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Grey's Anatomy Season 21 Episode 16

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Transcript
00:00Running sutures for my them pop bypass with Nduca today.
00:03That's supposed to be my dinner.
00:04Well, then I'm also saving you from salmonella.
00:06You want a term with my old people?
00:08I'm moving the spare key.
00:09The sphere was based on numerology, the zodiac, the moon, and stars.
00:14It's pseudoscience compared to modern metrics.
00:16But humans have always craved certainty.
00:19What about Cedar Valley Estate with the fountain?
00:21It looks bucolic.
00:22Saw them, also saw they have a 250-person minimum.
00:26Wildwood Gardens?
00:27I thought you wanted a live band.
00:29They don't allow live music?
00:30No, not after 8 p.m.
00:32Well, what if we have a small ceremony here at the chapel
00:35and then host dinner in the back room at Nicoletti's?
00:38I don't know.
00:39What if we bring our old flower?
00:40When someone hesitates and says, I don't know, it means I don't want it.
00:43Copy that.
00:44Diagnosis, prognosis, genetic predisposition.
00:48They're all ways of placing ourselves on the sphere.
00:51We ask science to protect us from the simplest fact of life.
00:54It's full of surprises.
00:56Do you know that the first FEMPOP bypass was performed in 1948 on a patient with a foot ulcer?
01:01I do, because I know everything there is to know about this procedure.
01:05I postponed Mr. Hall's FEMPOP.
01:07His INR was too high.
01:08I've got to wait for it to come down.
01:09No, I sutured raw chicken to prep for this.
01:14I've got to check in with Dr. Weber.
01:16Can you pull the chest tube on Mrs. Babbitt?
01:18Does she need a FEMPOP?
01:19I will handle it.
01:23All right.
01:25Hey, good morning.
01:26Good morning.
01:26Listen, I know that you think there's something going on between me and Dr. Miller.
01:30I said no such thing.
01:31You did with your eyes, and I just want to clear it up.
01:34I'm her mentor.
01:35She's my student.
01:36Nothing more.
01:37Whatever you say.
01:37Hey, I heard you're not remediating.
01:44Congrats on not being a total reject.
01:46Yeah, well, the attendings need someone that can count on who you are.
01:50I thought I lost that mug.
01:51Well, I'm just giving it a warm until you move back in.
01:53What are your way of saying I'm never getting it back?
01:54You turned down Griffith?
01:56What are you talking about?
01:57What are you talking about?
01:59Wait, Simone asking me to move in.
02:01Juan, I need an assist.
02:03No, I'd say...
02:04You got to go.
02:04Uh, is this about the hernia repair?
02:08I saw it on your schedule.
02:09I have bigger problems than a hernia.
02:10Black coli, colectomy.
02:11I had the perfect incoming class, and now I have to hurry up and fill a Lucas Adams-sized hole,
02:17and I need you to help me sell a prospective intern on our program.
02:21A vacancy will be a red flag to interns looking to match next year,
02:27and it means more work for you.
02:28You want more work, Juan?
02:29I kind of want the hernia repair.
02:31This is your hernia repair.
02:34Dylan Gatlin, nine years old, treated by Dr. Beltran and Dr. Griffith for a right radial fracture a few weeks ago.
02:44I fell out of a tran, my silver star can't belt.
02:46We were chaperoning.
02:47Not our finest parenting moment.
02:49When they ran a CT to check for her head trauma post-fall,
02:52they made the incidental finding of a cavernous angioma in her brainstem.
02:56Which is, uh, Dr. Griffith?
02:58A benign but abnormal cluster of blood vessels in the brain.
03:02Yeah, she's scheduled for a resection of the angioma this afternoon.
03:05Are you ready?
03:06I'm an expedition scout.
03:08I'm always ready.
03:09Mm, good.
03:10You're ready.
03:10So is Dr. Shepard.
03:12She goes on expeditions every day.
03:14Does she have any badges?
03:15Oh, so many.
03:16She leaves them at home.
03:18What is that?
03:19It's a trail map for my next camp out to Deep Lake.
03:21I'm planning on how to get my navigation badge.
03:23I mapped four rates and they're color-coded.
03:26Wow, I can barely get home using my GPS.
03:28Guess what?
03:29We are going to make a trail map of your brain.
03:32How cool is that, Bunny?
03:34Pretty cool, I guess.
03:35The brainstem is about the size of a thumb.
03:38It's where the right and left motor neurons cross, which makes access tricky.
03:42Thanks to new MRI technology, we will be able to map Dylan's neural tracks,
03:46which will be instrumental in helping me reach the angioma.
03:49Do I have to line that tube again?
03:51It's going to be over before you know it.
03:53All right, uh, I will see you two up there.
03:55Yes.
03:55Yeah.
03:56You ready?
03:57Mm-hmm.
03:58So then, it'll look like that.
04:03Nice, right?
