Grey's Anatomy (2005–…): Season 16, Episode 4 - It's Raining Men - full transcript

If you're in an O.R.

- and it feels like the sky is falling...
- Hey.

...that's because sometimes,

- unfortunately, it is.
- Hey.

Why don't you call in sick today
and I will, too?

Bailey's probably gonna
fire me soon anyways.

I've missed so much already.

I could go in late, though.

I was once doing
a laparoscopic appendectomy,

perfectly routine...

Meredith! Open up!



...when out of nowhere,

my patient developed an air embolus.

Carbon dioxide that was

filling his abdomen
leached into his circulation.

- What?
- Were you gonna tell us?

Tell you what?

It just keeps going on.

What keeps going on?

Your article.

You wrote your article? No!

His blood pressure plummeted

as the air bubble went to
his heart, causing utter chaos.

This is savage.
You went after everybody...

Big Pharma, insurance,



institutionalized discrimination.

Wait. I-I didn't write an article.

I-I sent them, like, some ideas
that I could write about

with, like, headline and description,

and they could choose one.

I started CPR, trying to keep
blood flowing to his brain.

Well, they chose.

We placed a central line
as quickly as we could,

but before we knew it, his
lungs were filling with fluid.

No.

This is every idea I gave them

but without the context and explanation.

I mean, this is gonna terrify people.

Yeah. I think that's the point,
judging by the headline.

"Hospital Hell at Grey-Sloan Memorial...

Fired Surgeon Speaks Out"?

I didn't say that.
I would never say that!

They just made that up.

Yeah, they make the headlines up.

90,000 likes so far.

You're a hit.

My routine lap appy

was now a case of multi-organ failure.

Bailey's gonna kill me.

No, Bailey's gonna kill me.

And there wasn't a damn thing
I could do to stop it.

"In the eyes of the hospital,
you are your insurance."

What? It's funny.
You don't think it's funny?

"Hospital Hell at Grey-Sloan Memorial"?

This is about the place that I work.

I offered you a job with me.
You shoulda taken it.

Ow!

You know, walking and texting

is one of the leading causes
of head injury.

- Hey.
- Hi.

My, uh, colleague...

- former colleague...
- Mm-hmm.

My friend, uh, published this list today.

"In America,

the rich live 10 to 15 years
longer than the poor.

The healthcare industry sells its time

to whoever can afford it."

Mm.

Damn. Is that true?

Unfortunately, yeah.

Hmm.

You know, when a house is on fire,

we just put it out,
no questions, no charge.

Mm-hmm.

But I guess that's why everyone
loves firefighters, huh?

I think I understand why.

- See you later.
- Stop it.

Hey, man.

Bailey.

Why aren't you in scrubs?

The rig's less than a minute out.

Uh, Allison's at my mom's,
and I'm just dropping off Leo.

- And?
- And I'm on paternity leave.

For how long?

For as long as Koracick's
restraining order lasts.

Koracick!

Yan Huang, 35, dialysis center patient.

His left A.V. fistula ruptured
while getting access.

Okay, let's get him a fluid bolus

and another unit on standby.

Where's the... Where am I?

Uh, Grey-Sloan Memorial. We're
gonna take good care of you.

Whoa, whoa. Don't... S-Stop. Stop.

Don't take me out of this ambulance.

But, sir, we have to repair
your fistula before you...

- You take me inside, and I'll sue!
- No, no, no, no! Don't do that!

Sir, go easy. You need some help, sir.

Not here! I've seen that list!

What...

Uh, Pac-North is closest, okay?

- Let's go.
- What?! What are you...

Let's go. Let's move.

What list?!

No.

No. No.

No. No!

"Healthcare is a $3.5 trillion
industry for a reason."

"Drug companies aggressively
influence doctors

to write you prescriptions,

which sometimes make you even sicker."

Is there an explanation or something

at the end of the article?

Nope. It ends with number 40...

"Thanks to Big Pharma,
it's cheaper for you

to travel out of the country
to buy the medicine you need

than to get it in your own hometown."

God, Grey is such a badass.

She torched this place.

Did you actually read it?

It's about the whole healthcare
system, not this place.

Yeah, no one's gonna
look past that headline.

Ah, well, fortunately for me,
I have Hopkins on my résumé

and Tom Koracick as a mentor.

Y'all, good luck
getting any jobs after...

Qadri got a job... Michigan.

