1
00:00:01,883 --> 00:00:03,574
When patients leave the hospital,
2
00:00:03,599 --> 00:00:06,430
they're often taking home a
brand-new regimen of medication:
3
00:00:06,681 --> 00:00:08,924
physical therapy and aftercare.
4
00:00:10,961 --> 00:00:14,136
- We really... should go.
- Should we though?
5
00:00:14,792 --> 00:00:16,104
No.
6
00:00:22,568 --> 00:00:24,294
- Wait, wait, wait. Damn it.
- What?
7
00:00:24,432 --> 00:00:26,192
We used the last condom last night.
8
00:00:26,217 --> 00:00:28,937
In our dreams, every patient
would do exactly as they're told.
9
00:00:28,962 --> 00:00:31,151
- Don't move.
- Yes, ma'am.
10
00:00:31,176 --> 00:00:33,212
But reality is a different story.
11
00:00:36,504 --> 00:00:38,826
Kwan, if you use the
last condom, buy more.
12
00:00:38,851 --> 00:00:41,198
You are unemployed.
You have no excuse to...
13
00:00:43,564 --> 00:00:44,634
Morning.
14
00:00:45,685 --> 00:00:46,686
Not Kwan.
15
00:00:46,824 --> 00:00:48,343
- Nope.
- Nope.
16
00:00:48,368 --> 00:00:49,807
- Can you pass me a towel?
- Yep.
17
00:00:49,832 --> 00:00:52,520
Too often medication costs,
memory lapses,
18
00:00:52,545 --> 00:00:55,203
and poor health literacy
impede patients' recovery.
19
00:00:56,329 --> 00:00:58,469
You are gorgeous. You know that?
20
00:01:09,122 --> 00:01:12,189
- What time is it?
- I've set an alarm.
21
00:01:12,214 --> 00:01:13,733
Don't you worry.
22
00:01:17,648 --> 00:01:20,030
- What?
- No. We have time.
23
00:01:20,617 --> 00:01:22,584
No, you have time.
24
00:01:22,609 --> 00:01:25,798
I am a resident. I should
have been there an hour ago.
25
00:01:26,474 --> 00:01:29,704
_
26
00:01:29,729 --> 00:01:31,357
And as their surgeon, there's
27
00:01:31,381 --> 00:01:33,008
not a whole lot you can do about it.
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00:01:36,080 --> 00:01:37,985
In other words,
29
00:01:38,462 --> 00:01:40,119
- _
- you can lead a horse to water,
30
00:01:41,016 --> 00:01:42,363
but you can't make it drink.
31
00:01:47,240 --> 00:01:48,656
Wow.
32
00:01:49,542 --> 00:01:51,209
We should be forced
to dress up more often.
33
00:01:51,233 --> 00:01:52,614
Have you seen Bubbles?
34
00:01:52,865 --> 00:01:55,178
Nardi can't find him in Luna's stuff.
35
00:01:55,203 --> 00:01:59,023
No. But if you wanna sneak off
to our room for a few minutes...
36
00:01:59,048 --> 00:02:01,119
These things never start on time.
37
00:02:02,716 --> 00:02:04,806
Wait. This is it. Hang on.
38
00:02:05,620 --> 00:02:10,556
No, this is my "I almost died" box. Hmm.
39
00:02:11,752 --> 00:02:12,822
I'm fine.
40
00:02:13,739 --> 00:02:16,682
My therapist just said
that I should toss anything
41
00:02:16,707 --> 00:02:19,261
that reminded me of
my birth trauma, so...
42
00:02:19,883 --> 00:02:22,886
- I'll take care of it tonight.
- Okay.
43
00:02:22,911 --> 00:02:24,791
You told Joey to pick
Pru up from school, right?
44
00:02:25,070 --> 00:02:26,560
You know I did.
45
00:02:26,585 --> 00:02:29,547
And can you please remind people
that I am not chief resident anymore?
46
00:02:29,582 --> 00:02:31,185
With Wright back from family leave,
47
00:02:31,210 --> 00:02:33,467
I gotta put all my focus on plastics.
48
00:02:33,492 --> 00:02:35,874
As soon as I register for school.
49
00:02:36,012 --> 00:02:37,703
But they just accepted your application.
50
00:02:37,728 --> 00:02:40,041
Yeah, as a last-minute
admission, right?
51
00:02:40,066 --> 00:02:41,757
Final registration's today.
52
00:02:43,231 --> 00:02:44,509
Miranda Bailey.
53
00:02:44,632 --> 00:02:48,896
MD, FACS, MPH.
54
00:02:48,921 --> 00:02:50,716
Mmm, that's a lot of letters.
55
00:02:50,741 --> 00:02:53,581
I am unbenched from surgery,
I'm getting my master's.
56
00:02:53,606 --> 00:02:55,884
Watch out, world. She's coming for you.
57
00:02:56,022 --> 00:02:58,542
And she is talking about
herself in third person.
58
00:02:58,804 --> 00:03:02,601
If only we didn't have to spend
all morning at this PR circus.
59
00:03:05,135 --> 00:03:06,585
Oh.
60
00:03:07,240 --> 00:03:08,310
Good morning, Dr. Bailey.
61
00:03:08,449 --> 00:03:10,416
- Good morning.
- Ndugu. Millin.
62
00:03:30,091 --> 00:03:31,050
Where are you?
63
00:03:31,075 --> 00:03:32,932
I thought you were gonna
be here half an hour ago.
64
00:03:32,956 --> 00:03:35,115
It's total gridlock by the airport.
No one's moving.
65
00:03:35,140 --> 00:03:37,798
Catherine told them the surgeon
whose name is on the building
66
00:03:37,823 --> 00:03:39,687
- would be here for the photo.
- I know.
67
00:03:39,825 --> 00:03:41,180
Tell Catherine I'm sorry.
68
00:03:41,205 --> 00:03:42,897
I'll be there as soon as I can.
69
00:03:47,695 --> 00:03:52,182
All right. Who's ready to see
Grey Sloan's new crown jewel?
70
00:03:52,320 --> 00:03:53,701
Follow me.
71
00:04:00,466 --> 00:04:02,132
Welcome to the Olympic Floor.
72
00:04:02,157 --> 00:04:04,505
Welcome to paradise.
73
00:04:06,642 --> 00:04:08,165
Oh, my God.
74
00:04:08,819 --> 00:04:10,890
We made it. We made it.
75
00:04:23,385 --> 00:04:25,042
What is this?
76
00:04:28,321 --> 00:04:29,840
Oh, my God.
77
00:04:30,853 --> 00:04:35,853
- Synced and corrected by ChrisKe -
-- for www.addic7ed.com --
78
00:04:36,744 --> 00:04:40,230
With the addition of the
Olympic Floor, Grey Sloan joins
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00:04:40,255 --> 00:04:45,136
the leading hospitals in this
country by offering a VIP wing.
80
00:04:45,580 --> 00:04:47,099
The Seahawks are gonna love this.
81
00:04:47,124 --> 00:04:50,318
Mm-hmm. Espresso
machines, seven o'clock.
82
00:04:50,343 --> 00:04:54,081
We are very fortunate to
have developed our VIP program
83
00:04:54,106 --> 00:04:57,521
with Dr. Seth Norton, CEO
of Olympic Regent Health.
84
00:04:57,546 --> 00:04:59,421
Let's give him a warm welcome.
85
00:05:01,644 --> 00:05:02,679
Thank you.
86
00:05:02,942 --> 00:05:04,182
That guy looks like this floor.
87
00:05:04,219 --> 00:05:05,807
- What, slick?
- Rich.
88
00:05:06,818 --> 00:05:08,682
It's like dogs and their owners.
89
00:05:08,707 --> 00:05:10,477
- At least the food is good.
- Good morning.
90
00:05:10,501 --> 00:05:13,679
I am thrilled to raise
the bar on Grey Sloan's
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00:05:13,704 --> 00:05:15,723
already stellar reputation.
92
00:05:15,748 --> 00:05:17,859
Patients will have private suites with
93
00:05:17,883 --> 00:05:20,452
high-level security,
hotel-quality bedding
94
00:05:20,477 --> 00:05:23,929
and meals tailored to their
health needs by a gourmet chef.
95
00:05:24,067 --> 00:05:25,833
I've been covering for Hunt and Altman,
96
00:05:25,857 --> 00:05:27,848
but we have money for a gourmet chef?
97
00:05:27,873 --> 00:05:29,668
I should have asked for a raise.
98
00:05:29,693 --> 00:05:32,178
It will no longer be a hospital stay.
99
00:05:32,203 --> 00:05:33,998
It will be a luxury experience.
100
00:05:34,023 --> 00:05:35,574
Mmm. We should vacation here.
101
00:05:35,599 --> 00:05:37,815
But all of these
amenities pale in comparison
102
00:05:37,839 --> 00:05:40,428
to the unparalleled
access patients will have
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00:05:40,453 --> 00:05:43,387
to the hospital's most
important asset, you.
104
00:05:43,412 --> 00:05:47,312
From fast-tracking through
the ER to 24-7 post-op access,
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00:05:47,337 --> 00:05:49,532
your patients will
not doubt for a single
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00:05:49,557 --> 00:05:51,370
second how much you care about them.
