1 00:00:02,675 --> 00:00:04,337 When patients leave the hospital, 2 00:00:04,470 --> 00:00:07,328 they're often taking home a brand-new regimen of medication: 3 00:00:07,461 --> 00:00:09,721 physical therapy and aftercare. 4 00:00:11,715 --> 00:00:13,709 We really should go. 5 00:00:13,841 --> 00:00:14,905 Should we though? 6 00:00:15,570 --> 00:00:16,866 No. 7 00:00:23,179 --> 00:00:24,875 -Wait, wait, wait. Damn it. -What? 8 00:00:25,009 --> 00:00:26,769 We used the last condom last night. 9 00:00:26,903 --> 00:00:29,561 In our dreams, every patient would do exactly as they're told. 10 00:00:29,694 --> 00:00:31,455 -Don't move. -Yes, ma'am. 11 00:00:31,588 --> 00:00:33,649 But reality is a different story. 12 00:00:37,171 --> 00:00:39,364 Kwan, if you use the last condom, buy more. 13 00:00:39,499 --> 00:00:41,858 You are unemployed. You have no excuse to... 14 00:00:43,984 --> 00:00:45,080 Morning. 15 00:00:46,311 --> 00:00:47,308 Not Kwan. 16 00:00:47,441 --> 00:00:48,969 -Nope. -Nope. 17 00:00:49,101 --> 00:00:50,831 -Can you pass me a towel? -Yep. 18 00:00:50,963 --> 00:00:53,089 Too often medication costs, memory lapses, 19 00:00:53,223 --> 00:00:55,948 and poor health literacy impede patients' recovery. 20 00:00:57,044 --> 00:00:59,205 You are gorgeous. You know that? 21 00:01:09,640 --> 00:01:12,564 -What time is it? -I've set an alarm. 22 00:01:12,698 --> 00:01:14,226 Don't you worry. 23 00:01:18,148 --> 00:01:20,540 - What? - No. We have time. 24 00:01:21,106 --> 00:01:23,100 No, you have time. 25 00:01:23,232 --> 00:01:26,358 I am a resident. I should have been there an hour ago. 26 00:01:30,144 --> 00:01:33,468 And as their surgeon, there's not a whole lot you can do about it. 27 00:01:36,492 --> 00:01:38,322 In other words, 28 00:01:38,885 --> 00:01:40,547 you can lead a horse to water, 29 00:01:41,413 --> 00:01:42,774 but you can't make it drink. 30 00:01:47,427 --> 00:01:48,821 Wow. 31 00:01:49,885 --> 00:01:51,481 We should be forced to dress up more often. 32 00:01:51,614 --> 00:01:52,976 Have you seen Bubbles? 33 00:01:53,109 --> 00:01:55,403 Nardi can't find him in Luna's stuff. 34 00:01:55,535 --> 00:01:58,891 No. But if you wanna sneak off to our room for a few minutes... 35 00:01:59,024 --> 00:02:01,118 These things never start on time. 36 00:02:03,012 --> 00:02:04,807 Wait. This is it. Hang on. 37 00:02:05,870 --> 00:02:10,822 No, this is my "I almost died" box. Hmm. 38 00:02:12,018 --> 00:02:13,116 I'm fine. 39 00:02:14,012 --> 00:02:16,837 My therapist just said that I should toss anything 40 00:02:16,970 --> 00:02:19,530 that reminded me of my birth trauma, so... 41 00:02:20,129 --> 00:02:21,358 I'll take care of it tonight. 42 00:02:21,922 --> 00:02:23,120 Okay. 43 00:02:23,252 --> 00:02:25,080 You told Joey to pick Pru up from school, right? 44 00:02:25,214 --> 00:02:26,841 You know I did. 45 00:02:26,973 --> 00:02:29,633 And can you please remind people that I am not chief resident anymore? 46 00:02:29,798 --> 00:02:33,421 With Wright back from family leave, I gotta put all my focus on plastics. 47 00:02:33,554 --> 00:02:35,946 As soon as I register for school. 48 00:02:36,081 --> 00:02:37,774 But they just accepted your application. 49 00:02:37,907 --> 00:02:40,201 Yeah, as a last-minute admission, right? 50 00:02:40,335 --> 00:02:42,063 Final registration's today. 51 00:02:43,391 --> 00:02:44,653 Miranda Bailey. 52 00:02:44,787 --> 00:02:48,907 MD, FACS, MPH. 53 00:02:49,374 --> 00:02:50,702 That's a lot of letters. 54 00:02:50,835 --> 00:02:53,561 I am unbenched from surgery, I'm getting my master's. 55 00:02:53,693 --> 00:02:55,987 Watch out, world. She's coming for you. 56 00:02:56,120 --> 00:02:58,611 And she is talking about herself in third person. 57 00:02:58,745 --> 00:03:02,599 If only we didn't have to spend all morning at this PR circus. 58 00:03:05,193 --> 00:03:06,654 Oh. 59 00:03:07,287 --> 00:03:08,383 Good morning, Dr. Bailey. 60 00:03:08,516 --> 00:03:10,476 -Good morning. -Ndugu. Millin. 61 00:03:30,085 --> 00:03:31,248 Where are you? 62 00:03:31,380 --> 00:03:32,776 I thought you were gonna be here half an hour ago. 63 00:03:32,910 --> 00:03:34,837 It's total gridlock by the airport. No one's moving. 64 00:03:34,970 --> 00:03:37,627 Catherine told them the surgeon whose name is on the building 65 00:03:37,761 --> 00:03:39,621 - would be here for the photo. - I know. 66 00:03:39,755 --> 00:03:40,985 Tell Catherine I'm sorry. 67 00:03:41,118 --> 00:03:42,813 I'll be there as soon as I can. 68 00:03:47,563 --> 00:03:52,085 All right. Who's ready to see Grey Sloan's new crown jewel? 69 00:03:52,218 --> 00:03:53,579 Follow me. 70 00:04:00,326 --> 00:04:01,855 Welcome to the Olympic Floor. 71 00:04:01,989 --> 00:04:04,348 Welcome to paradise. 72 00:04:06,607 --> 00:04:07,904 Oh, my God. 73 00:04:08,635 --> 00:04:10,729 We made it. We made it. 74 00:04:23,158 --> 00:04:24,820 What is this? 75 00:04:28,076 --> 00:04:29,605 Oh, my God. 76 00:04:36,416 --> 00:04:39,908 With the addition of the Olympic Floor, Grey Sloan joins 77 00:04:40,040 --> 00:04:44,659 the leading hospitals in this country by offering a VIP wing. 78 00:04:45,258 --> 00:04:46,754 The Seahawks are gonna love this. 79 00:04:46,887 --> 00:04:49,845 Mm-hmm. Espresso machines, seven o'clock. 80 00:04:49,977 --> 00:04:53,600 We are very fortunate to have developed our VIP program 81 00:04:53,733 --> 00:04:57,023 with Dr. Seth Norton, CEO of Olympic Regent Health. 82 00:04:57,156 --> 00:04:59,050 Let's give him a warm welcome. 83 00:05:01,375 --> 00:05:02,406 Thank you. 84 00:05:02,540 --> 00:05:03,669 That guy looks like this floor. 85 00:05:03,803 --> 00:05:05,431 -What, slick? -Rich. 86 00:05:06,293 --> 00:05:08,123 It's like dogs and their owners. 87 00:05:08,254 --> 00:05:09,917 - At least the food is good. - Good morning. 88 00:05:10,051 --> 00:05:15,136 I am thrilled to raise the bar on Grey Sloan's already stellar reputation. 89 00:05:15,299 --> 00:05:19,854 Patients will have private suites with high-level security, hotel-quality bedding 90 00:05:19,987 --> 00:05:23,410 and meals tailored to their health needs by a gourmet chef. 91 00:05:23,542 --> 00:05:27,100 I've been covering for Hunt and Altman, but we have money for a gourmet chef? 92 00:05:27,230 --> 00:05:29,027 I should have asked for a raise. 93 00:05:29,158 --> 00:05:31,652 It will no longer be a hospital stay. 94 00:05:31,784 --> 00:05:33,579 It will be a luxury experience. 95 00:05:33,713 --> 00:05:35,140 Mmm. We should vacation here. 96 00:05:35,274 --> 00:05:37,168 But all of these amenities pale in comparison 97 00:05:37,301 --> 00:05:39,860 to the unparalleled access patients will have 98 00:05:39,994 --> 00:05:42,918 to the hospital's most important asset: you. 99 00:05:43,052 --> 00:05:46,839 From fast-tracking through the ER to 24-7 post-op access, 100 00:05:46,973 --> 00:05:50,761 your patients will not doubt for a single second how much you care about them. 101 00:05:50,894 --> 00:05:53,553 All right. Enough talk. Let's cut the ribbon. 