I read the article.
Don't stop on my account.

I-I'm, uh, late for rounds.
I... I'm gonna...

Yeah.

Don't sweat it, man.

Being liked is overrated.

When the scans come in, page peds

and call that hospital in
Portland for a family history.

Oh, make sure you dictate the H&Ps

for all the admissions last night.

And, uh... Oh, don't forget to check...

Whoa, okay, it's just...
this is kind of a lot.

Maybe I should write this down.

Have you seen this... list?

Yeah.

For once, it's a lot of horrible press

about someplace that isn't here.

Bailey must be losing her mind.

Meredith didn't have to
pull it all down in her wake.

That place raised her!

That place kicked us out.
Whose side are you on?

Dr. Karev?

The patient who escaped psych
last night, we found him.

Someone escaped psych?

Yeah. He's fine.

Security got him
before he changed into scrubs.

It's amazing what passes
for good news around here.

Dr. Bailey. Hi.

Um, I would like to schedule
more ALPPS procedures,

if that's okay with you.

"Not enough residency positions
to train doctors,

and with an aging population
and overwhelmed workforce,

we are stretched too thin, and
patients are paying the price."

So, is that a yes?

Hey, uh, Chief, uh, some of the residents

are a little confused.

"There's a nationwide epidemic
of physician burnout,

increasing the risk of medical error,

lowering your quality of care,

and costing patients and doctors
their lives."

Wow.

Yeah, she was as confused
as the rest of us, all right?

Oh, really?

Uh, well, she didn't write,
"We doctors are the sick ones.

We have the disease.

The call is coming
from inside the house"?

L-Link was supposed to be with Qadri,

and Simms was supposed to have Hunt.

They're all just a little lost, so...

That sounds like
a chief resident problem.

There is no chief resident.

Dr. Kang quit this morning.

Because of this list?

I'm guessing.

Well, congratulations.

You are my new chief resident.

Maybe you can fix
what your girlfriend broke.

Dr. Bailey, with all
due respect, this is not...

Don't "all due respect" me, DeLuca.

You had to know this was coming!

Hey, you work here.

Your career, your future
prospects are all right...

You think I can control
what Meredith Grey writes?

Well, I-I-I think
you could have warned us.

I think you could have sent up a flare.

I think you could have
had some type of loyalty

to the institution that's
raising you and training you...

Why is it 100 degrees in here?!

Is it your heart?
Do you need to sit down?

D-Dr. DeLuca, uh...

do you feel this article

is an accurate representation
of our hospital?

No, I do not.

Good. Go. Lead. Bye!

Okay.

Just keep breathing. Just keep breathing.

You want to film my surgery?

No, absolutely not.

Not sure if you heard, but
a disgruntled former employee

wrote a slash-and-burn exposé
of this place.

It wasn't about this place.

Headline says otherwise.

Okay, so, what, your idea

is to throw a camera
in my patient's face?

For Catherine Fox's kid,

it sure takes a long time
for that oven to preheat.

We're in damage-control mode.

You should be thanking me

for setting all this up
on such short notice.

And yet I'm not, Tom.

This kid's parents
are already blaming themselves

for letting her condition
get this bad, okay?

A little kid is not a spectacle.

I know. She's a beautiful little miracle,

and you are the angelic,
camera-ready plastic surgeon

who's gonna make her all better.

It's a win-win.

Mr. and Mrs. Martin.

And you must be Clervie.

Come on in, Dr. Avery.

There.

Excuse me. Hi. Dr. Avery.

Hi. Nice to meet you. How are you?

Hello. How you doing?

- Good.
- Yeah?

- They just shaved my head.
- All right.

We're gonna take
really good care of you, okay?

Our patient fell from a plane?

No. A person fell from a plane
and hit another person.

Oof. Sounds like
what Dr. Grey did to Big Pharma.

Oh, my God. How is he alive?

Alicia Chen, 19, GCS 8,

with bilateral
lower-extremity deformities,

possible pelvic fracture.

Saw some ST elevation on her EKG.

We were just hanging out outside my dorm,

and he f-fell from the sky.

All right, page cardio and ortho.

Let's get her in trauma one.

Is Alicia... Is she dead?

Sir, what's your name?

- It's Josh. I'm Josh.
- Hey, Josh.

All right, you know what?
You need to stay here.

We're gonna assess your friend
and take good care of her.

Why isn't he on a gurney?
He's obviously bleeding.

