Grey's Anatomy (2005–…): Season 12, Episode 2 - Walking Tall - full transcript

Are you wondering how healthy the food you are eating is? Check it - foodval.com
---
Meredith: The body has
approximately 11 organ systems,

all doing different things
at the same time.

In order to keep us functioning,
or, well, alive,

they need one voice...
A leader, a master...

And in our brains, that job
belongs to the pituitary gland.

It senses the body's needs
before they even arise,

working nonstop.

The pituitary gland communicates
with all of the other glands,

telling them when to produce

the vital hormones
we need to function.

It keeps everything running
smoothly, in perfect order.



You want a muffin?

No, no.

You sure? Go, go.

There's no denying it... it has
the toughest job in the place.

[ Indistinct shouting ]

¶¶

Are you nervous?

You're not nervous.

[ Chuckling ]
Of course I'm nervous.

Been waiting for this day
my entire career,

and I promised them
"candy disco rainbows."

And now I have to deliver.

Am I nervous?

[ Breathes deeply ]



You will deliver.

I just need it to be perfect...
Just today.

Oh, no, no. Go on.

Uh, you can't be late
for rounds.

People will think I'm giving you
special treatment.

Go on.

[ Chuckles ] Okay.

No, special treatment!

[ Chuckles ] Okay.

I'll see you later... Chief.

[ Chuckles ]

Thanks.

[ Breathes deeply ]

¶¶

This can't be right.
They live here?

I mean, when you said carpool,
I thought you meant just us.

Where is Alex?

Are Owen and I going out
and I didn't even realize it?

Does that happen?
Do adults even do that?

I don't know. Stop asking.

Carpooling is supposed to
save time.

This guy with the beard...

I have seen him
perform a sex act to buy drugs,

take the drugs, and fall asleep.

He's had a full day already.

[ Chuckles ]
And yet we're still here.

At least I think he's asleep.

Adults go home together.

They don't go out.
They don't go steady.

[ Chuckles ] We're not 15.

You made out with him
on our front porch.

And I have no idea
what that means.

Uh, I-i thought we were friends.
What does it mean?

You sound 15.

Boo! [ Laughs ] Alex!

I've been sitting out here 20 minutes.
Well, yell at Jo

for not changing her oil
in over a decade.

Between you and this anatomy
class, my morning is shot.

I need to stop teaching
this anatomy class.

Your neighbors seem nice.

Yeah, the block's a pit,
but it's cheap.

Everybody buckled?
[ Cellphone chimes ]

Webber needs one of us

to walk Bailey into her surprise
breakfast thing this morning.

No, thanks. Not I.

I hate all of you. [ Car
alarm blares in distance ]

¶ 'Cause you know I'm all about
that bass, 'bout that bass ¶

¶ no treble ¶

¶ I'm all about that bass,
'bout that bass ¶

¶ no treble ¶

¶ I'm all about that bass,
'bout that bass ¶

¶ no treble ¶ chief.

Happy first day. Thank you.

I need to thank you for
giving me this class to teach.

It was very generous.
I love shaping young minds.

You're welcome.

I need to give it back.

Not possible.

Oh, I need you to handle
miss o'Neil's

j-tube replacement this morning.
Thank you.

It's just a lot more work
than I expected,

and with three children
and my patients...

Oh, and... and, also,
find someone

to cover the bariatric clinic
this afternoon.

And my surgeries,
which actually makes

finding time to prep
for the class impossible.

T... look, I'm asking you
to do this stuff, so do it.

Anything else to say?

We're late
for the attendings' meeting.

¶ 'Cause every inch
of you is perfect ¶

¶ from the bottom to the top ¶

the... Attendings' meeting?
Did no one read my e-mail?

¶ Yeah, my mama, she told me
don't worry about her size ¶

I mean, I just... I just...
I-i barely know this woman.

We had like two dates last week.

She asked
to see me again tonight.

It's crazy. [ Chuckles ]

I can't stop thinking about her.

You know when you meet someone

and you get that flutter
[Giggles] that...

That rush
and it feels like you know them

and they know you
and you think to yourself,

"I could stare
at this person's face forever"?

Do you know what I mean?
Or maybe not.

So, I looked it up,
and Bailey's the first.

First what?

First female chief of surgery
of this hospital.

[ Clears throat ]
Before that, all men.

I say it's about time.
[ Chuckles ]

And all the department chiefs
are women... neuro, cardio...

We got trauma... Ortho...

Let it go. Amelia: Fetal...

Badass! Ladies.

This place is run by ladies.

It's... "Ladyplace."

[ Chuckles ] No. It
is not ladyplace.

"Ladyplace" is what my grandma
calls her vagina.

Oh! [ Laughs ]

To anyone who will listen,
by the way... she is not shy.

