Meredith: When my mother was diagnosed
with Alzheimer's disease, her cousin said
she must have gotten it because she didn't take fish oil.
I picked up everything on the list,
except they ran out of Dijon,
so I got whole grain instead,
which, yeah, I know is inferior, but --
Who are you? Jo: Hey!
Hey. You're back early.
Yeah. I-I decided to do the groceries first
and pick up your car after. Who's this?
Um, that's Elroy,
the contractor I hired to baby-proof for us.
These stairs aren't safe.
Naked sides.
Don't worry. I can fix them.
I told you I was gonna do that.
Yeah, back when Scout and Luna were babies,
and now we have two more babies.
[ Cellphone chimes ]
My patient with a myoelectric prosthesis
was just brought into the E.R. Mountain bike accident.
I should go.
Wait, wait, what about my car?
Ask Elroy.
♪♪
Her neighbor thought it was because my mother,
a world renowned surgeon,
didn't do enough crossword puzzles.
♪ Just where I'm gon' go ♪
♪ I feel it in my blood ♪
♪ Feel it in my soul ♪
Is this your way of thanking me for the coffee?
I'm stressed about the M&M.
Well, I am ready to help.
♪ Under the pressure they say I'm gon' break ♪
♪ Time will tell, time will tell ♪
[ Cellphone chimes ]
Uh, Shepherd. I'm on her service.
♪ Tryna get something worth having, ain't gon' happen here ♪
You better go.
I'll ask her if I can sneak away to come watch.
But if not, good luck.
♪ Wish you well ♪
I told them to shove it.
We always want to cast blame.
Something to fear and avoid.
But the only thing to blame...
♪ I wish you well ♪
...is everything.
[ Gasps ] Bless you. Oh.
You left out the door so early,
I figured you needed a pick me up.
Well, I thought keeping busy would take my mind off things,
but it just means I'm tired and hangry.
How's Katie doing?
Uh, I'm waiting for her labs,
but I'm guessing she has carcinomatosis
and a partial obstruction.
Well, how often are they draining her?
Twice a day. [ Sighs ]
Okay, well, listen, if there's anything I can do,
just -- you know -- Richard: Warren?
You're with me. [ Sighs ]
Okay, go. I'm okay.
Dr. Bailey. Welcome back.
First day back in the O.R. How's it feel?
Well, I'm working with my chief resident.
I have an M&M later today,
and the cafeteria is serving shepherd's pie.
Feels like Christmas. [ Both laugh ]
Well, wait till you see our first consult.
Good morning.
Oh, Russell, this is Dr. Webber and Dr. Warren.
Ah, these are the headliners.
Russell's a community theater director.
Right now, he's putting up a production of "Hamlet."
"When sorrows come, they come not single spies..."
"But in battalions."
Yes. Okay!
You would demote my Claudius to an understudy.
Well, Hamlet's my favorite Shakespeare.
Mm. Um, Dr. Meade?
"Much Ado About Nothing."
He wants you to present the case.
Right. Sorry, um...
Russell West, 34, with history of beta thalassemia,
with blood transfusions every three months for anemia.
Admitted for splenic sequestration crisis
two weeks ago.
His abdomen has been getting increasingly distended.
Uh, we're consulting today for a splenectomy.
I thought I was just gaining a little weight,
but then my stomach just kept getting bigger and bigger.
Can I take a look? Yeah.
I'll call for an ultrasound.
Oh, let's go old school while we wait.
What was the last time you did percussion?
Uh...
[ Hollow tapping ]
Uh, you hear that? It's hollow. That's his lung.
Here, no, that's dull. That's his spleen.
From here...
[ Dull tapping ]
...to here.
Your spleen extends from the left upper quadrant
all the way to the right lower quadrant.
It's taking up your entire abdomen.
This needs to come out immediately.
I-I'm in the middle of tech week.
I can't -- Won't it just shrink on its own?
It's unlikely in a case this severe.
Plus, you run the risk of rupturing it.
Okay, that sounds bad.
Yeah, really bad. Instant death.
[ Clears throat ]
Y-You want to take care of this sooner rather than later.
Dr. Meade can take you for a C.T. scan
so we can plan a surgical approach.
