Original subtitles

[? "Keep Talking" playing]

[Grey] When I was growing up, the dominant school of parenting

could be summed up in one sentence, "Because I said so."

? Homesick been a while Distant by� ?

[Grey] Now we know that fearing your parents leads to diminished

self-confidence and a stronger need for external validation.

[Kwan] Hey, I need to ask you something.

-[gags] -What is the weird thing that, uh,

-Bailey likes to put in her green juice? -Mm-mmm.

-Is it arugula or� -[retching, coughing]

What is going on with you?

It's like the third time you've�

-[spits] -Wait, you're not�

[? song continues]

You and Bryant?

-Adams? -[whimpers] I don't know.

-[cries] -You don't know who.

[Grey] Whereas authoritative, responsive parenting encourages

gray-matter growth and synaptic connections.

How are the costumes coming?

Well, I've delivered a breech baby

through an opening the size of a grapefruit,

but I can't thread this stupid machine.

Maybe it's time to call in a professional?

I'm a stay-at-home mom. I am the professional.

It's just you've been going nonstop since you quit.

But you got this.

-You can do anything. -Yeah.

[Grey] This type of parenting centers on addressing the thoughts and fears

underneath a child's behavior. It's a lot of work.

[Wright] Scout's favorite color is orange?

Yes.

When you say he likes beetles, is that the bug or the band?

There's not gonna be a pop quiz.

I know. I just want him to like me.

He's five. He loves burps and hates pants.

[chuckling] There's no logic. You can't take it personally.

-I can burp on command. -You see? He's gonna love you.

[Grey] And what's your reward for all of this hard work?

Bad behavior, back talking and stress.

Gray matter doesn't develop overnight.

But the data shows that if we stay the course,

one day our kids will soar.

The consent forms for Charlie Ramos, have they come in?

Because I have called the judge's office twice.

You, uh, remember Dr. Norton?

Hi.

-I'll come back. -[Norton] Wait a second, Grey.

Richard and I were just talking and we could really use your expertise

on the VIP floor.

You know I don't live here.

Stay in Boston. Come for the occasional case.

We're finding that what most VIP patients want are VIP surgeons.

A Fox Award winner's a big draw.

I'm not interested.

Uh, M-Meredith, wait.

Uh, what-what if she could upgrade a few patients to VIPs each year?

Pro bono.

Well, I don't see why not.

Grey?

Okay, I need to sign a reduction for Charlie Ramos today.

-Is that possible? -I'll have Spencer move him right now.

-Does this mean you'll consider it? -One thing at a time.

[indistinct PA announcement]

-[exhales deeply] Good morning. -Oh, thank you.

No problem.

You feeling okay?

Oh, yeah, fine. Ah, I need to talk to Jules. Sorry.

-All right. -[Griffith] Excuse me.

Hey. So my aunt's gonna be out of town next week

-if you wanna come over and, uh- -No.

Good morning, everyone.

Um, as you may have heard, Dr. Bailey appointed me interim residency director.

So I got some big shoes to fill, but I will do my best.

All right. Anybody have any questions for me?

Okay, well, you know where to find me if you do.

Let's have a great day, everybody.

[sucks teeth] Uh, Millin. A word?

I'll text you.

I just wanted to check in and see how you're feeling about all this.

I'm good.

And we're both consenting adults,

and our relationship started before you became my direct boss,

so it's a nonissue.

-Good. Yeah, I, uh� I think so too. -[knocks on door]

Dr. Millin, uh, you gonna join us for rounds today?

I'm on my way.

-I know what you're gonna say. -You don't, because I'm staying out of it.

This?

This is the face of neutrality.

Neutral.

Good, because we are� It's under control.

-Seriously, we-we're, uh- -Neutral.

[knocks on door]

Hi, can we bug you for a minute?

Like no is an option?

[Grey] We'll be quick.

This is Dr. Webber, Dr. Adams, and you know Dr. Spencer.

We pulled some strings to get you on the VIP floor.

I hope you're enjoying the amenities. [chuckles]

Same crap, different blanket.

How are we doing on those consent forms?

They just came through.

-Great. Then let's get started. -Charlie Ramos, 17,

post-op day seven from umbilical hernia repair,

and post-op day four

-from a diagnostic laparoscopic- -[phone buzzing]

Sorry, it's one of my other VIP patients.

She can wait. [chuckles]

Charlie has a history of pseudomyxoma peritonei.

