Original subtitles

[Derek] Previously on Grey's Anatomy...

[Richard] We just received word of a mass casualty incident nearby.

You cannot tell Shepherd until I've told Meredith.

Cristina and I are engaged.

Immediate, immediate! I need help down here!

My buddy's trapped. He's trapped under a car.

Dr. O'Malley and I made a deal.

He's gonna find my son before I go into surgery.

We just have to bandage him up,

we're gonna find someone to take him to the hospital,

and then we're gonna find your mom.

- I got to get out of here! - Sir, don't move!

["A Bitter Song" playing]

[Meredith] Like I said, disappearances happen.

Pains go phantom.

Blood stops running.

And people...

People fade away.

♪ All I need is a bitter song ♪

♪ To make me better ♪

♪ Much better ♪

♪ All I need to write is a bitter song ♪

[Meredith] There's more I have to say.

So much more.

But...

I've disappeared.

♪ I feel better ♪

♪ I feel better ♪

Did you check on Kramer in 2309?

Because his X Rays are done and I don't know what to do.

Higgins in 2312 needs diet orders before he can eat.

Done and done. I need you to monitor Collins in 2323.

Page me if his systolic drops below 90.

I gave him a loading dose of dig to lower his heart rate.

Either of you seen Dr. Grey?

Uh, I checked on her earlier, but she's a little sedate today, so...

Not Dr. Ellis Grey. Dr. Meredith Grey.

- No. - Not since this morning.

Fine. Um, if there's anything emergent, page me in the pit.

[emotional music]

George, did you find him?

Is Chris OK? Is he awake? Is he...

Answer Mrs. Height, O'Malley.

Chris is fine.

He's glad you're OK, he'll be waiting for you after surgery.

- He's being very brave. - That's my Chris. That's my boy.

Thank you, Dr. O'Malley. So much.

Dr. O'Malley. Hold up a second.

So what happens when the happy mother in there wakes up after surgery

and her son isn't there to greet her? What then?

How are you going to explain that, O'Malley?

If she wakes up because my lie helped us save her life,

- I'm OK with that, Dr. Bailey. - [exhales]

- Find that child. - Yes, ma'am.

Her echo showed cardiac tamponade.

Mm. So our first priority is stabilize the traumatic pericardial effusion.

Keeping mom alive means keeping baby alive.

I'll monitor the surgery while he operates.

I'll notify the OR.

Chief, we got a mob scene in the clinic of people looking for

missing family members and nothing but a two hour old list of patients.

No one has any more information than you do.

The police are asking us questions. Search and Rescue can't track it.

- We'll have to do it ourselves. - Is there some kind of system that...

You're the system, Karev. Figure it out.

[sighs]

How's she doing?

Well, we won't know until we get her up to the OR.

- She still a Jane Doe? - Yeah.

[sighs] To be in that condition and have no one who knows you even know.

- What? - She's all alone. It makes you think.

You know if I went missing, would anyone notice I was gone?

Do something!

He's still seizing, there's nothing more I can do.

You're supposed to put something in his mouth

so he can't bite his tongue, aren't ya?

Nobody's putting anything in his mouth. We just have to let him ride it out.

What're you going to do? You just can't let him die.

They're gonna come soon in a little while and they'll get him out.

You say we don't got much time.

What if they don't get him out from there before he...

I don't know. I don't know, OK? I don't know.

Please. You can't quit on us now. You just got to try something else.

I'm out of practice. I've been watching.

For weeks I've just been watching, I...

I'm sorry.

I'm sorry.

You stopped the bleeding, that was good.

Come on, please. I... I know this guy. I believe in him.

I believe he can make it.

You got to believe in it too.

You got to believe you can do this. Please.

Don't stop now.

[intense music playing]

Who's got a cell phone?

You guys good? You OK?

- Yeah, what do you got? - Nearly severed leg,

but he had his artery tied off so, that's something.

Yeah. Who tied off the artery?

- Was it Dr. Grey? This is her jacket. - We found him like this.

