Programa de TV: Grey's Anatomy - 21x10
Before they're even scheduled for surgery, every patient asks how long it will take to recover.
The implication being the quicker the better.
The fancy car, the private jet.
It's a nice way to distract from the ick factor of being flown in for an F.O.C.
That's a "friend of Catherine."
Her friends deserve liver transplants too.
Right.
Okay.
So we're doing it out of fairness?
I miss the OR.
Hmm.
And this has nothing to do with Ellis's school fundraiser tonight?
I spend all my time fundraising for Alzheimer's research.
It gets a hundred-percent of my focus.
And I can donate to the school online.
Okay.
I get it.
You're scared of the other moms, aren't you?
They're scared of me.
Oh.
That's true.
That is true.
Plus, this gives me a chance to check on Catherine's shunt.
And, uh, Richard?
Maybe you check on him?
Well, I didn't operate on him.
So...
Search online and you'll find advice from all kinds of people without medical degrees about how to heal faster...
Morning.
Mmm.
Intern retreat morning.
Yeah, a whole day out of the OR.
Why do you sound happy?
No morning rounds.
Why do you sound miserable?
Just interns all day.
You still avoiding Millin, huh?
She threw me under the bus with Altman.
Has barely acknowledged me since.
It's kinda hard to do that when you're avoiding her.
Whose side are you on?
What are we supposed to wear to this thing?
Uh, clothes?
Oh.
But do you have to put them on right now?
...
because most people don't wanna hear what we say, which is to rest, and let your body heal on its own time.
Oh, th-this is great.
Well, it's not Cottonwood Resort, but you know, you gotta do what you gotta do.
I loved when Richard would invite my residency class to his home.
For a party or a meal.
But you know, retreat is supposed to be a change of pace.
This is change.
You rearranged the whole living room.
I hope this is fun.
They need it.
I gotta go.
Altman's been watching me like a hawk ever since the heat dome.
You should be happy that's all she's doing.
What happened to staying out of it?
I'll see you tonight.
Good luck with your retreat.
Oh.
No luck needed.
Danny Ford, retreat facilitator.
Uh.
I've got a curriculum that's worked for its clients from Fortune 100 CEOs to at-risk teens.
So you're in good hands.
Mine.
Well, then I'll keep my luck to myself.
Okay.
Danny, come on.
Thank you.
Thank you.
I appreciate it.
All right.
Okay.
Oh, I'll take it.
Thank you, Dr.
Bailey.
Good morning, sleepyhead.
I am beat.
Scout woke me up twice last night asking for "wawa," and I brought him water, and he spiraled his cup across the room.
I thought you were supposed to be resting.
Yeah, well, most of my patients will be back at work by now, but Bailey's strong-armed me into taking more time.
It's been less than a week since your procedure.
I am fine.
I just...
I feel a little pressure when I go up and down the stairs.
Want me to carry you?
Mmm.
Like when I sprained my ankle, and you carried me to the campus health center.
No, thank you.
I only dropped you once.
Yeah, I wouldn't brag about that.
Okay.
Yeah.
Hmm.
I don't hate it, but what is it?
Mm-hmm?
Bacon, egg, cheese, a pancake between two doughnuts.
It's a sandwich of my favorite breakfast foods.
Yeah!
Mmm.
Okay, you just...
Okay.
Yeah, so you just kind of just squish it down.
Go fix bones.
Okay.
My Aunt Jeannie brings potato salad to family picnics in a cooler like this.
Well, this one's for precious cargo.
Katie Ramsey's waited six months for this heart.
Well, I won't tell my Aunt Jeannie that you don't think her potato salad is precious.
And I won't tell our patient that you compared her heart to potato salad.
Fair enough.
Mmm.
Morning.
Dr.
Ndugu.
Hey.
I thought I missed you.
Jackie said that you had already checked on her.
Oh, yeah, I got an early start on rounds today.
Jackie's doing well, so...
Yeah.
...
and now I'm picking up a heart for a transplant patient.
That's impressive.
I'm actually glad I ran into you.
We've been here so long.
It feels kinda weird not to start my day with you.
She seems nice.
Yeah, I helped save her daughter.
Mm-hmm.
Doesn't seem like that's why.
Hey, Amelia.
Hey, how's Jo?
Not answering my texts about lowering my rent now that Levi's moved out.
That wasn't for me.
Marley Frank, 37, jumped off the 15-foot high bridge into shallow water.
No LOC.
Complains of neck and back pain.
Vitals stable.
I'm also freaking freezing.
Hello, Marley, I'm Dr.
Lincoln.
This is Dr.
Shepherd and Dr.
Helm.
We're here to help.
I do need to ask, did you hurt yourself on purpose?
We can find somebody for you to talk to.
No, it wasn't that kind of jump, I swear.
Marley, we're here.
Are you a runaway bride?
Divorcée.
Just finalized it.
I'm having a divorce party to ring in my good riddance era.
Yeah, you are!
I was tossing my ring into Lake Union when I remembered how expensive it was.
We tried to stop her, but we didn't make it in time.
We had a few celebratory mimosas.
Oh, I can make more.
Yeah!
They were my bridal party.
Now we're her divorce party.
Yeah!
Yeah!
Okay, let's go to Trauma 3.
Okay.
Not you.
Let's go!
You take them to the waiting room.
No alcohol in the hospital.
This way.
So what happened to the case you mentioned last week?
The patient's thigh skin graft worked 'cause it was thicker and stronger.
Are you talking about the thigh skin or his new penis?
You know it's both.
Are we interrupting?
Oh, no, Dr.
Marsh, please.
Meet my former student, Dr.
Evynn Moore...
Hi.
Pleased to meet you.
...
and her lovely wife...
Nice to meet you.
...
Professor Tasha Lawson.
Hi.
Nice to meet you.
Urologist?
Oh, leader in penile reconstruction.
She thinks she taught me everything I know.
Child, please.
You couldn't have cared less about a penis before you met me, and you know it.
She's not wrong.
Tasha, Evynn.
Good to see you again, Dr.
Webber.
Good to see ya.
Good to see you too.
I see you already have a general surgeon on the case.
Tasha's case is complicated.
She needs a real team.
On top of her bile ducts being scarred because of the primary sclerosing cholangitis, she has situs inversus.
I thought my sinuses were okay.
They are, babe.
We're talking about your abdominal organs being reversed.
Don't let her confusion fool you.
She's a poli-sci professor and the smartest person I know.
We might be looking at hepatic encephalopathy.
That's why she needs a new liver.
I need a new liver?
Yeah, baby.
That's why we're here.
Your liver's failing because it's not draining properly.
Yeah.
But what about my sinuses?
They're okay, T.
We're grateful Dr.
Fox got us listed here and the liver's finally become available.
The Portland hospitals were giving us the run-around.
You're with the best now, Tasha.
Okay, well then, I'd like Tasha's consent to have her records sent over.
I already got 'em.
We've had issues with hospitals losing things.
Dr.
Fox always said we have to take care of ourselves 'cause no one else cares as much.
Mm-hmm.
Okay, let's get started then.
Okay, I'll see you soon.
Thank you.
Richard, where are you going?
Marsh and Grey, they can handle this.
Evynn is expecting you.
I can go.
He clearly doesn't wanna work with me.
I know Meredith prefers to keep her cases close to the vest.
I'll work with whoever.
Stop.
Everybody, just stop.
Do you know what happened to Evynn and Tasha before they came here with us?
They were rejected by, not one, but two hospitals that were thrown by the situs inversus.
And when Evynn pushed on them, they questioned her medical credentials.
They said whatever they could to make her feel lesser, make her feel small, to make her go away.
I promised them top-notch doctors.
I promised them A-plus care.
Make me rescind those promises, and you know what will happen.
Put it aside.
Okay.
Shall we go look at the scans?
Synced and corrected by ChrisKe - -- for www.addic7ed.com -- It's good to be back in the field, huh?
