Grey's Anatomy (2005–…): Season 16, Episode 21 - Put on a Happy Face - full transcript
Link tries to convince Amelia to take it easy during the final stage of her pregnancy. Hayes asks Meredith a surprising question, and Owen makes a shocking discovery.
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Unless you're paid to be there,
no one ever wants to go into an O.R.
It's freezing, you're naked,
and a stranger
will be cutting into your body
with knives.
This is not it. It's not on here, okay?
But what patients don't know
and what we try to keep them
from knowing is...
Why shouldn't that be on there?
...sometimes it's just
as terrifying for us.
What?
Traumas, heart surgery,
anything to do with the pancreas.
Any surgeon who says they're
not afraid of those is lying.
You just wrote that.
But no matter how risky the surgery...
...no matter how scared you might be...
...your job is to reassure
your patient...
...and tell them, "Everything
is going to be okay."
Whether you believe it or not.
Uh, hey. Has... Has Richard been
getting the hiccups lately?
I don't know. Why?
Could be a symptom
of Creutzfeldt-Jakob's disease.
Less than 350 Americans get it each year.
There's no 1-hertz spikes on the EEG.
The RT Quick Panel come back yet?
Um... ugh.
Not sure. My tablet just died.
Okay. I'm gonna get another one.
I'll be right back.
Permission slip.
Zola's field trip to the zoo.
Oh. Well, that's next week, but...
This is next week.
Oh.
Has DeLuca been sleeping?
I don't know.
You're okay with that?
Are you here to help?
When my mom was sick,
I was so blinded by my need to cure her
that I couldn't accept the fact
that she was dying.
And instead of caring for her,
I put her through
all this unnecessary testing,
and I hurt her.
That's what you told me.
Right, but she had an actual diagnosis.
It's Alzheimer's, Meredith.
I do not believe that it is.
Well, Amelia and Koracick do.
So Catherine's taking Richard home today.
Oh, hey, Mommy.
Nope. Unh-unh.
You call me Baby Daddy.
And now I will never do that again.
Did you already finish up
your arthroscopy?
Yeah. Cruised through it.
Still have clinic
and some post-ops, but...
how 'bout an early movie?
Then Angelini's.
Take advantage of still being
a party of two.
I have a DBS, and I'm hoping
to fit in a corpectomy.
You had contractions last week
over an open brain.
So?
So, don't you think it's time
to lighten the load?
I am.
Well, you can return to surgery
whenever you want
after this baby is born.
My body won't come back so fast,
so I gotta squeeze in as much as I can.
Dr. Shepherd, O.R. 3 is ready.
All right. I will be there in a minute.
Might be more like ten.
Shut up!
And let me know if there's any increase
in Mr. Rojas' chest tube output.
You got it, Dr. Altman.
And, um, congratulations, about tonight.
Even though marriage
is an outdated concept,
I still think it's neat.
- I've been busy.
- Thanks.
But it's a simple request, Tom.
- Y-You need to calm down.
- Calm down?
What the hell is wrong with you?
I should've known.
Known? Known what?
What's... What's wrong?
He said he didn't see the e-mail
requesting time off.
I saw the subject line.
It didn't seem urgent.
Y-You're getting married,
what, in a few months?
It's tonight, Tom.
It's just a... It's a
last-minute thing, you know?
Some family members for a backyard party.
"Last-minute thing."
Well, that sounds elegant, Hunt.
Well, it's exactly what Teddy wanted.
So, the time off, please?
Sure. Whatever you need.
Thank you.
- I'll see you.
- Yeah, okay.
Thanks for the heads-up.
- Tom, I...
- No, no, no.
I'm... I couldn't be happier for you.
Morning, Daya.
How you doing today?
I'd be better
if I had a smiling photo
for this dating app.
His, not mine.
She signed me up against my will.
And you can see how happy it makes me.
Oh, right. You can't. Fun!
Daya Burman, 13,
presents with Moebius syndrome,
a rare neurological condition
that inhibits facial expression and...
And leaves me with
resting bitch face 24-7.
Not true. And language.
You'd swear, too, if you could
only express your emotions
through Bitmojis.
Well, fortunately, we're gonna
change all that. Dr. Avery?
Yes, we are, because today,
we are doing a bilateral
gracilis transfer,
which means we're taking
the muscles and nerves
from your legs...
Mm-hmm.
...implanting them onto your face.
- Sorry to interrupt...
- Mm-hmm.
...but we know the surgery.
We've bailed on it four times
in the last year.
And by "we," I mean...
But I think he's finally ready,
and I want to get going
before he chickens out again.
Last time, I barely got into
a gown when he changed his mind.
Because you don't need this surgery.
You're beautiful just the way you are.
You've been scared of hospitals
since Mom died.
But I start high school next year,
and I want to have friends.
Friends I can laugh and cry with
and who understand me.
Because right now, no one understands me.
I do,
and I think you're perfect.
Now we're talking.
Look out, single ladies.
- Hey, just...
- Promise not to chicken out again
and I won't post it.
21-year-old male. Took a
baseball bat to the chest.
- Blunt trauma?
- Not exactly.
Oh, my God.
You should see the other guy.
He's totally fine.
Okay, you... Look, you don't understand.
All right? You're making a huge mistake.
DeLuca, this doesn't concern you.
Yes, it does concern me, okay?
R-Richard's my friend.
You've had weeks and have found nothing.
I'm taking my husband home.
Even if it means you're gonna kill him?
'Cause that's what you're doing.
You know that, right?
- You...
- Andrew!
Take a walk.
I'm sorry, Catherine. He's exhausted.
We're all exhausted.
This is hard enough
without the accusations.
But... But I told him
not to come up here.
Yeah, 'cause he's so great
at following the rules.
Okay, I-I'm not a child!
I-It won't take long. Just to the exit.
I'm taking you home,
sweetheart, remember?
Look, I want to walk.
Okay. Okay.
- Ooh! Man.
- Ooh.
- Damn it!
- All right, you just slipped.
My leg fell asleep because
you people keep me in this bed.
Are you okay?
I just need a minute, okay... Okay.
'Til I can get the feeling
back in my toes.
What do you mean you have
no feeling in your toes?
Your feet have never fallen asleep?
Humor me.
They're... They're numb and tingly.
Meredith, he just slipped.
Well, what about your fingers?
Are your fingers numb?
Mm.
I'm gonna check your calf, okay?
Mm!
- Ohh!
- Okay.
Tingling in the extremities
and sensitivity to touch
are not signs of Alzheimer's.
Definitely should do an EMG
to test his nerves.
You really think that's warranted, Grey?
I do, because if I'm right,
then it gives us some hope.
And if you're wrong, then it's torture.
I don't need any more tests!
Catherine...
I know you don't want to see him in pain.
I don't want to see him in pain.
But are we really willing to ignore this?
Do it.
Ugh.
Baby, we have to. We have to.
Let's type and screen him.
Let's get a chest X-ray
and a CT trauma series.
Schmitt, let's get the ultrasound
so we can assess
- the extent of this damage.
Catcher called for heat.
Next thing I know... Boom.
Shards came at me like a boomerang.
Let's page cardio.
- It's in my heart?
- We don't know.
That's why we paged cardio, all right?
- I-I can take that for you.
- Yeah.
Cascades, huh?
Yeah.
My dream's to go to the Mariners.
Seems to be everybody's dream these days.
Okay, ultrasound's unclear.
We're gonna get you up to CT,
and let's book an O.R.
- An O.R.?
- Trust me...
you do not want to be awake
when I pull this thing out of you, okay?
You're gonna be fine. Okay, let's move.
