[upbeat music]
Meredith: As doctors, we rely heavily on data
to treat our patients and minimize risk.
So when there is no data,
any move can be extremely scary.
- What are you doing here this early?
- Getting stood up.
You?
- Couldn't sleep.
- ♪ I've decided to no longer be contained ♪
♪ Oh, no ♪ - Enjoy.
Meredith: We have to solely practice medicine on a hunch,
relying on instincts and hope.
Sometimes it does not go our way.
- Hey, why do you drive slower than my grandma?
- I drive the speed limit.
If you need to whine, maybe find a bus.
- Maybe we should leave earlier then.
- Maybe someone should stop staring at themselves
in the mirror all the time. - [chuckles]
♪ ♪
Why you hiding?
- I wanna scrub in on one more surgery
before Altman fires me for moonlighting at Joe's.
- She's not gonna fire you. Helm took a stand for you.
- I didn't ask her to.
I have no idea what she said.
She doesn't even know what she said.
She was in a rage blackout.
What makes her think she can speak for me at all?
- Okay. Go.
Go, go, go, go, go.
♪ ♪
Meredith: Sometimes it does.
Before there was a cure for diabetes,
scientists followed their instincts
and gave sick children
an experimental extract called insulin.
As terrifying as it was,
that risk has now saved millions of lives.
- Ladies first.
- ♪ Know I'm landing on my feet ♪
- Oh, I'm good.
Meredith: But even if your hunch is strong,
before taking the leap,
some part of you always worries,
"What if I'm about to make a huge mistake?"
- Okay, great. Yeah. We'll see you then. Thank you.
Okay. Luna's first auditory verbal therapy is on the books.
I just have to reschedule her audiologist,
find her a speech therapist, get caught up on notes,
and deliver a baby. - Can I help with anything?
- Um, you wanna deliver a baby?
- I was kind of hoping for one of the other jobs.
- It's okay. I got it. Thank you.
- Hey. - Hey.
- Can you do a consult in the ICU?
- Sure. I've got about 20 minutes before my next consult.
- Oh, you're gonna want to reschedule that.
- [indistinct announcement]
- Hey, uh, about this morning,
I--I get a ride into work with my roommates--
- Don't care.
- Uh, okay. I--
well, I--I thought you'd yell at me or something.
- Yeah, I don't-- I don't care about the excuse.
I care that you did not show up.
- Right.
- So I'm about to tell you a bunch of things
I need you to do today,
so I would suggest you write it down.
Um, round on my post-ops, then check with pathology
to see if Mr. Kane's biopsy results are back in.
After that, I need you to review
tomorrow's patients' PT/INRs. Tell me if anything looks off.
And then Sarah Hawkins in bed seven,
when her blood sugar stabilizes,
turn off her insulin drip.
And put these notes into the charts, 'kay?
And, Adams?
I hardly yell.
- Okay, the patient in bed three can go home.
Just follow-up in the clinic in two weeks.
Dr. Kwan?
Um, I--I haven't had a chance to just say thank you
for stopping that patient when he came after me.
- Oh, no, no, no. It--it was nothing.
- It was not nothing. It was very much something.
And I am grateful, so thank you.
- Maxine?
- Oh.
Call me Max.
Maxine makes me feel like a grandmother,
which I am, of course,
but no need to broadcast the fact.
- Are you looking for Jules? - No.
And don't you dare call her down here.
I don't want to worry her.
- Well, is everything all right?
- Well, I woke up feeling a bit dizzy.
I'm sure it's nothing but at my age, better safe than sorry.
- Well, let's take a look. Come with me.
- But don't I need to check-in?
- Oh, no, no. You are VIP. Come on.
- [chuckles] Oh, finally.
[both chuckle] - Right over here.
- Sorry, sorry.
- What's with the emergency meeting?
- We have an intern problem.
- Oh, is this about Yasuda working at Joe's?
Because from what I understand,
it was only a couple of weeks and it's over.
- Yasuda was working at Joe's? - Yes.
- I thought Helm worked at Joe's?
- And Yasuda.
- Why does any surgeon work at Joe's?
- Because the system is broken.
And according to these, they have to.
- What is this?
- It's the intern surveys of the program.
I asked Schmitt to hand them out
and these are the results.
- "The lockers are from 1955."
- "Need low-fat oat milk in the cafeteria."