107
00:05:51,508 --> 00:05:54,279
All right. Enough talk.
Let's cut the ribbon.
108
00:05:54,304 --> 00:05:55,443
Come on, Dr. Shepherd.
109
00:05:55,468 --> 00:05:58,490
Join us. All right, come on.
110
00:05:58,515 --> 00:05:59,755
- Join us. Join us.
- All right.
111
00:05:59,792 --> 00:06:00,966
Here we go.
112
00:06:05,108 --> 00:06:07,258
Two planes collided
on the runway at the airport.
113
00:06:07,282 --> 00:06:09,269
- We're about to get slammed.
- All right.
114
00:06:09,294 --> 00:06:12,262
That's enough celebrating for me.
I'll send everyone down.
115
00:06:12,287 --> 00:06:13,392
Come on.
116
00:06:14,324 --> 00:06:16,084
All right. Everyone, stay calm.
117
00:06:18,362 --> 00:06:21,100
Hey. Sorry about this morning.
I probably should have locked the door.
118
00:06:21,124 --> 00:06:22,791
That's okay.
We don't need to talk about it.
119
00:06:22,815 --> 00:06:25,415
- Kwan and I were up late playing games.
- Still talking about it.
120
00:06:25,472 --> 00:06:27,657
We're good? It's nothing you
haven't seen before, right?
121
00:06:27,682 --> 00:06:29,960
This place looks like a dump
compared to the new floor.
122
00:06:30,098 --> 00:06:31,359
Took you long enough.
123
00:06:31,384 --> 00:06:33,493
Between that dog-and-pony show and this
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00:06:33,517 --> 00:06:34,941
trauma, the whole day is thrown off.
125
00:06:34,965 --> 00:06:39,669
Most elective classes...
I mean, cases... are pushed.
126
00:06:39,694 --> 00:06:41,385
So go where you're needed.
127
00:06:41,523 --> 00:06:44,388
Millin, I saw what
happened this morning.
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00:06:45,154 --> 00:06:48,063
I don't tolerate tardiness
in my residency program.
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00:06:48,088 --> 00:06:50,228
- It won't happen again.
- Hmm.
130
00:06:57,125 --> 00:06:58,540
Meredith, you made it.
131
00:06:58,679 --> 00:07:00,094
Just in time for the chaos, I see.
132
00:07:00,119 --> 00:07:01,587
- Yeah.
- How mad is Catherine?
133
00:07:01,612 --> 00:07:03,141
Uh, are you staying to help?
134
00:07:03,166 --> 00:07:05,178
Well, it'll probably make up
for missing the big unveiling.
135
00:07:05,202 --> 00:07:07,411
- Yeah. It couldn't hurt. Mm-hmm.
- I'll go change.
136
00:07:08,343 --> 00:07:10,000
Excuse me. Hey, hey.
137
00:07:10,262 --> 00:07:11,298
Hey!
138
00:07:12,175 --> 00:07:13,417
What do you need?
139
00:07:14,039 --> 00:07:16,110
Do you work here?
I've already been here six hours.
140
00:07:16,248 --> 00:07:18,570
Okay. There's a big
emergency that's just come in.
141
00:07:18,595 --> 00:07:19,734
I have to run upstairs.
142
00:07:19,903 --> 00:07:21,733
I will check on you
when I get back, okay?
143
00:07:26,728 --> 00:07:29,644
Hey. Good thing you
weren't flying in today.
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00:07:30,242 --> 00:07:31,347
Also, hi.
145
00:07:31,372 --> 00:07:33,999
How was, uh, visiting
your mom in Wisconsin?
146
00:07:34,024 --> 00:07:36,130
Uh, it was my dad in Michigan.
147
00:07:36,155 --> 00:07:39,050
Right. Yes. I did know that. Uh...
148
00:07:39,409 --> 00:07:42,412
What are you doing after work?
You wanna grab food and talk?
149
00:07:43,068 --> 00:07:45,415
- You're kidding, right?
- You're still mad?
150
00:07:46,209 --> 00:07:48,049
- We've been texting.
- Yeah, we work together.
151
00:07:48,107 --> 00:07:49,660
I can't exactly ignore you.
152
00:07:50,351 --> 00:07:52,307
Bree Wong, 31. Status, post-plane crash
153
00:07:52,331 --> 00:07:54,399
on the tarmac. GCS 15. Vitals stable.
154
00:07:54,424 --> 00:07:56,633
Has facial bruising and
one episode of epistaxis.
155
00:07:56,658 --> 00:07:58,092
Nasal packing inserted.
156
00:07:58,117 --> 00:08:00,050
She also had episodes of
intermittent paralysis.
157
00:08:00,075 --> 00:08:02,245
I don't know what happened.
158
00:08:02,270 --> 00:08:05,582
The sound, the crunching metal, screams.
159
00:08:05,607 --> 00:08:08,127
- You were on one of the planes?
- I'm the pilot.
160
00:08:08,152 --> 00:08:10,183
Today's my first day as captain.
161
00:08:10,208 --> 00:08:12,451
- How many passengers?
- 212. Full flight.
162
00:08:12,476 --> 00:08:15,479
- And that's just one of the planes.
- Okay. Let's go Trauma 1.
163
00:08:17,205 --> 00:08:19,709
Anyone who's not down here already
needs to report to the ER now.
164
00:08:19,734 --> 00:08:21,391
- I'll get the word out.
- All right.
165
00:08:21,416 --> 00:08:24,074
Hell of a time to be
down three surgeons.
166
00:08:28,617 --> 00:08:30,860
Uh, my name is Benson.
167
00:08:32,971 --> 00:08:34,317
I am a doctor.
168
00:08:38,249 --> 00:08:39,630
Nope.
169
00:08:39,655 --> 00:08:44,736
Je ne suis pas médecin because
médecincan kiss my derrière.
170
00:08:44,761 --> 00:08:45,934
Yeah.
171
00:08:48,272 --> 00:08:50,659
Let's pick up from last
172
00:08:50,684 --> 00:08:53,296
week by practicing our names and jobs.
173
00:08:53,321 --> 00:08:54,322
Benson.
174
00:09:01,398 --> 00:09:07,067
- Self-employed.
- Ah!
175
00:09:08,025 --> 00:09:09,820
Yeah, it is.
176
00:09:12,531 --> 00:09:13,567
Monica.
177
00:09:14,392 --> 00:09:18,254
Your mother's told me
so much about you, Ms. Annabelle.
178
00:09:18,726 --> 00:09:21,349
- How is your mother?
- Uh, stuck in Milan.
179
00:09:21,374 --> 00:09:23,778
- She sends her love.
- Nice.
180
00:09:23,803 --> 00:09:26,081
How do you like our new VIP floor, huh?
181
00:09:26,275 --> 00:09:28,588
Almost as nice as Mount Sinai.
182
00:09:28,613 --> 00:09:30,782
Is it okay to examine you, Ms. Chase?
183
00:09:32,109 --> 00:09:34,336
- Not him.
- Of course not.
184
00:09:34,361 --> 00:09:35,914
Uh, Dr. Spencer.
185
00:09:38,476 --> 00:09:39,511
Oh. Hmm.
186
00:09:40,057 --> 00:09:41,956
Oh, uh. Does he bite or...
187
00:09:42,094 --> 00:09:45,373
Uh, you were, um,
diagnosed with gallstones.
188
00:09:45,511 --> 00:09:47,208
I was at a conference in Aspen for my
189
00:09:47,232 --> 00:09:48,928
dog rescue when I started feeling pain.
190
00:09:48,953 --> 00:09:51,458
I went to the emergency room.
They said I needed surgery.
191
00:09:51,483 --> 00:09:52,518
Mmm.
192
00:09:53,008 --> 00:09:55,254
- Any tenderness here?
- No.
193
00:09:55,279 --> 00:09:57,281
But I want them gone today.
194
00:09:58,800 --> 00:10:03,046
Um... You know, let's do some labs,
and then we'll get an ultrasound,
195
00:10:03,071 --> 00:10:04,693
and then we'll take it from there.
196
00:10:04,732 --> 00:10:07,031
Would you like a warm
blanket while you're waiting?
197
00:10:07,056 --> 00:10:09,161
Could I get two? I
forgot Prince's sweater.
198
00:10:09,186 --> 00:10:10,879
Of course.
199
00:10:10,904 --> 00:10:12,527
- Spencer...
- Of course.
200
00:10:13,712 --> 00:10:15,748
Isn't he cute? Hello.
201
00:10:17,750 --> 00:10:19,314
- What'd I miss?
- Captain Wong was flying
202
00:10:19,338 --> 00:10:20,822
one of the planes in the collision.
203
00:10:20,847 --> 00:10:22,863
Both pupils are equal and reactive.
204
00:10:22,888 --> 00:10:25,206
- Excuse me.
- Nasal packing is fully saturated.
205
00:10:25,231 --> 00:10:27,735
I need to visualize the source
to control the hemorrhaging.
206
00:10:27,760 --> 00:10:29,885
- Squeeze my fingers.
