All language subtitles for Greys.Anatomy.S20E06.x265.[9jaRocks.Com]

[Grey]
Genetics. Diet. Exercise.

All of these factors
have shown to be

the key determinants
of longevity.

Okay, kids. Off to day care.

But researchers discovered
another way

to predict our lifespans,
our zip codes.

- Good morning. How's my little...
- Hi.

Oh. What is this?

[Lincoln] Bluey.
It's educational.

Not what I meant.

"Property of Scout"?

I got a new one.
And, you know, he loves it.

And we talked about
limited screen time,

now he has one of his own?

- [phone beeps]
- [Shepherd] Ooh.

Mommy has a consult. I gotta go.

[sighs]

Hey, you're alive. Why aren't
you answering my texts?

My meditations for
A Woman Scornedpodcast advises

waiting until you're no longer
angry before speaking.

Wait. You're mad? At me?

I am not a part of this.

Can you at least give me a hint?

I was covered in puke.

I'm gonna need a bigger hint.

You stuck me with
a crappy assignment

when Schmitt was going
to put me on an impalement.

You got in the way
of me learning

to become a better surgeon.

So, yeah. I am mad.

And I am not ready
to talk about it.

[sighs]

[Grey] In some cities...

I assigned you to cardio today.

...a few blocks could increase
the likelihood

of dying 30 years sooner.

Where we live,
determines how we live.

Do you have lunch plans?

[grunts] I have
back-to-back meetings all day.

Our most important benefactor
family is coming into peds,

so I need to make an appearance.

I could go to
that Chinese restaurant

that you like
and bring something back.

You're not operating today?

Uh, today's an admin day.

You've had quite a few
of those lately.

Well, it's been slow.

I have a lot of
administrating to do.

You're married to
a very important man, you know.

Well, if you get bored at
a desk, I can change that.

I'm important too.

Like I could ever forget that.

[Avery chuckles]

[Grey] And how we live
matters more

than you might imagine.

June Sally's chest tube has
minimal output, no air leaks.

She should be ready
for discharge tomorrow.

Home in time for her birthday.

- That's great.
- Yep. Uh, Dr. Beltran,

I know that we don't know
each other that well yet,

but I did turn in
my fellowship application.

Oh, was I supposed to read
over your personal statement?

Yes, but it's fine.

I already turned it in

and now I'm-I'm hoping that

you'd put in a good word
for me here.

Okay, get me up to speed.
Why peds?

Doctor Webber suggested it.

People say I'm great with kids

and ped surgeons are
always in high demand,

so I'd be providing
a much needed service.

Noted. And noble.

So, you'll make the call?

No, but, um,
thank you for asking.

[PA announcer]
Dr. Vardy to Radiology.

Dr. Kerry Vardy to Radiology.

Would you wanna study together
tonight at the house?

I don't know
if that's a good idea.

Good morning, everyone.

Here. Take one.

Aha. There, there.

Are we practicing suturing?

While blindfolded?

These are wellness kits.

As you care for your patients,

you need to make sure

that you are also
taking care of yourselves.

So we want to avoid exhaustion,
burnout, and depression.

Oh, I could swim in this.

[Bailey] It holds 64 ounces.

It is important
to stay hydrated,

along with getting quality sleep
and eating healthy.

Are these supposed to help us
finish our procedure logs?

It is hard to finish anything
if you are unwell, Millin.

Now, if you would
pull out the workbook.

- It has recipes.
- [phone buzzes]

[Yasuda] Dr. Bailey,
Dr. Altman is paging me.

If I already care about myself,
may I start my service?

- Uh, that's the ICU.
- [phone beeps]

[Millin] Ortho.

[phones beeping]

Oh, everybody's...

[sighs] Okay. Go on, go on.

Hey, take your bags!

[stammers, sighs]

[door buzzes]

Thank you.

Never been to this part
of the hospital before.

Doesn't the prison system
have its own doctors?

There are some.
Not nearly enough.

Um, couldn't they have given
this guy a TB test?

[Altman] They may not have
the resources.

If it's tuberculosis,
it spreads pretty quickly

in crowded conditions.

That's why prisons need to
contain it

as quickly as possible.

Do we know why he's in prison?

No, and it's not important.

I know. Was just curious.

Before we go in, this patient
room is a little different.

There are limited supplies,

bare furniture,
and everything is strapped down.

Not only to contain
potential TB, but also...

- Anything can be a weapon.
- Right.

