Show: Grey's Anatomy - 21x9
In a rare instance when a patient died while hooked up to brain monitors, doctors saw an increase in brain activity right before and after his heart stopped.
Call 911.
Come on.
Come on.
What's your emergency The brain waves that surged were associated with dreaming, information processing and memory recall.
Push another epi.
Please, Jackie.
Still nothing.
Someone get me a TEE right now.
It confirms what we often hear when we revive a patient in cardiac arrest, that right before their heart stopped, they saw their life flash before their eyes.
After everything we've been through, I thought this was impossible.
Me too.
Not that I remember it all, but...
ER.
I have to go.
Can you stay?
I'll look for you as soon as I can.
I have nowhere else to be.
Ah.
Bailey, have you seen Yasuda?
I paged her ten minutes ago, nothing.
It's because she doesn't work here anymore.
She quit the program.
What happened?
Just being back here where her sister died.
It was too hard.
It's just unthinkable.
I wish there was more I could've done to help her.
Uh, she's tough, all right?
She'll...
she'll find a way.
Not so sure about the others.
Millin isn't handling it very well.
First year of residency, your fellow interns are all you got.
Mmm.
I'll keep an eye on her.
Thank you.
I thought we were closed to trauma.
Bring it in this way.
All right, hold it right there.
Watch yourself.
Watch yourself.
Watch your backs, folks.
Watch your backs.
Make room for the emergency vehicles.
What the hell happened?
Warren left us open to trauma, so you're looking at the consequences.
Look, I was going to set up an additional triage tent then I was gonna come up with some work-arounds.
I was chief of staff of the Army Medical Command.
This is not a work-around.
This is a fireable offense.
So if you get the urge to make another decision without consulting me, don't.
Uh, this is Altman.
Go ahead.
What did you do?
Not the time.
Ben!
All right.
That's the last one!
We are closing to trauma!
Adams!
I...
I'm okay.
It's not all mine.
Jo Wilson, 38-year-old female.
Wilson!
Jo.
I'm gonna have to call you back.
What happened?
Got a gunshot wound over here.
Yeah.
His name is Damian, 28-year-old male, GSW to the right chest.
No exit wound.
Intubated on the scene.
He was with you?
He held up the store.
All right, I'll go.
Stay with Wilson.
Let's get her inside.
She's bleeding.
You were shot?
No.
I...
I'm pregnant.
I got you.
Synced and corrected by ChrisKe - -- for www.addic7ed.com -- I really appreciate you taking me to my hotel.
I know they need you at the hospital.
Teddy hired a bunch of outside doctors to pitch in.
She has plenty of help.
I can't believe you still drive a truck.
What was it that you used to drive?
An old Silverado?
I just remember it took up two parking spaces.
Yeah.
And it didn't go over 45 miles an hour.
And only one of the handles worked.
It was not what you'd call a chick magnet.
You could've driven an RV and I would've thought it was the sexiest truck on earth.
What?
You...you hated me.
I was madly in love with you.
I thought you knew.
Hold on.
Okay, you were mean to me.
You were my best friend's older brother, and I was a teenage girl who didn't know how to tell a boy I liked him.
Wha...
Wow.
Are you okay?
Yeah, I'm fine.
It's just, um...
It's pain where I had the surgery.
It happens sometimes.
You had the surgery weeks ago.
I'm running you back to the hospital.
That's not necessary.
Any amount of pain could indicate a complication.
We're not taking any chances.
Beautiful day, isn't it?
It's 108 degrees.
Sun is out.
Everyone's working together towards a common goal...
Mika quit.
What?
Why?
Well, her sister died here, and she almost died.
And I think she wasn't into the weather, but that's just an observation.
You okay?
You two were close.
I didn't come here to make lifelong friends.
Did you?
No.
People come and go.
And I still have a job to do.
Do you see anything?
What's going on?
Why won't her heart start?
Ndugu?
Right there.
The aortic root aneurysm dissected and extended down, occluding the left coronary artery.
The blockage is keeping her heart from starting?
It's the tear.
It caused a massive infarction.
We need to revascularize her coronary artery to restore blood flow, then put in an aortic graft.
Let's prep for a sternotomy.
I know you wanted to take care of this first, but I maintain that this was the right call.
She could have dissected no matter what.
At least she did it in the safest place where we can treat it.
An aortic dissection is never safe.
Jackie's already been under for hours.
We need to move faster.
Let's go.
Dr.
Shepherd.
Whatever it is, it's gotta wait.
It's Dr.
Adams.
He wants you to know he's okay.
Get us up to speed.
Single GSW to the right chest.
No exit wound.
He's hypoxic.
He has a right hemothorax.
His FAST exam on his heart was negative.
We need to prep for a chest tube.
Bullet fragments are localized in the right chest.
Let's order a type and cross and trauma panel.
Can I do the chest tube?
Get her sterile gloves.
His sats are dropping so we need to move quickly.
I bet when he walked out of the house with a gun today, he didn't expect to be the one getting shot.
Ready?
Mm-hmm.
All right.
You're gonna make an incision between the fourth and fifth rib space.
Now you're gonna pop through the pleura.
Mm-hmm.
Good.
And now dilate by opening the clamp.
Time for the tube.
Yeah, keep going.
All right.
He's putting out a lot of blood.
We need to call up to the OR.
Nice work, Millin.
Her BP is 105 over 65.
That's good.
Uh, how many weeks are you?
Sixteen weeks.
I, uh, had an appointment a week ago and everything looked fine.
Have you paged OB?
I can do it.
No, you will not.
You will get yourself checked.
Dr.
Warren.
Come on, you heard her.
Let's go.
I was just grazed.
It can wait.
Do you think your colleague wants you to see me do her ultrasound?
No.
Go.
Now.
Don't let him out of your sight.
Wait, wait.
Adams.
Thank you.
Come on.
Let's go.
Bailey, I need to see for myself.
You are not your doctor.
Okay?
We paged OB.
In the meantime...
All right.
The placenta looks great.
Hey, no abruption.
And where is the...
We have a strong heartbeat right there.
Mmm.
What about the other one?
There's an "other one"?
Okay, let me see.
Oh.
There it is.
Oh, beautiful.
It's just these two, right?
As far as I'm aware.
Yeah.
You okay?
Mmm.
No.
Okay.
All right.
Someone help me get her to OB.
And where is Lincoln?
All right.
Hold on.
Thank you.
We were finishing a surgery.
Are you okay?
It's just superficial abrasions.
Steri-Strips and I'm good.
I've got psych coming down for an eval.
I don't need that.
Hospital policy.
You have to be cleared before you can go back to work.
It's important.
You gotta process.
You called your mom?
Want me to call her?
I really do not.
Oh.
They just extubated Jackie.
Yeah, uh, go check on your patient, all right?
There's already too many people standing around this bed.
All right.
You stay with him.
Kwan can cover post-op.
Okay.
And, uh, I also have to go check on...
something.
What happened?
Wilson and I went to the convenience store to get ice.
A guy tried to rob it.
I got lucky.
He's on his way up to the OR.
Thank God you're okay.
Griffith, I need you to help Millin transport this patient up to the OR.
That's him.
That's...
No, I can't.
No.
Yeah.
You can.
He's just another patient.
Except he tried to shoot you.
But he didn't.
Just another patient.
Mmm.
I have to do a consult.
Have him prepped by the time I get up there.
Chief, I'm on Ndugu's service...