Let's go.
So, you noticed sensory deficit
and an increased sensitivity
to pain, which means...
The nervous system
is like an electrical grid.
By sending a small charge
to certain areas,
we can see if all those lines
are connected.
Or if a power line is down.
The shock of this should send
all ten of his little piggies squealing.
From one chief to another, sorry.
Oh! Ohh.
Ohh.
Adding more juice.
- Aah!
- Yeah.
Ohh!
No motor output going to the legs.
The test confirmed
what we saw with the fall,
which is he has severe acute onset
motor and sensory nerve degeneration,
which is inconsistent
with an Alzheimer's diagnosis.
I'd like to hear from my neurosurgeons.
Grey's right. It's a fantastic catch.
I'm also withdrawing my Alzheimer's vote.
I...
It's not just his mind that's
failing him. It's his body.
Not Alzheimer's?
Oh, my God. That... That's fantastic.
Well, what is it?
Where does that leave us?
In neuroscience,
the official term is square one.
We keep hunting.
Right. Then we should start with
a sural nerve biopsy
and re-check his pan-scan
to rule out a... an occult tumor
and just try to determine
what exactly is destroying his nerves.
Agreed.
Aw, damn it. Trauma consult.
Please keep me posted.
And thank you, Meredith.
Thank you all.
Okay, I am, uh, clearing
the rest of my schedule today.
I'll meet you in the O.R., Grey.
Uh, let Koracick know what you find.
I'm gonna let him take over.
Oh, you don't have to tell me
I'm better than you, Shepherd.
- I know I am.
- You're not.
But my water just broke.
Oh.
Uh... you want a wheelchair?
You're gonna walk?
You do Richard. I'm good to walk.
Sorry about the floor.
I'm gonna call Link.
- Oof.
- Good luck!
Are we there yet?
To the line you can't cross
unless you're a patient or doctor?
Uh, no. Why?
Wait! Doctors!
That's why.
Just keep going. He already gave consent.
He's your dad, Daya.
Uh, did you have a last-minute question?
It's happening again. Dad, breathe.
Remember? Please breathe.
Daya, I'm sorry. I love you.
I can't lose you. And you're perfect.
You're perfect. You don't need to change.
I do. I do need to change.
Dad, I need this change.
Mom wanted this for me.
She wanted me to be able to smile.
She... She wanted to be able
to make me smile.
She wanted this, and she's gone,
and you're using her death as a reason
to not let me have what
she and I both wanted for me.
That is just...
Okay, you have to breathe.
Do you need one of those bags?
No, he's okay, right? Nice and easy.
Just breathe, okay?
Look, Mr. Burman,
we know that her condition
is not life-threatening,
but it is a very serious challenge.
We all depend on nonverbal
communication every day.
You're doing it right now.
You're not talking,
but we all can see that you are terrified
and you're panicked,
all because you're scared
for your daughter.
But we have good news.
We know what she has,
and we know exactly how to fix it.
We just need you to let us
do that for her.
Let us do that for you.
I want to smile, Dad.
I want to be able to smile.
Please.
Okay.
Promise me you'll
swipe right at least once
while I'm in surgery.
All right. Daya, you ready?
Are you kidding?
Look at this face. I am pumped.
All right.
We got her.
I heard about Richard's EMG.
That's big news.
Yep. Talk of the hospital.
- Well, that and your spontaneous wedding.
- Tom.
Did my invitation for tonight
get lost in the mail, or...?
Let's not make this harder
than it already is.
Oh, you're referring to
your impending nuptials
as "hard."
- That's a good sign.
- I love Owen.
And you love me.
Now you're racing off to the altar
to try to convince yourself
you can live without me.
Spoiler alert. You can't.
This wedding is happening.
You know, I've seen a few
shotgun weddings, Teddy,
but usually, it's not
the bride holding the gun.
Oh. Oh, hey.
What'd I miss?
Just the initial pelvic exam
that shows that's Amelia's
at five centimeters.
- Huh?
- Already?
- Mm-hmm.
- "Huh"?
You didn't feel any contractions?
Nope.
Maybe a little.
They started at 9:00 this morning.
What?
You put yourself on the board
for five surgeries.
Well, I thought they were
still Braxton Hicks.
No, no, no, no.
You're definitely in active labor.
- Ugh.
- I'm gonna go get the fetal monitor
so we can check on the baby.
What, are you skipping town?
'Cause now is not
the right time to tell me.
No, that's our go-bag.
I packed Bluetooth speakers,
a deck of cards,
trashy magazines, peanuts.
- I hate peanuts.
- No, those are for me.
Oh.
Oh, I-I-I'll go get you some French fries
and... and the biggest
chocolate bar I can find.
No. S-Stay. Please?
I'm not going anywhere.
Oh! Ooh!
Ah.
Ah.
It's not in your chest, okay?
You don't feel pain
when you see something violent?
Like, all over?
No.
Hey. I'm here. Sorry. I was with Richard.
Oh. Um, how's he... How's he doing?
We're making some progress, I think.
I hope.
- Ouch.
- Yeah.
See?
Okay, baseball bat splintered,
went into his chest, obviously.
Yeah, it did.
He has blood in the pericardial sac,
and that looks dangerously close
to the left atrial appendage.
Uh, you need to put him
on bypass to fix it?
- Unlikely, but I will if it tears.
- Okay.
He's a baseball player?
Pitcher in the minors.
- About to get called up to the majors.
- Yeah.
- Not anytime soon.
- Yeah.
Ohh. Gosh.
Again, Schmitt, this is not
happening to you, okay?
He worked his whole life for this!
Do you think her dad will
swipe right, like she asked?
Maybe.
Is that my only hope now?
A stupid algorithm
that claims to know who to pair me with?
I don't even know
what I'd put in my profile.
I hate everything.
Well, except mac and cheese from a box.
You know, this looks like
the appropriate size.
Now we just need to tether the muscle
to the oral commissures
right here and here.
We'll be able to eliminate
that constant frown.
What about you, Jackson?
Do you use a dating app?
Wait, what's your profile picture?
A shirtless selfie of you
on your yacht or on your jet?
You have a jet?
No.
I mean, my family...
The... Like, the foundation,
I guess, has a jet.
What about you, Hayes?
Definitely not a jet.
No dating profile, either.
Right, 'cause you have
your own personal matchmaker.
What's that supposed to mean?
Ready to close. Vicryl.
Dr. Goldberg to L&D.
Dr. Rachel Goldberg to L&D.
Any word?
They're still in the O.R.
You know, Tom, I'm...
I'm a very proud woman,
but I'm not too proud to admit
the mistakes I've made in my life.
And this year... oof...
this year, I've just
screwed up everything.
Uh...
Uh, I don't know.
Remember that one summer
you came to visit me
at my lake house?
You borrowed my car,
and you forgot to put
the parking brake on.
As we had dinner, I had to watch my Saab
99 Turbo...
...roll down the hill and sink
to the bottom of Lake Habeeb.
You said it was the...
that was the first time
you'd seen me cry.
Oh, Tommy. Tommy.
Well, listen, depending on what
we find out from this biopsy...
I might be coming to ask you
to play a bigger role in the foundation.
- Oh.
- Eh, Jackson's my first choice,
but I just don't want to pressure him
into doing something
that makes him unhappy.
Kit Cat, the foundation is your life.
Not as long as Richard needs me.
Mnh-mnh.
I gave up on him once.
I'm never doing that again.
Oh.
I already informed pathology
to put a rush on the report.
You okay?
I'd say we should bring in
someone who isn't family...
That person doesn't exist.
Let's go.