- "More hypoallergenic pillows in the on-call room."
- This isn't a spa, Altman.
I wouldn't put much stock in these.
- Yeah, I didn't until I read this one.
Uh, here we go.
"Our salary doesn't even equal
the average cost of living in Seattle."
- Well, that can't be right.
- It is.
They included research.
- The patient was in a wingsuit accident in Sun Valley, Idaho.
- Wingsuit? Like, skydiving? - More like BASE jumping.
He slammed into a granite wall at high velocity.
- I'd question his personal choices,
but people like that keep me in business.
Any major head injuries?
- Miraculously, no.
He was initially stabilized,
had wash-outs, and was splinted at Boise General,
but they didn't have the resources to do the rest.
- What'd he break? Femur? Tibia? Humerus? Pelvis?
- Yes. [clears throat]
[soft dramatic music]
- Don't worry.
Feels worse than it looks.
♪ ♪
- So, you and Jules, huh?
She's quite the catch.
- It's not like that.
We're just friends.
- Friends with-- what'd they call it now?
"Benefits"?
- She told you that?
- You know us girls; we spill the tea.
- Ms. Anderson.
It's good and not good to see you again.
You feeling a little woozy?
- Well, it's not bad, really, but after the last go-around,
I don't want to take any chances.
- She's a bit tachy. BP is slightly low.
- 'Kay, um, you know what? Open your mouth for me.
Yeah, you're a little dehydrated.
So as long as you're here, we'll just run a few tests,
make sure nothing else is going on.
- 'Cause I'm a VIP.
- Exactly. [both chuckle]
Uh, let's run a CBC, CMP, urinalysis,
and give a bolus of IV fluids.
Uh, I'll come back and check on you in a little bit.
If you need anything, Dr. Kwan's your guy.
- Okay.
[Velcro rasps]
- So what else has Jules told you?
- Nope. Can't tell you.
- But you just said-- - Sorry.
It's--what did she call it?
It's girl code.
- [chuckles softly]
- Sam Sutton, 44,
wingsuit versus boulder, 24 hours ago.
GCS, 15, no evidence of TBI.
Has a left-sided pneumothorax with a chest tube
placed at the other hospital.
Sustained multiple fractures to all four extremities, ribs,
as well as stable spinal fractures.
- Sam, this is Dr. Lincoln.
He is Chief of Orthopedic Surgery.
- Do you mind if I take a look?
- Please. - All right.
Have we ordered CT angio on all four extremities,
check for blood flow? - Dr. Hunt did this morning.
- All right.
Okay. - [gasps]
[groans softly]
- Yeah, I can wait to remove the dressings
until we're in the OR.
Is it annoying is if say you are extremely lucky?
- Say it. He has, like, 50 times.
- You tried to glide through a 2-meter hole
in the side of a mountain. - Oh.
Well, you could have been right there with me.
Kwame was my copilot in the Air Force
and now we're wingsuit buddies.
- Wait, you mean a literal wingman?
- Except I prefer to go around the giant rocks.
- How's it look?
You think I'll be back to BASE jumping in a month or two?
- Uh-- - Kidding.
I know I'm lucky to be here.
But I did promise my nephew
I'd teach him how to ride his bike this summer.
Like to make good on that. What do you think?
- Um, I'll take a closer look at your scans and X-rays,
but I gotta be straight with you, the damage is extensive.
- If anyone can help, Sam, Dr. Lincoln can.
He is the best.
- I'll do everything I can.
- Hey, Doc. - Yeah?
- Can I ask you something real quick?
- Of course.
- He's the surgeon who operated on the Tank.
Should we get a second opinion? - [sighs]
- Dr. Lincoln is an exceptional surgeon with a stellar record.
And the best of us can have a bad day.
- Hmm.
Every time Sam's mind takes him to a dark place,
it's his body that ends up saving him;
marathons, martial arts, diving off cliffs.
He needs his limbs and I need him to live.
So don't have a bad day.
- I will do my best and
my best is pretty damn good.
♪ ♪
Page me when those scans are up, please.
- Yeah.
- Oh, um, Adams gave me these, uh--
these notes that you scribbled with, like, wedding stuff.
I--I spilled a little bit of kombucha on them.
So if you wanted, you can text me and when you--
I'm--I'm your new Maid of Honor now.
Did he not tell you?
