Show: Grey's Anatomy - 19x8
(FITZ AND THE TANTRUMS' "SWAY" PLAYS) ♪ All the pretty girls Lookin' sad all summer ♪ Thanks for helping, by the way.
You are very welcome.
I helped in other ways.
♪ Strangers in a world Full of lonely...
♪ Beer?
LUCAS: Thanks.
♪ Find someone and take 'em...
♪ BLUE: Well, come on, eat.
MIKA: Can't you just bring the beer to me?
BLUE: No.
Turn around.
BLUE: Best tacos in Seattle.
♪ All the pretty boys wanna dance ♪ MEREDITH: It takes approximately 13 years of training in order to stand in an OR and cut into an actual human being without supervision.
SIMONE: Cheers!
Thank you for everything!
Good work.
Congratulations for...
♪ So all you summer lovers, make ya sway ♪ ♪ Been solo for so long, no co-pilot, no ♪ ♪ And all of these love songs Make you sick, I know ♪ MEREDITH: We need a college degree with a close-to-perfect GPA and an excellent score on the MCATs to be lucky enough to be accepted into a medical school.
(INDISTINCT SHOUTING, LAUGHTER) ♪ All the pretty boys wanna dance ♪ ♪ Strangers in a world Full of lonely lovers ♪ ♪ Find someone and take 'em by the hand ♪ MEREDITH: And then, after four years of med school, we face 60 months of surgical residency.
♪ I'm in a mood, so all you summer lovers Make ya sway ♪ ♪ Make you sway ♪ Well, did you get me a donut?
No.
(SIGHS) ♪ All the pretty girls Lookin' sad all summer ♪ MEREDITH: We tell ourselves that the lives we touch and people we help will make all the sacrifices worthwhile.
♪ Strangers in a world Full of lonely lovers ♪ Just kidding.
I got it.
I got it.
I got it.
I got it.
(LAUGHS) (GROANS) MEREDITH: But until you've done it, there's no way to know for sure.
{\an8}♪ So all you summer lovers, make ya sway ♪ {\an8}♪ Make ya sway ♪ LINK: What's all this?
A high-protein breakfast for your big day.
You gotta fuel up to get a home run.
Oh, I'm operating on a Seahawk.
Huh?
It...
It's football.
They score touchdowns and field goals...
Yeah, I will never absorb that information, so save your energy.
Okay.
This is...
Thank you!
(CHUCKLES) Um, do you mind if I take it to-go, though?
'Cause I...
I do want to get to the hospital early.
Yeah.
Are you nervous?
No.
I mean, yeah, there's...
there's pressure.
The kid's the team's number one draft pick, and he's got his whole career ahead of him.
And now the key to saving his knee and his entire NFL future is in my hands.
Yeah.
The most capable hands in the whole state.
You're the one and only ortho surgeon to the Seattle Mariners!
That's the baseball team.
There it is!
And, you know, I wish Nico wasn't traveling with them right now, because I could really use him as an assist.
You don't need him.
Think of all the people who can walk and play sports and enjoy their life because of your hands.
That last part sounded dirty, and I recognize it.
But you are a uniquely gifted surgeon.
(SLURPS) Oh, this is disgusting.
Your words.
(GRUNTS) Thank you!
Thank you.
Oh, hey, Altman.
Altman, hold up.
Um, is everything okay?
I mean, I haven't heard from you since I submitted your offer for chief of surgery, which expires...
at 6:00 p.m.
today.
Well, I still have a few hours, then.
Look, since Marsh left for a few days, I'm filling in as chief of surgery and residency director, on top of chief of chiefs, which at my age is about two chiefs too many.
I took a look at the offer.
And?
Owen has never had a kind word to say about being chief, Bailey quit, Meredith left, and you didn't exactly sell the idea when I first inquired about it.
I just...
I...
I don't know if I want it anymore.
It's a good offer, Altman.
You need this.
The hospital needs this.
(SIREN WAILING IN DISTANCE) I've got till, uh, 6:00, right?
MAGGIE: Oh, look at her.
Oh, she looks so happy.
MAGGIE: Oh, audio.
(SOUR NOTES PLAYING) (CHUCKLES) She just started.
I am not laughing at Zola.
I am thinking about Meredith living with a beginning cellist.
(BOTH LAUGH) (ELEVATOR BELL DINGS) Morning.
Hi.
Morning.
(ELEVATOR BELL DINGS) (ELEVATOR BELL DINGS) Whoa.
(ELEVATOR BELL DINGS) I would rather listen to a squeaky cello than that silence.
How's therapy going?
Oh, every therapist in Seattle is booked solid.
Our first appointment is in three weeks.
So we've instituted a ceasefire until then.
(CLEARS THROAT) That silence was a ceasefire?
Silence is better than every single word that comes out of either of our mouths.
(ELEVATOR BELL DINGS) Morning, Lincoln!
Dr.
Bailey.
How's it going?
Good.
You?
I'm great.
Yeah.
Hunt?
Oh, yeah, same, yeah.
You all want to meet the Tank.
Well, I may have, uh, some free time.
Yeah.
I've worked on a lot of busted knees, and I love the Seahawks.
Not as much as me.
Wh...
You want to say something?
Say it.
LEVI: Dr.
Lincoln.
Do you need an assist?
Oh, you're a Seahawks fan, too?
Oh, well, the Tank and I went to the same high school.
Listen, I...
I appreciate the offers, but the Tank doesn't need a room full of doctors making his procedure seem like a bigger deal than it is.
(SIGHS) Now, were you surprised at all by the draft pick?
Nah.
Nah, not really.
LINK: Good morning.
Dr.
Lincoln.
Man of the hour.
I think that's you, the Tank.
Man of the year, according to our Sunday feature.
Ken Bendix, Seattle Times.
Oh, yeah.
I heard you were coming.
And how are you feeling, hmm?
Any jitters?
Come on, now.
The only jitters I get is waiting for the football to be snapped.
(LIGHT LAUGHTER) Then folks better watch out, because I'm coming.
Preach now.
Yeah, we're all rooting for you.
Half the hospital lobbied me to be on your case.
The other half is...
in this room.
Yasuda, you want to present?
Jermaine Talbott, 22.
Tear to the left ACL due to football injury.
History of multiple injuries, including MCL repair and meniscal cadaver transplant.
Today, he will receive a bridge-enhanced anterior cruciate ligament repair, also known as the BEAR.
And why is this his best option?
It uses a collagen graft soaked in the patient's blood, instead of donor tissue, which allows the body to heal itself and yields better results than traditional ACL repairs.
Excellent.
You're scrubbing in.
Okay, yeah, but how else is the BEAR important to my career?
It's less invasive.
Because it heals faster.
True, but not the answer he's looking for.
It will allow him to ambulate and return to play sooner.
Also yes, but no.
Come on, guys.
I know someone's got this.
The Baylor Bears.
Played as a true freshman.
Led the team in sacks and tackles all four years.
Congratulations, Kwan.
You're scrubbing in, too.
The three of you will report to Dr.
Schmitt, who I believe is, conveniently, right outside.
(LAUGHS) It's every person for themselves now.
I am not losing another surgery.
We don't have to compete over everything.
First person to do an actual procedure gets the bedroom to the left of the stairs.
What?
I already drew that room.
What?
And I'm appealing the draw.
Help!
Please!
I'm on it!
Mine!
Paws off!
Hi, I'm Dr.
Adams.
Can you tell us what happened?
I failed, Doc.
I couldn't do it.
You couldn't do what?
The Pho-Nomenal Challenge.
What is that?
The Pho-Nomenal Challenge is three pounds of meat, three pounds of noodles, three liters of broth.
If you finish in an hour and a half, you win $250.
Did you just come from there?
No, I tried it five days ago, and I have not been able to take a crap since.
Please help me.
(GROANING) (INTERNS SIGH) Oh, God.
{\an8}(GROANING) {\an8}LEVI: What do you got?
{\an8}A 23-year-old male, five days without a bowel movement {\an8}after participating in an eating contest.
{\an8}Eating challenge.
{\an8}Severe abdominal pain, bloating, difficulty sitting.
{\an8}Hey, I'm Dr.
Schmitt.
