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00:00:02,002 --> 00:00:03,503
[♪ upbeat music playing]
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00:00:03,587 --> 00:00:05,255
[Grey] When patients leave the hospital,
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00:00:05,339 --> 00:00:08,342
they're often taking home
a brand-new regimen of medication:
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00:00:08,425 --> 00:00:10,636
physical therapy and aftercare.
5
00:00:12,679 --> 00:00:14,723
We really should go.
6
00:00:14,806 --> 00:00:15,849
Should we though?
7
00:00:16,558 --> 00:00:17,809
No.
8
00:00:24,191 --> 00:00:25,943
- Wait, wait, wait, wait. Damn it.
- What?
9
00:00:26,026 --> 00:00:27,527
We used the last condom last night.
10
00:00:27,611 --> 00:00:30,656
[Grey] In our dreams, every patient
would do exactly as they're told.
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00:00:30,739 --> 00:00:32,532
- Don't move.
- Yes, ma'am.
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00:00:32,616 --> 00:00:34,660
[Grey] But reality is a different story.
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00:00:38,247 --> 00:00:40,499
Kwan, if you use the last condom,
buy more.
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You are unemployed. You have no excuse to...
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Morning.
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Not Kwan.
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- Nope.
- Nope.
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- Can you pass me a towel?
- Yep.
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[Grey]
Too often medication costs, memory lapses,
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00:00:54,346 --> 00:00:57,057
and poor health literacy impede
patients' recovery.
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You are gorgeous. You know that?
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- What time is it?
- I've set an alarm.
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Don't you worry.
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- [gasps] What?
- No. We have time.
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No, you have time.
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I am a resident.
I should have been there an hour ago.
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[Grey] And as their surgeon, there's not
a whole lot you can do about it.
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- [phone chimes]
- [Grey] In other words,
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you can lead a horse to water,
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but you can't make it drink.
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[♪ music ends]
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Wow.
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We should be forced
to dress up more often.
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Have you seen Bubbles?
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00:01:54,489 --> 00:01:57,784
- Nardi can't find him in Luna's stuff.
- No.
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But if you wanna sneak off
to our room for a few minutes...
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These things never start on time.
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{\an8}Wait. This is it. Hang on.
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00:02:07,294 --> 00:02:12,215
No, this is my "I almost died" box. Hmm.
40
00:02:13,467 --> 00:02:14,551
I'm fine.
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00:02:15,469 --> 00:02:18,347
My therapist just said
that I should toss anything
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that reminded me of my birth trauma, so...
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I'll take care of it tonight.
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Okay.
45
00:02:24,519 --> 00:02:26,647
You told Joey to pick Pru up
from school, right?
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You know I did.
47
00:02:28,315 --> 00:02:31,193
And can you please remind people
that I am not chief resident anymore?
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With Wright back from family leave,
I gotta put all my focus on plastics.
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As soon as I register for school.
50
00:02:37,616 --> 00:02:39,368
But they just accepted your application.
51
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Yeah, as a last-minute admission, right?
52
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Final registration's today.
53
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Miranda Bailey.
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MD, FACS, MPH.
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That's a lot of letters.
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I am unbenched from surgery,
I'm getting my master's.
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Watch out, world. She's coming for you.
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And she is talking about herself
in third person.
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If only we didn't have to spend
all morning at this PR circus.
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- [Millin grunts]
- [Warren] Oh.
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Good morning, Dr. Bailey.
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- Good morning.
- Ndugu. Millin.
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[chatter]
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[phone ringing]
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Where are you?
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I thought you were gonna be here
half an hour ago.
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It's total gridlock by the airport.
No one's moving.
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Catherine told them the surgeon
whose name is on the building
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- would be here for the photo.
- [Grey] I know.
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Tell Catherine I'm sorry.
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I'll be there as soon as I can.
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[line beeps]
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All right. Who's ready to see
Grey Sloan's new crown jewel?
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Follow me.
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[♪ "Where You Been" playing]
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Welcome to the Olympic Floor.
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Welcome to paradise.
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Oh, my God.
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We made it. We made it.
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What is this?
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Oh, my God.
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[♪ music ends]
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With the addition of the Olympic Floor,
Grey Sloan joins
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the leading hospitals in this country
by offering a VIP wing.
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The Seahawks are gonna love this.
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00:04:48,955 --> 00:04:51,958
Mm-hmm. Espresso machines, seven o'clock.
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We are very fortunate
to have developed our VIP program
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with Dr. Seth Norton,
CEO of Olympic Regent Health.
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Let's give him a warm welcome.
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00:05:03,512 --> 00:05:04,596
Thank you.
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00:05:04,679 --> 00:05:05,847
That guy looks like this floor.
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00:05:05,931 --> 00:05:07,557
- What, slick?
- Rich.
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It's like dogs and their owners.
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- At least the food is good.
- [Norton] Good morning.
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I am thrilled to raise the bar on
Grey Sloan's already stellar reputation.
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Patients will have private suites with
high-level security, hotel-quality bedding
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and meals tailored to their health needs
by a gourmet chef.
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00:05:25,742 --> 00:05:29,371
I've been covering for Hunt and Altman,
but we have money for a gourmet chef?
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[chuckles] I should have asked
for a raise.
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[Norton] It will no longer be
a hospital stay.
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It will be a luxury experience.
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Mmm. We should vacation here.
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[Norton] But all of these amenities
pale in comparison
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to the unparalleled access
patients will have
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to the hospital's
most important asset: you.
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From fast-tracking through the ER
to 24-7 post-op access,
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your patients will not doubt for a single
second how much you care about them.
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All right. Enough talk.
Let's cut the ribbon.
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Come on, Dr. Shepherd.
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Join us. All right, come on.
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- Join us. Join us.
- All right.
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Here we go.
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[phones beeping]
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00:06:05,323 --> 00:06:06,741
[attendees clamoring]
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[Ndugu] Two planes collided on the runway
at the airport.
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- We're about to get slammed.
- [sighs] All right.
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That's enough celebrating for me.
I'll send everyone down.
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Come on.
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All right. Everyone, stay calm.
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Hey. Sorry about this morning.
I probably should have locked the door.
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That's okay.
We don't need to talk about it.
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- Kwan and I were up late playing games.
- Still talking about it.
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We're good? It's nothing
you haven't seen before, right?
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This place looks like
a dump compared to the new floor.
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Took you long enough.
126
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Between that dog-and-pony show and
this trauma, the whole day is thrown off.
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Most elective classes--
I mean, cases-- are pushed.
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So go where you're needed.
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Millin, I saw what happened this morning.
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I don't tolerate tardiness
in my residency program.
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- It won't happen again.
- Hmm.
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[Shepherd] Meredith, you made it.
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Just in time for the chaos, I see.
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00:07:01,963 --> 00:07:03,256
- Yeah.
- How mad is Catherine?
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Uh, are you staying to help?
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00:07:04,424 --> 00:07:06,843
Well, it'll probably make up
for missing the big unveiling.
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00:07:06,926 --> 00:07:09,137
- Yeah. It couldn't hurt. Mm-hmm.
- I'll go change.
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Excuse me. Hey, hey.
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Hey!
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What do you need?
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Do you work here?
I've already been here six hours.
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00:07:17,979 --> 00:07:20,273
Okay. There's a big emergency
that's just come in.
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I have to run upstairs.
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00:07:21,566 --> 00:07:23,443
I will check on you when I get back, okay?
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Hey. Good thing
you weren't flying in today.
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Also, hi.
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00:07:33,078 --> 00:07:35,664
How was, uh,
visiting your mom in Wisconsin?
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00:07:35,747 --> 00:07:37,916
Uh, it was my dad in Michigan.
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00:07:37,999 --> 00:07:40,460
Right. Yes. I did know that. Uh...
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00:07:41,127 --> 00:07:44,130
What are you doing after work?
You wanna grab food and talk?
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00:07:44,798 --> 00:07:47,133
- You're kidding, right?
- You're still mad?
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00:07:47,926 --> 00:07:49,761
- We've been texting.
- Yeah, we work together.
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00:07:49,844 --> 00:07:51,346
I can't exactly ignore you.
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Bree Wong, 31. Status: post-plane crash
on the tarmac. GCS: 15. Vitals stable.
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00:07:56,142 --> 00:07:58,436
Has facial bruising
and one episode of epistaxis.
156
00:07:58,520 --> 00:07:59,688
Nasal packing inserted.
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00:07:59,771 --> 00:08:01,815
She also had episodes
of intermittent paralysis.
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00:08:01,898 --> 00:08:03,149
[Wong] I don't know what happened.
159
00:08:03,775 --> 00:08:07,237
The sound, the crunching metal, screams.
160
00:08:07,320 --> 00:08:09,906
- You were on one of the planes?
- I'm the pilot.
161
00:08:09,989 --> 00:08:11,700
Today's my first day as captain.
162
00:08:11,783 --> 00:08:14,119
- How many passengers?
- [paramedic] 212. Full flight.
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00:08:14,202 --> 00:08:17,205
- And that's just one of the planes.
- Okay. Let's go Trauma 1.