- He did not.
- Okay. Uh, well, nothing to worry about.
I am not going to do the blood thing.
In fact, I am not going to do anything.
Unless you text me.
FYI, I am partial to cat emojis.
[quirky music]
- Hey, do you think they're gonna be in there
for a long time? - According to the OR schedule,
they all cleared their electives for the morning.
But it only takes five minutes to fire someone,
so who knows.
- I just--I just can't read Marsh's handwrit--
do you know what this says?
- I'm about to lose two jobs this week.
I really don't feel the need to help you.
- How about for a liver transplant recipient
on the fifth floor? - I can't read that.
- Huh. I don't remember assigning either of you to
the service that takes care of patients in the hallway.
- Okay.
Okay, but how good are you at reading Marsh's handwriting?
- "Check Prograf level and stop Protonix."
- Thanks.
- [indistinct announcement]
- How many bones did he actually break?
- I've counted 75 so far.
He's got comminuted fractures in all the long bones.
- Plus the rib and spinous process fractures too.
- Yeah, we don't have to worry about those for now.
They'll heal on their own.
- It's incredible that his spine is still intact.
- Nothing's where it's supposed to be.
It's like-- - He's a jigsaw puzzle.
A broken one, obviously.
But we can put him back together
one surgery at a time.
- Wait you're-- you're gonna do this in stages?
- Well, uh, we'll need to reconstruct
his right femur first,
using cadaver bone to fill in this defect here.
Once that's done, we'll wash out
and fix the left extremity since its already open.
Then we'll go in the next day
and fix the left femur and tib, fib.
And the right extremity and digits can wait for last
since they're stable for now.
- Um, why not fix all four extremities at once?
I mean, isn't there risk of sepsis
from the open wounds if we wait?
- Well, if-- if you put him under
for an extremely long period of time,
you're looking at a high risk of anesthesia complications:
bleeding, clots.
- Life over limb. - Exactly.
And if the bone and tissue loss is too severe,
we may have to amputate.
♪ ♪
- No. No way. I'm not doing that.
- You're not doing what?
- I don't want one of my arms or legs
to die waiting in line.
- Well, no. I'm not saying that that will happen,
I'm saying it could happen.
I wouldn't be doing my job if
I didn't put all the risks on the table for you.
Trust me, this is the safer option.
- Compared to what?
- Is there another option?
- We could do all the repairs at once,
but it is a much longer surgery.
- Which I strongly do not recommend due to
the possible complications--
- But waiting also has its downsides.
Muscle death from such a severe injury
could lead to potentially fatal consequences
or you could get sepsis from the open wounds.
- Those are also heavy complications.
- Yes, but we would--
- I was trained to assess major risks and take them anyway.
So let's do this. All or nothing.
[dramatic music]
- Wow. I think they're starting
Dr. Lincoln's wingsuit surgery soon.
- Uh-huh.
- Mentioning it in case you thought
maybe I could go up there for a bit?
- No.
- To observe?
For my education?
There's, like, 91 broken bones.
- That's cool. But still no.
Ms. Anderson, uh, I'm afraid your urinalysis came back
positive for a UTI.
- But I always pee after sex. - And that's good.
But you can also get a UTI from dehydration,
especially as we get older.
- I drink all the time; tea, mint juleps.
- Those are diuretics. They cause dehydration.
- Yeah. - [sighs]
- I know. I'm just kidding.
Yeah, I admit, I could be more diligent about water.
- Well, we're gonna put you on an oral antibiotic
and some more IV fluids, 'kay?
Dr. Kwan will be nearby if you need anything.
- [sighs]
- [indistinct announcement]
- Don't be mad at Adams.
- No, I'm not.
I probably shouldn't have asked him.
- You definitely shouldn't have.
- Just wanted to go through it with a friend who knows me.
- Well, I know you.
Unless you meant a friend who's had their tongue in your mouth,
because I could be convinced.
Okay, quick. What's your sign?
- Taurus. - Oh, that tracks.
Film or TV? - Sleep.
- Fair. What's your favorite crystal?
- What are you doing?
- I'm getting to know you.
- How's it going?
Anybody have a funny joke, a good story?
- Uh, it's just a little while longer.
We're making sure that there's blood flow
in your extremities.
- Since I have a minute, listen.
I'm worried about Kwame.
He's my ride or die and...
I might die.
