Grey's Anatomy (2005–…): Season 14, Episode 8 - Out of Nowhere - full transcript
The doctors must get creative to treat patients after a hacker shuts down the hospital's computer system.
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♪♪ Wolf Parade's
"You're Dreaming" plays...
♪♪
♪♪
There are some disasters
you just don't see coming...
♪ Why're you looking lost ♪
♪ When you're standing right beside me? ♪
No matter
how carefully you plan.
♪ You were turning off ♪
So, this is the stuff
of legend.
Your mother, Ellis Grey,
won two Harper Avery Awards.
Is that a goal
you've set for yourself?
Actually,
I'd like to win three.
'Cause that would
drive her crazy.
- ♪ And you're dreaming ♪
- Hmm.
I imagine the toughest part of
winning the Harper Avery Award
- is the question of what to do next.
- No.
The toughest part
of winning a Harper Avery
is this right here.
And next, I have a surgery.
On a spleen.
So, if you're done...
Just a few more questions.
Can you walk me back
to your time in college
when you knew you wanted
to pursue medicine
and you felt...
maybe you felt this was, like,
for some greater good?
Because I have to say...
The little surprise
that changes everything.
I am your Chief Resident.
What does that mean?
It means
that I am your chief.
Your boss, your commander,
your overlord, your queen.
It means when I speak,
you listen!
And when you make mistakes,
it reflects on me.
So no mistakes!
♪ Dreaming ♪
Was it good?
Was it scary?
Very. Very scary.
- Really?
- No.
What? Did...
Didn't I sound like Bailey?
I was trying to
sound like Bailey!
Oh, no.
- ♪ It's in the blood ♪
- What's that?
DeLuca and that intern.
- Again?
- Every day.
It's like some
kind of addiction.
♪ It's in the blood ♪
♪ It's in the blood ♪
♪ It's in the blood ♪
Mm. No. It's just my alarm.
It's fine.
- Wait. Your alarm?!
- Oh, G... What time is it?
Oh, God!
Did we forget to sleep?!
Guess I'm showering here.
Here.
In surgery,
we call it a complication.
In life, it's a catastrophe.
Morning.
Morning!
Morning.
Awkward.
You want me to run
your surgical contest?
Your multimillion-dollar
contest?
Okay, it's not my money.
It's an anonymous donor's.
And it's not my contest.
It's Grey-Sloan's.
Ever since we announced it,
surgeons from all over
have been calling,
coming to kiss my ring
and pitch to me.
And I keep thinking
it's your ring
they should be kissing.
Well, I feel like something else
is getting kissed.
N-N-No. You are
the "Chief Emeritus"!
You're an institution.
Bailey, stop trying
to play a player.
You don't want
to run this contest
because you want
to compete in it.
And I know
because I do, too.
I need this!
A-And you owe me!
You let my husband
call his stupid fireman
fantasy a fellowship.
He made an excellent
case for it.
The Medic One
program is...
You aided and abetted
an imbecile.
I'll do it
on one condition.
Hmm?
You tell me
who the anonymous donor is.
It...
It's Aretha Franklin.
- Aretha Frank...
- No!
Do I need to define
the word "anonymous"?
Come on, now.
You owe me this!
Fine, Bailey.
I'll take your contest.
But I'm not gonna
keep it!
Jo:
So, just know
that I'm here for you.
I will lead and support you.
And in return,
you will not be stupid
or slow or...
make me look bad.
She needs to work
on that speech.
- Ugh.
- Ugh.
What's wrong?
I mean, you win
a Harper Avery,
and you barely have any time
for surgery anymore.
Not a real problem.
What's yours?
I'm saying yes
to a Tinder date.
- Also not a problem.
- See you tonight, Clive.
"Clive"?
That's a problem.
I'm saying yes to possibility
and to life and to love.
It's a whole lot of yeses
for an early morning.
Maybe if it works out,
he'll change his name for you.
Wilson, who do
you got for me?
Oh, okay. Uh...
Parker, you're on cardio
with Pierce.
I have a splenectomy,
and I need a couple hands.
- Ooh! Right here!
- I think you're amazing!
You're popular now.
I said try not to embarrass me.
Glasses.
You're with me.
Let's go.
Go.
Would not have been
my first choice.
But moving on.
Okay, Shepherd?
- Ooh! Ooh!
- Yeah! Uh...
Are you kidding?
Claude Markham, 66, here
for a total thyroidectomy
and bilateral
neck dissection
to rule out
any nodal metastases.
Wow. You should
have come in sooner.
No.
But better late
than never... is good.
Your initial cardiac
workup looks good,
but your lungs sound
a little congested.
So we just want to do
an echo to make sure
that your heart
can withstand surgery.
Should I... leave?
For that?
Well, I-I think
they'll just...
Oh, I... Well, I thought you
might want someone with you.
Ohh. You shouldn't feel
like you... you have to.
Oh, no, no, no. I know.
It's... It's whether
you want company.
You can stay.
I-If you want.
- No. No. It's if you want.
- Have a seat.
Judy Kemp, 45,
admitted for a laparoscopic
diagnostic splenectomy
for idiopathic
splenomegaly.
"Idiopathic"?
What's that mean?
It just means
we can't figure out
why you have
an enlarged spleen.
So you'r the idiopaths,
not me.
Well, it's not a thing
a person can be. It's...
It's a joke, Schmitt.
I-Is the surgery gonna make
my stomach feel better, hon?
- Yes.
- Well, then, I'm all for it.
Let's kick this idiopath
to the curb.
That doesn't quite work, either.
G...
Dr. Grey, I just
wanted to say thank you
for choosing me today.
Well, I chose you because
you were the only one
who didn't suck up,
so don't ruin it now.
It's hard when your
reputation precedes you
and people only see you
in terms of "the legend."
Schmitt!
Do you think we're friends?
I'm a surgeon,
and you hand me things.
You don't get to talk
about my "legend."
No, no! Not y-yours.
I meant mine.
I just feel like
I'm always gonna be
the guy who dropped his
glasses in a person.
Not yours. Y-Yours is great.
Your legend is legend...
Right. No. G-Got it... not friends.
Frankie Baner,
7 years old.
He is scheduled for a carotid
canal AVM embolization tomorrow.
Frankie has
Factor Five Leiden.
Okay. Which is?
I know.
Thick blood disease.
I'm the only kid in my class
who's had a stroke.
Frankie's pre-admitted
to reverse his anticoagulation
with vitamin K before surgery.
That means my blood is like Kool-Aid.
You gotta make it like Jell-O.
Okay, that was a nice job.
Um, just wait until his mom's
in the room next time,
'cause she'll have questions.
My mom's in the bathroom
putting on lipstick and stuff
for Dr. Alex.
- Oh.
- Is that right?
She talks about him
all the time.
She told my aunt
you're "stupid hot,"
but I said "stupid's" not nice.
Oh! You're all, um...
Sorry. I was just, um...
Hi, there.
♪♪
You are candy to
the scared single mom.
Why do you think
I got into peds surgery?
How's the new gig?
Oh, so good.
They're so scared of me.
- Really?
- No.
What do you think
their deal is?
I know.
It's like watching a deer
trying not to scare
another deer.
Or like a really bad
first date.
He's got like 25 years
on her, doesn't he?
Love is love is love.
No, you're right.
It's gross.
Dr. Avery?!
Uh, my father can't breathe!
Father!
That makes more sense.
Bilateral rales.
He's not moving any air.
- Get me an intubation kit!
- He's flatlining.
- Is he dead?! Did he die?!
- No, no, no. He's alive.
He's just having a little
trouble breathing. That's all.
That monitor's not working
right! Get him air!
Okay, ma'am!
I swear that poor lady
didn't hear a word I said.
- Bolus her with 250 of NS?
- On it.
So, Carina DeLuca, huh? That was fast.
I am newly single, Kepner. It's just fun.
- Kepner, she's coding!
- Crash cart!
- Got it!
- Come on! Charge to 200!
Need a crash cart!
- Wait. Owen!
- Go, go! You go! Go!
Why is everybody dying?!
What's going on?!
- Uh, ma'am... ma'am, you're okay.
- I'm what?!
- Sir? Clear!
- Wait!
Oh, God! I'm so... I'm so sorry!
- I was asleep!
- So sorry!
What the hell is happening?
*GREY'S ANATOMY*
Season 14 Episode 08
Title: "Out of Nowhere"
All of them?!