- She must have moved on. - Yeah. OK.

- Doc! - Yeah.

What is it?

Yeah, just stabilize the fracture.

Get him to the hospital as soon as possible.

[siren blaring]

[man] Three more rescues en route.

Hey. You OK?

Did the doctor bring you here? Huh? Meredith.

Is Meredith OK?

[chilling music playing]

[overlapping chatter]

I'm hungry.

[melancholic music playing]

Hi. My name's George. Is your name Chris?

No.

Is he... Thank you.

Thank you very much.

- Do you have a new list? - Uh, not yet.

Nothing? How can there be no new information?

Isn't there someone you can call? Someone who knows something?

- Nobody knows anything right now. - That doesn't make sense.

- That's ridiculous! - [angry chatter]

Come on!

Quiet!

All right, that list is all I have for you and it sucks, but that's it!

I can't believe you don't have some kind of a system, I mean...

If you give me a minute to think, I'll come up with the damn system!

[overlapping chatter]

I just want you to know that I understand you're under a lot of pressure.

If you... If you just need to sit for a minute,

or if you need a hand or a hug...

I'll hang the bag.

- [nurse] Pulse ox is 98. - [cell phone rings]

- This is Chief Webber. - [Izzie] Oh, Chief.

I got a guy here and we can't extricate him.

- And I've tried everything. - Hold on, who is this?

- Hold, hold on. Who's this? - It's Izzie Stevens.

I'm at the dock. I've got a patient with a depressed skull fracture

and probably an intracranial bleed.

Is he showing signs of increased pressure?

Yes. His left pupil is blown, he's gone limp.

He's seizing and now his right pupil is dilating.

Could be herniating. What's your ETA to the hospital?

That's what I'm saying, we can't get him out!

He's stuck under a car and we can't get him out.

- OK. First you've got to stay calm. - I can't stay calm.

Calm was over minutes ago. Calm is gone. Calm is an impossibility.

I've got his best friends here and I can't let him die.

So please just tell me what I need to do.

You need to do some burr holes.

Burr holes? I can't do burr holes out here.

- Do you want to save his life, Stevens? - Yes.

All right.

I need a minute to check something out in the book,

- and then I'll talk you through it. - You're looking it up in a book?

I'm not a neurosurgeon, Stevens.

And I want to make sure we get this right.

Somebody find me a copy of Boardman's Neurosurgery!

Everything OK?

You know anything about making burr holes?

- Done it a couple times. - Good. Don't go anywhere.

Stevens, listen to me.

- [exhales] I'm gonna need a drill. - There's one in my truck.

What do you need a drill for?

[intense music playing]

I've got to drill holes in your friend's head.

Watch your back. Coming through.

[emotional music playing]

Hello, I'm suturing here.

- I'm sorry... - Wait, did you just get back?

Yeah. I'm looking...

Have you, uh, seen any lost children down here?

Is... Is Meredith back too? Because I need her, it's really important.

Yeah, this is important, this kid's missing, his mom's in surgery.

- Ooh, what kind of surgery? - This kid's lost.

You didn't see it today, Cristina. You weren't out there.

I know.

Have you seen any lost kids down here or not?

Not. Do you know where Meredith is?

- I'm leaving. - Yeah, I know.

All right, if you can identify the patient please write their name on the picture.

I've got markers.

These patients are in surgery and these patients are in the ICU.

- This is Fatima! Is she OK? - Yeah. She's in the OR. Stable.

OK, all these people have been transferred from other hospitals.

Oh, and I have the details.

- Is that him? - No.

Hey, it's me.

If it's OK, I, uh, I got a case I need to check on.

- My husband is not on that board. - Kelly Winter, she's not either.

What does that mean?

[stammering] It's... They could be in shock

or walked away from the site, or...

Just say it. A lot of people died! They're dead!

We... We don't know that.

So, how can we know?

My wife, she wasn't in these photos either.

But she's pregnant. Is... Is it possible you just didn't see her?

