Original subtitles

When patients leave the hospital,

they are often taking home a brand-new regimen

of medication, physical therapy, and aftercare.

We really should go.

Should we, though?

♪ Break the rules, yeah, I'm free ♪

♪ And I feel like the city's all mine ♪

♪ Bloodsuckers on the loose so I'm careful how I move, yeah ♪

Wait, wait, wait, wait. Damn it. What?

We used the last condom last night.

In our dreams, every patient would do

exactly as they're told.

Don't move. Yes, ma'am.

But reality is a different story.

Kwan, if you use the last condom, buy more.

You are unemployed. You have no excuse...

♪ I've been dodging left and right ♪

Morning.

Not Kwan.

Nope. Nope.

Can you pass me a towel? Yep.

Too often, medication costs, memory lapses,

and poor health literacy impede patients' recovery.

You are gorgeous, you know that?

♪ Mama told me bend the rules because some people ♪

What time is it?

I set an alarm. Don't you worry.

♪ Because some people are only bad news ♪

What...

We have time.

No. You have time.

I am a resident, and I should have been there an hour ago.

♪ Because some people are only bad news ♪

And as their surgeon,

there's not a whole lot you can do about it.

In other words,

you can lead a horse to water,

but you can't make it drink.

Wow.

We should be forced to dress up more often.

Have you seen Bubbles?

Nardi can't find him in Luna's stuff.

No, but you want to sneak off to her room for a few minutes?

These things never start on time.

Wait. This is it. Hang on.

Nope. This is my "I almost died" box.

Hmm.

I'm fine.

My therapist just said that I should toss anything

that reminded me of my birth trauma, so...

I'll take care of it tonight.

Okay.

You told Joey to pick Pru up from school, right?

You know I did.

And can you please remind people

that I am not chief resident anymore?

With Wright back from family leave,

I got to put all my focus on plastics.

Soon as I register for school.

They just accepted your application.

Yeah, as a last-minute admission, right?

Final registration's today.

Miranda Bailey, MD, FACS, MPH.

Mm, that's a lot of letters.

I'm un-benched from surgery. I'm getting my master's.

Watch out, world, she's coming for you.

And she is talking about herself in third person.

If only we didn't have to spend all morning

at this P.R. circus.

Dr. Salley to the O.R.

Dr. Vanessa Salley to the O.R.

Ooh.

Good morning, Dr. Bailey. Morning.

Ndugu. Millin.

Where are you? I thought you were

going to be here half an hour ago.

Total gridlock by the airport. No one's moving.

Catherine told them the surgeon whose name is on the building

would be here for the photo.

I know. Tell Catherine I'm sorry.

I'll be there as soon as I can.

Alright. Who's ready to see Grey-Sloan's new crown jewel?

Follow me!

♪ I drive until I see the future on the other side ♪

Welcome to the Olympic Floor. Welcome to paradise!

♪ Come a little closer ♪

Oh, my God.

We made it. We made it!

♪ Where you been? ♪

♪ Where you going? ♪

Oh. ♪ Hey, where you been? ♪

What is this? ♪ I wanna go, too ♪

Oh, my goodness.

♪ I wanna go, too ♪

With the addition of the Olympic floor,

Grey-Sloan joins the leading hospitals in this country

by offering a VIP wing.

The Seahawks are gonna love this.

Mm, espresso machines, 7:00.

We are very fortunate to have developed our VIP program

with Dr. Seth Norton, CEO of Olympic Regent Health.

Let's give him a warm welcome.

Thank you.

That guy looks like this floor.

What, slick? Rich.

It's like dogs and their owners.

At least the food is good.

Good morning. I am thrilled to raise the bar

on Grey-Sloan's already stellar reputation.

Patients will have private suites with high-level security,

hotel-quality bedding, and meals tailored to their health needs

by a gourmet chef.

I've been covering for Hunt and Altman,

but we have money for a gourmet chef?

Should've asked for a raise.

It will no longer be a hospital stay.

It will be a luxury experience.

Mm, we should vacation here.

