Grey's Anatomy (2005–…): Season 11, Episode 7 - Could We Start Again, Please? - full transcript

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[ Coins jingling ]

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Meredith: They say life doesn't
give you second chances.

But we do.

Surgeons do.

Hey. E.R.? Yep.

Uh, so, sorry about last night.

Don't worry about it.

You're mad.



We just --
we really lost track of time --

I'm not. It's fine.

Forget it. Oh.

You break a bone,
we put it back together.

You bleed, we make it stop.
Nicole: Well?

You flatline,
we resuscitate you.

What did you decide?

I didn't! I was up all night.

Then you had ample time.

You can't drop a bomb like
"I have a brain tumor"

and expect me
to decide anything.

I need to know more.

You don't need to know anything
that you don't already know.

Okay, great. Why the pills?



I'm getting a migraine.

You're not helping.

This -- this is what I mean.

Is it a migraine
or is it the tumor?

What kind of tumor is it?
What does it mean?

A-are you -- are you gonna get
tremors during surgery?

You're talking me through
a procedure

and you slur your speech?

I need to know more!

You don't get to.

Of course I'm not gonna
do anything

to endanger my patients.

I am handling my situation
responsibly,

but it is my situation,
and you are not entitled to it.

You are entitled
to my knowledge --

to my years of discoveries
and mistakes and dead ends

and blood and sweat
and innovations

that you don't have to
go through.

That's the deal.

The chance to take my work
into your future.

Just you.

So...

Could you please
make up your mind?

But as much as we give people
second chances,

surgeons don't usually
get them.

Surgeries are canceled.

Round on my service.
I have an appointment.

And don't ask what it is,

'cause, of course,
I'm not gonna tell you.

Because the kind of mistakes
we make

are sometimes impossible
to recover from.

What's wrong with you?

Uh -- [ Clears throat ]
I was -- I was up all night.

Me too.

Ah, Sofia's been acting out,

asking questions
about me and Arizona,

and I don't know
what to tell her

or how to tell her,
so I'm just not sleeping.

I'm miserable.
Why didn't you sleep?

Oh, you don't want to know.

What's going on?

Derek and I were up
having sex all night.

Yeah, I kind of didn't want
to hear that.

[ Sirens wailing ]

69-year-old male,

jumped two stories
from a burning building.

Shocky, b.P.'S 95 over 60
with a rate in the 120s.

G.C.S. 14 in the field.

Hattie...

Why am I looking at two patients
on one gurney?

She's dead. Owen: What?

Hattie... we couldn't
find a pulse.

And we tried to pull her off,

but the husband just held on.

He was agitated.
He wouldn't let her go.

So we had to stop

'cause we were afraid
we were gonna hurt him.

What've we got -- oh, wow.

Hattie... witnesses said
he carried his wife

out the window and jumped
to escape the fire.

We think he was trying
to break her fall.

Let's get them into trauma one.

Amy, where do you need me?

You got the head lac
in bed 3, right?

Yeah, that's nothing.
I can jump in on this.

I don't need you.

Is that good management,

you leaving your star player
on the bench?

You won't be for long.

People are always hitting
their heads on something.

Meredith: His skin is mottled
and cyanotic.

We have to get her off of him.

Owen: Sir,
you have to let her go.

No.

We have to move her to help you.
No, no.

Sir, what is your name? Norris.

I-is she...? Norris...

You don't have to worry
about that right now, sir.

No, he does, actually.
Of course he does.

Norris, what is your wife's name?
Is she...?

Harriet.

Hattie.

Norris.

Norris, it's time
to let hattie go. She's gone.

Gone? What do you mean gone?

Norris, she died.

No. No.

She's gone. I'm sorry.

Hattie, no...

You did everything you could.

No! No...

You helped her
through the hardest part.

You held her,
you protected her,

and she died in your arms.

And I'm sure she couldn't think
of a better way to go.

She's no longer in any pain,
Norris, but you are,

and she wouldn't want you
to be.

You have to let her go now
so we can help you, okay?

[ Sobbing ]

She's mine. I can't.

Norris. Norris, I'm so sorry.

It's time.

Okay.

