Grey's Anatomy (2005–…): Season 13, Episode 17 - 'Till I Hear It from You - full transcript
Diane Pierce returns to Grey Sloan while Owen and Amelia collaborate on a trauma case.
Previously on
"Grey's Anatomy"...
Oh, uh...
Um... Sorry.
Mom!
What are you doing here?
What's going on?
Are you okay?
Just a little consult.
Breast cancer?
I'm so sorry.
Would you like me
to grab Maggie for you?
Oh, no.
I had a baby.
Had?
He lived for 43 minutes
without a brain.
And it almost killed me.
Tell you not to come home?
I cannot keep doing this.
Doing what? I'm not... I
don't want to have a baby!
I think about you a lot,
and I'm telling you, I am in...
If you are.
What do you think?
Keep it moving, folks.
Come on.
Move along, please.
So, he says to me
that when I figure it out,
I should give him a call.
I mean, who says that?
She found her mom
in baggage claim.
Anyway, he's an arrogant ass.
And Maggie has terrible taste
in men.
I don't like the guy.
I mean, the sex is great.
Maybe I shouldn't be picky
about great sex.
You should be picky about sex.
You're hot.
Well, you have to say that
because I let you
eat my food
and live in my house.
Yes, but it's still true.
Thank you.
There she is.
Stuff comes apart.
An eggshell is never gonna come
back together.
A window will never unbreak.
30 seconds in,
she's talking about her boobs.
That's what's on her mind...
Her boob job, her boobs,
which are perfectly fine,
by the way.
You know what?
When she gets in the car,
you look at them,
and you tell me
that they're not perfect.
I'm not gonna check out
your mom's boobs.
It's called the
second law of thermodynamics.
It's also called life.
Oh, it's good to see you,
Meredith.
Hi. It's good to see you.
And, um, Alex, right?
What did you tell them?
What?!
I'm not the one
getting the ginormous boobs!
Stuff rarely comes together.
But it'll always come apart.
Wait. You're saying
that you don't have the budget
for dozens of babies and
their tiny beating baby hearts?
Don't. Unh-unh. No.
Every time you want something,
you say,
"but the tiny babies.
The teeny, tiny babies."
But you are the doctor
who cried, "tiny baby."
Dr. Webber, you tell her.
Robbins wants new
wireless fetal monitors,
when the ones we have are...
It's not my concern.
Well, damn.
It's not you, it's me.
I pissed him off, too.
Not like I did.
Yeah, a little bit like you did.
What did you do?
I have a patient.
D...
Hello.
Incoming!
Deluca! Incoming.
Eta less than a minute.
I didn't know you were back.
They said
one of the patients had syncope.
You'll need a neuro consult.
I just meant, how are you doing?
It's nice to be working.
But it's, uh...
But it's gonna be a busy day.
I'm hoping this will be
quick and easy.
Elsie Clatch, 95,
fainted while hiking,
but now G.C.S. is 15,
vitals are stable.
Gently, gently.
She's been injured.
Please, Lewis, all this fuss.
Hiking? How do you
think I made it to 95?
Alert and oriented times three.
Sir, did you injure your wrist?
Uh, no, it's fine.
He fell, too.
He wouldn't let go of my hand.
No reason to take a chance, sir.
Let's go.
Her syncopal episode lasted
at least 60 seconds.
Oh, it sounds like
you've been watching a lot
of medical shows, sir.
He's not gonna like that.
I'm a cardiothoracic surgeon.
1, 2, 3.
Don't be pompous.
You were a surgeon.
So was I.
They're surgeons now.
She'll need a head C.T.
Still, we'd like to rule out
other injuries.
Oh, it's nothing.
I-I just got
a little lightheaded.
You don't know it's nothing.
I know as much as you do.
I fell down.
I'm old. I'm allowed.
You'll need an EKG
and labs with cardiac enzymes.
You heard the man.
Hey.
Hi.
Pierce asked if she could
discharge the triple-a
that you guys were working on
if you didn't have
any objections.
Nope, not at all.
Great.
So, did you have a chance
to think about it?
Oh, no.
I don't need to think about it.
You can discharge him.
No, no, no.
I mean, uh,
the thing that I said
about how I think about you.
No, I haven't thought about it.
I-I-I...
I have three kids...
And a job.
I'm a surgeon.
Right.
Take your time.
How are you feeling?
I'm... I'm good.
Just a little tired.
Yeah.
Chemo's not my idea
of a great time.
Sure.
Well,
I spoke with your oncologist.
She gave me a full report,
and the chemo's been working.
Your repeat scans came back,
and they show a good response.
You are her star patient.
Ooh, and the prize is
a mastectomy.
Your reconstruction is gonna go perfectly.
It'll be my best work.
Today, we just focus on getting
your pre-op taking care of,
and we get our oncologist
up to speed.
Did you want, um...
Maggie here before we continue?
Um... Diane, you
didn't tell her yet?
It's too much stress.
Which is exactly why
she needs to know,
because it's gonna be
stressful enough for you.
We're already fighting today.
No, as your doctor,
I can't, in good confidence,
continue to let this go on,
all right?
It's bad for you both.
It's bad for everyone.
Well, just not yet.
When?
Our surgery is tomorrow.
After.
I can just have the surgery
and tell her then,
and I can tell her
that I had cancer
and not that I have it.
That's not the best idea.
It's how I want to do it.
Is that understood?
So, did Dr. Avery answer
all your questions?
He sure did.
So you discussed everything?
Even size?
We discussed everything
I needed to discuss.
So what did you decide,
size-wise?
I just want to be prepared,
you know?
I've been hugging
the same person
for the last 30 years, you know?
This is a big...
Maggie.
This is a big renovation.
Maggie.
I-I don't want
to discuss this with you.
Just... Leave it alone.
Fine.
Well, I hope you'll enjoy being
a nice, self-involved,
lonely person
with an incredible rack.
Pretty straightforward
modified rad.
I'll remove the breast tissue,
then do a lymph node dissection,
and leave you
to the reconstruction.
Sounds great.