But all of these amenities pale in comparison

to the unparalleled access patients will have

to the hospital's most important asset, you.

From fast tracking through the E.R.

to 24/7 post-op access,

your patients will not doubt for a single second

how much you care about them.

Alright, enough talk! Let's cut the ribbon!

Come on, Dr. Shepherd, join us!

Alright, come on, join us. Join us. Here we go.

Two planes collided on the runway at the airport.

We're about to get slammed.

Alright, that's enough celebrating for me.

I'll send everyone down.

Yeah. Come on.

Alright, everyone stay calm.

Hey. Sorry about this morning.

I probably should've locked the door.

That's okay. We don't need to talk about it.

Kwan and I were up late playing video games,

so I crashed. Still talking about it.

So we're good? I mean,

it's nothing you haven't seen before, right?

This place looks like a dump compared to the new floor.

Took you long enough. Between that dog and pony show

and this trauma, the whole day is thrown off.

Most elective classes... I-I mean cases are pushed,

so go where you're needed.

Millin?

I saw what happened this morning.

I don't tolerate tardiness in my residency program.

It won't happen again. Mm.

Dr. Thatcher to I and D.

Dr. Jane Thatcher to I and D.

Meredith, you made it.

Just in time for the chaos, I see.

Yeah. How mad is Catherine?

Well, are you staying to help?

Well, it'll probably make up for missing the big unveiling.

Yeah, it couldn't hurt. I'll go change.

Dr. Laura Hewa to PEDS.

Hey, hey. Hey!

What do you need?

Do you work here? I've already been here six hours.

Okay. There's a big emergency that's just come in.

I have to run upstairs.

I will check on you when I get back, okay?

Hey. It's a good thing you weren't flying in today.

Also, hi. How was, uh, visiting your mom in Wisconsin?

Uh, it was my dad. In Michigan.

Right, yes, I did know that.

Um, what are you doing after work?

You want to grab food and talk?

You're kidding, right?

-You're still mad? -Ambulance incoming.

We've been texting. Yeah, we work together.

I can't exactly ignore you.

Bree Wong, 31. Status post plane crash on the tarmac,

G.C.S. 15, vitals stable.

Has facial bruising and one episode of epistaxis.

Nasal packing inserted.

She also had episodes of intermittent paralysis.

I don't know what happened.

The sound,

the crunching metal, screams...

Wait, you were on one of the planes?

I'm the pilot. Today's my first day as captain.

How many passengers?

212. Full flight. And that's just one of the planes.

Okay. Let's go trauma one.

Alright, anyone who's not down here already

needs to report to the E.R. right now.

I'll get the word out. Alright.

Hell of a time to be down three surgeons.

Uh, my name is Benson. Je m'appelle Benson.

I am a doctor.

Je suis médecin.

Nope.

Je ne suis pas médecin.

Because médecin can kiss my derrière. Yeah.

Bonjour. Bonne rentrée à tous.

Let's pick up from last week by practicing our names and jobs.

Benson.

Bonjour. Je m'appelle Benson.

Je suis... self-employed.

Ah, vous êtes travailleur indépendant. Super.

Yeah. It is super.

Your mother's told me so much about you,

Miss Annabelle. How is your mother?

Ugh, stuck in Milan. She sends her love.

Nice. How do you like our new VIP floor?

Almost as nice as Mount Sinai.

Is it okay to examine you, Ms. Chase?

Not him.

Of course not. Uh, Dr. Spencer?

Um...

Uh, does he bite or...

Uh, you were, um, diagnosed with gallstones?

I was at a conference in Aspen for my dog rescue

when I started feeling pain. I went to the emergency room.

They said I needed surgery.

Mm.

Any tenderness here?

No. But I want them gone. Today.

Um, let's do some labs,

and then we'll get an ultrasound,

and then we'll take it from there.

Would you like a warm blanket while you're waiting?

Could I get two? I forgot Prince's sweater.

Of course. Dr. Spencer?

Of course.

Isn't he cute? Hello.

What'd I miss? Captain Wong was flying

one of the planes in the collision.

Both pupils are equal and reactive.