04:04Looks great.
04:06Hi, Mariana.
04:07I'm so sorry I'm late.
04:09I'm Dr. Wilson.
04:10Hi.
04:11They sent me from the clinic.
04:13This cramping, it's...
04:14It's how?
04:16Um, I have endometriosis, so I'm used to the pain during my period, but this is next level.
04:21And you reported blood in your urine?
04:23Yeah.
04:24Is that bad?
04:24I'll run labs to find out more.
04:26Okay.
04:27May I examine you?
04:28Mm-hmm.
04:28Okay.
04:29Do you want me to call your mom?
04:30No.
04:31No.
04:32She'll want to come over, and then your mom will want to come...
04:34Okay, I...
04:35Over.
04:37Then I'll start panicking about the wedding and Grandpa Hector.
04:40We're getting married in four days.
04:42On a Thursday?
04:43Mm-hmm.
04:44On the date that our moms met.
04:45They're friends?
04:46Yeah.
04:47They're best friends.
04:49They met here in the OB ward.
04:52Edgar and I were preemies in the NICU together, so they bonded over worrying about us.
04:56Oh, my gosh.
04:57We're the NICU couple.
04:58Oh, I thought that you looked familiar.
05:01I pass by your engagement photo every day on the bulletin board.
05:05The bouquet.
05:06What is that?
05:07Sweet Peas.
05:07Yes.
05:08They're a flower.
05:09Okay, a little pressure.
05:10Okay.
05:11Ow.
05:11Ow, ow, ow, ow, ow, ow.
05:12Okay.
05:13Doing great.
05:14Sorry.
05:15Those flowers are also really hard to find on place cards, so we're making them.
05:19Edgar is.
05:20I'm in too much pain to help.
05:23I told you I don't mind.
05:24You deserve that perfect day.
05:26Ow, ow, ow, ow.
05:27Are you okay?
05:28If okay feels like someone is ripping my insides apart, then yeah, I'm great.
05:32Your initial imaging is consistent with endometriosis, but we will order labs and an MRI to get a closer look, and we will get you something for your pain.
05:41Okay.
05:41Okay.
05:42Thank you, doctor.
05:43Of course.
05:45It's okay, Flacka.
05:47Okay.
05:48This better be cooler than a bypass.
05:50You gotta let it go.
05:51Let what go?
05:53Nothing.
05:53What do we got?
05:54Spencer Pardes, status post, MVC.
05:56Restrained driver rear-ended, then T-boned on the driver's side.
05:59GCS 15, hemodynamically stable.
06:01Bad left chest injury.
06:03Spencer, you're at Grace Lone.
06:04We got you, okay?
06:05On my count.
06:07One, two, three.
06:08Oh, oh, oh, oh.
06:10I feel fine.
06:11I need to go home.
06:13I just got paid, and the cash for rent is in my wallet, and we can't be late again.
06:18I'll find it.
06:19All right, is there someone we could call?
06:20A parent?
06:21Yeah, my dad.
06:22Can you just tell me that it's not my fault?
06:27Oh, my God.
06:29His lung is herniated right through his chest wall.
06:31All right, I need an X-ray in here, a full trauma panel, and a fast exam.
06:35Yeah, I don't care about the bypass anymore.
06:40I know this whole intern thing is a priority, but if we finish early, do you think...
06:52If you ask me one more time, I'm going to give that hernia repair to Adams and make you watch it.
06:58There she is.
06:59Hello, Dr. West.
07:08Hi, I'm Dr. Bailey.
07:09This is Dr. Kwan.
07:11Everyone here calls me blue.
07:12I don't.
07:13Welcome to Gray Sloan.
07:14Oh, I'm excited to be here.
07:16It is colder than in Durham, though.
07:18You went to Duke.
07:19I went to med school in Grenada, but it's difficult to match in the U.S.
07:22from an international school, so I'm doing a prelim year to beef up my resume.
07:26I went to medical school in St. Kitts.
07:28Seriously?
07:28Yeah.
07:29What a coincidence.
07:31Dr. Blue?
07:33Oh, yes.
07:34Well, let me show you what this program has to offer.
07:40Okay, fast is negative.
07:42Where's my soaked gauze?
07:43What's taking so long?
07:44X-rays up.
07:49Mellon, what do you see?
07:51Left hemothorax, couple of broken ribs, nothing on the right side.
07:54Meteosinim looks good.
07:56The soaked gauze is here.
07:57Can I?
07:57Okay, yeah.
07:57I'll walk you through reducing the lung into the chest.
07:59This?
08:00Dad?
08:00Dad, is that you?
08:01I'm here.
08:02What the hell happened?
08:03Mr. Prater, you're going to have to wait outside.
08:04I need some light.
08:05That looks serious.
08:06Is he going to need surgery?
08:07Oh, God.
08:10Is that my lung?
08:13Oh, God.
08:14Oh, my God.