Yeah, could he do it instead?
Yeah, uh, I'll go with you.
Well? It's better than Christmas.
[ Chuckles ]
...had been compromised. We then used
4-0 vicryl -- vicryl sutures to inset --
You reciting your presentation?
You know how when you lie,
your cheeks get flushed, and your voice gets all high?
Mm? You do both of those things,
and so do I when I give presentations,
and I also sweat, and sometimes I faint.
[ Elevator bell dings ]
Person: [ Over intercom ] Dr. Riefle to Neurology.
Dr. Jennifer Riefle to Neurology.
Interesting case?
Your sternal reconstruction patient.
Scott Hill?
Beckman's out. Someone has to check on him.
Well, Dr. Wright is supposed to be attempting
another flap tomorrow.
Hope it takes. [ Elevator bell dings ]
See you at the M&M.
It'll be fine. [ Elevator bell dings ]
I've successfully avoided him after lying to help his patient.
Oh, that was weeks ago.
He's probably forgotten.
You truly are a terrible liar.
Sorry for interrupting your parental leave.
Was Jo annoyed?
Yeah, but not because of that.
Oh, here they are.
Okay, Jon Ellison, 40, status post mountain biking accident.
No LOC or signs of head trauma.
He has bruising on his chest,
and X-rays show multiple rib fractures.
He had targeted muscle reinnervation surgery
a few months ago for an advanced arm prosthesis.
I know. I did it.
After I amputated his arm.
Jon. Pauline. What happened?
Jon: I was training at Tiger Mountain.
The hand just let go. I lost my balance and fell.
He crashed straight into a boulder.
Tell them about the last time.
Yeah, it did the same thing last month.
I sideswiped a tree
and almost missed qualifying for the World Championships.
When's the competition? Three months.
I can still compete, though, right?
I'm up for sponsorships.
Well, the nerve we rerouted to your upper arm
should be sending precise signals to your hand.
We'll get some scans. We'll check it out.
Kwan, call C.T., let them know we're coming.
Yeah.
Dr. Ryan to Pathology. Dr. Lisa Ryan to Pathology.
What are we playing?
Five-card stud. You play?
Uh, not anymore.
But I ran a weekly poker night in med school.
Were you any good? Graduated debt-free.
[ Angela chuckles, Katie coughs painfully ]
How you feeling today?
They drained another liter this morning.
She's still nauseous.
We asked for ice chips 30 minutes ago.
Oh, it must have gotten lost in the morning hand-off.
I'll get them myself.
Can you grab some for my mom, too?
She needs to chill.
You see how she treats me? [ Both chuckle ]
X-ray tech to nurses station. X-ray tech to nurses station.
Uh, I-I'll get you those ice chips.
How bad? [ Sighs ]
Katie's creatinine's elevated, albumin low.
Her AST, ALT, and INR are through the roof.
She's in multiple organ failure.
The TPN is too hard on her liver.
But it's the only thing giving her nutrition.
♪♪
Call palliative care.
♪♪
[ Indistinct conversations ]
I thought I was late.
Bailey does not need another reason to yell at me.
Hey, how's Katie? Yes?
Her INR is getting worse. She needs two more units of FFP.
Correct.
Thank you.
Katie? What, is -- Is her liver failing?
What did the repeat scans show?
She doesn't know yet. We're gonna tell her after the M&M.
I want to be there.
Bailey: You are not part of her care team.
Do I need to write you a reminder?
Toni: Hi.
Good morning, everyone. Are we ready to begin?
Dr. Millin?
Yes.
Uh, so, Scott Hill, age 73, presented four months ago
with shortness of breath and chest pain.
Richard: See what I told you?
The spleen has taken over the entire abdomen.
It has sequestered so much of his blood supply.
I mean, how would you even mobilize that?
You tell me.
Uh, well, um --
If it were a smaller spleen,
I would enter the lesser sac, take down attachments,
and medially rotate it to access the pedicle.
But this... Yeah, I have no clue.
Plus, once we're in there, one nick to the organ,
and Russell could bleed out in seconds.
When I was a resident,
I scrubbed in on a liver teratoma
I thought was impossible to resect.