So I'm gonna give you his wife's number.
And if I die,
I need you to call her.
If I die, I need you to make sure that
she comes to pick him up because he will be a wreck
and he won't be able to drive himself safely
and he is too proud to call her himself.
Can you do that for me?
- I'll take the number,
but hopefully, we won't have to use it.
[door opens]
- How's it look?
- CT angio shows signs of diminished blood flow
all over the place.
I'm still trying to wrap my head around it.
- We need to get him in OR as soon as possible.
- [scoffs]
I had a plan: staged surgeries.
Then you tell him we could do it all at once.
- It's what he wants. - He wants to live, Hunt.
And staged surgeries is how he lives,
one manageable piece at a time.
- If he loses his limbs, if he can't jump--
in the Army, I was trained to run on adrenaline,
risk, and terror, and when I got home--
war makes you alive and dead, Link.
And regular life gets dull really fast
when you come home from that.
The thrill of being a trauma surgeon is
the only thing that saved me.
Sam is not a daredevil.
He is a veteran coping with trauma.
And even if he can never jump again,
he needs the hope that there is something out there
that can make him feel more alive than dead.
- Get out. - What?
- You're not an orthopedic surgeon so get out.
- Are you refusing to do the surgery?
'Cause the longer that we-- - No, I'm refusing to
waste more time talking to you
when I need to figure out how to do the damn thing.
[sighs]
I will call you when I need you.
But, respectfully, Hunt, get out.
[tense music]
♪ ♪
[sighs] [door slams]
♪ ♪
- My first idea was to appeal to Catherine
and to the foundation. - Well, residents' salaries
are government-funded and they always have been.
And, I mean, money may be tight,
but when you're in training,
you don't need a fancy car.
I mean, you eat a lot of canned soup.
- Grilled cheese. - Pasta.
- Cereal. - See? I mean, we all did it.
And besides, a hospital covers
a resident's malpractice insurance.
They have free parking,
meal stipend of up to $15 a day.
- Where can you get three meals a day for $15?
- Cereal. - Pasta.
- Okay, neither one of you are helping.
[phone chimes] - Oh, shoot.
I got a 911 in the ICU. Gotta go.
- Oh, hey.
I'll tell you another benefit they have that we never got.
The hospital pays the residents
to have four weeks paid vacation a year.
- [scoffs]
Uh, yeah, that started when I was coming up.
[stammers] My great-aunt died
and I asked for a week to go help my mom.
- And did you? - When I asked,
my attending asked me if I knew why we were called residents.
"Because we live in the hospital."
- Did you go to the funeral?
- I did not. - Mm.
Did I know the attending at that time?
- It was you.
[light music]
♪ ♪
- But the one that got away... [chuckles lightly]
That was Marshall.
We met in pre-law.
- You were a lawyer? - Oh, heavens, no.
But a lot of good-looking young men wanted to be.
No, I--
I preferred the literature classes I took on the side.
So I ended up teaching Austen and Miller.
Marshall, well,
he had a fire in his belly.
Confident and strong and so handsome.
[chuckles]
I never told him how I felt, though.
- Why not?
- I was waiting
for him to come and sweep me off my feet.
Too many romance novels, I suppose.
Some days I still kick myself.
- Coming through. - Trauma two,
Hang two units of blood. - Check his pulse.
- How exciting.
- How's his airway? - Go.
Go on. I'll be fine.
- Are you sure? - Yes.
Come back and tell me all about it.
- Okay. I'll come right back and check on you.
- Why am I quicker to answer a page than you?
- I just saw it. What happened?
- You failed to follow my directions,
that's what happened. I told you to check her blood sugar
so you would know when to turn off the insulin drip.
- Crap. I just hadn't gotten there yet.
- Yeah, I asked you to do that hours ago.
And because you didn't,
she went into hypoglycemic shock.
- Is she okay? - For now.
- No, no. Dr. Marsh, I--I swear I was just--
- No, I don't want excuses.
I don't want 'em. I want effort. I want change.
I offered to help you.
I sat with you and I gave you advice on how to improve.
I have rooted for you because I know you can.
So when you continue to be distracted and late
and make careless mistakes-- - I'm trying.
- Try harder!
If you want me on your side, then you need to grow up.
So get your meds right.
- My meds?
- You're clearly struggling with your ADHD, so fix it,
or you risk losing your career before it's even started.