All of the monitors are out?
Will you try and calm
these people down?
Uh, um, folks!
Everything's fine!
Just a little technical snafu
with the monitors!
But you have nothing to worry about!
Un-Unless, uh, you do.
You came to the ER,
so some of you probably
- do have genuine concerns, obviously...
- We will have this rectified A.S.A.P.!
Thank you.
We have two incoming
MVC patients.
Great timing. They can
join the walking dead.
Is this just us?
Or is it anyone else?
- That is what I'm trying to find out.
- Okay.
How are we doing?
Y-You've done
this a few times, right?
Many times. Are you nervous?
Never been in a hospital...
never even broke a bone.
- So... yeah. I've never been this nervous.
- It's okay.
I am gonna go in through here,
I'm gonna take out your spleen.
You'll be left with an incision
about that big.
You won't miss it.
Like it never happened.
- Okay.
- Okay?
Okay. Thanks.
This one's being weird.
I'll have another one brought in.
When did his headache start?
About 10 minutes ago.
Could it be another stroke?
Page Shepherd and get a head CT.
Did he get his vitamin K last night
to reverse the blood thinner?
I-I-I don't know what the... the...
He's asking you
what he was given last...
something to thin his blood
or make it clot?
I know.
I-I can't open his chart.
The screen is locked.
Bailey, OB is short-staffed,
and they keep paging me, so, uh...
Dr. DeLuca's an OB, right?
Yeah, but she doesn't have privileges.
Uh, by the power vested in me,
blah, blah, blah.
Now go find her and tell her
she has temporary privileges
to stop watching ladies masturbate
and to help pull babies out of people.
Okay, in all fairness, she doesn't
actually watch them masturbate.
- It's like...
- Are you having this problem?
I can't get to the medical records.
Well, let me see if I can help.
I mean, I got it. It... This... And...
Well, why is it... Can I help you?
Uh, yeah, I'm Tim.
Tim Ruggles from I.T.
You called me?
T... Uh, why can't I get
into the medical records?
Oh, have you tried turning it
- off and turning it...
- Don't finish that sentence, Tim.
Look. This problem's on every computer.
Oh. Man. Oh, no.
- "Oh, no"?!
- I mean, 'cause...
Plus the cardiac monitors
malfunctioning...
Cardiac monitors are malfunctioning?
W... I have to...
Yeah, go.
Oh, man. Okay.
All right, um, so,
when you remodeled the hospital,
the computer systems were all networked.
So these malfunctions
might be related...
I don't care if they're related or not.
Just make it stop. I can't run a hospital
without medical records and cardiac...
What did...
- Hold on.
- What?
"Hello, Grey-Sloan Memorial."
"Currently, we control your hospital.
We own your servers.
We own your..."
Tim, are you seeing this?!
Oh, man.
"We own your systems.
We own your patients' medical records."
This is so creepy.
"To regain access
to your medical records,
you need an encryption key..."
"which only we have."
"You will need to pay us
exactly 4,932... Bitcoin...
to retrieve the key"?
"Failure to pay this
ransom in a timely manner
will cause your records to be destroyed
and your systems to..."
Let's keep our voices down.
When do we get the records back?
Look. I've got kids up there. I don't
even know what meds they're on!
We can't even order meds!
And we can't monitor our patients, so...
Okay, everyone stop!
I thought we were prepared for this.
We were supposed to have the
whole cybersecurity seminar...
We are. It's this Friday.
Bailey, what
the hell are we gonna do?
- Ohh!
- Unh!
All right. See, that.
That right there is what
we're not going to do.
We're not gonna go running around
flapping our arms like the sky
is falling, all right?
Just because we've lost our computers,
we don't have to lose our minds, okay?
Hmmm.
We need to take a deep breath.
We need to calm down
because we don't want
to panic our patients!
We will solve this problem,
and we will solve it calmly and quietly.
So none of
our very vulnerable patients
needs to know that anything
out of the ordinary
is happening, okay?
Uh...
♪♪
Everyone,
step away from your computer.
Stop using the phones.
Turn off your phones!
I need to speak with
whoever's in charge.
Back away from that computer!
Um...
I think people will know.
♪♪
You can set up in here.
I'll need every computer
in this facility powered down.
We need all employee cellphones
to turn off Wi-Fi.
We're a hospital!
Are we supposed to communicate
through carrier pigeons?
I don't have any carrier pigeons!
Just... work fast.
♪♪
Take a paper chart.
Make sure your pens work.
We're going to paper charts?
Well, it's worked pretty well
for two centuries, Kepner.
Okay, everything
gets written down, people.
And the phones are down,
so share cell numbers.
We should not have each other's numbers.
Agreed.
Now gather up every
portable monitor that we have...
anything that is not
already attached to a patient.
They go to the ORs first,
then the ICU, and then the ER.
Uh, what are we using for
ER monitors in the meantime?
We use the old-fashioned kind.
You are our monitors now, people.
I want you to rotate
through your patients.
I want you to take and retake
heart rate and BP.
Keep track on paper
and notify Kepner of changes.
All right, everyone.
Back to the Stone Age.
- Disrespectful.
- Sorry.
Sir, we've got you, and your
wife's being treated next door.
Is his CT back? Let me see.
Can't. It's in his records.
So you can't see it.
I know. I just really want
to throw something right now.
You, uh... throw this.
It won't hurt anyone.
Is CT working? Do we have that?
No. Except for one.
The one that's not on the network yet.
Okay, he needs a repeat
head CT. Let's go!
Is he dying? Is he gonna die? Like now?
Uh, your father has
a condition called ARDS.
It's causing his lungs
to fill up with fluid,
and now they're failing.
- Okay. So he's dying?
- I'd like to put him on ECMO.
That's cardiorespiratory bypass.
It'll oxygenate his blood for him
so that
his lungs can rest and heal.
So he's not dying?
No. No. He is not dying.
We would need you
to sign this consent form
for the procedure, okay?
That... That makes no sense.
I-I can't consent to anything.
I barely know him.
I thought he was your father.
Oh, no, my mother left him
when she was pregnant with me.
And my whole life,
she just talked about
how bad he was in bed,
which, if you're wondering,
was not really excellent
parenting on her part.
And then, last month,
at her funeral, he showed up.
And he's... he seems...
I mean, he seems
like a pretty good guy.
And he is the first and only
father I have ever known.
And I just met him.
I just met him.
I don't want him to die.
Is it weird that now I'm crying
to two strangers
over a man I just met?
It is, right? Yeah.
- No.
- Sign the consent form.
Let us help him so that
you can get to know him.
We're okay without the portable
because the anesthesia's
monitor is working.
Okay, good, 'cause the computers,
- the phones, the labs...
- The labs are down?
Yeah. I guess, uh, most of these hacks
are just, like, viruses
to get access to patient files.
But this is a full-on attack,
which is, you know...
We're all just trying not to panic!!
Try a little harder, Dr. Bello.
Yeah. On it.
Hold the camera steady, please?
Isn't it wild?
Technology has made it
one of the best, safest times
in human history to get sick.
But if the computer catches a bug,
we're all completely screwed.
I-Is something...?
I'm thinking about converting
to an open procedure.
- Why? Why would y...
- Because of everything you just said.
Oh, God. Don't listen to me!
I'm operating on this woman
with nothing but a tiny
electronic camera to guide me.
No, it's fine. The scope is working.
It would take too long
to convert to an open procedure,
so I can get the spleen from here.
Let's just hurry up and get this done.
Sorry.
Hey. You came. Thanks.
Ohh. We're slammed.
On top of the... the hacking,
we have a bunch of OBs
that are out with the flu,
so Bailey's gonna give you OB privileges
and asked if you could help.
- What hacking?
- Well, the computers are down.
We've been hacked.
Oh! I thought my last patient
had the saddest climax I've ever seen,
but it's just the screen was frozen.
Can you help?
Of course, Arizona.
Hey. How we doing here?
Uh, I-I keep telling them
that we can't take patients.
But I'm super having a baby right now!
We were having a home birth...
a water birth...
and she panicked a little.
Um, let's get a gurney.
Hey. How are
the babies in the NICU?
Well, the NICU monitors aren't networked,
- so they haven't been affected.
- Thank God.
Um, hey, will you tell them
to stop paging me for births?
'Cause I'm not an OB. Dr. DeLuca is.
