1
00:00:03,624 --> 00:00:05,315
When patients leave the hospital,
2
00:00:05,340 --> 00:00:08,171
they're often taking home a
brand-new regimen of medication:
3
00:00:08,422 --> 00:00:10,665
physical therapy and aftercare.
4
00:00:12,702 --> 00:00:15,877
- We really... should go.
- Should we though?
5
00:00:16,533 --> 00:00:17,845
No.
6
00:00:24,309 --> 00:00:26,035
- Wait, wait, wait. Damn it.
- What?
7
00:00:26,173 --> 00:00:27,933
We used the last condom last night.
8
00:00:27,958 --> 00:00:30,678
In our dreams, every patient
would do exactly as they're told.
9
00:00:30,703 --> 00:00:32,892
- Don't move.
- Yes, ma'am.
10
00:00:32,917 --> 00:00:34,953
But reality is a different story.
11
00:00:38,245 --> 00:00:40,567
Kwan, if you use the
last condom, buy more.
12
00:00:40,592 --> 00:00:42,939
You are unemployed.
You have no excuse to...
13
00:00:45,305 --> 00:00:46,375
Morning.
14
00:00:47,426 --> 00:00:48,427
Not Kwan.
15
00:00:48,565 --> 00:00:50,084
- Nope.
- Nope.
16
00:00:50,109 --> 00:00:51,548
- Can you pass me a towel?
- Yep.
17
00:00:51,573 --> 00:00:54,261
Too often medication costs,
memory lapses,
18
00:00:54,286 --> 00:00:56,944
and poor health literacy
impede patients' recovery.
19
00:00:58,070 --> 00:01:00,210
You are gorgeous. You know that?
20
00:01:10,863 --> 00:01:13,930
- What time is it?
- I've set an alarm.
21
00:01:13,955 --> 00:01:15,474
Don't you worry.
22
00:01:19,389 --> 00:01:21,771
- What?
- No. We have time.
23
00:01:22,358 --> 00:01:24,325
No, you have time.
24
00:01:24,350 --> 00:01:27,539
I am a resident. I should
have been there an hour ago.
25
00:01:28,215 --> 00:01:31,445
_
26
00:01:31,470 --> 00:01:33,098
And as their surgeon, there's
27
00:01:33,122 --> 00:01:34,749
not a whole lot you can do about it.
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00:01:37,821 --> 00:01:39,726
In other words,
29
00:01:40,203 --> 00:01:41,860
- _
- you can lead a horse to water,
30
00:01:42,757 --> 00:01:44,104
but you can't make it drink.
31
00:01:48,981 --> 00:01:50,397
Wow.
32
00:01:51,283 --> 00:01:52,950
We should be forced
to dress up more often.
33
00:01:52,974 --> 00:01:54,355
Have you seen Bubbles?
34
00:01:54,606 --> 00:01:56,919
Nardi can't find him in Luna's stuff.
35
00:01:56,944 --> 00:02:00,764
No. But if you wanna sneak off
to our room for a few minutes...
36
00:02:00,789 --> 00:02:02,860
These things never start on time.
37
00:02:04,457 --> 00:02:06,547
Wait. This is it. Hang on.
38
00:02:07,361 --> 00:02:12,297
No, this is my "I almost died" box. Hmm.
39
00:02:13,493 --> 00:02:14,563
I'm fine.
40
00:02:15,480 --> 00:02:18,423
My therapist just said
that I should toss anything
41
00:02:18,448 --> 00:02:21,002
that reminded me of
my birth trauma, so...
42
00:02:21,624 --> 00:02:24,627
- I'll take care of it tonight.
- Okay.
43
00:02:24,652 --> 00:02:26,532
You told Joey to pick
Pru up from school, right?
44
00:02:26,811 --> 00:02:28,301
You know I did.
45
00:02:28,326 --> 00:02:31,288
And can you please remind people
that I am not chief resident anymore?
46
00:02:31,323 --> 00:02:32,926
With Wright back from family leave,
47
00:02:32,951 --> 00:02:35,208
I gotta put all my focus on plastics.
48
00:02:35,233 --> 00:02:37,615
As soon as I register for school.
49
00:02:37,753 --> 00:02:39,444
But they just accepted your application.
50
00:02:39,469 --> 00:02:41,782
Yeah, as a last-minute
admission, right?
51
00:02:41,807 --> 00:02:43,498
Final registration's today.
52
00:02:44,972 --> 00:02:46,250
Miranda Bailey.
53
00:02:46,373 --> 00:02:50,637
MD, FACS, MPH.
54
00:02:50,662 --> 00:02:52,457
Mmm, that's a lot of letters.
55
00:02:52,482 --> 00:02:55,322
I am unbenched from surgery,
I'm getting my master's.
56
00:02:55,347 --> 00:02:57,625
Watch out, world. She's coming for you.
57
00:02:57,763 --> 00:03:00,283
And she is talking about
herself in third person.
58
00:03:00,545 --> 00:03:04,342
If only we didn't have to spend
all morning at this PR circus.
59
00:03:06,876 --> 00:03:08,326
Oh.
60
00:03:08,981 --> 00:03:10,051
Good morning, Dr. Bailey.
61
00:03:10,190 --> 00:03:12,157
- Good morning.
- Ndugu. Millin.
62
00:03:31,832 --> 00:03:32,791
Where are you?
63
00:03:32,816 --> 00:03:34,673
I thought you were gonna
be here half an hour ago.
64
00:03:34,697 --> 00:03:36,856
It's total gridlock by the airport.
No one's moving.
65
00:03:36,881 --> 00:03:39,539
Catherine told them the surgeon
whose name is on the building
66
00:03:39,564 --> 00:03:41,428
- would be here for the photo.
- I know.
67
00:03:41,566 --> 00:03:42,921
Tell Catherine I'm sorry.
68
00:03:42,946 --> 00:03:44,638
I'll be there as soon as I can.
69
00:03:49,436 --> 00:03:53,923
All right. Who's ready to see
Grey Sloan's new crown jewel?
70
00:03:54,061 --> 00:03:55,442
Follow me.
71
00:04:02,207 --> 00:04:03,873
Welcome to the Olympic Floor.
72
00:04:03,898 --> 00:04:06,246
Welcome to paradise.
73
00:04:08,383 --> 00:04:09,906
Oh, my God.
74
00:04:10,560 --> 00:04:12,631
We made it. We made it.
75
00:04:25,126 --> 00:04:26,783
What is this?
76
00:04:30,062 --> 00:04:31,581
Oh, my God.
77
00:04:32,594 --> 00:04:37,594
- Synced and corrected by ChrisKe -
-- for www.addic7ed.com --
78
00:04:38,485 --> 00:04:41,971
With the addition of the
Olympic Floor, Grey Sloan joins
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00:04:41,996 --> 00:04:46,877
the leading hospitals in this
country by offering a VIP wing.
80
00:04:47,321 --> 00:04:48,840
The Seahawks are gonna love this.
81
00:04:48,865 --> 00:04:52,059
Mm-hmm. Espresso
machines, seven o'clock.
82
00:04:52,084 --> 00:04:55,822
We are very fortunate to
have developed our VIP program
83
00:04:55,847 --> 00:04:59,262
with Dr. Seth Norton, CEO
of Olympic Regent Health.
84
00:04:59,287 --> 00:05:01,162
Let's give him a warm welcome.
85
00:05:03,385 --> 00:05:04,420
Thank you.
86
00:05:04,683 --> 00:05:05,923
That guy looks like this floor.
87
00:05:05,960 --> 00:05:07,548
- What, slick?
- Rich.
88
00:05:08,559 --> 00:05:10,423
It's like dogs and their owners.
89
00:05:10,448 --> 00:05:12,218
- At least the food is good.
- Good morning.
90
00:05:12,242 --> 00:05:15,420
I am thrilled to raise
the bar on Grey Sloan's
91
00:05:15,445 --> 00:05:17,464
already stellar reputation.
92
00:05:17,489 --> 00:05:19,600
Patients will have private suites with
93
00:05:19,624 --> 00:05:22,193
high-level security,
hotel-quality bedding
94
00:05:22,218 --> 00:05:25,670
and meals tailored to their
health needs by a gourmet chef.
95
00:05:25,808 --> 00:05:27,574
I've been covering for Hunt and Altman,
96
00:05:27,598 --> 00:05:29,589
but we have money for a gourmet chef?
97
00:05:29,614 --> 00:05:31,409
I should have asked for a raise.
98
00:05:31,434 --> 00:05:33,919
It will no longer be a hospital stay.
99
00:05:33,944 --> 00:05:35,739
It will be a luxury experience.
100
00:05:35,764 --> 00:05:37,315
Mmm. We should vacation here.
101
00:05:37,340 --> 00:05:39,556
But all of these
amenities pale in comparison
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00:05:39,580 --> 00:05:42,169
to the unparalleled
access patients will have
103
00:05:42,194 --> 00:05:45,128
to the hospital's most
important asset, you.
104
00:05:45,153 --> 00:05:49,053
From fast-tracking through
the ER to 24-7 post-op access,
105
00:05:49,078 --> 00:05:51,273
your patients will
not doubt for a single
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00:05:51,298 --> 00:05:53,111
second how much you care about them.