- Do you have your mask?
- [clears throat]

- Ready?
- Yeah.

[Altman] Thank you.

[coughing]

[Altman] Hello, Mr. Jiménez.

I am Dr. Altman
and this is Dr. Yasuda.

Thank you for seeing me.

Is it okay if I listen
to your chest?

[grunts]

Can we remove
the handcuffs please?

[coughing continues]

Okay, can you lean forward
for me?

Thank you.
Now, try to take a deep breath.

Okay, you can lie back.

We're also gonna do
some blood work, okay?

Misty Valentine, 15,
MVC two years ago,

resulting in
an above-the-knee amputation.

- She's experiencing discomfort...
- Try fricking agony.

She's now experiencing
extreme pain

from the socket connecting her
residual limb to her prosthesis

which is negatively impacting
her mobility and coordination.

And my entire life.

Misty's
a long-distance cyclist...

Was a long-distance cyclist.

Her dream was to race a century

for the Grand Prix Seattle
next year.

Impressive. A hundred miles.

Emphasis on "dream."

- Amputees can be badass cyclists.
- [door opens]

If anyone can do it, she can.

- Catherine. [chuckles]
- [Avery] Shannon.

Anthony, so good to see you.

Where were we last...

- That resort.
- The Maldives. Yeah.

[Avery] And how is
my Misty girl now?

You ready for surgery?

Thank you for getting us
in here so quickly.

Oh, of course.

So, what's the plan?

We'll be doing
a residual limb revision,

which will give your prosthesis
a much better fit,

and it should ease your pain
and improve maneuverability.

Over a hundred miles?

Because right now
the thing falls off

just trying to get to class.

Not to mention the phantom pain.

We'll do our best
to reduce all of that.

But you're saying I might go
through all of this for nothing?

You work for a Fox hospital.

Do you know who works
for Fox hospitals?

Top surgeons.

So tell me,

is that surgery truly
the best you can do?

- It's the standard of care.
- [Avery] Standard?

In this hospital,
that family flies first class.

You just offered them coach.

That's not how I would describe
the treatment...

The Valentines
are not just my dear friends.

They are major benefactors
to this hospital.

And if they decide to pull back
on their annual contribution,

guess whose salaries
I'll be cutting it from?

Do better.

Wow.

I've only flown coach.

What the hell just happened?

That's what we call
the Catherine Fox effect.

[sighs] Stop. Mom, I'm fine.
Just back off.

Dorian. How are we doing
this morning?

Dr. Webber,
will you please tell him

he can't have a cheeseburger?

I haven't had real food
the entire time I've been here.

I'm afraid it's gonna be
a little longer.

[groans] Ow.

This is why you need to
let us help you.

- You're weak.
- Because I can't eat real food.

- Can you stop?
- [Adams] I got it.

How much longer before
you guys let me out of here?

We're not ready to talk about
discharging you quite yet.

- Adams? - Your hemoglobin
was low this morning.

What does that mean?
Should we be worried?

Anemia can be caused
by a number of factors.

First, Dr. Adams is gonna run
some tests

to confirm that it's not
a lab error.

- No. No more tests.
- Dorian...

People come in every 20 minutes.
I can't sleep.

I can't eat, I can't think
because all I hear are monitors.

I'm done.

No more needles, no more tests,
no more medicine.

I wanna go home.

- We just need to take
some blood so we... - No.

You're not touching me. Get out.

- Well, he doesn't mean...
- Out!

Now.

Let's, uh...
Let's give him some space, yeah?

Please don't give up on him.

He's just been through a lot.

- Oh, we understand.
- What about the hemoglobin?

I'll keep an eye on it.

- You need to take a break too.
- Yeah.

You go home.

If anything changes...

- We'll call you.
- Yeah.

Let's do some repeat labs.

If he doesn't let you, just come
back every hour and try again.

- You think it's dilutional?
- I hope so. If it's not,

we're losing time diagnosing
what else it could be.

After all he's been through,

you'd think a blood draw
would be nothin'.

He's feeling a loss of control.

It happens
with long-term ICU patients.

- How long does it usually last?
- Everyone's different.

All we can do is be patient.

[Bailey] You fill up
that water bottle.

[nurse 1] Thank you.

- Who else?
- [inhales deeply] What's this?

Ah. A wellness kit
that I painstakingly assembled

on my kitchen floor
at 2:00 in the morning

for our ungrateful interns.

You know who cared about my
wellness when I was an intern?

