Grey's Anatomy (2005–…): Season 13, Episode 14 - Back Where You Belong - full transcript
Alex learns a lot has changed at the hospital since he left; Jo has to make a tough decision on a case; Arizona tries to keep her distance from Eliza.
Previously on "Grey's Anatomy"...
I'm married to a guy who
almost beat me to death.
- You do this everywhere you go?
- Do what?
Turn the place against you.
She's really gonna let you do
a whole surgery with no help?
The resident gets to
be the primary surgeon
on their own case... start to finish.
What did I do? Did I kill that boy?
You are the attending!
This is your loss.
You could have friends
here, if you wanted to.
Bailey, who is this woman?
I do not support this.
Then you no longer have an O.R.
You're suspended...
effective immediately.
I don't do reunions.
High school, undergrad, med school...
Alex, you've got five
minutes. I mean it.
I know.
I can't be late. I have
to consults this morning.
So many teeny-tiny socks.
I can't be late either,
it's my first day back.
And none of them match. Why?
I don't mean to make
superficial conversation
with a bunch of people
I barely remember.
Mer. Mer!
- Huh?
- Hey... I just...
- I need to grab my lunch.
- Sorry. Go.
Hey, you know, maybe tomorrow
I can pack a lunch for you,
seeing how I have all
the time in the world now.
I told you to think of
this like a vacation.
These are folded all wrong.
Vacation or prison?
Ohh. Sorry. Too soon?
Hey, you don't get to
act tired when you got
a full night's sleep in my bed.
You made me take the room.
Yeah, when I thought you were
gonna be here for one night.
- I didn't think you'd move in.
- I haven't moved in.
I do not live here. I'm crashing.
No, you crash on a
couch. You live in a bed.
And you're living here.
I crash on the couch, and it sucks
because I woke up with a
Cheerio stuck in my face.
You can have my bed because
I'll be dead from boredom.
Can that happen?
Can you hypothalamus just curl up
and stop working from lack of stimulus?
No. I mean, technically, yes.
Hey, how can she suspend you?
Don't you own the hospital?
Oh, she can. I checked the bylaws.
Checks and balances...
This is how bored I am.
Alex, car, now.
- I want my bed back.
- I do not live here.
If I want to keep someone in
my life, I keep them in my life.
The band is back together again.
Or maybe it's just that I don't
know how to get rid of them.
Anyone?
That's a kidney.
Mm-hmm.
And here?
That is a very sick kidney.
- Mm-hmm.
- Hold on.
Are we gonna do a kidney transplant?
Technically, a kidney
recovery and a transplant.
So, who thinks they're
ready to run lead on those?
I'm not ready.
That is the right answer.
- It is?
- Mm-hmm.
Okay, great. I am not ready.
Put your hand down, intern.
None of you are ready, but you are ready
to do as much of it as you can
under the extremely close
supervision of an attending
with the reminder to pass
it off if you need to,
which means you'll be that
much closer to being ready.
The donor will be an O.R.
2 supervised by Dr. Webber.
That'll be you, Warren,
with Cross assisting.
- Yes!
- Thank you, Dr. Minnick.
No.
Edwards and Wilson, you'll be in O.R. 3
working on the boy with Dr. Karev.
- The boy?
- Yes.
The kidney recipient is a 16-year-old
in chronic renal failure
from interstitial nephritis.
He's required dialysis
three times a week
while waiting for a
donor, and he just lost
his last access site,
so today is the day.
The donor is...?
The boy's mom.
She's giving him one of her kidneys.
The organ procurement
led by Dr. Warren will...
It's a kid. Are you okay?
Yeah, I don't have
much of a choice, do I?
It's Karev. Are you okay?
I'm fine.
Welcome back, Karev.
My name's finally on
the O.R. schedule again,
and I'm not even allowed
to do any of the surgery.
Yeah, welcome to phase two.
Prep the patients and run labs?
That's resident scut. Sucks.
Well, the good news is I'll
be right there with you.
Yeah, you're right. It sucks.
So, how long will my
kidney last in there?
It should last up to 15 years.
Oh. So, definitely through college then.
Perfect, it'll be like
a Guardian Angel Kidney.
- I will be watching over you...
- Mom!
Like your conscious... I'll
be whispering in your ear,
"Christopher, do your homework.
Christopher, change your sheets.
Christopher, put down
the Jagermeister...
You got to interrupt
her. She'll never stop.
I'm not the one in charge. They are.
If you don't have anymore questions,
then Dr. Edwards and I
will see you in surgery.
Uh, just one thing...
Tell my son it is mandatory
to kiss his mother before she
goes under the knife for him.
- Stop!
- It's mandatory, dude.
Thank you.
Uh, Doctors Karev and
Webber will be in in a minute
to prep you for surgery.
- Thanks.
- Thank you.
Yep.
- Thanks.
- Mm-hmm.
That was good, but don't be
afraid of taking the lead.
Embrace it. Be assertive.
Riggs finishing up the
cardio consult at bed 5,
but I think it's gonna be...
Make it hurt... They
make... They make it hurt.
Ma'am, can I help you?
No. No help.
There's no help out there.
They... they come and they
go and they crack the whip.
Who's, uh...?
- Uh, I-I...
- No help.
Do you need something, ma'am?
Ma'am, you can't be back there.
- Uh, snakes...
- You might need to call security.
This... Uh... There's no snakes here.
- There's no... There's no snakes...
- Okay,
- we're gonna get you over to someone.
- Did you do this?
Did you?
Did you... did you...
Whoa.
Uh, no. My son's name
Chris, Chris Daniels.
He's in surgery today
to get a new kidney.
Let me see if I can
find what room he's in.
- Thank you.
- Hi, I'm Dr. Wilson.
I'm one of Chris' doctors.
Oh, hi.
I hit so much traffic on
the way over here, and I...
So, he's not in surgery yet?
Well, if he is then I'm
late, because I'm his surgeon.
Good. Okay.
So, I haven't missed it?
No, you haven't missed
it. I can take you to him.
- Yes, please. Thank you.
- Yeah.
BP looks good. You're ready to go.
Well, we need to start
prepping you, too.
I know, but can't it
wait just another minute?
I am not ready to leave him.
- He is my...
- D-Don't say it, Mom!
My baby!
Chris, Cynthia, you
about ready for surgery?
You can start his prep in the O.R.
Thank you, Edwards.
Hey, guys. Good news.
Guess who I found looking for you?
Dad?
What the hell?
Cynthia, look, I just
wanted to check on Chris.
How did you know where we were?
He posted it online.
Today's kidney day.
I had no idea he was
even getting a new kidney.
You need to leave, Ken... right now.
Cynthia, I swear to God...
All right, now that's enough.
- That's enough.
- I-I'm so sorry, sir,
- why don't you...
- Hey!
Chris is my son, too.
Now, I let you do a
lot of stuff without me.
Let me?!
He is my kid, too.
I have a right to be here.
- I just want to know he's okay.
- Get out!
Chris, buddy, talk to your old man here.
Dad, go.
Get the hell out of here.
- Okay, let's go now.
- This is my son.
- Get out!
- Look, I understand...
- I have a right to be here.
- Get out!
You hear me? I have rights!
Hey, why don't we sit down?
Why'd you bring him here?
- I'm sor...
- Why would you do that?!
Cynthia, do you want to sit down?
- Hey, big transplant today.
- Don't talk to me.