Excuse me. Nasal packing is fully saturated.

I need to visualize the source to control the hemorrhaging.

Squeeze my fingers.

This isn't going to feel very good. I'm sorry.

Yeah, it looks like a LeFort fracture.

She has maxillary instability.

I'm going to call for a C.T. max/face.

We were about to touch down when I heard the tower clear

another plane for the intersection departure.

Okay, she's neuro intact now,

but there's mid line tenderness and intermittent motor deficits.

I need a stat C.T. head and C-spine.

I couldn't go around. It was too late.

My wing clipped the nose of the other plane.

Okay, I need to check on a patient in the next room.

Page me when scans are up.

No, not so fast. We need to stabilize these facial fractures

and stop the bleeding before she goes anywhere.

Okay, I'll go get an MMF kit.

Okay.

Ah, so sorry about all this chaos today.

Reminds me of my med school rotation at L.A. County.

Dr. Grey! I'd like to introduce you to Dr. Seth Norton,

who is the founder/CEO of Olympic Regent Health.

We missed you this morning.

Can't exactly control a mass trauma.

But it's a pleasure to finally meet you, sir.

Yes. I take it it went well this morning?

I'd be happy to give you a private tour.

Oh, good idea. Hey, why don't you two

get to know each other? I'm going to go find Ndugu.

Give him a piece of my mind about all this mess.

My afternoon's booked, but I could squeeze you in now.

Um, I'm pretty busy.

And, you know, I don't really need the sales pitch.

You're not skeptical about a VIP floor?

Well, most private hospitals in big cities have them.

They're just trying to keep up.

I love a pragmatist.

Uh, excuse me. I have a patient.

I make an excellent tour guide.

I'm here all day.

Hey. Where you going?

To get my mom and dad.

When they realize I still haven't been seen,

they're gonna be pissed. Okay.

Bryant, let's get him in an exam room and find his parents.

We're going to get you seen.

Alright, let's have a seat right here.

Hey, Ndugu, heads up. Uh, supply's out of MMF kits,

and Dr. Fox is looking for you, so I would hide.

Alright, running the E.R. is not my job.

And check the cart by trauma three, alright?

Okay. Oh, um...

I saw you and Millin this morning.

In the elevator. With the coffee cups?

Okay, I also saw the two of you

coming out of an on-call room together about a month ago.

I promise it's not what you think. Okay?

Oh. Okay. Yeah, fine.

But just in case it is exactly what I think it is,

I'm telling you, as a friend,

come clean. Get ahead of it.

Hey. O.B. sent me down here to help...

Okay. And now I see why.

Uh, bed two. Thank you.

Okay, sir, sir, you are at the hospital,

so try to calm down. We're gonna help you.

Alright, what do we got? What do we got?

Uh, Larry Turner, 44,

acute chest pain radiating from the back,

dyspnea, B.P. 170/100,

heart rate 112, 93% sats.

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

Okay, let's do a chest X-ray, CBC, BMP, troponins, and an EKG.

Alright, let's try to breathe, sir, alright?

I can't. It's all my fault.

I was the controller in the tower.

I told her they were clearing the land.

It's all my fault!

Okay, uh, trauma three, let's go.

Okay, okay.

Are you sure we shouldn't go to C.T. first?

Shepherd's not gonna like this.

Yeah, well, Shepherd's not here.

Why isn't she in C.T.?

We were worried her facial fractures

could compromise her airway, so we're doing fixation now.

Before seeing if she has a head bleed

or serious spinal fracture?

We need to get a full picture of what we're working on.

And how do you propose we stop her facial bleeding

in the meantime? Just repack her, hope for the best?

If she has a brain injury, nothing else matters.

Oh, nothing else matters besides neuro? That tracks.

If that is how you feel,

then maybe you should have stayed in Wisconsin.

Michigan.

Same difference.

You're right. You clearly have it under control.

Do what you want. What?

Okay, let's move her.

There are three ways to ask questions,

les questions.

Inv-v-ersion...

in-to-na-tion...

qu...

A-Are you feeling okay?