It's a rare condition where mucus-producing tumors spread into-

I know all this.

Right. Cytoreduction surgery today followed by HIPEC.

Do you have a Switch up here?

[chuckles] We do not, unfortunately.

And this is supposed to be VIP?

He makes a great point.

We should get some games up here.

I'll make sure to tell the chief about your complaint.

Let's send a type and cross and replete his electrolytes.

We'll get ready to do this.

-Yeah. -[phone buzzing]

Hey, uh, you want me to handle his pre-op paperwork?

-I know you're slammed with all the- -I got it.

She hates you.

[Ndugu] Dr. Bryant, present.

Patricia Roth, 63, with a history of Crohn's disease

and esophageal cancer requiring radiation and reconstruction with a gastric conduit.

Presented with difficulty swallowing and coughing after eating.

Imaging confirmed a tracheoesophageal fistula.

We attempted stenting, but it was unsuccessful.

And a GJ tube has been placed with IR and plans are for discharge today.

I thought we were going back to the, uh� the drawing board.

Unfortunately, we are out of options.

But you always have ideas.

You removed my tumor when nobody else would touch it.

The tissue in your neck is too damaged from the radiation,

and the bowel we'd use for reconstruction is affected by the Crohn's.

But she can't eat.

She's getting her nutrition through a tube.

We will do everything we can to make you more comfortable.

It's never occurred to me how much I find comfort in-in-in food.

Ice cream after a heartbreak.

Soup when I'm sick. [breathes shakily]

And now I've gotten some of the worst news in my life,

and I can't eat anything. [chuckles]

Can you put pinot grigio in my tube? [chuckles]

-[Patricia breathes shakily] -Can you give us a minute?

Of course.

[? gentle music playing]

-That was brutal. -[sighs] Yeah.

But she's resilient, you know? She'll adapt.

And she gets to be there for her husband and grandkids.

Well, a partial loss still isn't a win.

-[students clamoring] -And this would have�

Hi, thanks for meeting me.

Uh, no, thanks for meeting me here.

I've got about an hour before� [chuckles] �my next class.

So, how are you doing?

Any luck looking into other residency programs?

-[students cheering] -Um, I've called everywhere,

and it seems that no one wants a fired second-year resident.

Well, then you have to wait until the match.

-[cheering continues] -I'm considering family medicine.

You know, there's always a need, and I could start tomorrow if I wanted.

If you're looking for my blessing, you're not getting it.

It's a waste of your surgical talents.

What the hell?

-[cheering] -[Kwan] I guess things could be worse.

Alcohol and underdeveloped frontal lobes, that's a dangerous combination.

-[student 1 groans] -[students gasp]

Oh, my- Come on, come on, come on.

[Kwan] All right, let's back up.

-Back up. Back up. -Excuse me, excuse me.

Hey. Just call 911.

-[groaning] -Hey.

Hey, give me some damn scissors.

Okay, no, no, no, no, don't move your head there.

-[kids laughing] -[Wilson] Scout is out back

with Nardi and the kids.

They are making bubbles.

Are you sewing?

Trying to, but the, uh, bottom thread won't catch.

Oh, let me take a look.

What? You know how to use a sewing machine?

My mom was a home ec teacher.

If you ever want a shoddy apron, I'm your gal.

Okay. [sighs]

-Yeah. -Yeah, see that?

[Wilson] Mm-hmm.

Done. Your bobbin thread was too short. Now, you should be good.

-That was it? -Yeah.

I've been troubleshooting for over an hour.

[gasps] Wait, uh, do you know how to sew a zipper?

Um�

Oh, um�

-W-We have a few minutes. -Okay.

-Okay. [sighs] -[Shepherd] Yeah.

All right, so the first thing you need to know about zippers is, uh, they suck.

-Mm-hmm. -[Wilson chuckles]

[kids chattering, giggling]

Oh! Gentlemen, hold on to your hats.

What is this?

A case study on an anterolateral thigh free flap

to salvage a section of the esophagus.

-How'd you find this? -I have my ways.

[Warren exhales] They rolled the flap into a tube to replace the necrotic section

of the reconstructed esophagus.

So if we use the vessels outside the radiated area, it could work.

Well, it sounds great in theory,

but if the new flap fails, she could be worse off.

Tube feeds for life, spit fistula.

And not to mention the flap would be taken from her thigh.

Okay, but if it does work, she gets her life back.

She'll be able to eat.

You're not even gonna tell her about it? She might think it's worth the risk.

