Grey's Anatomy (2005–…): Season 13, Episode 15 - Civil War - full transcript

Richard, Jackson, April and Catherine tackle a grueling trauma case intensified by hospital politics; Amelia finally faces her feelings about Owen; Meredith gets caught between Nathan and Alex over a patient.

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There's an old story
of a father who had two sons.

When he knew a civil war
was about to break out,

he sent one son to fight for
the north and one to the south.

He figured
if he had sons on both sides,

there'd be a better chance
one would survive...

because when you
fight a war at home,

the casualties are
your neighbors...

your friends, your family...

leaving you all alone.

I need you to do something.

I told you I'd do it.



Just separate out the delicates.

Not laundry.

My thing is fun.

I need you to clip an aneurysm
at the hospital.

I'm on leave.

Yeah, I need you
to be off leave.

- No.
- Please.

Come on.
It's this sweet little old nun,

and she needs
open-heart surgery

but she can't have it until
her brain aneurysm is clipped.

It's so sad.

Poor sister Agnes.

Don't "nun" me.

The nun detail was a little bit
much, but please.



Please. Come on. I need you.
You're the best.

And don't tell me that
you don't miss the O.R.

Just one little clip,
and you can scratch that itch.

Just one little clip.

You'll be in and out.

And I'll make sure that
Owen doesn't see you.

Promise.

Give me 10 minutes.

Morning. Good to have you back.
Morning. Thank you.

So, when I was chief...

Interim chief.

I took the liberty of
catching you up

on all your backlogged
resident reports,

department budgets,
supply orders, so...

- I was gonna do that.
- Of course you were.

I just figured,
you know, the same way

you fill the tank with gas
when you return someone's car...

You stole the car.

You're welcome.

Ah.
Look who's back.

Have to say,
I thought you'd last longer.

You folded quick.
I didn't fold.

You're here, aren't you?

The chief didn't fire Minnick.

Dr. Webber asked me
to come back.

There was no folding.

If you say so.

If you're into the guy,
why not just be with him?

Because I don't want to be with him.
Oh, come on.

Is it because of Maggie?
She'll get over it.

No.
I don't want to be with him.

Okay. You do, though.

But I don't.

So, listen, are we cool?

What do you mean,
"are we cool?"

I don't want there to be
any problems with patients.

Just, are we cool?
I mean, to work together.

We're cool.

I had to ask.
It's kids.

We're cool.

Okay. Good.

The mattresses?

Yes. You need to replace every
mattress in every on-call room.

- Unacceptable.
- He's not wrong.

These mattresses are lumpy.

They're misshapen,
zero lumbar support.

Our surgeons need solid rest,
not spinal damage.

Noted.

You might tell Dr. Webber that
if he wants to sleep soundly,

he should come home and sleep
next to his bride.

Uh, I'll take this
under advisement.

New mattresses!

Hey. You okay?

No. My back hurts.

Oh, and there's nothing like

having your dirty laundry aired
for everyone to see.

Oh, that bad, huh?

And as long as Minnick's here,
it's gonna stay bad.

I don't know what to do...

Except give up and give in.

No, no, that's not acceptable.
Everyone's behind you.

Everyone was behind me.

The longer Minnick's here,
the more people like her.

And the more people like her,
then...

Well, I'm behind you,
then, so just...

Listen, why don't you
stay at my place?

I have a guest room, and
it's got a very good mattress.

I-I-it'll be fine.

Arizona,
thanks for sticking with me.

You're a good friend.

We're losing ground.
Everybody loves Minnick.

I wouldn't say that.
I mean, who said that?

And now Meredith.

I stood up for him
and got suspended.

Yeah, and now you're back.
You rolled over.

Because he told me to come back.

That's not what it looks like,
all right?

You weakened our position here.

Well, we don't have a position
if he is asking us to stop.

- Meredith has a point.
- The problem isn't Minnick.

The problem is that
her program is good,

and now everyone knows it,
including Richard.

You guys are unbelievable.

You're just gonna
abandon him now?

- No. We're not.
- No.

