Original subtitles

[♪ upbeat music playing]

[Grey] Somewhere around 1600 BC,

surgeons invented sutures made of sheep and horse intestines.

They were called catgut,

and used almost exclusively until the 1970s.

What, are you Batman? What time is it?

It's early. I just thought I'd get a jump on orders and notes.

-You have all day for that. -Yeah, but I was hoping if I get it done

and out of the way early, I can get in on a surgery.

You know, I haven't been in the OR in days.

Too tired for sympathy. Good luck.

All right.

[Grey] Catgut was unpredictable.

It often dissolved at random and caused allergic reactions.

-Yeah? -Hi, uh, I… Sorry to bother you.

I was looking over my research proposal, and I think there's a typo in your notes.

It just says "mid."

Did you mean midterm or--

Not a typo. I think your idea is mid.

Middle of the road. Mediocre.

You don't think colon cancer outcomes in metropolitan areas is compelling?

I think it's too broad and it's been done to death.

It's mid?

Well, thanks for your feedback. [clears throat]

[♪ upbeat music continues]

[Grey] Meanwhile, in a chemistry lab somewhere,

scientists tried to invent a permanent polymer,

but it kept degrading.

Have you been here before?

-No. -Same.

I hope it's not a sob fest.

Cry enough at home by myself.

[Grey] Surgeons saw this failure and found an opportunity--

dissolvable stitches.

The answer was there all along. We just had to know where to look.

My patient is asking

if a triathlon is considered strenuous exercise.

[chuckles] I'd say so.

This is weird.

My neuroendoscopy was rescheduled.

Oh. Could be a glitch in the system.

No, my biopsy and craniotomy were also moved.

I'm completely clear on Friday. I'm calling IT.

-Uh, don't do that. -Right, I'll call scheduling--

Look, it was me.

Since the stars aligned

and our exes miraculously had our kids at the same time,

I booked us a weekend on Whidbey Island.

You had my schedule cleared?

Yeah. We can just relax and spend time together.

Are those patients okay with that?

The fellow's handling them. He seemed happy to help.

[grunts]

I saw that.

-How are you? -You need to stop.

Stop because you don't want to talk about it?

Or stop because you are fully healed, no more abdominal pain or fever…

I'm good, just focused on work. What are you studying?

I have to master the latest epilepsy guidelines before 8:00.

You already have a spot in Shepherd's lab? Nepotism much?

She's launching a new study. Anybody could apply.

Just stay off the Olympic floor. That's mine.

You can't call dibs on a floor.

Yeah, I don't have to. I'm Norton's guy. I have a full floor of patients.

Can't say who it is, but one of them is in the NBA.

Good morning. All right, the deadline for research positions is coming up,

so if you have not applied for one, do not wait. All right?

Get to work.

Hey, uh, you didn't show up to Beckman's info session.

I told him you'd be perfect for his lab.

-I didn't ask you to do that. -Oh, it's no big deal. I--

I don't need your help.

Did you hear that? He's so out of line.

Sounds like he was doing his job.

Now I need you to stop.

Hmm. Still feels like I'm checking in to a hotel.

Hmm.

Where's all the equipment?

It's hidden. It's more calming that way.

How calm's it gonna be if someone codes

and you have to go hunting for a defibrillator?

I have enough problems up here without your two cents.

Ah, I thought Dr. Fancy Pants was working financial miracles up here.

Yeah, he's golfing today. I call that a miracle.

Yeah, Lillian Kemp, 808.

Kwan's your resident. Make sure he doesn't do anything illegal.

Hey, um, I saw you have a total cranial vault tomorrow.

Do you use the Melbourne method for that?

Yep. [mumbles]

-Cool. -Dr. Warren, you're late.

Sorry. Sorry. I had drop-off this morning and the streets were closed

-because of the Sockeye Salmon Run-- -I don't need to know why.

-I just need my cases covered. -They are, 100%.

And the 3D model for tomorrow's craniosynostosis case?

Oh, it's pretty much done.

Good. I rely on my fellow like I rely on my right hand,

which is in fact my dominant hand.

I eased you in. Now I need you to level up.

Roger that.

Consent this morning's patients

and make sure all the wound vacs are changed in the SICU.

I thought you said you had everything covered?

It will be, if we both get to work. Now I got to go build a 3D model.

Okay, wait. Hey, um, do you think you could get me in on that surgery tomorrow?

-[chuckles] Did you hear Dr. Wright? -Yeah.

At this rate, I'll be lucky if I'm still on it.

-Thanks. -Okay.

