All language subtitles for Greys.Anatomy.S20E03.WEB

In 1963, Dr. Thomas Starzl
performed the first five
liver transplants.

We know
it is a departure from
existing Alzheimer's research,

but we believe it
is worth pursuing.

Evidence already suggests that
changes in the gut's microbiome

is correlated with Parkinson's.

If the same proves
true for Alzheimer's,

it could completely transform
the search for a cure.

One patient bled to death
on the operating table.

- Uh. We're happy
to answer questions.
- Not necessary.

In fact, I'm sorry
we dragged you all the way
from Boston for this.

But it's just that
our board will ask
if we met Dr. Grey in person

when we recommend
they fund the project.

The other four
died within days.

- You are asking for money, right?
- -Yes.

We didn't expect
an answer so soon, but--

The board still has to vote.
But frankly, it's more of a formality,

especially given
Dr. Grey's affiliation
with the Fox Foundation.

Should we set up a meeting with
Dr. Fox to discuss next steps?

As a result, the operation
was considered too dangerous
to be performed on humans

and liver transplantation was
suspended worldwide
for the next four years.

Hey, you almost hit me
when you pulled into
the parking lot.

Maybe you should consider
running against traffic.

Thanks for the tip.

I need to do a wound vac change
before rounds.

-I'll see you inside.
-Yeah.

I'm still mad at you for
getting us banned from the OR.

I didn't ask for your thoughts.

Can you not be a tool right now?
I'm trying to be nice.

-This is you being nice?
-Yes.

I'm declaring a momentary truce.

You got us in trouble,
but you're still my roommate,

kind of my friend
and you were just dumped so...

-Are you okay?
-I wasn't dumped.

- Mutual breakup, whatever. But--
- I'm fine.

You are making it really hard
to be Team Skywalker!

Wasn't exactly an auspicious
start for a surgery that
has saved countless lives.

From now on,
I'm waiting in the car
when we do these meetings.

Everybody knows
my affiliation with Catherine,
and somebody will talk.

Should we give up now?
Or can we hold out until one
thing in my life is on track?

My flight is not until 6:00,
so I can make some calls
from your lab.

Our lab.

- Ooh, space.
- I think she's waiting.

-Uh, or she's on her phone.
-What about Westerly Science?

They're small and new, but
they have deep research pockets.

Did you get a cat?

I've given up on
finding a human soulmate.

Oh.

Hey, I was
waiting for that spot.

-Well, you were on your phone.
-Answering an important text.

On your phone.

There's an overflow lo--

Dr. Lewis to oncology.
Dr. Lewis to oncology.

Hey. Uh, and you can erase
Dorian's abdominal washout.

-How's he doing?
-Uh. He's stable for now.
The poor kid's got a ways to go.

-Okay. Let's hear it.
-What?

You've been complaining
about my changes to
the residency program nonstop.

So, I've got time
before my next surgery.

Maybe get all that
negativity out now

instead of sprinkling it
throughout my day,
like you've been doing.

No negativity today.

I'm going on vacation.

Seems early in
your new position to be--

Going someplace warm?

Chicago.

Oh. Say hello to Maggie for me.

I will. I will.
But, uh, when I get back,

I do wanna discuss
an idea for the interns.

Don't you have a plane to catch?

Griffith, Millin, take the pit.

I'm visualizing
a multi-car crash
or a construction accident.

-I need chest tubes.
-I need intubations.

And I need a foot massage.

-Kwan, you're with Beltran.
-The new peds attending?

Yeah, you know what they say
about peds without the OR?
Babysitting.

Don't care.
Beltran was on the team that
pioneered single-port surgery.

Way to brag about
reading the hospital newsletter.

-Just trying to stay ahead.
-Yasuda, Adams, ICU.

Uh. Millin, wanna trade?
There are a lot of chest tubes
in the ICU.

-I already have most of those--
-No trading,
negotiating or complaining.

Unless one of you picked up
a vanilla latte on the way?

Didn't think so.

Go!

Hmm.

This won't hurt, okay?

Good morning.

I'm Dr. Shepherd.
You must be Malan.

I'm her mom, Maria Flor.

-It's nice to meet you both.
-Nice to meet you.

