Show: Grey's Anatomy - 21x8
Meredith: The Greek myths loved to talk about the perils of hubris, the dangers of believing you can outrun the will of the gods.
Lucas: How is she still out there?
It's already 100 degrees.
Simone: She just barely left that chair in six weeks.
Grief doesn't care that it's the hottest spring on record.
One of us needs to go out there.
She can't be late on her first day back.
Or pass out from heatstroke.
Not it.
How long has she been out there?
Too long.
I wish there were something we could do for her.
Yeah, bring her sister back from the dead.
I'm being serious.
I am, too.
I knew it.
Just not ready.
Mika: Ready for what?
As surgeons, we need hubris just to get through the day.
Come on, losers.
Let's ride.
We have to believe we can fix people, even with the odds stacked against us.
Okay.♪ Life goes on and on Oh, sorry.
Uh, Nora, what are you doing here?
Hi.
I was going to text you.
I have a follow-up with Teddy.
Well, had.
I just heard it was canceled, and now my car won't start.
And I've been on hold with the tow company for 20 minutes.
Oh, well, if they're as busy as we are, you going to wait a while.
You should get out of this heat.
No kidding.
My 10-year-old baked cookies on the hood of my car yesterday.
Didn't we do that once?
Yeah, on your porch.
And then the dough sat there for an hour, doing nothing, and then your dog ate them.
That's right.
I should get back in here.
It's like your Bat-Signal.
Are you calling me a superhero?
You did save my life.
Technically, that was Teddy.
Anyway, there-- there's a cooling center in the clinic, so you're more than welcome to wait there...
Okay.
...and, uh, yeah, good luck with your car.
Thank you.
Yeah.
Humility makes you good, but ego makes you great.
I got the two last iced coffees on Earth, and one is for you.
I have this amazing case.
Some might call it impossible, which is where I'm focusing my energy right now, but there is a cardiothoracic component, and I thought, who better to do it with than, uh-- Thanks again for last night.
Call me.
Thank you.
Sorry about that.
Hm.
I'm sorry about your coffee.
If that means flying a little too close to the sun, well, that's a risk we're willing to take.
Yasuda.
How are you feeling?
Any pain?
A little, not much.
Okay.
You still taking meds?
Just NSAIDs.
And PT?Benching 180.
Kidding.
I have the upper-body strength of a jellyfish.
Listen, it can be hard coming back to a place where something traumatic happened, so just be patient with yourself.
Thanks, but what I need is routine.
I'm-- I'm ready to get back to work.
Okay, then, welcome back.
Owen: We have expected high of 108.
That means a full E.R., lots of heat-related illness, especially amongst the most vulnerable populations.
Teddy: Fortunately, we have some extra local doctors who have agreed to help us out.
Please show them a warm welcome.
We have cool IV fluids, misters, and inflatable ice baths.
Use them.
Cold immersion is the fastest way to lower internal body temperatures.
All elective surgeries have been canceled until further notice.
Looks like your surgery just went up in flames.
Be on the lookout for any of the following symptoms-- cramping, nausea, vomiting, dizziness, headaches.
Take care of yourselves, hydrate, and we will get through this.
Let's get back to work.
I know that you've been on since yesterday, but you need to take a break.
I'm good for now.
Okay.
Guess I should find my patient.
Come on.
I'll introduce you before she has to leave.
Okay.
Hey, Chief, uh, I'm on your service, and I'm ready to be the best surgical wingman you've ever seen.
I'm glad you're here, but no scrubbing in today.
Today, I need first-responder Ben Warren.
You'll be managing overflow.
You want me on admin?
What I need today is someone who is good in a crisis.
I want you to communicate with the command center and update me as needed.
Can't imagine having to give birth in this heat.
Yeah.
Or, you know, ever.
Turns out extreme heat can cause preterm labor, so that's fun.
You know what's more fun?
What?
The guy can't fix our AC today.
Then call a different guy.
I've tried like 10 guys.
They're all slammed.
The kids can't sleep in 90-degree heat.
I can't sleep in 90-degree heat.
Fortunately, we don't have to.
We could get a hotel for the night, or I could find us a house to rent.
Damn it.
Can you just figure it out?
Jackie, Sky.
This is Dr.
Winston Ndugu, our chief of cardiothoracic surgery.
He has agreed to work on Jackie's case with me.
Oh, my God, you're the guy.
Jackie.
You ghosted my mom.
Oh, no.
I recognize you from the profile on the app.
My mom showed it to me in case she went missing.
Hello again.
If you want another doctor, I can-- No, no, I have bigger things to worry about than a guy I went out with once.
As long as you're excellent at your job, I'm good.
Okay, Jackie Williams, 18, recently diagnosed with Marfan syndrome, a connective tissue disorder that weakens blood vessels.
She has three brain aneurysms as well as an aortic aneurysm.
Jackie: I got a full ride to Georgia Tech for basketball.
A week later, I get this diagnosis.
And they're telling us that they have to push Jackie's surgery?
The hospital needs to dedicate all resources to the heat dome.
Her father died of a ruptured brain aneurysm at 27.
Now we know it was probably Marfan, too.
We'd really like to get this taken care of.
We should sneak her into CT just to take a look.
Thank you, Dr.
Ndugu.
Least I can do.
No crap.
I thought you were seeing Beltran.
I'm seeing a few people.
Clearly.
I'm really glad that you're back.
If you need anything--Don't.
I'm good.
Really.
Let's go.
You're with me.
Carl Halcomb, 52, was operating a crane when it collapsed on the apartment building.
Temp in the field was 109.
Fluid and cooling measures initiated en route.
Temp currently at 106, and he's still altered.
Bailey: Alright, we need to get his temperature down fast.
My nephew...
shaggy hair...
is he...?
He was on the phone.
I tried to yell.
We've got him.
David Holcomb.
20-year-old male.
Crush injuries to the abdomen and right upper.
Whoa, whoa, whoa, whoa, whoa, whoa.
Go, go, go, go, go.
He's burning up.
Let's get a gurney out here.
Get everybody inside, and page for more hands.
Oh, Lord help us.
I'm guessing shooting guard.
That's a position in basketball.
She thinks she's funny.
No.
She's right.
Um, huge Storm fan.
Sue Bird's my idol.
Excuse me.
Blue.
Dr.
Kwan.
We'll meet you in CT.
Yeah.
Hi.
What are you doing here?
I heard about the heat dome, and I hopped on a plane to come help.
That was a lie.
I'm sorry.
I don't know why I said that.
Is everything okay?
Dave proposed.
He, um, proposed, and I immediately came here.
Like, ever since that day that you kissed me, I just haven't been able to get you out of my head, and I don't know what to do, so I just thought...
I don't know what I thought, but I had to see you.
I-- This is not a good time.
Can we-- No, you're busy.
I don't want to keep you.
Sky.
Jackie's on her way to CT now.
Thanks.
Uh, my divorce was more amicable than most, but, still, it's been rough, so I-I've been trying to get back out there, and I'm just not ready for anything serious right now.
That's what I should've told you after our date.
For the record, I never used the term "ghosting" with my daughter.
Either way, I messed up.
