[♪ "Lights Out" playing]
[Grey] In the 1940s, while stuck in bed with tuberculosis,
biochemist Karl Link read a book on rodent control.
I promise this story has a point.
I'm officially one week post-egg retrieval,
and I got us a room at the Drakemore.
Wow.
Too presumptuous?
No. No. [stutters] Isn't that place expensive?
I found a deal online. And my place is out. Max has canasta.
We could've gone to my place.
I thought we could order in, and chill, and… By chill, I mean…
I understand.
Well, I'll see you back here at zero dark thirty.
[Grey] Karl created a rat poison from an anticoagulant he'd discovered
while trying but failing to treat sick cows.
"Bleomycin." Dactinomycin. So close.
-[chuckling] How is that close? -[sighs] They both end in "-mycin."
-When is the CREOG? -Tomorrow.
Do you wanna quiz me?
I would, but I have to finish my plastics fellowship application.
We're gonna be residents forever, aren't we?
Speak for yourself.
I want out of this house so I can get back to a normal schedule.
You know you can't control when the babies are born, right?
Hmm.
[Grey] Later, a soldier trying to end his life ate Karl's rat poison,
which, unexpectedly, helped lead to its use as a blood thinner in humans.
Here, give me.
Is this a group activity now?
Not for much longer.
I've got an appointment with Dr. Carpio this afternoon.
-You're scheduling your retrieval? -That's the plan.
It's easy.
You'll be in and out of the clinic in a couple of hours.
I can't wait. I'm over feeling bloated and moody.
Oh, you know who else can't wait for this to be over?
-Do not say it. -You dare?
Happy to be an ally in protecting reproductive futures.
So is Adams. Say yes.
We're gonna be late for rounds.
Is he on hormones too? Okay.
[Grey] From multiple failures, the compound warfarin was born,
and it's been used to treat and save millions of people.
-Hey. -Hey. How's your mom doing?
Ah, better. She's progressing through rehab.
Great. [sighs] Great. And Megan?
Surprisingly helpful.
Speaking of help, do you mind?
-[Hunt] Oh, of course. Yeah. -[Altman] Thanks.
Okay.
Okay. All right.
Got it? Thank you.
-You look nice. -Thanks.
Um…
-You going on a date or something? -Oh, no.
-Margot Billings is in town. -Oh. Your mentor from GW?
-Yeah, she-she lives in Paris now. -Wow.
-When was the last time you saw her? -Hmm.
Years, but you know what it's like with old friends.
You just pick up right where you left off.
I do.
-Anyway, um, have a good time. -[clears throat]
-Yeah, thank you. -Mmm.
[PA announcer] Dr. Hewer to Peds. Dr. Laura Hewer to Peds.
Thank you.
Bailey, aren't you supposed to be judging young minds?
I'm going.
I had left my tablet last night and had to pick it up.
Any word from the IRB?
Uh, no. Well, any day now.
I'm really sorry. [sighs]
You already apologized, and I accepted.
No, I don't know what came over me.
No, you were upset about a patient who recently passed away. I get it.
Still, I let it get the best of me
and caused a huge headache for you.
Yeah, don't worry about me.
Your exemplary record speaks for itself, and, hopefully, the IRB will see that.
-Did he say they know it was me? -No.
But they might figure it out if you keep talking about it.
-[sighs] -You need to stand down.
Sorry, I heard that Nurse Elise got interviewed this morning.
I didn't know if she said something.
-Wait, did she see you do it? -I don't know.
What do you mean you don't know?
It all happened so fast. I-I don't know who saw what.
-[sighs] -Okay, should I quietly try to find out?
No! [stutters, sighs] Look, I'm out today, and you're back on patient care.
Just… [sighs] …try to lay low.
[Bailey sighs]
Okay. Okay.
[PA announcer] Dr. Sykes, call the NICU. Dr. Jennifer Sykes, call the NICU.
Hi.
[chuckles] Wondered where that sweater went.
It was balled up at the bottom of my bed.
-[chuckles] -Please don't judge the laundry habits.
[Shepherd] Are you avoiding me?
[stutters, sighs]
I mean, I know you're figuring things out with your ex, but we can still talk.
I'm-I'm not avoiding you. I have been--
Uh, Meredith, uh, this is Toni Wright.
-Ah. This is my sister-in-law, Meredith. -Hi.
So nice to meet you. I've heard a lot about you.
Same. Uh, it's really nice to meet you.
God. I should go.
