1 00:00:03,587 --> 00:00:05,255 When patients leave the hospital, 2 00:00:05,339 --> 00:00:08,342 they're often taking home a brand-new regimen of medication: 3 00:00:08,425 --> 00:00:10,636 physical therapy and aftercare. 4 00:00:12,679 --> 00:00:14,723 We really should go. 5 00:00:14,806 --> 00:00:15,849 Should we though? 6 00:00:16,558 --> 00:00:17,809 No. 7 00:00:24,191 --> 00:00:25,943 - Wait, wait, wait, wait. Damn it. - What? 8 00:00:26,026 --> 00:00:27,527 We used the last condom last night. 9 00:00:27,611 --> 00:00:30,656 In our dreams, every patient would do exactly as they're told. 10 00:00:30,739 --> 00:00:32,532 - Don't move. - Yes, ma'am. 11 00:00:32,616 --> 00:00:34,660 But reality is a different story. 12 00:00:38,247 --> 00:00:40,499 Kwan, if you use the last condom, buy more. 13 00:00:40,582 --> 00:00:42,918 You are unemployed. You have no excuse to... 14 00:00:45,087 --> 00:00:46,129 Morning. 15 00:00:47,422 --> 00:00:48,465 Not Kwan. 16 00:00:48,549 --> 00:00:50,133 - Nope. - Nope. 17 00:00:50,217 --> 00:00:51,969 - Can you pass me a towel? - Yep. 18 00:00:52,052 --> 00:00:54,263 Too often medication costs, memory lapses, 19 00:00:54,346 --> 00:00:57,057 and poor health literacy impede patients' recovery. 20 00:00:58,183 --> 00:01:00,310 You are gorgeous. You know that? 21 00:01:10,821 --> 00:01:13,824 - What time is it? - I've set an alarm. 22 00:01:13,907 --> 00:01:15,409 Don't you worry. 23 00:01:19,371 --> 00:01:21,748 - What? - No. We have time. 24 00:01:22,332 --> 00:01:24,376 No, you have time. 25 00:01:24,459 --> 00:01:27,588 I am a resident. I should have been there an hour ago. 26 00:01:31,425 --> 00:01:34,720 And as their surgeon, there's not a whole lot you can do about it. 27 00:01:37,806 --> 00:01:39,600 In other words, 28 00:01:40,183 --> 00:01:41,852 you can lead a horse to water, 29 00:01:42,728 --> 00:01:44,146 but you can't make it drink. 30 00:01:48,775 --> 00:01:50,152 Wow. 31 00:01:51,236 --> 00:01:52,904 We should be forced to dress up more often. 32 00:01:52,988 --> 00:01:54,406 Have you seen Bubbles? 33 00:01:54,489 --> 00:01:57,784 - Nardi can't find him in Luna's stuff. - No. 34 00:01:57,868 --> 00:02:00,329 But if you wanna sneak off to our room for a few minutes... 35 00:02:00,412 --> 00:02:02,497 These things never start on time. 36 00:02:04,416 --> 00:02:06,209 {\an8}Wait. This is it. Hang on. 37 00:02:07,294 --> 00:02:12,215 No, this is my "I almost died" box. Hmm. 38 00:02:13,467 --> 00:02:14,551 I'm fine. 39 00:02:15,469 --> 00:02:18,347 My therapist just said that I should toss anything 40 00:02:18,430 --> 00:02:20,974 that reminded me of my birth trauma, so... 41 00:02:21,600 --> 00:02:22,809 I'll take care of it tonight. 42 00:02:23,393 --> 00:02:24,436 Okay. 43 00:02:24,519 --> 00:02:26,647 You told Joey to pick Pru up from school, right? 44 00:02:26,730 --> 00:02:28,231 You know I did. 45 00:02:28,315 --> 00:02:31,193 And can you please remind people that I am not chief resident anymore? 46 00:02:31,276 --> 00:02:34,988 With Wright back from family leave, I gotta put all my focus on plastics. 47 00:02:35,072 --> 00:02:37,532 As soon as I register for school. 48 00:02:37,616 --> 00:02:39,368 But they just accepted your application. 49 00:02:39,451 --> 00:02:41,828 Yeah, as a last-minute admission, right? 50 00:02:41,912 --> 00:02:43,580 Final registration's today. 51 00:02:44,956 --> 00:02:46,291 Miranda Bailey. 52 00:02:46,375 --> 00:02:50,462 MD, FACS, MPH. 53 00:02:50,962 --> 00:02:52,339 That's a lot of letters. 54 00:02:52,422 --> 00:02:55,217 I am unbenched from surgery, I'm getting my master's. 55 00:02:55,300 --> 00:02:57,678 Watch out, world. She's coming for you. 56 00:02:57,761 --> 00:03:00,305 And she is talking about herself in third person. 57 00:03:00,389 --> 00:03:04,226 If only we didn't have to spend all morning at this PR circus. 58 00:03:06,853 --> 00:03:08,313 Oh. 59 00:03:08,939 --> 00:03:10,107 Good morning, Dr. Bailey. 60 00:03:10,190 --> 00:03:12,109 - Good morning. - Ndugu. Millin. 61 00:03:31,837 --> 00:03:32,838 Where are you? 62 00:03:32,921 --> 00:03:34,589 I thought you were gonna be here half an hour ago. 63 00:03:34,673 --> 00:03:36,675 It's total gridlock by the airport. No one's moving. 64 00:03:36,758 --> 00:03:39,469 Catherine told them the surgeon whose name is on the building 65 00:03:39,553 --> 00:03:41,471 - would be here for the photo. - I know. 66 00:03:41,555 --> 00:03:42,848 Tell Catherine I'm sorry. 67 00:03:42,931 --> 00:03:44,683 I'll be there as soon as I can. 68 00:03:49,396 --> 00:03:53,984 All right. Who's ready to see Grey Sloan's new crown jewel? 69 00:03:54,067 --> 00:03:55,485 Follow me. 70 00:04:02,200 --> 00:04:03,785 Welcome to the Olympic Floor. 71 00:04:03,869 --> 00:04:06,204 Welcome to paradise. 72 00:04:08,498 --> 00:04:09,791 Oh, my God. 73 00:04:10,500 --> 00:04:12,627 We made it. We made it. 74 00:04:25,140 --> 00:04:26,767 What is this? 75 00:04:30,061 --> 00:04:31,563 Oh, my God. 76 00:04:38,445 --> 00:04:41,990 With the addition of the Olympic Floor, Grey Sloan joins 77 00:04:42,073 --> 00:04:46,703 the leading hospitals in this country by offering a VIP wing. 78 00:04:47,329 --> 00:04:48,872 The Seahawks are gonna love this. 79 00:04:48,955 --> 00:04:51,958 Mm-hmm. Espresso machines, seven o'clock. 80 00:04:52,042 --> 00:04:55,754 We are very fortunate to have developed our VIP program 81 00:04:55,837 --> 00:04:59,174 with Dr. Seth Norton, CEO of Olympic Regent Health. 82 00:04:59,257 --> 00:05:01,134 Let's give him a warm welcome. 83 00:05:03,512 --> 00:05:04,596 Thank you. 84 00:05:04,679 --> 00:05:05,847 That guy looks like this floor. 85 00:05:05,931 --> 00:05:07,557 - What, slick? - Rich. 86 00:05:08,433 --> 00:05:10,310 It's like dogs and their owners. 87 00:05:10,393 --> 00:05:12,145 - At least the food is good. - Good morning. 88 00:05:12,229 --> 00:05:17,359 I am thrilled to raise the bar on Grey Sloan's already stellar reputation. 89 00:05:17,442 --> 00:05:22,113 Patients will have private suites with high-level security, hotel-quality bedding 90 00:05:22,197 --> 00:05:25,659 and meals tailored to their health needs by a gourmet chef. 91 00:05:25,742 --> 00:05:29,371 I've been covering for Hunt and Altman, but we have money for a gourmet chef? 92 00:05:29,454 --> 00:05:31,331 I should have asked for a raise. 93 00:05:31,414 --> 00:05:33,959 It will no longer be a hospital stay. 94 00:05:34,042 --> 00:05:35,877 It will be a luxury experience. 95 00:05:35,961 --> 00:05:37,462 Mmm. We should vacation here. 96 00:05:37,546 --> 00:05:39,506 But all of these amenities pale in comparison 97 00:05:39,589 --> 00:05:42,175 to the unparalleled access patients will have 98 00:05:42,259 --> 00:05:45,262 to the hospital's most important asset: you. 99 00:05:45,345 --> 00:05:49,182 From fast-tracking through the ER to 24-7 post-op access, 100 00:05:49,266 --> 00:05:53,144 your patients will not doubt for a single second how much you care about them. 101 00:05:53,228 --> 00:05:55,939 All right. Enough talk. Let's cut the ribbon. 