Original subtitles

♪ Baby, you should know All these people ♪

[Grey] Despite its complexity,

the human brain can only focus on about one thing at a time.

How about we share the paté?

Teddy, I thought we said no screens.

Yeah, I'm sorry.

It is my last CABG patient,

and the nurses needed an order for a bolus.

Maybe use an intern. Tell them to call... Beckman.

Well, she is my patient.

- Hunt. - Hey.

Oh.

- Altman. - Hi.

David, hi.

Of course you remember my incredible wife. Cass.

We met at that boring dinner last year.

- Right. - [chuckles]

That might've been the last time we had a sit-down dinner together.

- It might be. - [David, Cass laugh]

- Oh. There's a trauma coming in. - Oh, yeah. Multiple victims.

- [Cass] No. - Including this dinner.

Um. Hey, wait, listen. Why don't you two stay?

- At least somebody can have fun. - Oh.

Yeah. Please, take my seat.

[chuckles, stammers] Um...

- Why not? - Sure. Yeah. Of course. Please.

What?

[Grey] Monotasking reduces distraction,

sharpens attention and allows us to operate at peak performance.

But surgical residents don't have that luxury.

One thing? Try 30.

Luna's fever is still a hundred,

but, thankfully, Scout has taken some Pedialyte,

so that's something.

[Lincoln sighs]

Maybe I should call and tell them I can't make it in.

You think I can't handle two sick kids?

You're on call. Go.

[Lincoln sighs]

I thought I was charging my computer.

Yeah. My phone was at 2%.

So you couldn't have used one of the other 50 chargers

we have in the house?

Next time, I'll ignore the vomiting kid to go find one.

Can you move your bag? I'm trying to clean.

♪ Can you see it? ♪

♪ Have a hard time believin' I was ready to leave ♪

♪ The man you were once is gone... ♪

[Grey] They order labs, dictate notes,

take vitals, check drains,

make split-second decisions while on the move...

It's chaos.

Fresh from the warmer.

Chloe, how are you feeling?

Like I got chemo today.

Hopefully, you'll feel a little better after a night's sleep.

- [Chloe] Thank you. - [Yasuda] Yeah.

I brought one for you too.

Thanks.

Not sure who's more tired. Her or me.

You have been working a lot.

Yeah, well. Making up for the time I took off.

Thanks... for that too.

Well, I'll swing by in a bit.

And you'd better be sleeping.

She's quality.

- Shut up. - [Grey] But a brain can adapt

and thrive in just about anything,

even chaos.

Hey. I thought you were on trauma tonight.

I am, but I've been playing chess with Ofelia, and it was my turn,

so I came to check in.

- Her leg looks good. - Yeah.

Her parents are on their way.

I heard it's backed up. Hopefully, she gets moved into rehab tonight.

Yeah. She told me at least five times.

I said I'd come by and see her again before she goes. [laughs]

She's very excited.

Hey, speaking of excitement, I heard you got the research position with Wilkinson.

Congrats.

Oh. I, um... I haven't officially accepted yet.

That's smart. Take your time deciding.

You think that I shouldn't take it? You told me about it.

No, no. It's a great opportunity.

It just... It doesn't guarantee a peds fellowship.

So I don't want you to feel resentful

if you spend a year in Texas and it doesn't work out.

- [phone chimes] - Wait, um...

That's Webber. Um...

- If you were me, would you take it? - Yeah.

But I really love Tex-Mex.

[sighs]

Hey. I heard you're going home.

Yeah. Yeah. I hit my eighty hours this week, so Bailey tagged me out.

I'm just gonna crash in an on call room.

ER consults. [sighs]

Drunk guy with an arm lac, drunk guy with a head lac, and drunk guy...

just drunk.

- You can pick first. - [elevator dings]

- Have fun. - [Griffith] Mm-hmm.

- I'll catch you in the morning. Yeah? - Yeah.

Love you.

[elevator dings]

Did that just happen?

It's on replay in my head.

Oh, God.

Was I hearing things,

or were you listening to the Final Fantasy theme yesterday?

[chuckles] Good ear, and yes.

I love how the instrumentation gives the franchise that bright, regal feel.

[chuckles, coughs]

How we doing, maestro?

[Mr. Riley] I'm teaching Dr. Millin the joy of orchestration.