So they should just page her.
- Right. Yep.
- Okay.
- You're the OB?
- Yes, I am.
I want an epidural. Okay?
And I want monitoring and
painkillers.
And I want all your drugs.
And m...
And machines and robots.
Who does this in a kiddie pool
in their kitchen?
Just breathe. Just breathe.
My first patient!
I'm your first patient?!
No, no, no, no. In...
In this hospital.
Move, please!
We need to get a CT!
Oh, no. This is the CT line.
Everybody had the same idea.
Hey! I need priority.
My guy needs a head CT stat.
Yeah, so does mine.
Listen. My guy's an MVC,
and he has two kids.
So? My guy's in kindergarten.
So, if you want to play human poker,
my hand beats yours. No cuts.
It's not "cuts," Karev.
This not high school.
Well, you're lucky, 'cause I was
a wrestler in high school.
- This is big.
- It is. It's big.
It's a real-time intrusion
into our VolP switches,
DCs, and Active Directory.
Tim, I didn't understand
anything after "big."
Just tell me how to stop it.
Okay, Denver Medical said
they stopped the hackers.
But I know the chief. It was just PR.
They stopped them with money.
They paid the ransom.
That is not true.
Officially.
But, yes, you are correct.
- Well, they only want 5,000.
- Bitcoin.
Well, if that's all they want,
hell, I'll write them a check right now.
- Bitcoin!
- And why does he keep saying that?
They want 5,000 Bitcoin.
It's virtual money.
Right now that translates
to roughly $20 million!
20 w...
Well?
You gonna get your checkbook?
Normally, they hit you for an amount
they think you can easily hand over.
I don't know why
they'd ask for this much.
Because we announced the contest!
Oh, they came after us
because they think we have it.
Can we get our hands on that much cash?
You paged?
- I need $20 million.
- You need what now?
From the Avery Foundation.
Or from your grandfather's inheritance.
The "I'm buying a boat" money.
Look, patients are in danger.
And if we need to pay off
some Cheeto-stained pirate nerd
so he can move out
of his mother's basement,
then that's what we need to do.
Now, we could try to
use the contest money,
but I would prefer not to have
to contact the anonymous donor.
Uh, can you help us out with a loan?
- Yes. Absolutely.
- Thank you.
It's not that simple.
Oh, but it is that simple.
It's the simplest math there is.
Y-Y-You look at the value of money,
and you compare that
to the value of a human life,
and unless you are a soulless monster
who lives in a cave and eats children,
you would see that
there's no amount of money
that should stand in the way
of saving that life.
Now, um, how do I get
some of that, uh, chipcoin?
- Bitcoin.
- Bitcoin.
We're not gonna let you pay this!
- Did you not hear
- What?
What I just said?
This is an unprecedented ransom.
If they go after this kind
of money and get it?
Everybody will know.
People will pull this at every
hospital in the country.
Worldwide.
If they win here,
you're endangering
thousands of patients' lives.
Give my guys time to work.
I'm with Dr. Bailey on this. All right?
This hospital's in chaos right now.
Our patients are in real trouble,
and we have the means to fix that.
Dr. Bailey, you say the word,
I'll transfer the funds.
Hmm.
Uh, I don't know what it is
that you're doing,
but I bet you could do it faster.
Hey, how's Claude?
I put him on ECMO. He's stable for now.
Can he be moved?
Is he safe for transport?
It's that bad?
Yeah, anybody who's
dependent on a machine,
we should really move them right away.
Okay, yeah, we can transport him
on ECMO. Let's do it.
Hey! Hey! Will you tell them
to stop paging me to OB?
I can deliver babies, but I am not an OB.
I used to be a pediatric surgeon,
and now I work on fetuses and moms.
And I did not go into ladies' vaginas
because I do not like to mix
business with pleasure.
That was me. I sent for you.
- W-Why?
- My patient is terrified.
She wants drugs that I can't access,
and she's too far along
to go somewhere else.
So, uh... What do you
want me to do about it?
She won't listen to me.
Since I suggested that her
partner initiate an orgasm...
Yeah. See...
You got to be real choosy
about when you bust that out.
You are the kindest person here.
You work with mothers. You are a mother.
I thought you could calm her down, no?
No.
I mean, yes.
- Thank you.
- Okay.
Her abdomen's distended,
but I can't see any free fluid.
All right. Let's roll her up to CT
to rule out a hemoperitoneum, okay?
Oh. CT's backed up.
It'll be an hour before she's scanned.
Damn it! She doesn't have that long!
I think there's blood in her belly.
I need a newspaper.
A wh...
- A damn newspaper!
- Oh, o-okay. Okay.
Uh...
Ohh!
I need this! Emergency!
- Hey!
- Sorry!
Okay. It's a little pinkish.
But the real test is...
if you can read the paper through it,
there's not a clinically
significant amount
of blood in the belly, okay?
Ooh! 10 down is "Jacuzzi." She's okay.
That is... really cool.
That's how we did it... in the Stone Age.
Frankie's CT looks clear,
but it could be too early
to see a new clot or a bleed.
So we're gonna watch him very closely.
Okay. How, uh, worried should I be?
Oh, we got this. We've got him.
Okay. Thank you.
I'm concerned it might be an
early warning of another stroke.
I found him!
Oh, good. I need to know
if Frankie Baner got his
vitamin K last night.
I wasn't working last night.
- Who was?
- I don't know.
It's in the medical records.
The medical records. I need to know
if I should put him on heparin or not,
because if he doesn't need it,
it could cause a brain bleed.
And if he needs it
and doesn't get it,
we're talking about a possible stroke.
You don't know
who was on this morning?
- I don't.
- Doc McStuffins was on!
- Who?
- She's not a real doctor.
Frankie says he got an injection.
He can't remember from who.
But he was watching "Doc McStuffins."
His mom says it's on
at 6:00 a.m., so who was...
At 6:00? Karen! She's on a 12-hour split.
Uh, she was heading to L&D.
Call L&D.
- No phones.
- Got it. I'm going.
♪♪
Should we tell her what's going on?
Well, I'm a big advocate
for truth telling
when it can do any good at all,
and it usually can,
but in this case,
it'll only cause panic.
Dr. Webber?
His heart rate's been
at 160 since he came in.
- Mm-hmm.
- He had a Red Bull and Adderall.
I'd give him adenosine
to bring his heart rate down,
but it's contraindicated
for asthma.
Uh, that's easy. Put him in...
in Trendelenburg, man.
I turn him upside down?
Yeah, yeah. You know,
if that doesn't work,
dunk his head in a bucket of ice, huh?
For real?
For real, DeLuca.
Okay. It stimulates...
the vagus nerve, okay?
Because, back in my day,
we didn't have a pill
for every little thing.
We had to do what the pill does.
Flip him and dip him.
Yes, sir!
Um, gonna go get you some ice.
Okay, come on. Okay, finally.
Uh, I need a pan CT,
without contrast...
Come on!
Okay.
Damn it. Damn it.
Damn it. Damn it. Damn it.
I knew it. Bag her!
Do we have headlamps?
Uh...
Oh, oh, oh, oh! Oh, God! Oh! Oh!
Schmitt, don't move!
Well, what do we do now?
If you can't even see what
you're doing, what do you do?!
- She's gonna...
- Schmitt, if you don't shut up...
We don't panic, is what we don't do.
Let's prep for a laparotomy
to open her up.
I need a Bookwalter and a 10 blade.
And I need four units of B-neg.
Uh, we... we can't. No phones.
Okay, well, send someone down to get it.
I will. I'm on it!
Not you! I need the assist!
Forget it now.
You're out of the sterile field.
Just... Just go.
Shoot. Sorry! Sorry!
I-I-I could just, um...
Just go. And hurry.
He almost lasted a full 10 minutes
without screwing up, Oki.
Let's get this woman out of here.
We're airlifting him
to Snohomish Medical Center.
- Do you know where that is?
- Yes, I'll go there now.
But why are we moving him?
I-Isn't it dangerous?
You said yourself, he... he's unstable.
If the power goes out again,
so does Claude's blood circulation.
The hospital's experiencing some...
technical difficulties right now.
But I assure you, it's far more dangerous
- if we don't move him.
- We'll see you there.
Well, this is pretty weird, huh?
What is?
Naomi just met her dad.
You just met your dad.
I just met my dad last year.
Really?
I didn't... I didn't know that.