It's all hands on deck.
And if he's got a problem with that, frankly, I don't care.
So Dr.
Marcus is on his way.
No.
Absolutely not.
Literally anybody else.
Uh, well, DeLuca is in Italy, Patel's on leave, Kincade's in the OR.
Isn't, um, Dr.
Marcus the chief OB resident?
It's doesn't matter.
He's not taking a trip down there.
Okay.
I know it can be difficult to be the patient with someone you usually work with, but you need somebody in...
Wilson.
God, I...
I just heard what happened.
Are you okay?
You're...
...
Marcus?
Yes, I finished med school.
Undergrad only took me two years.
It's Bailey, right?
I apologize.
Wow, twins?
It's a party.
So, based on the initial workup, it's likely stress that's causing the bleeding.
Okay.
Okay.
That's good.
Uh...
That's good.
She's also having acute back pain.
Wilson, next steps.
Kidding.
Uh, pain and bleeding could also indicate other complications, so I'd like to...
I was just getting the kids settled.
I came as fast as I could.
It's okay.
I'm okay.
What about the bleeding?
It's slowed down, but I'm...
I'm feeling heaviness below.
I'd like to do a pelvic ultrasound.
Mmm.
I'm assuming you're Dad.
Oh, God.
So, let's give them a minute.
Mm-hmm.
No, you're right there.
Hey, uh...
Do you need a minute or...
My son is throwing a tantrum, and my ex wants me to calm him down.
Tell me you have good news.
Well, your EKG is normal, but your white blood cell count is elevated, which means...
I know what that means.
Last time I needed surgery.
Is that what's happening?
Do I have to go through this all over again?
It could just be a mild infection.
Or even stress, or dehydration.
Let's not worry until there's something to worry about, okay?
Okay.
Hey, what's happening?
Uh, just some chest pains and hopefully a disproportionate amount of anxiety.
Her EKG's normal but she has leukocytosis and she's slightly febrile.
Uh, we're still waiting on blood cultures.
All right.
Let's admit her.
Start her on broad spectrum antibiotics, get a chest X-ray and CT with contrast.
Is now a good time to worry?
It's just...
It's been such a day.
You know, why don't you go with her?
I can get Cass to come down and help out.
It'll help with the scans going much quicker if you're there.
As long as you and Beckman have it covered.
Yeah.
Yes.
No, I know.
No, I...
I do still love you.
I just...
I just needed some space.
And like a minute away from school.
I'll...
I'll call you tomorrow.
Dave?
Uh, yeah.
He...
He called like eight times.
I had to pick up.
I just...
I didn't know what to say.
I didn't want him to know that I was here, so I just...
I just tried to pretend like everything was normal.
It's...
It's fine.
It's anything but fine.
I didn't think this through, and you're slammed.
I...
I shouldn't have just showed up out of nowhere.
No, it's really okay.
At some point, I need to give Dave an answer.
It's not his fault that this is...
this is what it is.
I really need to answer this.
But I want a chance to talk about this.
Hang out at my place, and we'll talk all about this tonight.
If you need to go home, you'll go home.
I will never understand how a person can point a loaded gun at a stranger.
Well, people can hurt each other in all kinds of ways.
I'm sure it's killing Yasuda having to leave you...
Don't.
I'm sorry.
I didn't mean to bring it up.
When you wanna talk about it, we will talk about it.
I won't be talking about it with you.
Did I do something?
I'm just sick of pretending like we all mean something to each other.
I get that intern year is hard and that we're all trauma bonded or whatever, but we're just coworkers.
I don't need you to comfort me or to understand how I feel.
I can take care of myself.
I've been doing it my entire life.
How's it going in here?
Great.
Fine.
He's about to code.
All right.
Griffith, strap him in.
Millin, prep him.
Can you grab the other side of the belt?
Yeah, I got it.
Did anybody contact the blood bank to activate the MTP?
I'm not sure.
I can check it.
You are the intern on this case.
You need to make sure that you're on top of the orders.
I'll do it right now.
All right, he can't wait.
We need to scrub in right now.
Yeah.
I was able to successfully clip the posterior aneurysm, but we ran into a complication when we tried to wean her off bypass.
Uh, so what happened?
Jackie's stable.
Mm-hmm.
But she had an aortic dissection, which caused a heart attack.
My 17-year-old had a heart attack?
I opened her chest, and I put in a graft.
And thankfully, she's an athlete, so her heart was able to recover from the MI.
I...
I don't understand.
Uh, why do these complications keep happening?
Well, we knew her heart was at risk due to the root aneurysm...
Her brain was at greater risk.
At the time.
Her post-op labs came in.
Thank you, Dr.
Kwan.
How long does the anesthesia last?
Hey, baby.
You still feeling groggy?
In my feet.
Your feet?
And my legs.
Dr.
Kwan, would you get me a needle, please?
Yeah.
All right, Jackie, let me know when you start to feel this.
Did you start yet?
Why can't she feel her legs?
There's no written rule on it, but people usually stand on the other side during a pelvic exam to respect the area.
Right.
Sorry.
I need you to relax, Wilson.
Okay.
You heard about Kincade's uterine sarcoma case?
Poor woman's second recurrence.
She got four kids and a death sentence.
You should see the scans.
They're awful.
Honestly, it's like a horror movie.
Puppies.
Mmm.
They're adorable and calming.
I'm thinking about getting one for Pru.
So, your cervix is 18 millimeters.
So, an imminent risk for preterm labor.
But you're just 16 weeks.
She's 16 weeks.
Which is why I'd recommend a cervical cerclage.
It's placing a suture around the cervix to keep it closed.
He's a doctor.
Aw.
Hospital babies.
Are you gonna name 'em Grey and Sloan?
What are the risks of the cerclage?
Um, well, I could get an infection, or it could cause damage to my cervix like, um, scarring or stenosis.
Other options, please.
This is the option besides terminating the pregnancy.
Cervical cerclage is very safe and it is the absolute best way to preserve the health of Dr.
Wilson and the babies right now.
But if you'd like, I could give you some time to think about it.
No.
Give me the consent forms.
That'd be great.
Thanks.
My four-year-old listens better than you do.
Yeah, well, unless your toddler is also a surgeon during a record-breaking heat wave, I don't think that's a fair comparison.
You shouldn't be seeing patients.
I'm still on the schedule and the ER is over capacity.
Okay.
Let me rephrase.
I can't let you treat patients right now.
I'm fine.
All right?
I see life and death every single day.
Business as usual.
All right.
You know what?
Fine.
If you want a job to do, why don't you head over to the clinic and help out with the cooling center.
Mrs.
Long in bed six needs more stool softener.
Do you see anything?
Not yet.
You championed me.
What?
You told Sky I could do this.
You told me I could do this.
Now I'm sitting here silently panicking about what I've done to this young woman, and you're hardly saying a word.
You don't think I'm panicking?
You're not the only one who operated on her.
I should have said no.
From the second you brought me in, I had a bad feeling about this.
Why didn't you say anything?
Because you prematurely accepted the case.
You knew it had a cardiothoracic component to it, but you accepted it before getting my opinion on it.
She was admitted before I even saw her.
No.
No.
Do not put this on me.
You could have said no right after you walked out the door.
Maybe you didn't because of how you treated her mother.
Nurse Connie said a cold front's coming in.
The heat should break soon.
At least there's that.
Scans are up.