But I had an attending, Dr. Rathbone,
who did a total vascular exclusion of the liver
to create a bloodless field. It was brilliant,
and it taught me to always keep an open mind.
I saved a piece of that tumor in a jar for years after.
Maybe after this, you can save a piece of Russell's spleen.
Oh. Do I have to?
Okay, let's take a page from Rathbone's playbook.
Let's call I.R., have them embolize the splenic artery.
Then we'll open him up and see what we got.
Uh, what about the M&M? We're already late.
Oh, M&Ms happen every week.
But a spleen like this?
It happens once in a lifetime.
We then used interrupted 4-0 vicryl sutures
to inset the omental flap.
You can see the healthy flap here.
Did his pre-op scans show any sign for concern
about pedicle tension?
No. The team agreed that the distance between the epigastrium
and the superior sternum was acceptable.
And at this point, the team was --
Uh, me and Dr. Mohanty.
You had finished harvesting the omentum,
and Dr. Wright and Dr. Warren were needed on another case.
So, the, uh -- the changes in the flap's appearance
progressed rapidly post-op.
As you can see here, uh, it is dark and swollen.
Did you check doppler flow after inset?
Yes, there was biphasic signal.
And which one of you did that?
Uh, well, we can both confirm that there was a signal.
When we realized there was no blood flow to the flap, we --
I'm sorry. So, the two of you both heard the signal?
Were roles clearly defined during the inset?
I believe so. You believe so?
Who placed the stitch causing tension around the pedicle?
Look, this patient,
my patient, hasn't left the hospital in weeks
due to a gaping hole in his chest,
which I believed we had fixed.
He's still here because of someone's negligence,
and it sure as hell isn't mine. So...
who placed the stitch?
♪♪
That's on me.
I should have watched my resident more carefully.
I take full responsibility as her supervisor.
♪♪
[ Spectators murmuring ]
♪♪
[ Cellphone chimes ]
He is all set.
Would either of you mind if I catch the last part of the M&M?
We do. Start the scan, Kwan.
[ Cellphone chimes ]
[ Scoffs ]
Everything okay? I'm a handy person.
Did I miss the first part of this conversation?
Jo's getting an estimate from a contractor
to baby-proof our place,
even though I told her I can do it. I want to do it.
Are you sure you still need me here?
The babies can't even roll over on their own.
They're nowhere close to crawling.
We have a minute before the stairs are an actual risk.
So you'll just wait till Scout and Luna are teenagers.
Kwan. Yes. Alright.
Three right-sided rib fractures.
He has a small pneumothorax.
He probably doesn't need a chest tube,
but the muscle in the TMR looks good.
Alright. Admit him for observation
and then just do a follow-up X-ray with him later today.
I'm sorry you had to come in for rib fractures,
but maybe now you can go home and baby-proof.
Should still check the signals to his bionic arm.
I mean, there's no hematoma or bleeding
around the nerves in the TMR. The signal should be fine.
Yeah, but he's still falling off his bike.
Kwan, get Jon back to his room and set up for EMG testing.
Yeah. Mm-hmm.
When a particle passes through narrow tunnels,
we're essentially working blind.
Uh, Dr. Millin, when you placed the stitch,
did you use a lot of tension?
E-Excuse me?
I asked if you used a lot of tension
when you placed the stitch.
I-I didn't place the stitch.
Dr. Mohanty, did you or did you not
allow Dr. Millin to place the stitch?
She specifically asked to do some of the suturing.
And you said no. Uh, the -- This is a huge miscommunication.
Uh, are you saying she's lying?
I-I didn't say that.
But you are denying that it was you.
Winston: If you're both saying you didn't place the suture,
one of you is not telling the truth.
[ Voice breaking ] I only closed the abdomen.
I wasn't anywhere near the pedicle.
Dr. Millin, admitting your mistakes
is an important part to learning.
If you can't own up to them,
we've got a much more serious problem.
What the hell was that?
Dr. Millin -- You placed that stitch,
and you know it. Can we talk about this, please?
Oh, I'm sorry. Do you not want to get dragged in public?
Sometimes M&Ms go south. Everyone knows this.
Is that supposed to be an apology?
You're a resident. Residents are supposed to make mistakes.
I didn't screw up.
You lied, and I got scorched for it.