I'm sorry.
Dating as a single mom, it isn't exactly a pleasure cruise, but none of that matters now.
Since Jackie's symptoms started, all my energy is going to making sure that she gets the best care.
Well, you've come to the right place.
Jackie's my whole world.
You can ghost me.
That's fine.
But you do not mess around with my girl.
I wouldn't dream of it.
Bailey: Okay, nephew's in trauma one.
How's he doing?
Temp's 105, Heart rate's rising, and Adams got the last ice bath.
Sorry.
My nephew-- please say he's okay.
Did I kill him?
We'll try to find out.
He's delirious.
We have to cool him down quickly or he'd risk permanent organ damage.
I need a body bag and ice right now.
The E.R.'s out of body bags.
Do you want me to...
go to the morgue?
No.
I want you to run to the morgue.
Okay.
I can go by myself.
I want to help.
Sir?
Sir?
Uh, Adams, give me an intubation tray.
Link: He's got an unstable humerus.
There's free fluid in the abdomen.
I heard you might need some help in here.
I brought some visitors.
Dr.
Walters, Nurse Constantine, and Dr.
Beckman.
I thought Dr.
Beckman was--A man?
That'd be my husband.
I'm just helping out for the day.
Dr.
Hunt, wondered if I'd see you.
What happened here?
Uh, poor kid wasn't paying attention.
Crane fell on him.
That's a hell of a wake-up call.
We should get him to C.T.
before-- BP's tanking.
Guess we'll go straight into surgery.
Who's going to help me find an O.R.?
What?
No bossy women in your lives?
Come on.
Deal with the arm later.
Let's go.
My patient's got a temperature of 105.
Oh, yeah?
Well, mine's 104 and pregnant.
You know, pregnancy doesn't automatically trump everything else.
Well, I trump you, so I should get the rest of the ice.
No, no, no, no, no, no.
That's my ice.
Oh.
There's a machine in the attendings' lounge.
Try there.
Empty.
The cafeteria, then?
ICU?
Dermatology?
Okay, I will be the adult and order some.
Thank you.
Oh, you know what?
There's a convenience store over on Pine.
You should probably just-- faster to go.
Why are you bossing me around?
Because I'm dealing with overflow for Chief, we barely have enough orderlies, and, well, you know, we need ice.
Load as much as you can in your car and just hurry back.
I didn't drive today.
Okay, we'll take my car.
It's nice in here.
Quiet.
Peaceful.
Which one do you think was Chloe's?
I don't know.
I bet she was happy here.
She always liked cold weather.
Mika?
Come on.
We keep this guy waiting any longer, we'll kill him, too.
How's Molly?
Adams swore me to secrecy.
Molly is...
deciding if she wants to marry her boyfriend.
Do you still have feelings for her?
Too much has happened.
It would be impossible to make it work now.
Maybe it wouldn't be as hard as you think.
Jackie: How much longer do I have to be in here?
I'm supposed to be in Georgia right now, starting team workouts, but instead I'm sitting in this giant tube with blood bombs in my brain.
Well, maybe when this is all done, you could look into a low-contact sport.
Basketball's the only thing I've ever loved, so I'm not letting it go that easy.
After all this is over, I'm going to find a way to play.
Good luck convincing a pro team to take that kind of risk on you.
Scans are up.
Let's see what we've got.
Okay.
The aortic root aneurysm definitely needs surgery ASAP.
Amelia: Okay, this is the brain CTA.
Right, there's two on the MCA.
There's one aneurysm on the ACA.
Damn it.
See this one in the posterior circulation?
That is on the basilar artery.
That's new.
And big.
Mm-hmm.
Yeah, that's Godzilla on steroids.
We need to embolize that immediately.
Do you do it endovascularly?
If we can get the right angle.
If not, we'll have to convert to open.
And I'm going to need you to put her on bypass.
Uh, no, it'd be too much stress on the heart.
It could cause the aortic aneurysm to rupture.
I mean, this could rupture at any second.
If that explodes, she's brain-dead.
So what do we tell the mom?
We tell her I will go in endovascularly, and we pray that I don't have to open her up.
I don't understand.
I thought that all surgeries were postponed.
Well, her case is now considered emergent.
You said that the brain aneurysm could wait.
This new one is larger than the others.
And in a more concerning location.
Does that mean that it's harder to fix?
Mom, don't freak out.
I was going to need this anyway, and she's the only doctor who actually said yes.
Are you sure you can still do this?
This aneurysm is difficult, but it's the same game, and I've been playing for a long time.
I know how to do this.
Do we have to decide right now?
I'd like to proceed sooner than later.
You should take a minute to think about it.
Kwan.
Winston: I know my word might not hold a lot of weight right now, but Jackie does need this surgery, and you want Dr.
Shepherd to do it.
I promise.
It's my only shot.
Then I guess you better take it.
We should clear the air.
I'm sorry?
I am sorry for what happened with Teddy.
We should get in there.
Look, what happened was not my finest moment.
I don't typically go around kissing other people's wives.
We were just having a good time, and it was a misunderstanding.
And it was my misunderstanding.
You know, no apology necessary.
I trust my wife.
She told me it was nothing, and I believe her.
We're good.
Okay.
Hm.
Wait.
What would you have done just now if Teddy hadn't told me about the kiss?
Crawled under a rock and died.
Chief.
Chief.
Seattle Pres's generator failed and a semi-truck blew a tire and caused a 15-car pileup on the 5.
That means more incoming traumas and staff caught in traffic.
So, uh, it's not a great time to tell you that the ICU is full, huh?
I have 700 problems.
I need you to bring me the solutions.
Okay, we can send overflow to the PACU, and I can put out another request to nurses to come in on their day off.
Great.
Make that happen.
Alright.
Oh, uh, also, the ice delivery is delayed.
Already sent someone to get more.
Thank you.
Yeah, this is Altman.
Hey, you got any ice?
Yeah, it's in the back if there's any left.
Ooh.
Yum.
What?
I haven't had any breakfast yet.
What?
We drove across the Sahara for this?
We got to go somewhere else.
This is not going to-- Open the register-- now.
Get down.
Get down.
Oh, my God.
I said open it.
Okay, um...
Hurry up.
Okay, okay.
Just please don't hurt me.
You know what's worse than burning or freezing to death?
Burning and freezing to death.
Please stop.
Uh, core temp is coming down.
Slowly.
Millin, we have, uh, incoming traumas.
Go give Altman a hand.
Okay.
Um, BP is falling.
Are those ST elevations?
He just went into v-fib.
Ah, he's having a heart attack.
Okay, Yasuda, get a crash cart.
Yas-- Uh, anyone?
Crash cart?
Now.
He's-- He's dying.
That is what the crash cart is for.
Okay, Carl, stay with us.
Give me the pads.
Okay.
Okay.
Right, we're going to charge to 150.
Clear.
It's not working.
You're losing him.
You're letting him die.
Okay, charge again to 200.
Okay, clear.
Dr.
Bailey, he's dying.
Hey, don't you think I know that?
Go again.
Clear.
He's dying.
Damn.
Aren't you supposed to be a doctor?