102 00:05:56,022 --> 00:05:57,232 Come on, Dr. Shepherd. 103 00:05:57,315 --> 00:06:00,151 Join us. All right, come on. 104 00:06:00,235 --> 00:06:01,444 - Join us. Join us. - All right. 105 00:06:01,528 --> 00:06:02,737 Here we go. 106 00:06:06,825 --> 00:06:08,910 Two planes collided on the runway at the airport. 107 00:06:08,994 --> 00:06:10,829 - We're about to get slammed. - All right. 108 00:06:10,912 --> 00:06:13,957 That's enough celebrating for me. I'll send everyone down. 109 00:06:14,040 --> 00:06:15,125 Come on. 110 00:06:16,042 --> 00:06:17,794 All right. Everyone, stay calm. 111 00:06:20,046 --> 00:06:22,757 Hey. Sorry about this morning. I probably should have locked the door. 112 00:06:22,841 --> 00:06:24,426 That's okay. We don't need to talk about it. 113 00:06:24,509 --> 00:06:27,095 - Kwan and I were up late playing games. - Still talking about it. 114 00:06:27,178 --> 00:06:29,306 We're good? It's nothing you haven't seen before, right? 115 00:06:29,389 --> 00:06:31,725 This place looks like a dump compared to the new floor. 116 00:06:31,808 --> 00:06:32,893 Took you long enough. 117 00:06:32,976 --> 00:06:36,563 Between that dog-and-pony show and this trauma, the whole day is thrown off. 118 00:06:36,646 --> 00:06:41,359 Most elective classes-- I mean, cases-- are pushed. 119 00:06:41,443 --> 00:06:43,153 So go where you're needed. 120 00:06:43,236 --> 00:06:46,114 Millin, I saw what happened this morning. 121 00:06:46,948 --> 00:06:49,409 I don't tolerate tardiness in my residency program. 122 00:06:49,492 --> 00:06:51,620 - It won't happen again. - Hmm. 123 00:06:58,835 --> 00:07:00,295 Meredith, you made it. 124 00:07:00,378 --> 00:07:01,880 Just in time for the chaos, I see. 125 00:07:01,963 --> 00:07:03,256 - Yeah. - How mad is Catherine? 126 00:07:03,340 --> 00:07:04,341 Uh, are you staying to help? 127 00:07:04,424 --> 00:07:06,843 Well, it'll probably make up for missing the big unveiling. 128 00:07:06,926 --> 00:07:09,137 - Yeah. It couldn't hurt. Mm-hmm. - I'll go change. 129 00:07:10,055 --> 00:07:11,723 Excuse me. Hey, hey. 130 00:07:12,307 --> 00:07:13,308 Hey! 131 00:07:13,892 --> 00:07:15,101 What do you need? 132 00:07:15,727 --> 00:07:17,896 Do you work here? I've already been here six hours. 133 00:07:17,979 --> 00:07:20,273 Okay. There's a big emergency that's just come in. 134 00:07:20,357 --> 00:07:21,483 I have to run upstairs. 135 00:07:21,566 --> 00:07:23,443 I will check on you when I get back, okay? 136 00:07:28,490 --> 00:07:30,825 Hey. Good thing you weren't flying in today. 137 00:07:31,993 --> 00:07:32,994 Also, hi. 138 00:07:33,078 --> 00:07:35,664 How was, uh, visiting your mom in Wisconsin? 139 00:07:35,747 --> 00:07:37,916 Uh, it was my dad in Michigan. 140 00:07:37,999 --> 00:07:40,460 Right. Yes. I did know that. Uh... 141 00:07:41,127 --> 00:07:44,130 What are you doing after work? You wanna grab food and talk? 142 00:07:44,798 --> 00:07:47,133 - You're kidding, right? - You're still mad? 143 00:07:47,926 --> 00:07:49,761 - We've been texting. - Yeah, we work together. 144 00:07:49,844 --> 00:07:51,346 I can't exactly ignore you. 145 00:07:52,055 --> 00:07:56,059 Bree Wong, 31. Status: post-plane crash on the tarmac. GCS: 15. Vitals stable. 146 00:07:56,142 --> 00:07:58,436 Has facial bruising and one episode of epistaxis. 147 00:07:58,520 --> 00:07:59,688 Nasal packing inserted. 148 00:07:59,771 --> 00:08:01,815 She also had episodes of intermittent paralysis. 149 00:08:01,898 --> 00:08:03,149 I don't know what happened. 150 00:08:03,775 --> 00:08:07,237 The sound, the crunching metal, screams. 151 00:08:07,320 --> 00:08:09,906 - You were on one of the planes? - I'm the pilot. 152 00:08:09,989 --> 00:08:11,700 Today's my first day as captain. 153 00:08:11,783 --> 00:08:14,119 - How many passengers? - 212. Full flight. 154 00:08:14,202 --> 00:08:17,205 - And that's just one of the planes. - Okay. Let's go Trauma 1. 155 00:08:18,873 --> 00:08:21,251 Anyone who's not down here already needs to report to the ER now. 156 00:08:21,334 --> 00:08:23,044 - I'll get the word out. - All right. 157 00:08:23,128 --> 00:08:25,797 Hell of a time to be down three surgeons. 158 00:08:31,720 --> 00:08:34,055 {\an8}Uh, my name is Benson. 159 00:08:36,224 --> 00:08:37,559 {\an8}I am a doctor. 160 00:08:41,438 --> 00:08:42,439 {\an8}Nope. 161 00:08:42,939 --> 00:08:47,944 {\an8}Je ne suis pas médecin because médecin can kiss my derrière. 162 00:08:48,028 --> 00:08:49,195 {\an8}Yeah. 163 00:08:51,614 --> 00:08:56,494 {\an8}Let's pick up from last week by practicing our names and jobs. 164 00:08:56,578 --> 00:08:57,579 {\an8}Benson. 165 00:09:04,627 --> 00:09:08,673 {\an8}- Self-employed. - Ah! 166 00:09:11,259 --> 00:09:13,053 {\an8}Yeah, it is. 167 00:09:15,805 --> 00:09:16,806 {\an8}Monica. 168 00:09:17,599 --> 00:09:21,352 {\an8}Your mother's told me so much about you, Ms. Annabelle. 169 00:09:21,978 --> 00:09:24,647 {\an8}- How is your mother? - Uh, stuck in Milan. 170 00:09:24,731 --> 00:09:27,067 {\an8}- She sends her love. - Nice. 171 00:09:27,150 --> 00:09:29,527 {\an8}How do you like our new VIP floor, huh? 172 00:09:29,611 --> 00:09:31,946 {\an8}Almost as nice as Mount Sinai. 173 00:09:32,030 --> 00:09:33,948 {\an8}Is it okay to examine you, Ms. Chase? 174 00:09:35,200 --> 00:09:37,619 {\an8}- Not him. - Of course not. 175 00:09:37,702 --> 00:09:39,245 {\an8}Uh, Dr. Spencer. 176 00:09:41,790 --> 00:09:42,791 {\an8}Oh. Hmm. 177 00:09:43,291 --> 00:09:45,251 {\an8}Oh, uh. Does he bite or... 178 00:09:45,335 --> 00:09:48,630 {\an8}Uh, you were, um, diagnosed with gallstones. 179 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. 180 00:09:52,300 --> 00:09:54,636 {\an8}I went to the emergency room. They said I needed surgery. 181 00:09:54,719 --> 00:09:55,720 {\an8}Mmm. 182 00:09:56,471 --> 00:09:58,431 {\an8}- Any tenderness here? - No. 183 00:09:58,515 --> 00:10:00,517 {\an8}But I want them gone today. 184 00:10:02,018 --> 00:10:06,314 {\an8}Um... You know, let's do some labs, and then we'll get an ultrasound, 185 00:10:06,397 --> 00:10:08,108 {\an8}and then we'll take it from there. 186 00:10:08,191 --> 00:10:10,276 {\an8}Would you like a warm blanket while you're waiting? 187 00:10:10,360 --> 00:10:12,529 {\an8}Could I get two? I forgot Prince's sweater. 188 00:10:12,612 --> 00:10:14,030 {\an8}Of course. 189 00:10:14,114 --> 00:10:15,740 {\an8}- Spencer... - Of course. 190 00:10:16,950 --> 00:10:19,035 {\an8}Isn't he cute? Hello. 191 00:10:20,995 --> 00:10:22,455 {\an8}- What'd I miss? - Captain Wong was flying 192 00:10:22,539 --> 00:10:26,334 {\an8}- one of the planes in the collision. - Both pupils are equal and reactive. 193 00:10:26,417 --> 00:10:28,461 {\an8}- Excuse me. - Nasal packing is fully saturated. 194 00:10:28,545 --> 00:10:30,880 {\an8}I need to visualize the source to control the hemorrhaging. 195 00:10:30,964 --> 00:10:32,966 {\an8}- Squeeze my fingers. - This isn't gonna feel very good. 196 00:10:33,049 --> 00:10:34,968 {\an8}I'm sorry. 