[Wright, Shepherd chuckle]
-Has she made up her mind yet? -No.
I mean, wouldn't you wanna be with me? I'm smart. I'm fun. I'm good with brains.
[sighs]
Why are you applying for a Fox Foundation grant?
To use the FES-PET scanner to study estrogen receptors in women's brains.
I sent you, like, five emails about this.
"Did you see this article?
What if we study estrogen receptors in the brain?
This is interesting, right? Have you read this yet?"
-I get it. -So, what do you think?
I think that we are studying the link between estrogen and the gut microbiome.
Well, it's just another angle while we wait for the mice.
Let's be patient.
[sucks teeth] I might be looking for a distraction.
We have plenty of those, and we have limited resources,
so let's stay focused on the mice.
Are you leaving?
Yes, of course I'm leaving.
I said that I was coming by to say hello and then I had to go. Read your email.
Okay. Mr. Haynes, I'm Dr. Hunt. What happened here?
A starburst fell from the sky, stabbed me in the heart.
And, no, I haven't been smoking dope.
The paramedics said it's part of some mobile from the Aldridge Museum.
It's a Jeffrey Feinman. One of his early works from the 1980s.
Just fell off and pow.
There's a trace amount of fluid in the abdomen.
-[Hunt] Mmm. So, what's the plan? -Well, he's stable and talking,
so we take him to CT and then cut the sculpture out in the OR.
What? No, you… you can't break the starburst.
I'm sure the museum would understand.
[Morris] No, I don't give a crap about them.
My wife loved this piece.
Please. You promise me you'll try.
We'll see what we can do, okay?
Okay. [pants]
Okay.
It's been a minute. Am I gonna see you soon?
-You're seeing me now. -Yeah, I meant in the privacy of your bed.
I'm not the one who's been working the night shift.
I'm off this weekend.
Hey, Bryant. We're up. Firefighter injured in a structure fire.
Did they say what station responded?
No, but you can tag along.
Okay, what's the priority for patients with major burns?
Resuscitation.
That was for Dr. Bryant, who's actually on my service.
Uh, what he said. Um, aggressive fluid treatment for the first 24 hours.
-[Wright] What have we got? -37-year-old female firefighter
sustained second- and third-degree burns over arms, torso, legs,
approximately 25% TBSA, GCS 15.
-[Warren] Maya? -[groans] Warren.
-[Warren] What happened? -Three-alarm fire. I fell through a roof.
-It really hurts. -Yeah, been there.
Okay, we got you. We got you. Hang in there, Bishop.
[panting] My probie. Brett Castro. Is he here yet?
We'll be on the lookout for him.
-Yeah. Tell me… Tell me I'm gonna be okay. -You're gonna be okay.
Doctors Wright and Bryant are gonna take good care of you.
You're gonna be there too, right? [panting, groaning]
Yeah, I'm right here.
[groaning]
Bailey. I didn't know you'd be here.
Why not? I love supporting med student inventors.
Look at them. All young and shiny and optimistic.
-Did Catherine make you come? -Richard.
Dr. Bailey, Dr. Grey,
welcome to the third annual Fox Foundation Medical Innovation Competition.
-We're happy to be here. -Here are your scoresheets.
We have 40 entrants, and they're expecting questions,
so don't hold back.
-Forty? -We better get started.
If you need anything, give me a holler.
-Okay. -Go science.
Use of nanoparticles in tracking inflammatory markers in sepsis.
-That's impressive. -They've been looking at that for years.
It's still impressive.
Well, Brett. I'm Dr. Webber. These are Doctors Millin and Meade.
So, uh, how you feeling?
Fine. I just, uh, cut my arm.
Yeah, I see that. Meade?
Yeah, I see it too.
I'll grab some sutures.
Meade, ABCs.
Right. Sorry. Um…
Do you know if my boss is doing okay? It's Maya Bishop.
-They're still triaging her. -[Meade] Open.
Well, can-can I see her? I'm her probie. She fell trying to help me.
The team is still working on her, but if she's your mentor, she should know.
Coarse breath sounds, but equal expansion of the lungs.
Throat looks clear. Sats are 98 on two liters.
Okay, good, good.
Let's get a chest X-ray, and let's stitch up that arm.
Okay.
Where was the fire?
The Drakemore Hotel.
What? That's terrible. What happened?
There's no telling until forensics gets in there.
Fire spread fast, though. I mean, half the hotel is gone.
Sucks for the guests.
Yeah, really does.
-Just finished placing the central line. -Good. Start with Western protocol.