He is dying.
You are letting him die.
You just can't let him die like that.
You can't just let him die.
You have to save her.
Save her.
Just please save her.
Just-- Just-- Just save her.
Please.
You have to save her.
Please.
Just take me.
Dr.
Bailey, just take me.
Just take me.
Going again.
Clear.
Got him back.
Chief, ICU is full.
PACU is full.
I think it's time we considered moving intubated patients into the E.R.
We don't have the staff to manage that.
With the outage, a few towers have been knocked out, and I can't get through to anyone.
I need to talk to you about Yasuda.
Okay.
We're kind of in the middle of something.
She wants to work, but she's not even close to ready.
I have to bench her.
Okay.
Offer her extra time off.
She has been through so much.
She shouldn't come back until she feels ready.
Agreed.
Thank you.
Yep.
Chief, I've got critical patients and no place to put them.
Alright, we are going to have to divert traumas.
You want to send patients away?
No, but we don't have the resources.
I know you only want to talk about solutions, but this is a big problem.
Those hospitals you want to divert to?
Seattle Press has been experiencing power outages all day.
Tukwila Hospital's entire IT system is down.
I have been a first responder with nowhere to take patients.
We can't close down.
Altman.
Wait, you're breaking up.
Wait.
Don't do anything until I get there.
I don't see any other options right now.
Do you?
So are we diverting or not?
We're staying open.
I'll figure it out.
Okay, well, do it fast before I have to start putting patients in stairwells.
Open the drawer.
What's your name?
Gladys.
Gladys, listen to me.
I need everything that's in that drawer right now, Gladys, okay?
Okay, okay, okay.
Nothing's going through.
Okay.
Uh...
There's got to be another door.
Stay here.
No.
No.
No.
Gladys: Oh, God.
That-- That's everything.
I-I-I promise.
I-I-I swear.
Hey, look, what about these, huh?
I need you to do exactly what I say exactly when I say it.
Got it?
Hey.
Get over here where I can see you.
Both of you.
Now.
Behind there with her.
Put your phones on the counter.
Put them on the table.
Alright, nobody moves unless you want to die.
Got it?
Last anterior aneurysm has been coiled.
Moving on to the beast.
What are the chances of Jackie developing more aneurysms later on?
Well, the Marfan syndrome does predispose her, but that does not necessarily mean-- Doesn't it, though?
I mean, we can fix these, but the underlying problem will always be there.
Can we hold on the negativity while I am inside Jackie's brain?
Of course.
Sorry.
Wow.
This is not good.
You see how there's no neck to it?
Looks worse than on the scan.
If we go any further, I'm going to rupture it, and she's going to lose a lot more than basketball.
We are going to have to put her on bypass and open her up.
Richard: Specimen coming your way.
Liver and stomach look good.
How's the small bowel?
Think we're ready to close.
Oh-looped PDS.
Is there any ETA on when I can set this arm?
Uh, we're closing now.
Dr.
Beckman, what do you think of Grey-Sloan so far?
State-of-the-art O.R.s and dark roast in the attendings' lounge.
If you tried to poach me, I wouldn't be mad about it.
Are you looking for a new job?
Aren't we always looking to upgrade some part of our lives?
You didn't consider applying for a position in the past?
Oh, I did.
Head of the department never called.
We haven't had many openings lately, but, by all means, e-mail me your résumé.
That'd be fantastic.
Blood's coming from somewhere.
Damn it.
We need to open again.
Scissors.
Page me when you need me.
Hey.
That's where she died.
Chloe?
My parents let me name her.
Did they run out of ideas for the eighth girl?
I already had two younger sisters, and I was not excited about a third.
They figured I'd be more into her if I had a bigger stake.
Did it work?
Too well.
I love all my sisters.
But Chloe...
she was my heart.
And now I've lost it.
I've grieved my mom every day of my life, and I never met her.
I can't imagine how you're feeling.
Will I ever feel normal again?
I think this is your normal now.
And every day you'll get a little more comfortable with it.
♪ Of holding tighter ♪ Of losing control ♪ Could I let it go?
Cream, no sugar.
Right?
You remembered.
Yeah.
♪ Slow fading ♪ Short breath Jackie's first basketball.
Once she outgrew it, I started using it as a stress ball.
She was just a baby when her father died.
In the blink of an eye, the love of my life was just gone, and I had this little girl to take care of.
And I didn't think that I could do it, but she gave me the strength.
Every smile, every giggle, every-- every milestone.
She kept me going.
I don't know what I would do if...
She's going to be okay, right?
We can't make guarantees, but-- Hey.
So the good news is I got all but one of the aneurysms.
Okay, um, uh, what's the bad news?
There's been a change of plans.
We are going to have to open Jackie up to get the last aneurysm.
What does that mean?
Well, I will open Jackie's skull after Dr.
Ndugu puts her on bypass.
We will cool her down to stop her heart and cut off blood flow to her brain, which will make it safe to clip the aneurysm.
You're stopping her heart?
I know it sounds scary, but Dr.
Ndugu will be there to make sure that her heart is okay.
I couldn't go any further without risking a rupture.
This is our best shot.
Okay, just-- just save my baby.
Okay.
Save my baby, What the hell happened?
We knew this was a possibility.
Hey, I got your text.
What's going on?
Are you okay?
I just want to feel normal.
Please.
Help me feel normal.
♪ Addiction to ambition ♪ Addiction to addiction ♪ Addiction to selfishness ♪ Addiction to condition ♪ Addiction to addiction ♪ Release ♪ Release ♪ Release ♪ Release Gladys, do I look stupid to you?
$47 on a busy day?
I-I just work here.
Where's the rest of the money?
Hey, look, you want money?
Yeah?
Yeah?
How about we give you what's in our wallets?
I got, uh...
12 bucks.
Um...
12 bucks?
Where's the safe, Gladys?
Where is it?
Gladys, look at me.
Where's the safe, Gladys?
I-It's, um, in the back.
Okay.
Let's go.
Okay.
And you two, you follow her.
And don't try anything stupid.
Well, that was...
Yeah.
My whole body's vibrating.
You're welcome.
Mm, Dr.
Bailey's probably looking for us.
I need a minute.
Oh, it's not you.
I know.
Aw.
Just, every room in this hospital, I-I see her face.
Every room.
Okay, come here.
I see her face.
Come here.
Come here.
It's okay.
It's going to be okay.
We'll figure it out together.
Yeah.
Yeah.
I promise.
No wonder no one wanted this case.
One wrong move, and we literally blow up her life.
Or we could save it.
Amelia: As Jackie cools to 16 degrees Celsius, the heart will stop, and Dr.
Ndugu will shut off the pump.
And then I will have 45 minutes to clip that aneurysm before she's at risk for permanent brain damage.
Is that enough time?
It's going to have to be.
But what if we don't access the right angle?
No more questions.
I...
As I work, I need comp-- complete...
No distractions.
I need complete concentration.
Dr.
Shepherd.
You said it yourself.
This is an impossible case.
That was before you saw the fourth aneurysm.
No one will fault you if you can't do this.
I have been Sky and Jackie, desperately searching for a shred of hope.