Yeah, I barely get out, even near the hospital.
Well, that woman in the elevator could probably show you around.
All right, she's...
Her daughter's my patient.
Not forever.
Yeah, well, we already went out once.
So...
And?
What, you didn't vibe?
I think once is kind of my max right now.
You ever been divorced?
Uh, no.
Okay, well, when a date finds out I'm divorced, the conversation shifts.
Like she's trying to figure out why my ex left, you know, so she can decide whether to cut and run.
Sounds like you just haven't met the right woman.
Or maybe this is my life now.
If you want it to be.
But years ago I dated a woman who was divorced.
And, you know, I had to wait a minute for her to be ready for me.
But, it was worth it.
You ever wonder what happened to her?
She is at our house running an intern retreat.
Hey, can you not stab me?
Molly sent me a picture of her toothbrush.
I'm trying to send something back.
Wow, you two are terrible at sexting.
Yeah, don't care.
I'll get the real thing after she comes back after breaking up with her boyfriend.
She walked right by me.
Didn't even say hi.
Bailey?
Millin.
She owes Simone an apology.
Do I even wanna know why?
Mm-mmm.
Is this where the caffeine is?
Hey, good morning to you too.
Oh, crap, I'm sorry.
That's okay.
I accept your apology.
Let's forget about it and move forward.
Does she know what she did?
Sorry I asked.
See, even you can say it.
Who do you have odds on?
Not us.
Okay, let's go, everyone.
All right, come on in.
Take a seat.
Any seat.
Let's go.
But don't get comfortable.
Today isn't about being stuck behind a desk writing progress notes.
Is it about working with patients?
Or improving technical skills?
Yes, and yes.
Today has been designed by Danny and myself...
to help you become better surgeons.
Why don't we start with an icebreaker to get to know each other?
Well, we know each other pretty well.
Can we skip that part?
No, you cannot.
We're gonna break into pairs.
So, turn to the person sitting next to you, and let's...
Or we could count off ones and twos so we can mingle more?
Yes, that's an excellent idea.
Let's start.
Great.
These scans are from three months ago.
She has some beading in the common bile duct, but the common hepatic vein should be long enough to do a proper anastomosis.
Mm-hmm.
Sure.
Previous stent is in place.
We can transplant the liver at 90 degrees with the right lobe up to accommodate the situs inversus.
Mm-hmm.
We're going to operate together.
You're going to have to speak to me eventually.
Hey, sorry, excuse me.
So, Valley Green Hospital sent images of the donor liver.
Well, any strictures or anomalies that would prevent us from grafting the liver at 180 degrees horizontally?
Uh, I just said we should transplant it 90 degrees, so we need to discuss it.
I didn't think you liked discussing medical procedures with me.
What do you think that I've been doing...
I just...
I just came to tell you I'm passing on the liver.
Yeah, it's too big.
I wanna hold out for a better fit for Tasha.
They'll be disappointed, but at least it gives us extra time to get some updated imaging.
Yes.
Marley, I'm sorry that we had to cut your wedding dress.
Don't be.
I can't believe I paid to have it cleaned and boxed.
When did I think I was gonna wear it again?
Let me know if you feel any pain.
All I wanted was a clean break.
It's such an ugly divorce.
Brad and I argued over every soup spoon.
And I don't even like soup.
It doesn't mean you don't like spoons.
Okay, you're feeling pain at the thoracolumbar junction.
I think I feel a step off.
It could be a chance fracture.
Did she say a "France fracture"?
No. "
Chance."
Like you took a chance on love, and it didn't work out.
It's a specific kind of vertebral fracture.
It's hard to say.
We'll know more once we get some scans.
You said you wanted a clean break.
Hey.
Hi, Dr.
Grey.
That's Dr.
Marsh, T.
That's...
that's what I said.
Be right back.
Sorry about that.
That's okay.
I'm terrible with names, and I don't have encephalopathy.
Are you gonna get the liver?
So I took a look at the donor scans, and I think we should hold out for a better one.
But it's a good match.
Dr.
Fox let me see the scans too.
Okay.
Well, in terms of blood work and viral serology, yeah, it could work.
But the graft is too big.
We're talking about three millimeters.
I've read several case reports of successful transplants with bigger grafts.
There's also plenty of cases where it's caused complications.
Portal hypertension, delayed graft function, not being able to close up the abdomen.
There are always risks.
Yeah.
And I'm a transplant surgeon.
It's my job to minimize those risks.
Tasha is stable.
We should wait.
We have time.
Every day that goes by is another chance for her liver to fail.
We could wait weeks for another match.
You may know transplants, I know my wife.
She needs this...
now.
Evynn.
Something's wrong with the phone.
It keeps buzzing.
Okay.
I'll be right there.
You're supposed to be the best.
Make it happen.
Let me see.
Baby, it's just Minya.
Her and Bahr say "Get well soon."
See?
They sent pictures.
That's them?
That's their kids.
It's your niece and your nephew.
Untying the human knot takes teamwork and direct communication.
Ooh.
Ooh.
Adams.
Adams, your elbow is uncomfortably close to my testicles.
Okay, believe me, it doesn't wanna be.
Kwan.
I'm communicating directly.
Uh, uh, step over my arm.
Exciting.
See, this is some untangling.
Honestly, this is a great exercise that you can do whenever you need a little brush up on cooperation skills.
Well, we should be practicing square knots, not human knots.
Can you turn right?
Your...
No.
Your other right.
Oh, my right or your right?
I can't tell.
Well, I don't know which way to move.
Can you turn under my arm?
All right.
Yeah, yeah.
No, no, no, no!
Hey!
Okay.
Okay.
Okay.
Good try.
Learning how to laugh at our mistakes is also a part of this.
Next, we're going to work on problem solving.
So pick a number...
and find your partner.
Oh.
That's good.
Here, I'll help.
Oh.
Thank you.
Spinal fractures just require a brace or a cast, right?
We googled.
Sometimes.
Um, unfortunately, yours is unstable.
We need to surgically place screws and rods in your spine for support.
That...
that sounds like a lot.
Are there other options?
Risking paralysis, unfortunately.
I was 23 when I married Brad.
I went straight from living with college friends to moving into his condo.
This is the first time I haven't ever had to share a bathroom.
I finally have white towels because I don't care that they're not practical.
I'm supposed to be living my best life, not worried I'm never gonna walk again.
You've got this, Marls.
You'll get anesthesia, much better than cheap champagne.
It wasn't cheap.
Plus, this guy will be taking care of you.
You're single, right?
No ring.
Okay.
I just got divorced.
We weren't thinking for you.
Um...
We need to prep her for the OR, so...
I will let you know when she's done.
Okay.
Oh, we'll be here the whole time.
Don't be scared.
Oh, think about how you got the dog and Brad didn't.
The scans aren't done?
Almost.
Then why'd you page me?
Because we're working together.
I apologized to you.
I told you I hated lying to you.
Catherine was my patient.
What did you expect me to do?
I expected you to tell me.
And break every oath I've ever taken?
It hasn't stopped you before.
Hey.
Ndugu's picking up the liver since he's already on his way for the heart.
I'm booking us an OR.
I thought it was too big.
I can make it work.
Her encephalopathy is only gonna get worse if we wait, so we gotta do it.
Scans are in.
New labs too.
Let's take a look.
Okay, her biliary tree is draining.
That's good.
The stents still seems to be working well.
LFTs are elevated, but...
Not high enough to cause altered mentation.
What if it isn't encephalopathy?
What if it's a stroke?
If it's acute, we shouldn't do the transplant.
We should scan her brain.
We should consult Evynn first.
We don't need her consent.
She's in the scanner already.
Tasha isn't in a position to understand.
We should talk to her caregiver.
Will you stop walking out on me?
You stop giving me reasons to walk out.
Remember, the goal is to build the tallest tower that can support a marshmallow on top.