Kwan, what do you see?
Uh, head CT is negative for stroke.
But the CTA shows the dissection flap propagating into the descending aorta.
Which means...
Blood flow to the spinal cord is compromised.
I think it's...
Okay, is this...
this the way?
Hey.
Radiology's a little backed up.
We'll get you in there as soon as we can.
You don't have to babysit me.
Remember how annoyed you would get when your mom would make you watch me and Megan when she went to the store?
Yeah, but that was a chore.
This is...
An excuse?
You made that face earlier with Teddy.
What face?
Thought I sensed some tension.
Um, sorry.
You don't have to answer that.
I...
I...
I think my surgical complications removed my filter.
Or maybe it was my divorce, or...
I don't know, sorry.
It's fine.
Marriage is...
Marriage is complicated.
But I can't let this happen any longer.
I...
Are you trying to go up or down?
Up.
I'm...
Up?
Okay.
Damsel in distress.
I hate myself.
No, it's okay.
Yeah.
Yeah.
There.
Oh.
There.
Hi.
Hi.
Um.
Radiology's ready for you, so, um...
Oh.
I'll go find a orderly.
Okay?
Okay.
Good idea.
Yeah.
Why don't we just first start you on progesterone and increase your monitoring?
Why can't you trust I'm making the right decision?
I'm a pregnant OB-GYN.
I want a cerclage.
I'm getting a cerclage.
Yeah, well, you can't wave your specialty in front of my face every time we have a disagreement.
I've done hundreds of these.
I do them all the time.
But you don't get them all the time.
And what about Marcus?
How many has he done?
Shouldn't we be waiting for somebody born before TikTok?
He's in my year.
I have T-shirts older than him.
Link, you're...
Your heart rate's elevated.
Um, maybe some deep breaths.
God, I wish Dr.
DeLuca was here.
First of all, I would never have had Marcus's hands inside of me.
And second of all, she would tell you how safe a cerclage is.
And maybe she could tell you that this isn't just your decision.
She would never tell me that.
Are you thinking clearly?
What?
You witnessed a shooting today.
You could've been seriously hurt...
Okay.
Time-out.
Okay.
You are now the one who is seriously hurting her.
Her BP is 140 over 90, and that's too damn high.
For her and for me.
Add to that a 18-millimeter cervix, and you are tripling her chances for contractions.
Take a walk.
Okay.
I'm sorry.
I was just trying to...
I am not asking!
Look at me.
In and out.
Good.
In.
Out.
I've exposed the damaged tissue.
He's gonna lose an entire lobe of his lung due to one bullet.
GIA stapler.
His bullet.
That he loaded into his gun.
We should invite the lawmakers voting against background checks to assist on these surgeries.
Well, violent crime rises along with the temperature.
I read a story about a guy who drove his truck into a hardware store during a heat wave.
It killed four people.
Well, there's some bleeding at the staple line.
All right.
2-0 PDS.
Thank you, BokHee.
Damn it.
I can't get visualization.
Suction.
No.
All right, Griffith, Millin, what do we do?
Tilt it more.
Tilt the table.
Exactly.
All right, team, you heard them.
Anesthesia when you're ready.
Oh, my God.
Why is he moving?
All right, stop, stop!
Watch his line!
Secure the airways and lines.
Page some orderlies!
Let's assess him and get him back on the table right now!
Gently, gently.
Let's keep him on Ambu until we can get him back on the table.
Where are those orderlies?
Damn it, his central line has come out.
Shut off all the lines.
Got it.
Lap sponge!
All right, keep pressure on his IJ.
Should we pack the thoracotomy?
No.
Here you go.
All right, Millin, get me a wet towel.
Millin!
All right, take this.
How the hell did this happen?
Must not have been completely strapped in.
Millin, hold here.
If your wife finds out, she's gonna fire me all over again.
Keep applying pressure.
Bring in the orderlies!
Come on, fellas.
We're gonna carefully lift him back on the table.
Everyone set?
On my count.
One, two, three.
You wanna puncture her spine?
We'd place a small tube in Jackie's lower back to drain the excess fluid around her spinal cord.
There is a chance that it could reverse Jackie's paralysis.
This morning you assured us that you could take care of her aneurysms.
You seemed so certain about it.
That was before I saw the larger aneurysm.
She is my only child.
When did you know that this was going south?
Was it when you had to open her skull?
Or when you had to stop her heart?
Or when you noticed there was something wrong with her spine?
Sky...
I mean, I need to know!
I need to know.
Did you ever think that you could save my child?
Or was I just a fool for believing it?
I did think that I could save your child.
And she is alive and aneurysm-free.
I do not make false promises because I have seen too many bad outcomes.
This is not a bad outcome.
Not yet.
You trusted me once, trust me again.
We have to act fast.
Okay.
I will trust you.
Mostly because I don't have any other option.
All right, her BP has settled down.
What do you think you're doing?
Jo clearly doesn't want me in the room, neither do you, so I thought I'd help with an ex-fix in OR 3.
Well, you thought wrong.
Well, what the hell am I supposed to think then?
Ever since we found out it was twins, Jo has...
She's shut me out.
And I'm usually pretty good at carrying on, but today I can't.
Come here.
When I was in labor with my son, his father was getting emergent brain surgery.
Now, I initially didn't know about it because my OB never let it show on her face.
She knew that I was at my most vulnerable, and she supported me with a strength that I will never forget.
Jo has to do that on a daily basis.
She treats those at their most vulnerable and stays calm.
Right, they could be bleeding or have a prolapsed cord.
She stays strong and encouraging.
Because that's her job.
But today, it should be yours.
She's terrified.
So pull yourself together, so she can fall apart.
Okay, central line's back in.
There's no signs of bleeding or expanding hematoma.
Well, there's some bleeding from the intercostals, probably from the fall.
2-0 silk.
I gave you specific instructions to strap the patient in on the table.
Now is not the time...
Let me finish.
Your mistake was extremely dangerous and completely unacceptable.
We give our patients the very best care that we are capable of giving, no matter who the patient is or what he has done.
And if we can't, then we leave before our personal distractions kill someone.
I should kick you out of this OR, but instead, I'm gonna make you stand there and watch these repairs, which shouldn't even be happening in the first place.
Am I clear?
Hey.
Yeah, once the temperature started to drop, people started leaving.
Do you know where the fans go?
You've worked here longer than me.
Well...
Uh, so you don't know where they keep the extra ice packs?
Just pack it up.
Someone will figure it out.
Who?
Don't ask or it'll be you.
Don't move!
Lucas, no!
I hope there's not another heat dome anytime soon.
That's probably just wishful thinking at this point...
Adams?
Adams?
Okay.
Okay.
All right.
Come here.
Come here.
Come here.
Just take a seat.
Take a seat.
Hey.
You feel the ground under your feet?
Do you feel the ground under your feet?
Good.
Good.
Just keep looking at me.
Keep looking at me.
Right here.
You're in the clinic.
You're not alone.
And you're safe.
You are safe.
Just breathe.
I just came down to say a prayer, and I can't get the words out.
May I?
Yeah.
Yeah.
Jackie's always been so full of life.
Yeah, seeing her in that bed just...
It just breaks my heart.
She's strong and resilient.
Whatever happens, she'll keep kicking ass and taking names.
There's no doubt in my mind.
Yeah.
I'm not a very observant Jew.
But I've always been so moved...
watching people stand during services and give a Mi Shebeirach for their loved ones.