If anything can work, it's this.

Let's talk to her.

Can I be an author on the paper when you publish?

-If this works, you can be first author. -Oh.

[indistinct PA announcement]

[baby cooing]

[Bailey] Page ortho.

Tripp McBride, 18, fell down multiple stairs wrapped in plastic wrap.

-What? -[Kwan] Long story, doesn't matter.

[? tense music playing]

-[Bailey] Okay. -[Kwan] Thank you.

All right, let me know when you're set.

-[Kwan] And set. -On my count, one, two, three.

[groaning]

Okay, they gave him a liter en route and systolics have been in the 110s.

-Heart rate in the low 100s. -[screams]

[Kwan] Okay. Right leg is shortened and externally rotated.

-Clear breath sounds bilaterally. -Okay, I'll do a FAST exam.

No, you won't. You're all done here.

Right. Um, I got carried away.

-Yeah. -Good luck.

Hey, no, don't go far, 'cause I wanna continue our conversation.

-[groans, breathes heavily] -Lower abdominal tenderness.

-Uh� -[groans]

FAST is negative.

[Tripp] My dad's gonna be so mad.

I'm-I'm a legacy, fourth generation,

and I can't even make it through pledge week.

I'm sure he'll be glad you're okay.

-What do we got? -Fraternity hazing mishap.

Hip is flexed, externally rotated and shortened.

[screams, breathes heavily]

-[Lincoln] Let me take a look. -[machine beeps]

Got an acetabular fracture and femoral dislocation.

You don't see that everyday.

Okay, we're gonna take you up to CT for a better look.

I-If any of the guys come� [breathes heavily]

�can you make it sound like-like I was tough?

Like, don't tell them I cried in the ambulance, please.

Yeah. I'm not telling them anything if I can help it.

All right, let's get him upstairs.

Hi. Okay, I'm gonna sit you up, okay?

You can slow down. Nobody's going anywhere.

Can we not make this a teaching moment?

I've got, like, 50 things to do in the next two minutes.

-Yeah, we're all busy. -Yeah, looks like it.

-What the hell? -Oh.

Sorry, we just need labs before we take you back for surgery.

No, you're not sticking me with any needles.

It's okay. It'll be quick. Some people like to close their eyes.

I said don't touch me!

Get away from me! Get out, all of you!

Okay, okay, get out. Adams, you too. Go.

What are you still doing here? Go!

It's okay. It's over.

Don't tell me it's okay. You don't know anything about me! [panting]

[breathes heavily]

Slow, deep breaths.

In and out.

I know how to breathe.

There.

[breathes deeply]

So, you're a gamer?

Sometimes.

What do you play?

Anything that makes me feel like I'm somewhere else.

Do you wanna tell me what happened?

It wasn't a big deal.

The doc just grabbed me out of nowhere and I-I freaked out.

It felt�

You just can't grab people like that.

[? gentle music plays]

I understand. And I'm sorry, she should have talked to you first.

Unfortunately, we do need the blood work.

How about if I walk you through it?

Whatever.

They haven't replaced your electrolytes yet,

so I do have to put that order in, and then we can start the blood work.

But you're gonna do it, right?

Of course.

It'll be a piece of cake.

[Norton] Dr. Bailey,

glad you came in today. Do you have a minute?

Um, I'm, uh, with a patient. Can I find you later?

-[Tripp imitating race car] -Dedication equals

high patient satisfaction.

-As you were. -[Bailey] Okay.

-[Tripp imitating race car] -Uh�

Tripp, what are you doing in there?

I-I'm luging. [chuckles] For initiation.

Um, stop moving. You can luge, uh, after the scan is done.

-[machine clicks] -[whimpers]

-He and I go to the same university. -[chuckles]

Norton's trying to recruit you too?

Oh, yeah, that man is relentless.

I don't even know how he found me.

I took the day off.

I was meeting with Kwan,

and then this genius� [chuckling] �flew down a flight of stairs.

How is Kwan? Did he find a new job?

No luck yet.

He broke the rules, so it's hard to get around that.

[machine beeps]

[Bailey] Hmm.

Is the femoral head in�

His rectum. Yes, it is.

I went back to school to broaden my horizons.

Mission accomplished.

Well, we're gonna have to reduce the femur,

repair the rectum, and plate the pelvis.

We?

He's your classmate.

-Don't you wanna see this through? -[Bailey grunts]

[Lincoln chuckles]

[Patricia] You wanna create an esophagus from my leg?