Can you keep a beat, Dr. Ndugu?

Of course. I'm a heart surgeon.

[all chuckling]

How's he doing?

Hemodynamically normal, except for the past hour,

he's a little tachycardic in the low 100s.

Chest tube put out 50ccs overnight.

[breathing heavily] I did walk to a chair today,

but I could also use a new lung. [chuckles]

Well, how 'bout I go get you one?

Don't play with me now.

[chuckles] I'm going right now to procure it.

Dr. Millin will take care of you until I get back.

Let's see how his heart rate does in a 500cc bolus.

- Mmm. - And call me if you need me.

You got the whole floor tonight. Yeah?

Rest up, okay? I'll be back.

[breathing heavily, chuckles]

[Schmitt sighs] Am I in trouble?

We know about the peds research position in Texas.

They called to get a letter of good standing.

Oh. Um...

I was gonna tell you.

No, actually, we're glad they gave us a heads-up.

We'd like to extend an offer as well.

General surgery attending.

[Bailey] You'd have to finish your residency,

but we wanted to let you know now while you're making this decision.

Okay.

Most attendings start at this salary, but there's room to negotiate.

- [gasps] - Mm-hmm.

Uh, plus, there's seed money for research,

a signing bonus, healthy student loan repayment.

I, uh...

[stammers] I really wasn't expecting this. Um...

- I'm not sure what to say. - Think about it.

Uh, better yet, let's try it out.

You're on my service tonight, but as the attending.

Yeah? Okay. Let's go. [chuckles]

Oh, hey. My last surgery pushed until tomorrow. How's Scout?

- Still sick. He threw up on his bed. - Oh. Poor thing. [sighs]

He seemed better when I left.

I meant Jo. I'm gonna go pick him up.

- [sighs] That'd be great. - Okay.

Oh. But don't tell Jo I said that.

She's trying to do it all.

Okay. Yeah.

What if I say it again but give him more time to say it back?

Uh, I don't think lack of time is the problem.

Is it gonna be weird now?

You told him you loved him at work.

And he left you hanging.

Yes is my answer.

- I hate everything. - Hey, except Adams.

- You... - Kwan. Griffith. Finish up and let's go.

Multiple traumas arriving.

Uh, you go ahead first. I'll catch up.

Okay.

Love you.

Looks like someone promoted themselves.

Webber and Bailey offered me an attending position.

- What? That's amazing. - [chuckles] Yeah.

Did they say anything about me?

Well, it was an early offer because they know about Texas.

I'm just doing a trial run tonight.

Where do I apply for a crappy research job that I can leverage?

Well, it's clinical research. I'd be with peds patients.

And how does James feel about you chasing your peds dreams in Texas?

I'm not sure. [sighs]

He got paged to a code after I told him, and that's the last time we talked.

I don't... I don't even know what I'm gonna do yet.

You got two job offers and a boyfriend. You get zero sympathy.

- [sirens wailing] - [Kwan] Trauma's here.

- [Beltran] Schmitt. - [Bailey] Schmitt. Oh. He's with me.

Official business.

Navy scrubs. Kinda bold, isn't it?

Should I go change?

Scaffolding collapse at a concert venue.

Seventeen-year-old female. GCS 15.

Unstable pelvis. Binder was placed at the scene. Vitals are stable.

Given four milligrams of morphine en route.

I'm Dr. Beltran. Can you tell me your name?

Joni. But where's Vaughn? He was on stage.

- We'll find him for you. Your friend? - My boyfriend and incredibly talented.

Let's get her to trauma three.

Okay, Schmitt. Whatever's in this rig, we're following your lead.

All right. Let's go.

If you're giving away promotions, can I be a fifth year?

What do you think?

[paramedic] Nineteen-year-old male,

penetrating abdominal injury after a fall from a two-story scaffolding.

GCS 15. Systolics in the low 100s. Received two liters of fluid.

Trauma one, get him inside. Let's go.

[stammers] Oh. Um...

I don't know what I want.

[chuckles] Thank goodness no one's asking.

Do you know what panisse is? It comes with the lamb.

No, um, I don't. Do you want me to look it up?

No. If it was any good, they'd probably be more up-front about it on the menu.

Honestly, I think the best meal I've ever had

was when Owen and I shared a can of refried beans on flatbread.