It's the prayer for healing.
It's a mouthful, I know.
No, it sounds beautiful.
You okay?
Can't feel a thing, so no.
We're hoping to change that.
All right.
I'm going to insert the drain.
My mom's scared that this is gonna make things worse.
She tries to act all cool around me, but deep down...
I know she worries.
Are you scared?
Not really.
I was scared at first when I got diagnosed.
But now, I don't know.
I feel like if I think too much about it, I'll be too scared to do anything.
Kinda like what Coach says about overthinking free throws.
You just gotta shoot your shot.
All right.
The drain is in.
I'll let you rest, and I will check back in a bit.
Cool.
If I'm not here when you get back, it's 'cause it worked and I walked away.
There you go.
Sorry.
Uh, that was embarrassing.
No apologies necessary.
Yeah, I'm not really a feelings guy.
Yeah, no kidding.
I can't tell if I'm enraged, or sad, or freaked out.
Probably all of the above, you know?
There's no one way to feel about this sort of thing.
So what do I do?
As far as I know, there's no rule book, but I know where you can start.
Yeah.
You wanna page psych or should I?
Yeah, I'll do it.
When I feel ready.
All right.
Uh, but in the meantime, back to work.
Really?
Yeah.
You had a panic attack, not a heart attack.
But I'll tell you what, I'll, uh...
I'll figure out where all this stuff goes so you don't have to.
Thank you.
Hey.
Is that for good behavior or for you to soften the blow for whatever you're about to tell me?
Your scans are reassuring.
The stent is not infected.
Oh, my God.
That's...
Thank you.
Your white count is still elevated, so we wanna keep you in for a few more doses of the antibiotics.
If that's okay with you.
Yeah.
Of course.
Why do I think there's more you wanna tell me?
I don't think I should be on your care team anymore.
I'm sorry.
The freshman me resurfaced.
Or at least the part that had a crush on her friend's older brother.
I...
I shouldn't have tried to kiss you.
It's not only you.
Oh.
Yeah.
So, uh, I'll have Teddy check in on you.
I'm just going to check his vitals.
I'll be quick.
He's a good guy.
He just is going through some stuff.
We both lost our jobs.
And then his friend Eddie got sick.
And then he just...
shut down.
He stopped hanging out with his friends and stopped talking to me.
I just...
I don't know why he thinks he needs to do it alone.
Well, let's hope this is a wake-up call.
I'll be back in the morning.
You should get some rest.
I'm getting the cerclage.
Good.
I'm sorry.
It's just a couple of hours ago, I found out that you were involved in a shooting.
Ten minutes later, I'm hearing imminent labor.
I mean, our whole world was in danger, and I...
I freaked out.
But I just wanna do whatever will keep you safe and whatever keeps them safe.
If that means Marcus and a cerclage...
If I have to get a cerclage...
Stop saying "cerclage."
I know you and I have been...
It's been rough.
But...
I just wanna be here for you, for them.
Just tell me what you need.
Keep Marcus from talking during the procedure.
Okay then.
All four of you ready for this?
Do you play tennis?
You'll have your own built-in game of doubles now.
Marcus, I'm gonna need you to keep all chatter to medically-relevant information.
I love you.
I love you.
How does the drain look?
It's draining.
How you feeling?
Same as when you last checked.
I'd say, there go my WNBA dreams, but those were already in the trash.
Well, I'm guessing you'll have new dreams to chase.
Maybe.
But basketball will always be my true love.
There's gotta be a way to keep it in my life.
Jackie, your toes are moving.
They are?
Yeah.
Oh, my God!
They are.
Mom, look.
It's working.
The drain's working.
Queue one hour neuro checks.
This is good.
Thank God.
Thank God you're okay.
Update me on her progress.
You're gonna keep going, aren't you?
Impossible cases.
I'm never gonna be able to look somebody in the eye and tell them I'm not gonna try to help them.
I mean, if that's a problem for you...
No.
I'm not scared of a challenge, Amelia.
All right, I...
I take in the miracle.
I always have.
But what you did today was reckless.
I don't do reckless.
So, if you need a miracle, okay, give me all of the information up front, or find another surgeon.
Hey.
How you feelin'?
Cerclage went well.
No complications.
Babies are still inside, so I'll take it.
But, um, I'll...
I'll need to take a few days off.
Yes, you do.
Hey, um...
Hmm?
Thank you for staying with me.
It really meant a lot with, um...
with Link and Marcus.
Oh, God, Marcus.
I can't stop picturing him between my legs.
I might have to quit.
He saved your babies.
Just think about that.
Okay?
Get some rest.
Uh...
And him.
Uh, sitter's all set.
How are you doing?
You hungry?
Can I get you some food?
I, uh...
I've been making decisions on my own my whole life.
And being in a functional relationship and allowing someone else to weigh in on everything, I...
I'm...
I'm still...
I know.
And I love you so much.
I love you.
And Harry and Fanny.
That's my favorite great aunt and uncle.
What do you think?
Is that your BP?
Mmm.
Yeah.
Should I get you a juice?
Yeah.
I'll take orange juice.
Thank you.
Okay.
Uh, Dr.
Webber.
Millin, you okay?
It was me.
I didn't strap Damian to the table.
I thought I did, but I...
I must've gotten distracted.
And then when Dr.
Altman called Griffith out, I froze.
I should've taken responsibility for it then and I didn't, so I'm taking responsibility for it now.
I'm sorry.
I appreciate that.
But I'm not the one who needs an apology.
Hey, go easy on that arm.
I've had worse injuries playing soccer.
Are you okay?
You know, I wasn't sure if this might have brought up some memories for you.
Yeah.
A few.
I mean, that day shaped my whole life.
Probably Derek's too.
You were his favorite, you know?
He always saw something in you.
Oh, and you didn't?
Oh, I found you infuriating.
But Scout and I love having you around.
You coming home tonight?
Uh...
That's okay.
I'll see you tomorrow.
Hey, Chief, uh, you got a minute?
No, but you're already here.
Um...
So, uh, about today.
I'm sorry.
I was...
I was only trying to help.
You said that the hospital doesn't have emergency plans for heat domes.
Well, turns out that we don't have ones for wildfires, tsunamis and a few other natural disasters.
And they're only increasing with climate change.
So I wanna put together a committee to fill in the gaps.
With...
with your permission, of course.
Permission not granted.
Uh, can I ask why not?
As much as you can't seem to grasp this, you are a resident.
On a trial basis.
You have no business devising protocols that you can't follow.
If I were you, I would spend less time assuming that you have a permanent position here and more time proving that you should have one.
We're done here, Dr.
Warren.
Hey, you busy?
Well, a patient fell off the OR table, so...
yeah.
Um, do you mind getting the kids?
Uh, sure.
Sure, yeah.
Um...
Could you check in on Nora Young before you leave?
Yeah.
Of course.
After all these years, she still gets under your skin, doesn't she?
Yeah.
Yeah, I guess she does.
What happens in our brains in the moments before we die has puzzled scientists for centuries.
While we have some evidence of our lives flashing before our eyes, there are still many questions.
Temperature dropped 21 degrees in two hours.
How's Adams?
He's okay.
He's okay.
I'm used to seeing patients come off rigs every day.
Hundreds of 'em.
Some worse than others, but...
I can handle it.
Always have.
But if one more resident comes off a rig, I don't think I can.
