Grey's Anatomy (2005–…): Season 12, Episode 15 - I Am Not Waiting Anymore - full transcript
Jackson learns about April's pregnancy, while Alex and the team of doctors handles a long triple-organ transplant surgery. Meredith considers dating again, and Andrew insists on not receiving special treatment after he and Maggie go public.
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Meredith:
We cover up injuries...
with tape and gauze...
Um, have you seen
Dr. Avery?
Upstairs in the lab.
To protect the injury,
to prevent infection,
to save the patient
from further suffering.
[ Cellphone chimes ]
The hard part comes when you
have to rip the bandage off...
because that can hurt like hell.
Hey, how's it going?
Uh, pretty good.
What's up?
Nothing.
Have you talked to April?
No.
[ Sighs ]
Why?
Nothing.
Um, I just wanted to see
how you guys were doing.
Have a good night.
- She knows.
- Knows?
April knows.
- What?
- Doesn't she?
Who told her, Karev?
I'm not sure h...
Well, she told Karev.
Um, or he figured it out.
No, I mean, I-I told Karev.
I just asked him
to keep it to himself.
What, keep it to himself?
What are you talking about?
That I'm seeing people.
That I'm dating.
That I went on a date.
[ Sighs ]
So, April knows, huh?
Uh, that you're seeing
other people.
- Does April know?
- No!
N... She doesn't.
She doesn't know
anything about that.
So then what are you
talking about?
Nothing.
I w... I was... Nothing.
[ Sighs ] All this is just
so weird and new.
I mean, I just really
don't want April
to get her feelings hurt
here, okay?
So just do me a favor.
Keep it to yourself.
Be great.
April's pregnant.
April's pregnant.
Yeah.
Why are you telling me this?
Jackson, can we...
Why is she telling me this?
[ Clears throat ]
Um, did she happen to say
where we were eating?
Uh, I think it's a steakhouse.
Yeah, unless you're not...
If you don't.
No, no. Fine.
Love a good T-bone.
[ Chuckles ] Yeah.
Yes.
Pbht.
May...
Maybe we should call her.
[ Cellphone chimes ]
Oh, it's Mag...
Uh, Dr. Pierce.
Have to cancel...
Called into big transplant.
Really sorry, but you two
should still go.
Smiley face.
You know, truth be told,
um, I'm a little tired.
Me too.
- Rain check?
- Rain check.
Okay.
Okay.
- Good.
- Okay.
So, what do you say?
Dr. Grey, would you
like to go out with me?
I have said "no" to nicer faces.
Great, then this should be easy.
Yeah, it should.
Maggie:
Good, you're still here.
We've got a transplant on deck.
Uh, Karev was...
Sorry.
- It's fine.
Hi. Will Thorpe.
You're Thorpe.
I mean, um, hello.
Maggie Pierce.
- Hi.
- Hi.
Tell Alex I'll be right there.
Okay. All right,
I'll see you later.
- Bye.
- Or not. Okay.
All right. Bye.
So you've been talking about me.
That's not necessarily
a good thing.
You haven't given me an answer.
Drinks.
Tomorrow.
Unless, of course,
I change my mind.
When were you gonna tell me?
Now. Right now.
I was coming up to tell you now.
I'm supposed to believe that?
Yes! I can't believe that
Arizona would say...
When did you know?
How far along are you, April?
I'm 12 weeks.
12 weeks.
I was coming to tell you...
When did you know?
Did you know before the divorce?
[ Cellphone chimes ]
Did you know before
we signed those papers?
- Uh...
- April?
I... yes. I...
Yes, I did.
I knew before.
Why?
Why would you do...
[ Cellphone chimes ]
I have to... I have to go.
- No, you don't.
- I am being paged to the ER.
So give it to Grey or Hunt
or literally anybody,
but you're not gonna walk away
from this right now.
I can't.
I want to talk about this,
Jackson.
I know we need to talk
about this,
but now is not a good time.
- Don't you walk away.
- Okay?
I cannot talk about this
right now.
[ Sighs ]
You should get a dog.
You seem like a dog guy.
I live in a trailer.
Yeah, that's something
we can talk about.
You don't like my trailer?
No, sure, I also like
grown-up houses.
[ Laughs ]
Listen, I was thinking we
could have dinner tomorrow?
It's my birthday,
and I can't think
of anyone else
I'd rather celebrate with, so...
Tomorrow's your birthday?
No, no.
It's next week,
so you still have time
to buy my gift,
but I was thinking
we could, you know,
kick things off with dinner.
Do you like lobster?
Love lobster.
You know how to cook lobster?
Sure, you just boil
a pot of water and...
Yeah, see.
You're already losing me.
[ Cellphone chimes ]
Crap. Incoming.
- Tomorrow night, then.
- Lobster.
Birthday lobster,
which you are cooking.
That's become obvious.
We'll start with Kelsey's
double lung transplant first,
and then, assuming
the procedure goes well,
we'll go ahead and do
the liver and pancreas.
And it has to be all at once?
Her CF has compromised her
lungs, liver, and pancreas.
Replace any one
of those organs now,
and the others are
just gonna break down.
I know it seems overwhelming.
The surgery's
long and extensive,
but this is our best shot.
I don't want to do it.
Nick:
Sweetie, please.
Kelsey, you know
how important this is.
I don't care.
I don't want to do it.
I hear you.
It's a bummer, though.
This donor is a perfect match...
One in a million.
You know, if we do this now,
you can make your Spring Formal.
Didn't you say
what's his name ask you?
Sam? Or Steve?
Or...
Parker.
Well, I guess Parker
can find someone else.
I don't want to go if I can only
sit and watch and be pitied.
What, are you kidding me?
With these lungs?
They're gonna have to drag you
off that dance floor.
Really?
Really.
Man: So, Dr. Karev,
how do we proceed?
What's the first step?
Is that the kid
Alex paged us about?
Yep.
Triple organ transplant.
Lungs, liver, pancreas...
The trifecta.
It's gonna be a long night.
[ Sighs ]
I better text the sitter.
So, not that
it's any of my business...
It's not.
He asked me out.
It's not a big deal.
So you said no?
You said yes?
Kind of.
Maybe.
It's drinks.
Good. You're free.
You awake?
Yeah, I'm good.
This is good.
Can we not?
You're ready.
I thought I wasn't
ready with DeLuca,
but now that it's out
in the open, it's good.
What's good?
Thorpe, the military doctor.
He asked Mer out.
She said yes.
She said yes to buy time.
She'll blow him off later.
She'll cancel.
- You didn't see this guy.
- I don't have to.
I know Mer.
- I know Mer, too.
I am Mer.
Mer's right here.
I said yes.
I'm going.
This is good.
Blake, activate the MTP.
We're gonna need blood,
lots of it.
On it.
All right, patient's 10 minutes
out, people. Let's move.
April, I'm sorry.
I'm so, so sorry.
I thought that I was...
I really don't give a crap
what you thought.
Listen, I was with you before.
I lived through that with you,
with Jackson,
and I just was trying
to help somehow
so that maybe this time
it could be different.
Sorry, you were there?
You lived through that?
Um, no. No, Arizona.
That was me
and that was Jackson.
We lived that nightmare,
and I refuse to live it again.
And you know what?
It is different this time,
because this time
I am choosing to have faith
in a good outcome for this baby
until God himself
tells me otherwise,
and Jackson ca...
Kids.
I will deal with this myself,
the way I want to,
when I want to.
I know. I'm sorry, April.
I thought...
Don't.
Don't think about me.
Don't talk to me.
Don't even look at me, okay?
And I believe in this stuff, so
understand how much I mean it
when I tell you go to hell.
[ Sighs ]
What, you didn't tell him?
Come on.
Keps, what were you thinking?
Shut up.
Well, of course
he had a right to know.
- Shut up.
- I'm just saying...
Hey, I'm just saying
he's justified.
All right? I'd be pissed, too.
I'd be really pissed.
[ Elevator bell dings ]
28-year-old female,
fell over a hundred feet
while rock climbing.
GCS 12, intubated,
multiple extremity fractures.