She's pregnant?

- [sirens blaring] - [overlapping chatter]

[helicopter whirring]

What? It's OK. Just think.

Where is she? Which way she go?

It's OK. Take your time.

[hectic music playing]

Take all the time you need. You're doing great.

What is it? Good.

OK. Use your words.

Where exactly is Meredith?

[electronic beeping]

[heart beating]

The leak in the heart is coming from the right atrium.

You gonna put her on bypass? Because that could compromise the baby.

Well, I can fix her heart while it's beating. Push 40 milligrams of esmolol.

I found her husband. I found him.

She's not a Jane Doe. Her name's Casey. Casey Clark.

- What? - How do you know?

- What? - How do you know it's Casey Clark?

Well, she's pregnant, and...

There were hundreds of people on that ferry, Alex. Hundreds.

And chances are that more than one was pregnant.

Now do not give that man hope unless you are certain.

Do not give him hope until you've checked every last body in the morgue.

- Dr. Burke, can I, uh... - Yes. Make it fast.

[camera clicks]

[Addison exhales] I gotta tell you, this group of interns...

- [Preston] Emotional. - Headstrong.

Hotheaded. Stubborn. They think they know everything.

You can only give them so much rope before they hang themselves with it.

It's like they lose all rationality. They won't listen to reason.

Jeez, Preston. Don't hold back.

[rapid electronic beeping]

She's getting hypotensive.

And I'm seeing some late decels on the fetal heart monitor.

The baby is not getting enough blood!

[Preston] Almost. Just got one more stitch.

[beeping slows down] Got it. Turn on the echo.

[Addison] Baby's heart rate's stabilized.

[Preston] I think we've seen the worst of it.

What's the deal?

Do you know how massive this hospital is?

[George] How many people, not just sick people...

Not to mention, if I'm a little kid, how many places can I hide? He's little!

A little kid could hide anywhere.

- What, you're looking for a kid? - Yeah.

His mom's in surgery and I... If I don't find him,

Bailey will...

Well, to start she'll change

her son's middle name to to "Elvis" or "Tupperware".

I'm not kidding. Anything will be better than George.

I know a place a kid might be.

[hopeful music playing]

Really?

- You could've warned me. - Yeah.

- You didn't check down here, right? - No.

So, stop whining and tell me if you find a pregnant chick.

You know, you're not the only one with a detail that sucks.

You know? I'm supposed to deal with these freaked out families.

I'm not good with people. They should just let me stick to patients.

Patients are people. Especially kids.

- You know what I mean. - He's face down.

How does that...

Come here and help me turn this body right.

- Dude. - Don't tell me it doesn't matter!

- God. I swear to God. - Dramatic much?

This doesn't bother you? Any of this?

All this death doesn't mean anything to you?

I'm working. Why would it?

Yeah, but it was working...

Caucasian female about 30 years old.

[somber music playing]

She's... She's pretty.

She looks about seven months pregnant.

[Richard] Now remember, Stevens. That drill isn't just gonna stop

like a neurosurgical drill. So as soon as you feel the release in pressure,

stop the drill or you'll pierce his brain.

Even if I don't see blood?

Trust your instincts, Stevens, trust the feel of it.

I'm ready. No, wait. I need to clean the drill off one more time.

You've cleaned it a dozen times, Stevens.

It's as clean as it's gonna get.

[intense music playing]

You ready?

Yes.

OK. Place three fingers above the ear and two or three fingers

in front of that on the side where the first pupil blew.

Got it.

All right, now use the scalpel to make a vertical scalp incision

down to the skull.

Jeez.

I see a lot of blood. A lot.

Superficial bleeders. Nothing to worry about.

- Are you at the skull? - Yes.

Drill a hole in the middle of the incision.

Oh, God!

OK, that can't happen. Do you understand me?

Sounds can't happen. Freaking out can't happen.

Because if you freak out, I'm gonna freak out,

and I'm the one holding a power drill to your friend's brain.

So if you're gonna vomit, if you're gonna make sounds, step away.