Ten blade.
Hey, hey! Hey, stop!
Wait! Don't cut! Okay?
- Damn it, DeLuca!
- Just stop, okay?
I-I'm sorry, but I found something.
I was going over
Dr. Webber's history again,
and he got a hip replacement
three years ago in Boston.
Richard Webber is sedated on the table.
You need to step away
from the sterile field
and wait outside!
And you can tell us about it
when we're finished.
- No, no, no. How about now? Huh?
- Are you...
Gonna listen to me now?
That's it.
You're done. Get out.
- Uh, we need to re-sterilize.
- Bailey.
- No, no, no.
- B-Bailey, listen to me, okay?
Look, you don't need to do
the biopsy, all right?
His hip replacement
was made out of cobalt.
We did a heavy metals test.
Wh... It came back negative, right?
Not for cobalt.
That test is mercury, arsenic, and lead.
We wouldn't see that.
Right.
And if that hip is deteriorating, Bailey,
cobalt poisoning would explain
the dementia, the depression,
hallucinations, tremors...
everything, okay?
And every second
that it stays in his body,
he's... he's getting sicker.
Bailey, please trust me.
Change of plans.
We need to draw some blood.
D...
DeLuca, run this down to the lab.
Tell them the chief says
move this to the front of the line.
- Run!
- Okay. Okay.
You really think a hip replacement
- could've caused all this?
- Mm-hmm.
It's a metal-on-metal joint,
which means it's entirely possible
that the friction caused the hip
to wear away over time.
I-I confirmed it with
the hospital in Boston today.
They used a chromium cobalt
alloy for his surgery.
Cobalt in his blood stream
would explain the neurotoxic symptoms.
Okay, so, cobalt level's...
- 200?
- Oh.
The average level in a healthy
adult male is around 8.
That's 25 times more than it should be.
How permanent is this damage?
- I-It's not. It shouldn't be.
- You don't know that.
First step is we have to
get that cobalt out of him
and replace it.
Well, go, go!
Get that thing out of him now!
- Right.
- All right, Taryn, find an empty O.R.
- and prep Dr. Webber.
- Hey, I want to scrub in.
And I want a house in Hawaii. Go home.
Chief, any resident
who found what I found
would get the privilege
to scrub in. Please.
Y-You can't discriminate against me
because you think I have a problem.
Lord, I'm sick of you.
Dr. Bailey...
...he doesn't have to
touch Richard, but he's right.
It's his diagnosis.
It's a career defining moment.
He should get to be there.
Not a finger.
Thank you. Scout's honor.
Got to go find Atticus Lincoln.
Well, he's with Amelia,
and they're having a baby.
Right.
Well, not anymore.
Hey, Mer. Thank you.
Don't make me regret this.
- I won't.
- Amazing catch.
Sorry, sorry, sorry, sorry,
sorry, sorry, sorry, sorry.
Ah, doesn't hurt a bit. Ah.
Actually, you sh...
squeeze harder, actually,
because, uh, because
I'm feeling nothing here.
You're progressing very nicely, Amelia.
Really? Because it feels epically slow.
D... Oh. Dr. Lincoln,
uh, we need you in O.R. 1,
explantation and replacement
of a hip prosthesis.
Kind of in the middle of something here.
It's for Richard.
He tested positive for cobalt toxicity.
It's his hip.
Webber's got a cobalt hip?
Yeah, which is leaching
more cobalt into his blood
the longer we speak.
I... I would not ask,
but he needs the best we have,
and he needs it now.
Okay. I think we're almost done here.
No, you're still only six centimeters.
- You have hours.
- What?
- Still?
- Yeah.
Oh. Okay. Go.
- You sure?
- Yeah. Yeah, it's Richard.
Go. Go.
Mm. Mwah.
Okay, go. No, w-wait.
Wait, do that again.
Mm.
Mm. Mm.
That really does help with the pain some.
I told you!
Okay, go, go!
I'm pretty madly
in love with you, you know.
Me, too! Go!
- Bailey!
- Huh?
Huh?
Oh, uh, no, I'm gonna help prep Richard.
You stole the father of my baby
while I'm in active labor.
Uh...
Ha... Uh...
Oh.
- Oh!
- What?
- Aah!
- Aah!
No tension. Perfect coaptation.
Just need to anchor the muscle proximally
and we get to close her up.
I saw a survey that said 98% of women
have been told to smile more at work.
Why is there so much pressure
to smile all the time?
It's not like it makes us
better at our jobs.
The only people that smile all the time
are clowns and sociopaths.
Dr. Avery, are you almost done?
Why? You need my O.R.?
No, but thank you.
Chief Bailey wanted me to tell you
we're taking Dr. Webber to the O.R.
because he has a hip made of cobalt,
which has been slowly poisoning him.
- Wait, what?
- I know.
Dr. DeLuca figured it out.
DeLuca?
Jackson, go.
We can finish and close.
- Got it?
- Yep.
Score one for DeLuca.
The way he's been acting,
I'm amazed anyone listened
to anything he had to say,
least of all Grey.
You seem very interested
in who Meredith Grey listens to.
Do I?
I hadn't noticed.
Hmm.
Schmitt, bovie.
What are the odds
that that thing
would just shatter like that?
Well, maple bats splinter easily.
Why are they allowed?
Well, they're trying to
phase them out, go back to ash.
Oh, good.
Schmitt, can you get that, please?
Oh, but then I wouldn't be sterile.
I know.
Okay.
Some guy named Winston says
- that he can't stop thinking about you.
- No, no, no, no. Not that one.
Okay.
Grey texted, too, and Bailey and Helm.
Well, what did they say?
Ooh, it's a lot. I'm reading.
Dr. Webber has cobalt poisoning
from a hip replacement,
and they're rushing him
into surgery to replace it.
They think that it explains
everything that's wrong with him.
Pierce, we can... we can
page Altman if you need to...
No. No. I'm... I'm okay.
I just need a second.
Okay. Bovie.
You're the one who paged.
Mm.
I'm driving across the Key Bridge
in Baltimore one night, early June,
sunset, weather's gorgeous,
slight breeze,
sailboats on the water.
There was a crimson sky.
- Tom.
- A-And I see this guy,
20-something, on his phone,
looking distraught,
his face all tightened up in anguish,
and he's leaning way out
over the railing.
And before I know what
I'm doing, I slam on my brakes,
I run to him... "Don't do it! Don't..."
Cars lined up behind mine,
people leaning on their horns,
but I had to stop him.
I-I... At least try.
I couldn't let him throw his life away.
So, what happened?
- Did you talk him down?
- Oh, no.
It turns out he was just calling
into a radio station
for some free concert tickets,
and the reception was better
out over the water.
I just wanted to tell a story
to illustrate my point.
Don't throw your life away, Teddy.
I hate that I have dragged you into this.
I hate that I'm hurting you.
Because you love me.
I am marrying Owen.
And I love you, too.
Which means I'm not giving up on you.
So, tonight, I'll be in my car.
Lot B, 7:00.
Waiting...
...to take you wherever you want to go.
You want to go out to your place? Hmm?
Explain things to Hunt? Fine.
You want to run away, go down the coast,
spend a weekend... figuring things out?
I'll be there. 7:00.
Tom.
We can't do this.
Say it.
- I love you, too.
- Mm.
Mm.
They ended your suspension?
Temporarily. Yeah.
Okay, everyone. We've
done this a thousand times.
We know what to do.
Ten blade.
What is all that?
Mostly sludge.
I've never seen this much tissue damage
from a hip replacement before.
Look at this gluteus medius tendon.
I can't believe
that was all inside of him.