Yeah, well, your-your thigh.

[Ndugu] It's a novel approach.

It has worked for other patients, though that doesn't guarantee it'll work for you.

-[sighs] -So, what do you think?

I'm worried this is another situation where I get my hopes up,

only to be disappointed.

We know that you've been through so much already,

but this could dramatically improve the quality of your life.

What if it fails, and then we're having the same conversation we had this morning?

We might. Or it works, and this nightmare is over.

But listen, only you can decide if the risk is worth it.

Hey, honey.

I know we've had a lot of bad luck these last few years,

but sometimes things work out. We got married two weeks after we met.

-Everyone thought we'd lost our minds. -[both chuckle]

But look at us�

You've been my wife for 36 years.

Take another chance with me.

How do I say no to that?

-Okay. -[Mr. Roth sighs]

[inhales deeply] Let's try it.

Okay. All right, Millin, book the room.

All right.

Hey, how much longer do you think Bailey's gonna be?

-I don't want Webber to see me. -A while.

Tripp's femur ended up in his rectum.

Huh.

Normally when you pull stuff out of butts, it's because people put them in there.

Yeah.

Do you think I should be a family medicine doctor?

I don't know. Do you think I should have this baby?

-You're thinking about keeping it? -I just always wanted to be a mom.

Yeah, but now you wanna have a baby? You work, like, 80 hours a week.

Well, there's a day care in the hospital. I don't know.

Okay, well, what are you, like, six-weeks pregnant?

I mean, you probably have time to think about it.

[Griffith] Yeah.

You're pregnant?

[? dramatic music playing]

[stammers]

I'm sorry.

[? music stops]

[machine whirring]

-[Wright] Don't tug. Just guide. -Okay.

[alarm rings]

Oh. The mac and cheese.

And you're making dinner, too?

For tomorrow night. [sighs]

Now that I'm not a resident,

I have all this time to take care of the kids and the house.

It is a full-time job.

There's nothing harder than being a stay-at-home parent,

and I know this goes without saying, but this is coming from a neurosurgeon.

I'm getting the hang of it. I'm in a rhythm with the laundry,

the closets are organized, the calendar's up to date.

I aspire to be a mom who judges as opposed to one who is judged, but�

[whirring]

-Okay, stop. -Yeah.

Stop right there.

Now back it up.

-Like this, right? -[Wright] Mm-hmm.

-Perfect. -[Wilson] All right.

Mmm.

Okay, and this.

And then�

[sighing] Okay.

[inhales deeply]

It looks like roadkill.

No, it's like a�

It's like a really cute, um, skunk.

What? It's supposed to be a raccoon.

-Yeah. Yeah. -Very similar animals.

Is something burning?

-Oh, my God, the mac and cheese. [sighs] -Yeah. No, I-I got it.

You know what? It is okay. We can fix this.

Okay, you know what? This is such a stupid idea!

Thank you so much, but you guys can go. Thank you.

Wes.

I'm so sorry you found out like that.

Were you gonna tell me?

I'm not sure if you're, um�

We weren't exclusive when it happened.

Got it.

I mean, it-it-it could be yours. I mean, uh�

[sighs] If it is, do you have feelings about it?

[breathes deeply]

Do you wanna keep it?

It's not a simple decision. I-I have ovarian insufficiency,

so the fact that this happened at all is a miracle.

-And it could be my only chance to- -Yeah, yeah. It's just�

I don't know if you can speak another language.

You know, I haven't even met your dad, and we're having a conversation�

about a baby.

Well, if I decide to keep it, you can be as involved as you want, and we can do-

What? No, no.

No, I don't do things halfway, especially not with a kid.

Okay, so let's talk about it.

I don't know what to say.

I don't know what to say, Simone.

[? gentle music playing]

I'm an intern.

You know, I worked my ass off to be here. I've done everything by the book-

You think it's different for me? I didn't plan this, Wes.

You asked me how I felt.

You're right. I did.

I have to prep a patient for the OR.

[scoffs]

And after we've placed the flap, then we confirm blood flow and close.

Hey. My apologies, I had to follow up on a patient.

We were just finishing up. Uh, could you make sure the consents are complete?

[Millin] Mm-hmm.

Yeah.

Oh, uh, Millin, could you make sure the room has that small retractor I like?

Well, I can do that.

Uh, you can check the chest tube output for Gonzalez.