On 3 --

1...2...3.

Owen: Let's go. Come on.

I'll go pronounce. Hattie...

Hattie...

Honey... honey...

Airway's intact,
but there's a little soot.

Hypotensive
and a rigid abdomen.

Pupils are equal
and reactive bilaterally.

Callie: Right lower leg
is tense and swollen.

I'm gonna measure
compartment pressures.

Quiet. Breath sound is
decreased on the left.

Add right tib/fib
to the trauma films.

Quiet!

I got a pulse.

Barely palpable,
but it's there.

Owen: Trauma two!

Pierce, Shepherd,
you're with me.

She's alive?

She is.

You'll take care of her?

I will.

I'll take real good care of her.
I promise.

Where's Dr. Herman?

Did you call my mom?

You said to wait until there's
something to be worried about.

Well, now I'm worried.

Why isn't she moving?

Emily, Corey, I'm concerned

that the baby might be bleeding
into the tumor itself,

and it's causing her
to be anemic.

Oh, my God.
Will she be all right?

Where's Dr. Herman?

She had an, um -- an appointment
with another patient.

Well, she can do something,
right?

She said she'd do everything
to get the baby to term.

That was the whole point
of planning fetal surgery.

And that's still --
that's still the point.

Dr. Herman will likely perform
an intrauterine transfusion.

I will apprise her,
and we'll come back

and talk to you about
how to move forward.

Sit tight, okay? Okay.

Where is Dr. Herman?

No idea,
but she better pick up,

because Emily Jensen's baby's
gonna die.

[ Monitor beeping ]

Good tube placement.

Yeah, the hemopneumothorax
is bigger.

Edwards, prep for a chest tube.

Before you do that, Edwards,
can you check with C.T. again

and see when they can take us?

But she's bleeding
into her lung.

I know, but I felt a depressed
temporal bone fracture,

and she has spinal fluid
coming out of her ear.

I need a C.T. to confirm.

April: I'm on my way up
to radiology.

Is anyone free
to update the family?

Mm-hmm.

Sarah?

What are you doing here?
Amelia.

You're... a doctor?

I am, yeah.

My parents,
they were in a fire.

Oh, God.

Okay. Um...

This is what we know so far.

Your father has
some internal injuries

and a leg fracture.

Your mom has some bleeding
into her lung

and a cranial fracture.

As her neurosurgeon, I'm gonna
need to do surgery to --

wait.

You... want to do surgery
on my mom?

No. No.

I'm sorry, but no. No. I-I --

excuse me.
I need a different doctor.

Sarah...

She -- she cannot touch
my mother.

It's not just --

I need a different doctor
right now.

Okay. Calm down. Let's just --

no! I want another doctor!

What's the problem here?

She cannot touch my mother.
She's a drug addict.

I can't have her operate
on my parents.

Hold it. Dr. Shepherd is our --

is a junkie.

I met her
in narcotics anonymous.

She's hooked on oxy.

She overdosed
with her boyfriend

and woke up with him dead
in bed with her.

I want another doctor.

Now! Come with me. Just
come with me, please.

No! I'm -- no, no!
This way, please.

You keep her away from them!

Hunt, don't worry.
I've got this.

Keep her away from them!

Owen: Follow me, ma'am.
Calm down and follow me.

What was that?

You just took Amelia's surgery?

What was I supposed to do?

Take her side.

She was being attacked.

The woman had it out for her,
Meredith.

If anything goes wrong,
she'll go blaming her

because she was an addict.

You're gonna go talk to Owen,
right, and clear this up?

Yes, I will.

I paged you three times.

Yeah, keep your pants on.

I'm consulting
on three babies here --

I have a mom whose fetus is
bleeding into her s.C.T.

She needs an intrauterine
transfusion.

It's inserting a 6-inch needle
into an umbilical vein

without rupturing membranes
or inducing bradycardia.

I've never done one,
and Herman's awol.

So, you deliver.
You'll take the baby out.

I'll repair the s.C.T. Myself.

Alex, the baby's 28 weeks.

The whole point
in seeing Herman

was to try and get her to term.

Yeah, it'd be great
if she were here,

but I know
how to save this kid.

