All language subtitles for Greys Anatomy s20e10 Burn It Down.eng

A med school professor

once told me
the hardest decision in surgery

is knowing
when to abandon a repair

and just remove
the whole organ.

Firefighters are scrambling

to contain this wildfire,

the state's largest
in recent history.

Mandatory evacuation orders
have been issued

for residents in Fall City
and the surrounding areas.

Eastbound lanes
are closed on I-90...

If a spleen is shattered,

we'll take it out to protect
the rest of the body.

Same with the section of colon
or small bowel.

The human body can survive
a fair amount of loss.

People live without
an appendix,

a kidney, tonsils, and more.

Hey. Slow down.
Where's the fire?

Fall City,
spreading fast.

What? I meant that
as a figure of speech.

Well, we got paged.
All hands on deck.

Last night was fun.

It was.
Yeah.

By the way,
um, my parents are in town.

I'd love for you
to meet them.

Kidding, and worth it.

The body finds ways

to compensate
for what it's missing.

But it will eventually reach
a breaking point.

Okay.
All the windows are closed.

Still smells
like a campfire.

It's the hospital.

They're asking for all
available staff to come in.

Guess they forgot to remove me
from the text alerts.

Do you still have your work
laptop, your phone, your badge?

Yeah, you want to bring
it back for me?

When you talked to Catherine,
did she tell you

you were no longer chief
or no longer a surgeon?

I don't know.
I kinda blacked out.

Okay, Seattle Pres
is evacuating.

No, no.
Get dressed.

We need all the help
we can get.

Your body can only give up
so much

before it no longer works
at all.

No, it's closed.

Don't they know we're working
through a wildfire?

I think that's the point.

There's an entire cafeteria
inside.

Well, Jason gives me
day-old pastries for free.

Oh, nice suit. Coming from
your career's funeral?

I had
a video interview

with Chicago's
program director.

How did it go?

Uh, they offered me
the spot.

Oh. Congratulations,
Skywalker.

Hey, you owe me
20 bucks.

I bet that you'd be gone
by the end of the year.

I'll give you 20 bucks
to be gone now.

Did you accept it?

I said I'd think about it.

Dorian.
What are you doing here?

They needed my room,

too many patients
from the fire.

Oh, I'm so sorry
about that.

No worries.

A bed opened
at the skilled nursing facility.

Oh.
I'm being discharged.

That's great.

I'm hoping I won't be
here much longer.

Well, you've obviously
never been discharged

from a hospital before,
especially during a wildfire.

And you've obviously never
worked at one in a wildfire.

I paged you
26 minutes ago.

If you're not dressed
in the next 4...

-Bye, Dorian.
-Oh!

See you!

I'll make sure
and say goodbye.

Okay.

Let's push these
two laminectomies

and reschedule
Ms. Feuer's knee replacement.

So...move the whole
ortho schedule to next week.

Hey. Hey, I, uh,
I need some help.

Didn't you just finish
an overnight shift?

Well, tell that
to the wildfires.

Can I steal him?

Oh, I'm on ortho.
Sure.

There are
a hundred other residents,

and you know
how I feel about birth.

And I know
how you feel about peds.

There are NICU transfers
coming in from Seattle Pres,

and Beltran
needs extra help.

Bye.
Thank you, thank you!

Charge Nurse, call the...

I just hope
we don't run into her.

- Teddy.
- Hey.

I'm so sorry.
Oh, it was my decision to fund you.

I'm just - I'm sorry that
your research is in jeopardy.

Well,
we don't know it is.

Why wouldn't Catherine
just call you directly?

Oh, she knows
once I heard about Teddy,

I would jump
right on a plane.

It's a pretty good
power move.

Also a good power move.

I would think that Catherine
would have security

tackling us by now.

If I have access
to this building,

then that means there's room
to negotiate.

With what leverage?

Our research.

No matter what
she thinks of us,

she will not stand in
the way

of scientific progress.

Okay.
So what are you suggesting?

We present
yesterday's findings.

The work
speaks for itself.

She cannot deny that
with a power move.

When you have
all the power,

I think it's just called
a move.

Well, we have moves, too.

Every resident came in
except Bradley and Kaneko.

They were evacuating
their apartments,

but they'll be back
when they can.