My dad, my brother.
I have seen loss.
I thought there was a chance that I could keep Skye from losing Jackie, but-- but what if there's no-- what if I can't give her that?
It's too late for that.
You've come too far now, okay?
You have to see it through.
Can you do this?
Because I think you can.
Okay, let's do it.
Okay.
Okay.
Okay.
Scissors.
Mesenteric bleeding has stopped.
Good catch, everyone.
It was all Dr.
Beckman.
It was a team effort.
And this was a lot of fun.
We should all have dinner again sometime.
Too soon?
I think we're ready to close.
Dr.
Beckman, you do the honors.
Go ahead.
I'm right behind you.
Somebody paid ortho.
I've dissected down as far as I can without risking rupture.
Are we ready for circulatory arrest?
Internal body temperature is at 16 degrees.
Perfusionist is ready to stop the pump.
Just say the word.
Start the clock.
♪ Oh, and we know Bipolar.
Dr.
Bailey, do you have a minute?
Yasuda.
I was just going to look for you.
Come find me after, okay?
You should know that I got Carl back.
He just got a stent placed, and he's recovering.
I am so sorry that I freaked out, okay?
It will not happen again.
Oh, yes, it will.
My mom died three years ago, and I still lose my cool sometimes.
I thought that work would distract me.
I leapt into work after I lost my mom.
I-- I needed a purpose to help me make sense of her death.
Turns out, death doesn't make any sense.
If I could do it again, I would stay home.
I would rest until I was ready to come back because I wanted to work, not because I-I needed work to save me.
♪ Wherever I go I don't want to be here.
Take more time, okay?
Go be with your family.
Grieve.
Okay?
We'll-- We'll be here when you're ready to come back.
I don't think I can come back.
♪ Rolling in my mind Rest can do wonders.
Okay?
Y-You'll-- You'll feel differently in a few weeks.
I want to believe that, but I-I know myself.
I am either all in or I am all...
I need to find a way forward.
I-I can't do that if everything around...
me reminds me of her.
I'm sorry to hear that, but you know yourself best.
You know, great surgeons have great respect for how fragile life is.
And when you are ready...
...this will make you better, stronger.
I know it.
I really, really hope you're right.
Damian: Stay right there.
Gladys, what the hell is taking so long?
Gladys: I've never opened this before.
I don't know how.
Figure it out unless you want me to use this.
My grandfather owned a convenience store.
Did he ever tell you what to do if you're robbed at gunpoint?
He died before I was born.
I'm sorry.
How'd he die?
Robbed at gunpoint.
Yeah, my Uncle Derek and Aunt Amelia-- uh, Dr.
Shepherd-- were there.
Maybe we don't talk.
Are you okay?
I think I'm bleeding.
What?
Where?
I'm pregnant.
Amelia: Almost done.
Just have to deploy the clip.
Winston: One minute.
I can see that but I have to finish this if we don't want her stroking out on the table.
Kwan, retract here.
50 seconds.
Almost there.
40 seconds.
Got it.
Alright.
Let's restart the pump.
That was...
Impossible.
Ticktock, Gladys.
I'm starting to lose my patience.
Gladys: I'm trying.
Wait.
Where are you going?
We have to get you out of here.
Hey.
Sit down.
Sit down.
Hey, hey, she's pregnant.
Congratulations.
Okay, look-- look, if you let us go, we'll walk out of here like nothing happened.
I'm not going anywhere until I get my money.
What, are you digging a tunnel back there, Gladys?
Hurry up.
Safe won't open.
God.
Well, try again.
I'm trying.
Sit down!
I'm not going to tell you again.
Alright.
Sit down.
Come on, Gladys.
Oh, God.
God!
Miss Williams?
How is she?
We got the last aneurysm.
We're warming her up to restart her heart.
Thank you so much.
Everyone was so scared to take Jackie's case.
Everyone except Dr.
Shepherd.
Thank God she did.
We'll have more updates for you soon.
Thank you.
I haven't been able to get you out of my head, either.
I've wanted this for so long.
We'll get you an ice bath to lower your temperature as soon as possible.
Hey, have you seen Wilson anywhere?
No.
I got to go pick up the kids.
But if you see her, have her call me.
Yeah.
Warren, I told you to divert all incoming an hour ago.
I-I know it looks chaotic, but I have a plan.
No one has a plan with a heat dome.
That is why I asked you to close to trauma so that we could focus on the patients that we already have.
People will die waiting on rigs.
Says the firefighter.
Think like a surgeon.
You told me to be a first responder today.
We are closed to trauma, effective immediately.
Woman: Nurse Milstien to the O.R.
Nurse Callie Milstien to the O.R.
So you take the heels off and eat residents for lunch?
Do you ever feel like no one listens to you?
I work in a male-dominated specialty.
Sometimes I think they hear me the...
third time I say it.
I mean, did you see the E.R.?
I don't know what I'm going to do.
Yeah, you are pretty screwed.
How can I help?
Can you stay?
Yeah, I can stay.
Hey.
I'm just, uh-- I'm heading up to the ICU.
Can you--Actually, uh, I'm going to take that break.
Call me if you need anything.
Meredith: Every surgery is an act of hubris.
You open a body knowing you can make it better.
37 degrees Celsius, and her heart hasn't restarted yet.
Why hasn't it restarted?
V-fib.
We need to shock it.
Charge to 100.
Clear.
Alright, let's charge to 200.
Clear.
It should be working.
Why isn't it working?
Again.
I said again.
Clear.
♪ Trust we lose ♪ Reach for hands ♪ To pull me through On our best days, surgeons decide our patients' fate.
Hey, how did your talk with Bailey go?
What are you doing?
Mika.
Mika, please don't do this.
Please.
Let's just talk about this.
♪ On the inside of my skin I'm so sorry.
♪ Ohhhh ♪ Oh, ohhhhh ♪ Waters rise but can't erase It can make you feel invincible, like you can do no wrong.
Hey.
Still no tow truck?
Eight people ahead of me.
I'm going to be here till winter.
I'm sorry.
Me, too.
You know who's not, though?
My kids.
I told my ex I can't get them today, and he booked a fancy lake house for the weekend.
So I either go and get them tomorrow and ruin their vacation, or I don't see them for a few days.
He's always the hero, and I'm just...
...crying in public, which, apparently, I do now.
Come on.
I'll give you a ride back to your hotel.
Don't you have to work?
If they need me, they can, you know, send out the Bat-Signal.
♪ Ohhhh ♪ Oh, ohhhh What did you say to Mika?
♪ Forgiveness I told her to make the best decision for herself and her family.
And now she's leaving for good.
She needs our support.
Support?
You let her go like she meant nothing to you.
But inevitably, our hubris catches up with us.
In those awful moments, we're left with nothing but the wreckage of our shattered egos.
When are you do?
It's okay.
You can tell me.
When are you do?
Gladys: Leave them alone.
Leave them alone.
Hey, whoa, whoa, whoa.
What do you think you're going to do with that?
Put that down, Gladys.
Put it down.
Mnh-mnh.
Put it-- Hey, sit down.
Don't move, Gladys.
Don't move.