Well, I'm not gonna do that.
I'm gonna fight for him.

How? My mother's not the
only Avery in this hospital.

It seems like
the colovesical fistula

closed off on its own,
after all.

No abdominal reconstruction
needed.

Good. I was hoping to avoid
having to call Jackson in.

Things still difficult at home?

I'm not sure
I can stay there anymore.

I mean, I want to. It's been
so easy with Harriet, but...

But everything's so much harder
than it needs to be right now.

- I know.
- Yeah.

- And...
- And what?

It's just embarrassing
being demoted.

You were not demoted.

From chief of general surgery
to trauma attending?

- It looks like that.
- April, April.

A title is only as good
as the person who earned it.

Grey is very good,

but when she wasn't here,

the person they turned to
was you.

Oh, I know...

Do you?

Then act like it.

So... hey.

Heads, he's Leo.

Let's just wait until
we know he's okay.

Oh, come on. Stop.

You agreed that we'd decide
with a coin toss.

I noticed a systolic murmur
at the post-birth exam.

It's probably nothing,
but I called just in case.

I'll check it out.
Deluca, get a pulse-ox.

Baby, our little guy
is gonna need a name...

Hey...
Definitely before school,

but probably before
we leave here, so...

Heads, he's Leo, tails, August.

Okay, why is
the name I like tails?

Fine.
Heads, he's August.

Heads?

August it is.

Pulse-ox is slightly
below normal.

Yeah. Let's get some labs
and page cardio.

Uh, what's happening?
Is he okay?

He's got a heart murmur.

I need to take him
to get some tests.

I'll let you know more
as soon as I do.

What's the little guy's name?

- Gus.
- Gus.

- Gus.

Hey, you got a minute?

Ah. Just got paged to the pit.
Can it wait?

I need to talk to you
about this Minnick situation.

What situation?
She's doing great.

Don't pretend you don't know
what you did, mom.

People have been fighting this

since the minute
you brought her here.

- Bailey brought her here.
- At your urging.

And since I am the voice of
the Avery foundation at this...

Wait. I'm sorry.
You're the what?

I'm the foundation's
representative on the board,

right,
a position that you gave me,

that you made me take.

Yes, and you kicked and screamed

and whined
every step of the way.

And then I took it on.

So I am the Avery
of this hospital.

The foundation
speaks through me.

The foundation oversees.
We guide.

We do not interfere
in hospital politics.

How can you say that to me?

You started this by effectively
ousting Richard Webber,

which, by the way,
our rank and file

finds completely unacceptable.

I'm gonna be making
the decisions from now on.

I'm gonna go to
the governing board.

I'm gonna get Richard back in
and Minnick out.

I'm going over your head.

I don't understand.

He's never been that interested
in the foundation.

I know. He does not appreciate
our role or the scope of it.

77 hospitals nationwide,
43 full-service clinics.

Not to mention the worldwide
health initiative.

Oh. Somebody's been
doing her homework.

I've just been curious.

Or maybe you just like
being in charge.

You know, the thing is,

- I was good at that job.
- Mm-hmm.

I like doing that stuff...
The admin work, the scheduling.

Meredith doesn't even like it.

You know, I want you to see the
Avery trauma center in Chicago.

They do things very differently
than you do here.

We should go.

Ab... absolutely. I'd love to see
how they run things.

No, honey. I want them to see
how you run things.

- Oh, yeah, I-I'd love that.

- Thank you.
- Trauma 1.

- What do we got?
- Turkey-fryer accident.

Propane tank exploded,
blew shrapnel everywhere.

His family's behind him...

Minor injuries,
but he caught the brunt of it...

Full-thickness burns
to the neck,

down the left side of his body,

extending into the perineum,

left leg
partially De-gloved.

One, two, three.

All right, check on that gauze.

- Oh, wow.
- Ohh.

His bowel is eviscerated.

I need to examine this wound
and the perineal burn.

- Somebody call plastics!
- On it!

Yeah.

So, this kid definitely
has HLHS.

Start him on a PGE.

Labs are back.

All righty, Gus, let's take
a look at your labs.