No, we can't
call this place ladyplace.

I don't need to think
of that sweet, sweet, raunchy,

old lady's vag every time
I walk through the doors.

Me neither, but I will now.
[ Laughter ]

Richard: She's coming,
she's coming!

Oh, oh! Oh! Hurry, hurry, hurry!

¶ Boys like a little more Booty
to hold at night ¶

¶ that Booty, Booty, unh ¶

¶ that Booty, Booty ¶

well, I'm glad to see
you're all here.

Uh, but if you had read
your e-mail,

you would have known
that one of the many things

that I will be implementing
as chief

is no more
weekly attendings' meetings.

Uh, well, actually,
this is a st...

See,
less talking about saving lives

and more saving of the lives.

Thank you.

¶ No treble ¶

¶ I'm all about that bass,
'bout that bass ¶

¶ no treble ¶ [ Sighs ]

¶ I'm all about that bass,
'bout that bass ¶

¶ no treble ¶

¶ I'm all about that bass,
'bout that bass ¶

[ clears throat ]

Hey, did I miss Bailey's party?

It wasn't a party. [ Coughs ]

Ohh! I couldn't stop sleeping.

I think I'm fighting off a cold

or it's jet lag
or just sleeping in a bed.

Down comforter works like
[Chuckles] morphine.

Did you talk to Jackson yet?

He slept here last night.

God, so you actually are...
What the hell is that?!

What? What? What? On your back!

What's on my back?
Do I have a mole or something?

What... [ Coughs ]

What?! [ Coughs ]

Arizona!

I have a rash.

It's a stupid rash.

You are completely overreacting.

I'm sorry. I work with babies.

Kepner, you've got lesions,
a cough, a fever.

You were in the middle east.

[ Chuckling ] I was traveling.

I am run down.

You can be run down
in the bubble,

look, we don't know
what you have.

We don't know
how contagious you are.

Hey, this is my first day
running this place.

There will be
no epidemics today.

What did infectious disease say?

Uh, well, as of now,
her symptoms are nonspecific,

but they want
to rule out Anthrax.

Any concerns about mers?

Oh, god. You think?

I'm right here.

And you will stay right there
until your tests come back.

This stops with patient zero.

I am not patient zero.

I'm not a patient at all.

Goodbye, Kepner.

Do not cross that line.

Stay in the bubble.

I cannot...

In the bubble.

I will visit you, I promise.

[ Footsteps depart ]

May I see it... The rash?

[ Sighs ]

It's nothing, right?

I'll keep my eye out
for your labs.

Okay.

But, uh, maybe we can talk if...

Look, I'm saying
we should page neuro.

Why?

Her vitals her stable,
her bloodwork's normal,

we sewed up her head lac...
She's obviously fine.

Fine, you discharge her.

Discharge who? Hi, chief.

Her.

Uh... "Jade bell."

Hello. I'm Dr. Bailey.

Oh, good. More doctors.

Andrew: The patient complained
of a headache and blurry vision

before she fainted
and hit her head,

so I did a complete syncope
work-up,

which was negative.

So... What? That led you to...

Sew up her head lac.

What is her diagnosis?

Hypoglycemia?

She probably just forgot
to eat breakfast?

Wrong.
You, what did this one miss?

Beta hcg...
Could you be pregnant?

Not a chance.

Look, I was in a meeting,
I felt dizzy,

and I woke up here,
but I feel fine now.

Can I go? No, you cannot.

What... Are... You... Missing?
[ Jade sighs ]

Migrant variant.
Autonomic dysfunction.

This is really, really fun,
but I have a work deadline so...

Uh, Jade, stand up for me,
please.

What?

Stand up, please.

We didn't miss anything.

¶¶

Hi.

Freak show's over. Can I go?

Whoa.

That is what you missed.

I feel naked.

That nurse Betsy...
Her name was Betsy...

She took my clothes, took them,
sealed them in plastic.

She took all of my clothes.

I have on paper panties!

You know how paper panties feel?

I imagine
that there's some chafing.

[ Sighs ]

Okay.

Listen, it's a chance to relax,

so you should take a nap and
get rid of your jet lag or read.

It's like a spa or a vacation.

I am in a bubble!
I am trapped in a bubble!

Jackson... He came in once.

He came in once,
took a look at me,

and then just walked away,

and... and I couldn't
go after him

because the bubble
does not travel.

No, it does not.

I am alone in here.

I am trapped like a bug,
like some kind of nasty bug,

and I'm covered in disease.

You would think that
he would want to talk to me.

I am gonna die
of a mysterious disease

with a chafed,
buggy ass all alone!

Oh.

Oh, my god. Don't freak out.

You've been in here
for like an hour.

