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Grey's Anatomy Season 21 Episode 10

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Transcript
00:00That's a friend of Katherine. Her friends deserve liver transplants too. Right.
00:05Okay. So we're doing that in fairness? I miss the OR.
00:10And this has nothing to do with Ellis' school fundraiser tonight? I spend all
00:15my time fundraising for Alzheimer's research. Gets 100% of my focus and I can
00:19donate to the school online. Okay, I get it. You're scared of the other moms, aren't you?
00:23They're scared of me. Oh, that's true. That is true. Plus this gives me a chance to
00:29check on Katherine Shunt. And, uh, Richard? May they check on him? Well, I didn't operate on him, so...
00:39Search online and you'll find advice from all kinds of people without medical
00:43degrees about how to heal faster. Morning. Intern retreat morning. Yeah, a whole day
00:49out of the OR. Why do you sound happy? No morning rounds? Why do you sound miserable? Interns all day?
00:55You still avoiding me, huh? She threw me under the bus with Altman. Has barely
00:58acknowledged me since. It's kind of hard to do that when you're avoiding her. Whose side are you on?
01:02What are we supposed to wear to this thing? Uh, clothes.
01:08But do you have to put the one on right now?
01:22Because most people don't want to hear what we say, which is to rest and let your body heal on its own time.
01:29Oh, this is great. Well, it's not Cottonwood Resort, but, you know, you gotta do what you gotta do.
01:37Oh, I loved when Richard would invite my residency class to his home.
01:42For a party or a meal, but, you know, retreat is supposed to be a change of pace.
01:46This is change. You rearranged the whole living room. I hope this is fun. They need it.
01:52They need it. I gotta go. Altman's been watching me like a hog ever since the heat dome.
01:56You should be happy. That's all she's doing. What happened to staying out of there?
02:00I'll see you tonight. Good luck with your retreat. Oh, no luck needed.
02:04Danny Ford, retreat facilitator. I've got a curriculum that's worked for clients from Fortune 100 CEOs to at-risk teens.
02:11So you're in good hands. My. Well, then I'll keep my luck to myself, okay?
02:17Thank you. Oh, I appreciate it. All right.
02:20Uh, oh, I'll take it. Oh, thank you, Dr. Bailey.
02:25Good morning, sleepyhead.
02:27I am beat. Scout woke me up twice last night, asking for Wawa, and I brought him water and he spiraled his cup across the room.
02:35I thought you were supposed to be resting.
02:37Yeah, well, most of my patients would be back at work by now, but Bailey's strong-armed me and taking more time.
02:43It's been less than a week since your procedure.
02:46I am fine. I just, I feel a little pressure when I go up and down the stairs.
02:53Want me to carry you?
02:55Like when I sprayed my ankle and you carried me to the campus health center? No, thank you.
02:59I only dropped you once.
03:01Yeah, I wouldn't brag about that.
03:03Hey.
03:05I don't hate it, but what is it?
03:12Bacon, egg, cheese, a pancake between two donuts.
03:16It's a sandwich of my favorite breakfast foods.
03:19Yeah.
03:20Okay, you just, you, yeah, so you just kind of just squish it down like that.
03:26Mm-hmm.
03:30Still fix them.
03:32Get it.
03:33My Aunt Jeannie brings potato salad to family picnics in a cooler like this.
03:39Well, this one's for precious cargo.
03:41Katie Ramsey's waited six months for this heart.
03:43It was.
03:44I won't tell my Aunt Jeannie that you don't think a potato salad is precious.
03:47I won't tell our patient that you compared a heart to potato salad.
03:50Fair enough.
03:51Good morning.
03:57Good morning.
03:59Gotcha and Jacob?
04:01Hey.
04:02Thought I missed you.
04:05Jackie said that you had already checked on her.
04:08Oh, yeah, I got an early start on the rounds today.
04:11Jackie's doing well.
04:12Yeah.
04:13So now I'm picking up a heart for a transplant patient.
04:16It's impressive.
04:21I'm actually glad I ran into you.
04:27We've been here so long.
04:28That's kind of weird not to start my day with you.
04:34She seems nice.
04:39Yeah, I helped save her daughter.
04:43Doesn't seem like that's why.
04:48Hey, Amelia.
04:49Hey, how's Joe?
04:50Not answering my text about lowering my rent now that Levi spoke out.
04:54That wasn't for me.
04:57Marley Frank, 37.