102 00:05:53,685 --> 00:05:54,849 Come on, Dr. Shepherd. 103 00:05:54,982 --> 00:05:57,740 Join us. All right, come on. 104 00:05:57,873 --> 00:05:59,035 -Join us. Join us. -All right. 105 00:05:59,168 --> 00:06:00,331 Here we go. 106 00:06:04,453 --> 00:06:06,480 Two planes collided on the runway at the airport. 107 00:06:06,614 --> 00:06:08,374 - We're about to get slammed. - All right. 108 00:06:08,508 --> 00:06:11,499 That's enough celebrating for me. I'll send everyone down. 109 00:06:11,631 --> 00:06:12,728 Come on. 110 00:06:13,625 --> 00:06:15,420 All right. Everyone, stay calm. 111 00:06:17,613 --> 00:06:20,271 Hey. Sorry about this morning. I probably should have locked the door. 112 00:06:20,405 --> 00:06:21,934 That's okay. We don't need to talk about it. 113 00:06:22,100 --> 00:06:24,592 -Kwan and I were up late playing games. -Still talking about it. 114 00:06:24,725 --> 00:06:26,786 We're good? It's nothing you haven't seen before, right? 115 00:06:26,919 --> 00:06:29,211 This place looks like a dump compared to the new floor. 116 00:06:29,344 --> 00:06:31,107 Took you long enough. 117 00:06:31,238 --> 00:06:34,030 Between that dog-and-pony show and this trauma, the whole day is thrown off. 118 00:06:34,164 --> 00:06:38,784 Most elective classes-- I mean, cases-- are pushed. 119 00:06:38,915 --> 00:06:40,577 So go where you're needed. 120 00:06:40,711 --> 00:06:43,602 Millin, I saw what happened this morning. 121 00:06:44,400 --> 00:06:46,792 I don't tolerate tardiness in my residency program. 122 00:06:46,924 --> 00:06:49,086 -It won't happen again. -Hmm. 123 00:06:56,297 --> 00:06:57,660 Meredith, you made it. 124 00:06:57,792 --> 00:06:59,221 Just in time for the chaos, I see. 125 00:06:59,355 --> 00:07:00,617 -Yeah. -How mad is Catherine? 126 00:07:00,750 --> 00:07:02,113 Uh, are you staying to help? 127 00:07:02,245 --> 00:07:04,173 Well, it'll probably make up for missing the big unveiling. 128 00:07:04,306 --> 00:07:06,533 -Yeah. It couldn't hurt. Mm-hmm. -I'll go change. 129 00:07:07,430 --> 00:07:09,124 Excuse me. Hey, hey. 130 00:07:09,657 --> 00:07:10,688 Hey! 131 00:07:11,252 --> 00:07:12,481 What do you need? 132 00:07:13,080 --> 00:07:15,173 Do you work here? I've already been here six hours. 133 00:07:15,307 --> 00:07:17,533 Okay. There's a big emergency that's just come in. 134 00:07:17,666 --> 00:07:18,763 I have to run upstairs. 135 00:07:18,896 --> 00:07:20,789 I will check on you when I get back, okay? 136 00:07:25,774 --> 00:07:28,134 Hey. Good thing you weren't flying in today. 137 00:07:29,265 --> 00:07:30,327 Also, hi. 138 00:07:30,461 --> 00:07:32,887 How was, uh, visiting your mom in Wisconsin? 139 00:07:33,020 --> 00:07:35,113 Uh, it was my dad in Michigan. 140 00:07:35,247 --> 00:07:37,738 Right. Yes. I did know that. Uh... 141 00:07:38,370 --> 00:07:41,394 What are you doing after work? You wanna grab food and talk? 142 00:07:42,026 --> 00:07:44,385 -You're kidding, right? -You're still mad? 143 00:07:45,150 --> 00:07:46,911 -We've been texting. -Yeah, we work together. 144 00:07:47,045 --> 00:07:48,573 I can't exactly ignore you. 145 00:07:49,237 --> 00:07:53,192 Bree Wong, 31. Status: post-plane crash on the tarmac. GCS: 15. Vitals stable. 146 00:07:53,325 --> 00:07:55,552 Has facial bruising and one episode of epistaxis. 147 00:07:55,684 --> 00:07:56,881 Nasal packing inserted. 148 00:07:57,015 --> 00:07:58,942 She also had episodes of intermittent paralysis. 149 00:07:59,074 --> 00:08:00,337 I don't know what happened. 150 00:08:00,936 --> 00:08:04,325 The sound, the crunching metal, screams. 151 00:08:04,459 --> 00:08:06,985 -You were on one of the planes? -I'm the pilot. 152 00:08:07,116 --> 00:08:08,778 Today's my first day as captain. 153 00:08:08,912 --> 00:08:11,171 - How many passengers? - 212. Full flight. 154 00:08:11,304 --> 00:08:14,329 -And that's just one of the planes. -Okay. Let's go Trauma 1. 155 00:08:15,991 --> 00:08:18,283 Anyone who's not down here already needs to report to the ER now. 156 00:08:18,416 --> 00:08:20,077 -I'll get the word out. -All right. 157 00:08:20,211 --> 00:08:22,903 Hell of a time to be down three surgeons. 158 00:08:28,919 --> 00:08:31,044 Uh, my name is Benson. 159 00:08:33,238 --> 00:08:34,601 I am a doctor. 160 00:08:38,456 --> 00:08:39,786 Nope. 161 00:08:40,251 --> 00:08:44,871 Je ne suis pas médecin because médecin can kiss my derrière. 162 00:08:45,003 --> 00:08:46,133 Yeah. 163 00:08:48,559 --> 00:08:53,378 Let's pick up from last week by practicing our names and jobs. 164 00:08:53,511 --> 00:08:54,541 Benson. 165 00:09:01,553 --> 00:09:05,607 - Self-employed. - Ah! 166 00:09:08,133 --> 00:09:09,962 Yeah, it is. 167 00:09:12,653 --> 00:09:13,684 Monica. 168 00:09:14,448 --> 00:09:18,202 Your mother's told me so much about you, Ms. Annabelle. 169 00:09:18,802 --> 00:09:21,427 -How is your mother? -Uh, stuck in Milan. 170 00:09:21,559 --> 00:09:23,853 - She sends her love. - Nice. 171 00:09:23,986 --> 00:09:26,279 How do you like our new VIP floor, huh? 172 00:09:26,412 --> 00:09:28,705 Almost as nice as Mount Sinai. 173 00:09:28,838 --> 00:09:30,699 Is it okay to examine you, Ms. Chase? 174 00:09:32,227 --> 00:09:34,356 - Not him. - Of course not. 175 00:09:34,487 --> 00:09:36,049 Uh, Dr. Spencer. 176 00:09:38,542 --> 00:09:39,572 Oh. Hmm. 177 00:09:40,037 --> 00:09:41,966 Oh, uh. Does he bite or... 178 00:09:42,097 --> 00:09:45,323 Uh, you were, um, diagnosed with gallstones. 179 00:09:45,454 --> 00:09:48,878 I was at a conference in Aspen for my dog rescue when I started feeling pain. 180 00:09:49,010 --> 00:09:51,305 I went to the emergency room. They said I needed surgery. 181 00:09:51,436 --> 00:09:52,466 Mmm. 182 00:09:53,164 --> 00:09:55,091 -Any tenderness here? -No. 183 00:09:55,225 --> 00:09:57,220 But I want them gone today. 184 00:09:58,681 --> 00:10:02,936 Um... You know, let's do some labs, and then we'll get an ultrasound, 185 00:10:03,067 --> 00:10:04,696 and then we'll take it from there. 186 00:10:04,830 --> 00:10:06,857 Would you like a warm blanket while you're waiting? 187 00:10:06,989 --> 00:10:09,116 Could I get two? I forgot Prince's sweater. 188 00:10:09,251 --> 00:10:10,612 Of course. 189 00:10:10,745 --> 00:10:12,406 -Spencer... -Of course. 190 00:10:13,570 --> 00:10:15,630 Isn't he cute? Hello. 191 00:10:17,591 --> 00:10:19,019 -What'd I miss? -Captain Wong was flying 192 00:10:19,154 --> 00:10:20,648 one of the planes in the collision. 193 00:10:20,782 --> 00:10:22,875 Both pupils are equal and reactive. 194 00:10:23,007 --> 00:10:25,001 -Excuse me. -Nasal packing is fully saturated. 195 00:10:25,136 --> 00:10:27,395 I need to visualize the source to control the hemorrhaging. 196 00:10:27,527 --> 00:10:29,456 -Squeeze my fingers. -This isn't gonna feel very good. 197 00:10:29,588 --> 00:10:31,450 I'm sorry. 198 00:10:31,582 --> 00:10:34,041 Yeah. It looks like a LeFort fracture. She has maxillary instability. 