Oh, my God.
Aah!
Aah!
Aah!
And we're in total free fall.
Lucas: How is she still out there?
It's already 100 degrees.
Simone: She just barely left that chair in six weeks.
Grief doesn't care that it's the hottest spring on record.
One of us needs to go out there.
She can't be late on her first day back.
Or pass out from heatstroke.
Not it.
How long has she been out there?
Too long.
I wish there were something we could do for her.
Yeah, bring her sister back from the dead.
I'm being serious.
I am, too.
I knew it.
Just not ready.
Mika: Ready for what?
As surgeons, we need hubris just to get through the day.
Come on, losers.
Let's ride.
We have to believe we can fix people, even with the odds stacked against us.
Okay.♪ Life goes on and on Oh, sorry.
Uh, Nora, what are you doing here?
Hi.
I was going to text you.
I have a follow-up with Teddy.
Well, had.
I just heard it was canceled, and now my car won't start.
And I've been on hold with the tow company for 20 minutes.
Oh, well, if they're as busy as we are, you going to wait a while.
You should get out of this heat.
No kidding.
My 10-year-old baked cookies on the hood of my car yesterday.
Didn't we do that once?
Yeah, on your porch.
And then the dough sat there for an hour, doing nothing, and then your dog ate them.
That's right.
I should get back in here.
It's like your Bat-Signal.
Are you calling me a superhero?
You did save my life.
Technically, that was Teddy.
Anyway, there-- there's a cooling center in the clinic, so you're more than welcome to wait there...
Okay.
...and, uh, yeah, good luck with your car.
Thank you.
Yeah.
Humility makes you good, but ego makes you great.
I got the two last iced coffees on Earth, and one is for you.
I have this amazing case.
Some might call it impossible, which is where I'm focusing my energy right now, but there is a cardiothoracic component, and I thought, who better to do it with than, uh-- Thanks again for last night.
Call me.
Thank you.
Sorry about that.
Hm.
I'm sorry about your coffee.
If that means flying a little too close to the sun, well, that's a risk we're willing to take.
Yasuda.
How are you feeling?
Any pain?
A little, not much.
Okay.
You still taking meds?
Just NSAIDs.
And PT?Benching 180.
Kidding.
I have the upper-body strength of a jellyfish.
Listen, it can be hard coming back to a place where something traumatic happened, so just be patient with yourself.
Thanks, but what I need is routine.
I'm-- I'm ready to get back to work.
Okay, then, welcome back.
Owen: We have expected high of 108.
That means a full E.R., lots of heat-related illness, especially amongst the most vulnerable populations.
Teddy: Fortunately, we have some extra local doctors who have agreed to help us out.
Please show them a warm welcome.
We have cool IV fluids, misters, and inflatable ice baths.
Use them.
Cold immersion is the fastest way to lower internal body temperatures.
All elective surgeries have been canceled until further notice.
Looks like your surgery just went up in flames.
Be on the lookout for any of the following symptoms-- cramping, nausea, vomiting, dizziness, headaches.
Take care of yourselves, hydrate, and we will get through this.
Let's get back to work.
I know that you've been on since yesterday, but you need to take a break.
I'm good for now.
Okay.
Guess I should find my patient.
Come on.
I'll introduce you before she has to leave.
Okay.
Hey, Chief, uh, I'm on your service, and I'm ready to be the best surgical wingman you've ever seen.
I'm glad you're here, but no scrubbing in today.
Today, I need first-responder Ben Warren.
You'll be managing overflow.
You want me on admin?
What I need today is someone who is good in a crisis.
I want you to communicate with the command center and update me as needed.
Can't imagine having to give birth in this heat.
Yeah.
Or, you know, ever.
Turns out extreme heat can cause preterm labor, so that's fun.
You know what's more fun?
What?
The guy can't fix our AC today.
Then call a different guy.
I've tried like 10 guys.
They're all slammed.
The kids can't sleep in 90-degree heat.
I can't sleep in 90-degree heat.
Fortunately, we don't have to.
We could get a hotel for the night, or I could find us a house to rent.
Damn it.
Can you just figure it out?
Jackie, Sky.
This is Dr.
Winston Ndugu, our chief of cardiothoracic surgery.
He has agreed to work on Jackie's case with me.
Oh, my God, you're the guy.
Jackie.
You ghosted my mom.
Oh, no.
I recognize you from the profile on the app.
My mom showed it to me in case she went missing.
Hello again.
If you want another doctor, I can-- No, no, I have bigger things to worry about than a guy I went out with once.
As long as you're excellent at your job, I'm good.
Okay, Jackie Williams, 18, recently diagnosed with Marfan syndrome, a connective tissue disorder that weakens blood vessels.
She has three brain aneurysms as well as an aortic aneurysm.
Jackie: I got a full ride to Georgia Tech for basketball.
A week later, I get this diagnosis.
And they're telling us that they have to push Jackie's surgery?
The hospital needs to dedicate all resources to the heat dome.
Her father died of a ruptured brain aneurysm at 27.
Now we know it was probably Marfan, too.
We'd really like to get this taken care of.
We should sneak her into CT just to take a look.
Thank you, Dr.
Ndugu.
Least I can do.
No crap.
I thought you were seeing Beltran.
I'm seeing a few people.
Clearly.
I'm really glad that you're back.
If you need anything--Don't.
I'm good.
Really.
Let's go.
You're with me.
Carl Halcomb, 52, was operating a crane when it collapsed on the apartment building.
Temp in the field was 109.
Fluid and cooling measures initiated en route.
Temp currently at 106, and he's still altered.
Bailey: Alright, we need to get his temperature down fast.
My nephew...
shaggy hair...
is he...?
He was on the phone.
I tried to yell.
We've got him.
David Holcomb.
20-year-old male.
Crush injuries to the abdomen and right upper.
Whoa, whoa, whoa, whoa, whoa, whoa.
Go, go, go, go, go.
He's burning up.
Let's get a gurney out here.
Get everybody inside, and page for more hands.
Oh, Lord help us.
I'm guessing shooting guard.
That's a position in basketball.
She thinks she's funny.
No.
She's right.
Um, huge Storm fan.
Sue Bird's my idol.
Excuse me.
Blue.
Dr.
Kwan.
We'll meet you in CT.
Yeah.
Hi.
What are you doing here?
I heard about the heat dome, and I hopped on a plane to come help.
That was a lie.
I'm sorry.
I don't know why I said that.
Is everything okay?
Dave proposed.
He, um, proposed, and I immediately came here.
Like, ever since that day that you kissed me, I just haven't been able to get you out of my head, and I don't know what to do, so I just thought...
I don't know what I thought, but I had to see you.
I-- This is not a good time.
Can we-- No, you're busy.
I don't want to keep you.
Sky.
Jackie's on her way to CT now.
Thanks.
Uh, my divorce was more amicable than most, but, still, it's been rough, so I-I've been trying to get back out there, and I'm just not ready for anything serious right now.
That's what I should've told you after our date.
For the record, I never used the term "ghosting" with my daughter.
Either way, I messed up.
I'm sorry.
Dating as a single mom, it isn't exactly a pleasure cruise, but none of that matters now.