Oh, they landed on Gus, huh?

How did the O.B.
Not catch this?

Okay, Deluca, we need to get him
on the transplant list, asap.

No. Hold on.

No.
We're gonna do a Norwood.

I don't think so.
He has mitral valve regurg.

I don't think the little kid
can survive

a full reconstruction like that.

I know he won't survive the wait
for a newborn donor heart.

He's stable for now.
He can tolerate a Norwood.

So, what's next?

Parents are freaking out.
We go talk to them next.

Where did they take dad?

Let me check you out.

It's okay, Pammy.
It's gonna be okay.

Your fiancé just deep-fried
our father. That is not okay.

This is from a turkey fryer?

It's the one thing
I know how to cook.

I-I-i was just trying to do
something special.

You mean unforgettable,

like that time
you killed my dad?

Pam, come on.
He didn't mean to.

Rodney, dad's leg melted off.

You have no eyebrows.

I'm so sorry, honey. I'm so sorry.
I know.

Your arm has
a partial-thickness burn.

You'll need to learn to dress it
while it heals.

I can help.
How can I help?

Oh, I don't know.

Go back in time,
when I told you,

"deep fryers are dumb,"
and listen to me!

Can you tell me
how my father is?

Pam, I'm sorry.

Maybe just stop talking.

Someone will come
dress those burns,

and I'll go get an update.

All right, he's got a lot of
neck swelling.

Can you get me a fiber-optic
scope just in case?

This wound extends deep.
The bladder is destroyed.

I need to get him in an O.R.
for a repair.

Uh, no, you can do
the bladder repair later.

I need to do an ex-lap with
an abdominal washout first.

Yeah, I can't even see
his vocal cords.

- Here. Let me try.
- No, I got it. I got it.

Warren,
call up to the O.R.

Tell them to place the patient
in a lithotomy position

for a perineal evaluation.

Warren, let them know we need
a perc nephrostomy setup

and a possible ileal conduit
for reconstruction.

His small bowel is sticking out
of his abdomen.

What ileal conduit
are you talking about?

Jackson, the tendon is exposed.
He's gonna need a skin flap.

- No, no, no, that can wait.
- I'm just saying...

I know when flap coverage is
warranted and when it isn't.

And another bickering family.
Fantastic.

Warren, did you say something?

Uh, I said I'm gonna
go book an O.R.

- Okay, well, hop to it, then.
- Well, hurry up, then.

- Get going, child.
- Come on. Let's get this.

Sister Agnes is good to go.

It went great.

In, out, no problem.

Feels good to be back, huh?

Yeah.

Back at work.

I'm still not ready to see Owen.

I just, uh, don't know
what I would say to him.

Okay, well,
I'm just riffing here,

but you could start with
"hi, Owen."

Sorry.

When you're ready.
No judgment.

Uh, could you just check the
hall so I can get out of here?

Yes, of course.
Okay.

- All clear.
- Okay.

Go. Go. Go.

It's called hypoplastic
left heart syndrome.

The left side of Gus' heart
is underdeveloped,

so it can't deliver oxygenated
blood to the rest of his body.

Okay, so, what do we do now?

He'll need surgery?

There are two options...
A heart transplant

or an open-heart surgery
to reconstruct Gus' heart,

called a Norwood.
I think we go with that.

And I think that
we should consider

waiting for
the heart transplant.

I'm concerned that
your little guy

doesn't have the strength to
withstand a staged procedure.

A staged procedure?

Yeah, the Norwood is the first
of three separate surgeries

that are performed over the
first three years of his life,

as opposed to just one
for the transplant.

But with a heart like Gus',

the wait could be
more time than he has.

Also, you're looking at
a lifetime

of anti-rejection drugs.

As opposed to the strain of
multiple surgeries,

often resulting in a transplant
in the long run, anyway.

And in Gus' case,
we have a bit of time

before his symptoms
become intolerable.

I'm not willing to
accept that risk.

Okay, but he...

He says that Gus won't survive
your thing, the...

- Norwood. And I think he can.
- Yeah, but he's a heart surgeon.