You talked to Altman?
Not yet.
No one knows exactly why it happens.
Some people think it's biology.
Call 911.
Come on.
Come on.
What's your emergency The brain waves that surged were associated with dreaming, information processing and memory recall.
Push another epi.
Please, Jackie.
Still nothing.
Someone get me a TEE right now.
It confirms what we often hear when we revive a patient in cardiac arrest, that right before their heart stopped, they saw their life flash before their eyes.
After everything we've been through, I thought this was impossible.
Me too.
Not that I remember it all, but...
ER.
I have to go.
Can you stay?
I'll look for you as soon as I can.
I have nowhere else to be.
Ah.
Bailey, have you seen Yasuda?
I paged her ten minutes ago, nothing.
It's because she doesn't work here anymore.
She quit the program.
What happened?
Just being back here where her sister died.
It was too hard.
It's just unthinkable.
I wish there was more I could've done to help her.
Uh, she's tough, all right?
She'll...
she'll find a way.
Not so sure about the others.
Millin isn't handling it very well.
First year of residency, your fellow interns are all you got.
Mmm.
I'll keep an eye on her.
Thank you.
I thought we were closed to trauma.
Bring it in this way.
All right, hold it right there.
Watch yourself.
Watch yourself.
Watch your backs, folks.
Watch your backs.
Make room for the emergency vehicles.
What the hell happened?
Warren left us open to trauma, so you're looking at the consequences.
Look, I was going to set up an additional triage tent then I was gonna come up with some work-arounds.
I was chief of staff of the Army Medical Command.
This is not a work-around.
This is a fireable offense.
So if you get the urge to make another decision without consulting me, don't.
Uh, this is Altman.
Go ahead.
What did you do?
Not the time.
Ben!
All right.
That's the last one!
We are closing to trauma!
Adams!
I...
I'm okay.
It's not all mine.
Jo Wilson, 38-year-old female.
Wilson!
Jo.
I'm gonna have to call you back.
What happened?
Got a gunshot wound over here.
Yeah.
His name is Damian, 28-year-old male, GSW to the right chest.
No exit wound.
Intubated on the scene.
He was with you?
He held up the store.
All right, I'll go.
Stay with Wilson.
Let's get her inside.
She's bleeding.
You were shot?
No.
I...
I'm pregnant.
I got you.
Synced and corrected by ChrisKe - -- for www.addic7ed.com -- I really appreciate you taking me to my hotel.
I know they need you at the hospital.
Teddy hired a bunch of outside doctors to pitch in.
She has plenty of help.
I can't believe you still drive a truck.
What was it that you used to drive?
An old Silverado?
I just remember it took up two parking spaces.
Yeah.
And it didn't go over 45 miles an hour.
And only one of the handles worked.
It was not what you'd call a chick magnet.
You could've driven an RV and I would've thought it was the sexiest truck on earth.
What?
You...you hated me.
I was madly in love with you.
I thought you knew.
Hold on.
Okay, you were mean to me.
You were my best friend's older brother, and I was a teenage girl who didn't know how to tell a boy I liked him.
Wha...
Wow.
Are you okay?
Yeah, I'm fine.
It's just, um...
It's pain where I had the surgery.
It happens sometimes.
You had the surgery weeks ago.
I'm running you back to the hospital.
That's not necessary.
Any amount of pain could indicate a complication.
We're not taking any chances.
Beautiful day, isn't it?
It's 108 degrees.
Sun is out.
Everyone's working together towards a common goal...
Mika quit.
What?
Why?
Well, her sister died here, and she almost died.
And I think she wasn't into the weather, but that's just an observation.
You okay?
You two were close.
I didn't come here to make lifelong friends.
Did you?
No.
People come and go.
And I still have a job to do.
Do you see anything?
What's going on?
Why won't her heart start?
Ndugu?
Right there.
The aortic root aneurysm dissected and extended down, occluding the left coronary artery.
The blockage is keeping her heart from starting?
It's the tear.
It caused a massive infarction.
We need to revascularize her coronary artery to restore blood flow, then put in an aortic graft.
Let's prep for a sternotomy.
I know you wanted to take care of this first, but I maintain that this was the right call.
She could have dissected no matter what.
At least she did it in the safest place where we can treat it.
An aortic dissection is never safe.
Jackie's already been under for hours.
We need to move faster.
Let's go.
Dr.
Shepherd.
Whatever it is, it's gotta wait.
It's Dr.
Adams.
He wants you to know he's okay.
Get us up to speed.
Single GSW to the right chest.
No exit wound.
He's hypoxic.
He has a right hemothorax.
His FAST exam on his heart was negative.
We need to prep for a chest tube.
Bullet fragments are localized in the right chest.
Let's order a type and cross and trauma panel.
Can I do the chest tube?
Get her sterile gloves.
His sats are dropping so we need to move quickly.
I bet when he walked out of the house with a gun today, he didn't expect to be the one getting shot.
Ready?
Mm-hmm.
All right.
You're gonna make an incision between the fourth and fifth rib space.
Now you're gonna pop through the pleura.
Mm-hmm.
Good.
And now dilate by opening the clamp.
Time for the tube.
Yeah, keep going.
All right.
He's putting out a lot of blood.
We need to call up to the OR.
Nice work, Millin.
Her BP is 105 over 65.
That's good.
Uh, how many weeks are you?
Sixteen weeks.
I, uh, had an appointment a week ago and everything looked fine.
Have you paged OB?
I can do it.
No, you will not.
You will get yourself checked.
Dr.
Warren.
Come on, you heard her.
Let's go.
I was just grazed.
It can wait.
Do you think your colleague wants you to see me do her ultrasound?
No.
Go.
Now.
Don't let him out of your sight.
Wait, wait.
Adams.
Thank you.
Come on.
Let's go.
Bailey, I need to see for myself.
You are not your doctor.
Okay?
We paged OB.
In the meantime...
All right.
The placenta looks great.
Hey, no abruption.
And where is the...
We have a strong heartbeat right there.
Mmm.
What about the other one?
There's an "other one"?
Okay, let me see.
Oh.
There it is.
Oh, beautiful.
It's just these two, right?
As far as I'm aware.
Yeah.
You okay?
Mmm.
No.
Okay.
All right.
Someone help me get her to OB.
And where is Lincoln?
All right.
Hold on.
Thank you.
We were finishing a surgery.
Are you okay?
It's just superficial abrasions.
Steri-Strips and I'm good.
I've got psych coming down for an eval.
I don't need that.
Hospital policy.
You have to be cleared before you can go back to work.
It's important.
You gotta process.
You called your mom?
Want me to call her?
I really do not.
Oh.
They just extubated Jackie.
Yeah, uh, go check on your patient, all right?
There's already too many people standing around this bed.
All right.
You stay with him.
Kwan can cover post-op.
Okay.
And, uh, I also have to go check on...
something.
What happened?
Wilson and I went to the convenience store to get ice.
A guy tried to rob it.
I got lucky.
He's on his way up to the OR.
Thank God you're okay.
Griffith, I need you to help Millin transport this patient up to the OR.
That's him.
That's...
No, I can't.
No.
Yeah.
You can.
He's just another patient.
Except he tried to shoot you.
But he didn't.
Just another patient.
Mmm.
I have to do a consult.
Have him prepped by the time I get up there.
Chief, I'm on Ndugu's service...
It's all hands on deck.
And if he's got a problem with that, frankly, I don't care.