107
00:05:53,249 --> 00:05:56,020
All right. Enough talk.
Let's cut the ribbon.
108
00:05:56,045 --> 00:05:57,184
Come on, Dr. Shepherd.
109
00:05:57,209 --> 00:06:00,231
Join us. All right, come on.
110
00:06:00,256 --> 00:06:01,496
- Join us. Join us.
- All right.
111
00:06:01,533 --> 00:06:02,707
Here we go.
112
00:06:06,849 --> 00:06:08,999
Two planes collided
on the runway at the airport.
113
00:06:09,023 --> 00:06:11,010
- We're about to get slammed.
- All right.
114
00:06:11,035 --> 00:06:14,003
That's enough celebrating for me.
I'll send everyone down.
115
00:06:14,028 --> 00:06:15,133
Come on.
116
00:06:16,065 --> 00:06:17,825
All right. Everyone, stay calm.
117
00:06:20,103 --> 00:06:22,841
Hey. Sorry about this morning.
I probably should have locked the door.
118
00:06:22,865 --> 00:06:24,532
That's okay.
We don't need to talk about it.
119
00:06:24,556 --> 00:06:27,156
- Kwan and I were up late playing games.
- Still talking about it.
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00:06:27,213 --> 00:06:29,398
We're good? It's nothing you
haven't seen before, right?
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00:06:29,423 --> 00:06:31,701
This place looks like a dump
compared to the new floor.
122
00:06:31,839 --> 00:06:33,100
Took you long enough.
123
00:06:33,125 --> 00:06:35,234
Between that dog-and-pony show and this
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00:06:35,258 --> 00:06:36,682
trauma, the whole day is thrown off.
125
00:06:36,706 --> 00:06:41,410
Most elective classes...
I mean, cases... are pushed.
126
00:06:41,435 --> 00:06:43,126
So go where you're needed.
127
00:06:43,264 --> 00:06:46,129
Millin, I saw what
happened this morning.
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00:06:46,895 --> 00:06:49,804
I don't tolerate tardiness
in my residency program.
129
00:06:49,829 --> 00:06:51,969
- It won't happen again.
- Hmm.
130
00:06:58,866 --> 00:07:00,281
Meredith, you made it.
131
00:07:00,420 --> 00:07:01,835
Just in time for the chaos, I see.
132
00:07:01,860 --> 00:07:03,328
- Yeah.
- How mad is Catherine?
133
00:07:03,353 --> 00:07:04,882
Uh, are you staying to help?
134
00:07:04,907 --> 00:07:06,919
Well, it'll probably make up
for missing the big unveiling.
135
00:07:06,943 --> 00:07:09,152
- Yeah. It couldn't hurt. Mm-hmm.
- I'll go change.
136
00:07:10,084 --> 00:07:11,741
Excuse me. Hey, hey.
137
00:07:12,003 --> 00:07:13,039
Hey!
138
00:07:13,916 --> 00:07:15,158
What do you need?
139
00:07:15,780 --> 00:07:17,851
Do you work here?
I've already been here six hours.
140
00:07:17,989 --> 00:07:20,311
Okay. There's a big
emergency that's just come in.
141
00:07:20,336 --> 00:07:21,475
I have to run upstairs.
142
00:07:21,644 --> 00:07:23,474
I will check on you
when I get back, okay?
143
00:07:28,469 --> 00:07:31,385
Hey. Good thing you
weren't flying in today.
144
00:07:31,983 --> 00:07:33,088
Also, hi.
145
00:07:33,113 --> 00:07:35,740
How was, uh, visiting
your mom in Wisconsin?
146
00:07:35,765 --> 00:07:37,871
Uh, it was my dad in Michigan.
147
00:07:37,896 --> 00:07:40,791
Right. Yes. I did know that. Uh...
148
00:07:41,150 --> 00:07:44,153
What are you doing after work?
You wanna grab food and talk?
149
00:07:44,809 --> 00:07:47,156
- You're kidding, right?
- You're still mad?
150
00:07:47,950 --> 00:07:49,790
- We've been texting.
- Yeah, we work together.
151
00:07:49,848 --> 00:07:51,401
I can't exactly ignore you.
152
00:07:52,092 --> 00:07:54,048
Bree Wong, 31. Status, post-plane crash
153
00:07:54,072 --> 00:07:56,140
on the tarmac. GCS 15. Vitals stable.
154
00:07:56,165 --> 00:07:58,374
Has facial bruising and
one episode of epistaxis.
155
00:07:58,399 --> 00:07:59,833
Nasal packing inserted.
156
00:07:59,858 --> 00:08:01,791
She also had episodes of
intermittent paralysis.
157
00:08:01,816 --> 00:08:03,986
I don't know what happened.
158
00:08:04,011 --> 00:08:07,323
The sound, the crunching metal, screams.
159
00:08:07,348 --> 00:08:09,868
- You were on one of the planes?
- I'm the pilot.
160
00:08:09,893 --> 00:08:11,924
Today's my first day as captain.
161
00:08:11,949 --> 00:08:14,192
- How many passengers?
- 212. Full flight.
162
00:08:14,217 --> 00:08:17,220
- And that's just one of the planes.
- Okay. Let's go Trauma 1.
163
00:08:18,946 --> 00:08:21,450
Anyone who's not down here already
needs to report to the ER now.
164
00:08:21,475 --> 00:08:23,132
- I'll get the word out.
- All right.
165
00:08:23,157 --> 00:08:25,815
Hell of a time to be
down three surgeons.
166
00:08:31,866 --> 00:08:34,109
Uh, my name is Benson.
167
00:08:36,220 --> 00:08:37,566
I am a doctor.
168
00:08:41,498 --> 00:08:42,879
Nope.
169
00:08:42,904 --> 00:08:47,985
Je ne suis pas médecin because
médecincan kiss my derrière.
170
00:08:48,010 --> 00:08:49,183
Yeah.
171
00:08:51,521 --> 00:08:53,908
Let's pick up from last
172
00:08:53,933 --> 00:08:56,545
week by practicing our names and jobs.
173
00:08:56,570 --> 00:08:57,571
Benson.
174
00:09:04,647 --> 00:09:10,316
- Self-employed.
- Ah!
175
00:09:11,274 --> 00:09:13,069
Yeah, it is.
176
00:09:15,780 --> 00:09:16,816
Monica.
177
00:09:17,641 --> 00:09:21,503
Your mother's told me
so much about you, Ms. Annabelle.
178
00:09:21,975 --> 00:09:24,598
- How is your mother?
- Uh, stuck in Milan.
179
00:09:24,623 --> 00:09:27,027
- She sends her love.
- Nice.
180
00:09:27,052 --> 00:09:29,330
How do you like our new VIP floor, huh?
181
00:09:29,524 --> 00:09:31,837
Almost as nice as Mount Sinai.
182
00:09:31,862 --> 00:09:34,031
Is it okay to examine you, Ms. Chase?
183
00:09:35,358 --> 00:09:37,585
- Not him.
- Of course not.
184
00:09:37,610 --> 00:09:39,163
Uh, Dr. Spencer.
185
00:09:41,725 --> 00:09:42,760
Oh. Hmm.
186
00:09:43,306 --> 00:09:45,205
Oh, uh. Does he bite or...
187
00:09:45,343 --> 00:09:48,622
Uh, you were, um,
diagnosed with gallstones.
188
00:09:48,760 --> 00:09:50,457
I was at a conference in Aspen for my
189
00:09:50,481 --> 00:09:52,177
dog rescue when I started feeling pain.
190
00:09:52,202 --> 00:09:54,707
I went to the emergency room.
They said I needed surgery.
191
00:09:54,732 --> 00:09:55,767
Mmm.
192
00:09:56,257 --> 00:09:58,503
- Any tenderness here?
- No.
193
00:09:58,528 --> 00:10:00,530
But I want them gone today.
194
00:10:02,049 --> 00:10:06,295
Um... You know, let's do some labs,
and then we'll get an ultrasound,
195
00:10:06,320 --> 00:10:07,942
and then we'll take it from there.
196
00:10:07,981 --> 00:10:10,280
Would you like a warm
blanket while you're waiting?
197
00:10:10,305 --> 00:10:12,410
Could I get two? I
forgot Prince's sweater.
198
00:10:12,435 --> 00:10:14,128
Of course.
199
00:10:14,153 --> 00:10:15,776
- Spencer...
- Of course.
200
00:10:16,961 --> 00:10:18,997
Isn't he cute? Hello.
201
00:10:20,999 --> 00:10:22,563
- What'd I miss?
- Captain Wong was flying
202
00:10:22,587 --> 00:10:24,071
one of the planes in the collision.
203
00:10:24,096 --> 00:10:26,112
Both pupils are equal and reactive.
204
00:10:26,137 --> 00:10:28,455
- Excuse me.
- Nasal packing is fully saturated.
205
00:10:28,480 --> 00:10:30,984
I need to visualize the source
to control the hemorrhaging.
206
00:10:31,009 --> 00:10:33,134
- Squeeze my fingers.
- This isn't gonna feel very good.