Oh, they're excused.

Uh...

Well, spit it out,
Griffith.

I think Adams
is gonna leave.

Oh, uh. Dr. Fox
hasn't decided that yet.

He got offered
a second-year spot in Chicago.

Any available orderlies...

Good for him.
You don't want him to stay?

It's not up to me
or you.

Alright.
Listen up, everyone.

As of this morning,

Grey-Sloan is
the only level 1 trauma center

operating
in the Seattle region.

Now, these fires are
not easy to extinguish...

...and this wind
is not letting up.

This could go on for some time,
maybe days.

If any of you need help,
ask for it.

Okay?
Let's get to work.

Oh, Link,
we have a helicopter

coming in
with an injured firefighter

with an open fracture.
A firefighter?

Oh, it's, uh, it's Theo Ruiz,
and Ben's with him.

Uh, Theo's family.
I'm coming, too.

I'm so sorry, Garrett.

The operating rooms
are being held

for wildfire victims
and trauma patients.

But we're working on getting
your Triple-A repair

rescheduled
as soon as possible.

Yeah. I get it.

I was at Woodstock '99,

so I know what disaster
looks like.

How high do you think
the AQI is?

Well, we can get you
a KN95 mask for your drive home.

Oh, I'm not worried
about me.

It's that vinyl is sensitive
to, uh, changes

in temperature and moisture
and air quality.

Garrett manages
Both Sides Now.

I love listening
to records there...

and occasionally
buying one.

Cool.

Well, I'll stop by on my way
home and check on things.

I just hope
traffic's not too bad.

Apologies,
I'm being paged.

But I will call you later

once we have you
back on the schedule.

Alright, cool.
Alright.

Uh, your - your shop...

You got any Coltrane?

John or Alice?
I got both.

Garrett,
you feeling pain?

Some cramping
in my stomach and back,

but it's not that bad.

You have an abdominal
aortic aneurysm.

Change back
into your gown.

Let's get some scans
just to be safe.

Hm. Alright.

Alright, Ben,
what do we got?

Theo Ruiz,
37-year-old male,

crushed by
a large tree branch.

Abdominal crush injury,
unstable pelvis,

femoral fracture with
tourniquet placed in the field.

BP dropped and we
intubated him en route.

Systolics now holding around 110
after 3 liters of NS.

Let's get him inside.

How is it out there?

We'll be lucky if this is the
worst that we bring in today.

Where's Beltran?

Can I give you
some advice?

How is that answering
my question?

Beltran
is a kick-ass surgeon.

She doesn't have time
to play 20 questions with you.

You need to chill out
around her.

You think I ask
too many questions?

I am showing interest.

You are sucking up
to get the peds fellowship.

Every candidate
has an advantage.

I think mine are my

pre-existing relationships
here at Grey-Sloan.

Schmitt, we've got seven
transfer patients on the way up.

Can you help with intake?

Yeah. Oh, one had
a biliary atresia repair.

I was just reading about
the Kasai procedure.

Have you ever done
one of those? Yes, I've done three.

Amazing.
What were the outcomes?

Did anyone get
a transplant?

Schmitt, it's the NICU.

You can keep
your voice down.

Um, if you were to...

Okay, hand your tag
to that nurse,

and they'll set you up.

Over here.
E-Excuse me.

My son
and his husband,

they were camping,

and I-I can't reach
either of them.

Can - Can you -
Can you tell me

if they're patients here?

Yeah. They'll help you
at the desk.

No, they don't know
anything.

Their names
aren't in the system,

and - and they're too busy
to check on all the John Does.

Look, I know
they're grown men

and cell reception isn't
great out there,

but I-I'm a mom,
and I worry.

What are their names?

Thank you.
Nathan Bates and Andrew Smith.

Uh, also, all those people
are looking for people, too.

Okay, ma'am.

I'm doing the best I can.

I can feel
a left femoral pulse.

Okay, let's get
some more O-neg on standby.

Theo's lost a lot
of blood.

We had to use a chainsaw
to get that tree off of him.

What?
He didn't see it coming? He did.

He pushed Montgomery
out of the way.

My badge was deactivated.
I was definitely fired.

I'm sorry.
Wait, what?!

It's a long story.

