Original subtitles

[♪ "Away From the Castle" plays]

[Grey] Before we operate, we place drapes over our patient,

exposing only the area where we'll be working.

They not only help us focus on what we need to see,

but they keep the field clean and minimize debris getting in the way.

Incoming... [sighs] ...and I don't have a lot of time.

Do you wanna use one of our other three bathrooms to vomit?

[shushes] I feel decent for the first time in weeks, so don't jinx it.

And don't forget we have our first OB appointment today.

- I thought that was after work. - It is.

So what's the rush?

Well, the kids are still asleep, my charts are done,

and I've got just enough time for a quick shower.

How quick?

If it's too quick, I'll kill you.

[Grey] Drapes are specialized to fit the needs of various surgeries.

The challenge comes when there's a complication under the drape.

Oh, and we switched to a new EMR now.

You select the medication on top

and then scroll all the way down to enter the dosage.

- Makes no sense. - Medication up top.

Dosage on the bottom. Got it.

And you're only allowed two pairs of scrubs now.

- It's all automated... - Miranda, I've been a resident before.

- I'll be okay. - You're not nervous?

I feel great. It's like coming home.

Dr. Bailey, welcome back.

Yeah, welcome back to the both of you.

Oh, Warren, do you... do you know Dr. Ndugu?

What, are you kidding? Tore up the dance floor at his wedding.

My moves were basically a meme. I was like... [grunts]

- [Miranda] How's Catherine? - Feeling better every day.

Especially now that we know the biopsy results were negative.

Thank God.

She wants to throw a party.

Caviar and champagne, and not the kind you get from your regular grocery store.

[chuckles] I'd expect no less. Send her our best.

- Will do. - Okay. [chuckles]

This means stop talking.

What?

[sighs] Ndugu and Pierce are getting a divorce.

- Oh. - Yeah.

[Grey] When the body's draped,

we can't see something going pale or a leg turning blue.

I refuse to be late on Bailey's first day back.

Tell that to the guy who took a 20-minute shower.

- Says the guy who doesn't live there. - Hey.

[panting] There was a fistfight on my bus. I thought I was gonna be late.

Hey. Where's your sister?

- We wanna meet your mini-Mika. - [Mika] Late.

And we're not alike at all.

[horn honks]

[Grey] When we can't see the whole body,

we might miss a telltale sign something's gone wrong.

Thank you.

Sorry. [sighs]

I left my phone on the plane, and the line for the bathroom was really long,

and then Dumbledore missed the freeway exit.

My ride-share driver looked just like him. I couldn't unsee it. [chuckles]

Not alike at all.

That's Lucas, aka Skywalker.

Simone, Blue... [sighs] ...and, uh, Jules.

Hi.

This is my youngest sister, Chloe. [chuckles]

I have cancer.

Don't be late for Bailey. We'll see you later.

Come here.

It's gonna be okay.

Dr. Webber's the best.

We'll figure this out.

Come on.

Huh?

Here's the overnight roster list.

You need to follow up on Ms. Borgman's CT,

and there are two rule out appy consults in the ER waiting for ultrasounds. [sighs]

Good morning to you too.

Not all of us just spent two weeks in Paris.

Clearly. Mmm.

This is nothing like a café crème.

Will you just take this so I can go home and face-plant into my pillow?

- Morning. - Good morning.

I mean, hi. I... Hey.

This is James, the hospital chaplain.

Enchanté.

Taryn.

You work nights?

I work when I'm needed.

Is that from the coffee cart?

[clicks tongue] Uh, no. I drink French now.

It's Le Gateau Jolie down the street.

Ah, okay.

[inhales] I could use some coffee.

Would you wanna go for a walk?

Oui.

Ooh, that's French for "yes." [chuckles]

[Levi clears throat]

Nice to meet you.

- [doctor] Welcome back, boy. [chuckles] - [chuckles]

So, Bailey's her husband's boss? Is that allowed?

One of your aunts is head of the neuro department,

and your other aunt's name is on the building.

Heron hired him before she left. Everyone says he's impressive.

- Bring it. You all slow me down. - Oh, my God. He's not your competition.

He is a fourth-year on a trial basis until the ACGME approves him to stay.

Oh, there's a finite number of people who can fit around an operating table.

Everyone is my competition, including Mr. Doctor Bailey.

Uh, it's Warren, actually.

Ben Warren.