{\an8}Have you tried increasing your water intake, {\an8}eating adequate sources of fiber?
{\an8}Exercise helps, reducing stress.
{\an8}How am I supposed to reduce stress {\an8}when my entire body is full of pho?
{\an8}I'm sorry.
I'm sorry.
{\an8}I'm just...
I'm very uncomfortable.
{\an8}Excuse me.
Um...
Can I borrow one of you?
{\an8}- Me!
Is it surgical?
{\an8}(SIGHS) Go, Millin.
{\an8}(GROANING CONTINUES) {\an8}Get a KUB and then do a digital rectal exam.
{\an8}Wait, I'm sorry.
Digital?
{\an8}Yeah, a finger.
It helps us...
{\an8}Okay, d...
Never mind.
{\an8}After ruling everything out, {\an8}you can try a stool softener or an enema.
{\an8}If none of that works, then we can consider doing a procedure.
{\an8}Ow!
God!
{\an8}- Still want that room?
(GROANING INTENSIFIES) {\an8}- (SIGHS) JARED: Oh!
God!
{\an8}Lupe.
Lupe, I'm on the phone, amor, okay?
{\an8}LUPE: Okay.
{\an8}Uh, Sierra Deleon?
{\an8}She can cover?
{\an8}Great.
Thank you.
{\an8}(SIGHING) Okay, sorry.
{\an8}I needed to make sure my shift was covered.
{\an8}Um, I'm pregnant with my third, and I'm spotting.
(CLANKING) Uh, here, sweetie.
Come here.
Yeah.
It's a plane.
You can play here.
Okay, so how long have you been spotting?
A few days.
At first, I didn't think too much of it, but now I'm starting to get a bit stressed.
Oh!
SIERRA: Lupe.
(CHUCKLES AWKWARDLY) Okay.
Sorry about that.
(WHISPERS) Here, go sit down.
Go sit down.
Go sit.
{\an8}Have you experienced any clotting or noticed {\an8}an increase in the amount of blood?
{\an8}Maybe.
{\an8}I'm not really sure.
{\an8}Lupe's dad drives cross-country rigs, {\an8}which means I'm lucky if I get out the front door {\an8}with deodorant on.
{\an8}Alright, I'm going to page OB.
{\an8}We're gonna get you an ultrasound {\an8}to see if we can find the cause of the bleeding.
{\an8}Okay.
{\an8}Alright, I'll see you in a bit.
{\an8}- Eeh!
(CELLPHONE CAMERA CLICKS) {\an8}- (BOTH LAUGH) Thanks.
{\an8}Oh, now, I'm texting this to my husband.
{\an8}He's gonna be jealous.
{\an8}He's a Tank fan?
{\an8}Ah, saw you play at Royer High {\an8}before you were even the Tank.
{\an8}He predicted you were gonna be a star.
{\an8}- Oh, okay.
So I guess he's gonna be jealous {\an8}- and smug.
Mm.
{\an8}I was on a nighttime ER rotation in the Caribbean {\an8}when you had that pick six to win the Rose Bowl.
{\an8}First time I tore my meniscus.
{\an8}But we won the championship, so...
worth it.
(CHUCKLES) {\an8}Storm took out the hospital Wi-Fi, {\an8}and I had the only hot spot.
{\an8}Everyone, patients, doctors, {\an8}they all had opinions on how to treat you.
{\an8}- Oh.
One of their own.
{\an8}And now you're my patient.
{\an8}Mm, that's an interesting angle.
{\an8}Do you have a few minutes?
{\an8}Could I ask you some questions?
{\an8}Uh...
{\an8}- Bring it on.
(CELLPHONE CHIMES) {\an8}KEN: How about we step outside?
{\an8}Eh...
hold on.
{\an8}Oh, daycare.
{\an8}Oh.
{\an8}I'd better see what that is.
{\an8}Um, thank you for the photo, Tank.
{\an8}- No problem.
(GIGGLING) {\an8}JERMAINE: Bye.
{\an8}(BREATHES DEEPLY) {\an8}WOMAN (OVER P.A.): Dr.
Azzi to Oncology.
{\an8}Dr.
Yasmin Azzi to Oncology.
{\an8}This one?
{\an8}You know, I had a couple ACL repairs in college.
{\an8}- Oh, yeah?
Yeah.
{\an8}Busted my knee ice skating.
{\an8}- Used to be pretty competitive.
Used to?
{\an8}Your recovery didn't go well or something?
{\an8}- No, no, it went great.
But you couldn't skate?
{\an8}Oh, I didn't have time.
I got into med school.
{\an8}Then it's on and popping.
{\an8}Ayyy!
I feel that.
{\an8}I know you do, now.
(LAUGHS) {\an8}OWEN: Hey, the kids okay?
I just got paged.
{\an8}Yeah, me, too.
{\an8}They probably threw blocks at each other again {\an8}and file some sort of injury report or something.
{\an8}Huh.
Hey, there is another plus about being chief.
{\an8}They usually bring that paperwork to you.
{\an8}Okay.
{\an8}And you get a part-time administrative assistant, {\an8}which is essential for such an important job.
{\an8}Richard told you that if I took the job, {\an8}that you'd be chief of trauma again, didn't he?
{\an8}No.
{\an8}Oh, my God.
{\an8}He briefly floated it.
{\an8}Once again, it's all about you.
{\an8}No, it's about us.
{\an8}Yeah, when it's convenient for you.
{\an8}(CHILDREN LAUGHING) Were all the parents paged?
Just the parents involved in the bite.
Your kid bit my kid.
OWEN: Which?
Allison.
Bit Pru.
That seems like a one-parent job.
Let's make this one about you.
(CHILDREN CHATTERING) {\an8}(SIGHS) {\an8}We are so sorry.
{\an8}Okay, Sierra, you're about 11 weeks along.
{\an8}- Hit the nail on the head.
(ULTRASOUND THUMPING) {\an8}There is a strong fetal heart beat, {\an8}and your cervix was closed on exam, {\an8}so everything looks good.
{\an8}Your pregnancy is right on track.
{\an8}You just need to rest and avoid strenuous activity.
{\an8}Her BMP came back.
She's dehydrated.
{\an8}So just make sure she gets some fluids before you discharge.
{\an8}Yeah, absolutely.
{\an8}Okay, so we'll get you that IV, and you'll be out of here in no time.
{\an8}Oh.
Great.
{\an8}- (CELLPHONE RINGS) LUPE: Mommy, the phone.
{\an8}Thank you.
{\an8}Hey.
What?
She can't come in?
{\an8}But she told me she was gonna come in at 10:00.
{\an8}- Excuse me.
No.
I'll...
I'll call her.
{\an8}I'll call her.
{\an8}Is everything all right?
{\an8}Not really.
{\an8}Yes.
{\an8}Everything's okay.
{\an8}LUPE: Thank you.
{\an8}Well, I'll get you those IV fluids, {\an8}- and, um, you just sit tight.
SIERRA: Okay.
{\an8}WOMAN (OVER P.A.): Dr.
Kurtz to Oncology.
{\an8}Dr.
Fritz to oncology.
{\an8}I didn't know colleges had ice skating teams.
{\an8}Of course you didn't.
{\an8}Because we were hitting the ice at 5:00 a.m., {\an8}and the football team was still getting their beauty sleep.
{\an8}(CHUCKLES) {\an8}I had to stay focused so I could go pro.
{\an8}But now I gotta kick it up a notch.
{\an8}For the team?
{\an8}For my family.
{\an8}Playing ball is what will let me bring them over from Port-au-Prince.
{\an8}- Haiti?
My real hometown.
{\an8}Yeah.
{\an8}A scout saw me play when I was in the sixth grade.
{\an8}He asked my uncle, would he let me train in Seattle?
{\an8}- Guess what he told the guy?
Hm?
{\an8}- (HAITIAN ACCENT) "Why the hell not?"
(LAUGHS) {\an8}So I moved by myself.
{\an8}I was 11.
I get to go home and see my mom and my little brothers every Christmas, but that's about it.
(SIGHS) This is my chance to finally get everyone back together.
So I gotta get back on that field ASAP.
You want to succeed so it means something.
Sit up for me.