Yeah. Um, it's no big deal.
I mean, technically, I guess
I knew him when I was little,
but the only memory I have
is throwing me up and
catching me in the pool once.
You had a pool in Boston?
Oh, no, no, no. The... The club pool.
Not the Charles River Country Club?
Yeah, as a matter of fact.
- No. No way!
- What?
I was there!
You were a member of Charles River?
No, no. I wasn't a member.
I worked there.
We... We come from
very different families.
Yeah. Thank God for that.
Let's go!
♪♪
Suction here. Right angle.
Do you want the bovie?
I don't want anything that plugs in.
This tissue is so friable.
Where is Schmitt with that blood?!
Frankie Baner, the
Factor Five kid with the AVM.
Yeah, I know who you mean.
Tell Smith I'm coming
- with his plasma right now!
- Did he get his reversing agent,
his vitamin K?
He said you gave him something
at 6:00 this morning.
- No, I didn't.
- Yes, you did. "Doc McStuffins" was on!
Did someone change
the code on this door?
9-6-9-3. I was stuck
with the Lincoln kid.
I asked someone else to do it.
That's what I'm trying. 9-6...
Levi, shut up!
I need blood!
Who? Who did you ask to do it?
- Taylor, I think.
- Girl Taylor or boy Taylor?
Boy Taylor! What is wrong with you?
- 9-6-9-3!
- It doesn't work!
Did someone change this code?!
Okay, he won't stop throwing up.
- Why? Is it another clot?
- It's the pain.
- The headache can cause nausea.
- But it's getting worse.
I mean, why aren't you guys
doing anything for him?
W-We're trying to get a line on his meds.
Can you just... Mm-hmm?
Yeah, yeah. I'm here. I got him.
I just want to rinse this off.
Yeah. I got him.
You're okay.
I feel like I'm gonna die.
What? You're not gonna die.
Will you do me a favor?
Anything.
If I die... will you marry my mom?
She really likes you.
And I know she'll be safe.
You're not gonna die.
♪♪
♪♪
No! No, we are not staying here!
I'm not having my baby by flashlight!
Hey, look, the lights just
came on, so hold on, all right?
Nope, we're going to a hospital
that's not celebrating Pioneer Days!
- Babe, get back in bed. Come on.
- No!
Peggy, why are you walking like that?
I'm fine. I'm fine. I'm fine.
Okay, I'm just gonna check it. All right.
Okay, that's it. That's the baby.
- What?
- No. No, no, no.
Okay. I can feel your
baby's head. She's coming.
- No, no, no.
- Okay, let's go.
No, no, no, no, no, no, no.
I'm not ready.
I'm not ready. I'm not ready.
I'm not a mom. I'm not a mom.
I don't think that way.
I'm not kind or selfless.
I mean, I know you are, babe,
but I'm not. I'm not.
I'll lose her in a
supermarket or something.
Yeah, she'll get l-lost or...
or hurt or something.
I'm terrible. I'm a terrible person.
I can't do this.
Please don't make me do this.
- I'm not a mother!
- Whether you like it or not,
this baby is coming, so let's go.
- Get me that gurney.
- Here we go.
It's okay. It's okay. It's okay.
- Let's lay down.
- I can't move.
Yes, you can. Look at me, Peggy.
Peggy, you just need to push, okay?
- I can't do this! Mnh-mnh.
- You can. Yes, you can.
- No! No!
- Hey! Look at me!
I know that you don't feel ready
and I know you feel like everything
is going to change in an instant.
But you feel blindsided now?
You trust me...
You're gonna take one look at this baby,
and you won't remember anything else.
You won't care what life
was like before you met her.
Believe me. You want to meet her.
Okay.
- Okay?
- Okay.
I'm gonna need you to push.
Ready?
- Yeah.
- Breathe. Take a deep breath.
- And...
- Peggy, push.
Push, push, push, push, push!
You got this. Yes, yes, yes!
You got this, Peggy! Yes!
Yes, yes, yes! Keep going, keep going.
You've got this! You've got this!
You've got this!
Oh! Oh, my God! Oh, my God, Peggy!
♪♪
♪♪
Hi, there.
- Congratulations.
- Thank you.
Hey.
Nice work.
Pbht...
I haven't delivered a baby
since I started my research.
And... this is my first patient here,
and I totally screwed the dog.
Uh, the pooch.
You screw... You screwed the pooch.
- Oh.
- And you didn't. You didn't.
You were smart, and you called me,
and we made a good team.
I think so, too.
I've missed you.
I've missed you, too.
So, um, aren't you...
aren't you with Hunt now?
Nah. He tells me every morning
that it's just for fun
and we're not a "thing."
Well, that's so good.
Excuse me!
Uh, we should...
- Yeah. Si.
- Okay.
I just can't stand here and do nothing.
I can't just watch this.
Well, let's lay it out.
Frankie has a known risk
for ischemic stroke.
He has no known history
of hemorrhagic ones.
We have no reason to believe
this is a brain bleed,
but we have every reason to believe
he may have thrown another clot.
If... If I were a gambler...
Yeah, yeah. I know what I gotta do.
Well, maybe
you got the code wrong.
I didn't.
They have changed the codes.
We are locked out of the blood bank.
No. No!
I went to the one on four,
as well. I tried them all.
Well, I mean, they could
break the door down, then.
This woman needs blood! Get in here!
Suction!
- Damn it. Damn it, damn it!
- Dr. Grey, you have got this!
I-I just... I just mean...
y-you won a Harper Avery.
If anyone can do this, you... you can.
No. I don't have this.
Because if I knew
I didn't have access to blood,
I never would have opened her up.
So I don't have this.
No one's "got this."
- Who's O-neg?
- What?
She needs O-neg or B-neg.
And I'm AB, so I'm out.
Who's got... O-neg? Anyone? Anyone O-neg?
- You all right?
- No. Yeah. I'm...
I've never been on a helicopter before.
I cannot believe you worked at the club.
I mean, I definitely
would've noticed you.
No. No, you wouldn't have. Not back then.
I mean, maybe you're right.
I guess there are some people
you don't see right away.
But, um...
some people just sneak up on you.
Oh, God. Okay.
- You all right?
- Okay.
- You're good.
- Mm-hmm.
What did you mean...
"Thank God we're from
different families"?
Aah! Aah! Oh, my God!
Aah!
Oh, my God! Oh, my...
The old man's tube came loose!
I can't catch it!
- I got it! I got it!
- No!
♪♪
It's not stopping!
I got it. Hold pressure.
Bailey, they've locked us
out of blood supply,
records, and meds now.
We need to talk about
evacuating patients.
Okay, are we close?
Are we close, at all, to stopping this?
Ma'am, it takes time...
It's not "ma'am." It's "Doctor."
And it's not "Doctor." It's "Chief."
Look, and while I am not unconcerned
about your thousands
of hypothetical patients,
they're out of my control.
What is in my control
are the hundreds of very real
patients in my care...
and at least one child
who needs medicine,
and that medicine, right now,
is $20 million that
I can pay to save him.
So you know what? I am...
making this damn phone call
and I am paying this money.
And after I've done that,
hey, feel free to arrest me
if you see fit.
Who are you calling?
I'm calling Aretha Franklin.
Okay. Hold on tight.
We're clear to land.
In surgery,
we call it a complication...
Okay.
- How are you doing?
- Ugh!
Oh, I just, uh, don't
love seeing the blood.
And yet you're a surgeon.
You know... my blood.
Ugh.
You got this, Schmitt.
You got this.
A disruption, a glitch...
- Taylor!
- A nasty surprise.
Did you give Frankie Baner vitamin K?
What?
This morning, did you give
Frankie Baner vitamin K?
- Can we give him heparin?
- Frankie...
- Baner!
- Hang on. I'm trying to remember!
You have to remember!
Oh. Frankie! With the AVM!
Yes!
N-No, no. We didn't reverse him yet.
That was scheduled for the day shift.
Okay, so he's still anticoagulated.
Oh, geez. Don't give him heparin now!
- He'll bleed out!
- Okay. Got it!
No heparin! Thank you!
It calls for extreme measures.
You have to react quickly.
Try to catch up.
This might make you
a little cold at first,
but then you're gonna
feel a lot better, buddy.
Because it came out of nowhere.
Come on, come on, come on!
Come on!
And it can take everything away.
Hey, Brooke.