207
00:10:33,159 --> 00:10:35,057
I'm sorry.
208
00:10:35,082 --> 00:10:37,647
Yeah. It looks like a LeFort fracture.
She has maxillary instability.
209
00:10:37,671 --> 00:10:39,475
I'm gonna call for a CT Max/face.
210
00:10:39,500 --> 00:10:42,331
We were about to touch down when I
heard the tower clear another plane
211
00:10:42,356 --> 00:10:44,308
for the intersection departure.
212
00:10:44,333 --> 00:10:45,921
Okay, she's neuro intact now,
213
00:10:45,946 --> 00:10:48,312
but there's midline tenderness
and intermittent motor deficits.
214
00:10:48,337 --> 00:10:50,815
I need a stat CT head and C-spine.
215
00:10:50,922 --> 00:10:53,800
Uh, I couldn't go around.
It was too late.
216
00:10:53,938 --> 00:10:56,803
My wing clipped the
nose of the other plane.
217
00:10:56,828 --> 00:10:58,628
I need to check on a
patient in the next room.
218
00:10:58,658 --> 00:11:00,314
Page me when scans are up.
219
00:11:01,074 --> 00:11:03,328
No, not so fast. We need to
stabilize these facial fractures
220
00:11:03,352 --> 00:11:05,536
and stop the bleeding
before she goes anywhere.
221
00:11:05,561 --> 00:11:07,909
Okay, I'll go get an MMF kit.
222
00:11:08,534 --> 00:11:09,638
It's okay.
223
00:11:09,663 --> 00:11:13,371
Uh, so sorry about all this chaos today.
224
00:11:13,396 --> 00:11:16,020
Reminds me of my med school
rotation at LA County.
225
00:11:16,503 --> 00:11:20,749
Dr. Grey, I'd like to introduce
you to Dr. Seth Norton,
226
00:11:20,774 --> 00:11:24,373
who is the founder/CEO
of Olympic Regent Health.
227
00:11:24,625 --> 00:11:26,661
We missed you this morning.
228
00:11:26,686 --> 00:11:28,835
Can't exactly control a mass trauma.
229
00:11:28,860 --> 00:11:30,493
But it's a pleasure to
finally meet you, sir.
230
00:11:30,517 --> 00:11:32,692
- Yes.
- I take it it went well this morning.
231
00:11:32,830 --> 00:11:34,569
I'd be happy to give you a private tour.
232
00:11:34,594 --> 00:11:35,704
Oh. Good idea.
233
00:11:35,729 --> 00:11:37,810
Hey, why don't you two
get to know each other?
234
00:11:37,835 --> 00:11:39,670
I'm gonna go find Ndugu, give him a
235
00:11:39,694 --> 00:11:41,651
piece of my mind about all this mess.
236
00:11:42,218 --> 00:11:44,265
My afternoon's booked, but
I could squeeze you in now.
237
00:11:44,289 --> 00:11:46,253
Um, I'm pretty busy, and, you know,
238
00:11:46,278 --> 00:11:48,130
I don't really need the sales pitch.
239
00:11:48,155 --> 00:11:50,433
You're not skeptical about a VIP floor?
240
00:11:50,608 --> 00:11:53,308
Well, most private hospitals
in big cities have them.
241
00:11:53,333 --> 00:11:55,715
- They're just trying to keep up.
- I love a pragmatist.
242
00:11:57,139 --> 00:11:58,900
Uh, excuse me. I have a patient.
243
00:11:58,925 --> 00:12:01,168
I make an excellent tour guide.
I'm here all day.
244
00:12:02,585 --> 00:12:04,487
Hey. Where are you going?
245
00:12:04,896 --> 00:12:06,327
To get my mom and dad.
246
00:12:06,587 --> 00:12:08,048
When they realize I
still haven't been seen,
247
00:12:08,072 --> 00:12:09,418
- they're gonna be pissed.
- Okay.
248
00:12:09,587 --> 00:12:12,901
Bryant, let's get him in an
exam room and find his parents.
249
00:12:13,540 --> 00:12:16,260
- We're gonna get you seen.
- All right. Just have a seat right here.
250
00:12:17,253 --> 00:12:19,462
Hey, Ndugu. Heads up.
251
00:12:19,713 --> 00:12:22,440
Supply's out of MMF kits, and
Dr. Fox is looking for you.
252
00:12:22,465 --> 00:12:24,211
- So, I would hide.
- All right.
253
00:12:24,236 --> 00:12:25,789
Running the ER is not my job.
254
00:12:25,814 --> 00:12:27,308
And check the cart by
Trauma 3, all right?
255
00:12:27,332 --> 00:12:29,065
Okay. Oh. Um...
256
00:12:30,232 --> 00:12:31,923
I saw you and Millin this morning.
257
00:12:32,544 --> 00:12:33,580
In the elevator.
258
00:12:34,125 --> 00:12:35,471
With the coffee cups.
259
00:12:36,026 --> 00:12:38,062
Okay, I also saw the two of you
260
00:12:38,087 --> 00:12:40,652
coming out of an on-call room together.
261
00:12:41,208 --> 00:12:42,554
About a month ago?
262
00:12:44,142 --> 00:12:46,050
Promise it's not what
you're thinking, okay?
263
00:12:46,075 --> 00:12:47,352
Ha. Okay. Yeah, fine.
264
00:12:47,836 --> 00:12:50,355
But just in case it is
exactly what I think it is,
265
00:12:50,493 --> 00:12:54,359
I'm telling you, as a friend,
come clean and get ahead of it.
266
00:12:54,981 --> 00:12:57,604
- Hey. OB sent me down here to help...
- Okay.
267
00:12:57,742 --> 00:12:59,443
- ... and now I see why.
- Yeah.
268
00:12:59,468 --> 00:13:01,194
- Bed two. Thank you.
- Yeah.
269
00:13:01,219 --> 00:13:04,378
Okay, sir, sir, you are at the
hospital, so try to calm down.
270
00:13:04,403 --> 00:13:06,761
- We're gonna help you.
- All right. What do we got?
271
00:13:06,786 --> 00:13:10,765
Larry Turner, 44. Acute chest pain
radiating from the back, dyspnea.
272
00:13:10,790 --> 00:13:13,378
BP, 170 over 100. Heart rate, 112.
273
00:13:13,516 --> 00:13:16,071
- Ninety-three percent sats.
- I'm so sorry. I'm so sorry.
274
00:13:16,209 --> 00:13:18,138
Okay, let's do a chest X-ray, CBC,
275
00:13:18,162 --> 00:13:20,498
BMP, troponins and an EKG, all right?
276
00:13:20,523 --> 00:13:23,003
- Just try to breathe, sir. Okay?
- I can't. It's all my fault.
277
00:13:23,112 --> 00:13:24,665
I was the controller in the tower.
278
00:13:24,827 --> 00:13:27,450
I told them they were clear to land.
It's all my fault.
279
00:13:27,945 --> 00:13:29,947
- Okay. Trauma 3. Let's go.
- Yeah.
280
00:13:32,190 --> 00:13:33,640
Okay, okay.
281
00:13:35,849 --> 00:13:37,506
You sure we shouldn't go to CT first?
282
00:13:37,531 --> 00:13:39,015
Shepherd's not gonna like this.
283
00:13:39,040 --> 00:13:41,485
- Yeah, well, Shepherd's not here.
- Why isn't she in CT?
284
00:13:41,510 --> 00:13:44,168
We were worried her facial fractures
could compromise her airways,
285
00:13:44,193 --> 00:13:45,781
so we're doing fixation now.
286
00:13:46,377 --> 00:13:49,035
Before seeing if she has a head
bleed or a serious spinal fracture?
287
00:13:49,173 --> 00:13:50,944
We need to get a full
picture of what we're...
288
00:13:50,968 --> 00:13:53,291
How do you propose we stop her
facial bleeding in the meantime?
289
00:13:53,315 --> 00:13:54,843
Just repack her, hope for the best?
290
00:13:54,868 --> 00:13:56,708
If she has a brain injury,
nothing else matters.
291
00:13:56,732 --> 00:13:59,079
Nothing else matters
besides neuro. That tracks.
292
00:13:59,104 --> 00:14:00,654
If that is how you feel, then maybe
293
00:14:00,679 --> 00:14:02,117
you should have stayed in Wisconsin.
294
00:14:02,142 --> 00:14:04,702
- Michigan.
- Same difference.
295
00:14:08,399 --> 00:14:09,779
You're right.
296
00:14:09,804 --> 00:14:12,082
You clearly have it under control.
Do what you want.
297
00:14:12,107 --> 00:14:13,626
What?
298
00:14:14,957 --> 00:14:16,476
Okay. Let's move her.
299
00:14:23,930 --> 00:14:27,007
There are three ways to ask questions.
300
00:14:29,378 --> 00:14:31,208
Inversion.
301
00:14:32,816 --> 00:14:35,094
Intonation.
302
00:14:37,851 --> 00:14:39,681
Are you feeling okay?
303
00:14:42,646 --> 00:14:44,924
Okay.
304
00:14:48,181 --> 00:14:50,218
It's just a headache.