And I operate on babies
all the time.

I've seen more of these cases
than he has.

I know how well they do.

Also, I'd rather
invest in a sure thing

than wait for a donor
that might not show up in time.

Okay, so, you're just saying
that there's a poss...

Okay, well, then just tell us
what to do.

My baby is dying, and I don't
know how to help him.

You're just confusing us.
Just, what do we do?

I...

I-I think that we should
just go with

- the transplant.
- Norwood.

Um... You said that
we have some time, right?

What the hell, man?

They're overwhelmed.
They just had a baby.

What, so they shouldn't
hear the whole story?

They don't need to hear you
argue with me.

Well, you should have
heard me out

before you went
running in there.

There's nothing to hear.
He's my patient.

He's a good candidate
for a Norwood.

- Well, I disagree.
- Or at least he is now.

He might not be once they spend
a bunch of time deciding.

Deluca, let me know
when they're ready.

Call UNOS.

Put that kid on
the cardiac transplant list.

I-I think Dr. Karev's really
into the Norwood idea.

Yeah, well, Dr. Karev's not
making the decision.

The parents are.

And when they decide
on a transplant,

I don't want to have missed out
on a heart because we waited.

Just put him on the list.

And don't tell Karev.
I don't want to hear about it.

The bladder isn't
the only thing at stake.

- That's why I'm saying...
- I'm saying we can...

The patient's prepped.

No. We delay soft-tissue
coverage, period.

It's a gustilo type three.
It's an obvious fix-and-flap.

Not in a dirty wound like this.

We need to do
a delayed reconstruction,

not a primary bladder repair.

No. Reconstruction
should happen now...

We have a penetrating wound
to explore.

Before the tissues
become edematous.

Okay, what about this?

Webber and Kepner
explore the wound

as Avery evaluates the burns

to determine the need
for more coverage.

The other Avery can do
a perineal evaluation,

and after a full assessment,

it'll become clear
how to proceed.

I jus... you know,
Minnick said that

we should work
the problem with you.

Actually, Warren,
that should work.

Thank you.

What?

You called it with Riggs.

- What do you mean?
- The guy's a snake.

I didn't say that.

Look, he just made a mom cry.

Well, her kid's in the hospital.

There's a high probability
of tears.

He thinks he's a cardio god
or something,

like he knows everything.

When I'm the peds guy,
I know things...

If he would just listen.

The guy's a total snake,
just like you said.

Well, I definitely
never said that.

Oh! Oh, my god! Oh, my god!
You're back!

- Oh, actually...
- Ahh! I'm so happy!

Oh! Dr. Minnick's method
is awesome,

but I've really been
wanting to do it with you.

- Edwards...
- And I... uh, wait.

Stop. Hey.

Are you anti-Minnick?
Please don't be anti-Minnick.

- Stephanie!
- What? What?

I'm not here.
You didn't see me.

Oh. Oh.

Would you mind just
walking through the E.R.

To see if Owen is in there?

- No.
- Thank you.

No. I mean, "no."

I have to work.

I don't want to get dragged
into your marriage again.

You know, boundaries.

Right.

- Of course.
- Sorry.

Come back!

- Okay, bye.
- Okay.

- Hi!
- Hi yourself.

How big is your stove?

I don't... I don't
know how to answer that.

I want to make pierogi for you,
but my stove sucks.

Ooh, that sounds nice.
Uh, what is it?

Something I do very well.

Okay.

I don't have to stay
or anything.

Just... Pierogi.

Jak posmakujesz moje pierogi,
to nie bedziesz chciala innych.

I have no idea
what you just said,

but I'd like you to say
much more of it.

- I'll see you around 8:00.
- Okay.

- I'll bring everything.
- Okay.

Let's divide this segment,

and then I'll prepare for
diverting colostomy.

No.
Instead, actually, I think

we can do the primary
bowel repair right here.

Kepner, you're no longer running
general surgery,

so how about
you let me do my job?

But she is running this case.

She brought in the trauma.

Her department, her patient.

3-oh vicryl for
bowel anastomosis.

