Grey's Anatomy (2005–…): Season 18, Episode 14 - Road Trippin' - full transcript

Tensions at Grey Sloan Memorial rise as the effects of the physician shortage begin to show; Meredith struggles to step away from work as she spends a sick day at home with Zola; the hospital receives an unexpected visitor.

When a patient goes
into cardiac arrest,

we follow a specific set of
protocols to resuscitate them.

Start with CPR, give
oxygen, assess heart rhythm

to determine if the patient
needs to be shocked.

If needed, push epinephrine
every three to five minutes.

Consider an advanced airway

and need to administer
additional medications.

Then check the pulse and start
the cycle all over again.

CPR, shock, meds, pulse check...

Sometimes for hours.

You ready?

Here we go.

Until, hopefully, you
change the course,

and save a life.

Good morning, everyone.

Good morning.

I know everyone's been
following Fierce Fernanda

as she has traveled across
the country with her family.

I first met Fernanda and her
family in Boston last fall.

She suffers from congenital
aortic valve disease,

which led to aortic stenosis.

At 13 years of age, she's
already had two heart surgeries.

Nothing has worked.

Until today.

We're doing a Ross procedure.

Only seven programs
in the country

perform Ross procedures,

and you are training
at one of them.

Someone tell me what it is.


Uh, it's taking a
patient's pulmonary valve

and moving it into the
position of their aortic valve,

preventing the need for
lifelong anticoagulant therapy.


It also has the added benefit
for pediatric patients...

Since it is their own valve,
it will grow with them.

And on a pediatric patient,
it's even more challenging.

Dr. Pierce is one of only a
few surgeons in the country

who have done this successfully.

Dr. Ndugu will be
working with me today,

as will one of you.

So, who's ready
to meet Fernanda?

Say hello to the
Grey-Sloan team, Fernanda.

Hi, Dr. Maggie. Hi, everyone.

- Hi. - Hello.
- Hey.

Fernanda's condition
left it unsafe

for her to travel on
a commercial plane,

so she and her family
have been driving

all the way across the
country from Boston.

She'll be here in
approximately two hours.


Who's ready to scrub...

The spinal fracture
is healing well.

No signs of malalignment.

How's PT going?

My strength's improving.

I'm putting more weight on
the leg every single day.

A lot of progress. Great!

Okay, I'll want another exam
and set of films in two weeks.

So, I can go back to work?

Today? No, no.

We're not there yet. Amelia...

Owen, you're not ready.

You would have to stand for
hours at a time in an OR.

You have to build
up your endurance.

My endurance is fine!

Pick it up without the crutch.

How scientific.

I'm not clearing you.

There's a physician shortage!

Two weeks! And keep the pen.

Fierce Fernanda and her family
just made it to Ellensburg.

- Really? Already?
- Yeah.

Let me see.

My throat hurts.

Mine, too.

You're not going to work, right?

You're worse than me.

Am not.


And where the hell are you?

My mom said it's not
nice to say that word.

Okay, then, um, may I talk
to your mom, Miss Zola?

- No, ma'am.
- Excuse me?

No, ma'am.

And my I ask why not?

Because technically, "no"
is a complete sentence.

Can I have the phone?

Bai... Bailey.

I'm sorry.

Oh, you sound gross.

I know. Grey, no.

Uh, y-your name is on the board

for a Whipple, esophagectomy,
two lap choles.

I know, but...

I was actually just
getting ready to call.

I can, um... I can
call someone...


Richard, oh, thank God.

Grey is sick.

Can you take over some of
her... Where are your scrubs?

I'm handing off my assignments.

Until I get my assessment... No.

And technically, that's
a complete sentence.

Bailey, I cannot operate
until I've had my assessment.

Says who? Says me!

Look, I-I just don't
trust myself right now.

Well, I trust you.

T-There's a potential foreign
body in the rectum in bed 9.

You're welcome.

You... W... Richard!

You are fine!

Look, you've been
doing this for decades.

We all have good days, bad days.

Well, I've had more
bad than good lately.

You do know that we
are in the middle

of a physician shortage.

I cannot pick up a scalpel
or supervise anyone

until I know it's safe.

Assessment's next week.


Chief! No.

Incoming trauma, two rigs.