[ Sighs ]

Nicole: You've reached the
voicemail of Dr. Nicole Herman.

[ Beeps ]
Herman, Robbins again.

The Jensen baby's anemic,
and the mca flow is 70.

I will give you 30 minutes,
and if I don't hear from you,

I'm gonna do a c-section
and resect the s.C.T.

[ Cellphone beeps ] Okay.

I'm gonna book an O.R.,

and can you be ready
in 30 minutes if I need you?

Yeah.

That's good. Okay. Thank you.

She's losing it.

Yes, she is.

Jo: [ Vomiting ]

Look, it's your first
solo surgery.

It's a big deal.

I mean, if you're too nervous,

I am more than happy
to take it off your hands.

I'm not nervous.

Great. Then you'd better not
be pregnant.

Because if you let Karev
throw a baby in there,

I will never forgive you.

I'm not pregnant,
and I am not nervous.

I know how to fix a hernia.

Step one -- medial dissection.

Step two --
identify triangle of doom,

avoid the iliac vein.

Step three -- puke.

Bailey's gonna eat you alive.

No, she's not,
because I'm a badass.

Step three --
lateral dissection.

Step four...

Identify triangle of pain.

See? Great.

I have got this procedure down,

and I am not afraid
of little bitty Dr. Bailey.

[ Toilet flushes ]

Think you could turn the faucet
on for me, Dr. badass?

I'd do it myself,
only I'm so little bitty.

[ Sighs ]

[ Indistinct whispering ]

Woman: Shh! Here she comes.

That's really scary, the idea
of her operating on someone.

Did you know she was an addict?

[ Indistinct whispering
continues ]

Woman: It must be because
she's Shepherd's sister.

I need to talk to you.

She just said it
in front of everyone --

all this stuff that I said
at meetings about --

it's okay. Are you sober?

How is it okay?
Everyone is looking at me.

Are you sober?

Of course I am.

Did you disclose your recovery
when you were hired?

I didn't have to!
Derek hired me.

He knew. I assumed people knew.

And you've done nothing wrong.

Okay? She did.

She violated your privacy.

And you are under no obligation
to tell anyone anything more,

unless you've done something

to compromise your ability to do
your job, and you haven't.

So you don't need to say
anything more about it.

Okay.

Those are your rights.

It's the past, and you don't
have to defend it.

I thought I got away from it.

Coming here, I thought...

I thought I had a chance to...

But you never get away from it.

No.

No, you don't.

What do I do now?

You just stay on track.

You look after yourself,
do your job.

And as soon as you can,
you need to get to a meeting.

[ Train whistle blows ]

[ Clock ticking ]

Come on, come on, come on.

Well?

Time's up.
Let's take the baby out.

You're making the right call.

[ Rings, beeps ]

Hey, it's Robbins, again.

So you've left me no choice,

and for all I know,
you could be dead.

So I've made my decision
about you.

I am telling chief hunt as soon
as I get out of surgery.

Is that her?

Yeah, that's her.

[ Indistinct whispering ]

Dr. Shepherd, um...

Could we go somewhere private
and talk?

I'm busy right now, actually.

This is important.

[ Clears throat ]

Listen...

Is there anything
you want to tell me?

To... clear this up?

I don't.

I think you heard
all the facts.

What I heard was a very
distraught woman shouting.

And I think there is
another side to this story.

A woman requested
another doctor,

and I was removed
from the case.

That is her right.

People have rights.

Listen, I am just trying
to have a conversation.

That is none of your business
if I'm doing my job.

Am I doing my job?

Amelia, I am trying
to help you here.

I just...

I don't have to discuss this
with you.

And that's your answer?

That's my right.

[ Sighs ]

Okay.

Let's clamp and cut.

And here she is.

I've got her.

All right,
let's exteriorize the uterus.

Alex:
Starting an umbilical line.

How's she doing?

Let's pre-oxygenate her
before we intubate.

Can you handle this?

You just need
to deliver the placenta

and then close the --

I've only done about
a million c-sections.

How you doing now? Bad.

O.R. 7 is waiting for us.

Graham,
I'm going with the baby,

so just come and find me
when you're done, all right?