Oh, wait.
It's... It's "Jo" now, right?
♪♪
♪♪
♪♪
---
♪♪ Wolf Parade's
"You're Dreaming" plays...
♪♪
♪♪
There are some disasters
you just don't see coming...
♪ Why're you looking lost ♪
♪ When you're standing right beside me? ♪
No matter
how carefully you plan.
♪ You were turning off ♪
So, this is the stuff
of legend.
Your mother, Ellis Grey,
won two Harper Avery Awards.
Is that a goal
you've set for yourself?
Actually,
I'd like to win three.
'Cause that would
drive her crazy.
- ♪ And you're dreaming ♪
- Hmm.
I imagine the toughest part of
winning the Harper Avery Award
- is the question of what to do next.
- No.
The toughest part
of winning a Harper Avery
is this right here.
And next, I have a surgery.
On a spleen.
So, if you're done...
Just a few more questions.
Can you walk me back
to your time in college
when you knew you wanted
to pursue medicine
and you felt...
maybe you felt this was, like,
for some greater good?
Because I have to say...
The little surprise
that changes everything.
I am your Chief Resident.
What does that mean?
It means
that I am your chief.
Your boss, your commander,
your overlord, your queen.
It means when I speak,
you listen!
And when you make mistakes,
it reflects on me.
So no mistakes!
♪ Dreaming ♪
Was it good?
Was it scary?
Very. Very scary.
- Really?
- No.
What? Did...
Didn't I sound like Bailey?
I was trying to
sound like Bailey!
Oh, no.
- ♪ It's in the blood ♪
- What's that?
DeLuca and that intern.
- Again?
- Every day.
It's like some
kind of addiction.
♪ It's in the blood ♪
♪ It's in the blood ♪
♪ It's in the blood ♪
Mm. No. It's just my alarm.
It's fine.
- Wait. Your alarm?!
- Oh, G... What time is it?
Oh, God!
Did we forget to sleep?!
Guess I'm showering here.
Here.
In surgery,
we call it a complication.
In life, it's a catastrophe.
Morning.
Morning!
Morning.
Awkward.
You want me to run
your surgical contest?
Your multimillion-dollar
contest?
Okay, it's not my money.
It's an anonymous donor's.
And it's not my contest.
It's Grey-Sloan's.
Ever since we announced it,
surgeons from all over
have been calling,
coming to kiss my ring
and pitch to me.
And I keep thinking
it's your ring
they should be kissing.
Well, I feel like something else
is getting kissed.
N-N-No. You are
the "Chief Emeritus"!
You're an institution.
Bailey, stop trying
to play a player.
You don't want
to run this contest
because you want
to compete in it.
And I know
because I do, too.
I need this!
A-And you owe me!
You let my husband
call his stupid fireman
fantasy a fellowship.
He made an excellent
case for it.
The Medic One
program is...
You aided and abetted
an imbecile.
I'll do it
on one condition.
Hmm?
You tell me
who the anonymous donor is.
It...
It's Aretha Franklin.
- Aretha Frank...
- No!
Do I need to define
the word "anonymous"?
Come on, now.
You owe me this!
Fine, Bailey.
I'll take your contest.
But I'm not gonna
keep it!
Jo:
So, just know
that I'm here for you.
I will lead and support you.
And in return,
you will not be stupid
or slow or...
make me look bad.
She needs to work
on that speech.
- Ugh.
- Ugh.
What's wrong?
I mean, you win
a Harper Avery,
and you barely have any time
for surgery anymore.
Not a real problem.
What's yours?
I'm saying yes
to a Tinder date.
- Also not a problem.
- See you tonight, Clive.
"Clive"?
That's a problem.
I'm saying yes to possibility
and to life and to love.
It's a whole lot of yeses
for an early morning.
Maybe if it works out,
he'll change his name for you.
Wilson, who do
you got for me?
Oh, okay. Uh...
Parker, you're on cardio
with Pierce.
I have a splenectomy,
and I need a couple hands.
- Ooh! Right here!
- I think you're amazing!
You're popular now.
I said try not to embarrass me.
Glasses.
You're with me.
Let's go.
Go.
Would not have been
my first choice.
But moving on.
Okay, Shepherd?
- Ooh! Ooh!
- Yeah! Uh...
Are you kidding?
Claude Markham, 66, here
for a total thyroidectomy
and bilateral
neck dissection
to rule out
any nodal metastases.
Wow. You should
have come in sooner.
No.
But better late
than never... is good.
Your initial cardiac
workup looks good,
but your lungs sound
a little congested.
So we just want to do
an echo to make sure
that your heart
can withstand surgery.
Should I... leave?
For that?
Well, I-I think
they'll just...
Oh, I... Well, I thought you
might want someone with you.
Ohh. You shouldn't feel
like you... you have to.
Oh, no, no, no. I know.
It's... It's whether
you want company.
You can stay.
I-If you want.
- No. No. It's if you want.
- Have a seat.
Judy Kemp, 45,
admitted for a laparoscopic
diagnostic splenectomy
for idiopathic
splenomegaly.
"Idiopathic"?
What's that mean?
It just means
we can't figure out
why you have
an enlarged spleen.
So you'r the idiopaths,
not me.
Well, it's not a thing
a person can be. It's...
It's a joke, Schmitt.
I-Is the surgery gonna make
my stomach feel better, hon?
- Yes.
- Well, then, I'm all for it.
Let's kick this idiopath
to the curb.
That doesn't quite work, either.
G...
Dr. Grey, I just
wanted to say thank you
for choosing me today.
Well, I chose you because
you were the only one
who didn't suck up,
so don't ruin it now.
It's hard when your
reputation precedes you
and people only see you
in terms of "the legend."
Schmitt!
Do you think we're friends?
I'm a surgeon,
and you hand me things.
You don't get to talk
about my "legend."
No, no! Not y-yours.
I meant mine.
I just feel like
I'm always gonna be
the guy who dropped his
glasses in a person.
Not yours. Y-Yours is great.
Your legend is legend...
Right. No. G-Got it... not friends.
Frankie Baner,
7 years old.
He is scheduled for a carotid
canal AVM embolization tomorrow.
Frankie has
Factor Five Leiden.
Okay. Which is?
I know.
Thick blood disease.
I'm the only kid in my class
who's had a stroke.
Frankie's pre-admitted
to reverse his anticoagulation
with vitamin K before surgery.
That means my blood is like Kool-Aid.
You gotta make it like Jell-O.
Okay, that was a nice job.
Um, just wait until his mom's
in the room next time,
'cause she'll have questions.
My mom's in the bathroom
putting on lipstick and stuff
for Dr. Alex.
- Oh.
- Is that right?
She talks about him
all the time.
She told my aunt
you're "stupid hot,"
but I said "stupid's" not nice.
Oh! You're all, um...
Sorry. I was just, um...
Hi, there.
♪♪
You are candy to
the scared single mom.
Why do you think
I got into peds surgery?
How's the new gig?
Oh, so good.
They're so scared of me.
- Really?
- No.
What do you think
their deal is?
I know.
It's like watching a deer
trying not to scare
another deer.
Or like a really bad
first date.
He's got like 25 years
on her, doesn't he?
Love is love is love.
No, you're right.
It's gross.
Dr. Avery?!
Uh, my father can't breathe!
Father!
That makes more sense.
Bilateral rales.
He's not moving any air.
- Get me an intubation kit!
- He's flatlining.
- Is he dead?! Did he die?!
- No, no, no. He's alive.
He's just having a little
trouble breathing. That's all.
That monitor's not working
right! Get him air!
Okay, ma'am!
I swear that poor lady
didn't hear a word I said.
- Bolus her with 250 of NS?
- On it.
So, Carina DeLuca, huh? That was fast.
I am newly single, Kepner. It's just fun.
- Kepner, she's coding!
- Crash cart!
- Got it!
- Come on! Charge to 200!
Need a crash cart!
- Wait. Owen!
- Go, go! You go! Go!
Why is everybody dying?!
What's going on?!
- Uh, ma'am... ma'am, you're okay.
- I'm what?!
- Sir? Clear!
- Wait!
Oh, God! I'm so... I'm so sorry!
- I was asleep!
- So sorry!
What the hell is happening?
*GREY'S ANATOMY*
Season 14 Episode 08
Title: "Out of Nowhere"
All of them?!
All of the monitors are out?
Will you try and calm
these people down?