It's not that. It's Jackson.

How can I help?

Um, just, uh, talk.

Talk about something else...
Anything.

Okay. Um, okay.

Um... Yeah, oh.
Here's the thing.

Um, Callie met someone.

Oh.

Um...

So, are you okay
with that, or...

Yeah, super. Awesome.

Okay, that's...
That's great, then.

Yeah, I mean, I should be
happy for her, right?

And she sounds happy, you know,
happier than she's ever been,

she says... I mean, apparently,
like, forever happy.

Do we have to talk about this?

Well, you know, she does,

'cause she's talking
to everybody about it.

Isaac: I'm surprised she fit.

20 bucks she's over 7 feet.

I mean, is it drugs or the wrong
combo of steroids, you think?

I saw lebron at an airport once.

She's taller than him.

Be quiet and stand outside.

[ Sighs ]

Do we think it's drugs?

A growth hormone, maybe?

It's definitely not drugs.

Waiting for a scan
to confirm it.

Yeah, oh, I'm right. You'll see.

Oh, and just 'cause
you're chief now,

you're knower of all things?
[ Scoffs ]

Look, Jade suffers from blurry
vision, headaches, dizziness.

Abnormal growth.

[ Stammers ] Okay, put it
all together, and you get...?

A pituitary tumor.

The knower of all things!
[ Laughs ]

I should be chief of surgery.

Oh, wait... I already am.

[ Laughs ]

You are welcome.

[ Sighs ] Where have you been?

I was downloading
all the charts you asked for,

which, respectfully,
is a lot of charts.

Are we really doing
all of these surgeries today?

Well, Bailey pushed
all her patients onto me,

so that means you, too.

Kyle roane...
Can we push this lap chole...

No, we don't have
his liver tests back yet.

[ Sighs ] What about Dana Lee?

Hernia repair... do we have
the urinalysis, because...

No, the labs are backed up.

I don't have time for this.

Is there anything I can do

to make your day better,
Dr. grey?

I'm sorry.

I just...

I can't say no to Bailey
because it's for the chief,

so I just need a little break
in the clouds here.

I just need a little rain.

[ Sighs ]

I appreciate the apology.

Where are you going?

To make it rain.

[ Sighs ]

[ Indistinct conversations ]

Dr. Wilson. You paged?

No, I didn't.

Oh, wow, that's weird.
Totally thought you did.

Maybe this thing is old.

Anyway, you waiting
for your labs?

Can I, uh, can I wait...

Oh, thank you, yeah.

Bring me the labs
when you get them.

Oh, no, no, I meant wait...
With you.

Oh. Why?

W... i need to rush a
patient's pre-op.

I've been waiting 10 minutes.

Apparently, the system's down.

Grey tasked me with all of these
labs and these extra rounds,

and I need to prep
three patients for the O.R.

So, I...
This isn't gonna work for me.

What are you...?

Uh, excuse me. Hi.

I need the labs
for Dana Lee, stat.

It's... It's for the chief.

[ Indistinct talking ]
It's just one second.

Thank you so much.

[ Chuckling ] Oh.

Bring me those labs.

Can't wait.

[ Sighs ] How you doing?

Oh, uh, hi, uh, Bailey...
Or... or should I say chief?

[ Laughing ] Yes, sir.
[ Laughing ] Okay.

I just heard about the case.

A big patient
for a big first day?

Yes, sir.

Uh, and do you want anything,
a consult... anything?

Oh, no, no. I got it covered.
[ Chuckles ]

Thanks, though. [ Chuckles ]

[ Clock ticking ]

¶¶

[ door opens ]

Jackson: Prelim results says

it's definitely not middle east
respiratory syndrome.

So can I get out of here? Well,
they won't clear you to leave

until they get
your gram-stain results.

Jackson.

I've been gone for three months.

Can we at least
have a conversation?

[ Cellphone chimes ]

I have a, uh, consult.

I'll let you know when I get
your gram-stain results back.

Wait, wait!

Come on!

Bailey: Okay.

So, Jade, you have two problems.

Uh, in addition
to the pituitary tumor there,

the fall you took
caused a fracture

in one of your vertebrae,
so you will need surgery.

But more importantly,

I need to remove the tumor
as soon as possible.

No, no.
No one cuts into my brain.

Look, I'm missing work.

Um, Jade, this tumor
is causing your growth hormones

to be 16 times higher
than normal, uh,

w-which means that
you'll only continue to grow.

"I've been 6'6" since I was 17.

Who cares?

Actually, you're 7'2".

And a quarter...
Uh, we measured.

You're growing at a rate faster
than your body can handle.

Any more force,
and your spine will collapse.

[ Sighs ]

Well,
how long will surgery take?

Making a surgical plan...
The surgery and recovery...