If you're going to stay here, you have to pull it together. OK?

We're good, doc.

OK. I'm ready.

The temporal bone's only gonna be a couple millimeters thick.

[exhales]

OK. I'm in.

But the dura looks fine.

- You're gonna have to go in again. - Frontal lobe, right?

That's right. Just behind the hairline. A few centimeters off the midline.

[Mark] This bone will be thicker.

About five times as thick as the temporal bone.

OK.

Got it.

- Second hole done. - What do you see?

I think I see blood. I see some blood.

OK, now this is important.

Drill around the hole to expand the opening.

You have to try and relieve the pressure.

OK.

["Timeless" playing]

OK. Uh, the hole's about two centimeters around now. I see blood.

I definitely see blood.

Try to evacuate as much of the clot as you can.

With what? I don't have suction!

Use your finger. Gauze. Anything!

- I see clotted blood. - No arterial?

- No. - Good.

Now how does the dura look? Is it bulging or does it look lax?

Looks like it's pulsating regularly with the heart beat.

That's another good, right?

- That's great, Stevens. - [exhales with relief]

If it's pulsating, that means blood and oxygen are entering the brain.

Now pack it with gauze so you can minimize the bleeding.

OK.

Get the rescue rig in here.

Nicely done, Stevens.

Is that it? Is he going to be OK?

We've relieved the pressure on his brain but he's got a lot of other injuries.

Hey.

His eyes are open.

♪ Timeless ♪

♪ Love is a cure ♪

♪ A promise ♪

Hey, kid. Kid?

You OK?

♪ No need to hide it ♪

You need to come with me.

Kid?

♪ Oh, here we go ♪

- [man gasping] - [water splashing]

♪ Love is a cure ♪

♪ A promise ♪

♪ Still so pure ♪

♪ Fearless ♪

♪ Just like before ♪

One, two, three, four, five.

One, two, three, four, five.

- ETA is five minutes. - One, two, three, four, five.

One, two, three, four, five.

One, two, three, four, five.

- How is she doing? - Good. No intestinal damage.

Missed all her vital organs. She's almost done here. You find her son?

I've looked everywhere, I've been in contact

with the scene, with Mercy West, with Seattle Presbyterian,

I checked in the...

He's lost.

Or...

- Or... - [Bailey] He's in the water.

So, when she wakes up, I get to inform her that she's not going to die.

She's just gonna want to die.

- I'm sorry, I'll, I'm gonna keep looking. - Yeah, you do that.

His right pupil's not dilated any more, he's normal tensive,

but his pulse is still up in the 130's.

- OK, What's his neurological status? - GCS is eight. I'm sorry,

I ran out of sterile drapes, I had to use some guy's t-shirt.

It wasn't sweaty or anything, he was a clean guy but...

OK, call the OR, tell them we're coming up.

I also dropped the scalpel in the field

and by that time I had used all the alcohol swabs on the drill bits,

so I think we should load him up with antibiotics,

lots and lots of antibiotics.

Stevens, you put a drill through a man's skull and didn't hit his brain.

You saved his life.

Get cleaned up and get to the OR. You got work to do.

- The OR? - Yes. The OR.

You're officially off probation.

Oh, Cristina! Oh, my God, you are not going to believe what I just did.

I'm gonna tell you,

but you're not gonna believe it, you're gonna think

- I made the whole thing up. - You're back? Wait, is Meredith back?

- I drilled a hole into this guy's skull. - What?

Several holes, actually, with a drill I borrowed from a guy named Vince.

Packed the hole with freaking tissue, then brought him back here,

and now I get to scrub in on his craniotomy.

You haven't seen Meredith?

It was like a ride, this crazy roller coaster ride

with, like, adrenaline shooting out of my ears!

You think my hands would be shaking, but they weren't, there was no shaking.

- Did I mention the drill? - OK, Izzie, I get it.

You are a hero, I am jealous.

But I need to know where the hell Meredith is.