(GRUNTS) And deep breath.
(INHALES DEEPLY) (EXHALES SLOWLY) What if it doesn't work?
What if he can't repair it and I'm stuck bagging groceries?
What if I can't play ball again?
But what if you can?
(CHUCKLES SOFTLY) (SENTIMENTAL MUSIC PLAYS) (INDISTINCT ANNOUNCEMENT OVER P.A.) LUCAS: That is a lot of fecal matter.
It's really good pho.
(JARED GROANS) It's a hole-in-the-wall in the CID.
You should try it.
Well, since you like it so much, why don't you go in and give the enema?
Are you offering the bedroom?
If you throw in two weeks' groceries.
No deal.
I know how much you eat.
Not as much as this guy.
(JARED GROANS) Oh, you know what?
Screw it.
Gimme that.
(GROANING CONTINUES) Okay, bye.
Mwah.
Mwah.
(CHUCKLES) Again, I am so, so sorry.
Oh, please.
I spoke to her.
It was a one-time thing.
Allison had something to say, and she couldn't get the words out.
Kids bite.
It happens.
Thanks.
So, have you thought more about chief?
Well, it's a great title and a pay bump, but is that really enough to...
No.
No?
No, it's not a pay bump.
It's more like a nudge, a small tap.
(CHUCKLES) It certainly isn't enough to justify the relentless paperwork and protocols and meetings and complaints.
So...
many...
complaints.
That's why Webber doesn't have any takers.
But you are in a very interesting negotiating position, Altman, 'cause they need you.
(ELEVATOR DINGS) And if I were you, I'd ask for the moon.
And the planets.
And Pluto.
What exactly do you think that all looks like?
(ELEVATOR BELL DINGS) Well, if it were me...
A full-time administrative assistant who will be the point person for any staff complaints.
And this person will also attend budget meetings in my place if I am unavailable and take notes for my review.
I will need an additional three weeks off and double the pay increase that you're currently offering.
And a...
a stipend for research.
Oh.
Well, this is a lot to consider.
These are my terms...
sir.
Um, I...
I'm gonna need some time to think this over.
I'm sure you understand.
Of course.
(CLEARS THROAT) (MAGGIE SIGHS) Hey.
Hey.
I thought you were clipping an aneurysm.
Yeah, I finished.
What are you working on?
My case report for my partial heart transplant.
The one on the baby?
Arlo Fischer.
Why would I write "socks"?
I have no idea.
But you know who might?
I'm not breaking the ceasefire.
And I need to get this done in less than three weeks.
You're worried another cardio surgeon might beat you to it?
(EXHALES SHARPLY) I need a win.
I need a victory, because I feel like I'm failing at my marriage, and I do not fail.
I hate failing.
Hiding from the hard parts won't make it less hard.
It'll just make it last longer.
Trust me.
(NADINE LAUGHING THROUGH CELLPHONE) It's not a durag, Mommy, it's for surgery.
I wore it for the last two, you remember?
NADINE: You look so adorable.
Now, let me meet everyone in that room.
This is Dr.
Kwan.
Hi.
And this is Dr.
Griffith.
Very nice to meet you.
Where's Dr.
Lincoln?
He's already in the OR.
We're about to take Jermaine there now.
Both of you look at me.
My son has broken records with his talent.
Yes, ma'am.
And noses.
Yes, ma'am.
You know where he got that strength?
His mama.
Take care of my baby.
(SIGHS) NADINE: I love you.
Eyes forward.
You hear me?
Eyes forward.
Eyes forward.
(IN FRENCH) We'll talk later.
We'll talk later, honey, I love you.
(BLOWS KISS) (EXHALES DEEPLY) (CLICKS TONGUE) I'm ready.
Mm-hmm.
(WHEEL LOCKS CLANK) (SUSPENSEFUL MUSIC PLAYS) Hey.
I just wanted to wish you good luck.
Not that you need it.
I'll take it.
After everything Jermaine's sacrificed to play, he doesn't deserve to be riding the bench.
(SIGHS) I just gotta stay sharp.
It's been a while since I've been in the pressure cooker, you know?
Well...
you've never folded before.
You're not gonna start now.
I know it.
(DOOR CLOSES) (SIGHS DEEPLY) Oh.
Thank you.
So, uh, I have considered your offer.
Ready to shake on it?
You know, Grey-Sloan is a place where...
where legacies are built, history is written.
Working here, for me, I mean, evokes a feeling of...
duty.
It's an honor to serve.
And often, service requires sacrifice.
It's a little weird to put it that way, especially to someone who actually served, but...
Uh, I'm...
I'm not done yet.
Oh.
Thank you.
When I see these doctors, these patients, it brings me joy.
It makes me happy, um, fulfilled.
(CHUCKLES NERVOUSLY) Oh.
And thinking about all of this, well, Altman, I've decided to take the job myself.
(CHUCKLES) I...
I love being here.
I even love the building itself.
And, um, I'm...
I'm happy with the money that's already on the table.
It's not about that for me.
So, um...
thank you for your time, Dr.
Altman.
(CLEARS THROAT) Fine.
We can lose the stipend.
(SIGHS) Oh.
Okay.
We will...
lose the...
stipend.
(MONITOR BEEPING, AIR HISSING) Excuse me.
(SOFTLY) Excuse me.
Hey.
Hey.
What'd I miss?
They sutured the ACL and are making the tunnels.
They're about to prepare the implant for placement.
He wasn't asking me, was he?
Very much not.
(WINSTON SIGHS) Man, I hope this goes well.
The Tank has suffered enough setbacks.
Are, uh, things better at home?
You know, all due...
all due respect, the last time we talked, you gave me some advice that kinda blew up in my face.
Maggie's been staying with Amelia.
Wh...
Oh.
Um...
I'm sorry.
It's...
It's my fault.
I should have thought twice before I took advice from you.
What's that supposed to mean?
I mean, how are things with Teddy?
Fair point.
(SIGHS) Yeah.
LINK: The tunnels are made.
He's ready for the scaffold.
(EXHALES SHARPLY) As amazing as I am, the Tank weighs close to 320 pounds, and he can run 40 yards in less than five seconds, which means he can take down a quarterback with roughly 1,700 pounds of force.
Never mind what that's doing to his brain.
That's a whole other conversation.
But it takes a toll on the knees.
SIMONE: How long can he sustain that?
LINK: Oh, on average, these defensive players get about six years.
So it's only one year longer than residency and he's done?
Let's hope he's better than average.
WOMAN (OVER P.A.): Third floor nurses' station.
O.T.
Morell to the third floor nurses' station.
Is everything okay?
Sorry.
Lupe threw my things on the floor and I...
I haven't picked them up yet.
Well, your IV is almost done.
Are you experiencing any pain in your abdomen?
Sierra?
I can't help but notice you seem...
I just have a lot on my mind.
Sorry, I...
I know you're busy.
Hey, don't apologize.
I know what it feels like to be overwhelmed, and I only have myself to take care of.
If there's something on your mind, you can talk to me about it if you want.
The condom broke.
My husband and I use condoms because I hate the way birth control pills make me feel.
And it broke.
I wasn't trying to get pregnant.
Especially after my other two.
And, don't get me wrong, I love the hell out of them.
I do.
But I'm scared it's gonna come back.
What's going to come back, Sierra?
After I gave birth to my two kids, I just felt this huge wave rushing towards me.
I would look at them, and I know I love them, but I was so exhausted and so defeated.
Depressed?
It was really dark.
I was really dark.
Both times.
Both babies.
And the doctor called it postpartum depression, and he prescribed me a few medications, talk therapy, but nothing worked.
And it lasted for months and months.
So when I saw that I was spotting, I felt...
like I could breathe.
Sierra, did you...
do anything to try and terminate this pregnancy?
No.
Okay.
But when I thought I was having a miscarriage, I wasn't so terrified about having to go through that again.
I wasn't so terrified that I wouldn't be here for my babies.
(SOMBER MUSIC PLAYING) (BREATHES SHAKILY) How much is an abortion?
Our reproductive clinic provides counseling and abortion services on a sliding scale.
Would you like me to call someone from down there?
Okay.