We can get you back to work
in a week or so, mm-hmm.

Nope. Look, I'll come back when,

you know,
my work project is over.

Whoa, whoa! Sit.

[ Sighs ]

Chief, I need to do a repeat
neuro check in four hours.

Four hours? No, I can't.

I know your work is important,

but this brain surgery
has to be your priority.

Really? Do you know what I do?

[ Scoffs ] No.

I lead a team
that's bringing the Internet

to the parts of Africa
that don't have it.

The Internet
is man getting fire.

This is
the 21st-century light bulb.

Do you know how many lives
will be changed, be saved,

how many girls
will become educated?

Do you know
how much medical knowledge,

how much information
will become available

to people who've been
kept in the dark?

This project goes live in one
week, and I need to be there.

I have to be.

Yeah. Uh, that's...

More important
than brain surgery.

Jade, I hear you.

Uh, you have the [Chuckles]
weight of the world

on your shoulders.

But believe me when I tell you
I can help you.

Okay,
I'll give you the four hours.

Then I'm leaving.

¶¶

Four hours?

And in that time frame,
I need a complete surgical plan

for resection
of the pituitary tumor

and repair
of the spinal fracture

that includes a recovery time
of no more than a week.

Oh! Okay, well, you know what?

I have a knee replacement
right now.

I've got a vats procedure.

Then push that
and delegate that.

Now, we have to move fast.

This woman has no interest
in being treated.

You know what?

In fact, she's a flight risk.

Wilson, you're in charge of
making sure she stays put. Go.

Amelia: Her tumor is massive.

I mean, we need extensive scans

and... and time to go over
an approach for both procedures.

Uh, that... that takes longer
than four hours.

Well, actually, uh,
you have 3 hours and 36 minutes.

Bailey, we need at least
until the end of the day, okay?

What you're asking for
is impossible.

What?

I-it's what?

Oh, I know you didn't say
impossible.

No, nothing's impossible.

You are smart people.

You're good surgeons.

This patient
has some big things to do,

and I have every confidence
that you will figure out

how she can do them.

Bailey. And make it possible.

¶¶

It's possible, right?

[ Sighs ] Yeah, it's possible.

It's my victory
as much as it is hers.

I mean, she was my candidate.

I was pulling for her.

And so what
if I wanted to pass the torch

in a celebratory fashion?

I mean,
is that so terrible, huh?

Maybe offer a word of support
or advice here or there.

I mean, not that she asked me.

She hasn't asked me
for anything.

Well, I suppose I could ask her
if she minds if I join...

You know,
I-i shouldn't have to ask her.

She should want me there.

I should've been
the first place she stopped.

No, but she's got it all
handled.

And I-i-i worry.

It's... It's foolhardy.

You know,
it's arrogance is what it is.

And I'm gonna talk to her.

Good talk. Thanks, Kepner.

Feel better.

¶¶

Can you do
a minimally invasive...

No, no, her vertebral bodies
are too large.

We'll have to use an anterior
approach through the chest.

I'll do a right thoracotomy.

I'm gonna do
a transcranial approach.

Yeah, if Bailey wants
a shorter recovery,

then an endonasal approach
will help.

Well, the tumor's too big.

The head is abnormally big.
You're gonna have space.

I'm doing a craniotomy.
I need visibility.

I'm gonna get you where you
need to be with less bleeding,

all right?

Just listen for a minute.

Apparently,
we don't have a minute.

Avery, can you do a consult?

No. No. No. No.

It's for
one of Bailey's patients.

Of course it is.

She put all her services on hold
to fix her giant problem.

She had me push two procedures
for this.

She's doing it to you guys, too. I mean,
she postponed five of my consults

so I could handle her patients.

She didn't ask.
She just pushed them.

It's ridiculous. No offense.

Maggie: Can she do that?
Owen: Can who do what?

Oh, can you be chief again?
I loved you as chief.

You did stay out
of people's hair.

Very hands-off and great ties.

You know what they used to
call her, her interns?

What? Together: The Nazi.

[ Chuckles ] Owen: Bailey?

Mm-hmm.

Last time she had absolute rule
over people,

and here she is again.

I love Bailey, but
power corrupts.

She's an iron-fisted dictator.

She's a bond villain.

[ Clears throat ]

[ Gasps ] Warren. I'm so sorry.

We weren't trying
to be disrespectful.

It's all good, it's all good.

I'm just gonna go look into
some follow-up scans.

[ Sighs ] Amelia.

What do you think? What? Me?

I don't think... Don't ask me.

Oh, Dr. grey, I've got O.R. four
for the small bowel obstruction

and an angio suite
for the Swanson case.

I thought you said the angio suite
was booked. I have my ways.

Let's go.