It's not his.
It belongs to the guy who fell.

He just exploded all over us.

Okay, look, why don't you...

All right, on my count... 1, 2, 3.

Go.

Well, change the headline at least!

I love Grey-Sloan. I own Grey-Sloan.

I wouldn't write anything
to tear it down.

I don't really care

if it's the most shared piece
of the month.

The headline is so misleading!

Well, run it up the flagpole
quickly, please!

In cases of craniosyno... stosis,

the... the structures
of the skull fuse too early,

resulting in abnormal growth
and... development.

Well, what we'll be doing today

is carefully removing
the top of Clervie's skull,

break apart the bone,

and use those pieces
to re-shape her skull,

allowing everything to fit perfectly

and have plenty of room to grow
just the right way.

Our pediatrician said
it was just a mild case

and she would outgrow it.

It just kept growing and getting worse,

and now it's...

It's more dangerous, right,
now that she's older?

Well, it's slightly more complicated,

but, honestly, it's absolutely
nothing we can't handle.

What's important is that you're here now.

We're gonna take great care
of your little girl, I promise.

When Dr. Koracick called this morning

and said you could do
the surgery for free...

I mean...

you hate to have to think
about money with your child,

but we were gonna have to
take out a second mortgage.

Thank you.

Yeah, th... it's our...
it's our pleasure.

You were born for the camera, Avery.

Schmitt, baby steps.

You bribed desperate parents

so you can use their fear
and pain for cheap publicity?

Finally, Wonder Boy gets it.

Wow.

Just when I thought I couldn't
possibly like you less,

you surprise me.

Hey, now, give them some space
but not too much.

And remember, anyone prays,
get that on camera.

That is gold.

And you did it again. Impressive.

Wha...

Uh, you...

Hey. You.

We need to skip the E.R.
Page your head of vascular.

We don't have one.

Well, then page Karev or Webber.

I'm gonna hand him off in the O.R.

Right. Okay.

Hey, I don't know where your O.R. is!

Let's go.

Hey, hey! It's good
to see a friendly face.

Webber. Great.

Dialysis patient, 35, uh,
ruptured left A.V. fistula,

lost a good amount of blood

and refused treatment at Grey-Sloan.

- Refused treatment?
- Mm-hmm.

Did you read this list?

I'm glad nobody wrote about us.

Hey, hey, hey, hey! Come here.

Get this man to O.R. 4,

and if you can keep your mouth
shut, you can scrub in with me.

- Thanks for the business, Hunt.
- Sure.

Okay.

Hey, man.

- Hey.
- Bailey send you to spy on me?

No, no. I'm just dropping off a patient.

I'm, uh, taking some time off.

Koracick is driving me insane,

so Teddy's taking over the E.R.,

and I'm staying home
with the kids for a while.

Well, if you don't have to rush home,

I'd love to... to give you a tour.

Sure.

Well, you have to use
your imagination, you know?

Try to picture it with, uh,
new lighting, paint job,

a few new walls,
qualified medical personnel.

Pelvis X-ray shows a type II
A.P. compression fracture.

Where did she fall from?

The guy fell on her.

Cops think he was a stowaway
on an international flight.

Helm, get the ultrasound.

Reminds me of a guy in Germany

who snuck into the wheel well of a 757.

All was fine and good until
they hit cruising altitude.

What happened at cruising altitude?

It's colder than Everest,
and there's less O2.

Brody, let's order some,
uh, bilateral leg films.

And when the landing gear opens,

it's like dropping an ice pack
on the ground from a mile high.

But the ice pack is made of
blood and muscle tissue,

so... pbht! splat.

Hughes. Hello. What do we got?

19-year-old, bilateral tib-fib fractures,

unstable pelvic fracture.

And the X-rays show that...

Widened mediastinum, sternal fracture.

What's the ultrasound?

Uh...

Turn on the color flow.

Looks like severe aortic insufficiency.

EKG showed ST elevations
in leads II, III, and AVF.

Could be ischemic changes
secondary to aortic root injury.

All right, her pressure looks stable.

Let's get a CTA to get a better look.

Yeah, seems like
you guys got this covered.

All right, as soon as I
finish getting this binder on,

you can move her.

I think that's her
boyfriend out there panicking.

There you go. She's good.
I'll go check on him.

Pierce is kind of a genius, isn't she?

Not kind of. Is.

Hey, um, we got a few minutes?