04:58Jumped off that 15-foot-high bridge in the shallow water.
05:01No LOC.
05:02Complains of neck and back pain.
05:03Vitals stable.
05:04We're almost so freaking freezing.
05:05Hello, Marley.
05:06I'm Dr. Lincoln.
05:07This is Dr. Shepard and Dr. Helm.
05:08We're here to help.
05:09I do need to ask.
05:10Did you hurt yourself on purpose?
05:11We can find somebody for you to talk to.
05:13No, it wasn't that kind of jump, I swear.
05:15Molly, we're here!
05:17Are you a runaway bride?
05:19Divorce.
05:20Just finalized it.
05:21I'm having a divorce party to ring in my good riddance, Sarah.
05:25Yeah, you are.
05:26I was tossing my ring into Lake Union when I remembered how expensive it was.
05:29We tried to stop her, but we didn't make it in time.
05:32We had a few celebratory mimosas.
05:33I can make more.
05:34They were my bridal party.
05:36Now we'll have a divorce party.
05:38Okay, let's go to trauma three.
05:41You take them to the waiting room.
05:43No alcohol in the hospital.
05:45This way.
05:46So what happened to the case you mentioned last week?
05:48The patient's thigh skin graph worked because it was thicker and stronger.
05:51Oh, you're talking about the thigh skin or his new penis?
05:54You know us both.
05:57Are we interrupting?
05:58Oh, no, Dr. Marsh.
05:59Please, meet my former student, Dr. Evan Moore.
06:02It's nice to meet you.
06:03And a lovely wife, Professor Tasha Lawson.
06:05Hi.
06:06Nice to meet you, urologist.
06:08Oh, leader in penile reconstruction.
06:11She thinks she taught me everything I know.
06:13Child, please, you couldn't have cared less about a penis before you met me and you know it.
06:17She's not wrong.
06:19Tasha?
06:20Evan?
06:21Good to see you again, Dr. Webb.
06:22Oh, good to see you.
06:23Good to see you too.
06:24I see you already have a general surgeon on the case.
06:29Tasha's case is complicated.
06:31She needs a real team.
06:33On top of her bile ducts being scarred because of the primary sclerosing cholangitis.
06:37She has situs inversus.
06:39I thought my sinuses were okay.
06:41They are, babe.
06:42We're talking about your abdominal organs being reversed.
06:44Don't let her confusion fool you.
06:47She's a poli-sci professor and the smartest person I know.
06:49We might be looking at hepatic encephalopathy.
06:52That's why she needs a new liver.
06:55I need a new liver?
06:56Yeah, baby.
06:57That's why we're here.
06:58Your liver's failing because it's not draining properly.
07:01But what about my sinuses?
07:03They're okay, T.
07:04We're grateful Dr. Fox got us listed here and the liver's finally become available.
07:08The Portland hospitals are giving us to run around.
07:10You're with the best now, Tasha.
07:12Okay, well then I'd like Tasha's consent to have her record sent over.
07:15I already got them.
07:17We've had issues with hospitals losing things.
07:19Dr. Fox always said we have to take care of ourselves because no one else cares as much.
07:23Mm-hmm.
07:24Okay, let's get started then.
07:25Okay.
07:26See you soon.
07:29Richard.
07:30Where are you going?
07:31We're from Marsha and Gray.
07:32They can handle this.
07:33Evan is expecting you.
07:34I can go.
07:35He clearly doesn't want to work with me.
07:36Well, I know Meredith prefers to keep her cases close to the vest.
07:37I'll work with her wherever.
07:38Stop.
07:39Everybody, just stop.
07:40Do you know what happened to Evan and Tasha before they came here with us?
07:41They were rejected by not one, but two hospitals that were thrown by the cytosin versus.
07:44And when Evan pushed on them, they questioned her medical credentials.
07:47They said whatever they could to make her feel lesser, make her feel small, to make her go away.
07:51I promised them top-notch doctors.
07:53I promised them A-plus care.
07:54Make me rescind those promises and give me some promises and give me some promises.
07:57I promised them A-plus care.
07:59Make me rescind those promises and give me some advice.
08:01I promised them to keep her cases close to the vest.
08:03I promised them to keep her cases close to the vest.
08:06I'll work with her wherever.
08:07Stop.
08:08Everybody, just stop.
08:09Do you know what happened to Evan and Tasha before they came here with us?
08:12Make me rescind those promises and you know what will happen.
08:16Put it aside.
08:21Okay, shall we go look at the scans?