I have patients to see.
[ Scoffs ]
Okay, let me know if you feel any discomfort.
Oh, I'm used to it.
Okay, Jon, I want you to imagine your phantom limb
and start opening and closing your hand.
Pauline: That's a good sign, right?
Yeah, the muscles are receiving signal.
It's a really good sign.
How's the prosthesis treating you otherwise?
If I was wearing it, I'd give you a thumbs up.
Or the middle finger. Depends on my mood.
Oh, he's painted the baby's room and started cooking again.
It's changed his life at home.
It just can't do the one thing I was really hoping for.
Well, your signals are good. The TMR is not the problem.
Jon, when you ride,
do you experience a high level of stress?
He's dodging trees and jumping rocks
and trying not to fall off the trail.
I actually find it relaxing.
Right, but you're still encountering
unexpected obstacles and changes in terrain
that could cause a reflexive reaction
in the muscles that send signal,
that could potentially make your hand do things you don't intend.
Like let go of the bike?
Exactly.
Mountain biking's all about dealing with the unexpected.
If I can't do that, I can't ride.
And that means no sponsorships, no prize money.
Jon -- No, without that money,
we can't afford repairs to my gear,
my training time, part of our mortgage.
I've been working for months to qualify for this race.
Now you're telling me I could lose it all?
If you're getting more exercise,
your muscles are getting stronger.
They might be sending a stronger signal
than the prosthesis needs.
Let's take a look at that, and we'll go from there.
♪♪
Curtis? Up for a visit?
[ Chuckles ] From the chief?
Anytime.
How are you? Ah,
I told the nurses I was cancer roommates
with Richard Webber.
Suddenly I got extra pillows and unlimited applesauce.
What's a fancy title for, huh?
You just missed my wife and kids.
Really wish you would have met them.
Yeah, I would have loved that, too.
How old are your kids?
Trevor's 8. He's my bookworm.
And, um, Amani's 5.
She's already running around on her bike like a bat out of hell.
[ Both chuckle ] She'll be trouble.
[ Chuckles ]
You know, that's the hardest part of all this,
is, uh...
leaving them behind.
[ Cellphone chimes ]
Look, I'd, uh -- I'd love to stay, Curtis,
but I'm needed in surgery.
Thank you for stopping by, Dr. Webber.
Just Richard.
♪♪
Angela: How long does she have?
If I give you an answer, i-it's just my best guess.
But I have more energy today.
We removed the N.G. tube.
I ate a popsicle without throwing up.
Yeah, it's common to have good days.
Our focus now is on keeping you comfortable
so you can have as many good days as possible.
And if you do in-hospital hospice,
we can manage your symptoms and pain here
for as long as you need.
No, I-I need to go home.
I need to sleep in my own bed.
I need to eat my own food.
And m-maybe if we work with the P.T., I'll improve.
Then that's what we'll do.
Uh, we --
We can arrange home health and P.T.,
but you'd only have someone a couple hours a week,
and you need more support.
If you do in-home hospice care,
well, they'll send you someone 24/7,
but it could take a week to get started.
I need to get out of here now.
I need to get better.
I'll take care of her until everything's arranged.
She needs a hospital bed, an oxygen concentrator,
a Hoyer lift --
I'll figure it out.
I did it with my mom.
If you do this, Katie will be leaving against medical advice.
The insurance won't cover everything she needs at home
if she does that.
I've done everything you've asked.
Every scan, every test, every infusion.
And here I am, so...
You don't know if I'm dying.
You don't know anything.
If I go home,
I'll get better.
You'll see.
♪♪
Ju--
Okay. Then I will talk with social work,
and we'll start the process.
♪♪
Bailey, are you sure AMA is the right move for Katie?
I most certainly am not.
Look, don't -- don't make any moves yet.
I know someone she might listen to.
Hey. I'm still here. Did you read the estimate?
I've been with my patient.
Well, in order to fully baby-proof the balcony,
we have to put up a higher enclosure,
which costs more than I can say without throwing up.
I told you I could do it.
You know, I'm not even sure the HOA will allow it.
So what do you want to do?
Now you want my opinion?
You really want to get into it again?
I'm sorry. I should go.