[chuckles] During the Great Depression?

[chuckles]

We served in the Army.

It turns out everything tastes better after military rations.

You were in the military?

- Yeah. That's where we met. - Wow.

You just look so poised and put together in your boss-lady heels. Who knew?

[chuckles] Thanks. I would prefer a T-shirt and combat boots.

And I would take a burger over this menu any day.

Do you wanna ditch this place

and go somewhere that serves fries instead of pomme frites?

- Yes, please. Okay. - Oh, great.

[both laughing]

Wonderful.

- Okay. Just take a little s... No? - [Scout] No.

[Wilson] Just a little sip.

Good job. Good job.

- Good. Good job, you did so... - [doorbell rings]

- Hey. - Hey.

- I thought that you had a late surgery. - Oh, hi.

Um... Wait...

Did Link tell you to come rescue me? [sighs]

Uh, I was gonna ask how everybody's doing, but I think I got it.

- [Wilson sighs] I'm fine. - [Shepherd] Hi, sweetie.

I'm sorry you're sick. I'm just gonna take you home. [grunts]

Hey, do you have his lovey? I'm just gonna take him home.

Despite what Link may have told you, I'm not incompetent.

Uh... No. He never said that you were.

- I just wanna take care of my sick kid. - Everything is under control.

- I've got it. I'm fine. - Okay.

Well, I think we're just gonna go.

- [Wilson sighs] - [Scout vomits]

Or maybe we will change first.

[Luna cries]

I'm coming, sweetie.

- [Luna] Mama! - I'll run him a bath.

Joni, I'm Dr. Lincoln.

Have you seen Vaughn? Where... Where is he?

- Vaughn is... - Boyfriend. Trauma one.

He's got a pink stripe in his hair, ice-cold eyes,

the skull pinkie ring that I gave him.

- He was performing at the concert. - [Lincoln] Clear.

No pneumothorax or fractures on the chest X-ray.

What instrument does Vaughn play?

- [grunts] Air. - She's on morphine.

- [Beltran] Try and hold still. - [Joni grunts]

No, he plays air guitar. Tonight was the regional championship.

She's got a bad pelvic fracture.

The scaffolding from the performance fell... [groans] ...right into the crowd.

He was supposed to make it to the finals.

He coulda taken Scissor's title.

No, he would've.

Yeah, I'm sure he's great at "air."

FAST was negative. Systolics are stable at 110.

- Let's get her to CT. - Parents are on their way.

Oh. Uh, they're... they're not the not the biggest fans of Vaughn.

Could you maybe not mention that he's here?

Patient privacy laws. We couldn't if we wanted to.

Griffith, would you put in the trauma scan orders and meet us in CT?

[Hunt] So what we got?

This is Vaughn. Nineteen-year-old male. Thoracoabdominal impalement.

Systolics in the low 100s. Responding to fluids.

Pleasure to meet you, sir.

Try not to move. Save your energy.

Help get another IV. Give 20 of fentanyl.

We need a type and cross and hang two units of O neg.

- Schmitt's running point on this. - Copy that. Where'd you need me?

Put in the orders for CT.

If we can stabilize him more,

we might be able to run him through the scanner on the way to the OR.

Can somebody get a message to my girlfriend Joni?

Try not to talk.

- Frankly, it's a miracle you can even... - [heart monitor blaring]

[Bailey] His pressure is tanking.

[Hunt] Blood in the Foley catheter.

Change of plans. We need to get him to the OR now.

- Are we good? - Uh-huh.

All right. Let's go.

[Bailey] All right.

We got here as fast as we could. Where is she? Can we see our Joni?

She's on her way to radiology, but I will let her know you're here.

Thank you so much.

My roommate's here. Vaughn Bishop. Rad riffer, sick hair.

Gish?

Mr. and Mrs. F. Dude, crazy night, right?

All those people in the crowd and Vaughn falls and, bloosh, crushes Joni.

I mean, coincidence or true love?

How about true stupidity?

I'm gonna strangle that kid.

Let's not invoke violence in the emergency room.

It was my idea for him to climb the scaffold.

I built them so he could shred off the rafters.

If you're gonna be cheesed at anyone, it should be me.

I don't get it. She's a smart kid.

- Where did we go wrong? - Sir, look...

No. This is gonna live on the Internet forever.