08:37It's good to be back in the field, huh?
08:39Yeah.
08:40I barely get out, even near the hospital.
08:43Well, that woman in the elevator could probably show you around.
08:46All right.
08:47She's, her daughter's my patient.
08:49Not forever.
08:50Yeah, well, we already went out once, so.
08:53And?
08:54You didn't vibe?
08:56I think once is kind of my max right now.
09:03You ever been divorced?
09:04Uh, no.
09:05Okay.
09:06Well, when a date finds out I'm divorced, the conversation shifts.
09:11Like, she's trying to figure out why my ex left, you know, so she can decide whether to cut and run.
09:16Sounds like you just haven't met the right woman.
09:18Or maybe this is my life now.
09:20If you want it to be.
09:22But years ago, I dated a woman who was divorced and I had to wait a minute for her to be ready for me, but it was worth it.
09:28You ever wonder what happened to her?
09:30She is at our house running an intern retreat.
09:40Hey, can you not stab me?
09:42Um, Molly sent me a picture of her toothbrush.
09:44Trying to send something back.
09:45Wow, you two are terrible at sexting.
09:48Eh, don't care.
09:50I'll get the real thing after she comes back after breaking up with her boyfriend.
09:54She walked right by me.
09:55Didn't even say hi.
09:56Bailey?
09:57Mellon.
09:58She owes someone an apology.
10:00Do I even want to know why?
10:02Is this where the caffeine is?
10:05Hey, good morning to you, too.
10:07Oh, crap. I'm sorry.
10:11That's okay.
10:12I accept your apology.
10:14Let's forget about it.
10:15And move forward.
10:16Does she know what you did?
10:18Sorry I asked.
10:21See, even you can say it.
10:26Who do you have auto?
10:27Not us.
10:28Hey, let's go, everyone.
10:30Come.
10:33All right, come on in.
10:35Take a seat.
10:36Any seat.
10:37Okay, no.
10:38But, don't get comfortable.
10:40Today isn't about being stuck behind a desk writing progress notes.
10:43Is it about working with patients?
10:44Or improving technical skills?
10:46Yes, and yes.
10:48Today has been designed by Danny and myself to help you become better surgeons.
10:55Why don't we start with an icebreaker to get to know each other?
10:58Well, we know each other pretty well.
10:59Can we skip that part?
11:00No, you cannot.
11:01We're gonna break into pairs.
11:03So, turn to the person sitting next to you and let's-
11:05Or we could count off ones and twos so we can mingle more?
11:08Yes.
11:09That's an excellent idea.
11:11Let's start.
11:12Let's start.
11:13Great.
11:14Dr. Mockery DePeds.
11:15Dr. Barbara Mockery DePeds.
11:16Dr. Barbara Mockery DePeds.
11:17These scans are from three months ago.
11:18She has some beating in the common bile duct.
11:19But the common hepatic vein should be long enough to do a proper anastomosis.
11:33Yeah, sure.
11:34Previous stent is in place.
11:40We can transplant the liver at 90 degrees with the right lobe up to accommodate the cytosinversus.
11:46Mm-hmm.
11:48We're going to operate together.
11:51You're going to have to speak to me eventually.
11:53Hey, sorry, excuse me.
11:55So, Valley Green Hospital sent images of the donor liver.
11:58Well, any strictures or anomalies that would prevent us from grafting the liver?
12:02At 180 degrees horizontally?
12:05Uh, I just said we should transplant at 90 degrees.
12:08So, we need to discuss it.
12:10I didn't think you liked discussing medical procedures with me.
12:13What do you think that I've been doing?
12:14I just, I just came to tell you I'm passing on the liver.
12:17Yeah, it's too big.
12:19I want to hold out for a better fit for Tasha.
12:21They'll be disappointed.
12:22But at least it gives us extra time to get some updated imaging.
12:25Yes.
12:32Marley, I'm sorry that we had to cut your wedding dress.
12:37Don't be.
12:38I can't believe I paid to have it cleaned and boxed.
12:41When did I think I was going to wear it again?
12:42Okay, let me know if you feel any pain.
12:44All I wanted was a clean break.
12:47It's such an ugly divorce.
12:49Brad and I argued over every soup spoon.
12:52I don't even like soup.
12:53Doesn't mean you don't like spoons.
12:55Okay, you're feeling pain at the thoracolumbar junction.
12:58I think I feel a step off.
13:00It could be a chance fracture.