[Maya panting]
-Is Carina on her way? -No. No, no, no, don't call her.
I don't want her freaking out.
What? She'll have my hide.
She took the kids to see family in Italy. Please, just until we figure this out.
Okay, can you flex your left foot for me?
I don't think so.
How's it looking over here?
She's got an open comminuted tibial fracture.
She needs an ORIF.
She needs to be resuscitated in the burn ICU.
But she's presenting with nerve damage.
If I can get her into an OR now, I might be able to repair it.
Okay, just try to make it fast.
[Shepherd] Maya, we need to get you to an OR to work on your leg.
What about the burns?
After they're done, we'll resuscitate you in the ICU,
and then we'll debride tomorrow.
-[Shepherd] All right, let's go. -What if we start debriding now?
No, she needs aggressive stabilization first.
I can make sure that she'll get that in the OR.
She's going there, anyway.
Look, I'll excise the dead tissue, and it'll help prevent sepsis.
Okay, fine, but are you sure you're good to do this?
-She's your friend. -Definitely.
Okay, Bryant, go with him. Debride as much as you can while they're operating.
Do not push it. I'll check in after my rotational flap.
[Maya groans]
Let's go.
-I wish he'd let us cut that thing. -[chuckles] It's meaningful to him.
He's in there, barely.
[Hunt] Okay.
Morris, I'm gonna do your scan. Breathe normally.
[chuckles] I've got a starburst in my chest. Normal is relative.
Is it hitting the machine? I… I don't wanna ruin it.
No, just hold still, okay?
It will just be a minute. Um, tell us about your wife.
She was a volunteer docent over at the Aldridge.
We used to sit under the Feinman mobile,
and she'd tell me how he installed it piece by piece.
It's just me now, but when I look at all those starbursts,
I feel her with me.
[machine beeps]
[Hunt] Okay.
Do you think we can save it?
Can't we just save him?
[exhales deeply] What if we did bilateral thoracotomies?
That way we would gain access to control the bleeding
as soon as we lift it out.
[sighs] Okay, we can try it.
But if there's a problem, we're breaking that glass.
Then I got to the part where you stapled the aorta,
and I thought to myself, this story is more thrilling
than a Tom Clancy novel.
And rumor has it, you've done it twice.
We haven't even published the second surgery.
Well, I keep my ear to the ground,
especially when it helps me brag about my star resident.
I still hear your voice pushing me. "Do more. Be better."
I don't think I appreciated it then, but I do now.
I'm glad to hear it because I am leading the charge
on the Dusseault Center's new research incubator.
Congratulations. That's fantastic.
We're bringing the world's best surgeons
to develop and teach cutting-edge techniques,
and you're the first person I'm asking to join us.
[chuckles] I would love to teach for a few weeks in Paris.
Maybe this summer when my kids are out of school.
I'm not inviting you to visit.
I want you to lead the program as our chief innovation officer.
Wow. I… [stutters] …I don't know.
I… I live here. I have kids. I-I have a house. I'm-I'm chief of surgery.
Bring the family. The public schools are excellent.
The center could provide a generous housing stipend.
We all know the US is falling behind on research.
Don't fall behind with it.
You're a visionary.
This is your chance to lead your peers in pushing the boundaries of medicine.
This is a lot to process. [chuckles]
Okay. Okay, don't answer now.
But like I've always said, you're capable of more and better.
This has sustainable sensor technology using seaweed?
Um, is that a problem we need to solve?
Could help with climate change. Address medical waste. Mmm…
Markers in predicting stillbirth. That's…
Only 3% accuracy?
Well, maybe it could lead to something better.
[Bailey sighs]
Uh, you want to tell us about your project, uh…
Daphne Park, fourth year at U-Dub.
The number one reason free flap transfers fail is
a clot in the vein.
And because it's harder to see purple bruising on darker skin,
Black patients are three times more likely to experience flap failure.
It's basically bouncing light waves off skin to detect venous congestion.
This is inspired.
Does it notify the team if something's wrong?
I haven't gotten there yet. Right now, it just detects.
Does it have false positives?
I'm not sure.
You-You're not sure?
[Park] I've only tested it on a few people,
but if I win the seed money, I plan to generate real data.
[chuckles] I mean, do you really expect to win
if we don't know if the device works?
You know, we should keep it moving. Thank you so much, Daphne.
-[stutters] I have some more questions. -Great, which is why we are leaving.