All right, let's go!
We're on the move!

Maggie: Damn it.
This lobe is trashed.

We're gonna have to do
a lobectomy.

Stephanie: We really have to
take that much lung?

We'll try to save
as much as possible.

[ Monitors beeping loudly ]
Wait. Where's the bleed?

Where's the bleed? I-I-I
can't -- I can't find it.

Okay. Everything okay there?

All right. Here's what you do.
Drop the suction. Yeah.

Now reach in there
and grab the hilum

and twist it off
like a garden hose.

Just slow the flow of blood
until I can find --

ah! Yes. There we go.

Hattie...

[ Breathes deeply ]

That was, uh --
that was really cool.

You may keep going,
Dr. Shepherd, but go easy.

Hattie here has a hot date
with her husband.

Okay. Gotcha.

Sinus flap coming off.

Yep,
just like it's supposed to.

Good.

Boy or a girl? What's that?

Your baby.

Oh. Right. Yes.

Um, actually we have decided
to be surprised.

That's a good call.

Ah, it's April's idea.
Actually, it's driving me crazy.

I mean, what would be the point

of knowing everything you
possibly could about your child

when it's so much fun to be
hopelessly unprepared, right?

Yeah, we found out my son
was a boy.

See?

Yeah, but I didn't know
he was gonna be delivered

by an intern
in a pitch-black room

in the middle of a superstorm,
but surprises happen.

That's a good story,
but I find no comfort in it.

Yeah, well, and this.

I've been on the bench
for weeks, yet here I am,

saving a woman's life
without even opening her skull.

Embrace surprises, Avery.

Callie: Lateral incision's done.
Going for medial now.

His spleen is shattered. Give me
the longest Kelly you have.

Here you go. He was a human
trampoline for his wife.

Pretty amazing.
Better than burning to death.

I can't imagine.

I can imagine throwing my wife
out a window.

Ex-wife.

Everyone keeps saying
that things will get easier,

and I'm sure everyone can't be
wrong, but, man, I am...

[ Sighs ] I'm really ready
for the easier part.

I think Derek and I may have hit
the easier part.

Yeah. You mentioned.

I don't know. We keep calling
these time-outs, you know?

Mm-hmm.

And then we're so busy
time-outing

that we forget we're even mad.
Hmm.

I don't know. He seems better --
at home, at least.

I keep waiting
for the other shoe to drop,

but maybe there is
no other shoe.

There's a shoe.

You know
what your time-outs are?

Band-aids.

They cover the mess,

they stop the bleeding
for a little while,

but you're just ignoring
the damage, and then -- whkkk!

Good times.

Trust me.
There's gonna be another shoe.

Miranda:
Awfully quiet over there.

Just focused, Dr. Bailey.

Do you think you should be
updating me on your progress?

Yeah.

I, uh, just finished
the medial dissection

and identified
the triangle of doom,

then lateral dissection,
triangle of pain.

All that's left is the mesh.

Sounds like you have
everything under control.

Totally. Totally under control.

And you didn't barf
in your mask.

Bravo.

Okay, you have to resect
really carefully,

especially this premature.

Oh, no.
There's another bleeder.

You're gonna have to
devascularize this whole thing.

Yep, yep. I got it.

This is nice.
It's like old times.

You haven't let me get used to
the new times.

Dr. Robbins, Dr. Maddox
has asked for you in O.R. 6.

Ugh. Graham...
It's a simple c-section.

I can take this if you got to go.
He says it's urgent.

Put the blood in a rapid infuser!
Graham?

The placenta was adhered, and as I started
to pull, everything started bleeding!

How many units
has she gone through?

Uh, I don't know. Graham!

Two, three?! Eight.

Oh, God.

I did what I was supposed to!
I pulled at the placenta!

Gown and glove me right now!
Damn it, Graham.

It looks like
placenta percreta.

It's probably invading
deeper structures.

Can't you see that?
I mean, ugh!

Why didn't anybody stop him?!

All right, listen --

call hunt or any trauma surgeon
that's on call.

On it. Graham, move.

Move!

Derek: Your mother had
a spinal-fluid leak.