Not just him.
These hips were the new
standard for a while.
Surgeons used to beg their hospitals
to invest in them,
but, uh, if this is happening
to other people...
it's gonna be a game-changer, DeLuca.
Can someone get me an update on Amelia?
Ooh.
Okay.
Oh.
How are we doing?
Uh, contractions are
less than three minutes apart.
She's doing great.
- Ooh.
- Good. Can I take a look?
Uh-huh. Ooh!
I feel like my organs are in a vice.
Aah!
Hey, I know you said
no medications, but...
There's fentanyl in the epidural.
Nobody advertises that, but... Aah!
Women are smart.
We are evolved. We are critical-thinking.
How did the first woman ever have a baby
and then decide to have another one?
Aah! Or let another woman have one?
Oh. How do humans exist?
Why do we do this?
You do this because
you're so in love with someone
that the two of you can't contain it all.
So you make another person
out of that love.
Oh, God.
Bailey... I am so sorry.
I'm awful. I was not thinking about it.
You can go.
I ju... I deserve to
have this baby on my own.
D... No.
Now, that would go against
the rules of pregnancy club.
The surgery went well,
and the bandages should be
able to come off soon.
Recovery will be slow.
You'll need rehab and speech therapy.
See, Dad? Everything was fine.
- I came as fast as I could.
- Hi.
How is she doing?
Um... uh... we're great.
Ms. Scott?
Why are you here?
I... I was in the neighborhood,
and I thought maybe you might
want to catch up on your homework.
Oh, my God.
Dad, you're dating my algebra teacher?
Um... only kind of.
It's just...
We have the same dentist. She set us up.
I didn't know she was
your teacher at the time.
We didn't want to tell you until
after the school year was over
and you weren't in my class.
Oh, honey. Please. Don't be upset.
I'm not upset. I'm trying to smile.
Okay.
Well, now we know why
the dad never swiped right.
God, I hate set-ups.
But if it makes them happy...
So, this lack of interest in dating...
it's... it's only in regards
to yourself, right?
I mean, just because I'm miserable
doesn't mean everyone else has to be.
Okay. So, I'm not wrong, then?
'Cause I get the feeling
people are having conversations
about my personal life
that I'm not privy to.
You know, you should smile more.
Hmm.
- Ohh!
- Okay, it's time to push.
- Okay.
- No, I ca... I can't push anymore!
- I can't! I can't!
- Oh, yes, you can.
No, I can't! I'm done!
I'm dying! I can't!
Okay, okay, but... but think of
all those women you were talking about,
the women that do this every day.
No, I hate those women!
And they all have drugs
and masturbation and...
and then C-sections,
and I don't even have Link!
Ohhh!
Uh, okay.
Okay, here. Sit up.
I can't! I can't! I can't do this!
Okay. Tucker's father
wasn't with me, either.
- So, move.
- Why? What are you doing?
- Ah. Okay.
- Okay.
Oh, my God. I can't do this.
Okay. Okay.
- Okay.
- Now...
- All right.
- ...let's have a baby.
- Okay. One, two, three.
- Okay.
Push!
One more, one more, one more.
Good.
All right.
Clip.
This atrial appendage clip
should contain the bleeding.
I thought these clips
were only used for a-fib.
Mnh.
Schmitt.
Um...
Oh, Dr. Webber's out.
He's stable.
Yes! Sorry.
Pierce, you can...
you can go if you need to.
What? No.
No, I do my best work
when I am... profoundly relieved.
Now, what about you? Don't you
have a wedding to get to?
Ah, there's plenty of wine
to keep people happy.
Oh, Schmitt, could you...?
Oh. I'm doing yours now, too?
Great.
Great use of my medical degree.
A voicemail from Dr. Altman.
Oh, it's probably about tonight.
- Could you just, uh, put it on speaker?
- Yep.
- Thanks.
- Oh.
Mm.
Oh.
Oh, God.
Oh, God.
- Schmitt?
- Oh, yes!
- Schmitt.
- Yep. Yep.
- Schmitt!
- Yep, yep, yeah!
I'm trying, I'm trying,
I'm trying, I'm tr...
Okay.
S-Sorry, everyone.
Clearly, that was meant for me.
You know, Teddy's idea of a wedding gift.
Yeah. Yeah, that's a good one.
- Yeah.
- Yeah.
Um... suc... Um...
Suction.
Was that another false alarm?
Where's Carina?
Are you okay?
I'm okay.
Everything's okay.
Atticus Lincoln... come meet your son.
Oh, my God.
Oh, my God. Hi.
Oh.
Hi.
Oh, oh.
He's so small.
Don't say that to the person
who just pushed him out.
He's beautiful. Isn't he?
You both are.
Oh. Is he, uh... doing o...
He's stable.
Came off his vents easily.
We won't know more 'til he wakes up,
but that implant was basically
rotted inside of him.
It was, uh... awful.
Okay.
When he wakes up,
make sure his pain's controlled
and walk him through his recovery.
And tell him he missed
his chance at the majors
and his dream is dead.
Schmitt, you're not the one
who's suffering here.
He is.
So put on a game face, suck up
your feelings, 'cause that's what we do.
If you can't do that,
if you can't do your job...
consider a new career.
Oh, God.
Oh, God.
Oh, yes.
Oh!
God!
Oh!
Oh.
Mm. Mm.
Oh, God. Oh.
LET'S NOT WAIT 'TIL 7:00.
Let's leave now.
No, I can't.
I can't leave with you.
I c...
I'm... I am marrying Owen.
This was...
This was goodbye.
Okay.
Mm. Mm.
How's that?
Ah.
Thank you, Maggie.
It's so nice to hear you say my name.
Do you know who this is?
Mm. You mean, um... Jackson?
Hey, Richard.
Do you know where you are?
Grey-Sloan Memorial?
If this is a quiz,
you might want to ask
some tougher questions.
Fair enough.
Okay, um, hold out your hand for me.
Oh, sweetheart.
The nurses are gonna bring in a bed
so I can stay the night with you.
It's Catherine. It's... It's Mom.
I know who it is.
What is she doing here?
Sweetheart.
I've been with you this whole time.
Is your mind playing tricks on you again?
Did you stand by me
while I was being fired,
you buy my hospital to humiliate me,
or is that my mind playing tricks, too?
Richard, calm down.
Get out.
- Richard.
- Okay, Mom, let's go.
Let's give him a little...
- little bit of time. Okay?
- Richard.
Sometimes, surgeries
go better than planned.
Grey.
Heard about Webber.
Oh, yeah. Incredible catch.
Yeah, it was... not all me.
It was an army and mainly DeLuca.
Mm-hmm.
Want to grab a drink? Celebrate?
Yes.
Except I'm so exhausted.
Will you ask me another time?
Of course. See you later.
Bye.
Hey. Andrew?
Andrew, it's over.
Maggie said she'll call us
if there are any changes.
I don't... I can't, uh...
I don't know what's going on.
Okay, okay.
Can we just go home?
Let's go home, okay? Come on.
There's no better gift
you can give someone
than saying you saved
the person they love.
It went okay, I think.
I look forward to those moments.
Unfortunately, those perfect
outcomes are rare.
You would think it gets easier,
but it doesn't.
Each one hurts just as much
as the last one.
So, we hope for the best...
...and prepare for the worst.
Hey, Teddy.
I'm so sorry, honey. We'll reschedule.
Alison just fell asleep,
and I'll get that guy down.
Why are we rescheduling?
Owen got pulled in
for a last-minute surgery.
Said to send everyone home.
He didn't call you?
No.
Oh, well, seems he barely
had time to tell me.