- I'm mad at you.
- Oh, God, did you go?
Yes. Now I want to
eat there every night.
I told you. Did you
have the steak things?
I had two, and then
the dessert tray came.
Uh, I'll come look, but
I think that you're right
to delay your patient's ACL surgery
until after she delivers.
Thank you for the consult, Dr. Robbins.
I do not know how you do it.
I don't know how you
can be polite to her.
Oh, I know. She's the worst.
Yeah. I couldn't do it,
not after the way she
screwed Webber over.
Yeah, right. Got to go.
All Minnick did was take
a job she was offered.
No, she stole that job.
But you're rather
familiar with the concept
of job stealing, aren't you?
Uh, Kepner, are you up to speed
on the big resident transplant?
- Yes. Yes.
- Good.
You are running the
show. I have to leave.
- Are you up for that?
- Yes. I... yes.
Uh... uh, where are you going?
I thought you were running the show.
Camp David for a summit meeting.
Wait, actual Camp David?
Well, she's gone.
Maybe you can steal her job, too.
You paged me for a temp pacemaker?
Yeah, she needs a permanent
one, but can't get consent, so...
Well, you need approval? You got it.
What is she, intoxicated or something?
Jane Doe, no I.D. She's
confused and disoriented
to the time and place.
Ma'am, can you tell me your name?
No, no names.
Names are for hats, not for cats.
You put the snake in the hat.
We did ask that.
I'll tell Grendel. Grendel
has all the patterns.
She sees the patterns.
She sees the patterns,
I see the patterns.
- You don't see the diagram...
- Okay.
- ...because I see the diagrams!
- Okay, okay, ma'am.
You don't know the diagrams. You
don't know the diagrams! Okay, okay!
We're gonna give you something
to relax you, all right?
Two I.V. of lorazepam.
- CBC, chem 1 and a tox screen,
- Okay.
- and call psych.
- So...
how old is that pacemaker?
That is the Ford Pinto of pacemakers.
Right.
Okay, ma'am, we're gonna
take that old pacemaker out
and give you a brand new,
shiny one. How's that sound?
Ahh... For the snakes?
It's for the snakes.
- Yeah.
- For the snakes.
Your BP is through the roof.
We've got to get that
down before surgery.
We're gonna give you a little
something to calm you down, okay?
He's downstairs in the waiting area.
He's asking for updates.
You can't make him leave?
I'm so sorry. He never mentioned
that you were divorced or...
They're not.
They should be, but they're not.
I left with Chris almost a year ago.
And you should have done it sooner.
He hit her.
- Chris!
- What?
What? It's why we left.
I didn't have a job.
Chris was sick all the time,
and I thought I could make it work.
But the day that he went after Chris,
we left that night,
and now he's showing up
pretending that he cares,
pretending that he is a father?
Mom, it's all right.
We'll be fine.
Okay, I just want you to focus
on why you are here today.
I can't believe him.
Today was supposed
to be such a good day.
And it is. It still is.
Think about Chris.
- Hey.
- Thank you.
Hey, thank you.
- Hey, Dr. Hunt.
- Mm-hmm?
Make that man leave.
Did something happen?
Listen, do you need me
to call security, or...
I just... I need him to go away, please.
Okay.
Excuse me, sir, um,
you've been asked to leave the premises,
- so if you can follow me...
- I'm not bugging anyone,
I'm not hurting anyone.
- I have every right to be here.
- Sir, do you want me to call security?
- Because I need you to leave.
- Oh! This again!
- You're gonna threaten me with...
- Sir, sir!
Do not touch me!
First scrubbed...
I make the first cut.
You okay?
What do you mean, am I okay?
The thing with the husband. Are you...
I'm fine.
Let's use the pelvic brim
- as a landmark.
- Mm-hmm.
Dividing the ureter...
- How we doing?
- Very well.
Cross, can you, uh,
enlarge the incision?
Yep. Got it.
A whole, healthy kidney.
Nice work, guys... like seasoned pros.
More like very good
residents who are learning
an advanced procedure and
still needing help and guidance.
Which you are clearly giving them.
Nice work, Dr. Webber.
Good news...
Warren and Cross have successfully
removed their patient's kidney,
which will soon be
your patient's kidney.
- So, who wants to retri...
- I'll get...
I'll get the kidney.
I have crossed the sterile field.
I'll get the kidney.
Okay.
The wires on the pacemaker's stuck.
DeLuca, laser.
Can't you just pull them out?
No. It's scarred into her tissue.
Why are we not better at
taking care of the homeless?
Gotcha!
So, now what? We hand her
over to Social Services?
How will they find out who she is?
Fingerprints, I imagine.
- She doesn't have a record.
- I don't know.
Maybe dental records?
She doesn't have a home,
you think she has a dentist?
I don't know. They'll figure it out.
Okay, but what if they don't?
She didn't just come from no where.
Someone's probably
looking for her, right?
Is she just gonna go back to the street?
Nope.
'Cause I just found out who she is.
Call the company, get them
to trace the serial number.
That will tell us who you are, Ms. Doe.
Warren and Cross did fine
work with the renal vein graft.
It should be an easy anastomosis.
Got it, sir.
All right. Well, what's next?
- Irrigating here...
- Good hemostasis...
Should we close?
Her systolic BP's 200.
W-was it malignant hypertension?
No history of high blood pressure.
Okay, well, you know
what, stop. Nobody move.
Bolus of diltiazem, fast,
and let's pull up an image now.
Did we do something wrong?
Uh, I-I can't see.
Enlarge the image and
show me the right kidney.
There. Behind the bowel. Damn it!
The vessel's prepped for anastomosis.
Pocket for implantation is ready.
Go time.
Stop!
- Did you attach it?
- Geez.
- Webber, what the hell?
- Did you attach the kidney?
No, no. I'm... I'm
holding it, I'm holding it.
Put it back on ice.
The mom's remaining kidney thrombosed.
It's dead.
We now have only one
good kidney between them.
Call UNOS. Tell them
you need Chris moved
- to the top of the list.
- We already told them
he lost his last dialysis port.
Tell him he's on the table
now with two residents
pouring saline down his open abdomen.
What kind of timeframe
are we talking about?
Not long. She's in renal failure.
- What happened?
- The donor's remaining kidney
had a major stenosis.
And when we tried to open it up,
the entire vessel
dissected and clotted off.
So, where does this kidney go,
back to the mom or into the kid?
- Well, it was already in the kid's O.R.
- What's the legal on that?
The mom signed the paperwork.
It's past the red line.
- It belongs to the kid.
- No, it doesn't.
Not until it's put into him.
- It was about to go in.
- So, there's no formal protocol?
Not that I know of. I mean,
this is not a thing that happens.
- This is...
- This is a first.
- So, no rule book.
- Where's Bailey?
She left. She said she
was going to Camp David.
- What does that mean?
- I don't know.
She said she had a summit meeting.
She said I'm in charge.
Invite me inside for coffee.
For coffee?
We are going to sit down
over a cup of coffee,
and we are going to figure
this out like smart women.
- Over coffee?
- Over coffee.
Do you have coffee?
I'm not leaving until you invite me in.
Well, I don't have milk.
I don't take milk.
We give the boy the kidney,
and then his mother's
on dialysis, maybe for life.
Well, people are surviving for far
longer. They both have a chance.
We just close up the kid, he's screwed.
- He has no access...
- And then we just close up
the mom, and then we've given
her a debilitating condition.