I was able to stop it
without opening up her skull.

She's still in surgery,

and we hope to repair the damage
to her right lung.

Your father has
some internal bleeding.

We'll know more soon.

Thank you both so much.

I didn't want
to do that to her...

That other doctor.

I'm in recovery, too.

I broke an oath.

I wanted -- I want to be
supportive, but...

But it's my mother.

We'll let you know
when we know more, okay?

Derek, what am I
looking at here?

What are you talking about?
Amy?

What that lady said,
how much of it is true?

Is it all true?
She's a drug addict?

She killed her boyfriend?
She's my sister.

I'm asking
because I need to know

if we want her out front
as neuro chief.

I'm asking you if you think

she's the best person
to be heading the department.

Okay.

I get it. She's your sister.

Say no more.

Thanks.

[ Clock ticking ]

[ Child crying ] Shh!

I'm here!

Placenta percreta invading
the bowel and bladder, right?

I paged hunt. Where's hunt?
He's busy.

Well, I didn't want you
to see this.

Oh, please.
Where do you need me?

Get in here and start clamping.

The ultrasound
didn't detect this?

No, even Herman didn't see it.

And pregnant women have
a higher blood volume,

distended vessels,
they bleed out faster --

oh, can it, Graham. Oh, no.

No, no, no, no, no, no.
What is it?

Oh, it extended to her kidney.

And the ureter -- lap pad!

Keep that blood coming!

She's losing a liter
every two minutes!

Good lord. How do any of us
even have babies?

See, that's why I didn't
want you in here.

[ Sighs ]

I see no other injuries.
The bowel is intact.

I think we can close.

How much longer do you guys have?
What's up?

I've called for
an emergency board meeting.

Is this about Amelia?

It is.

Didn't Derek talk to you?

He did.

Owen. Owen!

Callie. Other shoe.

We got this. Go. Close for me.

[ Door opens ]

[ Child cries ]

Shh!

Did Owen talk to you?

I didn't tell him anything.
I don't have any--

did he talk to you
about your job?

He's saying
he's gonna take my job?

You'll talk to him, right?

I did. I did already.

I think I might have
given him the idea.

Oh, no. Derek -- Derek --

I didn't -- I didn't mean
to -- d-Derek, no...

I'm sorry. I-I will fix it.

He wants to give you my job, and
you're gonna let him. No, I'm not.

You son of a bitch.
You son of a bitch!

You kept me here! Don't.

Don't. Amy, don't.
You asked me to come.

You asked me to stay,
when I was building a life --

a new life -- a second chance
that I had given myself

just so that you could
feel better about leaving.

I was trying to help you,
and I was trying to help myself.

I was just try--
and you gave me this job,

and you have abused me
since the second I took it.

But that is not enough.

You need to destroy
my entire caree--

how can you do this to me?
I will fi--

to me?! I will fix it!

How can you do this?!
I will talk to them!

I will talk to all of them,
and I will fix it.

You're my brother.

[ Sighs ]

[ Sighs ]

[ Sighs ]

I'm looking for Derek Shepherd.
Have you seen him?

Uh, mnh-mnh.

Oh, there you are.

What is going on?
What is this meeting about?

There's not gonna be a meeting.
I'm gonna talk to hunt.

He said
he already talked to you.

He did.

Well, did you set him straight
about Amelia?

I didn't.

What?

Not right now, mer.
I can't talk to you about this.

Not right now.

Derek, what did you say?

What did you do?

I just finished
my first solo tapp surgery.

All right.
Did you throw up in your mask?

No. Why does everyone
keep asking me that?

I nailed it.

Medial, lateral, pain, mesh --
boom!

What about the triangle of doom,
the iliac vein?

What about it?
Well, you skipped it.

No, I didn't.

Jo, you didn't say it.

But I did it.

In there.
I-I didn't skip it in there.

In there, I...

I did it, right?

Are you asking me?

Medium clip. Got it.

3-0 silk. Hang another unit.

She's gone through 100 units
of blood products.

Woman: Dr. Robbins,
Dr. Karev is asking to see you.

Oh, her baby.

Did he say what's wrong?