08:15You're okay.
08:15You're okay.
08:16Zone two is dropping.
08:16Someone answer me, please.
08:18Please, dude, son.
08:19We need to intubate.
08:19What's happening?
08:20Get him out of here.
08:21You're thinking of becoming an expedition scout?
08:31I wish.
08:32My dad wouldn't let me.
08:33He said he was afraid I'd be mauled by a bear.
08:36I think he just wanted me at home.
08:37Speaking of home, have you and Quan decided what you're going to do with Yisuda's room yet?
08:44We're still figuring it out.
08:46Is it going to hurt when you cut my brain open?
08:50Not even a little bit.
08:52You'll be asleep the whole time.
08:54You can relax now.
08:56This is Dylan's brain with diffusion tensor imaging.
09:00What do the colors mean?
09:01Blue are neural tracks that go up and down.
09:03Green goes front to back, and red goes side to side.
09:05You got to cut parallel to the pathways so you don't sever them.
09:08Someone came prepared.
09:10And where everything crosses?
09:11Does the brain stem?
09:12Due to its complexity, tiny errors can cause catastrophic damage.
09:15No pressure.
09:16Right.
09:18Ten years ago, this surgery would have been impossible.
09:21But these images give us a clarity we have never had before.
09:24How do you know you're on course?
09:25By mapping this onto Dylan's brain in your arm.
09:28It appears if I do an extreme lateral approach,
09:31I should be able to get deep enough to get to Dylan's angioma right here.
09:35Better than GPS?
09:36Oh, a thousand times better.
09:39And I checked Mr. DiBianca's dopplers, and they sound good?
09:43Great.
09:44Let me know if there's any decrease in signals.
09:46So much for the wedding.
09:48Oh, we'll find a venue.
09:50Just not prospect estate.
09:52A 30K deposit builds resentment, not love.
09:54No, not ours.
09:56Mariana and Edgar's.
09:58Grace Sloan's NICU couple.
10:01They were here at the NICU together 26 years ago,
10:03and now they're engaged.
10:04Mariana and Edgar.
10:06Mariana and Edgar.
10:08Saying the name over and over again isn't going to make me remember them.
10:10Well, their whole story was in the hospital newsletter.
10:12It's like a real-life fairy tale, and I'm about to crush it.
10:16Look, her endometriosis has taken over her pelvis
10:18and implanted in her pubic symphysis.
10:21I've never seen anything like this.
10:22Me neither.
10:23I've done a ton of excision surgeries.
10:25I've never seen tissue invade bone like this before.
10:28And when was she diagnosed?
10:29A couple years ago, after a decade of symptoms.
10:33Endometrial lesions must have been growing out of control for years.
10:35Mm-hmm.
10:36If we put as much money into researching this
10:38as we did erectile dysfunction,
10:40millions of women would have less pain.
10:41I don't see how you treat this without shaving down the bone.
10:45I know.
10:47Can you help?
10:48Thought you'd never ask.
10:50Doctor, let us take a cat lab.
10:51Doctor, let us take a cat lab.
10:55Mr. Purdy, Spencer's on his way to a pre-op.
10:58We will take excellent care of him in surgery.
11:00That kid has had a lead foot since he was on a tricycle.
11:03I keep telling him nothing is so important
11:04that you need to drive that fast.
11:06Well, he said he had to pay rent.
11:08And as someone who also lives paycheck to paycheck,
11:10rent is pretty important.
11:11I just can't believe this is happening.
11:14I have a bag of his personal belongings,
11:16and I thought you might want to hold on to it.
11:20He always has his mariner's hat on.
11:23Nice to have a little piece of him with me.
11:26He's a good kid.
11:27No thanks to me.
11:29Oh, I'm sure that's not true.
11:31I'll let you head to the waiting room,
11:32and we'll come find you once we have an update, okay?
11:41You've got him.
11:43Leave it alone.
11:44Leave it alone.
11:45Spencer needs us more in the OR.
11:48Come on.
11:52You sure it won't hurt?
11:54Oh, of course not.
11:56This hospital has really good medicine.
11:58You can even pick the flavor.
11:59Bubble gum, peach, or strawberry.
12:02Okay, everyone ready?
12:03It's about that time.
12:08I want to go home.
12:09We will, sweetie, in a few days.
12:11Doctors, they're just going to fix you up, okay?
12:12I want to go home now.
12:14I want to sleep in my tent with my stuffies and my lantern.
12:17You're going to be home in your tent so soon.
12:19I promise.
12:20What if the scans are wrong?
12:22What if I don't need surgery?
12:23I don't want surgery.
12:25I really don't want it.
12:26I'm scared.
12:27Okay, Bunny.
12:28Okay.
12:29It's okay, sweetie.
12:29Okay.
12:31Please don't let them take me anymore, Mommy.
12:33Please don't let them take me.
12:34I just want to stay with you.