Vitals are...
Tess. Tess.
Her name is Tess.
You want to watch him, too.
Mild signs of dehydration.
I'm okay.
Just help Tess, please.
All right, Tess.
We got you, okay?
You stay with us, all right?
Stay with us.
Volumes and total
lung capacity are perfect.
Replantation is technically
easier on the right,
so we will do that side first.
Thank you for coming back in.
You really think I'd miss out
on a triple organ transplant?
Hey.
Oh, sorry.
Um, can you make sure that
they have bypass on standby,
and, um, tell the blood bank
to have six units on hold.
Okay.
Why aren't you at dinner?
We postponed.
It was really weird.
It's not weird.
Dinner for two with Weber?
It's weird.
It's what you wanted.
Out in the open.
If I'm gonna have
dinner with your dad,
you should be there, too.
I know. I'm sorry.
I just got pulled into this.
You know, it's actually
gonna be really cool.
Do you want to scrub in?
- Yeah.
I've got Wilson and Cross
scrubbing in now,
but I could switch things up.
No, no, no.
See, don't do that.
We haven't even started yet.
If Cross is your intern,
let him do it.
I'll... I'll see you
tomorrow.
No, no, no, no, no.
I can get you both in there.
You can take turns holding
retractors or something.
Don't you want to see this?
- Why?
- Got to wake up.
Just got called into
a triple organ transplant.
Whoa. Long night.
Callie?
Mm-hmm?
I have a thing...
tomorrow night.
Uh, more, please.
Drinks with a guy.
Oh.
You're getting back
on the horse!
That's... ooh, is it the,
uh, is is the Thorpe horse?
Please tell me
it's the Thorpe horse,
because that is a hot horse.
That is...
That is Secretariat.
No one's getting on a horse.
It is gonna be weird.
Well, at first it'll be
a little weird,
but not bad weird,
and, Mer, it's good.
Just getting
back out there, it's...
it will be good.
Thanks.
Mm-hmm.
[ Clears throat ]
[ Hums ]
If it's bad, it's still good,
you know?
I mean, it's like trying to
remember how to ice skate.
A couple minutes,
you're like, "Whoa, oh, crap.
What... What am I doing?"
But then...
Then you remember how it works
and then it's like, "Oh, yeah.
Yeah, I can do this."
[ Chuckles ]
"Oh, I like this.
Ooh, ooh, I'm good at this.
Ooh! Ooh!
It's skating time, my friend.
Push and glide.
Push and glide.
[ Toilet flushes ]
You know?
I'm more of a roller girl,
myself.
She's hypoxic on 100%.
Okay, she's gonna need
another tube on the right.
It's all right, Tess.
I'm right here.
- Blake, can you get that?
- On it.
Sir, Michael,
you need to leave the room.
We need room to work.
Don't worry, baby.
I'm not gonna leave you, okay?
I love you. I love you.
I love you so much.
[ Monitor beeping ]
BP's dropping.
What's happening?
Free fluid in the belly
and she's still hypotensive
after multiple units
of blood and plasma.
We got to get her up.
Blake, when you're done there,
we need to get her ready
for transport.
No, no, no.
I can't leave her.
Your daughter suffered severe
injuries from the fall.
We're doing everything we can.
Is that her?
Oh, my God. Tess.
Another set of hands
up in the OR?
I'll be right there.
I love you, Tess.
I love you so much.
Michael.
We told you.
We told you not to take her
on that mountain.
Why are you always taking her
on those damn mountains?
Uh, is there a place,
uh, where I can wait
for her during surgery?
We all want to wait.
I'll take you all
somewhere more private.
Alex: All right. None of us knew
this was happening tonight,
and we're all tired,
so let's be smart.
We have three organs
from the donor
being transplanted
into the recipient.
There'll be long stretches
where not everyone is needed.
Take that time
to nap, eat, hydrate.
Don't come into my OR
at less than 100%.
Kelsey is prepped and ready.
All right.
Start time... 23:58.
10 blade.
So we'll be up next, Cross.
Where's he taking you?
Did he say?
Let it go.
You still haven't
canceled that yet?
What part of "let it go"
is confusing?
Lap pads.
I guess there's still time.
This is gonna be
a very long night
if you two keep
hounding me about this.
Wilson, don't you have
anything to talk about?
Oh. Um...
Her engagement ring is still in
the drawer in her bedside table.
Engagement... ring?
Steph, when was
the last time you had sex?
All right. If you're gonna ditch
the guy, you better do it soon.
God, will you shut it?
You shut it.
Both of you shut it.
Balfour.
And I have three children
at home,
so don't think for a second
I don't know you two
are making faces right now.
Settle in.
Nathan: So, is there
no directive in place?
April: Her fiancé knows
what she wants.
They spend their spare time
dangling from cliffs.
Of course they talked about it.
But he doesn't have
any rights, legally.
He's not her husband.
Just hoping to call it
an early day
if we don't have to
save this girl?
Guys. Malleable.
It'd be nice to know
what the patient wants.
Well, we don't, so maybe we
don't just give up yet.
I never said anything
about giving up.
Guys, come on.
Right angle.
Another.
Where are we?
Should we scrub in?
We just started the first lung.
- You're early.
- Way early.
I'd say she still has
a few more hours, right?
Plenty of time for you
to go take a shower,
get a change of clothes,
take a disco nap, groom.
Cancel plans that
aren't gonna happen.
Or stay.
I mean, this is
a triple organ transplant.
I wouldn't nap through this.
Exactly. I'm here.
I might as well jump in.
Go on. Scoot.
You take some "me" time.
We will page you when you're up.
You are being ridiculous.
¶ That could be
our dirty little secret ¶
- Okay, would you stop?
- What?
She needs this.
This is good.
I know that.
So stop being the harbinger
of doom about it.
Stop being all
"Whoo-yay" about it.
What are we talking about?
You just stop.
Alex, I have to be positive,
because if I'm not,
you're gonna make her
change her mind.
No, you are.
Trust me.
If she feels trapped,
she's gonna bolt.
Don't make a big deal
out of this.
- It's a big enough deal already.
- I know it is.
You got to make her feel
like she has an escape hatch
or she's gonna
run for the hills.
Yeah, she will if you
don't shut your dumb mouth.
You're dumb.
Go update Kelsey's parents.
We figure five hours
for the lungs,
seven hours for the liver
and the pancreas,
so there's time.
For?
Edwards, where do we keep
the razor kits?
Oh.
You know we have a shower,
right?
Yeah. I'm on a clock.
Oh.
Oh.
This is an emergency leg shave.
It's not a big deal.
It's just drinks.
What are you gonna wear?
Uh, sports bra
and granny panties, apparently,
or whatever is in my locker
from yesterday.
Why am I even doing this?
This is just... it's stupid.
You know, I brought
a top with me today.
It's that one that you like.
It's the... it's kind of
see-through, and some heels.
Actually, they're your heels
that I stole from you.
Sorry.
You stole my shoes?
The black ones you said were too
slutty for a mother of three.
Plus, they pinch a little,
but they are so worth it.
- So worth it.
I'll leave everything
out for you.
Thank you.
You didn't have to do that.
I know.
Hey, there you are.
Um, I got a message
from Kayla's mom
about a sleepover
with Sofia next week?
Sure. Yeah.
It's fine with me.
- Okay, great.
- Mm-hmm.
Is there something else?
Uh...
No.
No.
You sure?
I, um...
I did something bad, I think...
when I was trying so hard
to do something good.
I thought that I was...
I was being a good friend
and, I swear, I was.
I was... I was right.
What was right?
April's pregnant.
And she refused to tell Jackson.
So...
So I did.
What?
And she's so angry
with me right now.
Well...
I mean, I did
the right thing, right?
No, honey. No.
But he's the other parent.
If April's
keeping things from him...
Still. Still, no.
About the baby.
About the baby's future
and the baby's health.
Doesn't matter.
- Without him.
- No, it still doesn't matter.
- Yes, it does.
- No, Arizona!
No. Just no.
Okay, so...
What if it had been us?