I need to go talk to my wife.

Oh, is it about that list?

Avery told me.

Yeah. It's about that list.

Now, what's your name, bud?

Josh. All right.

All right, that accident must have
been tough to see, huh?

Yeah.

I'm gonna do a little exam, okay?

All right, Josh, hey,
those two doctors in there,

they don't make them any better.

Your girlfriend...

- Ali... Alicia.
- Alicia.

They're gonna do everything
they can to help Alicia.

All right, you hear me, Josh?

Can you take a deep breath for me?

Okay. Good.

All right, we're gonna clean you up

and, uh, get you something
to help you calm down.

Are you currently taking any prescrip...

Where did you get that?

My hood.

I tell you what, um,

I'm gonna get you some
clean scrubs to change into,

and while I'm at it, I'm just gonna...

Hi. Lisa, is it?

Hi. So, I did, um, both sides
of the street up to 1st Avenue

and then the parking lot.

I don't give out gold stars.

Head back over across the street.

There's a lot of empties over there.

Actually, so, I have an emergency,

and I-I really need to go.

Grey, I know all about you
and your emergencies.

I wrote something, and... and
it's been taken out of context.

The headline has actually
nothing to do with what I said,

- and I need to go take care of it.
- You have five more hours for today.

Lisa.

Human to human.

It's a real emergency for me.

I really need to go take care of this.

You walk away before your time's up,

I'm calling the judge about
all your extracurriculars.

You decide.

_

Please don't call the judge.
I will make up my hours.

I have to go.

Please don't call him.

I promise I'll make up the hours.

Grey!

Grey?!

Well, Mer's list
really freed up my morning.

I've had two surgeries cancel.

Are you mad?

Mm. A little.

But I never win fights with her,
even inside my head,

so I'm just shoving it down.

Mm.

Have you seen Link?

I'm craving some gravity blanket.

What?

Oh, we used to do this thing

where he would just put all
of his body weight on top of me,

and it was like a thunder jacket
for a dog.

But now I've got the little
peanut, so he just bear-hugs me.

I'm claustrophobic. I can't
think of anything less soothing.

But sounds like you two are a match.

We kind of are, aren't we?

I mean, I get all spinny-outy,

and he's just like a big, calm mountain.

Well, uh, right now your mountain

is trying to calm down
my patient's boyfriend.

What happened to your patient?

Just imagine...

Never mind. Don't imagine.

Pierce! I need a word.

Okay. Uh, if this is about Mer's list,

I don't want to hear it.

I stand by her as a surgeon
and as a sister.

I don't care. Follow me, please.

And just need one last sample
to confirm blood type

in case there's any bleeding in the O.R.

Otherwise, we'll be fine.

Thank you so much.

She really is just
such a happy little girl.

We've learned so much from her,

and we feel so blessed to have...

to have met the doctors here
so she can...

...so she can get
the help that she needs.

This is no good. Too much backlight.

Oh, uh...

Uh, Peter, uh, sorry.

Uh, technical stuff.

You okay?

- Yeah.
- Yeah. Okay.

Uh, we're gonna get you to,
uh, say that again,

I mean, just... just like you did

but just a little bit more,
uh, over here.

- Yeah.
- All right.

- Okay.
- Actually, you know what, Peter?

I think it was perfect. There's no need.

Take a break.

You know what?

Dr. Avery is right

'cause we need to talk
to Mrs. Martin anyway.

So... yeah.

Yeah.

Thank you, guys.

This man is in fear, right, real fear.

His daughter's 3 years old.

This surgery's gonna be traumatic,
painful, and life-threatening,

and you need him to say it all
again with better lighting?

Dr. Avery, I don't think
you need to be reminded,

but just in case, I am your boss.

If you need more clarification
on the matter, lemme know,

and I can have your mom call
and explain it to you.

Oh.

Well, while you have her,
ask her how much longer

she's gonna be punishing us with you.

Ah, funny.

No chest pain, no shortness of breath.

Your EKG shows no changes.

I see no arrhythmias or abnormal flow.

So Grey didn't give me a heart attack.

No.

You're just warm.

War... I'm in a sauna.

How long has it been like this?

A few days? I don't know, Pierce.

Uh, you know, I got a lot on my mind,

and this list isn't making it any better.

Well, it's not your heart.

Well, what is it?

It could be hor... It could be hormonal.

I have to be in surgery in 15 minutes,

but I could do a quick blood draw

and, uh, check your levels?