305
00:14:52,443 --> 00:14:55,411
Do you have any
other symptoms? Are you...
306
00:14:56,102 --> 00:14:58,424
- Okay, I-I'm a doctor. -
307
00:14:58,449 --> 00:15:01,107
I can't do medicine in French.
308
00:15:01,132 --> 00:15:04,223
I've had a... a small fever
309
00:15:04,248 --> 00:15:08,700
for a few days and foggy vision,
310
00:15:09,598 --> 00:15:11,911
and, um... c'est bizarre.
311
00:15:12,808 --> 00:15:16,398
Touching my hair is p-painful.
312
00:15:16,536 --> 00:15:20,747
Okay, madame, this could be
a medical emergency, okay?
313
00:15:21,018 --> 00:15:24,070
You need to go to Grey
Sloan Memorial right now.
314
00:15:25,950 --> 00:15:28,903
Okay, well, class is over.
Everyone sign off.
315
00:15:30,239 --> 00:15:32,429
I will see you at the hospital, okay?
316
00:15:36,876 --> 00:15:38,326
Okay.
317
00:15:38,351 --> 00:15:41,156
There's an NTSB officer at the
desk. He's looking for Larry.
318
00:15:41,181 --> 00:15:43,228
- This is not a good time.
- He asked for my manager.
319
00:15:43,252 --> 00:15:45,392
I'll deal with that in a minute.
320
00:15:45,417 --> 00:15:47,488
I've been working in
that tower for 11 years.
321
00:15:47,597 --> 00:15:49,061
My record is spotless.
322
00:15:49,086 --> 00:15:50,880
Are-Are the pilots here?
Are they alive?
323
00:15:50,905 --> 00:15:52,996
We can't disclose that information.
I'm sorry.
324
00:15:53,021 --> 00:15:55,274
My brother is a pilot. So is my dad.
325
00:15:55,299 --> 00:15:56,699
I-I know how much they depend on us.
326
00:15:56,724 --> 00:15:58,794
Films show a widened mediastinum.
327
00:15:58,819 --> 00:16:00,969
- How's the EKG?
- Uh, normal.
328
00:16:00,994 --> 00:16:02,938
We've been understaffed, so
I've been working night shifts.
329
00:16:02,962 --> 00:16:04,422
I haven't been sleeping.
My neighbor Martha,
330
00:16:04,446 --> 00:16:05,802
she called the police
to do a welfare check
331
00:16:05,826 --> 00:16:08,174
because she hasn't seen
me in so long.
332
00:16:08,199 --> 00:16:10,530
Look, I'm gonna step outside.
333
00:16:10,555 --> 00:16:13,258
- I can call your brother.
- I've had nightmares about this happening.
334
00:16:13,282 --> 00:16:15,112
- It was so much worse.
- Go.
335
00:16:15,137 --> 00:16:16,839
We'll order a CT angio, chest and
336
00:16:16,864 --> 00:16:18,805
abdomen, and we'll set up for an echo.
337
00:16:18,830 --> 00:16:21,669
Take some deep breaths.
Now, sit back for me, okay?
338
00:16:23,330 --> 00:16:24,529
Cough.
339
00:16:25,467 --> 00:16:26,640
You first.
340
00:16:29,160 --> 00:16:31,024
You have an umbilical hernia.
341
00:16:31,275 --> 00:16:34,416
I can operate on it today, but
I'll need consent from your parents.
342
00:16:34,441 --> 00:16:35,891
- Dr. Grey.
- Yes.
343
00:16:36,029 --> 00:16:38,317
- Oh. You must be Charlie's dad.
- Not exactly.
344
00:16:38,342 --> 00:16:42,484
A social worker, DCYF.
Charlie is a ward of the state.
345
00:16:43,036 --> 00:16:44,693
It got me into a room, didn't it?
346
00:16:45,590 --> 00:16:48,534
He has a hernia, and I can
operate on it, but I need consent.
347
00:16:48,559 --> 00:16:50,329
- How quick can you get it?
- Depends.
348
00:16:50,354 --> 00:16:52,045
If I put a rush on it...
349
00:16:52,490 --> 00:16:53,889
I'll put a rush on it.
350
00:16:53,952 --> 00:16:56,405
Great.
They're gonna take you to CT soon.
351
00:16:56,509 --> 00:16:57,544
Thank you.
352
00:16:59,176 --> 00:17:00,246
Okay.
353
00:17:02,028 --> 00:17:03,374
Dr. Grey is the best.
354
00:17:03,976 --> 00:17:06,276
- All right?
- We'll see.
355
00:17:09,718 --> 00:17:12,307
Your ultrasound confirms gallstones.
356
00:17:12,558 --> 00:17:15,388
Uh, there is no evidence
of acute inflammation,
357
00:17:15,413 --> 00:17:17,494
and, uh, your labs are clear.
358
00:17:17,581 --> 00:17:20,315
So we'd like to schedule
surgery for next week.
359
00:17:20,763 --> 00:17:23,569
- But I cleared my afternoon.
- Did you hear about the plane crash?
360
00:17:23,594 --> 00:17:27,021
Next week, I have our annual
fundraising gala for all our top donors.
361
00:17:27,046 --> 00:17:28,046
I can't miss it.
362
00:17:28,071 --> 00:17:30,127
I thought this was the VIP floor.
363
00:17:30,152 --> 00:17:32,382
You don't pay first
class just to board last.
364
00:17:32,407 --> 00:17:33,443
I'll get you in.
365
00:17:34,166 --> 00:17:37,065
And I want Grey or Sloan.
366
00:17:37,412 --> 00:17:40,517
There are also
plenty of world-class surgeons...
367
00:17:40,542 --> 00:17:43,646
Dr. Grey will be very
happy to do your surgery.
368
00:17:43,671 --> 00:17:45,328
Richard, a word?
369
00:17:49,068 --> 00:17:50,768
His first day or something?
370
00:17:53,079 --> 00:17:54,736
I'm a catch, right?
371
00:17:55,989 --> 00:17:57,404
I don't think I should answer that.
372
00:17:57,973 --> 00:18:00,148
I am officially on the market.
373
00:18:00,286 --> 00:18:02,011
Do you have anyone to set me up with?
374
00:18:02,150 --> 00:18:04,023
Oh, I do. We meet up to skateboard...
375
00:18:04,048 --> 00:18:05,532
I'm gonna stop you right there.
376
00:18:06,158 --> 00:18:07,918
Is your shoulder still bugging you?
377
00:18:08,017 --> 00:18:09,502
It's just stiff.
378
00:18:09,640 --> 00:18:10,848
Pain's better, though.
379
00:18:11,400 --> 00:18:13,104
How you doing, Bree?
380
00:18:13,479 --> 00:18:15,244
I'm second-guessing everything that
381
00:18:15,268 --> 00:18:16,761
I've learned in a decade of...
382
00:18:16,785 --> 00:18:18,511
Damn it.
383
00:18:20,168 --> 00:18:22,180
- She's hypoxic.
- The bleeding's asphyxiating her.
384
00:18:22,204 --> 00:18:23,729
Wait, wait, wait, wait.
385
00:18:23,754 --> 00:18:26,391
Her CT head is clear, but her
C-spine, she has an AO dissociation.
386
00:18:26,415 --> 00:18:28,461
There's nothing holding
her head onto her body.
387
00:18:28,486 --> 00:18:30,511
The impact from the collision must have
388
00:18:30,535 --> 00:18:32,559
completely severed her alar ligaments.
389
00:18:32,697 --> 00:18:34,135
I don't remember the last
390
00:18:34,159 --> 00:18:35,597
time I saw an internal decapitation.
391
00:18:35,735 --> 00:18:37,056
I do, and it didn't end well.
392
00:18:37,081 --> 00:18:39,325
We need to intubate, but
we cannot move her C-spine.
393
00:18:39,463 --> 00:18:41,750
Page Wright, call a code
blue and get a crash cart.
394
00:18:41,775 --> 00:18:43,191
Code blue.
395
00:18:45,469 --> 00:18:47,781
Labs are up. Troponins are elevated.
396
00:18:48,403 --> 00:18:51,475
If only the officer could
help with this unruly ER.
397
00:18:51,500 --> 00:18:53,040
Okay, wait, wait, right there.
398
00:18:55,419 --> 00:18:57,801
Okay, Larry, when was
your last physical?
399
00:18:57,826 --> 00:18:58,827
Uh...
400
00:18:58,965 --> 00:19:00,553
I had to push it a couple of times.
401
00:19:00,578 --> 00:19:03,703
Could you roll onto your back
for me? Your echo is showing
402
00:19:03,728 --> 00:19:05,799
a thoracic aortic aneurysm.
403
00:19:05,937 --> 00:19:08,250
It's usually asymptomatic
until it starts to expand.
404
00:19:08,388 --> 00:19:11,194
I had pain this morning, but
we're already down so many people.
405
00:19:11,219 --> 00:19:13,162
- That's comforting.
- What's happening with CT?
406
00:19:13,186 --> 00:19:14,439
They've been full for the last hour.
407
00:19:14,463 --> 00:19:16,120
Let's go and I'll make them fit us in.