- This isn't gonna feel very good.
207
00:10:29,910 --> 00:10:31,808
I'm sorry.
208
00:10:31,833 --> 00:10:34,398
Yeah. It looks like a LeFort fracture.
She has maxillary instability.
209
00:10:34,422 --> 00:10:36,226
I'm gonna call for a CT Max/face.
210
00:10:36,251 --> 00:10:39,082
We were about to touch down when I
heard the tower clear another plane
211
00:10:39,107 --> 00:10:41,059
for the intersection departure.
212
00:10:41,084 --> 00:10:42,672
Okay, she's neuro intact now,
213
00:10:42,697 --> 00:10:45,063
but there's midline tenderness
and intermittent motor deficits.
214
00:10:45,088 --> 00:10:47,566
I need a stat CT head and C-spine.
215
00:10:47,673 --> 00:10:50,551
Uh, I couldn't go around.
It was too late.
216
00:10:50,689 --> 00:10:53,554
My wing clipped the
nose of the other plane.
217
00:10:53,579 --> 00:10:55,379
I need to check on a
patient in the next room.
218
00:10:55,409 --> 00:10:57,065
Page me when scans are up.
219
00:10:57,825 --> 00:11:00,079
No, not so fast. We need to
stabilize these facial fractures
220
00:11:00,103 --> 00:11:02,287
and stop the bleeding
before she goes anywhere.
221
00:11:02,312 --> 00:11:04,660
Okay, I'll go get an MMF kit.
222
00:11:05,285 --> 00:11:06,389
It's okay.
223
00:11:06,414 --> 00:11:10,122
Uh, so sorry about all this chaos today.
224
00:11:10,147 --> 00:11:12,771
Reminds me of my med school
rotation at LA County.
225
00:11:13,254 --> 00:11:17,500
Dr. Grey, I'd like to introduce
you to Dr. Seth Norton,
226
00:11:17,525 --> 00:11:21,124
who is the founder/CEO
of Olympic Regent Health.
227
00:11:21,376 --> 00:11:23,412
We missed you this morning.
228
00:11:23,437 --> 00:11:25,586
Can't exactly control a mass trauma.
229
00:11:25,611 --> 00:11:27,244
But it's a pleasure to
finally meet you, sir.
230
00:11:27,268 --> 00:11:29,443
- Yes.
- I take it it went well this morning.
231
00:11:29,581 --> 00:11:31,320
I'd be happy to give you a private tour.
232
00:11:31,345 --> 00:11:32,455
Oh. Good idea.
233
00:11:32,480 --> 00:11:34,561
Hey, why don't you two
get to know each other?
234
00:11:34,586 --> 00:11:36,421
I'm gonna go find Ndugu, give him a
235
00:11:36,445 --> 00:11:38,402
piece of my mind about all this mess.
236
00:11:38,969 --> 00:11:41,016
My afternoon's booked, but
I could squeeze you in now.
237
00:11:41,040 --> 00:11:43,004
Um, I'm pretty busy, and, you know,
238
00:11:43,029 --> 00:11:44,881
I don't really need the sales pitch.
239
00:11:44,906 --> 00:11:47,184
You're not skeptical about a VIP floor?
240
00:11:47,359 --> 00:11:50,059
Well, most private hospitals
in big cities have them.
241
00:11:50,084 --> 00:11:52,466
- They're just trying to keep up.
- I love a pragmatist.
242
00:11:53,890 --> 00:11:55,651
Uh, excuse me. I have a patient.
243
00:11:55,676 --> 00:11:57,919
I make an excellent tour guide.
I'm here all day.
244
00:11:59,336 --> 00:12:01,238
Hey. Where are you going?
245
00:12:01,647 --> 00:12:03,078
To get my mom and dad.
246
00:12:03,338 --> 00:12:04,799
When they realize I
still haven't been seen,
247
00:12:04,823 --> 00:12:06,169
- they're gonna be pissed.
- Okay.
248
00:12:06,338 --> 00:12:09,652
Bryant, let's get him in an
exam room and find his parents.
249
00:12:10,291 --> 00:12:13,011
- We're gonna get you seen.
- All right. Just have a seat right here.
250
00:12:14,004 --> 00:12:16,213
Hey, Ndugu. Heads up.
251
00:12:16,464 --> 00:12:19,191
Supply's out of MMF kits, and
Dr. Fox is looking for you.
252
00:12:19,216 --> 00:12:20,962
- So, I would hide.
- All right.
253
00:12:20,987 --> 00:12:22,540
Running the ER is not my job.
254
00:12:22,565 --> 00:12:24,059
And check the cart by
Trauma 3, all right?
255
00:12:24,083 --> 00:12:25,816
Okay. Oh. Um...
256
00:12:26,983 --> 00:12:28,674
I saw you and Millin this morning.
257
00:12:29,295 --> 00:12:30,331
In the elevator.
258
00:12:30,876 --> 00:12:32,222
With the coffee cups.
259
00:12:32,777 --> 00:12:34,813
Okay, I also saw the two of you
260
00:12:34,838 --> 00:12:37,403
coming out of an on-call room together.
261
00:12:37,959 --> 00:12:39,305
About a month ago?
262
00:12:40,893 --> 00:12:42,801
Promise it's not what
you're thinking, okay?
263
00:12:42,826 --> 00:12:44,103
Ha. Okay. Yeah, fine.
264
00:12:44,587 --> 00:12:47,106
But just in case it is
exactly what I think it is,
265
00:12:47,244 --> 00:12:51,110
I'm telling you, as a friend,
come clean and get ahead of it.
266
00:12:51,732 --> 00:12:54,355
- Hey. OB sent me down here to help...
- Okay.
267
00:12:54,493 --> 00:12:56,194
- ... and now I see why.
- Yeah.
268
00:12:56,219 --> 00:12:57,945
- Bed two. Thank you.
- Yeah.
269
00:12:57,970 --> 00:13:01,129
Okay, sir, sir, you are at the
hospital, so try to calm down.
270
00:13:01,154 --> 00:13:03,512
- We're gonna help you.
- All right. What do we got?
271
00:13:03,537 --> 00:13:07,516
Larry Turner, 44. Acute chest pain
radiating from the back, dyspnea.
272
00:13:07,541 --> 00:13:10,129
BP, 170 over 100. Heart rate, 112.
273
00:13:10,267 --> 00:13:12,822
- Ninety-three percent sats.
- I'm so sorry. I'm so sorry.
274
00:13:12,960 --> 00:13:14,889
Okay, let's do a chest X-ray, CBC,
275
00:13:14,913 --> 00:13:17,249
BMP, troponins and an EKG, all right?
276
00:13:17,274 --> 00:13:19,754
- Just try to breathe, sir. Okay?
- I can't. It's all my fault.
277
00:13:19,863 --> 00:13:21,416
I was the controller in the tower.
278
00:13:21,578 --> 00:13:24,201
I told them they were clear to land.
It's all my fault.
279
00:13:24,696 --> 00:13:26,698
- Okay. Trauma 3. Let's go.
- Yeah.
280
00:13:28,941 --> 00:13:30,391
Okay, okay.
281
00:13:32,600 --> 00:13:34,257
You sure we shouldn't go to CT first?
282
00:13:34,282 --> 00:13:35,766
Shepherd's not gonna like this.
283
00:13:35,791 --> 00:13:38,236
- Yeah, well, Shepherd's not here.
- Why isn't she in CT?
284
00:13:38,261 --> 00:13:40,919
We were worried her facial fractures
could compromise her airways,
285
00:13:40,944 --> 00:13:42,532
so we're doing fixation now.
286
00:13:43,128 --> 00:13:45,786
Before seeing if she has a head
bleed or a serious spinal fracture?
287
00:13:45,924 --> 00:13:47,695
We need to get a full
picture of what we're...
288
00:13:47,719 --> 00:13:50,042
How do you propose we stop her
facial bleeding in the meantime?
289
00:13:50,066 --> 00:13:51,594
Just repack her, hope for the best?
290
00:13:51,619 --> 00:13:53,459
If she has a brain injury,
nothing else matters.
291
00:13:53,483 --> 00:13:55,830
Nothing else matters
besides neuro. That tracks.
292
00:13:55,855 --> 00:13:57,405
If that is how you feel, then maybe
293
00:13:57,430 --> 00:13:58,868
you should have stayed in Wisconsin.
294
00:13:58,893 --> 00:14:01,453
- Michigan.
- Same difference.
295
00:14:05,150 --> 00:14:06,530
You're right.
296
00:14:06,555 --> 00:14:08,833
You clearly have it under control.
Do what you want.
297
00:14:08,858 --> 00:14:10,377
What?
298
00:14:11,708 --> 00:14:13,227
Okay. Let's move her.
299
00:14:19,369 --> 00:14:22,446
There are three ways to ask questions.
300
00:14:24,817 --> 00:14:26,647
Inversion.
301
00:14:28,255 --> 00:14:30,533
Intonation.
302
00:14:33,290 --> 00:14:35,120
Are you feeling okay?
303
00:14:38,085 --> 00:14:40,363
Okay.
304
00:14:43,620 --> 00:14:45,657
It's just a headache.