Same. [ Baby crying ]
[ Sighs ] [ Cellphone beeps ]
Amelia: You gotta go? No. It's fine. Let's continue.
Okay. Okay. This should test the grip.
Mm-hmm. Hmm.
And now finger rolls.
It's working well within normal EMG signals,
and he says it works fine when he's not biking, so...
It's the stress. Yeah.
He's done with competitive racing.
That was lunch.
My life is over.
Are your organs failing from stage 4 gastric cancer?
It'll work out. I've been there.
You got kicked out of your last program.
Still worked out. I'm here.
Hey, your girlfriend is not only a sloppy surgeon, she's a liar.
The M&M did not go well.
She blamed me for her crappy suture
that killed our patient's flap,
and now none of the attendings will even look at me.
Kavita is not a liar. Both her parents are doctors.
And that makes her immune to being a horrible person?
Hey, wait, she's not a horrible person --
No, you told me to be nice to her, and I was,
and look where that got me.
Thrown under the freaking bus.
You love the bus.
Kwan.
This isn't a joke. Hey, this is my career.
And you know what makes it worse
is that you're automatically taking her side.
Oh, some friend you are.
Where are you going?
To -- To fix this.
Lucas: Hey.
[ Mouths words ]
[ Chuckles ] "Anna Karenina"?
This is what you want to read right now?
It's pretty depressing.
Well, I'm making my way through a list.
100 books you should read.
Yeah, I've read these. You can skip them.
You've read all 100 books?
Uh, "Moby Dick," a bunch of men yelling on a boat.
Oh, and there's a whale. Uh, "War and Peace,"
a lot of war, a little peace. [ Chuckles ]
That's two off your list.
Let's get out of here. Let's go look at the houseboats.
[ Sighs ]
We can't just leave. You're a patient.
Didn't stop you before. You were my doctor then.
Yeah, it's not that simple. You can't walk.
We'd need portable oxygen --
I can walk. Just give me your hand.
Look, Katie, we just --
Can -- Can you get my bag?
I can't -- I don't even know if I could get you in my car.
Aah! [ Gasps ]
Okay. It's okay. It's okay. It's okay.
I got you.
This is it for me, isn't it?
I really wanted to go home.
I'm so sorry.
♪♪
[ Monitor beeping ]
Richard: Okay. Going through the fascia.
Metz. Ben: You know, Meade here
has been doing some research.
Fact -- the largest spleen ever recorded,
26 pounds and 17 inches.
Harrison: And based on our estimates,
this one could beat it, sir.
You ready to make history, Dr. Webber?
[ Laughing ] Oh, my God.
That is... Nothing but spleen.
[ Laughs ] Look.
I don't want to hear another word about records or history
until Russell is on his way to post-op. Okay,
our focus should be on this patient and on this surgery.
Understood? Loud and clear, boss.
We got a lot of work ahead of us.
And I need full visualization.
Titan.
Okay. Alright, here we go.
She'll stay here
until her in-home hospice is set up.
The social worker's on her way to get the process started.
Did you mention we're hoping they can rush this?
Yeah, and I might have dropped your name.
Mm. Alright. We'll see if it helps.
Oh.
So, what? Now you bring in the doctors
with the sad smiles and quiet voices
pretending to know what it's like
to die before you're supposed to?
Our team will do everything to make her more comfortable.
They'll also move her into a room
with more natural light, fewer machines.
And the chaplain will come, too, right?
You had this same conversation 15 years ago about my mother.
And now you have the gall to have it again about my daughter?
She was doing better.
I know.
I am so sorry --
Stop saying you're sorry!
If this was one of your babies,
and their life-saving medication was discontinued,
and you had to watch the life drain from their bodies,
what would you do?
I...would fight.
But you didn't, did you?
Not for my baby.
[ Both sigh ]
♪♪
Dr. Bailey?
♪♪
Whoa. Come in. Make yourself at home. What is this?
I borrowed a few things from Dr. Salley.
I wanted to see if adjusting the grip
on a body-powered prosthesis helps.
Amelia: Jon talked you into finding another solution?
I couldn't tell him that he can't use the robotic one.
Link -- After his car accident,
he went really dark when he couldn't ride.