- We have to give it back to her.
- The kid's at a dead end.
The mom is healthy.
She can go on dialysis
until we find a donor.
But is that what she signed on for?
She signed up to save her son's life.
At the expense of her own?
She came in here perfectly healthy.
If you found the
stenosis a minute later,
we wouldn't even be talking about this.
- The kidney would already be in him.
- Yeah, but it isn't,
and if we don't put it
in someone soon, it's
gonna die an no one gets it,
so who's it going to?
Why are you asking me? I'm not deciding.
Just answer the question.
Where do you think the kidney should go?
Out of my jurisdiction.
But in 5 years, in
10 years, it won't be.
So what would you do?
Look, if we can wake up the
mom and ask what she wanted...
We can't. She would need to be awake
long enough to become competent.
The kidney would not last until then.
I know, but if we could,
she'd say give it to her son.
Right?
No doubt. Give it to the kid.
Any parent would say the same thing.
Sure, any parent with two good kidneys.
She's only got one. She
might want to hang on to it.
Yeah, if she's a monster.
I'd want to hang on to it.
And that makes you a monster.
You're the monster.
So, we give Chris the kidney,
and then the 16-year-old
has to take care of his mom or she dies,
and we've saved his life,
but left him an orphan.
He wouldn't be an orphan.
Yeah, he has a father.
A father who used to beat
the crap out of his mom
and probably him.
That's who we'd be sending Chris to.
You were right.
The company had her records right there.
She was a minor at the time, so...
- Tell me her name again.
- The patient's name is Claire Nolan.
This is her mother.
Okay. Good work, DeLuca.
See? Problem solved.
You're very impressed with yourself.
Eh, a little bit.
Ms. Nolan.
Yes? Gwen.
The police said someone
found my daughter.
Yes. We just have a few questions
before we take you to her.
Did you call Tim?
My ex-husband... Is he coming?
He's on his way.
Please.
Did you daughter have a
history of mental illness?
No. That's...
Why does that matter?
Just prepare yourself...
It'll be a bit of a
shock when you see her.
Well, it's already a shock.
It's been 12 years.
I never thought anyone would find her.
Well, you may have a hard
time understanding her.
- Wait, what?
- Well, her speech is...
very disorganized.
She's possibly delusional.
She's alive?
Claire's alive?
Are you telling my daughter's alive?
Did I say he's 16?
I know it doesn't change
anything, but he's 16,
and he is open on a table.
- Anything?
- Nothing. I'll try Seattle Pres again.
This kid doesn't have another option.
We just lost his donor kidney.
We need another one right now.
What do you mean?
You talking about my son?
Hold on.
You're talking about Chris.
You were told to leave.
What happened?
What happened to Cynthia? What is it?
I can't discuss their
conditions with you.
Don't you tell me that.
That was is son up there,
and you have to tell
me what is going on.
Answer me.
Kepner, we need an answer.
I know!
Dr. Webber, prep the
mother for dialysis.
I will call UNOS myself.
Karev, start the anastomosis on the boy.
Wait! Stop. We might have
another option, but...
But?
- Wilson.
- Jo, what is it?
The husband.
The son of a bitch
wants to give his kidney,
but we can't do that, right?
Right?
So, people are really embracing
this new method of teaching.
Some say it's actually fun.
Today you would have been performing
a mother-to-son kidney transplant.
You don't have to sell
me on the method, Bailey.
People like it. I get it.
Good. Then we can stop
all of this stubbornness
and the insubordination.
It's not insubordination.
Well, it's not cooperation.
Look, I made you my Chief of General
because I wanted you
to be my right hand.
So, you want a Yes Man?
No.
I want someone who will lead
with me but follow when I lead.
Even if I think you're
leading the wrong way?
I shouldn't speak up when I
think you're making a misstep?
You don't want that in a right hand?
I'm not making a misstep.
I disagree,
but you don't want to
hear a dissenting opinion.
Well, you never offered me your opinion.
You just shut Minnick out.
I didn't have time to
offer you an opinion.
You just showed Richard the door.
How could you do that?
I didn't want to do that.
I...
I wanted him to stay right where he was.
I wanted Minnick to add value,
but she wouldn't work with him.
So, you sided with Minnick
and tossed Richard aside?
No.
Look, I had a choice to make, Grey,
and I didn't want to
make it, because, yes,
Dr. Webber built this place.
But I have to keep building it.
So I do that by asking
myself 100 times a day
"What would Richard Webber do?"
But how did Eliza Minnick
win you over so quickly?
When I saw this program,
this better way of teaching,
I asked myself again, "What
would Richard Webber do?"
And he would have embraced
this, Grey, you know it.
The answer was so clear.
I couldn't ignore that choice.
But you made the wrong choice.
Look, you can serve under
Chief Webber if you want to,
but that doesn't change the
fact that he is not your chief.
I am.
And as your chief...
I am ready to lift the suspension
if you feel you can come back.
- I want to.
- Good.
But I can't.
Not until he does.
Okay, there's a difference
between loyalty and stubbornness, Grey.
I do not want to be reinstated
unless Richard Webber
is as Residency Director.
Minnick goes.
Thanks for the coffee.
We can't do this.
We can't put his kidney inside her son.
If his tests show he's a match,
we're absolutely doing it.
But it's wrong. His wife
would never agree to this.
She would never accept this.
To save herself and her son?
She wouldn't say no out of spite.
She might like any other option, though.
Yeah, well, I don't
see any other option.
He's right here.
- And our obligation is to our patients.
- But what about her?
No one should get to make
this decision for her.
Our patients are still stable.
Uh, what about the residents?
Fairly stable. Is he a go?
- Yeah, it looks like...
- No!
We can't! We can't do this.
Wilson, we have no other choice.
Don't say that. You don't
get how she will feel
to wake up and find out
that he controlled this,
that he made a decision
while she was asleep.
He decided to get into her life.
She had no say, no
control, no choice, nothing.
He can't do that. He can't.
We have to try something new.
- We have to find...
- There's no time.
I'm sorry.
If his tests come back and
he's a match, we're doing this.
Do you want to go in?
She was in college at U-Dub.
It'd had been a couple weeks,
and we hadn't heard from her.
They found the door to
her apartment wide open.
It looked like an abduction.
There were press conferences.
We walked through the
forest with flashlights.
It was all we thought about for years.
It ended our marriage.
It ended our lives.
Well, it's early for me to
make a definitive diagnosis,
but I suspect you're right.
Claire suffers from schizophrenia.
Gwen, how old did you say
she was when she disappeared?
20.
That fits, I'm afraid.
Late teens, early 20s is
when it starts manifesting.
It's possible it got so bad
that she just left everything behind.
Do you want to go in, let
her know that you're here?
Why don't you sit for a minute?
Okay.
We had a funeral.
Everyone came to the funeral.
She has a grave stone.
Kepner told me what's going on.
You were supposed to get him to leave.
I thought he did.
But now I'm glad I didn't.
His son's gonna die
unless he gets a kidney.
I'm not excusing what he did, I'm not.
But maybe... maybe this is
his way of coming out of it,
of being a better person.
Maybe he's sorry.
Maybe he's changed.
The dad's a match.
You don't need to be involved.
You can sit this one out.
No. I'm not gonna sit it out.
You just got to let it go, okay, Jo?
I know.
Don't... Jo!
Wait. Hold on.
You're not the hero here.