197 00:10:35,051 --> 00:10:37,554 {\an8}Yeah. It looks like a LeFort fracture. She has maxillary instability. 198 00:10:37,637 --> 00:10:39,222 {\an8}I'm gonna call for a CT Max/face. 199 00:10:39,305 --> 00:10:42,350 {\an8}We were about to touch down when I heard the tower clear another plane 200 00:10:42,433 --> 00:10:44,227 {\an8}for the intersection departure. 201 00:10:44,310 --> 00:10:45,937 {\an8}Okay, she's neuro intact now, 202 00:10:46,020 --> 00:10:48,231 {\an8}but there's midline tenderness and intermittent motor deficits. 203 00:10:48,314 --> 00:10:50,525 {\an8}I need a stat CT head and C-spine. 204 00:10:51,109 --> 00:10:53,736 {\an8}Uh, I couldn't go around. It was too late. 205 00:10:53,820 --> 00:10:56,698 {\an8}My wing clipped the nose of the other plane. 206 00:10:56,781 --> 00:10:58,575 {\an8}I need to check on a patient in the next room. 207 00:10:58,658 --> 00:11:00,243 {\an8}Page me when scans are up. 208 00:11:01,035 --> 00:11:03,246 {\an8}No, not so fast. We need to stabilize these facial fractures 209 00:11:03,329 --> 00:11:05,498 {\an8}and stop the bleeding before she goes anywhere. 210 00:11:05,582 --> 00:11:07,208 {\an8}Okay, I'll go get an MMF kit. 211 00:11:08,501 --> 00:11:09,502 {\an8}It's okay. 212 00:11:09,586 --> 00:11:13,298 {\an8}Uh, so sorry about all this chaos today. 213 00:11:13,381 --> 00:11:15,967 {\an8}Reminds me of my med school rotation at LA County. 214 00:11:16,467 --> 00:11:20,763 {\an8}Dr. Grey, I'd like to introduce you to Dr. Seth Norton, 215 00:11:20,847 --> 00:11:24,392 {\an8}who is the founder/CEO of Olympic Regent Health. 216 00:11:24,475 --> 00:11:26,561 {\an8}We missed you this morning. 217 00:11:26,644 --> 00:11:28,730 {\an8}Can't exactly control a mass trauma. 218 00:11:28,813 --> 00:11:30,398 {\an8}But it's a pleasure to finally meet you, sir. 219 00:11:30,481 --> 00:11:32,692 {\an8}- Yes. - I take it it went well this morning. 220 00:11:32,775 --> 00:11:35,612 {\an8}- I'd be happy to give you a private tour. - Oh. Good idea. 221 00:11:35,695 --> 00:11:37,697 {\an8}Hey, why don't you two get to know each other? 222 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. 223 00:11:42,202 --> 00:11:44,162 {\an8}My afternoon's booked, but I could squeeze you in now. 224 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. 225 00:11:48,124 --> 00:11:50,460 {\an8}You're not skeptical about a VIP floor? 226 00:11:50,543 --> 00:11:53,213 {\an8}Well, most private hospitals in big cities have them. 227 00:11:53,296 --> 00:11:55,673 {\an8}- They're just trying to keep up. - I love a pragmatist. 228 00:11:57,008 --> 00:11:58,801 {\an8}Uh, excuse me. I have a patient. 229 00:11:58,885 --> 00:12:01,137 {\an8}I make an excellent tour guide. I'm here all day. 230 00:12:02,680 --> 00:12:04,015 {\an8}Hey. Where are you going? 231 00:12:04,891 --> 00:12:05,975 {\an8}To get my mom and dad. 232 00:12:06,559 --> 00:12:07,977 {\an8}When they realize I still haven't been seen, 233 00:12:08,061 --> 00:12:09,354 {\an8}- they're gonna be pissed. - Okay. 234 00:12:09,437 --> 00:12:12,815 {\an8}Bryant, let's get him in an exam room and find his parents. 235 00:12:13,316 --> 00:12:15,818 {\an8}- We're gonna get you seen. - All right. Just have a seat right here. 236 00:12:17,237 --> 00:12:19,489 {\an8}Hey, Ndugu. Heads up. 237 00:12:19,572 --> 00:12:22,367 {\an8}Supply's out of MMF kits, and Dr. Fox is looking for you. 238 00:12:22,450 --> 00:12:24,035 {\an8}- So, I would hide. - All right. 239 00:12:24,118 --> 00:12:25,703 {\an8}Running the ER is not my job. 240 00:12:25,787 --> 00:12:27,247 {\an8}And check the cart by Trauma 3, all right? 241 00:12:27,330 --> 00:12:28,915 {\an8}Okay. Oh. Um... 242 00:12:30,208 --> 00:12:31,918 {\an8}I saw you and Millin this morning. 243 00:12:32,502 --> 00:12:33,544 {\an8}In the elevator. 244 00:12:34,045 --> 00:12:35,338 {\an8}With the coffee cups. 245 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. 246 00:12:41,177 --> 00:12:42,512 {\an8}About a month ago? 247 00:12:44,138 --> 00:12:45,974 {\an8}Promise it's not what you're thinking, okay? 248 00:12:46,057 --> 00:12:47,308 {\an8}Ha. Okay. Yeah, fine. 249 00:12:47,809 --> 00:12:50,395 {\an8}But just in case it is exactly what I think it is, 250 00:12:50,478 --> 00:12:54,315 {\an8}I'm telling you, as a friend, come clean and get ahead of it. 251 00:12:54,941 --> 00:12:57,610 {\an8}- Hey. OB sent me down here to help... - Okay. 252 00:12:57,694 --> 00:12:58,861 {\an8}- ...and now I see why. - Yeah. 253 00:12:59,445 --> 00:13:01,239 {\an8}- Bed two. Thank you. - Yeah. 254 00:13:01,322 --> 00:13:04,492 {\an8}Okay, sir, sir, you are at the hospital, so try to calm down. 255 00:13:04,575 --> 00:13:06,661 {\an8}- We're gonna help you. - All right. What do we got? 256 00:13:06,744 --> 00:13:10,665 {\an8}Larry Turner, 44. Acute chest pain radiating from the back, dyspnea. 257 00:13:10,748 --> 00:13:13,418 {\an8}170 over 100. Heart rate: 112. 258 00:13:13,501 --> 00:13:16,087 - Ninety-three percent sats. - I'm so sorry. I'm so sorry. 259 00:13:16,170 --> 00:13:20,425 Okay, let's do a chest X-ray, CBC, BMP, troponins and an EKG, all right? 260 00:13:20,508 --> 00:13:23,011 - Just try to breathe, sir. Okay? - I can't. It's all my fault. 261 00:13:23,094 --> 00:13:24,679 I was the controller in the tower. 262 00:13:24,762 --> 00:13:27,390 I told them they were clear to land. It's all my fault. 263 00:13:27,932 --> 00:13:29,934 - Okay. Trauma 3. Let's go. - Yeah. 264 00:13:32,186 --> 00:13:33,604 Okay, okay. 265 00:13:35,857 --> 00:13:38,651 - You sure we shouldn't go to CT first? - Shepherd's not gonna like this. 266 00:13:38,735 --> 00:13:41,404 - Yeah, well, Shepherd's not here. - Why isn't she in CT? 267 00:13:41,487 --> 00:13:44,198 We were worried her facial fractures could compromise her airways, 268 00:13:44,282 --> 00:13:45,825 so we're doing fixation now. 269 00:13:46,325 --> 00:13:49,078 Before seeing if she has a head bleed or a serious spinal fracture? 270 00:13:49,162 --> 00:13:50,830 We need to get a full picture of what we're-- 271 00:13:50,913 --> 00:13:53,207 How do you propose we stop her facial bleeding in the meantime? 272 00:13:53,291 --> 00:13:54,751 Just repack her, hope for the best? 273 00:13:54,834 --> 00:13:56,627 If she has a brain injury, nothing else matters. 274 00:13:56,711 --> 00:13:59,088 Nothing else matters besides neuro. That tracks. 275 00:13:59,172 --> 00:14:02,175 If that is how you feel, then maybe you should have stayed in Wisconsin. 276 00:14:02,258 --> 00:14:04,177 - Michigan. - Same difference. 277 00:14:08,389 --> 00:14:09,807 You're right. 278 00:14:09,891 --> 00:14:12,226 You clearly have it under control. Do what you want. 279 00:14:12,310 --> 00:14:13,811 What? 280 00:14:14,937 --> 00:14:16,439 Okay. Let's move her. 281 00:14:23,946 --> 00:14:27,033 There are three ways to ask questions. 282 00:14:29,285 --> 00:14:31,120 Inversion. 283 00:14:32,955 --> 00:14:35,208 Intonation. 284 00:14:37,752 --> 00:14:39,629 Are you feeling okay? 285 00:14:42,715 --> 00:14:44,967 Okay. 286 00:14:48,179 --> 00:14:50,014 It's just a headache. 