12:35Can't I just stay with you?
12:37You're okay.
12:38You're okay.
12:38You're okay.
12:39She's calmed down a bit.
12:52Sorry.
12:53I don't know how we're going to get her to leave that room.
12:55I've never seen it like this.
12:56It's completely normal for Dylan to be scared.
12:59This happens all the time.
13:01Maybe we should just wait.
13:03Give you guys all like a couple of extra days to prepare.
13:06There's only one possible approach to her angioma.
13:10Which could be compromised if it grows.
13:13We should do it now.
13:15And if we do nothing...
13:16She could live another five to ten years.
13:19Or she could die sooner.
13:24Could I talk to you for a second?
13:25Uh-huh.
13:33Five to ten years may not be a long life, but it is a life.
13:37I'm not giving up on her.
13:38Neither am I.
13:40This is a very, very, very big gamble.
13:42The surgery could kill her.
13:43You know that, right?
13:44The surgery could kill her, right?
13:46It is very high risk.
13:48You asked me to find a way.
13:49This is what I found.
13:51Jenna.
13:51If something happens to her.
13:57I know.
13:58You know.
13:58Our daughter loves adventure.
14:02And she loves hiking and camping and swimming.
14:06And I don't know how, because you and I can't find our way out of a sleeping bag.
14:11But Dylan needs to lead a full and robust life.
14:14Don't you want that for her?
14:15Of course I do.
14:16She just looks so small.
14:17I know.
14:18Right now, you know?
14:19I wish I could go in there with her and hold her hand, but I...
14:22What if she could?
14:23Well, not every day a patient opens up his own chest for surgery.
14:34CT showed extensive damage to the inferior lobe, so it might be a long one.
14:39You update the father?
14:40You mean the jackass?
14:41Yeah, we did.
14:42That's not a term I would recommend using for a patient's family members.
14:45He stole money from his son.
14:48We saw him take the cash out of Spencer's wallet and stuff it in his own pocket.
14:51Well, maybe he took it for safekeeping.
14:52Or maybe he's a dirtbag.
14:55Should have said something.
14:56If you'd have gotten up in that man's face, it would have turned into an ugly fight.
14:59That does not help our patient.
15:00Neither is getting evicted because he can't pay rent.
15:02We are doing a wedge resection, and then we are going to figure out how to cover the defect.
15:07Everybody ready?
15:08I'm right behind you.
15:12So our residents typically finish with over 1,500 cases, more than enough to meet your requirements.
15:19Well, I just hit 175 procedures for the year.
15:21I'm at 230.
15:23Well, we are a level one trauma center, so there's plenty of interesting cases.
15:29Impalements, MVCs, severe burns.
15:31I mean, we see it all.
15:32Gosh.
15:33I wanted to be a trauma surgeon since my mom and I were in it in BC when I was five.
15:37Okay, shoot.
15:38I'm needed in the OR.
15:40Keep going.
15:41Here.
15:42And I'll find you.
15:44I can show you the skills lab.
15:47I want to see what this place is really like.
15:50You want to show me the insider's tour?
15:52I can show you whatever you want.
15:54We shouldn't be doing this surgery.
16:09Why not?
16:10It's extremely risky, and her dad doesn't want it.
16:13Hey, he came on board.
16:14Because his wife pushed him into it.
16:16Should we ask Shepard about it?
16:17By we, do you mean you?
16:19Because I don't have a problem with her.
16:23Last time I questioned her, it didn't go that well.
16:26Why didn't you ask me about moving in?
16:29How'd you...
16:30Conflict.
16:31We were talking about what to do with Mika's room, and you moving in was one option in a long list of options.
16:38So I'm on a list between, what, Aquarium and Game Room?
16:41No.
16:45Yeah, we haven't even known each other for a year.
16:48Can we just enjoy where we are right now?
16:51Are you enjoying this?
16:57Almost done.
16:59That's great.
16:59Though at this rate, they're going to have to wheel me down the aisle.
17:04Ow.
17:06Mariana?
17:07Hi.
17:08Hi, this is Dr. Helm and Dr. Lincoln.
17:10He is the orthopedic surgeon who will be helping me with your case.
17:14But why do I need an orthopedic surgeon?
17:16Well, your scan showed something called deep infiltrative endometriosis, or D-I-E.
17:21D-I-E?
17:22Like dye?
17:23It's not a great name.
17:25No, it's also not fatal.
17:27But it is very painful and affects up to 15% of women with endometriosis.
17:31It's where your tissue invades your organs, and in your case, the top of your pubic bone.
17:35The only way to treat it is to remove it surgically.
17:38So the idea is, I will go in and remove the lesions throughout your pelvis, and Dr. Lincoln will shave your pubic bone.
17:49What about the wedding?
17:51Don't worry about that right now.
17:52No, you took a second job to pay for it.
17:54I wiped out my entire savings.