I-I don't want him or Pauline to have to repeat that.
[ Sighs ]
Damn it! Why can't I do this?
Uh, last time I checked, you're not a prosthetist.
I have reconstructed fingers. I've replanted amputated hands.
I've replaced every joint you can name.
I fix things. It's what I do.
Sounds like you're trying to fix things at home in my lab.
My shoulder's still... bugging me.
You had a major injury. I mean, that's gonna take time.
I know, I just, I --
I felt pain the last time I was in the O.R.
It's also why I'm behind on baby-proofing.
What does Jo think?
You haven't told her.
She's got her own stuff.
I-I thought I was gonna be back to normal
by the time the twins came.
Instead, I'm just icing my shoulder and...
hoping nobody face-plants off the stairs.
[ Sighs ]
You are very handy, and you can fix a lot of things,
but sometimes when you let go of expectations,
you open yourself up to other possibilities.
Yeah, you're right.
Does that mean I get my lab back?
Soon. Mm-hmm.
You just gave me an idea.
Hey, I got your text. I'm sorry I missed the M&M.
That's old news.
Wright said that Jackson Avery called to check my references.
That's huge. Boston's in the bag.
It gets even better. Apparently, she told him
that Grey-Sloan wouldn't give me up without a fight.
So you could stay here?
I don't have any formal offers yet,
but as long as I don't majorly screw anything up,
I'm gonna have options.
[ Both sigh ]
Wow. Um, can I ask you something?
Would stitching over the pedicle
in an omentum be a major screw-up?
Why do you ask?
Uh, did you blame Jules for your suture in the M&M?
I've been in school
or residency or fellowship my entire life.
I'm so close to it finally paying off.
So you did lie.
Surgery is cutthroat, especially plastics.
Don't tell me you've never told a small mistruth
to get what you needed. Yeah, but this is more than just a little white lie.
Every M&M feels like the end of the world
when you're a resident. But you get past them.
No one will even remember this case tomorrow.
And I'll figure something out to help Millin.
If I take an attending job here, I can help her even more.
Yeah, I guess that makes sense.
So you're actually considering Grey-Sloan over Boston?
Maybe. As much as I love Boston,
Seattle's also... growing on me.
♪♪
[ Sighs ] 16 inches. So close.
Well, it's still pretty damn big.
Stand next to it for scale.
Oh, uh, shouldn't it be Dr. Webber?
Oh, yeah. Hey, what about it, chief?
You, uh -- You want a picture with the mega spleen?
Uh, no pictures for me.
We should weight it. I mean, it's not the biggest ever,
but it might be the heaviest. Come on.
Here we go.
Got it? Got it.
Hold on. Let me -- Let me help you.
You can just put it --
That's a damn shame.
It -- It looks even bigger on the floor.
I --
Hey, you know what? Get down. Get down.
Okay.
Yeah, yeah. Hey, hey, no, no.
No, look, that's enough.
Now, no more pictures or jokes
or talking about bragging rights.
Today was not a success of medicine.
It was a failure.
You think Russell wanted it to get that bad?
It's a miracle it didn't kill him.
You should be ashamed.
I know I am.
Clean this mess up.
♪♪
You know, I-I replay the steps in my head every night.
Could I have operated earlier?
Could I have pushed oncology harder?
Could I have filed more appeals with the drug manufacturer?
No, you did everything you could.
I did everything I could 15 years ago
for Katie's grandmother.
But immunotherapies didn't exist then.
She died from actual cancer.
But Katie?
No, Katie's dying from... bureaucratic stupidity.
Just, years of hard work
finally developed a medicine that was working.
And instead of helping people access it,
our government is dismantling science.
Just like that. Clinical trial, gone.
Not just Katie or cancer. It's maternal health,
diabetes prevention,
substance abuse programs.
Space exploration is even on the damn chopping block.
Just, decades of groundbreaking work.
Without even a single thought to its cost in human lives.
I can't even give Katie a chance
to spend her last moments outside of these hospital walls.
Uh, well, we're setting her up with in-home hospice care,
and she'll --
It'll be a miracle if she makes it that long.
♪ Stay ♪
♪ And I will ♪
Hey, I spoke to Kavita -- Now's not a good time.