199 00:10:34,175 --> 00:10:35,869 I'm gonna call for a CT Max/face. 200 00:10:36,002 --> 00:10:38,827 We were about to touch down when I heard the tower clear another plane 201 00:10:38,959 --> 00:10:40,689 for the intersection departure. 202 00:10:40,821 --> 00:10:42,383 Okay, she's neuro intact now, 203 00:10:42,516 --> 00:10:44,677 but there's midline tenderness and intermittent motor deficits. 204 00:10:44,809 --> 00:10:47,037 I need a stat CT head and C-spine. 205 00:10:47,601 --> 00:10:50,159 Uh, I couldn't go around. It was too late. 206 00:10:50,292 --> 00:10:53,118 My wing clipped the nose of the other plane. 207 00:10:53,250 --> 00:10:54,978 I need to check on a patient in the next room. 208 00:10:55,112 --> 00:10:56,740 Page me when scans are up. 209 00:10:57,471 --> 00:10:59,632 No, not so fast. We need to stabilize these facial fractures 210 00:10:59,764 --> 00:11:01,858 and stop the bleeding before she goes anywhere. 211 00:11:01,992 --> 00:11:03,653 Okay, I'll go get an MMF kit. 212 00:11:04,915 --> 00:11:05,980 It's okay. 213 00:11:06,111 --> 00:11:09,635 Uh, so sorry about all this chaos today. 214 00:11:09,767 --> 00:11:12,392 Reminds me of my med school rotation at LA County. 215 00:11:12,858 --> 00:11:17,078 Dr. Grey, I'd like to introduce you to Dr. Seth Norton, 216 00:11:17,211 --> 00:11:20,701 who is the founder/CEO of Olympic Regent Health. 217 00:11:20,834 --> 00:11:22,895 We missed you this morning. 218 00:11:23,028 --> 00:11:25,022 Can't exactly control a mass trauma. 219 00:11:25,154 --> 00:11:26,683 But it's a pleasure to finally meet you, sir. 220 00:11:26,816 --> 00:11:28,976 -Yes. -I take it it went well this morning. 221 00:11:29,109 --> 00:11:31,868 -I'd be happy to give you a private tour. -Oh. Good idea. 222 00:11:32,001 --> 00:11:33,961 Hey, why don't you two get to know each other? 223 00:11:34,094 --> 00:11:37,818 I'm gonna go find Ndugu, give him a piece of my mind about all this mess. 224 00:11:38,481 --> 00:11:40,375 My afternoon's booked, but I could squeeze you in now. 225 00:11:40,509 --> 00:11:44,263 Um, I'm pretty busy, and, you know, I don't really need the sales pitch. 226 00:11:44,396 --> 00:11:46,656 You're not skeptical about a VIP floor? 227 00:11:46,791 --> 00:11:49,415 Well, most private hospitals in big cities have them. 228 00:11:49,547 --> 00:11:51,941 -They're just trying to keep up. -I love a pragmatist. 229 00:11:53,236 --> 00:11:54,997 Uh, excuse me. I have a patient. 230 00:11:55,131 --> 00:11:57,391 I make an excellent tour guide. I'm here all day. 231 00:11:58,886 --> 00:12:00,248 Hey. Where are you going? 232 00:12:01,079 --> 00:12:02,176 To get my mom and dad. 233 00:12:02,743 --> 00:12:04,104 When they realize I still haven't been seen, 234 00:12:04,236 --> 00:12:05,566 -they're gonna be pissed. -Okay. 235 00:12:05,699 --> 00:12:08,989 Bryant, let's get him in an exam room and find his parents. 236 00:12:09,454 --> 00:12:11,980 -We're gonna get you seen. -All right. Just have a seat right here. 237 00:12:13,376 --> 00:12:15,569 Hey, Ndugu. Heads up. 238 00:12:15,704 --> 00:12:18,427 Supply's out of MMF kits, and Dr. Fox is looking for you. 239 00:12:18,560 --> 00:12:20,088 - So, I would hide. - All right. 240 00:12:20,222 --> 00:12:21,752 Running the ER is not my job. 241 00:12:21,883 --> 00:12:23,313 And check the cart by Trauma 3, all right? 242 00:12:23,445 --> 00:12:25,040 Okay. Oh. Um... 243 00:12:26,304 --> 00:12:28,031 I saw you and Millin this morning. 244 00:12:28,631 --> 00:12:29,662 In the elevator. 245 00:12:30,125 --> 00:12:31,455 With the coffee cups. 246 00:12:32,019 --> 00:12:36,673 Okay, I also saw the two of you coming out of an on-call room together. 247 00:12:37,237 --> 00:12:38,601 About a month ago? 248 00:12:40,162 --> 00:12:41,955 Promise it's not what you're thinking, okay? 249 00:12:42,089 --> 00:12:43,352 Ha. Okay. Yeah, fine. 250 00:12:43,817 --> 00:12:46,343 But just in case it is exactly what I think it is, 251 00:12:46,476 --> 00:12:50,331 I'm telling you, as a friend, come clean and get ahead of it. 252 00:12:50,928 --> 00:12:53,556 -Hey. OB sent me down here to help... -Okay. 253 00:12:53,689 --> 00:12:54,884 -...and now I see why. -Yeah. 254 00:12:55,416 --> 00:12:57,144 - Bed two. Thank you. - Yeah. 255 00:12:57,277 --> 00:13:00,401 Okay, sir, sir, you are at the hospital, so try to calm down. 256 00:13:00,534 --> 00:13:02,595 -We're gonna help you. -All right. What do we got? 257 00:13:02,729 --> 00:13:06,550 Larry Turner, 44. Acute chest pain radiating from the back, dyspnea. 258 00:13:06,683 --> 00:13:09,274 BP: 170 over 100. Heart rate: 112. 259 00:13:09,407 --> 00:13:11,932 -Ninety-three percent sats. -I'm so sorry. I'm so sorry. 260 00:13:12,066 --> 00:13:16,253 Okay, let's do a chest X-ray, CBC, BMP, troponins and an EKG, all right? 261 00:13:16,386 --> 00:13:18,844 -Just try to breathe, sir. Okay? -I can't. It's all my fault. 262 00:13:18,978 --> 00:13:20,508 I was the controller in the tower. 263 00:13:20,641 --> 00:13:23,299 I told them they were clear to land. It's all my fault. 264 00:13:23,796 --> 00:13:25,823 -Okay. Trauma 3. Let's go. -Yeah. 265 00:13:28,018 --> 00:13:29,481 Okay, okay. 266 00:13:31,674 --> 00:13:33,335 You sure we shouldn't go to CT first? 267 00:13:33,469 --> 00:13:34,930 Shepherd's not gonna like this. 268 00:13:35,062 --> 00:13:37,157 -Yeah, well, Shepherd's not here. -Why isn't she in CT? 269 00:13:37,290 --> 00:13:39,948 We were worried her facial fractures could compromise her airways, 270 00:13:40,081 --> 00:13:41,644 so we're doing fixation now. 271 00:13:42,108 --> 00:13:44,800 Before seeing if she has a head bleed or a serious spinal fracture? 272 00:13:44,933 --> 00:13:46,563 We need to get a full picture of what we're-- 273 00:13:46,695 --> 00:13:48,921 How do you propose we stop her facial bleeding in the meantime? 274 00:13:49,054 --> 00:13:50,451 Just repack her, hope for the best? 275 00:13:50,585 --> 00:13:52,313 If she has a brain injury, nothing else matters. 276 00:13:52,445 --> 00:13:54,770 Nothing else matters besides neuro. That tracks. 277 00:13:54,903 --> 00:13:57,828 If that is how you feel, then maybe you should have stayed in Wisconsin. 278 00:13:57,960 --> 00:13:59,922 -Michigan. -Same difference. 279 00:14:04,076 --> 00:14:05,440 You're right. 280 00:14:05,572 --> 00:14:07,898 You clearly have it under control. Do what you want. 281 00:14:08,030 --> 00:14:09,528 What? 282 00:14:10,623 --> 00:14:12,152 Okay. Let's move her. 283 00:14:19,828 --> 00:14:22,687 There are three ways to ask questions. 284 00:14:24,912 --> 00:14:26,774 Inversion. 285 00:14:28,535 --> 00:14:30,828 Intonation. 286 00:14:33,322 --> 00:14:35,149 Are you feeling okay? 287 00:14:38,274 --> 00:14:40,566 Okay. 288 00:14:43,723 --> 00:14:45,584 It's just a headache. 289 00:14:47,944 --> 00:14:50,901 Do you have any other symptoms? Are you... 290 00:14:51,566 --> 00:14:53,792 Okay, I-I'm a doctor. 291 00:14:53,926 --> 00:14:56,585 I can't do medicine in French. 292 00:14:56,716 --> 00:14:59,576 I've had a... a small fever 293 00:14:59,707 --> 00:15:04,162 for a few days and foggy vision, 294 00:15:05,026 --> 00:15:07,353 and, um... c'est bizarre. 