408
00:19:16,145 --> 00:19:18,296
I shouldn't have gone to work.
I should've just gone to the doctor.
409
00:19:18,321 --> 00:19:21,972
Larry, Larry, look at me.
Hey, you're gonna be okay.
410
00:19:21,997 --> 00:19:24,414
- Just try to calm down.
- Let's move.
411
00:19:24,439 --> 00:19:26,130
- Let's move.
- All right.
412
00:19:26,155 --> 00:19:27,383
... as quickly as possible.
413
00:19:27,407 --> 00:19:28,522
I am aware that your brother is inside.
414
00:19:28,546 --> 00:19:30,843
We will connect you as soon as
we are able. The room is full
415
00:19:30,868 --> 00:19:32,318
of patients we have not yet seen.
416
00:19:32,343 --> 00:19:36,244
Simone. Hey, I'm looking for
a patient. Uh, Madame Sylvie.
417
00:19:36,269 --> 00:19:37,477
Last name?
418
00:19:37,805 --> 00:19:38,840
I... I don't know.
419
00:19:39,202 --> 00:19:40,721
She's French.
420
00:19:40,746 --> 00:19:43,330
I'm sorry you're bored at home,
but unless your French teacher was
421
00:19:43,354 --> 00:19:44,649
on the nonstop from Denver, there's
422
00:19:44,673 --> 00:19:46,161
absolutely no way I can see her today.
423
00:19:46,185 --> 00:19:48,507
Okay, I'm actually really
enjoying unemployment right now,
424
00:19:48,532 --> 00:19:51,682
but Madame Sylvie might be
having a stroke. There, there.
425
00:19:51,707 --> 00:19:54,321
No. Excuse me, but
I was here before her!
426
00:19:54,346 --> 00:19:56,031
I was here before him.
427
00:19:56,056 --> 00:19:57,793
Stick her in an exam room,
do the initial workup.
428
00:19:57,817 --> 00:20:00,440
- I will be there when I can.
- We got here at the same time.
429
00:20:00,465 --> 00:20:03,073
- I was in front of you on the bus.
- No, that is not true.
430
00:20:03,098 --> 00:20:04,578
- That is not true.
- Hey, get off me!
431
00:20:04,651 --> 00:20:06,077
- Knock it off.
- All these people from the planes?
432
00:20:06,101 --> 00:20:07,561
- They're all hurt?
- We're focused on you.
433
00:20:07,585 --> 00:20:09,184
Watch out for the gurney.
Watch out for the gurney.
434
00:20:09,208 --> 00:20:11,071
Hey, watch out for the gurney, please.
435
00:20:11,096 --> 00:20:12,565
- Security!
- No!
436
00:20:12,590 --> 00:20:14,385
Security!
437
00:20:14,523 --> 00:20:16,294
- What's the matter with you?
- You okay? Hey, hey.
438
00:20:16,318 --> 00:20:18,020
- Whoa, hey, hey, stop.
- Knock it off!
439
00:20:18,044 --> 00:20:20,633
Everyone, stop.
This is an emergency room.
440
00:20:20,884 --> 00:20:23,507
We are processing
patients as fast as we can,
441
00:20:23,532 --> 00:20:24,824
but if we don't help the people with
442
00:20:24,849 --> 00:20:26,708
severe injuries first, they could die.
443
00:20:26,806 --> 00:20:30,134
So sit down, and we'll be with
you when we can, all right?
444
00:20:30,159 --> 00:20:31,402
All right.
445
00:20:31,427 --> 00:20:34,722
- Hey!
- Hey, hey, I said sit down!
446
00:20:35,443 --> 00:20:36,927
Sit down!
447
00:20:38,303 --> 00:20:39,477
Okay.
448
00:20:42,379 --> 00:20:43,449
Fine.
449
00:20:55,895 --> 00:20:57,486
Hey.
450
00:20:58,408 --> 00:21:01,101
Oh. Tell me an expectant mother
wasn't injured in the collision.
451
00:21:01,467 --> 00:21:03,557
No, I'm just raiding
the OR for supplies.
452
00:21:04,893 --> 00:21:06,136
Damn it, he's coding.
453
00:21:06,161 --> 00:21:08,197
Uh, it's an aneurysm.
Must have ruptured.
454
00:21:08,336 --> 00:21:11,813
- We need to do a thoracotomy now.
- Here? You can't be serious.
455
00:21:11,838 --> 00:21:14,323
- He is serious.
- Turn up the flow and hyperventilate.
456
00:21:14,894 --> 00:21:17,793
You're gonna make the incision.
457
00:21:24,697 --> 00:21:25,905
Okay. One more.
458
00:21:27,858 --> 00:21:28,962
Yeah. Yeah.
459
00:21:31,743 --> 00:21:33,158
Come on.
460
00:21:33,740 --> 00:21:35,506
All right, Millin, stick your hand in
461
00:21:35,530 --> 00:21:37,466
there and feel for the area of rupture.
462
00:21:39,781 --> 00:21:41,334
Okay, I got.
463
00:21:41,359 --> 00:21:44,914
All right, now hold pressure distally
and proximally and do not move.
464
00:21:45,711 --> 00:21:46,850
Jamie...
465
00:21:46,926 --> 00:21:47,961
Jamie is...
466
00:21:48,841 --> 00:21:49,946
Oh.
467
00:21:50,655 --> 00:21:54,417
Well, we'll just take the next one down.
It's-It's all fine.
468
00:21:56,428 --> 00:21:58,982
All right, start cardiac
massage with the other hand
469
00:21:59,007 --> 00:22:00,629
and don't stop until the OR.
470
00:22:01,665 --> 00:22:03,943
Come on, Larry, hang in there.
471
00:22:06,980 --> 00:22:09,165
- A little more pressure.
- This is what I was worried about.
472
00:22:09,189 --> 00:22:10,778
- What are you doing?
- We're trying to intubate,
473
00:22:10,803 --> 00:22:12,790
but we can't hyper-extend
her neck because she...
474
00:22:12,814 --> 00:22:15,057
- The AO dissociation. I heard.
- Yes.
475
00:22:17,974 --> 00:22:19,631
I need a scalpel. We gotta crike her.
476
00:22:19,796 --> 00:22:22,626
I will stabilize the C-spine.
You make the incision.
477
00:22:22,651 --> 00:22:24,688
- Okay.
- Get a bougie and a 6-tube ready.
478
00:22:24,795 --> 00:22:27,315
- A little pressure here.
- This neck is not going anywhere.
479
00:22:33,904 --> 00:22:35,526
More pressure.
480
00:22:38,118 --> 00:22:39,499
And tube.
481
00:22:43,894 --> 00:22:45,102
We're in.
482
00:22:52,069 --> 00:22:54,278
All right, bilateral chest
rise and color change.
483
00:22:54,303 --> 00:22:56,236
- We've got an airway.
- Great job, everyone.
484
00:22:56,261 --> 00:22:58,140
For now. We still need to get her to the
485
00:22:58,165 --> 00:22:59,930
OR without paralyzing
her or killing her.
486
00:23:00,068 --> 00:23:00,941
We can do this.
487
00:23:00,966 --> 00:23:04,508
I will keep holding her, and we
will just move slowly and carefully.
488
00:23:04,533 --> 00:23:06,498
- Is everybody ready?
- OR floor is at capacity.
489
00:23:06,523 --> 00:23:07,869
They're gonna have to make room.
490
00:23:10,941 --> 00:23:13,599
- I can't. I already have a patient.
- Well, now you have two.
491
00:23:13,737 --> 00:23:16,878
If the VIP lab chole is so
important, have Norton do it himself.
492
00:23:16,992 --> 00:23:18,832
You were specifically requested.
493
00:23:19,915 --> 00:23:21,089
I don't even work here.
494
00:23:21,114 --> 00:23:22,790
Catherine's under a lot of pressure.
495
00:23:22,815 --> 00:23:25,783
This is day one of the VIP floor.
It needs to impress.
496
00:23:28,372 --> 00:23:29,442
Who would do my hernia?
497
00:23:29,496 --> 00:23:31,939
No one. I gave the OR to your lab chole.
498
00:23:31,964 --> 00:23:34,725
The quicker you finish, the
quicker you can get to your hernia.
499
00:23:44,906 --> 00:23:48,885
- How's it going?
- Benson has been very attentive,
500
00:23:48,910 --> 00:23:51,671
but I-I think this is an overreaction.
501
00:23:51,696 --> 00:23:54,580
Physical exam showed very
large arteries in the scalp
502
00:23:54,605 --> 00:23:57,090
and loud pulses in
the subclavian artery.
503
00:23:57,188 --> 00:23:58,397
Blood work just came in.
504
00:23:59,407 --> 00:24:00,547
You put it under my name?
505
00:24:01,474 --> 00:24:03,417
Je m'appelle Griffith.
506
00:24:04,176 --> 00:24:07,075
Elevated ESR, platelets, liver enzymes.
507
00:24:07,100 --> 00:24:08,481
Oh, you gotta see this.
508
00:24:12,310 --> 00:24:13,829
- Halo sign.
- Halo sign. Yeah.
