Grey's Anatomy Season 21 Episode 3
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00:00In 2023, a team of scientists studying Hepatitis C made a fascinating discovery.
00:07Complications include blood clots bleeding, leaking from or blockage of the utero tract,
00:11and still studying with a kidney transplant. I want to be ready.
00:16You have been studying all night. You're probably overprepped.
00:19No such thing. Going in early again.
00:22This doesn't have anything to do with that mystery woman who stayed in your bed and followed you around the hospital, does it?
00:27Nope. Just trying to stay ahead.
00:30Whoever's ready can ride it with me.
00:35I'll come.
00:35We'll catch up.
00:41They found that the virus creates a cellular mask to hide from our immune system in plain sight.
00:47You said you wanted to do something with just the two of us.
00:50I was expecting something else.
00:53Like what?
00:54We've gone four blocks.
00:56I know. I just say I need oxygen.
00:58I need...
01:00Yeah, that.
01:10Yeah, I needed that.
01:11Chill.
01:11Keep going.
01:11Camouflaged in molecules already known to our bodies, the virus copies itself over and over.
01:18Bob, you're not hitting the gym this morning?
01:21I thought I'd help you out of the clinic before my interview with Harry.
01:23Oh, I, um, I've got some business at the hospital this morning.
01:27Hey, you want me for lunch?
01:29Yeah.
01:29It's taco day at the cafeteria.
01:31Yeah.
01:31I don't feel like tacos.
01:33You love tacos.
01:35Too damn busy for tacos.
01:36It sneaks in like a Trojan horse past our immune system.
01:39And by the time the body realizes what's happened, the infection has already taken hold.
01:44Why don't you just ask him?
01:45Because Webber doesn't want to assist on a kidney transplant.
01:47He doesn't want to assist on anything.
01:49But you said it'll be interesting.
01:50For the interns, not for Webber.
01:51What's this actually about?
01:53Hmm?
01:54I just thought it would be nice if the two of you worked together.
01:58Come here.
01:58Come on.
01:59What's up?
01:59I'm doing a liver biopsy on Catherine today.
02:02Her cancer may have spread.
02:04And, uh, he doesn't know, does he?
02:07I tried to get her to tell him.
02:08She doesn't want to.
02:09I can't believe you're doing this.
02:16Breaking HIPAA?
02:16No.
02:17Making me an accomplice.
02:20Oh, what could go wrong?
02:21What could go wrong?
02:25Love you.
02:32You know, some people think you'll go to hell if you swipe left on a chaplain.
02:35Oh, I, um...
02:37Hey, I...
02:39I'm sorry.
02:40I was kidding.
02:40I was just trying to get to the news on there,
02:43and then my finger accidentally opened up that app, so...
02:45Morning.
02:46Oops.
02:47Thanks, Jacob.
02:49Someone's a little hungry.
02:50I like to have extra treats to hand out to the nurses.
02:52That's really kind.
02:53Yeah.
02:54Don't want to go to hell.
02:55Again.
02:56Kidding.
02:57I thought it was going to be impossible in the morning,
03:00so then I switched that to Saturday at 2 p.m.,
03:04and there was something else.
03:06Oh, I scheduled our OB appointment.
03:09at Seattle Presbyterian.
03:10Sure.
03:11Why take an elevator upstairs when you can cross town in traffic?
03:15The minute people here find out that I'm pregnant,
03:17they'll treat me differently.
03:18Like letting you sit down?
03:19Giving you time to sleep?
03:21No.
03:21Like not giving me the good cases
03:24or thinking I'm not committed to the job.
03:27It's your call.
03:28Okay.
03:28If I had a vagina, I'd want Karina DeLuca all over it.
03:33Came out way worse than it sounded like.
03:35Yeah.
03:39Hi.
03:40Oh, I'm sorry.
03:41This is the best that I could do.
03:43But hey, look, you got a new microscope.
03:46I've been using it to look for the bright side,
03:48but so far no luck.
03:50Well, I have put your name on a wait list for another lab.
03:54I don't know what I'll be doing there anyway.
03:56Meredith hasn't exactly filled me in
03:57on the next steps for our research.
03:59I have an idea to keep you busy today.
04:02A hemangioblastoma on the thoracic spine.
04:05I can see that.
04:06The patient's upstairs.
04:07If you want her case, it's yours.
04:09Were you hoping that I wouldn't notice
04:11she's 20 weeks pregnant?
04:13I mean, she needs to terminate that pregnancy
04:14before I can operate on that tumor.
04:16She wants to keep it,
04:17and four other neurosurgeons have turned her down.
04:20Will you just meet with her?
04:23Unless you're too busy.
04:24All right.
04:28Dr. Heron, I'm Ben Warren.