I checked my calendar
for Chicago,

and I'm pretty booked
for the first two weeks,

but the weekend of the 25th
might work.

Yeah. Sounds good.
All right.

There's an architectural
boat tour.

Oh, I've done that.

It sounds boring,
but it's actually fascinating.

- Oh, fun.
- What is happening?

Weekend of the 25th,
I'll be out of town,

so you'll have Harriet.

Ah.
You two taking a vacation?

It is not a vacation.

You're taking a boat tour, mom.

If you're going to Chicago,

you really have to take
that boat tour. It's...

We're visiting
the Avery trauma center there.

Trauma center?
Why's that?

Is our trauma program
next on your chopping block?

I'm also getting us
"Hamilton" tickets.

Yay!

You're going to "Hamilton"
without me?

Heya.
Ugh. I'm starving.

I've been in this

complex sarcoma excision
for seven hours.

And guess who got to
dissect the tumor

from the vascular structure.

That's right.

Me.

What's wrong?
Is there something wrong?

No. I, uh...

It's just, I'm on a case
with two attendings

who want different treatments

and have given me
competing instructions,

and I don't know what to do.

Well, you'll make
the right choice.

You always do.

I got to go.

Incoming MCC.
I'm on it.

- MCC?
- Unhelmeted.

GCS of 4,
intubated on the scene.

He's got
an open-skull fracture.

- Conscious at the scene?
- No.

He has decorticate posturing.
Page neuro now.

Neuro's here.

Let's go. Let's go.

Minnick's method doesn't just
get residents up to speed.

It gets them there faster.

Faster isn't better
unless you're cutting corners

or creating
some kind of factory.

- I'm doing no such thing.
- In your opinion.

You know what?
This stitch that I just did...

No one else does it like this,
and do you know why?

'Cause mark Sloan took the time
to teach me how to do it,

'cause I watched him
and I watched him

and I learned from him,

much in the same way
so many surgeons

have learned from Dr. Webber,
learned from his artistry.

And you're telling me what,
those days are over?

Dr. Webber
makes artists here.

Dr. Minnick
makes robots.

Three-oh silk, please.

Bringing Dr. Minnick here
was not the right call.

Okay, you know what?

To be clear, that particular
decision was made by Bailey.

Isn't that right, Warren?

Let's just leave me out of this.

Even if
Minnick's program was good,

the way you two went about
implementing the entire thing

had zero respect for the history
of this institution,

certainly no respect
for Dr. Webber.

Jackson, that's okay. I mean, are you really
telling me this is good management, mom?

You think this is good
for morale?

Maybe if you hadn't
talked the entire staff

into forming a coup,
you might have listened.

The patient getting
coagulopathic.

Mayo scissors.
And you know what?

You have no clue
about management.

Oh, I almost forgot you got
a new Minion in the deal.

Oh, come on. What is it you want
to learn from my mom exactly...

How to get an entire hospital to
turn against you in a day or...

Jackson, stop it!
Just stop it!

You keep saying,
"I'm an Avery, I'm an Avery,"

but you're not, not in the way
you're trying to be.

A title doesn't mean anything.

It's the person who owns it.

Yes, I took your father's name,
but it's what I did with it.

It's what I made with it.
That's what matters.

You?

You are an outstanding surgeon.

He's too far gone for us to do
anything more tonight.

We should take him to the ICU,
start fresh tomorrow.

- Agreed?
- Yeah.

Those sutures should
control the bleeding,

but he's got a big
open-skull fracture up here.

- Fast exam negative.
- Pupils are sluggish.

I didn't realize you were back.

There's no other
obvious injuries.

I'm gonna need to see
those trauma films.

I just stopped by for,
uh, some stuff.

- Stuff?
- Stuff.

I was shopping, odds and ends.

I needed floss and realized
I had a bunch here.

Then this guy pulled up.

Positive Babinski.

Floss.

Can't sleep without it.

Yeah. I know.

Labs are back.

Trauma... Films are clear.

Thank you, Edwards.

Uh, page someone from neuro,
please.

What? Why?
It's fine. I'm... I'm...