Everyone will know she's the girl who got crushed by an idiot guitar mime.

All due respect, air musician.

Why don't I show you both to the family waiting area and... Gish?

I got this guy.

[Griffith] Right this way.

I'll show you where the other air musicians are waiting.

Uh, mister?

Gish. Just Gish. Like Slash.

Yeah. The... Yep, that makes sense.

- You're supposed to be sleeping. - Well, in a dumb moment of exhaustion,

I gave Mr. Donovan in 2114 my cell phone number,

and he texted me "911" three times in a row.

What did he want?

A hot dog. But he called it a hot dog sandwich.

Also, um, every time I close my eyes,

I see the worst possible outcomes for Chloe.

- She's here. She's getting the best care. - [Yasuda sighs]

And you being sleep-deprived won't change anything.

Also, isn't Mr. Donovan on a liquids-only diet?

[both chuckling]

[alarm blares]

[PA announcer] Rapid response to the second floor ICU.

Rapid response to the second floor ICU.

[keeps repeating message]

Mr. Riley, are you okay?

You tell me. [breathing heavily]

[Millin] Uh, pump isn't working. There's no flow in the circuit.

We need a new pump. ASAP.

We need to switch over to the emergency hand-crank or he'll code.

Okay.

Cannula flow?

Am I... Am I dying?

Just some technical difficulties, that's all.

Do your best to stay calm.

[Nurse Karen] Doctor Millin.

Sorry. Best-case scenario on a new pump is a couple hours.

The ECLS coordinator accidentally left with the keys to the supply closet.

What?

- [phone chimes] - [Millin grumbles]

Dr. Ndugu's triple-A patient is tachy.

And his quadruple bypass next door has blood in the pleurovac.

Wait. You're both leaving?

Go. I can take over.

- No. You're supposed... - You need help. Chloe's down the hall.

I've got this.

[Millin sighs]

Go.

So, I have to reconstruct this guy's entire face,

which is barely a face after busting through the back windshield.

Insert seat belt PSA here.

Exactly.

I get home

- and I just wanna crawl into my bed... - Mm-hmm.

...and David has taken apart our kids' marble run

and my son is freaking out, so now I have to reconstruct that too.

[Altman] Of course you do.

And he wonders why I'm not in the mood.

Well, we're scheduling sex,

and it's going about as well as you could imagine.

- Mmm. - I'm sorry.

That was just way more information than you needed to know. [chuckles]

No. You're fine.

We're not at work. You have to get it out somewhere.

Isn't that what therapy is for?

Sure. [chuckles]

Listen, a few years back, David and I want through a rough patch.

We couldn't talk without arguing. The spark was gone.

I didn't know if we were gonna make it.

So what did you do?

We opened our marriage.

- Opened as in... - Yeah.

We date and sleep with other people.

- Oh. - Mm-hmm.

- I mean, with boundaries, of course! - [chuckles]

And it's not for everyone,

but it worked wonders for us.

Wait, you're a trauma surgeon at Seattle Presbyterian with two kids.

- Mm-hmm. - How do you find the time?

Hot. Single. Tennis pro.

- You have time for tennis? - [laughs]

- I do. - [laughs]

- Do you want another round? - Yes, please.

Excuse me. Can we have another?

[Shepherd] He's changed and bathed.

I'm just gonna let him sleep for half an hour

before I take him if that's okay.

- Yeah, sure. - Also, thank you for your clothes.

Hey, I mean, you can tell me where to shove it, but...

I mean, give yourself some grace.

It's impossible to do it all on a good day,

let alone when there's a sick kid.

You know what? Forget the half hour. Clearly, you do not want company.

- That's fine. I'm gonna grab him. - It's not you.

When Luna woke up sick this morning,

she started crying and she asked for Jessica, her day care teacher.

Yeah.

That sucks.

I'm at the hospital working 80 hours a week,

and I don't have time to make the... the cute lunches or, um...

take her to, you know, story time at the library

or do any of the good things that parents are supposed to do.

All I ever do is feed her and clothe her and bathe her.

[chuckles, cries]

[Shepherd] Well, if it helps,

we don't even have robust explicit memories

until about seven years old.

[laughs, sniffles]

I just... [breathing shakily]

I really wanted to give her the mother that I never had.

And instead, she's at day care all day, developing a secure attachment to Jessica.