You don't get to take this as a win.
This is the least that
you can do, the very least.
I'm doing the right thing.
I don't think so.
I think you want an excuse
to worm your way back into their lives.
I'm not.
I swear.
I can't take back the
stuff that I've done.
But I can do this.
I just want to do something good.
If you really want to do good,
never tell them about this.
You do it anonymously and walk away.
They never have to
know it was your kidney,
and they never have to see you again.
Oh, my God, he's an abusive husband?
Yes. So now he's their only hope.
The kid is getting his
dad's sleazeball kidney.
Well, you're doing the right thing.
It feels gross.
Yeah, but the choice
that keeps everyone alive
is the right one.
That is wise.
I am wise.
And you're pretty rude, actually...
rude and obstructive,
and I am fed up with it.
This is so fun.
That woman is a menace.
Mm-hmm.
- And what I hate is her smugness.
- Mm.
She doesn't have the
experience to be that smug.
- Unh-unh.
- And she hides her totally disrespect
under this bunch of perky.
Yeah, she's confident.
She's overconfident.
She's a menace.
God, yes.
Mm.
Blah!
Gwen, your ex-husband is here.
They found her.
Gwen, they said she's alive?
She is, but, Tim...
I can't believe it. I
can't believe she's alive!
Tim, she might not know who we are.
We're not sure. It's unclear as to what
she's responding to in the real world
and what's just happening inside her.
She might.
We're her parents. She might.
You ready?
Claire? Claire, it's Dr. Pierce.
Pierce?
Pierce. Pierce.
Needles pierce.
There's blood in my arms.
And sna... snakes...
I can see them.
Y-You can't... You c... You had it.
- Claire?
- There's snakes in my...
Hi, honey.
No. No, no, no, no!
- No!!
- I need five of Haldol!
It's Mom.
- It's Mom and Dad.
- You can't have
the blood in my arms!
You can't have it!
Okay, let's... let's
just give her some space.
You can't have it.
You're safe.
Okay, Claire. Okay.
It's okay. She's gonna be all right.
Ready for anastomosis.
Dr. Karev?
Nice jobs, Edwards.
I'm here if you need me.
Well, this looks like
the residents pulled
it off without a hitch.
You missed a few hitches.
I went and talked to Grey.
Yeah? She coming back?
No, she is not.
Bailey, you... you are ridiculous.
You're not just costing
Meredith time and money,
you're costing yourself
and the hospital.
Oh, no, not me. You are.
She chose you.
So, I'm gonna start her with
a gradually increasing dose
of haloperidol.
After she stabilizes, there's
newer medications we can try.
Hopefully that'll stop
the disorganized thoughts
and help her communicate...
Well, will she know us?
What if she doesn't? What do we do?
After she's released and
stable, it'll be up to her.
Sometimes people don't
like the way the meds feel,
so they go off and end
up back where they were.
We just don't know.
I'll make sure your
family is given information
about services and permanent
supportive housing programs.
Y-You can go back in
and... and sit with
her until she wakes up.
We'll wait, if that's all right.
Okay.
We'll, uh, come back and check in.
I just...
Schizophrenia's a difficult disease,
but with treatment, it can be helped.
What do you mean?
Well, I just don't get it.
I... I would just be happy she's alive.
How is this not a happy ending?
You're right. You don't get it.
Oh, I want to.
They gave up on her.
They just buried an empty box
in the ground and moved on,
had lattes, saw movies.
They just lived their
lives, and all the while,
their daughter was out there
walking around in the rain,
in pain and alone.
And they will never
forgive themselves for that.
And they shouldn't.
- Hey!
- Hey. You busy?
Yes, I was just about to
paint a wall and watch it dry.
Well, Karev and I talked
the "surgeons of tomorrow"
through a kidney transplant today.
And?
And you being here instead
of there is a waste.
I mean, also, it's your choice.
It's also stubborn.
Bailey spoke to you?
She did.
Meredith, go back.
Don't waste another day, not for me.
I want to, but every
time I try, I keep hearing
my mother's voice saying
"Meredith, it's Richard."
Well, that's very nice, but we both know
that your mother would never
put me before her career.
True.
But I'm supposed to do better than her.
Isn't that the point, be better?
I can't be like her.
Go get your job.
Good night.
Dr. Bailey, please.
My transplant was a success.
- Thanks for asking.
- You mean Minnick's transplant?
Yeah, Minnick's transplant.
Never seen residents learn
the way that they did today.
It was inspiring.
It's 2-nil in favor of the home side.
And that could be the
dagger for Portland.
Oh, hey. I was just texting you.
It's not fun.
- You know, this is... it's not fun.
- I'm sorry. I don't understand.
I don't like pretending not to like you,
and I don't like listening
to the awful things
that people have to say about you...
What do they say?
...because I know that you're not awful.
And they should know.
They should know that.
- Arizona...
- Because you're nice,
and you're smart, and
you're funny, and you care.
You care about the students
maybe even more than I do.
And you have this brilliant way
of making your victories
their victories,
and you're good for this
place, and you're good for them,
- and they should know that.
- Arizona, stop.
- I just think it's not...
- I need you to stop...
so I can kiss you.
- Oh.
- Stop.
Claire...
how are you feeling?
I'm just gonna check your bandage, okay?
I... I wasn't... uh,
I wasn't gonna put in... in the order.
They switch you on, and
they, uh, switch you off,
and they've got di... diagrams
a... and conditions, and...
Claire, we're monitoring
your pacemaker...
- Hmm?
- ...and it's working beautifully.
And we've put you on
a... some medication
to calm you down. It might
make you feel a little groggy.
Okay.
I... you can't...
you... you can't feel...
You can't feel the snakes in the hat.
Nobody can feel the snakes.
Hi, Mom.
Hi.
Hi, sweetie.
Hi, Claire-Bear.
Can we sit with you?
Y-You can... you can sit.
Y-You can sit, but y-you can't tell...
I can tell.
Uh, they crisscross, the...
The snakes are in the cart.
They told me...
So, I...
I still have a kidney?
And Chris... He also h...
has a kidney?
Yes. Chris received a different kidney.
A perfect, healthy living-donor kidney.
But... how?
From... from who?
It was an anonymous directed donation.
It's a perfect match, and
Chris is responding really well.
I can't believe it...
That people are... are that good...
That they can be so good.
Thank you.
Well, it looks like
she's responding to meds.
That's good.
The family has you to thank...
for that pacemaker idea.
Oh, you would have thought of that.
Yep, looks like they're
getting their little girl back.
Are you...?
Do you want to talk?
Hmm?
Oh, no. I'm... I'm great...
Just, um...
Happy ending, right?
Night.
Hey, Wilson.
How you doing?
You okay?
Do you need me to do anything, or...?
Hey, hey, hey...
I don't do reunions, but
I can see why people do.
Thank you.
They can make you feel like
you haven't felt in a long time.
It's comfy, it's familiar,
it's kind of like coming home.
What?
Nathan was so sad today.
We had this patient who turned up
after being missing for years.
And we called her family.
I think it brought up a lot
of feelings about his fiancée.
Megan.
I've never seen him like that.
When Derek died, there was one day,
just one day, where I
didn't know where he was.
I pretended everything
was going to be okay,
but inside, I was going crazy.
I guess it's like that
for Nathan every day.
You see how people turned out
if they realized their hopes and dreams
or if they have lost
their hopes and dreams.