Looking forward to working with you again, Dr. Kwan.

I see you've met Dr. Warren.

Yes, he is my husband.

No, he will not be getting special treatment.

As for the rest of you, any bad habits you picked up while I was gone,

lose them.

You have four months left in your intern year.

I want you sprinting to that finish line, understood?

All right. Helm has your assignments.

Any problem, she'll be happy to hear about it.

- Get to work. - Okay.

Griffith is with Ndugu.

Warren and Kwan, to the pit. Adams and Millin, with me.

- Uh... - Oh.

[announcer 1] Dr. Okana to Peds ICU. Dr. Rachel...

[groans] A hundred unread emails after operating all night.

Why do I like this job again?

- Were you in the OR? - [scoffs] Yeah.

Nasty bus accident at the airport. I was called in around 4:00.

- Kids are at my mom's. - Oh, no.

Why didn't you call me?

I didn't wanna disturb you while you were in surgery. What's wrong?

I had muffins and bagels delivered to the house

because you've been on the morning routine so often,

and I wanted to take care of breakfast for you.

- You should've said something. - It was supposed to be a surprise.

Do you think your mom could go over there and grab them?

I am in back-to-back meetings,

and Richard wants the quarterly budget report before it goes to the board.

- Sounds like you need a break. - That is the opposite of what I need.

Trust me. I had your job. You have to pace yourself.

This job is very different than the job you had ten years ago,

but, um, thanks for the tip.

I'm just trying to help.

I have to go fire an anesthesiologist. [sighs]

[Lucas] Hey, you said we'd be saving lives.

I said you'd be helping to save lives.

You are contributing to one of the most memorable experiences

in a medical student's education.

Providing the opportunity to learn human anatomy

while developing their own understanding of what it means to be human.

- Are those... - I hate this already.

Cadavers for Ander-Simmons's med school anatomy lab.

We scan them so students have images to help them diagnose

how their cadavers died during their anatomy class dissection.

Good luck.

[stammers] You're not helping?

[speaking French]

Pretty sure that means we're screwed.

[both groan]

- [announcer 2] Dr. Koreskos to Peds. - [breathing heavily]

Dr. Vivian Koreskos to Peds.

Dr. Ndugu.

Am I getting out of here today?

This pneumonia's taking up all my field time.

I'm supposed to be out blocking a half-time show.

[clicks tongue] Mr. Riley's a high school band director.

You win the state championship three times in a row?

Uh, come on. Don't take the fourth one away from me. [chuckles]

Well, we'll make this quick so you can get back to it, all right?

Dr. Griffith.

Darren Riley, 55, history of smoking and pulmonary fibrosis.

Admitted for multi-drug-resistant gram-negative pneumonia.

Currently on 7 liters nasal cannula and Vanc-Zosyn.

Ah, there's music in the voice.

- You sing? - No, but I marched in high school.

Birds of a feather.

- Which instrument? [coughs] - Trombone.

[chuckles] Former bone player and a doctor.

That's not bad.

- It's not. - [Darren chuckles]

- Sats are low despite the nasal cannula. - Okay.

Uh, let's put him on high flow and then get him to CT.

Dr. Griffith's gonna take you for some scans.

More scans?

We're doing everything we can to get out of here, okay?

Stay close. No local family, and his last ABG came back borderline.

I reviewed your scans with radiology.

There is some suspicious-appearing lymph nodes.

It's likely stage 3B rectal cancer due to the...

Wait, 3B?

I thought it was 2A.

Mimi, can you just stop moving?

Sorry. [sighs]

[Richard clears throat]

Okay. Uh, what happens next? [sighs]

Chemotherapy, radiation?

Correct.

Surgery's a possibility, depending on the tumor's response.

Will I lose my hair?

It's possible.

What other side effects are there?

It varies from patient to patient.

Radiation often causes impaired ovarian function.

There is nausea and fatigue,

and changes in mood and weight are common too.

I won't be able to have kids?

We'll have you talk to an ob-gyn about your options.

Do you have any other questions for me? [distorted]

[Chloe] How long does chemo usually take?

[Richard, distorted]

Wait. So, you went from Wyoming to Raleigh to St. Louis to Seattle?

There were a bunch of places in between.

Uh, I did the whole global nomad thing before divinity school.

I've only ever lived here.

But you travel, right?

Well, I used to visit my grandparents in Illinois.