Just that he needed you.

Damn. Go.

No, I can't leave this woman.
I got her.

Make sure her baby's okay.

[ Monitors beeping ]

Ohh. Sorry!

W-what happened?
Where's Dr. Karev?!

What is it? What happened?

Oh, I finished. It went well.

You were all in a twist
about this kid,

so I thought you'd want
to update the dad with me.

Oh, God.
Alex, no, his wife is --

is the baby okay?

Yes. Uh, the surgery went well.

Her vitals are good.

She'll likely need to stay
in the nicu for a while,

but she's looking good.

Has Emily seen her?

She's still in surgery.

Um, there were some
complications

during her c-section.

Wait, she's still in surgery?

We're doing
everything that we can.

I-I have to go back.

Everything you can?

How serious is this?

She lost a lot of blood.

Where's Dr. Herman?
Dr. Herman had a plan.

Now you've got my baby
in critical care,

and my wife
is bleeding to death!

I don't even know who you are.

I have to go back.

Where the hell is our doctor?!

April:
[ Echoing ] Time of death...

18:22.

It was just
a misunderstanding with Owen.

He'll take care of it.
He said he would.

He did this, Meredith.

Why should I believe that?

Why do you believe it?

Because he's your brother.

That's why he can do it.

It's why he could steal my toys

and pull my hair
and call me names.

It's because I'm family.

It's why he thinks
he can get away with this.

[ Chuckles ]

You don't get it.

No. I don't.

I was raised as an only child.

And I'm historically lousy
at being a sister.

You're here right now.

[ Sighs ]

That's good enough.

You don't remember?

No, I -- of course I remember.

I-I just wanted
to double-check with you,

you know, to be safe.

My lateral dissection,
it looked good, right?

I-I don't think I went anywhere
near the iliac vein.

You don't think --

Wilson, either you hit
the woman's iliac vein

or you didn't.

Which one is it?

I don't...

So, what do we do now?

We run a C.T. --

no. I run a C.T.

You?

You just stand here and pray

that your patient isn't bleeding
to death right now.

[ Door opens ]

Owen: So Robbins is tied up.
Should we wait?

No, yeah,
we should get started.

No, no, no. Well, Derek, we
just need to figure out --

I know you're trying to figure
out what's going on.

I know you've heard some stories
about Amelia.

I let you believe something.
I let you believe that, uh --

Shepherd, you were pretty clear
when we spoke, so --

she's in recovery.

She works really hard at it.

She's been successful
in recovery, and...

[ Sighs ]

[ Gunshot ]

This hospital should have
protected her.

This woman
should have protected her.

And...

[ Bell jingles ]

More importantly,
I should have protected her.

[ Sighs deeply ]

I didn't.

[ Gun cocks ]

And I didn't
because I wanted her job.

I wanted my old job back.

[ Clock ticking ]

So now we're here.

My fault.

[ Sighs ]

Derek, why did you even...?

She should stay where she is,
Owen.

She can do the job.

She is doing the job.

I couldn't do it any better.

How's his baby?
Is there any change?

No. She's good. She's stable.
Let me do it.

No, I have to tell him.

How? How, Alex?

How do I tell him
that his wife is dead?

Where the hell is Herman?
She should have been here.

That's not helping! I was here.

Emily was my responsibility,
and I lost her.

So let me do it.

Placenta percreta
is very difficult to diagnose,

and in cases as severe
as Emily's, it's usually...

Insurmountable.

If your baby had come to term,

it's likely
Emily would have died.

No.

Corey, this is what
you have to understand.

If I'd done the surgery
we'd planned,

it's likely that,
down the line,

we would have lost Emily
and your daughter.

Dr. Robbins did everything
within her power for your wife.

But she saved your baby's life.

Your baby is alive
because of her.

I'm not sure
what that was about,

but it doesn't change anything.

Okay? I can't do it.
I won't do it.

You -- you abandoned me.

You -- you left me no choice
but to take that baby.

You made me --
[ Coughing, vomiting ]

Are -- [ Toilet flushes ]

[ Groans ]

Go ahead. Finish your thing.

[ Clears throat ]

Well, I -- [ Coughs ]

I, um...