13:01Did she say France fracture?
13:03No, chance.
13:04Like you took a chance on love and it didn't work out.
13:06It's a specific kind of vertebral fracture.
13:09It's hard to say.
13:10We'll know more once we get some scans.
13:11You said you wanted a clean break.
13:18Hey.
13:19Hi, Dr. Gray.
13:20That's Dr. Marsh T.
13:22That's what I said.
13:24Sorry about that.
13:26That's okay.
13:27I'm terrible with names and I don't have encephalopathy.
13:29Are you going to get the liver?
13:31So I took a look at the donor scans and I think we should hold out for a better one.
13:34But it's a good match.
13:36Dr. Fox, let me see the scans too.
13:39Okay.
13:40Well, in terms of blood work and viral serology, yeah, it could work, but the graft is too big.
13:44We're talking about three millimeters.
13:45I've read several case reports of successful transplants with bigger grafts.
13:48There's also plenty of cases where it's caused complications.
13:51Portal hypertension, delayed graft function, not being able to close up the abdomen.
13:56There are always risks.
13:57Yeah, and I'm a transplant surgeon.
13:58It's my job to minimize those risks.
14:00Tasha is stable.
14:01We should wait.
14:02We have time.
14:03Every day that goes by is another chance for her liver to fail.
14:06We could wait weeks for another match.
14:07You make no transplants?
14:09I know my wife.
14:10She needs this.
14:11Now.
14:12Evan, something's wrong with the phone.
14:14It keeps buzzing.
14:15Okay.
14:16I'll be right there.
14:17You're supposed to be the best.
14:19Make it happen.
14:21Let me see.
14:24It was just Minya.
14:25Her and Bar said get well soon.
14:27See?
14:28They sent pictures.
14:29That's them?
14:30That's their kids.
14:31It's your niece and your nephew.
14:33Untying the human knot takes teamwork and direct communication.
14:48Oh, Adams, Adams, your elbow is uncomfortably close to my testicles.
14:52If you believe me, it doesn't want to be.
14:54Come on.
14:55I'm communicating directly.
14:56I step over my arm.
14:58Exciting.
14:59See?
15:00This is some untangling.
15:01Honestly, this is a great exercise.
15:03You can do whatever you need.
15:04A little brush up on cooperation skills.
15:06Oh, we should be practicing square knots, not human knots.
15:08Can you turn right?
15:10No, your other right.
15:11Well, am I right or your right?
15:12I can't tell.
15:13Well, I don't know which way to move.
15:14Can you turn under my arm?
15:15No.
15:16Yeah, yeah.
15:17No, no, no, no, no.
15:18Hey.
15:19Okay.
15:20Okay.
15:21Okay.
15:22Good try.
15:23Learning how to laugh at our mistakes is also a part of this.
15:27Next, we're going to work on problem solving.
15:29So pick a number and find your partner.
15:32Oh.
15:33That's good.
15:34Yeah, I'll help.
15:36Spinal fractures just require a brace or a cast, right?
15:45Be Googled.
15:46Sometimes, unfortunately, yours is unstable.
15:50We need to surgically place screws and rods in your spine for support.
15:54That sounds like a lot.
15:56Are there other options?
15:58Risking paralysis, unfortunately.
16:01I was 23 when I married Brad.
16:04I went straight from living with college friends to moving into his condo.
16:08This is the first time I haven't ever had to share a bathroom.
16:12I finally have white towels because I don't care that they're not practical.
16:16I'm supposed to be living my best life, not worried I'm never going to walk again.
16:21You've got this, Marles.
16:22You'll get anesthesia.
16:23Much better than cheap champagne.
16:25It wasn't cheap.
16:27Plus, this guy will be taking care of you.
16:29You're single, right?
16:30No ring.
16:32Okay.
16:33I just got divorced.
16:35We weren't thinking for you.
16:37Um, we need to prep her for the ORs.
16:40I will let you know when she's done.
16:42Okay.
16:43We'll be here the whole time.
16:44Don't be scared.
16:45Oh, think about how you got the dog and Brad did it.
16:53The scare's not done?
16:54Almost.
16:55Then why'd you page me?
16:56Because we're working together.
16:58I apologize to you.
16:59I told you I hated lying to you.
17:01Catherine was my patient.
17:03What did you expect me to do?
17:04I expected you to tell me.
17:05And break every oath I've ever taken.
17:07It hasn't stopped you before.
17:08Hey.