Yeah.
You get him.
Well, I don't know about that.
Or maybe you see that they have found
what we all should find...
brand new hopes and dreams.
I'm married to a guy who
almost beat me to death.
- You do this everywhere you go?
- Do what?
Turn the place against you.
She's really gonna let you do
a whole surgery with no help?
The resident gets to
be the primary surgeon
on their own case... start to finish.
What did I do? Did I kill that boy?
You are the attending!
This is your loss.
You could have friends
here, if you wanted to.
Bailey, who is this woman?
I do not support this.
Then you no longer have an O.R.
You're suspended...
effective immediately.
I don't do reunions.
High school, undergrad, med school...
Alex, you've got five
minutes. I mean it.
I know.
I can't be late. I have
to consults this morning.
So many teeny-tiny socks.
I can't be late either,
it's my first day back.
And none of them match. Why?
I don't mean to make
superficial conversation
with a bunch of people
I barely remember.
Mer. Mer!
- Huh?
- Hey... I just...
- I need to grab my lunch.
- Sorry. Go.
Hey, you know, maybe tomorrow
I can pack a lunch for you,
seeing how I have all
the time in the world now.
I told you to think of
this like a vacation.
These are folded all wrong.
Vacation or prison?
Ohh. Sorry. Too soon?
Hey, you don't get to
act tired when you got
a full night's sleep in my bed.
You made me take the room.
Yeah, when I thought you were
gonna be here for one night.
- I didn't think you'd move in.
- I haven't moved in.
I do not live here. I'm crashing.
No, you crash on a
couch. You live in a bed.
And you're living here.
I crash on the couch, and it sucks
because I woke up with a
Cheerio stuck in my face.
You can have my bed because
I'll be dead from boredom.
Can that happen?
Can you hypothalamus just curl up
and stop working from lack of stimulus?
No. I mean, technically, yes.
Hey, how can she suspend you?
Don't you own the hospital?
Oh, she can. I checked the bylaws.
Checks and balances...
This is how bored I am.
Alex, car, now.
- I want my bed back.
- I do not live here.
If I want to keep someone in
my life, I keep them in my life.
The band is back together again.
Or maybe it's just that I don't
know how to get rid of them.
Anyone?
That's a kidney.
Mm-hmm.
And here?
That is a very sick kidney.
- Mm-hmm.
- Hold on.
Are we gonna do a kidney transplant?
Technically, a kidney
recovery and a transplant.
So, who thinks they're
ready to run lead on those?
I'm not ready.
That is the right answer.
- It is?
- Mm-hmm.
Okay, great. I am not ready.
Put your hand down, intern.
None of you are ready, but you are ready
to do as much of it as you can
under the extremely close
supervision of an attending
with the reminder to pass
it off if you need to,
which means you'll be that
much closer to being ready.
The donor will be an O.R.
2 supervised by Dr. Webber.
That'll be you, Warren,
with Cross assisting.
- Yes!
- Thank you, Dr. Minnick.
No.
Edwards and Wilson, you'll be in O.R. 3
working on the boy with Dr. Karev.
- The boy?
- Yes.
The kidney recipient is a 16-year-old
in chronic renal failure
from interstitial nephritis.
He's required dialysis
three times a week
while waiting for a
donor, and he just lost
his last access site,
so today is the day.
The donor is...?
The boy's mom.
She's giving him one of her kidneys.
The organ procurement
led by Dr. Warren will...
It's a kid. Are you okay?
Yeah, I don't have
much of a choice, do I?
It's Karev. Are you okay?
I'm fine.
Welcome back, Karev.
My name's finally on
the O.R. schedule again,
and I'm not even allowed
to do any of the surgery.
Yeah, welcome to phase two.
Prep the patients and run labs?
That's resident scut. Sucks.
Well, the good news is I'll
be right there with you.
Yeah, you're right. It sucks.
So, how long will my
kidney last in there?
It should last up to 15 years.
Oh. So, definitely through college then.
Perfect, it'll be like
a Guardian Angel Kidney.
- I will be watching over you...
- Mom!
Like your conscious... I'll
be whispering in your ear,
"Christopher, do your homework.
Christopher, change your sheets.
Christopher, put down
the Jagermeister...
You got to interrupt
her. She'll never stop.
I'm not the one in charge. They are.
If you don't have anymore questions,
then Dr. Edwards and I
will see you in surgery.
Uh, just one thing...
Tell my son it is mandatory
to kiss his mother before she
goes under the knife for him.
- Stop!
- It's mandatory, dude.
Thank you.
Uh, Doctors Karev and
Webber will be in in a minute
to prep you for surgery.
- Thanks.
- Thank you.
Yep.
- Thanks.
- Mm-hmm.
That was good, but don't be
afraid of taking the lead.
Embrace it. Be assertive.
Riggs finishing up the
cardio consult at bed 5,
but I think it's gonna be...
Make it hurt... They
make... They make it hurt.
Ma'am, can I help you?
No. No help.
There's no help out there.
They... they come and they
go and they crack the whip.
Who's, uh...?
- Uh, I-I...
- No help.
Do you need something, ma'am?
Ma'am, you can't be back there.
- Uh, snakes...
- You might need to call security.
This... Uh... There's no snakes here.
- There's no... There's no snakes...
- Okay,
- we're gonna get you over to someone.
- Did you do this?
Did you?
Did you... did you...
Whoa.
Uh, no. My son's name
Chris, Chris Daniels.
He's in surgery today
to get a new kidney.
Let me see if I can
find what room he's in.
- Thank you.
- Hi, I'm Dr. Wilson.
I'm one of Chris' doctors.
Oh, hi.
I hit so much traffic on
the way over here, and I...
So, he's not in surgery yet?
Well, if he is then I'm
late, because I'm his surgeon.
Good. Okay.
So, I haven't missed it?
No, you haven't missed
it. I can take you to him.
- Yes, please. Thank you.
- Yeah.
BP looks good. You're ready to go.
Well, we need to start
prepping you, too.
I know, but can't it
wait just another minute?
I am not ready to leave him.
- He is my...
- D-Don't say it, Mom!
My baby!
Chris, Cynthia, you
about ready for surgery?
You can start his prep in the O.R.
Thank you, Edwards.
Hey, guys. Good news.
Guess who I found looking for you?
Dad?
What the hell?
Cynthia, look, I just
wanted to check on Chris.
How did you know where we were?
He posted it online.
Today's kidney day.
I had no idea he was
even getting a new kidney.
You need to leave, Ken... right now.
Cynthia, I swear to God...
All right, now that's enough.
- That's enough.
- I-I'm so sorry, sir,
- why don't you...
- Hey!
Chris is my son, too.
Now, I let you do a
lot of stuff without me.
Let me?!
He is my kid, too.
I have a right to be here.
- I just want to know he's okay.
- Get out!
Chris, buddy, talk to your old man here.
Dad, go.
Get the hell out of here.
- Okay, let's go now.
- This is my son.
- Get out!
- Look, I understand...
- I have a right to be here.
- Get out!
You hear me? I have rights!
Hey, why don't we sit down?
Why'd you bring him here?
- I'm sor...
- Why would you do that?!
Cynthia, do you want to sit down?
- Hey, big transplant today.
- Don't talk to me.
- I'm mad at you.
- Oh, God, did you go?
Yes. Now I want to
eat there every night.
I told you. Did you
have the steak things?