04:30Oh, Dr. Warren,
04:31the firefighting anesthesiologist, yes?
04:34I guess.
04:35I know I'm a couple minutes early from my interview.
04:37Yeah, you're four hours early,
04:38and I have two lap coles.
04:40So I know that you're Dr. Bailey's husband,
04:42but I cannot shuffle my schedule around for you.
04:45I say no-no to Nepo, right?
04:47So one o'clock, coffee cart, yeah?
04:49Okay, see you there.
04:50Good morning.
04:52Who is ready to see what today holds?
04:54That's why we're waiting here.
04:56Oh, great.
04:57Okay.
04:57Oh, Kwan, I'm afraid I have some traumatic news.
05:01You are with Hunt in the ER.
05:04Get it?
05:05Trauma.
05:07I'm just happy for the work.
05:10And Millen, any guesses where I'll see you?
05:13Please don't.
05:13That's right, the ICU.
05:15Okay.
05:16Okay, Griffith, you're with Weber.
05:18And Adams is on Marsh's kidney transplant.
05:20Oh, I think I'm with Marsh.
05:21Actually, Dr. Marsh requested Adams.
05:23Uh, and Yasuda, you're a shepherd,
05:27unless you want to keep playing telephone.
05:29Shepherd, got it.
05:30Then let's get out there and...
05:32Heal him up.
05:34Yes.
05:36You okay?
05:38Yeah, I'm fine.
05:39Can you pass me my tablet?
05:46I need to watch the weather report.
05:48Donna, man, you know you can't go outside.
05:50I know, but I just want to see Victor Suarez.
05:54He's so handsome and he's always accurate.
05:57If he says it's gonna rain, it rains.
05:59Hi, I'm so sorry.
06:00I'm laying ahead to stop at the Pete's floor for your pudding.
06:03You are forgiven.
06:04Donna Mae Clarkson, 82, status post-cabbage two months ago.
06:07Um, history of TIA, congestive heart failure with an EF of 25% on Levithead,
06:12an insulin drip, and dialysis three times a week.
06:14And you don't have an advanced directive.
06:18No, dear.
06:19But thank you.
06:19If you can't make your own medical decisions with no advanced directive,
06:23we'd have to assume that if you got sicker than you already are,
06:26you'd want us to use all available life-saving measures.
06:28It could be very uncomfortable.
06:30I understand.
06:32But if it means staying alive, I choose quantity over quality.
06:35Now, pass me that tablet and the pudding.
06:38Yes, sir.
06:43Merida, what brings you here?
06:47A patient consultation.
06:49Oh, well, I was hoping you were here to see Catherine.
06:52She hasn't been acting like herself lately.
06:54She won't say it, but I think your riff is eating away at her.
06:57I don't know what to say.
06:58Oh, I know there are bad feelings, but if you could reach out to her, I'd be grateful.
07:05I'll think about it.
07:14Nice of you to show up.
07:16Nice of you to tell your husband.
07:17Both of you play nice.
07:19The only enemy in here today is cancer.
07:20BP is 110 over 60.
07:39Okay.
07:40Do you have any tingling or numbness in your legs?
07:42No, no, miss.
07:43You just get weak.
07:45Miss Fletcher, this is Dr. Shepard.
07:47She is chief of our neurosurgery, and she's looked over your scans.
07:50Rhiannon, this is my brother Julian and his husband Carl.
07:53They have a vested interest.
07:55This is their baby.
07:58I'm their surrogate.
07:59We have a vested interest because you're my sister.
08:01He's lovable, but annoyingly smothering.
08:03So you can just ignore him.
08:04Please say you're here to tell me you can do the surgery without affecting the baby.
08:07Rhiannon, your pregnancy hormones have caused the tumor to grow more rapidly.
08:15Removing it would already be a challenge, but pregnant at 20 weeks, the risk is exponentially
08:19higher.
08:20Access to the tumor is limited, and there is a higher risk of bleeding and clots.
08:24What about waiting a few weeks until my OB can deliver the baby safely?
08:27It's possible, but it's not guaranteed.
08:30If you don't remove the tumor now, the pressure on your spinal cord could paralyze you, or the
08:36tumor could rupture, causing catastrophic bleeding.
08:38Your best option is to terminate.
08:40Now, Rhiannon, we said we could adopt.
08:42You and I are adopted.
08:43I want to do this.
08:45I'll do anything.
08:46I'll sign a waiver.
08:47No, you won't.
08:50Any discussion?
08:51Three different egg donors.
08:55Six retrievals, eight transfers between different surrogates, and the last embryo, the one that
09:00worked for you, is this one.
09:03So before immediately deciding what my best option would be, take another look.