Well, this looks like it's gonna
be an uphill climb,

and if you're not
actually back...

Owen, stop. Edwards,
show me the skull fracture.

I just spent the day
trapped on a case

with my wife
and Jackson and April.

- Yikes.
- Yeah. So, if I may,

I would love to take you up
on your offer, after all,

and stay at your place,
enjoy some good company,

and get a good night's sleep.

Oh, okay.
Uh, t-tonight?

If the offer hasn't expired.

Yeah. Well, I mean, I have
a date now, but I can cancel it.

- Oh, no, no, no, don't. No.
- No, no, I can. I can.

Listen.

I just made it today.

And I-i probably shouldn't
be doing it, anyway,

so I can cancel.

No.
I wouldn't dream of it.

- You go have fun, all right?
- Are you sure?

Yeah. I've got a patient
who's touch-and-go.

I should probably stick around
here, anyway.

So, um, give me the dirt
tomorrow.

Oh.
You're still here.

Still here?

Uh, I got pulled onto a case.

Oh, okay.

Well, sister Agnes
is recovering well.

Her neuro scans are perfect.

- Great job.
- Thanks.

Thank you for coming in
this morning.

No problem.
Thanks, Pierce.

So, you've been here
since morning?

Look at that.

The scans are up and...

Hey. First day back
and pulling an all-nighter.

Ambitious.

What's going on?

Why are you being a jerk?

What?

Alex said you were being a jerk.

Ugh. Of course.
He tattled.

Let me make something
very clear to you.

If you want to get anywhere
with me,

messing with Alex
is not the way.

Do not contradict him
in front of patients.

And please don't speak to him
like he's an idiot.

Back it up. Get...
Get anywhere with you?

- So, you admit it?
- Admit what?

That there's somewhere
to get with you.

Don't change the subject.
I'm talking about Alex.

Karev is pissed because
I'm giving a really sick baby

a chance at a miracle.
He's giving it a band-aid.

Maybe he just wants to
play it safe. I don't know.

But whatever it is,
I really don't care.

- Why don't you care?
- Because I'm right,

and I don't have to
keep justifying...

Forget it.

Wait. Where are you going?
We're having a conversation.

Nah. I'm done.

So, you're just gonna walk away?

Damn right!
I'm a jerk!

But when your father
began to decompensate...

We decided to hit pause,
give him some time to rest

and get stronger
before we continue.

God. Oh, god.

Can we see him?

"We"?
Who is "we"?

Jim.

I meant you guys, obviously.

Can they see him?

That's not really a good idea,
Jim.

He's not out of the woods yet.

I'd really like him to rest
so we can go back in tomorrow.

Right now you guys should
just get some food,

get some rest yourselves.

No.
We aren't going anywhere.

Tell you what...
You guys stay here,

and I'll bring us in some food.

Food?

You're gonna get us food?

You?

Rodney...

Maybe you should go.

Okay.
I'll come back in a bit.

- Just shoot me a text and...
- no.

I know you meant well,
but my father is...

I can't.

It's all I'll ever think about
when I look at you.

Oh.

- Oh, Rodney...
- I think you should just go.

I mean, this guy's got
an epidural hematoma

and diffuse axonal injury.

Surgery may not help,
but we can try, obviously,

even if it is a lost cause.

You've been working,

doing cases?

No.

Were you planning on
seeing me at all today?

No.

So, you're just...
Hiding.

Is today your first time
coming in, or...?

Yes.

I-I-i came in
as a favor to Maggie.

That's it.

The patient's prepped.
We're ready.

You should leave.

We're scrubbing in.

You said it yourself...
It's a lost cause.

Well, page another
trauma surgeon

if you don't want to go in.
I'm going in.

There are no lost causes.

I'm late. I know.

Did I miss the window?

No. No.
I'm good. I'm ready.

Oh, no.

- You're tired.
- Why would you say that?

'Cause you were sleeping
and because I'm tired.

I'm so, so tired.

I'm wiped. Ugh. Residents are
a bottomless pit of questions.

And it's cute, but it's also
unbelievably draining.