295 00:15:08,217 --> 00:15:11,805 Touching my hair is p-painful. 296 00:15:11,938 --> 00:15:16,160 Okay, madame, this could be a medical emergency, okay? 297 00:15:16,690 --> 00:15:19,349 You need to go to Grey Sloan Memorial right now. 298 00:15:21,410 --> 00:15:24,169 Okay, well, class is over. Everyone sign off. 299 00:15:25,597 --> 00:15:27,492 I will see you at the hospital, okay? 300 00:15:32,112 --> 00:15:33,507 Okay. 301 00:15:33,639 --> 00:15:36,331 There's an NTSB officer at the desk. He's looking for Larry. 302 00:15:36,465 --> 00:15:38,425 -This is not a good time. -He asked for my manager. 303 00:15:38,558 --> 00:15:40,684 I'll deal with that in a minute. 304 00:15:40,818 --> 00:15:42,912 I've been working in that tower for 11 years. 305 00:15:43,045 --> 00:15:44,242 My record is spotless. 306 00:15:44,374 --> 00:15:46,137 Are-Are the pilots here? Are they alive? 307 00:15:46,268 --> 00:15:48,163 We can't disclose that information. I'm sorry. 308 00:15:48,295 --> 00:15:50,423 My brother is a pilot. So is my dad. 309 00:15:50,555 --> 00:15:51,918 I-I know how much they depend on us. 310 00:15:52,052 --> 00:15:53,912 Films show a widened mediastinum. 311 00:15:54,046 --> 00:15:56,073 -How's the EKG? -Uh, normal. 312 00:15:56,206 --> 00:15:58,034 We've been understaffed, so I've been working night shifts. 313 00:15:58,166 --> 00:15:59,528 I haven't been sleeping. My neighbor Martha, 314 00:15:59,661 --> 00:16:00,891 she called the police to do a welfare check 315 00:16:01,025 --> 00:16:03,384 because she hasn't seen me in so long. 316 00:16:03,516 --> 00:16:05,577 Look, I'm gonna step outside. 317 00:16:05,710 --> 00:16:08,335 -I can call your brother. -I've had nightmares about this happening. 318 00:16:08,468 --> 00:16:10,263 -It was so much worse. -Go. 319 00:16:10,395 --> 00:16:13,952 We'll order a CT angio, chest and abdomen, and we'll set up for an echo. 320 00:16:14,085 --> 00:16:16,977 Take some deep breaths. Now, sit back for me, okay? 321 00:16:18,438 --> 00:16:20,034 Cough. 322 00:16:20,598 --> 00:16:21,795 You first. 323 00:16:24,287 --> 00:16:26,116 You have an umbilical hernia. 324 00:16:26,248 --> 00:16:29,405 I can operate on it today, but I'll need consent from your parents. 325 00:16:29,538 --> 00:16:30,968 - Dr. Grey. - Yes. 326 00:16:31,101 --> 00:16:33,260 - Oh. You must be Charlie's dad. - Not exactly. 327 00:16:33,393 --> 00:16:37,548 A social worker, DCYF. Charlie is a ward of the state. 328 00:16:38,080 --> 00:16:39,774 It got me into a room, didn't it? 329 00:16:40,638 --> 00:16:43,463 He has a hernia, and I can operate on it, but I need consent. 330 00:16:43,596 --> 00:16:45,257 -How quick can you get it? -Depends. 331 00:16:45,390 --> 00:16:47,085 If I put a rush on it... 332 00:16:47,717 --> 00:16:48,980 I'll put a rush on it. 333 00:16:49,112 --> 00:16:51,239 Great. They're gonna take you to CT soon. 334 00:16:51,738 --> 00:16:52,769 Thank you. 335 00:16:54,497 --> 00:16:55,560 Okay. 336 00:16:57,023 --> 00:16:58,385 Dr. Grey is the best. 337 00:16:59,017 --> 00:17:00,046 All right? 338 00:17:00,179 --> 00:17:01,376 We'll see. 339 00:17:04,666 --> 00:17:07,258 Your ultrasound confirms gallstones. 340 00:17:07,391 --> 00:17:10,215 Uh, there is no evidence of acute inflammation, 341 00:17:10,349 --> 00:17:12,309 and, uh, your labs are clear. 342 00:17:12,443 --> 00:17:15,533 So we'd like to schedule surgery for next week. 343 00:17:15,666 --> 00:17:18,325 -But I cleared my afternoon. -Did you hear about the plane crash? 344 00:17:18,458 --> 00:17:21,814 Next week, I have our annual fundraising gala for all our top donors. 345 00:17:21,948 --> 00:17:22,878 I can't miss it. 346 00:17:23,010 --> 00:17:24,872 I thought this was the VIP floor. 347 00:17:25,004 --> 00:17:27,097 You don't pay first class just to board last. 348 00:17:27,231 --> 00:17:28,295 I'll get you in. 349 00:17:28,927 --> 00:17:31,784 And I want Grey or Sloan. 350 00:17:31,918 --> 00:17:35,240 There are also plenty of world-class surgeons-- 351 00:17:35,373 --> 00:17:38,331 Dr. Grey will be very happy to do your surgery. 352 00:17:38,465 --> 00:17:40,159 Richard, a word? 353 00:17:43,882 --> 00:17:45,344 His first day or something? 354 00:17:48,034 --> 00:17:49,697 I'm a catch, right? 355 00:17:50,827 --> 00:17:52,289 I don't think I should answer that. 356 00:17:52,755 --> 00:17:54,914 I am officially on the market. 357 00:17:55,047 --> 00:17:56,743 Do you have anyone to set me up with? 358 00:17:56,875 --> 00:17:58,670 Oh, I do. We meet up to skateboard-- 359 00:17:58,803 --> 00:18:00,299 I'm gonna stop you right there. 360 00:18:00,896 --> 00:18:02,624 Is your shoulder still bugging you? 361 00:18:02,758 --> 00:18:04,220 It's just stiff. 362 00:18:04,354 --> 00:18:05,582 Pain's better, though. 363 00:18:06,114 --> 00:18:08,240 How you doing, Bree? 364 00:18:08,375 --> 00:18:11,333 I'm second-guessing everything that I've learned in a decade of... 365 00:18:11,465 --> 00:18:13,225 Damn it. 366 00:18:14,821 --> 00:18:16,749 - She's hypoxic. -The bleeding's asphyxiating her. 367 00:18:16,881 --> 00:18:18,511 Wait, wait, wait, wait. 368 00:18:18,643 --> 00:18:20,935 Her CT head is clear, but her C-spine, she has an AO dissociation. 369 00:18:21,069 --> 00:18:22,963 There's nothing holding her head onto her body. 370 00:18:23,096 --> 00:18:27,150 The impact from the collision must have completely severed her alar ligaments. 371 00:18:27,285 --> 00:18:30,209 I don't remember the last time I saw an internal decapitation. 372 00:18:30,342 --> 00:18:31,537 I do, and it didn't end well. 373 00:18:31,671 --> 00:18:33,930 We need to intubate, but we cannot move her C-spine. 374 00:18:34,063 --> 00:18:36,224 Page Wright, call a code blue and get a crash cart. 375 00:18:36,358 --> 00:18:37,818 Code blue. 376 00:18:40,045 --> 00:18:42,340 Labs are up. Troponins are elevated. 377 00:18:42,936 --> 00:18:46,027 If only the officer could help with this unruly ER. 378 00:18:46,161 --> 00:18:47,888 Okay, wait, wait, right there. 379 00:18:49,848 --> 00:18:52,243 Okay, Larry, when was your last physical? 380 00:18:52,375 --> 00:18:53,340 Uh... 381 00:18:53,471 --> 00:18:55,033 I had to push it a couple of times. 382 00:18:55,167 --> 00:18:58,091 Could you roll onto your back for me? Your echo is showing 383 00:18:58,225 --> 00:19:00,286 a thoracic aortic aneurysm. 384 00:19:00,417 --> 00:19:02,709 It's usually asymptomatic until it starts to expand. 385 00:19:02,843 --> 00:19:05,536 I had pain this morning, but we're already down so many people. 386 00:19:05,667 --> 00:19:07,496 - That's comforting. - -What's happening with CT? 387 00:19:07,630 --> 00:19:08,791 They've been full for the last hour. 388 00:19:08,925 --> 00:19:10,554 Let's go and I'll make them fit us in. 389 00:19:10,685 --> 00:19:12,713 I shouldn't have gone to work. I should've just gone to the doctor. 390 00:19:12,846 --> 00:19:16,171 Larry, Larry, look at me. Hey, you're gonna be okay. 391 00:19:16,303 --> 00:19:18,728 - Just try to calm down. - Let's move. 392 00:19:18,862 --> 00:19:20,524 -Let's move. -All right. 