Since Jackie's symptoms started, all my energy is going to making sure that she gets the best care.
Well, you've come to the right place.
Jackie's my whole world.
You can ghost me.
That's fine.
But you do not mess around with my girl.
I wouldn't dream of it.
Bailey: Okay, nephew's in trauma one.
How's he doing?
Temp's 105, Heart rate's rising, and Adams got the last ice bath.
Sorry.
My nephew-- please say he's okay.
Did I kill him?
We'll try to find out.
He's delirious.
We have to cool him down quickly or he'd risk permanent organ damage.
I need a body bag and ice right now.
The E.R.'s out of body bags.
Do you want me to...
go to the morgue?
No.
I want you to run to the morgue.
Okay.
I can go by myself.
I want to help.
Sir?
Sir?
Uh, Adams, give me an intubation tray.
Link: He's got an unstable humerus.
There's free fluid in the abdomen.
I heard you might need some help in here.
I brought some visitors.
Dr.
Walters, Nurse Constantine, and Dr.
Beckman.
I thought Dr.
Beckman was--A man?
That'd be my husband.
I'm just helping out for the day.
Dr.
Hunt, wondered if I'd see you.
What happened here?
Uh, poor kid wasn't paying attention.
Crane fell on him.
That's a hell of a wake-up call.
We should get him to C.T.
before-- BP's tanking.
Guess we'll go straight into surgery.
Who's going to help me find an O.R.?
What?
No bossy women in your lives?
Come on.
Deal with the arm later.
Let's go.
My patient's got a temperature of 105.
Oh, yeah?
Well, mine's 104 and pregnant.
You know, pregnancy doesn't automatically trump everything else.
Well, I trump you, so I should get the rest of the ice.
No, no, no, no, no, no.
That's my ice.
Oh.
There's a machine in the attendings' lounge.
Try there.
Empty.
The cafeteria, then?
ICU?
Dermatology?
Okay, I will be the adult and order some.
Thank you.
Oh, you know what?
There's a convenience store over on Pine.
You should probably just-- faster to go.
Why are you bossing me around?
Because I'm dealing with overflow for Chief, we barely have enough orderlies, and, well, you know, we need ice.
Load as much as you can in your car and just hurry back.
I didn't drive today.
Okay, we'll take my car.
It's nice in here.
Quiet.
Peaceful.
Which one do you think was Chloe's?
I don't know.
I bet she was happy here.
She always liked cold weather.
Mika?
Come on.
We keep this guy waiting any longer, we'll kill him, too.
How's Molly?
Adams swore me to secrecy.
Molly is...
deciding if she wants to marry her boyfriend.
Do you still have feelings for her?
Too much has happened.
It would be impossible to make it work now.
Maybe it wouldn't be as hard as you think.
Jackie: How much longer do I have to be in here?
I'm supposed to be in Georgia right now, starting team workouts, but instead I'm sitting in this giant tube with blood bombs in my brain.
Well, maybe when this is all done, you could look into a low-contact sport.
Basketball's the only thing I've ever loved, so I'm not letting it go that easy.
After all this is over, I'm going to find a way to play.
Good luck convincing a pro team to take that kind of risk on you.
Scans are up.
Let's see what we've got.
Okay.
The aortic root aneurysm definitely needs surgery ASAP.
Amelia: Okay, this is the brain CTA.
Right, there's two on the MCA.
There's one aneurysm on the ACA.
Damn it.
See this one in the posterior circulation?
That is on the basilar artery.
That's new.
And big.
Mm-hmm.
Yeah, that's Godzilla on steroids.
We need to embolize that immediately.
Do you do it endovascularly?
If we can get the right angle.
If not, we'll have to convert to open.
And I'm going to need you to put her on bypass.
Uh, no, it'd be too much stress on the heart.
It could cause the aortic aneurysm to rupture.
I mean, this could rupture at any second.
If that explodes, she's brain-dead.
So what do we tell the mom?
We tell her I will go in endovascularly, and we pray that I don't have to open her up.
I don't understand.
I thought that all surgeries were postponed.
Well, her case is now considered emergent.
You said that the brain aneurysm could wait.
This new one is larger than the others.
And in a more concerning location.
Does that mean that it's harder to fix?
Mom, don't freak out.
I was going to need this anyway, and she's the only doctor who actually said yes.
Are you sure you can still do this?
This aneurysm is difficult, but it's the same game, and I've been playing for a long time.
I know how to do this.
Do we have to decide right now?
I'd like to proceed sooner than later.
You should take a minute to think about it.
Kwan.
Winston: I know my word might not hold a lot of weight right now, but Jackie does need this surgery, and you want Dr.
Shepherd to do it.
I promise.
It's my only shot.
Then I guess you better take it.
We should clear the air.
I'm sorry?
I am sorry for what happened with Teddy.
We should get in there.
Look, what happened was not my finest moment.
I don't typically go around kissing other people's wives.
We were just having a good time, and it was a misunderstanding.
And it was my misunderstanding.
You know, no apology necessary.
I trust my wife.
She told me it was nothing, and I believe her.
We're good.
Okay.
Hm.
Wait.
What would you have done just now if Teddy hadn't told me about the kiss?
Crawled under a rock and died.
Chief.
Chief.
Seattle Pres's generator failed and a semi-truck blew a tire and caused a 15-car pileup on the 5.
That means more incoming traumas and staff caught in traffic.
So, uh, it's not a great time to tell you that the ICU is full, huh?
I have 700 problems.
I need you to bring me the solutions.
Okay, we can send overflow to the PACU, and I can put out another request to nurses to come in on their day off.
Great.
Make that happen.
Alright.
Oh, uh, also, the ice delivery is delayed.
Already sent someone to get more.
Thank you.
Yeah, this is Altman.
Hey, you got any ice?
Yeah, it's in the back if there's any left.
Ooh.
Yum.
What?
I haven't had any breakfast yet.
What?
We drove across the Sahara for this?
We got to go somewhere else.
This is not going to-- Open the register-- now.
Get down.
Get down.
Oh, my God.
I said open it.
Okay, um...
Hurry up.
Okay, okay.
Just please don't hurt me.
You know what's worse than burning or freezing to death?
Burning and freezing to death.
Please stop.
Uh, core temp is coming down.
Slowly.
Millin, we have, uh, incoming traumas.
Go give Altman a hand.
Okay.
Um, BP is falling.
Are those ST elevations?
He just went into v-fib.
Ah, he's having a heart attack.
Okay, Yasuda, get a crash cart.
Yas-- Uh, anyone?
Crash cart?
Now.
He's-- He's dying.
That is what the crash cart is for.
Okay, Carl, stay with us.
Give me the pads.
Okay.
Okay.
Right, we're going to charge to 150.
Clear.
It's not working.
You're losing him.
You're letting him die.
Okay, charge again to 200.
Okay, clear.
Dr.
Bailey, he's dying.
Hey, don't you think I know that?
Go again.
Clear.
He's dying.
Damn.
Aren't you supposed to be a doctor?
He is dying.
You are letting him die.
You just can't let him die like that.
You can't just let him die.