I mean, trauma... well,
you know better than anyone.
Right.
Because the worst
has a nasty way of finding you.
---
Unless you're paid to be there,
no one ever wants to go into an O.R.
It's freezing, you're naked,
and a stranger
will be cutting into your body
with knives.
This is not it. It's not on here, okay?
But what patients don't know
and what we try to keep them
from knowing is...
Why shouldn't that be on there?
...sometimes it's just
as terrifying for us.
What?
Traumas, heart surgery,
anything to do with the pancreas.
Any surgeon who says they're
not afraid of those is lying.
You just wrote that.
But no matter how risky the surgery...
...no matter how scared you might be...
...your job is to reassure
your patient...
...and tell them, "Everything
is going to be okay."
Whether you believe it or not.
Uh, hey. Has... Has Richard been
getting the hiccups lately?
I don't know. Why?
Could be a symptom
of Creutzfeldt-Jakob's disease.
Less than 350 Americans get it each year.
There's no 1-hertz spikes on the EEG.
The RT Quick Panel come back yet?
Um... ugh.
Not sure. My tablet just died.
Okay. I'm gonna get another one.
I'll be right back.
Permission slip.
Zola's field trip to the zoo.
Oh. Well, that's next week, but...
This is next week.
Oh.
Has DeLuca been sleeping?
I don't know.
You're okay with that?
Are you here to help?
When my mom was sick,
I was so blinded by my need to cure her
that I couldn't accept the fact
that she was dying.
And instead of caring for her,
I put her through
all this unnecessary testing,
and I hurt her.
That's what you told me.
Right, but she had an actual diagnosis.
It's Alzheimer's, Meredith.
I do not believe that it is.
Well, Amelia and Koracick do.
So Catherine's taking Richard home today.
Oh, hey, Mommy.
Nope. Unh-unh.
You call me Baby Daddy.
And now I will never do that again.
Did you already finish up
your arthroscopy?
Yeah. Cruised through it.
Still have clinic
and some post-ops, but...
how 'bout an early movie?
Then Angelini's.
Take advantage of still being
a party of two.
I have a DBS, and I'm hoping
to fit in a corpectomy.
You had contractions last week
over an open brain.
So?
So, don't you think it's time
to lighten the load?
I am.
Well, you can return to surgery
whenever you want
after this baby is born.
My body won't come back so fast,
so I gotta squeeze in as much as I can.
Dr. Shepherd, O.R. 3 is ready.
All right. I will be there in a minute.
Might be more like ten.
Shut up!
And let me know if there's any increase
in Mr. Rojas' chest tube output.
You got it, Dr. Altman.
And, um, congratulations, about tonight.
Even though marriage
is an outdated concept,
I still think it's neat.
- I've been busy.
- Thanks.
But it's a simple request, Tom.
- Y-You need to calm down.
- Calm down?
What the hell is wrong with you?
I should've known.
Known? Known what?
What's... What's wrong?
He said he didn't see the e-mail
requesting time off.
I saw the subject line.
It didn't seem urgent.
Y-You're getting married,
what, in a few months?
It's tonight, Tom.
It's just a... It's a
last-minute thing, you know?
Some family members for a backyard party.
"Last-minute thing."
Well, that sounds elegant, Hunt.
Well, it's exactly what Teddy wanted.
So, the time off, please?
Sure. Whatever you need.
Thank you.
- I'll see you.
- Yeah, okay.
Thanks for the heads-up.
- Tom, I...
- No, no, no.
I'm... I couldn't be happier for you.
Morning, Daya.
How you doing today?
I'd be better
if I had a smiling photo
for this dating app.
His, not mine.
She signed me up against my will.
And you can see how happy it makes me.
Oh, right. You can't. Fun!
Daya Burman, 13,
presents with Moebius syndrome,
a rare neurological condition
that inhibits facial expression and...
And leaves me with
resting bitch face 24-7.
Not true. And language.
You'd swear, too, if you could
only express your emotions
through Bitmojis.
Well, fortunately, we're gonna
change all that. Dr. Avery?
Yes, we are, because today,
we are doing a bilateral
gracilis transfer,
which means we're taking
the muscles and nerves
from your legs...
Mm-hmm.
...implanting them onto your face.
- Sorry to interrupt...
- Mm-hmm.
...but we know the surgery.
We've bailed on it four times
in the last year.
And by "we," I mean...
But I think he's finally ready,
and I want to get going
before he chickens out again.
Last time, I barely got into
a gown when he changed his mind.
Because you don't need this surgery.
You're beautiful just the way you are.
You've been scared of hospitals
since Mom died.
But I start high school next year,
and I want to have friends.
Friends I can laugh and cry with
and who understand me.
Because right now, no one understands me.
I do,
and I think you're perfect.
Now we're talking.
Look out, single ladies.
- Hey, just...
- Promise not to chicken out again
and I won't post it.
21-year-old male. Took a
baseball bat to the chest.
- Blunt trauma?
- Not exactly.
Oh, my God.
You should see the other guy.
He's totally fine.
Okay, you... Look, you don't understand.
All right? You're making a huge mistake.
DeLuca, this doesn't concern you.
Yes, it does concern me, okay?
R-Richard's my friend.
You've had weeks and have found nothing.
I'm taking my husband home.
Even if it means you're gonna kill him?
'Cause that's what you're doing.
You know that, right?
- You...
- Andrew!
Take a walk.
I'm sorry, Catherine. He's exhausted.
We're all exhausted.
This is hard enough
without the accusations.
But... But I told him
not to come up here.
Yeah, 'cause he's so great
at following the rules.
Okay, I-I'm not a child!
I-It won't take long. Just to the exit.
I'm taking you home,
sweetheart, remember?
Look, I want to walk.
Okay. Okay.
- Ooh! Man.
- Ooh.
- Damn it!
- All right, you just slipped.
My leg fell asleep because
you people keep me in this bed.
Are you okay?
I just need a minute, okay... Okay.
'Til I can get the feeling
back in my toes.
What do you mean you have
no feeling in your toes?
Your feet have never fallen asleep?
Humor me.
They're... They're numb and tingly.
Meredith, he just slipped.
Well, what about your fingers?
Are your fingers numb?
Mm.
I'm gonna check your calf, okay?
Mm!
- Ohh!
- Okay.
Tingling in the extremities
and sensitivity to touch
are not signs of Alzheimer's.
Definitely should do an EMG
to test his nerves.
You really think that's warranted, Grey?
I do, because if I'm right,
then it gives us some hope.
And if you're wrong, then it's torture.
I don't need any more tests!
Catherine...
I know you don't want to see him in pain.
I don't want to see him in pain.
But are we really willing to ignore this?
Do it.
Ugh.
Baby, we have to. We have to.
Let's type and screen him.
Let's get a chest X-ray
and a CT trauma series.
Schmitt, let's get the ultrasound
so we can assess
- the extent of this damage.
Catcher called for heat.
Next thing I know... Boom.
Shards came at me like a boomerang.
Let's page cardio.
- It's in my heart?
- We don't know.
That's why we paged cardio, all right?
- I-I can take that for you.
- Yeah.
Cascades, huh?
Yeah.
My dream's to go to the Mariners.
Seems to be everybody's dream these days.
Okay, ultrasound's unclear.
We're gonna get you up to CT,
and let's book an O.R.
- An O.R.?
- Trust me...
you do not want to be awake
when I pull this thing out of you, okay?
You're gonna be fine. Okay, let's move.
Let's go.
So, you noticed sensory deficit
and an increased sensitivity
to pain, which means...
The nervous system
is like an electrical grid.