Good morning. I'm Dr. Beltran,
pediatric surgeon.
I'm sorry I'm a little late.

I had an unexpected delay.

-Who's presenting?
-I'm the chief of neurosurgery.

Good for you.

Uh, Malan Vasconcelos,
eight years old,

diagnosed with congenital
hydrocephalus at birth.

She's had five VP shunts
to control the CSF build up.

All vitals look good.
No signs of infection.

She's here today
because her mom says that
Malan's not acting like herself.

Would you mind
if I take a look?

Miss Vasconcelos,
have you noticed any change
in her motor skills?

No, she's just, um, she's just
tired, like something's off.
Something's not right.

She's normally full of energy,
running around the house
dancing and kicking.

Not dancing and kicking.
It's ginga and meia-lua.

- She does capoeira.
-I got my orange belt last month.

Yeah.

Dr. Shepherd, do
you see anything?

- No--
- But that doesn't mean anything.

Well, it means I wasn't finished
with my sentence.

Uh, Maria Flor, I'd like
to take her for some scans.

She's already gone through
four shunt revisions
and they all malfunctioned.

I don't want her to have
to go through another surgery.

No, I know.
I know, but let's hold off
worrying until we see the scans.

Agreed. No need to exacerbate
an already stressful situation.

Kwan, uh, why don't you get her
to radiology for a shunt series?

Okay.

Hey, big trauma
coming into the back lot.

I need everyone
that does not have a patient.

-Let's grab gowns.
-Dibs on the airway.

Chest tube.

Uh, how big?
I have to leave for
the airport in a couple hours.

I'll take what I
can get. Let's go.

- Steady.
- Wow.

- What is this thing?
- Nate Ardilla, 34.

His watercraft was hit
by a container ship.

He's got crush injuries
to his pelvis
and right upper extremity.

Couldn't fully
extricate at the scene,
but Jaws of Life are on the way.

Easy. Easy.

Is this part of a boat?

No, it's a self-propelled
floating bubble.

-I made it myself.
It's cool, right?
-That's one word for it.

Mr. Ardilla, I'm gonna need
to check your injuries, okay?

Steel rims seemed like
a good idea at the time,

but now, not so much.

You can get me
out of this, right?

Let's take a look at you.

I've been working around the
clock to keep this kid alive,

and I've got
a full day in the OR,
so try not to disappoint me.

Yasuda.

Dorian Cardenas, post-op day six
from ex lap with splenectomy.

Small and large bowel repair
and ostomy creation.

In stable condition after
abdominal washout
and closure today.

Keep track of his coags,
acid-based electrolytes
and renal functions.

And what ventilator alarms
are we watching for?

Elevated peak and
plateau pressures.

And if only the peak
pressure alarm goes off?

Tubes dislodged, or kinking.

Which means?

Don't page me. Fix it yourself.

Wait, so you just
want us to monitor him?

Oh, you want something
less boring than keeping an
entire unit of patients alive?

Including a young man recovering
from multiple gunshot wounds?

I meant you also want us
to log procedures so that we--

It's-It's good.
We're good. Thank you.

-Truce is off!
-Ow!

What the hell was that?

Don't be a smart-ass to the
person who holds all the cards.

Literally.

Um, truce back on.

What's the MRN for the chart?

I really thought
I was gonna make it this time.

-You've done this before?
-Fourth try.

- Where were you headed?
Bainbridge?
- Hong Kong.

It needs to sound
more impressive than
Rich Doyle's record.

He set a solo record rowing
from San Francisco to Hawaii.

Wait, Rich Doyle the, uh,
tech billionaire?

Didn't he fund that
floating clinic in Tanzania?
Is he your boss or something?

My wife's ex-boyfriend.

And to be clear,
she would say he's a nonissue,

but I know she thinks about him.
I mean, I would.

I'd think every day
about what my life would be like

if I married
a billionaire adventurer
rather than a pharmacist

with a 401(k)
and ten days of paid vacation.

Nate.

Am I almost out?
This really hurts.

It's definitely a vascular
injury in the upper extremity.

If we don't get him out of there
soon, he's gonna lose that arm.

Assuming he doesn't have massive
internal hemorrhage.

Okay, I'm
ready to get out now.