[tense music]
♪ ♪
- Two of my co-residents were pregnant when I came up.
My chief told me if I could keep my legs together
I would be asked to scrub in at least five times a week.
- [grunts]
Ooh, remember Davidson from Vascular?
- Oh, gosh. [both chuckle]
- He once asked if I had been a good girl that year.
And if I had, I should ask Santa for some surgical skills.
- No. - Ew, gross.
- At my intern orientation,
a senior resident played a video
of the people running with the bulls in Pamplona.
And even on that grainy film,
you could see three people get gored by bulls.
He said, "This is what your internship is gonna be.
"Every day you're gonna wake up,
"you're gonna start to run,
and hope you don't anger one of the bulls."
- We are not bulls! These are horrible stories.
And they probably don't even account for
half of what we experienced.
Yes, there is something to be said for--for family,
and tradition, and adversity making people stronger.
But if our interns are experiencing
an ounce of the abuse that we suffered, we--
- I yelled at Yasuda.
She dropped a retractor
and I kicked her out of the OR and off my service.
- Well, you had a lot going on.
- [sighs] Doesn't make it okay.
- It doesn't, and that's why we have to do something.
- Um, excuse me for a minute.
Hi.
Hi, you okay?
- Hey, have you seen Dr. Marsh?
- No.
- Do I have ADHD?
- Yeah, I see it.
- I forgot to turn off an insulin drip
and a patient went into hypoglycemic shock.
- And you still work here?
Do you know how many classmates
I've served fries to while wearing a paper hat?
A lot.
It wasn't fun, but I did it
because I was determined to be a surgeon.
And now I have made it all the way here
and half of the surgical chiefs are meeting about me
because I took a second job to make ends meet.
But you,
you almost kill someone but it doesn't matter
because you're related to surgical legends.
[soft resonant music]
♪ ♪
[knock at door]
- You're gonna be working on this patient
until you retire. - [chuckles]
- I heard. 91.
- Uh, 93.
I just found two more hairline fractures in his pelvis.
- Everyone's talking about it. - Great.
- Hunt said you're gonna repair all four limbs at once.
- Yeah, I really wish Hunt would shut up.
I'm the one who has to plan a potentially 19-hour surgery.
I'm the one who has to consider the risks of putting a patient
under anesthesia for that amount of time.
I have to plan for every possible catastrophe:
stroke, PE, heart attack, and 50 other complications
screaming through my head.
[sighs] - And you'll be the one
who would lose a patient like you lost Jermaine Talbott.
And then you would have lost the Tank and this guy
with everybody watching.
- It's not an unlikely scenario.
- Okay, but in the scenario where everything goes well,
what do you need?
- To grow an extra pair of arms.
Or three.
[sighs]
Two teams. One to help me reduce and repair
the fractures in one extremity
and one to position the next extremity ahead of time
and begin the wash-out process.
Plus, our best person to perform
vascular anastomoses and rotational flaps.
Not to mention someone to help me
place the osteoarticular graphs.
And a full anesthesia team
to care of the resuscitation process
throughout the whole thing. It's at least six surgeons.
- Well, you've got one more.
- Thought you had to deliver a baby?
- I did.
Mae Ashley, 6 pounds, 8 ounces. She is beautiful.
'Kay. Who else you need?
[Foreign Air's "Moving On"]
♪ ♪
- ♪ Hey, hey, hey, hey ♪
♪ ♪
♪ Hey, hey, hey, hey ♪
♪ ♪
♪ My mind is in motion ♪
♪ ♪
♪ My head is in the clouds ♪
♪ ♪
♪ Hey, hey, hey, hey ♪
♪ What is it you're waiting for? ♪
♪ Hey, hey, hey, hey ♪
♪ D-Day's knockin' at your door ♪
- They still talking? - Yeah.
Lincoln says it's important to plan the work--
- So you can work the plan. Yeah, I've heard it before.
I know that you're worried,
and I'm guessing it's related to that football player,
Jermaine Talbott.
And you're thinking whether another long surgery
on a guy who's supposedly in shape could go south.
And I'm guessing you're wondering if
Lincoln is the right guy for the job.
- Uh...
you're not wrong.
- I know you better than you think.
And if it helps,
my last ortho surgery was an amputation.
And I think you know I'm really hoping
I won't have to do that again.