OK. I don't know where the hell Meredith is.

She should be back here. I didn't see her at the scene.

The scene where I was a rock star, by the way.

Did I mention I'm off probation?

Rock star!

["The Great Escape" playing]

These photos are fatalities.

I know it's difficult, but please try to ID who you can.

♪ Bad day, looking for a way home ♪

♪ Looking for the great escape ♪

♪ Gets in his car and drives away ♪

♪ Far from all things that we are ♪

[people crying]

♪ Puts on a smile and breathes it in ♪

♪ And breathes it out, he says ♪

♪ Bye, bye ♪

[Mark] We've agreed to let you do the honors.

A few more burr holes to start the craniotomy.

Really?

You saved his life, you might as well help finish what you started.

After I strip off the periosteum,

you can see what a high-speed pneumatic neurosurgical drill feels like.

Drill, please.

♪ Hey, child, things are looking down ♪

♪ That's OK You don't need to win anyways ♪

♪ Don't be afraid ♪

[Alex stuttering] I, uh, we have two pregnant women.

One of them is, she's in bad shape. She's pretty beat up.

She might be hard to recognize.

I... I don't know.

- What color is her hair? - Brown. R... Reddish.

[stuttering] My wife is blonde. Brownish, but blonde.

Well, sometimes the blood makes it look darker like that, you know, red.

I know you can't tell from the photo, but her eyes, they're pretty distinctive.

Casey's eyes are very distinctive.

Brown.

But not that really dark, dark brown. More golden. And really warm.

It's not her.

Casey's eyes are blue.

Very, very blue.

I'm sorry.

I thought you said you had two pregnant women?

Yeah. We, um...

The other one is, um...

She's...

Oh, God. Oh! Oh, God.

[crying] Oh, Casey.

[indistinct muttering]

Oh, Casey.

Oh, Casey.

- What do we got? - Jane Doe, hypothermic, drowning.

It's not a Jane Doe! It's Meredith Grey! It's Meredith.

Derek. Derek! Derek, how long she been down?

I don't know. She's alive.

- One, two. She's alive. - Derek!

OK, look. I need you to help me get her inside.

Clear a trauma bay! Stat!

Move it!

[woman over PA] Dr. Wilson, Dr. Eric Wilson, to the OR.

How was your surgery, Dr. Burke?

Well, the patient is out of the woods now, Dr. Yang. Thanks for asking.

- Ow! - You're numbed.

Whatever. It looked harsh.

Fran, finish this, please.

[Cristina sighs]

- What is your problem? - You know, everyone's back.

Everyone's back except her. And I listen to her.

Every day about her McLove-life and McDreamy and the crap.

And on the one day, the one day I have a thing... she disappears.

Meredith. This is about Meredith?

- She doesn't know yet. - Meredith.

- She's my person. - Right.

And if Meredith doesn't approve, then what?

This is not about getting her approval.

- It's about... - What?

Telling her makes it... makes it...

If I murdered someone,

she's the person I'd call to help me drag the corpse across the living room floor.

OK, see now? You're likening someone here to a corpse.

I'm done.

She's my person.

[pager beeping]

[surgeon] Removing the bone flap.

[Izzie] Ready with suction.

- [Mark] Looking good. - [Izzie] Yes.

Yes it is.

[pager beeping]

- Dr. Stevens? It's your pager. - That's OK. It can wait.

I think you want to take this page.

How she doing?

She's holding steady for now.

- Anybody claim her yet? - No.

- She's still a Jane Doe. - [exhales]

- I'd notice. - What?

If you went missing, I'd notice.

[hopeful music playing]

[pager beeping]

[man over PA] Trauma team to OR four. Trauma team to OR four.

All right, I need a little more suction here, please.

Callie.

O'Malley, I'm working. What do you want?

I read on the board you're doing an internal fixation of lumbar spine

on a John Doe from the ferry crash, age seven.

- That's right. - Can I see his face?

- I'm in the middle of surgery. - I know.

Is this boy your patient?