Get me out of here.
Please get me out.

Nate, Nate. Hey, hey, Nate,
look at me, look at me.

-I'm Dr. Hunt, okay?
-Uh-huh. Okay.

Now, the pressure
from these metal bars

might be the only thing
stopping you from bleeding out.

So we need to be mindful
how we get you out.

We stopped the bleeding in
your arm with the tourniquet.

Next, we need to remove this bar
from your pelvis.

Then we're gonna get you
straight to an OR, but
I need you to stay still, okay?

Good.

Millin, Griffith,
put another IV.

We're gonna need a gurney
and trauma supplies.

-On it.
-Can someone call my wife?
Please.

Just tell her I'm here.

But maybe don't mention the part
about the bars or the bleeding.

Yeah.

-Do you hate me?
-Sometimes.

-What? Why would you say that?
-Why would you ask me that?

Because when certain people
show up at the hospital,

I'd think you'd
give me a heads-up.

You get the hospital alerts.

Plus if we hurry,
we can probably still see him.

What are you talking about?

- The insane guy
with the pedal boat.

Guy tried to paddle
across the Pacific
and then he trashed his appa--

-Wait,
what are you talking about?
-Well, I was talking about Nico.

-Who?
-Nico. My ex.

I saw you having
a whole conversation with him.

Why is he here?

I can't tell you.

-Because it's about me?
-Because HIPAA.

Look, I gotta go.
Just stop freaking out.

HIPAA? He's your
patient?

Oh. You're in black scrubs.

Why does Nico
need an ob-gyn, Jo?

Bye.

Meredith.

-Hey.
-Hey.

- I'm so surprised
to see you here.

Well, I could say the same
for you. Are you back already?

Physical therapy.

But I'm feeling so much better.

-Are you here for a consult?
-Uh, yeah, something like that.

No one tells me anything.

Ndugu has locked me out
of the cardio charts,

and Owen refuses to tell me
that Leo is acting up

- even though
I am on the same emails.

And Richard--
Well, he's telling me
that I should hang in there

even though I have offered
to help with admin.

He says that I-I need to rest.

Well, you know,
Richard's usually right.

Yeah, well,
no one seems to be minding me
walking on a treadmill

for a mind-numbing hour.

I'd do it.

I no longer have time
to walk or be bored.

You should come with me.

- To PT?
- Yeah.

You can get in your steps,
I can get in mine,

and you can catch me
up on life in Boston.

-You're busy. I get it.
-Yeah.

-It's always such
a pleasure to see you.
-Yeah.

-You know what?
I would love to come.
-Great.

Yes.

You were at
UT Medical Center?

Is that where you
did your residency?

Nope, that was Penn.
Also where I went to medical school.

I was lured to Texas
by the promise of good weather.

Dr. Shepherd, you were in LA?

Uh, for private practice.

Residency was in Baltimore
and med school was Boston.

Just say Harvard.
They think if they say Boston
it sounds less pretentious.

-Where'd you go?
-St. Kitts.

Hmm. Balmy.

Scans are up.
- Mom was right.

Malan's shunt is
no longer working.

-We'll have to replace it.
-Well, it's not working.

She's too active,
and she's gonna keep growing.

-It's gonna keep
getting disconnected.
-That's the standard of care.

But we can talk to the mom
about Malan's level
of physical activity.

What about an
endoscopic ventriculostomy?

You insert a scope
into the ventricles of the brain

and create a shunt
using a balloon.

It's far less invasive,
and there's nothing
to get disconnected.

No, I know what it is,

but I also know
that she is not a candidate.

She's had ventriculitis, and she
has an aberrant basilar artery.

So getting a scope in
would be near impossible.

Why don't you
take a minute then?

Excuse me?

If you can't figure
it out, take a minute.

Well, it's not about
figuring it out.
The procedure won't work.

And I can explain that to you
four different ways,

but I have three other consults,
a meningioma to remove

and a research meeting.

- Ah. So,
impatience is your thing.
- Should I leave?

No.

I have a colectomy
for an eight-year-old,

a Wilms' tumor
consult for a 14-year-old,

and a palliative care visit
for a baby in the NICU.

You wanna swap?

I'll tell Malan's mom you're
gonna look into another option.