Need something?
Yeah, I'm on your service today.
No, you're not.
I didn't request a resident.
Dr. Minnick
assigned me to you.
All right, I will, um...
I'll talk to Dr. Minnick
after I finish up here,
but no, thanks.
I don't need anyone.
Okay, sorry.
You all set?
Yeah, I'll see you tomorrow.
Thanks very much.
This is Diane Pierce?
No, no, no. Do not look at that.
You're not on this case.
Is this Maggie's mother?
- Wilson, please.
- Jackson!
Hey.
What the hell?
Why am I locked out
of my mother's file?
I'm a doctor.
Yes, well,
she requested privacy.
I'm her daughter.
She can't handle the fact
that I might have an opinion
about her boob job.
She's anxious because
she's going into surgery.
Now you're telling me
how my mom feels, Jackson?
What is going on here?
Level with me.
You saw what happened
the last time she was here.
And I thought
we could actually fix it.
I wanted to talk
and actually try,
but she has been shutting me out
from moment one.
Why is she doing this?
You know, I really...
I really couldn't say.
Is she embarrassed
about the boob job?
Then why is she getting it?
She's scared...
About her surgery.
I mean, she needs support.
She needs your support.
So I'm awful,
is what you're saying.
It's...
You know that's not what I mean.
Okay. I'll try.
I will leave it alone.
I will try.
Thank you.
Just tell me,
are they gonna be huge-huge?
Maggie, please.
Just trust me.
Okay, thank you.
Wow.
No, no, no. Don't.
I don't need to remind you
of HIPAA, right?
Okay, nothing to be discussed.
Right. Sorry.
Well, you know now.
So I guess I can use you.
Only if you can...
I-i can.
All right.
Then go ahead. Get prepped.
Close the door, please.
We do this hike every other day.
I don't know
why today I got so wonky.
Squeeze my fingers, Elsie?
Hard as you can?
Very good.
I'm sorry.
Are you the Dr. Clatch?
Uh...
I'm one of two, yeah.
You... you are.
Uh-huh.
You worked with Dr. raven.
Uh, geez, don't remind me.
You helped develop the
cardiopulmonary bypass machine.
The man was
a blowhard and a grabass.
That is true.
Right.
So, were you there
when he first connected a child
to his mother's circulation?
Okay, let's all focus, please.
Was I there?
Yeah.
I did most of it.
Deluca, take her to C.T. and page
me when she's done. All right.
Dr. Clatch,
I'll be happy to show you
where you can wait, okay?
No, you will not.
I'm gonna stay with my wife.
Oh, stop.
You don't know brains.
I know enough!
Dr. Clatch?
Okay, follow me.
Huh? Yeah.
Would you page me when
her studies are back, please?
Hey.
Just stop it.
Stop what?
Pretending like we're doctors.
We are doctors.
I'm your husband!
You can't hide
in plain sight from me
and... Ignore the fact
that we haven't talked,
and that we have things...
I'm at work. We are working.
You're trying to act
like nothing happened!
You ran out on me.
You ran away from home!
From your husband.
You're married.
We got married!
I know!
We took vows...
For better or for worse.
Amelia, you
Running out, acting this way is
not how a marriage works.
So I need you to tell me
right now.
Are you ever coming home
so we can work this out...
Or not?
Perfect.
You need to decide
what you want.
Because I know.
I know what I want.
And at some point...
You need
to figure that out, too.
Just pull it together.
So, you weren't into the idea
of her being a surgeon at first?
I was.
Oh, he wasn't!
I was halfway
through my residency,
and Lewis said to me,
"Elsie, this surgeon business"
is not making you any friends.
"You need to think
of something else to do."
I was trying
to take care of you!
But you didn't, did you?
I did not.
Good. Because you
knew what you wanted.
Oh!
This one gets it.
Well, it was
a different time back then.
It was. It was.
All right, let's give
the Clatches some air.
They are not here
for your entertainment, guys.
Time to go.
Oh, let them stay.
How else they gonna learn?
They have a lot of work to do.
This is a teaching hospital,
right?
So teach them.
It's all right.
Come on back.
I can see by your faces
that the news is bad.
So just tell me how bad.
You have a brain bleed.
A loculated acute
on chronic subdural hematoma.
Oh, god.
Elsie, the bleed is only
gonna keep increasing.
It could become catastrophic
at any time now.
Now, I-i could do a craniotomy
and decompress the hematoma.
With a chance it would give me
some more time?
Yes, but Dr. Shepherd doesn't
think that's a good idea.
She didn't say that.
Didn't say, "I want to"
or "I need to."
She said, "I could."
That's what we tell our patients
when we don't want
to give them nothing.
I'm sorry, kids.
Lesson's over.
Got it, folks? Okay?
Hey.
How's it going?
Boobs.
Oh!
You have to let that go.
My mother wants
basketball boobs.
You let it go.
Mom boobs again?
It doesn't stop.
What reason does she have
to defile her body that way?
Are you sure
you want to know that?
My mother wouldn't let me
Pierce my ears until I was 10.
She told me that masturbating
made Jesus cry.
She said that nail Polish
was for prostitutes.
That woman wants stripper boobs?
Yes, I want a reason.
Her reasons...
Are for sex.
Why would you say that?
Okay, well,
maybe she just wants her, um...
Shirts to fit better.
Okay, now, Th...
That's almost understandable.
To get more sex.
I am asking you guys for advice.
Okay, okay.
Sorry, sorry, sorry, okay.
Okay, tell me again.
Am I just...
Supposed to accept
that this horrifying thing
is happening?
Am I just supposed
to get on board... fold?
Make a decision
to support my g-cup mom?
No, you're right.
You do need a reason.
I do!
She can't expect you
to just blindly jump on board.
You should demand a reason.
That is bad advice.
It is?
She doesn't owe you
an explanation,
and you don't have a right
to tell her what to do
with her boobs.
No, I'm... I'm not...
It's her body.
It's her boobs.
She doesn't have to justify
her decision to anyone.
I mean, don't come at her
demanding anything.