And someone just threw
up blood in trauma two.

I just... I just... I just...
I just... I just... I...


Dr. Pierce! Thank you.

I've wanted to see
a Ross procedure

- my entire career.
- Hm.

I know the surgery's
extremely difficult.

I mean, the complications
alone... hemorrhage,

myocardial infarctions,
stroke, obviously death.

Yeah, I think you've
covered it, Helm.

Would you please go see if
her scans are up to date?


Dr. Ndugu, Dr. Pierce...

Aortic dissection just
came in downstairs.

Patient is decompensating fast.

Was he DOA?

What the hell?

I'm alive!

It's too easy.

You jump at everything.

Thanks, Karen.

Yeah. He promised you
wouldn't have me fired.

And who are you?

Uh, uh, Maggie, this is Wendell.

He's my little brother.

Of course. I've seen pictures.

Pleasure to finally meet you.

Grey-Sloan's nice.

Lots of trees, right in
the middle of the city.

You can even see
the Space Needle

from the other side.

When it's not raining.

It's not raining.
Shouldn't it be raining?

It rains a lot in the spring.

Rained the day before
our wedding, actually.

I'm sorry for not making
it to the wedding.

You didn't even RSVP.

I know. I just...

I kept thinking I'd
make it last minute,

but... it... It
was a rough time.

I-I had a job go south,

and I was a little embarrassed.

I couldn't even afford
a bus ticket to Seattle.

You should've called.

We could've... We could've
helped or something.

But we're glad you're here now.

Oh, uh, and I have a job.

You are now looking
at Trinity Labs'

new medical sales

Bam! Hm.

With benefits.

Wow. Congratulations.

Oh. Wendell, we have
a huge case today.

Yeah, uh, go, go.

Go save lives. Yeah.

Maybe we'll do dinner later.

Yeah, I'd like that.

Call you when we're finished.

- You gonna be alright?
- Yeah.

Yeah, I'll just...
I'll keep myself busy.


- Okay. Come on.
- Dr. Adell to the N.I.C.U.

There. That's good.

Yes, trauma two.

Has it been like this every day?

Some days it's worse.

We're backed up down here,
we're backed up... thank you...

On the OR floor.

Trying to find someone to
take Grey's Whipple at noon.

But now even my go-to locum
tenens is avoiding me.

I've got a stack of
paperwork so high,

I can't even get to my desk.

- I know someone.
- That could do the Whipple. - Yes, yes.

Nice try. Shepherd told
me you're not cleared.

I meant you.

Go operate.

Who's supposed to
handle this mess?


Bailey, half the chief's
job is to be a traffic cop

and to solve problems.

I've done it before,
and I can do it again.

You want to be chief?

W... Just for the day.

I'll be in the OR...


Okay, Laura, let's
try this again.

You do realize I'm
not less pregnant

than the last time we
tried this surgery? Uh-huh.

Um, Laura Eames, 34,

severe mitral
valve insufficiency

and scheduled for a
transcatheter valve repair.

Again. You know,
I'm really hoping

this isn't one of those
"rule of three" situations.

Wait, where's, uh, Dr. Pierce?

Hi, Laura, I'm Dr. Altman.

I'll be doing your
surgery today.

Dr. Pierce has a big case coming
in from Boston which was...

Yes! The girl in the RV.

I saw her this morning on
"Good Morning Seattle."

Yeah, she's doing a
Ross procedure. Mm-hmm.

And I'm here.

Wow, that's a lot of fruit.

Yeah, I ordered it online.

Didn't realize it would
be this big. Sorry.

Probably looks bananas.


I'm so sorry, uh, again.

It's so sweet. You
didn't have to...

Oh... Get me...

It's for Laura.

You know I can't eat
before surgery, dummy.

Right. Uh, then, it is for you?


Alright, the family's been
on the road for weeks,

so anything they need...
Um, meals, cots, clothes,

just put an intern on it.

Hospital services has
been in touch with them

about a utilities hookup for
the RV, but we should confirm.

Here they come.

Daniel, what's wrong?

I-I don't know, she suddenly
was starting to feel

a little dizzy.
Come, come, come.

Helm, get a gurney.


It's Dr. Maggie and Dr. Ndugu.

I feel... everything spinning.