He is stable and alert,
but please call back
as soon as you get this.

We're already out of lap pads?

Nice hair, by the way.

Needed a change.

Yeah? What happened
with you and Adams?

We're roommates,
because apparently I'm selfish.

This is where you say,
"He doesn't know
what he's talking about."

Oh, I shouldn't speak for him.

What happened with you and Kwan?

-You knew about that?
-Everyone knew about that.

You know,
we don't have to do this.
We've got everything. Let's go.

You asked first.

NaCl. Right.

Dr. Wells to peds ICU.

Dr. Robin Wells to peds ICU.

They look like a nice family.

You have sisters, right?

We don't have to talk.

I know we don't have to talk,
but I was just thinking that--

Where are you going?

Uh. To do anything else.

Bailey gave us
explicit instructions to--

Sit here and do math?

Well, she also said to do
about a zillion procedures

if we ever want to set foot
in the OR again, so--

Yeah, I'ma do that.

Well, I'm not leaving him.

Well, I'm not letting Kwan
get back in the OR before I do,

so, uh, page me if he codes.

Gurney coming through.

You need to head to the airport?

No, let's just get this guy out.

-Splint looks good.
-Okay, everybody get ready.

We need a intubation tray,

- blood and bicarb on standby.
- On it.

Nate, it's time to
try extricating you now.

Okay. Everybody, on
my count. One, two--

-Wait! Wait.
-Hold up.

Tell me what happens
when you lift the bar.

We can't be
totally sure, Nate.

But we have
a whole team of people
ready for almost anything.

What if I die?

What if I die
without ever getting to--

You're never getting
to Hong Kong in a bubble.

All you succeeded in doing

is taking away resources
from the coast guard
when they rescued you.

Not to mention the paramedics.
Not everyone gets to go
where they wanna go.

I was gonna say, "Without ever
getting to see my wife again."

I wanna talk to her.

I need to talk to her.

-Is she here?
-She didn't answer.
I left a voicemail.

We don't have much time.
- Can wait a few minutes.

Try her again.

Okay.

Dr. Kwan.

Uh, Dr. Beltran
will be back soon.

No-- Malan's extremely sensitive
to hospital sounds.

Would it be possible
to get her some headphones?

The ones that block
out the noise, you know?

Sometimes the radiology
department has those.

They don't loan those out.
- I'm sure we can find them.

If it'll make Malan
more comfortable,
then it's no problem.

- Thank you so much.
- Yeah.

Uh, radiology doesn't let those
out of their sight.

-It's a thing.
-I guess you're gonna
have to ask nicely.

That won't make a difference.

That woman's daughter is going
through something terrifying.

If she thinks headphones will
help, then get her headphones.

And after you do that, find
Shepherd. I need an update.

Everything okay?

These are not hospital pencils.
I bring them from home.

I've had worse habits.

Well, sometimes I
pop Bubble Wrap.

Wanna tell me
what's bothering you?

No.

This new ped surgeon is
pushing me to consider
an alternate procedure

to the one that I
already know works.

Will the alternate work?

I me-- It's more
risk than I'd recommend.

-But will it work?
-It's beside the point.

Are you irritated with the
suggestion or the suggester?

Beltran
aggravates a lot of people.

How do you know?

I hired her.

She was known as
a boundary pusher.

Kinda like you.

Hey.

-Levi.
-Nico. Hi.

How are you?

- Good.
-How's, uh, work going at the hospital?

You'd think
a hospital vending machine
would have healthier options.

-Here.
-Ah. He doesn't like raisins.

-I know.
-They're not for me.

- Oh.
- They're for our surrogate.

He's a stickler about her diet.

Can't bring myself to think
what he's gonna feed our son.

Our kitchen's already full
of baby food gadgets.

-Oh.
-I'm Jason.

Are-- Did you
and Nico work together?

Um, yeah. Yeah.

-I'm Levi.
-Nice to meet you.

Are you also in ortho?

No. No.

I'm, uh, I'm general
surgery chief resident.

-Oh, wow.
-Okay. Cool.

- Uh-- We should go.
- Yeah.

Erin's probably
wondering what happened to us.

-It was nice seeing you.
-Mm-hmm.