Okay, well, do it right quick,
then, if you have to go.

I-I need a full blood panel,
CBC, thyroid...

Yeah, I know how to do a blood panel.

Schmitt, uh,
where are we with, uh, cran...

Mom, no.

Tell Aunt Carol she doesn't need

to reschedule her carpal tunnel surgery.

We're still a good hospital.

I-I-I'm at work right now. I have to go.

Sorry.

My mom sent Grey's article
to everyone in our family,

and they gave me the money
for med school,

so they're very invested.

You're on the phone,
and you're not doing your job.

You're basically a bullet point
on Grey's list.

Get back to work.

I sent a proposal to the board to
see if they'll expand the NICU.

I swear, this place must be backed

by Russian Mafia or something

because they are not afraid
to write checks.

That doesn't hurt.

Over here, I want to, uh, put in

the new innovative pediatric
surgery unit by spring.

You know, this place
is really shaping up.

Oh, my God! Somebody, help!

Miller, what happened?

Patient just had colon
surgery due to a perforation.

His wound vac started filling
with blood and... I don't know.

Did you send blood for a coag panel? Hmm?

Ma'am, I need you
to stand back now, please.

I feel warm.

Why won't it stop?!

Karev, is it okay if I jump in?

Yeah, please. What do you need?

Okay.

You, get me a crash cart,

two units of blood, gauze,
and suction, okay?

Now!

See what I have to put up with?

Ohh! I've had a really crazy
day, and I can't really talk.

I thought you might be in the E.R.,

seeing as how a body just fell
from the sky.

I mean, I've never seen anything like it,

I mean, I've seen some things.

Okay, Miranda, look,

if... if you're still upset
about Grey's list...

But, hey, it'll blow over, all right?

Try not to make yourself more
angry by staring at it all day.

That's not why I'm angry.

It's... It's not?

I'm angry because
it's 1,000 degrees in here,

and I can't stop crying

because my hormones are
hitting me like a tidal wave

because I am in menopause!

- Miranda, we don't...
- No!

Don't bother telling me
that that's not what it is,

because I saw it happen
to my mom at a young age,

and now it's happening to me.

And I know it's
the natural order of things.

I am woman. Hear me roar.

I knew it was coming...

someday!

I'm sorry, Ben.

No one really warns you
about all the feelings.

Just tell me what you need.

Just... Here.

Just sit here with me
for like five minutes

and let me have all the feelings.

Oh, God! Stupid.

- Okay, okay.
- It's hot!

Hey!

How bad is it?

Okay. Well, um, residents are panicking.

Everyone else seems split.

Some are pissed.
Some are calling you a hero.

Alex couldn't stop laughing all morning.

Where do you land?

Well, I wish you hadn't
name-checked the hospital

that just made me an attending,

but I think it'll start
some much-needed conversation

once tempers calm.

Like Bailey's temper?

Okay, her rage level is so high,

I'm worried for her physical health.

Well, I would like to explain
how this happened.

Especially to Bailey. I owe it to her.

I mean, I named my kid after her.

She might ask you to take that back.

- Um...
- Good luck.

There. You see that?
That's the source of the bleed.

- The aorta.
- The aorta?

No. What year are you? Second.

Superior epigastric artery.

One of the cardinal rules in trauma

is to find the source
of the bleeding and...?

- Uh...
- Get proximal and distal control.

Okay, looks like poor hemostasis
after surgery.

Let's get him in the O.R. and do
a repair and a quick washout.

All right. Miller,
book the next available O.R.

for Dr. Hunt right now.

Right. Um, who's Dr. Hunt?

- Him.
- Me.

Okay.

All right, page me when Clervie's ready.

Try not to trip on any camera wires.

Cameras?

Yeah, doing a craniosynostosis
on a 3-year-old,

which Koracick is
turning into a feel-good video

so he could fight the bad
attention around Mer's list.

Also, he bribed the family
with a pro bono surgery.

Ew. Gross.

And yet totally on brand.

Meredith's kind of
lucky, when you think about it.

Uh, losing her job
and possibly losing her license?

Well, I mean, yeah, obviously,

but she doesn't have to
worry about all this crap,

you know, how things look.

She can just... do the right thing.

I love a good dare.

- That wasn't a dare.
- Thank you.

Wait. No. I don't really think
that she's lucky!

Good to be back?

You have no idea.