I know the picture's half-smeared and hard to see, but...

Please tell me it's him. Tell me he has been right here,

under my nose, open on your table all day

and not drifting along the bottom of the ocean.

Just please tell me that.

Hold the photo under the light so I can get a better look.

Oh, yeah. Oh yeah, that's my kid, I could spot those goofy ears anywhere.

- Really? - Really.

Callie O'Malley, I can't kiss you right now because you're scrubbed in,

but tonight, when you get home,

- I am going to... - OK! OK. All right. You know what?

People, let's focus here. George, I'm working.

- Yeah. - I'm working.

- OK. - So... Bye.

[pager beeping]

Oh, my God!

Oh, you're safe. You're safe.

Oh, honey. Mommy's sorry she got lost.

Oh, Lisa.

They could only put a 20-gauge IV in but I think it blew.

I'll start a central line, but you have to get out of the way.

[Derek stuttering] We put three mg of epi down the ET tube.

- Derek. - The last dose was three minutes ago.

- We should push... - [Richard] Shepherd, get out.

I think we should push just one atropine.

I think I saw some reactivity in the pupils before the atropine.

I think she might have actually had some cardiac activity...

Shepherd, get out!

We need to put an external pacer on, just to make sure...

[Richard] We need to save her life.

You can't do this. We need to do this. Now go.

[Richard] Go. Three, four, five. One, two...

She has a new 18-gauge in her left AC.

Push one of epi through it.

The chief is working on her, man.

He threw me out. [sniffs]

- What do you need? - [exhales]

I need you to go in there. [breathes heavily]

Give me a new warm blanket. Her temp's still only at 80 degrees.

- What can I do? - She needs an ABG.

[electronic beep]

Whoa, was that v-fib? Charge to 300. Let's go! Let's go! Let's go!

OK. Clear!

Back to asystole. Keep compressions going.

- Oh, my God. - She's hypothermic.

["A Bitter Song" playing]

Uh, have you tried a warm peritoneal lavage

or even continuous bladder lavage with warmed fluids?

- You could do a thoracotomy. - Get back to ABG.

Come on. Let's go, people.

♪ All I need is a bitter song ♪

♪ To make me better ♪

♪ Much better ♪

♪ All I need to write is a bitter song ♪

♪ To make me better ♪

♪ Much better ♪

[exhales]

How's her temp?

- Only up to 81 now. - Come on, Meredith. Don't do this.

♪ To hold me ♪

♪ But I don't like it at all ♪

♪ Won't feed it ♪

♪ Won't grow it ♪

♪ It's folded in my stomach ♪

♪ It's not fair ♪

♪ I found love ♪

- It's Meredith? - [Alex] Yeah.

[Cristina] Are you sure? Did you see her? Because it could be anyone...

It's Meredith.

- Oh. - [George sniffs]

Oh... Oh.

- She will come through this. - You don't know that.

She will come through this.

People die.

I know people die.

People die in front of us every day.

But I believe Meredith will survive this.

I believe...

I believe...

I... I believe in the good.

I believe that it's been a hell of a year

and I believe that in the face of overwhelming evidence to the contrary,

we will all be OK.

I believe a lot of things.

[emotional music playing]

I believe that...

I believe that Denny is always with me.

And I believe that if I eat a tub of butter and no one sees me

that calories don't count.

And I believe that surgeons who prefer staples over stitches are just lazy.

And I believe that you are a man who made a terrible mistake marrying Callie.

And I believe that because I'm your best friend

I can tell you this and we can be OK.

I believe that even though you made this mistake, you will be OK.

[shaky breath]

I believe we survive, George.

I believe that believing we survive

is what makes us survive.

She's going to be OK.

Push another epi.

- How many is that? - This is our fourth round, sir.

- We've been here 20 minutes, sir. - Still in asystole.

[monitor flatlining]

We're losing her.

[gags, coughs]

[gasps, breathes heavily]

Hey.

Hey.

Am I...

Dead?

Damn right you are.

Holy...