305
00:14:47,882 --> 00:14:50,850
Do you have any
other symptoms? Are you...
306
00:14:51,541 --> 00:14:53,863
- Okay, I-I'm a doctor. -
307
00:14:53,888 --> 00:14:56,546
I can't do medicine in French.
308
00:14:56,571 --> 00:14:59,662
I've had a... a small fever
309
00:14:59,687 --> 00:15:04,139
for a few days and foggy vision,
310
00:15:05,037 --> 00:15:07,350
and, um... c'est bizarre.
311
00:15:08,247 --> 00:15:11,837
Touching my hair is p-painful.
312
00:15:11,975 --> 00:15:16,186
Okay, madame, this could be
a medical emergency, okay?
313
00:15:16,457 --> 00:15:19,509
You need to go to Grey
Sloan Memorial right now.
314
00:15:21,389 --> 00:15:24,342
Okay, well, class is over.
Everyone sign off.
315
00:15:25,678 --> 00:15:27,868
I will see you at the hospital, okay?
316
00:15:32,315 --> 00:15:33,765
Okay.
317
00:15:33,790 --> 00:15:36,595
There's an NTSB officer at the
desk. He's looking for Larry.
318
00:15:36,620 --> 00:15:38,667
- This is not a good time.
- He asked for my manager.
319
00:15:38,691 --> 00:15:40,831
I'll deal with that in a minute.
320
00:15:40,856 --> 00:15:42,927
I've been working in
that tower for 11 years.
321
00:15:43,036 --> 00:15:44,500
My record is spotless.
322
00:15:44,525 --> 00:15:46,319
Are-Are the pilots here?
Are they alive?
323
00:15:46,344 --> 00:15:48,435
We can't disclose that information.
I'm sorry.
324
00:15:48,460 --> 00:15:50,713
My brother is a pilot. So is my dad.
325
00:15:50,738 --> 00:15:52,138
I-I know how much they depend on us.
326
00:15:52,163 --> 00:15:54,233
Films show a widened mediastinum.
327
00:15:54,258 --> 00:15:56,408
- How's the EKG?
- Uh, normal.
328
00:15:56,433 --> 00:15:58,377
We've been understaffed, so
I've been working night shifts.
329
00:15:58,401 --> 00:15:59,861
I haven't been sleeping.
My neighbor Martha,
330
00:15:59,885 --> 00:16:01,241
she called the police
to do a welfare check
331
00:16:01,265 --> 00:16:03,613
because she hasn't seen
me in so long.
332
00:16:03,638 --> 00:16:05,969
Look, I'm gonna step outside.
333
00:16:05,994 --> 00:16:08,697
- I can call your brother.
- I've had nightmares about this happening.
334
00:16:08,721 --> 00:16:10,551
- It was so much worse.
- Go.
335
00:16:10,576 --> 00:16:12,278
We'll order a CT angio, chest and
336
00:16:12,303 --> 00:16:14,244
abdomen, and we'll set up for an echo.
337
00:16:14,269 --> 00:16:17,108
Take some deep breaths.
Now, sit back for me, okay?
338
00:16:18,769 --> 00:16:19,968
Cough.
339
00:16:20,906 --> 00:16:22,079
You first.
340
00:16:24,599 --> 00:16:26,463
You have an umbilical hernia.
341
00:16:26,714 --> 00:16:29,855
I can operate on it today, but
I'll need consent from your parents.
342
00:16:29,880 --> 00:16:31,330
- Dr. Grey.
- Yes.
343
00:16:31,468 --> 00:16:33,756
- Oh. You must be Charlie's dad.
- Not exactly.
344
00:16:33,781 --> 00:16:37,923
A social worker, DCYF.
Charlie is a ward of the state.
345
00:16:38,475 --> 00:16:40,132
It got me into a room, didn't it?
346
00:16:41,029 --> 00:16:43,973
He has a hernia, and I can
operate on it, but I need consent.
347
00:16:43,998 --> 00:16:45,768
- How quick can you get it?
- Depends.
348
00:16:45,793 --> 00:16:47,484
If I put a rush on it...
349
00:16:47,929 --> 00:16:49,328
I'll put a rush on it.
350
00:16:49,391 --> 00:16:51,844
Great.
They're gonna take you to CT soon.
351
00:16:51,948 --> 00:16:52,983
Thank you.
352
00:16:54,615 --> 00:16:55,685
Okay.
353
00:16:57,467 --> 00:16:58,813
Dr. Grey is the best.
354
00:16:59,415 --> 00:17:01,715
- All right?
- We'll see.
355
00:17:05,157 --> 00:17:07,746
Your ultrasound confirms gallstones.
356
00:17:07,997 --> 00:17:10,827
Uh, there is no evidence
of acute inflammation,
357
00:17:10,852 --> 00:17:12,933
and, uh, your labs are clear.
358
00:17:13,020 --> 00:17:15,754
So we'd like to schedule
surgery for next week.
359
00:17:16,202 --> 00:17:19,008
- But I cleared my afternoon.
- Did you hear about the plane crash?
360
00:17:19,033 --> 00:17:22,460
Next week, I have our annual
fundraising gala for all our top donors.
361
00:17:22,485 --> 00:17:23,485
I can't miss it.
362
00:17:23,510 --> 00:17:25,566
I thought this was the VIP floor.
363
00:17:25,591 --> 00:17:27,821
You don't pay first
class just to board last.
364
00:17:27,846 --> 00:17:28,882
I'll get you in.
365
00:17:29,605 --> 00:17:32,504
And I want Grey or Sloan.
366
00:17:32,851 --> 00:17:35,956
There are also
plenty of world-class surgeons...
367
00:17:35,981 --> 00:17:39,085
Dr. Grey will be very
happy to do your surgery.
368
00:17:39,110 --> 00:17:40,767
Richard, a word?
369
00:17:44,507 --> 00:17:46,207
His first day or something?
370
00:17:48,518 --> 00:17:50,175
I'm a catch, right?
371
00:17:51,428 --> 00:17:52,843
I don't think I should answer that.
372
00:17:53,412 --> 00:17:55,587
I am officially on the market.
373
00:17:55,725 --> 00:17:57,450
Do you have anyone to set me up with?
374
00:17:57,589 --> 00:17:59,462
Oh, I do. We meet up to skateboard...
375
00:17:59,487 --> 00:18:00,971
I'm gonna stop you right there.
376
00:18:01,597 --> 00:18:03,357
Is your shoulder still bugging you?
377
00:18:03,456 --> 00:18:04,941
It's just stiff.
378
00:18:05,079 --> 00:18:06,287
Pain's better, though.
379
00:18:06,839 --> 00:18:08,543
How you doing, Bree?
380
00:18:08,918 --> 00:18:10,683
I'm second-guessing everything that
381
00:18:10,707 --> 00:18:12,200
I've learned in a decade of...
382
00:18:12,224 --> 00:18:13,950
Damn it.
383
00:18:15,607 --> 00:18:17,619
- She's hypoxic.
- The bleeding's asphyxiating her.
384
00:18:17,643 --> 00:18:19,168
Wait, wait, wait, wait.
385
00:18:19,193 --> 00:18:21,830
Her CT head is clear, but her
C-spine, she has an AO dissociation.
386
00:18:21,854 --> 00:18:23,900
There's nothing holding
her head onto her body.
387
00:18:23,925 --> 00:18:25,950
The impact from the collision must have
388
00:18:25,974 --> 00:18:27,998
completely severed her alar ligaments.
389
00:18:28,136 --> 00:18:29,574
I don't remember the last
390
00:18:29,598 --> 00:18:31,036
time I saw an internal decapitation.
391
00:18:31,174 --> 00:18:32,495
I do, and it didn't end well.
392
00:18:32,520 --> 00:18:34,764
We need to intubate, but
we cannot move her C-spine.
393
00:18:34,902 --> 00:18:37,189
Page Wright, call a code
blue and get a crash cart.
394
00:18:37,214 --> 00:18:38,630
Code blue.
395
00:18:40,908 --> 00:18:43,220
Labs are up. Troponins are elevated.
396
00:18:43,842 --> 00:18:46,914
If only the officer could
help with this unruly ER.
397
00:18:46,939 --> 00:18:48,479
Okay, wait, wait, right there.
398
00:18:50,858 --> 00:18:53,240
Okay, Larry, when was
your last physical?
399
00:18:53,265 --> 00:18:54,266
Uh...
400
00:18:54,404 --> 00:18:55,992
I had to push it a couple of times.
401
00:18:56,017 --> 00:18:59,142
Could you roll onto your back
for me? Your echo is showing
402
00:18:59,167 --> 00:19:01,238
a thoracic aortic aneurysm.
403
00:19:01,376 --> 00:19:03,689
It's usually asymptomatic
until it starts to expand.
404
00:19:03,827 --> 00:19:06,633
I had pain this morning, but
we're already down so many people.
405
00:19:06,658 --> 00:19:08,601
- That's comforting.
- What's happening with CT?
406
00:19:08,625 --> 00:19:09,878
They've been full for the last hour.
407
00:19:09,902 --> 00:19:11,559
Let's go and I'll make them fit us in.