-[patient sniffling, grunting] -Tracie, I'm Dr. Lincoln.

This is Dr. Millin.

Looks like we've got a couple of salmon runners on our hands.

-What gave it away? -Her hat fell off.

I spent all day… [groans]

I spent a whole day making them. [grunts]

Which no one asked you to do.

[groans] I got trampled when I went back to get it.

-Swimming upstream? That's brave. -Try stupid.

-May I? -Yeah. [groaning]

That's what I get for trying to get my sister out of the house.

We could have done literally anything else, but no,

she wanted to run a freaking 10K in honor of fish.

She needs a full trauma panel, chest and left tibia X-rays.

She has chest wall trauma, so…

A full cardiac assessment. I will page cardio. I'm on it.

Lillian Kemp readmitted for recurrent episodes

of severe epigastric pain associated with intractable nausea and vomiting.

Medicine asked for a surgical consult

after extensive workup didn't reveal etiology of symptoms.

I have been here so many times this month, I pretty much… [chuckles] …moved in.

And we'd like to get her out,

so anything you can do to speed this along would be greatly appreciated.

We will do everything we can to get to the bottom of her symptoms.

Well, I'm s-- I'm sorry. "Everything you can"?

Yeah, we're not leaving here until we have answers.

[stutters] That is my hope as well.

-Your hope? Aren't you the doctor? -Khadijah.

I'm sorry, my children don't handle stress well.

Mom, we are paying good money for you to be here.

It is okay to have a certain level of expectations.

-Mm. Uh-- -And we will meet them.

We just need a little more time to review your chart.

-[Lillian] Hmm. -[Bailey chuckles]

Are they all that demanding?

[sighs] I'll set up a bagel platter. That should do it.

He just got here. Transport's bringing him up now.

You reached the transferring physician?

Yes, patient's name is Miguel Velasco, eight-year-old otherwise healthy male,

transferred after a minor head trauma during soccer practice this morning.

No LOC, but mild headache, nausea.

Parsons General has sent us a couple of these since their neuro department closed.

-Any guesses? -Most likely a concussion.

Textbook. How should we proceed?

Admit for obs, but no advanced imaging is indicated.

Discharge in the morning.

Limit screens, manage pain with acetaminophen,

and light physical activity.

Mm-hmm. Sounds like a plan. I'm going to round in the ICU.

-Let me know if anything changes. -Yep.

[crying] Make it stop! Make it stop!

-[Shepherd] Dr. Griffith. -Help my son! Help my son!

All right, let's get him on his side and give him one milligram of lorazepam.

[crying] Oh, my God. Miguel, baby.

But if you support this, I'm sure we can find funds for that highway project.

Okay, talk soon.

There's no medical leave in my line of work.

Grant is a chief of staff for State Representative Mallard.

Yeah, we're trying to get more funding for after-school programs.

You have my vote. I got a seven-year-old who needs to stay busy.

-Bryant. -Uhm Grant de Vera, 34-year-old male,

post-op day one from a right fibular osteocutaneous

free flap following an MVC.

Strong arterial signals with no signs of venous congestion.

Mind if I take a look?

-So is your funding going to pass? -I need four more votes

-and they're holding out for leverage. -Hmm.

[heartbeat pulsing]

Yeah. You're healing nicely.

Do you want me to do that?

Yeah. So I'm gonna be in surgery most of the day.

Dr. Warren and Dr. Bryant are gonna hold down the fort.

Hey, uh, you want me to assist in your DIEP?

Did you do everything else I asked you to?

Well, no, but, um…

So, no.

-Yeah. You're learning, Warren. -[chuckles]

Hi, Migue, I'm Dr. Shepherd. This is Dr. Griffith.

You had a seizure. Do you know what that is?

It's kind of like when the brain's electrical signals get mixed up.

Is it gonna happen again?

We're not sure yet, but we are gonna take good care of you.

Bright light, okay?

-Pupils are equal and reactive. -Okay.

All right, would you squeeze my fingers?

Has he ever had a seizure before?

No, never. Is this from his fall?

-It's possible. -[parent] He just started soccer.

We went to Italy a few months ago and it sparked an interest.

-We saw a Juve game and ate gelato. -[parent chuckles] Yeah.

He was chasing the ball at practice and then he fell and landed right on his head.

I knew soccer was a bad idea.

You did the right thing bringing him in. We are gonna check him out.

Why don't you order a CBC, a CMP, coag panel, and get him up to CT?

-Already on it. -Mm-hmm.

What do you see?

Left segmented comminuted tibial fractures.

What's that?