En français, s'il vous plaît.

Okay, uh, est-ce que vous vous sentez bien?

It's just a headache. J-Je vais bien.

Do you have any other symptoms?

Uh, are you...

Okay, I-I'm a doctor.

En français.

I-I can't do medicine in French.

I've had a small fever for a few days

and foggy vision, and, um...

C'est bizarre.

T-Touching my hair is p-painful.

Okay, Madame, this could be a medical emergency, okay?

You need to go to Grey-Sloan Memorial right now.

Non, non, ce n'est pas nécessaire...

Okay, well, uh, class is over.

Everyone sign off. Au revoir.

I will see you at the hospital, okay?

Okay.

There's an NTSB officer at the desk.

He's looking for Larry. This is not a good time.

He asked for my manager.

Um, I'll deal with that in a minute.

I've been working in that tower for 11 years.

My record is spotless.

A-Are the pilots here? Are they alive?

We can't disclose that information. Sorry.

My brother is a pilot. So is my dad.

I-I know how much they depend on us.

Films show a widened mediastinum.

How's the EKG?

Uh, normal. We've been understaffed,

so I've been working night shifts.

I haven't been sleeping. My neighbor, Martha,

she called the police to do a welfare check

'cause she hasn't seen me in so long.

Ugh. Look, I'm gonna step outside.

I can call your brother.

I've had nightmares about this happening.

It was so much worse.

Go. Uh, we'll order a C.T. angio chest and abdomen,

and we'll set up for an echo.

Okay, take some deep breaths

and just sit back for me, okay?

Cough.

You first.

You have an umbilical hernia.

I can operate on it today,

but I'll need consent from your parents.

Dr. Grey?

Yes. Oh, you must be Charlie's dad.

-Not exactly. -Uh, social worker.

DCYF. Charlie's a ward of the state.

Got me into room, didn't it?

He has a hernia. And I can operate on it,

but I need consent. How quick can you get it?

Depends. I-If I put a rush on it...

I-I'll put a rush on it. Great.

They're going to take you to C.T. soon.

Thank you.

Dr. Stella Reilly to Cardiology.

Okay.

Dr. Grey is the best.

Alright?

We'll see.

Your ultrasound confirmed gallstones.

There is no evidence of acute inflammation,

and, uh, yeah, your labs are clear.

So we'd like to schedule surgery for next week.

But I cleared my afternoon.

Did you hear about the plane crash?

Next week I have our annual fundraising gala

for all our top donors. I can't miss it.

I thought this was the VIP floor.

You don't pay first class just to board last.

I'll get you in.

And I want Grey. Or Sloan.

There are also plenty of world-class surgeons...

Dr. Grey would be very happy to do your surgery.

Richard, a word?

First day or something?

I'm a catch, right?

I don't think I should answer that.

I am officially on the market.

Do you have anyone to set me up with?

Oh, I do. Uh, we meet up to skateboard...

I'm gonna stop you right there.

Is your shoulder still bugging you?

It's just stiff. The pain's better, though.

How you doing, Bree?

I'm second-guessing everything

that I've learned in a decade of...

Damn it.

She's hypoxic. The bleeding's asphyxiating her.

Wait, wait, wait, wait! Her C.T. head is clear,

but her C-spine... She has A.O. dissociation.

There's nothing holding her head onto her body.

The impact from the collision

must've completely severed her alar ligaments.

I don't remember the last time

I saw internal decapitation.

I do, and it didn't end well.

We need to intubate, but we cannot move her C-spine.

Page Wright, call a code blue and get a crash cart.

Code blue.

Labs are up. Troponins are elevated.

If only the officer could help with this unruly E.R.

Okay, wait, wait. Right there.

Okay. Larry, when was your last physical?

Uh, I had to push it a couple of times.

Could you roll onto your back for me?

Your echo is showing a thoracic aortic aneurysm.

It's usually asymptomatic until it starts to expand.

I had pain this morning, but we're already down

so many people. That's comforting.

What's happening with CT? They've been full for the last hour.

Let's go, and I'll make them fit us in.