Wait, but then how did you end up becoming a chaplain?

I grew up in Wyoming with two devout episcopal parents.

[stutters] I love them, but it was, uh, complicated.

Was it like a... like a hard coming out thing or...

No, not really. Um...

Uh, I'm an only child,

and I always felt this pressure to be their everything.

And, uh...

I don't know, I-I needed space.

So, left home, never looked back,

and then they died.

I'm so sorry.

[stammers] I wish I had a more noble reason for becoming a chaplain,

but truth is, I only really found my faith again because of grief and guilt.

Sometimes you have to help yourself in order to help others.

That's very poetic.

That's my mother. [chuckles]

She's a whole other conversation. [chuckles]

I have time.

Wanna get lunch?

Yeah.

[ER doctor] All right. Roll him up to CT. Daniel will be there in two minutes.

[ER doctor 2] They told us to come in at trauma 1.

Warren, nice to see you back this side of the ambulance bay.

- You back full time? - On a trial basis for now.

But don't go easy. I'm just another resident.

Well, why don't you warm up with some sutures?

We have a small thigh lac in bed three. I just gave her some lido.

And, Kwan, you can help him out.

After you.

Uh... Ms. Dunn.

I'm Dr. Warren, and this is Dr. Kwan.

Judith is fine.

Not Judy.

Judy is my mother, and she talks to her plants.

- Judith it is. - [Judith chuckles]

It says here you have a cut on your thigh. All right, let's take a look.

- Roll over, please. - [grunts] Okay.

[Judith grunts]

[Judith sighs]

[Ben sighs]

It was my own dumb fault. Six-inch stilettos and tequila don't mix.

Oh, what was the occasion?

The tequila was for my friend's birthday.

Heels were for my new peach.

[chuckles] I got a BBL two months ago.

A Brazilian butt lift.

Oh. [chuckles] We're familiar.

Careful, Doctor. All that drool could stain your white coat. [chuckles]

No. No, no. It's, uh... It's not what you think.

Um...

I grabbed the wrong sutures.

Can you grab me a 4-0 Monocryl?

Thank you.

I-I was just getting a better suture for your cut.

How are you feeling? You need more lidocaine?

I don't feel the cut anymore, but... [grunts] ...it's my hip that's killing me.

From the fall?

I finally feel well enough to take this booty out for a spin,

and now my hip's hurting like hell.

It's probably just bruising, but we'll get some labs and X-rays just to be safe.

Uh, can you grab the labs and I'll take care of the X-rays?

You got it, boss.

[sighs, grunts]

[both grunt]

Oh, why is it that everybody who donates their body to science

- weighs 800 pounds? - They don't.

They just can't change their center of gravity like live people.

- They're literally dead weight. - Okay.

- Can you hold your side up more? - I am.

- He's sagging. - I don't think he cares.

[both grunt]

[huffs]

Well, the good news is, uh, we only have 29 left of these. [panting]

What's the bad news?

- [sighs] He's on feet first. - [groans] No.

[sighs]

[clicks tongue]

[clears throat] Uh, Griffith, how busy are you?

I'm almost done inputting orders for Dr. Ndugu,

and then I should start rounds in about 20 minutes.

- Oh, just enough time to run to the pit. - You need something there?

There are a couple of patients on Dr. Hunt's service.

Can you check on them for me?

You need me to add someone to my roster list?

Oh, no, no.

Uh, just see how things are going.

Like, check and see if the patients are satisfied with their care here?

[stammers] Um, you don't need to say anything to them.

Just discreetly observe.

See how the patients are doing.

See how the doctors are doing.

Got it. And then I should circle back with you after?

Took the words right out of my mouth.

[chuckles]

We typically recommend hormone replacement therapy

for the loss of estrogen production and fertility.

So that would allow me to have kids later if I want?

Well, there's no guarantees.

But if you wanna increase your chances,

many patients opt to retrieve and freeze their eggs.

What do you think?

Uh, it'll take at least a month to do a round of egg retrieval.

That's if your body responds to the hormones correctly.

The cancer could spread to a later stage during that time.

There are other options, right?

At this time, egg freezing is the most effective and common.

Okay. Well, find something else.

Look at other colorectal cancer cases, meet with your department.

- Yasuda... - There has to be a way.

It's okay, Mimi.

I'm not sure I really want kids anyway.

Warren.