509
00:24:14,945 --> 00:24:18,915
Sylvie, you have a condition
called giant cell arteritis,
510
00:24:18,940 --> 00:24:20,744
which causes inflammation
in the arteries.
511
00:24:20,769 --> 00:24:24,817
Everything just
went dark in my left eye.
512
00:24:24,842 --> 00:24:26,395
Yeah.
513
00:24:28,723 --> 00:24:31,208
Okay, we need to start her
on IV steroids immediately.
514
00:24:31,233 --> 00:24:33,581
Put in the order.
Yes, you can use my name.
515
00:24:34,196 --> 00:24:36,139
That's okay. Sylvie,
just deep breaths for us.
516
00:24:36,164 --> 00:24:37,491
Just temporary. Don't worry.
517
00:24:40,548 --> 00:24:41,894
Care to step in and help?
518
00:24:41,919 --> 00:24:44,354
Dr. Norton says
that VIP patients pay too much
519
00:24:44,379 --> 00:24:45,627
to have interns operate.
520
00:24:45,652 --> 00:24:47,125
This is a teaching hospital.
521
00:24:47,150 --> 00:24:49,048
You want us to tell him that?
522
00:24:49,073 --> 00:24:51,083
No, but I want you to step in here
523
00:24:51,108 --> 00:24:52,885
and see what I'm doing, pay attention.
524
00:24:53,921 --> 00:24:56,090
There's a hundred accident
victims downstairs,
525
00:24:56,115 --> 00:24:58,402
and patients whose surgeries
have been rescheduled,
526
00:24:58,427 --> 00:25:01,958
but God forbid a VIP patient
waits for a lab chole.
527
00:25:01,983 --> 00:25:04,986
- Well, money talks.
- Spencer, finger.
528
00:25:07,037 --> 00:25:09,315
I've got Charlie Ramos's CT results.
529
00:25:13,839 --> 00:25:15,661
Spencer, you're closing.
530
00:25:15,686 --> 00:25:18,009
- Dr. Norton said that...
- You're more than competent to do this.
531
00:25:18,033 --> 00:25:19,552
Bryant, you're with me.
532
00:25:25,291 --> 00:25:28,122
I am very sorry to keep you waiting.
We should go over these...
533
00:25:29,424 --> 00:25:31,771
- What happened?
- He vomited and can't sit up.
534
00:25:31,796 --> 00:25:34,231
- Okay.
- Where the hell were you?
535
00:25:34,256 --> 00:25:35,854
I want another doctor.
536
00:25:35,879 --> 00:25:38,029
I need to see your stomach.
Your bowel could be incarcerated.
537
00:25:38,053 --> 00:25:39,983
That means it's trapped, and it's dying.
538
00:25:40,008 --> 00:25:42,170
It's a very serious situation.
539
00:25:42,250 --> 00:25:44,688
Please let me take a look.
540
00:25:51,317 --> 00:25:53,478
- Bryant.
- I'll book an OR.
541
00:25:53,503 --> 00:25:55,864
Let get him cleaned up.
542
00:26:03,320 --> 00:26:05,903
- How's it coming in here?
- Almost done with the C2 pedicle screws.
543
00:26:05,928 --> 00:26:07,343
First day as captain.
544
00:26:07,368 --> 00:26:09,094
How do you recover from
something like this?
545
00:26:09,181 --> 00:26:11,501
She was acting on
the information she was given.
546
00:26:11,526 --> 00:26:12,704
This was not her fault.
547
00:26:12,729 --> 00:26:14,735
I'm not saying it
was, but people still got hurt.
548
00:26:14,760 --> 00:26:17,241
- I listened back to the feed.
- You can do that?
549
00:26:17,265 --> 00:26:19,336
Even if she wanted
to stop it, she couldn't.
550
00:26:19,361 --> 00:26:22,882
By the time they cleared the other
plane, it was already too late.
551
00:26:23,659 --> 00:26:26,663
Well, at least it wasn't
too late for Bree.
552
00:26:26,801 --> 00:26:28,113
Last screw's in.
553
00:26:28,138 --> 00:26:29,805
- How are the signals?
- Still look good.
554
00:26:29,992 --> 00:26:31,487
I'm gonna stay and monitor her.
555
00:26:31,512 --> 00:26:33,065
Do what you need to do.
556
00:26:34,558 --> 00:26:35,798
We should get sterile.
557
00:26:38,017 --> 00:26:41,229
The medication will reduce swelling
and prevent further complications.
558
00:26:41,254 --> 00:26:46,109
Thank you so much, Dr. Kwan. I
feel so lucky you're my student.
559
00:26:49,816 --> 00:26:51,093
Dr. Webber.
560
00:26:51,739 --> 00:26:52,809
Can I help you?
561
00:26:52,956 --> 00:26:54,820
Well, I'm just checking on the overflow.
562
00:26:55,579 --> 00:26:57,048
- Catch me up.
- Oh, we've...
563
00:26:57,073 --> 00:27:00,041
I've-I've-I've got it
covered, and you're so busy.
564
00:27:00,066 --> 00:27:02,847
- A-Any day now, Griffith.
- Right.
565
00:27:03,138 --> 00:27:05,460
Sylvie Bernard, 52,
presented with headaches
566
00:27:05,485 --> 00:27:07,049
and temporal tenderness with one episode
567
00:27:07,073 --> 00:27:08,725
of left-sided transient vision loss.
568
00:27:08,750 --> 00:27:11,580
Her labs are notable
for elevated ESR and CRP.
569
00:27:11,605 --> 00:27:15,126
Whoa, whoa, whoa, whoa. That's...
You don't need to rush. Diagnosis?
570
00:27:15,696 --> 00:27:18,940
Bedside ultrasound was consistent
with giant cell arteritis.
571
00:27:19,465 --> 00:27:20,880
You sure it isn't a migraine?
572
00:27:21,131 --> 00:27:23,610
A migraine wouldn't have
elevated inflammatory markers,
573
00:27:23,642 --> 00:27:25,653
and there's no visual
scintillation, no aura.
574
00:27:25,678 --> 00:27:27,872
I've started her on
high-dose methylprednisolone,
575
00:27:27,897 --> 00:27:29,761
and I'll schedule a
rheumatology follow-up
576
00:27:29,786 --> 00:27:32,374
and a confirmatory
temporal artery biopsy.
577
00:27:33,363 --> 00:27:34,847
Nice catch, Griffith.
578
00:27:36,024 --> 00:27:38,474
You're in the hands of one
of our best and brightest.
579
00:27:44,626 --> 00:27:47,123
Do I want to know?
580
00:27:48,720 --> 00:27:49,859
Non.
581
00:27:59,643 --> 00:28:02,103
Hey, I shouldn't have taken credit.
I'll tell Dr. Webber
582
00:28:02,128 --> 00:28:03,751
- you made the diagnosis.
- Don't bother.
583
00:28:03,776 --> 00:28:05,364
Why not? If he knows
it was you, maybe...
584
00:28:05,388 --> 00:28:06,416
He's gonna rehire me?
585
00:28:07,660 --> 00:28:09,835
I-I don't work here anymore,
586
00:28:09,860 --> 00:28:11,804
and every second that I'm
here, it gets harder to accept.
587
00:28:11,828 --> 00:28:14,140
I-I have to... move on.
588
00:28:15,383 --> 00:28:16,487
See you at home.
589
00:28:25,853 --> 00:28:28,527
Nicoletti's tonight? My treat.
590
00:28:29,436 --> 00:28:31,714
Are we celebrating something
that I totally forgot about?
591
00:28:31,744 --> 00:28:36,172
No, but I just did a flawless
spinal fusion on one of the pilots.
592
00:28:36,197 --> 00:28:39,589
God, every time this job starts
to feel thankless or routine,
593
00:28:39,614 --> 00:28:41,823
something happens to
remind me why we do this.
594
00:28:41,905 --> 00:28:42,941
Mm-hmm.
595
00:28:44,135 --> 00:28:45,975
I get my own garlic bread.
596
00:28:46,078 --> 00:28:47,596
Won't make that mistake twice.
597
00:28:48,042 --> 00:28:50,777
Ugh. Another consult.
598
00:28:52,918 --> 00:28:54,989
Hey, you okay? You seem a little...
599
00:28:55,768 --> 00:28:58,357
Hungry. So, thanks for that.
600
00:28:59,470 --> 00:29:01,196
Go to your consult. I'll see you later.
601
00:29:11,759 --> 00:29:13,588
All right, Dacron graft, please.
602
00:29:14,304 --> 00:29:15,652
Take these. All right, Dr. Millin,
603
00:29:15,676 --> 00:29:17,498
it is time to finish what you started.
604
00:29:17,523 --> 00:29:19,525
You'll be assisting in the anastomosis.
605
00:29:19,550 --> 00:29:21,011
Happy to as long as it's in here.
606
00:29:21,042 --> 00:29:22,802
Not a fan of the elevator?
607
00:29:24,550 --> 00:29:26,670
All right, start on the proximal end.
Use 4-0 Prolene.
608
00:29:26,695 --> 00:29:28,255
Ndugu, you sure you don't want to do it?
609
00:29:28,280 --> 00:29:30,006
No, she's got it. I'm right here.