[elevator bell dings]
Hey, heads up, you're gonna get a call
from the Aldridge Museum's legal department.
Does this have to do with Allison's field trip?
A patient impaled with a sculpture. What happened to Allison?
Oh. Nothing some bleach and paper towels couldn't fix.
[sighs] Hey, how's Margot? She like Paris?
Yeah, she… she seems good.
Hmm. You should go there.
-Excuse me? -Well, I'm sure she'd love it
if you came to visit, and you deserve some time away.
[chuckles]
Uh, Dr. Ndugu, I wanted to ask you a question about a patient.
Sure, what's up?
There is no patient. Did you hear what happened to the Drakemore?
-Yeah, what are the odds, right? -Well, I guess we should reschedule?
Or we can go to my place, order in, get a bottle of wine.
Maybe. I have this firefighter patient I'm taking care of.
I've gotta go back to the ER.
[PA announcer] Dr. Harris to the ER. Dr. Phoebe Harris to the ER.
[Lincoln] Tibia's set. [sighs] I'm all done here.
Shepherd and Kwan, you're up.
[Shepherd] All right, let's repair this nerve. I need 10-0 nylon.
Kwan, approximate the edges for me.
[Kwan] On it.
[Lincoln] Warren, I know you and Bishop are close. You hanging in there?
Focusing on what's right in front of me.
[Lincoln] All right. If you need anything, page me.
[Warren] Keep going, Bryant. [sighs] Bleeding means you hit healthy tissue.
[Bryant] Brow wipe, please.
Thank you.
[sighs] It's hot as hell in here. I can barely see what I'm doing.
[Warren] That's just how we keep burn patients from getting hypothermia.
You need a break, no judgment.
I'm fine.
Then let's keep going.
-Chamomile. -[cup thuds]
You think that's gonna help me relax?
I'm hoping it'll stop you from crushing those young people's dreams.
I'm just keeping it real.
I mean, they think that research is about winning competitions
and getting kudos from their teachers.
I think they'll learn soon enough that research is hard.
They'll run into roadblocks, and they'll have to make compromises.
-[phone chimes] -What? Has your research hit the wall?
Yes, I'm at the mercy of a bunch of lab mice.
I used to think that all it took was hard work and perseverance.
And now I'm just…
Jaded and exhausted?
Exhausted. I mean, I used to be Daphne.
I thought I was gonna save the world.
Had the audacity to wonder
why my teachers weren't more excited to help me do it.
I thought they were just lazy, didn't understand.
Now that I am them, I realize they understood too much.
I mean, how are we supposed to encourage the next generation
when it just feels…
[sighs] …insurmountable?
[sighs]
I think we need something stronger.
Hmm? [stutters]
[Wilson] Damn it, I knew that. I'm so screwed.
Hey. What are you doing in here?
My badge still works from when I was an attending.
Hmm. No babies today?
OB is more than just delivering babies. I've got the flashcards to prove it.
-The CREOG? -It's tomorrow.
Took the day off to study, which isn't working. [sighs]
I do not envy you.
All those multiple choice questions with no nuance.
I always wanted to write in caveats next to my answer on the QE.
I'm sorry. I… I don't mean to psych you out. Just ignore me.
No, no, no. It's not you, it's just…
[water pouring]
I don't know if I want to be an OB anymore.
Sutures look good.
Coarse breath sounds bilaterally.
-Uh, is Bishop still in surgery? -Yes, we will update you when we can.
Can I get back to the fire? She'd want me out there.
-I don't think that's a good idea. -[coughs] It's a three-alarm fire.
-That's like, what, a medium-size one? -[coughing]
-How long were you in the structure? -Ten minutes maybe. What's happening?
-His sats are a bit low. -It's probably from the smoke inhalation.
-Turn up his oxygen. -[Meade] Yeah.
I checked his airway earlier. It was clear.
-Lean forward. -[Brett coughing]
I hear wheezing.
We're going to put you on a nebulizer,
and that will help reduce the inflammation in your lungs,
but you are not going anywhere.
-Not for a while. -[coughing] Okay.
When did we go from being people who present at these to--
People who judge them?
People who are unnecessarily judgmental.
I'm under investigation with the IRB.
For what?
I got carried away with a treatment that the FDA did not approve.
And how's the patient?
Doing quite well.
Well, it sounds like you did the right thing.
Ben doesn't think so. I'm getting the cold shoulder.
I've been in that situation before.
-Are you worried about your job? -Probably should be.
But I've been through enough to know that whatever happens, I'll manage.