408
00:19:11,584 --> 00:19:13,735
I shouldn't have gone to work.
I should've just gone to the doctor.
409
00:19:13,760 --> 00:19:17,411
Larry, Larry, look at me.
Hey, you're gonna be okay.
410
00:19:17,436 --> 00:19:19,853
- Just try to calm down.
- Let's move.
411
00:19:19,878 --> 00:19:21,569
- Let's move.
- All right.
412
00:19:21,594 --> 00:19:22,822
... as quickly as possible.
413
00:19:22,846 --> 00:19:23,961
I am aware that your brother is inside.
414
00:19:23,985 --> 00:19:26,282
We will connect you as soon as
we are able. The room is full
415
00:19:26,307 --> 00:19:27,757
of patients we have not yet seen.
416
00:19:27,782 --> 00:19:31,683
Simone. Hey, I'm looking for
a patient. Uh, Madame Sylvie.
417
00:19:31,708 --> 00:19:32,916
Last name?
418
00:19:33,244 --> 00:19:34,279
I... I don't know.
419
00:19:34,641 --> 00:19:36,160
She's French.
420
00:19:36,185 --> 00:19:38,769
I'm sorry you're bored at home,
but unless your French teacher was
421
00:19:38,793 --> 00:19:40,088
on the nonstop from Denver, there's
422
00:19:40,112 --> 00:19:41,600
absolutely no way I can see her today.
423
00:19:41,624 --> 00:19:43,946
Okay, I'm actually really
enjoying unemployment right now,
424
00:19:43,971 --> 00:19:47,121
but Madame Sylvie might be
having a stroke. There, there.
425
00:19:47,146 --> 00:19:49,760
No. Excuse me, but
I was here before her!
426
00:19:49,785 --> 00:19:51,470
I was here before him.
427
00:19:51,495 --> 00:19:53,232
Stick her in an exam room,
do the initial workup.
428
00:19:53,256 --> 00:19:55,879
- I will be there when I can.
- We got here at the same time.
429
00:19:55,904 --> 00:19:58,512
- I was in front of you on the bus.
- No, that is not true.
430
00:19:58,537 --> 00:20:00,017
- That is not true.
- Hey, get off me!
431
00:20:00,090 --> 00:20:01,516
- Knock it off.
- All these people from the planes?
432
00:20:01,540 --> 00:20:03,000
- They're all hurt?
- We're focused on you.
433
00:20:03,024 --> 00:20:04,623
Watch out for the gurney.
Watch out for the gurney.
434
00:20:04,647 --> 00:20:06,510
Hey, watch out for the gurney, please.
435
00:20:06,535 --> 00:20:08,004
- Security!
- No!
436
00:20:08,029 --> 00:20:09,824
Security!
437
00:20:09,962 --> 00:20:11,733
- What's the matter with you?
- You okay? Hey, hey.
438
00:20:11,757 --> 00:20:13,459
- Whoa, hey, hey, stop.
- Knock it off!
439
00:20:13,483 --> 00:20:16,072
Everyone, stop.
This is an emergency room.
440
00:20:16,323 --> 00:20:18,946
We are processing
patients as fast as we can,
441
00:20:18,971 --> 00:20:20,263
but if we don't help the people with
442
00:20:20,288 --> 00:20:22,147
severe injuries first, they could die.
443
00:20:22,245 --> 00:20:25,573
So sit down, and we'll be with
you when we can, all right?
444
00:20:25,598 --> 00:20:26,841
All right.
445
00:20:26,866 --> 00:20:30,161
- Hey!
- Hey, hey, I said sit down!
446
00:20:30,882 --> 00:20:32,366
Sit down!
447
00:20:33,742 --> 00:20:34,916
Okay.
448
00:20:37,818 --> 00:20:38,888
Fine.
449
00:20:49,232 --> 00:20:50,823
Hey.
450
00:20:51,745 --> 00:20:54,438
Oh. Tell me an expectant mother
wasn't injured in the collision.
451
00:20:54,804 --> 00:20:56,894
No, I'm just raiding
the OR for supplies.
452
00:20:58,230 --> 00:20:59,473
Damn it, he's coding.
453
00:20:59,498 --> 00:21:01,534
Uh, it's an aneurysm.
Must have ruptured.
454
00:21:01,673 --> 00:21:05,150
- We need to do a thoracotomy now.
- Here? You can't be serious.
455
00:21:05,175 --> 00:21:07,660
- He is serious.
- Turn up the flow and hyperventilate.
456
00:21:08,231 --> 00:21:11,130
You're gonna make the incision.
457
00:21:18,034 --> 00:21:19,242
Okay. One more.
458
00:21:21,195 --> 00:21:22,299
Yeah. Yeah.
459
00:21:25,080 --> 00:21:26,495
Come on.
460
00:21:27,077 --> 00:21:28,843
All right, Millin, stick your hand in
461
00:21:28,867 --> 00:21:30,803
there and feel for the area of rupture.
462
00:21:33,118 --> 00:21:34,671
Okay, I got.
463
00:21:34,696 --> 00:21:38,251
All right, now hold pressure distally
and proximally and do not move.
464
00:21:39,048 --> 00:21:40,187
Jamie...
465
00:21:40,263 --> 00:21:41,298
Jamie is...
466
00:21:42,178 --> 00:21:43,283
Oh.
467
00:21:43,992 --> 00:21:47,754
Well, we'll just take the next one down.
It's-It's all fine.
468
00:21:49,765 --> 00:21:52,319
All right, start cardiac
massage with the other hand
469
00:21:52,344 --> 00:21:53,966
and don't stop until the OR.
470
00:21:55,002 --> 00:21:57,280
Come on, Larry, hang in there.
471
00:22:00,317 --> 00:22:02,502
- A little more pressure.
- This is what I was worried about.
472
00:22:02,526 --> 00:22:04,115
- What are you doing?
- We're trying to intubate,
473
00:22:04,140 --> 00:22:06,127
but we can't hyper-extend
her neck because she...
474
00:22:06,151 --> 00:22:08,394
- The AO dissociation. I heard.
- Yes.
475
00:22:11,311 --> 00:22:12,968
I need a scalpel. We gotta crike her.
476
00:22:13,133 --> 00:22:15,963
I will stabilize the C-spine.
You make the incision.
477
00:22:15,988 --> 00:22:18,025
- Okay.
- Get a bougie and a 6-tube ready.
478
00:22:18,132 --> 00:22:20,652
- A little pressure here.
- This neck is not going anywhere.
479
00:22:27,241 --> 00:22:28,863
More pressure.
480
00:22:31,455 --> 00:22:32,836
And tube.
481
00:22:37,231 --> 00:22:38,439
We're in.
482
00:22:45,406 --> 00:22:47,615
All right, bilateral chest
rise and color change.
483
00:22:47,640 --> 00:22:49,573
- We've got an airway.
- Great job, everyone.
484
00:22:49,598 --> 00:22:51,477
For now. We still need to get her to the
485
00:22:51,502 --> 00:22:53,267
OR without paralyzing
her or killing her.
486
00:22:53,405 --> 00:22:54,278
We can do this.
487
00:22:54,303 --> 00:22:57,845
I will keep holding her, and we
will just move slowly and carefully.
488
00:22:57,870 --> 00:22:59,835
- Is everybody ready?
- OR floor is at capacity.
489
00:22:59,860 --> 00:23:01,206
They're gonna have to make room.
490
00:23:04,278 --> 00:23:06,936
- I can't. I already have a patient.
- Well, now you have two.
491
00:23:07,074 --> 00:23:10,215
If the VIP lab chole is so
important, have Norton do it himself.
492
00:23:10,329 --> 00:23:12,169
You were specifically requested.
493
00:23:13,252 --> 00:23:14,426
I don't even work here.
494
00:23:14,451 --> 00:23:16,127
Catherine's under a lot of pressure.
495
00:23:16,152 --> 00:23:19,120
This is day one of the VIP floor.
It needs to impress.
496
00:23:21,709 --> 00:23:22,779
Who would do my hernia?
497
00:23:22,833 --> 00:23:25,276
No one. I gave the OR to your lab chole.
498
00:23:25,301 --> 00:23:28,062
The quicker you finish, the
quicker you can get to your hernia.
499
00:23:38,243 --> 00:23:42,222
- How's it going?
- Benson has been very attentive,
500
00:23:42,247 --> 00:23:45,008
but I-I think this is an overreaction.
501
00:23:45,033 --> 00:23:47,917
Physical exam showed very
large arteries in the scalp
502
00:23:47,942 --> 00:23:50,427
and loud pulses in
the subclavian artery.
503
00:23:50,525 --> 00:23:51,734
Blood work just came in.
504
00:23:52,744 --> 00:23:53,884
You put it under my name?
505
00:23:54,811 --> 00:23:56,754
Je m'appelle Griffith.
506
00:23:57,513 --> 00:24:00,412
Elevated ESR, platelets, liver enzymes.
507
00:24:00,437 --> 00:24:01,818
Oh, you gotta see this.
508
00:24:05,647 --> 00:24:07,166
- Halo sign.
- Halo sign. Yeah.