She has multiple fracture fragments of the tibia.

Multiple. I'm an overachiever.

[chuckles] Indeed you are.

Millin, what's the fix?

I'd put her in an ex-fix

and then she'll need an ORIF once the swelling goes down.

All right, what do we got?

We got another… [chuckles] …hot doctor is what we got.

We've also got morphine on board.

Are you single?

Because my sister is divorced and she is ready to mingle.

I'm sorry, she's very pushy and inappropriate.

It's okay.

Well, if it's okay, are you single?

Uh, yeah.

Ry, single and employed--

-Enough, Trace. -Can somebody get me up to speed here?

Tracie was trampled at the Sockeye Salmon Run.

In addition to her extremity fractures, she also has a non-displaced

sternal fracture and is complaining of shortness of breath.

Okay, chest X-ray is negative for pneumo.

EKG has some nonspecific T wave changes.

Initial troponins are mildly elevated,

but I see no reason to delay treating her leg.

So let's get her to CT and then we'll just keep an eye on things.

Great. Get her ready for the ex-fix.

Uh, would you mind paging me when the CT and next set of troponins come back?

-Nope. -No, you don't mind? Or, no…

Tracie, let's get you upstairs.

[Tracie chuckling softly]

CBC and CMP are normal.

There's nothing remarkable on the CT or ultrasound, um…

Biopsy from the endoscopy…

[scoffs] Look, show only mild chronic gastritis.

She's had every test twice.

You want a latte?

Do I want a latte?

Do…

-I mean, are they good? -Well, it's like a $2,000 machine.

I mean, if you're already making one then…

[chuckles]

[Webber] How's it going?

[stammers] See, I still don't get the maroon scrubs.

They're merlot.

Oh, got to have high fashion to treat rich people?

How's it going with the patient?

[sighs] I'm psyching myself up.

Lillian's kids are gonna have my head

when I tell them we've still come up empty.

Really? Nothing?

I'm going to refer her to GI for a second opinion.

Well, I know you did the best that you could.

-They'll understand. Mm. -[sighs]

Your latte.

Okay.

[clicks tongue] Hmm. Starting to see the appeal.

-Mm-hmm. -Now let's go to battle.

Yeah.

[smacks lips] Mmm. Okay.

She's still not hitting her milestones

and they're not saying that it's because of what happened…

[crying] …but how could it not be?

I'm-I'm so sorry. I can't. Can somebody else go?

Of course.

Would you like to share your story?

Oh, um…

Yeah, I guess… I guess I could try.

It was, um, three years ago.

It just all happened so fast.

And, uh…

[stammers] Sorry, are there walnuts in these?

-'Cause I'm allergic. -Do you have an EpiPen?

Uh, not on me, so I should probably go home and get it, um…

Wait, no, I'm a doctor. I can take you down to the ER and--

That's very generous, but that's… No, it's not necessary.

Well… It's better safe than sorry.

-So… -Um…

-Go. Go, go. Go. -Okay.

-Hey, have you seen Shepherd? -ICU for a consult.

Okay.

Are you okay?

-Fine. -Look, I know something's wrong.

You never miss work and you were out for three days,

and this morning you looked

-like you were in pain. -I said I'm fine.

-I don't need you checking on me. -Yeah, but if you need anything--

I don't need anything. I'm handling it.

Look, would you just let me be there for you?

Look, you don't have to tell me everything,

you don't, but if you want to talk--

I don't, and I don't want to talk about it with you.

-[sighs] Oh, my God, is that a… -Giant cyst on his parietal lobe.

Paging Shepherd.

[line ringing]

[♪ ominous music plays]

You're giving up?

Well, what are we paying you for, the nicer pillows?

Amari. Calm down.

They just gave us the same speech that we heard five times

from the doctors on the regular floor, except those times were free.

Well, not exactly.

We're really sorry.

I told you they don't care about Mom.

All they care about is if the check clears.

Okay, if all that we cared about was money,

then we would put your mom through a battery of costly, unnecessary tests.

Is that what you want? [stammers] And just because you can afford this room

doesn't mean that you are exempt from treating people with respect.

We are not rich.

I'm a paralegal.

He's an electrician.

We pooled our savings to get this room.

She can't eat.

She can't walk to the bathroom.

We just wanted to make sure we put everything that we have into helping her.

Uh… And I'm sorry, I…

Just… Unfortunately, your-- your mom's symptoms are hard to pin down.

No matter what floor you're on.

But we're referring you to the best GI we know,

and you will absolutely be seen this week.

Hopefully, that's worth the price of admission.