Oh, damn it.
That does not look good.

He's got
vascular compromise.

You've got to save
his leg.

His job's his life.

Okay, there's free fluid
in his abdomen.

He - He needs an ex-lap.

Okay.

As - As long as his BP
continues to hold,

we can scan him.

Bailey,
you said it yourself,

Theo is family.

You both
need to step outside.

We will update you,
okay?

Hey. The hospital
emergency coordinator

wants to talk to you.
What? Now?

I-It's about our
pre-evacuation plan.

I'll be a few minutes.
Okay.

Alright,
look, I'll take Ruiz.

He needs surgery
and you're short surgeons.

Catherine can't blame me
for saving a firefighter.

Thank you.
Alright, bring me up to speed.

37-year-old male,

crushed by a large
tree branch,

blood pressure holding.

Stay still,
please, Garrett.

You know,
Maxine loves that song.

Well, how's she doing?

She worried
about the fires?

Uh, more like annoyed
that they might mean

her hot yoga retreat
is postponed.

Ah, I'm just in time.

Okay.
What do you see?

His aneurysm ruptured.

Fortunately,
it's still contained.

Let's book an OR
and prep him for an open repair.

You and Dr. Ndugu don't want
to go in endovascularly?

Well, Dr. Ndugu had to run
to an emergent CABG.

I'm flying solo.

As for Garrett,
he's young,

surgically speaking.

An open surgery
has better outcomes

for someone
with his history.

But we studied
the endovascular procedure.

Well, if you two
aren't confident retracting,

I'm sure someone else
can handle it.

Well, I'm confident.
I retract in my sleep.

Okay, well, then,
page me when he's ready.

And study up.

The one who's
most prepared

will get to do more
than retract.

Dr. Spence to Pediatrics.

Dr. Kendal Spence
to Pediatrics.

How about you
see patients

instead of updating
your socials?

How about you
make yourself useful

and post the link
I sent everyone?

Fall City Wildfire
People Locator.

Yeah,
it's a shared database

put together
on my phone.

There's over 100 people.

Yeah, might be more
if you post the link.

I'll post.

You have bed 3.

Dr. Wagner to Radiology.

Dr. Wagner to Radiology.

Molly Tran?

I'm Dr. Adams.

How are you doing?

Um, I have a small sprain
and what's probably

just smoke inhalation.

You have asthma and you
were wheezing in the car.

We should make sure
you aren't having

a major bronchospasm.

Okay.
Mind if I listen?

Yeah.

Chief Ortho Resident,
call in patient services.

Take a deep breath.

Are you doctors?

I'm in pharmacy school.

He reads too much WebMD.

How long have you
had asthma?

Um, hang on...

Diagnosed at 17.

I was in a car accident
a few years ago.

Spent a month in a coma,
and when I woke up,

I couldn't remember
my parents,

my cat, or medicine.

Well, now I'm back
in pharmacy school

and learning
it all again.

As if it wasn't hard enough
the first time.

Yeah, thank God
I kept my flashcards.

Alright, I'm going to run
some labs,

uh, order a chest X-ray,
and nebulizer treatment.

I'll be right back.

And while we don't
yet understand the causality,

there is a clear correlation.

So you found a correlation
between things

I asked you not to study.

Well, we haven't actually
spoken about it.

Things you said
to my face

you would stop
researching.

We are this close
to being able to prove

that Alzheimer's
could be preventable.

You have to admit
that's a game-changer.

I don't have to admit
anything.

You went behind my back
using my money,

two of my best and formerly
most trusted surgeons.

Give me
one good reason

I shouldn't just end
your career right now.

I'll give you
6.7 million reasons.

That's the amount
of Americans

living with
Alzheimer's today.

And there's
another half a million

that will be diagnosed
by year's end.

And for every man
that suffers,

two women suffer.

Think about what this
could mean for their children,

for their grandchildren

if we could diagnose them
before symptoms start,

or if we could tell them

that they're predisposed
to this disease.

I am sorry that I went
behind your back.

I honestly never did intend
to use Fox Foundation funds.

But we're here now.

Don't you want to be on
the forefront of fighting this?

You're right.
This changes everything.

Fox Foundation should
be leading the way.

Would $5 million help?