And this is all while I have just one kid.

What's gonna happen when I have two more?

- [cries] - Wait. You and Link?

Oh, my God.

[Luna cries]

- Do you want me... - No. I've got it.

- [Shepherd sighs] - [Wilson sniffles]

- [heart monitor beeping] - Clamp.

- [Vaughn groans] - Schmitt, wanna ask Kwan what he sees?

[Kwan] I can just answer you.

Or wait to be asked.

- Kwan, what do you see? - Um...

Perforated small bowel.

Right kidney seems involved. Maybe a small liver lac.

[Hunt] There's probably more. How do you wanna handle that?

[Schmitt] Let's pack first, then go quadrant by quadrant.

We'll save the scaffold for last.

Dr. Hunt, you can pull it out slowly

and the rest of us will attack any problems as we go.

All right. You heard the man.

[Hunt] Let's get packing.

I know it's basic, falling for the musician.

He is not a musician.

My parents say I'm making a fool of myself,

but they're just jealous.

I'm kissing my boyfriend on stage at his concerts

and they don't even hold hands anymore.

They're probably just worried. They don't want you to have regrets.

He's Van Vaughn Bishop. What would I regret?

Haven't a clue.

Type III pelvic fracture with active extravasation of the contrast.

Yeah, she's bleeding. We should embolize before you repair it.

[Joni] Does anybody know about Vaughn?

I'm sorry I keep asking about him. I just love him.

I love him so much I'm even willing to put up with Gish.

What's Gish?

You don't wanna know.

[Mr. Riley breathing heavily]

How's it going?

It took me a while to find the right speed,

but now I'm in a groove and he's stable.

Well, I can take over for you. You can go be with Chloe.

I wanna stay.

Gives my mind something useful to focus on.

Plus, you've done so much for me, I'd like to do something for you.

Oh. I wanted to help you. You don't owe me anything.

I know.

- [Millin clears throat] - Um...

Uh, the pump is on its way.

I'm gonna go do my rounds, and I'll be back by the time it gets here.

Are you sure you're good?

I'm single-handedly keeping this guy alive.

What's better than that?

[Schmitt] I'm almost done with the small bowel.

[Hunt] Almost out of the abdomen.

[Kwan] It's gonna take weeks of recovery. He should've climbed "air scaffolding."

Okay. This isn't the time for judgment.

Would you go to an air guitar concert, Dr. Bailey?

I don't do crowds, uh, unless it's Beyoncé.

[Schmitt] Last serosal tear is repaired.

We can run the bowel again at the end.

You can continue pulling out the pipe.

[Hunt] Okay. Here we go.

- [Hunt] There we go. - [Bailey] Hey, he's hemorrhaging...

[Kwan] The rod went through the kidney and its blood supply.

- [Schmitt] I need suction, lap pads. - [Kwan] Kidney's shot.

Luckily, he can survive with only one. Schmitt, you wanna do the honors?

What if the other kidney ever gets damaged?

[Hunt] You wanna try and salvage it?

If we did, he'd be open for longer.

If we can't save it, we'd be risking him becoming unstable for nothing.

You can resect it or salvage it, but you don't have much longer to debate.

- Schmitt? - [Schmitt sighs]

Do you or Dr. Hunt wanna step in?

I wanna salvage it.

Are you sure? Is he sure? Isn't the hilum injured?

We can repair the renal artery and then do a renorrhaphy.

- And you think that'll work? - I don't know, but it's the plan.

I'm still an attending, right?

You damn right you are.

All right. We're saving a kidney. [chuckles]

6-0 prolene.

Beats the hell out of research.

[Wilson] What's this?

Well, it was gonna be the best grilled cheese sandwich you ever had,

but I couldn't find cheese, so it's toast.

Thank you.

- You're a mom and a resident. - [Wilson sighs]

That is two impossible things at the same time.

I know it's gonna be hard in the beginning and the middle,

but I really want that big family and I want it for Luna too, for all of us.

I'm just so worried that I'm gonna mess it up.

Maybe I already have.

You haven't messed anything up.

And where's Link in all of this? I mean, can you lean on him more?

We haven't been in the best place lately.

[Shepherd sighs]

When he and I were together,

I would be lying if I said

that the years of friendship between the two of you didn't bother me.