-It's better than nothing. -Mm.

Dr. Kwan will get you ready for discharge.

Just follow up after you see the GI.

[sighs] Finished checking Grant's flap. Looks good. Is something wrong?

I forgot my daughter has early dismissal today,

and I can't find anybody to pick her up.

I absolutely loved early dismissal.

Well, I used to hang out with friends at the pizza buffet,

but I can see how in your case, it's stressful.

Yeah. She's been sitting in the school office for an hour.

Well, why don't you go get her?

Wright was all over me this morning for being late. I can't leave.

Okay, well I can… I can do it.

Yeah, my wife would kill me.

So then just go.

You know, Wright's gonna be in surgery for at least another hour.

I can cover till then.

Okay, okay.

Yeah, listen, just stick to flap checks and changing wound vacs in the SICU.

-Flap checks. -But, hey, if anything happens, call me.

I'm all over it, okay? Go.

Arachnoid cysts often go undetected because they're small.

Migue's is very large, and it is putting pressure on his brain.

That's what caused the dizziness and seizure? Not the fall at soccer?

Most likely. Once we remove it, his symptoms should stop.

We've booked an OR, and we can get him up there soon.

You wanna do the surgery now?

Don't you need more tests or time to prepare?

I know it feels really sudden and scary,

but I've done this many times before,

and we should remove the cyst before it ruptures.

It's his best option.

Please, be careful with him.

All right, get him prepped. I will see you upstairs.

And me too?

Oh, um, what about my research?

I'll work late to make up for it.

Okay, as long as it's done. Hmm.

You're following me into the OR?

It's a cool case.

[receptionist] Thanks for waiting. How can I help you?

I have a pregnant woman who might be having a possible allergic reaction, and--

-I'm feeling fine, really. It's-- -It looks like bed five is open.

-Can we take that? -I think I'm just gonna go home

-'cause it's… -Oh, no, you should really get checked.

I'm not allergic to walnuts!

I lied. I-I actually love walnuts.

I-I just said that to get out of sharing in group, and of…

[panting] Of course, now I'm in an ER,

which is bringing back everything I was trying hard not to remember.

I'm… My heart is racing. Is it… Wow. Is it hot in here?

Okay, okay. Let's get some fresh air.

Okay.

No.

-Hi. -No.

No. [breathes deeply]

What are the odds that the biopsy for celiac was a false negative?

I imagine not zero. Maybe, but I've never seen it.

I, uh… And I thought you were discharging Lillian.

They have spent almost every dollar they have to get here,

so I don't wanna just send them home.

I'm sure you did the best you could.

See? Stop saying that because I don't know that I did.

I mean, do I not have more tricks up my sleeve?

I should be able to figure this out.

I am not mid.

Didn't say you were.

What's mid?

Mediocre.

According to my TA.

-Well, that's just rude. -[scoffs] Yeah.

You know, every research idea I have is old news.

You know, everyone in my program works half as much as I do

and finishes twice as fast.

And now, I can't even figure out what's wrong with my own damn patient.

Aren't you gonna, you know, pump me up, give me some kind of pep talk?

No, I know how it feels to put your blood, sweat, and tears

into something that did not work out the way you expected it. [sighs]

You want a latte?

I'd love one.

[Bailey] Mm.

A little tighter.

There.

Look at you. You're in a medieval torture device.

Because I was trying to help you.

You're so stubborn. [gasping]

I don't know why I bother. [choking]

-[machine beeps] -Tracie, are you feeling okay?

-Ultrasound? -BP's soft.

-Tracie. Tracie. -[Lincoln] Take deep breaths.

Hi. I'm with Tracie Pearson.

She's dyspneic, and systolics are in the mid 80s.

-What's happening? Why can't she breathe? -[choking]

Ultrasound shows hypokinesis in the anterior segment.

-Uh, okay. -You're gonna be okay.

Dr. Ndugu wants us to take her down to the cath lab.

Ndugu, the heart surgeon? What's happening?

You said her chest CT was clear.

It is, but Tracie's heart is having trouble contracting.

But she's gonna be okay, right?

We don't know, which is why we have to go.

[rapid beeping]

-Oh, my God, Tracie! -Okay, BP is dropping.

-Trace. -Pulse ox is 80.

-Get an intubation kit. -[Ryann crying] Tracie!

-Tracie! -[PA announcer] Code Blue, third floor.

Code Blue, third floor.

-[Ryann] Oh, Tracie. -Code Blue. Code Blue.

[phone chimes]

Uncle Clint texted.