Yes.
Yes.

Yeah, I mean,
we could expand the sample size.

We could do
a 5-year longitudinal study.

Great. Okay.

So...

I would like for you
to deliver your notes,

your data,
all your models,

all of your work
to Tom Koracick.

Um, Koracick?

Yes, you know Tom.

Brilliant neurosurgeon,

insufferable know-it-all,

and tireless Lothario...

He'll be taking over.

Wait,
I don't understand.

You said yourself.

Fox resources funded
all the research.

That means it all
belongs to the Fox Foundation.

So hand it over
by end of day,

and the two of you
get to keep your jobs.

Same thing for Altman.

But this project
is no longer yours.

His vein
has completely collapsed.

We've lost IV access
on his left side.

We can't lose Ruiz.

He might not work at 19 anymore,
but he's still one of us.

You should be in there.

Altman and Lincoln
are perfectly capable.

I need you in there.

I need to know it's your hands
trying to fix him.

Did his repeat H&H
come back yet?

Please.

IO's placed.

Alright, we need
to get him to CT ASAP.

Okay, then I'll meet you
in the OR.

You sure
that's a good idea?

You'll need all the
best hands you have in there,

and mine
are pretty damn good.

Alright.
Let's get ready to move.

Let's get another unit
of crash blood.

Have you put in
the trauma CT order set?

More traction
on your side, Millin.

Mm-hmm.

Okay.
There, that's better.

Now, hypothetically,

If I clamp the aorta,
and there's still bleeding

from the posterior wall,
where's it coming from?

The -
The lumbar arteries.

Correct.
What do we do then?

You oversew it.
You st-

Yasuda's right.

Alright.

The posterior parachute
is done.

And shall I ask
a tie-breaker

to see who gets to suture
the anterior wall?

Yes.
Well, cou-

Could we both
do some of it?

Well, I guess that'll work.

Okay, Millin,
you take the needle driver.

Yasuda, you follow her
with the anastomosis.

You need to
keep it tight, okay?

And then you'll switch.
Okay.

Yeah.
Thank you.

Now, take healthy bites,
Millin,

on both the aorta
and the Dacron graft

or the suture won't hold.

Am I following you
okay? Yeah.

Um, thank you for asking.

Oh, I'm mostly bringing it up

so that you do a good job
when it's my turn.

Alright.

Ah.

How does that look?

Uh, still not
enough artery.

You know, just go with it,
though, okay?

We poke too many needle holes,

and we'll have to deal with
suture line bleeding.

That's better. Okay.

I'm going to tie it down
for you.

We ready to continue?

Game on.
You got it.

Get ready to reload
your needle.

We are already
over capacity.

I have patients stuck in ORs
'cause the PACUs are full.

I don't have time
to this bureaucratic bull-

Hello?

Damn it.

We're running out of
IV pain meds.

How long till
we get more? No idea.

There's just
too much red tape.

We're going to have to start
rationing.

How do you decide who gets it
and who has to suffer?

Well, if you can think of a way,
then, please, let me know.

What's the CT show?

BP started bottoming out

so we're heading
straight to surgery.

Okay.

Dr. Altman, where do you
think you're going?

To the OR.

Catherine,
he's a firefighter.

Unless Grey has turned in
all of her research,

you still don't work
at this hospital.

Okay. If you need to go
on some power trip,

I can't stop you,

but I have too many patients,
not enough doctors.

So if this man dies
because your ego

won't let one of our best
doctors do her job,

then his blood will be
on your hands.

Let's go.

How close
were you to the fire?

I saw flames on a hill,
which means too close.

You know, I'm using this
to get out of camping next time.

Who wants to spend
their vacation

sleeping on the ground?

Yeah, I went all the time
as a kid.

Hm. I wonder if I did.

I should ask my mom that.

It must be frustrating

not remembering
your past.

It was at first, yeah.

I got pretty depressed

trying and failing
at getting back to my old life.

I mean, eventually,
I just...

decided to stop stressing
and start fresh.

I reapplied
to pharmacy school,

moved to California,

made some new friends,
got a dog,

met Dave.

Sounds like
it worked out.

Yeah, it feels like it
was supposed to happen this way.

Alright.

I'll go check
on your chest X-ray.