But I think it was Link who was lying all along to himself.

I think, underneath it all,

he always wanted you.

[chuckles] He proposed to you with three rings.

I had to listen for months about how he was so in love with you.

Maybe.

Or maybe he was trying to force us into something

because he was scared to leave.

I'm gonna check on Scout. You eat the toast.

[Lincoln] You think there are air guitar teachers?

[Beltran] Why? You want lessons? Fluoro.

[Lincoln] I'm wondering how you get good at it.

[Griffith] A lot of hours in front of the bathroom mirror

which, honestly, is really where it belongs.

[Beltran] I dunno. I think it's sweet.

And they know what they want and they're not holding back

no matter how bonkers it is.

All right. Another bleeder down.

Griffith, go for the next one.

Now advance until you see the extrav.

Good.

Now, flip the guidewire,

and advance again. Good.

[Griffith] Deploying the coil.

- [Beltran] Ah, you make it look easy. - Been practicing.

[Beltran] It shows. Go for the next bleeder.

- [Millin] Okay. Thank you. - [Yasuda groans]

Well, the new pump is working.

I can't believe you cranked that for so long.

I'm used to it.

Grandma Servino had an old-fashioned butter churn.

- [alarm blaring] - [Mr. Riley coughing]

His sats are dropping, but the O2 on the ECMO circuit's maxed out.

Call a rapid response. We need to intubate.

I know it's a little scary, but this will help you to breathe.

Okay. Oxygen. Like this.

- All right. We need X-ray in here! - One, two...

Okay.

- Careful. He only has one lung. - Yeah.

- Can you get the Ambu ready? - Mm-hmm.

I can see the cords.

I'm... I'm in.

- We need to confirm placement. - Yeah.

[Yasuda] I think we're okay.

[monitor beeping]

- His pressures are dropping. - [Nurse Karen] I don't understand.

The pump's on, but the flows keep cutting out.

Get us a visual of the chest.

[Millin] I'm calling Dr. Ndugu.

[phone ringing]

Come on. Answer, answer.

[Ndugu on phone] Millin, tell me he's still alive.

Still alive, but we had to intubate. I think he's gonna code.

There's not enough blood moving through the ECMO machine.

- Is that Yasuda? - [Millin on phone] She's helping me.

- Pressures are plummeting. - [alarm blaring]

[Millin] All right. X-ray's up.

Okay. Damn it. His heart's herniating into the right chest cavity,

where his lung used to be.

- So what do we do? - All right, you'll need to...

...to pump air... chest, okay... back over...

- What? - Dr. Ndugu?

[Ndugu cutting out]

- [phone beeping] - Dr. Ndugu? I hate the night shift.

It's fine. We're fine. He said to pump air into the chest, right?

Chest tube.

- [Millin] I have the syringe. - Uh-huh.

Don't go anywhere.

Maybe you should wait for an attending.

- Everyone's operating. - If we wait, he dies.

She's going to need a new image after every pump.

[Yasuda sighs] Okay.

- Did it move? - Uh... Maybe a little. Go again.

Air is in.

- It moved! It moved! Pump again. - [Yasuda] Okay.

- [monitor beeping] - [Yasuda] Pressure's coming up. [sighs]

He's stabilizing.

[Millin] Oh, my God.

- We did it. - [Yasuda] Yeah.

- It's insane. - I know.

I get more emails from my kids' school

than everyone else in my life put together.

And don't get me started on the parent portals.

- Oh, no. I lost my password. - [Cass chuckles]

Who needs a portal when you have all those emails?

It's crazy.

I haven't had this much fun in a long time.

[sighs] Me neither. When Owen got paged,

my first inclination was to go home and put on a pair of sweatpants.

- I'm glad you stayed. - Oh, me too. You know what?

At first I thought maybe Owen and I needed a break from the kids,

but maybe I just needed a break from Owen.

Mm-hmm.

Mmm. Whoa. Um...

Oh. Sorry. I misread.

- Yeah, no. [chuckles] It's... - [Cass chuckles]

I mean, your marriage might be open,

but me and Owen...

- It's... It's-It's closed. It's very closed. - Mmm.

Understood. Again, I'm... I'm sorry.

- Yeah. - Let's forget it ever happened. [chuckles]

Mmm. You know what? It's late, so I think I'm just gonna get a ride home.