By sending a small charge
to certain areas,
we can see if all those lines
are connected.
Or if a power line is down.
The shock of this should send
all ten of his little piggies squealing.
From one chief to another, sorry.
Oh! Ohh.
Ohh.
Adding more juice.
- Aah!
- Yeah.
Ohh!
No motor output going to the legs.
The test confirmed
what we saw with the fall,
which is he has severe acute onset
motor and sensory nerve degeneration,
which is inconsistent
with an Alzheimer's diagnosis.
I'd like to hear from my neurosurgeons.
Grey's right. It's a fantastic catch.
I'm also withdrawing my Alzheimer's vote.
I...
It's not just his mind that's
failing him. It's his body.
Not Alzheimer's?
Oh, my God. That... That's fantastic.
Well, what is it?
Where does that leave us?
In neuroscience,
the official term is square one.
We keep hunting.
Right. Then we should start with
a sural nerve biopsy
and re-check his pan-scan
to rule out a... an occult tumor
and just try to determine
what exactly is destroying his nerves.
Agreed.
Aw, damn it. Trauma consult.
Please keep me posted.
And thank you, Meredith.
Thank you all.
Okay, I am, uh, clearing
the rest of my schedule today.
I'll meet you in the O.R., Grey.
Uh, let Koracick know what you find.
I'm gonna let him take over.
Oh, you don't have to tell me
I'm better than you, Shepherd.
- I know I am.
- You're not.
But my water just broke.
Oh.
Uh... you want a wheelchair?
You're gonna walk?
You do Richard. I'm good to walk.
Sorry about the floor.
I'm gonna call Link.
- Oof.
- Good luck!
Are we there yet?
To the line you can't cross
unless you're a patient or doctor?
Uh, no. Why?
Wait! Doctors!
That's why.
Just keep going. He already gave consent.
He's your dad, Daya.
Uh, did you have a last-minute question?
It's happening again. Dad, breathe.
Remember? Please breathe.
Daya, I'm sorry. I love you.
I can't lose you. And you're perfect.
You're perfect. You don't need to change.
I do. I do need to change.
Dad, I need this change.
Mom wanted this for me.
She wanted me to be able to smile.
She... She wanted to be able
to make me smile.
She wanted this, and she's gone,
and you're using her death as a reason
to not let me have what
she and I both wanted for me.
That is just...
Okay, you have to breathe.
Do you need one of those bags?
No, he's okay, right? Nice and easy.
Just breathe, okay?
Look, Mr. Burman,
we know that her condition
is not life-threatening,
but it is a very serious challenge.
We all depend on nonverbal
communication every day.
You're doing it right now.
You're not talking,
but we all can see that you are terrified
and you're panicked,
all because you're scared
for your daughter.
But we have good news.
We know what she has,
and we know exactly how to fix it.
We just need you to let us
do that for her.
Let us do that for you.
I want to smile, Dad.
I want to be able to smile.
Please.
Okay.
Promise me you'll
swipe right at least once
while I'm in surgery.
All right. Daya, you ready?
Are you kidding?
Look at this face. I am pumped.
All right.
We got her.
I heard about Richard's EMG.
That's big news.
Yep. Talk of the hospital.
- Well, that and your spontaneous wedding.
- Tom.
Did my invitation for tonight
get lost in the mail, or...?
Let's not make this harder
than it already is.
Oh, you're referring to
your impending nuptials
as "hard."
- That's a good sign.
- I love Owen.
And you love me.
Now you're racing off to the altar
to try to convince yourself
you can live without me.
Spoiler alert. You can't.
This wedding is happening.
You know, I've seen a few
shotgun weddings, Teddy,
but usually, it's not
the bride holding the gun.
Oh. Oh, hey.
What'd I miss?
Just the initial pelvic exam
that shows that's Amelia's
at five centimeters.
- Huh?
- Already?
- Mm-hmm.
- "Huh"?
You didn't feel any contractions?
Nope.
Maybe a little.
They started at 9:00 this morning.
What?
You put yourself on the board
for five surgeries.
Well, I thought they were
still Braxton Hicks.
No, no, no, no.
You're definitely in active labor.
- Ugh.
- I'm gonna go get the fetal monitor
so we can check on the baby.
What, are you skipping town?
'Cause now is not
the right time to tell me.
No, that's our go-bag.
I packed Bluetooth speakers,
a deck of cards,
trashy magazines, peanuts.
- I hate peanuts.
- No, those are for me.
Oh.
Oh, I-I-I'll go get you some French fries
and... and the biggest
chocolate bar I can find.
No. S-Stay. Please?
I'm not going anywhere.
Oh! Ooh!
Ah.
Ah.
It's not in your chest, okay?
You don't feel pain
when you see something violent?
Like, all over?
No.
Hey. I'm here. Sorry. I was with Richard.
Oh. Um, how's he... How's he doing?
We're making some progress, I think.
I hope.
- Ouch.
- Yeah.
See?
Okay, baseball bat splintered,
went into his chest, obviously.
Yeah, it did.
He has blood in the pericardial sac,
and that looks dangerously close
to the left atrial appendage.
Uh, you need to put him
on bypass to fix it?
- Unlikely, but I will if it tears.
- Okay.
He's a baseball player?
Pitcher in the minors.
- About to get called up to the majors.
- Yeah.
- Not anytime soon.
- Yeah.
Ohh. Gosh.
Again, Schmitt, this is not
happening to you, okay?
He worked his whole life for this!
Do you think her dad will
swipe right, like she asked?
Maybe.
Is that my only hope now?
A stupid algorithm
that claims to know who to pair me with?
I don't even know
what I'd put in my profile.
I hate everything.
Well, except mac and cheese from a box.
You know, this looks like
the appropriate size.
Now we just need to tether the muscle
to the oral commissures
right here and here.
We'll be able to eliminate
that constant frown.
What about you, Jackson?
Do you use a dating app?
Wait, what's your profile picture?
A shirtless selfie of you
on your yacht or on your jet?
You have a jet?
No.
I mean, my family...
The... Like, the foundation,
I guess, has a jet.
What about you, Hayes?
Definitely not a jet.
No dating profile, either.
Right, 'cause you have
your own personal matchmaker.
What's that supposed to mean?
Ready to close. Vicryl.
Dr. Goldberg to L&D.
Dr. Rachel Goldberg to L&D.
Any word?
They're still in the O.R.
You know, Tom, I'm...
I'm a very proud woman,
but I'm not too proud to admit
the mistakes I've made in my life.
And this year... oof...
this year, I've just
screwed up everything.
Uh...
Uh, I don't know.
Remember that one summer
you came to visit me
at my lake house?
You borrowed my car,
and you forgot to put
the parking brake on.
As we had dinner, I had to watch my Saab
99 Turbo...
...roll down the hill and sink
to the bottom of Lake Habeeb.
You said it was the...
that was the first time
you'd seen me cry.
Oh, Tommy. Tommy.
Well, listen, depending on what
we find out from this biopsy...
I might be coming to ask you
to play a bigger role in the foundation.
- Oh.
- Eh, Jackson's my first choice,
but I just don't want to pressure him
into doing something
that makes him unhappy.
Kit Cat, the foundation is your life.
Not as long as Richard needs me.
Mnh-mnh.
I gave up on him once.
I'm never doing that again.
Oh.
I already informed pathology
to put a rush on the report.
You okay?
I'd say we should bring in
someone who isn't family...
That person doesn't exist.
Let's go.
Ten blade.
Hey, hey! Hey, stop!
Wait! Don't cut! Okay?
- Damn it, DeLuca!