♪ Hold you close ♪
Uh, Dr. Wright?
♪ And I will ♪
How is Scott doing?
Well, his heart's had minimal tissue coverage for two weeks.
He's not great.
♪ And I will ♪
Can I help you?
I have worked really hard
to build a good reputation for myself here,
and I-I can't stand by and watch it all go down the drain.
Dr. Mohanty lied in the M&M.
I didn't stitch over the pedicle.
I wanted to sew around the pedicle,
but she wouldn't let me. And I don't know why she lied,
but I promise you, it wasn't me.
That's quite the sob story you've got there.
I'm setting the record straight.
Look, hospitals are high school.
Emotions are high. Status matters.
People are competitive and desperate and insecure.
I need my surgeons to be mature, to rise above,
to not get sucked into the drama and the politics.
Did you have a good outcome or a bad one?
That's all I care about. Understood.
I will make sure that Scott has his labs in the morning.
You're not on his surgery anymore.
Hey, Kwan, have you ever done a sternal reconstruction?
Blue: No. You will tomorrow.
Come with me, and I'll give you my notes on the case.
♪♪
Did you figure it out?
Making the bionic hand work for competitive mountain biking?
No.
So that's it? I'm done?
Not necessarily.
I've come up with another option.
Now, this is just a prototype. But the idea is that
instead of your bionic hand gripping the handlebar,
we build an attachment to the bike
and a terminal device that you'd wear only while biking.
Keep talking.
We'd make a custom, activity-specific prosthetic
that would snap into the bike attachment.
It'd be built so you could snap quickly out of the receiver
for safety. If you like it,
we could find a prosthetist to collaborate with,
and maybe even a sponsor will help cover the costs.
This is, uh --
This is amazing.
You made this? How?
No, no, this was all Dr. Lincoln.
I know nothing about bikes.
Man. Thank you.
I don't know what I would have done if, uh --
You're welcome.
♪ I wanna know what happens underneath ♪
Should I not ask?
Dr. Wright said that I was being dramatic,
and she doesn't want to work with me anymore.
I'm sorry. I know the truth.
I don't think you're being dramatic.
Everyone who knows and loves you feels the same.
I'm not so sure.
Hey, hey, I need a favor. It's about Katie.
You know I can't disclose her medical information,
but nice job getting her to stick around.
What if we took her to your place?
To what, die at my house?
You want her to die at my house.
Well, okay, technically, it's my Aunt Meredith's house --
She's gonna go to her own home next week.
She doesn't have that long.
♪ I feel the dance of the willow trees ♪
You sure this is a good idea?
She's dying.
I-I'll ask for time off so I can take care of her myself.
No.
We'll take shifts.
Thank you.
Count Kwan in, too.
He owes me for putting up with Mohanty.
♪ Oh ♪
[ Knock on door ]
♪ Oh-oh ♪
Hey, uh, chief? Look, um,
I just wanted to apologize.
I-I got excited about a flashy case,
and I-I let things get out of hand.
Well, a few weeks ago, a case like that
would have made my year.
A spleen the size of a sandbag?
I'd have taken photos, too. But I'm feeling different now.
Bad different?
I tried to push it down
and return to work like nothing happened.
These days, the patients that I can't stop thinking about
are the ones we couldn't get to in time.
And instead of addressing the problem,
we're patting ourselves on the back
for removing a massive spleen.
Having a perspective shift after cancer,
it's -- it's natural.
I mean, I've been there.
Well, what if I can't unsee this?
Would that be so bad?
Maybe it's time to start a new chapter.
Spoken like a younger man.
[ Chuckles ] No, uh,
just a guy who has a lot of experience starting over.
♪ Light a fire ♪
Look, I'm going to go check on our patient.
♪ Till I'm home again, oh, rushing water ♪
It really was quite a spleen, though, wasn't it?
Lord have mercy. [ Both chuckle ]
♪ Gonna follow the moon till I'm home again ♪
Monitor her pain and oxygen requirements,
and page me if we need to take more fluid off of her abdomen.
Hey, Dr. Bailey, can we run something by you?
Why do I feel like I'm not gonna like this?
Well, uh, Griffith offered to take Katie to her home.