- [stammers] Um...
- [stammers] Nobody.

It's hard to prioritize wellness

when you're working
80-hour weeks.

[scoffs] That's what
the bags are for.

- Look.
- You... You want me to...

Mmm.

- Thank you.
- [scoffs]

That so hard?

- You talked to Bailey about me.
- No, I didn't.

You told Bailey what I said
on the roof that night,

and now we're getting lectured
on step counts and meditation.

I wouldn't do that.

Not without talking
to you first.

Please. You're desperate
to get in good with Bailey.

Like you aren't?

If you're gonna be
a snitch, own it.

[PA announcer]
Dr. Sellers, 4619.

Dr. Monty Sellers, 4619.

I think I've got a solution.

Tell me it's picking up
a custom prosthetic

- from the Maldives.
- Is that a thing?

No, I just haven't had
a vacation in three years.

- What's your idea?
- Osseointegration.

You want to implant
a titanium rod into her bone?

It'll attach directly
to the prosthesis,

which can reduce pain
and increase mobility.

Schmitt, can you tell me why
this is not a great option?

It's, uh, not going
to the Maldives?

How many have you done?
Or have you done any?

- I know it's fairly new.
- [Lincoln] Two.

I'm one of four surgeons
trained to do it.

How many of those were on kids?

Kids grow.

That means more operations

to adjust it over time.

But Misty's 15.
She's an adult skeletal-wise,

and this is the first surgery
I would have offered her

if she was over 21.

[sighs] I'm trying
to give her what she wants.

What she wants
or what Dr. Fox wants?

But you said it, she's 15.
She's still a kid.

Just because
she wants something,

doesn't mean she should have it.

Yeah. What a concept.

Look, I'm not saying
that this surgery

isn't ever a viable option.

I'm saying
we should tell Dr. Fox

that Misty needs
to wait a while.

- [Shepherd] Good luck with that.
- Okay, what's happening?

It's not you.

I let our kid play with

a tablet this morning.

To be clear, he gave
our three-year-old a tablet

with his name on it,

despite many conversations

about screens
and brain development.

Saying "no" is not his forte.

Do you want some privacy?

[both] No.

Look, I've spent years working
with professional athletes,

most of them don't have
half of the passion

Misty has for cycling.

She has her whole life
ahead of her.

How are we gonna tell her
to give up on her dream

if there's a chance
we can keep it alive?

[sighs]

Fine. If Misty's okay with it

and her parents are okay
with it, then I'm on board.

Wait, no caveats,

no threats
if anything goes wrong?

I'm thinking it,
but it looks like

you have enough arguing
in your life already.

[coughs] Is it tuberculosis?

[Altman] We're still waiting
on your blood work,

but in the meantime,
we're gonna take a chest X-ray.

- Okay. - So you've had this cough
for about a year now?

[Jiménez] More or less.
It's hard to keep track of time.

[Altman] Any other symptoms,
any pain?

I've had, uh, back pain
for a while now.

And lately my stomach
has been hurting.

Okay. Can you please put
your arms up over your head?

- Great. Thank you.
- [Jiménez grunts]

[Altman] Any weight loss?

Yes. I just traded in my pants

for a smaller size.

- [Altman] All right.
- Mr. Jiménez, take a deep breath.

- [scratchy inhale]
- [Yasuda] Hold.

- Okay. You can breathe normally.
- [Jiménez coughing]

Okay, TB usually appears
as a small cavitary lesion.

Is that...

All right, we need to get him up
to CT as soon as possible.

This is definitely not TB.

[coughing]

[sighs]

[Adams] Can I come in?

I really need to send over
another lab.

I'll just use your A-line.
No needle.

- Are you gonna let me leave?
- Nope.

- Eat food?
- No.

Then, no, you can't come in.

All right, you're a smart guy.

You know it's not a good idea
to refuse care.

I was shot because
I had $40,000 in my pants.

Not all my ideas are good.

Low hemoglobin could be nothing,

but it could also be
a serious issue

that needs immediate treatment.

I'll take those odds.

- Dorian, it's not about...
- You don't get it.

This place is fun for you.

You get to cut people open
and save lives

and whatever the hell else.

I'm not sure that "fun" would be
the most accurate description.

I can't even go to
the bathroom on my own.

You wanna swap nightmares?

I need a break.

If you can't understand that,
could you at least respect it?

I'll come back in an hour.

We'd implant a titanium rod
in Misty's femur,

and place an abutment
that attaches

directly to the prosthesis.