- Just stop, okay?
I-I'm sorry, but I found something.
I was going over
Dr. Webber's history again,
and he got a hip replacement
three years ago in Boston.
Richard Webber is sedated on the table.
You need to step away
from the sterile field
and wait outside!
And you can tell us about it
when we're finished.
- No, no, no. How about now? Huh?
- Are you...
Gonna listen to me now?
That's it.
You're done. Get out.
- Uh, we need to re-sterilize.
- Bailey.
- No, no, no.
- B-Bailey, listen to me, okay?
Look, you don't need to do
the biopsy, all right?
His hip replacement
was made out of cobalt.
We did a heavy metals test.
Wh... It came back negative, right?
Not for cobalt.
That test is mercury, arsenic, and lead.
We wouldn't see that.
Right.
And if that hip is deteriorating, Bailey,
cobalt poisoning would explain
the dementia, the depression,
hallucinations, tremors...
everything, okay?
And every second
that it stays in his body,
he's... he's getting sicker.
Bailey, please trust me.
Change of plans.
We need to draw some blood.
D...
DeLuca, run this down to the lab.
Tell them the chief says
move this to the front of the line.
- Run!
- Okay. Okay.
You really think a hip replacement
- could've caused all this?
- Mm-hmm.
It's a metal-on-metal joint,
which means it's entirely possible
that the friction caused the hip
to wear away over time.
I-I confirmed it with
the hospital in Boston today.
They used a chromium cobalt
alloy for his surgery.
Cobalt in his blood stream
would explain the neurotoxic symptoms.
Okay, so, cobalt level's...
- 200?
- Oh.
The average level in a healthy
adult male is around 8.
That's 25 times more than it should be.
How permanent is this damage?
- I-It's not. It shouldn't be.
- You don't know that.
First step is we have to
get that cobalt out of him
and replace it.
Well, go, go!
Get that thing out of him now!
- Right.
- All right, Taryn, find an empty O.R.
- and prep Dr. Webber.
- Hey, I want to scrub in.
And I want a house in Hawaii. Go home.
Chief, any resident
who found what I found
would get the privilege
to scrub in. Please.
Y-You can't discriminate against me
because you think I have a problem.
Lord, I'm sick of you.
Dr. Bailey...
...he doesn't have to
touch Richard, but he's right.
It's his diagnosis.
It's a career defining moment.
He should get to be there.
Not a finger.
Thank you. Scout's honor.
Got to go find Atticus Lincoln.
Well, he's with Amelia,
and they're having a baby.
Right.
Well, not anymore.
Hey, Mer. Thank you.
Don't make me regret this.
- I won't.
- Amazing catch.
Sorry, sorry, sorry, sorry,
sorry, sorry, sorry, sorry.
Ah, doesn't hurt a bit. Ah.
Actually, you sh...
squeeze harder, actually,
because, uh, because
I'm feeling nothing here.
You're progressing very nicely, Amelia.
Really? Because it feels epically slow.
D... Oh. Dr. Lincoln,
uh, we need you in O.R. 1,
explantation and replacement
of a hip prosthesis.
Kind of in the middle of something here.
It's for Richard.
He tested positive for cobalt toxicity.
It's his hip.
Webber's got a cobalt hip?
Yeah, which is leaching
more cobalt into his blood
the longer we speak.
I... I would not ask,
but he needs the best we have,
and he needs it now.
Okay. I think we're almost done here.
No, you're still only six centimeters.
- You have hours.
- What?
- Still?
- Yeah.
Oh. Okay. Go.
- You sure?
- Yeah. Yeah, it's Richard.
Go. Go.
Mm. Mwah.
Okay, go. No, w-wait.
Wait, do that again.
Mm.
Mm. Mm.
That really does help with the pain some.
I told you!
Okay, go, go!
I'm pretty madly
in love with you, you know.
Me, too! Go!
- Bailey!
- Huh?
Huh?
Oh, uh, no, I'm gonna help prep Richard.
You stole the father of my baby
while I'm in active labor.
Uh...
Ha... Uh...
Oh.
- Oh!
- What?
- Aah!
- Aah!
No tension. Perfect coaptation.
Just need to anchor the muscle proximally
and we get to close her up.
I saw a survey that said 98% of women
have been told to smile more at work.
Why is there so much pressure
to smile all the time?
It's not like it makes us
better at our jobs.
The only people that smile all the time
are clowns and sociopaths.
Dr. Avery, are you almost done?
Why? You need my O.R.?
No, but thank you.
Chief Bailey wanted me to tell you
we're taking Dr. Webber to the O.R.
because he has a hip made of cobalt,
which has been slowly poisoning him.
- Wait, what?
- I know.
Dr. DeLuca figured it out.
DeLuca?
Jackson, go.
We can finish and close.
- Got it?
- Yep.
Score one for DeLuca.
The way he's been acting,
I'm amazed anyone listened
to anything he had to say,
least of all Grey.
You seem very interested
in who Meredith Grey listens to.
Do I?
I hadn't noticed.
Hmm.
Schmitt, bovie.
What are the odds
that that thing
would just shatter like that?
Well, maple bats splinter easily.
Why are they allowed?
Well, they're trying to
phase them out, go back to ash.
Oh, good.
Schmitt, can you get that, please?
Oh, but then I wouldn't be sterile.
I know.
Okay.
Some guy named Winston says
- that he can't stop thinking about you.
- No, no, no, no. Not that one.
Okay.
Grey texted, too, and Bailey and Helm.
Well, what did they say?
Ooh, it's a lot. I'm reading.
Dr. Webber has cobalt poisoning
from a hip replacement,
and they're rushing him
into surgery to replace it.
They think that it explains
everything that's wrong with him.
Pierce, we can... we can
page Altman if you need to...
No. No. I'm... I'm okay.
I just need a second.
Okay. Bovie.
You're the one who paged.
Mm.
I'm driving across the Key Bridge
in Baltimore one night, early June,
sunset, weather's gorgeous,
slight breeze,
sailboats on the water.
There was a crimson sky.
- Tom.
- A-And I see this guy,
20-something, on his phone,
looking distraught,
his face all tightened up in anguish,
and he's leaning way out
over the railing.
And before I know what
I'm doing, I slam on my brakes,
I run to him... "Don't do it! Don't..."
Cars lined up behind mine,
people leaning on their horns,
but I had to stop him.
I-I... At least try.
I couldn't let him throw his life away.
So, what happened?
- Did you talk him down?
- Oh, no.
It turns out he was just calling
into a radio station
for some free concert tickets,
and the reception was better
out over the water.
I just wanted to tell a story
to illustrate my point.
Don't throw your life away, Teddy.
I hate that I have dragged you into this.
I hate that I'm hurting you.
Because you love me.
I am marrying Owen.
And I love you, too.
Which means I'm not giving up on you.
So, tonight, I'll be in my car.
Lot B, 7:00.
Waiting...
...to take you wherever you want to go.
You want to go out to your place? Hmm?
Explain things to Hunt? Fine.
You want to run away, go down the coast,
spend a weekend... figuring things out?
I'll be there. 7:00.
Tom.
We can't do this.
Say it.
- I love you, too.
- Mm.
Mm.
They ended your suspension?
Temporarily. Yeah.
Okay, everyone. We've
done this a thousand times.
We know what to do.
Ten blade.
What is all that?
Mostly sludge.
I've never seen this much tissue damage
from a hip replacement before.
Look at this gluteus medius tendon.
I can't believe
that was all inside of him.
Not just him.
These hips were the new
standard for a while.