Hey, if this is about me being late, it won't happen again.

No, you're an intern, and this is a surgery we've never done before

on a patient who's already been through the wringer.

-I need everything to be perfect. -Understood.

[clears throat]

You� You see what you're doing, right?

No, I don't� I don't know what this is, but it doesn't feel neutral.

[chuckles] You-You-You're favoring Millin.

It's not favoritism to want the job done well.

Why do you think that Millin would do any better than Bryant,

-who's actually on your service? -She's a second-year.

Is that why, or is it because she's your girlfriend?

You're married to Miranda Bailey.

But I was in a different department when we got together.

All right, all I can tell you is that Bryant was late,

and Jules walked through the whole operation with us.

You mean Dr. Millin.

Just be careful.

[indistinct PA announcement]

[Norton] You're not going to believe this case.

Oh, I helped bring it in.

With Dr. Bailey?

You know her well?

-Professionally. -Oh.

I'm, uh, trying to get her to join my team if you got any ideas.

-She likes green juice. -[chuckling]

I think I'm gonna need something a little more convincing than juice.

You also a general surgeon?

I�

haven't decided on a specialty.

You know, this is a great place to figure it out.

Everyone's at the top of their field.

Yep.

[Bailey] All right, a little more retraction.

Sponge stick.

[Griffith] Who covers themselves in plastic wrap

and baby oil and slides downstairs in public?

[Bailey] I'm choosing to believe he's a smart kid

who made one stupid mistake.

Hopefully, his one stupid mistake doesn't have

-lifelong repercussions. -[Bailey] Hmm.

Okay, ready when you are.

[Lincoln] All right.

-[Bailey] Ah. -[Lincoln grunts]

-[Griffith] Oh, something's bleeding. -[machines beeping]

Where is it coming from?

[Bailey] You tell me.

[Griffith] I can't see. I need more suction.

Dr. Bailey, do you wanna switch with me?

[Bailey] No, you got this. Think of the anatomy. Where are we?

[Griffith] I need lap pads.

[Grey] Deploy the stapler.

-Good. -[phone rings, buzzes]

[Spencer] Can I step out to check on a patient?

It's my other VIP patient, and she's very particular about things,

ice cubes, pillowcases, how she berates me.

[Grey] Norton's VIP patient can wait.

Dr. Norton is a fine surgeon.

If you like the one nose job he gives people.

[Webber] Hiring one doctor you don't like doesn't change who we are.

We still provide excellent patient care

and a first-class education for our residents.

If you disagree, you don't have to be here.

[alarm beeping]

[Knox] We've got peaked T waves and widening QRS.

-[Adams] He's going to V-fib. -[Grey] Let's protect the field.

[alarm continues]

[Grey] Start CPR. Go.

Charge to 120.

[defibrillator whirring]

-[Grey] Clear. -[defibrillator zaps]

Come on, Charlie.

[? tense music playing]

-[Grey] Charge to 200. -[defibrillator whirring]

-Clear. -[defibrillator zaps]

-[alarm continues] -[Webber] Are his blood gases back?

[Knox] Potassium is 8.1.

-[Grey] Charge again. -[defibrillator whirring]

-Clear. -[defibrillator zaps]

[alarm stops]

[Webber] All right. Let's push calcium gluconate

and start insulin with dextrose.

[Grey] I only ordered one bag of potassium.

How is it 8.1?

[Spencer] I may have ordered him another bag.

-[Adams] May have? -I gave the nurse a verbal order,

and then I was gonna chart it later, but I was running around.

I'm-I'm so sorry.

[phone chimes]

[nurse] Dr. Spencer, it's the VIP floor. You got another page from Ms. Conley.

-[Spencer] Please tell them that I can't. -You can go. You've done enough here. Go.

No, it was.

-This is, like, burnt all the way. -This is unsalvageable now.

[Wright] I'm so sorry.

I thought I could just scrape off the top, but I've made, yeah, an even bigger mess.

No, I'm sorry, I ruined your whole day.

The ferryboats were probably a terrible idea.

He would've had fun for five minutes, and then he'd have been bored.

It would've been an epic fail.

[scoffs] It is okay.

You can just order a box of mac and cheese for delivery,

and it'll be done in 20 minutes.

I'm trying so hard to make up for all the time we lost

after the twins were born, but the truth is I don't know what I'm doing.

You can't get it right all the time.

My washer's broken.