Wait, is this one spaghetti or two?
Two.
I spilled water on the blueprint.
Or should I say "Bluecas" print.
God.
Yeah, we don't think your jokes are funny like Molly does.
We should've drawn a plan.
Well, ours is almost as tall as theirs.
Yeah, and they're building faster because they have a plan.
Okay, well, here's a plan.
Why don't you stop complaining and stick more of these things together?
Okay, this is too wobbly.
I'm...
It's made of spaghetti.
Okay, time's almost up.
You might wanna stop debating and...
Resolving conflict is also part of this.
...
figure it out yourselves.
Fifteen seconds.
We need to figure out where to put the last marshmallow...
Why don't we just put this here, like...
I have it...
Ah!
Should've seen that coming.
What's that supposed to mean?
It wasn't secure.
So, it fell.
We built this together.
It's not just my fault.
Right, it's never your fault.
Are you done?
Okay, time.
Okay, uh...
We have a winner.
Good job, gents, and, uh, good teamwork too.
I texted Marsh to let him know that we're on our way back.
You ever consider using a professional matchmaker?
I will be quiet.
Stop!
I need help...
Whoa, whoa, whoa.
Pull over.
Pull over.
Thank you.
Thank you.
My dad, he's...
Just take a breath, take a breath.
Try again.
My dad, his bike skidded off the road and it crushed him.
And I called the paramedics, they're on the way but he looks so bad.
He looks so bad.
We're doctors.
We can help.
We gotta be quick.
We got organs on ice.
Yes, they're doctors.
Thank you.
Okay.
We're doing a father-daughter ride.
We do one state every year, five so far.
No problems until now.
Carrie?
Carrie?
I'm here.
I'm here.
These men are doctors.
His name is Arash.
I'm Dr.
Ndugu.
This is Dr.
Warren.
His chest looks crushed.
Multiple contusions, crepitus on palpation.
He must have an injury to his lung or his airway.
How long until the paramedics get here?
They just said that they're on their way.
You're not leaving, are you?
We got patients waiting for lifesaving organs.
The heart's good for a few hours, the liver even longer.
Okay, all right, let's stabilize this neck, check the leg and go from there, okay?
Okay.
Okay.
Here we go.
We got you.
We got you, Arash.
All right.
There we go.
Nice and tight.
We got you.
Tourniquet is on.
Bleeding's stopped.
When's that ambulance getting here?
Can you call 911 again?
Yeah, yeah, yeah.
His pulse is getting thready.
Do you see any more sources of bleeding?
Is that JVD?
Could be cardiac tamponade.
Dad!
Dad!
Why aren't you guys still helping him?
We have no supplies.
We've done all we can do.
Now we have to just wait for the paramedics.
But they're still five to ten minutes out.
We've lost pulses.
Starting CPR.
Dad.
Dad, don't die.
Please.
Breathing.
Hey.
Hey.
I reviewed your most recent labs.
Everything looks normal.
Oh.
Any pain or nausea?
I feel exactly the same way I did when you asked two weeks ago.
Lord.
Okay.
No pain, no nausea.
Happy now?
Mm-hmm.
Where's the rest of your team?
We're dividing and conquering.
Nick is studying the donor liver.
And Richard?
You can't be mad at me.
He's upset because I was keeping your secret.
You know, Evynn's first ever surgery was on my service.
We were doing a hernia repair, and I cut the vas.
It took me a moment to notice.
We repaired it, but later on, I found out she saw it all happen.
She didn't say anything.
She was worried that I would be mad.
That's when I taught her to speak up, to call people out, even me.
She seems pretty comfortable with you now.
Maybe too comfortable.
She's like family.
When you nurture family, when you train family, the lines become blurred, especially when they use the skills you taught them against you.
It hits harder.
That means it takes longer to get over.
All right, get your team together.
Hydrocelectomy consult.
Don't judge me.
I know I should be taking time off, but that's how I cope.
You really are Catherine's protégée.
When I was a resident, they called me Kit.
Like we were KitKat.
Not that we'd ever call her Cat to her face.
Tasha's scans still aren't done yet?
Mmm, Dr.
Grey didn't find you?
No.
Is there a problem?
Uh, Tasha's tests aren't adding up.
We're concerned that she's had a stroke.
Dr.
Grey wants another MRI.
No.
Tasha's already been through hundreds of tests.
We're not doing that.
Absolutely not.
I'm sorry.
She'd been managing her PSC just fine for 12 years, but lately, I'm scared for her.
I don't blame you.
Two years ago, she was accepting the Margeaux Prize for Distinguished Faculty, publishing her third book, doing political commentary for the local NPR station.
She's deteriorating before my very eyes.
I'd do anything to save her.
Anything.
All right, no displaced bone fragments or swelling.
No need for decompression.
Let's move on to fixation.
We'll place the first screw.
Now her vertebrae will be bonded forever.
Better than being paralyzed.
Yeah, well, she'll have scar tissue and less flexibility.
Some unions are just not meant to be permanent.
That's why I'm never getting married.
I mean, look at what you...
um, uh, a lot of people have avoided.
I think it's best to say no, no matter how many proposals or rings are involved.
You spilled your guts to Wilson back then.
She had to talk to someone.
You?
Schmitt.
Okay, I recommend more work, less chatter.
Oh, they're here, finally.
Swap out with me.
Thank God.
What's going on?
He's got blunt trauma to the left chest.
No palpable pulse.
Let's try decompressing him.
Here's a needle.
All right.
Dad!
You have to help him.
I'll grab the Lifepak.
Can you get me an LMA?
On it.
No rush of air.
No pulse.
Still has JVD.
I need a stethoscope.
Give me that.
Is he gonna be okay?
Tell me he's gonna be okay.
It's definitely cardiac tamponade.
I think we should open him right here.
What do you mean "open him"?
His chest injuries have caused blood to fill up the sac around his heart.
That pressure is keeping his heart from pumping properly.
In the ER, we would cut open the sac to relieve the pressure.
You want to do that here?
He won't make it to the hospital.
Carrie, your dad is moments away from death, but we can do this procedure right here, right now.
We just need to move fast.
You really think that this will work?
It'll give him a chance.
If they take him, his chances are zero.
Okay, okay.
Do it.
Get a scalpel, OB pack and gloves.
Hang on, Dad.
Silver Linings might be my favorite exercise.
Mm-hmm.
When we're facing a challenge, this can be a helpful tool to remind ourselves how well equipped we are to handle tough situations.
So, who wants to start?
Mm-hmm.
Mmm?
All right, someone volunteer before they're volun-told.
Um...
I-I was struggling to connect to a gunshot wound patient.
But now that I've experienced it myself, I think maybe I'll be able to help more.
You were shot?
Grazed.
Kwan and I talked a med student off the ledge.
Yeah.
It was a good reminder that...
we can save lives both in and out of the OR.
Uh, this ledge is metaphorical or...
Hospital roof.
Oh.
Well, this is some heavy stuff.
Um, next?
Uh...
Uh, yeah, I'm actually feeling pretty great.
Oh.
But...
it's nice to have a moment to reflect.
Right.
Uh, I-I don't wanna do this.
Listen, this is a safe space if you have an aversion to public speaking.
I, um, just don't want to put a positive spin on terrible things.
I mean, we lost a classmate.
Oh, my God.
She's still alive.
She...she's still alive.
She dropped out of the program and everybody's acting like nothing has changed and everything has changed.
No, Millin, that's not true.
We're playing games.
I mean, these two are making out all over the place.
Blue is texting his ex or his girlfriend or whatever...
she is.
And you're only doing this to protect yourself in case another one of us flames out or kills someone in the OR.
What's the point in team bonding if we don't have a team?
Our team is broken.
I'm sorry.
All right, almost there.
Help me retract the chest.
All right.
When we get through, I'll release the pressure around the heart.
Wait, what is that?
What are you doing?