One of the benefits of experience.
And the drawbacks.
Sometimes it feels easier to not know what you don't know.
Those students have no qualms about their research.
Yeah, except for the ones I tried to give them.
Catherine's making me be here. It's part of my lab space deal.
Oh. Still no federal grant? But…
Stupid question. I blame the booze.
Research is full of making compromises.
And so is judging a med student competition.
You want me to go back out there and be encouraging, don't you?
-You always were to me. -Yeah.
[stammers] Hey! It's easy to be encouraging with the booze.
-You'll manage. Let's go. -Ah.
When I see patients like that, their blood all over the floor,
it makes it a lot harder to move forward.
Do you need more time off?
Well, I'm already behind from maternity leave.
Plus, I have four kids at home.
I mean, you just got back. Give yourself time to acclimate.
What if I never do?
Be a general surgeon. It's not the worst fallback job.
[sighs] Yeah, but I'll have been through all of this training for nothing.
Well, sometimes you have to try things
that you don't want to figure out the things that you do want,
and you're allowed to change your mind.
That feels… selfish.
What, to… to want to be happy?
You have to choose what is best for you.
Yeah, but it's not just me.
I'm never gonna get back the time that I could've spent
with Link and Luna, and I'll have put them through all of this
just to end up right back in the same place.
I don't think it works that way.
The job will be the same, but you'd be different,
and you'd have more conviction about what you want and why you want it.
Well, it might not be up to me if I don't pass the test.
-That would make the decision easier. -Yeah. [sighs]
But you have come so far.
You owe it to yourself to know what your options are.
You're probably right. [sighs]
I've got a little time. You want some help?
I'm great with mnemonics.
-[chuckles] Are you ready? -Okay.
[Shepherd] No tension on the repair. It looks like we're done here.
[Kwan sighs] I'm going straight to the morgue. It's cold down there.
-[Shepherd] All right, Warren, you good? -[Warren] Yep. [sighs]
[Bryant] Tell the burn ICU we're finishing and coming up.
[Warren] Why?
[Bryant] Wright told us to get out once Lincoln and Shepherd were finished.
[Warren] What's her urine output?
[Knox] Point 2.
[sighs] That's a little low. Increase fluid resuscitation by 150 ccs.
[Bryant] Whoa, whoa, whoa. What are you doing?
If-If we debride too much, she could get more acidotic,
end up with organ failure. There could be--
I know what she said, but Bishop's blood gases are stable,
and we're almost done.
If we finish, she has less chance of scarring
and reconstruction failure.
How close are you to this patient?
I never asked you to stay.
[sighs]
Fine… [clears throat] …I'm in.
All right.
Just hold on a little longer, Bishop.
[Hunt] Okay. Ready for the rib spreader.
[Ndugu] All right, I'm in.
[Adams] Why are we saving this? Is he really gonna sit under it again?
[Ndugu] The museum is gonna do everything it can to make sure
to make sure this never happens again.
So why should he change his plans? Bovie.
[Hunt] It's a nice tradition. He obviously loved his wife a lot.
[Adams] He could find someone else.
When my grandma died,
my grandpa became the most eligible bachelor in his retirement community.
-He had a full head of hair. -[Hunt] I don't know.
When you've been with somebody that long, it's hard to let go.
[Griffith] Sorry I'm late. My doctor's appointment ran long.
-Where do you want me? -[Ndugu] I could use some retraction.
-[Adams] You okay? -[Griffith] Fine.
[monitor beeping]
[Hunt sighs] Heart rate and BP are tanking. He's about to code.
[Ndugu] All right, I can see the pericardium bulging,
and it's filled with blood.
The ray is causing cardiac tamponade. There's no way I can reach it.
We're gonna have to remove it now.
Ready? On my count. One, two, three.
[Ndugu] No, it's-it's-it's the angle.
It's curved under the bone, it won't budge.
[Hunt] Yeah. And it's hollow.
Give me a large hemostat and sterile towels.
-[Griffith] What are you doing? -[Hunt] We're gonna have to break it.
[Adams] Won't the glass get in his chest?
[Hunt] We're gonna do our best to avoid it,
but at this point, we don't have a choice.
-Ready? [grunts] -[Ndugu] All right. Careful, careful.
Got it.
[Hunt] Here we go.
[Adams] BP's in the low 70s.
[monitor continues beeping]
[Ndugu] All right, looks like he's bleeding from the heart.
He's got a nick in the right ventricle. I need 2-0 Prolene.