Just...
Give her some support.
I want to know
what you did to Richard Webber.
Nothing.
Ooh, it was bad.
Really bad?
Okay, shh!
I kissed Eliza Minnick,
and he caught me.
Mnh-mnh, mnh-mnh.
Mnh-mnh, what?
I get why he's mad at you.
That was way worse
than what I did.
How is that worse?
You gave away his job.
And you put your mouth
on the person who took it.
See,
mine was a business decision.
You made it personal.
That doesn't even make sense.
I mean, listen.
This it has nothing
to do with him.
Bros before potential
love interests.
I wouldn't talk to you, either.
That's unprofessional,
disappointing.
You know what?
You just feel guilty.
You know that you did wrong,
and you're just trying
to make yourself feel better.
Whatever helps you sleep
at night.
Mm-hmm.
Lewis, let her talk.
I...
I've heard all I need, Els.
A successful surgery would
definitely buy you more time.
But as you know,
the amount of shift,
combined with your age
and aspirin usage
are bad prognostic signs.
Surgery holds higher risk
for you,
much higher.
So it's settled.
No surgery.
Nothing is settled.
But she just said...
I know,
but if we don't do anything,
I'm gonna go anyway.
Well, that's better than me
walking out of here
alone tonight.
Will you listen to me?
You're not getting this surgery.
Will you excuse me, Lewis?
El...
But I would like
to talk to my doctor alone.
Dr. Clatch,
how about we go
get a cup of coffee?
Okay.
Now, you were saying.
Elsie will talk her
into a surgery.
She's stubborn.
I need to talk
to that gal's boss right away.
He needs to back her up.
She is the head
of the neuro department.
She is the boss,
and she's stubborn as hell, too.
Dr. Clatch,
I know Dr. Shepherd very well,
and you can trust her.
She's not gonna be talked
into anything
that she doesn't want to do,
okay?
Okay, come on.
Come on.
Dr. Clatch...
I worry you won't survive
the surgery.
Based on your age alone...
It could kill you.
Or it could give me more time.
I need more time.
I need time to help him learn
how to be alone.
I also want more time with him.
Do you believe
60 years is not enough?
I can take no for an answer.
Don't.
I prefer it, actually,
to no answer.
Why do you always have
to do that?
Why do you always have
to make a joke of everything?
Are you serious, or aren't you?
Of course I am.
Because I'm not joking.
This isn't funny to me.
You know, you keep pushing me,
but you're not giving me
anything to go on.
Oh, man.
We have been going around and
around with this for months.
I feel like I don't know you.
And everybody that I know
that knows you...
They don't like you.
And you just keep making jokes
like somehow
that doesn't matter to me.
That's not true.
This isn't up to me
to make a choice.
It's up to you
to give me a reason.
Wow. Okay.
You want a reason?
Yes.
Okay, there...
There are all sorts of reasons
to like me... Actually.
Name one.
I have to go.
I thought
you weren't doing the surgery.
I never said that.
You said
you thought it was a bad idea,
and I practically assured Lewis
that you wouldn't.
Why would you do that?
She's my patient.
I thought you made a decision
or at least consult with him
before you changed your mind.
Okay, enough!
Stop it, Owen!
No more!
All your pre-op tests
came back looking terrific,
so just two more things
before we get you home
for some much needed rest, okay?
Number one...
No eating after midnight, right?
Okay.
And number two...
We are gonna tell Maggie.
Oh, no.
I told you, uh...
After the surgery,
after the cancer is out. I'm
not gonna perform the surgery,
Diane, unless we tell Maggie.
You can't do that. Of course I can.
I'm your doctor.
But it's not your business.
And it would be an irresponsible
course of treatment.
Okay, Maggie is
your only support system here.
I-I'll just
get another doctor, then.
No, you won't.
She told you I was the best
'cause I am.
You trusted her then,
and you trust her now.
I understand.
It's okay to be afraid.
You don't have to be afraid
for Maggie.
She's not scared of cancer.
She would just want
to fight this with you.
Let her be there for you.
I should've told her months ago.
It's not too late.
It's too late.
Mom?
You ready to go home?
Maggie... Sweetheart...
Mom, it's fine.
Good luck tomorrow.
I hope that your implants
are everything
that you want them to be.
I'm not getting implants.
Mom, it's fine.
I have breast cancer.
I have breast cancer,
and they're doing a mastectomy
tomorrow.
What are you talking about?
What is she talking about?
Here.
Come here, honey.
Let...
She really said that?
"I need more time with him"?
That's what she said.
Deluca, suction there.
60 years of marriage.
Wow.
- That's...
- It's never enough time.
If it's 60 years
or it's 6 weeks.
It's never gonna be enough.
Well, these people
are an anomaly.
What?
You're saying two people
can't have a long
and happy marriage?
I'm saying maybe this is an
unrealistic ideal of marriage.
60 years of good, bad, and ugly.
That's... Everything.
What's wrong with wanting that?
Nothing.
There's nothing wrong
with wanting that, Deluca.
Scissors.
Well, Webber's pissed.
And, honestly,
he's got a right to be.
When does it end, though?
It doesn't solve anything,
for him to walk around,
scowling at me.
When does
the cold shoulder stop?
It will.
He'll come around.
Oh, uh, Shepherd's
decompressing the hematoma.
Fingers crossed.
Mm.
60 damn years.
Right?
You have it in you?
Hey, when I said "I do,"
I meant I do.
Even though I know what you're
gonna be like in 60 years.
And what am I going to be like,
Dr. Warren?
Bossy.
You'll be retired
and jonesing for the days
when you ran a whole hospital,
bossing me around,
and tuck and tuck's poor wife.
Oh, lord help that woman.
Oh, like you're gonna be
some walk in the park.
Me?
Gonna be distinguished
with a little touch of gray.
And one of those guys
that tells the same stories
over and over
and exaggerates it every time.
"And then I sliced a woman open
on the kitchen table
during a rainstorm."
You have it in you?
If the stories come
with foot rubs.
Deal.