Uh, um, folks!
Everything's fine!
Just a little technical snafu
with the monitors!
But you have nothing to worry about!
Un-Unless, uh, you do.
You came to the ER,
so some of you probably
- do have genuine concerns, obviously...
- We will have this rectified A.S.A.P.!
Thank you.
We have two incoming
MVC patients.
Great timing. They can
join the walking dead.
Is this just us?
Or is it anyone else?
- That is what I'm trying to find out.
- Okay.
How are we doing?
Y-You've done
this a few times, right?
Many times. Are you nervous?
Never been in a hospital...
never even broke a bone.
- So... yeah. I've never been this nervous.
- It's okay.
I am gonna go in through here,
I'm gonna take out your spleen.
You'll be left with an incision
about that big.
You won't miss it.
Like it never happened.
- Okay.
- Okay?
Okay. Thanks.
This one's being weird.
I'll have another one brought in.
When did his headache start?
About 10 minutes ago.
Could it be another stroke?
Page Shepherd and get a head CT.
Did he get his vitamin K last night
to reverse the blood thinner?
I-I-I don't know what the... the...
He's asking you
what he was given last...
something to thin his blood
or make it clot?
I know.
I-I can't open his chart.
The screen is locked.
Bailey, OB is short-staffed,
and they keep paging me, so, uh...
Dr. DeLuca's an OB, right?
Yeah, but she doesn't have privileges.
Uh, by the power vested in me,
blah, blah, blah.
Now go find her and tell her
she has temporary privileges
to stop watching ladies masturbate
and to help pull babies out of people.
Okay, in all fairness, she doesn't
actually watch them masturbate.
- It's like...
- Are you having this problem?
I can't get to the medical records.
Well, let me see if I can help.
I mean, I got it. It... This... And...
Well, why is it... Can I help you?
Uh, yeah, I'm Tim.
Tim Ruggles from I.T.
You called me?
T... Uh, why can't I get
into the medical records?
Oh, have you tried turning it
- off and turning it...
- Don't finish that sentence, Tim.
Look. This problem's on every computer.
Oh. Man. Oh, no.
- "Oh, no"?!
- I mean, 'cause...
Plus the cardiac monitors
malfunctioning...
Cardiac monitors are malfunctioning?
W... I have to...
Yeah, go.
Oh, man. Okay.
All right, um, so,
when you remodeled the hospital,
the computer systems were all networked.
So these malfunctions
might be related...
I don't care if they're related or not.
Just make it stop. I can't run a hospital
without medical records and cardiac...
What did...
- Hold on.
- What?
"Hello, Grey-Sloan Memorial."
"Currently, we control your hospital.
We own your servers.
We own your..."
Tim, are you seeing this?!
Oh, man.
"We own your systems.
We own your patients' medical records."
This is so creepy.
"To regain access
to your medical records,
you need an encryption key..."
"which only we have."
"You will need to pay us
exactly 4,932... Bitcoin...
to retrieve the key"?
"Failure to pay this
ransom in a timely manner
will cause your records to be destroyed
and your systems to..."
Let's keep our voices down.
When do we get the records back?
Look. I've got kids up there. I don't
even know what meds they're on!
We can't even order meds!
And we can't monitor our patients, so...
Okay, everyone stop!
I thought we were prepared for this.
We were supposed to have the
whole cybersecurity seminar...
We are. It's this Friday.
Bailey, what
the hell are we gonna do?
- Ohh!
- Unh!
All right. See, that.
That right there is what
we're not going to do.
We're not gonna go running around
flapping our arms like the sky
is falling, all right?
Just because we've lost our computers,
we don't have to lose our minds, okay?
Hmmm.
We need to take a deep breath.
We need to calm down
because we don't want
to panic our patients!
We will solve this problem,
and we will solve it calmly and quietly.
So none of
our very vulnerable patients
needs to know that anything
out of the ordinary
is happening, okay?
Uh...
♪♪
Everyone,
step away from your computer.
Stop using the phones.
Turn off your phones!
I need to speak with
whoever's in charge.
Back away from that computer!
Um...
I think people will know.
♪♪
You can set up in here.
I'll need every computer
in this facility powered down.
We need all employee cellphones
to turn off Wi-Fi.
We're a hospital!
Are we supposed to communicate
through carrier pigeons?
I don't have any carrier pigeons!
Just... work fast.
♪♪
Take a paper chart.
Make sure your pens work.
We're going to paper charts?
Well, it's worked pretty well
for two centuries, Kepner.
Okay, everything
gets written down, people.
And the phones are down,
so share cell numbers.
We should not have each other's numbers.
Agreed.
Now gather up every
portable monitor that we have...
anything that is not
already attached to a patient.
They go to the ORs first,
then the ICU, and then the ER.
Uh, what are we using for
ER monitors in the meantime?
We use the old-fashioned kind.
You are our monitors now, people.
I want you to rotate
through your patients.
I want you to take and retake
heart rate and BP.
Keep track on paper
and notify Kepner of changes.
All right, everyone.
Back to the Stone Age.
- Disrespectful.
- Sorry.
Sir, we've got you, and your
wife's being treated next door.
Is his CT back? Let me see.
Can't. It's in his records.
So you can't see it.
I know. I just really want
to throw something right now.
You, uh... throw this.
It won't hurt anyone.
Is CT working? Do we have that?
No. Except for one.
The one that's not on the network yet.
Okay, he needs a repeat
head CT. Let's go!
Is he dying? Is he gonna die? Like now?
Uh, your father has
a condition called ARDS.
It's causing his lungs
to fill up with fluid,
and now they're failing.
- Okay. So he's dying?
- I'd like to put him on ECMO.
That's cardiorespiratory bypass.
It'll oxygenate his blood for him
so that
his lungs can rest and heal.
So he's not dying?
No. No. He is not dying.
We would need you
to sign this consent form
for the procedure, okay?
That... That makes no sense.
I-I can't consent to anything.
I barely know him.
I thought he was your father.
Oh, no, my mother left him
when she was pregnant with me.
And my whole life,
she just talked about
how bad he was in bed,
which, if you're wondering,
was not really excellent
parenting on her part.
And then, last month,
at her funeral, he showed up.
And he's... he seems...
I mean, he seems
like a pretty good guy.
And he is the first and only
father I have ever known.
And I just met him.
I just met him.
I don't want him to die.
Is it weird that now I'm crying
to two strangers
over a man I just met?
It is, right? Yeah.
- No.
- Sign the consent form.
Let us help him so that
you can get to know him.
We're okay without the portable
because the anesthesia's
monitor is working.
Okay, good, 'cause the computers,
- the phones, the labs...
- The labs are down?
Yeah. I guess, uh, most of these hacks
are just, like, viruses
to get access to patient files.
But this is a full-on attack,
which is, you know...
We're all just trying not to panic!!
Try a little harder, Dr. Bello.
Yeah. On it.
Hold the camera steady, please?
Isn't it wild?
Technology has made it
one of the best, safest times
in human history to get sick.
But if the computer catches a bug,
we're all completely screwed.
I-Is something...?
I'm thinking about converting
to an open procedure.
- Why? Why would y...
- Because of everything you just said.
Oh, God. Don't listen to me!
I'm operating on this woman
with nothing but a tiny
electronic camera to guide me.
No, it's fine. The scope is working.
It would take too long
to convert to an open procedure,
so I can get the spleen from here.
Let's just hurry up and get this done.
Sorry.
Hey. You came. Thanks.
Ohh. We're slammed.
On top of the... the hacking,
we have a bunch of OBs
that are out with the flu,
so Bailey's gonna give you OB privileges
and asked if you could help.
- What hacking?
- Well, the computers are down.
We've been hacked.
Oh! I thought my last patient
had the saddest climax I've ever seen,
but it's just the screen was frozen.
Can you help?
Of course, Arizona.
Hey. How we doing here?
Uh, I-I keep telling them
that we can't take patients.
But I'm super having a baby right now!
We were having a home birth...
a water birth...
and she panicked a little.
Um, let's get a gurney.
Hey. How are
the babies in the NICU?
Well, the NICU monitors aren't networked,
- so they haven't been affected.
- Thank God.
Um, hey, will you tell them
to stop paging me for births?
'Cause I'm not an OB. Dr. DeLuca is.
So they should just page her.
- Right. Yep.
- Okay.
- You're the OB?