509
00:24:08,282 --> 00:24:12,252
Sylvie, you have a condition
called giant cell arteritis,
510
00:24:12,277 --> 00:24:14,081
which causes inflammation
in the arteries.
511
00:24:14,106 --> 00:24:18,154
Everything just
went dark in my left eye.
512
00:24:18,179 --> 00:24:19,732
Yeah.
513
00:24:22,060 --> 00:24:24,545
Okay, we need to start her
on IV steroids immediately.
514
00:24:24,570 --> 00:24:26,918
Put in the order.
Yes, you can use my name.
515
00:24:27,533 --> 00:24:29,476
That's okay. Sylvie,
just deep breaths for us.
516
00:24:29,501 --> 00:24:30,828
Just temporary. Don't worry.
517
00:24:33,885 --> 00:24:35,231
Care to step in and help?
518
00:24:35,256 --> 00:24:37,691
Dr. Norton says
that VIP patients pay too much
519
00:24:37,716 --> 00:24:38,964
to have interns operate.
520
00:24:38,989 --> 00:24:40,462
This is a teaching hospital.
521
00:24:40,487 --> 00:24:42,385
You want us to tell him that?
522
00:24:42,410 --> 00:24:44,420
No, but I want you to step in here
523
00:24:44,445 --> 00:24:46,222
and see what I'm doing, pay attention.
524
00:24:47,258 --> 00:24:49,427
There's a hundred accident
victims downstairs,
525
00:24:49,452 --> 00:24:51,739
and patients whose surgeries
have been rescheduled,
526
00:24:51,764 --> 00:24:55,295
but God forbid a VIP patient
waits for a lab chole.
527
00:24:55,320 --> 00:24:58,323
- Well, money talks.
- Spencer, finger.
528
00:25:00,374 --> 00:25:02,652
I've got Charlie Ramos's CT results.
529
00:25:07,176 --> 00:25:08,998
Spencer, you're closing.
530
00:25:09,023 --> 00:25:11,346
- Dr. Norton said that...
- You're more than competent to do this.
531
00:25:11,370 --> 00:25:12,889
Bryant, you're with me.
532
00:25:18,628 --> 00:25:21,459
I am very sorry to keep you waiting.
We should go over these...
533
00:25:22,761 --> 00:25:25,108
- What happened?
- He vomited and can't sit up.
534
00:25:25,133 --> 00:25:27,568
- Okay.
- Where the hell were you?
535
00:25:27,593 --> 00:25:29,191
I want another doctor.
536
00:25:29,216 --> 00:25:31,366
I need to see your stomach.
Your bowel could be incarcerated.
537
00:25:31,390 --> 00:25:33,320
That means it's trapped, and it's dying.
538
00:25:33,345 --> 00:25:35,507
It's a very serious situation.
539
00:25:35,587 --> 00:25:38,025
Please let me take a look.
540
00:25:44,654 --> 00:25:46,815
- Bryant.
- I'll book an OR.
541
00:25:46,840 --> 00:25:49,201
Let get him cleaned up.
542
00:25:55,020 --> 00:25:57,603
- How's it coming in here?
- Almost done with the C2 pedicle screws.
543
00:25:57,628 --> 00:25:59,043
First day as captain.
544
00:25:59,068 --> 00:26:00,794
How do you recover from
something like this?
545
00:26:00,881 --> 00:26:03,201
She was acting on
the information she was given.
546
00:26:03,226 --> 00:26:04,404
This was not her fault.
547
00:26:04,429 --> 00:26:06,435
I'm not saying it
was, but people still got hurt.
548
00:26:06,460 --> 00:26:08,941
- I listened back to the feed.
- You can do that?
549
00:26:08,965 --> 00:26:11,036
Even if she wanted
to stop it, she couldn't.
550
00:26:11,061 --> 00:26:14,582
By the time they cleared the other
plane, it was already too late.
551
00:26:15,359 --> 00:26:18,363
Well, at least it wasn't
too late for Bree.
552
00:26:18,501 --> 00:26:19,813
Last screw's in.
553
00:26:19,838 --> 00:26:21,505
- How are the signals?
- Still look good.
554
00:26:21,692 --> 00:26:23,187
I'm gonna stay and monitor her.
555
00:26:23,212 --> 00:26:24,765
Do what you need to do.
556
00:26:26,258 --> 00:26:27,498
We should get sterile.
557
00:26:29,717 --> 00:26:32,929
The medication will reduce swelling
and prevent further complications.
558
00:26:32,954 --> 00:26:37,809
Thank you so much, Dr. Kwan. I
feel so lucky you're my student.
559
00:26:41,516 --> 00:26:42,793
Dr. Webber.
560
00:26:43,439 --> 00:26:44,509
Can I help you?
561
00:26:44,656 --> 00:26:46,520
Well, I'm just checking on the overflow.
562
00:26:47,279 --> 00:26:48,748
- Catch me up.
- Oh, we've...
563
00:26:48,773 --> 00:26:51,741
I've-I've-I've got it
covered, and you're so busy.
564
00:26:51,766 --> 00:26:54,547
- A-Any day now, Griffith.
- Right.
565
00:26:54,838 --> 00:26:57,160
Sylvie Bernard, 52,
presented with headaches
566
00:26:57,185 --> 00:26:58,749
and temporal tenderness with one episode
567
00:26:58,773 --> 00:27:00,425
of left-sided transient vision loss.
568
00:27:00,450 --> 00:27:03,280
Her labs are notable
for elevated ESR and CRP.
569
00:27:03,305 --> 00:27:06,826
Whoa, whoa, whoa, whoa. That's...
You don't need to rush. Diagnosis?
570
00:27:07,396 --> 00:27:10,640
Bedside ultrasound was consistent
with giant cell arteritis.
571
00:27:11,165 --> 00:27:12,580
You sure it isn't a migraine?
572
00:27:12,831 --> 00:27:15,310
A migraine wouldn't have
elevated inflammatory markers,
573
00:27:15,342 --> 00:27:17,353
and there's no visual
scintillation, no aura.
574
00:27:17,378 --> 00:27:19,572
I've started her on
high-dose methylprednisolone,
575
00:27:19,597 --> 00:27:21,461
and I'll schedule a
rheumatology follow-up
576
00:27:21,486 --> 00:27:24,074
and a confirmatory
temporal artery biopsy.
577
00:27:25,063 --> 00:27:26,547
Nice catch, Griffith.
578
00:27:27,724 --> 00:27:30,174
You're in the hands of one
of our best and brightest.
579
00:27:36,326 --> 00:27:38,823
Do I want to know?
580
00:27:40,420 --> 00:27:41,559
Non.
581
00:27:51,343 --> 00:27:53,803
Hey, I shouldn't have taken credit.
I'll tell Dr. Webber
582
00:27:53,828 --> 00:27:55,451
- you made the diagnosis.
- Don't bother.
583
00:27:55,476 --> 00:27:57,064
Why not? If he knows
it was you, maybe...
584
00:27:57,088 --> 00:27:58,116
He's gonna rehire me?
585
00:27:59,360 --> 00:28:01,535
I-I don't work here anymore,
586
00:28:01,560 --> 00:28:03,504
and every second that I'm
here, it gets harder to accept.
587
00:28:03,528 --> 00:28:05,840
I-I have to... move on.
588
00:28:07,083 --> 00:28:08,187
See you at home.
589
00:28:17,553 --> 00:28:20,227
Nicoletti's tonight? My treat.
590
00:28:21,136 --> 00:28:23,414
Are we celebrating something
that I totally forgot about?
591
00:28:23,444 --> 00:28:27,872
No, but I just did a flawless
spinal fusion on one of the pilots.
592
00:28:27,897 --> 00:28:31,289
God, every time this job starts
to feel thankless or routine,
593
00:28:31,314 --> 00:28:33,523
something happens to
remind me why we do this.
594
00:28:33,605 --> 00:28:34,641
Mm-hmm.
595
00:28:35,835 --> 00:28:37,675
I get my own garlic bread.
596
00:28:37,778 --> 00:28:39,296
Won't make that mistake twice.
597
00:28:39,742 --> 00:28:42,477
Ugh. Another consult.
598
00:28:44,618 --> 00:28:46,689
Hey, you okay? You seem a little...
599
00:28:47,468 --> 00:28:50,057
Hungry. So, thanks for that.
600
00:28:51,170 --> 00:28:52,896
Go to your consult. I'll see you later.
601
00:29:03,459 --> 00:29:05,288
All right, Dacron graft, please.
602
00:29:06,004 --> 00:29:07,352
Take these. All right, Dr. Millin,
603
00:29:07,376 --> 00:29:09,198
it is time to finish what you started.
604
00:29:09,223 --> 00:29:11,225
You'll be assisting in the anastomosis.
605
00:29:11,250 --> 00:29:12,711
Happy to as long as it's in here.
606
00:29:12,742 --> 00:29:14,502
Not a fan of the elevator?
607
00:29:16,250 --> 00:29:18,370
All right, start on the proximal end.
Use 4-0 Prolene.
608
00:29:18,395 --> 00:29:19,955
Ndugu, you sure you don't want to do it?