- ♪ Hey, hey, hey ♪
♪ D-Day's knockin' at your door ♪
- You were assigned to the ER. - I know.
- You know and yet your patient was wandering the halls?
- I know and it won't happen again.
- You're lucky I owe you one. - [sighs]
- Dr. Kwan, welcome back.
- Max, I'm so sorry I was gone for so long.
- Even though you were expressly told not to leave.
- Oh, don't be silly. I had a terrific time.
I even ran into one of my favorite people.
Benson, this is my grandson, Hugh.
He's a doctor too.
- Ms. Anderson, I'm Dr. Schmitt, remember?
- Hugh, tell them about the time that
you helped save that man's life on the airplane,
when he choked on, what was it, a grape?
- I'll tell them.
Um, let's put her on telemetry, get blood cultures,
and start her on broad-spectrum antibiotics.
- She's more hypertensive and tachy.
No, she's definitely septic.
Admit her to the ICU right now. - Is she--
- She has delirium from the UTI.
[Velcro rasps]
- So your labs are looking good.
You're ready for takeoff.
To the OR.
Sorry. - Me too.
You're giving Kwame stiff competition
in the dad joke category.
- Hey, my kids think I'm hilarious.
- Mm-hmm. [phone ringing]
- I'm getting paged to the ICU.
It's a 911.
- Well, go. I've got this.
How many kids do you have?
- Uh, three. And one on the way.
And they love their Uncle Sam.
- And I have pitched the name Sam every time.
Maybe if I don't make it out of this surgery,
you and Kelly'll finally do it.
- Ah, don't say that. You gon' make it.
- I plan to.
But I've been lucky enough to have a life full of adventure
and if this is where that luck ends--
- Hey, Griffith, can you check to see if
the OR is ready? And we will take him up.
- Absolutely. - Thank you.
Hi.
- Excuse me, who are you?
- Oh, I am Dr. Wilson. I am one of your surgeons.
It's nice to meet you, Sam.
- This may come across as forward,
but I might be dying in the next 18 hours,
so I'm gonna ask. Are you single?
Remember, I might be dying.
So if you're not, you could lie.
- I'm single.
- Great.
Now I have something to live for.
[both chuckle]
- Excuse me. [all chattering]
Hi. Sorry to interrupt.
- It's okay. You've got good timing.
- Yeah, we were just talking about you--
- I have made mistakes.
I accept that responsibility.
I accept that there will be consequences
when I don't do things right.
But right now, it feels like
the biggest mistake that I have made
is not having enough money to work here.
I wasn't born with a silver spoon.
I don't have the family pedigree to fall back on.
And my student loans are real,
and the risk of my parents losing their home
if I can't make my loan payment is also real.
And--and what? The promise of an attending's salary
ten years down the line?
That doesn't do anything for me right now.
I think you all know that I bust my ass for this program.
And I will continue to devote myself to
becoming an excellent surgeon.
But that devotion has to include working a second job.
- Well, actually, it doesn't.
- I quit.
Can't fire me 'cause I quit.
[quirky music]
- You're not getting fired.
You're getting a grant.
- We are starting an emergency relief fund
for any resident that might need it.
It's not gonna pay off all your loans,
but it will help make ends meet.
And we would like for you to be the first recipient.
- Unless you've quit.
- No.
No, I don't quit.
I rescind my quitting.
Thank you.
You have no idea how much that means to me.
- Well, we kind of do.
Sometimes we just-- we need reminders.
- Yeah.
- ♪ I can't wish you away ♪
- I gotta prep for surgery but I got your page, and what--
Max?
- ♪ Trying to get back to who I was before ♪
- What the hell happened?
- ♪ But she's not there anymore ♪
♪ She's not there ♪
- The cadaver graphs ready?
- Thawed and prepped. Sam's ready too.
- [sighs]
- Dr. Lincoln...
are you sure this is the right plan?
There are so many risks.
And when we operated on Jermaine Talbott--
- Griffith, we all know what happened.
I'm sure Dr. Lincoln's replayed that surgery in his mind
hundreds of times.
That was a complication that could have happened to anyone
at any time and he doesn't need an intern
questioning his skills, professionalism, or his plans.
- Except it's not my plan, Hunt, it's yours.
- Dr. Hunt, what I meant was-- - Griffith!