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00:08:18,873 --> 00:08:21,251
Anyone who's not down here already
needs to report to the ER now.
165
00:08:21,334 --> 00:08:23,044
- I'll get the word out.
- All right.
166
00:08:23,128 --> 00:08:25,797
Hell of a time to be down three surgeons.
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00:08:31,720 --> 00:08:34,055
{\an8}Uh, my name is Benson.
168
00:08:34,139 --> 00:08:35,682
{\an8}[speaks French]
169
00:08:36,224 --> 00:08:37,559
{\an8}I am a doctor.
170
00:08:38,226 --> 00:08:40,770
{\an8}[speaks French]
171
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{\an8}Nope.
172
00:08:42,939 --> 00:08:47,944
{\an8}Je ne suis pas médecin
because médecin can kiss my derrière.
173
00:08:48,028 --> 00:08:49,195
{\an8}Yeah.
174
00:08:49,279 --> 00:08:51,531
{\an8}[instructor speaks French]
175
00:08:51,614 --> 00:08:56,494
{\an8}[in English] Let's pick up from last week
by practicing our names and jobs.
176
00:08:56,578 --> 00:08:57,579
{\an8}Benson.
177
00:08:59,372 --> 00:09:00,373
{\an8}[speaking French]
178
00:09:04,627 --> 00:09:08,673
{\an8}- Self-employed.
- Ah! [speaking French]
179
00:09:11,259 --> 00:09:13,053
{\an8}[in English] Yeah, it is.
180
00:09:13,762 --> 00:09:14,929
{\an8}[speaks French]
181
00:09:15,805 --> 00:09:16,806
{\an8}[instructor] Monica.
182
00:09:17,599 --> 00:09:21,352
{\an8}[Avery] Your mother's told me so much
about you, Ms. Annabelle.
183
00:09:21,978 --> 00:09:24,647
{\an8}- How is your mother?
- Uh, stuck in Milan.
184
00:09:24,731 --> 00:09:27,067
{\an8}- She sends her love.
- [chuckles] Nice.
185
00:09:27,150 --> 00:09:29,527
{\an8}How do you like our new VIP floor, huh?
186
00:09:29,611 --> 00:09:31,946
{\an8}Almost as nice as Mount Sinai.
187
00:09:32,030 --> 00:09:33,948
{\an8}Is it okay to examine you, Ms. Chase?
188
00:09:34,032 --> 00:09:35,116
{\an8}[dog whines]
189
00:09:35,200 --> 00:09:37,619
{\an8}- Not him.
- [Avery] Of course not. [chuckles]
190
00:09:37,702 --> 00:09:39,245
{\an8}Uh, Dr. Spencer.
191
00:09:41,790 --> 00:09:42,791
{\an8}Oh. Hmm.
192
00:09:43,291 --> 00:09:45,251
{\an8}Oh, uh. Does he bite or...
193
00:09:45,335 --> 00:09:48,630
{\an8}Uh, you were, um,
diagnosed with gallstones.
194
00:09:48,713 --> 00:09:52,217
{\an8}I was at a conference in Aspen for
my dog rescue when I started feeling pain.
195
00:09:52,300 --> 00:09:54,636
{\an8}I went to the emergency room.
They said I needed surgery.
196
00:09:54,719 --> 00:09:55,720
{\an8}[Avery] Mmm.
197
00:09:56,471 --> 00:09:58,431
{\an8}- Any tenderness here?
- No.
198
00:09:58,515 --> 00:10:00,517
{\an8}But I want them gone today.
199
00:10:02,018 --> 00:10:06,314
{\an8}Um... You know, let's do some labs,
and then we'll get an ultrasound,
200
00:10:06,397 --> 00:10:08,108
{\an8}and then we'll take it from there.
201
00:10:08,191 --> 00:10:10,276
{\an8}Would you like a warm blanket
while you're waiting?
202
00:10:10,360 --> 00:10:12,529
{\an8}Could I get two?
I forgot Prince's sweater.
203
00:10:12,612 --> 00:10:14,030
{\an8}[chuckles] Of course.
204
00:10:14,114 --> 00:10:15,740
{\an8}- Spencer...
- Of course.
205
00:10:16,950 --> 00:10:19,035
{\an8}[Catherine] Isn't he cute? Hello.
206
00:10:19,119 --> 00:10:20,912
{\an8}[Wong groaning]
207
00:10:20,995 --> 00:10:22,455
{\an8}- What'd I miss?
- Captain Wong was flying
208
00:10:22,539 --> 00:10:26,334
{\an8}- one of the planes in the collision.
- Both pupils are equal and reactive.
209
00:10:26,417 --> 00:10:28,461
{\an8}- Excuse me.
- Nasal packing is fully saturated.
210
00:10:28,545 --> 00:10:30,880
{\an8}I need to visualize the source
to control the hemorrhaging.
211
00:10:30,964 --> 00:10:32,966
{\an8}- Squeeze my fingers.
- This isn't gonna feel very good.
212
00:10:33,049 --> 00:10:34,968
{\an8}- I'm sorry.
- [Wong screaming]
213
00:10:35,051 --> 00:10:37,554
{\an8}Yeah. It looks like a LeFort fracture.
She has maxillary instability.
214
00:10:37,637 --> 00:10:39,222
{\an8}I'm gonna call for a CT Max/face.
215
00:10:39,305 --> 00:10:42,350
{\an8}We were about to touch down
when I heard the tower clear another plane
216
00:10:42,433 --> 00:10:44,227
{\an8}for the intersection departure.
217
00:10:44,310 --> 00:10:45,937
{\an8}[Shepherd] Okay, she's neuro intact now,
218
00:10:46,020 --> 00:10:48,231
{\an8}but there's midline tenderness
and intermittent motor deficits.
219
00:10:48,314 --> 00:10:50,525
{\an8}I need a stat CT head and C-spine.
220
00:10:51,109 --> 00:10:53,736
{\an8}[Wong] Uh, I couldn't go around.
It was too late.
221
00:10:53,820 --> 00:10:56,698
{\an8}My wing clipped
the nose of the other plane.
222
00:10:56,781 --> 00:10:58,575
{\an8}I need to check
on a patient in the next room.
223
00:10:58,658 --> 00:11:00,243
{\an8}Page me when scans are up.
224
00:11:01,035 --> 00:11:03,246
{\an8}No, not so fast. We need to stabilize
these facial fractures
225
00:11:03,329 --> 00:11:05,498
{\an8}and stop the bleeding
before she goes anywhere.
226
00:11:05,582 --> 00:11:07,208
{\an8}Okay, I'll go get an MMF kit.
227
00:11:08,501 --> 00:11:09,502
{\an8}[Wright] It's okay.
228
00:11:09,586 --> 00:11:13,298
{\an8}Uh, so sorry about all this chaos today.
229
00:11:13,381 --> 00:11:15,967
{\an8}Reminds me of my med school rotation
at LA County.
230
00:11:16,467 --> 00:11:20,763
{\an8}Dr. Grey, I'd like to introduce you
to Dr. Seth Norton,
231
00:11:20,847 --> 00:11:24,392
{\an8}who is the founder/CEO
of Olympic Regent Health.
232
00:11:24,475 --> 00:11:26,561
{\an8}We missed you this morning.
233
00:11:26,644 --> 00:11:28,730
{\an8}Can't exactly control a mass trauma.
234
00:11:28,813 --> 00:11:30,398
{\an8}But it's a pleasure
to finally meet you, sir.
235
00:11:30,481 --> 00:11:32,692
{\an8}- Yes.
- I take it it went well this morning.
236
00:11:32,775 --> 00:11:35,612
{\an8}- I'd be happy to give you a private tour.
- Oh. Good idea.
237
00:11:35,695 --> 00:11:37,697
{\an8}Hey, why don't you two
get to know each other?
238
00:11:37,780 --> 00:11:41,492
{\an8}I'm gonna go find Ndugu, give him
a piece of my mind about all this mess.
239
00:11:42,202 --> 00:11:44,162
{\an8}My afternoon's booked,
but I could squeeze you in now.
240
00:11:44,245 --> 00:11:48,041
{\an8}Um, I'm pretty busy, and, you know,
I don't really need the sales pitch.
241
00:11:48,124 --> 00:11:50,460
{\an8}You're not skeptical about a VIP floor?
242
00:11:50,543 --> 00:11:53,213
{\an8}Well, most private hospitals
in big cities have them.
243
00:11:53,296 --> 00:11:55,673
{\an8}- They're just trying to keep up.
- I love a pragmatist.
244
00:11:57,008 --> 00:11:58,801
{\an8}Uh, excuse me. I have a patient.
245
00:11:58,885 --> 00:12:01,137
{\an8}I make an excellent tour guide.
I'm here all day.
246
00:12:02,680 --> 00:12:04,015
{\an8}Hey. Where are you going?
247
00:12:04,891 --> 00:12:05,975
{\an8}To get my mom and dad.
248
00:12:06,559 --> 00:12:07,977
{\an8}When they realize
I still haven't been seen,
249
00:12:08,061 --> 00:12:09,354
{\an8}- they're gonna be pissed.