I shouldn't have gone to work. I should have just

gone to the doctor. Larry, Larry, look at me.

Hey. You're gonna be okay. Just try to calm down.

Let's move. Let's move.

As quickly as possible.

I am aware that your brother is inside.

We will connect you as soon as we are able.

The room is full of patients we have not yet seen.

Simone. Simone. Hey. Hey. As soon as we get... Excuse me.

I'm looking for a patient, a Madame Sylvie?

Last name?

I-I don't know. Um, she's French?

I'm sorry you're bored at home,

but unless your French teacher was on the nonstop from Denver,

there's absolutely no way I can see her today.

Hey, I'm actually really enjoying unemployment right now,

but Madame Sylvie might be having a stroke.

-There, there. -No. Excuse me,

but I was here before her. And I was here before him.

Stick her in an exam room. Do the initial workup.

I will be there when I can. No, we got here

at the same time! I was in front of you!

Oh, my God.

Are all these people from the planes? They're all hurt?

We're focused on you right now. Look out for the gurney!

Look out for the gurney! Hey! Hey! Hey! Hey!

Ow! Security! Ow!

Security!

You okay?

Hey! Hey! Whoa! Hey! Hey! Stop!

Everyone, stop! This is an emergency room.

We are processing patients as fast as we can.

But if we don't help the people with severe injuries

first, they could die.

So sit down, and we'll be with you when we can.

Alright?

I said sit down!

Sit down!

Okay.

Fine.

Oh, tell me an expectant mother

wasn't injured in the collision.

No, I'm just raiding the O.R. for supplies.

Damn it, he's coding.

Oh, his aneurysm must have ruptured.

We need to do a thoracotomy. Now.

Here? You can't be serious. He is serious.

Alright. Turn up the flow and hyperventilate.

You're gonna make the incision.

Alright.

One more.

Yep. Yep.

Alright. Come on.

Come on.

Alright, Millin. Stick your hand in there

and feel for the area of rupture.

Uh...

Okay. I got it.

Alright, now hold pressure distally and proximally,

and do not move.

And Jamie...

Oh.

Well, we'll just take the next one down.

It... It's all fine.

Alright. Start cardiac massage with your other hand

and don't stop until the O.R.

Come on, Larry. Hang in there.

Alright, little more pressure.

This is what I was worried about. What are you doing?

We are trying to intubate, but we can't hyperextend her neck

because she has an... The A.O. dissociation.

Yes. I heard.

Okay, I need a scalpel. We got to crike her.

I will stabilize the C-spine. You make the incision.

Okay. Get a bougie and a 6-tube ready.

A little pressure here, Shepherd.

This neck is not going anywhere.

A little more pressure.

And tube.

Okay. We're in.

Alright. Bilateral chest rise and color change.

We've got an airway. Great job, everyone.

For now. We still need to get her to the O.R.

without paralyzing or killing her.

We can do this. I will keep holding her,

and we will just move slowly and carefully.

Is everybody ready? O.R. floor is at capacity.

They're gonna have to make room.

I can't. I already have a patient.

Well, now you have two.

If the VIP lap chole is so important,

have Norton do it himself.

You were specifically requested.

I don't even work here.

Catherine's under a lot of pressure.

This is day one of the VIP floor.

It needs to impress.

Well, who would do my hernia?

No one. I gave the O.R. to your lap chole.

The quicker you finish,

the quicker you can get to your hernia.

Dr. Whittaker to Labor and Delivery.

Dr. Millie Whittaker to Labor and Delivery.

How's it going?

Benson has been very attentive,

but I-I think this is an overreaction.

Physical exam showed very large arteries in the scalp

and loud pulses in the subclavian artery.

Blood work just came in.

You put it under my name?

Je m'appelle Griffith.

Elevated ESR, platelets, liver enzymes.

Whoa, you got to see this.

Halo sign. Halo sign. Yeah.

Sylvie, you have a condition called giant cell Arteritis,

which causes inflammation in the arteries.

Everything just went dark in my left eye.

Here.

Okay, we need to start her on I.V. steroids immediately.