-Hold pressure here. -[Griffith] Got it.
[Adams] BP's increasing.
[Griffith] Heart rate's stabilizing.
[Hunt] So much for his sculpture.
[Ndugu] Well, he's alive. I think he'll get over it.
[Park] This point on the graph represents the reflection of light
from the blood sample in the cuvette.
The sensor's in a shoebox to avoid ambient light.
Now, here is the same thing, but with a higher concentration
of hemoglobin, which represents more congestion in the flap.
Which we'd normally have to detect from darker bruising.
Mm-hmm.
And you built this yourself?
My roommate and her brother helped.
They're engineers, but I had to learn about algorithms,
light absorption and photo diodes.
In your free time between classes and clerkships.
Honestly, the toughest part is believing that I can do it.
I mean, what do I know? I'm still in med school.
And this is just a passion project.
I'm sure there are plenty of great ideas in this room.
You'd be surprised.
I hope I didn't shake your confidence earlier.
-By asking hard questions? -Yeah.
No, that just pushes me to make the next version even better.
I want to contribute to scientific knowledge however I can.
That attitude will serve you well. Hold on to it for as long as you can.
-Thank you, Daphne. -Thank you.
Well, this generation just might save us.
As long as we don't discourage them before they get the chance.
[exhales deeply]
Okay, no wheezing. [sighs] He has clear breath sounds bilaterally.
-Does that mean I'm okay to-- -Oh. You can't leave yet.
Dr. Webber, you have a call from the IRB. They said it's urgent.
-Oh. Continue treatment. -Mm-hmm.
[phone buzzes]
[sighs]
Looks like the fire's finally contained.
How bad was it?
It's the worst I've seen so far. It's too bad. It seemed like a nice hotel.
-Yep. -[knocks on door]
Oh, is Bishop out of surgery?
Uh, we've repaired her leg, but they're still debriding the burns.
Does that mean she'll be okay?
Um, well, it's hard to say, but she has the best doctors--
[Brett] Okay, yeah, everybody keeps saying that,
but I need to know she's gonna be all right.
Her and her wife have two kids at home.
If something happens to her, that's my fault.
She told me to wait for them to fully secure the roof.
I-I thought I could make it across, and I…
She fell trying to rescue me.
You're a firefighter.
If you're not willing to take big risks to save a life,
you're not doing it right.
Dr. Kwan, a word?
Um… I just heard from the IRB.
Oh, um, is the report done?
You know, I know Dr. Bailey's been worried.
From what they say, I would assume you'd be just as concerned.
[stutters] Of course, you know, I, uh… She's a mentor and--
I know it was you who injected the hydrogel and not her.
Now, I want you to tell me everything that happened,
starting from the beginning.
[elevator bell dings]
[PA announcer] Dr. Mendelbaum to L&D. Dr. Rachel Mendelbaum to L&D.
I lied.
I have been avoiding you.
It was pretty obvious.
Really? I've been told I have a good poker face.
I mean, you can just tell me it's over if that's what you've decided.
I haven't, and I realize I owe you an explanation.
I'm trying to make a clearheaded decision,
but when I'm around you…
I'm not so clearheaded.
Well, I'd say that I'm sorry…
-[elevator bell dings] -…but then I'd be the one lying.
-What's her core temperature? -96 degrees.
[Bryant] You're turning the heat up again, aren't you?
[Warren] The more we debride, the colder she gets.
Bump up room temp to a 102 degrees.
[Wright] I went to the ICU. They said Bishop hadn't arrived.
What the hell are you doing?
-Finishing tangential excision. -[Wright] That was rhetorical.
Put down the weck blades now.
-[Warren] We're almost done. -[Wright] I don't care.
Too much debridement could kill her.
I'm your attending. I am telling you to stop.
[Knox] Her ABG shows worsening acidosis.
What are her potassium and lactate levels?
Warren, you are too close to this patient.
[Knox] Five and lactate is elevated. Do you want me to push bicarb and insulin?
Bicarb, yes. Hold off on insulin.
I'm not trying to be insubordinate,
but Bishop and I were in the trenches together.
She saved my butt more times than I'd like to admit.
I would never do anything that would put her in more jeopardy.
And you know I was an anesthesiologist before I was a surgeon,
so I know how to keep her safe.
And…
I know when to quit.
I promise.
[Wright] Someone gown and glove me.
You-You're scrubbing in?
[Wright] The more hands you have, the faster you'll finish.