- Okay.
250
00:12:09,437 --> 00:12:12,815
{\an8}Bryant, let's get him in an exam room
and find his parents.
251
00:12:13,316 --> 00:12:15,818
{\an8}- We're gonna get you seen.
- All right. Just have a seat right here.
252
00:12:17,237 --> 00:12:19,489
{\an8}Hey, Ndugu. Heads up. [sighs]
253
00:12:19,572 --> 00:12:22,367
{\an8}Supply's out of MMF kits,
and Dr. Fox is looking for you.
254
00:12:22,450 --> 00:12:24,035
{\an8}- So, I would hide.
- [sighs] All right.
255
00:12:24,118 --> 00:12:25,703
{\an8}Running the ER is not my job.
256
00:12:25,787 --> 00:12:27,247
{\an8}And check the cart by Trauma 3, all right?
257
00:12:27,330 --> 00:12:28,915
{\an8}Okay. Oh. Um...
258
00:12:30,208 --> 00:12:31,918
{\an8}I saw you and Millin this morning.
259
00:12:32,502 --> 00:12:33,544
{\an8}In the elevator.
260
00:12:34,045 --> 00:12:35,338
{\an8}With the coffee cups.
261
00:12:35,964 --> 00:12:40,593
{\an8}Okay, I also saw the two of you
coming out of an on-call room together.
262
00:12:41,177 --> 00:12:42,512
{\an8}About a month ago?
263
00:12:44,138 --> 00:12:45,974
{\an8}Promise it's not what
you're thinking, okay?
264
00:12:46,057 --> 00:12:47,308
{\an8}Ha. Okay. Yeah, fine.
265
00:12:47,809 --> 00:12:50,395
{\an8}But just in case it is exactly
what I think it is,
266
00:12:50,478 --> 00:12:54,315
{\an8}I'm telling you, as a friend,
come clean and get ahead of it.
267
00:12:54,941 --> 00:12:57,610
{\an8}- Hey. OB sent me down here to help...
- Okay.
268
00:12:57,694 --> 00:12:58,861
{\an8}- ...and now I see why.
- Yeah.
269
00:12:59,445 --> 00:13:01,239
{\an8}- [Ndugu] Bed two. Thank you.
- Yeah.
270
00:13:01,322 --> 00:13:04,492
{\an8}Okay, sir, sir, you are at the hospital,
so try to calm down.
271
00:13:04,575 --> 00:13:06,661
{\an8}- We're gonna help you.
- All right. What do we got?
272
00:13:06,744 --> 00:13:10,665
{\an8}Larry Turner, 44. Acute chest pain
radiating from the back, dyspnea.
273
00:13:10,748 --> 00:13:13,418
{\an8}BP: 170 over 100. Heart rate: 112.
274
00:13:13,501 --> 00:13:16,087
- Ninety-three percent sats.
- I'm so sorry. I'm so sorry.
275
00:13:16,170 --> 00:13:20,425
Okay, let's do a chest X-ray, CBC,
BMP, troponins and an EKG, all right?
276
00:13:20,508 --> 00:13:23,011
- Just try to breathe, sir. Okay?
- I can't. It's all my fault.
277
00:13:23,094 --> 00:13:24,679
I was the controller in the tower.
278
00:13:24,762 --> 00:13:27,390
I told them they were clear to land.
It's all my fault.
279
00:13:27,932 --> 00:13:29,934
- Okay. Trauma 3. Let's go.
- Yeah.
280
00:13:32,186 --> 00:13:33,604
[Bailey] Okay, okay.
281
00:13:35,857 --> 00:13:38,651
- You sure we shouldn't go to CT first?
- Shepherd's not gonna like this.
282
00:13:38,735 --> 00:13:41,404
- Yeah, well, Shepherd's not here.
- Why isn't she in CT?
283
00:13:41,487 --> 00:13:44,198
We were worried her facial fractures
could compromise her airways,
284
00:13:44,282 --> 00:13:45,825
so we're doing fixation now.
285
00:13:46,325 --> 00:13:49,078
Before seeing if she has a head bleed
or a serious spinal fracture?
286
00:13:49,162 --> 00:13:50,830
We need to get a full picture
of what we're--
287
00:13:50,913 --> 00:13:53,207
How do you propose we stop
her facial bleeding in the meantime?
288
00:13:53,291 --> 00:13:54,751
Just repack her, hope for the best?
289
00:13:54,834 --> 00:13:56,627
If she has a brain injury,
nothing else matters.
290
00:13:56,711 --> 00:13:59,088
Nothing else matters besides neuro.
That tracks.
291
00:13:59,172 --> 00:14:02,175
If that is how you feel, then maybe
you should have stayed in Wisconsin.
292
00:14:02,258 --> 00:14:04,177
- Michigan.
- Same difference.
293
00:14:08,389 --> 00:14:09,807
You're right.
294
00:14:09,891 --> 00:14:12,226
You clearly have it under control.
Do what you want.
295
00:14:12,310 --> 00:14:13,811
[Shepherd] What?
296
00:14:14,937 --> 00:14:16,439
Okay. Let's move her.
297
00:14:23,946 --> 00:14:27,033
[instructor] There are three ways
to ask questions.
298
00:14:27,533 --> 00:14:29,202
[speaks French]
299
00:14:29,285 --> 00:14:31,120
[in English] Inversion.
300
00:14:32,955 --> 00:14:35,208
Intonation.
301
00:14:37,752 --> 00:14:39,629
[Kwan] Are you feeling okay?
302
00:14:39,712 --> 00:14:42,632
[instructor speaks French]
303
00:14:42,715 --> 00:14:44,967
Okay. [speaking French]
304
00:14:48,179 --> 00:14:50,014
[in English] It's just a headache.
305
00:14:51,057 --> 00:14:52,058
[speaks French]
306
00:14:52,141 --> 00:14:55,353
[in English] Do you have
any other symptoms? Are you...
307
00:14:56,062 --> 00:14:58,356
- Okay, I-I'm a doctor.
- [instructor speaks French]
308
00:14:58,439 --> 00:15:01,150
[in English] I can't do medicine
in French.
309
00:15:01,234 --> 00:15:04,153
I've had a... a small fever
310
00:15:04,237 --> 00:15:08,699
for a few days and foggy vision,
311
00:15:09,575 --> 00:15:11,869
and, um... c'est bizarre.
312
00:15:12,787 --> 00:15:16,415
[stammers] Touching my hair is p-painful.
313
00:15:16,499 --> 00:15:20,711
Okay, madame,
this could be a medical emergency, okay?
314
00:15:21,295 --> 00:15:24,006
You need to go to Grey Sloan Memorial
right now.
315
00:15:24,090 --> 00:15:25,925
[speaks French]
316
00:15:26,008 --> 00:15:28,845
[in English] Okay, well, class is over.
Everyone sign off.
317
00:15:28,928 --> 00:15:30,138
[speaks French]
318
00:15:30,221 --> 00:15:32,098
[in English] I will see you
at the hospital, okay?
319
00:15:36,769 --> 00:15:37,770
Okay.
320
00:15:37,854 --> 00:15:41,065
There's an NTSB officer at the desk.
He's looking for Larry.
321
00:15:41,149 --> 00:15:43,151
- This is not a good time.
- He asked for my manager.
322
00:15:43,234 --> 00:15:45,444
[stammers] I'll deal with that
in a minute.
323
00:15:45,528 --> 00:15:47,655
I've been working in that tower
for 11 years.
324
00:15:47,738 --> 00:15:48,990
My record is spotless.
325
00:15:49,073 --> 00:15:50,908
Are-Are the pilots here? Are they alive?
326
00:15:50,992 --> 00:15:52,910
We can't disclose that information.
I'm sorry.
327
00:15:52,994 --> 00:15:55,204
My brother is a pilot. So is my dad.
328
00:15:55,288 --> 00:15:58,708
- I-I know how much they depend on us.
- Films show a widened mediastinum.
329
00:15:58,791 --> 00:16:00,877
- How's the EKG?
- Uh, normal.
330
00:16:00,960 --> 00:16:02,837
We've been understaffed,
so I've been working night shifts.
331
00:16:02,920 --> 00:16:04,338
I haven't been sleeping.
My neighbor Martha,
332
00:16:04,422 --> 00:16:05,715
she called the police
to do a welfare check
333
00:16:05,798 --> 00:16:08,217
because she hasn't seen me
in so long. [panting]
334
00:16:08,301 --> 00:16:10,428
[sighs] Look, I'm gonna step outside.
335
00:16:10,511 --> 00:16:13,181
- I can call your brother.
- I've had nightmares about this happening.
336
00:16:13,264 --> 00:16:15,141
- It was so much worse.
- Go.
337
00:16:15,224 --> 00:16:18,811
We'll order a CT angio, chest
and abdomen, and we'll set up for an echo.
338
00:16:18,895 --> 00:16:21,772
Take some deep breaths.
Now, sit back for me, okay?
339
00:16:23,274 --> 00:16:24,859
Cough.
340
00:16:25,443 --> 00:16:26,611
You first.