09:16Let's get some more scans.
09:18No promises, but I will take another look.
09:27Dr. Hunt, I am on your service and ready for anything.
09:30GSWs, 20-car pileups, whatever you need.
09:32Just keep me busy and elbows deep in whatever you got.
09:35Music to my ears.
09:36Ronald Manero, this is Dr. Kwan.
09:38Ronald broke two ribs this morning.
09:40Were you attacked?
09:40Yeah, by my own ass and gravity.
09:42I'm recovering from hemorrhoid surgery, slip getting out of the sitz bath.
09:46Ronald needs incentive spirometer exercises ten times every hour, okay?
09:50Watch him, and let me know the results.
09:55Hey, boss.
09:57Hello, Marsh.
09:58You here with Meredith?
10:00No, I'm here to do a kidney transplant.
10:02Thought you might want to assist.
10:04Well, I think I'll pass.
10:06Maybe one of our interns might get a kick out of it.
10:09Well, listen, there's actually a groundbreaking angle to this one.
10:13Yeah, it's only been done one time before in the U.S.
10:15Come on, I'll walk you through the case, see if you change your mind.
10:18I'm all ears.
10:19Let's go.
10:20What is taking so long?
10:23Uh, we don't exactly do a lot of liver biopsies in the clinic.
10:27Oh, well, thank you for protecting my privacy.
10:31Richard is distracted for at least an hour.
10:33I had Nick invite him onto his kidney transplant.
10:36He knows to text me when they're done.
10:37God.
10:38You told Marsh?
10:39Do you want to risk Richard walking in here?
10:41Oh.
10:43I lied about tacos.
10:45I don't know what that means, but gallbladder looks good.
10:48No fluid around the liver.
10:49There's a lesion here on the periphery.
10:53Looks like a good target for the biopsy.
10:59Okay, now, Catherine, before we drape and prep you,
11:02you sure you don't want to reconsider telling Richard?
11:04I think I want to reconsider my surgical team.
11:07It's a biopsy, ladies.
11:09We'll tell Richard when there's something to tell.
11:11Y'all just get the damn thing started.
11:13Come on.
11:17You requested me.
11:19I know.
11:19What do you want me to do?
11:21Say, no, my girlfriend wants that?
11:24You know, I stayed up half the night studying for that surgery.
11:30Maybe you should have.
11:32Says the shepherd.
11:34What?
11:35I need to finish up Weber's notes.
11:36If it were you, you would have taken it in a heartbeat.
11:40Weber, change the plans.
11:42You and I are scoping in on a transplant with Dr. Marsh.
11:44Meet me in OR1.
11:46Chop, chop.
11:47Is there another surgical option?
11:58I don't see one.
12:00Is that her diaphragm?
12:01Yeah, the pregnancy shifted her internal organs up.
12:04Makes the tumor harder to access.
12:07What if you embolize the feeders to the tumor to stop it from growing?
12:11It's too late.
12:12Even though it's benign, the tumor is big enough to be a risk.
12:16There's no good alternative.
12:19Well, anyone who's gone to four different surgeons isn't looking for a second opinion.
12:22If we say no, she's just going to try to go to someone else.
12:30Tom, big day.
12:31How are you feeling?
12:32I'm just, uh, I'm much happier serving the OR table than being on it.
12:38I'm a scrub nurse at Hope General.
12:40Are you not going to intubate him first?
12:41No, not today.
12:42Uh, let me present...
12:44Tom Costello, 33, here for a kidney transplant without general anesthesia.
12:48An awake surgery?
12:49It was in the pre-op file under awake surgery.
12:52He's been given a mild sedative and a spinal anesthesia.
12:55Okay, so what are the benefits of an awake surgery?
12:57Uh, forgoing traditional anesthesia can expedite recovery, as well as reduce one's hospital
13:05stay, which ultimately could save the healthcare system billions.
13:08That's Griffith.
13:09And I can keep an eye on my surgical team.
13:12Is he prepared?
13:13Oh, um, Dr. Adams is new to the case, but I assure you he's a quick study.
13:18Okay, you ready?
13:19Uh, how many write checks have you opened up?
13:22Ten.
13:22Uh, go ahead.
13:23Okay.
13:24Ten blade.
13:24Ten blade.
13:25Wait, wait, wait, wait.
13:26Are you sure everything has been sterilized well enough?
13:28We got you.
13:29You can relax.
13:30All right.
13:32Here we go.
13:33Ten blade.
13:46Still no advanced directive?
13:48Nope.
13:49And the more I go in there, I feel like a restaurant host is trying to free up a table.
13:53I don't want her thinking we're trying to push a DNR on her.
13:57We're not.
13:59You just need to make sure she clearly understands what she's facing.