287 00:14:52,141 --> 00:14:55,353 Do you have any other symptoms? Are you... 288 00:14:56,062 --> 00:14:58,356 Okay, I-I'm a doctor. 289 00:14:58,439 --> 00:15:01,150 I can't do medicine in French. 290 00:15:01,234 --> 00:15:04,153 I've had a... a small fever 291 00:15:04,237 --> 00:15:08,699 for a few days and foggy vision, 292 00:15:09,575 --> 00:15:11,869 and, um... c'est bizarre. 293 00:15:12,787 --> 00:15:16,415 Touching my hair is p-painful. 294 00:15:16,499 --> 00:15:20,711 Okay, madame, this could be a medical emergency, okay? 295 00:15:21,295 --> 00:15:24,006 You need to go to Grey Sloan Memorial right now. 296 00:15:26,008 --> 00:15:28,845 Okay, well, class is over. Everyone sign off. 297 00:15:30,221 --> 00:15:32,098 I will see you at the hospital, okay? 298 00:15:36,769 --> 00:15:37,770 Okay. 299 00:15:37,854 --> 00:15:41,065 There's an NTSB officer at the desk. He's looking for Larry. 300 00:15:41,149 --> 00:15:43,151 - This is not a good time. - He asked for my manager. 301 00:15:43,234 --> 00:15:45,444 I'll deal with that in a minute. 302 00:15:45,528 --> 00:15:47,655 I've been working in that tower for 11 years. 303 00:15:47,738 --> 00:15:48,990 My record is spotless. 304 00:15:49,073 --> 00:15:50,908 Are-Are the pilots here? Are they alive? 305 00:15:50,992 --> 00:15:52,910 We can't disclose that information. I'm sorry. 306 00:15:52,994 --> 00:15:55,204 My brother is a pilot. So is my dad. 307 00:15:55,288 --> 00:15:58,708 - I-I know how much they depend on us. - Films show a widened mediastinum. 308 00:15:58,791 --> 00:16:00,877 - How's the EKG? - Uh, normal. 309 00:16:00,960 --> 00:16:02,837 We've been understaffed, so I've been working night shifts. 310 00:16:02,920 --> 00:16:04,338 I haven't been sleeping. My neighbor Martha, 311 00:16:04,422 --> 00:16:05,715 she called the police to do a welfare check 312 00:16:05,798 --> 00:16:08,217 because she hasn't seen me in so long. 313 00:16:08,301 --> 00:16:10,428 Look, I'm gonna step outside. 314 00:16:10,511 --> 00:16:13,181 - I can call your brother. - I've had nightmares about this happening. 315 00:16:13,264 --> 00:16:15,141 - It was so much worse. - Go. 316 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. 317 00:16:18,895 --> 00:16:21,772 Take some deep breaths. Now, sit back for me, okay? 318 00:16:23,274 --> 00:16:24,859 Cough. 319 00:16:25,443 --> 00:16:26,611 You first. 320 00:16:29,155 --> 00:16:31,032 You have an umbilical hernia. 321 00:16:31,115 --> 00:16:34,327 I can operate on it today, but I'll need consent from your parents. 322 00:16:34,410 --> 00:16:35,912 - Dr. Grey. - Yes. 323 00:16:35,995 --> 00:16:38,206 - Oh. You must be Charlie's dad. - Not exactly. 324 00:16:38,289 --> 00:16:42,418 A social worker, DCYF. Charlie is a ward of the state. 325 00:16:43,002 --> 00:16:44,670 It got me into a room, didn't it? 326 00:16:45,588 --> 00:16:48,466 He has a hernia, and I can operate on it, but I need consent. 327 00:16:48,549 --> 00:16:50,259 - How quick can you get it? - Depends. 328 00:16:50,343 --> 00:16:52,011 If I put a rush on it... 329 00:16:52,678 --> 00:16:54,013 I'll put a rush on it. 330 00:16:54,096 --> 00:16:56,182 Great. They're gonna take you to CT soon. 331 00:16:56,724 --> 00:16:57,725 Thank you. 332 00:16:59,435 --> 00:17:00,519 Okay. 333 00:17:02,021 --> 00:17:03,356 Dr. Grey is the best. 334 00:17:04,023 --> 00:17:05,107 All right? 335 00:17:05,191 --> 00:17:06,359 We'll see. 336 00:17:09,695 --> 00:17:12,365 Your ultrasound confirms gallstones. 337 00:17:12,448 --> 00:17:15,326 Uh, there is no evidence of acute inflammation, 338 00:17:15,409 --> 00:17:17,411 and, uh, your labs are clear. 339 00:17:17,495 --> 00:17:20,665 So we'd like to schedule surgery for next week. 340 00:17:20,748 --> 00:17:23,459 - But I cleared my afternoon. - Did you hear about the plane crash? 341 00:17:23,542 --> 00:17:26,963 Next week, I have our annual fundraising gala for all our top donors. 342 00:17:27,046 --> 00:17:28,047 I can't miss it. 343 00:17:28,130 --> 00:17:30,049 I thought this was the VIP floor. 344 00:17:30,132 --> 00:17:32,260 You don't pay first class just to board last. 345 00:17:32,343 --> 00:17:33,386 I'll get you in. 346 00:17:34,053 --> 00:17:36,973 And I want Grey or Sloan. 347 00:17:37,056 --> 00:17:40,434 There are also plenty of world-class surgeons-- 348 00:17:40,518 --> 00:17:43,563 Dr. Grey will be very happy to do your surgery. 349 00:17:43,646 --> 00:17:45,314 Richard, a word? 350 00:17:49,068 --> 00:17:50,486 His first day or something? 351 00:17:53,239 --> 00:17:54,865 I'm a catch, right? 352 00:17:56,033 --> 00:17:57,493 I don't think I should answer that. 353 00:17:57,994 --> 00:18:00,204 I am officially on the market. 354 00:18:00,288 --> 00:18:02,039 Do you have anyone to set me up with? 355 00:18:02,123 --> 00:18:05,501 - Oh, I do. We meet up to skateboard-- - I'm gonna stop you right there. 356 00:18:06,127 --> 00:18:07,920 Is your shoulder still bugging you? 357 00:18:08,004 --> 00:18:09,547 It's just stiff. 358 00:18:09,630 --> 00:18:10,840 Pain's better, though. 359 00:18:11,382 --> 00:18:12,383 How you doing, Bree? 360 00:18:12,466 --> 00:18:16,679 I'm second-guessing everything that I've learned in a decade of... 361 00:18:16,762 --> 00:18:18,514 Damn it. 362 00:18:20,099 --> 00:18:22,101 - She's hypoxic. - The bleeding's asphyxiating her. 363 00:18:22,184 --> 00:18:23,269 Wait, wait, wait, wait. 364 00:18:23,352 --> 00:18:26,314 Her CT head is clear, but her C-spine, she has an AO dissociation. 365 00:18:26,397 --> 00:18:28,357 There's nothing holding her head onto her body. 366 00:18:28,441 --> 00:18:32,570 The impact from the collision must have completely severed her alar ligaments. 367 00:18:32,653 --> 00:18:35,615 I don't remember the last time I saw an internal decapitation. 368 00:18:35,698 --> 00:18:36,949 I do, and it didn't end well. 369 00:18:37,033 --> 00:18:39,327 We need to intubate, but we cannot move her C-spine. 370 00:18:39,410 --> 00:18:41,662 Page Wright, call a code blue and get a crash cart. 371 00:18:41,746 --> 00:18:43,205 Code blue. 372 00:18:45,458 --> 00:18:47,752 Labs are up. Troponins are elevated. 373 00:18:48,377 --> 00:18:51,505 If only the officer could help with this unruly ER. 374 00:18:51,589 --> 00:18:53,299 Okay, wait, wait, right there. 375 00:18:55,301 --> 00:18:57,762 Okay, Larry, when was your last physical? 376 00:18:57,845 --> 00:18:58,846 Uh... 377 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? 378 00:19:01,766 --> 00:19:05,811 Your echo is showing a thoracic aortic aneurysm. 379 00:19:05,895 --> 00:19:08,272 It's usually asymptomatic until it starts to expand. 380 00:19:08,356 --> 00:19:11,108 I had pain this morning, but we're already down so many people. 381 00:19:11,192 --> 00:19:13,069 - That's comforting. - What's happening with CT? 382 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. 383 00:19:15,988 --> 00:19:18,324 I shouldn't have gone to work. I should've just gone to the doctor. 