17:09Duke is picking up the liver since he's already on his way for the heart.
17:13I'm booking as an OR.
17:14I thought it was too big.
17:15I can make it work.
17:16Her encephalopathy is only going to get worse if we wait.
17:19So we gotta do it.
17:20Scans are in new labs too.
17:21Let's take a look.
17:22Okay.
17:23Her biliary tree is draining.
17:25That's good.
17:26Stent still seems to be working well.
17:28LFTs are elevated, but...
17:30Not high enough to cause altered mentation.
17:32What if it isn't encephalopathy?
17:34What if it's a stroke?
17:35If it's acute, we shouldn't do the transplant.
17:36We should scan her brain.
17:37We should consult Evan first.
17:39We don't need her consent.
17:40She's in the scanner already.
17:41Tasha isn't in a position to understand.
17:43We should talk to her caregiver.
17:45Will you stop walking out on me?
17:48You should stop giving me reasons to walk out.
17:55Remember, the goal is to build the tallest tower that can support a marshmallow on top.
18:00Wait, is this one spaghetti or two?
18:02Two.
18:03I spilled water on the blueprint.
18:05Or should I say, the Lucas print?
18:08God.
18:09Yeah, we don't think your jokes are funny like Molly does.
18:12We should have drawn a plan.
18:14Well, ours is almost as tall as theirs.
18:15Yeah, and they're building faster because they have a plan.
18:17Okay, well, here's a plan.
18:18Why don't you stop complaining and stick more of these things together?
18:21Hey, this is too wobbly.
18:24It's made of spaghetti.
18:25Okay, time's almost up.
18:26You might want to stop debating.
18:28Resolving conflict is also part of this.
18:30Figure it out yourselves.
18:32Fifteen seconds.
18:33Okay, we need to figure out where to put the last marshmallow on.
18:36Why don't I just put this?
18:37Here, like...
18:38I have it.
18:40Should've seen that coming.
18:42What's that supposed to mean?
18:43It wasn't secure.
18:44That's what Belle.
18:45We built this together.
18:46It's not just my fault.
18:47Right.
18:48It's never your fault.
18:49Are you done?
18:50Okay, time!
18:51Okay.
18:52Uh...
18:53We have a winner!
18:54Good job, gents.
18:55And, uh, good teamwork, too.
18:56I texted Marsh to let him know we're on our way back.
18:58You ever consider using a professional matchmaker?
19:00I will be quiet.
19:01Stop!
19:02I can't!
19:03Oh, pull over!
19:04Pull over!
19:05Thank you!
19:06My dad, he's...
19:07Okay, just take a breath.
19:08Take a breath.
19:09Try again.
19:10My dad, his bike's getting off the road and it crushed him, and I called to prevent it from
19:28the way, but he looks so bad!
19:29We're doctors, we can help.
19:30We gotta be quick, we got the organs on ice!
19:31Yes, they're doctors.
19:33We're doing our father-daughter ride.
19:36We're doing a father-daughter ride.
19:40We do one state every year.
19:41Five so far, no problems until now.
19:44I'm here, I'm here.
19:45These men are doctors.
19:46His name is Arash.
19:47I'm Dr. Ndugu.
19:48This is Dr. Warren.
19:49His chest looks crushing.
19:51Multiple contusions, cryptos on palpation.
19:53He must have an injury to his lung or his airway.
19:54How long until the paramedics get here?
19:55Oh, they just said that they're on their way.
19:57You're not leaving, are you?
20:00You got patients waiting for life-saving organs.
20:02But the heart's good for a few hours.
20:03Deliver even longer.
20:07Okay, all right.
20:08We'll stabilize this neck, check the leg, and go from there, okay?
20:13Here we go.
20:14We got you.
20:15We got you, Arash.
20:16All right.
20:17There we go.
20:18Nice and tight.
20:20All right, we got you.
20:22The tourniquet is on.
20:24Bleeding stopped.
20:25Is an ambulance getting here?
20:26Can you call 911 again?
20:27Yeah, yeah.
20:28This pulse is getting thready.
20:30Do you see any more sources of bleeding?
20:32Is there JVD?
20:33Could be cardiac tamponade.
20:35Dad!
20:36Dad!
20:38Why don't you guys help him?
20:39We have no supplies.
20:40We've done all we can do.
20:41Now we have to just wait for the paramedics.
20:43They're still five to ten minutes out.
20:47He lost pulses.
20:48Starting CPR.