341
00:16:27,778 --> 00:16:29,071
[coughs]
342
00:16:29,155 --> 00:16:31,032
You have an umbilical hernia.
343
00:16:31,115 --> 00:16:34,327
I can operate on it today,
but I'll need consent from your parents.
344
00:16:34,410 --> 00:16:35,912
- Dr. Grey.
- [Grey] Yes.
345
00:16:35,995 --> 00:16:38,206
- Oh. You must be Charlie's dad.
- [Bryant] Not exactly.
346
00:16:38,289 --> 00:16:42,418
A social worker, DCYF.
Charlie is a ward of the state. [sighs]
347
00:16:43,002 --> 00:16:44,670
It got me into a room, didn't it?
348
00:16:45,588 --> 00:16:48,466
He has a hernia, and I can operate on it,
but I need consent.
349
00:16:48,549 --> 00:16:50,259
- How quick can you get it?
- Depends.
350
00:16:50,343 --> 00:16:52,011
If I put a rush on it...
351
00:16:52,678 --> 00:16:54,013
[stammers] I'll put a rush on it.
352
00:16:54,096 --> 00:16:56,182
Great. They're gonna take you to CT soon.
353
00:16:56,724 --> 00:16:57,725
Thank you.
354
00:16:59,435 --> 00:17:00,519
Okay.
355
00:17:02,021 --> 00:17:03,356
Dr. Grey is the best.
356
00:17:04,023 --> 00:17:05,107
All right?
357
00:17:05,191 --> 00:17:06,359
We'll see.
358
00:17:09,695 --> 00:17:12,365
Your ultrasound confirms gallstones.
359
00:17:12,448 --> 00:17:15,326
Uh, there is no evidence
of acute inflammation,
360
00:17:15,409 --> 00:17:17,411
and, uh, your labs are clear.
361
00:17:17,495 --> 00:17:20,665
So we'd like to schedule surgery
for next week.
362
00:17:20,748 --> 00:17:23,459
- But I cleared my afternoon.
- Did you hear about the plane crash?
363
00:17:23,542 --> 00:17:26,963
Next week, I have our annual
fundraising gala for all our top donors.
364
00:17:27,046 --> 00:17:28,047
I can't miss it.
365
00:17:28,130 --> 00:17:30,049
I thought this was the VIP floor.
366
00:17:30,132 --> 00:17:32,260
You don't pay first class
just to board last.
367
00:17:32,343 --> 00:17:33,386
I'll get you in.
368
00:17:34,053 --> 00:17:36,973
And I want Grey or Sloan.
369
00:17:37,056 --> 00:17:40,434
[stammers] There are also plenty
of world-class surgeons--
370
00:17:40,518 --> 00:17:43,563
Dr. Grey will be very happy
to do your surgery.
371
00:17:43,646 --> 00:17:45,314
[chuckles] Richard, a word?
372
00:17:49,068 --> 00:17:50,486
His first day or something?
373
00:17:53,239 --> 00:17:54,865
I'm a catch, right?
374
00:17:56,033 --> 00:17:57,493
I don't think I should answer that.
375
00:17:57,994 --> 00:18:00,204
I am officially on the market.
376
00:18:00,288 --> 00:18:02,039
Do you have anyone to set me up with?
377
00:18:02,123 --> 00:18:05,501
- Oh, I do. We meet up to skateboard--
- I'm gonna stop you right there.
378
00:18:06,127 --> 00:18:07,920
Is your shoulder still bugging you?
379
00:18:08,004 --> 00:18:09,547
It's just stiff.
380
00:18:09,630 --> 00:18:10,840
Pain's better, though.
381
00:18:11,382 --> 00:18:12,383
How you doing, Bree?
382
00:18:12,466 --> 00:18:16,679
[Wong] I'm second-guessing everything
that I've learned in a decade of... [coughs]
383
00:18:16,762 --> 00:18:18,514
- [monitor beeping]
- Damn it.
384
00:18:20,099 --> 00:18:22,101
- [Lincoln] She's hypoxic.
- The bleeding's asphyxiating her.
385
00:18:22,184 --> 00:18:23,269
[Adams] Wait, wait, wait, wait.
386
00:18:23,352 --> 00:18:26,314
Her CT head is clear, but her C-spine,
she has an AO dissociation.
387
00:18:26,397 --> 00:18:28,357
There's nothing holding her head
onto her body.
388
00:18:28,441 --> 00:18:32,570
The impact from the collision must have
completely severed her alar ligaments.
389
00:18:32,653 --> 00:18:35,615
[Lincoln] I don't remember the last time
I saw an internal decapitation.
390
00:18:35,698 --> 00:18:36,949
I do, and it didn't end well.
391
00:18:37,033 --> 00:18:39,327
We need to intubate,
but we cannot move her C-spine.
392
00:18:39,410 --> 00:18:41,662
Page Wright,
call a code blue and get a crash cart.
393
00:18:41,746 --> 00:18:43,205
[automated voice] Code blue.
394
00:18:45,458 --> 00:18:47,752
Labs are up. Troponins are elevated.
395
00:18:48,377 --> 00:18:51,505
If only the officer could help
with this unruly ER.
396
00:18:51,589 --> 00:18:53,299
[Ndugu] Okay, wait, wait, right there.
397
00:18:55,301 --> 00:18:57,762
Okay, Larry, when was your last physical?
398
00:18:57,845 --> 00:18:58,846
[Larry] Uh...
399
00:18:58,929 --> 00:19:01,682
- I had to push it a couple of times.
- Could you roll onto your back for me?
400
00:19:01,766 --> 00:19:05,811
Your echo is showing
a thoracic aortic aneurysm.
401
00:19:05,895 --> 00:19:08,272
It's usually asymptomatic
until it starts to expand.
402
00:19:08,356 --> 00:19:11,108
I had pain this morning,
but we're already down so many people.
403
00:19:11,192 --> 00:19:13,069
- That's comforting.
- [Ndugu] What's happening with CT?
404
00:19:13,152 --> 00:19:15,905
- They've been full for the last hour.
- Let's go and I'll make them fit us in.
405
00:19:15,988 --> 00:19:18,324
I shouldn't have gone to work.
I should've just gone to the doctor.
406
00:19:18,407 --> 00:19:21,786
Larry, Larry, look at me.
Hey, you're gonna be okay.
407
00:19:21,869 --> 00:19:24,330
- Just try to calm down.
- [Ndugu] Let's move.
408
00:19:24,413 --> 00:19:25,748
- Let's move.
- All right.
409
00:19:25,831 --> 00:19:28,417
[Griffith] ...as quickly as possible.
I am aware that your brother is inside.
410
00:19:28,501 --> 00:19:30,670
We will connect you as soon
as we are able. The room is full
411
00:19:30,753 --> 00:19:32,213
of patients we have not yet seen.
412
00:19:32,296 --> 00:19:36,300
Simone. Hey, I'm looking
for a patient. Uh, Madame Sylvie.
413
00:19:36,384 --> 00:19:37,635
Last name?
414
00:19:37,718 --> 00:19:38,761
I... I don't know.
415
00:19:39,261 --> 00:19:40,721
She's French.
416
00:19:40,805 --> 00:19:43,224
I'm sorry you're bored at home,
but unless your French teacher was
417
00:19:43,307 --> 00:19:46,060
on the nonstop from Denver, there's
absolutely no way I can see her today.
418
00:19:46,143 --> 00:19:48,396
Okay, I'm actually really enjoying
unemployment right now,
419
00:19:48,479 --> 00:19:51,565
but Madame Sylvie might be having
a stroke. There, there.
420
00:19:51,649 --> 00:19:55,945
- No. Excuse me, but I was here before her!
- I was here before him.
421
00:19:56,028 --> 00:19:57,697
Stick her in an exam room,
do the initial workup.
422
00:19:57,780 --> 00:20:00,449
- I will be there when I can.
- We got here at the same time.
423
00:20:00,533 --> 00:20:02,993
- I was in front of you on the bus.
- No, that is not true.
424
00:20:03,077 --> 00:20:04,412
- That is not true.
- Hey, get off me!
425
00:20:04,495 --> 00:20:05,996
- Knock it off.
- [Larry] All these people from the planes?
426
00:20:06,080 --> 00:20:07,456
- They're all hurt?
- We're focused on you.
427
00:20:07,540 --> 00:20:09,125
Watch out for the gurney.
Watch out for the gurney.
428
00:20:09,208 --> 00:20:11,127
Hey, watch out for the gurney, please.
429
00:20:11,210 --> 00:20:12,503
- [Millin] Security!
- No!
430
00:20:12,586 --> 00:20:14,422
- Security!
- [clamoring]
431
00:20:14,505 --> 00:20:16,215
- What's the matter with you?
- You okay? Hey, hey.
432
00:20:16,298 --> 00:20:17,925
- Whoa, hey, hey, stop.
- [Griffith] Knock it off!
433
00:20:18,008 --> 00:20:20,678
Everyone, stop. This is an emergency room.