Zach's been out of clean underwear for over a week,

and at first, I just turned them inside out,

and then I bought him men's compression shorts in the hospital gift shop,

and he's been wearing them like boxers.

-[Shepherd chuckles] -You get a pass. You're working moms.

-[Wright grunts] -A pass for what? Perfection?

Some impossible ideal of motherhood?

That's not real.

It's a social construct that is made to sell cleaning products

and make us feel bad about ourselves.

All we can do is our best, and sometimes that means we're doing great,

and sometimes it means we are drowning, but it's always good enough.

I probably could be doing better.

[all chuckling]

[Millin] I wish they would put photos

of tracheoesophageal fistulas on cigarette packs

so people have to see the risks before they light up.

[Warren chuckles] You'd have loved my mom.

[Millin] Was she anti-smoking?

[Warren] Uh, she was pro scare-the-crap-out-of-people.

When our neighbor got into an accident on his motorcycle,

my mom took me and my sisters to the hospital to see him

so we would be afraid to get on a bike.

-[Bryant] Did it work? -[Warren] Nope, but she won in the end.

I had to clean up my act when I got married and, you know, became a dad.

[Bryant] Yeah.

Should I, uh, update Patricia's husband?

-[Ndugu] Yeah, go ahead. -[Bryant] Yeah.

-[Ndugu] We got a bleeder. Right angle. -[alarm beeping]

A 2-0 silk on a passer to Millin.

[Warren] I got it. Go.

[Ndugu] That doesn't look like a square knot.

-Give her another. -[Millin] It is a square knot.

[Ndugu] Not definitively, which means it could slip, and she could bleed.

Try again.

-Okay, now, you got an air knot. -[Millin] It's fine.

-I'll just cinch it down. -[Ndugu] Is the goal fine or perfect?

Hold the right angle. Tie.

And that is how you do a square knot.

-[Millin] Understood. -[Ndugu] Scissors?

[Lincoln] Released the capsule and reduced the head.

-How's it going? -[Griffith] I've got distal control.

-[Bailey] More suction. -[Griffith] Mmm.

[Bailey] Oh, there it is. A tear in the iliac vein.

What's your plan?

[Griffith] The edges look clean, and it's a small defect.

Primary repair?

[Bailey] Works for me.

4-0 Prolene for Dr. Griffith.

[Griffith] I-I-I've never done one of these.

[Bailey] Have you seen one?

-Yes. -[Bailey] Time to do one.

Mm-hmm.

That's my friend under the mask. She is beaming with pride.

I used to get excited about doing complex surgeries as a plastics resident.

Now I almost strictly do cosmetics.

More lucrative?

Less stress, you know.

Patients are healthy, and complications are few and far between.

What, you don't wanna see sick patients?

Oh, I mean, I'll do it, but it's not my preference.

If I was starting over, dermatology.

Yeah, but it's not as surgical.

Exactly. Hours are better,

-money's great, you know. -[chuckles]

You're less likely to kill someone freezing a mole.

Chief Norton. They're asking for you on the Olympic Floor.

Be right there.

All right. Duty calls.

Hey. Dermatology. Think about it.

[? "Sad and Beautiful" playing]

How's Charlie?

-Um, he's back in recovery. -He-He-He didn't code again?

-No. No, he didn't. -Oh, thank God.

I am so sorry.

Now you know, even if you're busy, everything needs to be documented, okay?

Dr. Spencer, Ms. Conley needs ice chips. She's been waiting for nearly 20 minutes.

There were complications with Charlie Ramos.

-I just wanted to check in- -That can wait. She's VIP.

Her husband is the CEO of an aerodynamics firm. Top priority.

But, uh, Charlie Ramos is VIP. He's just pro bono.

I understand, Richard, but you know how it is.

-People expect to get what they pay for. -Of course.

-It won't happen again. -Please.

? Love me now or never ?

? Burn my heart down take it all ?

[Bryant] Okay, updated Mr. Roth.

Hey. If you were taking a bite for the first time in months,

-what would it be? -Bacon and eggs.

-[Millin] Oatmeal. -[Ndugu] Seriously?

[Millin] Are you criticizing my choice of food now too?

? And the end is never known ?

[Warren] All right. We're ready to start the final closure. Doppler.

? Where we can play pretend ?

[buzzing faintly]

[Ndugu] No signal?

[Warren] The flap is congested and swelling,

but there's a good signal in the artery,

which means there isn't good outflow in the vein.

-Think it's a clot? -[Warren] Must be.