- When did it start?
- About 20 minutes ago.

I drove as fast as I could.

We need to get her
inside right away.

Dr. Maggie, are we here?

Did I make it?

Yes, Fernanda, you made it.

You're in Seattle.
You're at Grey-Sloan.

I made it. Yes.

I... made... it.

We got to get her to
the PICU right now.

Dr. Martin to Pediatrics.
Tell Altman she can have OR 2.

- She requested OR 1.
- Yeah, because she thinks OR 2 has a buzzing sound,

but it doesn't... I know this

because nobody else
has ever heard it.

You want me to tell her that?

I want you to tell
her that she has OR 2.

- Thanks.
- Yeah.

Ndugu and Pierce want to cancel.

Hendrick's CABG this afternoon.

Whoa, whoa, that's gonna
throw our whole schedule off.

Well, they need to run a
few more tests on Fernanda,

and they want to make sure an
OR is open if they need it.


FYI, Dr. Lin is in OR 5
with a Z-plasty, not OR 4.

What? Since when?

Since I saw her go
in OR 5 with Baldwin.

Does Chief Bailey know
you're doing this?

Yes, I'm acting chief today.


You know, I was chief of
surgery for five years.


You're chief of surgery?

Uh, yes, at least for the day.

I was told to speak with you.

Wendell Ndugu.

Oh, any relation to...

Winston is my brother. Ah.

I have an amazing
opportunity for you.

Okay, we're trying to get
her blood pressure back up,

but she is extremely dehydrated.

We're giving her
fluids, but we noticed

that her murmur's much worse.

What... about... my surgery?

Can you still do it?

Uh, we're not sure.

We'll have to run an
echo, do a cardiac MRI...

Her dehydration, is that
because of the trip?

Possibly, but we knew
it would be tricky

getting Fernanda here.

We should've gotten here sooner.

We never should've stopped.

He made us stop and...
And sight-see...

I thought we had time.

Fernanda's numbers were good.

She was feeling great.

We've been in and
out of hospitals,

so I just wanted the
kids to see the country,

have some normalcy
before the surgery.

I... didn't think it would hurt

to stop for a few... pictures.

- Dad?
- Mr. Lima, are you okay?

I'm fine, I'm fine.
Just a little back pain.

I've been driving
this RV for two weeks.

We'll have someone
take a look at it.

In the meantime

this isn't anyone's fault, okay?

So let us just do the scans,
and we'll go from there.

Alright? Hang tight, Fernanda.

Are you okay?

Dr. Wagner to Radiology.

Dr. Wagner to Radiology.

Free fruit!

Ugh. We're gonna be in OR 2.

Okay, I think I'm
gonna try and cram in

another practice
test until then.

- Okay.
- Okay.

Hi, uh... Hi.

Oh. Oh, yeah, I-I
was just sharing.

Who doesn't like fruit?

I don't know. Uh,
serial killers? Cats?


Do you want to grab
dinner tonight?

Keep up the tradition
of hanging out

when my sister's
in the hospital?

I would. Um, yeah. Okay.

But I-I have to study

for my annual OB
resident's exam,

so I will be holed
up in a library.

Okay, well, I don't get
in the way of a library.

Uh, uh, also, Laura was
asking for some ice chips.

Oh, yeah, um, okay. Oh, hey.

Do you... Would you
mind grabbing ice chips

for this patient here?

Thank you.

- Thanks.
- Yeah.

Okay, I know that
it's probably not...

He... he's not technically
a... a patient, so I...

Oh, relax, Wilson.

I married a patient once.

For insurance.

- So I'm not judging.
- Okay.

Um, and just for the record,
the thing with Link is over.

What thing with Link?

Remember how I slept with Link?

You slept with Link?!

Oh, my God, be quiet!

Yes, remember how I
told you at the bar?

I barely remember the bar.

Are you... Are...

I have to go.

W... Did I... Did I tell
you anything at the bar?

Oh, God! Oh, God!

Oh, excuse me, can you direct me

to the residency
director's office?

Oh, uh, Dr. Webber
isn't in today.

Uh, try Chief Bailey.

The pain could be positional

from driving so
many hours a day,

but I'm happy to do
an exam, order scans?