14:02Did you explain that life-saving measures can be invasive?
14:05I used the word violent.
14:07That's an understatement.
14:09Well, no matter how old you are, no one likes to think about their own death.
14:13So, give her a minute.
14:16Some patients just take a little longer listening to their doctors.
14:18I wonder if she would listen to someone else.
14:27Knock, knock.
14:29I don't know why I said knock, knock as opposed to just knocking.
14:33That's okay.
14:36It's a great office.
14:38It's the chapel.
14:39Right.
14:39It's got good light.
14:44Windows will do that.
14:46We're here about a patient.
14:49It's an elderly woman.
14:51She has multiple comorbidities and she's refusing to sign a DNR.
14:54She has had multiple surgical and medical interventions
15:01and another intervention would probably do more harm than good.
15:05So, you're asking me to talk her into signing the DNR?
15:10I...
15:10No, no, absolutely not.
15:13But chest compressions on an octogenarian with bones-like toothpicks,
15:22it could kill her.
15:25At the very least, her ribs would snap and one could puncture along
15:28and then we would have to intubate her.
15:30Yeah, really, this is not what I do.
15:34My comfort zone is a little more,
15:36am I going to see my dog when I die?
15:38I think that she's struggling with her own mortality
15:45and I thought that you might be able to help her understand her options.
15:54Dr. Hunt?
15:55Yeah, I just finished another session of spirometer exercises
15:57with Ronald and discharge bed two.
15:59Great.
16:00If you need me anywhere else, I can handle multiple cases.
16:03Well, we have a scalp back in bed one.
16:05Yeah, I'll take a look.
16:06Um, I am interested in exploring trauma as a specialty
16:11and I would love to work on bigger traumas.
16:16Go on, traumas are traumas.
16:18It doesn't matter if they're caused by gunshots or wildfires
16:21or falls in the bathtub.
16:22Ronald babysits his granddaughter every Tuesday
16:25and he is a ping-pong legend in Washington State
16:27and he wants to get back to both of those things as soon as possible.
16:29Carla, in bed one, she split her head open sliding into home plate
16:33but she's excited to play in the state semifinals next week.
16:36They're all counting on you to help them
16:38but if they're not exciting enough for you, then...
16:40I'll go check on them.
16:41I think that's a good idea.
16:44No one can accuse you of having a dull career.
16:47Well, I've tried to follow my heart.
16:48Oh, isn't that sweet.
16:49You know, I'm more of a dance-with-the-one-that-brun-you kind of gal.
16:53You know, jack-of-all-trades is great if you want a job at task rabbit
16:56but for a surgeon?
16:58I think you'll find that I'm a very good surgeon.
17:01Oh, okay.
17:03Enthusiastically recommends himself.
17:06In addition to my four years as a general surgery resident,
17:08I was a firefighter for five and an anesthesiologist for seven.
17:11When I set my mind to something, I master it.
17:14Right, but what happens when the next shiny object comes along?
17:17You're going to leave me high and dry?
17:18No, I would...
17:19Surgery, it's a calling.
17:21It requires patience.
17:23Commitment of stick-to-itiveness.
17:25If I may be frank, I...
17:27I'm not sure you have what it takes.
17:33You want commitment?
17:34I've carried people down ten flights of stairs wearing 75 pounds of gear.
17:39You want patience?
17:40I've convinced a hopeless teen to step away from the ledge.
17:44Stick-to-itiveness.
17:44I've been happily married for 12 years
17:47and I have three children that I love more than any career.
17:50So if you don't want to bring me back, I'll be fine.
17:53Thank you for your time.
18:02You're saying you can do it?
18:04I'm saying I'll try.
18:06Because I think you are someone who doesn't like to hear no for an answer.
18:10And so am I.
18:11I told you.
18:12You wanted to give up.
18:13I told you it was possible.
18:14I didn't say that.
18:16I don't know if it is.
18:17This surgery will increase the risk to yourself.
18:20And we don't know that we can save the pregnancy.
18:21If there are any complications, I will put your life and health first.
18:26I still don't feel good about this.
18:27I don't either.
18:28I want to do this.
18:31Okay.
18:31Dr. Yasuda will admit and prep you and we will see you in the OR.
18:38Okay, Catherine.
18:39I'm going in so you may feel some pressure.
18:41I'm good under pressure.
18:44You better be too.
18:45Good hemostasis.
18:53Let's put a rush on that and be discreet.
18:57Damn it.
18:58She's hemorrhaging.
18:59Okay, she's bleeding from her esophagus.
19:01Let's get her on her side.
19:02Suction.
19:03Hold on, Catherine.
19:04Nurse Linda, let's hang a unit of blood.
19:06I'm going to get the intubation tray.