Wait... so, they called Bailey
the Nazi?

Yeah. Yes.

[ Chuckles ]

What do you mean,
"don't ask me?"

[ Chuckling ] You're more
pissed off than any of us.

Have you ever had a friend who
was like a really good friend,

but you just want to
make out with 'em all the time?

[ Chuckling ] Oh, yeah.

Yeah, I used to do that
for years.

And what happened? Sofia.

So, um, hey.

Question.

When you update the I and o's,

is it kind of just like
whenever you get to it or...?

Um, I like to do it hourly.

Sweet. I like that.

You like what?

Hourly.

It's, uh... It's just...

It's like it's a good,
round time frame,

and there's one every hour,
so you don't forget to...

I don't know why I said that.

That was really weak...

Mm-hmm.

Pathetic and sad.
Mm. Mm. Mm-hmm.

Jo: Hey.

Whoa, where you going?

Gave you four hours. Time's up.

No, no, no. You can't leave.

You can't hold me here.
I'm not a hostage.

No, I know, but, uh...

Unh-unh.

Oh, uh, Bailey,
may I have a word with you?

Oh, I'm sorry.
Huge deadline, sir.

[ Indistinct shouting ]

Okay, where are we?

We're nowhere.
Oh, my god! Come on!

Ugh! This is... The tumor has
invaded the cavernous sinus.

I'm planning an approach.
The wrong approach.

And the recovery time that you're
asking for is completely unreasonable.

Maggie: We need more time.
No, we don't have it.

Uh, look, I have to go
tell this woman something, so...

Jade's left.
She just walked out.

You let her?!
I gave you one job!

Dr. Wilson
was trying to reason with her,

but she knows
that we can't legally stop her.

Or physically stop her.

Well, convince her.

Go find her
and get her back here!

Okay. Oh, I gave them one thing!

I gave you one thing!

Bailey: And I started this day

thinking we could accomplish
the impossible,

but now I'm gonna end the day

with a woman
probably dead on the street

and a thousand African children
who can't read.

I don't know
what we were supposed to do.

More.

I expected more...
So damn much more.

[ Sighs ]

What do a thousand African
children have to do with this?

[ Breathing heavily ]

¶¶

Jade! Please, you can't leave.

People are waiting for me.

I'll come back when I can.

No, no, no.
There may be no coming back.

Dr. Bailey was right.

[ Distorted ] Your symptoms suggest
that surgery needs to happen now.

How many people can you help
if you're dead or blind or...

Whoa, whoa, whoa, whoa!

¶¶

[ indistinct conversations ]

Uh, don't worry. I'm... I'm
gonna get you out of there.

No, don't touch her.
Jade, don't move.

Amelia: Let us through, please.

Jade, are you all right?!

I-I-i caught her head.

She didn't her head.

Oh, my god.

Oh, my. I'm so stupid.

I'm so stupid.

She might've aggravated
her spine fracture.

That's too small.
It won't support her.

Andrew: I got it.

[ Metal clinks ]

Bailey: Uh, Jade,
just try not to move.

I can't... I can't move.

I can't feel my legs.

They're numb.

Okay, on my count...
One, two, three.

Easy, easy. Watch her neck.

Good. And slide.

Dr. Wilson, are... are you okay?

Can I get you anything?

Yeah, I'm fine.

Good job on the door, deluca.

Quick thinking.

Yeah, you should be
a contractor.

You still could. You're young.

Bailey: Jo, can we get an O.R.?

One, two, three.

Let's move.

And then today,
I-it's like I'm invisible.

I mean,
I don't know what it means.

Maybe the kiss meant nothing
and we're friends.

I mean,
I guess what I'm asking is,

if it were you,
if I kissed you...

Wait.

No, I'm not saying
that you and I...

We're not... We're not kissing,

but if a guy kisses you
and he asks you out

and then refuse to look at him
for the rest of the day,

what exactly are you thinking?

I can't help you.

My marriage is collapsing,

and I can't do anything about it
because he won't talk to me.

You see? You get it.

No, I don't get it
because I'm trapped in a bubble!

You are not trapped in a bubble.

You have the freedom to roam
and talk to anyone you'd like,

so stop talking to me.

Go talk to Shepherd.

Ask her
what she thinks about it.

You know what?
You're right. You're right.

If I want a reaction,
I should just force one.

I should just go right up to her
and be direct.

I'm saying stop talking to me!

Oh, I need to go.
Hang in there, Kepner.

[ Sighs ]

¶¶

Hey, are we ready?

[ Sighs ]

Uh, which approach
are you going to use?

Callie: Jade's fall
caused her spinal fracture

to become severely unstable,

so Pierce and I will have to
repair it at the same time.

It's not ideal, but...