Put in the order. Yes, you can use my name.

It's okay, Sylvie. Just deep breaths for us.

Just temporary. Don't worry.

Care to step in and help?

Dr. Norton says that VIP patients pay too much

to have interns operate.

This is a teaching hospital.

Y-You want us to tell him that?

No. But I want you to step in here and see what I'm doing.

Pay attention.

There's 100 accident victims downstairs

and patients whose surgeries have been rescheduled.

But God forbid a VIP patient waits for a lap chole.

Well, money talks.

Spencer, finger.

I've got Charlie Ramos' C.T. results.

Spencer, you're closing. Dr. Norton said that...

You're more than competent to do this.

Bryant, you're with me.

I am very sorry to keep you waiting.

We should go over these scans...

What happened? He vomited and can't sit up.

Okay. Where the hell were you?

I want another doctor. I need to see your stomach.

Your bowel could be incarcerated.

That means it's trapped and it's dying.

It's a very serious situation.

Please let me take a look.

Bryant...

I'll book an O.R.

Julieta, let's get him cleaned up.

How's it coming in here?

Almost done with the C2 pedicle screws.

First day as captain.

How do you recover from something like this?

Well, she was acting on the information she was given.

This was not her fault. I'm not saying it was,

but people still got hurt.

I listened back to the feed.

What, you can do that? Even if she wanted to stop it,

she couldn't. By the time they cleared the other plane,

it was already too late.

Well, at least it wasn't too late for Bree.

-Last screw's in. -How are the signals?

Still look good.

I'm gonna stay and monitor her.

Do what you need to do.

We should get sterile.

The medication will reduce swelling

and prevent further complications.

Thank you so much, Dr. Kwan.

I feel so lucky you're my student.

Dr. Webber. Can I help you?

I'm just checking on the overflow.

Catch me up. Oh, we've... I've...

I've... I've got it covered.

And you're so busy.

Uh, a-any day now, Griffith.

Right.

Sylvie Bernard, 52,

presented with headaches and temporal tenderness

with one episode of left-sided transient vision loss.

Her labs were notable for elevated ESR and CRP.

Uh, whoa, whoa, whoa. No... You don't need to rush.

Diagnosis.

Bedside ultrasound was consistent

with giant cell arteritis.

Sure it isn't a migraine?

A migraine wouldn't have elevated inflammatory markers.

And there's no visual scintillation, no aura.

I've started her on high dose methylprednisolone,

and I'll schedule a rheumatology follow-up

and a confirmatory temporal artery biopsy.

Nice catch, Griffith.

You're in the hands of one of our best and brightest.

Do I want to know?

Non.

Dr. Belz to PDS. Dr. Deborah Belz to PDS.

Hey. I shouldn't have taken credit. I'll tell Dr. Webber

you made the diagnosis... Don't bother.

Why not? If he knows it was you, he...

What, he's gonna rehire me?

I-I don't work here anymore.

And every second that I'm here, it gets harder to accept.

I-I have to move on.

See you at home.

Dr. Burdett to the E.R. Dr. Fiona Burdett to the E.R.

Nicoletti's tonight?

My treat?

Are we celebrating something that I totally forgot about?

No, but I just did a flawless spinal fusion

on one of the pilots.

God, every time this job starts to feel thankless or routine,

something happens to remind me why we do this.

Mm.

I get my own garlic bread.

Won't make that mistake twice.

Ugh, another consult.

You okay? You seem a little...

Hungry. So thanks for that.

Go to your consult. I'll see you later.

Dr. Dawkins to the O.R.

Dr. Maya Dawkins to the O.R.

Alright. Dacron graft, please.

Take these. Alright, Dr. Millin,

it is time to finish what you started.

You'll be assisting in the anastomosis.

Happy to, as long as it's in here.

Not a fan of the elevator?

Alright, start on the proximal end. Use for 4-oh prolene.

Ndugu, you sure you don't want to do it?

No, she's got it. I'm right here.

Wow, feel this calcification. Aneurysm or not,

he's lucky he hasn't collapsed from an M.I.