We're opening the sac around his heart to get it pumping again.
Oh, my God.
You might want to look away.
Making the incision on the pericardium.
All right, done.
I see a small hole in the heart.
Give me a suture.
Wait, a suture?
Are you sure you know what you're doing?
I'm the chief of cardiothoracic surgery at Grey-Sloan.
That means yes.
Just a quick figure-of-eight stitch.
All right.
Warren, cut for me.
Bleeding's stopped.
Start cardiac massage.
Yeah, BP's coming up.
Does that mean you did it?
Please say you did it.
We got a rhythm.
We did it.
Where is T's liver?
It got delayed.
What's taking so damn long?
The doctors transporting it stopped to save a life on the side of the road.
You know I don't care about anyone else right now.
Getting mad is not gonna make it get here any faster.
Uh, Ndugu says that the liver should be here within 30 minutes.
I stand corrected.
Oh, my God.
It's actually happening?
It is.
Mm-hmm.
Thank you.
I told you it would.
You gotta learn to trust.
I know, I know.
Okay, I'm gonna go get ready.
Would you mind if I watched from the gallery?
I just wanna see the first incision so I know it's actually gonna happen.
Uh, um, I mean, it's not typically how we, uh, um...
Fine with me.
Absolutely.
Thank you.
Sure.
How is she doing?
Um, she's fine.
Okay, you want to yell at somebody.
Yell at me.
Come on.
Come on.
I know you're still angry with me.
I never said that.
You don't think I can see the anger?
The hurt?
The frustration?
Th-that's why I scheduled this retreat.
I-I thought we could have a day away from the hospital.
Polish up on some skills.
Have some fun.
Cook a meal.
It may be too soon, but I had to do something.
Because...
I'm feeling all of that too.
You were right.
Your team is broken.
And I wanna...
I wanna help...
fix that.
Do you?
This is the patient we called in for Beckman.
I'll get this liver to Marsh's OR and then prep Ms.
Ramsey.
Hey, great work today.
I'll be sure to tell Altman when I see her.
Thank you.
You ever do anything like that before?
Nope.
Are you sure you can't stay?
We planned a few more activities.
Listen, your interns have been through way more than I'm equipped to handle.
What about all those CEOs you helped?
There are psychologists who specialize in workplace stress or trauma.
I'd go to one of them.
Good luck.
Silver lining, the traffic should be light.
Thank you for hosting the retreat.
Your home is lovely.
Uh, the bagels were good.
Uh, yeah, no, I've never done the human knot before.
Also, uh, honestly, what Kwan said.
The bagels were fine.
Go home.
Um, I thought we were going to make a meal together.
Yes.
Yes, we are.
Okay.
It's not optional.
I scanned Tasha's brain.
Meredith...
Hear me out.
Her brain is atrophied.
The confusion, the memory loss, the disorientation.
I think it's dementia.
I don't need to see it, because I have these.
After speaking with Evynn, I had some questions.
So I had Tasha's full medical records faxed to me from Portland.
She was diagnosed with Alzheimer's...
two years ago.
It's probably why the hospital's transplant committee rejected her.
Evynn was mentioning Tasha's recent accomplishments.
The awards, the books, the public recognition.
It made me think of your mother.
Do you think Catherine knows about this?
You think she doesn't?
Are you okay?
No, I'm pissed at Kwan's pile of onions.
We don't need that many.
The recipe said two, so I cut two.
I'll take those.
Use them for the chili.
Oh, uh, I'll wash it.
I'll dry.
If you wanna visit her, I have airline miles.
It might not be enough, but you can...
have 'em.
Um...
I was trying to...
plan a visit, but she said she needs space.
I'm sorry.
Here.
Yeah.
The surgery worked.
We were able to fuse your spine and stabilize your fracture.
How long until I can walk?
PT starts tomorrow.
It might be painful, but it's good for you.
You sound like my friends telling me to get back in the dating pool.
Sometimes you just gotta dive in, you know.
Right, sorry.
Guess what the Seattle Fire Department found?
Oh, my God, is that...
We got the box at the hospital gift shop.
It's ready to sell, then Cabo.
Mm-hmm.
I'm sorry for your divorce.
Mmm.
It's for the best.
No, I don't doubt that.
You were married, I'm sure at some point you loved him and he loved you.
It's okay to mourn that loss.
He was an ass from the start though, right?
Like really horrible.
He made you split the check on your first date at that sandwich place.
He never remembered your birthday.
He texted me the day of, asking for gift ideas under 50 bucks.
He wore sandals at my wedding.
You don't need him.
We're your besties and your soulmates.
We'll trade off taking care of you.
I'm this week.
Get ready to watch a lot of Housewives.
All right, um, check her labs and write her post-op notes.
And, um, when you're ready, Jeremiah's Jewelry downtown.
Pays good prices.
Thanks.
I always wondered what happened to those rings.
Yeah, two of the jewelers let me return it.
The other guy was a jerk.
Well, thank goodness for Jeremiah.
Yeah.
Hey, for what it's worth, I thought what you said was nice.
A friend of mine promised me that if I took time to grieve a broken relationship, it'd eventually be okay, and it'd eventually be better.
Yeah, sounds like a good friend.
Um, would you watch Marley's post-op?
Yeah.
Everything okay?
All right.
Okay.
Yeah.
Hey.
Oh.
Hey.
Jackie just fell asleep.
Does she need a procedure?
No, I was actually looking for you.
Do I need a procedure?
No.
I'm about to, uh, transplant that heart I mentioned.
Oh.
I wanted to ask if maybe you'd like to have dinner sometime.
You know, um...
if this were a few months ago, I would've loved that.
But Jackie knows you now and...
That just creates a set of expectations I'm not sure you're ready for.
Okay, yeah.
I...
I respect that.
Well, if you change your mind, you know where to find me.
Catherine.
Aren't you two supposed to be in an OR?
We had a few issues to work out first.
Like why you lied.
I told you I didn't want you to worry.
This is not about the cancer.
It's bad enough.
Now you're implicating Grey and me in God knows what.
Fraud?
Falsifying medical records?
What are you talking about?
Tasha's Alzheimer's.
Her what?
Tasha has Alzheimer's.
What?
Evynn left it off the electronic records she gave us.
No.
She had me vouch for Tasha to the transplant committee.
If they had known, they might've made a very different decision.
Evynn played all of us.
Well, she learned from the best.
Where is she now?
Page Grey and Webber again.
Hey, where you been?
We need to talk.
Uh, I'm just about to...
I know.
Stop.
We need to talk.
Okay.
They say patience is a virtue.
But...
it often feels overrated...
...
especially when we're in pain.
When we're recovering from a fractured leg, a bruised ego, a broken heart, all we want is to feel better now.
How are you still eating?
It's cereal.
It goes in a different stomach.
Now I know where all our cereal goes.
Hi.
Hi.
Uh, do you...
do you want a drink?
Maxine's hosting canasta at our place and it's kind of a lot.
Sure.
Come in.
We can look for shortcuts to speed things up.
Is he still eating?
That's what I said.
Different stomach.
But more often than not, it's best to let things play out in their own time.
Hey.
So, uh, dinner is on the counter, but you might have to reheat it.
This bedtime took forever.
Luna started crying and then Scout started sympathy crying and it was...
What?
You are my best friend.
Are you making fun of my hair?
Will you just let me talk?
Okay, but can you make it quick?
'Cause I have to shower.
Marry me.
What's happening?
You said make it quick, so...
I love you.
You love me.
And I know that it takes more than that to make a marriage work, but what do couples who have been together for a long time say? "
I've married my best friend."
That's us.
It's been us.
Since you sprained your ankle and I dropped you on Cannon Green.
You know?
Since we stayed up all night studying, eating Jimmy's cheesy bread.
It's been us since that summer of epic phone calls when you nannied in West Windsor.
Yeah.
It's still us.
You're my soulmate.