So Dr.
Marcus is on his way.
No.
Absolutely not.
Literally anybody else.
Uh, well, DeLuca is in Italy, Patel's on leave, Kincade's in the OR.
Isn't, um, Dr.
Marcus the chief OB resident?
It's doesn't matter.
He's not taking a trip down there.
Okay.
I know it can be difficult to be the patient with someone you usually work with, but you need somebody in...
Wilson.
God, I...
I just heard what happened.
Are you okay?
You're...
...
Marcus?
Yes, I finished med school.
Undergrad only took me two years.
It's Bailey, right?
I apologize.
Wow, twins?
It's a party.
So, based on the initial workup, it's likely stress that's causing the bleeding.
Okay.
Okay.
That's good.
Uh...
That's good.
She's also having acute back pain.
Wilson, next steps.
Kidding.
Uh, pain and bleeding could also indicate other complications, so I'd like to...
I was just getting the kids settled.
I came as fast as I could.
It's okay.
I'm okay.
What about the bleeding?
It's slowed down, but I'm...
I'm feeling heaviness below.
I'd like to do a pelvic ultrasound.
Mmm.
I'm assuming you're Dad.
Oh, God.
So, let's give them a minute.
Mm-hmm.
No, you're right there.
Hey, uh...
Do you need a minute or...
My son is throwing a tantrum, and my ex wants me to calm him down.
Tell me you have good news.
Well, your EKG is normal, but your white blood cell count is elevated, which means...
I know what that means.
Last time I needed surgery.
Is that what's happening?
Do I have to go through this all over again?
It could just be a mild infection.
Or even stress, or dehydration.
Let's not worry until there's something to worry about, okay?
Okay.
Hey, what's happening?
Uh, just some chest pains and hopefully a disproportionate amount of anxiety.
Her EKG's normal but she has leukocytosis and she's slightly febrile.
Uh, we're still waiting on blood cultures.
All right.
Let's admit her.
Start her on broad spectrum antibiotics, get a chest X-ray and CT with contrast.
Is now a good time to worry?
It's just...
It's been such a day.
You know, why don't you go with her?
I can get Cass to come down and help out.
It'll help with the scans going much quicker if you're there.
As long as you and Beckman have it covered.
Yeah.
Yes.
No, I know.
No, I...
I do still love you.
I just...
I just needed some space.
And like a minute away from school.
I'll...
I'll call you tomorrow.
Dave?
Uh, yeah.
He...
He called like eight times.
I had to pick up.
I just...
I didn't know what to say.
I didn't want him to know that I was here, so I just...
I just tried to pretend like everything was normal.
It's...
It's fine.
It's anything but fine.
I didn't think this through, and you're slammed.
I...
I shouldn't have just showed up out of nowhere.
No, it's really okay.
At some point, I need to give Dave an answer.
It's not his fault that this is...
this is what it is.
I really need to answer this.
But I want a chance to talk about this.
Hang out at my place, and we'll talk all about this tonight.
If you need to go home, you'll go home.
I will never understand how a person can point a loaded gun at a stranger.
Well, people can hurt each other in all kinds of ways.
I'm sure it's killing Yasuda having to leave you...
Don't.
I'm sorry.
I didn't mean to bring it up.
When you wanna talk about it, we will talk about it.
I won't be talking about it with you.
Did I do something?
I'm just sick of pretending like we all mean something to each other.
I get that intern year is hard and that we're all trauma bonded or whatever, but we're just coworkers.
I don't need you to comfort me or to understand how I feel.
I can take care of myself.
I've been doing it my entire life.
How's it going in here?
Great.
Fine.
He's about to code.
All right.
Griffith, strap him in.
Millin, prep him.
Can you grab the other side of the belt?
Yeah, I got it.
Did anybody contact the blood bank to activate the MTP?
I'm not sure.
I can check it.
You are the intern on this case.
You need to make sure that you're on top of the orders.
I'll do it right now.
All right, he can't wait.
We need to scrub in right now.
Yeah.
I was able to successfully clip the posterior aneurysm, but we ran into a complication when we tried to wean her off bypass.
Uh, so what happened?
Jackie's stable.
Mm-hmm.
But she had an aortic dissection, which caused a heart attack.
My 17-year-old had a heart attack?
I opened her chest, and I put in a graft.
And thankfully, she's an athlete, so her heart was able to recover from the MI.
I...
I don't understand.
Uh, why do these complications keep happening?
Well, we knew her heart was at risk due to the root aneurysm...
Her brain was at greater risk.
At the time.
Her post-op labs came in.
Thank you, Dr.
Kwan.
How long does the anesthesia last?
Hey, baby.
You still feeling groggy?
In my feet.
Your feet?
And my legs.
Dr.
Kwan, would you get me a needle, please?
Yeah.
All right, Jackie, let me know when you start to feel this.
Did you start yet?
Why can't she feel her legs?
There's no written rule on it, but people usually stand on the other side during a pelvic exam to respect the area.
Right.
Sorry.
I need you to relax, Wilson.
Okay.
You heard about Kincade's uterine sarcoma case?
Poor woman's second recurrence.
She got four kids and a death sentence.
You should see the scans.
They're awful.
Honestly, it's like a horror movie.
Puppies.
Mmm.
They're adorable and calming.
I'm thinking about getting one for Pru.
So, your cervix is 18 millimeters.
So, an imminent risk for preterm labor.
But you're just 16 weeks.
She's 16 weeks.
Which is why I'd recommend a cervical cerclage.
It's placing a suture around the cervix to keep it closed.
He's a doctor.
Aw.
Hospital babies.
Are you gonna name 'em Grey and Sloan?
What are the risks of the cerclage?
Um, well, I could get an infection, or it could cause damage to my cervix like, um, scarring or stenosis.
Other options, please.
This is the option besides terminating the pregnancy.
Cervical cerclage is very safe and it is the absolute best way to preserve the health of Dr.
Wilson and the babies right now.
But if you'd like, I could give you some time to think about it.
No.
Give me the consent forms.
That'd be great.
Thanks.
My four-year-old listens better than you do.
Yeah, well, unless your toddler is also a surgeon during a record-breaking heat wave, I don't think that's a fair comparison.
You shouldn't be seeing patients.
I'm still on the schedule and the ER is over capacity.
Okay.
Let me rephrase.
I can't let you treat patients right now.
I'm fine.
All right?
I see life and death every single day.
Business as usual.
All right.
You know what?
Fine.
If you want a job to do, why don't you head over to the clinic and help out with the cooling center.
Mrs.
Long in bed six needs more stool softener.
Do you see anything?
Not yet.
You championed me.
What?
You told Sky I could do this.
You told me I could do this.
Now I'm sitting here silently panicking about what I've done to this young woman, and you're hardly saying a word.
You don't think I'm panicking?
You're not the only one who operated on her.
I should have said no.
From the second you brought me in, I had a bad feeling about this.
Why didn't you say anything?
Because you prematurely accepted the case.
You knew it had a cardiothoracic component to it, but you accepted it before getting my opinion on it.
She was admitted before I even saw her.
No.
No.
Do not put this on me.
You could have said no right after you walked out the door.
Maybe you didn't because of how you treated her mother.
Nurse Connie said a cold front's coming in.
The heat should break soon.
At least there's that.
Scans are up.
Kwan, what do you see?
Uh, head CT is negative for stroke.