If you don't share my confidence in Dr. Lincoln,
I suggest you keep it to yourself.
- [vocalizing]
- I'm sorry. I did not at all mean to--
- Don't be sorry.
Jermaine's surgery haunts me,
so I can't imagine what it's done to you.
Procedure went perfectly.
Post-op clot was the last thing on anyone's mind.
But none of that makes it any better for him or his mom.
But I need you focused. I need your head clear.
I need you with this patient today.
Because this is what Sam wants.
And we're his best shot.
- ♪ I feel the love ♪
- Millin's out.
Bailey sent me in to cover her.
- Your, uh, one last surgery?
- Oh, screw that.
I'm just getting started.
- ♪ Carry me off to a place ♪
♪ A place I've never been ♪
- Full house.
Could have sold tickets.
- [chuckles]
- All right. We're ready.
- Okay, everyone, this is Sam Sutton.
He is a veteran and a hero.
And we thank him for his service
by keeping him alive today.
- Let's do this.
All or nothin'.
♪ ♪
- This will be a very long, complex surgery.
You will get hungry. You will get tired.
Your feet will hurt. And when that happens,
I want you to think about Sam,
because there is no margin for error.
We will get through this
because we will get Sam through this.
[sighs]
All or nothin'.
- ♪ I'm changing ♪
♪ This time it's for the better ♪
- I'm Maxine's contact.
Why didn't you call me when she got here?
- She said not to.
- She came into the emergency room
and you didn't think to notify her emergency contact?
- Okay, she was fine when she came in;
just dizzy. We ran tests.
We started treating her infection.
I got her everything she needed.
- Clearly.
- And then she apparently left her bed and--
- What do you mean she left?
Where were you?
- She told me I could go.
- She said you could go so you just took off?
Is she the patient or the doctor?
I mean, wh--what, were you stealing another surgery
or flirting with that nurse?
- Okay, what is this really about?
- This is about an 81-year-old woman
who is now septic and delirious because you didn't do your job!
I've got it from here.
- I'm not typically one to judge,
but who was the first fool that said,
"Maybe if I put on a squirrel suit,
I'll make it to the other side"?
- Franz Reichelt.
He attempted to jump from the Eiffel Tower
in a wingsuit in 1912.
I--I was really into aviation when I was a kid
so I know weird stuff.
- Did Franz make his landing?
- Hit the ground headfirst.
- Oh. - [sighs]
[singers vocalizing]
- ♪ How long before the levee breaks? ♪
♪ Hold on till the darkness fades ♪
♪ Cold sun ♪
♪ Trying to find its way through ♪
♪ ♪
♪ These days feel like a cold steel cage ♪
♪ Reaching ♪
♪ Hoping to find something I believe in ♪
♪ Show me something true ♪
♪ Day comes in like a blade of light ♪
♪ Breaking down to the wrong and right ♪
♪ Taking all that I got ♪
♪ Something's gotta give, gotta give, gotta give ♪
♪ ♪
♪ Can you hear the sound? ♪
♪ Oh, it's calling now ♪
♪ Mercy ♪
♪ ♪
♪ Mercy ♪
♪ ♪
♪ Nothing left to lose ♪
♪ But to give in to mercy ♪
♪ Mercy ♪
♪ Lift me up ♪
♪ Take me higher ♪
♪ Lift me up, take me higher ♪
♪ Lift me up ♪
♪ Take me higher ♪
♪ Lift me up, take me higher ♪
♪ Lift me up ♪
♪ Take me higher ♪
♪ Lift me up, take me higher ♪
♪ Lift me up ♪
♪ Take me higher ♪
[applause]
♪ ♪
[vocalizing]
- ♪ Lift me up ♪ - ♪ Take me higher ♪
- Sam-- - He's out of surgery.
- You did it. - Well, it's not over yet.
- He did.
Dr. Lincoln was able to save all of his limbs.
I'm not sure there's another surgeon who could have.
[sighs] Sam is lucky for multiple reasons.
And one of them is that he was brought here.
- He's stable for now.
I'll monitor him closely.
But he still has a long road ahead of him.
We can't say when but we think with extensive PT
he will be able to walk again and use his fingers fully.
- Ah, he will.
Sam, he's sort of the friend who defies expectations.
- Hmm.
Well, he'll be back to his room soon.
You can go see him.
- Thank you. - Course.