Nice to see you back.

What do we got?

Thirty-four-year-old female, history of type 2 diabetes,

tripped and fell onto her left thigh three days ago.

Sustained a thigh laceration

but has pain with weight bearing that's getting more severe.

- How are her labs? - Still waiting.

- I just called to put a rush on it. - Hmm.

You think it's a hip joint effusion?

[Atticus] I couldn't tell you. This is a lateral hip. I need an AP view.

[stutters] I don't know what happened. I ordered an X-ray series.

The system is a little funky.

You gotta go to the drop-down to order the AP view.

Hip joint effusions are difficult to see on X-rays.

- A CT scan would give better visibility. - [stammers]

Kwan's right.

- Page us when you've got it. - [clears throat] Mmm.

- You want me to show you how to... - No. [stutters] I got it. I got it.

[sniffs, sighs]

- Oh. Ah. - Whoa.

Oh.

[sighs]

Are you okay?

Chloe's cancer is more advanced than we thought.

I'm so sorry.

Webber asked Dr. Sugihara to see her. [sighs]

- Chief of oncology. That's good. - It's terrible.

She has to start chemo and radiation right away,

which means she doesn't have time to protect her fertility.

Oh. I mean, does she want kids?

She's 22.

She doesn't know what she wants for breakfast tomorrow.

She's the eighth out of eight sisters.

She spent her whole life getting dragged to our practices, our recitals.

She only ever had hand-me-downs.

Always had to watch us on the roller coasters because she wasn't tall enough.

And now that she's finally out of our shadows and starting to live her own life,

this.

Her future should be wide open, not limited by an awful disease.

Well, at least she'll still be alive.

- What is that supposed to mean? - Nothing.

I'm just trying to look on the bright side.

My sister has cancer. There is no bright side.

But you wouldn't get that, would you? Because you don't have sisters.

You have one brother who thinks celery juice changes lives,

and you don't even like him.

So please don't pretend to understand what this feels like.

You never will.

[sighs]

No. No way. You're living in complete fantasy.

- You asked my opinion. - Well, I wasn't expecting it to be wrong.

I am a man of science. I don't know what else to tell you.

The Millennium Falcon can go faster than light.

It has hyperdrive.

That thing breaks down more often than my mom's old Ford Taurus.

It made the Kessel Run in under 12 parsecs.

The Kessel Run tests navigation, not speed.

The Enterprise is exponentially faster.

- How do you figure? - Warp 1 is the speed of light.

Even the original Enterprise went up to warp 5. Who are you?

So you would rather be the captain of the Enterprise than Han Solo?

- Obviously. - Do you wanna go back to my place?

Obviously.

[chuckle]

[grunts]

[panting]

[both chuckling]

- Hey, hey, hey, hey. - [chuckles]

- I thought you were on cardio today. - [chuckles] What? I am.

I had to run downstairs for something.

- Well, I'm, uh, glad I got to see you. - [sighs]

Mmm.

[door opens]

Hi.

- [chuckles] - [door opens, closes]

[smacks lips] Can I ask you a hypothetical question?

Yeah.

If you were asked to review a colleague's performance,

and they made an inconsequential mistake, would you mention it?

[smacks lips] Are we getting peer reviewed?

No. More of, uh, an informal observation.

Will they get in trouble?

- I don't think so. - Okay.

So, uh, then nothing major went wrong and there are no consequences?

Think you answered my question.

How's your project with Helm?

Is it something fun?

Deathly boring?

Definitely the latter.

Hmm.

Your sister went outside to get some air and call your parents.

Oh.

Colorectal cancer and fertility studies?

Just educating myself.

I know you want things to be better for Chloe.

She's my sister.

And you're also a surgeon.

We like to believe we can solve everyone's problems.

I really thought there'd be other options, but... [sighs] ...Wilson's right.

You know,

I've seen a lot of cancer patients in my career.

And no matter the type or stage, the treatment process... it's grueling.

Some people say the side effects of it are just as horrible as the cancer itself.

Everyone has the same questions, and they reckon with the same concerns.

Cancer is universal that way.

It's universal.

What if I can find a precedent for protecting fertility

when treating other cancers?

Then I'd be willing to bet it's relevant to colorectal cancer too.

Oh, Jo. Jo.

[gasps] Ben Warren. Oh, my God.

You missed me, I missed you. It's great to be back.