But the CTA shows the dissection flap propagating into the descending aorta.
Which means...
Blood flow to the spinal cord is compromised.
I think it's...
Okay, is this...
this the way?
Hey.
Radiology's a little backed up.
We'll get you in there as soon as we can.
You don't have to babysit me.
Remember how annoyed you would get when your mom would make you watch me and Megan when she went to the store?
Yeah, but that was a chore.
This is...
An excuse?
You made that face earlier with Teddy.
What face?
Thought I sensed some tension.
Um, sorry.
You don't have to answer that.
I...
I...
I think my surgical complications removed my filter.
Or maybe it was my divorce, or...
I don't know, sorry.
It's fine.
Marriage is...
Marriage is complicated.
But I can't let this happen any longer.
I...
Are you trying to go up or down?
Up.
I'm...
Up?
Okay.
Damsel in distress.
I hate myself.
No, it's okay.
Yeah.
Yeah.
There.
Oh.
There.
Hi.
Hi.
Um.
Radiology's ready for you, so, um...
Oh.
I'll go find a orderly.
Okay?
Okay.
Good idea.
Yeah.
Why don't we just first start you on progesterone and increase your monitoring?
Why can't you trust I'm making the right decision?
I'm a pregnant OB-GYN.
I want a cerclage.
I'm getting a cerclage.
Yeah, well, you can't wave your specialty in front of my face every time we have a disagreement.
I've done hundreds of these.
I do them all the time.
But you don't get them all the time.
And what about Marcus?
How many has he done?
Shouldn't we be waiting for somebody born before TikTok?
He's in my year.
I have T-shirts older than him.
Link, you're...
Your heart rate's elevated.
Um, maybe some deep breaths.
God, I wish Dr.
DeLuca was here.
First of all, I would never have had Marcus's hands inside of me.
And second of all, she would tell you how safe a cerclage is.
And maybe she could tell you that this isn't just your decision.
She would never tell me that.
Are you thinking clearly?
What?
You witnessed a shooting today.
You could've been seriously hurt...
Okay.
Time-out.
Okay.
You are now the one who is seriously hurting her.
Her BP is 140 over 90, and that's too damn high.
For her and for me.
Add to that a 18-millimeter cervix, and you are tripling her chances for contractions.
Take a walk.
Okay.
I'm sorry.
I was just trying to...
I am not asking!
Look at me.
In and out.
Good.
In.
Out.
I've exposed the damaged tissue.
He's gonna lose an entire lobe of his lung due to one bullet.
GIA stapler.
His bullet.
That he loaded into his gun.
We should invite the lawmakers voting against background checks to assist on these surgeries.
Well, violent crime rises along with the temperature.
I read a story about a guy who drove his truck into a hardware store during a heat wave.
It killed four people.
Well, there's some bleeding at the staple line.
All right.
2-0 PDS.
Thank you, BokHee.
Damn it.
I can't get visualization.
Suction.
No.
All right, Griffith, Millin, what do we do?
Tilt it more.
Tilt the table.
Exactly.
All right, team, you heard them.
Anesthesia when you're ready.
Oh, my God.
Why is he moving?
All right, stop, stop!
Watch his line!
Secure the airways and lines.
Page some orderlies!
Let's assess him and get him back on the table right now!
Gently, gently.
Let's keep him on Ambu until we can get him back on the table.
Where are those orderlies?
Damn it, his central line has come out.
Shut off all the lines.
Got it.
Lap sponge!
All right, keep pressure on his IJ.
Should we pack the thoracotomy?
No.
Here you go.
All right, Millin, get me a wet towel.
Millin!
All right, take this.
How the hell did this happen?
Must not have been completely strapped in.
Millin, hold here.
If your wife finds out, she's gonna fire me all over again.
Keep applying pressure.
Bring in the orderlies!
Come on, fellas.
We're gonna carefully lift him back on the table.
Everyone set?
On my count.
One, two, three.
You wanna puncture her spine?
We'd place a small tube in Jackie's lower back to drain the excess fluid around her spinal cord.
There is a chance that it could reverse Jackie's paralysis.
This morning you assured us that you could take care of her aneurysms.
You seemed so certain about it.
That was before I saw the larger aneurysm.
She is my only child.
When did you know that this was going south?
Was it when you had to open her skull?
Or when you had to stop her heart?
Or when you noticed there was something wrong with her spine?
Sky...
I mean, I need to know!
I need to know.
Did you ever think that you could save my child?
Or was I just a fool for believing it?
I did think that I could save your child.
And she is alive and aneurysm-free.
I do not make false promises because I have seen too many bad outcomes.
This is not a bad outcome.
Not yet.
You trusted me once, trust me again.
We have to act fast.
Okay.
I will trust you.
Mostly because I don't have any other option.
All right, her BP has settled down.
What do you think you're doing?
Jo clearly doesn't want me in the room, neither do you, so I thought I'd help with an ex-fix in OR 3.
Well, you thought wrong.
Well, what the hell am I supposed to think then?
Ever since we found out it was twins, Jo has...
She's shut me out.
And I'm usually pretty good at carrying on, but today I can't.
Come here.
When I was in labor with my son, his father was getting emergent brain surgery.
Now, I initially didn't know about it because my OB never let it show on her face.
She knew that I was at my most vulnerable, and she supported me with a strength that I will never forget.
Jo has to do that on a daily basis.
She treats those at their most vulnerable and stays calm.
Right, they could be bleeding or have a prolapsed cord.
She stays strong and encouraging.
Because that's her job.
But today, it should be yours.
She's terrified.
So pull yourself together, so she can fall apart.
Okay, central line's back in.
There's no signs of bleeding or expanding hematoma.
Well, there's some bleeding from the intercostals, probably from the fall.
2-0 silk.
I gave you specific instructions to strap the patient in on the table.
Now is not the time...
Let me finish.
Your mistake was extremely dangerous and completely unacceptable.
We give our patients the very best care that we are capable of giving, no matter who the patient is or what he has done.
And if we can't, then we leave before our personal distractions kill someone.
I should kick you out of this OR, but instead, I'm gonna make you stand there and watch these repairs, which shouldn't even be happening in the first place.
Am I clear?
Hey.
Yeah, once the temperature started to drop, people started leaving.
Do you know where the fans go?
You've worked here longer than me.
Well...
Uh, so you don't know where they keep the extra ice packs?
Just pack it up.
Someone will figure it out.
Who?
Don't ask or it'll be you.
Don't move!
Lucas, no!
I hope there's not another heat dome anytime soon.
That's probably just wishful thinking at this point...
Adams?
Adams?
Okay.
Okay.
All right.
Come here.
Come here.
Come here.
Just take a seat.
Take a seat.
Hey.
You feel the ground under your feet?
Do you feel the ground under your feet?
Good.
Good.
Just keep looking at me.
Keep looking at me.
Right here.
You're in the clinic.
You're not alone.
And you're safe.
You are safe.
Just breathe.
I just came down to say a prayer, and I can't get the words out.
May I?
Yeah.
Yeah.
Jackie's always been so full of life.
Yeah, seeing her in that bed just...
It just breaks my heart.
She's strong and resilient.
Whatever happens, she'll keep kicking ass and taking names.
There's no doubt in my mind.
Yeah.
I'm not a very observant Jew.
But I've always been so moved...
watching people stand during services and give a Mi Shebeirach for their loved ones.
It's the prayer for healing.
It's a mouthful, I know.