- Yes, I am.
I want an epidural. Okay?
And I want monitoring and
painkillers.
And I want all your drugs.
And m...
And machines and robots.
Who does this in a kiddie pool
in their kitchen?
Just breathe. Just breathe.
My first patient!
I'm your first patient?!
No, no, no, no. In...
In this hospital.
Move, please!
We need to get a CT!
Oh, no. This is the CT line.
Everybody had the same idea.
Hey! I need priority.
My guy needs a head CT stat.
Yeah, so does mine.
Listen. My guy's an MVC,
and he has two kids.
So? My guy's in kindergarten.
So, if you want to play human poker,
my hand beats yours. No cuts.
It's not "cuts," Karev.
This not high school.
Well, you're lucky, 'cause I was
a wrestler in high school.
- This is big.
- It is. It's big.
It's a real-time intrusion
into our VolP switches,
DCs, and Active Directory.
Tim, I didn't understand
anything after "big."
Just tell me how to stop it.
Okay, Denver Medical said
they stopped the hackers.
But I know the chief. It was just PR.
They stopped them with money.
They paid the ransom.
That is not true.
Officially.
But, yes, you are correct.
- Well, they only want 5,000.
- Bitcoin.
Well, if that's all they want,
hell, I'll write them a check right now.
- Bitcoin!
- And why does he keep saying that?
They want 5,000 Bitcoin.
It's virtual money.
Right now that translates
to roughly $20 million!
20 w...
Well?
You gonna get your checkbook?
Normally, they hit you for an amount
they think you can easily hand over.
I don't know why
they'd ask for this much.
Because we announced the contest!
Oh, they came after us
because they think we have it.
Can we get our hands on that much cash?
You paged?
- I need $20 million.
- You need what now?
From the Avery Foundation.
Or from your grandfather's inheritance.
The "I'm buying a boat" money.
Look, patients are in danger.
And if we need to pay off
some Cheeto-stained pirate nerd
so he can move out
of his mother's basement,
then that's what we need to do.
Now, we could try to
use the contest money,
but I would prefer not to have
to contact the anonymous donor.
Uh, can you help us out with a loan?
- Yes. Absolutely.
- Thank you.
It's not that simple.
Oh, but it is that simple.
It's the simplest math there is.
Y-Y-You look at the value of money,
and you compare that
to the value of a human life,
and unless you are a soulless monster
who lives in a cave and eats children,
you would see that
there's no amount of money
that should stand in the way
of saving that life.
Now, um, how do I get
some of that, uh, chipcoin?
- Bitcoin.
- Bitcoin.
We're not gonna let you pay this!
- Did you not hear
- What?
What I just said?
This is an unprecedented ransom.
If they go after this kind
of money and get it?
Everybody will know.
People will pull this at every
hospital in the country.
Worldwide.
If they win here,
you're endangering
thousands of patients' lives.
Give my guys time to work.
I'm with Dr. Bailey on this. All right?
This hospital's in chaos right now.
Our patients are in real trouble,
and we have the means to fix that.
Dr. Bailey, you say the word,
I'll transfer the funds.
Hmm.
Uh, I don't know what it is
that you're doing,
but I bet you could do it faster.
Hey, how's Claude?
I put him on ECMO. He's stable for now.
Can he be moved?
Is he safe for transport?
It's that bad?
Yeah, anybody who's
dependent on a machine,
we should really move them right away.
Okay, yeah, we can transport him
on ECMO. Let's do it.
Hey! Hey! Will you tell them
to stop paging me to OB?
I can deliver babies, but I am not an OB.
I used to be a pediatric surgeon,
and now I work on fetuses and moms.
And I did not go into ladies' vaginas
because I do not like to mix
business with pleasure.
That was me. I sent for you.
- W-Why?
- My patient is terrified.
She wants drugs that I can't access,
and she's too far along
to go somewhere else.
So, uh... What do you
want me to do about it?
She won't listen to me.
Since I suggested that her
partner initiate an orgasm...
Yeah. See...
You got to be real choosy
about when you bust that out.
You are the kindest person here.
You work with mothers. You are a mother.
I thought you could calm her down, no?
No.
I mean, yes.
- Thank you.
- Okay.
Her abdomen's distended,
but I can't see any free fluid.
All right. Let's roll her up to CT
to rule out a hemoperitoneum, okay?
Oh. CT's backed up.
It'll be an hour before she's scanned.
Damn it! She doesn't have that long!
I think there's blood in her belly.
I need a newspaper.
A wh...
- A damn newspaper!
- Oh, o-okay. Okay.
Uh...
Ohh!
I need this! Emergency!
- Hey!
- Sorry!
Okay. It's a little pinkish.
But the real test is...
if you can read the paper through it,
there's not a clinically
significant amount
of blood in the belly, okay?
Ooh! 10 down is "Jacuzzi." She's okay.
That is... really cool.
That's how we did it... in the Stone Age.
Frankie's CT looks clear,
but it could be too early
to see a new clot or a bleed.
So we're gonna watch him very closely.
Okay. How, uh, worried should I be?
Oh, we got this. We've got him.
Okay. Thank you.
I'm concerned it might be an
early warning of another stroke.
I found him!
Oh, good. I need to know
if Frankie Baner got his
vitamin K last night.
I wasn't working last night.
- Who was?
- I don't know.
It's in the medical records.
The medical records. I need to know
if I should put him on heparin or not,
because if he doesn't need it,
it could cause a brain bleed.
And if he needs it
and doesn't get it,
we're talking about a possible stroke.
You don't know
who was on this morning?
- I don't.
- Doc McStuffins was on!
- Who?
- She's not a real doctor.
Frankie says he got an injection.
He can't remember from who.
But he was watching "Doc McStuffins."
His mom says it's on
at 6:00 a.m., so who was...
At 6:00? Karen! She's on a 12-hour split.
Uh, she was heading to L&D.
Call L&D.
- No phones.
- Got it. I'm going.
♪♪
Should we tell her what's going on?
Well, I'm a big advocate
for truth telling
when it can do any good at all,
and it usually can,
but in this case,
it'll only cause panic.
Dr. Webber?
His heart rate's been
at 160 since he came in.
- Mm-hmm.
- He had a Red Bull and Adderall.
I'd give him adenosine
to bring his heart rate down,
but it's contraindicated
for asthma.
Uh, that's easy. Put him in...
in Trendelenburg, man.
I turn him upside down?
Yeah, yeah. You know,
if that doesn't work,
dunk his head in a bucket of ice, huh?
For real?
For real, DeLuca.
Okay. It stimulates...
the vagus nerve, okay?
Because, back in my day,
we didn't have a pill
for every little thing.
We had to do what the pill does.
Flip him and dip him.
Yes, sir!
Um, gonna go get you some ice.
Okay, come on. Okay, finally.
Uh, I need a pan CT,
without contrast...
Come on!
Okay.
Damn it. Damn it.
Damn it. Damn it. Damn it.
I knew it. Bag her!
Do we have headlamps?
Uh...
Oh, oh, oh, oh! Oh, God! Oh! Oh!
Schmitt, don't move!
Well, what do we do now?
If you can't even see what
you're doing, what do you do?!
- She's gonna...
- Schmitt, if you don't shut up...
We don't panic, is what we don't do.
Let's prep for a laparotomy
to open her up.
I need a Bookwalter and a 10 blade.
And I need four units of B-neg.
Uh, we... we can't. No phones.
Okay, well, send someone down to get it.
I will. I'm on it!
Not you! I need the assist!
Forget it now.
You're out of the sterile field.
Just... Just go.
Shoot. Sorry! Sorry!
I-I-I could just, um...
Just go. And hurry.
He almost lasted a full 10 minutes
without screwing up, Oki.
Let's get this woman out of here.
We're airlifting him
to Snohomish Medical Center.
- Do you know where that is?
- Yes, I'll go there now.
But why are we moving him?
I-Isn't it dangerous?
You said yourself, he... he's unstable.
If the power goes out again,
so does Claude's blood circulation.
The hospital's experiencing some...
technical difficulties right now.
But I assure you, it's far more dangerous
- if we don't move him.
- We'll see you there.
Well, this is pretty weird, huh?
What is?
Naomi just met her dad.
You just met your dad.
I just met my dad last year.
Really?
I didn't... I didn't know that.
Yeah. Um, it's no big deal.