Oh, no, no. Go on. Get it out.

[ Sighs ]

Thank you.

What?

What's happening?

Yesterday, my doctors decided

I need some aggressive
radiation therapy immediately,

so that's where I was today.

It just...

Hit me a little harder
than I expected.

Everything I said to that man
was true.

You saved a baby
that we would have lost.

I watched you.

I logged in
to the hospital interface.

I monitored your progress
all day.

[ Sniffles ]

You made the right call.

You made all the right calls.

That's not --
if -- if you had been here,

you would've -- mnh-mnh. No.

The only thing I could've done

is perform
an intrauterine transfusion,

try to keep the baby in
a little longer,

get her closer to term.

And maybe -- maybe --

we could have detected
the percreta earlier,

but it doesn't mean we could've
done anything for her

that you didn't do.

I want to know how to do it,
the intrauterine transfusion.

'Cause if there's a chance
that I could've saved that mom,

then I need to know how.

For the next time.

I can show you tomorrow.

Unless you're planning to have
a conversation with chief hunt.

Okay.

I'll see you tomorrow.

Go home.

[ Door opens ]

It's gonna be fine.

Hey, I'm gonna be here
with you, okay?

[ Door opens ]

Edwards, out.

Yes, ma'am.

[ Sighs ]

How was the C.T.?

She never made it to C.T.

Wait --

this was your surgery, Wilson.

I'm gonna need you
to talk to the family.

Oh, my God.

She's dead?

She's dead? Oh, my God.
I never said that.

I-I remember doing everything
correctly. Wilson.

I even -- I even --

she's fine!

What?

I didn't say she was dead.

I said
she never made it to C.T.

You're --
you're screwing with me.

I didn't take her to C.T.

Because I saw you do it
in the O.R., Dr. badass.

Oh, my God.

Oh, my God! You have a problem!

No, you do.

You second-guess yourself.

This was the first
in a career full of surgeries

you will be doing alone.

Before too long,

there won't be anyone
to catch you when you fall.

Your patients need to trust

that when you take them
into surgery,

you know what you're doing.

Now, how can you expect them
to do that

if you don't even
trust yourself?

You are so mean.

I am, indeed.

Tell all your
little bitty friends.

[ Sighs ] Hey.

I heard about your patient.
You okay?

There was so much blood,
Jackson.

I mean, I know we see it
all the time, but...

Yeah.

I just -- I didn't think
it was gonna stop.

And I know it can be scary.

But you and our baby
are just fine.

So do not worry, okay?

I'm not worried.

Are you worried?

All the time.

How can you not be?

You know how.

Right.

It's all in God's hands.

Yeah.

God, I don't know
how you can do that --

just write off all
the unanswered questions.

We don't get to know
the answers.

That's your answer.

I don't know why that woman
had to die tonight.

She exsanguinated. That's why.

Yeah, okay. But why?

Because all of it just...

All of it just happened.

You're really comfortable
with that answer?

Hmm?

Yeah.

[ Chuckles ]

See, I don't know
how you do that.

[ Both laugh ]

[ Door opens, closes ]

Is that you?

[ Sighs ] How's hattie?

Thoracotomy.

I had to resect
her entire right lower lobe.

She's gonna need
rib stabilization.

Norris, too.
Ex-lap, avulsed spleen.

Torres did a fasciotomy
on his right leg.

I think it's gonna be okay,
though.

We'll see if her lungs
don't shut down overnight.

We gave them
the best chance we could.

Yeah. We'll see.

We'll see.

Again, about last night --

would you let it go?
I'm not mad.

Well, you sound like someone
who's mad.

Of course I'm mad.

You invited me to dinner,

and then didn't come to
the dinner -- at your own house!

I know.
I told Derek it was a bad idea.

You didn't want
to talk to Richard.

I wanted to have dinner --
with people and conversation.

I don't know anyone here.

I have no friends.

I do nothing at night.

I go to the grocery store,

and I buy sad
single-serving packets of food

for sad people who eat alone.

I was really excited
for pot roast.

And people!

I changed my outfit four times.