We sit Jade up for a craniotomy,
it would paralyze her forever.

So we'll be doing this surgery
endonasally.

Which is the wrong approach.

We're out of options.

Warren, go scrub.

Someone needs
to sign off on the case.

¶¶

All right, I will.

Bailey: Do they all hate me?

I, uh... I try not to listen.

So they're talking.

[ Sighs ]

Did I push too hard?

[ Sighs ]

Uh, do you think I'm wrong here?

What do you think?

I think I have put us all
in a terrible position.

Yeah, well,
I think you're right.

And I'm in one, too,
so can I just... Work, please?

[ Sighs ]

[ Indistinct conversations ]

So check the urine output
and page me with any changes.

On it.

Busy day.

Has Bailey talked to you
about anything?

Talk?

All she does is talk to me
or at me.

She dumped
her entire schedule on me

and expects me
to get it all done today.

Yeah, I've been hearing that.

The only reason
I'm holding up is Edwards.

I mean, she's on top of it.

I understand
why Amelia requests her.

Edwards gets things done.

Callie: Bone graft is in.

And...

Yeah, we're done.

Warren,
ease down on the retractor.

Got it.

Shepherd, how are we?

If I can get in a little further, the
margins will be close to perfect.

Hold on.
Can you advance the scope?

Warren: Mm-hmm.
[ Monitor beeping rapidly ]

Damn it. What the hell happened?

Amelia: We hit the carotid.

I can't see a thing.
Avery, suction.

Uh, how can we help?

We need to compress this artery. Wilson,
we need more packing in here... now.

Set up another suction.

Jo: Blood's coming
out of her mouth.

God, she's gonna bleed out.

We should've opened her skull.

I knew this would happen!

Jackson:
Just keep packing... faster.

Come on! Pack! More!

Jo: Pressure's down to 85.

Try 5% albumin.
Call for some ffp.

Pressure's down to 75.
More suction.

I still can't see a thing.

[ Indistinct talking ]

Oh, hey, Bailey.

So, your adenoma resection
had a rebleed.

It's stable now.

But then Mrs. what's her name
with the lap chole...

Grey, I can't right now.

Bailey, these are your patients!

Look, I-I'm happy you're chief.

I'm all for it.

But I am taking my day to
service your patients and mine,

and it's getting done.
I'm on it.

But if you're gonna do this
to me, if you're gonna drown me,

at least take two seconds to listen
to the update of your patients.

I deserve more
than to be dismissed.

I deserve more.

Respectfully, chief.

¶¶

Maggie: Chest tube is in.

Callie: Guys,
is there a plan here?

Because she's lost
a third of her blood volume.

Jackson:
I can do a muscle patch.

With a little glue,
it could form a clot,

and we can seal the vessel.

Will that even work? No,
that's a temporary fix.

We need to open her neck

and do a primary repair
of the carotid...

That's a major stroke risk.

Before she dies on the table.
Wilson, prep the neck.

Wilson, you keep suctioning.

Who am I listening to? You
need to listen to me!

You open her neck, she's gonna
bleed out in seconds.

You let me do this,

I can stop the bleeding
and help you remove the tumor.

Do not open her neck, please.

[ Monitor beeping rapidly ]

Move.

All right, we can use a patch
from the thoracotomy incision.

Pierce, I need a piece of intercostal
muscle right now, please.

Scalpel.

[ Beeping continues ]

¶ Keep an eye on me ¶

¶ keep an eye on me ¶

¶ keep an eye on me,
won't you? ¶

¶ keep an eye on me,
won't you? ¶

¶ I promise ¶

[ sighs ]

¶ I won't fall apart ¶

that's for you.

I wanted to give it to you
this morning,

but somebody got herself
in a big damn hurry.

¶ I promise ¶

¶ I won't go too far ¶

it's mine.

I got it my first day
of residency.

¶ See me through... ¶

I, uh, replaced the earbuds.

I never had anyone
to pass something along to.

But then...

¶ Won't you ¶

I-I just thought that...

Sir, I don't deserve this.

Well, if you think that,
then maybe you don't...

Because I'm not the right person
for this job.

You thought I was.

I thought I was, and I had
these great plans, but...

I mean, if this is my first day,
then I don't deserve a second.

¶ Keep an eye on me ¶

I wanted it to go...

Perfectly. It won't.

It can't.

I mean, this job
is too much for one person.

You did it.

Because I listened
to those who came before me

and counted on those under me.

I tried to...

No, you barked like a general.

¶ Keep an eye on me ¶

they are generals.

They know how to mobilize.

What they need is a leader.

If I did my job well, it's not
because people listened to me.

It's because
they believed in me...

Believed
that I knew them well enough

and believed in them enough

to tell them how and when
to use their brains.