You have to save her.
Save her.
Just please save her.
Just-- Just-- Just save her.
Please.
You have to save her.
Please.
Just take me.
Dr.
Bailey, just take me.
Just take me.
Going again.
Clear.
Got him back.
Chief, ICU is full.
PACU is full.
I think it's time we considered moving intubated patients into the E.R.
We don't have the staff to manage that.
With the outage, a few towers have been knocked out, and I can't get through to anyone.
I need to talk to you about Yasuda.
Okay.
We're kind of in the middle of something.
She wants to work, but she's not even close to ready.
I have to bench her.
Okay.
Offer her extra time off.
She has been through so much.
She shouldn't come back until she feels ready.
Agreed.
Thank you.
Yep.
Chief, I've got critical patients and no place to put them.
Alright, we are going to have to divert traumas.
You want to send patients away?
No, but we don't have the resources.
I know you only want to talk about solutions, but this is a big problem.
Those hospitals you want to divert to?
Seattle Press has been experiencing power outages all day.
Tukwila Hospital's entire IT system is down.
I have been a first responder with nowhere to take patients.
We can't close down.
Altman.
Wait, you're breaking up.
Wait.
Don't do anything until I get there.
I don't see any other options right now.
Do you?
So are we diverting or not?
We're staying open.
I'll figure it out.
Okay, well, do it fast before I have to start putting patients in stairwells.
Open the drawer.
What's your name?
Gladys.
Gladys, listen to me.
I need everything that's in that drawer right now, Gladys, okay?
Okay, okay, okay.
Nothing's going through.
Okay.
Uh...
There's got to be another door.
Stay here.
No.
No.
No.
Gladys: Oh, God.
That-- That's everything.
I-I-I promise.
I-I-I swear.
Hey, look, what about these, huh?
I need you to do exactly what I say exactly when I say it.
Got it?
Hey.
Get over here where I can see you.
Both of you.
Now.
Behind there with her.
Put your phones on the counter.
Put them on the table.
Alright, nobody moves unless you want to die.
Got it?
Last anterior aneurysm has been coiled.
Moving on to the beast.
What are the chances of Jackie developing more aneurysms later on?
Well, the Marfan syndrome does predispose her, but that does not necessarily mean-- Doesn't it, though?
I mean, we can fix these, but the underlying problem will always be there.
Can we hold on the negativity while I am inside Jackie's brain?
Of course.
Sorry.
Wow.
This is not good.
You see how there's no neck to it?
Looks worse than on the scan.
If we go any further, I'm going to rupture it, and she's going to lose a lot more than basketball.
We are going to have to put her on bypass and open her up.
Richard: Specimen coming your way.
Liver and stomach look good.
How's the small bowel?
Think we're ready to close.
Oh-looped PDS.
Is there any ETA on when I can set this arm?
Uh, we're closing now.
Dr.
Beckman, what do you think of Grey-Sloan so far?
State-of-the-art O.R.s and dark roast in the attendings' lounge.
If you tried to poach me, I wouldn't be mad about it.
Are you looking for a new job?
Aren't we always looking to upgrade some part of our lives?
You didn't consider applying for a position in the past?
Oh, I did.
Head of the department never called.
We haven't had many openings lately, but, by all means, e-mail me your résumé.
That'd be fantastic.
Blood's coming from somewhere.
Damn it.
We need to open again.
Scissors.
Page me when you need me.
Hey.
That's where she died.
Chloe?
My parents let me name her.
Did they run out of ideas for the eighth girl?
I already had two younger sisters, and I was not excited about a third.
They figured I'd be more into her if I had a bigger stake.
Did it work?
Too well.
I love all my sisters.
But Chloe...
she was my heart.
And now I've lost it.
I've grieved my mom every day of my life, and I never met her.
I can't imagine how you're feeling.
Will I ever feel normal again?
I think this is your normal now.
And every day you'll get a little more comfortable with it.
♪ Of holding tighter ♪ Of losing control ♪ Could I let it go?
Cream, no sugar.
Right?
You remembered.
Yeah.
♪ Slow fading ♪ Short breath Jackie's first basketball.
Once she outgrew it, I started using it as a stress ball.
She was just a baby when her father died.
In the blink of an eye, the love of my life was just gone, and I had this little girl to take care of.
And I didn't think that I could do it, but she gave me the strength.
Every smile, every giggle, every-- every milestone.
She kept me going.
I don't know what I would do if...
She's going to be okay, right?
We can't make guarantees, but-- Hey.
So the good news is I got all but one of the aneurysms.
Okay, um, uh, what's the bad news?
There's been a change of plans.
We are going to have to open Jackie up to get the last aneurysm.
What does that mean?
Well, I will open Jackie's skull after Dr.
Ndugu puts her on bypass.
We will cool her down to stop her heart and cut off blood flow to her brain, which will make it safe to clip the aneurysm.
You're stopping her heart?
I know it sounds scary, but Dr.
Ndugu will be there to make sure that her heart is okay.
I couldn't go any further without risking a rupture.
This is our best shot.
Okay, just-- just save my baby.
Okay.
Save my baby, What the hell happened?
We knew this was a possibility.
Hey, I got your text.
What's going on?
Are you okay?
I just want to feel normal.
Please.
Help me feel normal.
♪ Addiction to ambition ♪ Addiction to addiction ♪ Addiction to selfishness ♪ Addiction to condition ♪ Addiction to addiction ♪ Release ♪ Release ♪ Release ♪ Release Gladys, do I look stupid to you?
$47 on a busy day?
I-I just work here.
Where's the rest of the money?
Hey, look, you want money?
Yeah?
Yeah?
How about we give you what's in our wallets?
I got, uh...
12 bucks.
Um...
12 bucks?
Where's the safe, Gladys?
Where is it?
Gladys, look at me.
Where's the safe, Gladys?
I-It's, um, in the back.
Okay.
Let's go.
Okay.
And you two, you follow her.
And don't try anything stupid.
Well, that was...
Yeah.
My whole body's vibrating.
You're welcome.
Mm, Dr.
Bailey's probably looking for us.
I need a minute.
Oh, it's not you.
I know.
Aw.
Just, every room in this hospital, I-I see her face.
Every room.
Okay, come here.
I see her face.
Come here.
Come here.
It's okay.
It's going to be okay.
We'll figure it out together.
Yeah.
Yeah.
I promise.
No wonder no one wanted this case.
One wrong move, and we literally blow up her life.
Or we could save it.
Amelia: As Jackie cools to 16 degrees Celsius, the heart will stop, and Dr.
Ndugu will shut off the pump.
And then I will have 45 minutes to clip that aneurysm before she's at risk for permanent brain damage.
Is that enough time?
It's going to have to be.
But what if we don't access the right angle?
No more questions.
I...
As I work, I need comp-- complete...
No distractions.
I need complete concentration.
Dr.
Shepherd.
You said it yourself.
This is an impossible case.
That was before you saw the fourth aneurysm.
No one will fault you if you can't do this.
I have been Sky and Jackie, desperately searching for a shred of hope.
My dad, my brother.
I have seen loss.