19:07You're going to set up an EGD and let the IR suite know we are on our way.
19:10Got it.
19:11All right, we need to put in a shunt.
19:12Okay.
19:14This is more than a biopsy.
19:16And what are you saying?
19:17I'm saying that even if we stop the bleeding, she could go into liver failure.
19:20She might never wake up from this.
19:22Richard needs to know.
19:25Okay.
19:25Okay.
19:29Okay.
19:36Okay, it's in.
19:38Adams, see what you got.
19:40Can we pause for a needle and sponge count?
19:43Okay, we already did one.
19:45We'll do another one before we close.
19:46Okay?
19:46You can't be too careful.
19:48Last month, the patient went septic after the surgeons left a lap pad in her abdomen.
19:53Okay.
19:53Boki, can you do a count, please?
19:55One, two, three, four, five, six, seven, eight, nine, ten.
20:00We're good.
20:00Great.
20:02Oh, shoot.
20:03Griffith, can you check the phone while Adam sutures?
20:06Sure.
20:07Yeah.
20:10It's Dr. Gray paging Dr. Weber.
20:13Well, she doesn't know I got pulled into a surgery.
20:15Well, I'll check in with her later.
20:17It says 911.
20:20You should go.
20:22No, no, no, no, no one should leave.
20:24No, look, I'm sure I can wait.
20:26How many cc's of blood have I lost?
20:27Richard, you need to go.
20:28It's your wife.
20:30Meredith is doing a procedure on her.
20:31You need to go.
20:36Where is she?
20:36IR suite.
20:45Make sure to stay upright.
20:47Uh-huh.
20:48There you go.
20:48Good job.
20:49What do we got?
20:50I'd be better at this if I played the tuba instead of ping pong.
20:54Let's get him inside.
20:54Let's go.
20:55Okay, car flipped over the median.
20:56GCS seven.
20:57He was intubated in the field.
20:58Vitals are unstable.
20:59We might have to take him directly up to the OR.
21:01Quan, trauma one.
21:03Okay.
21:04Keep going, Ronald.
21:04I'll be right back.
21:06Dr. Yasuda.
21:07Orderlies are on their way to bring your sister to the OR.
21:10Thanks, but that's not what I have.
21:13Do you have siblings?
21:14Yeah, I have eight.
21:15I just have Ri.
21:16Huh.
21:17When Carl and I first started looking for a surrogate, she insisted that no one would take
21:22better care of the baby than Auntie Ri.
21:23I said no, but after all the failed attempts, she offered again, and she was so determined
21:28that I didn't fight it.
21:30Then they found the tumor.
21:32Am I going to regret not fighting it now?
21:35I don't really know.
21:37But, um, Dr. Shepard and Dr. Altman are both excellent.
21:40Aren't you a doctor?
21:41You must have an opinion.
21:44I, I wish I could tell you it'll be fine, but I just, I don't know.
21:49Sorry.
22:01We have 500 cc's of blood in the NG canister.
22:04I'm advancing the guide wire.
22:07I'm in the right hepatic vein.
22:09Aim anteriorly.
22:11What happened?
22:12We were doing a liver biopsy.
22:15She started bleeding.
22:16Did she do a tip procedure?
22:18I'm about to put in the shunt.
22:20Is she in liver failure?
22:21Not yet.
22:21We're trying to prevent that.
22:23She wanted to get the results of the biopsy before she told you.
22:25Take care of her.
22:45I'll be waiting outside.
22:57Okay, Tom, we're almost done here.
22:59Uh, can we do a final count?
23:01Yep, you got it.
23:04Go ahead, Bogey.
23:07I don't hear counting.
23:09It's because it's in our heads.
23:10Are you sure that the kidney is pink?
23:12Tom, how many kidney transplants have you done?
23:14None, but I have seen so many.
23:16Well, I've done more than 600, and I've had one done myself.
23:19So I get it's unnerving being on the table,
23:20but everything is under control, okay?
23:23We got you.
23:24Okay.
23:25Okay.
23:26Looks good.
23:30What?
23:31Missing a ray tack.
23:34Let's count one more time.
23:35Okay.
23:37Well, my faith is based on a belief
23:39that God doesn't abandon me in death,
23:42which I personally find comforting.
23:43Good for you.
23:44Of course, you know,
23:45everyone has their own relationship with death.
23:47It's okay and perfectly natural to fear it.
23:51Not me.
23:52I'm not afraid of death or hell
23:54or coming back as a bird.
23:56Well, we're not encouraging you to sign the DNR.
23:59We just want to make sure that you understand
24:01what not signing it would mean for you.
24:04For the last time, I know what it means,
24:07and I know why I'm not signing it.