¶ So please promise
you will be around ¶

I'm talking about
people like you.

That kind of belief
you have to earn,

and you cannot earn it in a day.

¶ I know you'll understand ¶

you want someone
to run a four-minute mile,

you don't chase them.

You don't give them something
to run from.

¶ Won't you ¶

you give them something
to run to.

¶ Won't you ¶

¶ keep an eye on me ¶

¶ keep an eye on me ¶

¶ keep an eye on me,
won't you? ¶

¶ keep an eye on me,
won't you? ¶

¶ keep an eye on me ¶
[ Monitor beeping rapidly ]

¶ Keep an eye on me ¶

Avery, we need something else.

Give it a chance.

Shepherd is right.
It's not holding.

Don't move the patch.
Just give it time.

Uh, we could try embolization.

Go up through the groin,
coil it.

It'll take too long
to get a c-arm in here.

[ Beeping stops ] There!

[ Sighs ] Oh, my god.

It's holding. Are we okay?

[ Telephone rings ] I hope so.

Yeah, me, too.

Nurse: Dr. Avery.
It's Dr. Kepner.

911.

What's wrong? What's happened?

We need to talk.

God, April,
I thought you were dying!

I kind of am dying.
I feel like we both are.

You paged me 911
so we could do this?!

Yes! Yes!

Okay. I needed to force
a reaction out of you

because I am in a glass prison
and I can't do anything.

So you're gonna stand there,
and you're not gonna walk away

and you're gonna talk to me.
You don't want to hear it.

Jackson, I... we
already talked, April.

I told you what I needed,
and you didn't hear it.

You didn't listen.

You went
halfway around the damn world.

That wasn't a talk, Jackson.

That was an ultimatum,
and our marriage

has never been a marriage of ultimatums.
Oh, come on.

It wasn't an ultimatum.
I gave you a choice.

No.

No, I made a choice
long before that,

long before Samuel,

the army, any of it,
and so did you.

We stood up

in that weird-smelling
little chapel in Tahoe,

and before god,
we chose to love one another

until we die.

You made that choice.

We chose to love
and honor one another...

Honor one another, which you couldn't do...
In front of god,

we promised each other that, through
'Cause you couldn't hear me

telling you
that I needed you to stay.

I needed to go!

And you went!

You did what you needed to do...
Twice, actually.

This marriage
is full of ultimatums.

They're all yours.

Look, we...

We've been through a lot.

And you've changed.

No.

I've... I've grown.

And...

[ sighs ]

We haven't been through a lot.

Jackson, we're going through
a lot right now.

We're going through a hard part.

This is... this is the worse
of "for better or worse."

This is the mud,

and we just have to
pull each other through it.

We just... we have to push,
and we have to fight.

I'm not sure
we are worth fighting for.

What?

No, please don't...

Aah!

Ow! God!

[ Crying ]

[ Sighs ]

¶¶

Okay.

So, where are we with Jade?

I got the whole tumor.

She had a...
Bad left carotid bleed.

I took her to angio,
put in a stent.

But she's likely
to have deficits...

Possibly a stroke, paralysis...

She's still out.

Speech and language issues,
vision loss.

Pressure's good,
but we won't know.

Or she could just be in a coma.

You people are extraordinary.

I mean, I came in here today and
did all kinds of things wrong,

but in spite of that,

you all still did amazing
and perfect work.

And you found a way
to do something

that was, in fact, impossible.

So if there is a bad outcome,
it's my bad outcome.

Tomorrow...

I will be better.

[ Indistinct talking ]

Hey, cross. Let's go.

You're prepping O.R. five
for grey's lab chole.

I'm sorry. What? Dr.
Wilson has me today.

It's for the chief.

Now, cross. Come.

No, stay.

You've cut lines,
y-y-you've stolen nurses,

you've even rearranged
the O.R. board.

You are not stealing him.
He is mine... mine.

Back off.

Uh, if the chief needs him for
grey, you got to let him go.

Thank you, Dr. Karev.

Cross. Come. [ Scoffs ]

I'll come back. [ Sighs ]

Jo: Alex, she's lying.

She's been pulling
this crap all day,

saying it's "for the chief."

She's so full of it. Stop.

Stop what? Stop whining.

Ohh. Look, she worked you.

She got what she wanted
by beating the system.

It's a genius move.

If I had come up with it,
I would've.

Look, you're just mad
that you didn't.

Deal with it or come up
with something better.

[ Scoffs ]

[ Footsteps depart ]

[ Door opens ]

What are you doing?

I checked with griggs.
You're clear.

I mean, he was leaving,
so he asked me to let you out.

So I'm not sick.

Most likely contact dermatitis.

Told him that 12 hours ago.

Um, and, uh, look...
I'm... I'm sorry if,

you know, I hurt you.