He wants to know how you're feeling,

and if they've diagnosed you with too much sugar, yet.

You tell him to mind his damn business.

I swear that man's losing his mind along with his vision.

Well, he's not wrong to wonder.

Started with vomiting, same as you.

Is this your brother?

Pain in my behind is what he is.

Not as bad as Aunt Cici.

Yeah, my sister's trying to heal me with food.

Ironic since the woman has stomach ulcers.

Well, food can aggravate ulcers, but it doesn't cause them.

All I'm saying is she's a nail technician.

What does she know about nutrition? Pfft.

Ugh.

Amelia.

-Hey. Are you stressed? -How'd you guess?

Well, you're in luck.

I snagged us a 90-minute couples massage for Saturday,

and they come to the room,

-so we don't-- -And you didn't wanna check with me first?

To see if I like massages?

-Uh, do you? -I like 50 minutes.

[stammers]

After that, I get a little bored, and I don't like couples massages.

[stammers] I think they're weird. [inhales]

Also,

I don't like canceling surgeries unless it's an emergency,

which you would have known if you had asked me first.

I-I-I'm-I'm sorry.

I thought that surprising you was romantic.

Do you want me to cancel it?

I don't know. I…

I have to operate on an eight-year-old. [sighs]

[sighs]

[Ndugu] You have femoral access?

[Millin] We have IVUS on standby.

[Ndugu] All right. Guide catheter.

Advancing to the left main coronary.

Heparin, please.

-Go ahead and shoot the angio. -[Millin] Mm-hmm.

[Millin] Is that a proximal LAD dissection with a thrombus?

[Ndugu] Unfortunately, yeah. Let's prepare to place a stent.

-I got this. You can go if you want. -[Millin] I wanna help.

[Ndugu] Okay. Guide wire.

-So, that, that's how you showed me-- -Oh, thank you.

What in God's… [gasps] You're gonna mess up that carpet.

Okay, hear me out, all right? Lillian's sister, Aunt Cici,

has recurrent kidney stones and stomach ulcers.

Her brother has vision loss and low blood sugar,

and cousin Bobby's got chronic diarrhea and eats antacids like they're candy.

-This might be genetic. -Bingo.

And it appears to go beyond GI symptoms too.

Kidney stones, ulcers, reflux, vision loss.

I wonder if it's MEN.

Multiple Endocrine Neoplasia?

It causes tumors in the parathyroid glands?

And the adrenals. It's pretty rare.

Y-Yeah, but I've seen it enough to know that it tracks.

Kwan, okay, order genetic testing,

and let's get a PET scan to see if there are tumors.

PET scans can take weeks to schedule.

[Bailey sighs]

She's VIP.

Get her in today.

All right.

[Shepherd] Craniotomy complete. Basin?

Scalpel.

[Adams] I can't believe that Parsons thought this was a concussion.

[Griffith] Heard the whole hospital might shut down.

[Shepherd] Neurosurgery is the third department to be eliminated.

[Adams] If the whole hospital closes, does that mean we absorb overflow?

[Shepherd] Well, we'll have to.

But in the meantime, these misdiagnoses are a problem.

This entire day blew up because Parsons told me that Migue had a concussion.

All right, incision to the dura complete.

What are next steps?

[Griffith] Guided ultrasound, aspirate the cyst, perform the cystectomy.

[Shepherd] Correct. Ultrasound and needle.

Mm-hmm.

Hang on.

It looks like there's something moving inside the cyst.

[Adams] What the hell is that?

[Shepherd] It looks like a daughter cyst.

[Griffith] Arachnoid cysts can have daughters?

[Shepherd] It's not an arachnoid cyst.

It's a parasite.

[sighs]

[grunts] I think a call

from the head of the largest neighborhood watch in his district

could win him over.

-Hey. Sorry, but are you in pain? -[sighs]

-Yeah. -You'll do it?

-Okay. -Great.

[grunts]

Let me know how it goes.

Talk soon.

[sighs, winces]

Okay. Yeah. Have you ever read The Art of Persuasion?

So my dad gave me a copy when I was about nine or ten,

and I used it to convince him to buy season passes for the Hornets.

Okay, this flap is swollen, but we do have healthy arterial flow.

-Should I be worried? -No, no, this can happen.

I'm just gonna check with our fellow to make sure, okay?

Come on, come on, come on.

[line ringing]

You've reached Ben Warren. I can't take your call right now,

but go ahead and leave a message, and you know what to do.

[Wilson sighs]

Thanks.

Okay.

[sighs]

Two seconds in the ER with the smell of disinfectant

and the awful lighting, and I'm just right back to that night.