Saturation levels have remained
the same all night.
She's stubborn...
But she's right, as usual.
60 years...
Not many couples last that long.
You want to know the secret?
Everyone wants
to know the secret.
I'll take it if you have one.
There isn't one.
Just stay married to her,
I guess.
I would never have had
the life I did without her.
So I just stay married to her.
If there's something else,
some other secret...
Well,
she's the one who knows it.
I don't know a damn thing.
'Cause you never stop yapping.
Oh, Elsie!
No more.
No more locking me out
of my mother's chart.
I want to know
anything and everything.
I want to be CC'd
on every chart,
every post-op report,
every test...
No secrets.
I did want to tell you,
you know.
How could you let me
talk to her like that?
You could've stopped me.
What is wrong with you?
We're supposed to be friends.
Why didn't you just tell me?
Why didn't you just tell me?!
I am your friend...
Maggie, but I'm also her doctor.
Go fix her.
I want two-hour neuro checks
and call me immediately
for any signs of increased ICP.
Got it.
Nice job.
Thanks.
I know I was against it,
but it looks like
you were right.
I think you gave that couple
more time together.
I don't care...
What you think.
Amelia, stop.
You don't have any right
to an opinion.
And you certainly don't have
the right to bully me.
Bully you?
You don't have the right
to give me ultimatums
about when to come home and
make up my mind. Okay.
For better or for worse...
That's what you said.
Well, guess what.
This is the "for worse"!
And you don't have the right
to just decide
that I don't have myself
together, okay?
You... you don't make me the one
who is wrong.
I am tired of being
the messed-up one, okay,
because I'm not.
You are at least
as messed up as me.
You disappeared!
You are suffocating me!
That is unfair.
Really?
I would love to ask Christina
how suffocated she felt by you,
by your needs,
by your idea of a baby,
by what you want.
All right! Stop!
Not here.
I only wanted the same thing
you said you wanted.
You told me... okay, why
do you even want a baby?
Have you asked yourself that?
What? Why do I want a baby?
Yes, yes.
What do you need
that you don't have
that you think a baby
is going to bring you?
I want a family.
You have one!
You and me...
That makes one.
What else?
W-w-what do you need?
I mean, it's normal to want...
No, you don't get to call
what is normal!
You don't know.
You want a dream, Owen.
And when you have a child...
You might not get to have
what you asked for.
You get what you are given.
And it might be wonderful.
And it might be painful,
and it might be both.
I know you're scared, but...
Amelia,
I think you'd be an amazing mom.
I was already
an amazing mom, Owen.
For better and for worse.
Are you here for that?
Are you here for that?
Or do we just play
by your rules,
by your "normal" rules?
'Cause that's not life.
It's not a marriage.
Not one that's gonna last.
How we doing?
Feeling better?
A little more...
16:22.
I'm sorry?
16:22...
The time of her death.
For when you want
to put it down.
I looked.
Okay, all right.
Got it.
I think that we should talk
about what you saw
with Eliza and I.
Arizona...
You've always had
an active love life.
If I worried about
who you've been kissing on,
it would leave me little time
for anything else.
Okay, you're mad,
and you didn't mean that.
Yes, I did.
No, I didn't.
Damn it.
This is what I've turned into.
I've become this person who
takes sides and counts votes.
It's ugly, and it's bitter,
and it's small.
This is what Bailey's done here.
I'm... I'm so sorry.
You said you were with me,
Robbins.
I believed you.
I was.
I am.
I j...
I just didn't expect
to feel this way, okay?
I-I-i didn't try to.
Okay, you know what?
I need some time, okay?
I'll...
I'll come around, but...
I need some damn time.
Take all the time you need.
Well, I can call the morgue,
and I can finish her paperwork.
Hey.
Hey, look, she was 95.
Okay, you were right.
They had way more time
than most.
They wanted more.
She wanted more.
That was the only reason
to do the surgery.
And we took away
what little time they had.
Shepherd said her co-morbidities
made it unlikely that she'd...
Why do we do it?
Why do we do any of it?
Why...
If we can't do
what we say we were gonna do,
then...
If we actually have no control,
then how dare we tell them
we can, you know?
It...
I think I'm in love with Jo.
I m-might be.
I...
I'm pretty sure.
Stop talking.
Stop talking.
I want more.
Hey.
Go away.
I'm sorry.
Go away.
Hey.
No.
It's okay.
I don't have a good reason.
I tried to come up with one.
So then I thought,
"well, why do I like her?"
And I don't know.
From the first time I saw you,
you were at the O.R. board.
You were talking with Pierce,
and she said something
that made you laugh,
and... I couldn't move.
And then I had to wait for you
to write your name on the board
because... I just needed to know
who you were.
So, I d... I don't have
a good reason
for you to like me.
I didn't even try to like you.
I didn't want to.
And I certainly don't want
to have to think about you
all the time,
trying to come in early,
see your name on the board,
come up with that one thing
that's gonna make you smile
so your eyes
do that thing they do.
Anyway, uh...
So that's why I joke so much
and to keep from having to say
anything like this.
So, I don't have a good reason.
I'm sorry.
I wish I did.
Okay, so you should ask me
out to dinner.
Do you want to go out to dinner?
Yes.
Dr. Grey,
Dr. Pierce needs you.
Okay. Sorry.
So, another signature here.
Um... Do you know what
funeral home you want yet?
No,
o-our church might know.
Do I have
to fill all this out now?
Can I do this in the morning?
Of course you can.
Everything can wait until tomorrow.
Okay.
Is there anything else
I can do for you?
Well...
I-i don't have a car.
Elsie and I
came in an ambulance.
Well, let me call you a cab.
No, it's... it's fine.
Just... Tell me
where I can get one.
I'm...
I'm all turned around.
Well, just go out here,
turn right, and at the corner.
But, Dr. Clatch,
please, let me just get you a...
No, I...
I have to figure things out
for myself now.
I-I... okay.
Thank you.
Here.
That's for you.
Thank you.
Everything comes apart
at some point.
We all will.
It's the law.