But I love being a mom, too.

No judgment here.

Meredith calls bowel resections
her "me time."

Would you be willing to tell
her how much I loved her article?

Um, yeah... Helm, sure.

How amazing and important
and just perfect it is?

And that she's still my mentor,

even if she doesn't work here anymore?

I will pass it along.

All right, clamping the aorta.

All right.

We are gonna stop the heart
with cardioplegia

so we can replace the aortic root.

That's... weird.

The heart's not stopping.

How is she? Finally got
her boyfriend calmed down.

Well, it looks like the blunt injury

also caused a coronary artery dissection,

so we're gonna have to
pass the cardioplegia

through the coronary sinus so
we can get this heart to stop.

- She cannot catch a break.
- How can I help?

All right, well,
we're gonna have to do a bypass,

so you can harvest a vein from her leg

while Pierce and I...

- No! Start pressors!
- Crap.

The root is rupturing!

- I'm gonna go scrub.
- Yep.

Get that suction in there.
Get that suction in there.

Hey. You busy?

I just did a cervical decompression.

Now I'm gonna grab enough lunch
for multiple humans.

I can buy you something from
the vending machine on the way.

On the way to where?

Don't worry.
We'll remain right on schedule.

You don't want Dr. Koracick to operate?

My sister texted us an article
about this hospital.

Is that what this is about?
Is he part of the problem?

No, absolutely not.

No. Tom Koracick is
a brilliant neurosurgeon.

Then why make a change?

Well, for starters, I'm better.

Dana, Peter, I know that you only agreed

to let Tom film the surgery
so it would be free,

but I can... see now

that you're both a little uncomfortable.

And I can't blame you.
This is a very big decision.

It's your family's privacy.

You shouldn't have to think about
that under these conditions.

So, I want you to know that
no matter what happens today,

no matter what you decide,

your surgery's not gonna
cost you a thing.

Yeah.

W-Why... Why would you do this?

Well, I have a little girl of my own,

and if she needed a surgery,
I'd want to make sure

that her doctors
aren't thinking about anything

except for her.

Your little girl means more to me

than some... some good press.

Yes.

Yes. And thank you.

All right. Let's get going, then.

All right, guys, let's come on in.

Thank you so much.

You know Tom is gonna blow a gasket

when he hears about this.

Oh, I know.

Added bonus.

No.

Time of death 16:04.

Injury was just...

It caused too much damage.

Damn it.

It's not just the medical system
that's broken.

It's the whole world.

Why'd the stowaway have to
fall out of a plane?

And how bad was his life

that he had to climb
in the plane to begin with?

And why did this girl, who could
have been anywhere in the world,

been in the just worst place possible?

The whole world is broken.

Now I have a baby,

and it just makes it so much scarier.

I can close.

Thank you.

Get the drill ready.

Stencil's almost complete.

You kidnapped my surgery?

Oh, it was never your surgery,
was it, Tom?

Tap out, Shepherd. I'm scrubbing in.

Shepherd's actually
got it all under control.

Uh, the family, on the other hand,

has had a change of heart about
you filming this whole thing.

So if you get your camera crew
within... I don't know...

one foot of my O.R.,
security will be called.

The foundation put me...

I am the foundation.

And I own more shares
than anyone on the board,

so if you want to get technical,
I am your boss.

Not to mention,
the people that come to me

for cosmetic procedures

make up a huge percentage
of hospital profits.

So maybe you want to, um,
stay the hell out of my way.

Wow.

You just threw away millions
in fast, free publicity

and took arrogance to a level
even I've never reached.

This thing Grey started?

You should know better than anyone

how fires like that spread.

And if it does, it'll burn down
a lot more than this hospital.

Hey, Tom, great rage
in that reaction, really.

But you were a little backlit, though.

I'd love it if you could
give it to me from the top,

a little closer to the door.

Yeah.

I was kinda hoping my part would be done

by the time he found out.

Yeah. Sorry about that.

Osteotome, please, Schmitt.

Schmitt, come on.

Yeah. Sorry.

Thank you.

500 feet? That's ridiculous.

Bet it was worth it just to zap
the guy in the nads, though.

It was an accident. A happy accident.

Bailey must be homicidal,
having Koracick as her boss.

You a little bit happy about that?

Well, I mean, I'm mad that she fired me,

but Bailey's still Bailey.

She shouldn't have to
take orders from him.

That's exactly why I left.