610
00:29:30,329 --> 00:29:32,538
Wow, feel this calcification.
611
00:29:32,563 --> 00:29:35,635
Aneurysm or not, he's lucky
he hasn't collapsed from an MI.
612
00:29:35,660 --> 00:29:37,992
- Or the job.
- Or both.
613
00:29:38,017 --> 00:29:40,054
I mean, how do you expect people
614
00:29:40,079 --> 00:29:42,859
not to mess up when they're
overworked and underpaid?
615
00:29:42,884 --> 00:29:46,612
Just sheer stupidity, if you ask me.
616
00:29:46,637 --> 00:29:47,811
- V-fib.
- Damn it. All right.
617
00:29:47,836 --> 00:29:49,423
- Irrigation.
- Here.
618
00:29:49,448 --> 00:29:52,110
- Millin, start cardiac massage.
- Come on now.
619
00:29:52,135 --> 00:29:54,309
Come on, Larry. You made
it through the elevator.
620
00:29:54,334 --> 00:29:56,581
Don't do this here. Come on, now.
621
00:30:00,397 --> 00:30:03,055
Ah. You're awake. How are you feeling?
622
00:30:03,456 --> 00:30:05,182
Did you fix the thing?
623
00:30:05,320 --> 00:30:06,469
Surgery went well.
624
00:30:06,494 --> 00:30:09,531
Great. Then you can go. I'm good.
625
00:30:09,669 --> 00:30:12,440
- Can we have the room, please?
- He's only 17.
626
00:30:12,465 --> 00:30:15,158
He'll be 18 in two months.
I checked the chart.
627
00:30:15,861 --> 00:30:17,139
I'll update you thoroughly.
628
00:30:27,170 --> 00:30:29,265
Charlie, during surgery, we noticed an
629
00:30:29,289 --> 00:30:31,726
abnormal buildup of
mucus in your abdomen.
630
00:30:31,864 --> 00:30:32,756
What does that mean?
631
00:30:32,781 --> 00:30:34,877
Well, could mean a few different things,
632
00:30:34,902 --> 00:30:37,638
and I did send some concerning
nodules to pathology.
633
00:30:37,663 --> 00:30:38,837
Could it be bad?
634
00:30:40,252 --> 00:30:42,470
Like... cancer?
635
00:30:42,495 --> 00:30:46,879
Possibly, and if it is,
you would need more tests
636
00:30:46,904 --> 00:30:49,907
and surgery and possibly
chemotherapy treatment.
637
00:30:50,538 --> 00:30:53,516
You have a... a foster
parent listed in your chart.
638
00:30:53,541 --> 00:30:55,759
- Shall I call her?
- I've been with her 13 days.
639
00:30:55,784 --> 00:30:57,752
You need to start all of this ASAP.
640
00:30:57,819 --> 00:30:59,859
And based on today, that'll
be in, what, six months?
641
00:31:00,959 --> 00:31:02,374
I'm sorry about today.
642
00:31:02,481 --> 00:31:04,699
I hate that I let you
down, but I'm here now.
643
00:31:04,837 --> 00:31:06,529
And if you agree to
let me be your doctor,
644
00:31:06,554 --> 00:31:08,901
I promise I will not let
you fall through the cracks.
645
00:31:11,617 --> 00:31:12,825
I want to be alone.
646
00:31:15,479 --> 00:31:16,515
Okay.
647
00:31:17,963 --> 00:31:19,309
We'll be right outside.
648
00:31:24,837 --> 00:31:27,530
Stitches look great.
Just repack and then we'll redress.
649
00:31:27,555 --> 00:31:29,844
- You got it, boss.
- Signals are dropping.
650
00:31:29,903 --> 00:31:32,457
She's brady, and now v-fib.
651
00:31:32,580 --> 00:31:34,133
Starting compressions.
652
00:31:34,192 --> 00:31:36,816
The spinal fusion
was perfect. Checking the drains.
653
00:31:38,068 --> 00:31:39,898
No, it's not a bleed.
654
00:31:39,923 --> 00:31:41,248
Okay, this has gotta
be spinal cord edema.
655
00:31:41,273 --> 00:31:43,384
Push 20 of steroids and mannitol now.
656
00:31:44,243 --> 00:31:45,417
Push lido.
657
00:31:46,421 --> 00:31:47,664
Internal paddles.
658
00:31:48,734 --> 00:31:50,909
Charging to 20.
659
00:31:51,919 --> 00:31:53,507
Clear.
660
00:31:53,656 --> 00:31:56,038
Okay, uh, how many units has he had?
661
00:31:58,014 --> 00:31:59,567
Okay, charging to 30.
662
00:32:01,273 --> 00:32:03,551
And clear.
663
00:32:03,576 --> 00:32:05,696
Charge to 200.
664
00:32:05,721 --> 00:32:07,348
Clear.
665
00:32:09,088 --> 00:32:11,159
- Nothing.
- Charge again.
666
00:32:13,346 --> 00:32:14,795
Clear.
667
00:32:16,935 --> 00:32:18,740
- Still nothing.
- Damn it.
668
00:32:18,764 --> 00:32:19,938
Not today, Bree.
669
00:32:30,147 --> 00:32:31,927
Pressure's coming back up.
670
00:32:47,382 --> 00:32:48,383
Dr. Shepherd.
671
00:32:49,399 --> 00:32:51,332
She was just getting started.
I'm not giving up.
672
00:32:53,626 --> 00:32:55,249
- It's time.
- No.
673
00:32:56,412 --> 00:32:57,723
Amelia.
674
00:33:09,021 --> 00:33:10,197
Time of death...
675
00:33:14,725 --> 00:33:15,699
18:09.
676
00:33:33,398 --> 00:33:37,126
Hey. His pressures are
miraculously holding.
677
00:33:37,376 --> 00:33:38,602
Pilot didn't make it.
678
00:33:39,785 --> 00:33:42,340
Oh, man.
He's never gonna forgive himself.
679
00:33:42,365 --> 00:33:43,366
Mmm.
680
00:33:45,873 --> 00:33:47,599
Oh, no. Ugh.
681
00:33:48,093 --> 00:33:50,923
I missed my registration deadline.
682
00:33:52,375 --> 00:33:56,630
I'm... I'm getting
a master's in public health.
683
00:33:56,716 --> 00:33:58,131
Or... I was.
684
00:33:58,156 --> 00:34:01,504
With everything going on
today, I forgot about school.
685
00:34:02,163 --> 00:34:05,821
Just call. Tell them you were
saving someone's life.
686
00:34:06,423 --> 00:34:11,773
You know, today has shown me that
maybe I should rethink going at all.
687
00:34:11,911 --> 00:34:13,913
'Cause you missed a deadline?
688
00:34:14,786 --> 00:34:19,066
Full-time surgeon, residency
director, the clinic,
689
00:34:19,204 --> 00:34:20,792
being a wife, full-time mom.
690
00:34:20,817 --> 00:34:25,891
If I add more, I mean, something
other than a deadline will suffer,
691
00:34:25,916 --> 00:34:27,297
or-or-or someone.
692
00:34:28,687 --> 00:34:30,424
Well, look, Larry made a mistake
693
00:34:30,448 --> 00:34:32,735
because he's working in a broken system.
694
00:34:32,760 --> 00:34:34,451
So are we.
695
00:34:34,689 --> 00:34:39,177
Yeah, so I was hoping, with
a degree, I could help fix it.
696
00:34:40,354 --> 00:34:43,150
So ask for help. Delegate something.
697
00:34:43,388 --> 00:34:44,827
You know, let other people step up.
698
00:34:45,579 --> 00:34:47,546
Yeah, you can do this. We got you.
699
00:34:58,579 --> 00:35:00,512
Why is your shirt always off?
700
00:35:00,537 --> 00:35:02,799
I am literally in a place
where people get dressed.
701
00:35:02,824 --> 00:35:04,343
I need boundaries.
702
00:35:04,991 --> 00:35:09,254
Okay, look, I know that the time
we were drunk was a one-time thing
703
00:35:09,279 --> 00:35:10,861
and you're with Bryant now.
704
00:35:10,886 --> 00:35:13,878
Yes, I'm with Bryant now, so I
can't see you in the shower naked.
705
00:35:13,903 --> 00:35:16,112
It's... distracting.
706
00:35:17,839 --> 00:35:19,324
I need to move on, you know?
707
00:35:21,119 --> 00:35:22,568
I will keep my clothes on.
708
00:35:22,706 --> 00:35:26,262
It's not... only the clothes. It's, I...
709
00:35:27,248 --> 00:35:28,732
I just need a little space.
710
00:35:31,474 --> 00:35:32,475
Understood.
711
00:35:44,452 --> 00:35:46,489
Hey. Sorry I couldn't give you a ride.
712
00:35:46,514 --> 00:35:49,363
I needed to make sure I
spoke to Larry's brother.
713
00:35:49,388 --> 00:35:51,663
It's probably best we
don't travel together.
714
00:35:51,688 --> 00:35:53,863
- Less eyes on us.
- Yeah, um...
715
00:35:56,198 --> 00:35:57,440
Ben knows.