It's what we were designed
to do.
My mom is really sick.
We have to face it
and accept it...
and try to hold it together...
for as long as we can.
"Grey's Anatomy"...
Oh, uh...
Um... Sorry.
Mom!
What are you doing here?
What's going on?
Are you okay?
Just a little consult.
Breast cancer?
I'm so sorry.
Would you like me
to grab Maggie for you?
Oh, no.
I had a baby.
Had?
He lived for 43 minutes
without a brain.
And it almost killed me.
Tell you not to come home?
I cannot keep doing this.
Doing what? I'm not... I
don't want to have a baby!
I think about you a lot,
and I'm telling you, I am in...
If you are.
What do you think?
Keep it moving, folks.
Come on.
Move along, please.
So, he says to me
that when I figure it out,
I should give him a call.
I mean, who says that?
She found her mom
in baggage claim.
Anyway, he's an arrogant ass.
And Maggie has terrible taste
in men.
I don't like the guy.
I mean, the sex is great.
Maybe I shouldn't be picky
about great sex.
You should be picky about sex.
You're hot.
Well, you have to say that
because I let you
eat my food
and live in my house.
Yes, but it's still true.
Thank you.
There she is.
Stuff comes apart.
An eggshell is never gonna come
back together.
A window will never unbreak.
30 seconds in,
she's talking about her boobs.
That's what's on her mind...
Her boob job, her boobs,
which are perfectly fine,
by the way.
You know what?
When she gets in the car,
you look at them,
and you tell me
that they're not perfect.
I'm not gonna check out
your mom's boobs.
It's called the
second law of thermodynamics.
It's also called life.
Oh, it's good to see you,
Meredith.
Hi. It's good to see you.
And, um, Alex, right?
What did you tell them?
What?!
I'm not the one
getting the ginormous boobs!
Stuff rarely comes together.
But it'll always come apart.
Wait. You're saying
that you don't have the budget
for dozens of babies and
their tiny beating baby hearts?
Don't. Unh-unh. No.
Every time you want something,
you say,
"but the tiny babies.
The teeny, tiny babies."
But you are the doctor
who cried, "tiny baby."
Dr. Webber, you tell her.
Robbins wants new
wireless fetal monitors,
when the ones we have are...
It's not my concern.
Well, damn.
It's not you, it's me.
I pissed him off, too.
Not like I did.
Yeah, a little bit like you did.
What did you do?
I have a patient.
D...
Hello.
Incoming!
Deluca! Incoming.
Eta less than a minute.
I didn't know you were back.
They said
one of the patients had syncope.
You'll need a neuro consult.
I just meant, how are you doing?
It's nice to be working.
But it's, uh...
But it's gonna be a busy day.
I'm hoping this will be
quick and easy.
Elsie Clatch, 95,
fainted while hiking,
but now G.C.S. is 15,
vitals are stable.
Gently, gently.
She's been injured.
Please, Lewis, all this fuss.
Hiking? How do you
think I made it to 95?
Alert and oriented times three.
Sir, did you injure your wrist?
Uh, no, it's fine.
He fell, too.
He wouldn't let go of my hand.
No reason to take a chance, sir.
Let's go.
Her syncopal episode lasted
at least 60 seconds.
Oh, it sounds like
you've been watching a lot
of medical shows, sir.
He's not gonna like that.
I'm a cardiothoracic surgeon.
1, 2, 3.
Don't be pompous.
You were a surgeon.
So was I.
They're surgeons now.
She'll need a head C.T.
Still, we'd like to rule out
other injuries.
Oh, it's nothing.
I-I just got
a little lightheaded.
You don't know it's nothing.
I know as much as you do.
I fell down.
I'm old. I'm allowed.
You'll need an EKG
and labs with cardiac enzymes.
You heard the man.
Hey.
Hi.
Pierce asked if she could
discharge the triple-a
that you guys were working on
if you didn't have
any objections.
Nope, not at all.
Great.
So, did you have a chance
to think about it?
Oh, no.
I don't need to think about it.
You can discharge him.
No, no, no.
I mean, uh,
the thing that I said
about how I think about you.
No, I haven't thought about it.
I-I-I...
I have three kids...
And a job.
I'm a surgeon.
Right.
Take your time.
How are you feeling?
I'm... I'm good.
Just a little tired.
Yeah.
Chemo's not my idea
of a great time.
Sure.
Well,
I spoke with your oncologist.
She gave me a full report,
and the chemo's been working.
Your repeat scans came back,
and they show a good response.
You are her star patient.
Ooh, and the prize is
a mastectomy.
Your reconstruction is gonna go perfectly.
It'll be my best work.
Today, we just focus on getting
your pre-op taking care of,
and we get our oncologist
up to speed.
Did you want, um...
Maggie here before we continue?
Um... Diane, you
didn't tell her yet?
It's too much stress.
Which is exactly why
she needs to know,
because it's gonna be
stressful enough for you.
We're already fighting today.
No, as your doctor,
I can't, in good confidence,
continue to let this go on,
all right?
It's bad for you both.
It's bad for everyone.
Well, just not yet.
When?
Our surgery is tomorrow.
After.
I can just have the surgery
and tell her then,
and I can tell her
that I had cancer
and not that I have it.
That's not the best idea.
It's how I want to do it.
Is that understood?
So, did Dr. Avery answer
all your questions?
He sure did.
So you discussed everything?
Even size?
We discussed everything
I needed to discuss.
So what did you decide,
size-wise?
I just want to be prepared,
you know?
I've been hugging
the same person
for the last 30 years, you know?
This is a big...
Maggie.
This is a big renovation.
Maggie.
I-I don't want
to discuss this with you.
Just... Leave it alone.
Fine.
Well, I hope you'll enjoy being
a nice, self-involved,
lonely person
with an incredible rack.
Pretty straightforward
modified rad.
I'll remove the breast tissue,
then do a lymph node dissection,
and leave you
to the reconstruction.
Sounds great.
Need something?
Yeah, I'm on your service today.
No, you're not.
I didn't request a resident.