393 00:19:20,655 --> 00:19:22,783 ...as quickly as possible. I am aware that your brother is inside. 394 00:19:22,915 --> 00:19:25,010 We will connect you as soon as we are able. The room is full 395 00:19:25,144 --> 00:19:26,572 of patients we have not yet seen. 396 00:19:26,704 --> 00:19:30,625 Simone. Hey, I'm looking for a patient. Uh, Madame Sylvie. 397 00:19:30,759 --> 00:19:31,956 Last name? 398 00:19:32,090 --> 00:19:33,153 I... I don't know. 399 00:19:33,650 --> 00:19:35,147 She's French. 400 00:19:35,280 --> 00:19:37,539 I'm sorry you're bored at home, but unless your French teacher was 401 00:19:37,671 --> 00:19:40,365 on the nonstop from Denver, there's absolutely no way I can see her today. 402 00:19:40,497 --> 00:19:42,689 Okay, I'm actually really enjoying unemployment right now, 403 00:19:42,822 --> 00:19:45,846 but Madame Sylvie might be having a stroke. There, there. 404 00:19:45,981 --> 00:19:50,201 -No. Excuse me, but I was here before her! -I was here before him. 405 00:19:50,335 --> 00:19:51,963 Stick her in an exam room, do the initial workup. 406 00:19:52,096 --> 00:19:54,687 -I will be there when I can. -We got here at the same time. 407 00:19:54,819 --> 00:19:57,214 -I was in front of you on the bus. -No, that is not true. 408 00:19:57,347 --> 00:19:58,742 -That is not true. -Hey, get off me! 409 00:19:58,875 --> 00:20:00,205 - Knock it off. - -All these people from the planes? 410 00:20:00,338 --> 00:20:01,666 -They're all hurt? -We're focused on you. 411 00:20:01,799 --> 00:20:03,329 Watch out for the gurney. Watch out for the gurney. 412 00:20:03,461 --> 00:20:05,323 Hey, watch out for the gurney, please. 413 00:20:05,455 --> 00:20:06,684 - Security! - No! 414 00:20:06,818 --> 00:20:08,611 Security! 415 00:20:08,744 --> 00:20:10,373 -What's the matter with you? -You okay? Hey, hey. 416 00:20:10,505 --> 00:20:12,102 - Whoa, hey, hey, stop. - Knock it off! 417 00:20:12,235 --> 00:20:14,827 Everyone, stop. This is an emergency room. 418 00:20:14,961 --> 00:20:17,551 We are processing patients as fast as we can, 419 00:20:17,684 --> 00:20:20,876 but if we don't help the people with severe injuries first, they could die. 420 00:20:21,008 --> 00:20:24,199 So sit down, and we'll be with you when we can, all right? 421 00:20:24,331 --> 00:20:25,560 All right. 422 00:20:25,693 --> 00:20:28,785 -Hey! -Hey, hey, I said sit down! 423 00:20:29,448 --> 00:20:30,946 Sit down! 424 00:20:32,340 --> 00:20:33,536 Okay. 425 00:20:36,494 --> 00:20:37,590 Fine. 426 00:20:50,485 --> 00:20:51,516 Hey. 427 00:20:52,646 --> 00:20:55,337 Oh. Tell me an expectant mother wasn't injured in the collision. 428 00:20:55,470 --> 00:20:57,364 No, I'm just raiding the OR for supplies. 429 00:20:58,795 --> 00:21:00,025 Damn it, he's coding. 430 00:21:00,158 --> 00:21:02,185 Uh, it's an aneurysm. Must have ruptured. 431 00:21:02,316 --> 00:21:05,674 -We need to do a thoracotomy now. -Here? You can't be serious. 432 00:21:05,807 --> 00:21:08,298 -He is serious. -Turn up the flow and hyperventilate. 433 00:21:08,864 --> 00:21:09,961 You're gonna make the incision. 434 00:21:18,635 --> 00:21:19,865 Okay. One more. 435 00:21:21,925 --> 00:21:23,022 Yeah. Yeah. 436 00:21:25,647 --> 00:21:27,010 Come on. 437 00:21:27,608 --> 00:21:31,230 All right, Millin, stick your hand in there and feel for the area of rupture. 438 00:21:33,657 --> 00:21:35,186 Okay, I got. 439 00:21:35,317 --> 00:21:38,908 All right, now hold pressure distally and proximally and do not move. 440 00:21:39,505 --> 00:21:40,668 Jamie... 441 00:21:40,802 --> 00:21:41,832 Jamie is... 442 00:21:42,596 --> 00:21:43,693 Oh. 443 00:21:44,390 --> 00:21:48,212 Well, we'll just take the next one down. It's-It's all fine. 444 00:21:50,107 --> 00:21:52,666 All right, start cardiac massage with the other hand 445 00:21:52,799 --> 00:21:54,460 and don't stop until the OR. 446 00:21:55,457 --> 00:21:57,751 Come on, Larry, hang in there. 447 00:22:00,742 --> 00:22:02,802 -A little more pressure. -This is what I was worried about. 448 00:22:02,935 --> 00:22:04,630 -What are you doing? -We're trying to intubate, 449 00:22:04,763 --> 00:22:06,424 but we can't hyperextend her neck because she-- 450 00:22:06,557 --> 00:22:08,818 -The AO dissociation. I heard. -Yes. 451 00:22:11,609 --> 00:22:13,270 I need a scalpel. We gotta crike her. 452 00:22:13,403 --> 00:22:16,226 I will stabilize the C-spine. You make the incision. 453 00:22:16,361 --> 00:22:18,388 -Okay. -Get a bougie and a 6-tube ready. 454 00:22:18,521 --> 00:22:21,080 -A little pressure here. -This neck is not going anywhere. 455 00:22:27,594 --> 00:22:29,222 More pressure. 456 00:22:31,981 --> 00:22:33,377 And tube. 457 00:22:37,497 --> 00:22:38,728 We're in. 458 00:22:45,540 --> 00:22:47,733 All right, bilateral chest rise and color change. 459 00:22:47,867 --> 00:22:49,794 -We've got an airway. -Great job, everyone. 460 00:22:49,927 --> 00:22:53,516 For now. We still need to get her to the OR without paralyzing her or killing her. 461 00:22:53,649 --> 00:22:55,211 We can do this. 462 00:22:55,343 --> 00:22:57,969 I will keep holding her, and we will just move slowly and carefully. 463 00:22:58,102 --> 00:22:59,931 -Is everybody ready? -OR floor is at capacity. 464 00:23:00,096 --> 00:23:01,425 They're gonna have to make room. 465 00:23:04,416 --> 00:23:07,075 -I can't. I already have a patient. -Well, now you have two. 466 00:23:07,208 --> 00:23:10,365 If the VIP lab chole is so important, have Norton do it himself. 467 00:23:10,498 --> 00:23:12,292 You were specifically requested. 468 00:23:13,389 --> 00:23:14,553 I don't even work here. 469 00:23:14,685 --> 00:23:16,149 Catherine's under a lot of pressure. 470 00:23:16,280 --> 00:23:19,271 This is day one of the VIP floor. It needs to impress. 471 00:23:21,831 --> 00:23:22,893 Who would do my hernia? 472 00:23:23,027 --> 00:23:24,887 No one. I gave the OR to your lab chole. 473 00:23:25,021 --> 00:23:27,813 The quicker you finish, the quicker you can get to your hernia. 474 00:23:38,281 --> 00:23:42,136 - How's it going? - Benson has been very attentive, 475 00:23:42,269 --> 00:23:44,995 but I-I think this is an overreaction. 476 00:23:45,126 --> 00:23:47,818 Physical exam showed very large arteries in the scalp 477 00:23:47,952 --> 00:23:50,444 and loud pulses in the subclavian artery. 478 00:23:50,577 --> 00:23:51,806 Blood work just came in. 479 00:23:52,638 --> 00:23:53,768 You put it under my name? 480 00:23:54,797 --> 00:23:56,626 Je m'appelle Griffith. 481 00:23:57,357 --> 00:24:00,248 Elevated ESR, platelets, liver enzymes. 482 00:24:00,382 --> 00:24:01,809 Oh, you gotta see this. 483 00:24:05,466 --> 00:24:07,029 -Halo sign. -Halo sign. Yeah. 484 00:24:08,092 --> 00:24:12,046 Sylvie, you have a condition called giant cell arteritis, 485 00:24:12,179 --> 00:24:13,841 which causes inflammation in the arteries. 486 00:24:13,975 --> 00:24:17,929 Everything just went dark in my left eye. 487 00:24:18,062 --> 00:24:19,624 Yeah. 488 00:24:21,884 --> 00:24:24,375 Okay, we need to start her on IV steroids immediately. 