384 00:19:18,407 --> 00:19:21,786 Larry, Larry, look at me. Hey, you're gonna be okay. 385 00:19:21,869 --> 00:19:24,330 - Just try to calm down. - Let's move. 386 00:19:24,413 --> 00:19:25,748 - Let's move. - All right. 387 00:19:25,831 --> 00:19:28,417 ...as quickly as possible. I am aware that your brother is inside. 388 00:19:28,501 --> 00:19:30,670 We will connect you as soon as we are able. The room is full 389 00:19:30,753 --> 00:19:32,213 of patients we have not yet seen. 390 00:19:32,296 --> 00:19:36,300 Simone. Hey, I'm looking for a patient. Uh, Madame Sylvie. 391 00:19:36,384 --> 00:19:37,635 Last name? 392 00:19:37,718 --> 00:19:38,761 I... I don't know. 393 00:19:39,261 --> 00:19:40,721 She's French. 394 00:19:40,805 --> 00:19:43,224 I'm sorry you're bored at home, but unless your French teacher was 395 00:19:43,307 --> 00:19:46,060 on the nonstop from Denver, there's absolutely no way I can see her today. 396 00:19:46,143 --> 00:19:48,396 Okay, I'm actually really enjoying unemployment right now, 397 00:19:48,479 --> 00:19:51,565 but Madame Sylvie might be having a stroke. There, there. 398 00:19:51,649 --> 00:19:55,945 - No. Excuse me, but I was here before her! - I was here before him. 399 00:19:56,028 --> 00:19:57,697 Stick her in an exam room, do the initial workup. 400 00:19:57,780 --> 00:20:00,449 - I will be there when I can. - We got here at the same time. 401 00:20:00,533 --> 00:20:02,993 - I was in front of you on the bus. - No, that is not true. 402 00:20:03,077 --> 00:20:04,412 - That is not true. - Hey, get off me! 403 00:20:04,495 --> 00:20:05,996 - Knock it off. - All these people from the planes? 404 00:20:06,080 --> 00:20:07,456 - They're all hurt? - We're focused on you. 405 00:20:07,540 --> 00:20:09,125 Watch out for the gurney. Watch out for the gurney. 406 00:20:09,208 --> 00:20:11,127 Hey, watch out for the gurney, please. 407 00:20:11,210 --> 00:20:12,503 - Security! - No! 408 00:20:12,586 --> 00:20:14,422 Security! 409 00:20:14,505 --> 00:20:16,215 - What's the matter with you? - You okay? Hey, hey. 410 00:20:16,298 --> 00:20:17,925 - Whoa, hey, hey, stop. - Knock it off! 411 00:20:18,008 --> 00:20:20,678 Everyone, stop. This is an emergency room. 412 00:20:20,761 --> 00:20:23,389 We are processing patients as fast as we can, 413 00:20:23,472 --> 00:20:26,726 but if we don't help the people with severe injuries first, they could die. 414 00:20:26,809 --> 00:20:30,062 So sit down, and we'll be with you when we can, all right? 415 00:20:30,146 --> 00:20:31,439 All right. 416 00:20:31,522 --> 00:20:34,608 - Hey! - Hey, hey, I said sit down! 417 00:20:35,317 --> 00:20:36,777 Sit down! 418 00:20:38,195 --> 00:20:39,363 Okay. 419 00:20:42,366 --> 00:20:43,451 Fine. 420 00:20:56,422 --> 00:20:57,423 Hey. 421 00:20:58,591 --> 00:21:01,343 Oh. Tell me an expectant mother wasn't injured in the collision. 422 00:21:01,427 --> 00:21:03,387 No, I'm just raiding the OR for supplies. 423 00:21:04,764 --> 00:21:06,056 Damn it, he's coding. 424 00:21:06,140 --> 00:21:08,225 Uh, it's an aneurysm. Must have ruptured. 425 00:21:08,309 --> 00:21:11,729 - We need to do a thoracotomy now. - Here? You can't be serious. 426 00:21:11,812 --> 00:21:14,273 - He is serious. - Turn up the flow and hyperventilate. 427 00:21:14,857 --> 00:21:16,025 You're gonna make the incision. 428 00:21:24,700 --> 00:21:25,868 Okay. One more. 429 00:21:27,995 --> 00:21:29,121 Yeah. Yeah. 430 00:21:31,707 --> 00:21:33,083 Come on. 431 00:21:33,709 --> 00:21:37,296 All right, Millin, stick your hand in there and feel for the area of rupture. 432 00:21:39,757 --> 00:21:41,091 Okay, I got. 433 00:21:41,175 --> 00:21:45,012 All right, now hold pressure distally and proximally and do not move. 434 00:21:45,638 --> 00:21:46,847 Jamie... 435 00:21:46,931 --> 00:21:47,932 Jamie is... 436 00:21:48,724 --> 00:21:49,809 Oh. 437 00:21:50,559 --> 00:21:54,355 Well, we'll just take the next one down. It's-It's all fine. 438 00:21:56,273 --> 00:21:58,901 All right, start cardiac massage with the other hand 439 00:21:58,984 --> 00:22:00,611 and don't stop until the OR. 440 00:22:01,654 --> 00:22:03,906 Come on, Larry, hang in there. 441 00:22:07,034 --> 00:22:09,078 - A little more pressure. - This is what I was worried about. 442 00:22:09,161 --> 00:22:10,913 - What are you doing? - We're trying to intubate, 443 00:22:10,996 --> 00:22:12,706 but we can't hyperextend her neck because she-- 444 00:22:12,790 --> 00:22:15,042 - The AO dissociation. I heard. - Yes. 445 00:22:17,878 --> 00:22:19,588 I need a scalpel. We gotta crike her. 446 00:22:19,672 --> 00:22:22,550 I will stabilize the C-spine. You make the incision. 447 00:22:22,633 --> 00:22:24,718 - Okay. - Get a bougie and a 6-tube ready. 448 00:22:24,802 --> 00:22:27,346 - A little pressure here, Shepherd. - This neck is not going anywhere. 449 00:22:33,894 --> 00:22:35,521 More pressure. 450 00:22:38,315 --> 00:22:39,692 And tube. 451 00:22:43,863 --> 00:22:45,072 We're in. 452 00:22:51,954 --> 00:22:54,206 All right, bilateral chest rise and color change. 453 00:22:54,290 --> 00:22:56,250 - We've got an airway. - Great job, everyone. 454 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. 455 00:23:00,087 --> 00:23:01,088 We can do this. 456 00:23:01,171 --> 00:23:04,466 I will keep holding her, and we will just move slowly and carefully. 457 00:23:04,550 --> 00:23:06,427 - Is everybody ready? - OR floor is at capacity. 458 00:23:06,510 --> 00:23:07,845 They're gonna have to make room. 459 00:23:10,890 --> 00:23:13,601 - I can't. I already have a patient. - Well, now you have two. 460 00:23:13,684 --> 00:23:16,896 If the VIP lab chole is so important, have Norton do it himself. 461 00:23:16,979 --> 00:23:18,772 You were specifically requested. 462 00:23:19,899 --> 00:23:21,108 I don't even work here. 463 00:23:21,191 --> 00:23:22,735 Catherine's under a lot of pressure. 464 00:23:22,818 --> 00:23:25,779 This is day one of the VIP floor. It needs to impress. 465 00:23:28,365 --> 00:23:29,366 Who would do my hernia? 466 00:23:29,450 --> 00:23:31,493 No one. I gave the OR to your lab chole. 467 00:23:31,577 --> 00:23:34,330 The quicker you finish, the quicker you can get to your hernia. 468 00:23:44,882 --> 00:23:48,802 - How's it going? - Benson has been very attentive, 469 00:23:48,886 --> 00:23:51,680 but I-I think this is an overreaction. 470 00:23:51,764 --> 00:23:54,516 Physical exam showed very large arteries in the scalp 471 00:23:54,600 --> 00:23:57,144 and loud pulses in the subclavian artery. 472 00:23:57,227 --> 00:23:58,437 Blood work just came in. 473 00:23:59,313 --> 00:24:00,397 You put it under my name? 474 00:24:01,482 --> 00:24:03,275 Je m'appelle Griffith. 475 00:24:04,026 --> 00:24:06,987 Elevated ESR, platelets, liver enzymes. 476 00:24:07,071 --> 00:24:08,489 Oh, you gotta see this. 477 00:24:12,201 --> 00:24:13,702 - Halo sign. - Halo sign. Yeah. 478 00:24:14,787 --> 00:24:18,832 Sylvie, you have a condition called giant cell arteritis, 479 00:24:18,916 --> 00:24:20,626 which causes inflammation in the arteries. 