434
00:20:20,761 --> 00:20:23,389
We are processing patients
as fast as we can,
435
00:20:23,472 --> 00:20:26,726
but if we don't help the people with
severe injuries first, they could die.
436
00:20:26,809 --> 00:20:30,062
So sit down, and we'll be with you
when we can, all right?
437
00:20:30,146 --> 00:20:31,439
[passenger] All right.
438
00:20:31,522 --> 00:20:34,608
- Hey!
- Hey, hey, I said sit down!
439
00:20:35,317 --> 00:20:36,777
Sit down!
440
00:20:38,195 --> 00:20:39,363
Okay.
441
00:20:42,366 --> 00:20:43,451
Fine.
442
00:20:46,704 --> 00:20:47,705
[Bailey sighs]
443
00:20:56,422 --> 00:20:57,423
[sighing] Hey.
444
00:20:58,591 --> 00:21:01,343
Oh. Tell me an expectant mother
wasn't injured in the collision.
445
00:21:01,427 --> 00:21:03,387
No, I'm just raiding the OR for supplies.
446
00:21:03,471 --> 00:21:04,680
[monitor beeping]
447
00:21:04,764 --> 00:21:06,056
[Ndugu] Damn it, he's coding.
448
00:21:06,140 --> 00:21:08,225
Uh, it's an aneurysm. Must have ruptured.
449
00:21:08,309 --> 00:21:11,729
- We need to do a thoracotomy now.
- Here? You can't be serious.
450
00:21:11,812 --> 00:21:14,273
- He is serious.
- Turn up the flow and hyperventilate.
451
00:21:14,857 --> 00:21:16,025
You're gonna make the incision.
452
00:21:16,108 --> 00:21:17,777
[steady beeping]
453
00:21:24,700 --> 00:21:25,868
Okay. One more.
454
00:21:27,995 --> 00:21:29,121
Yeah. Yeah.
455
00:21:29,205 --> 00:21:30,915
[grunting]
456
00:21:31,707 --> 00:21:33,083
Come on.
457
00:21:33,709 --> 00:21:37,296
All right, Millin, stick your hand in
there and feel for the area of rupture.
458
00:21:38,672 --> 00:21:39,673
[grunts]
459
00:21:39,757 --> 00:21:41,091
Okay, I got.
460
00:21:41,175 --> 00:21:45,012
All right, now hold pressure
distally and proximally and do not move.
461
00:21:45,638 --> 00:21:46,847
Jamie...
462
00:21:46,931 --> 00:21:47,932
Jamie is...
463
00:21:48,724 --> 00:21:49,809
[Avery] Oh.
464
00:21:50,559 --> 00:21:54,355
Well, we'll just take the next one down.
It's-It's all fine.
465
00:21:56,273 --> 00:21:58,901
All right, start cardiac massage
with the other hand
466
00:21:58,984 --> 00:22:00,611
and don't stop until the OR.
467
00:22:01,654 --> 00:22:03,906
Come on, Larry, hang in there.
468
00:22:07,034 --> 00:22:09,078
- [Shepherd] A little more pressure.
- This is what I was worried about.
469
00:22:09,161 --> 00:22:10,913
- What are you doing?
- We're trying to intubate,
470
00:22:10,996 --> 00:22:12,706
but we can't hyperextend her neck
because she--
471
00:22:12,790 --> 00:22:15,042
- The AO dissociation. I heard.
- Yes.
472
00:22:17,878 --> 00:22:19,588
I need a scalpel. We gotta crike her.
473
00:22:19,672 --> 00:22:22,550
I will stabilize the C-spine.
You make the incision.
474
00:22:22,633 --> 00:22:24,718
- Okay.
- Get a bougie and a 6-tube ready.
475
00:22:24,802 --> 00:22:27,346
- A little pressure here, Shepherd.
- This neck is not going anywhere.
476
00:22:33,894 --> 00:22:35,521
[Wright] More pressure.
477
00:22:38,315 --> 00:22:39,692
And tube.
478
00:22:43,863 --> 00:22:45,072
We're in.
479
00:22:51,954 --> 00:22:54,206
All right,
bilateral chest rise and color change.
480
00:22:54,290 --> 00:22:56,250
- We've got an airway.
- Great job, everyone.
481
00:22:56,333 --> 00:23:00,004
For now. We still need to get her to the
OR without paralyzing her or killing her.
482
00:23:00,087 --> 00:23:01,088
We can do this.
483
00:23:01,171 --> 00:23:04,466
I will keep holding her, and we
will just move slowly and carefully.
484
00:23:04,550 --> 00:23:06,427
- Is everybody ready?
- OR floor is at capacity.
485
00:23:06,510 --> 00:23:07,845
They're gonna have to make room.
486
00:23:10,890 --> 00:23:13,601
- I can't. I already have a patient.
- Well, now you have two.
487
00:23:13,684 --> 00:23:16,896
If the VIP lab chole is so important,
have Norton do it himself.
488
00:23:16,979 --> 00:23:18,772
You were specifically requested.
489
00:23:19,899 --> 00:23:21,108
I don't even work here.
490
00:23:21,191 --> 00:23:22,735
Catherine's under a lot of pressure.
491
00:23:22,818 --> 00:23:25,779
This is day one of the VIP floor.
It needs to impress.
492
00:23:28,365 --> 00:23:29,366
Who would do my hernia?
493
00:23:29,450 --> 00:23:31,493
No one. I gave the OR to your lab chole.
494
00:23:31,577 --> 00:23:34,330
The quicker you finish,
the quicker you can get to your hernia.
495
00:23:44,882 --> 00:23:48,802
- [sighs] How's it going?
- Benson has been very attentive,
496
00:23:48,886 --> 00:23:51,680
but I-I think this is an overreaction.
497
00:23:51,764 --> 00:23:54,516
Physical exam showed
very large arteries in the scalp
498
00:23:54,600 --> 00:23:57,144
and loud pulses in the subclavian artery.
499
00:23:57,227 --> 00:23:58,437
Blood work just came in.
500
00:23:59,313 --> 00:24:00,397
You put it under my name?
501
00:24:01,482 --> 00:24:03,275
Je m'appelle Griffith.
502
00:24:04,026 --> 00:24:06,987
Elevated ESR, platelets, liver enzymes.
503
00:24:07,071 --> 00:24:08,489
Oh, you gotta see this.
504
00:24:12,201 --> 00:24:13,702
- Halo sign.
- Halo sign. Yeah.
505
00:24:14,787 --> 00:24:18,832
Sylvie, you have a condition
called giant cell arteritis,
506
00:24:18,916 --> 00:24:20,626
which causes inflammation in the arteries.
507
00:24:20,709 --> 00:24:24,755
[gasps] Everything just went dark
in my left eye.
508
00:24:24,838 --> 00:24:26,382
- [panting]
- Yeah.
509
00:24:28,676 --> 00:24:31,220
Okay, we need to start her
on IV steroids immediately.
510
00:24:31,303 --> 00:24:33,639
Put in the order.
Yes, you can use my name.
511
00:24:34,181 --> 00:24:36,058
That's okay.
Sylvie, just deep breaths for us.
512
00:24:36,141 --> 00:24:37,351
Just temporary. Don't worry.
513
00:24:40,562 --> 00:24:41,730
[Grey] Care to step in and help?
514
00:24:41,814 --> 00:24:44,316
[Spencer] Dr. Norton says that
VIP patients pay too much
515
00:24:44,400 --> 00:24:45,484
to have interns operate.
516
00:24:45,567 --> 00:24:46,944
[Grey] This is a teaching hospital.
517
00:24:47,027 --> 00:24:48,946
[Meade] You want us to tell him that?
518
00:24:49,029 --> 00:24:52,658
[Grey] No, but I want you to step in here
and see what I'm doing, pay attention.
519
00:24:53,575 --> 00:24:55,995
There's a hundred
accident victims downstairs,
520
00:24:56,078 --> 00:24:58,330
and patients whose surgeries
have been rescheduled,
521
00:24:58,414 --> 00:25:01,875
but God forbid
a VIP patient waits for a lab chole.
522
00:25:01,959 --> 00:25:04,962
- [Bryant] Well, money talks.
- [Grey] Spencer, finger.
523
00:25:06,839 --> 00:25:09,091
[nurse] I've got Charlie Ramos's
CT results.
524
00:25:13,512 --> 00:25:15,556
[Grey] Spencer, you're closing.
525
00:25:15,639 --> 00:25:17,933
- Dr. Norton said that--
- You're more than competent to do this.
526
00:25:18,017 --> 00:25:19,560
Bryant, you're with me.
527
00:25:25,149 --> 00:25:28,068
I am very sorry to keep you waiting.
We should go over these--
528
00:25:28,152 --> 00:25:29,236
[screaming]
529
00:25:29,319 --> 00:25:31,822
- What happened?
- He vomited and can't sit up.
530
00:25:31,905 --> 00:25:34,158
- Okay.
- Where the hell were you?
531
00:25:34,241 --> 00:25:35,325
I want another doctor.
532
00:25:35,409 --> 00:25:37,911
I need to see your stomach.
Your bowel could be incarcerated.