489 00:24:24,509 --> 00:24:26,869 Put in the order. Yes, you can use my name. 490 00:24:27,366 --> 00:24:29,195 That's okay. Sylvie, just deep breaths for us. 491 00:24:29,327 --> 00:24:30,558 Just temporary. Don't worry. 492 00:24:33,714 --> 00:24:35,044 Care to step in and help? 493 00:24:35,177 --> 00:24:37,403 Dr. Norton says that VIP patients pay too much 494 00:24:37,537 --> 00:24:38,566 to have interns operate. 495 00:24:38,699 --> 00:24:40,062 This is a teaching hospital. 496 00:24:40,195 --> 00:24:42,023 You want us to tell him that? 497 00:24:42,156 --> 00:24:45,812 No, but I want you to step in here and see what I'm doing, pay attention. 498 00:24:46,709 --> 00:24:49,068 There's a hundred accident victims downstairs, 499 00:24:49,200 --> 00:24:51,361 and patients whose surgeries have been rescheduled, 500 00:24:51,495 --> 00:24:54,917 but God forbid a VIP patient waits for a lab chole. 501 00:24:55,051 --> 00:24:58,074 - Well, money talks. - Spencer, finger. 502 00:24:59,902 --> 00:25:02,195 I've got Charlie Ramos's CT results. 503 00:25:06,549 --> 00:25:08,543 Spencer, you're closing. 504 00:25:08,676 --> 00:25:10,903 -Dr. Norton said that-- -You're more than competent to do this. 505 00:25:11,036 --> 00:25:12,597 Bryant, you're with me. 506 00:25:18,147 --> 00:25:21,006 I am very sorry to keep you waiting. We should go over these-- 507 00:25:22,368 --> 00:25:24,727 -What happened? -He vomited and can't sit up. 508 00:25:24,861 --> 00:25:27,053 -Okay. -Where the hell were you? 509 00:25:27,186 --> 00:25:28,649 I want another doctor. 510 00:25:28,782 --> 00:25:30,809 I need to see your stomach. Your bowel could be incarcerated. 511 00:25:30,943 --> 00:25:34,964 That means it's trapped, and it's dying. It's a very serious situation. 512 00:25:35,096 --> 00:25:36,325 Please let me take a look. 513 00:25:44,069 --> 00:25:46,295 -Bryant. -I'll book an OR. 514 00:25:46,430 --> 00:25:48,755 Let get him cleaned up. 515 00:25:56,133 --> 00:25:58,394 -How's it coming in here? -Almost done with the C2 pedicle screws. 516 00:25:58,526 --> 00:25:59,922 First day as captain. 517 00:26:00,054 --> 00:26:01,783 How do you recover from something like this? 518 00:26:01,916 --> 00:26:04,241 She was acting on the information she was given. 519 00:26:04,376 --> 00:26:05,704 This was not her fault. 520 00:26:05,838 --> 00:26:07,565 I'm not saying it was, but people still got hurt. 521 00:26:07,698 --> 00:26:09,892 - I listened back to the feed. - -You can do that? 522 00:26:10,024 --> 00:26:12,085 Even if she wanted to stop it, she couldn't. 523 00:26:12,217 --> 00:26:15,741 By the time they cleared the other plane, it was already too late. 524 00:26:16,538 --> 00:26:19,297 Well, at least it wasn't too late for Bree. 525 00:26:19,463 --> 00:26:20,726 Last screw's in. 526 00:26:20,859 --> 00:26:22,421 - How are the signals? - Still look good. 527 00:26:22,553 --> 00:26:23,916 I'm gonna stay and monitor her. 528 00:26:24,049 --> 00:26:25,644 Do what you need to do. 529 00:26:27,273 --> 00:26:28,403 We should get sterile. 530 00:26:30,429 --> 00:26:33,753 The medication will reduce swelling and prevent further complications. 531 00:26:33,886 --> 00:26:38,539 Thank you so much, Dr. Kwan. I feel so lucky you're my student. 532 00:26:42,393 --> 00:26:43,690 Dr. Webber. 533 00:26:44,387 --> 00:26:45,451 Can I help you? 534 00:26:45,584 --> 00:26:47,478 Well, I'm just checking on the overflow. 535 00:26:48,210 --> 00:26:49,439 -Catch me up. -Oh, we've... 536 00:26:49,572 --> 00:26:52,530 I've-I've-I've got it covered, and you're so busy. 537 00:26:52,662 --> 00:26:54,058 A-Any day now, Griffith. 538 00:26:54,192 --> 00:26:55,223 Right. 539 00:26:55,720 --> 00:26:57,914 Sylvie Bernard, 52, presented with headaches 540 00:26:58,046 --> 00:27:01,104 and temporal tenderness with one episode of left-sided transient vision loss. 541 00:27:01,237 --> 00:27:04,061 Her labs are notable for elevated ESR and CRP. 542 00:27:04,196 --> 00:27:07,452 Whoa, whoa, whoa, whoa. That's... You don't need to rush. Diagnosis? 543 00:27:08,150 --> 00:27:11,406 Bedside ultrasound was consistent with giant cell arteritis. 544 00:27:11,970 --> 00:27:13,400 You sure it isn't a migraine? 545 00:27:13,534 --> 00:27:16,093 A migraine wouldn't have elevated inflammatory markers, 546 00:27:16,225 --> 00:27:18,019 and there's no visual scintillation, no aura. 547 00:27:18,154 --> 00:27:20,114 I've started her on high-dose methylprednisolone, 548 00:27:20,246 --> 00:27:22,108 and I'll schedule a rheumatology follow-up 549 00:27:22,240 --> 00:27:24,866 and a confirmatory temporal artery biopsy. 550 00:27:25,797 --> 00:27:27,291 Nice catch, Griffith. 551 00:27:28,355 --> 00:27:30,848 You're in the hands of one of our best and brightest. 552 00:27:37,228 --> 00:27:39,422 Do I want to know? 553 00:27:41,149 --> 00:27:42,313 Non. 554 00:27:51,985 --> 00:27:54,344 Hey, I shouldn't have taken credit. I'll tell Dr. Webber 555 00:27:54,476 --> 00:27:56,071 -you made the diagnosis. -Don't bother. 556 00:27:56,204 --> 00:27:58,698 -Why not? If he knows it was you, maybe-- -He's gonna rehire me? 557 00:27:59,894 --> 00:28:02,022 I-I don't work here anymore, 558 00:28:02,153 --> 00:28:04,016 and every second that I'm here, it gets harder to accept. 559 00:28:04,147 --> 00:28:06,474 I-I have to move on. 560 00:28:07,703 --> 00:28:08,800 See you at home. 561 00:28:18,304 --> 00:28:20,832 Nicoletti's tonight? My treat. 562 00:28:21,562 --> 00:28:23,823 Are we celebrating something that I totally forgot about? 563 00:28:23,955 --> 00:28:28,274 No, but I just did a flawless spinal fusion on one of the pilots. 564 00:28:28,408 --> 00:28:31,665 God, every time this job starts to feel thankless or routine, 565 00:28:31,799 --> 00:28:34,024 something happens to remind me why we do this. 566 00:28:34,157 --> 00:28:35,221 Mm-hmm. 567 00:28:36,218 --> 00:28:38,045 I get my own garlic bread. 568 00:28:38,179 --> 00:28:39,707 Won't make that mistake twice. 569 00:28:40,272 --> 00:28:42,665 Ugh. Another consult. 570 00:28:44,858 --> 00:28:46,985 Hey, you okay? You seem a little... 571 00:28:47,915 --> 00:28:50,508 Hungry. So, thanks for that. 572 00:28:51,505 --> 00:28:53,266 Go to your consult. I'll see you later. 573 00:29:03,900 --> 00:29:05,731 All right, Dacron graft, please. 574 00:29:06,361 --> 00:29:09,318 Take these. All right, Dr. Millin, it is time to finish what you started. 575 00:29:09,451 --> 00:29:11,445 You'll be assisting in the anastomosis. 576 00:29:11,578 --> 00:29:12,940 Happy to as long as it's in here. 577 00:29:13,073 --> 00:29:14,867 Not a fan of the elevator? 578 00:29:16,463 --> 00:29:18,557 All right, start on the proximal end. Use 4-0 Prolene. 579 00:29:18,692 --> 00:29:20,218 Ndugu, you sure you don't want to do it? 580 00:29:20,352 --> 00:29:22,079 No, she's got it. I'm right here. 581 00:29:22,212 --> 00:29:24,406 Wow, feel this calcification. 