609
00:29:19,980 --> 00:29:21,706
No, she's got it. I'm right here.
610
00:29:22,029 --> 00:29:24,238
Wow, feel this calcification.
611
00:29:24,263 --> 00:29:27,335
Aneurysm or not, he's lucky
he hasn't collapsed from an MI.
612
00:29:27,360 --> 00:29:29,692
- Or the job.
- Or both.
613
00:29:29,717 --> 00:29:31,754
I mean, how do you expect people
614
00:29:31,779 --> 00:29:34,559
not to mess up when they're
overworked and underpaid?
615
00:29:34,584 --> 00:29:38,312
Just sheer stupidity, if you ask me.
616
00:29:38,337 --> 00:29:39,511
- V-fib.
- Damn it. All right.
617
00:29:39,536 --> 00:29:41,123
- Irrigation.
- Here.
618
00:29:41,148 --> 00:29:43,810
- Millin, start cardiac massage.
- Come on now.
619
00:29:43,835 --> 00:29:46,009
Come on, Larry. You made
it through the elevator.
620
00:29:46,034 --> 00:29:48,281
Don't do this here. Come on, now.
621
00:29:52,097 --> 00:29:54,755
Ah. You're awake. How are you feeling?
622
00:29:55,156 --> 00:29:56,882
Did you fix the thing?
623
00:29:57,020 --> 00:29:58,169
Surgery went well.
624
00:29:58,194 --> 00:30:01,231
Great. Then you can go. I'm good.
625
00:30:01,369 --> 00:30:04,140
- Can we have the room, please?
- He's only 17.
626
00:30:04,165 --> 00:30:06,858
He'll be 18 in two months.
I checked the chart.
627
00:30:07,561 --> 00:30:08,839
I'll update you thoroughly.
628
00:30:18,870 --> 00:30:20,965
Charlie, during surgery, we noticed an
629
00:30:20,989 --> 00:30:23,426
abnormal buildup of
mucus in your abdomen.
630
00:30:23,564 --> 00:30:24,456
What does that mean?
631
00:30:24,481 --> 00:30:26,577
Well, could mean a few different things,
632
00:30:26,602 --> 00:30:29,338
and I did send some concerning
nodules to pathology.
633
00:30:29,363 --> 00:30:30,537
Could it be bad?
634
00:30:31,952 --> 00:30:34,170
Like... cancer?
635
00:30:34,195 --> 00:30:38,579
Possibly, and if it is,
you would need more tests
636
00:30:38,604 --> 00:30:41,607
and surgery and possibly
chemotherapy treatment.
637
00:30:42,238 --> 00:30:45,216
You have a... a foster
parent listed in your chart.
638
00:30:45,241 --> 00:30:47,459
- Shall I call her?
- I've been with her 13 days.
639
00:30:47,484 --> 00:30:49,452
You need to start all of this ASAP.
640
00:30:49,519 --> 00:30:51,559
And based on today, that'll
be in, what, six months?
641
00:30:52,659 --> 00:30:54,074
I'm sorry about today.
642
00:30:54,181 --> 00:30:56,399
I hate that I let you
down, but I'm here now.
643
00:30:56,537 --> 00:30:58,229
And if you agree to
let me be your doctor,
644
00:30:58,254 --> 00:31:00,601
I promise I will not let
you fall through the cracks.
645
00:31:03,317 --> 00:31:04,525
I want to be alone.
646
00:31:07,179 --> 00:31:08,215
Okay.
647
00:31:09,663 --> 00:31:11,009
We'll be right outside.
648
00:31:16,537 --> 00:31:19,230
Stitches look great.
Just repack and then we'll redress.
649
00:31:19,255 --> 00:31:21,544
- You got it, boss.
- Signals are dropping.
650
00:31:21,603 --> 00:31:24,157
She's brady, and now v-fib.
651
00:31:24,280 --> 00:31:25,833
Starting compressions.
652
00:31:25,892 --> 00:31:28,516
The spinal fusion
was perfect. Checking the drains.
653
00:31:29,768 --> 00:31:31,598
No, it's not a bleed.
654
00:31:31,623 --> 00:31:32,948
Okay, this has gotta
be spinal cord edema.
655
00:31:32,973 --> 00:31:35,084
Push 20 of steroids and mannitol now.
656
00:31:35,943 --> 00:31:37,117
Push lido.
657
00:31:38,121 --> 00:31:39,364
Internal paddles.
658
00:31:40,434 --> 00:31:42,609
Charging to 20.
659
00:31:43,619 --> 00:31:45,207
Clear.
660
00:31:45,356 --> 00:31:47,738
Okay, uh, how many units has he had?
661
00:31:49,714 --> 00:31:51,267
Okay, charging to 30.
662
00:31:52,973 --> 00:31:55,251
And clear.
663
00:31:55,276 --> 00:31:57,396
Charge to 200.
664
00:31:57,421 --> 00:31:59,048
Clear.
665
00:32:00,788 --> 00:32:02,859
- Nothing.
- Charge again.
666
00:32:05,046 --> 00:32:06,495
Clear.
667
00:32:08,635 --> 00:32:10,440
- Still nothing.
- Damn it.
668
00:32:10,464 --> 00:32:11,638
Not today, Bree.
669
00:32:21,847 --> 00:32:23,627
Pressure's coming back up.
670
00:32:39,082 --> 00:32:40,083
Dr. Shepherd.
671
00:32:41,099 --> 00:32:43,032
She was just getting started.
I'm not giving up.
672
00:32:45,326 --> 00:32:46,949
- It's time.
- No.
673
00:32:48,112 --> 00:32:49,423
Amelia.
674
00:33:00,721 --> 00:33:01,897
Time of death...
675
00:33:06,425 --> 00:33:07,399
18:09.
676
00:33:23,610 --> 00:33:27,338
Hey. His pressures are
miraculously holding.
677
00:33:27,588 --> 00:33:28,814
Pilot didn't make it.
678
00:33:29,997 --> 00:33:32,552
Oh, man.
He's never gonna forgive himself.
679
00:33:32,577 --> 00:33:33,578
Mmm.
680
00:33:36,085 --> 00:33:37,811
Oh, no. Ugh.
681
00:33:38,305 --> 00:33:41,135
I missed my registration deadline.
682
00:33:42,587 --> 00:33:46,842
I'm... I'm getting
a master's in public health.
683
00:33:46,928 --> 00:33:48,343
Or... I was.
684
00:33:48,368 --> 00:33:51,716
With everything going on
today, I forgot about school.
685
00:33:52,375 --> 00:33:56,033
Just call. Tell them you were
saving someone's life.
686
00:33:56,635 --> 00:34:01,985
You know, today has shown me that
maybe I should rethink going at all.
687
00:34:02,123 --> 00:34:04,125
'Cause you missed a deadline?
688
00:34:04,998 --> 00:34:09,278
Full-time surgeon, residency
director, the clinic,
689
00:34:09,416 --> 00:34:11,004
being a wife, full-time mom.
690
00:34:11,029 --> 00:34:16,103
If I add more, I mean, something
other than a deadline will suffer,
691
00:34:16,128 --> 00:34:17,509
or-or-or someone.
692
00:34:18,899 --> 00:34:20,636
Well, look, Larry made a mistake
693
00:34:20,660 --> 00:34:22,947
because he's working in a broken system.
694
00:34:22,972 --> 00:34:24,663
So are we.
695
00:34:24,901 --> 00:34:29,389
Yeah, so I was hoping, with
a degree, I could help fix it.
696
00:34:30,566 --> 00:34:33,362
So ask for help. Delegate something.
697
00:34:33,600 --> 00:34:35,039
You know, let other people step up.
698
00:34:35,791 --> 00:34:37,758
Yeah, you can do this. We got you.
699
00:34:48,791 --> 00:34:50,724
Why is your shirt always off?
700
00:34:50,749 --> 00:34:53,011
I am literally in a place
where people get dressed.
701
00:34:53,036 --> 00:34:54,555
I need boundaries.
702
00:34:55,203 --> 00:34:59,466
Okay, look, I know that the time
we were drunk was a one-time thing
703
00:34:59,491 --> 00:35:01,073
and you're with Bryant now.
704
00:35:01,098 --> 00:35:04,090
Yes, I'm with Bryant now, so I
can't see you in the shower naked.
705
00:35:04,115 --> 00:35:06,324
It's... distracting.
706
00:35:08,051 --> 00:35:09,536
I need to move on, you know?
707
00:35:11,331 --> 00:35:12,780
I will keep my clothes on.
708
00:35:12,918 --> 00:35:16,474
It's not... only the clothes. It's, I...
709
00:35:17,460 --> 00:35:18,944
I just need a little space.
710
00:35:21,686 --> 00:35:22,687
Understood.
711
00:35:34,664 --> 00:35:36,701
Hey. Sorry I couldn't give you a ride.
712
00:35:36,726 --> 00:35:39,575
I needed to make sure I
spoke to Larry's brother.
713
00:35:39,600 --> 00:35:41,875
It's probably best we
don't travel together.
714
00:35:41,900 --> 00:35:44,075
- Less eyes on us.
- Yeah, um...