533
00:25:37,995 --> 00:25:42,082
That means it's trapped, and it's dying.
It's a very serious situation.
534
00:25:42,166 --> 00:25:43,459
Please let me take a look.
535
00:25:43,542 --> 00:25:44,668
[Ramos groaning]
536
00:25:51,175 --> 00:25:53,469
- Bryant.
- I'll book an OR.
537
00:25:53,552 --> 00:25:55,846
- [Grey] Let get him cleaned up.
- [whimpers]
538
00:26:03,312 --> 00:26:05,606
- How's it coming in here?
- Almost done with the C2 pedicle screws.
539
00:26:05,689 --> 00:26:07,149
[Lincoln] First day as captain.
540
00:26:07,232 --> 00:26:09,026
How do you recover
from something like this?
541
00:26:09,109 --> 00:26:11,487
[Shepherd] She was acting
on the information she was given.
542
00:26:11,570 --> 00:26:12,571
This was not her fault.
543
00:26:12,654 --> 00:26:14,823
[Lincoln] I'm not saying it was,
but people still got hurt.
544
00:26:14,907 --> 00:26:17,159
- [Adams] I listened back to the feed.
- [Shepherd] You can do that?
545
00:26:17,242 --> 00:26:19,369
[Adams] Even if she wanted to stop it,
she couldn't.
546
00:26:19,453 --> 00:26:22,956
By the time they cleared the other plane,
it was already too late.
547
00:26:23,791 --> 00:26:26,585
[Shepherd] Well, at least it wasn't
too late for Bree.
548
00:26:26,668 --> 00:26:28,003
Last screw's in.
549
00:26:28,087 --> 00:26:29,755
- [Lincoln] How are the signals?
- [Adams] Still look good.
550
00:26:29,838 --> 00:26:31,256
[Shepherd] I'm gonna stay and monitor her.
551
00:26:31,340 --> 00:26:32,883
[Wright] Do what you need to do.
552
00:26:34,551 --> 00:26:35,677
[Warren] We should get sterile.
553
00:26:37,721 --> 00:26:41,100
The medication will reduce swelling
and prevent further complications.
554
00:26:41,183 --> 00:26:45,938
Thank you so much, Dr. Kwan.
I feel so lucky you're my student.
555
00:26:46,021 --> 00:26:47,064
[knocks on door]
556
00:26:49,733 --> 00:26:51,026
Dr. Webber.
557
00:26:51,735 --> 00:26:52,861
Can I help you?
558
00:26:52,945 --> 00:26:54,822
Well, I'm just checking on the overflow.
559
00:26:55,572 --> 00:26:56,865
- Catch me up.
- Oh, we've...
560
00:26:56,949 --> 00:26:59,952
I've-I've-I've got it covered,
and you're so busy.
561
00:27:00,035 --> 00:27:01,495
A-Any day now, Griffith.
562
00:27:01,578 --> 00:27:02,579
Right.
563
00:27:03,122 --> 00:27:05,374
Sylvie Bernard, 52,
presented with headaches
564
00:27:05,457 --> 00:27:08,585
and temporal tenderness with one episode
of left-sided transient vision loss.
565
00:27:08,669 --> 00:27:11,547
Her labs are notable for
elevated ESR and CRP.
566
00:27:11,630 --> 00:27:14,883
Whoa, whoa, whoa, whoa. That's...
You don't need to rush. Diagnosis?
567
00:27:15,592 --> 00:27:18,846
Bedside ultrasound was
consistent with giant cell arteritis.
568
00:27:19,429 --> 00:27:20,931
You sure it isn't a migraine?
569
00:27:21,014 --> 00:27:23,642
A migraine wouldn't have
elevated inflammatory markers,
570
00:27:23,725 --> 00:27:25,561
and there's no visual scintillation,
no aura.
571
00:27:25,644 --> 00:27:27,646
I've started her on
high-dose methylprednisolone,
572
00:27:27,729 --> 00:27:32,359
and I'll schedule a rheumatology follow-up
and a confirmatory temporal artery biopsy.
573
00:27:33,318 --> 00:27:34,778
Nice catch, Griffith.
574
00:27:35,904 --> 00:27:38,365
You're in the hands of one
of our best and brightest.
575
00:27:41,243 --> 00:27:42,327
[sighs]
576
00:27:44,788 --> 00:27:46,957
- [sighs]
- [Sylvie] Do I want to know?
577
00:27:48,750 --> 00:27:49,877
Non.
578
00:27:59,595 --> 00:28:02,014
Hey, I shouldn't have taken credit.
I'll tell Dr. Webber
579
00:28:02,097 --> 00:28:03,515
- you made the diagnosis.
- Don't bother.
580
00:28:03,599 --> 00:28:06,310
- Why not? If he knows it was you, maybe--
- He's gonna rehire me?
581
00:28:07,561 --> 00:28:09,730
I-I don't work here anymore,
582
00:28:09,813 --> 00:28:11,732
and every second that I'm here,
it gets harder to accept.
583
00:28:11,815 --> 00:28:14,109
I-I have to move on.
584
00:28:15,402 --> 00:28:16,445
See you at home.
585
00:28:26,038 --> 00:28:28,540
Nicoletti's tonight? My treat.
586
00:28:29,291 --> 00:28:31,627
Are we celebrating something
that I totally forgot about?
587
00:28:31,710 --> 00:28:36,089
No, but I just did a flawless
spinal fusion on one of the pilots.
588
00:28:36,173 --> 00:28:39,509
God, every time this job
starts to feel thankless or routine,
589
00:28:39,593 --> 00:28:41,887
something happens
to remind me why we do this.
590
00:28:41,970 --> 00:28:42,971
Mm-hmm.
591
00:28:44,014 --> 00:28:45,891
- I get my own garlic bread.
- [phone vibrates]
592
00:28:45,974 --> 00:28:47,476
Won't make that mistake twice.
593
00:28:48,101 --> 00:28:50,479
[clears throat] Ugh. Another consult.
594
00:28:52,689 --> 00:28:54,816
Hey, you okay? You seem a little...
595
00:28:55,776 --> 00:28:58,320
Hungry. So, thanks for that.
596
00:28:59,363 --> 00:29:01,114
Go to your consult. I'll see you later.
597
00:29:08,622 --> 00:29:09,623
[sighs]
598
00:29:11,833 --> 00:29:13,627
[Ndugu] All right, Dacron graft, please.
599
00:29:14,252 --> 00:29:17,297
Take these. All right, Dr. Millin,
it is time to finish what you started.
600
00:29:17,381 --> 00:29:19,424
You'll be assisting in the anastomosis.
601
00:29:19,508 --> 00:29:20,926
[Millin] Happy to as long as it's in here.
602
00:29:21,009 --> 00:29:22,803
[Ndugu chuckles]
Not a fan of the elevator?
603
00:29:24,429 --> 00:29:26,598
All right, start on the proximal end.
Use 4-0 Prolene.
604
00:29:26,682 --> 00:29:30,102
- Ndugu, you sure you don't want to do it?
- [Ndugu] No, she's got it. I'm right here.
605
00:29:30,185 --> 00:29:32,437
Wow, feel this calcification.
606
00:29:32,521 --> 00:29:35,649
Aneurysm or not,
he's lucky he hasn't collapsed from an MI.
607
00:29:35,732 --> 00:29:37,943
- [Millin] Or the job.
- [Bailey] Or both.
608
00:29:38,026 --> 00:29:40,070
I mean, how do you expect people
609
00:29:40,153 --> 00:29:42,781
not to mess up when they're
overworked and underpaid?
610
00:29:42,864 --> 00:29:46,660
- Just sheer stupidity, if you ask me.
- [monitor beeping]
611
00:29:46,743 --> 00:29:47,953
- V-fib.
- Damn it. All right.
612
00:29:48,036 --> 00:29:49,287
- Irrigation.
- [nurse] Here.
613
00:29:49,371 --> 00:29:52,040
- [Bailey] Millin, start cardiac massage.
- [Ndugu] Come on now.
614
00:29:52,124 --> 00:29:54,334
Come on, Larry.
You made it through the elevator.
615
00:29:54,418 --> 00:29:56,545
Don't do this here. Come on, now.
616
00:30:00,257 --> 00:30:02,884
Ah. You're awake. How are you feeling?
617
00:30:03,427 --> 00:30:05,220
Did you fix the thing?
618
00:30:05,303 --> 00:30:06,388
Surgery went well.
619
00:30:06,471 --> 00:30:09,599
[sighs] Great. Then you can go. I'm good.
620
00:30:09,683 --> 00:30:11,059
Can we have the room, please?
621
00:30:11,143 --> 00:30:12,310
[stammers] He's only 17.
622
00:30:12,394 --> 00:30:15,147
He'll be 18 in two months.
I checked the chart.
623
00:30:15,731 --> 00:30:17,024
I'll update you thoroughly.
624
00:30:24,614 --> 00:30:25,615
[door closes]
625
00:30:27,117 --> 00:30:31,788
Charlie, during surgery, we noticed an
abnormal buildup of mucus in your abdomen.
626
00:30:31,872 --> 00:30:32,956
What does that mean?