Thank you.

Dr. Trosclair to Cardiology.

Dr. Beth Trosclair
to Cardiology.

Hey, I, uh,
I just said goodbye to Ruiz.

Well, he's in good hands.

Yeah, I know.
I know.

I - I just wish
I could do more.

Um, you could stay.

Be here
when he wakes up.

Dispatch already called.

I gotta get back.

Listen, um...

I promised Pru
that we would do

root beer floats tonight,
but, um...

It might need to be
tomorrow.

You be careful out there,
Ben Warren,

and - and
you keep me updated.

I will.

I love you,
Miranda Bailey.

Always have.

Always will.

Okay.
I'll meet you in trauma 2.

Okay, show me.

Okay, the clinic.

Alright, triage tags.

We're using the clinic
for overflow.

So anything with a green tag
you take there, okay?

Need help?
Neuro check in trauma 2.

Yeah, sure.

Have you ever
had to make... Coming through.

...a life-changing
decision,

but couldn't talk it
through with anyone

due to its
confidential nature?

I know about
the secret research. Thank God.

Catherine
is holding it hostage.

Yeah, Teddy told me.
Koracick.

Did she say what
she thought we should do?

She said
it was up to you,

but she wouldn't mind
having a job, though.

I need to work, too,

but we're really getting
somewhere with the research.

What would you do?

Why are you laughing?

I don't remember one time

you took my advice
when we were married.

Well, I'm asking now.
Come on.

I know you, okay?

Somewhere deep in your gut
and in your heart,

you already know
the answer.

Trust yourself.

Thank you.

But, seriously,
what would you do?

I just wouldn't give it
to Koracick,

but that's just
'cause I hate that guy.

OR 2
isn't cleared yet. Then find us

They're all full - between
multiple burn escharotomies,

maxed out PACU,
everything's backed up.

Alright, well tell them
the chief

has a severely injured
firefighter

whose BP is all over
the place -

Okay, don't tell them chief,
but tell them -

Oh, that needs to not
happen.

JVD.

Muffled heart sounds.
No pulse, let's move.

Damn it. He's in PEA
from a cardiac tamponade.

Starting
chest compressions.

Alright,
he needs a thoracotomy.

How much longer
till this is clear?

They said five minutes.
He'll be dead in two.

Alright, do you
have a scalpel on you? Yes.

Go, go, go, good.

Alright.
Stop compressions.

We're in a hallway.

Do you want him
to die in it?

Stop compressions.

After I get in there,

I'll release the pressure
from around the heart.

What - What the hell
are you doing?!

Oh, my God, Altman!

What happened?

He said
his stomach hurt.

He became hypertensive
and then dropped his pressure.

We're trying to keep
systolics over 100

and we started
a transfusion.

Alright, his anastomosis
might be leaking.

Dr. Webber said
we did a good job.

Webber let you do it?
He supervised us.

He was there
the whole time. Every step

Alright, we got to get him
back to the OR now.

Page Webber.

Neither one of you
come anywhere near it.

Alright.
Let's go. Let's go.

Griffith, I need you
and Link to pull his chest open

so that I can see the heart.

One on either side.

Dr. Bailey?
Altman.

We don't have
a rib spreader.

It is the only way.
Okay. Ready? Pull. Alright.

Is that enough?
Oh, my God. More.

More. Pull.
Altman...

Okay, there, there.
Pericardium is full of blood.

I need to release
the pressure from the heart.

Okay, come on.
Come on, there we go.

Is it beating?

There we go.
Weakly.

Alright.
BP's coming up a bit.

Come on, Theo.
We got you. Come on.

We need the damn OR!

Schmitt,
can you make room?

Do the babies not know

that there's a natural disaster
happening right now?

Schmitt,
how's Paloma Deshmukh?

Oh, her bilirubin's
a little high.

Do you think it could
progress to kernicterus?

How high?

Indirect bili is 15.

No, no,
she's okay for now,

but just let's keep an eye
on her.

You know, I read an article
about the prevalence

of kernicterus
in South Asian children.

I don't know
if you've heard of that one.

I'm oddly fascinated
by jaundice.

Maybe 'cause my mom
said that I have jaundice -

I get it.
You love kids.