Less pressure, pain and chafing.

And no falling off
on your way to class.

And because it attaches
to bone and muscle,

it'll grow stronger with use,

which increases mobility.

This sounds complicated.

Have you done a lot of these?

It's a relatively new technique.
I've done two, both on adults.

Obviously it's more involved.

But given Misty's age
and height,

I think it's a viable option.

I don't know.

What do you think?

[sighs] I think, um...

- I think this sucks.
- Dr. Beltran...

No, I think it blows.

You're 15.

You should be deciding

what to do over spring break,

or whether to join drama club

or who's extra.

Do kids even say that anymore?
Probably not.

You shouldn't have to be picking
which surgery

is gonna make you
more comfortable

as you walk to class.

So, yeah, I think
the whole thing sucks.

It does suck.

So much.

I just wanna go back.

I want to walk
and jump and dance

and ride without all the pain.

If this surgery will do that,
even if it's just a chance.

[sighs]

I think we have our answer.

Just try and take deep breaths.

[groans, coughs]

Easy for you. I feel trapped.

This coming from a guy
who's been locked up

for more than 40 years.

[chuckles]

Uh, that was
supposed to be funny.

[breathing heavily]

[phone buzzing]

- So sorry.
- [coughs]

Oh, things have really changed.

Know what a pay phone is?

Uh, I think I saw one
in an old-timey movie once.

Ouch.

You make a guy feel old.

When you're in prison, you stop.

The whole world
just keeps going.

I wonder if
Seattle Unified still serves

lemon-berry coffee cake.

That's what you think about?

School cafeteria food.

Best part of school: Free food.

And Mrs. Samba who... who would
smile at me every morning

when she handed it to me.

Hey, I'm good at reading people,

and I saw your face...

when you looked at my X-ray.

How bad is it?

Let's look at your CT.
[clears throat]

[coughs, grunts]

We're gonna start the scan now.
Please try to hold still.

Hey, thanks for coming by.

I could use a second set
of eyes on this.

Happy to help.
Is this his X-ray?

He came in to rule out TB,
and then we found that mass.

It's big, but I think
I can resect it.

It'd be a hell of a surgery on
your first day back in the OR.

[Yasuda] Scan's coming in.

Oh, my God. Is...

Are those mets on his liver?

[Ndugu] Yeah, and his spine.

His pelvis, his adrenal glands.

[Altman] He has an 8 cm lesion
on the left upper lobe,

and two others
on the right middle lobe.

Looks like
multiple positive nodes.

Right. Yasuda,
get us on the schedule

for an image guided biopsy ASAP.

Welcome back.

Can you confirm that
home health is set for Ms. Land

- in room 4877?
- Mm-hmm.

You okay?

[sighs] I'd be better
if this conversation was over.

I think you wish I'd said
something to Bailey

and you're mad I didn't.

I think you missed your calling
as a detective.

Okay, if you don't
wanna be real, fine,

but don't take
whatever this is out on me.

I don't deserve it.

You want real?

I eat chips from
the vending machine for lunch

because I am too busy
to go to the cafeteria.

Haven't had
a full night's sleep in months

because my upstairs neighbors
blast house music till 3:00 a.m.

And I don't remember
the last time

I had a vegetable
or drank enough water.

But it is not because
I am having a mental breakdown.

It's because
I'm a first-year resident.

What flavor chips?

Sea salt and vinegar.

Sometimes sour cream and onion.

Correct answer is barbecue.

You're right. Lecturing us
on wellness is useless.

If Bailey wants us
to feel better,

she should give us raises.

- And reduce our hours.
- [sighs]

That is the first thing
we agreed on all day.

Go home.

- Dr. Bailey...
- You wanna disrespect me

and this program,

do it somewhere else.

Now!

[sighs]

The pathologist said
their prelim read

on the biopsy tissue
is adenocarcinoma.

It's cancer?

Well, we have to wait for
the final pathology,

but yes.

[Altman] I mean,
there are lesions

throughout his body.
It's definitely inoperable.

Okay, so, chemo.

[sighs] It depends
on those results.

There is a lot of red tape.

It's a little out of our hands,

but we will definitely
give him meds

for the pain and his cough.

And hopefully there are people

at the facility
that can help too.

Wait. So we're sending
him back to prison?

- That's how it works.
- [Yasuda] But he's sick.

He was getting sicker
and sicker for over a year

and they didn't even give him
screening tests.