Sure.

- [James] Hi. - Hey.

- Were you in surgery? - No, I just like to wear the hat.

Okay. [chuckles] How'd it go?

I saved a man's kidney.

How was your night?

I spent it talking to an adult leukemia patient.

The one that you were going to see five hours ago?

Yeah, she was working through some stuff. Didn't want to leave.

So have you thought any more about Texas?

Actually...

I'm thinking there might be more for me here.

- Really? - Webber offered me an attending position.

Oh! Congratulations.

Also there is this guy...

- Oh, a guy? Okay. - Mm-hmm.

- He's very nice. - Okay. I like nice guys.

So as the pain meds wear off, there's gonna be bad days and good days.

Stick with the PT. It helps.

And maybe skip the air guitar concerts for a while.

Hey, you hear that? Doctor's orders.

Will you order the labs for the morning

- and finish the post op note? - Okay.

Get some rest, okay?

[phone ringing]

- Oh. Could you answer it for me? - Of course.

- Hey, babe. Are you okay? - I'm good. I was worried about you.

I dreamed about you during surgery.

You can't dream under anesthesia.

[Joni] Aw. That's so sweet.

[♪ "Alone" playing on phone]

- Dude, what are you doing? - It's mood music.

[Vaughn] I wish I could play for you right now.

- Oh, my God. - Let's give them some privacy.

[guitar solo playing]

♪ How do I get you alone? ♪

I taught her that riff.

Oh. I bet you did.

[Gish] Yeah, you did.

[song ends]

[Ndugu] I'll meet you in the OR.

Good work, Millin.

I'd say nine times out of ten, that man would've died tonight.

Scrub in.

- You can do the bronchial anastomosis. - Really?

After what you did tonight, you deserve it.

Actually, there's-there's something I should tell you.

Uh, when Mr. Riley...

- Did I miss her? - [Beltran] You're in luck.

Transfer took forever so they're just packing up.

Okay. Hey.

Dr. Schmitt. I'm leaving.

I'm glad you didn't before I could say goodbye.

We couldn't have left. She's been talking about you the whole night.

I have something for you.

We can't thank you enough for taking care of our daughter.

- Of course. - Here.

That's you fixing my leg on the helicopter, so you always remember.

[sighs]

I love it. [chuckles] Thank you.

[stammers] I... I wish I had something to give you.

It's okay. I'll never forget you.

[chuckles]

Thank you so much.

Thank you, Doctor.

I heard I might find you in here.

[Yasuda] And I heard I'm here because of you.

You didn't have to give up this surgery for me.

You said you were trying to catch up on your case logs, and you deserve it.

[Millin] I'm gonna go home.

I miss you.

I miss us.

I mean, I don't even know if we were an "us",

but that thing we started, it made me feel...

You shook me up.

In a good way. In a way I didn't even know I needed.

And as much as I like your face,

it is pretty impossible to read, so I'm gonna shut up now.

Really wish you hadn't scrubbed in yet.

- You want your surgery back? - No.

I really want to kiss you.

Right now, for a very long time.

But, um...

Rain check?

Hell yeah.

[♪ "Letting Go" playing]

♪ While the world Spins circles round the sun ♪

♪ We've been waking slowly one by one ♪

♪ From other times, from other memories ♪

♪ From other lives ♪

♪ We are letting go ♪

♪ We say goodbye ♪

♪ We are letting go ♪

Excellent work, Yasuda.

Thank you.

♪ Years of reaching... ♪

- [Webber] Schmitt. - Hey.

I heard you were quite a hero last night.

Dr. Webber's patting himself on the back for offering you the attending's position.

It was both our idea, and it was an excellent one.

I remember walking down these halls as a sub-I, with you,

dreaming that I might be an attending here one day.

- You've come a long way since then. - Thanks to both of you.

I think I would really like being a general attending here.

But my love is peds.

I love the highs, and the lows, and...

the goofy things they say.

And that when I save a kid, I'm... I'm not just saving a life.

I'm saving a lifetime.

And if I've learned anything from the two of you,

it's to be passionate about your work.

So...

I accepted the research position in Texas.

Then I guess the only thing left to say is...

congratulations.

Go make us proud.

[song ends]

How's Luna? Did you get some sleep?

She's better. She's still down.

Good.