You have a genuine,

maybe excessive
interest in peds

and you did do
a really good job

on that
rectal biopsy today,

okay?

Pending your ABSITE score,

I will vouch for you to
the fellowship committee, okay?

Thank you.

Page me when you're done
charting.

Okay.

Congratulations.
Thanks.

Your competitive advantage

is annoying people
into recommendations.

That felt unnecessary.

Well...

No.
Ohh.

No, no, no.

Ah.

You made a dig,
and the power almost went out.

How bad would you feel
for all of these babies

if it hadn't have
come back on?

Jo? Oh, my God.
Hey, Jo?

Jo.

Hey, I need some help!

I just finished a -

I lost him.

By the time
I opened him,

his entire blood supply
was in his abdomen.

I'm sorry.

Millin and Yasuda said

they did
the anastomosis.

That's a lot
of responsibility for interns.

Repairing
a ruptured aorta?

I barely let
my third years do that.

They were ready
to step up.

Clearly,
they weren't.

His posterior wall
was a mess.

Posterior wall?

Yes.
They need more practice

before I let them near another
one of my patients again.

Have more lap pads ready.

Where is all
this bleeding coming from?

Let's go quadrant
by quadrant.

His company supervisor
is asking for an update.

Let's hold off.

I want to be able to give
them positive news.

And we are not
there yet.

We can use an extra set
of hands.

Scrubbing in.
Griffith, check my phone.

You want me
to break scrub?

No, I want you to look
at my phone

and see if I have any
missed calls or texts from Ben.

Nurse.

It's a new
TED Health Podcast.

The SMA's avulsed
from the aorta -

he is bleeding out.

Alright, if we
don't repair the blood flow

to his leg soon,
I'll have to amputate.

We are not amputating.
More suction.

All due respect,
It's usually the trauma surgeon

who reminds me
life comes before limb.

What about now,
Griffith?

Dangerously close
to the point of no return.

This man live for his job.

If we can save both,
I'm taking that chance.

Griffith?
John Doe trauma, ETA 5 minutes.

Alright,
we need to get distal and proximal control.

About to die.

Our best bet
is a saphenous vein graft to reconstruct...

I love you, Miranda Bailey.

Always have.

Bailey, what do you think?

Always will.
Bailey?

Bailey.

I think, um...

I...

I think
I-I shouldn't be here.

Helm.

Can you...?

Alright, Helm,
get in here.

Put your hand right here.

More irrigation.
Thank you, Bokhee.

More suction.

Yep.

Hey.

Hm.
Here.

And your test results
came back normal.

I feel a lot better.
Thanks for asking.

I see why you get high marks
on your bedside manner.

I thought we were friends.

You live in my loft
practically rent-free.

Your check bounced twice.

Is that your way of saying
we're landlord-tenant?

What's your deal?

Why didn't you tell me
you were pregnant?

I'm what?

Oh.

I guess that's why.

Congratulations.

You look like
your mother sitting up here.

Before she got sick,

did she...

tell you about
her last surgery?

No.

She was probably
in denial about it.

I'm sure there was no post-op
cake or retirement party.

Sounds like Ellis.

If I had to guess, I'd say
it was probably a Whipple

or definitely something
to do with the pancreas.

Oh, she loved the pancreas.

She said that
was the one organ

that was more stubborn
than she was.

Sounds like Ellis.

You know,
I've been thinking about her

so much lately
with my research.

And I've been wondering how much
of stubborn Ellis was Ellis

and how much of it
was Alzheimer's festering

before we ever even knew
she had it.

Hm.

You know...

I think my time
might be up.

Hey, well, I know
I've said it before.

I know I've taken breaks
from the OR in the past,

but this time
it feels different.

It feels like...

I need to think about
putting the scalpel down.

But I've been a surgeon
a long time.

I'm afraid if I stop,
I won't know who I am.

I get that
more than you know.

Well,
I talked to Catherine.

Sounds like you've got
some tough decisions to make.

I don't really have
a choice.

Well, you may not like
the options,

but you always
have a choice.

Dr. Bailey.

Uh, Griffith,
you should be in the OR.

He's stabilized.

At this point,
we're more concerned about you.

Anything I can do?

Can you make it rain?

My husband's a firefighter.