(BREATHES DEEPLY) BLUE: That's the smallest incision I've seen for a procedure so complex.
When I was training, they used to flay open the entire joint and staple it back together Frankenstein-style.
SIMONE: Mm.
These days...
art.
(CHUCKLES) (CHEERS AND APPLAUSE) (MELLOW MUSIC PLAYS) Alright, okay.
Well done, everybody.
Now let's bandage up the Tank's knee and roll him back to recovery and let him rest.
No gawkers in the hallways waiting around awkwardly for autographs.
And absolutely no selfies.
(SIGHS) What are you doing?
Can't rush the rectum.
Wh...
Uh, you're a surgeon.
We are surgeons.
Yeah, and general surgery's all about poop in the pipes, Skywalker.
(SIGHS) Curtains or shades?
My room gets a lot of light.
Eh, it's not your room until you have success.
(TOILET FLUSHES) (TOILET FLUSHES AGAIN) Yes!
(DOOR OPENS) (JARED SIGHS) MIKA: Jared, how are you feeling?
I feel like I just lost ten pounds.
Pho-tastic!
It's another dish on the menu.
I want to say thank you so much for your help.
Now I can go back.
Uh, um, I'm sorry?
To the restaurant.
I need to win that $250.
Uh, sir, I really think you should let your digestive system...
Am I free to go?
Yeah, you are free to go.
Uh, yeah, you just have to sign some forms at the...
desk.
MIKA: Good luck!
(SIGHS) (SINGSONG VOICE) Curtains it is.
Oh, wait.
Stop scrolling.
His mom's phone number.
You think Dr.
Lincoln will let me call Nadine, let her know Jermaine's out of surgery?
Nadine?
What, are we on a first-name basis with his mom?
Yeah, it's called listening to your patient.
You know, compassion, bedside manner, that kind of thing.
Okay, so you're saying I don't have any of that?
Oh, you said it, not me.
(ALARM BEEPING RAPIDLY) BLUE: Sats dropped to the 70s.
Heart rate in the 140s.
So in terms of physical therapy...
Dr.
Lincoln!
What's going on?
His vitals just started plummeting.
BP is now below 90/70.
LINK: Damn it.
He was fine two minutes ago.
Alright, start him on pressors.
We need to re-intubate him.
Now!
Get Ndugu and get me an intubation tray.
Yeah.
(TENSE MUSIC PLAYING) I don't see anything.
His D-dimer's elevated, his sats are failing, he has right heart strain.
There's a clot.
LINK: Then where is it?
Dr.
Lincoln.
I'm sorry, I'm just...
Kwan, get him away from there.
Found it.
Large saddle PE at the bifurcation of his pulmonary artery.
He needs an emergent embolectomy.
Alright, he needs a heparin infusion immediately.
Alright, let's get to the IR suite right now.
Let's move.
(TENSE MUSIC FADES) Half your assistant's salary is gonna come off your side.
Now, I can't double your pay, but I am ready to offer you 25% above your initial offer.
Which is insulting.
Seventy-five percent over, and you pay for the assistant.
You know, when I look at these halls...
Oh, please.
Tell me about how you served again.
Dr.
Webber.
Dr.
Altman.
Uh, Shepherd?
I hope I'm not too late.
I would like to be considered for the position.
Chief of surgery.
You have got to be kidding me.
JO: At 11 weeks, we can do an in-office procedure to terminate the pregnancy.
Do you use a knife?
No.
We use suction.
No blades.
Will you put me to sleep?
Because I have to pick up Manny, and I have to cook them dinner.
No, you'll be awake.
We can even have a volunteer take Lupe for ice cream during the procedure.
Will it hurt?
You'll feel discomfort at times, but we use an anesthetic to numb the area.
(BREATHES DEEPLY) I love my kids.
I want to stay alive for them.
I want to be okay for them.
I can't do this again.
Okay.
Do you want to assist?
I'll see you in a bit.
(EXHALES DEEPLY) SIMONE: He's young, the surgery went perfectly.
I don't understand how a clot this size formed this quickly.
It shouldn't.
But it can.
You're saying I should have seen this coming?
I'm saying there's nothing you could have done to prevent this from happening.
(ALARM BEEPING) BLUE: Is that a V-Fib?
Get me a crash cart.
I'm pulling the wire.
(TENSE MUSIC PLAYING) Paddles.
Charge to 150.
(DEFIBRILLATOR WHIRRING) Clear.
(THUMP) (ALARM CONTINUES) Push another epi.
Charge to 200.
Clear.
(THUMP) Again.
Come on, Tank.
Come on.
Clear!
(THUMP) (ALARM CONTINUES) (TENSE MUSIC CONTINUES) Come on.
Eyes forward, Jermaine.
Eyes forward.
SIERRA: Yes, I love you, too.
If you have to leave, it's okay.
I'll be fine.
He wants to stay on.
Is it okay if I'm on the phone?
Of course.
Yes.
Okay, are you ready?
Okay.
I'm going to use my hands to do a bimanual exam to determine the shape and location of your cervix.
Okay.
I wish you were here, too.
Now we're going to insert the speculum, just like a routine pap smear.
Okay.
And we will hold it still with this instrument.
Okay.
Alright.
Now, Sierra, you may feel some discomfort as we administer two shots to numb the area.
Okay, ready?
(INHALES SHARPLY) JO: You're doing great.
(GROANS SOFTLY) JO: Okay.
Millin, we'll wait a few minutes for the paracervical block to take effect before we dilate the cervix.
How are you doing, Sierra?
I'm okay.
JO: Okay.
Yes, I'm still here.
No, no, no.
I'm fine.
Okay, let's follow along via ultrasound.
It's just an ultrasound.
It doesn't hurt.
Gel's just cold.
We'll measure the length of her uterus before we dilate the cervix.
Okay, Sierra, you ready?
Okay, Dr.
Millin, what do you see?
The uterus is 10 centimeters.
Okay, great.
We're going to dilate the cervix.
Here we go.
Okay.
Doing great, Sierra.
Okay, last one.
Okay.
Now, Sierra, I'm going to use this catheter along the walls of your uterus.
Okay, are you ready?
Yes.
JO: Okay, here we go.
Doing great.
And, okay, removing the catheter.
Dr.
Millin will use ultrasound to verify completion.
Uterus is clear.
JO: Okay.
Removing the forceps.
And removing the speculum.
That's it?
JO: And that's it.
(EXHALES DEEPLY) It's over.
Yes, I'm okay.
I'm okay.
(BREATHES DEEPLY) (SUSPENSEFUL MUSIC PLAYS) LINK: Charge again.
WINSTON: Link.
LINK: Charge again!
We've been doing this for two hours, man.
He's gone.
(ALARM BEEPING) (SOMBER MUSIC PLAYING) (DEFIBRILLATOR THUDS) (SIGHS) WINSTON: Time of death...
15:45.
(LINK SIGHS) Okay.
I'll walk out first.
Maybe I can stall the press.
No.
No.
All they see is a football player.
Stats and dollar signs.
He was just a kid doing what he loved.
Now he's gone.
That's on me.
(SOMBER MUSIC PLAYING) (SNIFFLES) (SOMBER MUSIC PLAYING) LUPE: Mommy.
SIERRA: Oh.
Hey!
(LAUGHS) You got that?
Yeah.
Okay, so, you, um, you may experience some cramping and some spotting over the next few days.
It's totally normal.
If you feel uncomfortable, ibuprofen will help.
Okay.
Uh, if you feel any dizziness or experience heavy bleeding, please call us.
Thank you both.
You're an incredible mom.
Come on.
Let's go.
Hey.
(CHUCKLES) WOMAN (OVER P.A.): Dr.
Wagner in Radiology.
(SIGHS) Great work today, Millin.
A lot of interns can regurgitate a textbook, but not many can talk to a patient like you.
(CHUCKLES) What?
I...
I've just never had someone compliment my work before.
It's safe to say I...
I grew up a little left of normal.
My parents taught me to clear energy fields and roll a joint at 10.
That kind of reputation didn't exactly pave the way for success.
Well, coming from someone who didn't have the most conventional upbringing either, you saved that woman's life today.
You could've walked away, but you didn't.
You stayed and listened, and Sierra is better off for it.