Nice meeting you, Levon.

Levon?

I mean, it's
almost easier coming to work.

I mean, try explaining
to a four-year-old
why Mommy can't carry him.

Right?

And Owen has been a champion,

but he's had
extra trauma shifts.

His mom's helping out,

but she's not really the type
to play the floor is lava.

She's more into giving them a
snack and turning on the TV.

I remember during COVID,
a very smart doctor once told me

to get some rest and ask
for help when I needed it.

Look at you throwing
my words back at me.

How's Boston?

-Oh!
-Teddy!

Teddy, are you okay?

Dr. Lincoln said to tell you
he's scrubbing in.

-Millin's helping him prep.
-Is Jessica on her way?

-She's still not answering.
-He's getting more hypotensive.

Nate, the
longer you're up here,

the more likely you are
to have a complication.

If you wanna give yourself
the best shot at
seeing your wife again,

we should go now.

Tell me. Whatever you
wanna say to her, say it to me.

I'll tell her as
soon as she arrives.

I love her.

That's all that matters.

I love her so much.

Everything I do is for her.
All of this was for her.

I know she married me
and not Rich, but
I want her to be proud of me.

Tell her that I
know she has doubts,

and I don't want her to spend
another second of her life

questioning her choosing me.

Tell her that I'll never give up
trying to do right by her.

-I will.
-Okay.

Okay then. I'm ready.

Okay.

Okay. On my
count. One, two, three.

Okay, he's bleeding out.

Prepare to intubate.
Come on, come on, come on.

- Hang two units of blood.
- Let's go.
Get him on the gurney.

Okay, let's pack the wound
and apply pressure.

Let's make sure we have
a clear path to the OR.

He's not gonna make it to
the OR. Give me your shears.

Bring me a REBOA.

We'll slow the bleeding,

and it'll buy us
some time to transport.

Come on, Nate. Come on.
Stay with me now. Stay with me.

All right. Glove me.
Let's go, let's go, let's go.

Stay with us, Nate. Come on now.

He didn't know who I was.

You guys dated for
a really long time. He's faking.

Not Nico. Jason.

They live together.
They're having a baby.

Surely they've discussed...

You?

...significant
prior relationships.

It's like I didn't exist.

Do you wanna get
back together with Nico?

I'm not sure I know him anymore.

He never talked about kids
when we were together.

He didn't even want
a fake Sims family.

But apparently it's
different with Jason.

You haven't mentioned Nico
in months, and now
all of a sudden you're all,

"Oh, why didn't he
do that with me?"

I
don't sound like that.

-Well...
-And I don't wanna
get back together.

- I...
- Okay.

Then you're just upset
that his life has moved
further along than yours.

I am?

He is living with someone.
They're having a kid together.

You've barely dated.

You're living in a
loft with your coworker

with a twin sheet hanging
between your beds for privacy.

You really do hate me.

No, I'm just--

There are two main reasons
that people get upset

when they run into an ex.

And yours is, "I
am losing at life."

-Are you trying to
make this worse?
-I'm just saying.

You talk about
wanting to meet someone, and
you deleted your dating apps.

You talk about wanting to get
into peds, and you haven't
turned in the application.

You wanna win?

Get in the game.

Finally.

You do know
we were waiting for you, right?

You told me to take a minute.

-All right.
Show us what you got.
-Okay. As you can see,

Malan's aberrant basilar artery
at the floor of
the third ventricle

is a huge problem.

And why is that, Dr. Kwan?

Because in order to
insert the sheath into
the third ventricle--

No, no, no. Start again
but like you're explaining it
to a parent.

Malan has a blood vessel
that is blocking the way,

which would make it difficult to
pass the balloon into that area

to create the shunt.

Now,
difficult is an understatement.

The vessel is positioned such

that a fraction of a millimeter
left or right

could result in major
bleeding, stroke or worse.

But you've found an
alternative route?

No...
...but we might be able
to combine this computer system

with the intraoperative imaging
technology that we use
for mapping brain tumors.

We would program it to provide
us with a real-time guide,
with ultra precision in the OR.

So it's like a GPS system of
Malan's brain to make sure
you're on the right path?

The safest path.

- And she wouldn't need a VP shunt.
- -Hmm.