I mean, what if
we'd been trying,
and then suddenly I was pregnant
right when we split up.
I mean, wouldn't you...
Wouldn't you want to know that?
Well, yes.
Yes, of course.
But from you.
Not from someone else.
[ Sighs ]
I'm sorry. You screwed
this one up big time.
[ Sighs ]
W-Why aren't
you down there?
I was on the procurement.
Why aren't you down there?
Don't you have
an all-access OR pass now?
Chief of cardio?
[ Scoffs ] So smart.
But a guy who looks like you
can get anyone.
There's no way
I'm gonna land an attending.
A resident, maybe.
I mean, Wilson is like
¶ Ahhhhhh ¶
[ Laughs ]
But she's with Karev.
Blake likes ladies.
Edwards maybe, she's hot
and she's tight with Shepherd,
so that wouldn't hurt either.
Do you think
I have a chance there?
- No.
- No.
Well, I got to
hand it to you, dude.
You should go.
'Cause I'm about
to nut punch you.
[ Sighs ]
Small intestine
and right colon excised.
Bring this to path, please.
She's gonna need a TPN
when she's more stable.
Dr. Kepner. Dr. Avery's
wondering how long you'll be.
Tell him as long as I need to.
Everything all right?
I...
It's fine.
Medium clips.
April.
She said it was fine.
[ Monitor beeps ]
Pressure's dropping again.
Pupils are dilated.
Non-responsive.
Crap.
Global ischemia
from the hypotension?
Traumatic brain injury?
What difference does it make?
Her brain's been
deprived of oxygen.
There's no coming back
from this point.
Cabbage patch.
Damn it.
Blake, step in and finish
creating the colostomy.
You comfortable with doing one?
Uh, yeah. Sure.
Then I'd like you to close up
the fascia with running PDS.
Me? Okay.
Why are you leaving?
'Cause there's nothing
left to do.
Patient is too far gone.
But it's not every day you get
to practice on living flesh,
so perfect
your colostomy technique.
Owen: I'll call Shepherd
for a neuro eval.
Nathan: Man, she's not
getting off that vent.
[ Sighs ] So wrong.
It's not fair.
I'll let you know
when Shepherd's done,
then we can go talk
to Tess' family.
Robbins? You told Robbins
and you didn't tell me?
I don't... I don't have time
for this right now, okay?
You've taken more than enough
time, don't you think?
The time was before I signed
the friggin' divorce papers.
What's going on there?
April: Jackson.
I'm not doing this.
- Not here. Not now.
- Well, excuse me.
Is there a more convenient time
for me to catch you lying to me?
Jackson!
You don't think a pregnancy
would have factored
into my decision
to move forward with
the divorce?
I knew it would, but you
didn't want to stay with me.
You think I want you
to stay for my baby...
Our baby.
And have you hating me
for the rest of my life?
Well, you got a pretty good jump
on that, didn't you?
Wow. That... yeah. That didn't
take any time at all.
All right.
That's enough.
No, you know what?
It's fine. Screw this.
You want to play
the martyr here?
You want to pretend
you're doing this alone?
Go for it.
Knock yourself out.
It's your deal, April.
You win.
I'm out. I'm done.
I said enough.
¶ Tell the story how you will ¶
¶ Explain these scars away ¶
¶ Erase the memories
that gave them to me ¶
¶ I'll wait ¶
¶ A lie's a pretty little pill ¶
¶ Prescriptions for delusions ¶
¶ Paint illusions
for your friends ¶
¶ I'll play the villain
once again ¶
¶ Oh, whatever it takes
to help you sleep better ¶
¶ I'll be okay ¶
¶ Go on and tell the world
I'm bitter ¶
¶ But look in my face
and find the courage to say ¶
What are you doing here?
I told you I would page you.
There's still a ton of time
before you need to be here.
I'm here. Let me help.
Fine. Jump in.
No. No. Not fine.
No jumping.
Maggie, you got to let it go.
I can't let it go.
You told me your train
had stopped running,
and tonight, one is
coming into the station,
and that is a big deal.
I can't pretend like it's not.
- Wilson.
- Yes.
Go the attendings lounge,
get my phone,
go into my contacts,
find William Thorpe,
please text him and let him know
that tonight's plans
have been canceled.
Meredith, no!
Wait, Meredith...
My passcode is 1008.
Now it's really over.
So let it go.
Pickups.
- See what you did?
- This is your fault.
¶ Oh ¶ [ Sighs ]
¶ Sometimes love can feel
like a battlefield ¶
¶ It's hard to hold on ¶
¶ And as the pressure builds ¶
¶ My patience fails
and heart becomes stone ¶
¶ But I've learned my lesson ¶
¶ Still I'd rather cry
with you than be alone... ¶
Um...
Please, I just...
I-I just need a minute, okay?
[ Sniffles ]
Why didn't you tell me?
Because, um, I-I didn't
want to tell anyone...
especially you.
I didn't want you to...
I feel like I'm just...
I'm screwing everything up,
and all I'm trying to do
is protect this baby
and it's...
It's all screwed up.
¶ ...way home to you ¶
¶ We watched this slip away... ¶
Every... everything is all
screwed up.
April, April.
[ Sniffles ]
April, you're having a baby.
Yeah.
It's not screwed up.
It's...[ Sighs ]
It's a miracle.
[ Crying ]
Yes, it is.
¶ ...home to you ¶
Yes.
¶ I want to come home to you ¶
Thank you.
¶ Oh, home to you ¶
Bailey?
Can I ask you something?
You just did.
Well, um, I...
I did something, and I don't...
Yeah, I heard.
Oh. Well, great.
Yeah, you shared confidential
medical information
without permission,
breaking multiple state
and federal privacy laws.
You did it to a fellow doctor,
under this roof, in my hospital.
Speaking as your boss,
that's a firing offense.
And speaking to me as my friend?
[ Sighs ]
I mean, I can see
where you thought
you were doing what was right.
Yes! Yes, I was.
That doesn't make it right.
Yeah, I-I-I'm fresh out
of words of wisdom for you.
Okay.
[ Sighs ]
I got all day.
I told you
it's not your business.
Well, it is when you brawl on
the O.R. floor of my hospital.
I don't need your help!
All right?
Stop telling yourself
that I need your help.
I don't.
You're not my father.
I know I'm not.
But who is?
I don't see him
around here, do you?
That the man you want to be?
You're having a child.
Maybe it's not the way
you wanted.
Maybe it's not when.
All right,
so you found out late.
I found out decades late.
What's important
is now you know.
It's happening...
and you need to step up.
That's what matters.
Unfortunately, in surgery,
we discovered
your daughter's injuries
were more catastrophic
than we realized
and her brain function
has virtually ceased.
Your daughter has virtually
no brain activity.
I am so sorry.
Oh, my God.
But I saw her.
Her heart is pumping.
She's still breathing.
She's alive.
The ventilator
is breathing for her.
She can't breathe on her own
or feed herself
or use the bathroom.
She's using catheters
and ostomies
and will likely need those
indefinitely.
From this point on,
she will require round-the-clock
professional care,
probably for the rest
of her life.
Or until she gets better.
I'm sorry?
She'll need the care
until she gets better,
until she wakes up
and she can leave the hospital.
Do we know when that might be?
When Tess could leave here?
Eventually, she would be moved
to a long-term
acute care facility
where she would live
for the rest of her...
Well, we can...
We can get you some brochures
if that's what you decide.
Or if you decide
to withdraw care.
Oh, Tess.
I understand that
this is difficult,
and you should take some time
to talk this over.
That won't be necessary.
We understand
the circumstances.
We want you to do
everything that you can
to save our daughter.
No! This is not
what she'd want.
Steven:
She could wake up.
I mean, people wake up
from comas all the time.
Mm-hmm.
Um, I'm sorry, but in Tess'
case, that's highly unlikely.
She told me what she wants.
More than once.
Please, she would not
want to live like this.
What is wrong with you?
Steven: This isn't your decision
to make, Michael.
If this had happened two months
from now, it would be.
We would've been married.
Will you get him out of here?