Or the job.

Or both. I mean, how do you expect people not to mess up

when they're overworked and underpaid?

Just sheer stupidity, if you ask me.

V-Fib.

Damn it. Alright. Irrigation.

Millin, start cardiac massage.

Come on, now. Come on, Larry.

You made it through the elevator. Don't do this here.

Come on, now.

Ah, you're awake.

How you feeling?

Did you fix this thing?

Surgery went well.

Oh, great.

Then you can go. I'm good.

Can we have the room, please? Uh, he's only 17.

He'll be 18 in two months. I checked the chart.

I'll update you thoroughly.

Dr. Reilly to Cardiology.

Dr. Stella Reilly to Cardiology.

Charlie, during surgery,

we noticed an abnormal buildup of mucus in your abdomen.

What does that mean?

Well, it could mean a few different things,

and I did send some concerning nodules to pathology.

Could it be bad?

Like... cancer?

Possibly. And if it is,

you would need more tests and surgery

and possibly chemotherapy treatment.

You have a foster parent listed in your chart.

Shall I call her? I've been with her 13 days.

You need to start all of this ASAP.

And based on today, that'll be in, what, six months?

I'm sorry about today. I hate that I let you down.

But I'm here now. And if you agree to let me be your doctor,

I promise I will not let you fall through the cracks.

I want to be alone.

♪ We meet again ♪

Okay.

We'll be right outside.

♪ Streets were paved with gold, where did it all go now? ♪

Stitches look great. Just repack

-and then we'll redress. -You got it, boss.

Signals are dropping.

She's bradying. And now V-Fib.

Starting compressions.

The spinal fusion was perfect. Checking the drains.

No, it's not a bleed. Okay. This has got to be spinal cord edema.

Push 20 of steroids and mannitol now.

Push Lido.

Internal paddles.

Charging to 20.

Clear.

Okay, uh, how many units has he had?

Okay, charging to 30.

And clear.

Charge to 200.

Clear.

Nothing.

Charge again.

Clear.

Still nothing. Damn it.

Not today, Bree.

Pressure's coming back up.

Dr. Shepherd.

She was just getting started. I'm not giving up.

It's time. No.

Amelia.

Time of death...

18:09.

Dr. Lau to Proctology.

Dr. Fred Lau to Proctology.

Hey. His pressures are miraculously holding.

Pilot didn't make it.

Oh, man. He's never gonna forgive himself.

Mm.

Oh, no. Ah.

I missed my registration deadline.

Uh... I'm...

I'm getting a master's in public health.

Or I was. With everything going on today,

I forgot about school.

Well, just call and tell them you were saving someone's life.

No, today has shown me

that maybe I should rethink going at all.

'Cause you missed a deadline?

Full-time surgeon, residency director,

the clinic, being a wife, full-time mom.

If I add more, I mean, something other than a deadline

will suffer. Or... Or someone.

Well, look, Larry made a mistake

because he's working in a broken system.

Uh, so are we!

I mean, so I was hoping with a degree,

I could help fix it.

So ask for help. Delegate something.

You know, let other people step up.

Yeah, you can do this. We got you.

Uh...

Why is your shirt always off?

I am literally in a place where people get dressed.

I need boundaries.

Okay, look, I know that the time

we were drunk was a one-time thing,

and you're with Bryant now. Yes, I'm with Bryant now,

so I can't see you in the shower naked.

Yeah. It's... distracting.

I need to move on, you know?

I will keep my clothes on.

It's not only the clothes, it's... I...

just need a little space.

Understood.

Hey. Sorry I couldn't give you a ride.

I had to make sure I spoke to Larry's brother.

It's probably best we don't travel together.

Less eyes on us.

Yeah, um...

Ben knows.

How? Guess he's seen us a couple times.

I don't know. I-I denied it, but he didn't buy it.

Does Bailey know?

I don't think so.

Are you sure?

Pretty sure. Yeah. She, uh...

She made me residency director.

Wait, what? Yeah. Um...

She said she needed something off her plate,

and... and she thought I did a great job teaching you today,

and she thinks it'd be a great fit.