If we send him back now,
he's just gonna...

It's a valid point.

We will talk him
through his options.

Dr. Altman...

We can at least talk to him.

Your three minutes are
almost up.

[stammers] You're making
me nervous.

You have half that time
on the real test.

Okay.

Bleeding after cardiac surgery,

TEG with prolonged K-time.

A: Give cryo.

Correct.

[sighs] How pissed
do we think Bailey is?

She's not happy. That's why we
can't slow down on ABSITE prep.

You're right.

- Give me the timer.
- I don't need it.

- You think you're that fast?
- I know 3 minutes.

The time I no longer have
to make a soft-boiled egg.

You cook soft-boiled eggs?

Yeah. They're good
in salads and ramen.

Mmm. You're making me hungry.

Oof. It is way past lunchtime.

- Should we order pizza?
- [chuckles]

After Bailey's wellness lecture?

We have frozen peas,
expired yogurt,

and I could maybe dig up
some stale pretzels.

Buried in the cabinets?

More like the couch.

So, pizza?

Or...

whatever's in these bags.

[sighs] Dr. Webber still needs
those labs on you.

Is there a burger
inside that lab coat?

I'll just... [sighs]
...update your chart.

You are in grad school?

- I was.
- You're not going back?

Engineering was
my parents' dream. Not mine.

Yeah. My parents always wanted
me to be a doctor.

Congrats on not being
a disappointment.

No, I mean,
that was always a reason

for me not to go
into med school.

Yeah. I don't really
get along with them.

Junior year in college,

I got into a car accident on my
way home from soccer practice.

Internal bleeding, broken bones.

The surgeons on call that night
saved my life.

After that I changed my mind.

I've never felt that way
about anything.

I don't know. You seem pretty
passionate about cheeseburgers.

[chuckles]

- [coughs]
- [Adams] Dorian!

I need a crash cart
in here and blood!

- Page Dr. Webber!
- [nurse 2] Right away.

Come on. Come on.
Dorian, I got you. It's okay.

It's okay. Just hold on,
just hold on.

[Lincoln] Implant is
in position.

Now we carefully screw it
into the bone.

Schmitt, wanna do the honors?

Absolutely. Yes.

Wait, this is the only
the third time

you've done this and
you're letting a resident do it?

He's got it.

You're gonna have to screw it

with a little more force
than that.

- [Schmitt strains]
- Mmm. There you go.

- [Schmitt] Okay.
- Okay. Great. Fluoro.

[Schmitt sighs]

- Damn it.
- It's in position, right?

No, it's not fitting perfectly,

especially if we want her
to ride again.

[Beltran] What do you mean?

We're gonna have to take
the implant out.

And then what?
How did you not anticipate this?

You can't know
until you're doing it.

You have to feel
the bone quality.

A CT won't show you that. We
have to take more of the bone.

We'll need her parents' consent.

So we're gonna tell her parents

that your plan is gonna cost
their daughter more of her leg?

Stay here. It was my idea.
I'll get their consent.

[Schmitt] I can't wait to see

the Catherine Fox effect
on that.

Let's just keep this dry.

[Shannon] You want to take
more of her femur?

If that doesn't work, then what?

Maybe we should have stuck
with the original plan.

We're pretty close
to making thi...

I'm sure Dr. Lincoln can revert

to the old plan
if that's what you want.

We can do that.

Um, and Misty will
probably feel fine

for a few months.

Then her residual limb
will begin to chafe,

her pain will increase.

She'll push through because

that's what
competitive cyclists do.

She might not tell you
right away

because that's
what teenagers do,

which means she
could damage her leg even more.

Look, I know that this is
not exactly what you want,

and I know it's tough,

but I really do believe
the outcome will be worth it.

Let's do it.

- [machines beeping]
- [Webber] What happened?

He was fine. We were talking,

and then all of a sudden
he started vomiting blood.

BP's tanking. Systolic's
in the 80s. Sats, 70s.

I gave him 80 mg
of pantoprazole.

[distorted] Blood is running.

Next two units are on their way.

[nurse 2 distorted]
Maxed out his oxygen.

His sats aren't responding.

Dr. Webber.
I've been waiting for you

to get here to intubate.

[normal] Dr. Webber!

[machines beeping]

I'll take it from here,
Adams. Good work.

I need to stop the bleeding.

Call us an endo tower.

[nurse 2] Here's a laryngoscope.

[Webber] Have the tube
ready for me.

Did you go to culinary school
or something?