Lines are out.
Almost done?
Anastomoses look terrific
on both sides.
No bleeding or leaks.
Sats look great.
Yeah, nice work.
Well, uh, that does it for me,
unless you need me
to stay and help...
in any way.
I'll close. You can go.
Scalpel.
So, what's wrong with the guy?
- Huh?
- Thorpe.
What's his deal?
Nothing. He's fine.
Callie said he was a jerk
that night at Bauer.
That's not true.
Said he almost killed
the surgery.
Scissors.
10 blade.
He was just trying
to protect his patient.
Oh.
So he was throwing a tantrum
like a toddler.
[ Chuckles ]
Shut up.
He's nice...
and he's funny.
Mm,
so he's just butt-ugly.
Yes. He is butt-ugly.
Yeah, well.
It's hard first time out
after somebody important.
First girl after Izzie left?
It was pretty messy.
You feel like you belong
to somebody else,
like you're cheating, you know?
I mean, you're not, but man,
sure feels that way.
I never had a wife die, but...
I've had a few
"first time afters," Mer.
There's always something
after...
eventually.
We lose people
and then we find new ones.
It's how it works.
I guess.
Oh, I know.
Look, if you're not into him,
who cares?
But if you are, it's okay.
Okay?
Okay.
Plus, it's gonna be weird
no matter what,
so you might as well
get it over with.
Suction.
Yeah, she should be awake soon.
Looks like she's gonna
make that big dance.
No more coughing and wheezing?
Well, the new organs
don't carry the CF gene.
Once she's off the vent,
chances are good you'll
never see her on one again.
Thank you.
She's gonna stay
on that ventilator...
forever?
Unless something changes, yes.
Her parents will hate me forever
for taking her up that mountain.
She'll hate me
for bringing her back down.
This place looks nice.
Lovely views.
And who knows?
She could be up and walking
again this time next year.
You never know.
Don't give up hope, right?
God bless you, Dr. Riggs.
"Don't give up hope," huh?
Well, that's all
they have now, right?
You changed your tune.
You wanted to give up all day.
No, I did not. I wanted to do
what the patient wanted.
Oh, and you got to
let this go.
Oh, what's that?
If you're still feeling guilty
after all this time,
that's your deal.
Stop taking it out on me.
Guilty? What have I got
to feel guilty about?
Oh, you think it's all my fault,
but I never quit.
You did.
You let Megan go.
You stopped looking.
I didn't.
I stayed behind.
I stayed. I looked.
I searched, and I prayed.
Because you got her killed!
We don't know that.
You decided it.
You made a decision
that she was dead.
You came back here,
you started over,
and you forgot about her.
You shut your mouth.
That's why
you hate that I'm here,
'cause I remind you of what you
did, that you gave up on her.
I swear to God...
People here don't even know
you had a sister.
That's sick, mate.
You need to hate someone?
Look in a mirror.
You had a tough day.
You heard, too?
I think everybody's
heard by now.
Right.
I don't know what to do.
I want to make it right.
I mean, I have to
make it right somehow,
but I don't know what to do.
I don't... I don't know
how to fix it.
You did something indefensible.
Right.
So maybe, um...
maybe I go to her again
and apologize.
The only thing
that you can do right now
is accept what you did
was wrong.
And the only thing
you can do to fix it is...
to wait.
Just give it time...
and maybe April
will forgive you.
Maybe she won't...
but you...
That is not up to you.
- Hey.
- Andrew: Hey.
How's the, uh,
how's the transplant going?
Huge success. Come on.
I'll tell you all about it.
Actually, um, I think
I'm gonna stay here tonight.
I got early rounds
in the morning
and kind of want to just study.
Come over.
I'll help you study.
I don't want help.
Okay.
I don't want special treatment,
and I don't want to
miss out on things,
but that's already happening.
And I don't want to make awkward
small talk with Dr. Webber.
You are the one
who wanted us to go public.
I know.
I know.
I'm just gonna study, all right?
Okay.
I'll see you tomorrow.
Hey.
Hey.
Uh, I'm glad you called me back.
Well, I shouldn't have.
I'm way too tired for drinks.
I just got out
of a 17-hour surgery.
I probably shouldn't
even drive home
until I've crashed here
for a while, so...
So how about I take you home?
Um... you're skipping a bunch
of steps, don't you think?
Yeah, how about
I give you a ride home
so that you can crash
in your own bed?
I don't mind.
Look, I know what 17 hours
straight feels like.
I'm not worried
about the drinks.
I'll take you out
some other time.
Hey!
Happy birthday!
Owen! Come on.
I'm holding a box of creepy,
squirming lobsters.
You gonna let me in?
Owen: Just a sec.
[ Rustling, clinking ]
[ Grunts ]
Hey.
Am I... early?
Uh, no, no, no, no, no.
We're all good.
I was just gonna...
Uh, come in.
Come on.
Looks like you already
started the party.
No, no.
I might've screwed up a little.
I forgot that we were...
I'll just put these
in the fridge, I guess.
Yes, I-I-I can put
some water on.
It'll just take
a minute to boil.
I...had a long day,
and Riggs is...
Riggs is what?
[ Sighs ]
Nothing, it's just...
Don't listen to him.
[ Clattering ]
Um...
[ Sighs ]
Let's try this another time.
No, no, no. No.
No, let's do it.
No, let's not, Owen.
Amelia.
I'm just... I'm gonna go.
It's fine. I'm fine.
Amelia, don't go.
I'm sorry.
I just had a couple of beers.
¶ Listen here, listen close ¶
¶ You're the one
I love the most ¶
¶ Listen here, listen close ¶
[ Thunder rumbles ]
¶ You're the one
I love the most ¶
¶ And if you went away ¶
[ Knock on door ]
¶ And if you went away ¶
¶ And if you went away,
went away ¶
Who is it?
Jackson: It's me.
¶ I don't know what I'd do ¶
Hey, I-I just wanted to
apologize.
I reacted badly today, and...
[ Sighs ]
we're having a baby...
who does not deserve to
have us arguing over it.
That's what I was
trying to avoid.
I get that.
Sort of.
I mean,
I'm... I'm trying to get that.
We can figure this out.
All right?
Yeah.
Look, I just...
I honestly... I didn't...
[ Sighs ]
I waited to tell you
because last time...
last time tore us apart.
Literally.
Neither one of us
could help the other
and everyone got hurt,
and I just didn't want that...
for you or me.
I just... I wanted to wait
until I knew
that everything was okay,
and I'm... I am...
I am really sorry.
Okay?
I'm sorry.
You wanted to wait
until it was too late?
Right? Until you were too far
along to do anything about it.
I'm sorry.
Do what, exactly?
I don't know...
Not put us through this again,
or a baby, for that matter.
I mean, I'd have to hold him
while he dies.
Maybe have some options.
Um, that is not an option for me
and you know that.
What about me?
Hmm?
What about my option...
You don't count here.
I don... I'm the father.
Yes, you are. Yes.
You're the father
when there's a baby.
But right now,
you have no choice in this.
It's my body, my baby.
April.
You are not my husband.
You have no rights here.
[ Bang on door ]
It hurts to tear
that bandage off.
We don't want to see
what's underneath.
But maybe it's not the fear
of the pain that holds us back.
I was worried about the duodenal
segment getting ischemic.
Mm.
Yeah, what'd you do?
Mm. I placed stents at the SMA
and the celiac anastomoses,
just to be on the safe side.
Smart.
Ketchup?
More ketchup?
I love my ketchup.
[ Giggles ]
I did a portal
reconstruction once...
Good guy, had no idea
he drank a fifth a day
until I tried to cut
into his liver.
You know, it's shoe leather.
Ugh.
That makes it so hard.
Yeah.
Napkin.
I almost stopped drinking
right then.
Almost.
[ Chuckles ] Yeah.
I don't want to see my liver.
I don't want to see it, either.
[ Laughs ]
Maybe we're really afraid
to see if the wound underneath
is still open...
I should go up.
Yeah.
Yeah, okay.
[ Clears throat ]
You know what I did do
that was funny?