Suction.

So, you sick of it yet? Staying home?

I'm happy to do it for Teddy.

It's way harder than I expected.

Come work for me. Take head of trauma.

You know, structure the department
however you want, ground up.

I mean, Webber and I are
helping, but we can't do it all.

I mean, look at this place.
It's really messed up.

Way to sell it, Karev.

Today was kinda fun.

If there's one thing I can promise you,

it's that there'll be more days like it.

Kind of reminding me of the Army.

With worse food.

All right, piece "S"
and "C" are in place.

♪ Ohh ♪

♪ Why you look so sad? ♪

♪ Tears are in your eyes ♪

♪ Come on and talk to me now ♪

♪ Nothing you confess ♪

♪ Could make me love you less ♪

♪ Could make me love you less ♪

♪ I'll stand by you ♪

♪ I'll stand by you ♪

♪ Won't let nobody hurt you ♪

♪ Nobody hurt you ♪

♪ I'll stand by you ♪

♪ Take me in into your darkest hour ♪

♪ And I'll never desert you ♪

♪ Never desert you ♪

♪ I'll stand by you ♪

♪ Ooh, ooh, ooh ♪

And... we're done.

Everything fit. It's perfect.

Yeah. Minimal blood loss.

All right, why don't you
get Clervie down to the PICU,

and then we'll update the family.

I mean, it's perfect. It's miraculous.

And if you'd have let
Dr. Koracick film it,

it might have really helped this place.

♪ I'll stand by you ♪

I don't concern myself
with headlines, Schmitt.

I suggest you don't, either.

You don't have to.

You already have a career.

Your future is safe no matter what.

Not all of us have that luxury.

All right, you're so disappointed,

why don't you get her bandaged
up and settled in the PICU,

and I'll go update the family myself.

♪ Never desert you ♪

♪ I'll stand by you ♪

I remember telling security
to deactivate your keycard.

I-I'm sure this is a bad time.

Uh, no. A great time, in fact.

I'm having a red-letter day.

There'll be cake any minute.

I would like to explain
how this happened.

It was never meant to be published.

I only pitched them a few ideas.

- From "Hospital Hell"?
- That, I never even said.

And I would never say that.

Anything that I actually wrote

wasn't even directed at this hospital.

Then have them change it.
Have them take it down.

I tried. They won't.

I can write a retraction, an explanation.

A retraction won't help, Grey.

Nobody reads the retractions.

Bailey, you know me.

You know I love this place.
I grew up here.

Any good I've ever done,
any awards I've ever received

have been from things I learned here,

in this program,
from you and Richard Webber.

I...

I'm sorry if... if any of this
has hurt you.

I really am truly sorry.

I know what you learned, Grey.

I spent years of my life
teaching it to you.

Remember, I stayed late
almost every night

explaining procedures and technique

when I could have been home
with my family, right?

I made you study. I made you practice.

I was your friend, your mentor,

and every time you needed me,
I was there.

So you can sit there and apologize to me

and say all the... the moving words,

but the damage has been done.

Bailey, I...

You can close the door on your way out.

A resident thought
that that was the aorta?

- What is wrong with people?
- Yeah.

If Karev hadn't been giving me a tour,

then the guy might have died.

W... Y-You got a tour?

Yeah.

Evening, Altman.

- Hey.
- Leo!

I'm not turning around, Tom,

so if you need to call the cops,
then go ahead.

I'm dropping the restraining order.

We need every good doctor we can get,

so I'm taking the high road.

You can have your job back.

Yeah, well, thanks, but, um...
you didn't fire me.

I quit.

And I have already taken a job

at a very up-and-coming area hospital.

- You did?
- W-What hospital?

One that will be excellent
when I'm done with it, so...

It's Pac-North, isn't it?

It's not a dirty word, Tom.

Yeah, but it's a dirty place.

You call me when you realize
the error of your ways.

Same to you.

Wow. Wow. I hate that guy.

I know.

- Pac-North?
- Mm-hmm.

Really?

Wait. Did you not read
Meredith's article?

Your high horse has no legs to stand on.

That is not the saying.

We did everything we could do,

but there was just too much damage.

I'm so sorry.

Do you have any contact info

for Alicia's folks
or any family we could call?

We just met a month ago, in biochem.

I don't even know her parents' names.

Well...

It's okay.

We'll find them.

We were just sitting in the grass

under that tree.

She liked that.