582 00:29:24,540 --> 00:29:27,598 Aneurysm or not, he's lucky he hasn't collapsed from an MI. 583 00:29:27,730 --> 00:29:29,856 - Or the job. - Or both. 584 00:29:29,989 --> 00:29:31,982 I mean, how do you expect people 585 00:29:32,116 --> 00:29:34,676 not to mess up when they're overworked and underpaid? 586 00:29:34,807 --> 00:29:38,565 - Just sheer stupidity, if you ask me. 587 00:29:38,697 --> 00:29:39,892 -V-fib. -Damn it. All right. 588 00:29:40,025 --> 00:29:41,556 - Irrigation. - Here. 589 00:29:41,688 --> 00:29:43,914 - Millin, start cardiac massage. - -Come on now. 590 00:29:44,046 --> 00:29:46,207 Come on, Larry. You made it through the elevator. 591 00:29:46,340 --> 00:29:48,468 Don't do this here. Come on, now. 592 00:29:52,156 --> 00:29:54,814 Ah. You're awake. How are you feeling? 593 00:29:55,313 --> 00:29:57,041 Did you fix the thing? 594 00:29:57,174 --> 00:29:58,204 Surgery went well. 595 00:29:58,337 --> 00:30:01,396 Great. Then you can go. I'm good. 596 00:30:01,528 --> 00:30:02,856 Can we have the room, please? 597 00:30:02,989 --> 00:30:04,153 He's only 17. 598 00:30:04,286 --> 00:30:07,011 He'll be 18 in two months. I checked the chart. 599 00:30:07,577 --> 00:30:08,871 I'll update you thoroughly. 600 00:30:18,908 --> 00:30:23,496 Charlie, during surgery, we noticed an abnormal buildup of mucus in your abdomen. 601 00:30:23,628 --> 00:30:24,658 What does that mean? 602 00:30:24,790 --> 00:30:26,487 Well, could mean a few different things, 603 00:30:26,619 --> 00:30:29,278 and I did send some concerning nodules to pathology. 604 00:30:29,411 --> 00:30:30,575 Could it be bad? 605 00:30:31,969 --> 00:30:34,062 Like cancer? 606 00:30:34,196 --> 00:30:38,583 Possibly, and if it is, you would need more tests 607 00:30:38,714 --> 00:30:41,706 and surgery and possibly chemotherapy treatment. 608 00:30:42,205 --> 00:30:45,063 You have a... a foster parent listed in your chart. 609 00:30:45,196 --> 00:30:47,291 -Shall I call her? -I've been with her 13 days. 610 00:30:47,424 --> 00:30:49,384 You need to start all of this ASAP. 611 00:30:49,518 --> 00:30:51,611 And based on today, that'll be in, what, six months? 612 00:30:52,574 --> 00:30:53,969 I'm sorry about today. 613 00:30:54,102 --> 00:30:56,197 I hate that I let you down, but I'm here now. 614 00:30:56,330 --> 00:30:58,024 And if you agree to let me be your doctor, 615 00:30:58,157 --> 00:31:00,517 I promise I will not let you fall through the cracks. 616 00:31:03,109 --> 00:31:04,339 I want to be alone. 617 00:31:07,198 --> 00:31:08,228 Okay. 618 00:31:09,557 --> 00:31:10,918 We'll be right outside. 619 00:31:16,270 --> 00:31:18,927 Stitches look great. Just repack and then we'll redress. 620 00:31:19,061 --> 00:31:21,255 - You got it, boss. - -Signals are dropping. 621 00:31:21,388 --> 00:31:23,946 She's brady, and now v-fib. 622 00:31:24,080 --> 00:31:25,608 Starting compressions. 623 00:31:25,740 --> 00:31:28,401 The spinal fusion was perfect. Checking the drains. 624 00:31:29,562 --> 00:31:31,358 No, it's not a bleed. 625 00:31:31,490 --> 00:31:34,879 Okay, this has gotta be spinal cord edema. Push 20 of steroids and mannitol now. 626 00:31:35,677 --> 00:31:36,873 Push lido. 627 00:31:37,870 --> 00:31:39,134 Internal paddles. 628 00:31:40,164 --> 00:31:42,359 Charging to 20. 629 00:31:43,222 --> 00:31:44,816 Clear. 630 00:31:44,949 --> 00:31:47,376 - Okay, uh, how many units has he had? 631 00:31:49,702 --> 00:31:51,265 Okay, charging to 30. 632 00:31:52,594 --> 00:31:54,819 And clear. 633 00:31:54,954 --> 00:31:57,047 Charge to 200. 634 00:31:57,180 --> 00:31:58,609 Clear. 635 00:32:00,403 --> 00:32:02,497 - Nothing. - Charge again. 636 00:32:04,624 --> 00:32:06,086 Clear. 637 00:32:08,247 --> 00:32:09,975 - Still nothing. - Damn it. 638 00:32:10,108 --> 00:32:11,272 Not today, Bree. 639 00:32:21,573 --> 00:32:23,799 Pressure's coming back up. 640 00:32:38,555 --> 00:32:39,585 Dr. Shepherd. 641 00:32:40,483 --> 00:32:42,444 She was just getting started. I'm not giving up. 642 00:32:44,804 --> 00:32:46,465 - It's time. - No. 643 00:32:47,627 --> 00:32:48,957 Amelia. 644 00:33:00,156 --> 00:33:01,585 Time of death... 645 00:33:05,740 --> 00:33:07,004 18:09. 646 00:33:24,350 --> 00:33:28,072 Hey. His pressures are miraculously holding. 647 00:33:28,205 --> 00:33:29,834 Pilot didn't make it. 648 00:33:30,665 --> 00:33:33,224 Oh, man. He's never gonna forgive himself. 649 00:33:33,356 --> 00:33:34,387 Mmm. 650 00:33:36,847 --> 00:33:38,542 Oh, no. Ugh. 651 00:33:39,007 --> 00:33:41,865 I missed my registration deadline. 652 00:33:43,293 --> 00:33:47,482 I'm... I'm getting a master's in public health. 653 00:33:47,614 --> 00:33:48,977 Or I was. 654 00:33:49,109 --> 00:33:52,467 With everything going on today, I forgot about school. 655 00:33:52,997 --> 00:33:56,653 Just call. Tell them you were saving someone's life. 656 00:33:57,284 --> 00:34:02,635 You know, today has shown me that maybe I should rethink going at all. 657 00:34:02,769 --> 00:34:04,796 'Cause you missed a deadline? 658 00:34:05,526 --> 00:34:09,814 Full-time surgeon, residency director, the clinic, 659 00:34:09,946 --> 00:34:11,508 being a wife, full-time mom. 660 00:34:11,642 --> 00:34:16,727 If I add more, I mean, something other than a deadline will suffer, 661 00:34:16,859 --> 00:34:18,221 or-or-or someone. 662 00:34:19,452 --> 00:34:23,408 Well, look, Larry made a mistake because he's working in a broken system. 663 00:34:23,539 --> 00:34:25,234 So are we. 664 00:34:25,368 --> 00:34:29,886 Yeah, so I was hoping, with a degree, I could help fix it. 665 00:34:31,116 --> 00:34:33,907 So ask for help. Delegate something. 666 00:34:34,040 --> 00:34:36,034 You know, let other people step up. 667 00:34:36,167 --> 00:34:38,161 Yeah, you can do this. We got you. 668 00:34:49,263 --> 00:34:51,189 Why is your shirt always off? 669 00:34:51,323 --> 00:34:53,383 I am literally in a place where people get dressed. 670 00:34:53,516 --> 00:34:55,010 I need boundaries. 671 00:34:55,940 --> 00:34:59,796 Okay, look, I know that the time we were drunk was a one-time thing 672 00:34:59,928 --> 00:35:01,525 and you're with Bryant now. 673 00:35:01,658 --> 00:35:04,284 Yes, I'm with Bryant now, so I can't see you in the shower naked. 674 00:35:04,417 --> 00:35:06,609 It's distracting. 675 00:35:08,438 --> 00:35:09,965 I need to move on, you know? 676 00:35:11,694 --> 00:35:13,157 I will keep my clothes on. 677 00:35:13,290 --> 00:35:16,877 It's not... ...only the clothes. It's, I... 678 00:35:17,742 --> 00:35:19,239 I just need a little space. 679 00:35:22,029 --> 00:35:23,060 Understood. 680 00:35:34,957 --> 00:35:36,984 Hey. Sorry I couldn't give you a ride. 681 00:35:37,118 --> 00:35:39,709 I needed to make sure I spoke to Larry's brother. 682 00:35:39,842 --> 00:35:42,003 It's probably best we don't travel together. 683 00:35:42,136 --> 00:35:44,330 -Less eyes on us. -Yeah, um... 684 00:35:46,623 --> 00:35:47,851 Ben knows. 685 00:35:48,483 --> 00:35:50,444 -How? -Guess he's seen us a couple times. 