I had two, and then
the dessert tray came.
Uh, I'll come look, but
I think that you're right
to delay your patient's ACL surgery
until after she delivers.
Thank you for the consult, Dr. Robbins.
I do not know how you do it.
I don't know how you
can be polite to her.
Oh, I know. She's the worst.
Yeah. I couldn't do it,
not after the way she
screwed Webber over.
Yeah, right. Got to go.
All Minnick did was take
a job she was offered.
No, she stole that job.
But you're rather
familiar with the concept
of job stealing, aren't you?
Uh, Kepner, are you up to speed
on the big resident transplant?
- Yes. Yes.
- Good.
You are running the
show. I have to leave.
- Are you up for that?
- Yes. I... yes.
Uh... uh, where are you going?
I thought you were running the show.
Camp David for a summit meeting.
Wait, actual Camp David?
Well, she's gone.
Maybe you can steal her job, too.
You paged me for a temp pacemaker?
Yeah, she needs a permanent
one, but can't get consent, so...
Well, you need approval? You got it.
What is she, intoxicated or something?
Jane Doe, no I.D. She's
confused and disoriented
to the time and place.
Ma'am, can you tell me your name?
No, no names.
Names are for hats, not for cats.
You put the snake in the hat.
We did ask that.
I'll tell Grendel. Grendel
has all the patterns.
She sees the patterns.
She sees the patterns,
I see the patterns.
- You don't see the diagram...
- Okay.
- ...because I see the diagrams!
- Okay, okay, ma'am.
You don't know the diagrams. You
don't know the diagrams! Okay, okay!
We're gonna give you something
to relax you, all right?
Two I.V. of lorazepam.
- CBC, chem 1 and a tox screen,
- Okay.
- and call psych.
- So...
how old is that pacemaker?
That is the Ford Pinto of pacemakers.
Right.
Okay, ma'am, we're gonna
take that old pacemaker out
and give you a brand new,
shiny one. How's that sound?
Ahh... For the snakes?
It's for the snakes.
- Yeah.
- For the snakes.
Your BP is through the roof.
We've got to get that
down before surgery.
We're gonna give you a little
something to calm you down, okay?
He's downstairs in the waiting area.
He's asking for updates.
You can't make him leave?
I'm so sorry. He never mentioned
that you were divorced or...
They're not.
They should be, but they're not.
I left with Chris almost a year ago.
And you should have done it sooner.
He hit her.
- Chris!
- What?
What? It's why we left.
I didn't have a job.
Chris was sick all the time,
and I thought I could make it work.
But the day that he went after Chris,
we left that night,
and now he's showing up
pretending that he cares,
pretending that he is a father?
Mom, it's all right.
We'll be fine.
Okay, I just want you to focus
on why you are here today.
I can't believe him.
Today was supposed
to be such a good day.
And it is. It still is.
Think about Chris.
- Hey.
- Thank you.
Hey, thank you.
- Hey, Dr. Hunt.
- Mm-hmm?
Make that man leave.
Did something happen?
Listen, do you need me
to call security, or...
I just... I need him to go away, please.
Okay.
Excuse me, sir, um,
you've been asked to leave the premises,
- so if you can follow me...
- I'm not bugging anyone,
I'm not hurting anyone.
- I have every right to be here.
- Sir, do you want me to call security?
- Because I need you to leave.
- Oh! This again!
- You're gonna threaten me with...
- Sir, sir!
Do not touch me!
First scrubbed...
I make the first cut.
You okay?
What do you mean, am I okay?
The thing with the husband. Are you...
I'm fine.
Let's use the pelvic brim
- as a landmark.
- Mm-hmm.
Dividing the ureter...
- How we doing?
- Very well.
Cross, can you, uh,
enlarge the incision?
Yep. Got it.
A whole, healthy kidney.
Nice work, guys... like seasoned pros.
More like very good
residents who are learning
an advanced procedure and
still needing help and guidance.
Which you are clearly giving them.
Nice work, Dr. Webber.
Good news...
Warren and Cross have successfully
removed their patient's kidney,
which will soon be
your patient's kidney.
- So, who wants to retri...
- I'll get...
I'll get the kidney.
I have crossed the sterile field.
I'll get the kidney.
Okay.
The wires on the pacemaker's stuck.
DeLuca, laser.
Can't you just pull them out?
No. It's scarred into her tissue.
Why are we not better at
taking care of the homeless?
Gotcha!
So, now what? We hand her
over to Social Services?
How will they find out who she is?
Fingerprints, I imagine.
- She doesn't have a record.
- I don't know.
Maybe dental records?
She doesn't have a home,
you think she has a dentist?
I don't know. They'll figure it out.
Okay, but what if they don't?
She didn't just come from no where.
Someone's probably
looking for her, right?
Is she just gonna go back to the street?
Nope.
'Cause I just found out who she is.
Call the company, get them
to trace the serial number.
That will tell us who you are, Ms. Doe.
Warren and Cross did fine
work with the renal vein graft.
It should be an easy anastomosis.
Got it, sir.
All right. Well, what's next?
- Irrigating here...
- Good hemostasis...
Should we close?
Her systolic BP's 200.
W-was it malignant hypertension?
No history of high blood pressure.
Okay, well, you know
what, stop. Nobody move.
Bolus of diltiazem, fast,
and let's pull up an image now.
Did we do something wrong?
Uh, I-I can't see.
Enlarge the image and
show me the right kidney.
There. Behind the bowel. Damn it!
The vessel's prepped for anastomosis.
Pocket for implantation is ready.
Go time.
Stop!
- Did you attach it?
- Geez.
- Webber, what the hell?
- Did you attach the kidney?
No, no. I'm... I'm
holding it, I'm holding it.
Put it back on ice.
The mom's remaining kidney thrombosed.
It's dead.
We now have only one
good kidney between them.
Call UNOS. Tell them
you need Chris moved
- to the top of the list.
- We already told them
he lost his last dialysis port.
Tell him he's on the table
now with two residents
pouring saline down his open abdomen.
What kind of timeframe
are we talking about?
Not long. She's in renal failure.
- What happened?
- The donor's remaining kidney
had a major stenosis.
And when we tried to open it up,
the entire vessel
dissected and clotted off.
So, where does this kidney go,
back to the mom or into the kid?
- Well, it was already in the kid's O.R.
- What's the legal on that?
The mom signed the paperwork.
It's past the red line.
- It belongs to the kid.
- No, it doesn't.
Not until it's put into him.
- It was about to go in.
- So, there's no formal protocol?
Not that I know of. I mean,
this is not a thing that happens.
- This is...
- This is a first.
- So, no rule book.
- Where's Bailey?
She left. She said she
was going to Camp David.
- What does that mean?
- I don't know.
She said she had a summit meeting.
She said I'm in charge.
Invite me inside for coffee.
For coffee?
We are going to sit down
over a cup of coffee,
and we are going to figure
this out like smart women.
- Over coffee?
- Over coffee.
Do you have coffee?
I'm not leaving until you invite me in.
Well, I don't have milk.
I don't take milk.
We give the boy the kidney,
and then his mother's
on dialysis, maybe for life.
Well, people are surviving for far
longer. They both have a chance.
We just close up the kid, he's screwed.
- He has no access...
- And then we just close up
the mom, and then we've given
her a debilitating condition.
- We have to give it back to her.
- The kid's at a dead end.
The mom is healthy.
She can go on dialysis
until we find a donor.