I used an interposition
aortic conduit
to supply the pancreatic graft.
Huh. How did...
How did you do that?
Or if it might
actually be healing.
---
Meredith:
We cover up injuries...
with tape and gauze...
Um, have you seen
Dr. Avery?
Upstairs in the lab.
To protect the injury,
to prevent infection,
to save the patient
from further suffering.
[ Cellphone chimes ]
The hard part comes when you
have to rip the bandage off...
because that can hurt like hell.
Hey, how's it going?
Uh, pretty good.
What's up?
Nothing.
Have you talked to April?
No.
[ Sighs ]
Why?
Nothing.
Um, I just wanted to see
how you guys were doing.
Have a good night.
- She knows.
- Knows?
April knows.
- What?
- Doesn't she?
Who told her, Karev?
I'm not sure h...
Well, she told Karev.
Um, or he figured it out.
No, I mean, I-I told Karev.
I just asked him
to keep it to himself.
What, keep it to himself?
What are you talking about?
That I'm seeing people.
That I'm dating.
That I went on a date.
[ Sighs ]
So, April knows, huh?
Uh, that you're seeing
other people.
- Does April know?
- No!
N... She doesn't.
She doesn't know
anything about that.
So then what are you
talking about?
Nothing.
I w... I was... Nothing.
[ Sighs ] All this is just
so weird and new.
I mean, I just really
don't want April
to get her feelings hurt
here, okay?
So just do me a favor.
Keep it to yourself.
Be great.
April's pregnant.
April's pregnant.
Yeah.
Why are you telling me this?
Jackson, can we...
Why is she telling me this?
[ Clears throat ]
Um, did she happen to say
where we were eating?
Uh, I think it's a steakhouse.
Yeah, unless you're not...
If you don't.
No, no. Fine.
Love a good T-bone.
[ Chuckles ] Yeah.
Yes.
Pbht.
May...
Maybe we should call her.
[ Cellphone chimes ]
Oh, it's Mag...
Uh, Dr. Pierce.
Have to cancel...
Called into big transplant.
Really sorry, but you two
should still go.
Smiley face.
You know, truth be told,
um, I'm a little tired.
Me too.
- Rain check?
- Rain check.
Okay.
Okay.
- Good.
- Okay.
So, what do you say?
Dr. Grey, would you
like to go out with me?
I have said "no" to nicer faces.
Great, then this should be easy.
Yeah, it should.
Maggie:
Good, you're still here.
We've got a transplant on deck.
Uh, Karev was...
Sorry.
- It's fine.
Hi. Will Thorpe.
You're Thorpe.
I mean, um, hello.
Maggie Pierce.
- Hi.
- Hi.
Tell Alex I'll be right there.
Okay. All right,
I'll see you later.
- Bye.
- Or not. Okay.
All right. Bye.
So you've been talking about me.
That's not necessarily
a good thing.
You haven't given me an answer.
Drinks.
Tomorrow.
Unless, of course,
I change my mind.
When were you gonna tell me?
Now. Right now.
I was coming up to tell you now.
I'm supposed to believe that?
Yes! I can't believe that
Arizona would say...
When did you know?
How far along are you, April?
I'm 12 weeks.
12 weeks.
I was coming to tell you...
When did you know?
Did you know before the divorce?
[ Cellphone chimes ]
Did you know before
we signed those papers?
- Uh...
- April?
I... yes. I...
Yes, I did.
I knew before.
Why?
Why would you do...
[ Cellphone chimes ]
I have to... I have to go.
- No, you don't.
- I am being paged to the ER.
So give it to Grey or Hunt
or literally anybody,
but you're not gonna walk away
from this right now.
I can't.
I want to talk about this,
Jackson.
I know we need to talk
about this,
but now is not a good time.
- Don't you walk away.
- Okay?
I cannot talk about this
right now.
[ Sighs ]
You should get a dog.
You seem like a dog guy.
I live in a trailer.
Yeah, that's something
we can talk about.
You don't like my trailer?
No, sure, I also like
grown-up houses.
[ Laughs ]
Listen, I was thinking we
could have dinner tomorrow?
It's my birthday,
and I can't think
of anyone else
I'd rather celebrate with, so...
Tomorrow's your birthday?
No, no.
It's next week,
so you still have time
to buy my gift,
but I was thinking
we could, you know,
kick things off with dinner.
Do you like lobster?
Love lobster.
You know how to cook lobster?
Sure, you just boil
a pot of water and...
Yeah, see.
You're already losing me.
[ Cellphone chimes ]
Crap. Incoming.
- Tomorrow night, then.
- Lobster.
Birthday lobster,
which you are cooking.
That's become obvious.
We'll start with Kelsey's
double lung transplant first,
and then, assuming
the procedure goes well,
we'll go ahead and do
the liver and pancreas.
And it has to be all at once?
Her CF has compromised her
lungs, liver, and pancreas.
Replace any one
of those organs now,
and the others are
just gonna break down.
I know it seems overwhelming.
The surgery's
long and extensive,
but this is our best shot.
I don't want to do it.
Nick:
Sweetie, please.
Kelsey, you know
how important this is.
I don't care.
I don't want to do it.
I hear you.
It's a bummer, though.
This donor is a perfect match...
One in a million.
You know, if we do this now,
you can make your Spring Formal.
Didn't you say
what's his name ask you?
Sam? Or Steve?
Or...
Parker.
Well, I guess Parker
can find someone else.
I don't want to go if I can only
sit and watch and be pitied.
What, are you kidding me?
With these lungs?
They're gonna have to drag you
off that dance floor.
Really?
Really.
Man: So, Dr. Karev,
how do we proceed?
What's the first step?
Is that the kid
Alex paged us about?
Yep.
Triple organ transplant.
Lungs, liver, pancreas...
The trifecta.
It's gonna be a long night.
[ Sighs ]
I better text the sitter.
So, not that
it's any of my business...
It's not.
He asked me out.
It's not a big deal.
So you said no?
You said yes?
Kind of.
Maybe.
It's drinks.
Good. You're free.
You awake?
Yeah, I'm good.
This is good.
Can we not?
You're ready.
I thought I wasn't
ready with DeLuca,
but now that it's out
in the open, it's good.
What's good?
Thorpe, the military doctor.
He asked Mer out.
She said yes.
She said yes to buy time.
She'll blow him off later.
She'll cancel.
- You didn't see this guy.
- I don't have to.
I know Mer.
- I know Mer, too.
I am Mer.
Mer's right here.
I said yes.
I'm going.
This is good.
Blake, activate the MTP.
We're gonna need blood,
lots of it.
On it.
All right, patient's 10 minutes
out, people. Let's move.
April, I'm sorry.
I'm so, so sorry.
I thought that I was...
I really don't give a crap
what you thought.
Listen, I was with you before.
I lived through that with you,
with Jackson,
and I just was trying
to help somehow
so that maybe this time
it could be different.
Sorry, you were there?
You lived through that?
Um, no. No, Arizona.
That was me
and that was Jackson.
We lived that nightmare,
and I refuse to live it again.
And you know what?
It is different this time,
because this time
I am choosing to have faith
in a good outcome for this baby
until God himself
tells me otherwise,
and Jackson ca...
Kids.
I will deal with this myself,
the way I want to,
when I want to.
I know. I'm sorry, April.
I thought...
Don't.
Don't think about me.
Don't talk to me.
Don't even look at me, okay?
And I believe in this stuff, so
understand how much I mean it
when I tell you go to hell.
[ Sighs ]
What, you didn't tell him?
Come on.
Keps, what were you thinking?
Shut up.
Well, of course
he had a right to know.
- Shut up.
- I'm just saying...
Hey, I'm just saying
he's justified.
All right? I'd be pissed, too.
I'd be really pissed.
[ Elevator bell dings ]
28-year-old female,
fell over a hundred feet
while rock climbing.
GCS 12, intubated,
multiple extremity fractures.
Vitals are...
Tess. Tess.
Her name is Tess.
You want to watch him, too.
Mild signs of dehydration.
I'm okay.