Congratulations, Link. You pulled it off.
- You ever put me in that position again
in front of a patient,
we'll have a problem.
And Hunt. - Hm?
- Thank you for your service.
- [scoffs]
- Yasuda, can I talk to you for a minute?
- [sighs]
Dr. Shepherd, I am very grateful
for the grant money and for not being fired.
But I just finished a very long,
very gnarly surgery
and I'm really not in the headspace to process
whatever mistake you're gonna say I've made.
- You haven't made a mistake; I have.
I overreacted the other day
when I kicked you off my service.
It had nothing to do with you.
You did not deserve it.
And I am a person who believes in accountability,
so I apologize.
- I'm sorry too.
- For what?
- Nothing.
You make me nervous. I--
I meant apology accepted. - Mm.
- Adams, you okay?
- Fine.
- [sighs heavily]
Listen, you deserved that,
but I should not have called you out on your ADHD.
I'm sorry about that.
- Yeah, that, uh-- it kind of threw me off.
- You--you've never had your meds adjusted?
- I don't have meds.
I--I don't have ADHD.
Or I, um--
I don't have a diagnosis. - Ah.
- But I've been reading up on it and, um--
- And things are starting to come into focus a little bit?
I'm your program director. I'm gonna notice some things.
Lack of attention to details,
hyperfocus,
uh, poor organizational skills,
improved performance when
complicated tasks are broken down.
Adams, the signs, they're all there.
Or maybe it just takes one to know one.
Yeah.
Look, when I was diagnosed in college,
I--I thought my chances of becoming a surgeon were over.
But I went and I got the help I needed
and now it's just something I manage
like any other part of my life.
- [sighs]
I always thought I was just the black sheep.
You know, with this program, with my family.
I never thought that I might be neurodivergent.
- Yeah, well, typical is just so boring.
[both chuckle]
- So what happens now?
- You go get checked out and take it from there.
Easy.
- Dr. Lincoln. I was just coming to check on his vitals.
- His H&H and electrolytes are holding steady.
But I'm gonna stay by his side, just in case.
- Understood.
That's a relief.
- Excellent work today, Griffith.
- You too, Dr. Lincoln.
[Hazlett's "Hesitate"]
- [sighs]
- Hey.
They told me you would be here.
Thought you could use a boost.
- Yeah. I'm just realizing how tired I am.
Those are both for me, right?
- [chuckles]
You should go and rest.
- [sighs] I'm fine. I'll stay.
- 'Kay.
Want some company till he wakes up?
- Yeah, I'd like that. - Okay.
- ♪ Nobody heard the hell that's behind ♪
- [sighs] - Oh, my goodness.
Meredith: The experimental drug,
the impossible dream, the fork in the road;
we face dozens of choices every day
and have to weigh our options.
♪ ♪
- ♪ Might hate me now but hear me out ♪
♪ Hey, I only wanna know if I should move out or stay ♪
♪ Whatever I did, just say what you need to say ♪
Meredith: Sometimes you fail utterly...
- ♪ Nothing is wrong when nobody's earned the blame ♪
- Dr. Weber.
What can I get you?
- Um... - ♪ Why do we hesitate? ♪
- I didn't listen.
I came here a couple of months ago
to ask you to come back.
And when you shared with me how difficult that was,
I didn't listen.
But...
♪ ♪
I'm listening now.
What would it take to bring you back?
- ♪ Hey, I only wanna know if I should move out ♪
Meredith: But to move forward,
you have to take the leap of faith.
- ♪ Whatever I did, just say what you need to say ♪
- Winston!
- No, I'm done for the day.
Do you need a consult or can it wait?
- It's not a consult. - Okay, great.
We'll talk tomorrow. - Uh...
but it is something that I wanna say now.
[sighs]
I owe you an apology.
I blamed you for Maggie leaving even though I knew that
the truth is complicated, and painful,
and, frankly, none of my business.
But I took out my pain and my sadness on you,
which has been happening a lot lately.
You may be comforted to know that
this is just one stop on the Amelia Shepherd apology tour.
Even so, you are a good man, Winston,
and marriage isn't easy.
I was wrong.
And I'm sorry.
♪ ♪
- ♪ Hey, if this is the end, why do we hesitate? ♪
Meredith: You never know where you'll land.
♪ ♪
[upbeat music]
♪ ♪