Dr. Minnick
assigned me to you.
All right, I will, um...
I'll talk to Dr. Minnick
after I finish up here,
but no, thanks.
I don't need anyone.
Okay, sorry.
You all set?
Yeah, I'll see you tomorrow.
Thanks very much.
This is Diane Pierce?
No, no, no. Do not look at that.
You're not on this case.
Is this Maggie's mother?
- Wilson, please.
- Jackson!
Hey.
What the hell?
Why am I locked out
of my mother's file?
I'm a doctor.
Yes, well,
she requested privacy.
I'm her daughter.
She can't handle the fact
that I might have an opinion
about her boob job.
She's anxious because
she's going into surgery.
Now you're telling me
how my mom feels, Jackson?
What is going on here?
Level with me.
You saw what happened
the last time she was here.
And I thought
we could actually fix it.
I wanted to talk
and actually try,
but she has been shutting me out
from moment one.
Why is she doing this?
You know, I really...
I really couldn't say.
Is she embarrassed
about the boob job?
Then why is she getting it?
She's scared...
About her surgery.
I mean, she needs support.
She needs your support.
So I'm awful,
is what you're saying.
It's...
You know that's not what I mean.
Okay. I'll try.
I will leave it alone.
I will try.
Thank you.
Just tell me,
are they gonna be huge-huge?
Maggie, please.
Just trust me.
Okay, thank you.
Wow.
No, no, no. Don't.
I don't need to remind you
of HIPAA, right?
Okay, nothing to be discussed.
Right. Sorry.
Well, you know now.
So I guess I can use you.
Only if you can...
I-i can.
All right.
Then go ahead. Get prepped.
Close the door, please.
We do this hike every other day.
I don't know
why today I got so wonky.
Squeeze my fingers, Elsie?
Hard as you can?
Very good.
I'm sorry.
Are you the Dr. Clatch?
Uh...
I'm one of two, yeah.
You... you are.
Uh-huh.
You worked with Dr. raven.
Uh, geez, don't remind me.
You helped develop the
cardiopulmonary bypass machine.
The man was
a blowhard and a grabass.
That is true.
Right.
So, were you there
when he first connected a child
to his mother's circulation?
Okay, let's all focus, please.
Was I there?
Yeah.
I did most of it.
Deluca, take her to C.T. and page
me when she's done. All right.
Dr. Clatch,
I'll be happy to show you
where you can wait, okay?
No, you will not.
I'm gonna stay with my wife.
Oh, stop.
You don't know brains.
I know enough!
Dr. Clatch?
Okay, follow me.
Huh? Yeah.
Would you page me when
her studies are back, please?
Hey.
Just stop it.
Stop what?
Pretending like we're doctors.
We are doctors.
I'm your husband!
You can't hide
in plain sight from me
and... Ignore the fact
that we haven't talked,
and that we have things...
I'm at work. We are working.
You're trying to act
like nothing happened!
You ran out on me.
You ran away from home!
From your husband.
You're married.
We got married!
I know!
We took vows...
For better or for worse.
Amelia, you
Running out, acting this way is
not how a marriage works.
So I need you to tell me
right now.
Are you ever coming home
so we can work this out...
Or not?
Perfect.
You need to decide
what you want.
Because I know.
I know what I want.
And at some point...
You need
to figure that out, too.
Just pull it together.
So, you weren't into the idea
of her being a surgeon at first?
I was.
Oh, he wasn't!
I was halfway
through my residency,
and Lewis said to me,
"Elsie, this surgeon business"
is not making you any friends.
"You need to think
of something else to do."
I was trying
to take care of you!
But you didn't, did you?
I did not.
Good. Because you
knew what you wanted.
Oh!
This one gets it.
Well, it was
a different time back then.
It was. It was.
All right, let's give
the Clatches some air.
They are not here
for your entertainment, guys.
Time to go.
Oh, let them stay.
How else they gonna learn?
They have a lot of work to do.
This is a teaching hospital,
right?
So teach them.
It's all right.
Come on back.
I can see by your faces
that the news is bad.
So just tell me how bad.
You have a brain bleed.
A loculated acute
on chronic subdural hematoma.
Oh, god.
Elsie, the bleed is only
gonna keep increasing.
It could become catastrophic
at any time now.
Now, I-i could do a craniotomy
and decompress the hematoma.
With a chance it would give me
some more time?
Yes, but Dr. Shepherd doesn't
think that's a good idea.
She didn't say that.
Didn't say, "I want to"
or "I need to."
She said, "I could."
That's what we tell our patients
when we don't want
to give them nothing.
I'm sorry, kids.
Lesson's over.
Got it, folks? Okay?
Hey.
How's it going?
Boobs.
Oh!
You have to let that go.
My mother wants
basketball boobs.
You let it go.
Mom boobs again?
It doesn't stop.
What reason does she have
to defile her body that way?
Are you sure
you want to know that?
My mother wouldn't let me
Pierce my ears until I was 10.
She told me that masturbating
made Jesus cry.
She said that nail Polish
was for prostitutes.
That woman wants stripper boobs?
Yes, I want a reason.
Her reasons...
Are for sex.
Why would you say that?
Okay, well,
maybe she just wants her, um...
Shirts to fit better.
Okay, now, Th...
That's almost understandable.
To get more sex.
I am asking you guys for advice.
Okay, okay.
Sorry, sorry, sorry, okay.
Okay, tell me again.
Am I just...
Supposed to accept
that this horrifying thing
is happening?
Am I just supposed
to get on board... fold?
Make a decision
to support my g-cup mom?
No, you're right.
You do need a reason.
I do!
She can't expect you
to just blindly jump on board.
You should demand a reason.
That is bad advice.
It is?
She doesn't owe you
an explanation,
and you don't have a right
to tell her what to do
with her boobs.
No, I'm... I'm not...
It's her body.
It's her boobs.
She doesn't have to justify
her decision to anyone.
I mean, don't come at her
demanding anything.
Just...
Give her some support.
I want to know
what you did to Richard Webber.
Nothing.
Ooh, it was bad.