-How long would it take you
to build this technology?
-Me? Forever.

But I talked to our tech team
and they have it working now.

I would be willing
to try it...

...if the mom agrees.

What are you thinking?

I'm thinking
you're much more effective

when you take your time.

Find another elevator!
We have a trauma coming!

Move out! Make
way for the gurney!

Either hug the wall
or get out of the hall!

-We found his wife yet?
-Not yet.

-Let's try again.
-Yeah.

Let's go, let's go, let's go.

You take over pressure?
- Yep.

Type and cross him. Let's
get the blood cooler in here.

Let's raise the temp in this
room and find this man's wife.

Gown and glove me.
No time to scrub.

All right. On three.

One, two... ...three.

Let's get this wet
suit off of him now.

Let's run a TEG.

Somebody find his wife.

Let's go, let's go.

Yeah. "Small dark lesions
of the lips and oral mucosa.

Abdominal pain.

CT scan shows small bowel mass
with concentric rings.

What is the most likely cause:
intestinal lipoma
or hamartomatous polyp?"

Thoughts?

Dorian?

Oh. Is your tube dislodged?

Hey, don't be embarrassed.
It happens to the best of us.

- Oh, no. Wait,
no, no, no, no, no.

No, no, no, no,
no, no, no. Dorian?

Hey, I-I need help in here.

It's just a bad sprain.

It can't hurt to take a look.

Injured during PT? I'm a cliché.

All right.

-All right.
-Okay.

Oh, crap.

What
happened? Are you okay?

Oh, I'm fine. I just misstepped.

Take it easy.

Dr. Grey, I didn't
know you were in town.

Well, it's just a quick trip.

For a consult?

Yeah. I-I asked her, uh,

for a second opinion
on one of my old patients.

And you had that thing
with the house, right?

Yes. Uh--
Insurance issues.

Well, it's always
good to have you here.

And I am really looking forward
to hearing the update
on your research next month.

- Take care, Altman.
- Thank you.

So it's probably nothing,
but we should have it x-rayed.

I'm gonna have to run.
I can have a nurse
take you to radiology.

I'm good. But I do wanna hear
why you're actually here.

- I see
multiple serosal tears.

Would you rather marry
a soulless tech millionaire

or the eccentric pharmacist?

Neither.

No, you have to pick one.

Lap pads.

We have
an expanding retroperitoneal...

I don't have that
much tension with my roommates.

Your
roommate is a hundred.

Maxine is a young 82.

- Levi.
- Hey.

-You're still here.
-Uh, yeah.

Erin might have
gestational diabetes,

so they're testing her.

How far along is she?

Twenty-three weeks.

- Have you picked a name?
- Yeah.

Levon.

Really?

- No, I'm just kidding.
- Okay.

Hey, I'm sorry about earlier.

I corrected him in the elevator.
He felt awful about it.

He seems nice.

Have you been together long?

-Nine months.
-Oh.

If he had in his dating profile
that he was in the process

of interviewing surrogates,
I probably wouldn't have swiped.

When he told me, I freaked out.

I literally snuck out the back
at Parkside Pizza
in the middle of dinner.

You left the pizza?

I was
really freaked out.

I think I never realized
that I wanted to be a dad.

Maybe I felt that I
wasn't ready for it,

but Jason knew all along
that he wanted to have kids.

And the thought
of not having him in my life--

I--

I've never met anyone
in my life like him.

He sees light in everything.

And these days
no one does, you know?

Losing him just seemed
a lot scarier than the idea
of having a family with him.

So...

here we are.

I'm happy for you.

Good luck.

Thanks.

-You too.
-Hmm.

Just so I'm clear--
You told the woman

whose name is on
the building of where you work

that you stopped doing research
at her request,

-but you're still doing it?
-Trying to.

I am bored at home,

and you are living in-- in,
like, a medical thriller book.

And no one else knows?

-Except Amelia.
-Amelia?

We're not actually...
...in a medical thriller.

It's just so bold and exciting.

-And about to be over.
-You found a cure?

- I might still be
in a medical thriller.

No, we, um--

We have no money.

We had a plan and
it fell through.

Was it Seagrade Tech? They
are pulling back on everything.