And years from now, we'll tell our kids, our grandkids, that the secret to our marriage...
The implication being the quicker the better.
The fancy car, the private jet.
It's a nice way to distract from the ick factor of being flown in for an F.O.C.
That's a "friend of Catherine."
Her friends deserve liver transplants too.
Right.
Okay.
So we're doing it out of fairness?
I miss the OR.
Hmm.
And this has nothing to do with Ellis's school fundraiser tonight?
I spend all my time fundraising for Alzheimer's research.
It gets a hundred-percent of my focus.
And I can donate to the school online.
Okay.
I get it.
You're scared of the other moms, aren't you?
They're scared of me.
Oh.
That's true.
That is true.
Plus, this gives me a chance to check on Catherine's shunt.
And, uh, Richard?
Maybe you check on him?
Well, I didn't operate on him.
So...
Search online and you'll find advice from all kinds of people without medical degrees about how to heal faster...
Morning.
Mmm.
Intern retreat morning.
Yeah, a whole day out of the OR.
Why do you sound happy?
No morning rounds.
Why do you sound miserable?
Just interns all day.
You still avoiding Millin, huh?
She threw me under the bus with Altman.
Has barely acknowledged me since.
It's kinda hard to do that when you're avoiding her.
Whose side are you on?
What are we supposed to wear to this thing?
Uh, clothes?
Oh.
But do you have to put them on right now?
...
because most people don't wanna hear what we say, which is to rest, and let your body heal on its own time.
Oh, th-this is great.
Well, it's not Cottonwood Resort, but you know, you gotta do what you gotta do.
I loved when Richard would invite my residency class to his home.
For a party or a meal.
But you know, retreat is supposed to be a change of pace.
This is change.
You rearranged the whole living room.
I hope this is fun.
They need it.
I gotta go.
Altman's been watching me like a hawk ever since the heat dome.
You should be happy that's all she's doing.
What happened to staying out of it?
I'll see you tonight.
Good luck with your retreat.
Oh.
No luck needed.
Danny Ford, retreat facilitator.
Uh.
I've got a curriculum that's worked for its clients from Fortune 100 CEOs to at-risk teens.
So you're in good hands.
Mine.
Well, then I'll keep my luck to myself.
Okay.
Danny, come on.
Thank you.
Thank you.
I appreciate it.
All right.
Okay.
Oh, I'll take it.
Thank you, Dr.
Bailey.
Good morning, sleepyhead.
I am beat.
Scout woke me up twice last night asking for "wawa," and I brought him water, and he spiraled his cup across the room.
I thought you were supposed to be resting.
Yeah, well, most of my patients will be back at work by now, but Bailey's strong-armed me into taking more time.
It's been less than a week since your procedure.
I am fine.
I just...
I feel a little pressure when I go up and down the stairs.
Want me to carry you?
Mmm.
Like when I sprained my ankle, and you carried me to the campus health center.
No, thank you.
I only dropped you once.
Yeah, I wouldn't brag about that.
Okay.
Yeah.
Hmm.
I don't hate it, but what is it?
Mm-hmm?
Bacon, egg, cheese, a pancake between two doughnuts.
It's a sandwich of my favorite breakfast foods.
Yeah!
Mmm.
Okay, you just...
Okay.
Yeah, so you just kind of just squish it down.
Go fix bones.
Okay.
My Aunt Jeannie brings potato salad to family picnics in a cooler like this.
Well, this one's for precious cargo.
Katie Ramsey's waited six months for this heart.
Well, I won't tell my Aunt Jeannie that you don't think her potato salad is precious.
And I won't tell our patient that you compared her heart to potato salad.
Fair enough.
Mmm.
Morning.
Dr.
Ndugu.
Hey.
I thought I missed you.
Jackie said that you had already checked on her.
Oh, yeah, I got an early start on rounds today.
Jackie's doing well, so...
Yeah.
...
and now I'm picking up a heart for a transplant patient.
That's impressive.
I'm actually glad I ran into you.
We've been here so long.
It feels kinda weird not to start my day with you.
She seems nice.
Yeah, I helped save her daughter.
Mm-hmm.
Doesn't seem like that's why.
Hey, Amelia.
Hey, how's Jo?
Not answering my texts about lowering my rent now that Levi's moved out.
That wasn't for me.
Marley Frank, 37, jumped off the 15-foot high bridge into shallow water.
No LOC.
Complains of neck and back pain.
Vitals stable.
I'm also freaking freezing.
Hello, Marley, I'm Dr.
Lincoln.
This is Dr.
Shepherd and Dr.
Helm.
We're here to help.
I do need to ask, did you hurt yourself on purpose?
We can find somebody for you to talk to.
No, it wasn't that kind of jump, I swear.
Marley, we're here.
Are you a runaway bride?
Divorcée.
Just finalized it.
I'm having a divorce party to ring in my good riddance era.
Yeah, you are!
I was tossing my ring into Lake Union when I remembered how expensive it was.
We tried to stop her, but we didn't make it in time.
We had a few celebratory mimosas.
Oh, I can make more.
Yeah!
They were my bridal party.
Now we're her divorce party.
Yeah!
Yeah!
Okay, let's go to Trauma 3.
Okay.
Not you.
Let's go!
You take them to the waiting room.
No alcohol in the hospital.
This way.
So what happened to the case you mentioned last week?
The patient's thigh skin graft worked 'cause it was thicker and stronger.
Are you talking about the thigh skin or his new penis?
You know it's both.
Are we interrupting?
Oh, no, Dr.
Marsh, please.
Meet my former student, Dr.
Evynn Moore...
Hi.
Pleased to meet you.
...
and her lovely wife...
Nice to meet you.
...
Professor Tasha Lawson.
Hi.
Nice to meet you.
Urologist?
Oh, leader in penile reconstruction.
She thinks she taught me everything I know.
Child, please.
You couldn't have cared less about a penis before you met me, and you know it.
She's not wrong.
Tasha, Evynn.
Good to see you again, Dr.
Webber.
Good to see ya.
Good to see you too.
I see you already have a general surgeon on the case.
Tasha's case is complicated.
She needs a real team.
On top of her bile ducts being scarred because of the primary sclerosing cholangitis, she has situs inversus.
I thought my sinuses were okay.
They are, babe.
We're talking about your abdominal organs being reversed.
Don't let her confusion fool you.
She's a poli-sci professor and the smartest person I know.
We might be looking at hepatic encephalopathy.
That's why she needs a new liver.
I need a new liver?
Yeah, baby.
That's why we're here.
Your liver's failing because it's not draining properly.
Yeah.
But what about my sinuses?
They're okay, T.
We're grateful Dr.
Fox got us listed here and the liver's finally become available.
The Portland hospitals were giving us the run-around.
You're with the best now, Tasha.
Okay, well then, I'd like Tasha's consent to have her records sent over.
I already got 'em.
We've had issues with hospitals losing things.
Dr.
Fox always said we have to take care of ourselves 'cause no one else cares as much.
Mm-hmm.
Okay, let's get started then.
Okay, I'll see you soon.
Thank you.
Richard, where are you going?
Marsh and Grey, they can handle this.
Evynn is expecting you.
I can go.
He clearly doesn't wanna work with me.
I know Meredith prefers to keep her cases close to the vest.
I'll work with whoever.
Stop.
Everybody, just stop.
Do you know what happened to Evynn and Tasha before they came here with us?
They were rejected by, not one, but two hospitals that were thrown by the situs inversus.
And when Evynn pushed on them, they questioned her medical credentials.
They said whatever they could to make her feel lesser, make her feel small, to make her go away.
I promised them top-notch doctors.
I promised them A-plus care.
Make me rescind those promises, and you know what will happen.
Put it aside.
Okay.
Shall we go look at the scans?
Synced and corrected by ChrisKe - -- for www.addic7ed.com -- It's good to be back in the field, huh?
Yeah, I barely get out, even near the hospital.