I'm a surgeon, I like cutting.

- Me too, but not vegetables.
- [chuckles]

Yeah, I spent a lot of years

watching my mom turn
whatever was in our fridge

into something delicious.

Hmm.

- What do you need?
- Tongs, spatula, or... Ooh.

This works.

So, the key to stir-fry
is getting the pan really hot,

and keeping
the vegetables moving

so they don't steam
and get soggy.

- Mm-hmm.
- Do you have any soy sauce?

[Griffith] Mmm.

Maybe from takeout
the other night.

What else does your mom cook?

Oh, chicken soup.

- Lasagna.
- Mmm.

Jook, which is a rice porridge.

Mmm. She give lessons?

She died.

Sorry.

No, uh, it's okay.
It's been a while.

Mine died when I was born.
So...

No cooking lessons.

Here.

- Come on.
- [chuckles]

Just, like, keep it all moving.

Hey, Bailey.
Any of those extra vegetables

from the wellness seminar
up for grabs?

We were too busy to go
grocery shopping this week.

And as a department head,
I feel entitled to...

- Be my guest.
- Are you sure? I don't have to...

Owen, do you know
how tired I am?

I mean, I... I have three jobs.

[stammers] I run a clinic.

I'm residency director,
a full time surgeon, and...

and I'm a mom.

Actually, that's four jobs.

I'm lucky if I get five hours
of sleep a night,

and I took time out of
my busy, sleep-deprived life

to do something about
the well-being of our interns

so they don't end up stressed
and run down or burnt out.

Because I am a damn good teacher
and I care about these people.

And what do I get in return?
Just blatant disrespect.

You know, sounds like you could
use a little wellness yourself.

Excuse me?

When was the last time
you took a day off?

I mean, four jobs, five-hours
sleep. You might need a break.

Listen, you want to give
the interns permission

to take time for themselves?

Maybe you need to take
your own advice.

There was this guy in my
cellblock that had colon cancer,

and by the time that he got
diagnosed, he went pretty quick.

It's just like that.

- So, um...
- Mm-hmm.

...when you have this many mets,
it affects a lot of your organs.

We don't know how long you have,

but it explains why
you've been feeling so awful.

Is there, like, any chance

that this could just... [coughs]
...magically stop spreading?

No, but there are treatments
that we could consider.

- That could fix me?
- [Altman] It may give you more time.

But I'll be honest with you,

in your case,
your circumstances,

it may cause you
more pain than good.

- How long?
- Uh...

It's hard to say.
Some people live months.

Forget it.

No treatment.

I spent a lot of nights
struggling to breathe.

Begging for someone
to listen to me.

It won't change.

I was 17 when I got locked up.

Tough... Tough as nails
on the outside...

[coughs]

...scared on the inside.

I would lie awake at night

praying that
I wouldn't get stabbed

or beat to death.

I never thought
I'd go like this.

I wish it wasn't this way.
I am so sorry.

I am too.

[Lincoln] The implant is almost
in. Let's try this again.

Schmitt.

Okay.

Clockwise rotation
until I feel resistance.

Almost there.

Okay. That... That feels good.

Okay. Moment of truth. Fluoro.

[sighs]

- [Lincoln] Oh, thank God.
- [Schmitt] It worked.

Yeah, see the implant
is just hitting the isthmus.

- It feels rock solid.
- Yeah.

- Nice work, Schmitt.
- [Schmitt] Thanks.

Okay. Let's look for
the sciatic nerve.

[Lincoln] Time for
targeted muscle reinnervation.

Hey, are you almost done

with Mr. Jiménez's
discharge paperwork?

Yasuda, the prison transport
is on their way.

What about enrolling him
in a clinical trial?

- Yasuda.
- I found one at the University of Chicago.

Uses immunotherapy
and stereotactic radiotherapy

for stage 4 lung cancer.

- He doesn't want treatment.
- And...

You know, just because
the system failed him

doesn't mean that we should too.

There has to be
something else we can do.

His punishment was supposed
to be time, not... not death.

Listen to me.

I know it is frustrating.

The suffering,
the neglect, the pain.

And knowing that
it might have been prevented

with earlier intervention

just makes it so much worse.

But you know
what else is frustrating?

Lying in bed alone
and feeling like...

feeling like
you have no control.

That no one is hearing you.

We can't even begin to imagine
what he's been through.

We can't imagine what any of
our patients have been through.

So we have to trust that they
know their lives better than us.