No, actually, and it
doesn't even matter who we ask

because that's the problem
with secret research.

Everybody wants
to talk about it.

-Well, I wouldn't.
-You wouldn't what?

Talk about it.
Not that I have many people
to talk to these days. Thanks.

Listen, Grey-Sloan has
a discretionary fund.

It wouldn't be enough
to fund your whole project,

but you could publish
an initial report,
and that would open more doors.

You would do that? But-- I mean,

don't you have to say
where the money is going?
What about Catherine?

A breakthrough in
an Alzheimer's cure would
go down in medical history,

like a smallpox
vaccine or antibiotics.

You just have to get
far enough along that
she couldn't deny its value,

and I'm willing to
take that risk on you.

- Oh. You go ahead.
- Um, you go.

Really, it's okay.

I will
grab another one.

Okay.

Dr.
Shepherd, Dr. Beltran.

I know I can't scrub in,
but can I observe?

- Sit with her mother.
-You're letting her mom watch the surgery?

No.

Oh.

Maybe we should let him watch.

Even if it's just
from the gallery.

I don't do this
surgery very often.

He's on my service.
You can let him watch when he's on yours.

Where have you been?

Peak and plateau alarms
are both going off.

-You checked for obstructions?
-I did. It's clear.

And that wouldn't explain
elevated plateau pressure.

Uh-- BP's plummeting.

Should we start pressors?

Low urine output, elevated peak
and plateau pressures,

low BP, increased
bladder pressure.

It's abdominal
compartment syndrome.

Are you sure
he's not bleeding out somewhere?

We need a cut down tray.

Don't let him
die while I'm gone.

Come on.
Stay with me, Dorian.

Okay,
if you pulled me out of the OR
for a dislodged tube--

I think it's abdominal
compartment syndrome.

Uh, low urine output,
uh, elevated peak
and plateau pressures,

BP falling,
increased bladder pressure.

Should I book an OR?

- No. He'll die
before he gets there.

We need to open
him up right here.

Crash cart!

Well, thank you for joining us,
Yasuda. Sorry if we're
interrupting your break.

-Oh, no. Dr. Bailey,
I was just asking--
-Not now, Yasuda.

Adams, gown and glove.

Okay.

More lap pads.

I need suction.

He's crashing.

Starting compressions.

Come on, Nate.

- Come on, Nate.
- -Come on, come on, come on.

Time of death: 18:45.

Is-- Is she--

-Is my-- Is my baby--
-She's okay.

We will need to monitor her,

but we were able
to create a space

for the fluid to drain
without putting in a new shunt.

- And the old shunt?
- I removed it.

- She'll be able to go back
to capoeira without it.
- Thank you.

After she recovers, of course.
- Okay.

Thank you. Thank you so much.

I mean, all of you.
Thank you. Really.

Can-- Can I see her?

- Dr. Kwan, can you...
- Absolutely.

You two are a wonderful team.

Hmm. That was pretty great.

- Mrs. Ardilla?
- Hey.

I'm Dr. Ndugu.
This is Dr. Hunt, Dr. Griffith.

We were part of the team
that cared for your husband.

We are so sorry.

No. Please--
Please don't say...

Once we removed the bars
from his watercraft,
he started to bleed.

- We rushed him to the operating
room, but it was too late.

We did everything in our power
to save your husband.

No. No, that's not--
that's not possible.

You know, I-I'm-- I'm making
salmon and rice for dinner.

Uh, he's supposed to come home.

Like, he always sets
sail in the morning

and then-- and then by lunchtime
something's gone wrong

and he-- and he comes home.

He always comes home.

You know, I spent all this time
calling him ridiculous
and paranoid

when I should've just been
telling him that I loved him.

You know,
I've-I've always loved him.

I didn't want Rich Doyle.

I've-I've always wanted Nate.

I-I should've done something.

I-I should've convinced him
that-- that all that mattered
was us.

And it's all my fault.

It's-- It's all my fault
that he's gone.

No. No.

He knew.

He knew that you loved him.
He told me.

He said the floating to
Hong Kong in the bubble,

none of that was about you.

He wanted to prove to himself
he could do it.

And he told me
if he didn't make it

to tell you that
he loved you so much.