We all know there's a good chance
she won't make it to her own home
if she waits for hospice to be set up.
All she wants is to not die in a hospital.
Yeah, yeah. What do you think?
I think...
you two have lost your ever-loving minds.
Katie is not a stray cat to take in.
She needs 24/7 care.
Adams, Kwan, and I would take shifts.
Yeah, and -- and her mom can stay in their spare bedroom.
[ Sighs ] Sorry.
What about pain management?
We can get her scripts filled
and administer them at the house.
Yeah, and I can drain her abdomen when needed.
Look, it's literally her dying wish.
I-I hear you.
But as her surgeon and a leader in this hospital,
I cannot advise it.
Okay, she would need a hospital bed,
an oxygen concentrator -- Are you writing this down?
Oh. Yeah.
[ Sirens wailing ]
Finally. I was about to go to Saigon Palace by myself.
Yeah, I was looking over Dr. Wright's notes
for the sternal reconstruction.
I heard you were joining the case.
I'll fill you in over pho.
I can't do it. Bánh mi?
Whatever. I'm starving. Let's go.
I told Wright to find another resident
for the procedure tomorrow.
Why? Jules is my friend.
Turns out you and I aren't as alike as we thought.
I already told Wright that I was committed
to assist Altman tomorrow.
You didn't tell her about me.
I was gonna give you a chance to do it yourself.
I hope you get the job in Boston.
[ Gem Club's "Spirit & Decline" playing ]
Meredith: We often place blame
because it's easier than taking responsibility.
If you always look outward, you never have to turn inward.
Seriously?
I get to leave?
Yeah. We arranged medical transport,
and Dr. Griffith is working to get you discharged right now.
I'll stock the fridge, cook meals, whatever I need to do --
No, that's -- that's not necessary. We, uh --
We want to help.
Thank you.
None of this would have happened without you.
But progress only comes
when you shine the light on yourself.
♪ Hushed ♪
Didn't I fold all this laundry earlier?
Hattie spit up everywhere. So did Peyton.
Luna got the ketchup bottle and --
You know what? I don't want to talk about it.
♪ Struck your shoulder ♪
My shoulder still hurts.
I was hoping it'd get better, and I'd go back to work and...
build the safest staircase ever to exist.
But obviously, that hasn't happened.
Well, you don't have to fix everything yourself.
Yeah, I've realized that.
But you might have to go back to work eventually
so we can afford to pay Elroy to do it.
[ Laughs ]
[ Chuckles ]
You know, I-I was wondering... Mm-hmm?
...what if Elroy didn't actually fix this place?
We've really pushed our luck already with these stairs.
The -- The fireplace, the balcony, the glass doors --
What if we fixed my rental instead?
You want us to move into the man cave?
It's in a great neighborhood,
and it would be way easier to baby-proof.
♪ To lose focus ♪
This place just has so many memories.
You know, movie nights on this couch,
the Nicoletti's take-out dinners on that table.
You proposed to me right there.
♪ Your spirit rise ♪
Yeah.
Guess we'll have to make new memories.
♪♪
We will.
♪♪
What do you think?
How do you feel?
Millin. What are you doing here?
Uh, your front driver's side tire's looking a little low.
You're checking my tires?
Today sucked. In a lot of ways.
But the worst part is that it confirmed
what you think about me. Millin --
And I know that I've disappointed you.
And you're not wrong. I haven't always been honest with you.
Like sometimes when I'm too tired,
I don't dictate your op notes. I make my interns do it.
And I know where you keep your secret stash of protein bars
at the nurses' station. And I'll sneak one
if I don't have time to get to the cafeteria.
♪ Watched for the point ♪
And I coached your patient
behind your back to get around his insurance
so you would have to operate on him that day.
♪ When you'd wake ♪
He was in pain.
I didn't know what else to do, so I lied.
But I didn't lie today.
I didn't sew over Scott's pedicle,
and I-I wasn't trying to frame Mohanty
or not take responsibility.
I just didn't do it, and I need you to know that.
It's not my department. I'm not the one you need to convince --
I don't care what anyone else thinks.
♪♪
I believe you.
♪♪
I'll, uh -- I'll see you tomorrow.
Ask the questions, and the answers might surprise you.
♪♪