716
00:35:58,101 --> 00:36:00,068
- How?
- Guess he's seen us a couple times.
717
00:36:00,093 --> 00:36:02,440
I-I don't know. I-I denied it,
but he didn't buy it.
718
00:36:02,643 --> 00:36:04,058
Does Bailey know?
719
00:36:04,196 --> 00:36:06,164
- I don't think so.
- Are you sure?
720
00:36:07,093 --> 00:36:09,579
Pretty sure, yeah. She, uh...
721
00:36:10,567 --> 00:36:12,120
She made me residency director.
722
00:36:12,145 --> 00:36:14,388
- Wait, what?
- Yeah, um...
723
00:36:15,182 --> 00:36:19,117
She said she needed something
off her plate and-and she thought
724
00:36:19,142 --> 00:36:21,603
I did a great job teaching you today,
and she thinks it's a great fit.
725
00:36:21,627 --> 00:36:22,835
And you accepted?
726
00:36:41,497 --> 00:36:43,395
We can still save this.
727
00:36:50,609 --> 00:36:52,335
Zach's asleep inside.
728
00:36:52,417 --> 00:36:55,627
- Sleeping with Cass was a huge mistake.
- Amelia...
729
00:36:55,652 --> 00:36:56,908
- I was sure...
- I can't...
730
00:36:56,933 --> 00:36:57,987
... that you were
getting back with Celine.
731
00:36:58,012 --> 00:37:00,453
- I can't deal with this.
- I was totally shattered.
732
00:37:00,578 --> 00:37:03,281
And how do you think I felt when
I came to your door and saw her?
733
00:37:05,122 --> 00:37:07,331
It nearly destroyed me.
I had to leave town.
734
00:37:08,187 --> 00:37:09,944
I have a penchant
for self-destruction.
735
00:37:09,969 --> 00:37:11,112
Okay. Okay.
736
00:37:11,137 --> 00:37:15,694
I spent every day since wishing
I could take it back because I...
737
00:37:15,898 --> 00:37:19,350
I've spent a long time
waiting to feel this way.
738
00:37:19,375 --> 00:37:22,076
Like, when I'm with
you, everything's right.
739
00:37:22,101 --> 00:37:25,829
Everything is exactly
where it should be. I'm...
740
00:37:26,051 --> 00:37:27,570
I'm exactly where I should be.
741
00:37:27,624 --> 00:37:30,499
You said that you loved
me. I love you too.
742
00:37:30,524 --> 00:37:33,966
I'm desperately, madly,
dizzyingly in love with you,
743
00:37:33,991 --> 00:37:38,635
so if you're done with me,
I will learn to accept it.
744
00:37:38,867 --> 00:37:44,356
But if there's any part of you
that still feels the way you did...
745
00:37:47,604 --> 00:37:49,766
I'm begging you not to let this die.
746
00:37:57,896 --> 00:37:59,104
I'm not done.
747
00:38:11,345 --> 00:38:14,624
It's easy to judge
people for their actions,
748
00:38:14,667 --> 00:38:16,945
but you don't always
know what's driving them.
749
00:38:17,674 --> 00:38:19,676
Look at that. Hurricane slice.
750
00:38:19,701 --> 00:38:21,585
Are you hitting Y
when you're pressing that?
751
00:38:21,609 --> 00:38:23,932
- Don't worry. Hurricane slice!
- I don't know how you're doing that.
752
00:38:23,956 --> 00:38:25,381
- Okay, wait.
- Who's winning?
753
00:38:25,406 --> 00:38:26,821
- Don't talk.
- Just one sec.
754
00:38:26,846 --> 00:38:29,228
Come on. Come on. No, no,
no, no, no, no, no, no!
755
00:38:30,342 --> 00:38:32,102
What the hell was that?
756
00:38:32,240 --> 00:38:34,415
That's a mega fireball. I
unlocked it in the dungeon.
757
00:38:34,440 --> 00:38:35,855
- The mega...
- Yeah.
758
00:38:35,880 --> 00:38:38,188
- Okay, we need another round.
- Another round? Another round?
759
00:38:38,213 --> 00:38:41,328
Another, uh, uh... Let's...
I'm actually kind of tired.
760
00:38:41,353 --> 00:38:42,951
- No, you just don't want to lose.
- It's okay.
761
00:38:42,975 --> 00:38:44,815
It gives me time to review
my notes for tomorrow.
762
00:38:44,839 --> 00:38:47,102
Sure? Okay, okay. All right, cool.
763
00:38:47,127 --> 00:38:49,667
It'll only take me a minute
to beat him again anyway.
764
00:38:49,794 --> 00:38:51,796
- Whup your butt.
- Check this out right now.
765
00:38:52,270 --> 00:38:54,736
- Bam!
- I keep letting him get this move off.
766
00:38:54,761 --> 00:38:55,796
That's it.
767
00:38:56,533 --> 00:38:58,742
You don't know
what they were born into,
768
00:38:59,640 --> 00:39:01,194
struggles they've faced.
769
00:39:28,033 --> 00:39:31,313
Sometimes we make rash
decisions with no idea why.
770
00:39:32,592 --> 00:39:36,113
Meredith. Beautiful, isn't it?
771
00:39:36,201 --> 00:39:38,134
We were just talking about you.
772
00:39:38,272 --> 00:39:41,604
You were so wonderful today
with Annabelle Chase. Thank you.
773
00:39:41,629 --> 00:39:44,598
Well, do you still want my opinion?
774
00:39:45,851 --> 00:39:47,843
I don't know. Do I?
775
00:39:47,868 --> 00:39:49,983
Well, I have worked here
since I was an intern,
776
00:39:50,008 --> 00:39:51,881
and this hospital has
seen a lot of changes.
777
00:39:51,906 --> 00:39:55,254
Name changes, financial
crises, tragedies.
778
00:39:55,354 --> 00:39:59,544
The one thing that has never
changed is our standard of care.
779
00:39:59,569 --> 00:40:01,468
It has always been excellent.
780
00:40:01,719 --> 00:40:03,292
It never needed to be tiered.
781
00:40:03,317 --> 00:40:07,045
- Meredith, if you just give him...
- Today, I gave inadequate care.
782
00:40:07,241 --> 00:40:11,729
My patient suffered, and I lost his
trust, and that is not who we are.
783
00:40:11,754 --> 00:40:13,253
And it is day one, sir.
784
00:40:13,278 --> 00:40:14,879
Meredith, you might want to know that
785
00:40:14,904 --> 00:40:17,656
Dr. Norton is our new chief of surgery.
786
00:40:17,771 --> 00:40:20,335
He's gonna be with us every day.
787
00:40:20,986 --> 00:40:22,228
Unlike you.
788
00:40:27,563 --> 00:40:29,427
Oh. Excuse me.
789
00:40:29,452 --> 00:40:33,007
But often it's fear pulling
the strings behind the curtain.
790
00:40:35,260 --> 00:40:36,260
Fear of failure...
791
00:40:36,335 --> 00:40:37,159
Meredith.
792
00:40:37,184 --> 00:40:41,310
... of being let down, or, one of
my old favorites, fear of happiness.
793
00:40:41,335 --> 00:40:45,279
You could have told me you were
considering hiring him as chief.
794
00:40:45,304 --> 00:40:47,168
You never wanted to be
involved in the search.
795
00:40:47,193 --> 00:40:49,460
I didn't think I needed to, but now
796
00:40:49,597 --> 00:40:51,863
I am second-guessing that decision.
797
00:40:51,888 --> 00:40:54,910
Annabelle's mother donated
$100,000 to this hospital.
798
00:40:54,935 --> 00:40:57,197
Well, that just makes me feel dirtier.
799
00:40:57,222 --> 00:41:00,605
Look, Grey Sloan has lost
a huge amount of funding.
800
00:41:00,630 --> 00:41:04,901
- Every hospital has.
- No, we're not like all hospitals.
801
00:41:05,123 --> 00:41:07,332
We staff highly sought-after surgeons.
802
00:41:07,549 --> 00:41:10,138
We publish groundbreaking research.
803
00:41:10,226 --> 00:41:12,573
Our overhead is massive, Meredith.
804
00:41:12,711 --> 00:41:14,943
If we want to be the
same state-of-the-art
805
00:41:14,967 --> 00:41:16,543
institute we've always been,
806
00:41:16,742 --> 00:41:19,538
then we need a plan, and Norton has one.
807
00:41:20,570 --> 00:41:21,951
So you need to get on board.
808
00:41:28,658 --> 00:41:30,039
This will implode.
809
00:41:45,376 --> 00:41:48,068
It's all too easy
to be your own worst enemy.
810
00:41:54,960 --> 00:41:55,961
Hi.
811
00:41:56,479 --> 00:41:57,515
Hey.
812
00:41:59,715 --> 00:42:02,200
My miracle AO patient died.
813
00:42:11,756 --> 00:42:12,826
I quit.
814
00:42:14,873 --> 00:42:17,979
And the damage we inflict
can take a lifetime to undo.
815
00:42:18,004 --> 00:42:23,004
- Synced and corrected by ChrisKe -
-- for www.addic7ed.com --