20:49Dad!
20:51God, don't talk.
20:52What?
20:54Breathing.
20:59Hey.
21:00Hey.
21:00I reviewed your most recent labs.
21:03Everything looks normal.
21:05Huh?
21:05Any pain or nausea?
21:06I feel exactly the same way I did when you asked two weeks ago.
21:11Lord.
21:12Okay.
21:13No pain, no nausea.
21:14Happy now?
21:15Mm-hmm.
21:15Where's the rest of your team?
21:17We're dividing and conquering.
21:18Nick is studying the donor liver.
21:20And Richard?
21:23You can't be mad at me.
21:24He's upset because I was keeping you a secret.
21:26Oh.
21:26You know, Evan's first ever surgery was on my service.
21:32We were doing a hernia repair and I cut the vas.
21:36It took me a moment to notice.
21:38We repaired it.
21:38But later on, I found out she saw it all happen.
21:41She didn't say anything.
21:43She was worried that I would be mad.
21:45That's when I taught her to speak up, to call people out.
21:50Even me.
21:50She seems pretty comfortable with you now.
21:53Maybe too comfortable.
21:54She's like family.
21:55When you nurture family, when you train family, the lines become blurred.
22:00Especially when they use the skills you taught them against you.
22:04It hits harder.
22:06That means it takes longer to get over.
22:10All right.
22:11Get your team together.
22:19Dr. Sellers.
22:20Dr. Monty Sellers.
22:214619.
22:22Dr. Monty Sellers.
22:244619.
22:24I just elected me counsel.
22:27Don't judge me.
22:29I know I should be taking time off, but that's how I cope.
22:32You really are Catherine's protege.
22:34When I was a resident, they called me Kit.
22:36Like we were Kit Kat.
22:37Not that we'd ever call her Kat to her face.
22:41Tasha's scan still aren't done yet?
22:43Dr. Gray didn't find you?
22:44No.
22:45Is there a problem?
22:46Tasha's tests aren't adding up.
22:49We're concerned that she's had a stroke.
22:51Dr. Gray wants another MRI.
22:52No.
22:53Tasha's already been through hundreds of tests.
22:54We're not doing that.
22:55Absolutely not.
22:56I'm sorry.
23:00She'd been managing her PSC just fine for 12 years.
23:03But lately, I'm scared for her.
23:06I don't blame you.
23:07Two years ago, she was accepting the Marvel Prize for Distinguished Faculty, publishing
23:12her third book, doing political commentary for the local NPR station.
23:16She's deteriorating before my very eyes.
23:18I'd do anything to save her.
23:21Anything.
23:26All right.
23:27No displaced bone fragments or swelling.
23:29No need for decompression.
23:30Let's move on to fixation.
23:32I will place the first screw.
23:34Now her vertebrae will be bonded forever.
23:37Better than being paralyzed.
23:38Well, she'll have scar tissue and less flexibility.
23:41Some unions are just not meant to be permanent.
23:43That's why I'm never getting married.
23:44I mean, look at what you...
23:46A lot of people have avoided.
23:49I think it's best to say no, no matter how many proposals or rings are involved.
23:55You spelled your gut to Wilson back then.
23:56She had to talk to someone.
23:58You?
23:59Schmidt.
24:01Okay, I recommend more work, less chatter.
24:10Well, they're here.
24:11Finally.
24:12You might swap out with me.
24:14Thank God.
24:15What's going on?
24:16He's got blunt trauma to the left chest.
24:17No palpable pulse.
24:18Please.
24:19Let's try decompressing him.
24:20Here's the needle.
24:21Yes.
24:22I'll grab the leg.
24:23Tell me, please.
24:23Can you give me an LMA?
24:25On it.
24:26All right.
24:27No rush of air.
24:29No pulse.
24:30Still has JVD.
24:31I need a stethoscope.
24:31Give me that.
24:32Is he going to be okay?
24:36Tell me he's going to be okay.
24:37It's definitely cardiac tamponade.
24:38Please.
24:39I think we should open him right here.
24:40What do you mean open him?
24:41His chest injuries have caused blood to fill up the sack around his heart.
24:44That pressure is keeping his heart from pumping properly.
24:46In the ER, we could open the sack to relieve the pressure.
24:48Do you want to do that here?
24:50He won't make it to the hospital.
24:51Oh, God.
24:51Carrie, that is moments away from death, but we could do this procedure right here, right
24:55now.
24:55We just need to move fast.