I just gave someone a heparin drip instead of prophylaxis.

How do I stop it?

Oh. Yeah, the new EMR system is confusing. Okay. Type in the patient's MRN there.

- And then you are gonna click here, here. - Okay.

- You're done. - Okay. [sighs, chuckles]

I've had three careers. You'd think I'd remember the first day is always rough.

It'll get better.

Kwan is lapping me, and he's only been a doctor eight months.

You'll be fine. You've been off fighting fires.

I went from splicing intestines to delivering babies,

and I still have no idea what day it is, and I'm a constant mess.

Yeah? What's new in your life?

Can you keep a secret?

- Yeah. - [mutters]

Yasuda, are you okay?

I need your help.

Okay.

Hey. [sighs]

Turkey burgers from the cafeteria.

Listen... [smacks lips] ...I think earlier I might've...

Insinuated that you know the job better than me?

- You're lucky I'm hungry. - [chuckles]

[sighs] Hey, would you ever get a butt lift?

Uh, no, no, no. No, no. I'm not suggesting...

You are... You are perfect.

But there's a woman in the ER.

She just had one, and, uh, I don't get it.

- What don't you get? - Well, it's a surgery with risks. And why?

So you can wear different clothes? [chuckles]

Wait, you think that this woman underwent anesthesia,

had surgeons cut into her glute,

suck fat from her belly and put it back in her butt

just so that she could wear different clothes?

I mean, why else would she do it?

Let me break it down for you.

The world that you live in where you do a good job

and you get rewarded for it, that is not the world that women live in.

In our world, you can be smarter, you can work harder,

but the prettier person who has a more desirable body

almost always gets ahead

because the people who decide that are almost always men.

So before we rush to judge the woman

for being so desperate that she underwent surgery to change her body,

maybe we should think about how our culture prioritizes the wrong things

and think about how we can change that.

I was just asking.

- And I was just answering. - [phone buzzing]

Sorry, I have to take this. Um, thank you for the burger.

Yeah, no. I wanna review that.

[grunts] Never thought I'd say this, but I am missing Pearl.

Is that your partner or your friend?

My booty pillow. [sighs]

These cheeks could use a good cushion. [chuckles]

- Are you in more pain? - A little. [sighs]

Well, the scans will be quick, so just try to sit still.

[titters]

[Judith] I know what you're thinking.

Trust me, my family gave me grief for getting surgery too.

But for 30 years, no one blinked an eye at me.

I was the sidekick with the pancake butt.

[chuckles] But then, overnight, I became the star.

I've never felt more empowered in my own skin.

Forget the jobs that work from home and the movies on the couch.

I'm planning on taking this beauty all across town.

The labs are in.

White count is 18,000.

That can't be right. Are you sure you're looking at the right value?

Yeah. I'm more than familiar with our lab result system.

If you wanna rerun them, I'll let Dr. Hunt know.

These numbers are off the charts.

Oh, scans are up.

You see that?

Extensive signs of infection to the muscles along the fascial planes.

- [Judith] Are we done? - [sigh]

Judith, I'm gonna have to check your hip again.

- May I? - Yeah.

- Is that... - Necrotizing fasciitis.

- Someone help me with this gurney. - What's going on? What's happening?

You have a fast-moving soft tissue infection, but don't worry, we're faster.

[stammers] Page the attendings and book an OR right now.

On my count. One, two, three.

[Levi breathes deeply]

I like that painting. [sighs]

You get to wake up to the sunrise even when it's raining.

I thought you were gonna say "even in the middle of the day."

- [moans] That too. - Mm-hmm.

[grunts]

I, um...

I got it at an Italian restaurant.

Is it Nicoletti's?

No, it was a little café in Cortona, Italy.

I was going through a rough time, so I booked a red-eye to Florence.

And I told myself I would visit every art museum between there and Vatican City.

I...

I strained my neck gazing at Michelangelo's work in the Sistine Chapel.

- And, uh... - [chuckles]

I don't know. When I saw that sunrise, it lifted something up in me.

So, I asked the restaurant owner if he would sell it to me.

You know how sometimes you just feel a strong connection?

I do.

Page me as soon as his ABG gets back. Dr. Ndugu's asking.

Dr. Griffith?

[clears throat]

So how was everything with the patient in the ER?

Things seem smooth?

Everything appeared in control.

I don't think you have anything to worry about on the case.