He runs toward the danger
every day,

but today...
Whole nother level.

It's a nightmare.

I keep reminding myself

that he knows
what he's doing.

And I try not to think about
his impulsive nature

or his penchant
for heroics.

We have an agreement.

I can text him as many times
as I want.

And he always,
always responds.

But today, he...

I mean, it's - it's -
it's been a couple of hours.

I heard the cell service
isn't good in that area.

Ben Warren?

Benjamin Warren.
Why?

Safe.

Updated 2 minutes ago

by the Seattle
Fire Department.

What - What -
What is this?

Is - Is this real?

It's a database to help
people find their people.

Dorian's mom
used to work for the city.

She sent the link
to a bunch of her contacts

to help track
first responders.

He's okay.

Mm.

Oh.

Thank God. I -

Thank you.

Thank - Thank you.

It's - It's...

Oh, did you send your files
to Tom?

They're online.

Good, as long as his
assistant knows where to upload

or download -
I never know which one it is.

They're on
the NIH website.

You posted your research?

That belongs
to the foundation.

You have no right.

I sent in an abstract that
I wrote on my personal computer.

That means nothing.

You have a contract
with us, dear.

No, I've already
resigned.

Resigned to who?

Richard.

Oh.

This is too important
to me,

and I don't want to play
the politics

or the games with you,
Catherine.

It isn't fair to the patients
or their families.

You have no idea
what you've done.

Actually, I do.

Goodbye, Catherine.

You are just like
your mother.

Great.
That means I'll win.

Dr. Call to the Cath Lab.

Dr. Katie Call to the Cath Lab.

Are you okay?
Hey.

I heard you fainted.

I'm...

I'm just tired.

The air quality
isn't helping either.

Okay. You want to sit
for a minute?

We could be here
all night.

Let me bring you
some food.

I'm good. I'm okay.

You sure?
Yeah.

Yeah.
I'll see you later.

The world is
literally burning down.

Do we have to work
on the schedule tonight?

These residents put in
their vacation requests

like two weeks ago.

What resident has time
for vacation?

Me.

I got eight weeks
from Webber.

I've got to buy
my tickets for Paris.

Ohh.

ABSITE scores are in.

55th percentile. Nice.

What'd you get?

62nd. That's great.

Anything above 50 is gold,

especially for
a fifth-year resident.

Not if you want
a peds fellowship.

I need to rethink
my entire life.

Want to rethink it
with me in Paris?

Can I get you
a chair?

Not if you want me
to ever stand up again.

Well, I heard the fire's
at 30% containment.

Is that good?

I don't know anymore.

If this day ever ends, you
want to grab dinner at Joe's?

Everything smells like ash
to me.

A drink?

I don't know
if that's what I need either.

My place?

Sounds good.

Um, Ndugu,
can we talk?

I'll catch up
with you later.

I need to tell you
about Garrett's anastomosis.

Millin and Yasuda
were not at fault.

We finished
the anterior wall and...

Oh, excuse me. Excuse me.
My girlfriend...

She can't breathe,
and I can't find her doctor.

Can you please help?

Look, I don't know
what happened.

We were just talking
a second ago.

You're asthmatic, right?

I'll give you
some albuterol.

Okay.
Hang on, honey.

Okay.
Take a deep breath.

Good, good.

Take another one.

You feel better?

Do I know you?

It just...

It really feels
like I know you.

No.

Here.

Adams, she's all set.

Make sure to get her
another inhaler before she goes.

Uh, can you monitor her
for me?

Dorian's transport's here,
and I'd like goodbye.

Yeah, I don't think
that's a good idea.

Youknow her,
don't you?

What - you two hook up
or something?

She was my fiancée.

Hey, Bailey's
low-key taking a head count.

We might want to get back
upstairs.

Sorry.

I - I'm so sorry
that I ratted us out to Ndugu.

I know he's kind of
your mentor.

No, he died.

Garrett died.

What?

- Oh, my God.
- Yeah.

We -
We sewed his aorta.

Yeah.

Okay.

Yeah, yeah,
this isn't working.

This isn't working.

Okay. Come and sit down.
Hold still.

Okay. Here, alright?

Anything?

Not really.

Okay, what about now?
Better?