480 00:24:20,709 --> 00:24:24,755 Everything just went dark in my left eye. 481 00:24:24,838 --> 00:24:26,382 Yeah. 482 00:24:28,676 --> 00:24:31,220 Okay, we need to start her on IV steroids immediately. 483 00:24:31,303 --> 00:24:33,639 Put in the order. Yes, you can use my name. 484 00:24:34,181 --> 00:24:36,058 That's okay. Sylvie, just deep breaths for us. 485 00:24:36,141 --> 00:24:37,351 Just temporary. Don't worry. 486 00:24:40,562 --> 00:24:41,730 Care to step in and help? 487 00:24:41,814 --> 00:24:44,316 Dr. Norton says that VIP patients pay too much 488 00:24:44,400 --> 00:24:45,484 to have interns operate. 489 00:24:45,567 --> 00:24:46,944 This is a teaching hospital. 490 00:24:47,027 --> 00:24:48,946 You want us to tell him that? 491 00:24:49,029 --> 00:24:52,658 No, but I want you to step in here and see what I'm doing, pay attention. 492 00:24:53,575 --> 00:24:55,995 There's a hundred accident victims downstairs, 493 00:24:56,078 --> 00:24:58,330 and patients whose surgeries have been rescheduled, 494 00:24:58,414 --> 00:25:01,875 but God forbid a VIP patient waits for a lab chole. 495 00:25:01,959 --> 00:25:04,962 - Well, money talks. - Spencer, finger. 496 00:25:06,839 --> 00:25:09,091 I've got Charlie Ramos's CT results. 497 00:25:13,512 --> 00:25:15,556 Spencer, you're closing. 498 00:25:15,639 --> 00:25:17,933 - Dr. Norton said that-- - You're more than competent to do this. 499 00:25:18,017 --> 00:25:19,560 Bryant, you're with me. 500 00:25:25,149 --> 00:25:28,068 I am very sorry to keep you waiting. We should go over these-- 501 00:25:29,319 --> 00:25:31,822 - What happened? - He vomited and can't sit up. 502 00:25:31,905 --> 00:25:34,158 - Okay. - Where the hell were you? 503 00:25:34,241 --> 00:25:35,325 I want another doctor. 504 00:25:35,409 --> 00:25:37,911 I need to see your stomach. Your bowel could be incarcerated. 505 00:25:37,995 --> 00:25:42,082 That means it's trapped, and it's dying. It's a very serious situation. 506 00:25:42,166 --> 00:25:43,459 Please let me take a look. 507 00:25:51,175 --> 00:25:53,469 - Bryant. - I'll book an OR. 508 00:25:53,552 --> 00:25:55,846 Let get him cleaned up. 509 00:26:03,312 --> 00:26:05,606 - How's it coming in here? - Almost done with the C2 pedicle screws. 510 00:26:05,689 --> 00:26:07,149 First day as captain. 511 00:26:07,232 --> 00:26:09,026 How do you recover from something like this? 512 00:26:09,109 --> 00:26:11,487 She was acting on the information she was given. 513 00:26:11,570 --> 00:26:12,571 This was not her fault. 514 00:26:12,654 --> 00:26:14,823 I'm not saying it was, but people still got hurt. 515 00:26:14,907 --> 00:26:17,159 - I listened back to the feed. - You can do that? 516 00:26:17,242 --> 00:26:19,369 Even if she wanted to stop it, she couldn't. 517 00:26:19,453 --> 00:26:22,956 By the time they cleared the other plane, it was already too late. 518 00:26:23,791 --> 00:26:26,585 Well, at least it wasn't too late for Bree. 519 00:26:26,668 --> 00:26:28,003 Last screw's in. 520 00:26:28,087 --> 00:26:29,755 - How are the signals? - Still look good. 521 00:26:29,838 --> 00:26:31,256 I'm gonna stay and monitor her. 522 00:26:31,340 --> 00:26:32,883 Do what you need to do. 523 00:26:34,551 --> 00:26:35,677 We should get sterile. 524 00:26:37,721 --> 00:26:41,100 The medication will reduce swelling and prevent further complications. 525 00:26:41,183 --> 00:26:45,938 Thank you so much, Dr. Kwan. I feel so lucky you're my student. 526 00:26:49,733 --> 00:26:51,026 Dr. Webber. 527 00:26:51,735 --> 00:26:52,861 Can I help you? 528 00:26:52,945 --> 00:26:54,822 Well, I'm just checking on the overflow. 529 00:26:55,572 --> 00:26:56,865 - Catch me up. - Oh, we've... 530 00:26:56,949 --> 00:26:59,952 I've-I've-I've got it covered, and you're so busy. 531 00:27:00,035 --> 00:27:01,495 A-Any day now, Griffith. 532 00:27:01,578 --> 00:27:02,579 Right. 533 00:27:03,122 --> 00:27:05,374 Sylvie Bernard, 52, presented with headaches 534 00:27:05,457 --> 00:27:08,585 and temporal tenderness with one episode of left-sided transient vision loss. 535 00:27:08,669 --> 00:27:11,547 Her labs are notable for elevated ESR and CRP. 536 00:27:11,630 --> 00:27:14,883 Whoa, whoa, whoa, whoa. That's... You don't need to rush. Diagnosis? 537 00:27:15,592 --> 00:27:18,846 Bedside ultrasound was consistent with giant cell arteritis. 538 00:27:19,429 --> 00:27:20,931 You sure it isn't a migraine? 539 00:27:21,014 --> 00:27:23,642 A migraine wouldn't have elevated inflammatory markers, 540 00:27:23,725 --> 00:27:25,561 and there's no visual scintillation, no aura. 541 00:27:25,644 --> 00:27:27,646 I've started her on high-dose methylprednisolone, 542 00:27:27,729 --> 00:27:32,359 and I'll schedule a rheumatology follow-up and a confirmatory temporal artery biopsy. 543 00:27:33,318 --> 00:27:34,778 Nice catch, Griffith. 544 00:27:35,904 --> 00:27:38,365 You're in the hands of one of our best and brightest. 545 00:27:44,788 --> 00:27:46,957 Do I want to know? 546 00:27:48,750 --> 00:27:49,877 Non. 547 00:27:59,595 --> 00:28:02,014 Hey, I shouldn't have taken credit. I'll tell Dr. Webber 548 00:28:02,097 --> 00:28:03,515 - you made the diagnosis. - Don't bother. 549 00:28:03,599 --> 00:28:06,310 - Why not? If he knows it was you, maybe-- - He's gonna rehire me? 550 00:28:07,561 --> 00:28:09,730 I-I don't work here anymore, 551 00:28:09,813 --> 00:28:11,732 and every second that I'm here, it gets harder to accept. 552 00:28:11,815 --> 00:28:14,109 I-I have to move on. 553 00:28:15,402 --> 00:28:16,445 See you at home. 554 00:28:26,038 --> 00:28:28,540 Nicoletti's tonight? My treat. 555 00:28:29,291 --> 00:28:31,627 Are we celebrating something that I totally forgot about? 556 00:28:31,710 --> 00:28:36,089 No, but I just did a flawless spinal fusion on one of the pilots. 557 00:28:36,173 --> 00:28:39,509 God, every time this job starts to feel thankless or routine, 558 00:28:39,593 --> 00:28:41,887 something happens to remind me why we do this. 559 00:28:41,970 --> 00:28:42,971 Mm-hmm. 560 00:28:44,014 --> 00:28:45,891 I get my own garlic bread. 561 00:28:45,974 --> 00:28:47,476 Won't make that mistake twice. 562 00:28:48,101 --> 00:28:50,479 Ugh. Another consult. 563 00:28:52,689 --> 00:28:54,816 Hey, you okay? You seem a little... 564 00:28:55,776 --> 00:28:58,320 Hungry. So, thanks for that. 565 00:28:59,363 --> 00:29:01,114 Go to your consult. I'll see you later. 566 00:29:11,833 --> 00:29:13,627 All right, Dacron graft, please. 567 00:29:14,252 --> 00:29:17,297 Take these. All right, Dr. Millin, it is time to finish what you started. 568 00:29:17,381 --> 00:29:19,424 You'll be assisting in the anastomosis. 569 00:29:19,508 --> 00:29:20,926 Happy to as long as it's in here. 570 00:29:21,009 --> 00:29:22,803 Not a fan of the elevator? 571 00:29:24,429 --> 00:29:26,598 All right, start on the proximal end. Use 4-0 Prolene. 572 00:29:26,682 --> 00:29:30,102 - Ndugu, you sure you don't want to do it? - No, she's got it. I'm right here. 573 00:29:30,185 --> 00:29:32,437 Wow, feel this calcification. 