I thought there was a chance that I could keep Skye from losing Jackie, but-- but what if there's no-- what if I can't give her that?
It's too late for that.
You've come too far now, okay?
You have to see it through.
Can you do this?
Because I think you can.
Okay, let's do it.
Okay.
Okay.
Okay.
Scissors.
Mesenteric bleeding has stopped.
Good catch, everyone.
It was all Dr.
Beckman.
It was a team effort.
And this was a lot of fun.
We should all have dinner again sometime.
Too soon?
I think we're ready to close.
Dr.
Beckman, you do the honors.
Go ahead.
I'm right behind you.
Somebody paid ortho.
I've dissected down as far as I can without risking rupture.
Are we ready for circulatory arrest?
Internal body temperature is at 16 degrees.
Perfusionist is ready to stop the pump.
Just say the word.
Start the clock.
♪ Oh, and we know Bipolar.
Dr.
Bailey, do you have a minute?
Yasuda.
I was just going to look for you.
Come find me after, okay?
You should know that I got Carl back.
He just got a stent placed, and he's recovering.
I am so sorry that I freaked out, okay?
It will not happen again.
Oh, yes, it will.
My mom died three years ago, and I still lose my cool sometimes.
I thought that work would distract me.
I leapt into work after I lost my mom.
I-- I needed a purpose to help me make sense of her death.
Turns out, death doesn't make any sense.
If I could do it again, I would stay home.
I would rest until I was ready to come back because I wanted to work, not because I-I needed work to save me.
♪ Wherever I go I don't want to be here.
Take more time, okay?
Go be with your family.
Grieve.
Okay?
We'll-- We'll be here when you're ready to come back.
I don't think I can come back.
♪ Rolling in my mind Rest can do wonders.
Okay?
Y-You'll-- You'll feel differently in a few weeks.
I want to believe that, but I-I know myself.
I am either all in or I am all...
I need to find a way forward.
I-I can't do that if everything around...
me reminds me of her.
I'm sorry to hear that, but you know yourself best.
You know, great surgeons have great respect for how fragile life is.
And when you are ready...
...this will make you better, stronger.
I know it.
I really, really hope you're right.
Damian: Stay right there.
Gladys, what the hell is taking so long?
Gladys: I've never opened this before.
I don't know how.
Figure it out unless you want me to use this.
My grandfather owned a convenience store.
Did he ever tell you what to do if you're robbed at gunpoint?
He died before I was born.
I'm sorry.
How'd he die?
Robbed at gunpoint.
Yeah, my Uncle Derek and Aunt Amelia-- uh, Dr.
Shepherd-- were there.
Maybe we don't talk.
Are you okay?
I think I'm bleeding.
What?
Where?
I'm pregnant.
Amelia: Almost done.
Just have to deploy the clip.
Winston: One minute.
I can see that but I have to finish this if we don't want her stroking out on the table.
Kwan, retract here.
50 seconds.
Almost there.
40 seconds.
Got it.
Alright.
Let's restart the pump.
That was...
Impossible.
Ticktock, Gladys.
I'm starting to lose my patience.
Gladys: I'm trying.
Wait.
Where are you going?
We have to get you out of here.
Hey.
Sit down.
Sit down.
Hey, hey, she's pregnant.
Congratulations.
Okay, look-- look, if you let us go, we'll walk out of here like nothing happened.
I'm not going anywhere until I get my money.
What, are you digging a tunnel back there, Gladys?
Hurry up.
Safe won't open.
God.
Well, try again.
I'm trying.
Sit down!
I'm not going to tell you again.
Alright.
Sit down.
Come on, Gladys.
Oh, God.
God!
Miss Williams?
How is she?
We got the last aneurysm.
We're warming her up to restart her heart.
Thank you so much.
Everyone was so scared to take Jackie's case.
Everyone except Dr.
Shepherd.
Thank God she did.
We'll have more updates for you soon.
Thank you.
I haven't been able to get you out of my head, either.
I've wanted this for so long.
We'll get you an ice bath to lower your temperature as soon as possible.
Hey, have you seen Wilson anywhere?
No.
I got to go pick up the kids.
But if you see her, have her call me.
Yeah.
Warren, I told you to divert all incoming an hour ago.
I-I know it looks chaotic, but I have a plan.
No one has a plan with a heat dome.
That is why I asked you to close to trauma so that we could focus on the patients that we already have.
People will die waiting on rigs.
Says the firefighter.
Think like a surgeon.
You told me to be a first responder today.
We are closed to trauma, effective immediately.
Woman: Nurse Milstien to the O.R.
Nurse Callie Milstien to the O.R.
So you take the heels off and eat residents for lunch?
Do you ever feel like no one listens to you?
I work in a male-dominated specialty.
Sometimes I think they hear me the...
third time I say it.
I mean, did you see the E.R.?
I don't know what I'm going to do.
Yeah, you are pretty screwed.
How can I help?
Can you stay?
Yeah, I can stay.
Hey.
I'm just, uh-- I'm heading up to the ICU.
Can you--Actually, uh, I'm going to take that break.
Call me if you need anything.
Meredith: Every surgery is an act of hubris.
You open a body knowing you can make it better.
37 degrees Celsius, and her heart hasn't restarted yet.
Why hasn't it restarted?
V-fib.
We need to shock it.
Charge to 100.
Clear.
Alright, let's charge to 200.
Clear.
It should be working.
Why isn't it working?
Again.
I said again.
Clear.
♪ Trust we lose ♪ Reach for hands ♪ To pull me through On our best days, surgeons decide our patients' fate.
Hey, how did your talk with Bailey go?
What are you doing?
Mika.
Mika, please don't do this.
Please.
Let's just talk about this.
♪ On the inside of my skin I'm so sorry.
♪ Ohhhh ♪ Oh, ohhhhh ♪ Waters rise but can't erase It can make you feel invincible, like you can do no wrong.
Hey.
Still no tow truck?
Eight people ahead of me.
I'm going to be here till winter.
I'm sorry.
Me, too.
You know who's not, though?
My kids.
I told my ex I can't get them today, and he booked a fancy lake house for the weekend.
So I either go and get them tomorrow and ruin their vacation, or I don't see them for a few days.
He's always the hero, and I'm just...
...crying in public, which, apparently, I do now.
Come on.
I'll give you a ride back to your hotel.
Don't you have to work?
If they need me, they can, you know, send out the Bat-Signal.
♪ Ohhhh ♪ Oh, ohhhh What did you say to Mika?
♪ Forgiveness I told her to make the best decision for herself and her family.
And now she's leaving for good.
She needs our support.
Support?
You let her go like she meant nothing to you.
But inevitably, our hubris catches up with us.
In those awful moments, we're left with nothing but the wreckage of our shattered egos.
When are you do?
It's okay.
You can tell me.
When are you do?
Gladys: Leave them alone.
Leave them alone.
Hey, whoa, whoa, whoa.
What do you think you're going to do with that?
Put that down, Gladys.
Put it down.
Mnh-mnh.
Put it-- Hey, sit down.
Don't move, Gladys.
Don't move.
Oh, my God.
Aah!
Aah!
Aah!
And we're in total free fall.