Really bad?
Okay, shh!
I kissed Eliza Minnick,
and he caught me.
Mnh-mnh, mnh-mnh.
Mnh-mnh, what?
I get why he's mad at you.
That was way worse
than what I did.
How is that worse?
You gave away his job.
And you put your mouth
on the person who took it.
See,
mine was a business decision.
You made it personal.
That doesn't even make sense.
I mean, listen.
This it has nothing
to do with him.
Bros before potential
love interests.
I wouldn't talk to you, either.
That's unprofessional,
disappointing.
You know what?
You just feel guilty.
You know that you did wrong,
and you're just trying
to make yourself feel better.
Whatever helps you sleep
at night.
Mm-hmm.
Lewis, let her talk.
I...
I've heard all I need, Els.
A successful surgery would
definitely buy you more time.
But as you know,
the amount of shift,
combined with your age
and aspirin usage
are bad prognostic signs.
Surgery holds higher risk
for you,
much higher.
So it's settled.
No surgery.
Nothing is settled.
But she just said...
I know,
but if we don't do anything,
I'm gonna go anyway.
Well, that's better than me
walking out of here
alone tonight.
Will you listen to me?
You're not getting this surgery.
Will you excuse me, Lewis?
El...
But I would like
to talk to my doctor alone.
Dr. Clatch,
how about we go
get a cup of coffee?
Okay.
Now, you were saying.
Elsie will talk her
into a surgery.
She's stubborn.
I need to talk
to that gal's boss right away.
He needs to back her up.
She is the head
of the neuro department.
She is the boss,
and she's stubborn as hell, too.
Dr. Clatch,
I know Dr. Shepherd very well,
and you can trust her.
She's not gonna be talked
into anything
that she doesn't want to do,
okay?
Okay, come on.
Come on.
Dr. Clatch...
I worry you won't survive
the surgery.
Based on your age alone...
It could kill you.
Or it could give me more time.
I need more time.
I need time to help him learn
how to be alone.
I also want more time with him.
Do you believe
60 years is not enough?
I can take no for an answer.
Don't.
I prefer it, actually,
to no answer.
Why do you always have
to do that?
Why do you always have
to make a joke of everything?
Are you serious, or aren't you?
Of course I am.
Because I'm not joking.
This isn't funny to me.
You know, you keep pushing me,
but you're not giving me
anything to go on.
Oh, man.
We have been going around and
around with this for months.
I feel like I don't know you.
And everybody that I know
that knows you...
They don't like you.
And you just keep making jokes
like somehow
that doesn't matter to me.
That's not true.
This isn't up to me
to make a choice.
It's up to you
to give me a reason.
Wow. Okay.
You want a reason?
Yes.
Okay, there...
There are all sorts of reasons
to like me... Actually.
Name one.
I have to go.
I thought
you weren't doing the surgery.
I never said that.
You said
you thought it was a bad idea,
and I practically assured Lewis
that you wouldn't.
Why would you do that?
She's my patient.
I thought you made a decision
or at least consult with him
before you changed your mind.
Okay, enough!
Stop it, Owen!
No more!
All your pre-op tests
came back looking terrific,
so just two more things
before we get you home
for some much needed rest, okay?
Number one...
No eating after midnight, right?
Okay.
And number two...
We are gonna tell Maggie.
Oh, no.
I told you, uh...
After the surgery,
after the cancer is out. I'm
not gonna perform the surgery,
Diane, unless we tell Maggie.
You can't do that. Of course I can.
I'm your doctor.
But it's not your business.
And it would be an irresponsible
course of treatment.
Okay, Maggie is
your only support system here.
I-I'll just
get another doctor, then.
No, you won't.
She told you I was the best
'cause I am.
You trusted her then,
and you trust her now.
I understand.
It's okay to be afraid.
You don't have to be afraid
for Maggie.
She's not scared of cancer.
She would just want
to fight this with you.
Let her be there for you.
I should've told her months ago.
It's not too late.
It's too late.
Mom?
You ready to go home?
Maggie... Sweetheart...
Mom, it's fine.
Good luck tomorrow.
I hope that your implants
are everything
that you want them to be.
I'm not getting implants.
Mom, it's fine.
I have breast cancer.
I have breast cancer,
and they're doing a mastectomy
tomorrow.
What are you talking about?
What is she talking about?
Here.
Come here, honey.
Let...
She really said that?
"I need more time with him"?
That's what she said.
Deluca, suction there.
60 years of marriage.
Wow.
- That's...
- It's never enough time.
If it's 60 years
or it's 6 weeks.
It's never gonna be enough.
Well, these people
are an anomaly.
What?
You're saying two people
can't have a long
and happy marriage?
I'm saying maybe this is an
unrealistic ideal of marriage.
60 years of good, bad, and ugly.
That's... Everything.
What's wrong with wanting that?
Nothing.
There's nothing wrong
with wanting that, Deluca.
Scissors.
Well, Webber's pissed.
And, honestly,
he's got a right to be.
When does it end, though?
It doesn't solve anything,
for him to walk around,
scowling at me.
When does
the cold shoulder stop?
It will.
He'll come around.
Oh, uh, Shepherd's
decompressing the hematoma.
Fingers crossed.
Mm.
60 damn years.
Right?
You have it in you?
Hey, when I said "I do,"
I meant I do.
Even though I know what you're
gonna be like in 60 years.
And what am I going to be like,
Dr. Warren?
Bossy.
You'll be retired
and jonesing for the days
when you ran a whole hospital,
bossing me around,
and tuck and tuck's poor wife.
Oh, lord help that woman.
Oh, like you're gonna be
some walk in the park.
Me?
Gonna be distinguished
with a little touch of gray.
And one of those guys
that tells the same stories
over and over
and exaggerates it every time.
"And then I sliced a woman open
on the kitchen table
during a rainstorm."
You have it in you?
If the stories come
with foot rubs.
Deal.
Saturation levels have remained
the same all night.
She's stubborn...
But she's right, as usual.
60 years...
Not many couples last that long.