She said it reminded her of a Y.A. novel

about teenagers who had cancer

enjoying life and grass and the air

while they still could,

except we didn't have to have cancer.

We would just lie in the grass

and look at each other.

It felt cheesy at first, but then...

...it was all I wanted to do forever.

I should have protected her.

But how do you protect someone
from something like this?

Hey. Hey. Hey.

- Hey!
- Hey.

You, uh, lost? You looking for the E.R.?

No, I just dropped off a guy

whose bowling ball pulled him
all the way down the alley.

So, this one of yours?

Okay.

Uh, yeah.

Yeah, I just rebuilt
this little girl's skull

from scratch, actually.

Took all day.

That's it?

Usually you're all,

"I was the only surgeon in
the whole world who could do it

'cause I'm so skilled."

I mean, I wouldn't say the whole
world, first of all.

Uh-huh.

The state of Washington is an argument.

I'd be lying
if I said I wasn't impressed.

I'm suddenly starving.
You got 10 minutes?

Can I interest you

in some particularly disgusting
hospital food?

Oh, my God, that's my favorite.

After multiple
transfusions, emergent dialysis,

and the fastest central line
I've done to this day,

my patient pulled through.

You're sure you want to do this?

But it taught an important lesson.

Let me have it.

Okay. But I'm warning you,
it is habit-forming.

There is no such thing
as a routine surgery.

♪ 'Cause I've waited a long, long time ♪

♪ To remember
all that you've done for me ♪

Amelia?

♪ And I'm drawing a long, long line ♪

I think I'm in love with you.

And I know you said not to say it back,

but it's not something I feel very often.

Love is... not really my thing.

Dating, yes.

Fun, yes.

Sex, yes.

Love... leads to divorce.

Leads to pain.

I think that's been my world view.

But I'm feeling it.

I'm pretty sure.

And...

...it's a feeling I like.

It's a feeling I want to name.

Because sometimes
people fall out of the sky,

so there's kinda no point
in trying to avoid pain.

♪ To remember
all that you've done for me ♪

Okay.

♪ In between the dark and the light ♪

Every time I step into an O.R...

I'm ready for the worst.

- Hey.
- Hey.

What... What are you doing here?

I tried to talk to Bailey.

She thinks I attacked her publicly.

It's... I don't know.

I don't... I don't know how to fix this.

I mean, what... what were you expecting?

We're friends.

I thought our history would earn
me some benefit of the doubt.

And I walked off work crew,

so I got a summons to go back to court.

Wait a minute. You walked out?

Well, I had no choice.

Mer, yeah, you did have a choice.

And... And you chose the thing
that could put you in jail.

Why would you do that?

That headline hurt a lot of people.

You once told me I needed to develop

an instinct for self-preservation.

- Remember that?
- That was entirely different.

You were claiming a crime
you didn't commit.

Yeah, a-a crime that you committed.

A crime that's now threatening
your medical license.

And this is just adding to that threat.

You think the medical board
just doesn't read the news?

There isn't anything that I said
that wasn't the truth.

It isn't my fault that they
packaged it up like a bomb.

Okay, but don't you think
that there was a world

where you just finish
the community-service

hours and came back to work?

I should just shut up and sit
on my mountain of privilege?

And leave everyone else
to fight their own battles?

Or you work within
the broken system to change it

instead of bringing
the whole thing down with you.

It's self-destructive, Mer.

You really don't need enemies right now.

No. I don't.

And I don't need this, either.

And if you think there's a world

in which I just sit back
while something's broken

and hurting people and killing people...

you don't really know me.

At all.

It's not a guarantee
against bad outcomes,

but it does mean,
when the curveballs come,

when the sky starts to fall...

♪ You'll turn your head ♪

♪ Leave me unwanted ♪

Well?

Your blood work indicates
that you are perimenopausal...

Uh, there was an ellipsis in your voice.

You're also pregnant, Bailey.

I'm sorry?

Your bloodwork shows that...

No.

D... I-I... It's hormones.

It's, uh, hot flashes, mood swings.

I'm... It's menopause.

Yeah, your beta-HCG isn't lying.

You can be perimenopausal
and still shed eggs.

I don't understand.

You are both perimenopausal and pregna...

I heard you. I just don't understand.

...hopefully you're less likely

to get completely knocked off your feet.

Please tell me you don't plan
to keep this a secret.

♪ Please give me space
where I can belong ♪