Okay. He may be downplaying
his level of pain

because he doesn't want
to take attention away

from Fernanda's care... Mm-hmm.

Oh, no.

Winston, come listen.

And it's not without precedent.

In Europe, a pilot program
with a similar BioTech Drone

succeeded in saving a patient
11 out of 12 takeoffs.

So you're saying we can send
a drone ahead of an ambulance

carrying a defibrillator?

A defibrillator in
a drone, for now.

In about four to six months,
we're talking about other

portable emergency
equipment... Powered AI rovers.

I mean, the lives we can save.

You know, this all
sounds pretty amazing.

I will definitely kick
this up to the board.

Your brother's selling
some pretty high tech.

Very futuristic and cool.

Wow. I... I had no idea.

This is your brother?

Yeah. Hold on.

Dr. Shepherd?

- Dr. Amelia Shepherd?
- Yeah.

I've read about your work

on ultrasound-guided
tumor reduction.

I didn't know I was
meeting a celebrity.

Wendell Ndugu, former
black sheep of the family.

Ah, from one former
black sheep to another,

it's very nice to meet you.

How long are you in town?

Uh, you should come for dinner.

You know what? I'd love that.

Wendell, uh, you mind if
I talk to you real quick

before I head up to radiology?

Yeah, yeah, sure thing.

Nice talking to you, Dr. Hunt.

- Thank you.
- Dr. Shepherd.


- Right in here.
- Yeah.

Why are you wearing scrubs?

What are you doing?

I'm just doing my job.

Wendell, you don't work here.

Where do you think
medical sales happen?

In a hospital. And, you know,
I just wish you would've

talked to me about
it first, man.

I don't even know
what you're selling.

These people are my colleagues.

Some of these people
are my bosses.


How do you think I got the job?

You used my name to get the job?

I mean, I had to at least
mention that my brother's

a hotshot surgeon
at Grey-Sloan... Mm.

And that my sister-in-law
is head of cardio,

and that I know
Dr. Richard Webber.

You don't know Richard Webber!

Well, I mean, I could if
you would introduce me.

Wendell, come on, man, you lied!

You know, Dad told
me not to come here.

Dad told you not to...
You're still talking to Dad?

He said you wouldn't help
me, said you wouldn't get it.

Okay. You know what I said?

I said, "No, no, no, no.
It'll be different this time."

Because I finally have a job
that you could be happy about.

A type of job you've been
telling me to get for years.

I said you would be proud.

I guess Dad was right.

The giant panda, also
known as the panda bear,

is a bear species
indigenous to China.

The daily routine for a panda
is spent roaming and feeding

at the bamboo forests and
hill regions... Thank you.

Of South Central China.

They spend up to 16 hours a day,

eating mainly

on one nutrient protein
source... bamboo.

Pandas communicate with each
other in a variety of ways.

They might chirp...

Oh, good job, Mom.

That's not easy.

Vocalization, they also...

It is when I'm with you.

Is it weird that I wish
we got sick together more?

Yes, but I was just
thinking the same thing.

To mark their scent.

That Whipple was
perfection. Textbook.

And it brought me joy,
Perez. Do you see my joy?

I see it.

Your closure was almost jaunty.

- Happy for you, Chief.
- Yes, I'm looking for the Chief.

- She's right here.
- Is the esophagectomy next?

Uh, I think so.

Oh, hi, excuse me. I'm sorry.

I'm looking for
Chief Miranda Bailey?

Oh, not today, ma'am. Sorry.

Excuse me?

If you're looking
for the chief today,

please see Dr. Owen Hunt.

He'll help you with
whatever you need.

Uh, If you'll excuse
me, I have a surgery.


Dr. Yoon to OR 1.
Dr. Yoon to OR 1.

Alright. Where do
I find Dr. Hunt?

We'll see you upstairs, okay?

Fernanda's aortic stenosis

has gone from
severe to critical.

Made worse by the dehydration.

Wow. Aortic jet velocity's
through the roof.

What are you thinking?

Damn it. The ventricle
is too small.

Seems to be a
narrowing of the LVOT.

Risky just became riskier.

I don't even think I can fit
a pulmonary valve in there.

Maybe they should have spent
less time taking pictures.

They could have
gotten Fernanda here

in less than four
days, and instead,

they took crowdfunding money

from strangers and blew
it on a sight-seeing tour.