Just help Tess, please.
All right, Tess.
We got you, okay?
You stay with us, all right?
Stay with us.
Volumes and total
lung capacity are perfect.
Replantation is technically
easier on the right,
so we will do that side first.
Thank you for coming back in.
You really think I'd miss out
on a triple organ transplant?
Hey.
Oh, sorry.
Um, can you make sure that
they have bypass on standby,
and, um, tell the blood bank
to have six units on hold.
Okay.
Why aren't you at dinner?
We postponed.
It was really weird.
It's not weird.
Dinner for two with Weber?
It's weird.
It's what you wanted.
Out in the open.
If I'm gonna have
dinner with your dad,
you should be there, too.
I know. I'm sorry.
I just got pulled into this.
You know, it's actually
gonna be really cool.
Do you want to scrub in?
- Yeah.
I've got Wilson and Cross
scrubbing in now,
but I could switch things up.
No, no, no.
See, don't do that.
We haven't even started yet.
If Cross is your intern,
let him do it.
I'll... I'll see you
tomorrow.
No, no, no, no, no.
I can get you both in there.
You can take turns holding
retractors or something.
Don't you want to see this?
- Why?
- Got to wake up.
Just got called into
a triple organ transplant.
Whoa. Long night.
Callie?
Mm-hmm?
I have a thing...
tomorrow night.
Uh, more, please.
Drinks with a guy.
Oh.
You're getting back
on the horse!
That's... ooh, is it the,
uh, is is the Thorpe horse?
Please tell me
it's the Thorpe horse,
because that is a hot horse.
That is...
That is Secretariat.
No one's getting on a horse.
It is gonna be weird.
Well, at first it'll be
a little weird,
but not bad weird,
and, Mer, it's good.
Just getting
back out there, it's...
it will be good.
Thanks.
Mm-hmm.
[ Clears throat ]
[ Hums ]
If it's bad, it's still good,
you know?
I mean, it's like trying to
remember how to ice skate.
A couple minutes,
you're like, "Whoa, oh, crap.
What... What am I doing?"
But then...
Then you remember how it works
and then it's like, "Oh, yeah.
Yeah, I can do this."
[ Chuckles ]
"Oh, I like this.
Ooh, ooh, I'm good at this.
Ooh! Ooh!
It's skating time, my friend.
Push and glide.
Push and glide.
[ Toilet flushes ]
You know?
I'm more of a roller girl,
myself.
She's hypoxic on 100%.
Okay, she's gonna need
another tube on the right.
It's all right, Tess.
I'm right here.
- Blake, can you get that?
- On it.
Sir, Michael,
you need to leave the room.
We need room to work.
Don't worry, baby.
I'm not gonna leave you, okay?
I love you. I love you.
I love you so much.
[ Monitor beeping ]
BP's dropping.
What's happening?
Free fluid in the belly
and she's still hypotensive
after multiple units
of blood and plasma.
We got to get her up.
Blake, when you're done there,
we need to get her ready
for transport.
No, no, no.
I can't leave her.
Your daughter suffered severe
injuries from the fall.
We're doing everything we can.
Is that her?
Oh, my God. Tess.
Another set of hands
up in the OR?
I'll be right there.
I love you, Tess.
I love you so much.
Michael.
We told you.
We told you not to take her
on that mountain.
Why are you always taking her
on those damn mountains?
Uh, is there a place,
uh, where I can wait
for her during surgery?
We all want to wait.
I'll take you all
somewhere more private.
Alex: All right. None of us knew
this was happening tonight,
and we're all tired,
so let's be smart.
We have three organs
from the donor
being transplanted
into the recipient.
There'll be long stretches
where not everyone is needed.
Take that time
to nap, eat, hydrate.
Don't come into my OR
at less than 100%.
Kelsey is prepped and ready.
All right.
Start time... 23:58.
10 blade.
So we'll be up next, Cross.
Where's he taking you?
Did he say?
Let it go.
You still haven't
canceled that yet?
What part of "let it go"
is confusing?
Lap pads.
I guess there's still time.
This is gonna be
a very long night
if you two keep
hounding me about this.
Wilson, don't you have
anything to talk about?
Oh. Um...
Her engagement ring is still in
the drawer in her bedside table.
Engagement... ring?
Steph, when was
the last time you had sex?
All right. If you're gonna ditch
the guy, you better do it soon.
God, will you shut it?
You shut it.
Both of you shut it.
Balfour.
And I have three children
at home,
so don't think for a second
I don't know you two
are making faces right now.
Settle in.
Nathan: So, is there
no directive in place?
April: Her fiancé knows
what she wants.
They spend their spare time
dangling from cliffs.
Of course they talked about it.
But he doesn't have
any rights, legally.
He's not her husband.
Just hoping to call it
an early day
if we don't have to
save this girl?
Guys. Malleable.
It'd be nice to know
what the patient wants.
Well, we don't, so maybe we
don't just give up yet.
I never said anything
about giving up.
Guys, come on.
Right angle.
Another.
Where are we?
Should we scrub in?
We just started the first lung.
- You're early.
- Way early.
I'd say she still has
a few more hours, right?
Plenty of time for you
to go take a shower,
get a change of clothes,
take a disco nap, groom.
Cancel plans that
aren't gonna happen.
Or stay.
I mean, this is
a triple organ transplant.
I wouldn't nap through this.
Exactly. I'm here.
I might as well jump in.
Go on. Scoot.
You take some "me" time.
We will page you when you're up.
You are being ridiculous.
¶ That could be
our dirty little secret ¶
- Okay, would you stop?
- What?
She needs this.
This is good.
I know that.
So stop being the harbinger
of doom about it.
Stop being all
"Whoo-yay" about it.
What are we talking about?
You just stop.
Alex, I have to be positive,
because if I'm not,
you're gonna make her
change her mind.
No, you are.
Trust me.
If she feels trapped,
she's gonna bolt.
Don't make a big deal
out of this.
- It's a big enough deal already.
- I know it is.
You got to make her feel
like she has an escape hatch
or she's gonna
run for the hills.
Yeah, she will if you
don't shut your dumb mouth.
You're dumb.
Go update Kelsey's parents.
We figure five hours
for the lungs,
seven hours for the liver
and the pancreas,
so there's time.
For?
Edwards, where do we keep
the razor kits?
Oh.
You know we have a shower,
right?
Yeah. I'm on a clock.
Oh.
Oh.
This is an emergency leg shave.
It's not a big deal.
It's just drinks.
What are you gonna wear?
Uh, sports bra
and granny panties, apparently,
or whatever is in my locker
from yesterday.
Why am I even doing this?
This is just... it's stupid.
You know, I brought
a top with me today.
It's that one that you like.
It's the... it's kind of
see-through, and some heels.
Actually, they're your heels
that I stole from you.
Sorry.
You stole my shoes?
The black ones you said were too
slutty for a mother of three.
Plus, they pinch a little,
but they are so worth it.
- So worth it.
I'll leave everything
out for you.
Thank you.
You didn't have to do that.
I know.
Hey, there you are.
Um, I got a message
from Kayla's mom
about a sleepover
with Sofia next week?
Sure. Yeah.
It's fine with me.
- Okay, great.
- Mm-hmm.
Is there something else?
Uh...
No.
No.
You sure?
I, um...
I did something bad, I think...
when I was trying so hard
to do something good.
I thought that I was...
I was being a good friend
and, I swear, I was.
I was... I was right.
What was right?
April's pregnant.
And she refused to tell Jackson.
So...
So I did.
What?
And she's so angry
with me right now.
Well...
I mean, I did
the right thing, right?
No, honey. No.
But he's the other parent.
If April's
keeping things from him...
Still. Still, no.
About the baby.
About the baby's future
and the baby's health.
Doesn't matter.
- Without him.
- No, it still doesn't matter.
- Yes, it does.
- No, Arizona!
No. Just no.
Okay, so...
What if it had been us?
I mean, what if
we'd been trying,
and then suddenly I was pregnant
right when we split up.
I mean, wouldn't you...
Wouldn't you want to know that?