We have to be honest
with each other.

You were just being honest.
I appreciate that.

Thank you.

I mean, you're wrong.

April.

But we are
something worth fighting for,

and I want to fight.

So I'll fight
for the both of us.

I will launch
a full-scale assault.

I will ambush and slash and burn

and fight
until I am bloody for us.

I will fight to the death
because I vowed to.

And nothing that's happened
since then has changed that.

You see? This is it.

You just want what you want.

You don't care what I think.

I love you too much to let
my mistake end our marriage.

I won't break my promise to you,
so I'm gonna fight.

And I'm gonna win.

[ Sighs, clears throat ]

Callie: Oh, Arizona!

Hey. Ah.

[ Chuckles ] Here.
Sofia forgot this.

We're on, uh...
We made it to page 12.

She is exhausted,

so you can probably get away
with an early bedtime.

Thanks. Mm-hmm.

Hey, um, big date?

Oh. You heard?

Yeah, I mean, everyone heard.

[ Chuckles ]

You know,
you can tell me, Callie.

You can always tell me.

Yeah?

Yeah.

You'd like her.

She's funny and sharp

and, um, we don't just find
the same things funny...

We say the same thing
at the same time.

It's really almost like...

Okay, no, yeah, you can
dial back the enthusiasm.

No, really.

It's like... it's like
we share the same brain.

I mean, read the room.
That's all.

Well, all I'm saying is...
You'd like her.

[ Laughs ]

¶¶

Hi.

[ Sighs ] Hi.

Why won't you talk to me?

I... [ Scoffs ]

You won't even look at me,
so help me out, okay?

I mean, are you... are you
upset, angry, confused, or...

That one. I'm confused.

If I... [ Sighs ]

If I had to pick one.

Well, then let's talk about it
so we can...

I can't talk about it because
then we start all the kissing,

and I don't know why. I don't...
I don't know what it means.

[ Chuckles ] What does it mean?

What do you think it means?

I don't know.

Well, then...

Maybe...

We should... [ Chuckles ]

We should talk about it.

Okay.

Let's talk.

¶ I stay up too late ¶

¶ got nothing in my brain ¶

¶ that's what people say,
mm, mm ¶

¶ that's what people say ¶

Jade.

¶ I go on too many dates ¶

Jade, can you hear me?

¶ But I can't make them stay ¶

¶ at least that's
what people say, mm, mm ¶

¶ that's what people say ¶

¶ but I keep cruisin' ¶

¶ can't stop,
won't stop moving ¶

¶ it's like I got this music
in my mind ¶

now can I get out of here?

[ Laughing ] Oh, yes.

Oh, you will soon enough.

[ Chuckles ]

¶ And the haters gonna hate ¶
[ Laughs ]

Ah, yeah.

¶ Baby, I'm just gonna shake ¶

oh, grey... just the person
I needed to see.

A hot appy came in tonight.

Now, it hasn't ruptured,
but you need to do...

Am I being punished
for yelling at you?

On the contrary.
It's fine. I just need to know.

Oh, you don't think you deserved
my piling my service on you.

No. I believe you do.

What?

I'm gonna let you in
on a secret.

See, when Webber had this job,
it was easier for him.

And hunt had it easier
than I do.

You know why?

I don't. Because they had me.

I need a me, and I believe
that you can be a me for me.

I need you to be my me.

¶ That's what they don't know ¶

I'd like to appoint you
chief of general surgery.

Me?

Because you deserve it.

Because you can take it.

Because I leaned on you,
and you held me up.

You are the calm
in the center of the chaos.

You have been since I met you.

And I need you.

Hmm.

¶ 'Cause the players
gonna play ¶

you want it or not?

Yes. [ Laughs ]

Go see this appy,
and don't complain to me again.

Meredith:
Without a strong leader,

the whole machine's
out of whack.

Congratulations, Dr. grey.

Now when you tell people you
need something for the chief,

it really will be.

That's right... I know what
you've been saying today.

But it's pretty simple...

If the brain's working,
the body will listen.

Your limbs want to hold you up.

Your lungs want to breathe.

Your heart wants to beat.

¶ Heartbreakers gonna break ¶

but none of them are any good...

Without the brain.

¶ Baby, I'm just shake ¶

¶ shake it off, shake it off ¶

¶ 'cause the players
gonna play ¶

[ chuckles ]
Aren't you exhausted?

Mm.

I just need to make sure
that I'm prepared for tomorrow.

The brain keeps everything
all together...

Mnh-mnh.

Look,
you gonna be great tomorrow.

Besides... Oh, wait.

There are better ways
to get prepared.

Ooh.

Chief.

Like a boss.

¶ Shake it off, shake it off ¶