Surgeons used to beg their hospitals
to invest in them,
but, uh, if this is happening
to other people...
it's gonna be a game-changer, DeLuca.
Can someone get me an update on Amelia?
Ooh.
Okay.
Oh.
How are we doing?
Uh, contractions are
less than three minutes apart.
She's doing great.
- Ooh.
- Good. Can I take a look?
Uh-huh. Ooh!
I feel like my organs are in a vice.
Aah!
Hey, I know you said
no medications, but...
There's fentanyl in the epidural.
Nobody advertises that, but... Aah!
Women are smart.
We are evolved. We are critical-thinking.
How did the first woman ever have a baby
and then decide to have another one?
Aah! Or let another woman have one?
Oh. How do humans exist?
Why do we do this?
You do this because
you're so in love with someone
that the two of you can't contain it all.
So you make another person
out of that love.
Oh, God.
Bailey... I am so sorry.
I'm awful. I was not thinking about it.
You can go.
I ju... I deserve to
have this baby on my own.
D... No.
Now, that would go against
the rules of pregnancy club.
The surgery went well,
and the bandages should be
able to come off soon.
Recovery will be slow.
You'll need rehab and speech therapy.
See, Dad? Everything was fine.
- I came as fast as I could.
- Hi.
How is she doing?
Um... uh... we're great.
Ms. Scott?
Why are you here?
I... I was in the neighborhood,
and I thought maybe you might
want to catch up on your homework.
Oh, my God.
Dad, you're dating my algebra teacher?
Um... only kind of.
It's just...
We have the same dentist. She set us up.
I didn't know she was
your teacher at the time.
We didn't want to tell you until
after the school year was over
and you weren't in my class.
Oh, honey. Please. Don't be upset.
I'm not upset. I'm trying to smile.
Okay.
Well, now we know why
the dad never swiped right.
God, I hate set-ups.
But if it makes them happy...
So, this lack of interest in dating...
it's... it's only in regards
to yourself, right?
I mean, just because I'm miserable
doesn't mean everyone else has to be.
Okay. So, I'm not wrong, then?
'Cause I get the feeling
people are having conversations
about my personal life
that I'm not privy to.
You know, you should smile more.
Hmm.
- Ohh!
- Okay, it's time to push.
- Okay.
- No, I ca... I can't push anymore!
- I can't! I can't!
- Oh, yes, you can.
No, I can't! I'm done!
I'm dying! I can't!
Okay, okay, but... but think of
all those women you were talking about,
the women that do this every day.
No, I hate those women!
And they all have drugs
and masturbation and...
and then C-sections,
and I don't even have Link!
Ohhh!
Uh, okay.
Okay, here. Sit up.
I can't! I can't! I can't do this!
Okay. Tucker's father
wasn't with me, either.
- So, move.
- Why? What are you doing?
- Ah. Okay.
- Okay.
Oh, my God. I can't do this.
Okay. Okay.
- Okay.
- Now...
- All right.
- ...let's have a baby.
- Okay. One, two, three.
- Okay.
Push!
One more, one more, one more.
Good.
All right.
Clip.
This atrial appendage clip
should contain the bleeding.
I thought these clips
were only used for a-fib.
Mnh.
Schmitt.
Um...
Oh, Dr. Webber's out.
He's stable.
Yes! Sorry.
Pierce, you can...
you can go if you need to.
What? No.
No, I do my best work
when I am... profoundly relieved.
Now, what about you? Don't you
have a wedding to get to?
Ah, there's plenty of wine
to keep people happy.
Oh, Schmitt, could you...?
Oh. I'm doing yours now, too?
Great.
Great use of my medical degree.
A voicemail from Dr. Altman.
Oh, it's probably about tonight.
- Could you just, uh, put it on speaker?
- Yep.
- Thanks.
- Oh.
Mm.
Oh.
Oh, God.
Oh, God.
- Schmitt?
- Oh, yes!
- Schmitt.
- Yep. Yep.
- Schmitt!
- Yep, yep, yeah!
I'm trying, I'm trying,
I'm trying, I'm tr...
Okay.
S-Sorry, everyone.
Clearly, that was meant for me.
You know, Teddy's idea of a wedding gift.
Yeah. Yeah, that's a good one.
- Yeah.
- Yeah.
Um... suc... Um...
Suction.
Was that another false alarm?
Where's Carina?
Are you okay?
I'm okay.
Everything's okay.
Atticus Lincoln... come meet your son.
Oh, my God.
Oh, my God. Hi.
Oh.
Hi.
Oh, oh.
He's so small.
Don't say that to the person
who just pushed him out.
He's beautiful. Isn't he?
You both are.
Oh. Is he, uh... doing o...
He's stable.
Came off his vents easily.
We won't know more 'til he wakes up,
but that implant was basically
rotted inside of him.
It was, uh... awful.
Okay.
When he wakes up,
make sure his pain's controlled
and walk him through his recovery.
And tell him he missed
his chance at the majors
and his dream is dead.
Schmitt, you're not the one
who's suffering here.
He is.
So put on a game face, suck up
your feelings, 'cause that's what we do.
If you can't do that,
if you can't do your job...
consider a new career.
Oh, God.
Oh, God.
Oh, yes.
Oh!
God!
Oh!
Oh.
Mm. Mm.
Oh, God. Oh.
LET'S NOT WAIT 'TIL 7:00.
Let's leave now.
No, I can't.
I can't leave with you.
I c...
I'm... I am marrying Owen.
This was...
This was goodbye.
Okay.
Mm. Mm.
How's that?
Ah.
Thank you, Maggie.
It's so nice to hear you say my name.
Do you know who this is?
Mm. You mean, um... Jackson?
Hey, Richard.
Do you know where you are?
Grey-Sloan Memorial?
If this is a quiz,
you might want to ask
some tougher questions.
Fair enough.
Okay, um, hold out your hand for me.
Oh, sweetheart.
The nurses are gonna bring in a bed
so I can stay the night with you.
It's Catherine. It's... It's Mom.
I know who it is.
What is she doing here?
Sweetheart.
I've been with you this whole time.
Is your mind playing tricks on you again?
Did you stand by me
while I was being fired,
you buy my hospital to humiliate me,
or is that my mind playing tricks, too?
Richard, calm down.
Get out.
- Richard.
- Okay, Mom, let's go.
Let's give him a little...
- little bit of time. Okay?
- Richard.
Sometimes, surgeries
go better than planned.
Grey.
Heard about Webber.
Oh, yeah. Incredible catch.
Yeah, it was... not all me.
It was an army and mainly DeLuca.
Mm-hmm.
Want to grab a drink? Celebrate?
Yes.
Except I'm so exhausted.
Will you ask me another time?
Of course. See you later.
Bye.
Hey. Andrew?
Andrew, it's over.
Maggie said she'll call us
if there are any changes.
I don't... I can't, uh...
I don't know what's going on.
Okay, okay.
Can we just go home?
Let's go home, okay? Come on.
There's no better gift
you can give someone
than saying you saved
the person they love.
It went okay, I think.
I look forward to those moments.
Unfortunately, those perfect
outcomes are rare.
You would think it gets easier,
but it doesn't.
Each one hurts just as much
as the last one.
So, we hope for the best...
...and prepare for the worst.
Hey, Teddy.
I'm so sorry, honey. We'll reschedule.
Alison just fell asleep,
and I'll get that guy down.
Why are we rescheduling?
Owen got pulled in
for a last-minute surgery.
Said to send everyone home.
He didn't call you?
No.
Oh, well, seems he barely
had time to tell me.
I mean, trauma... well,
you know better than anyone.
Right.
Because the worst
has a nasty way of finding you.