I mean, technically, I guess
I knew him when I was little,
but the only memory I have
is throwing me up and
catching me in the pool once.
You had a pool in Boston?
Oh, no, no, no. The... The club pool.
Not the Charles River Country Club?
Yeah, as a matter of fact.
- No. No way!
- What?
I was there!
You were a member of Charles River?
No, no. I wasn't a member.
I worked there.
We... We come from
very different families.
Yeah. Thank God for that.
Let's go!
♪♪
Suction here. Right angle.
Do you want the bovie?
I don't want anything that plugs in.
This tissue is so friable.
Where is Schmitt with that blood?!
Frankie Baner, the
Factor Five kid with the AVM.
Yeah, I know who you mean.
Tell Smith I'm coming
- with his plasma right now!
- Did he get his reversing agent,
his vitamin K?
He said you gave him something
at 6:00 this morning.
- No, I didn't.
- Yes, you did. "Doc McStuffins" was on!
Did someone change
the code on this door?
9-6-9-3. I was stuck
with the Lincoln kid.
I asked someone else to do it.
That's what I'm trying. 9-6...
Levi, shut up!
I need blood!
Who? Who did you ask to do it?
- Taylor, I think.
- Girl Taylor or boy Taylor?
Boy Taylor! What is wrong with you?
- 9-6-9-3!
- It doesn't work!
Did someone change this code?!
Okay, he won't stop throwing up.
- Why? Is it another clot?
- It's the pain.
- The headache can cause nausea.
- But it's getting worse.
I mean, why aren't you guys
doing anything for him?
W-We're trying to get a line on his meds.
Can you just... Mm-hmm?
Yeah, yeah. I'm here. I got him.
I just want to rinse this off.
Yeah. I got him.
You're okay.
I feel like I'm gonna die.
What? You're not gonna die.
Will you do me a favor?
Anything.
If I die... will you marry my mom?
She really likes you.
And I know she'll be safe.
You're not gonna die.
♪♪
♪♪
No! No, we are not staying here!
I'm not having my baby by flashlight!
Hey, look, the lights just
came on, so hold on, all right?
Nope, we're going to a hospital
that's not celebrating Pioneer Days!
- Babe, get back in bed. Come on.
- No!
Peggy, why are you walking like that?
I'm fine. I'm fine. I'm fine.
Okay, I'm just gonna check it. All right.
Okay, that's it. That's the baby.
- What?
- No. No, no, no.
Okay. I can feel your
baby's head. She's coming.
- No, no, no.
- Okay, let's go.
No, no, no, no, no, no, no.
I'm not ready.
I'm not ready. I'm not ready.
I'm not a mom. I'm not a mom.
I don't think that way.
I'm not kind or selfless.
I mean, I know you are, babe,
but I'm not. I'm not.
I'll lose her in a
supermarket or something.
Yeah, she'll get l-lost or...
or hurt or something.
I'm terrible. I'm a terrible person.
I can't do this.
Please don't make me do this.
- I'm not a mother!
- Whether you like it or not,
this baby is coming, so let's go.
- Get me that gurney.
- Here we go.
It's okay. It's okay. It's okay.
- Let's lay down.
- I can't move.
Yes, you can. Look at me, Peggy.
Peggy, you just need to push, okay?
- I can't do this! Mnh-mnh.
- You can. Yes, you can.
- No! No!
- Hey! Look at me!
I know that you don't feel ready
and I know you feel like everything
is going to change in an instant.
But you feel blindsided now?
You trust me...
You're gonna take one look at this baby,
and you won't remember anything else.
You won't care what life
was like before you met her.
Believe me. You want to meet her.
Okay.
- Okay?
- Okay.
I'm gonna need you to push.
Ready?
- Yeah.
- Breathe. Take a deep breath.
- And...
- Peggy, push.
Push, push, push, push, push!
You got this. Yes, yes, yes!
You got this, Peggy! Yes!
Yes, yes, yes! Keep going, keep going.
You've got this! You've got this!
You've got this!
Oh! Oh, my God! Oh, my God, Peggy!
♪♪
♪♪
Hi, there.
- Congratulations.
- Thank you.
Hey.
Nice work.
Pbht...
I haven't delivered a baby
since I started my research.
And... this is my first patient here,
and I totally screwed the dog.
Uh, the pooch.
You screw... You screwed the pooch.
- Oh.
- And you didn't. You didn't.
You were smart, and you called me,
and we made a good team.
I think so, too.
I've missed you.
I've missed you, too.
So, um, aren't you...
aren't you with Hunt now?
Nah. He tells me every morning
that it's just for fun
and we're not a "thing."
Well, that's so good.
Excuse me!
Uh, we should...
- Yeah. Si.
- Okay.
I just can't stand here and do nothing.
I can't just watch this.
Well, let's lay it out.
Frankie has a known risk
for ischemic stroke.
He has no known history
of hemorrhagic ones.
We have no reason to believe
this is a brain bleed,
but we have every reason to believe
he may have thrown another clot.
If... If I were a gambler...
Yeah, yeah. I know what I gotta do.
Well, maybe
you got the code wrong.
I didn't.
They have changed the codes.
We are locked out of the blood bank.
No. No!
I went to the one on four,
as well. I tried them all.
Well, I mean, they could
break the door down, then.
This woman needs blood! Get in here!
Suction!
- Damn it. Damn it, damn it!
- Dr. Grey, you have got this!
I-I just... I just mean...
y-you won a Harper Avery.
If anyone can do this, you... you can.
No. I don't have this.
Because if I knew
I didn't have access to blood,
I never would have opened her up.
So I don't have this.
No one's "got this."
- Who's O-neg?
- What?
She needs O-neg or B-neg.
And I'm AB, so I'm out.
Who's got... O-neg? Anyone? Anyone O-neg?
- You all right?
- No. Yeah. I'm...
I've never been on a helicopter before.
I cannot believe you worked at the club.
I mean, I definitely
would've noticed you.
No. No, you wouldn't have. Not back then.
I mean, maybe you're right.
I guess there are some people
you don't see right away.
But, um...
some people just sneak up on you.
Oh, God. Okay.
- You all right?
- Okay.
- You're good.
- Mm-hmm.
What did you mean...
"Thank God we're from
different families"?
Aah! Aah! Oh, my God!
Aah!
Oh, my God! Oh, my...
The old man's tube came loose!
I can't catch it!
- I got it! I got it!
- No!
♪♪
It's not stopping!
I got it. Hold pressure.
Bailey, they've locked us
out of blood supply,
records, and meds now.
We need to talk about
evacuating patients.
Okay, are we close?
Are we close, at all, to stopping this?
Ma'am, it takes time...
It's not "ma'am." It's "Doctor."
And it's not "Doctor." It's "Chief."
Look, and while I am not unconcerned
about your thousands
of hypothetical patients,
they're out of my control.
What is in my control
are the hundreds of very real
patients in my care...
and at least one child
who needs medicine,
and that medicine, right now,
is $20 million that
I can pay to save him.
So you know what? I am...
making this damn phone call
and I am paying this money.
And after I've done that,
hey, feel free to arrest me
if you see fit.
Who are you calling?
I'm calling Aretha Franklin.
Okay. Hold on tight.
We're clear to land.
In surgery,
we call it a complication...
Okay.
- How are you doing?
- Ugh!
Oh, I just, uh, don't
love seeing the blood.
And yet you're a surgeon.
You know... my blood.
Ugh.
You got this, Schmitt.
You got this.
A disruption, a glitch...
- Taylor!
- A nasty surprise.
Did you give Frankie Baner vitamin K?
What?
This morning, did you give
Frankie Baner vitamin K?
- Can we give him heparin?
- Frankie...
- Baner!
- Hang on. I'm trying to remember!
You have to remember!
Oh. Frankie! With the AVM!
Yes!
N-No, no. We didn't reverse him yet.
That was scheduled for the day shift.
Okay, so he's still anticoagulated.
Oh, geez. Don't give him heparin now!
- He'll bleed out!
- Okay. Got it!
No heparin! Thank you!
It calls for extreme measures.
You have to react quickly.
Try to catch up.
This might make you
a little cold at first,
but then you're gonna
feel a lot better, buddy.
Because it came out of nowhere.
Come on, come on, come on!
Come on!
And it can take everything away.
Hey, Brooke.
Oh, wait.
It's... It's "Jo" now, right?
♪♪
♪♪
♪♪