17:56It's okay.
17:57Will this surgery actually stop the pain?
18:02We're optimistic that it will help.
18:06You okay?
18:07You okay?
18:08You okay?
18:11This disease has been a never-ending nightmare.
18:13Ten years of lying on the bathroom floor, writhing in pain with every period.
18:17And doctors told me that it was normal.
18:20One even thought I was exaggerating so that I could get painkillers, and now it's in my bones?
18:24I want it to stop.
18:27I need it to stop.
18:33What if we got married now?
18:35Before you go into surgery?
18:37I mean, I could get the hospital chaplain, right?
18:40Look, I know it wouldn't be our picture-perfect wedding, but it is kind of perfect, right?
18:47Two NICU babies getting married in the hospital where they were born?
18:51People would love that.
18:52What do you think?
18:53I, uh...
18:55I don't know.
19:01Honey, I'm so sorry we do have to get her to pre-op so we can get the paperwork started.
19:06To begin tenure.
19:08That was a dumb idea.
19:13I love you.
19:15I love you so much.
19:17It's gonna be okay.
19:18Okay.
19:23Dylan, do you remember the trail map I told you about?
19:28There it is.
19:30See?
19:31Look at how beautiful your brain is.
19:32Doing hard things, even when we're scared, is what makes us brave.
19:45This is gonna be your biggest expedition yet, and I'm gonna be right here waiting for you.
19:51It's not goodbye.
19:52It's just goodnight.
19:53You'll stay with me until I fall asleep.
19:56Of course.
19:57Of course.
20:18Save my baby, please.
20:19I'll be right there.
20:27I need a minute.
20:27I need a minute.
20:41Listen, if I was in this OR with any other neurosurgeon, I'd be scared out of my mind.
20:45Well, you should be.
20:46No other neurosurgeon has done this.
20:49Including me.
20:50I've seen you do the impossible, and this time you have a road map.
20:53Stop talking.
20:54I don't need to hear how good I am or how many successes I've had.
20:57None of that has anything to do with Dylan.
20:59She is nine years old.
21:00She is their only kid, and whether she lives or dies is in my hands.
21:05You're not alone in there.
21:07I am the one who is slicing into the part of her body that controls all function.
21:10I am the face they will remember if something happens to their kid.
21:12I am the one who will never forget it if I kill her on the table.
21:16So, when I say I need a minute, I need a damn minute.
21:19Oh, this long is shredded.
21:38I think most of it's salvageable, though.
21:41Lovelace?
21:41Do you want to check more here?
21:46Yep.
21:48I understand you have a problem with how I chose to handle our patient's situation.
21:51If I handle, you mean ignore?
21:53Dylan?
21:56My dad took me on a drug run when I was ten.
21:59He left me in the car while he went and got high, and then he made me drive him home.
22:05Well, I'm sorry you went through that.
22:07I survived, but I have a pretty great radar for crappy dads.
22:11I don't know that yours is a wholesome sitcom dad.
22:14Dr. Millen, are you too preoccupied to be in here right now?
22:16Are you kicking me out?
22:17I'm asking.
22:18Are you too preoccupied to be in this OR?
22:22No, I'm good.
22:24GIA statement?
22:29Just a couple of lesions on the rectum and bladder, and it is your turn.
22:34Take your time.
22:35I'm not going anywhere.
22:36And I'm guessing she's in no hurry to get back to her Romeo.
22:40Definitely trouble in paradise.
22:42Clearly, you two don't know them.
22:44Do you?
22:46She hesitated.
22:47Someone told me that means she probably doesn't want it.
22:50She was in pain.
22:52And more ways than one.
22:53Their wedding is going to be epic.
22:55Everything is handmade.
22:56Both their moms are officiating.
22:57There's a photo booth and an oyster bar, a string quartet, and a live band.
23:02Sounds like a good time.
23:03No, it's more than that.
23:04They're made for each other.
23:06They're...
23:06Mariana and Edgar?
23:08I once went to a wedding with fireworks, aerial bartenders, and life-size eye sculptures of the bride and groom.
23:14They annulled the marriage a week later.
23:15Ouch.
23:16Yeah, well, weddings are just a big party.
23:18It has nothing to do with what comes after.
23:20Well, that may be true, but I am still rooting for them.
23:24Okay, I've excised and shaved all the lesions that I can see.
23:31You're up.
23:34Periosteo elevator?
23:35So, this is the surgical ICU where many of us have the luxury of rotating on the night shift.
23:45Hmm, familiar.
23:46The newest doctor is keeping these sickest patients alive.
23:49While the attendings get their beauty sleep.
23:55Code blue, surgical ICU.
23:57BP is crashing.
23:59Do you need a help with that?
24:00Surgical ICU.
24:01No.
24:02They got it.
24:03Code blue.
24:03I don't feel a pulse.
24:04Well, what about that one?
24:05Get an FU ready.