And you accepted?

♪ World slows down ♪

♪ Replay, oh ♪

♪ Oh, replay ♪

♪ Replay, oh ♪

We can still save this.

♪ Oh, oh, replay ♪

Zach's asleep inside.

Sleeping with Cass was a huge mistake.

Amelia, I can't deal with this right now. I was sure that you were

getting back with Celine. I was totally shattered.

And how do you think I felt

when I came to your door and saw her?

♪ Try and memorize ♪

It nearly destroyed me. I had to leave town.

I have a penchant for self-destruction.

Okay... I spent every day since

wishing I could take it back, because I...

I've spent a long time waiting to feel this way.

Like, when I'm with you, everything's right.

Everything is exactly where it should be.

I'm... I'm exactly where I should be.

You said that you loved me.

I love you, too. I'm desperately, madly,

dizzyingly in love with you.

So if you're done with me, I will learn to accept it.

But if there's any part of you

that still feels the way you did...

I'm begging you not to let this die.

♪ Again, again, and, oh, replay ♪

I'm not done.

Oh, replay

Replay, oh

♪ Oh, replay, oh ♪

It's easy to judge people for their actions,

but you don't always know what's driving them.

Heyo! Look at that. Hurricane slice.

Are you hitting Y when you're pressing that?

Don't worry about it. Hurricane slice!

I don't know how he's doing that move. Okay, okay, okay.

Who's winning? Don't talk.

Just one second. Come on, come on.

No, no, no, no, no, no, no, no!

Mm! What the hell was that?

That's a mega fireball. I unlocked it in the dungeon.

Mega... Yeah.

Okay, we need another round.

Another round. Another round? Another...

Uh, let's... I'm actually kind of tired.

No, you just don't want to lose.

It's okay. It gives me time to review my notes for tomorrow.

Sure? Okay, okay. Alright. Cool.

It'll only take me a minute to beat him again anyway.

Really? Check this out right now. Whoop your butt.

Bam! I keep letting him

get this move off! That's it.

You don't know what they're born into,

the struggles they've faced.

♪ Staring at an empty wall ♪

Sometimes we make rash decisions with no idea why.

♪ When you're coming home or if you're coming at all ♪

Meredith!

It's beautiful, isn't it?

We were just talking about you.

You were so wonderful today with Annabelle Chase. Thank you.

Well, do you still want my opinion?

I don't know. Do I?

Well, I have worked here since I was an intern,

and this hospital has seen a lot of changes...

name changes, financial crises, tragedies.

The one thing that has never changed is our standard of care.

It has always been excellent. It never needed to be tiered.

Meredith, if you'll just give...

Today, I gave inadequate care.

My patient suffered, and I lost his trust.

And that is not who we are. And it is day one, sir.

Meredith, you might want to know

that Dr. Norton is our new chief of surgery.

He's going to be with us every day.

Unlike you.

Uh, excuse me.

But often, it's fear pulling the strings behind the curtain.

♪ A time before everything was better, when we didn't speak ♪

Fear of failure, of being let down,

or one of my old favorites, fear of happiness.

You could have told me you were considering hiring him as chief.

You never wanted to be involved in the search.

I didn't think I needed to.

But now I am second-guessing that decision.

Annabelle's mother donated $100,000 to this hospital.

Oh, well, that just makes me feel dirtier.

Look, Grey-Sloan has lost a huge amount of funding.

Every hospital has.

No, we're not like all hospitals.

We staff highly sought after surgeons.

We publish groundbreaking research.

Our overhead is massive, Meredith.

If we want to be the same state-of-the-art institute

we've always been, then we need a plan.

And Norton has one.

So you need to get on board.

This will implode.

♪ When the truth came out, the roof wasn't enough ♪

It's all too easy to be your own worst enemy.

♪ To hold our feelings down, we built these walls ♪

♪ Standing, oh, so far apart ♪

♪ So we could call it love ♪

Hi.

Hey.

My miracle A.O. patient died.

I quit.

And the damage we inflict can take a lifetime to undo.