574 00:29:32,521 --> 00:29:35,649 Aneurysm or not, he's lucky he hasn't collapsed from an MI. 575 00:29:35,732 --> 00:29:37,943 - Or the job. - Or both. 576 00:29:38,026 --> 00:29:40,070 I mean, how do you expect people 577 00:29:40,153 --> 00:29:42,781 not to mess up when they're overworked and underpaid? 578 00:29:42,864 --> 00:29:46,660 Just sheer stupidity, if you ask me. 579 00:29:46,743 --> 00:29:47,953 - V-fib. - Damn it. All right. 580 00:29:48,036 --> 00:29:49,287 - Irrigation. - Here. 581 00:29:49,371 --> 00:29:52,040 - Millin, start cardiac massage. - Come on now. 582 00:29:52,124 --> 00:29:54,334 Come on, Larry. You made it through the elevator. 583 00:29:54,418 --> 00:29:56,545 Don't do this here. Come on, now. 584 00:30:00,257 --> 00:30:02,884 Ah. You're awake. How are you feeling? 585 00:30:03,427 --> 00:30:05,220 Did you fix the thing? 586 00:30:05,303 --> 00:30:06,388 Surgery went well. 587 00:30:06,471 --> 00:30:09,599 Great. Then you can go. I'm good. 588 00:30:09,683 --> 00:30:11,059 Can we have the room, please? 589 00:30:11,143 --> 00:30:12,310 He's only 17. 590 00:30:12,394 --> 00:30:15,147 He'll be 18 in two months. I checked the chart. 591 00:30:15,731 --> 00:30:17,024 I'll update you thoroughly. 592 00:30:27,117 --> 00:30:31,788 Charlie, during surgery, we noticed an abnormal buildup of mucus in your abdomen. 593 00:30:31,872 --> 00:30:32,956 What does that mean? 594 00:30:33,040 --> 00:30:34,791 Well, could mean a few different things, 595 00:30:34,875 --> 00:30:37,586 and I did send some concerning nodules to pathology. 596 00:30:37,669 --> 00:30:38,795 Could it be bad? 597 00:30:40,255 --> 00:30:42,382 Like cancer? 598 00:30:42,466 --> 00:30:46,928 Possibly, and if it is, you would need more tests 599 00:30:47,012 --> 00:30:49,973 and surgery and possibly chemotherapy treatment. 600 00:30:50,515 --> 00:30:53,435 You have a... a foster parent listed in your chart. 601 00:30:53,518 --> 00:30:55,687 - Shall I call her? - I've been with her 13 days. 602 00:30:55,771 --> 00:30:57,773 You need to start all of this ASAP. 603 00:30:57,856 --> 00:30:59,941 And based on today, that'll be in, what, six months? 604 00:31:00,942 --> 00:31:02,360 I'm sorry about today. 605 00:31:02,444 --> 00:31:04,613 I hate that I let you down, but I'm here now. 606 00:31:04,696 --> 00:31:06,448 And if you agree to let me be your doctor, 607 00:31:06,531 --> 00:31:08,950 I promise I will not let you fall through the cracks. 608 00:31:11,495 --> 00:31:12,704 I want to be alone. 609 00:31:15,624 --> 00:31:16,625 Okay. 610 00:31:17,959 --> 00:31:19,294 We'll be right outside. 611 00:31:24,716 --> 00:31:27,427 Stitches look great. Just repack and then we'll redress. 612 00:31:27,511 --> 00:31:29,763 - You got it, boss. - Signals are dropping. 613 00:31:29,846 --> 00:31:33,308 - She's brady, and now v-fib. - Starting compressions. 614 00:31:34,184 --> 00:31:36,853 The spinal fusion was perfect. Checking the drains. 615 00:31:38,063 --> 00:31:39,189 No, it's not a bleed. 616 00:31:39,272 --> 00:31:43,360 Okay, this has gotta be spinal cord edema. Push 20 of steroids and mannitol now. 617 00:31:44,194 --> 00:31:45,362 Push lido. 618 00:31:46,404 --> 00:31:47,656 Internal paddles. 619 00:31:48,698 --> 00:31:50,909 Charging to 20. 620 00:31:51,785 --> 00:31:53,411 Clear. 621 00:31:53,495 --> 00:31:55,914 Okay, uh, how many units has he had? 622 00:31:58,291 --> 00:31:59,918 Okay, charging to 30. 623 00:32:01,169 --> 00:32:03,463 And clear. 624 00:32:03,547 --> 00:32:05,715 Charge to 200. 625 00:32:05,799 --> 00:32:07,259 Clear. 626 00:32:09,010 --> 00:32:11,179 - Nothing. - Charge again. 627 00:32:13,265 --> 00:32:14,724 Clear. 628 00:32:16,893 --> 00:32:18,687 - Still nothing. - Damn it. 629 00:32:18,770 --> 00:32:19,980 Not today, Bree. 630 00:32:30,282 --> 00:32:32,492 Pressure's coming back up. 631 00:32:47,340 --> 00:32:48,341 Dr. Shepherd. 632 00:32:49,259 --> 00:32:51,219 She was just getting started. I'm not giving up. 633 00:32:53,597 --> 00:32:55,223 - It's time. - No. 634 00:32:56,433 --> 00:32:57,726 Amelia. 635 00:33:09,029 --> 00:33:10,405 Time of death... 636 00:33:14,618 --> 00:33:15,869 18:09. 637 00:33:33,303 --> 00:33:37,098 Hey. His pressures are miraculously holding. 638 00:33:37,182 --> 00:33:38,767 Pilot didn't make it. 639 00:33:39,643 --> 00:33:42,270 Oh, man. He's never gonna forgive himself. 640 00:33:42,354 --> 00:33:43,355 Mmm. 641 00:33:45,857 --> 00:33:47,525 Oh, no. Ugh. 642 00:33:48,026 --> 00:33:50,862 I missed my registration deadline. 643 00:33:52,322 --> 00:33:56,576 I'm... I'm getting a master's in public health. 644 00:33:56,660 --> 00:33:58,078 Or I was. 645 00:33:58,161 --> 00:34:01,498 With everything going on today, I forgot about school. 646 00:34:02,082 --> 00:34:05,710 Just call. Tell them you were saving someone's life. 647 00:34:06,378 --> 00:34:11,800 You know, today has shown me that maybe I should rethink going at all. 648 00:34:11,883 --> 00:34:13,927 'Cause you missed a deadline? 649 00:34:14,636 --> 00:34:19,015 Full-time surgeon, residency director, the clinic, 650 00:34:19,099 --> 00:34:20,725 being a wife, full-time mom. 651 00:34:20,809 --> 00:34:25,939 If I add more, I mean, something other than a deadline will suffer, 652 00:34:26,022 --> 00:34:27,399 or-or-or someone. 653 00:34:28,650 --> 00:34:32,654 Well, look, Larry made a mistake because he's working in a broken system. 654 00:34:32,737 --> 00:34:34,489 So are we. 655 00:34:34,572 --> 00:34:39,077 Yeah, so I was hoping, with a degree, I could help fix it. 656 00:34:40,328 --> 00:34:43,206 So ask for help. Delegate something. 657 00:34:43,290 --> 00:34:45,333 You know, let other people step up. 658 00:34:45,417 --> 00:34:47,377 Yeah, you can do this. We got you. 659 00:34:58,555 --> 00:35:00,557 Why is your shirt always off? 660 00:35:00,640 --> 00:35:02,767 I am literally in a place where people get dressed. 661 00:35:02,851 --> 00:35:04,311 I need boundaries. 662 00:35:05,270 --> 00:35:09,190 Okay, look, I know that the time we were drunk was a one-time thing 663 00:35:09,274 --> 00:35:10,442 and you're with Bryant now. 664 00:35:10,525 --> 00:35:13,695 Yes, I'm with Bryant now, so I can't see you in the shower naked. 665 00:35:13,778 --> 00:35:15,947 It's distracting. 666 00:35:17,824 --> 00:35:19,326 I need to move on, you know? 667 00:35:21,077 --> 00:35:22,495 I will keep my clothes on. 668 00:35:22,579 --> 00:35:26,249 It's not... ...only the clothes. It's, I... 669 00:35:27,167 --> 00:35:28,627 I just need a little space. 670 00:35:31,463 --> 00:35:32,464 Understood. 671 00:35:44,434 --> 00:35:46,519 Hey. Sorry I couldn't give you a ride. 672 00:35:46,603 --> 00:35:49,272 I needed to make sure I spoke to Larry's brother. 673 00:35:49,356 --> 00:35:51,566 It's probably best we don't travel together. 674 00:35:51,650 --> 00:35:53,818 - Less eyes on us. - Yeah, um... 675 00:35:56,154 --> 00:35:57,364 Ben knows. 676 00:35:58,031 --> 00:36:00,033 - How? - Guess he's seen us a couple times. 