627
00:30:33,040 --> 00:30:34,791
Well, could mean a few different things,
628
00:30:34,875 --> 00:30:37,586
and I did send some
concerning nodules to pathology.
629
00:30:37,669 --> 00:30:38,795
Could it be bad?
630
00:30:40,255 --> 00:30:42,382
Like cancer?
631
00:30:42,466 --> 00:30:46,928
Possibly, and if it is,
you would need more tests
632
00:30:47,012 --> 00:30:49,973
and surgery
and possibly chemotherapy treatment.
633
00:30:50,515 --> 00:30:53,435
You have a... a foster parent
listed in your chart.
634
00:30:53,518 --> 00:30:55,687
- Shall I call her?
- I've been with her 13 days.
635
00:30:55,771 --> 00:30:57,773
You need to start all of this ASAP.
636
00:30:57,856 --> 00:30:59,941
And based on today, that'll be in, what,
six months?
637
00:31:00,942 --> 00:31:02,360
I'm sorry about today.
638
00:31:02,444 --> 00:31:04,613
I hate that I let you down,
but I'm here now.
639
00:31:04,696 --> 00:31:06,448
And if you agree to let me be your doctor,
640
00:31:06,531 --> 00:31:08,950
I promise I will not let you fall
through the cracks.
641
00:31:09,034 --> 00:31:10,035
[sighs]
642
00:31:10,118 --> 00:31:11,411
[♪ melancholy music playing]
643
00:31:11,495 --> 00:31:12,704
I want to be alone.
644
00:31:15,624 --> 00:31:16,625
Okay.
645
00:31:17,959 --> 00:31:19,294
We'll be right outside.
646
00:31:24,716 --> 00:31:27,427
[Wright] Stitches look great.
Just repack and then we'll redress.
647
00:31:27,511 --> 00:31:29,763
- [Warren] You got it, boss.
- [Shepherd] Signals are dropping.
648
00:31:29,846 --> 00:31:33,308
- [Wright] She's brady, and now v-fib.
- [Warren] Starting compressions.
649
00:31:34,184 --> 00:31:36,853
[Shepherd] The spinal fusion was perfect.
Checking the drains.
650
00:31:38,063 --> 00:31:39,189
No, it's not a bleed.
651
00:31:39,272 --> 00:31:43,360
Okay, this has gotta be spinal cord edema.
Push 20 of steroids and mannitol now.
652
00:31:44,194 --> 00:31:45,362
[Ndugu] Push lido.
653
00:31:46,404 --> 00:31:47,656
[Bailey] Internal paddles.
654
00:31:48,698 --> 00:31:50,909
- Charging to 20. [sighs]
- [defibrillator whirring]
655
00:31:51,785 --> 00:31:53,411
- [defibrillator beeping]
- Clear.
656
00:31:53,495 --> 00:31:55,914
- [steady beep]
- Okay, uh, how many units has he had?
657
00:31:58,291 --> 00:31:59,918
Okay, charging to 30.
658
00:32:00,001 --> 00:32:01,086
[defibrillator whirring]
659
00:32:01,169 --> 00:32:03,463
- And clear.
- [defibrillator zaps]
660
00:32:03,547 --> 00:32:05,715
- [Shepherd] Charge to 200.
- [defibrillator whirring]
661
00:32:05,799 --> 00:32:07,259
- Clear.
- [beeps]
662
00:32:07,342 --> 00:32:08,927
[defibrillator zaps]
663
00:32:09,010 --> 00:32:11,179
- [Wright] Nothing.
- [Shepherd] Charge again.
664
00:32:11,263 --> 00:32:12,556
[whirring]
665
00:32:13,265 --> 00:32:14,724
- [beeps]
- [Shepherd] Clear.
666
00:32:15,392 --> 00:32:16,810
[defibrillator zaps]
667
00:32:16,893 --> 00:32:18,687
- [Wright] Still nothing.
- [Shepherd] Damn it.
668
00:32:18,770 --> 00:32:19,980
Not today, Bree.
669
00:32:20,063 --> 00:32:22,065
[♪ music continues]
670
00:32:24,943 --> 00:32:26,444
[rhythmic beeping]
671
00:32:30,282 --> 00:32:32,492
[Bailey sighs] Pressure's coming back up.
672
00:32:42,502 --> 00:32:44,004
[steady beep]
673
00:32:47,340 --> 00:32:48,341
[Warren] Dr. Shepherd.
674
00:32:49,259 --> 00:32:51,219
She was just getting started.
I'm not giving up.
675
00:32:53,597 --> 00:32:55,223
- [Wright] It's time.
- [Shepherd] No.
676
00:32:56,433 --> 00:32:57,726
[Wright] Amelia.
677
00:33:00,520 --> 00:33:02,439
[steady beeping continues]
678
00:33:09,029 --> 00:33:10,405
[Wright] Time of death...
679
00:33:14,618 --> 00:33:15,869
18:09.
680
00:33:19,456 --> 00:33:21,458
[♪ music ends]
681
00:33:33,303 --> 00:33:37,098
Hey. His pressures are
miraculously holding.
682
00:33:37,182 --> 00:33:38,767
Pilot didn't make it.
683
00:33:39,643 --> 00:33:42,270
Oh, man. He's never gonna forgive himself.
684
00:33:42,354 --> 00:33:43,355
Mmm.
685
00:33:45,857 --> 00:33:47,525
Oh, no. Ugh.
686
00:33:48,026 --> 00:33:50,862
I missed my registration deadline.
687
00:33:52,322 --> 00:33:56,576
[stammers] I'm... I'm getting
a master's in public health.
688
00:33:56,660 --> 00:33:58,078
Or I was.
689
00:33:58,161 --> 00:34:01,498
With everything going on today,
I forgot about school.
690
00:34:02,082 --> 00:34:05,710
Just call. Tell them
you were saving someone's life. [chuckles]
691
00:34:06,378 --> 00:34:11,800
You know, today has shown me that
maybe I should rethink going at all.
692
00:34:11,883 --> 00:34:13,927
'Cause you missed a deadline? [sniffles]
693
00:34:14,636 --> 00:34:19,015
Full-time surgeon,
residency director, the clinic,
694
00:34:19,099 --> 00:34:20,725
being a wife, full-time mom.
695
00:34:20,809 --> 00:34:25,939
If I add more, I mean, something other
than a deadline will suffer,
696
00:34:26,022 --> 00:34:27,399
or-or-or someone.
697
00:34:28,650 --> 00:34:32,654
Well, look, Larry made a mistake
because he's working in a broken system.
698
00:34:32,737 --> 00:34:34,489
[stammers] So are we.
699
00:34:34,572 --> 00:34:39,077
Yeah, so I was hoping,
with a degree, I could help fix it.
700
00:34:40,328 --> 00:34:43,206
So ask for help. Delegate something.
701
00:34:43,290 --> 00:34:45,333
You know, let other people step up.
702
00:34:45,417 --> 00:34:47,377
Yeah, you can do this. We got you.
703
00:34:48,169 --> 00:34:49,254
[mumbles]
704
00:34:58,555 --> 00:35:00,557
Why is your shirt always off?
705
00:35:00,640 --> 00:35:02,767
I am literally in a place
where people get dressed.
706
00:35:02,851 --> 00:35:04,311
I need boundaries.
707
00:35:05,270 --> 00:35:09,190
Okay, look, I know that the time
we were drunk was a one-time thing
708
00:35:09,274 --> 00:35:10,442
and you're with Bryant now.
709
00:35:10,525 --> 00:35:13,695
Yes, I'm with Bryant now,
so I can't see you in the shower naked.
710
00:35:13,778 --> 00:35:15,947
It's distracting.
711
00:35:17,824 --> 00:35:19,326
I need to move on, you know?
712
00:35:21,077 --> 00:35:22,495
[whispers] I will keep my clothes on.
713
00:35:22,579 --> 00:35:26,249
[whispers] It's not... [chuckles]
...only the clothes. It's, I...
714
00:35:27,167 --> 00:35:28,627
I just need a little space.
715
00:35:31,463 --> 00:35:32,464
Understood.
716
00:35:35,967 --> 00:35:37,969
[♪ gentle music playing]
717
00:35:44,434 --> 00:35:46,519
Hey. Sorry I couldn't give you a ride.
718
00:35:46,603 --> 00:35:49,272
I needed to make sure
I spoke to Larry's brother.
719
00:35:49,356 --> 00:35:51,566
It's probably best
we don't travel together.
720
00:35:51,650 --> 00:35:53,818
- Less eyes on us.
- Yeah, um...
721
00:35:56,154 --> 00:35:57,364
Ben knows.
722
00:35:58,031 --> 00:36:00,033
- How?
- Guess he's seen us a couple times.
723
00:36:00,116 --> 00:36:02,535
I-I don't know.
I-I denied it, but he didn't buy it.
724
00:36:02,619 --> 00:36:04,120
Does Bailey know?
725
00:36:04,204 --> 00:36:06,206
- I don't think so.
- Are you sure?
726
00:36:07,040 --> 00:36:09,501
Pretty sure, yeah. She, uh...