(CELLPHONE CHIMES) Excuse me.
...and not to mention, I've just come off
You are very welcome.
I helped in other ways.
♪ Strangers in a world Full of lonely...
♪ Beer?
LUCAS: Thanks.
♪ Find someone and take 'em...
♪ BLUE: Well, come on, eat.
MIKA: Can't you just bring the beer to me?
BLUE: No.
Turn around.
BLUE: Best tacos in Seattle.
♪ All the pretty boys wanna dance ♪ MEREDITH: It takes approximately 13 years of training in order to stand in an OR and cut into an actual human being without supervision.
SIMONE: Cheers!
Thank you for everything!
Good work.
Congratulations for...
♪ So all you summer lovers, make ya sway ♪ ♪ Been solo for so long, no co-pilot, no ♪ ♪ And all of these love songs Make you sick, I know ♪ MEREDITH: We need a college degree with a close-to-perfect GPA and an excellent score on the MCATs to be lucky enough to be accepted into a medical school.
(INDISTINCT SHOUTING, LAUGHTER) ♪ All the pretty boys wanna dance ♪ ♪ Strangers in a world Full of lonely lovers ♪ ♪ Find someone and take 'em by the hand ♪ MEREDITH: And then, after four years of med school, we face 60 months of surgical residency.
♪ I'm in a mood, so all you summer lovers Make ya sway ♪ ♪ Make you sway ♪ Well, did you get me a donut?
No.
(SIGHS) ♪ All the pretty girls Lookin' sad all summer ♪ MEREDITH: We tell ourselves that the lives we touch and people we help will make all the sacrifices worthwhile.
♪ Strangers in a world Full of lonely lovers ♪ Just kidding.
I got it.
I got it.
I got it.
I got it.
(LAUGHS) (GROANS) MEREDITH: But until you've done it, there's no way to know for sure.
{\an8}♪ So all you summer lovers, make ya sway ♪ {\an8}♪ Make ya sway ♪ LINK: What's all this?
A high-protein breakfast for your big day.
You gotta fuel up to get a home run.
Oh, I'm operating on a Seahawk.
Huh?
It...
It's football.
They score touchdowns and field goals...
Yeah, I will never absorb that information, so save your energy.
Okay.
This is...
Thank you!
(CHUCKLES) Um, do you mind if I take it to-go, though?
'Cause I...
I do want to get to the hospital early.
Yeah.
Are you nervous?
No.
I mean, yeah, there's...
there's pressure.
The kid's the team's number one draft pick, and he's got his whole career ahead of him.
And now the key to saving his knee and his entire NFL future is in my hands.
Yeah.
The most capable hands in the whole state.
You're the one and only ortho surgeon to the Seattle Mariners!
That's the baseball team.
There it is!
And, you know, I wish Nico wasn't traveling with them right now, because I could really use him as an assist.
You don't need him.
Think of all the people who can walk and play sports and enjoy their life because of your hands.
That last part sounded dirty, and I recognize it.
But you are a uniquely gifted surgeon.
(SLURPS) Oh, this is disgusting.
Your words.
(GRUNTS) Thank you!
Thank you.
Oh, hey, Altman.
Altman, hold up.
Um, is everything okay?
I mean, I haven't heard from you since I submitted your offer for chief of surgery, which expires...
at 6:00 p.m.
today.
Well, I still have a few hours, then.
Look, since Marsh left for a few days, I'm filling in as chief of surgery and residency director, on top of chief of chiefs, which at my age is about two chiefs too many.
I took a look at the offer.
And?
Owen has never had a kind word to say about being chief, Bailey quit, Meredith left, and you didn't exactly sell the idea when I first inquired about it.
I just...
I...
I don't know if I want it anymore.
It's a good offer, Altman.
You need this.
The hospital needs this.
(SIREN WAILING IN DISTANCE) I've got till, uh, 6:00, right?
MAGGIE: Oh, look at her.
Oh, she looks so happy.
MAGGIE: Oh, audio.
(SOUR NOTES PLAYING) (CHUCKLES) She just started.
I am not laughing at Zola.
I am thinking about Meredith living with a beginning cellist.
(BOTH LAUGH) (ELEVATOR BELL DINGS) Morning.
Hi.
Morning.
(ELEVATOR BELL DINGS) (ELEVATOR BELL DINGS) Whoa.
(ELEVATOR BELL DINGS) I would rather listen to a squeaky cello than that silence.
How's therapy going?
Oh, every therapist in Seattle is booked solid.
Our first appointment is in three weeks.
So we've instituted a ceasefire until then.
(CLEARS THROAT) That silence was a ceasefire?
Silence is better than every single word that comes out of either of our mouths.
(ELEVATOR BELL DINGS) Morning, Lincoln!
Dr.
Bailey.
How's it going?
Good.
You?
I'm great.
Yeah.
Hunt?
Oh, yeah, same, yeah.
You all want to meet the Tank.
Well, I may have, uh, some free time.
Yeah.
I've worked on a lot of busted knees, and I love the Seahawks.
Not as much as me.
Wh...
You want to say something?
Say it.
LEVI: Dr.
Lincoln.
Do you need an assist?
Oh, you're a Seahawks fan, too?
Oh, well, the Tank and I went to the same high school.
Listen, I...
I appreciate the offers, but the Tank doesn't need a room full of doctors making his procedure seem like a bigger deal than it is.
(SIGHS) Now, were you surprised at all by the draft pick?
Nah.
Nah, not really.
LINK: Good morning.
Dr.
Lincoln.
Man of the hour.
I think that's you, the Tank.
Man of the year, according to our Sunday feature.
Ken Bendix, Seattle Times.
Oh, yeah.
I heard you were coming.
And how are you feeling, hmm?
Any jitters?
Come on, now.
The only jitters I get is waiting for the football to be snapped.
(LIGHT LAUGHTER) Then folks better watch out, because I'm coming.
Preach now.
Yeah, we're all rooting for you.
Half the hospital lobbied me to be on your case.
The other half is...
in this room.
Yasuda, you want to present?
Jermaine Talbott, 22.
Tear to the left ACL due to football injury.
History of multiple injuries, including MCL repair and meniscal cadaver transplant.
Today, he will receive a bridge-enhanced anterior cruciate ligament repair, also known as the BEAR.
And why is this his best option?
It uses a collagen graft soaked in the patient's blood, instead of donor tissue, which allows the body to heal itself and yields better results than traditional ACL repairs.
Excellent.
You're scrubbing in.
Okay, yeah, but how else is the BEAR important to my career?
It's less invasive.
Because it heals faster.
True, but not the answer he's looking for.
It will allow him to ambulate and return to play sooner.
Also yes, but no.
Come on, guys.
I know someone's got this.
The Baylor Bears.
Played as a true freshman.
Led the team in sacks and tackles all four years.
Congratulations, Kwan.
You're scrubbing in, too.
The three of you will report to Dr.
Schmitt, who I believe is, conveniently, right outside.
(LAUGHS) It's every person for themselves now.
I am not losing another surgery.
We don't have to compete over everything.
First person to do an actual procedure gets the bedroom to the left of the stairs.
What?
I already drew that room.
What?
And I'm appealing the draw.
Help!
Please!
I'm on it!
Mine!
Paws off!
Hi, I'm Dr.
Adams.
Can you tell us what happened?
I failed, Doc.
I couldn't do it.
You couldn't do what?
The Pho-Nomenal Challenge.
What is that?
The Pho-Nomenal Challenge is three pounds of meat, three pounds of noodles, three liters of broth.
If you finish in an hour and a half, you win $250.
Did you just come from there?
No, I tried it five days ago, and I have not been able to take a crap since.
Please help me.
(GROANING) (INTERNS SIGH) Oh, God.
{\an8}(GROANING) {\an8}LEVI: What do you got?
{\an8}A 23-year-old male, five days without a bowel movement {\an8}after participating in an eating contest.
{\an8}Eating challenge.
{\an8}Severe abdominal pain, bloating, difficulty sitting.
{\an8}Hey, I'm Dr.
Schmitt.
{\an8}Have you tried increasing your water intake, {\an8}eating adequate sources of fiber?