24:09I refuse to die before my bastard ex-husband.
24:13I'm going to outlive that SOB
24:15if it's literally the last thing I do.
24:17It seems like you could use some closure.
24:23Hell, yes.
24:24Closure on his casket before it clicks shut
24:27so I can dance on it.
24:28I did not see this coming.
24:35Not a chance.
24:36Things they don't teach you in divinity school.
24:38No, they don't really teach you in medical school either.
24:40Ah!
24:41Victor Suarez.
24:44Margins look good.
24:45You've got proximal control.
24:47You suit a suction.
24:48I've got distal control.
24:49We've lost neurosignal to the legs.
24:54We need to get more blood flow to her spinal cord.
24:56Bolus her with 500 cc's of LR.
24:58On it?
24:59Anything?
24:59No, and we don't have time to wait for it to kick in.
25:02Start her on pressers.
25:04May decel suppressors or decreasing blood flow to the baby.
25:07Still no signal.
25:08Go up on the pressers.
25:09Give the fluids a chance to work.
25:10Mom's life and health first.
25:12I know.
25:12It may take a few seconds.
25:13Rhiannon's spinal cord may not have a few seconds.
25:15Doctors.
25:15Hold off.
25:16If you don't stop, the baby will die.
25:18I am the primary surgeon on this case.
25:19Just stop.
25:20This is a human being on the table.
25:22She is someone's daughter, someone's sister.
25:24She's counting on us to save her, and ideally, the baby.
25:27So stop arguing.
25:28Like, she's a kind of science experiment.
25:30Just figure out what to do and do it.
25:37We've got blood flow to the spinal cord.
25:39Decel stopped.
25:40Sinus rhythm's back to normal.
25:42Thank God.
25:43I bet you sued her.
25:45Yep.
25:46I'll see myself out.
26:00Do you see it?
26:01No, I don't see it.
26:02It doesn't mean it's not still in him.
26:03Are you whispering?
26:05No, sorry, Tom.
26:06Just a bit of a frog in my throat.
26:08Search everywhere.
26:09Search the field.
26:09Search the floor.
26:10We cannot close it.
26:11We find it.
26:12Pack a table.
26:13Sir, you okay?
26:22I'm really not.
26:23I am trying to trust you, but I know the sounds of the instruments when they hit the tray.
26:26I listen for them so I can count.
26:28Yeah.
26:29Easy.
26:30That was a heinous step.
26:31But the sponges, the sponges don't make any sense.
26:33You're doing great.
26:33We're almost there.
26:34Hang in there.
26:35That septic patient that I was telling you about.
26:37Mm-hmm.
26:38I was the one who miscounted the lap pads, and I am always so careful.
26:42So if it could happen to me...
26:44Hey, it happens.
26:45Nobody's perfect.
26:46Deep breaths.
26:46Okay?
26:48What are you staring at me?
26:49I'm not.
26:49I...
26:50Dr. Marsh.
26:50What?
26:51Behind the damn thing.
26:52Dr. Marsh.
26:52It's just...
26:53It's stuck to your shoe.
27:02Okay.
27:04The, uh...
27:05The anastomosis is complete.
27:06We have ten Raytex accounted for.
27:08We're ready to close.
27:08Dr. Griffith, why don't you take the lead?
27:10Absolutely.
27:11Are you sure you don't want to do it yourself?
27:12Don't.
27:13Sorry.
27:14Reese and I met working in his father's furniture store.
27:17On slow days, we'd sit on the showroom couches laughing and talking.
27:22That sounds nice.
27:23Oh, it was.
27:24Then we got married, and everything went to hell.
27:27Our first fight was during the wedding, and it never stopped.
27:31The only good thing that came out of that relationship was my sleeper sofa.
27:36Mrs. Clarkson, we have some news.
27:39We found your ex-husband.
27:41Is he living with that rat, Sheila?
27:43He was living at the Oceanfront Assisted Living Facility.
27:48Oh.
27:48But a couple of months ago, he passed away.
27:53Donna May?
27:54How are you feeling?
27:57Ah!
27:58Ah!
28:00Oh!
28:02Oh!
28:03Ah!
28:03Ah!
28:06I know it sounds crazy, but I'm going to miss that horse's ass.
28:20What's on that DNR now?
28:37How you holding up?
28:39Bailey's on you?
28:40Uh, yeah.
28:53Yeah.
28:53Yeah, at the fire academy, there was a, uh, a burn building where they would simulate structure fires.
28:58It's, uh, you know, it's our first time dealing with the heat, smoke, the gear.
29:03It's intense.
29:04Pretty scary.
29:05It wasn't even the real thing.
29:07Yeah, but, but the scariest part wasn't the fire.