715
00:35:46,410 --> 00:35:47,652
Ben knows.
716
00:35:48,313 --> 00:35:50,280
- How?
- Guess he's seen us a couple times.
717
00:35:50,305 --> 00:35:52,652
I-I don't know. I-I denied it,
but he didn't buy it.
718
00:35:52,855 --> 00:35:54,270
Does Bailey know?
719
00:35:54,408 --> 00:35:56,376
- I don't think so.
- Are you sure?
720
00:35:57,305 --> 00:35:59,791
Pretty sure, yeah. She, uh...
721
00:36:00,779 --> 00:36:02,332
She made me residency director.
722
00:36:02,357 --> 00:36:04,600
- Wait, what?
- Yeah, um...
723
00:36:05,394 --> 00:36:09,329
She said she needed something
off her plate and-and she thought
724
00:36:09,354 --> 00:36:11,815
I did a great job teaching you today,
and she thinks it's a great fit.
725
00:36:11,839 --> 00:36:13,047
And you accepted?
726
00:36:31,709 --> 00:36:33,607
We can still save this.
727
00:36:40,821 --> 00:36:42,547
Zach's asleep inside.
728
00:36:42,629 --> 00:36:45,839
- Sleeping with Cass was a huge mistake.
- Amelia...
729
00:36:45,864 --> 00:36:47,120
- I was sure...
- I can't...
730
00:36:47,145 --> 00:36:48,199
... that you were
getting back with Celine.
731
00:36:48,224 --> 00:36:50,665
- I can't deal with this.
- I was totally shattered.
732
00:36:50,790 --> 00:36:53,493
And how do you think I felt when
I came to your door and saw her?
733
00:36:55,334 --> 00:36:57,543
It nearly destroyed me.
I had to leave town.
734
00:36:58,399 --> 00:37:00,156
I have a penchant
for self-destruction.
735
00:37:00,181 --> 00:37:01,324
Okay. Okay.
736
00:37:01,349 --> 00:37:05,906
I spent every day since wishing
I could take it back because I...
737
00:37:06,110 --> 00:37:09,562
I've spent a long time
waiting to feel this way.
738
00:37:09,587 --> 00:37:12,288
Like, when I'm with
you, everything's right.
739
00:37:12,313 --> 00:37:16,041
Everything is exactly
where it should be. I'm...
740
00:37:16,263 --> 00:37:17,782
I'm exactly where I should be.
741
00:37:17,836 --> 00:37:20,711
You said that you loved
me. I love you too.
742
00:37:20,736 --> 00:37:24,178
I'm desperately, madly,
dizzyingly in love with you,
743
00:37:24,203 --> 00:37:28,847
so if you're done with me,
I will learn to accept it.
744
00:37:29,079 --> 00:37:34,568
But if there's any part of you
that still feels the way you did...
745
00:37:37,816 --> 00:37:39,978
I'm begging you not to let this die.
746
00:37:48,108 --> 00:37:49,316
I'm not done.
747
00:38:01,557 --> 00:38:04,836
It's easy to judge
people for their actions,
748
00:38:04,879 --> 00:38:07,157
but you don't always
know what's driving them.
749
00:38:07,886 --> 00:38:09,888
Look at that. Hurricane slice.
750
00:38:09,913 --> 00:38:11,797
Are you hitting Y
when you're pressing that?
751
00:38:11,821 --> 00:38:14,144
- Don't worry. Hurricane slice!
- I don't know how you're doing that.
752
00:38:14,168 --> 00:38:15,593
- Okay, wait.
- Who's winning?
753
00:38:15,618 --> 00:38:17,033
- Don't talk.
- Just one sec.
754
00:38:17,058 --> 00:38:19,440
Come on. Come on. No, no,
no, no, no, no, no, no!
755
00:38:20,554 --> 00:38:22,314
What the hell was that?
756
00:38:22,452 --> 00:38:24,627
That's a mega fireball. I
unlocked it in the dungeon.
757
00:38:24,652 --> 00:38:26,067
- The mega...
- Yeah.
758
00:38:26,092 --> 00:38:28,400
- Okay, we need another round.
- Another round? Another round?
759
00:38:28,425 --> 00:38:31,540
Another, uh, uh... Let's...
I'm actually kind of tired.
760
00:38:31,565 --> 00:38:33,163
- No, you just don't want to lose.
- It's okay.
761
00:38:33,187 --> 00:38:35,027
It gives me time to review
my notes for tomorrow.
762
00:38:35,051 --> 00:38:37,314
Sure? Okay, okay. All right, cool.
763
00:38:37,339 --> 00:38:39,879
It'll only take me a minute
to beat him again anyway.
764
00:38:40,006 --> 00:38:42,008
- Whup your butt.
- Check this out right now.
765
00:38:42,482 --> 00:38:44,948
- Bam!
- I keep letting him get this move off.
766
00:38:44,973 --> 00:38:46,008
That's it.
767
00:38:46,745 --> 00:38:48,954
You don't know
what they were born into,
768
00:38:49,852 --> 00:38:51,406
struggles they've faced.
769
00:39:18,245 --> 00:39:21,525
Sometimes we make rash
decisions with no idea why.
770
00:39:22,804 --> 00:39:26,325
Meredith. Beautiful, isn't it?
771
00:39:26,413 --> 00:39:28,346
We were just talking about you.
772
00:39:28,484 --> 00:39:31,816
You were so wonderful today
with Annabelle Chase. Thank you.
773
00:39:31,841 --> 00:39:34,810
Well, do you still want my opinion?
774
00:39:36,063 --> 00:39:38,055
I don't know. Do I?
775
00:39:38,080 --> 00:39:40,195
Well, I have worked here
since I was an intern,
776
00:39:40,220 --> 00:39:42,093
and this hospital has
seen a lot of changes.
777
00:39:42,118 --> 00:39:45,466
Name changes, financial
crises, tragedies.
778
00:39:45,566 --> 00:39:49,756
The one thing that has never
changed is our standard of care.
779
00:39:49,781 --> 00:39:51,680
It has always been excellent.
780
00:39:51,931 --> 00:39:53,504
It never needed to be tiered.
781
00:39:53,529 --> 00:39:57,257
- Meredith, if you just give him...
- Today, I gave inadequate care.
782
00:39:57,453 --> 00:40:01,941
My patient suffered, and I lost his
trust, and that is not who we are.
783
00:40:01,966 --> 00:40:03,465
And it is day one, sir.
784
00:40:03,490 --> 00:40:05,091
Meredith, you might want to know that
785
00:40:05,116 --> 00:40:07,868
Dr. Norton is our new chief of surgery.
786
00:40:07,983 --> 00:40:10,547
He's gonna be with us every day.
787
00:40:11,198 --> 00:40:12,440
Unlike you.
788
00:40:17,775 --> 00:40:19,639
Oh. Excuse me.
789
00:40:19,664 --> 00:40:23,219
But often it's fear pulling
the strings behind the curtain.
790
00:40:25,472 --> 00:40:26,472
Fear of failure...
791
00:40:26,547 --> 00:40:27,371
Meredith.
792
00:40:27,396 --> 00:40:31,522
... of being let down, or, one of
my old favorites, fear of happiness.
793
00:40:31,547 --> 00:40:35,491
You could have told me you were
considering hiring him as chief.
794
00:40:35,516 --> 00:40:37,380
You never wanted to be
involved in the search.
795
00:40:37,405 --> 00:40:39,672
I didn't think I needed to, but now
796
00:40:39,809 --> 00:40:42,075
I am second-guessing that decision.
797
00:40:42,100 --> 00:40:45,122
Annabelle's mother donated
$100,000 to this hospital.
798
00:40:45,147 --> 00:40:47,409
Well, that just makes me feel dirtier.
799
00:40:47,434 --> 00:40:50,817
Look, Grey Sloan has lost
a huge amount of funding.
800
00:40:50,842 --> 00:40:55,113
- Every hospital has.
- No, we're not like all hospitals.
801
00:40:55,335 --> 00:40:57,544
We staff highly sought-after surgeons.
802
00:40:57,761 --> 00:41:00,350
We publish groundbreaking research.
803
00:41:00,438 --> 00:41:02,785
Our overhead is massive, Meredith.
804
00:41:02,923 --> 00:41:05,155
If we want to be the
same state-of-the-art
805
00:41:05,179 --> 00:41:06,755
institute we've always been,
806
00:41:06,954 --> 00:41:09,750
then we need a plan, and Norton has one.
807
00:41:10,782 --> 00:41:12,163
So you need to get on board.
808
00:41:18,870 --> 00:41:20,251
This will implode.
809
00:41:35,588 --> 00:41:38,280
It's all too easy
to be your own worst enemy.
810
00:41:45,172 --> 00:41:46,173
Hi.
811
00:41:46,691 --> 00:41:47,727
Hey.
812
00:41:49,927 --> 00:41:52,412
My miracle AO patient died.
813
00:42:01,968 --> 00:42:03,038
I quit.
814
00:42:05,085 --> 00:42:08,191
And the damage we inflict
can take a lifetime to undo.
815
00:42:08,216 --> 00:42:13,216
- Synced and corrected by ChrisKe -
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