You want to know the secret?
Everyone wants
to know the secret.
I'll take it if you have one.
There isn't one.
Just stay married to her,
I guess.
I would never have had
the life I did without her.
So I just stay married to her.
If there's something else,
some other secret...
Well,
she's the one who knows it.
I don't know a damn thing.
'Cause you never stop yapping.
Oh, Elsie!
No more.
No more locking me out
of my mother's chart.
I want to know
anything and everything.
I want to be CC'd
on every chart,
every post-op report,
every test...
No secrets.
I did want to tell you,
you know.
How could you let me
talk to her like that?
You could've stopped me.
What is wrong with you?
We're supposed to be friends.
Why didn't you just tell me?
Why didn't you just tell me?!
I am your friend...
Maggie, but I'm also her doctor.
Go fix her.
I want two-hour neuro checks
and call me immediately
for any signs of increased ICP.
Got it.
Nice job.
Thanks.
I know I was against it,
but it looks like
you were right.
I think you gave that couple
more time together.
I don't care...
What you think.
Amelia, stop.
You don't have any right
to an opinion.
And you certainly don't have
the right to bully me.
Bully you?
You don't have the right
to give me ultimatums
about when to come home and
make up my mind. Okay.
For better or for worse...
That's what you said.
Well, guess what.
This is the "for worse"!
And you don't have the right
to just decide
that I don't have myself
together, okay?
You... you don't make me the one
who is wrong.
I am tired of being
the messed-up one, okay,
because I'm not.
You are at least
as messed up as me.
You disappeared!
You are suffocating me!
That is unfair.
Really?
I would love to ask Christina
how suffocated she felt by you,
by your needs,
by your idea of a baby,
by what you want.
All right! Stop!
Not here.
I only wanted the same thing
you said you wanted.
You told me... okay, why
do you even want a baby?
Have you asked yourself that?
What? Why do I want a baby?
Yes, yes.
What do you need
that you don't have
that you think a baby
is going to bring you?
I want a family.
You have one!
You and me...
That makes one.
What else?
W-w-what do you need?
I mean, it's normal to want...
No, you don't get to call
what is normal!
You don't know.
You want a dream, Owen.
And when you have a child...
You might not get to have
what you asked for.
You get what you are given.
And it might be wonderful.
And it might be painful,
and it might be both.
I know you're scared, but...
Amelia,
I think you'd be an amazing mom.
I was already
an amazing mom, Owen.
For better and for worse.
Are you here for that?
Are you here for that?
Or do we just play
by your rules,
by your "normal" rules?
'Cause that's not life.
It's not a marriage.
Not one that's gonna last.
How we doing?
Feeling better?
A little more...
16:22.
I'm sorry?
16:22...
The time of her death.
For when you want
to put it down.
I looked.
Okay, all right.
Got it.
I think that we should talk
about what you saw
with Eliza and I.
Arizona...
You've always had
an active love life.
If I worried about
who you've been kissing on,
it would leave me little time
for anything else.
Okay, you're mad,
and you didn't mean that.
Yes, I did.
No, I didn't.
Damn it.
This is what I've turned into.
I've become this person who
takes sides and counts votes.
It's ugly, and it's bitter,
and it's small.
This is what Bailey's done here.
I'm... I'm so sorry.
You said you were with me,
Robbins.
I believed you.
I was.
I am.
I j...
I just didn't expect
to feel this way, okay?
I-I-i didn't try to.
Okay, you know what?
I need some time, okay?
I'll...
I'll come around, but...
I need some damn time.
Take all the time you need.
Well, I can call the morgue,
and I can finish her paperwork.
Hey.
Hey, look, she was 95.
Okay, you were right.
They had way more time
than most.
They wanted more.
She wanted more.
That was the only reason
to do the surgery.
And we took away
what little time they had.
Shepherd said her co-morbidities
made it unlikely that she'd...
Why do we do it?
Why do we do any of it?
Why...
If we can't do
what we say we were gonna do,
then...
If we actually have no control,
then how dare we tell them
we can, you know?
It...
I think I'm in love with Jo.
I m-might be.
I...
I'm pretty sure.
Stop talking.
Stop talking.
I want more.
Hey.
Go away.
I'm sorry.
Go away.
Hey.
No.
It's okay.
I don't have a good reason.
I tried to come up with one.
So then I thought,
"well, why do I like her?"
And I don't know.
From the first time I saw you,
you were at the O.R. board.
You were talking with Pierce,
and she said something
that made you laugh,
and... I couldn't move.
And then I had to wait for you
to write your name on the board
because... I just needed to know
who you were.
So, I d... I don't have
a good reason
for you to like me.
I didn't even try to like you.
I didn't want to.
And I certainly don't want
to have to think about you
all the time,
trying to come in early,
see your name on the board,
come up with that one thing
that's gonna make you smile
so your eyes
do that thing they do.
Anyway, uh...
So that's why I joke so much
and to keep from having to say
anything like this.
So, I don't have a good reason.
I'm sorry.
I wish I did.
Okay, so you should ask me
out to dinner.
Do you want to go out to dinner?
Yes.
Dr. Grey,
Dr. Pierce needs you.
Okay. Sorry.
So, another signature here.
Um... Do you know what
funeral home you want yet?
No,
o-our church might know.
Do I have
to fill all this out now?
Can I do this in the morning?
Of course you can.
Everything can wait until tomorrow.
Okay.
Is there anything else
I can do for you?
Well...
I-i don't have a car.
Elsie and I
came in an ambulance.
Well, let me call you a cab.
No, it's... it's fine.
Just... Tell me
where I can get one.
I'm...
I'm all turned around.
Well, just go out here,
turn right, and at the corner.
But, Dr. Clatch,
please, let me just get you a...
No, I...
I have to figure things out
for myself now.
I-I... okay.
Thank you.
Here.
That's for you.
Thank you.
Everything comes apart
at some point.
We all will.
It's the law.
It's what we were designed
to do.
My mom is really sick.
We have to face it
and accept it...
and try to hold it together...
for as long as we can.