686 00:35:50,577 --> 00:35:52,936 I-I don't know. I-I denied it, but he didn't buy it. 687 00:35:53,070 --> 00:35:54,499 Does Bailey know? 688 00:35:54,631 --> 00:35:56,625 -I don't think so. -Are you sure? 689 00:35:57,456 --> 00:35:59,950 Pretty sure, yeah. She, uh... 690 00:36:00,879 --> 00:36:02,441 She made me residency director. 691 00:36:02,575 --> 00:36:04,800 -Wait, what? -Yeah, um... 692 00:36:05,432 --> 00:36:09,354 She said she needed something off her plate and-and she thought 693 00:36:09,487 --> 00:36:11,846 I did a great job teaching you today, and she thinks it's a great fit. 694 00:36:11,979 --> 00:36:13,210 And you accepted? 695 00:36:31,619 --> 00:36:33,546 We can still save this. 696 00:36:40,793 --> 00:36:42,486 Zach's asleep inside. 697 00:36:42,619 --> 00:36:45,844 -Sleeping with Cass was a huge mistake. -Amelia... 698 00:36:45,978 --> 00:36:47,538 -I was sure... -I can't... 699 00:36:47,671 --> 00:36:49,335 -...that you were getting back with Celine. -I can't deal with this. 700 00:36:49,465 --> 00:36:51,063 I was totally shattered. 701 00:36:51,195 --> 00:36:53,520 And how do you think I felt when I came to your door and saw her? 702 00:36:55,382 --> 00:36:57,608 It nearly destroyed me. I had to leave town. 703 00:36:58,373 --> 00:37:01,098 -I have a penchant for self-destruction. -Okay. Okay. 704 00:37:01,232 --> 00:37:05,784 I spent every day since wishing I could take it back because I... 705 00:37:05,918 --> 00:37:09,340 I've spent a long time waiting to feel this way. 706 00:37:09,472 --> 00:37:12,065 Like, when I'm with you, everything's right. 707 00:37:12,199 --> 00:37:15,921 Everything is exactly where it should be. I'm... 708 00:37:16,053 --> 00:37:17,581 I'm exactly where I should be. 709 00:37:17,715 --> 00:37:20,439 You said that you loved me. I love you too. 710 00:37:20,572 --> 00:37:23,996 I'm desperately, madly, dizzyingly in love with you, 711 00:37:24,129 --> 00:37:28,648 so if you're done with me, I will learn to accept it. 712 00:37:28,782 --> 00:37:34,298 But if there's any part of you that still feels the way you did... 713 00:37:37,621 --> 00:37:39,981 I'm begging you not to let this die. 714 00:37:47,891 --> 00:37:49,088 I'm not done. 715 00:38:01,218 --> 00:38:04,507 It's easy to judge people for their actions, 716 00:38:04,640 --> 00:38:06,934 but you don't always know what's driving them. 717 00:38:07,565 --> 00:38:09,559 Look at that. Hurricane slice. 718 00:38:09,692 --> 00:38:11,319 Are you hitting Y when you're pressing that? 719 00:38:11,453 --> 00:38:13,680 -Don't worry. Hurricane slice! -I don't know how you're doing that. 720 00:38:13,813 --> 00:38:15,142 -Okay, wait. -Who's winning? 721 00:38:15,274 --> 00:38:16,671 -Don't talk. -Just one sec. 722 00:38:16,804 --> 00:38:19,229 Come on. Come on. No, no, no, no, no, no, no, no! 723 00:38:20,193 --> 00:38:21,922 What the hell was that? 724 00:38:22,056 --> 00:38:24,247 That's a mega fireball. I unlocked it in the dungeon. 725 00:38:24,381 --> 00:38:25,777 -The mega-- -Yeah. 726 00:38:25,910 --> 00:38:28,236 -Okay, we need another round. -Another round? Another round? 727 00:38:28,368 --> 00:38:30,995 Another, uh, uh... Let's... I'm actually kind of tired. 728 00:38:31,128 --> 00:38:32,623 -No, you just don't want to lose. -It's okay. 729 00:38:32,756 --> 00:38:34,484 It gives me time to review my notes for tomorrow. 730 00:38:34,617 --> 00:38:36,645 Sure? Okay, okay. All right, cool. 731 00:38:36,777 --> 00:38:39,136 It'll only take me a minute to beat him again anyway. 732 00:38:39,268 --> 00:38:41,262 -Whup your butt. -Check this out right now. 733 00:38:41,895 --> 00:38:43,789 -Bam! -I keep letting him get this move off. 734 00:38:43,923 --> 00:38:44,953 That's it. 735 00:38:46,381 --> 00:38:48,641 You don't know what they were born into, 736 00:38:49,505 --> 00:38:51,100 struggles they've faced. 737 00:39:17,687 --> 00:39:20,978 Sometimes we make rash decisions with no idea why. 738 00:39:22,107 --> 00:39:25,663 Meredith. Beautiful, isn't it? 739 00:39:25,796 --> 00:39:27,691 We were just talking about you. 740 00:39:27,823 --> 00:39:30,980 You were so wonderful today with Annabelle Chase. Thank you. 741 00:39:31,113 --> 00:39:34,104 Well, do you still want my opinion? 742 00:39:35,467 --> 00:39:37,261 I don't know. Do I? 743 00:39:37,395 --> 00:39:39,389 Well, I have worked here since I was an intern, 744 00:39:39,521 --> 00:39:41,283 and this hospital has seen a lot of changes. 745 00:39:41,415 --> 00:39:44,739 Name changes, financial crises, tragedies. 746 00:39:44,872 --> 00:39:48,926 The one thing that has never changed is our standard of care. 747 00:39:49,059 --> 00:39:50,953 It has always been excellent. 748 00:39:51,087 --> 00:39:52,582 It never needed to be tiered. 749 00:39:52,715 --> 00:39:56,404 -Meredith, if you just give him-- -Today, I gave inadequate care. 750 00:39:56,537 --> 00:40:01,057 My patient suffered, and I lost his trust, and that is not who we are. 751 00:40:01,189 --> 00:40:02,917 And it is day one, sir. 752 00:40:03,051 --> 00:40:07,072 Meredith, you might want to know that Dr. Norton is our new chief of surgery. 753 00:40:07,205 --> 00:40:09,664 He's gonna be with us every day. 754 00:40:10,362 --> 00:40:11,624 Unlike you. 755 00:40:16,942 --> 00:40:18,770 Oh. Excuse me. 756 00:40:18,902 --> 00:40:22,492 But often it's fear pulling the strings behind the curtain. 757 00:40:24,619 --> 00:40:25,549 Fear of failure... 758 00:40:25,683 --> 00:40:27,543 Meredith. 759 00:40:27,677 --> 00:40:30,502 ...of being let down, or, one of my old favorites, fear of happiness. 760 00:40:30,634 --> 00:40:34,456 You could have told me you were considering hiring him as chief. 761 00:40:34,589 --> 00:40:36,450 You never wanted to be involved in the search. 762 00:40:36,583 --> 00:40:41,135 I didn't think I needed to, but now I am second-guessing that decision. 763 00:40:41,269 --> 00:40:44,061 Annabelle's mother donated $100,000 to this hospital. 764 00:40:44,193 --> 00:40:46,220 Well, that just makes me feel dirtier. 765 00:40:46,354 --> 00:40:49,743 Look, Grey Sloan has lost a huge amount of funding. 766 00:40:49,876 --> 00:40:51,405 Every hospital has. 767 00:40:51,538 --> 00:40:54,230 No, we're not like all hospitals. 768 00:40:54,363 --> 00:40:56,590 We staff highly sought-after surgeons. 769 00:40:56,722 --> 00:40:59,281 We publish groundbreaking research. 770 00:40:59,414 --> 00:41:01,740 Our overhead is massive, Meredith. 771 00:41:01,874 --> 00:41:05,728 If we want to be the same state-of-the-art institute we've always been, 772 00:41:05,862 --> 00:41:08,654 then we need a plan, and Norton has one. 773 00:41:09,750 --> 00:41:11,145 So you need to get on board. 774 00:41:17,826 --> 00:41:19,188 This will implode. 775 00:41:34,442 --> 00:41:37,167 It's all too easy to be your own worst enemy. 776 00:41:44,014 --> 00:41:45,011 Hi. 777 00:41:45,509 --> 00:41:46,539 Hey. 778 00:41:48,666 --> 00:41:51,159 My miracle AO patient died. 779 00:42:00,630 --> 00:42:01,893 I quit. 780 00:42:03,854 --> 00:42:07,012 And the damage we inflict can take a lifetime to undo.