24:56And you really think that this will work?
24:57We'll give him a chance.
24:57If they take him, his chances are zero.
24:59Silver linings might be my favorite exercise.
25:11When we're facing a challenge, this can be a helpful tool to remind ourselves how well
25:19equipped we are to handle tough situations.
25:22So, who wants to start?
25:23I was struggling to connect to a gunshot wound patient, but now that I've experienced it
25:40myself, I think maybe I'll be able to help more.
25:44You were shot?
25:45Grazed.
25:46Kwon and I talked to a med student off the ledge.
25:54It's a good reminder that we can save lives both in and out of the OR.
25:58Oh, this ledge is metaphorical or?
26:00Hospital roof.
26:01Oh.
26:03Well, this is some heavy stuff.
26:05Next.
26:10Yeah, I'm actually feeling pretty great.
26:12But it's nice to have a moment to reflect.
26:16Right.
26:20I don't want to do this.
26:22Listen, this is a safe space if you have an aversion to public speaking.
26:25I just don't want to put a positive spin on terrible things.
26:30Maybe we lost a classmate.
26:31Oh, my God.
26:32She's still alive.
26:34She's still alive.
26:36She dropped out of the program.
26:37And everybody's acting like nothing has changed.
26:39And everything has changed.
26:41No, Millen, that's not true.
26:42We're playing games.
26:43I mean, these two are making out all over the place.
26:47Blue is texting his ex or his girlfriend or whatever she is.
26:51And you're only doing this to protect yourself in case another one of us flames out or kills someone in the OR.
26:57What's the point in team bonding if we don't have a team?
27:02Our team is broken.
27:03Our team is broken.
27:06all right almost there help me retract the chest when we get through all at least the pressure
27:20around the heart wait what is that what do you what are you doing we're opening the sack around
27:26his heart to get it pumping again oh my god you might want to look away making the incision on
27:33the pericardium all right done I see a small hole in the heart give me a suture wait a suture are you
27:41sure you know what you're doing I'm the chief of cardiothoracic surgery at grace long that means
27:44yes just a quick figure of age stitch Warren cut for me right there bleeding stopped start cardiac
27:58massage yeah BP's coming up does that mean you did it please say you did it
28:07we got a rhythm we did it
28:11where is T's liver it got delayed it's taking so damn long the doctor's transporting it stopped to save a
28:25life on the side of the road you know I don't care about anyone else right you're getting mad it's
28:30not gonna make it get here any faster and do go says the liver should be here within 30 minutes
28:34I stand corrected oh my god yeah it's actually happening it is thank you I told you it would
28:43you gotta learn to trust I know I know I'm gonna go get ready would you mind if I watch from the
28:51gallery I just want to see the first incision so I know it's actually gonna happen I mean it's not
28:56typically yeah we uh um fine with me absolutely thank you sure there's a light that's always on there's
29:09always room no matter where I am or what I do how's she doing she's fine
29:21okay you want to yell at somebody yell at me come on come on
29:34I know you're still angry with me I never said that you don't think I can see the anger
29:43the hurt the frustration that's why I scheduled this retreat I thought we could have a day away
29:55from the hospital polish up on some skills have some fun cook a meal maybe too soon but I had to do
30:08something because I'm feeling all of that too
30:14you are right your team is broken I want to want to help fix that
30:27do you
30:30this is the patient we called in for Beckman
30:43I'll get the sliver to Marshall's OR and then prep Ms. Ramsey
30:47and great work today I'll be sure to tell Altman when I see her
30:50thank you we've been doing anything like that before nope are you sure you can't stay we planned
30:58a few more activities hey listen your interns have been through way more than I'm equipped to handle
31:03what about all those ceos you helped there are psychologists who specialize in workplace stress
31:07or trauma I could want to know good luck
31:10silver lining the traffic should be light thank you for hosting the retreat your home is lovely
31:24uh the the bagels were good uh yeah no I've didn't I've never done the human knot before
31:33also uh honestly what Quan said the bagels were fine go home
31:40um I thought we were um going to make a meal together
31:46yes yes we are
31:54it's not optional
32:10I scanned Tasha's brain Meredith hear me out her brain is atrophied the confusion
32:16the memory loss the disorientation I think it's dementia I don't need to see it because I have
32:23these after speaking with Evan I had some questions so I had Tasha's full medical records faxed to me from
32:31Portland she was diagnosed with Alzheimer's two years ago it's probably why the hospital's transplant
32:38committee rejected her Evan was mentioning Tasha's recent accomplishments the awards the books the