{\an8}Exercise helps, reducing stress.
{\an8}How am I supposed to reduce stress {\an8}when my entire body is full of pho?
{\an8}I'm sorry.
I'm sorry.
{\an8}I'm just...
I'm very uncomfortable.
{\an8}Excuse me.
Um...
Can I borrow one of you?
{\an8}- Me!
Is it surgical?
{\an8}(SIGHS) Go, Millin.
{\an8}(GROANING CONTINUES) {\an8}Get a KUB and then do a digital rectal exam.
{\an8}Wait, I'm sorry.
Digital?
{\an8}Yeah, a finger.
It helps us...
{\an8}Okay, d...
Never mind.
{\an8}After ruling everything out, {\an8}you can try a stool softener or an enema.
{\an8}If none of that works, then we can consider doing a procedure.
{\an8}Ow!
God!
{\an8}- Still want that room?
(GROANING INTENSIFIES) {\an8}- (SIGHS) JARED: Oh!
God!
{\an8}Lupe.
Lupe, I'm on the phone, amor, okay?
{\an8}LUPE: Okay.
{\an8}Uh, Sierra Deleon?
{\an8}She can cover?
{\an8}Great.
Thank you.
{\an8}(SIGHING) Okay, sorry.
{\an8}I needed to make sure my shift was covered.
{\an8}Um, I'm pregnant with my third, and I'm spotting.
(CLANKING) Uh, here, sweetie.
Come here.
Yeah.
It's a plane.
You can play here.
Okay, so how long have you been spotting?
A few days.
At first, I didn't think too much of it, but now I'm starting to get a bit stressed.
Oh!
SIERRA: Lupe.
(CHUCKLES AWKWARDLY) Okay.
Sorry about that.
(WHISPERS) Here, go sit down.
Go sit down.
Go sit.
{\an8}Have you experienced any clotting or noticed {\an8}an increase in the amount of blood?
{\an8}Maybe.
{\an8}I'm not really sure.
{\an8}Lupe's dad drives cross-country rigs, {\an8}which means I'm lucky if I get out the front door {\an8}with deodorant on.
{\an8}Alright, I'm going to page OB.
{\an8}We're gonna get you an ultrasound {\an8}to see if we can find the cause of the bleeding.
{\an8}Okay.
{\an8}Alright, I'll see you in a bit.
{\an8}- Eeh!
(CELLPHONE CAMERA CLICKS) {\an8}- (BOTH LAUGH) Thanks.
{\an8}Oh, now, I'm texting this to my husband.
{\an8}He's gonna be jealous.
{\an8}He's a Tank fan?
{\an8}Ah, saw you play at Royer High {\an8}before you were even the Tank.
{\an8}He predicted you were gonna be a star.
{\an8}- Oh, okay.
So I guess he's gonna be jealous {\an8}- and smug.
Mm.
{\an8}I was on a nighttime ER rotation in the Caribbean {\an8}when you had that pick six to win the Rose Bowl.
{\an8}First time I tore my meniscus.
{\an8}But we won the championship, so...
worth it.
(CHUCKLES) {\an8}Storm took out the hospital Wi-Fi, {\an8}and I had the only hot spot.
{\an8}Everyone, patients, doctors, {\an8}they all had opinions on how to treat you.
{\an8}- Oh.
One of their own.
{\an8}And now you're my patient.
{\an8}Mm, that's an interesting angle.
{\an8}Do you have a few minutes?
{\an8}Could I ask you some questions?
{\an8}Uh...
{\an8}- Bring it on.
(CELLPHONE CHIMES) {\an8}KEN: How about we step outside?
{\an8}Eh...
hold on.
{\an8}Oh, daycare.
{\an8}Oh.
{\an8}I'd better see what that is.
{\an8}Um, thank you for the photo, Tank.
{\an8}- No problem.
(GIGGLING) {\an8}JERMAINE: Bye.
{\an8}(BREATHES DEEPLY) {\an8}WOMAN (OVER P.A.): Dr.
Azzi to Oncology.
{\an8}Dr.
Yasmin Azzi to Oncology.
{\an8}This one?
{\an8}You know, I had a couple ACL repairs in college.
{\an8}- Oh, yeah?
Yeah.
{\an8}Busted my knee ice skating.
{\an8}- Used to be pretty competitive.
Used to?
{\an8}Your recovery didn't go well or something?
{\an8}- No, no, it went great.
But you couldn't skate?
{\an8}Oh, I didn't have time.
I got into med school.
{\an8}Then it's on and popping.
{\an8}Ayyy!
I feel that.
{\an8}I know you do, now.
(LAUGHS) {\an8}OWEN: Hey, the kids okay?
I just got paged.
{\an8}Yeah, me, too.
{\an8}They probably threw blocks at each other again {\an8}and file some sort of injury report or something.
{\an8}Huh.
Hey, there is another plus about being chief.
{\an8}They usually bring that paperwork to you.
{\an8}Okay.
{\an8}And you get a part-time administrative assistant, {\an8}which is essential for such an important job.
{\an8}Richard told you that if I took the job, {\an8}that you'd be chief of trauma again, didn't he?
{\an8}No.
{\an8}Oh, my God.
{\an8}He briefly floated it.
{\an8}Once again, it's all about you.
{\an8}No, it's about us.
{\an8}Yeah, when it's convenient for you.
{\an8}(CHILDREN LAUGHING) Were all the parents paged?
Just the parents involved in the bite.
Your kid bit my kid.
OWEN: Which?
Allison.
Bit Pru.
That seems like a one-parent job.
Let's make this one about you.
(CHILDREN CHATTERING) {\an8}(SIGHS) {\an8}We are so sorry.
{\an8}Okay, Sierra, you're about 11 weeks along.
{\an8}- Hit the nail on the head.
(ULTRASOUND THUMPING) {\an8}There is a strong fetal heart beat, {\an8}and your cervix was closed on exam, {\an8}so everything looks good.
{\an8}Your pregnancy is right on track.
{\an8}You just need to rest and avoid strenuous activity.
{\an8}Her BMP came back.
She's dehydrated.
{\an8}So just make sure she gets some fluids before you discharge.
{\an8}Yeah, absolutely.
{\an8}Okay, so we'll get you that IV, and you'll be out of here in no time.
{\an8}Oh.
Great.
{\an8}- (CELLPHONE RINGS) LUPE: Mommy, the phone.
{\an8}Thank you.
{\an8}Hey.
What?
She can't come in?
{\an8}But she told me she was gonna come in at 10:00.
{\an8}- Excuse me.
No.
I'll...
I'll call her.
{\an8}I'll call her.
{\an8}Is everything all right?
{\an8}Not really.
{\an8}Yes.
{\an8}Everything's okay.
{\an8}LUPE: Thank you.
{\an8}Well, I'll get you those IV fluids, {\an8}- and, um, you just sit tight.
SIERRA: Okay.
{\an8}WOMAN (OVER P.A.): Dr.
Kurtz to Oncology.
{\an8}Dr.
Fritz to oncology.
{\an8}I didn't know colleges had ice skating teams.
{\an8}Of course you didn't.
{\an8}Because we were hitting the ice at 5:00 a.m., {\an8}and the football team was still getting their beauty sleep.
{\an8}(CHUCKLES) {\an8}I had to stay focused so I could go pro.
{\an8}But now I gotta kick it up a notch.
{\an8}For the team?
{\an8}For my family.
{\an8}Playing ball is what will let me bring them over from Port-au-Prince.
{\an8}- Haiti?
My real hometown.
{\an8}Yeah.
{\an8}A scout saw me play when I was in the sixth grade.
{\an8}He asked my uncle, would he let me train in Seattle?
{\an8}- Guess what he told the guy?
Hm?
{\an8}- (HAITIAN ACCENT) "Why the hell not?"
(LAUGHS) {\an8}So I moved by myself.
{\an8}I was 11.
I get to go home and see my mom and my little brothers every Christmas, but that's about it.
(SIGHS) This is my chance to finally get everyone back together.
So I gotta get back on that field ASAP.
You want to succeed so it means something.
Sit up for me.
(GRUNTS) And deep breath.
(INHALES DEEPLY) (EXHALES SLOWLY) What if it doesn't work?