[♪ pensive music plays]
[Warren] Let's go.
♪ Oh ♪
♪ There's something in the water ♪
♪ Oh ♪
♪ The ships are sinking in the harbor ♪
♪ Oh ♪
♪ Help, my head is going under ♪
♪ Put the light in my eyes ♪
♪ All is see is darkness ♪
♪ Get me off the concrete ♪
♪ When I fall my hardest ♪
♪ Hold me when I'm broken ♪
♪ Oh, oh-oh ♪
♪ Help me, father, sister, brother ♪
♪ Oh, oh-oh ♪
♪ Help, my head is going under ♪
♪ Put the light in my eyes ♪
♪ All is see is darkness ♪
♪ Get me off the concrete ♪
♪ When I fall my hardest ♪
♪ Hold me when I'm broken ♪
♪ Say you'll be my shelter ♪
♪ When my eyes are closing ♪
♪ Breathe into my lungs ♪
♪ And hold me when I'm broken ♪
Where am I? Am I alive?
We were able to repair the tear in your heart.
You're in the CCU so we can monitor your recovery.
Oh, well, that's good.
Oh. And what about the sculpture?
[sighs]
Um, Morris, we had to make a choice, it or you.
We thought you'd be okay with it.
Well, I guess it's good that Janie won't ever know.
How long ago did she pass?
Oh, no, she's still alive.
She's in memory care over at Hillside Gardens.
-Oh. -About a year now.
I'm sorry.
She's the one who used to remember everything. [chuckles]
And not just the big stuff, the details,
l-like the color of the kitchen towel in our first home.
Now I have to remember for both of us.
I'm holding on to every piece of our life I can,
while every day, she slips away a little more.
You know how hard it is to miss someone who's still here?
-I can imagine. -[Morris] I just wanna tell her I love her
and know she understands.
[♪ upbeat dance playing]
[bartender] Oh, hey, man. I'll go get your food.
Waiting on someone?
Just needed a drink.
Everything okay?
My doctor said I can't do the egg retrieval this month.
Yeah. I'm sorry.
She said I could try again, but…
it's not promising.
You never know.
I was never sure I wanted kids. I just never thought…
it wouldn't be an option. [chuckles]
Yeah, it might be hard. That doesn't make it impossible.
I think it's a sign from the universe I'd be a terrible mother. [chuckles]
Yeah.
[bartender] Here you go.
I wish I could blame this on the hormones.
Come on.
I got wings and fries.
[chuckles]
[sirens wailing in distance]
-[sighs] -[Hunt] Hey.
Hey. I thought you were picking up the kids tonight.
-[Hunt] I am. -Oh.
[sighs] I need to tell you something.
I wanna to talk to you too.
Is something wrong?
Margot offered me a job running a global research incubator in Paris,
and, uh, I'm considering it.
[scoffs]
Okay, um, I don't know what to say.
Well, I know that I've recently made a lot of decisions for myself
that have impacted you,
and that I wasn't fully supportive of that job in Enumclaw and--
You jumped down my throat.
I was gonna turn it down and not even bother you,
but I can't stop thinking about it, so I thought it was worth a conversation.
Oh, did you? Or have you just made up your mind,
and now I have to be the bad guy to tell you not to go?
-That's not what's happening. -We have kids.
-Did you forget about them? -Of course not.
I… That's something that we'd have to figure out.
-I mean, there are other families that-- -You know what?
Just do whatever you want like you always do.
-Owen… -[Hunt sighs]
[car beeps]
[♪ "Diluted" playing]
♪ Diesel, calloused palms ♪
♪ Your dark glasses on ♪
Hey. I thought maybe you'd backed out.
No, I was just going to Joe's to pick up some dinner,
and then I have to check a wound vac.
But you're in streets.
Well, if you go in in your scrubs, people ask you for medical advice.
-You having second thoughts? -I'm not--
-[Ndugu] If you want out, then-- -I don't. I don't.
Okay, I need to show you something. [sighs] Um…
Okay.
♪ Nightmare, tell me I'm not lucid ♪
[sighs] Okay, this is a black tourmaline.
It is a crystal that protects you by absorbing negative energy.
My parents are the kind of people that use crystals and tarot decks
and other metaphysical resources to justify their poor life choices.
And as much as I hate it, some of it stuck,
and when the Drakemore burned down, I just… I thought it was an omen,
and it's-it's weird.
You can laugh. It's…
Well, look, everyone has weird things.
How many crystals do you have in your pocket?