But is that what she signed on for?
She signed up to save her son's life.
At the expense of her own?
She came in here perfectly healthy.
If you found the
stenosis a minute later,
we wouldn't even be talking about this.
- The kidney would already be in him.
- Yeah, but it isn't,
and if we don't put it
in someone soon, it's
gonna die an no one gets it,
so who's it going to?
Why are you asking me? I'm not deciding.
Just answer the question.
Where do you think the kidney should go?
Out of my jurisdiction.
But in 5 years, in
10 years, it won't be.
So what would you do?
Look, if we can wake up the
mom and ask what she wanted...
We can't. She would need to be awake
long enough to become competent.
The kidney would not last until then.
I know, but if we could,
she'd say give it to her son.
Right?
No doubt. Give it to the kid.
Any parent would say the same thing.
Sure, any parent with two good kidneys.
She's only got one. She
might want to hang on to it.
Yeah, if she's a monster.
I'd want to hang on to it.
And that makes you a monster.
You're the monster.
So, we give Chris the kidney,
and then the 16-year-old
has to take care of his mom or she dies,
and we've saved his life,
but left him an orphan.
He wouldn't be an orphan.
Yeah, he has a father.
A father who used to beat
the crap out of his mom
and probably him.
That's who we'd be sending Chris to.
You were right.
The company had her records right there.
She was a minor at the time, so...
- Tell me her name again.
- The patient's name is Claire Nolan.
This is her mother.
Okay. Good work, DeLuca.
See? Problem solved.
You're very impressed with yourself.
Eh, a little bit.
Ms. Nolan.
Yes? Gwen.
The police said someone
found my daughter.
Yes. We just have a few questions
before we take you to her.
Did you call Tim?
My ex-husband... Is he coming?
He's on his way.
Please.
Did you daughter have a
history of mental illness?
No. That's...
Why does that matter?
Just prepare yourself...
It'll be a bit of a
shock when you see her.
Well, it's already a shock.
It's been 12 years.
I never thought anyone would find her.
Well, you may have a hard
time understanding her.
- Wait, what?
- Well, her speech is...
very disorganized.
She's possibly delusional.
She's alive?
Claire's alive?
Are you telling my daughter's alive?
Did I say he's 16?
I know it doesn't change
anything, but he's 16,
and he is open on a table.
- Anything?
- Nothing. I'll try Seattle Pres again.
This kid doesn't have another option.
We just lost his donor kidney.
We need another one right now.
What do you mean?
You talking about my son?
Hold on.
You're talking about Chris.
You were told to leave.
What happened?
What happened to Cynthia? What is it?
I can't discuss their
conditions with you.
Don't you tell me that.
That was is son up there,
and you have to tell
me what is going on.
Answer me.
Kepner, we need an answer.
I know!
Dr. Webber, prep the
mother for dialysis.
I will call UNOS myself.
Karev, start the anastomosis on the boy.
Wait! Stop. We might have
another option, but...
But?
- Wilson.
- Jo, what is it?
The husband.
The son of a bitch
wants to give his kidney,
but we can't do that, right?
Right?
So, people are really embracing
this new method of teaching.
Some say it's actually fun.
Today you would have been performing
a mother-to-son kidney transplant.
You don't have to sell
me on the method, Bailey.
People like it. I get it.
Good. Then we can stop
all of this stubbornness
and the insubordination.
It's not insubordination.
Well, it's not cooperation.
Look, I made you my Chief of General
because I wanted you
to be my right hand.
So, you want a Yes Man?
No.
I want someone who will lead
with me but follow when I lead.
Even if I think you're
leading the wrong way?
I shouldn't speak up when I
think you're making a misstep?
You don't want that in a right hand?
I'm not making a misstep.
I disagree,
but you don't want to
hear a dissenting opinion.
Well, you never offered me your opinion.
You just shut Minnick out.
I didn't have time to
offer you an opinion.
You just showed Richard the door.
How could you do that?
I didn't want to do that.
I...
I wanted him to stay right where he was.
I wanted Minnick to add value,
but she wouldn't work with him.
So, you sided with Minnick
and tossed Richard aside?
No.
Look, I had a choice to make, Grey,
and I didn't want to
make it, because, yes,
Dr. Webber built this place.
But I have to keep building it.
So I do that by asking
myself 100 times a day
"What would Richard Webber do?"
But how did Eliza Minnick
win you over so quickly?
When I saw this program,
this better way of teaching,
I asked myself again, "What
would Richard Webber do?"
And he would have embraced
this, Grey, you know it.
The answer was so clear.
I couldn't ignore that choice.
But you made the wrong choice.
Look, you can serve under
Chief Webber if you want to,
but that doesn't change the
fact that he is not your chief.
I am.
And as your chief...
I am ready to lift the suspension
if you feel you can come back.
- I want to.
- Good.
But I can't.
Not until he does.
Okay, there's a difference
between loyalty and stubbornness, Grey.
I do not want to be reinstated
unless Richard Webber
is as Residency Director.
Minnick goes.
Thanks for the coffee.
We can't do this.
We can't put his kidney inside her son.
If his tests show he's a match,
we're absolutely doing it.
But it's wrong. His wife
would never agree to this.
She would never accept this.
To save herself and her son?
She wouldn't say no out of spite.
She might like any other option, though.
Yeah, well, I don't
see any other option.
He's right here.
- And our obligation is to our patients.
- But what about her?
No one should get to make
this decision for her.
Our patients are still stable.
Uh, what about the residents?
Fairly stable. Is he a go?
- Yeah, it looks like...
- No!
We can't! We can't do this.
Wilson, we have no other choice.
Don't say that. You don't
get how she will feel
to wake up and find out
that he controlled this,
that he made a decision
while she was asleep.
He decided to get into her life.
She had no say, no
control, no choice, nothing.
He can't do that. He can't.
We have to try something new.
- We have to find...
- There's no time.
I'm sorry.
If his tests come back and
he's a match, we're doing this.
Do you want to go in?
She was in college at U-Dub.
It'd had been a couple weeks,
and we hadn't heard from her.
They found the door to
her apartment wide open.
It looked like an abduction.
There were press conferences.
We walked through the
forest with flashlights.
It was all we thought about for years.
It ended our marriage.
It ended our lives.
Well, it's early for me to
make a definitive diagnosis,
but I suspect you're right.
Claire suffers from schizophrenia.
Gwen, how old did you say
she was when she disappeared?
20.
That fits, I'm afraid.
Late teens, early 20s is
when it starts manifesting.
It's possible it got so bad
that she just left everything behind.
Do you want to go in, let
her know that you're here?
Why don't you sit for a minute?
Okay.
We had a funeral.
Everyone came to the funeral.
She has a grave stone.
Kepner told me what's going on.
You were supposed to get him to leave.
I thought he did.
But now I'm glad I didn't.
His son's gonna die
unless he gets a kidney.
I'm not excusing what he did, I'm not.
But maybe... maybe this is
his way of coming out of it,
of being a better person.
Maybe he's sorry.
Maybe he's changed.
The dad's a match.
You don't need to be involved.
You can sit this one out.
No. I'm not gonna sit it out.
You just got to let it go, okay, Jo?
I know.
Don't... Jo!
Wait. Hold on.
You're not the hero here.
You don't get to take this as a win.
This is the least that
you can do, the very least.
I'm doing the right thing.
I don't think so.