Mm-hmm.

Oh, you think or you know?

Are we talking about big booty Judy or... Right.

[stammers, sighs]

Look, um, it's not that I don't think he will succeed.

Um, I also wanna make sure that he has an objective experience.

The same treatment as everyone.

And if I go down there,

my appearance in the room takes away that objectivity.

I can spare another five minutes.

Thank you.

So you'd move my ovaries into my abdomen?

We'd move them up and attach them to the abdominal wall

so they're out of the field of radiation.

Has this been done before?

Ovarian transposition

is often used to help preserve the fertility of cervical cancer patients,

but there's no reason it couldn't apply to your case.

I'll be able to have kids later?

There is a 50% to 80% success rate.

That's better than zero.

And if we can preserve your ovarian function,

then you likely will not need hormone replacements.

[gasps]

This is great.

Thank you so much.

Thank your sister. She's the one who thought of it.

Can we do this today?

That way, I can start treatment sooner,

finish my last semester before my scholarship runs out.

I should totally do this right now, right? I mean, just get it done?

Okay. I'm gonna call Mom and Dad first, but yes.

You want Dr. Webber and Dr. Wilson to be the ones to do it.

And you can be in the operating room with me.

I can't, Chloe.

Family's not allowed.

Oh, right.

Hey.

Think of it like one of your cross country races.

It'll be over before you know it, and I will be as close as I can be, okay?

[softly] Okay.

- Okay? - Okay.

Let's do it.

[crunching]

Do you always eat when you're scanning patients?

Well, I mean, technically, he's not a patient.

And he's in a bag.

And dead.

[phone buzzes]

Uh, Yasuda's sister is getting surgery.

Is it an emergency?

[sighs] Doesn't seem like it.

They're waiting for an OR to open.

What's going on between you two?

- [sighs] Nothing. - [phone buzzes]

Oh.

Is that her?

No, it's Maxine.

Spaghetti and meatballs for dinner.

Yasuda is not texting me.

She basically accused me of having no empathy.

Well, her sister has cancer. She's just stressed.

You know what's not going to make her sister get better?

Being mean to me.

Really?

He can't hear me.

Heart rate's in the 140s, systolic's around 100.

We broadened IV antibiotics and started low-dose norepi.

Judith, we're taking you up to the OR

to remove the infected tissue and stop it spreading, okay?

[sobbing] Are you gonna take my butt?

The infection seems to have spread to your glute,

- but we won't know till we get to the OR. - No, I want a second opinion.

There's no time for another opinion. You have to trust us.

I don't understand. I just fell on the sidewalk.

The bacteria must've got in through the cut on your thigh.

It's rare, but it happens.

Do you know what it's like to be invisible?

Well, if there were any other option, we would tell you. I promise, Judith.

- [beeping continues] - Judith? Judith? Judith?

Damn it. She's septic. Come on. Come on. Come on.

Okay, let's go. Let's move.

- Where am I? - Mr. Riley, hold on. I got you.

- I need a hand in here. Griffith! - [nurse] He started crashing a minute ago.

I need to intubate.

- Push 30 of etomidate and 150 of sux. - [nurse 2] On it.

- Where is Griffith? - [nurse] I got the intubation tray.

All right. Let's get you some air. Here we go. Here we go.

Okay. Come on.

Damn it.

Helm. Helm, get in here.

I need you to apply cricoid pressure.

- There? - Higher.

Higher. Right there, right there. There we go. I'm in.

All right.

Come on.

His sats aren't improving. We need to get him on ECMO

before the hypoxemia puts too much stress on his heart and he codes.

I need an ECMO machine right now!

[panting] What happened?

He was intubated, but he wasn't oxygenating.

You'd know that if you were monitoring like I asked.

I'm sorry. I ran down to the emergency room to check...

I don't wanna hear it. Wait outside.

Helm, get the tube ready.

[Atticus] Okay. I hit a pocket of fluid. Suction.

[all groan]

[Benson grunts] She's gonna be devastated when she wakes up and it's all gone.

- At least she'll still be here. - [Owen] If we can work fast enough.

We're gonna need another set of hands. Warren, you ready to get in here?

Sure. Scalpel.

Good. Quick and intentional.

I can help if you need it.

Just keep up with the suction.

Actually, you know, I could use a hand in here.

Uh, Kwan, you wanna help break up some of this tissue?