[sighs]

I know this isn't what you wanted.

What?

I don't want to force you into something.

It's never gonna be just us again.

It's gonna be chaos, and I...

I don't know. What if you leave me?

[chuckles]

W-Why would you say that?

Everyone else has.

- I don't want to do this alone. - That's what you think of me?

You... [sighs] You're gonna put me in the same group

as all the other people in your life that have been so awful to you?

[chuckles] Well, it's never been just us, Jo.

And the fact that you think I would back out

just because we have two more?

[huffs]

[Grey] Scientists call the conscious thought

needed to complete everyday tasks "working memory."

- [printer beeps, whirring] - [Hunt gasps]

Oh. I'm sorry. Did I wake you?

I should get up. How was dinner?

Oh, we ditched the restaurant and went to the bar next door.

Get this. Cass Beckman kissed me. [chuckles]

- What? - Yeah.

She'd had a couple glasses of wine. We both had a couple.

Wait, so you were both... [chuckles] You were both drunk?

Did you... Did you kiss her back?

- No. She just... She got the wrong idea. - How?

- How? - Yeah, how?

- Do you think that I provoked this? - I don't know, Teddy.

Two minutes ago I was asleep. Now you're telling me some woman kissed you?

- I have to go do rounds. - Owen, I...

[door slams]

[Grey] That memory is always there, always busy.

Getting you through the chaos of life, one task at a time.

- Morning. - Is it time to go home?

This bed's really comfy.

- How was the chair? - Irrelevant. I wound up working.

[groans] I'm sorry.

Actually, I had a pretty great night.

Let's go home.

[♪ "Reflections" playing]

In some ways, that's all life really is.

All the things we do strung together.

♪ Moonless tonight ♪

[line ringing]

Hi, you've reached Molly's voicemail. Please leave a message.

- [Grey] This patient... - [sighs]

...this diagnosis, this procedure,

this day...

Morning.

...this night,

this moment...

- How'd you sleep? - Not great. Some alarm kept going off...

I'm normally self-assured, very poised. I'm on fire when I'm in the OR.

But when I'm around you my entire brain scrambles

and sometimes I just...

say things.

You were tired and busy. It happens.

But I do love you, Lucas Adams.

I love you.

It's okay i-if it's too soon.

You don't have to say it back, but that's how I feel.

[phone chimes]

[sighs]

Crap. I'm late for rounds.

♪ Orbiting slowly as the heavens sigh ♪

Oh! Uh...

I love you too.

♪ The high and the low ♪

♪ Balance is forming as the stars align ♪

...this connection, this family, this friendship.

[sighs]

The best part about the night shift is having breakfast like it's dinner.

Let's get fries at Joe's.

Actually, I have to round before I go home.

- Oh, sorry. What are you doing here? - Yeah.

Uh, waiting for you.

I have to tell you something.

I took the job in Texas.

Hey. No, no, no. Don't cry. Don't cry.

It's okay. We... We will text all the time.

And we can FaceTime, watch our trashy TV shows.

And... And you'll visit and I-I-I'll take you for Tex-Mex,

assuming that I like it.

[chuckles, cries]

- Hey. Hey. - Damn it, Levi. [exhales sharply]

[chuckles] Do you know what I said to... to Bailey and Webber

in my residency interview?

Hmm?

That I... I wasn't here to make friends. [chuckles]

I was like a reality TV contestant.

- I was... I was focused and cutthroat. - [chuckles]

And then I met you.

You're my best friend. [cries]

Hey. We will always be besties.

You do not need to be sad. [chuckles]

I know, dummy. I know.

These are happy tears. [sighs]

Hey.

- So you're not mad? - Of course not.

- You're following your dream, or whatever. - Mmm.

Okay, that's such a relief, 'cause I was very nervous to tell you.

- Seriously? - Yeah.

I'm easy.

Think about how hard it'll be to tell James.

[groans]

- [Helm] Oh, God. - [Grey] And somewhere in all of that,

sleep and wake up. Sleep and wake up.

Can we stop for doughnuts?

I want powdered sugar.

Like, actually just the sugar.

Is that weird? Or a waffle.

Maybe we should we get real breakfast. That's healthier, right?

Mimi? Mimi?

- Sleep and... - Mika!

- [car honking] - ...wake up.

[crash]