-Call Dr. Metzner. 911. Scissors. -[nurse] Copy that, Dr. Warren.

[Warren] Heparinized saline. Come on, Patricia. You got this.

? Burn my heart down take it all ?

[Ndugu] Anything?

[Warren] Not yet. Still congested. Another flush.

-Still nothing. -[Ndugu] Damn it.

[Warren] Let's try papaverine to relax the vessels.

Come on. We're losing it. Where's Metzner?

-[Millin] Dr. Ndugu. -[Warren] Let him go. Another flush. Now!

Come on, Patricia. Come on.

[? music stops]

[indistinct PA announcement]

Kwan. Oh, I am so sorry.

The day, it-it-it got away from me.

[stammers] We will talk, okay? I promise you.

-Whenever. Yeah, I'm not busy. -[chuckles]

Have a good night.

Hmm.

Uh, I'm assuming that you all are here for Tripp McBride?

Is he gonna be okay?

Uh, well, you're not family.

So, all I can say is your friend had a pretty big surgery.

It'll be a while before he recovers, but he should be okay.

[chuckling] I mean, can we reject him now,

or do we have to wait till the end of the week?

[students laughing]

Uh, you better not be laughing.

Right now, your friend could have died today trying to get into your stupid club,

which, Lord, help him, is his lifelong dream.

And if you don't give him a second chance

after making a dumb mistake, then� [stammers]

�well, it just makes you small-minded and shortsighted and mean.

Everybody deserves a second chance.

Well, maybe not you.

[indistinct PA announcement]

Hey. You kicked ass in the OR.

It felt so good. [chuckles]

You'll get back there somehow.

I got a 520 on my MCAT.

I scored in the 83rd percentile on the ABSITE.

I am the smartest person in my family.

-Is that a high bar? -We're not attendings.

We should be allowed to make mistakes

without getting our asses handed to us in front of an entire operating room.

We're still learning.

-Rough day? -I don't wanna talk about it.

[chuckling] Max is getting an earful tonight.

[chuckling] Yeah.

I'll see you at home.

-Excuse me. Where's the elevator? -Uh, you're close.

It's just down the hallway. [chuckles]

She's beautiful. [chuckles]

[chuckles] She's exhausted.

We spent ten hours in the emergency room.

And after all that, just an ear infection. [chuckles]

You must be exhausted too.

I'm okay. It's all a gift.

-Even the long days. -[chuckles softly]

-Thank you. -Yeah, yeah, yeah.

-[baby coos, babbles] -It's okay. Oh. You're okay. [chuckles]

-Yeah. You're okay. -[baby cries]

-Yeah. -[? somber music playing]

We were unable to reestablish blood flow

and the flap became unsalvageable.

Surgery didn't work?

We tried everything.

So, you had to make that hole in her neck to drain the saliva?

We did. I'm sorry we didn't get the outcome we hoped for.

[sobbing] I shouldn't have convinced her to do the surgery.

You can't beat yourself up for hoping.

[sobbing] I should have listened to you. I'm so sorry�

-How's he doing? -Hi.

He was waking up a minute ago.

There he is.

You gave us a scare.

I did?

Your heart stopped during surgery, but we brought you back.

The rest of it went very smoothly.

We removed all the visible cancer.

As soon as you're healed, we'll start you on chemo

to target any cells that were left behind.

So Dr. Webber is going to take very good care of you.

I have to jump on a plane, but I can be back in half a day if you need me.

You're leaving?

I have to go home.

Where's that?

Boston.

You flew across the country for my surgery?

Of course I did.

You're my VIP.

And�

[chuckles]

-I stole it from peds. -[chuckles]

When you're feeling better.

I'm gonna see you very soon.

[smacks lips] You might be right.

-We could have a problem with Dr. Norton. -Oh.

What are you gonna do about it?

I wish I knew.

? Everything I thought I knew ?

? Is going away ?

-Uh, Chief. Can I have a minute? -Uh,

-I'm actually in the middle of something- -No, no. It'll be quick.

I-I can't sleep at night because I'm replaying surgeries in my head,

and I practice knots in the air while I'm waiting in line.

And no shade to dermatology,

but I don't wanna freeze moles for the rest of my life.

[stammers] I was fired for making a mistake.

And I learned the lesson.

So if I get a second chance, I won't do it again.

Great. You start on Monday.

[? gentle music playing]

Really?

That worked?

You had some good points but no. No, it wasn't enough.