Well, that woman in the elevator could probably show you around.
All right, she's...
Her daughter's my patient.
Not forever.
Yeah, well, we already went out once.
So...
And?
What, you didn't vibe?
I think once is kind of my max right now.
You ever been divorced?
Uh, no.
Okay, well, when a date finds out I'm divorced, the conversation shifts.
Like she's trying to figure out why my ex left, you know, so she can decide whether to cut and run.
Sounds like you just haven't met the right woman.
Or maybe this is my life now.
If you want it to be.
But years ago I dated a woman who was divorced.
And, you know, I had to wait a minute for her to be ready for me.
But, it was worth it.
You ever wonder what happened to her?
She is at our house running an intern retreat.
Hey, can you not stab me?
Molly sent me a picture of her toothbrush.
I'm trying to send something back.
Wow, you two are terrible at sexting.
Yeah, don't care.
I'll get the real thing after she comes back after breaking up with her boyfriend.
She walked right by me.
Didn't even say hi.
Bailey?
Millin.
She owes Simone an apology.
Do I even wanna know why?
Mm-mmm.
Is this where the caffeine is?
Hey, good morning to you too.
Oh, crap, I'm sorry.
That's okay.
I accept your apology.
Let's forget about it and move forward.
Does she know what she did?
Sorry I asked.
See, even you can say it.
Who do you have odds on?
Not us.
Okay, let's go, everyone.
All right, come on in.
Take a seat.
Any seat.
Let's go.
But don't get comfortable.
Today isn't about being stuck behind a desk writing progress notes.
Is it about working with patients?
Or improving technical skills?
Yes, and yes.
Today has been designed by Danny and myself...
to help you become better surgeons.
Why don't we start with an icebreaker to get to know each other?
Well, we know each other pretty well.
Can we skip that part?
No, you cannot.
We're gonna break into pairs.
So, turn to the person sitting next to you, and let's...
Or we could count off ones and twos so we can mingle more?
Yes, that's an excellent idea.
Let's start.
Great.
These scans are from three months ago.
She has some beading in the common bile duct, but the common hepatic vein should be long enough to do a proper anastomosis.
Mm-hmm.
Sure.
Previous stent is in place.
We can transplant the liver at 90 degrees with the right lobe up to accommodate the situs inversus.
Mm-hmm.
We're going to operate together.
You're going to have to speak to me eventually.
Hey, sorry, excuse me.
So, Valley Green Hospital sent images of the donor liver.
Well, any strictures or anomalies that would prevent us from grafting the liver at 180 degrees horizontally?
Uh, I just said we should transplant it 90 degrees, so we need to discuss it.
I didn't think you liked discussing medical procedures with me.
What do you think that I've been doing...
I just...
I just came to tell you I'm passing on the liver.
Yeah, it's too big.
I wanna hold out for a better fit for Tasha.
They'll be disappointed, but at least it gives us extra time to get some updated imaging.
Yes.
Marley, I'm sorry that we had to cut your wedding dress.
Don't be.
I can't believe I paid to have it cleaned and boxed.
When did I think I was gonna wear it again?
Let me know if you feel any pain.
All I wanted was a clean break.
It's such an ugly divorce.
Brad and I argued over every soup spoon.
And I don't even like soup.
It doesn't mean you don't like spoons.
Okay, you're feeling pain at the thoracolumbar junction.
I think I feel a step off.
It could be a chance fracture.
Did she say a "France fracture"?
No. "
Chance."
Like you took a chance on love, and it didn't work out.
It's a specific kind of vertebral fracture.
It's hard to say.
We'll know more once we get some scans.
You said you wanted a clean break.
Hey.
Hi, Dr.
Grey.
That's Dr.
Marsh, T.
That's...
that's what I said.
Be right back.
Sorry about that.
That's okay.
I'm terrible with names, and I don't have encephalopathy.
Are you gonna get the liver?
So I took a look at the donor scans, and I think we should hold out for a better one.
But it's a good match.
Dr.
Fox let me see the scans too.
Okay.
Well, in terms of blood work and viral serology, yeah, it could work.
But the graft is too big.
We're talking about three millimeters.
I've read several case reports of successful transplants with bigger grafts.
There's also plenty of cases where it's caused complications.
Portal hypertension, delayed graft function, not being able to close up the abdomen.
There are always risks.
Yeah.
And I'm a transplant surgeon.
It's my job to minimize those risks.
Tasha is stable.
We should wait.
We have time.
Every day that goes by is another chance for her liver to fail.
We could wait weeks for another match.
You may know transplants, I know my wife.
She needs this...
now.
Evynn.
Something's wrong with the phone.
It keeps buzzing.
Okay.
I'll be right there.
You're supposed to be the best.
Make it happen.
Let me see.
Baby, it's just Minya.
Her and Bahr say "Get well soon."
See?
They sent pictures.
That's them?
That's their kids.
It's your niece and your nephew.
Untying the human knot takes teamwork and direct communication.
Ooh.
Ooh.
Adams.
Adams, your elbow is uncomfortably close to my testicles.
Okay, believe me, it doesn't wanna be.
Kwan.
I'm communicating directly.
Uh, uh, step over my arm.
Exciting.
See, this is some untangling.
Honestly, this is a great exercise that you can do whenever you need a little brush up on cooperation skills.
Well, we should be practicing square knots, not human knots.
Can you turn right?
Your...
No.
Your other right.
Oh, my right or your right?
I can't tell.
Well, I don't know which way to move.
Can you turn under my arm?
All right.
Yeah, yeah.
No, no, no, no!
Hey!
Okay.
Okay.
Okay.
Good try.
Learning how to laugh at our mistakes is also a part of this.
Next, we're going to work on problem solving.
So pick a number...
and find your partner.
Oh.
That's good.
Here, I'll help.
Oh.
Thank you.
Spinal fractures just require a brace or a cast, right?
We googled.
Sometimes.
Um, unfortunately, yours is unstable.
We need to surgically place screws and rods in your spine for support.
That...
that sounds like a lot.
Are there other options?
Risking paralysis, unfortunately.
I was 23 when I married Brad.
I went straight from living with college friends to moving into his condo.
This is the first time I haven't ever had to share a bathroom.
I finally have white towels because I don't care that they're not practical.
I'm supposed to be living my best life, not worried I'm never gonna walk again.
You've got this, Marls.
You'll get anesthesia, much better than cheap champagne.
It wasn't cheap.
Plus, this guy will be taking care of you.
You're single, right?
No ring.
Okay.
I just got divorced.
We weren't thinking for you.
Um...
We need to prep her for the OR, so...
I will let you know when she's done.
Okay.
Oh, we'll be here the whole time.
Don't be scared.
Oh, think about how you got the dog and Brad didn't.
The scans aren't done?
Almost.
Then why'd you page me?
Because we're working together.
I apologized to you.
I told you I hated lying to you.
Catherine was my patient.
What did you expect me to do?
I expected you to tell me.
And break every oath I've ever taken?
It hasn't stopped you before.
Hey.
Ndugu's picking up the liver since he's already on his way for the heart.
I'm booking us an OR.
I thought it was too big.
I can make it work.
Her encephalopathy is only gonna get worse if we wait, so we gotta do it.
Scans are in.
New labs too.
Let's take a look.
Okay, her biliary tree is draining.
That's good.
The stents still seems to be working well.
LFTs are elevated, but...
Not high enough to cause altered mentation.
What if it isn't encephalopathy?
What if it's a stroke?
If it's acute, we shouldn't do the transplant.
We should scan her brain.
We should consult Evynn first.
We don't need her consent.
She's in the scanner already.
Tasha isn't in a position to understand.
We should talk to her caregiver.
Will you stop walking out on me?
You stop giving me reasons to walk out.
Remember, the goal is to build the tallest tower that can support a marshmallow on top.
Wait, is this one spaghetti or two?
Two.