I know.

Well, why don't we rest
a minute,

like just for...
Just for a minute?

- Just a minute.
- Okay.

- Then rally.
- Mm-hmm.

One minute.

45 seconds.

Oh, my god.

Oh, my god.

Hello?

Seven.

O.R. 7, if it's available.

What's going on?

I got good news...
Great news.

So, try not to let it piss you off.
Just tell me.

We got a heart for the Endris
baby, a perfect match.

How?
He's not even on the list.

Well, I put him on the list.

Without... without telling me?
Without the parents' consent?

Did you know about this?

Well, I-if he wasn't
on the list...

Karev, this is a good thing,
okay?

All we've got to do now is
have an awkward conversation

with the parents,
and then we save a kid's life.

You're unbelievable.

You know that?

I can talk to the family
with you.

Do you want to be married to me?

Yes.

Then why won't you talk to me?

I'm not ready.

For what?

The fight.

There doesn't have to be one.

There does. We are
on opposite sides of this.

We both want completely
different things.

We can't both have what we want,
so there will be a fight.

And somebody has to win.

Or no one wins.

I'll talk to the family.

Hold on.

This is why you called me all
the way in here at this hour?

He went behind my back.
He lied to me.

Hey, what's going on?
We ready?

Hold on.
Look, I don't trust him.

I don't want him
in the O.R. with me.

Uh, what?

Dr. Karev has
raised a complaint against you.

- Oh, come on!
- He says that you've been...

We had a disagreement about
treatment. That's all.

He would have survived the Norwood.
Or he wouldn't.

Now we don't have to risk
killing him to find out.

Nah. You just killed
some other kid

by directing that heart here.

- Congrats on that.
- All right! All right! Enough.

The only fight here
is to keep this child alive,

to fix his heart.

You won.
You won that battle.

Now finish the freaking war.

You two figure out a way
to work together long enough

to put that heart
into that baby.

Understood?

What happened?

Blood was seeping
out of the vac,

and his pressure was dropping,

so they rushed him up here
to find the bleeder.

- Have lap pads ready.
- Whoa, whoa, whoa. What's...

Got it.
I... Got it.

Sorry.
I was right here, so...

No, no, no. Nice work, Warren.
You go ahead.

Can you see the source
of the bleeding?

Uh, yes, yes, I see it.

It's, uh...
It's in the mesentery.

Debakeys and a right angle,
please.

Should I... Keep going,
sir?

Here.
I'll suction for you.

Really?
The patient's a little unstable.

You don't want to take the lead?

No. I don't think I need to.
I think Warren's got this.

So, why are we even here?

Warren?

Feel like you got this?

Yes, sir.

Two-oh silk, please.

More laps.

You called UNOS behind my back?

I did.

- I thought we were cool.
- We are.

You went behind my back
when I specifically said...

Look, it's like you said.

It's kids.

So, what was that?

Excuse me?

You're just giving in
to this new way of teaching?

I was teaching
a capable resident,

same as I always have,
long before Minnick.

No. No. In there, that was...
That was different.

Look, we can win this thing,
all right?

There are strings
that I can pull, you know?

- I have a voice.
- Jackson, don't do it.

It'll tear you
and your mother apart.

Tear us apart? What about you?
You're her husband.

You don't think this whole thing
is pushing you away?

You don't know the first thing

about my relationship
with your mother.

And you don't know my mother.

I mean, you don't know
this is what she does.

She finds a weakness,
and she exploits it.

And she's gonna fight you.

All the way here, she's gonna
fight and fight...

We fell in love fighting over
this hospital.

We'll be okay.

Yeah, except she's not gonna
stop, all right?

She's gonna fight
until she wins,

no matter the cost.

Don't let her.

Well, your father's
out of surgery.

His recovery is going to be
a long haul,

but he will recover.

Oh, thank god.

I can take you to see him.

What are you doing?

It's just that...
Jim loves dad.

You're kidding, right?

Pam, it was an accident.

Uh, which way?

Ah.

How could you do that?

How can you do this
to somebody you care about?

Jackson, you need to
stop this foolishness.