24:06Code blue.
24:07We have a fit.
24:08I see you.
24:09Get the paddles.
24:11Sats are plummeting.
24:13Hey, Saki.
24:15Diminished breath sounds on the right side.
24:18ET tube is in place.
24:19He needs a chest tube.
24:20Okay, what can I do?
24:22Open these for me.
24:23I'll get a crash cart.
24:27Anyone know what's along that red path there?
24:29The lateral meniscus.
24:31Which controls her hearing.
24:32That's why we are steering clear.
24:34According to our map, splitting these blue paths is the safest corridor.
24:38Do you need more room?
24:38I'm good.
24:39Thanks for asking.
24:41Is that...
24:41A developmental venous anomaly?
24:43Good eye.
24:44Suction.
24:45Griffith.
24:46Now, please.
24:47Sorry.
24:48Don't apologize.
24:48Just keep up.
24:50Damn it.
24:50What happened?
24:51There's bleeding.
24:52I see it.
24:53Tell us what you need.
24:54It's not stopping.
24:54I need suction and gel foam now.
24:58Dylan, hang on.
24:59This person's out of surgery.
25:08The damage to his chest and lung was extensive, but we were able to remove the injured lung
25:12and cover the wound.
25:14Oh, thank God.
25:16This day took a turn, didn't it?
25:17We could take you to his room if you like.
25:19Is he awake?
25:20He should be soon.
25:21I know he wants to see you.
25:22I don't want to bother him if he's sleeping.
25:27I haven't eaten all day.
25:29Do you have any recommendations around here?
25:31I believe it's chili day in the cafeteria, or if you want some fresh air, LaBelle is popular
25:36on maple.
25:38I think I'll do that.
25:39I'll come right back.
25:44I don't trust anyone who doesn't like the hospital chili.
25:48Good thing you don't have to.
25:49What are you doing?
25:58Putting in a chest tube.
25:59Stop.
25:59I've done this before.
26:00It's fine.
26:00Give me the scalpel.
26:03Now!
26:03Now!
26:19Gel foam.
26:25It's right there on our hand.
26:26I can't see, and I can't take my eyes off the field.
26:28Just pass it to me.
26:32Got it.
26:34Bipolar now.
26:36Turn the coag down to five.
26:38Because why?
26:40Because the higher...
26:41We need energy as low as possible to prevent thermal injury to the brain.
26:44Correct.
26:46Come on.
26:49Come on.
26:53There.
26:54Okay.
26:55Bleeding has stopped.
26:58All right, everyone.
26:59Gather yourselves.
27:00That bleed is over, but we may encounter more, and we still have to wrestle the angioma.
27:04Slow and steady, shall we?
27:10The patient's stable.
27:12What were you thinking?
27:13His vitals were tanking.
27:14You weren't even supposed to be in this part of the hospital.
27:16I have done chest tubes before.
27:18Did you screw them up, too?
27:19Because you almost cut into that man's liver.
27:21I counted down to the fifth intercostal space.
27:26I was at the mid-axillary.
27:27You don't work here.
27:29We have standards.
27:30We put patients first, and we definitely don't walk in here like we own the place.
27:33And if you can't figure that out, you don't belong here.
27:35You don't deserve to be here, maybe anywhere.
27:37Dr. Kwan!
27:43I have to go.
27:44I will do it with you later.
27:51How's he looking?
27:59Only 10 cc's out of the chest tube.
28:03Good.
28:04Keep checking every hour and follow up on his labs.
28:11Hey.
28:12Welcome back.
28:14Your surgery went really well.
28:16You're doing great.
28:18What time is it?
28:20It's a little past six.
28:22Oh, no, no, no, no.
28:23Rent was due at five.
28:25Don't worry.
28:25I can write you a very compelling doctor's note.
28:28Did you find my wallet?
28:30I gave it to your dad.
28:33Is he here?
28:34My dad?
28:35He didn't want to disturb you while you were asleep.
28:39He'll be back.
28:39God, this is so embarrassing.
28:46I swear I'm not a crier.
28:48Sometimes we need our parents.
28:50No matter how old we were.
28:51And you just had a very serious trauma, so try to get some rest.
28:55And we'll be back in an hour to check on you.
28:57Okay?
29:01All right, call his dad and let him know Spencer's awake.
29:03Do you think that'll make him come back from driving to Vegas?
29:08Are you done?
29:10Because I'm not your co-intern BFF.
29:13I am chief of the cardiothoracic department.
29:15I don't get messy in my patients' lives.
29:17And I don't gossip with my mentees.
29:19I keep my head down.
29:21And I do my job.
29:23And I suggest you do the same.
29:24If I hear another word about it, you're off my service.
29:40Hey.
29:42You did great.
29:44Thanks.
29:45You got through the scar tissue and removed as many lesions as we could.
29:49And I was able to save your uterus and your ovaries.
29:53That's amazing.