What if he can't repair it and I'm stuck bagging groceries?
What if I can't play ball again?
But what if you can?
(CHUCKLES SOFTLY) (SENTIMENTAL MUSIC PLAYS) (INDISTINCT ANNOUNCEMENT OVER P.A.) LUCAS: That is a lot of fecal matter.
It's really good pho.
(JARED GROANS) It's a hole-in-the-wall in the CID.
You should try it.
Well, since you like it so much, why don't you go in and give the enema?
Are you offering the bedroom?
If you throw in two weeks' groceries.
No deal.
I know how much you eat.
Not as much as this guy.
(JARED GROANS) Oh, you know what?
Screw it.
Gimme that.
(GROANING CONTINUES) Okay, bye.
Mwah.
Mwah.
(CHUCKLES) Again, I am so, so sorry.
Oh, please.
I spoke to her.
It was a one-time thing.
Allison had something to say, and she couldn't get the words out.
Kids bite.
It happens.
Thanks.
So, have you thought more about chief?
Well, it's a great title and a pay bump, but is that really enough to...
No.
No?
No, it's not a pay bump.
It's more like a nudge, a small tap.
(CHUCKLES) It certainly isn't enough to justify the relentless paperwork and protocols and meetings and complaints.
So...
many...
complaints.
That's why Webber doesn't have any takers.
But you are in a very interesting negotiating position, Altman, 'cause they need you.
(ELEVATOR DINGS) And if I were you, I'd ask for the moon.
And the planets.
And Pluto.
What exactly do you think that all looks like?
(ELEVATOR BELL DINGS) Well, if it were me...
A full-time administrative assistant who will be the point person for any staff complaints.
And this person will also attend budget meetings in my place if I am unavailable and take notes for my review.
I will need an additional three weeks off and double the pay increase that you're currently offering.
And a...
a stipend for research.
Oh.
Well, this is a lot to consider.
These are my terms...
sir.
Um, I...
I'm gonna need some time to think this over.
I'm sure you understand.
Of course.
(CLEARS THROAT) (MAGGIE SIGHS) Hey.
Hey.
I thought you were clipping an aneurysm.
Yeah, I finished.
What are you working on?
My case report for my partial heart transplant.
The one on the baby?
Arlo Fischer.
Why would I write "socks"?
I have no idea.
But you know who might?
I'm not breaking the ceasefire.
And I need to get this done in less than three weeks.
You're worried another cardio surgeon might beat you to it?
(EXHALES SHARPLY) I need a win.
I need a victory, because I feel like I'm failing at my marriage, and I do not fail.
I hate failing.
Hiding from the hard parts won't make it less hard.
It'll just make it last longer.
Trust me.
(NADINE LAUGHING THROUGH CELLPHONE) It's not a durag, Mommy, it's for surgery.
I wore it for the last two, you remember?
NADINE: You look so adorable.
Now, let me meet everyone in that room.
This is Dr.
Kwan.
Hi.
And this is Dr.
Griffith.
Very nice to meet you.
Where's Dr.
Lincoln?
He's already in the OR.
We're about to take Jermaine there now.
Both of you look at me.
My son has broken records with his talent.
Yes, ma'am.
And noses.
Yes, ma'am.
You know where he got that strength?
His mama.
Take care of my baby.
(SIGHS) NADINE: I love you.
Eyes forward.
You hear me?
Eyes forward.
Eyes forward.
(IN FRENCH) We'll talk later.
We'll talk later, honey, I love you.
(BLOWS KISS) (EXHALES DEEPLY) (CLICKS TONGUE) I'm ready.
Mm-hmm.
(WHEEL LOCKS CLANK) (SUSPENSEFUL MUSIC PLAYS) Hey.
I just wanted to wish you good luck.
Not that you need it.
I'll take it.
After everything Jermaine's sacrificed to play, he doesn't deserve to be riding the bench.
(SIGHS) I just gotta stay sharp.
It's been a while since I've been in the pressure cooker, you know?
Well...
you've never folded before.
You're not gonna start now.
I know it.
(DOOR CLOSES) (SIGHS DEEPLY) Oh.
Thank you.
So, uh, I have considered your offer.
Ready to shake on it?
You know, Grey-Sloan is a place where...
where legacies are built, history is written.
Working here, for me, I mean, evokes a feeling of...
duty.
It's an honor to serve.
And often, service requires sacrifice.
It's a little weird to put it that way, especially to someone who actually served, but...
Uh, I'm...
I'm not done yet.
Oh.
Thank you.
When I see these doctors, these patients, it brings me joy.
It makes me happy, um, fulfilled.
(CHUCKLES NERVOUSLY) Oh.
And thinking about all of this, well, Altman, I've decided to take the job myself.
(CHUCKLES) I...
I love being here.
I even love the building itself.
And, um, I'm...
I'm happy with the money that's already on the table.
It's not about that for me.
So, um...
thank you for your time, Dr.
Altman.
(CLEARS THROAT) Fine.
We can lose the stipend.
(SIGHS) Oh.
Okay.
We will...
lose the...
stipend.
(MONITOR BEEPING, AIR HISSING) Excuse me.
(SOFTLY) Excuse me.
Hey.
Hey.
What'd I miss?
They sutured the ACL and are making the tunnels.
They're about to prepare the implant for placement.
He wasn't asking me, was he?
Very much not.
(WINSTON SIGHS) Man, I hope this goes well.
The Tank has suffered enough setbacks.
Are, uh, things better at home?
You know, all due...
all due respect, the last time we talked, you gave me some advice that kinda blew up in my face.
Maggie's been staying with Amelia.
Wh...
Oh.
Um...
I'm sorry.
It's...
It's my fault.
I should have thought twice before I took advice from you.
What's that supposed to mean?
I mean, how are things with Teddy?
Fair point.
(SIGHS) Yeah.
LINK: The tunnels are made.
He's ready for the scaffold.
(EXHALES SHARPLY) As amazing as I am, the Tank weighs close to 320 pounds, and he can run 40 yards in less than five seconds, which means he can take down a quarterback with roughly 1,700 pounds of force.
Never mind what that's doing to his brain.
That's a whole other conversation.
But it takes a toll on the knees.
SIMONE: How long can he sustain that?
LINK: Oh, on average, these defensive players get about six years.
So it's only one year longer than residency and he's done?
Let's hope he's better than average.
WOMAN (OVER P.A.): Third floor nurses' station.
O.T.
Morell to the third floor nurses' station.
Is everything okay?
Sorry.
Lupe threw my things on the floor and I...
I haven't picked them up yet.
Well, your IV is almost done.
Are you experiencing any pain in your abdomen?
Sierra?
I can't help but notice you seem...
I just have a lot on my mind.
Sorry, I...
I know you're busy.
Hey, don't apologize.
I know what it feels like to be overwhelmed, and I only have myself to take care of.
If there's something on your mind, you can talk to me about it if you want.
The condom broke.
My husband and I use condoms because I hate the way birth control pills make me feel.
And it broke.
I wasn't trying to get pregnant.
Especially after my other two.
And, don't get me wrong, I love the hell out of them.
I do.
But I'm scared it's gonna come back.
What's going to come back, Sierra?
After I gave birth to my two kids, I just felt this huge wave rushing towards me.
I would look at them, and I know I love them, but I was so exhausted and so defeated.
Depressed?
It was really dark.
I was really dark.
Both times.
Both babies.
And the doctor called it postpartum depression, and he prescribed me a few medications, talk therapy, but nothing worked.
And it lasted for months and months.
So when I saw that I was spotting, I felt...
like I could breathe.
Sierra, did you...
do anything to try and terminate this pregnancy?
No.
Okay.
But when I thought I was having a miscarriage, I wasn't so terrified about having to go through that again.
I wasn't so terrified that I wouldn't be here for my babies.
(SOMBER MUSIC PLAYING) (BREATHES SHAKILY) How much is an abortion?
Our reproductive clinic provides counseling and abortion services on a sliding scale.
Would you like me to call someone from down there?
Okay.
(BREATHES DEEPLY) BLUE: That's the smallest incision I've seen for a procedure so complex.
When I was training, they used to flay open the entire joint and staple it back together Frankenstein-style.