No, it sounds beautiful.
You okay?
Can't feel a thing, so no.
We're hoping to change that.
All right.
I'm going to insert the drain.
My mom's scared that this is gonna make things worse.
She tries to act all cool around me, but deep down...
I know she worries.
Are you scared?
Not really.
I was scared at first when I got diagnosed.
But now, I don't know.
I feel like if I think too much about it, I'll be too scared to do anything.
Kinda like what Coach says about overthinking free throws.
You just gotta shoot your shot.
All right.
The drain is in.
I'll let you rest, and I will check back in a bit.
Cool.
If I'm not here when you get back, it's 'cause it worked and I walked away.
There you go.
Sorry.
Uh, that was embarrassing.
No apologies necessary.
Yeah, I'm not really a feelings guy.
Yeah, no kidding.
I can't tell if I'm enraged, or sad, or freaked out.
Probably all of the above, you know?
There's no one way to feel about this sort of thing.
So what do I do?
As far as I know, there's no rule book, but I know where you can start.
Yeah.
You wanna page psych or should I?
Yeah, I'll do it.
When I feel ready.
All right.
Uh, but in the meantime, back to work.
Really?
Yeah.
You had a panic attack, not a heart attack.
But I'll tell you what, I'll, uh...
I'll figure out where all this stuff goes so you don't have to.
Thank you.
Hey.
Is that for good behavior or for you to soften the blow for whatever you're about to tell me?
Your scans are reassuring.
The stent is not infected.
Oh, my God.
That's...
Thank you.
Your white count is still elevated, so we wanna keep you in for a few more doses of the antibiotics.
If that's okay with you.
Yeah.
Of course.
Why do I think there's more you wanna tell me?
I don't think I should be on your care team anymore.
I'm sorry.
The freshman me resurfaced.
Or at least the part that had a crush on her friend's older brother.
I...
I shouldn't have tried to kiss you.
It's not only you.
Oh.
Yeah.
So, uh, I'll have Teddy check in on you.
I'm just going to check his vitals.
I'll be quick.
He's a good guy.
He just is going through some stuff.
We both lost our jobs.
And then his friend Eddie got sick.
And then he just...
shut down.
He stopped hanging out with his friends and stopped talking to me.
I just...
I don't know why he thinks he needs to do it alone.
Well, let's hope this is a wake-up call.
I'll be back in the morning.
You should get some rest.
I'm getting the cerclage.
Good.
I'm sorry.
It's just a couple of hours ago, I found out that you were involved in a shooting.
Ten minutes later, I'm hearing imminent labor.
I mean, our whole world was in danger, and I...
I freaked out.
But I just wanna do whatever will keep you safe and whatever keeps them safe.
If that means Marcus and a cerclage...
If I have to get a cerclage...
Stop saying "cerclage."
I know you and I have been...
It's been rough.
But...
I just wanna be here for you, for them.
Just tell me what you need.
Keep Marcus from talking during the procedure.
Okay then.
All four of you ready for this?
Do you play tennis?
You'll have your own built-in game of doubles now.
Marcus, I'm gonna need you to keep all chatter to medically-relevant information.
I love you.
I love you.
How does the drain look?
It's draining.
How you feeling?
Same as when you last checked.
I'd say, there go my WNBA dreams, but those were already in the trash.
Well, I'm guessing you'll have new dreams to chase.
Maybe.
But basketball will always be my true love.
There's gotta be a way to keep it in my life.
Jackie, your toes are moving.
They are?
Yeah.
Oh, my God!
They are.
Mom, look.
It's working.
The drain's working.
Queue one hour neuro checks.
This is good.
Thank God.
Thank God you're okay.
Update me on her progress.
You're gonna keep going, aren't you?
Impossible cases.
I'm never gonna be able to look somebody in the eye and tell them I'm not gonna try to help them.
I mean, if that's a problem for you...
No.
I'm not scared of a challenge, Amelia.
All right, I...
I take in the miracle.
I always have.
But what you did today was reckless.
I don't do reckless.
So, if you need a miracle, okay, give me all of the information up front, or find another surgeon.
Hey.
How you feelin'?
Cerclage went well.
No complications.
Babies are still inside, so I'll take it.
But, um, I'll...
I'll need to take a few days off.
Yes, you do.
Hey, um...
Hmm?
Thank you for staying with me.
It really meant a lot with, um...
with Link and Marcus.
Oh, God, Marcus.
I can't stop picturing him between my legs.
I might have to quit.
He saved your babies.
Just think about that.
Okay?
Get some rest.
Uh...
And him.
Uh, sitter's all set.
How are you doing?
You hungry?
Can I get you some food?
I, uh...
I've been making decisions on my own my whole life.
And being in a functional relationship and allowing someone else to weigh in on everything, I...
I'm...
I'm still...
I know.
And I love you so much.
I love you.
And Harry and Fanny.
That's my favorite great aunt and uncle.
What do you think?
Is that your BP?
Mmm.
Yeah.
Should I get you a juice?
Yeah.
I'll take orange juice.
Thank you.
Okay.
Uh, Dr.
Webber.
Millin, you okay?
It was me.
I didn't strap Damian to the table.
I thought I did, but I...
I must've gotten distracted.
And then when Dr.
Altman called Griffith out, I froze.
I should've taken responsibility for it then and I didn't, so I'm taking responsibility for it now.
I'm sorry.
I appreciate that.
But I'm not the one who needs an apology.
Hey, go easy on that arm.
I've had worse injuries playing soccer.
Are you okay?
You know, I wasn't sure if this might have brought up some memories for you.
Yeah.
A few.
I mean, that day shaped my whole life.
Probably Derek's too.
You were his favorite, you know?
He always saw something in you.
Oh, and you didn't?
Oh, I found you infuriating.
But Scout and I love having you around.
You coming home tonight?
Uh...
That's okay.
I'll see you tomorrow.
Hey, Chief, uh, you got a minute?
No, but you're already here.
Um...
So, uh, about today.
I'm sorry.
I was...
I was only trying to help.
You said that the hospital doesn't have emergency plans for heat domes.
Well, turns out that we don't have ones for wildfires, tsunamis and a few other natural disasters.
And they're only increasing with climate change.
So I wanna put together a committee to fill in the gaps.
With...
with your permission, of course.
Permission not granted.
Uh, can I ask why not?
As much as you can't seem to grasp this, you are a resident.
On a trial basis.
You have no business devising protocols that you can't follow.
If I were you, I would spend less time assuming that you have a permanent position here and more time proving that you should have one.
We're done here, Dr.
Warren.
Hey, you busy?
Well, a patient fell off the OR table, so...
yeah.
Um, do you mind getting the kids?
Uh, sure.
Sure, yeah.
Um...
Could you check in on Nora Young before you leave?
Yeah.
Of course.
After all these years, she still gets under your skin, doesn't she?
Yeah.
Yeah, I guess she does.
What happens in our brains in the moments before we die has puzzled scientists for centuries.
While we have some evidence of our lives flashing before our eyes, there are still many questions.
Temperature dropped 21 degrees in two hours.
How's Adams?
He's okay.
He's okay.
I'm used to seeing patients come off rigs every day.
Hundreds of 'em.
Some worse than others, but...
I can handle it.
Always have.
But if one more resident comes off a rig, I don't think I can.
You talked to Altman?
Not yet.
No one knows exactly why it happens.
Some people think it's biology.