It's no one's fault.

He loved you.

You loved him.
That's what matters.

Dr. Beltran, I finished
inputting your progress notes.

I need another post-op check
on Clayton Yung.

Okay.

Yale.

I went to Yale.
Almost a full year.

And then my mom got sick,
I moved home and then
one thing led to another.

Look, I-I may not have
the fancy pedigree,

but I can assure you
I am a quick study, I work hard
and I aim to be the best.

When you're not
suspended from the OR.

I am capable of more than
hand-holding a patient's mom.

If you think that
assignment was punitive

because of where you
were educated, you're wrong.

It wasn't punitive?

Of course it was.

Do you know
who really saved Malan
from severe complications today?

Dr. Shepherd. You.

You and Dr. Shepherd?

Malan's mom knew that something
was wrong and brought her here.

Whether they have a medical
degree or not, moms know.

You never bet against them.

I don't care where
you went to school.

What matters is how you treat
patients, and in peds,
their families.

I'm gonna need you to understand
that if you're gonna be
on my service tomorrow.

Well, they
don't make the assignments
until the morning.

I requested you.

See you tomorrow, Dr. Kwan.

Rough day.

I was going to the airport

because I was supposed to
meet Maggie.

But she canceled on me.

And then I took it out
on a patient, and he died.

We did everything
we could, Winston.

And we both knew

from the second we saw
those bars crushing him

this was never going
to be an easy case.

I'm sorry about Maggie.

We were supposed to talk about
what's next for us.

Just like we were supposed to do
last week and the week before.

But there's always a consult,
or a class, paper.

At what point do I stop trying?

I'm not sure there's a
good answer to that question,

but maybe the better
question is, "Why?"

Why are you trying?

That might tell you
what you need to know.

Good night.

That ex lap was mine.

Hey!

I made the diagnosis.

You didn't even
know what it was.

Is there a rule that says

the person who makes
the diagnosis does
the procedure?

-Not that I know of.
-Shut up!

I was trying to be
a good friend to you,

and you repaid me
by lying to Bailey?

-I didn't tell her anything.
-Exactly.

You could've told her I was
looking for the cut down tray

or that I sat by
Dorian's bedside all day
like she told us to

while you went
looking for procedures!

Maybe give him a chance to
explain before you rip into him.

He sharked me. No explanation.

It's his fault that
we're all stuck in the ICU
and not in the OR anyway.

You know? And why
are you defending him?

-He was a jerk to you too.
-All right. Stop! Just stop.

I'm tired of the blame
and the finger-pointing.

It is all our faults.

I was there too. So were you.

Kwan didn't do us any favors.

We all screwed up.

There's nothing we can do except
put it behind us and move on.

We are all trying.

Why can't you?

I'm done. I don't wanna be
your friend anymore.

Find another way home.

Progress
doesn't happen overnight.

And setbacks are
all but inevitable.

I need a drink.

Yeah, me too.

Your idea. You're buying.

Sometimes it can make you
feel like Sisyphus...

Let's go.

...endlessly pushing the
same boulder up the same hill.

- Okay.
- Dr. Beltran. I'm Levi Schmitt.

Oh. Are you the person I talk to
about assigned parking?

Um, no. I'm chief resident.

I'm applying for
a peds fellowship.

I-I wanted to see if I could
maybe buy you coffee sometime.

Pick your brain.

I can't right now.

But can you still help me
with that parking pass?

But where would we be
if Dr. Starzl hadn't persevered

to perfect the
liver transplant...

Ah.

...if he had let
the setbacks win?

Johnny?

Jaden. Jared? Jaden?

Can I, uh, please
have another one?

And her too.

It's his card, okay? Thank you.

As tempting as it can be
to throw in the towel...

...sometimes you have to take
the obstacles as they come...

Hey. I got your
text. What's happening?

We have to keep going.

How many of these have you had?

Maybe one too many.

But I still don't think
we should quit.

Look, I know that it is gonna be
hard for us to find the money,

but what if
we could find a cure?

We gotta keep trying.

I'm happy to hear you say
that because I think

I may have found us
some money.

So, I just left Teddy...

Lucas, you awake?

Can we talk?

Lucas?

...and find a new path forward.