I wish that people had listened
to him when he first got sick.

I wish that I could turn back
time and diagnose him earlier.

But right now, the best way
that we can take care of him

is to try to alleviate
any suffering that we can.

I'll finish
the discharge papers.

- Thank you.
- Yeah.

- And, Yasuda.
- Yeah?

It's good that you care.

Not enough people do.

- [machine beeping]
- [Adams] What are we looking for?

I won't know until we find it.

Ah. There it is. It's an upper
GI bleed from an ulcer.

Let's inject epi.

This is likely a stress ulcer

which can cause
focal damage to the mucosa

and have high risk of bleeding.

- [Adams] Ah. Still bleeding.
- Come on.

- [Webber] Let's clip it.
- Okay.

[Adams] Come on, Dorian.

- All right. Let's hurry.
- [Adams] Okay.

[Webber] Clip it.

There. Got it.

[Adams] Amazing.

Good job, everyone.

Oh. You did that
like it was nothing.

I've been clipping
upper GI bleeds

since before you were born.

You'll get there.

Let's get repeat labs.

[sighs]

[sighs]

[sighs]

- Okay. Mm-hmm.
- Okay.

Which of the following
is not true

of preoperative selective portal
vein embolization?

B.

- B as in "boy" or D as in "dog"?
- [chuckles]

"B" as in Bailey's wellness plan
kind of worked.

I feel better.

Correct on both accounts.

Unless she fires us
for being disrespectful.

I'm okay.
I just want you to know

med school was
a rough time in my life,

but I worked through it.

I'm good.

Really.

Okay.

- Done?
- Mmm.

But if you did have to
drop out of medicine,

I think you have a career
in the restaurant business.

[chuckles] Well, I will settle
for a full kitchen.

You and Yasuda
need some real knives.

And you want us to do
what with them?

I wash, you dry.

You had to take more of my leg?

I-I don't understand.

We did. Um, in order
for the technique to work,

the implant has to
fit perfectly.

Now it does.

So, does that mean
I'll be able to ride again?

We are confident that you will.

I never thought
this would be possible.

And now that it is,

I... I don't even know
what to say.

Catherine, these surgeons
have outdone themselves.

I'd expect nothing less.

When I race my first
century ride, will you all come?

- I'd love to.
- [Beltran] Of course.

- I'll make T-shirts.
- [all chuckle]

- Deal.
- Okay. We'll come back

- and check on you later, all right?
- Thank you all again.

And whatever we can do to
support your work in the future,

don't hesitate to ask.

[chuckles] You know I won't.
Now, enough of this shop talk.

- We got a lot to celebrate. [chuckles]
- Yeah.

[Shannon, Anthony laugh]

- Millin, follow up on her post-op labs.
- Yeah, got it.

Yeah, I guess it
really does pay to be rich.

- Nice work, everyone.
- [Schmitt] Hmm.

Schmitt, you really stepped up.

[Beltran] Can I just...
Thank you.

Thank you.

Do you have a problem with me?

- I'm sorry? What?
- I did step up today.

My bedside manner was excellent.

I successfully placed
Misty's implant.

Dr. Lincoln said I did
a good job. Why can't you?

Why does it matter?

I wanna be a peds surgeon.

Okay. Well,
if you need my validation

or anyone's validation
to feel like you did a good job,

then peds is not the right
specialty for you.

Everybody likes validation.

- It's human.
- No, it's needy.

What happens when you mess up?

What happens when
there's a bad outcome?

What's gonna sustain you then?

Where's your heart?

Where is your passion for this?

Because that is what's gonna get
you through the bad days.

You show me more of that,
and then we'll talk.

["Comeback" playing]

What happened?

You had bleeding
from an ulcer in your stomach.

Dr. Webber went in with a scope
and stopped it.

[sighs] I left school
because I was miserable.

When I thought about
being a civil engineer

for the rest of my life,
I couldn't breathe.

I thought I'd work on a boat
for a few months

and come back enlightened
or whatever.

Instead, I got shot,
and now I'm stuck here.

We'll get you out of here.

You just gotta let us
do our job.

That was pretty dumb, I guess.

Hey, you were tired.

I get it, you know,
but the best stuff is on

the other side of all this.

And you won't get there

if you push away
the people who wanna help you.

And then can I eat?

I'll bring
the cheeseburger myself.

♪ You gotta wake it up
You're going to the top ♪

♪ You gotta open up
The door... ♪

[coughs]

♪ It's what
They waited for... ♪

We've notified the penitentiary
system of your condition

and provided
prescription refills.