Well, yes.
Yes, of course.
But from you.
Not from someone else.
[ Sighs ]
I'm sorry. You screwed
this one up big time.
[ Sighs ]
W-Why aren't
you down there?
I was on the procurement.
Why aren't you down there?
Don't you have
an all-access OR pass now?
Chief of cardio?
[ Scoffs ] So smart.
But a guy who looks like you
can get anyone.
There's no way
I'm gonna land an attending.
A resident, maybe.
I mean, Wilson is like
¶ Ahhhhhh ¶
[ Laughs ]
But she's with Karev.
Blake likes ladies.
Edwards maybe, she's hot
and she's tight with Shepherd,
so that wouldn't hurt either.
Do you think
I have a chance there?
- No.
- No.
Well, I got to
hand it to you, dude.
You should go.
'Cause I'm about
to nut punch you.
[ Sighs ]
Small intestine
and right colon excised.
Bring this to path, please.
She's gonna need a TPN
when she's more stable.
Dr. Kepner. Dr. Avery's
wondering how long you'll be.
Tell him as long as I need to.
Everything all right?
I...
It's fine.
Medium clips.
April.
She said it was fine.
[ Monitor beeps ]
Pressure's dropping again.
Pupils are dilated.
Non-responsive.
Crap.
Global ischemia
from the hypotension?
Traumatic brain injury?
What difference does it make?
Her brain's been
deprived of oxygen.
There's no coming back
from this point.
Cabbage patch.
Damn it.
Blake, step in and finish
creating the colostomy.
You comfortable with doing one?
Uh, yeah. Sure.
Then I'd like you to close up
the fascia with running PDS.
Me? Okay.
Why are you leaving?
'Cause there's nothing
left to do.
Patient is too far gone.
But it's not every day you get
to practice on living flesh,
so perfect
your colostomy technique.
Owen: I'll call Shepherd
for a neuro eval.
Nathan: Man, she's not
getting off that vent.
[ Sighs ] So wrong.
It's not fair.
I'll let you know
when Shepherd's done,
then we can go talk
to Tess' family.
Robbins? You told Robbins
and you didn't tell me?
I don't... I don't have time
for this right now, okay?
You've taken more than enough
time, don't you think?
The time was before I signed
the friggin' divorce papers.
What's going on there?
April: Jackson.
I'm not doing this.
- Not here. Not now.
- Well, excuse me.
Is there a more convenient time
for me to catch you lying to me?
Jackson!
You don't think a pregnancy
would have factored
into my decision
to move forward with
the divorce?
I knew it would, but you
didn't want to stay with me.
You think I want you
to stay for my baby...
Our baby.
And have you hating me
for the rest of my life?
Well, you got a pretty good jump
on that, didn't you?
Wow. That... yeah. That didn't
take any time at all.
All right.
That's enough.
No, you know what?
It's fine. Screw this.
You want to play
the martyr here?
You want to pretend
you're doing this alone?
Go for it.
Knock yourself out.
It's your deal, April.
You win.
I'm out. I'm done.
I said enough.
¶ Tell the story how you will ¶
¶ Explain these scars away ¶
¶ Erase the memories
that gave them to me ¶
¶ I'll wait ¶
¶ A lie's a pretty little pill ¶
¶ Prescriptions for delusions ¶
¶ Paint illusions
for your friends ¶
¶ I'll play the villain
once again ¶
¶ Oh, whatever it takes
to help you sleep better ¶
¶ I'll be okay ¶
¶ Go on and tell the world
I'm bitter ¶
¶ But look in my face
and find the courage to say ¶
What are you doing here?
I told you I would page you.
There's still a ton of time
before you need to be here.
I'm here. Let me help.
Fine. Jump in.
No. No. Not fine.
No jumping.
Maggie, you got to let it go.
I can't let it go.
You told me your train
had stopped running,
and tonight, one is
coming into the station,
and that is a big deal.
I can't pretend like it's not.
- Wilson.
- Yes.
Go the attendings lounge,
get my phone,
go into my contacts,
find William Thorpe,
please text him and let him know
that tonight's plans
have been canceled.
Meredith, no!
Wait, Meredith...
My passcode is 1008.
Now it's really over.
So let it go.
Pickups.
- See what you did?
- This is your fault.
¶ Oh ¶ [ Sighs ]
¶ Sometimes love can feel
like a battlefield ¶
¶ It's hard to hold on ¶
¶ And as the pressure builds ¶
¶ My patience fails
and heart becomes stone ¶
¶ But I've learned my lesson ¶
¶ Still I'd rather cry
with you than be alone... ¶
Um...
Please, I just...
I-I just need a minute, okay?
[ Sniffles ]
Why didn't you tell me?
Because, um, I-I didn't
want to tell anyone...
especially you.
I didn't want you to...
I feel like I'm just...
I'm screwing everything up,
and all I'm trying to do
is protect this baby
and it's...
It's all screwed up.
¶ ...way home to you ¶
¶ We watched this slip away... ¶
Every... everything is all
screwed up.
April, April.
[ Sniffles ]
April, you're having a baby.
Yeah.
It's not screwed up.
It's...[ Sighs ]
It's a miracle.
[ Crying ]
Yes, it is.
¶ ...home to you ¶
Yes.
¶ I want to come home to you ¶
Thank you.
¶ Oh, home to you ¶
Bailey?
Can I ask you something?
You just did.
Well, um, I...
I did something, and I don't...
Yeah, I heard.
Oh. Well, great.
Yeah, you shared confidential
medical information
without permission,
breaking multiple state
and federal privacy laws.
You did it to a fellow doctor,
under this roof, in my hospital.
Speaking as your boss,
that's a firing offense.
And speaking to me as my friend?
[ Sighs ]
I mean, I can see
where you thought
you were doing what was right.
Yes! Yes, I was.
That doesn't make it right.
Yeah, I-I-I'm fresh out
of words of wisdom for you.
Okay.
[ Sighs ]
I got all day.
I told you
it's not your business.
Well, it is when you brawl on
the O.R. floor of my hospital.
I don't need your help!
All right?
Stop telling yourself
that I need your help.
I don't.
You're not my father.
I know I'm not.
But who is?
I don't see him
around here, do you?
That the man you want to be?
You're having a child.
Maybe it's not the way
you wanted.
Maybe it's not when.
All right,
so you found out late.
I found out decades late.
What's important
is now you know.
It's happening...
and you need to step up.
That's what matters.
Unfortunately, in surgery,
we discovered
your daughter's injuries
were more catastrophic
than we realized
and her brain function
has virtually ceased.
Your daughter has virtually
no brain activity.
I am so sorry.
Oh, my God.
But I saw her.
Her heart is pumping.
She's still breathing.
She's alive.
The ventilator
is breathing for her.
She can't breathe on her own
or feed herself
or use the bathroom.
She's using catheters
and ostomies
and will likely need those
indefinitely.
From this point on,
she will require round-the-clock
professional care,
probably for the rest
of her life.
Or until she gets better.
I'm sorry?
She'll need the care
until she gets better,
until she wakes up
and she can leave the hospital.
Do we know when that might be?
When Tess could leave here?
Eventually, she would be moved
to a long-term
acute care facility
where she would live
for the rest of her...
Well, we can...
We can get you some brochures
if that's what you decide.
Or if you decide
to withdraw care.
Oh, Tess.
I understand that
this is difficult,
and you should take some time
to talk this over.
That won't be necessary.
We understand
the circumstances.
We want you to do
everything that you can
to save our daughter.
No! This is not
what she'd want.
Steven:
She could wake up.
I mean, people wake up
from comas all the time.
Mm-hmm.
Um, I'm sorry, but in Tess'
case, that's highly unlikely.
She told me what she wants.
More than once.
Please, she would not
want to live like this.
What is wrong with you?
Steven: This isn't your decision
to make, Michael.
If this had happened two months
from now, it would be.
We would've been married.
Will you get him out of here?
Lines are out.
Almost done?
Anastomoses look terrific
on both sides.
No bleeding or leaks.
Sats look great.
Yeah, nice work.