Were you induced?

[scoffs]

One minute I was having dinner with my husband,

next I knew, an OB was elbows deep in my uterus.

My C-section was done by a heart surgeon.

I thought heart surgeons operated on hearts.

He did that too.

The OB's phone kept ringing as she was slicing me open, over and over.

-You wanna know what the ringtone was? -Mm-hmm.

-"Hit me baby one more time." -[chuckles softly] No.

[Corrie chuckles]

[sighs] Now every time I hear my favorite middle-school dance song,

I just have a full-blown panic attack.

I remember random things too. Um…

the fake flowers in my hospital room.

The orderly's necklace jangling

as she rushed me down the hall, the monitor beeping.

It was my worst nightmare.

I didn't know if my babies were gonna make it.

I didn't know if I was gonna make it.

And I've been around medicine my entire adult life, but that monitor…

I can hear it when I take a shower.

I can hear it when I pick up my kids.

I hear it when I'm sleeping.

I just hear it everywhere.

I quit my job because I knew that I would hear it forever, and I just…

I don't know how to live with that.

[Ndugu] All right, deploying the stent.

Withdrawing the balloon.

Prepare to shoot another angio.

-Beautiful. -[Millin] Hear that, Tracie?

You're gonna live to run another race.

[Ndugu] Nice thinking on your feet.

You've got the instincts.

I mean, you-you really should talk to Beckman about research,

you know, assuming cardiothoracic is still what you want.

[monitor beeping]

[Millin] She's in V-tach?

[Ndugu] Okay. All right.

-[Millin] No pulse. -[Ndugu] Charge to 150.

-[flatlining] -[defibrillator charging]

Right, clear. Come on.

[rhythmic beeping]

-[Millin sighs] Okay. -[Ndugu] Yeah. Fluoro.

All right, dissection could have extended.

There. Push pressors.

Can you try to reopen it with another stent?

-[flatlining] -[Ndugu] I can try,

but it's already propagated into other vessels.

-[flatlining continues] -[Millin] Come on, Tracie, come on.

[winces, grunts] What do you see?

There is a small collection of blood under the flap,

which is likely what's causing your pain.

Dr. Wright's still in surgery. She asked for you to wait.

Okay. Um…

Can you tell her that his flap is compromised?

The tissue has limited perfusion.

I think it's pressure from a hematoma underneath the flap.

-Then he doesn't have time to wait. -Yeah, I know that. Thank you.

-You know I can hear you, right? -Yeah, yeah. Um, everything is fine.

Everything's okay. We just need a minute to then figure out a plan.

Can we get Dr. Warren?

He's not available at the moment, so…

[sucks teeth]

Get me a staple remover and maybe some leeches, please.

-L-Leeches? N-N-No "maybe." -Yeah.

If you're gonna put leeches on me, I'd rather you be sure.

I'm sure. I'm sure, okay?

Now let's just do this before it's too late.

[Corrie] Here.

Thank you. I am so sorry.

I just dumped all over you.

Ugh. I'm one Britney Spears song away from complete ruin.

I know I'm lucky.

I survived and my child is healthy.

Even though you both survived, it doesn't mean that you don't need to grieve.

I actually thought this time would be easier.

And the pregnancy's been physically smooth,

but inside…

-I don't know how I'm gonna do this. -You will.

You'll put one foot in front of the other.

And you'll do it because you love that baby.

I don't know if that's enough.

[sighs]

If you need anything or you just need to talk, I'm gonna give you my number.

[sniffles] Oh, thanks.

-I'll give you mine too. -Okay. [chuckles]

[chuckles] You're clearly just as messed up as I am.

You cried twice.

[both laugh]

I know you have mixed feelings about Kwan,

but, you know, few residents would take such a thorough history.

They just want to cut.

Who says I have mixed feelings?

Aren't you mad at Norton?

Just direct your contempt towards him.

Well, trust me, he's getting it, too.

Oh--

Is that what you're feeling mid about?

I'd like to think I'm a good judge of character.

But I fell asleep on the job on this one.

I mean, he's dismantling the institution that I've spent my entire career building.

Well, you're the boss. Fire him.

I wish it was that easy. Catherine loves him.

[Bailey gasps]

[Webber] Oh, my God.

Tumor right on the duodenum.

Who's mid now?

[♪ hopeful music playing]

[Bryant] You doing okay?

Surprisingly, yes.

I guess working with politicians prepared me for these little guys.

-[laughs] -[phone dings]

O-Oh, my God.

-I got the votes. [chuckles] -Art of persuasion, huh?