I spilled water on the blueprint.
Or should I say "Bluecas" print.
God.
Yeah, we don't think your jokes are funny like Molly does.
We should've drawn a plan.
Well, ours is almost as tall as theirs.
Yeah, and they're building faster because they have a plan.
Okay, well, here's a plan.
Why don't you stop complaining and stick more of these things together?
Okay, this is too wobbly.
I'm...
It's made of spaghetti.
Okay, time's almost up.
You might wanna stop debating and...
Resolving conflict is also part of this.
...
figure it out yourselves.
Fifteen seconds.
We need to figure out where to put the last marshmallow...
Why don't we just put this here, like...
I have it...
Ah!
Should've seen that coming.
What's that supposed to mean?
It wasn't secure.
So, it fell.
We built this together.
It's not just my fault.
Right, it's never your fault.
Are you done?
Okay, time.
Okay, uh...
We have a winner.
Good job, gents, and, uh, good teamwork too.
I texted Marsh to let him know that we're on our way back.
You ever consider using a professional matchmaker?
I will be quiet.
Stop!
I need help...
Whoa, whoa, whoa.
Pull over.
Pull over.
Thank you.
Thank you.
My dad, he's...
Just take a breath, take a breath.
Try again.
My dad, his bike skidded off the road and it crushed him.
And I called the paramedics, they're on the way but he looks so bad.
He looks so bad.
We're doctors.
We can help.
We gotta be quick.
We got organs on ice.
Yes, they're doctors.
Thank you.
Okay.
We're doing a father-daughter ride.
We do one state every year, five so far.
No problems until now.
Carrie?
Carrie?
I'm here.
I'm here.
These men are doctors.
His name is Arash.
I'm Dr.
Ndugu.
This is Dr.
Warren.
His chest looks crushed.
Multiple contusions, crepitus on palpation.
He must have an injury to his lung or his airway.
How long until the paramedics get here?
They just said that they're on their way.
You're not leaving, are you?
We got patients waiting for lifesaving organs.
The heart's good for a few hours, the liver even longer.
Okay, all right, let's stabilize this neck, check the leg and go from there, okay?
Okay.
Okay.
Here we go.
We got you.
We got you, Arash.
All right.
There we go.
Nice and tight.
We got you.
Tourniquet is on.
Bleeding's stopped.
When's that ambulance getting here?
Can you call 911 again?
Yeah, yeah, yeah.
His pulse is getting thready.
Do you see any more sources of bleeding?
Is that JVD?
Could be cardiac tamponade.
Dad!
Dad!
Why aren't you guys still helping him?
We have no supplies.
We've done all we can do.
Now we have to just wait for the paramedics.
But they're still five to ten minutes out.
We've lost pulses.
Starting CPR.
Dad.
Dad, don't die.
Please.
Breathing.
Hey.
Hey.
I reviewed your most recent labs.
Everything looks normal.
Oh.
Any pain or nausea?
I feel exactly the same way I did when you asked two weeks ago.
Lord.
Okay.
No pain, no nausea.
Happy now?
Mm-hmm.
Where's the rest of your team?
We're dividing and conquering.
Nick is studying the donor liver.
And Richard?
You can't be mad at me.
He's upset because I was keeping your secret.
You know, Evynn's first ever surgery was on my service.
We were doing a hernia repair, and I cut the vas.
It took me a moment to notice.
We repaired it, but later on, I found out she saw it all happen.
She didn't say anything.
She was worried that I would be mad.
That's when I taught her to speak up, to call people out, even me.
She seems pretty comfortable with you now.
Maybe too comfortable.
She's like family.
When you nurture family, when you train family, the lines become blurred, especially when they use the skills you taught them against you.
It hits harder.
That means it takes longer to get over.
All right, get your team together.
Hydrocelectomy consult.
Don't judge me.
I know I should be taking time off, but that's how I cope.
You really are Catherine's protégée.
When I was a resident, they called me Kit.
Like we were KitKat.
Not that we'd ever call her Cat to her face.
Tasha's scans still aren't done yet?
Mmm, Dr.
Grey didn't find you?
No.
Is there a problem?
Uh, Tasha's tests aren't adding up.
We're concerned that she's had a stroke.
Dr.
Grey wants another MRI.
No.
Tasha's already been through hundreds of tests.
We're not doing that.
Absolutely not.
I'm sorry.
She'd been managing her PSC just fine for 12 years, but lately, I'm scared for her.
I don't blame you.
Two years ago, she was accepting the Margeaux Prize for Distinguished Faculty, publishing her third book, doing political commentary for the local NPR station.
She's deteriorating before my very eyes.
I'd do anything to save her.
Anything.
All right, no displaced bone fragments or swelling.
No need for decompression.
Let's move on to fixation.
We'll place the first screw.
Now her vertebrae will be bonded forever.
Better than being paralyzed.
Yeah, well, she'll have scar tissue and less flexibility.
Some unions are just not meant to be permanent.
That's why I'm never getting married.
I mean, look at what you...
um, uh, a lot of people have avoided.
I think it's best to say no, no matter how many proposals or rings are involved.
You spilled your guts to Wilson back then.
She had to talk to someone.
You?
Schmitt.
Okay, I recommend more work, less chatter.
Oh, they're here, finally.
Swap out with me.
Thank God.
What's going on?
He's got blunt trauma to the left chest.
No palpable pulse.
Let's try decompressing him.
Here's a needle.
All right.
Dad!
You have to help him.
I'll grab the Lifepak.
Can you get me an LMA?
On it.
No rush of air.
No pulse.
Still has JVD.
I need a stethoscope.
Give me that.
Is he gonna be okay?
Tell me he's gonna be okay.
It's definitely cardiac tamponade.
I think we should open him right here.
What do you mean "open him"?
His chest injuries have caused blood to fill up the sac around his heart.
That pressure is keeping his heart from pumping properly.
In the ER, we would cut open the sac to relieve the pressure.
You want to do that here?
He won't make it to the hospital.
Carrie, your dad is moments away from death, but we can do this procedure right here, right now.
We just need to move fast.
You really think that this will work?
It'll give him a chance.
If they take him, his chances are zero.
Okay, okay.
Do it.
Get a scalpel, OB pack and gloves.
Hang on, Dad.
Silver Linings might be my favorite exercise.
Mm-hmm.
When we're facing a challenge, this can be a helpful tool to remind ourselves how well equipped we are to handle tough situations.
So, who wants to start?
Mm-hmm.
Mmm?
All right, someone volunteer before they're volun-told.
Um...
I-I was struggling to connect to a gunshot wound patient.
But now that I've experienced it myself, I think maybe I'll be able to help more.
You were shot?
Grazed.
Kwan and I talked a med student off the ledge.
Yeah.
It was a good reminder that...
we can save lives both in and out of the OR.
Uh, this ledge is metaphorical or...
Hospital roof.
Oh.
Well, this is some heavy stuff.
Um, next?
Uh...
Uh, yeah, I'm actually feeling pretty great.
Oh.
But...
it's nice to have a moment to reflect.
Right.
Uh, I-I don't wanna do this.
Listen, this is a safe space if you have an aversion to public speaking.
I, um, just don't want to put a positive spin on terrible things.
I mean, we lost a classmate.
Oh, my God.
She's still alive.
She...she's still alive.
She dropped out of the program and everybody's acting like nothing has changed and everything has changed.
No, Millin, that's not true.
We're playing games.
I mean, these two are making out all over the place.
Blue is texting his ex or his girlfriend or whatever...
she is.
And you're only doing this to protect yourself in case another one of us flames out or kills someone in the OR.
What's the point in team bonding if we don't have a team?
Our team is broken.
I'm sorry.
All right, almost there.
Help me retract the chest.
All right.
When we get through, I'll release the pressure around the heart.
Wait, what is that?
What are you doing?
We're opening the sac around his heart to get it pumping again.
Oh, my God.