677 00:36:00,116 --> 00:36:02,535 I-I don't know. I-I denied it, but he didn't buy it. 678 00:36:02,619 --> 00:36:04,120 Does Bailey know? 679 00:36:04,204 --> 00:36:06,206 - I don't think so. - Are you sure? 680 00:36:07,040 --> 00:36:09,501 Pretty sure, yeah. She, uh... 681 00:36:10,460 --> 00:36:12,087 She made me residency director. 682 00:36:12,170 --> 00:36:14,381 - Wait, what? - Yeah, um... 683 00:36:15,048 --> 00:36:19,010 She said she needed something off her plate and-and she thought 684 00:36:19,094 --> 00:36:21,513 I did a great job teaching you today, and she thinks it's a great fit. 685 00:36:21,596 --> 00:36:22,806 And you accepted? 686 00:36:41,324 --> 00:36:43,243 We can still save this. 687 00:36:50,542 --> 00:36:52,293 Zach's asleep inside. 688 00:36:52,377 --> 00:36:55,672 - Sleeping with Cass was a huge mistake. - Amelia... 689 00:36:55,755 --> 00:36:56,840 - I was sure... - I can't... 690 00:36:56,923 --> 00:36:59,175 - ...that you were getting back with Celine. - I can't deal with this. 691 00:36:59,259 --> 00:37:00,593 I was totally shattered. 692 00:37:00,677 --> 00:37:03,304 And how do you think I felt when I came to your door and saw her? 693 00:37:05,181 --> 00:37:07,392 It nearly destroyed me. I had to leave town. 694 00:37:08,184 --> 00:37:10,979 - I have a penchant for self-destruction. - Okay. Okay. 695 00:37:11,062 --> 00:37:15,692 I spent every day since wishing I could take it back because I... 696 00:37:15,775 --> 00:37:19,237 I've spent a long time waiting to feel this way. 697 00:37:19,320 --> 00:37:21,990 Like, when I'm with you, everything's right. 698 00:37:22,073 --> 00:37:25,869 Everything is exactly where it should be. I'm... 699 00:37:25,952 --> 00:37:27,537 I'm exactly where I should be. 700 00:37:27,620 --> 00:37:30,415 You said that you loved me. I love you too. 701 00:37:30,498 --> 00:37:33,960 I'm desperately, madly, dizzyingly in love with you, 702 00:37:34,043 --> 00:37:38,631 so if you're done with me, I will learn to accept it. 703 00:37:38,715 --> 00:37:44,220 But if there's any part of you that still feels the way you did... 704 00:37:47,599 --> 00:37:49,934 I'm begging you not to let this die. 705 00:37:57,901 --> 00:37:59,068 I'm not done. 706 00:38:11,289 --> 00:38:14,626 It's easy to judge people for their actions, 707 00:38:14,709 --> 00:38:17,003 but you don't always know what's driving them. 708 00:38:17,670 --> 00:38:19,714 Look at that. Hurricane slice. 709 00:38:19,798 --> 00:38:21,299 Are you hitting Y when you're pressing that? 710 00:38:21,382 --> 00:38:23,843 - Don't worry about it. Hurricane slice! - I don't know how you're doing that. 711 00:38:23,927 --> 00:38:25,303 - Okay, wait. - Who's winning? 712 00:38:25,386 --> 00:38:26,846 - Don't talk. - Just one sec. 713 00:38:26,930 --> 00:38:29,390 Come on. Come on. No, no, no, no, no, no, no, no! 714 00:38:30,350 --> 00:38:32,143 What the hell was that? 715 00:38:32,227 --> 00:38:34,479 That's a mega fireball. I unlocked it in the dungeon. 716 00:38:34,562 --> 00:38:35,605 - The mega-- - Yeah. 717 00:38:35,688 --> 00:38:38,483 - Okay, we need another round. - Another round? Another round? 718 00:38:38,566 --> 00:38:41,236 Another, uh, uh... Let's... I'm actually kind of tired. 719 00:38:41,319 --> 00:38:42,862 - No, you just don't want to lose. - It's okay. 720 00:38:42,946 --> 00:38:44,739 It gives me time to review my notes for tomorrow. 721 00:38:44,823 --> 00:38:46,908 Sure? Okay, okay. All right, cool. 722 00:38:46,991 --> 00:38:49,410 It'll only take me a minute to beat him again anyway. 723 00:38:49,494 --> 00:38:51,454 - Whup your butt. - Check this out right now. 724 00:38:52,121 --> 00:38:54,082 - Bam! - I keep letting him get this move off. 725 00:38:54,165 --> 00:38:55,166 That's it. 726 00:38:56,626 --> 00:38:58,878 You don't know what they were born into, 727 00:38:59,754 --> 00:39:01,339 struggles they've faced. 728 00:39:28,074 --> 00:39:31,327 Sometimes we make rash decisions with no idea why. 729 00:39:32,495 --> 00:39:36,124 Meredith. Beautiful, isn't it? 730 00:39:36,207 --> 00:39:38,167 We were just talking about you. 731 00:39:38,251 --> 00:39:41,462 You were so wonderful today with Annabelle Chase. Thank you. 732 00:39:41,546 --> 00:39:44,507 Well, do you still want my opinion? 733 00:39:45,925 --> 00:39:47,760 I don't know. Do I? 734 00:39:47,844 --> 00:39:49,888 Well, I have worked here since I was an intern, 735 00:39:49,971 --> 00:39:51,806 and this hospital has seen a lot of changes. 736 00:39:51,890 --> 00:39:55,268 Name changes, financial crises, tragedies. 737 00:39:55,351 --> 00:39:59,480 The one thing that has never changed is our standard of care. 738 00:39:59,564 --> 00:40:01,524 It has always been excellent. 739 00:40:01,608 --> 00:40:03,151 It never needed to be tiered. 740 00:40:03,234 --> 00:40:06,988 - Meredith, if you just give him-- - Today, I gave inadequate care. 741 00:40:07,071 --> 00:40:11,659 My patient suffered, and I lost his trust, and that is not who we are. 742 00:40:11,743 --> 00:40:13,411 And it is day one, sir. 743 00:40:13,494 --> 00:40:17,707 Meredith, you might want to know that Dr. Norton is our new chief of surgery. 744 00:40:17,790 --> 00:40:20,209 He's gonna be with us every day. 745 00:40:20,960 --> 00:40:22,170 Unlike you. 746 00:40:27,550 --> 00:40:29,260 Oh. Excuse me. 747 00:40:29,344 --> 00:40:33,097 But often it's fear pulling the strings behind the curtain. 748 00:40:35,266 --> 00:40:36,267 Fear of failure... 749 00:40:36,351 --> 00:40:37,393 Meredith. 750 00:40:37,477 --> 00:40:41,230 ...of being let down, or, one of my old favorites, fear of happiness. 751 00:40:41,314 --> 00:40:45,193 You could have told me you were considering hiring him as chief. 752 00:40:45,276 --> 00:40:47,195 You never wanted to be involved in the search. 753 00:40:47,278 --> 00:40:51,908 I didn't think I needed to, but now I am second-guessing that decision. 754 00:40:51,991 --> 00:40:54,827 Annabelle's mother donated $100,000 to this hospital. 755 00:40:54,911 --> 00:40:56,996 Well, that just makes me feel dirtier. 756 00:40:57,080 --> 00:41:00,541 Look, Grey Sloan has lost a huge amount of funding. 757 00:41:00,625 --> 00:41:02,210 Every hospital has. 758 00:41:02,293 --> 00:41:05,046 No, we're not like all hospitals. 759 00:41:05,129 --> 00:41:07,423 We staff highly sought-after surgeons. 760 00:41:07,507 --> 00:41:10,134 We publish groundbreaking research. 761 00:41:10,218 --> 00:41:12,595 Our overhead is massive, Meredith. 762 00:41:12,679 --> 00:41:16,599 If we want to be the same state-of- the-art institute we've always been, 763 00:41:16,683 --> 00:41:19,435 then we need a plan, and Norton has one. 764 00:41:20,561 --> 00:41:21,938 So you need to get on board. 765 00:41:28,653 --> 00:41:30,029 This will implode. 766 00:41:45,378 --> 00:41:48,089 It's all too easy to be your own worst enemy. 767 00:41:54,971 --> 00:41:55,972 Hi. 768 00:41:56,472 --> 00:41:57,473 Hey. 769 00:41:59,642 --> 00:42:02,103 My miracle AO patient died. 770 00:42:11,654 --> 00:42:12,905 I quit. 771 00:42:14,907 --> 00:42:18,119 And the damage we inflict can take a lifetime to undo.