727
00:36:10,460 --> 00:36:12,087
She made me residency director.
728
00:36:12,170 --> 00:36:14,381
- Wait, what?
- Yeah, um...
729
00:36:15,048 --> 00:36:19,010
She said she needed something
off her plate and-and she thought
730
00:36:19,094 --> 00:36:21,513
I did a great job teaching you today,
and she thinks it's a great fit.
731
00:36:21,596 --> 00:36:22,806
And you accepted?
732
00:36:41,324 --> 00:36:43,243
We can still save this.
733
00:36:50,542 --> 00:36:52,293
Zach's asleep inside.
734
00:36:52,377 --> 00:36:55,672
- Sleeping with Cass was a huge mistake.
- Amelia...
735
00:36:55,755 --> 00:36:56,840
- I was sure...
- I can't...
736
00:36:56,923 --> 00:36:59,175
- ...that you were getting back with Celine.
- I can't deal with this.
737
00:36:59,259 --> 00:37:00,593
I was totally shattered.
738
00:37:00,677 --> 00:37:03,304
And how do you think I felt when
I came to your door and saw her?
739
00:37:05,181 --> 00:37:07,392
It nearly destroyed me.
I had to leave town.
740
00:37:08,184 --> 00:37:10,979
- I have a penchant for self-destruction.
- Okay. Okay.
741
00:37:11,062 --> 00:37:15,692
I spent every day since
wishing I could take it back because I...
742
00:37:15,775 --> 00:37:19,237
I've spent a long time
waiting to feel this way.
743
00:37:19,320 --> 00:37:21,990
Like, when I'm with you,
everything's right.
744
00:37:22,073 --> 00:37:25,869
Everything is exactly where it should be.
I'm...
745
00:37:25,952 --> 00:37:27,537
I'm exactly where I should be.
746
00:37:27,620 --> 00:37:30,415
You said that you loved me.
I love you too.
747
00:37:30,498 --> 00:37:33,960
I'm desperately, madly,
dizzyingly in love with you,
748
00:37:34,043 --> 00:37:38,631
so if you're done with me,
I will learn to accept it.
749
00:37:38,715 --> 00:37:44,220
But if there's any part of you
that still feels the way you did...
750
00:37:47,599 --> 00:37:49,934
I'm begging you not to let this die.
751
00:37:57,901 --> 00:37:59,068
I'm not done.
752
00:38:11,289 --> 00:38:14,626
[Grey] It's easy to judge people
for their actions,
753
00:38:14,709 --> 00:38:17,003
but you don't always know
what's driving them.
754
00:38:17,670 --> 00:38:19,714
[Kwan cheers] Look at that.
Hurricane slice.
755
00:38:19,798 --> 00:38:21,299
[Bryant] Are you hitting Y
when you're pressing that?
756
00:38:21,382 --> 00:38:23,843
- Don't worry about it. Hurricane slice!
- I don't know how you're doing that.
757
00:38:23,927 --> 00:38:25,303
- Okay, wait.
- Who's winning?
758
00:38:25,386 --> 00:38:26,846
- Don't talk.
- Just one sec.
759
00:38:26,930 --> 00:38:29,390
Come on. Come on.
No, no, no, no, no, no, no, no!
760
00:38:30,350 --> 00:38:32,143
- [grunts]
- What the hell was that?
761
00:38:32,227 --> 00:38:34,479
That's a mega fireball.
I unlocked it in the dungeon.
762
00:38:34,562 --> 00:38:35,605
- The mega--
- Yeah.
763
00:38:35,688 --> 00:38:38,483
- Okay, we need another round.
- Another round? Another round?
764
00:38:38,566 --> 00:38:41,236
Another, uh, uh... Let's...
I'm actually kind of tired.
765
00:38:41,319 --> 00:38:42,862
- No, you just don't want to lose.
- It's okay.
766
00:38:42,946 --> 00:38:44,739
It gives me time to review
my notes for tomorrow.
767
00:38:44,823 --> 00:38:46,908
Sure? Okay, okay. All right, cool.
768
00:38:46,991 --> 00:38:49,410
It'll only take me a minute
to beat him again anyway.
769
00:38:49,494 --> 00:38:51,454
- Whup your butt.
- Check this out right now.
770
00:38:52,121 --> 00:38:54,082
- Bam!
- I keep letting him get this move off.
771
00:38:54,165 --> 00:38:55,166
That's it.
772
00:38:56,626 --> 00:38:58,878
[Grey]
You don't know what they were born into,
773
00:38:59,754 --> 00:39:01,339
struggles they've faced.
774
00:39:08,680 --> 00:39:10,557
[breathes deeply]
775
00:39:14,769 --> 00:39:16,145
[♪ "Call It Love" playing]
776
00:39:20,733 --> 00:39:22,026
[breathing shakily]
777
00:39:28,074 --> 00:39:31,327
[Grey] Sometimes we make rash decisions
with no idea why.
778
00:39:32,495 --> 00:39:36,124
[Avery gasps]
Meredith. Beautiful, isn't it?
779
00:39:36,207 --> 00:39:38,167
We were just talking about you.
780
00:39:38,251 --> 00:39:41,462
You were so wonderful today
with Annabelle Chase. Thank you.
781
00:39:41,546 --> 00:39:44,507
Well, do you still want my opinion?
782
00:39:45,925 --> 00:39:47,760
I don't know. Do I?
783
00:39:47,844 --> 00:39:49,888
Well, I have worked here
since I was an intern,
784
00:39:49,971 --> 00:39:51,806
and this hospital has seen
a lot of changes.
785
00:39:51,890 --> 00:39:55,268
Name changes, financial crises, tragedies.
786
00:39:55,351 --> 00:39:59,480
The one thing that has never changed
is our standard of care.
787
00:39:59,564 --> 00:40:01,524
It has always been excellent.
788
00:40:01,608 --> 00:40:03,151
It never needed to be tiered.
789
00:40:03,234 --> 00:40:06,988
- Meredith, if you just give him--
- Today, I gave inadequate care.
790
00:40:07,071 --> 00:40:11,659
My patient suffered, and I lost his trust,
and that is not who we are.
791
00:40:11,743 --> 00:40:13,411
And it is day one, sir.
792
00:40:13,494 --> 00:40:17,707
Meredith, you might want to know that
Dr. Norton is our new chief of surgery.
793
00:40:17,790 --> 00:40:20,209
He's gonna be with us every day.
794
00:40:20,960 --> 00:40:22,170
Unlike you.
795
00:40:27,550 --> 00:40:29,260
Oh. Excuse me.
796
00:40:29,344 --> 00:40:33,097
[Grey] But often it's fear
pulling the strings behind the curtain.
797
00:40:35,266 --> 00:40:36,267
Fear of failure...
798
00:40:36,351 --> 00:40:37,393
Meredith.
799
00:40:37,477 --> 00:40:41,230
...of being let down, or, one
of my old favorites, fear of happiness.
800
00:40:41,314 --> 00:40:45,193
You could have told me you were
considering hiring him as chief.
801
00:40:45,276 --> 00:40:47,195
You never wanted to be
involved in the search.
802
00:40:47,278 --> 00:40:51,908
I didn't think I needed to, but now
I am second-guessing that decision.
803
00:40:51,991 --> 00:40:54,827
Annabelle's mother donated
$100,000 to this hospital.
804
00:40:54,911 --> 00:40:56,996
Well, that just makes me feel dirtier.
805
00:40:57,080 --> 00:41:00,541
Look, Grey Sloan has lost
a huge amount of funding.
806
00:41:00,625 --> 00:41:02,210
Every hospital has.
807
00:41:02,293 --> 00:41:05,046
No, we're not like all hospitals.
808
00:41:05,129 --> 00:41:07,423
We staff highly sought-after surgeons.
809
00:41:07,507 --> 00:41:10,134
We publish groundbreaking research.
810
00:41:10,218 --> 00:41:12,595
Our overhead is massive, Meredith.
811
00:41:12,679 --> 00:41:16,599
If we want to be the same state-of-
the-art institute we've always been,
812
00:41:16,683 --> 00:41:19,435
then we need a plan, and Norton has one.
813
00:41:20,561 --> 00:41:21,938
So you need to get on board.
814
00:41:28,653 --> 00:41:30,029
This will implode.
815
00:41:31,781 --> 00:41:32,907
[elevator dings]
816
00:41:45,378 --> 00:41:48,089
[Grey] It's all too easy
to be your own worst enemy.
817
00:41:52,260 --> 00:41:53,428
[door opens]
818
00:41:54,971 --> 00:41:55,972
Hi.
819
00:41:56,472 --> 00:41:57,473
[Lincoln] Hey.
820
00:41:59,642 --> 00:42:02,103
My miracle AO patient died.
821
00:42:03,980 --> 00:42:04,981
[sighs]
822
00:42:11,654 --> 00:42:12,905
I quit.
823
00:42:14,907 --> 00:42:18,119
[Grey] And the damage we inflict can take
a lifetime to undo.
824
00:42:18,202 --> 00:42:20,204
[♪ music ends]