And I sent documentation

for your compassionate
release application.

I appreciate it.

[Yasuda] Wait!

Wait. I have something for him.

[prison guard] Let me see that.

Mm-hmm.

Here.

[chuckles]

- Lemon-berry coffee cake.
- Yeah.

I haven't had this
since I was a youngster.

Nurse Ashley's son goes
to Fremont High.

So, she helped me out.

[Jiménez] Thank you.

I'm really going to enjoy this.

♪ You gotta open up the door ♪

[Jiménez coughs]

♪ And when you
Come back, Baby ♪

♪ It's what they waited for ♪

♪ It's what they waited for ♪

♪ It's what they waited for ♪

[music stops]

Dr. Webber?

- Thank you.
- Oh, what's this?

You saved my son. Again.

Words will never be enough.

I'm hoping
chocolate fills the gap.

Oh, you didn't need to do this.

Dorian's a great kid.

With that said, I'll never
refuse a box of chocolate.

[chuckles]

- [Webber chuckles]
- [sighs]

Mm-hmm.

Ooh.

Do I need to tell that woman
to keep her hands

off my man?

I saved her son today.

Look at you saving lives
on your admin day.

Mmm. I still got it.

[both chuckle]

- Yes, you do.
- [both laugh]

[Shepherd sighs]

Hey.

Hey. I... I just needed to zone
out for a while. Don't judge me.

Um. Well,
your brain is fully cooked.

I'm not concerned.

I heard your surgery went well.

Catherine was
practically dancing

through the hallways.

Thanks.

Are you okay?

[sighs] I lost
a NICU patient this morning.

He had advanced
necrotizing enterocolitis.

His name was Jagger.

He was three months old.

And, um...

I swear every time I went in
to check on his belly,

he just looked at me
with these piercing blue eyes.

It was like he was looking
right into my soul.

I'm sorry.

So, you and Lincoln have a kid?

Yeah, he's great... The kid.

The dad and I are not together.

Mmm.

Well, I will let you get back
to your game.

Or you could help me
crush some gems.

[Grey] No matter where we live,

we all wish for long,
healthy lives.

All right.
So, how does this work?

For our family, for our
loved ones, for our children.

Three, two, one.

Okay. Time to give
me the tablet.

Come on, buddy. Work with me.

Okay. We are r... Oh.

Oh, yeah. He got ahold of it
from under the stroller

before I could stop him.

Well, if Amelia shows up,
we're leaving without you.

[sighs]

Okay.

- This is gonna be hard.
- [Scout crying]

- He'll get over it.
- I meant on you.

[Grey] But even if the odds
are in your favor,

predictions are
only part of the picture.

We live in a world
where everything can change

in the blink of an eye.

Hey.

Hey. [clears throat]

[sighs] I'm sorry
you got puked on.

If I could, I would give you
all the best assignments,

but I can't play favorites.
I've got a job to do.

I don't wanna fight.

Yeah, I don't either.

So Adams finished
his procedure card.

You're closer to getting
back into the OR.

It doesn't matter.

Look, I...
I just wanna be alone right now.

[sniffles]

- [clears throat]
- Okay.

[Grey] You could be on top
of the world one minute...

What is happening here?

[sighs] I came home early.

Are you feeling okay?

Well, I tried to step up
the intern wellness program.

It was a huge failure.

Yeah, I'm sure it's not
as bad as you think.

[grunts] I'm not sure
it ever had a chance.

But the-the system
is-is designed

to push doctors
past their limits.

I'd say it was broken,
but I'm not sure it ever worked.

So you're giving up.

I...

- I am modeling for the interns.
- [laughs]

Self-care and wellness.

I didn't have patients
this afternoon,

so I decided to come home early.

Nice. Richard made you
come home early, didn't he?

No.

- Hunt.
- [laughs]

But, no, it was my idea to send
Tuck and Pru out for pizza.

- That is a good idea.
- Mmm.

In fact, um...

I could use
a little wellness myself.

Oh. Could you now?

...but you never know

when the rug might be pulled
out from under you.

Anyone home?

Simone?

Hello?

Anyone?

When that happens,
which it inevitably will,

all you can do is hold on...

Hey.

You're moving stuff?

Yeah, I got a lot of books,

and I'm thinking about
putting a shelf right here.

Oh.

You forgot this in the dresser.

...and hope it won't end you.