What?
I just need to know.

I need to know
if business is really

that much more important to you
than family.

This has nothing
to do with family.

Of course it has to do
with family.

Look, I get it, all right?
Business is business.

If you need to fire someone
or replace them, do it.

But if it's someone you love,
you just...

Does that mean nothing to you?

Jackson, you and I
are two very different people.

Yeah, no kidding.

I've never been happier about
that fact in my life.

You have never shown one ounce
of interest in this business.

That's fine. Fine.

Yeah, that's fine because
you have April now, right?

Yeah, 'cause you finally
got that Avery

that you always wished
that I was.

No. No, son.

No. You've always been
your own man.

You've always made your own way.

Nothing could make a parent
more proud than that.

Nothing.

I am so happy with who you are.

I am.

I just wish you were, too.

Saved the baby.

Huh? Excuse me?

The... the baby, the one
that Karev and I were...

Anyway, the kid's alive.

Oh, well, that's great news.

Okay. Now you're the one
being the jerk.

Well, because Alex was right
about you.

Oh, yes, of course,

'cause everybody's
always in your ear,

telling you what to
think about me.

- Maggie...
- nobody tells me what to think.

Okay, good, 'cause I don't want
their opinion, okay?

I care about what you think.

About you? Actually,
I think a lot of things.

No, no, no. No banter.
No more quips.

I'll tell you what I think.

I think about you...

A lot.

Okay? I can't stop.

And I'm telling you I am in...

If you are.

I am in this.

So, I'm just... I'm just gonna
ask you outright.

What do you think?

Actually, don't answer.

Not till you know.

And when you do,
just give me a call.

What time is it?

Did we fall asleep?

I don't know.

I feel rested.

Oh, my god. That's because
it's almost morning.

So, I guess we just, uh,
spent the night together.

Oh, uh...

Uh, sorry. Sorry.

War isn't civil.

You pick sides and defend them.

You attack.

You hurt people.

You get hurt.

How was it today?

Bad as you thought it would be?

Kind of.

We need to talk.

We have to, but...

No, you don't.

At least, not tonight.

You weren't even supposed to
be here today. Come on.

You fight...

And you fight, and you fight.

To what end?

Come home.

What are we fighting for?

Just get a good night's sleep.

I never wanted to come between
the two of you...

You and Jackson.

I never wanted that.

I know.

When is it time to just quit
all this nonsense...

Well...

and simply surrender?

That is one nasty throat tumor.

Ugh, god.

En bloc resection?

Maybe. Maybe.

Got a patient up at the, uh,
Avery hospital in Montana.

I might have to go out there
for a consult.

Huh.

"Huh" what?

I'm going to an Avery hospital.

Now you're going to
an Avery hospital.

Oh, come on. Really?

Yeah. It's not that.

Are you... are you jealous?
Is that it?

Jealous of my mom
manipulating you? No.

Oh, stop.

I'm not some puppet.

I have my own brain.

I have my own opinions.

Working with your mom
and the foundation...

It's full of opportunities
for me.

And I get that you never wanted
that, and that's fine.

But she sees something in me.

All right, I'm going to bed.

What is going on with you?

Nothing's going on with me.
Just leave it alone.

Jackson, I...

It's not your business.

Good night.

What are you looking for?

It's right here.

Well, damn.

13 seasons

of fun.

Gimme, gimme, gimme.

13 seasons of drama.

This act

was a felony.

It was nice knowing you.

Shut up.

13 seasons of twisty turns...

It's bad.

You're falling for me.

I slept with him.

Like only "Grey's" can deliver.

Damn right.

"Grey's Anatomy."

Thursdays on ABC.

Congratulations.

You've each been chosen for my
very first criminal-law clinic.

In here,
you're not just students

but actual practicing lawyers.

You finally get to be me.

Thursdays on ABC...

At least they chose
a good photo.

Brace yourself for a mystery
so killer...

This could destroy us all.

Not everyone is gonna
make it out alive.

No!

"How to Get Away with Murder."

Thursdays, 10:00, 9:00 central

on ABC.