You might want to look away.
Making the incision on the pericardium.
All right, done.
I see a small hole in the heart.
Give me a suture.
Wait, a suture?
Are you sure you know what you're doing?
I'm the chief of cardiothoracic surgery at Grey-Sloan.
That means yes.
Just a quick figure-of-eight stitch.
All right.
Warren, cut for me.
Bleeding's stopped.
Start cardiac massage.
Yeah, BP's coming up.
Does that mean you did it?
Please say you did it.
We got a rhythm.
We did it.
Where is T's liver?
It got delayed.
What's taking so damn long?
The doctors transporting it stopped to save a life on the side of the road.
You know I don't care about anyone else right now.
Getting mad is not gonna make it get here any faster.
Uh, Ndugu says that the liver should be here within 30 minutes.
I stand corrected.
Oh, my God.
It's actually happening?
It is.
Mm-hmm.
Thank you.
I told you it would.
You gotta learn to trust.
I know, I know.
Okay, I'm gonna go get ready.
Would you mind if I watched from the gallery?
I just wanna see the first incision so I know it's actually gonna happen.
Uh, um, I mean, it's not typically how we, uh, um...
Fine with me.
Absolutely.
Thank you.
Sure.
How is she doing?
Um, she's fine.
Okay, you want to yell at somebody.
Yell at me.
Come on.
Come on.
I know you're still angry with me.
I never said that.
You don't think I can see the anger?
The hurt?
The frustration?
Th-that's why I scheduled this retreat.
I-I thought we could have a day away from the hospital.
Polish up on some skills.
Have some fun.
Cook a meal.
It may be too soon, but I had to do something.
Because...
I'm feeling all of that too.
You were right.
Your team is broken.
And I wanna...
I wanna help...
fix that.
Do you?
This is the patient we called in for Beckman.
I'll get this liver to Marsh's OR and then prep Ms.
Ramsey.
Hey, great work today.
I'll be sure to tell Altman when I see her.
Thank you.
You ever do anything like that before?
Nope.
Are you sure you can't stay?
We planned a few more activities.
Listen, your interns have been through way more than I'm equipped to handle.
What about all those CEOs you helped?
There are psychologists who specialize in workplace stress or trauma.
I'd go to one of them.
Good luck.
Silver lining, the traffic should be light.
Thank you for hosting the retreat.
Your home is lovely.
Uh, the bagels were good.
Uh, yeah, no, I've never done the human knot before.
Also, uh, honestly, what Kwan said.
The bagels were fine.
Go home.
Um, I thought we were going to make a meal together.
Yes.
Yes, we are.
Okay.
It's not optional.
I scanned Tasha's brain.
Meredith...
Hear me out.
Her brain is atrophied.
The confusion, the memory loss, the disorientation.
I think it's dementia.
I don't need to see it, because I have these.
After speaking with Evynn, I had some questions.
So I had Tasha's full medical records faxed to me from Portland.
She was diagnosed with Alzheimer's...
two years ago.
It's probably why the hospital's transplant committee rejected her.
Evynn was mentioning Tasha's recent accomplishments.
The awards, the books, the public recognition.
It made me think of your mother.
Do you think Catherine knows about this?
You think she doesn't?
Are you okay?
No, I'm pissed at Kwan's pile of onions.
We don't need that many.
The recipe said two, so I cut two.
I'll take those.
Use them for the chili.
Oh, uh, I'll wash it.
I'll dry.
If you wanna visit her, I have airline miles.
It might not be enough, but you can...
have 'em.
Um...
I was trying to...
plan a visit, but she said she needs space.
I'm sorry.
Here.
Yeah.
The surgery worked.
We were able to fuse your spine and stabilize your fracture.
How long until I can walk?
PT starts tomorrow.
It might be painful, but it's good for you.
You sound like my friends telling me to get back in the dating pool.
Sometimes you just gotta dive in, you know.
Right, sorry.
Guess what the Seattle Fire Department found?
Oh, my God, is that...
We got the box at the hospital gift shop.
It's ready to sell, then Cabo.
Mm-hmm.
I'm sorry for your divorce.
Mmm.
It's for the best.
No, I don't doubt that.
You were married, I'm sure at some point you loved him and he loved you.
It's okay to mourn that loss.
He was an ass from the start though, right?
Like really horrible.
He made you split the check on your first date at that sandwich place.
He never remembered your birthday.
He texted me the day of, asking for gift ideas under 50 bucks.
He wore sandals at my wedding.
You don't need him.
We're your besties and your soulmates.
We'll trade off taking care of you.
I'm this week.
Get ready to watch a lot of Housewives.
All right, um, check her labs and write her post-op notes.
And, um, when you're ready, Jeremiah's Jewelry downtown.
Pays good prices.
Thanks.
I always wondered what happened to those rings.
Yeah, two of the jewelers let me return it.
The other guy was a jerk.
Well, thank goodness for Jeremiah.
Yeah.
Hey, for what it's worth, I thought what you said was nice.
A friend of mine promised me that if I took time to grieve a broken relationship, it'd eventually be okay, and it'd eventually be better.
Yeah, sounds like a good friend.
Um, would you watch Marley's post-op?
Yeah.
Everything okay?
All right.
Okay.
Yeah.
Hey.
Oh.
Hey.
Jackie just fell asleep.
Does she need a procedure?
No, I was actually looking for you.
Do I need a procedure?
No.
I'm about to, uh, transplant that heart I mentioned.
Oh.
I wanted to ask if maybe you'd like to have dinner sometime.
You know, um...
if this were a few months ago, I would've loved that.
But Jackie knows you now and...
That just creates a set of expectations I'm not sure you're ready for.
Okay, yeah.
I...
I respect that.
Well, if you change your mind, you know where to find me.
Catherine.
Aren't you two supposed to be in an OR?
We had a few issues to work out first.
Like why you lied.
I told you I didn't want you to worry.
This is not about the cancer.
It's bad enough.
Now you're implicating Grey and me in God knows what.
Fraud?
Falsifying medical records?
What are you talking about?
Tasha's Alzheimer's.
Her what?
Tasha has Alzheimer's.
What?
Evynn left it off the electronic records she gave us.
No.
She had me vouch for Tasha to the transplant committee.
If they had known, they might've made a very different decision.
Evynn played all of us.
Well, she learned from the best.
Where is she now?
Page Grey and Webber again.
Hey, where you been?
We need to talk.
Uh, I'm just about to...
I know.
Stop.
We need to talk.
Okay.
They say patience is a virtue.
But...
it often feels overrated...
...
especially when we're in pain.
When we're recovering from a fractured leg, a bruised ego, a broken heart, all we want is to feel better now.
How are you still eating?
It's cereal.
It goes in a different stomach.
Now I know where all our cereal goes.
Hi.
Hi.
Uh, do you...
do you want a drink?
Maxine's hosting canasta at our place and it's kind of a lot.
Sure.
Come in.
We can look for shortcuts to speed things up.
Is he still eating?
That's what I said.
Different stomach.
But more often than not, it's best to let things play out in their own time.
Hey.
So, uh, dinner is on the counter, but you might have to reheat it.
This bedtime took forever.
Luna started crying and then Scout started sympathy crying and it was...
What?
You are my best friend.
Are you making fun of my hair?
Will you just let me talk?
Okay, but can you make it quick?
'Cause I have to shower.
Marry me.
What's happening?
You said make it quick, so...
I love you.
You love me.
And I know that it takes more than that to make a marriage work, but what do couples who have been together for a long time say? "
I've married my best friend."
That's us.
It's been us.
Since you sprained your ankle and I dropped you on Cannon Green.
You know?
Since we stayed up all night studying, eating Jimmy's cheesy bread.
It's been us since that summer of epic phone calls when you nannied in West Windsor.
Yeah.
It's still us.
You're my soulmate.
And years from now, we'll tell our kids, our grandkids, that the secret to our marriage...