29:54Yeah.
29:55We'll put you back on birth control to slow the growth of the lesions.
30:00But as you know, endometriosis is a lifelong journey.
30:04Yeah.
30:04You can come back.
30:05Yes.
30:06But we will watch it closely.
30:07And if it gets worse, we'll be on top of it.
30:09And there are other hormonal treatments that we can use.
30:11But hopefully your pain should improve.
30:16I just never thought much about life without it.
30:22I'll tell Edgar you're awake.
30:23Oh, actually, could I have a minute?
30:27Of course.
30:33You think I'm a monster?
30:35Absolutely not.
30:35I feel like one.
30:39And we've been destined to be together since birth.
30:43Our moms call us their great love story.
30:45But it's not yours.
30:52You know, he's...
30:56He's wonderful.
31:00Yeah.
31:00And my best friend, and I do love him.
31:02I do.
31:03But I don't know if that's because he's the one, or...
31:08Because that's what you've always known.
31:12Yeah.
31:13He'll understand.
31:16Eventually.
31:16Eventually.
31:17You know, most of our guests are already in town.
31:22Everything's already paid for.
31:25It's just a party.
31:27Take care from someone who's gotten married for the wrong reasons.
31:31It always catches up with you.
31:33You know...
31:34It's too bad.
31:37Yeah.
31:40Livingston Manor would have made for a beautiful wedding.
31:55Mr. Purdy.
31:57Your son's been waiting for you.
31:58I'll be there in a minute.
32:12If you want something, just ask.
32:14Did you buy this with your kids' rent money?
32:20That's none of your damn business.
32:25The hell?
32:26Your son almost died today.
32:27Do you realize that?
32:28Get off of me.
32:29You're the parent.
32:30You weren't supposed to take care of him.
32:31Provide for him.
32:32Keep him safe.
32:33You don't know what you're talking about.
32:34I know he's better off without you.
32:36I know that.
32:36You hear what I'm saying?
32:37Hey.
32:37He's alone by himself all day.
32:39Hey, what are you doing?
32:40Get off of him.
32:40And you left him there.
32:41Get off of him.
32:41Get off of him.
32:41Get off of him.
32:57Dr. West withdrew her name from consideration.
33:02You had one job.
33:04Kwan, one job.
33:06I know.
33:07She had top scores.
33:09Grades aren't everything.
33:10She had glowing recommendations, including one from the chief of general surgery at Duke.
33:15I didn't know.
33:16Of course she didn't.
33:17But even if you did, what on God's green earth made you think you could treat her like that?
33:23I found her about to cut into a patient to place a chest tube.
33:26And if there's anything I learned this year is that overstepping is one of the biggest mistakes an intern can make,
33:30except she was about to cut into the liver instead of the pleural cavity, which is also a pretty big mistake.
33:35And I am sorry I scared her off.
33:37Well, I guess we dodged a bullet.
33:42We did?
33:43I've had enough rogue interns.
33:48We'll find someone else.
33:50So if I'm not in trouble, do you think I could scrub in on your...
33:54But nice job on that chest tube.
33:58You've come a long way.
34:05Hey.
34:06Are you okay?
34:07I...
34:08Move.
34:09What happened?
34:11I should have listened to you and I should have said something to him earlier.
34:14Well, I don't know about that because then security would have pulled you off him instead of me.
34:20I have a difficult dad, too.
34:23And usually I keep all that buried.
34:26Deep.
34:26Especially when I run into people like that who don't do right by their kids.
34:31Turns out it's actually not buried as deep as I thought.
34:33Yeah, I get it.
34:34Trust me.
34:34Do you want to grab a cup of coffee?
34:42Just decaf.
34:43It's been a really long day and I feel like we both need to decompress.
34:49I think maybe we both need to sleep.
34:56See you in the morning.
34:57Okay.
34:58Okay.
34:58Okay.
34:58We are very pleased to present you with our highest honor.
35:12The Grace Sloan badge of bravery.
35:15Yes.
35:16Yes.
35:16That's good.
35:16Wow.
35:17Beautiful.
35:17You can see it's badge ever.
35:19I was asleep the whole time.
35:26Mm-hmm.
35:26Dr. Shepard, thank you.
35:27You gave us our whole world back.
35:29We're very grateful.
35:31Wow.
35:31Dylan is an inspiration.
35:33I can't wait to hear about her adventures.
35:35Yeah, now you got to work on your rest and recovery badge.
35:38Mm-hmm.
35:38Requires a lot of sleep and ice cream.
35:41Oh, I think that could be arranged, yes.
35:43Second easiest badge ever.
35:44Oh, right back at you, Jill Pickle.
35:50Get some rest, okay?
35:56I'm sorry for biting your head off earlier.
36:00I wasn't blowing smoke.
36:01I really did believe you could do it.
36:04My brother couldn't.