Art of favors.

I said we'd support zone initiatives so Royce would support us.

He's a yes.

What happened? All right, what-- Why didn't you call me?

I tried to. The flap lost signal. I had to do something.

Sorry, I got held up in the OR.

Oh. Compartment syndrome?

Yeah, it, uh, it came on fast.

Yeah, color's coming back.

Good call, Warren.

Yeah, um, look, I-I actually wasn't--

Sure about the leeches.

He wasn't sure about the leeches at first,

but he knew that we had to act as soon as he saw that the leg was dusky,

-and that's what we did. -It's a great save.

Grant, unfortunately you're not gonna be able to be on your phone.

We need to get you to the OR so we can wash out and repair your flap.

Warren, let's go scrub.

-Do you want me to get him prepped? -That'd be great. Thank you.

-[Griffith] Never seen a hydrodissection. -[Shepherd] They're not common.

I saw one during my fellowship, but I've never actually done one.

[Adams] You sure now's the time to try?

-[Griffith] We obviously can't leave it. -[Shepherd] And we can't aspirate.

The parasite secretes toxins into the hydatid fluid.

If any of it leaks into his brain, he could go into anaphylactic shock,

and even if he doesn't, he'd be on medication for the rest of his life

just to make sure that the parasites don't come back.

We have to remove the cyst intact.

-[Adams] By forcing it out with saline. -[Shepherd] Let's hope.

-All right, starting irrigation. -[Adams] Okay.

More irrigation.

[Adams] Could the saline pop it?

[Shepherd] I'm trying not to think about that.

[Griffith] Okay. Just a little more.

[Shepherd] Come on.

Just a little more.

Come on.

[Griffith] There.

[Shepherd exhales heavily]

[Griffith] That might be the coolest thing I've ever seen.

[Adams] Now can we pop it?

I'll send it to path.

-Millin. Hey, wait up. Millin. -[Millin sniffling]

-[sniffling] -Millin. Hey, hey, hey.

-Are you-- Are you okay? -We lost a patient.

[sniffles]

This wasn't on us. Her heart was too injured to recover.

It's not about fault.

A person died.

I know.

And we did everything that we could do to prevent it.

It wasn't enough. [sobbing]

[Shepherd] We'll monitor him for a week or two

and then he'll be on anti-parasite medication,

but yeah, he'll be okay.

How did he get a parasite?

Oh, this kind of parasite isn't found in the US

and even then they're very, very rare.

Are they found in Italy?

It can be.

[sobs] Oh, my God. This is my fault.

You don't know how he got it. You cannot blame yourself.

He's always begging to come with me when I travel for work.

I finally caved with Italy.

I wanted to introduce him to Juventus

and the Egyptian Museum and gelato.

[sobs] I'm never taking him anywhere again.

You wanted to spend time with him.

It sounds like you made some wonderful memories.

I'm needed on a consult.

-Would you call me when he wakes up? -Yes.

Why didn't the tumor show up in any of the scans she had before?

Well, we did a specialized scan.

It's only indicated if you have certain genetic diseases.

So she has it? MEN?

We still have to wait for the results,

but the tumor is specifically in line with MEN1.

Well, you figured it out. I can't believe it.

There's a name for what I have.

Let's not get too excited.

You also have a tumor in your intestine.

Uh-huh, but we know how to treat that.

[chuckles] Yes, we'd like to schedule you for surgery as soon as possible.

-That should alleviate the symptoms. -[sighs]

Oh, thank you both for getting me this VIP service.

You were right, it was worth every penny.

Well, you're lucky to have a tight-knit family

that looks out for each other.

Yes.

Now, do I get to keep these sheets or do they have to stay here?

-[Khadijah laughs] -[Amari] Oh, my gosh, Mom.

[sighs]

How is she?

One of Tracie's coronary arteries was damaged during the accident.

Uh, we took her to surgery and tried to repair it,

but she sustained massive heart damage.

-Tracie died. -[cries]

I'm so sorry.

But we were fighting.

We did everything we could.

No.

[sobbing] No, she can't be.

[screaming] You have to get her back! You have to get her back!

[crying] Get her back! Get her back! No!

Finished dressing changes for all of Wright's post-ops.

Oh. How'd it go? Did you save Grant's flap?

Uh, we did. We did, largely thanks to your help.

Awesome.

You're going through my progress notes?

Uh, actually, Wright wants to recommend me for this fellow position

on the Washington Association of Plastic Surgeons board.

I'm just, uh, you know, looking at the job description.