SIMONE: Mm.
These days...
art.
(CHUCKLES) (CHEERS AND APPLAUSE) (MELLOW MUSIC PLAYS) Alright, okay.
Well done, everybody.
Now let's bandage up the Tank's knee and roll him back to recovery and let him rest.
No gawkers in the hallways waiting around awkwardly for autographs.
And absolutely no selfies.
(SIGHS) What are you doing?
Can't rush the rectum.
Wh...
Uh, you're a surgeon.
We are surgeons.
Yeah, and general surgery's all about poop in the pipes, Skywalker.
(SIGHS) Curtains or shades?
My room gets a lot of light.
Eh, it's not your room until you have success.
(TOILET FLUSHES) (TOILET FLUSHES AGAIN) Yes!
(DOOR OPENS) (JARED SIGHS) MIKA: Jared, how are you feeling?
I feel like I just lost ten pounds.
Pho-tastic!
It's another dish on the menu.
I want to say thank you so much for your help.
Now I can go back.
Uh, um, I'm sorry?
To the restaurant.
I need to win that $250.
Uh, sir, I really think you should let your digestive system...
Am I free to go?
Yeah, you are free to go.
Uh, yeah, you just have to sign some forms at the...
desk.
MIKA: Good luck!
(SIGHS) (SINGSONG VOICE) Curtains it is.
Oh, wait.
Stop scrolling.
His mom's phone number.
You think Dr.
Lincoln will let me call Nadine, let her know Jermaine's out of surgery?
Nadine?
What, are we on a first-name basis with his mom?
Yeah, it's called listening to your patient.
You know, compassion, bedside manner, that kind of thing.
Okay, so you're saying I don't have any of that?
Oh, you said it, not me.
(ALARM BEEPING RAPIDLY) BLUE: Sats dropped to the 70s.
Heart rate in the 140s.
So in terms of physical therapy...
Dr.
Lincoln!
What's going on?
His vitals just started plummeting.
BP is now below 90/70.
LINK: Damn it.
He was fine two minutes ago.
Alright, start him on pressors.
We need to re-intubate him.
Now!
Get Ndugu and get me an intubation tray.
Yeah.
(TENSE MUSIC PLAYING) I don't see anything.
His D-dimer's elevated, his sats are failing, he has right heart strain.
There's a clot.
LINK: Then where is it?
Dr.
Lincoln.
I'm sorry, I'm just...
Kwan, get him away from there.
Found it.
Large saddle PE at the bifurcation of his pulmonary artery.
He needs an emergent embolectomy.
Alright, he needs a heparin infusion immediately.
Alright, let's get to the IR suite right now.
Let's move.
(TENSE MUSIC FADES) Half your assistant's salary is gonna come off your side.
Now, I can't double your pay, but I am ready to offer you 25% above your initial offer.
Which is insulting.
Seventy-five percent over, and you pay for the assistant.
You know, when I look at these halls...
Oh, please.
Tell me about how you served again.
Dr.
Webber.
Dr.
Altman.
Uh, Shepherd?
I hope I'm not too late.
I would like to be considered for the position.
Chief of surgery.
You have got to be kidding me.
JO: At 11 weeks, we can do an in-office procedure to terminate the pregnancy.
Do you use a knife?
No.
We use suction.
No blades.
Will you put me to sleep?
Because I have to pick up Manny, and I have to cook them dinner.
No, you'll be awake.
We can even have a volunteer take Lupe for ice cream during the procedure.
Will it hurt?
You'll feel discomfort at times, but we use an anesthetic to numb the area.
(BREATHES DEEPLY) I love my kids.
I want to stay alive for them.
I want to be okay for them.
I can't do this again.
Okay.
Do you want to assist?
I'll see you in a bit.
(EXHALES DEEPLY) SIMONE: He's young, the surgery went perfectly.
I don't understand how a clot this size formed this quickly.
It shouldn't.
But it can.
You're saying I should have seen this coming?
I'm saying there's nothing you could have done to prevent this from happening.
(ALARM BEEPING) BLUE: Is that a V-Fib?
Get me a crash cart.
I'm pulling the wire.
(TENSE MUSIC PLAYING) Paddles.
Charge to 150.
(DEFIBRILLATOR WHIRRING) Clear.
(THUMP) (ALARM CONTINUES) Push another epi.
Charge to 200.
Clear.
(THUMP) Again.
Come on, Tank.
Come on.
Clear!
(THUMP) (ALARM CONTINUES) (TENSE MUSIC CONTINUES) Come on.
Eyes forward, Jermaine.
Eyes forward.
SIERRA: Yes, I love you, too.
If you have to leave, it's okay.
I'll be fine.
He wants to stay on.
Is it okay if I'm on the phone?
Of course.
Yes.
Okay, are you ready?
Okay.
I'm going to use my hands to do a bimanual exam to determine the shape and location of your cervix.
Okay.
I wish you were here, too.
Now we're going to insert the speculum, just like a routine pap smear.
Okay.
And we will hold it still with this instrument.
Okay.
Alright.
Now, Sierra, you may feel some discomfort as we administer two shots to numb the area.
Okay, ready?
(INHALES SHARPLY) JO: You're doing great.
(GROANS SOFTLY) JO: Okay.
Millin, we'll wait a few minutes for the paracervical block to take effect before we dilate the cervix.
How are you doing, Sierra?
I'm okay.
JO: Okay.
Yes, I'm still here.
No, no, no.
I'm fine.
Okay, let's follow along via ultrasound.
It's just an ultrasound.
It doesn't hurt.
Gel's just cold.
We'll measure the length of her uterus before we dilate the cervix.
Okay, Sierra, you ready?
Okay, Dr.
Millin, what do you see?
The uterus is 10 centimeters.
Okay, great.
We're going to dilate the cervix.
Here we go.
Okay.
Doing great, Sierra.
Okay, last one.
Okay.
Now, Sierra, I'm going to use this catheter along the walls of your uterus.
Okay, are you ready?
Yes.
JO: Okay, here we go.
Doing great.
And, okay, removing the catheter.
Dr.
Millin will use ultrasound to verify completion.
Uterus is clear.
JO: Okay.
Removing the forceps.
And removing the speculum.
That's it?
JO: And that's it.
(EXHALES DEEPLY) It's over.
Yes, I'm okay.
I'm okay.
(BREATHES DEEPLY) (SUSPENSEFUL MUSIC PLAYS) LINK: Charge again.
WINSTON: Link.
LINK: Charge again!
We've been doing this for two hours, man.
He's gone.
(ALARM BEEPING) (SOMBER MUSIC PLAYING) (DEFIBRILLATOR THUDS) (SIGHS) WINSTON: Time of death...
15:45.
(LINK SIGHS) Okay.
I'll walk out first.
Maybe I can stall the press.
No.
No.
All they see is a football player.
Stats and dollar signs.
He was just a kid doing what he loved.
Now he's gone.
That's on me.
(SOMBER MUSIC PLAYING) (SNIFFLES) (SOMBER MUSIC PLAYING) LUPE: Mommy.
SIERRA: Oh.
Hey!
(LAUGHS) You got that?
Yeah.
Okay, so, you, um, you may experience some cramping and some spotting over the next few days.
It's totally normal.
If you feel uncomfortable, ibuprofen will help.
Okay.
Uh, if you feel any dizziness or experience heavy bleeding, please call us.
Thank you both.
You're an incredible mom.
Come on.
Let's go.
Hey.
(CHUCKLES) WOMAN (OVER P.A.): Dr.
Wagner in Radiology.
(SIGHS) Great work today, Millin.
A lot of interns can regurgitate a textbook, but not many can talk to a patient like you.
(CHUCKLES) What?
I...
I've just never had someone compliment my work before.
It's safe to say I...
I grew up a little left of normal.
My parents taught me to clear energy fields and roll a joint at 10.
That kind of reputation didn't exactly pave the way for success.
Well, coming from someone who didn't have the most conventional upbringing either, you saved that woman's life today.
You could've walked away, but you didn't.
You stayed and listened, and Sierra is better off for it.
(CELLPHONE CHIMES) Excuse me.
...and not to mention, I've just come off