Yeah.

Oh, I see healthy tissue.

[stammers] Yep, there it is.

Bleeding edges.

Nice work, boss.

Moving on to the superior aspect of the thigh.

[Lucas sighs] Last one.

Do you remember your med school cadaver?

Yeah. Sixty-eight-year-old female, lungs full of mets.

Uh, we assumed she was a smoker.

Named her Marge and decided she was a trucker.

Mine was my grandma.

Uh, wait, you, uh, dissected your grandmother?

What? God, no. No, no.

My... My dad's mom died before I was born, and my mom really hated her.

So I... I kinda grew up without a grandma.

But we had been dissecting our cadaver for weeks

before we finally took the towel off her face.

And I remember looking at her and thinking,

"She could be my grandma."

And I just hoped that she didn't feel alone.

I hoped she felt that she was surrounded by people who truly appreciated her.

I, uh...

I never thought about it that way. [chuckles]

Yeah.

And then we cut open her neck and her head and finished...

Um...

Could you transfer the scans to the CDs by yourself?

[stutters] There's something I really need to do.

Yeah?

Yeah, okay.

[♪ "Don't Let Go" playing]

♪ We've made it through winter ♪

[clears throat]

Hey, any, uh, news... [chuckles] ...from the pit?

Just... Uh, how is he?

He's on ECMO and stable.

But I don't know if he'll ever breathe on his own again.

I'm so sorry.

What were you doing in the ER when my patients are up here?

Please explain that to me.

- Um, why don't we take a breath? - I'm breathing just fine, thank you.

I was checking on a patient for a colleague, and I...

- In the ER? - Dr. Ndugu...

Dr. Bailey, hold on.

If-If I can't trust you to follow simple instructions,

I can't have you on my service.

- Dr. Ndugu, I need a word in private. - I asked you to step in because I...

♪ Follow you ♪

♪ Follow you ♪

- ♪ I'll follow ♪ - ♪ Follow you ♪

- ♪ Follow you, follow you ♪ - ♪ Follow you ♪

- ♪ I'll follow ♪ - ♪ Follow you ♪

- ♪ I'll follow ♪ - ♪ Follow you ♪

We're about to start the anesthesia. Are you ready?

[Jo] Okay.

Wait. Excuse me.

[Jules] Is it all right if I...

[Jules sighs]

Hi. I'm Jules. We met this morning.

I'm one of the interns.

I know who you are.

♪ I'll follow you ♪

♪ Follow you, follow you ♪

Okay. I asked Griffith to check on a patient in the emergency room.

I didn't realize that your patient was borderline critical.

She knew. She should've said no.

I'm her boss, right?

It's not her fault.

Why did you send her downstairs? You're not working there today.

[stammers] I don't know. I...

[inhales sharply] First day back in a while.

I wanted to see how things were going, that's all.

Okay. Take it from the guy who married and then divorced his boss.

Get out of your husband's way.

Uh, I beg your pardon?

I'm saying at home, you need to be a team.

At work, let him be his own person.

Hey. I'm sorry.

- I'm sorry, I'm sorry, I'm sorry. - The appointment was at 5:00, right?

[sighs] I know. I just got so busy with patients. I completely forgot.

You don't have to apologize. DeLuca had to leave.

- We were gonna see the baby. - Yeah, we'll just reschedule.

Wait. Come with me. [chuckles]

[♪ song playing]

[sighs]

Judith, how are you feeling?

You really have to ask?

[chuckles] You should be feeling better soon.

We were able to remove the infected tissue.

And we'll keep you in the ICU for a few more days

to wash out the wound and make sure there's no more necrotic tissue.

Okay, trauma. Kwan, come with me.

Check on the cultures, and we'll see you downstairs.

Judith, I will come check on you soon, okay?

♪ A little bit of good news ♪

[grunts]

I know it feels like you're going back to an old version of yourself.

But I've learned when it feels like you're losing ground,

you're still moving forward.

Everything you've learned, everything you've experienced,

it all comes with you.

I can tell you what's not coming with me.

The $8,000 I spent on my butt.

No, but all that confidence you gained after the lift,

we didn't take any of that.

Are you saying I have big butt energy?

- [laughs] I'm saying all is not lost. - [Judith chuckles]

But if down the road you decide you want reconstruction,

[clicks tongue] I know a great plastic surgeon in Boston.