Now, Dr. Bailey's speech, that was a winner.

Welcome back.

Oh.

[sighs]

[? "Wild Beauty" playing]

Hey. [stammers] Whatever it is I did�

-[sighs] -�or didn't do, I'm sorry.

No. Why are you here now?

Why couldn't you have come, like, two beers ago?

Sorry. [stammers] Uh, does it matter?

Yes, yes, it matters because now I am a little bit drunk,

and I'm going to say the thing that I don't want to say.

Okay. [chuckles]

You made me like you.

You led me on when you just wanted things to be casual,

which I would have been fine with if you had just said

that that's what you wanted, but you didn't.

You made me like you, and now I gave a patient too much potassium,

and I think I mixed up my laundry with my roommates

because I'm pretty sure I'm wearing her bra right now.

[laughs] Um-

-Don't laugh. It's not funny. -[stammers, chuckles] No, I�

It's not. I�

Look, I didn't mean to lead you on.

Things between us are�

It's-It's-It's not just casual.

Dani, I like you.

And, um�

when you're sober, I'm gonna ask you out, okay? For real.

Fine.

But you have to take me to a restaurant with at least two-dollar signs.

Not one.

Two.

[? music stops]

[Bryant] Simone, hey.

Uh. [sighs]

Sorry I lost my cool earlier.

It's a pretty big bomb to drop on you.

Yeah, but that wasn't right, and I know that.

I should have asked you how you were feeling,

and then I should have listened.

I know this is a lot to handle right now, but I care about you.

[? "To Richmond" playing]

I'm not walking away.

[Griffith sighs]

[Grey] Parenthood, partnership, career.

Often, the most meaningful things in life are also the most challenging.

Kids deserve to be a hundred percent wanted.

Mm-hmm.

And right now, more than anything, I wanna be a surgeon.

Which might mean I never carry a baby.

But there are other ways to have a family, and�

when the time is right, I'll�

I'll figure it out.

[softly] Yeah.

It's okay. You can be relieved.

I'm not.

It's complicated.

I know it's heavy for where we are right now.

I'm wherever you are.

[Grey] It's all but guaranteed you'll be tempted to give up.

Hey.

Are you ready?

Okay.

-[sighs] -I mean, it's incredible.

What is it?

A dog?

-You are sweating so hard right now. -I really don't wanna get this wrong.

-It's a raccoon. -I almost guessed raccoon!

You are such a liar.

I also almost guessed squirrel and rat, but raccoon was definitely on the list.

You were right.

I should have never signed up to make costumes.

[Lincoln chuckles]

-I'm sorry it didn't work out. -It's okay.

I found this amazing seamstress named Nancy, and she is going to help me out.

-That's great. -Yeah.

-And now you don't have to sew all night. -Mm-hmm.

You get to hang out with me.

Are you sure it's not a possum?

Are you serious? I told you what it is. Stop guessing.

[Grey] But the reward comes when you push through,

when you work hard and stay the course.

-[Wright sighs] How'd he go down? -He's amped.

Hopefully, he falls asleep before midnight.

I'm sorry.

I knew I shouldn't do my T. rex impression before bed,

but I really wanted to seal the deal.

Well, it worked.

He asked if my friend could play after school tomorrow.

I have to reschedule a free flap, but, yeah, I can play.

All right.

[sighs] Sorry our day got derailed.

Are you kidding?

I got to spend the whole day with you.

It was perfect.

[Shepherd] Mmm.

[Grey] If you fall off track, hopefully, you can find your way back.

Come to teach me square knots?

I'm sorry.

I should have backed off.

You embarrassed me.

Warren called me out for favoring you.

Is he right?

[smacks lips] I don't know. [chuckles]

-That's not an answer. -It's the truth.

Listen, you're great at your job, but I also wanna help you in your career.

Probably more than any other resident.

I don't want you to treat me any different.

It goes both ways, right?

Would you have argued with me in the OR if we weren't together?

Arguing is not the same as preferential treatment.

No, arguing is preferential treatment.

You're a second-year resident.

If we weren't in a relationship,

you wouldn't be important enough to argue with.

[? somber music playing]

Okay, I-I'm� [sighs]

That's not�

I'm sorry, okay? I'm�

This is what I was afraid of.

[sighs]

This was never gonna work, was it?

I really wanted it to.

Me too.

[Grey] But sometimes, all you can do is cut your losses

and hope everything works out.

[? music fades]

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