Today did not go at all
how I thought it would.

Yep.
Same.

Mm.
Hey.

Come with me.

Is it Bailey?
No, not her.

ABSITE scores came in.

Yes!

73rd percentile.

Same.

78th percentile.

Hey.

Griffith.
How'd you do?

75th.

We all aced it.

Yeah.

Why does this feel...

weird?

That's why
I was looking for you.

Hey!
We're gonna miss you here.

Yeah, see if they'll stop
for a cheeseburger on your way.

Hey, doctor's orders.

I already did.
Fries, too.

Pace yourself.

I will.

Thank you...

for everything.

A-And thank you for, uh,
making the database today.

You helped
a lot of people.

That was all Adams.

I just helped
get it out there.

Take care of yourself, man.

Your ABSITE score came in.

It was the highest
in your class.

I gotta go change
for my meeting with Dr. Fox.

So, how'd it go
with Ruiz?

Oh, I had to reconstruct
his SMA, and he's stable now.

Link was able
to save his leg.

Thank you for standing up
for me.

That might have been
my last surgery.

Or not.
You did save a firefighter.

Yeah. Is that enough
to change Catherine's mind?

Hm. Oh!

I just blew up my life.

Meredith and I
published.

Definitely not enough.

So, how are you feeling?

Mm.

Strangely calm
for being unemployed.

Okay.

Much like with surgery,

life is full
of calculated risks. Okay.

We often make sacrifices
in hopes of better outcomes.

Not every gamble pays off
the way we hoped.

So we ask ourselves,

what are we willing
to give up? Coming through.

What can we leave behind?

What are you
doing here?

Came to see
how your day went.

So, did you, uh,
did you save your research

or burn everything down?

What if I said both?

Well...
that wouldn't surprise me.

It's one
of your best qualities.

My ability
to sabotage my life?

No.

Fight for what
you believe in.

You'll put everything on the
line when you want something.

Mm. It does make it hard
to know where you stand

when you're sidelined.

I told you I wanted a life
with you.

No, you described
your life,

and you asked
if I was in.

You know, I've - I had a life,
too, before we met.

It was great.
It was simple. I loved it.

And then I met you...

and I've followed you
across the country twice.

Every time you've asked,
I've given you space and time.

I agreed to run
a residency program

with interns you hired.

Am I in?

I've been in.

I've been in,
and I can't seem to get out.

If you said
you were moving,

I'd probably
follow you again...

as inexplicable
as that is.

But here's the thing.

I'd rather
not follow you.

I'd rather do it with you.

Side by side, partners.

Long after you've forgotten
who I am,

or I don't know, maybe
I'll have forgotten you first.

Well, then we'd get to meet
over and over again.

I mean...

wouldn't be the worst way
to spend an afternoon.

What do we need to live?

So that thing you said
about moving...

Oh, boy, here we go.
Let me guess.

Chicago, San Francisco,
Orlando...

God, please,
don't say Orlando.

I was thinking
Chestnut Hill.

What? You want to go
see that house?

Well,
we probably should

because I put an offer
on it this morning.

Are you serious?
Yes.

And if you hate it,
we can back out.

But, I don't know,
just going to take a tour

didn't seem like
grand enough a gesture.

What makes life worth living?

What are we willing
to put on the line

when a life is at stake?

Remind me what
you were thinking

when you attempted
the thoracotomy

on Mr. Sutton.

I thought he
was going to die.

You got that right.

Alright.

Regarding the GME
recommendation that you -

Excuse - Hello.

I'm having a meeting.

We know.

We want to urge you
to reject

the GME Council's recommendation
for Dr. Adams.

And why would I do that?

Well, Adams completed
Bailey's procedure logs,

as did we all,

and we think that
should count for something.

Oh, we're human.

We can't avoid mistakes.

What's important
is learning not to repeat them.

Look, we all push each other
to be better,

and it wouldn't be
the same without him.

You know
as well as we do

how demanding
intern year is,

but we're working through it
together.

We don't want to leave
anyone behind...

or lose anyone.

If Adams goes...

What?

You all go?

Is that really a threat
you want to make right now?

I could have all of you
replaced by tomorrow.

What about me?

Can you replace me?

How much
are we ready to lose...

if things don't break our way?

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