36:06He tried a few times, and it freaked me out because in my eyes, he could do no wrong.
36:13So if he couldn't do it, what chance did I have?
36:17Well, as someone who's never met your brother and who only compares you to you, I can say
36:23with full confidence that I would bet on you every time.
36:31You were right.
36:33It was worth the risk.
36:34Yeah, well, I'm only right about 5% of my time, so it makes sense for you to question it.
36:40Now I'm gonna try to take a risk.
36:43I was gonna ask you to move in the other night.
36:48When you started talking about our future, it just scared me.
36:54Why?
36:55Last time I planned a future with a boyfriend, my life exploded.
36:59I didn't leave it all behind, rebuild from the ground up.
37:02I'm just not sure I'm ready to open myself up to that again.
37:06I'm not, Trey.
37:07I know.
37:08I love you.
37:11I want a future with you.
37:14I just need him one more time.
37:16Yeah, okay, why didn't you just say that?
37:18Because you were excited about getting back into the class.
37:20I didn't want you to think my feelings for you had changed.
37:23So instead, you just let Quan make me feel like an idiot?
37:26Let's go pick up dinner.
37:29We can go home and talk.
37:30I thought you didn't know your schedule.
37:33Lucas didn't know.
37:33I want to know anyone else to hear tomorrow.
37:35Mariana called off the wedding.
37:47Oh, I'm sorry.
37:49How are you holding up?
37:50I'm sad for them, but it's for the best.
37:56I think I just saw us in them.
38:00They've known each other their whole lives.
38:02They're best friends.
38:03I didn't want to believe they weren't going to make it.
38:07We're not them.
38:08We're not.
38:11By the way, I found a perfect venue.
38:16Oh, thank God.
38:17I was about to suggest the tacos stand on the corner.
38:21All right.
38:24Livingston Manor.
38:25It's gorgeous.
38:26There's plenty of parking.
38:28It's reasonably priced.
38:29And it has a place for a live band.
38:32Sounds amazing.
38:33Do you think they'll have availability in the next year?
38:35They do, because there was a cancellation.
38:43Mariana and Edgar?
38:45No, no, no, no, no.
38:46No, no, listen to me.
38:47We need a wedding venue, and they have one that they're not using.
38:51In four days.
38:53No, we can't possibly be ready in four days.
38:55We need invitations, food, drinks.
38:59If my mom's coming, we need drinks.
39:00Listen, I love you, and I can't wait to marry you,
39:04and that's all that matters,
39:05and the wedding is just the icing on the cake.
39:07And listen, if you and I can figure out a way
39:10to relieve a woman's pain after 10 years of suffering,
39:14we can throw a wedding in four days.
39:15Okay, okay, all right, let's get married.
39:21Okay, okay.
39:24We're not going to regret it.
39:25It's going to be amazing.
39:27We trust science to predict the future,
39:29but even so, surprises are the only thing we can count on.
39:33Okay, if Adams isn't moving in,
39:34my friend's uncle's boss's son is looking for a place.
39:36We've been over this.
39:37No strangers.
39:39Are you secretly rich?
39:40Give me some of them fries.
39:46She's hot.
39:46Yeah, it's the intern from today.
39:49We should buy her a drink.
39:51Seriously, you are probably the reason she is drinking.
39:53You said she was hot.
39:55Sometimes surprises are good.
40:02They lift you up and make life exquisite.
40:04But then there's the other kind of surprise,
40:10when the bottom drops out.
40:11Dr. Ndivu?
40:13How are you doing this morning?
40:15Honestly, I'm feeling a little burnt out.
40:17Would it take a day and sit behind a desk, decompress?
40:20Do you think you can take my intern?
40:22No, Miller?
40:23Well, I'd be happy to.
40:23Tell me we are doing Mr. Honors.
40:27Well, back to me today.
40:28I stayed up all night studying lung tissue.
40:30You're with Dr. Webber today, all right?
40:36Is he okay?
40:38Taking an administrative day.
40:40Hey, looking for you.
40:42I've got three feet of bile incarcerated in a man's groin.
40:45Can't wait.
40:50However desperate you might be,
40:52don't look to the stars.
40:58Dr. Adams, something's wrong.
41:02She was fine when she fell asleep last night.
41:04She woke up.
41:05She's not even.
41:05She can't move.
41:06She can't speak.
41:07Hey, hey, hey, Dylan.
41:07Can you hear me?
41:08Sweetie, answer him.
41:10Dylan.
41:11Dylan.
41:11Can you hear something, please?
41:13Sweetie, why is she not talking?
41:15Why is she not moving?
41:16Hey, Dylan.
41:17Hey, Dylan.
41:18It's Dr. Adams.
41:19Can you do me a favor and try to move?
41:21Move anything.
41:21Your fingers, your...
41:22Oh, my God.
41:28Go blue!
41:30Oh, my God.
41:30Go blue.
41:32Go blue.