:58,253 -Meredith, if you just give him-- -Today, I gave inadequate care. 750 00:39:58,386 --> 00:40:02,910 My patient suffered, and I lost his trust, and that is not who we are. 751 00:40:03,043 --> 00:40:04,772 And it is day one, sir. 752 00:40:04,906 --> 00:40:08,931 Meredith, you might want to know that Dr. Norton is our new chief of surgery. 753 00:40:09,065 --> 00:40:11,526 He's gonna be with us every day. 754 00:40:12,225 --> 00:40:13,488 Unlike you. 755 00:40:18,811 --> 00:40:20,641 Oh. Excuse me. 756 00:40:20,773 --> 00:40:24,367 But often it's fear pulling the strings behind the curtain. 757 00:40:26,496 --> 00:40:27,427 Fear of failure... 758 00:40:27,561 --> 00:40:29,423 Meredith. 759 00:40:29,557 --> 00:40:32,385 ...of being let down, or, one of my old favorites, fear of happiness. 760 00:40:32,517 --> 00:40:36,343 You could have told me you were considering hiring him as chief. 761 00:40:36,476 --> 00:40:38,339 You never wanted to be involved in the search. 762 00:40:38,472 --> 00:40:43,029 I didn't think I needed to, but now I am second-guessing that decision. 763 00:40:43,163 --> 00:40:45,957 Annabelle's mother donated $100,000 to this hospital. 764 00:40:46,090 --> 00:40:48,119 Well, that just makes me feel dirtier. 765 00:40:48,253 --> 00:40:51,645 Look, Grey Sloan has lost a huge amount of funding. 766 00:40:51,778 --> 00:40:53,309 Every hospital has. 767 00:40:53,442 --> 00:40:56,137 No, we're not like all hospitals. 768 00:40:56,270 --> 00:40:58,499 We staff highly sought-after surgeons. 769 00:40:58,631 --> 00:41:01,193 We publish groundbreaking research. 770 00:41:01,326 --> 00:41:03,654 Our overhead is massive, Meredith. 771 00:41:03,788 --> 00:41:07,646 If we want to be the same state-of-the-art institute we've always been, 772 00:41:07,780 --> 00:41:10,575 then we need a plan, and Norton has one. 773 00:41:11,672 --> 00:41:13,069 So you need to get on board. 774 00:41:19,756 --> 00:41:21,120 This will implode. 775 00:41:36,389 --> 00:41:39,117 It's all too easy to be your own worst enemy. 776 00:41:45,970 --> 00:41:46,968 Hi. 777 00:41:47,467 --> 00:41:48,498 Hey. 778 00:41:50,627 --> 00:41:53,123 My miracle AO patient died. 779 00:42:02,603 --> 00:42:03,867 I quit. 780 00:42:05,830 --> 00:42:08,991 And the damage we inflict can take a lifetime to undo.