Well, uh, that does it for me,
unless you need me
to stay and help...
in any way.
I'll close. You can go.
Scalpel.
So, what's wrong with the guy?
- Huh?
- Thorpe.
What's his deal?
Nothing. He's fine.
Callie said he was a jerk
that night at Bauer.
That's not true.
Said he almost killed
the surgery.
Scissors.
10 blade.
He was just trying
to protect his patient.
Oh.
So he was throwing a tantrum
like a toddler.
[ Chuckles ]
Shut up.
He's nice...
and he's funny.
Mm,
so he's just butt-ugly.
Yes. He is butt-ugly.
Yeah, well.
It's hard first time out
after somebody important.
First girl after Izzie left?
It was pretty messy.
You feel like you belong
to somebody else,
like you're cheating, you know?
I mean, you're not, but man,
sure feels that way.
I never had a wife die, but...
I've had a few
"first time afters," Mer.
There's always something
after...
eventually.
We lose people
and then we find new ones.
It's how it works.
I guess.
Oh, I know.
Look, if you're not into him,
who cares?
But if you are, it's okay.
Okay?
Okay.
Plus, it's gonna be weird
no matter what,
so you might as well
get it over with.
Suction.
Yeah, she should be awake soon.
Looks like she's gonna
make that big dance.
No more coughing and wheezing?
Well, the new organs
don't carry the CF gene.
Once she's off the vent,
chances are good you'll
never see her on one again.
Thank you.
She's gonna stay
on that ventilator...
forever?
Unless something changes, yes.
Her parents will hate me forever
for taking her up that mountain.
She'll hate me
for bringing her back down.
This place looks nice.
Lovely views.
And who knows?
She could be up and walking
again this time next year.
You never know.
Don't give up hope, right?
God bless you, Dr. Riggs.
"Don't give up hope," huh?
Well, that's all
they have now, right?
You changed your tune.
You wanted to give up all day.
No, I did not. I wanted to do
what the patient wanted.
Oh, and you got to
let this go.
Oh, what's that?
If you're still feeling guilty
after all this time,
that's your deal.
Stop taking it out on me.
Guilty? What have I got
to feel guilty about?
Oh, you think it's all my fault,
but I never quit.
You did.
You let Megan go.
You stopped looking.
I didn't.
I stayed behind.
I stayed. I looked.
I searched, and I prayed.
Because you got her killed!
We don't know that.
You decided it.
You made a decision
that she was dead.
You came back here,
you started over,
and you forgot about her.
You shut your mouth.
That's why
you hate that I'm here,
'cause I remind you of what you
did, that you gave up on her.
I swear to God...
People here don't even know
you had a sister.
That's sick, mate.
You need to hate someone?
Look in a mirror.
You had a tough day.
You heard, too?
I think everybody's
heard by now.
Right.
I don't know what to do.
I want to make it right.
I mean, I have to
make it right somehow,
but I don't know what to do.
I don't... I don't know
how to fix it.
You did something indefensible.
Right.
So maybe, um...
maybe I go to her again
and apologize.
The only thing
that you can do right now
is accept what you did
was wrong.
And the only thing
you can do to fix it is...
to wait.
Just give it time...
and maybe April
will forgive you.
Maybe she won't...
but you...
That is not up to you.
- Hey.
- Andrew: Hey.
How's the, uh,
how's the transplant going?
Huge success. Come on.
I'll tell you all about it.
Actually, um, I think
I'm gonna stay here tonight.
I got early rounds
in the morning
and kind of want to just study.
Come over.
I'll help you study.
I don't want help.
Okay.
I don't want special treatment,
and I don't want to
miss out on things,
but that's already happening.
And I don't want to make awkward
small talk with Dr. Webber.
You are the one
who wanted us to go public.
I know.
I know.
I'm just gonna study, all right?
Okay.
I'll see you tomorrow.
Hey.
Hey.
Uh, I'm glad you called me back.
Well, I shouldn't have.
I'm way too tired for drinks.
I just got out
of a 17-hour surgery.
I probably shouldn't
even drive home
until I've crashed here
for a while, so...
So how about I take you home?
Um... you're skipping a bunch
of steps, don't you think?
Yeah, how about
I give you a ride home
so that you can crash
in your own bed?
I don't mind.
Look, I know what 17 hours
straight feels like.
I'm not worried
about the drinks.
I'll take you out
some other time.
Hey!
Happy birthday!
Owen! Come on.
I'm holding a box of creepy,
squirming lobsters.
You gonna let me in?
Owen: Just a sec.
[ Rustling, clinking ]
[ Grunts ]
Hey.
Am I... early?
Uh, no, no, no, no, no.
We're all good.
I was just gonna...
Uh, come in.
Come on.
Looks like you already
started the party.
No, no.
I might've screwed up a little.
I forgot that we were...
I'll just put these
in the fridge, I guess.
Yes, I-I-I can put
some water on.
It'll just take
a minute to boil.
I...had a long day,
and Riggs is...
Riggs is what?
[ Sighs ]
Nothing, it's just...
Don't listen to him.
[ Clattering ]
Um...
[ Sighs ]
Let's try this another time.
No, no, no. No.
No, let's do it.
No, let's not, Owen.
Amelia.
I'm just... I'm gonna go.
It's fine. I'm fine.
Amelia, don't go.
I'm sorry.
I just had a couple of beers.
¶ Listen here, listen close ¶
¶ You're the one
I love the most ¶
¶ Listen here, listen close ¶
[ Thunder rumbles ]
¶ You're the one
I love the most ¶
¶ And if you went away ¶
[ Knock on door ]
¶ And if you went away ¶
¶ And if you went away,
went away ¶
Who is it?
Jackson: It's me.
¶ I don't know what I'd do ¶
Hey, I-I just wanted to
apologize.
I reacted badly today, and...
[ Sighs ]
we're having a baby...
who does not deserve to
have us arguing over it.
That's what I was
trying to avoid.
I get that.
Sort of.
I mean,
I'm... I'm trying to get that.
We can figure this out.
All right?
Yeah.
Look, I just...
I honestly... I didn't...
[ Sighs ]
I waited to tell you
because last time...
last time tore us apart.
Literally.
Neither one of us
could help the other
and everyone got hurt,
and I just didn't want that...
for you or me.
I just... I wanted to wait
until I knew
that everything was okay,
and I'm... I am...
I am really sorry.
Okay?
I'm sorry.
You wanted to wait
until it was too late?
Right? Until you were too far
along to do anything about it.
I'm sorry.
Do what, exactly?
I don't know...
Not put us through this again,
or a baby, for that matter.
I mean, I'd have to hold him
while he dies.
Maybe have some options.
Um, that is not an option for me
and you know that.
What about me?
Hmm?
What about my option...
You don't count here.
I don... I'm the father.
Yes, you are. Yes.
You're the father
when there's a baby.
But right now,
you have no choice in this.
It's my body, my baby.
April.
You are not my husband.
You have no rights here.
[ Bang on door ]
It hurts to tear
that bandage off.
We don't want to see
what's underneath.
But maybe it's not the fear
of the pain that holds us back.
I was worried about the duodenal
segment getting ischemic.
Mm.
Yeah, what'd you do?
Mm. I placed stents at the SMA
and the celiac anastomoses,
just to be on the safe side.
Smart.
Ketchup?
More ketchup?
I love my ketchup.
[ Giggles ]
I did a portal
reconstruction once...
Good guy, had no idea
he drank a fifth a day
until I tried to cut
into his liver.
You know, it's shoe leather.
Ugh.
That makes it so hard.
Yeah.
Napkin.
I almost stopped drinking
right then.
Almost.
[ Chuckles ] Yeah.
I don't want to see my liver.
I don't want to see it, either.
[ Laughs ]
Maybe we're really afraid
to see if the wound underneath
is still open...
I should go up.
Yeah.
Yeah, okay.
[ Clears throat ]
You know what I did do
that was funny?
I used an interposition
aortic conduit
to supply the pancreatic graft.
Huh. How did...
How did you do that?
Or if it might
actually be healing.