I think you want an excuse
to worm your way back into their lives.
I'm not.
I swear.
I can't take back the
stuff that I've done.
But I can do this.
I just want to do something good.
If you really want to do good,
never tell them about this.
You do it anonymously and walk away.
They never have to
know it was your kidney,
and they never have to see you again.
Oh, my God, he's an abusive husband?
Yes. So now he's their only hope.
The kid is getting his
dad's sleazeball kidney.
Well, you're doing the right thing.
It feels gross.
Yeah, but the choice
that keeps everyone alive
is the right one.
That is wise.
I am wise.
And you're pretty rude, actually...
rude and obstructive,
and I am fed up with it.
This is so fun.
That woman is a menace.
Mm-hmm.
- And what I hate is her smugness.
- Mm.
She doesn't have the
experience to be that smug.
- Unh-unh.
- And she hides her totally disrespect
under this bunch of perky.
Yeah, she's confident.
She's overconfident.
She's a menace.
God, yes.
Mm.
Blah!
Gwen, your ex-husband is here.
They found her.
Gwen, they said she's alive?
She is, but, Tim...
I can't believe it. I
can't believe she's alive!
Tim, she might not know who we are.
We're not sure. It's unclear as to what
she's responding to in the real world
and what's just happening inside her.
She might.
We're her parents. She might.
You ready?
Claire? Claire, it's Dr. Pierce.
Pierce?
Pierce. Pierce.
Needles pierce.
There's blood in my arms.
And sna... snakes...
I can see them.
Y-You can't... You c... You had it.
- Claire?
- There's snakes in my...
Hi, honey.
No. No, no, no, no!
- No!!
- I need five of Haldol!
It's Mom.
- It's Mom and Dad.
- You can't have
the blood in my arms!
You can't have it!
Okay, let's... let's
just give her some space.
You can't have it.
You're safe.
Okay, Claire. Okay.
It's okay. She's gonna be all right.
Ready for anastomosis.
Dr. Karev?
Nice jobs, Edwards.
I'm here if you need me.
Well, this looks like
the residents pulled
it off without a hitch.
You missed a few hitches.
I went and talked to Grey.
Yeah? She coming back?
No, she is not.
Bailey, you... you are ridiculous.
You're not just costing
Meredith time and money,
you're costing yourself
and the hospital.
Oh, no, not me. You are.
She chose you.
So, I'm gonna start her with
a gradually increasing dose
of haloperidol.
After she stabilizes, there's
newer medications we can try.
Hopefully that'll stop
the disorganized thoughts
and help her communicate...
Well, will she know us?
What if she doesn't? What do we do?
After she's released and
stable, it'll be up to her.
Sometimes people don't
like the way the meds feel,
so they go off and end
up back where they were.
We just don't know.
I'll make sure your
family is given information
about services and permanent
supportive housing programs.
Y-You can go back in
and... and sit with
her until she wakes up.
We'll wait, if that's all right.
Okay.
We'll, uh, come back and check in.
I just...
Schizophrenia's a difficult disease,
but with treatment, it can be helped.
What do you mean?
Well, I just don't get it.
I... I would just be happy she's alive.
How is this not a happy ending?
You're right. You don't get it.
Oh, I want to.
They gave up on her.
They just buried an empty box
in the ground and moved on,
had lattes, saw movies.
They just lived their
lives, and all the while,
their daughter was out there
walking around in the rain,
in pain and alone.
And they will never
forgive themselves for that.
And they shouldn't.
- Hey!
- Hey. You busy?
Yes, I was just about to
paint a wall and watch it dry.
Well, Karev and I talked
the "surgeons of tomorrow"
through a kidney transplant today.
And?
And you being here instead
of there is a waste.
I mean, also, it's your choice.
It's also stubborn.
Bailey spoke to you?
She did.
Meredith, go back.
Don't waste another day, not for me.
I want to, but every
time I try, I keep hearing
my mother's voice saying
"Meredith, it's Richard."
Well, that's very nice, but we both know
that your mother would never
put me before her career.
True.
But I'm supposed to do better than her.
Isn't that the point, be better?
I can't be like her.
Go get your job.
Good night.
Dr. Bailey, please.
My transplant was a success.
- Thanks for asking.
- You mean Minnick's transplant?
Yeah, Minnick's transplant.
Never seen residents learn
the way that they did today.
It was inspiring.
It's 2-nil in favor of the home side.
And that could be the
dagger for Portland.
Oh, hey. I was just texting you.
It's not fun.
- You know, this is... it's not fun.
- I'm sorry. I don't understand.
I don't like pretending not to like you,
and I don't like listening
to the awful things
that people have to say about you...
What do they say?
...because I know that you're not awful.
And they should know.
They should know that.
- Arizona...
- Because you're nice,
and you're smart, and
you're funny, and you care.
You care about the students
maybe even more than I do.
And you have this brilliant way
of making your victories
their victories,
and you're good for this
place, and you're good for them,
- and they should know that.
- Arizona, stop.
- I just think it's not...
- I need you to stop...
so I can kiss you.
- Oh.
- Stop.
Claire...
how are you feeling?
I'm just gonna check your bandage, okay?
I... I wasn't... uh,
I wasn't gonna put in... in the order.
They switch you on, and
they, uh, switch you off,
and they've got di... diagrams
a... and conditions, and...
Claire, we're monitoring
your pacemaker...
- Hmm?
- ...and it's working beautifully.
And we've put you on
a... some medication
to calm you down. It might
make you feel a little groggy.
Okay.
I... you can't...
you... you can't feel...
You can't feel the snakes in the hat.
Nobody can feel the snakes.
Hi, Mom.
Hi.
Hi, sweetie.
Hi, Claire-Bear.
Can we sit with you?
Y-You can... you can sit.
Y-You can sit, but y-you can't tell...
I can tell.
Uh, they crisscross, the...
The snakes are in the cart.
They told me...
So, I...
I still have a kidney?
And Chris... He also h...
has a kidney?
Yes. Chris received a different kidney.
A perfect, healthy living-donor kidney.
But... how?
From... from who?
It was an anonymous directed donation.
It's a perfect match, and
Chris is responding really well.
I can't believe it...
That people are... are that good...
That they can be so good.
Thank you.
Well, it looks like
she's responding to meds.
That's good.
The family has you to thank...
for that pacemaker idea.
Oh, you would have thought of that.
Yep, looks like they're
getting their little girl back.
Are you...?
Do you want to talk?
Hmm?
Oh, no. I'm... I'm great...
Just, um...
Happy ending, right?
Night.
Hey, Wilson.
How you doing?
You okay?
Do you need me to do anything, or...?
Hey, hey, hey...
I don't do reunions, but
I can see why people do.
Thank you.
They can make you feel like
you haven't felt in a long time.
It's comfy, it's familiar,
it's kind of like coming home.
What?
Nathan was so sad today.
We had this patient who turned up
after being missing for years.
And we called her family.
I think it brought up a lot
of feelings about his fiancée.
Megan.
I've never seen him like that.
When Derek died, there was one day,
just one day, where I
didn't know where he was.
I pretended everything
was going to be okay,
but inside, I was going crazy.
I guess it's like that
for Nathan every day.
You see how people turned out
if they realized their hopes and dreams
or if they have lost
their hopes and dreams.
Yeah.
You get him.
Well, I don't know about that.
Or maybe you see that they have found
what we all should find...
brand new hopes and dreams.