-Congratulations, man. That's awesome. -[chuckles] Thank you.

Hey, um, do you need help preparing for that total cranial vault tomorrow?

Uh, no, no, no. I'm good. I'm good.

But, uh, I do have some orders that need placing,

some wound vacs that need checking.

And Mrs. Galoosian in 4135.

She needs to be ambulated.

Right. So it's like that?

I'm sorry, it's just I… [sighs]

I cover for you and I get you back in good with Wright,

and you won't even consider getting me on the case.

You, uh… You covered for me?

Yeah.

Oh. Like the time I covered for you

when you ordered therapeutic heparin instead of prophylaxis?

-W-- -Or the time that you forgot

to change the dressing on that post-op patient?

See, we look out for each other because, you know, it's the right thing to do,

not because we expect anything in return.

So, uh, I'm going to go prep for tomorrow.

Thought you went home.

Oh, I live here now.

Yeah, I need to move out of my aunt's place

before we, uh, murder each other.

I did go through a thing,

but I'm afraid if I start talking about it,

I won't be able to come back, and I just…

I really need to focus on work right now.

Okay. [chuckles]

If you need a place to stay, you could move in with us.

So you don't want to talk to me, but you'll live with me?

Just saying. Empty room in the house.

-What about Bryant? -I'm sure he'll be cool with it.

-Good night. -Good night.

Oh, you're heading out?

Uh, switching gears.

I'm gonna work on my research project for a while.

Oh, you have an idea?

I do. Um,

my TA still doesn't love it, but yeah, I don't care what she thinks.

I know it's worthwhile.

Whoa, whoa. W-What is it?

Well, so Lillian spent six months trying to get a diagnosis,

but it wasn't until she was on the VIP floor that we found one,

and I just want to know why.

I mean, was it the extra time we gave her?

Or… [stammers] access to outpatient testing?

Since when did you care so much about the VIP wing?

[stammers] I don't,

but I want to use the results to get better care for everyone,

regardless of whether they can afford VIP service.

Well, that sounds great.

-Yes. -Mm.

So, I reached out to Norton and we're having dinner tomorrow.

[Webber] Well, now, why do you want to talk to him?

Look, I know you don't like him, but he might be onto something.

I really don't think so.

-Let's see what the data says. -Bail-- Bailey.

Hey.

Hey.

How'd your surgery go?

Unexpectedly.

Kid's brain cyst turned out to be a parasite.

-Oh. -He's gonna be okay, though.

I don't like surprises in the OR or at home.

Okay.

I used to.

But being able to plan for what's ahead…

it helps me stay sober.

Look, I'm… I'm really sorry.

I wasn't thinking.

I mean, I was,

but it was about getting away from work and kids and having space for…

[sighs] …us.

It's been, uh, a long time since I wanted that with someone.

[stammers] I mean, I should have just told you.

I mean, I forgot that, y-you know,

nothing I've told you so far has freaked you out.

It's true.

I'm… I'm gonna cancel the hotel.

No, don't.

The thing is, Whidbey Island, it's not a surprise anymore.

So, you wanna go?

I've never been, and I would really like to spend the weekend with you alone,

but could you send me the itinerary in advance?

Oh.

We're never leaving the room.

[chuckles]

[Grey] On a good day, life feels like an endless string of opportunities.

You're still here?

Mm-hmm.

Everything okay?

[inhales deeply] Long story.

[chuckles] Come on, you gotta give me more than that.

It was actually a good day.

You have no idea how happy I am to hear that.

I'll tell you everything over dinner.

[Grey] On a bad day, all we see is problems.

Sometimes, the solutions are obvious.

I'm working, make an appointment.

I know it's your job, but it's confusing.

Is this about Beckman?

I miss you.

And if this were different, I would make a clean break

and I would get over you, and I would move on,

but I can't.

So when you go out of your way to help me, it's confusing

because I don't know if you're doing it because you're the new residency director

or if it's because…

And you seem to be doing fine, which is great for you. [sniffles]

I sh-- I should go. [sniffles]

Hey. I'm not…

I'm not fine.

-[sniffles] You're not? -No.

I…

I miss you too.

[Grey] But a lot of the time, you have to dig down deeper,

find the hidden truth.

Taking a break?

Uh, I caught up on all my notes,

and Mrs. Kemp is resting up for her surgery tomorrow.

-So, yeah. -Good.

You should rest up too,

assuming you'll be scrubbing in with Dr. Bailey.

I will. Thank you.

Nice work today.

[man] Benson.

Benson.

Dad?

[Grey] Just know, you may not like what you see.