Now you're talking.

[laughs]

Get some rest.

♪ Someday I will look back ♪

♪ I hope I understand ♪

♪ Why I had to go through that ♪

She's doing well. There were no complications.

And Dr. Webber says she should be able to go home soon.

I'm sorry... [sighs] ...for what I said earlier. Sometimes I can be such a...

Thank you for sitting with her.

You have no idea how much that meant to her.

How much it meant to me.

Well, I knew you couldn't do it, so...

Didn't want her to be alone.

Oh. [sighs]

Thank you for everything.

Oh, I was glad to help.

You know, it's not easy to watch someone you love fight cancer.

There'll be days you feel like your heart's being ripped to pieces.

[sighs]

Remember to take care of yourself too.

[mouthing words] Thank you.

♪ Please, just give me a sign ♪

♪ I will learn ♪

♪ Please, just show me a sign ♪

Hey! You still haven't finished uploading all the scans.

Yeah, I know.

Adams, they have this covered.

Hey, hey! Show some respect.

These people donated their bodies so that future doctors

could learn how to help others live longer, healthier lives.

Okay. Sorry.

I wanted to help.

Hey. Oh, aren't you supposed to be getting the kids?

Yeah, well, I thought we could grab a bite first.

Oh, I can, uh, either eat with you or feed the kids,

but I don't have time for both.

- Do you not feel this? - Feel what?

Ever since we got rehired, we haven't had a single meal alone together.

We haven't had a conversation that wasn't about surgery

or the kids' schedules in almost three weeks.

Well, work has been busy.

But, you know, we'll get back on track eventually.

It's just... [grunts]

It feels like we're not connecting, you know?

It feels like there's something eating away at this relationship.

And I... I know I stepped in it more than once today...

No, it's... it's not just you.

[♪ "Talking About Hope" playing]

I feel it too. [sighs]

[Grey] When a patient codes in surgery,

the first thing we do is remove their drape.

We need to see if there's something we missed.

Is this a mistake?

Me being your boss.

[scoffs] When are you not my boss?

[imitating Miranda] "Ben, can you take out the garbage?

Ooh, ooh, ooh, Ben, kill that spider.

Ben, why haven't you changed the light in the refrigerator?"

Come on. Don't be cute. You know what I mean.

We're professionals.

I'm not worried.

Okay.

But if it ever gets uncomfortable for you...

I will let you know.

I promise.

♪ But I know my name ♪

Let's get home so I can get some sleep. [grunts]

I have pre-rounds before sunrise.

- Welcome back, Dr. Warren. - Oh.

[Grey] Much like in surgery,

sometimes in life we lose sight of the bigger picture.

♪ I'm not talking 'bout fire ♪

Mimi? [sighs]

Hey.

How are you feeling?

Tired.

And I kinda want a doughnut.

[chuckles] Go back to sleep. You need rest.

- But, Mimi... - We will get doughnuts.

[chuckles]

[softly] Thanks for everything.

I didn't do anything.

I couldn't even be in your surgery, remember?

I meant as my sister.

[shushes, whispers] Close your eyes.

Good.

[sighs]

♪ I fell in love with you ♪

[Jules] Hi.

- [softly] Hey. - [Jules] We brought things.

- How's she doing? - Good.

She's already asking about snacks. [chuckles]

- That tracks. - [Mika] Yeah.

We'll let you both sleep.

Thanks, uh, for all the stuff.

We also took all of your shifts for the next week

so you can spend time with Chloe.

Thank you, guys.

[Grey] When we're stressed or worried,

it can be hard to see the things that are going well.

♪ And I'm not talking 'bout hope ♪

♪ I'm not talking 'bout fire ♪

♪ I'm just tryna make sense Of this desire ♪

♪ So put your hand on my head ♪

♪ And put your hand on my heart ♪

[Grey] And when we're floating on cloud nine,

it's just as easy to miss red flags.

Expanding our perspective

can give us a better, more accurate view of ourselves and the world.

I don't see anything. Do you?

No, just my intestines.

- Stop moving it around. - [both chuckle]

Well, I still don't see anything.

- [Jo gasps] - Wait. Is that...

Yeah, there's our baby.

And there's the heartbeat!

You don't see it, do you? See right there?

And also there.

Oh, my God!

- Twins! - Twins?

[sighs]

[Grey] It may end up being more than you could have ever imagined.