32:44public recognition that made me think of your mother
32:48other do you think Catherine knows about this you think she doesn't
33:02you okay no I'm pissed at Quan's pile of onions we don't need that many the recipe said two so I cut two
33:08I'll take those use them for the chili
33:14I'll wash it I'll dry
33:28if you want to visit her I have airline miles it might not be enough but you can have them
33:42I was trying to plan a visit just because she said she needs space sorry
33:57I'm sorry
34:01you please
34:03surgery worked
34:08we were able to fuse your spine and stabilize your fracture
34:12how long until I can walk PT starts tomorrow might be painful but it's good for you
34:18sound like my friends telling me to get back in the dating pool sometimes you just gotta dive in you know
34:22right sorry guess what the Seattle fire department found oh my god is that we got the box at the
34:31hospital gift shop it's ready to sell then cabo
34:38I'm sorry for your divorce just for the best yeah no I don't doubt that you were married I'm sure
34:44at some point you loved him and he loved you it's okay to mourn that loss
34:52he was an ass from the start though right like really horrible he made you split the check on
34:58your first date at that sandwich place he never remembered your birthday he texted me the day of
35:02asking for gift ideas under 50 bucks he wore sandals at my wedding you don't need him
35:09wear your besties and disobey we'll trade off taking care of you I'm this week getting ready to
35:13watch a lot of housewives all right um check her labs and write her post-op notes and um when you're
35:19ready jeremiah's jewelry downtown pays good prices
35:27i always wondered what happened in those rings yeah two of the jewelers let me return it the
35:32other guy was a jerk well thank goodness for jeremiah hey for what it's worth i thought what you
35:38said was nice a friend of mine promised me that if i took time to grieve a broken relationship it'd
35:47eventually be okay eventually you'd better no it sounds like a good friend
35:56um would you watch marley's post-op yeah everything okay yeah
36:01jackie jackie just fell asleep does she need a procedure no i was i was actually looking for you
36:19do i need a procedure no i'm about to uh transplant that heart i mentioned
36:24i wanted to ask if maybe you'd like to have dinner sometime you know um if this were a few months ago
36:34i would have loved that but jackie knows you now and that just creates a set of expectations i'm not
36:42sure you're ready for okay yeah i respect that well if you change your mind you know where to find me
37:01catherine why don't you two supposed to be in an or
37:05we had a few issues to work out first like why you lied i told you i didn't want you to worry
37:12this is not about the cancer that's bad enough now you're implicating gray and me and god knows what
37:18fraud falsifying medical records what are you talking about tasha's alzheimer's her what
37:27tasha has alzheimer's what evan left it off the electronic records she gave us no she had me vouch for
37:36tasha to the transplant committee if they had known they might have made a very different decision
37:42evan played all of us well she learned from the best where is she now
37:48page gray and weber again
37:58hey where you been we need to talk oh i'm just about to i know stop we need to talk okay
38:10they say patience is a virtue but it often feels overrated
38:18i've been moving especially when we're in pain
38:25when we're recovering from a fractured leg a bruised ego a broken heart all we want is to
38:30feel better now how are you still eating it's cereal it goes in a different stomach
38:39now i know where all our cereal goes
38:44hi hi
38:48uh do you do you want to drink maxine's hosting canasta at our place and kind of a lot sure come in
39:02we can look for shortcuts to speed things up is he still eating it's what i said
39:07different stomach but more often than not it's best to let things play out in their own time
39:14hey so uh dinner is on the counter but you might have to reheat it this bedtime took forever luna
39:25started crying and then scout started sympathy crying and it was what you are my best friend
39:33you're making fun of my hair would you just let me talk okay can you make it quick because i have to
39:37shower marry me
39:48what's happening
39:49you said make it quick so i love you you love me and i know that it takes more than that to make
39:57a marriage work but what do couples who have been together for a long time say i married my best
40:02friend that's us it's been us since you sprained your ankle and i dropped you on canon green you know since we
40:14stayed up all night studying eating jimmy's cheesy bread it's been us since that summer of epic phone
40:21calls when you nannied in west windsor it's still us they're my soul mate
40:33and years from now we'll tell our kids grandkids that the secret to our marriage is that we were best friends
40:42so
40:52josephine
41:04what's the point sorry
41:06oh um based on my experience it's probably better if you picked your own ring
41:15oh