29:12It was, it was not being able to see my team through the smoke and chaos.
29:17And somehow the, there was nothing more terrifying than just that, that feeling of being alone.
29:28Is there a point to either a story here?
29:33Not really.
29:43Did the biopsy go smoothly?
29:46Um, if by smoothly you mean having to convert to an EGD and TIPS procedure, then yes, it went very smoothly.
30:02Did you hear from pathology yet?
30:04Not yet.
30:05But for now, you're alive.
30:10And also, your husband is outside waiting to see you.
30:14You told him?
30:16It became more than just a biopsy.
30:20I understand.
30:27I'm sorry, what?
30:28Thank you, Dr. Bailey.
30:32I know I've been stubborn and very difficult and, but you are a big part of what makes this hospital great.
30:41And you, you should always be here.
30:46So you giving me my job back?
30:48Don't make me say it twice.
30:53Did it?
30:56Oh, I'm sorry.
30:58Oh, yes.
31:00Okay.
31:07So she's going to be okay?
31:08She had some blood loss, but I was able to remove the tumor and she and the baby are both okay.
31:15Oh my God.
31:17She was right.
31:18She said you could do it and she was right.
31:21I can't tell you how much this means to all of us.
31:23Well, we'll check on her in the morning.
31:26I'm sorry if I seemed mistrustful earlier.
31:31I just, I'm her older brother.
31:33I've always watched out for her and I felt helpless.
31:36I get it.
31:39My brother, he watched out for me too.
31:43My brother, you looked me in the eye and you lied.
32:11I'm sorry.
32:18It was hard enough to get her to agree to do the biopsy.
32:22I'm sure you can relate.
32:23How long have you known?
32:25What does that have to do with anything?
32:26Do you know how many times I've stood up for you?
32:31How many times I've defended you, Meredith?
32:33I tried to get her to tell you.
32:35And you don't think I would have been able to handle it?
32:40I think she was scared.
32:41That's exactly why you should have told me.
32:47Shame on you.
32:48Dictate the operative report and then check his H&E's before you go.
33:05You got it.
33:06Good work today.
33:06So, you still thinking about going into trauma?
33:09Yeah.
33:09I like the variety of patients.
33:11Listen, some days are slower than others, but most days there is something interesting.
33:17I don't know if I want to be the guy waiting around hoping for a car wreck.
33:20A man was in a medically induced coma from a brain bleed.
33:25His life will never be the same.
33:28His loved ones will never be the same.
33:33Oh, and, uh, Robertson is going to take over post-op care.
33:36But if there are signs of early graft rejection, I want to know.
33:39Okay.
33:40Okay?
33:43Excellent work today.
33:44Thanks.
33:47I heard you repeating intern year.
33:50Yep.
33:51Yeah.
33:52Twelve more months of following orders and, uh, barely getting to operate.
33:57Well, I don't, I don't think that's such a bad thing.
33:59Internships should be two years.
34:01Eighteen months minimum.
34:02We expect you to learn too much too fast.
34:03You're going to be more prepared.
34:04You don't think I'll lose ground?
34:05You want to keep leveling up.
34:07You work with people to make you better.
34:09Like Griffith.
34:09She's good.
34:12You stick with her.
34:12You'll be fine.
34:16Congrats on Rhiannon.
34:17Such a victory.
34:18Well, it's a team effort.
34:20You took the lead.
34:21Just say thanks.
34:22Thanks.
34:23So, I was catching up on some admin work.
34:25And these are charts of 15 patients similar to Rhiannon.
34:29And they all asked to see you.
34:32Fifteen pregnant women with spinal tumors?
34:36Patients with seemingly impossible cases who have been turned down at hospitals across the country.
34:41People who have only been told no.
34:45And they want to see me?
34:46Well, they all say the same thing.
34:47They want the neurosurgeon who is working on the cure for Alzheimer's to take them on.
34:52Impossible cases.
34:57Well, until you get your hands on them.
34:59So, think about it.
35:02Hi.
35:03I was, um, completely out of line in the OR.
35:06But, um, I'm glad Rhiannon and the baby are okay.
35:09And I'm really sorry.
35:10Your outburst was inappropriate.
35:13But you weren't wrong.
35:15Uh, Dr. Altman, do you have a minute?
35:19Sure.
35:22Miranda!
35:27Here to walk me to the curb to which I have just been kicked?
35:30I came to say sorry.
35:32Goodbye.
35:33Thanks.
35:34Oh, no.
35:34I don't hold anything against you.
35:36No.
35:38No, you, uh, took care of the boss.
35:40Can't compete with that.
35:41Right?
35:41Unless I take it as a sign that I am, I am needed elsewhere.
35:45That's a nice way of looking at it.