And, no, I-I didn't want
to talk to Webber,

but that wasn't gonna stop me
from coming,

because I'm really sick
of talking back to my TV,

and I'm scared
I'm gonna get a cat.

[ Chuckles ]

And I was really excited

that someone
had invited me to dinner.

So, yeah, I'm pretty mad.

[ Ringtone plays ]

Hattie's awake.

What?

What happened?

Mom, there was a fire
in your apartment.

You've had surgery,
but you're doing well.

Your husband saved your life.

He picked you up and jumped out
a window with you.

Well, that was stupid.

[ Both laugh ]

Oh, Norris, you saved my life.

I nearly killed you.

But that doctor, she promised.

Where is she,
that woman doctor?

Oh, Dr. Shepherd.

She promised they'd save you,
and she was right.

[ Chuckles ]

Are you busy tonight?

Oh, well, I was going to
catch up on some reading,

some medical journals, but...

Oh, actually, no.

No, I am, um -- I'm not busy.

Why?

¶ Yeah, I'm cool ¶

¶ everything seems to be fine ¶

this was Ellis' house.

¶ But I don't feel
the same inside ¶

this is where you grew up.

It was nicer
before Alex trashed it.

Oh, shut up.
It smelled like books.

[ Laughter ] Well, it smelled a
lot better when I lived here.

Now it just smells like Karev.

[ Laughing ]
Wait. You lived here, too?

Alex and Meredith:
Everybody lived here.

I practically lived here
with George, right?

George was my ex-husband.

He was in their resident class.

O'Malley.

O'Malley.

I'm sorry. Your husband?

Yeah, she does dudes, too.

True. I did him once.

True. [ Laughing ]

She did.

I didn't do him.

I did do George, though --
once.

Oh-ho-ho! Yeah, yeah.

Oh, God. Yeah, yeah.

We're all related through sex.

[ Laughs ]
We all have sexual relations.

That is horribly weird.

¶ I'm not afraid to use the
phone ¶ [ Doorbell rings ]

¶ 'Cause I don't
have to be alone ¶

[ laughter ]
¶ no, I'll never be scared ¶

¶ and, oh, so I find myself
at home ¶

¶ and that's all right ¶

hi.

Meredith: It's hard to give
second chances.

¶ To get that good feeling ¶

I probably should've called
first, but...

Someone told me to go home,

and I wasn't really sure
where I should go.

See? Everyone lives here.

Beer's in the fridge.
Hard stuff's on the counter.

Thank you.

It's even harder
to ask for them.

¶ I'm all good,
I'll be on my way ¶

¶ and I find myself at home ¶

a chance to do it again,
knowing what you know now...

¶ I'm home,
no, I never look back ¶

what you've learned...

¶ Hold on to what I have ¶

...a chance to do it
completely differently...

¶ 'Cause I don't
have to be alone ¶

¶ no, I'll never be scared ¶

¶ and, oh,
when I find myself at home ¶

Derek: You okay?

I was at a meeting.

I'm moving out.

Tomorrow.

I'm sorry.

I'm just so sorry.

Don't, Derek.
Don't even bother.

I didn't mean to hurt you.

I'm sure you didn't.

I'm sure you didn't even
think about me.

You saw an opening,
and you took it.

I have always wanted to protect
you ever since dad died.

I didn't want to.

I'm sure you didn't want me to.

But I promised.

[ Bell jingles ]

[ Child cries ] Shh!

[ Gunshot ]

Then you came up here,
and I realized...

I didn't have to worry anymore.

You were okay. You were fine.

You were more than fine.

You could...

Take care of yourself now,
and...

...I didn't need to anymore.

I needed you today.

...a chance
to right our wrongs,

to try and correct
our mistakes...

[ Sighs ]

I don't know who I am anymore.

Not anybody
I ever thought I'd --

I'd be.

I try and make the right choices
for Meredith...

The kids, you.

And, um...

I'm angry all the time.

I'm miserable, and I don't know
what to do with it.

All I do is hurt people.

The last people
I want to hurt, and I just...

I just can't get control of it.

I don't know
what to do anymore.

I know how you feel.

We call it rock bottom.

...a chance to try
and start over from scratch.