Okay, last week when I didn't hug you because I felt sick, I was fine.
It was because of your scarf.
-The blue one? -Yeah.
You don't like it or…
I have an irrational fear of yarn.
-Blankets? -Mm-hmm.
Mittens?
Listen, you will never see me in a chunky sweater ever.
[Millin chuckles]
-That's weird. -[chuckles]
You carry around a protective rock.
♪ Pour me out ♪
[kisses]
♪ I thought you were the sun ♪
♪ I knew you as a martyr ♪
♪ So reverently won ♪
[♪ "Diluted" ends]
Oh, my God. Oh, my God. Oh, my God.
[groans] What happened?
Um… Let's see. We drank tequila, and then we drank more tequila.
-Then, we, uh… -Made a huge mistake.
I'm gonna… I'm gonna get out of here.
-Yep. -And, uh, no one else
needs to know about this.
-[grunts] -[phone buzzes]
[Griffith] Oh, my God.
[sighs]
[PA announcer] Dr. Lao to Proctology. Dr. Fred Lao to Proctology.
Hey there. Yeah.
Welcome back.
What are you doing? I just woke up from surgery.
[phone camera shutter clicks]
I, uh… I promised Carina.
Sorry, I called her. Just please don't kill me. [chuckles]
I'm guessing you somehow saved my life, so you're off the hook.
I was just doing my job.
And your, uh… your probie has been discharged.
He's fine. Shaken up, but fine.
-[phone chimes] -Oh, uh…
Yep, it's Carina.
Grateful emoji, heart emoji.
Many more heart emojis. [chuckles]
Tell her I love her.
I was supposed to meet up with them out there next week.
You know, how are the kids?
[gasps] Uh… [chuckles]
Liam's walking.
He loves garbage trucks and kiwis.
[Warren chuckles]
And Andrea DeLuca-Bishop is a perfect angel.
Uh, of course she is.
The second I saw you, I knew you'd have my back.
-Once 19, always 19. -19.
[Warren] Oh, okay.
-[Maya groans, winces] -Um…
Listen, I'm, uh… I'm going to let you rest.
But then we are gonna call your wife.
[chuckles]
[clears throat]
Her urine output's averaging 0.8 meg per keg per hour.
No signs of end organ damage. Vitals stable.
Norman Cousins once said
that wisdom consists of the anticipation of consequences.
-Norman Cousins, the peace activist? -I don't know.
It was on a poster in my high school chem lab.
The point is, today, you anticipated the medicine.
You focused on patient care,
and you didn't let anyone stop you from providing it.
Including me.
I underestimated you.
And I'm down a plastics fellow.
-Yeah, I'm working on my application. -I need someone now.
Would you be interested in an integrated plastics fellowship?
-Oh, definitely. Uh, how-how do I apply? -You say yes.
Then you pick up your navy scrubs and meet me for rounds.
[stutters, chuckles]
Are you okay? Do you need me to call neuro?
No, no. [chuckles] I, uh… I'm going. I'm…
[♪ "Something Good" playing]
Warren. Welcome to the team.
[Grey] Whether in science or life…
Yeah.
[Grey] …the road to discovery is rarely a straight line.
[thuds]
[Grey] We take two steps forward, then fall three steps back.
[knocks on door]
Morning.
Um, the innovation competition went well.
I learned a few things myself.
Is that the IRB's report?
It is. Mmm.
Obviously…
[stutters] I don't know what it says,
but look, I-I know this, right?
We work in a system where you can be forced out
for one mistake,
but that's not conducive to learning.
I know it was Kwan.
You lied to me.
You looked at my face and told me you did it.
You're benched from surgery until further notice.
[Grey] We veer off course…
I understand.
[Grey] …and have to find our way back.
Look, Kwan is still learning, so don't go too hard on him while I'm out.
That won't be a problem.
He's fired.
♪ I want something good Something good ♪
[Grey] Surprise detours lead us to unexpected places.
-What's going on? -The Royer Bridge collapsed.
-[Altman] That's awful. Do we know how? -I don't think they know much yet.
[Altman] All right, well, let's get ready for incoming traumas,
prep blankets, warm IV fluids.
I will page for extra hands.
[Hunt] Teddy, I owe you an apology for last night.
I had something I wanted to say and your news kind of threw me.
Let's talk when I get in, if I ever get in.
There's a ton of traffic on this bridge.
-[tires screeching] -[line clicks]
[Grey] Places we never imagined were possible.
[♪ "Something Good" ends]