35:47Oh, hell.
35:48Okay.
35:48Okay.
35:48I hired Ben Warren.
35:52Um, you what?
35:53Well, I just, I forgot how hard this job is.
35:57I never seem to be able to do it as well as you.
36:00The interns don't want to listen.
36:02Sure don't want to laugh.
36:04Sometimes they don't even want to do the work.
36:05But Ben Warren does.
36:07And he has.
36:09Plus, I thought that with all your recent troubles that you didn't need the whispers of nepotism following you around.
36:14No, no, no.
36:15Ben Warren is a keeper.
36:19I really...
36:25Yep.
36:28I'm sorry.
36:29No.
36:29Oh.
36:30Bitty-boot.
36:32Oh.
36:32And by the way, I promised the interns a retreat.
36:37Sounds fun, yeah?
36:38I saw the OB appointment on our shared calendar.
36:46Oh, yeah.
36:47Forget that.
36:48What?
36:49I rescheduled a knee replacement so I could drive you.
36:52Well, A, I can still drive.
36:55And B, I decided to see someone here.
36:58I had a patient today who was willing to risk her ability to walk, maybe even risk her life to save her pregnancy.
37:09So I figured that I could sacrifice a little privacy if it means giving our kid the best care.
37:17Okay.
37:17Okay.
37:19This isn't because of the thing I said about DeLuca.
37:21Well.
37:21Decaf and biscotti to thank you for your help today.
37:36You know they pay me, right?
37:39How's it done to me?
37:40Alive and kicking.
37:43One of the orderlies, to be exact.
37:46Bet you don't see a lot of patients like her, huh?
37:49You'd be surprised.
37:50Just, humanity is lovely, but a lot of people are nightmares.
37:58What?
37:59Too judgy?
38:00No.
38:01No, I like it.
38:02Makes you feel a little less saint-like.
38:05Mm.
38:06I mean, you give pastries to nurses.
38:09The barista comps me.
38:11We hooked up last year.
38:14Kidding.
38:15It was two years ago.
38:16Also kidding.
38:17No, I actually, uh, I don't get many matches on the apps.
38:24Maybe it's because I'm too forthcoming about my job, but, uh, I don't want to spring it on people, either.
38:30Oh, wow.
38:41Oh.
38:42Yeah.
38:43That's good.
38:44I'm sitting right here.
38:50You could just ask me.
38:51Like viruses, we also wear masks.
38:54We disguise ourselves to hide the parts we don't want to be seen.
38:57We project confidence when we're insecure, toughness when we're vulnerable, and calm when our lives are spinning out of control.
39:09Bringing up your family name is out of line.
39:13It was not your fault we requested you.
39:16I could have said something.
39:19But I didn't.
39:20And that competition is going to make us better.
39:22We're all pretty great together, right?
39:26Yeah.
39:33You said girlfriend earlier.
39:37I did?
39:40Oh, yeah, I did.
39:42Okay.
39:46I'm cold.
39:47I'm cold.
39:47The difference is, those defense mechanisms don't always serve us.
39:58I'm not going to ask if you're okay, because I know you're not.
40:03Did I do something?
40:06My sister Chloe called this morning.
40:10She was diagnosed with colorectal cancer.
40:13She's only 22.
40:15I'm so sorry.
40:16Altman's going to see if someone here will take your case.
40:19Is there anything that I can do?
40:23Be my friend.
40:25As great as whatever this thing between us was beginning to be.
40:30I don't think I could start anything new right now.
40:44Yeah.
40:45Of course.
40:46Really?
40:47Really?
40:47Yeah.
40:48Oh.
40:51The things we do to protect ourselves
40:53make it harder to let other people get close.
40:57As terrifying as it might be to let your guard down,
41:00the rewards speak for themselves.
41:02She looks so peaceful when she's sleeping.
41:06Enjoy it while it lasts.
41:08Yeah.
41:08How'd she take it when she found out Richard knows?
41:11Better than he did.
41:12Yeah, I don't think he's going to speak to me for a very long time.
41:14I'm sorry.
41:15Are you mad at me too?
41:17I mean, for letting me in after I asked to be let in?
41:19No, I'm not mad.
41:20I did that, didn't I?
41:21Yeah.
41:21I mean, I am a little mad you haven't asked about my groundbreaking kidney transplant, though.
41:27I'm sorry.
41:28How was it?
41:29It was great.
41:30It was, I mean, it was a little irritating, but mostly great.
41:32I think it might be the future of kidney transplants.
41:36Really?
41:36Yeah.
41:38I want to hear all about it on the plane.
41:40Okay.
41:43Let's go.
41:43Okay.
41:44Because at the end of the day, the only person...
42:00You're not mad at me.