They wanted to spend time
together as a family.

Well, that extra time

just caused Fernanda
to become sicker,

which means we're walking into

an impossible
situation in the OR.

So it's selfish. Her
family was selfish.

Are you okay?


Look, if it were up to
me, I would change course

at this juncture.

You want to cancel
the Ross procedure?

Yeah, I do.

Is this your medical opinion,

or are you looking
to punish this family

for what you consider to
be their "selfishness?"

Winston, I know that
you're having problems

with your brother right now...
Look, my opinion is based

on the scans, Maggie.

But I'll support
whatever you decide.

What? You can't put
a five on a king.

- What is wrong with you?
- Wait, no, you said fives are magic.

No, I said they're half magic.

We've been playing
this game for 10 years.

How do you still
not know the rules?

Dr. Wilson.Yeah.

Will you please tell my brother

that you can put
a five on a king?

Well, uh, she is getting
heart surgery today,

so she can do whatever
she wants. Mm.

I knew you two would
gang up on me eventually.


Uh-oh. Here for me?

No, I thought I'd get a
quick appendix removed

while we wait.

You're going to be fine.

Yeah, that's what
you said last time.

And you were fine.

My uterus compressed my
IVC and my heart stopped.

And you woke up.

And you were okay.

And your baby was fine.

Okay, look.

Okay, so I'm... I'm studying
for this test right now.

My entire OB-GYN
residency rides on it.

So basically all I do

is deliver babies,
examine vaginas,

and read about delivering
babies and examining vaginas.

So if there is one person
on the planet right now

who's prepared to
help you, it's me.

And, look, now you know

we have your baby's health
as our first priority,

so if anything doesn't
look right, we will stop,

just like we did before.

You're gonna be okay, Laura.

Thank you.

You ready?

You got this.

Love you.

Love you.

Alright, let's head out.

You want to try a different
kind of surgery? Today?

It's called a
Ross-Konno procedure.

It's still the Ross procedure,

but we need to make sure
that Fernanda's ventricle

can handle it,

so we need to enlarge it first.

And how do you do that?

We cut it in half.

You want to cut our
daughter's heart in half?

Dividing part of the ventricle

allows for better
flow to the heart,

which will ensure that
the Ross procedure

actually corrects
Fernanda's stenosis.

Is it riskier?


We have to cut around the fibers
that control her heart beat.

She could go into
complete heart block.

Oh, my God. Meu Deus do céu...

Have you or Dr. Winston
done this procedure

- on someone as sick.
- As Fernanda? - We haven't.

But you've come of all this
way because you trusted me.

So I need you to
keep trusting me.

This is Fernanda's best shot.

So how do you know
you can even do it?


everyone else said no.

Everyone except Dr. Maggie.

Is it the best option
to replace her valve?

It is.

But we need to go now.

Do the surgery, Dr. Maggie.

Hey, Rafael.

Everything okay?

Just... a little dizzy...

It hurts to breathe...

Okay, alright. Um, here.

C-Come with me. Come on.

Right in here.

Take a seat.

Okay, deep breaths, okay?


hold, three, two, one


Good. Again, like that.

Panic attacks are sometimes
the body's reaction

to fear or stress.

You're worried about
Fernanda, right?


I'm a horrible brother.

Hey, come on, what
are you talking about?

You came all the
way here with her.

I'm a left winger, y'know?

Fastest in school.

I can dribble past
anyone, any age, any size.

Like Neymar.

Yeah, except...

I lost my soccer scholarship
because I had to leave school.

My sister's heart
isn't just killing her.

It's killing all of us.

My dad may have just
fractured his back,

my mom hasn't slept in days...

No one can breathe.

None of us can breathe.

We took a week.

We took some pictures.

We laughed, and we ate
stupid tourist food,

and we saw the Badlands, and
we were happy for a minute.

And now that might've
killed my sister.

Now they have to cut
her heart in half.

'Cause we took a few extra days!

It feels like we're
getting punished.

Like, I don't know
what we did wrong.

But we just keep
getting punished.

If my sister dies because
we stopped at the Badlands

we won't ever recover.

We won't make it.

We won't make it.

We won't make it.

What... What do you
think you're all doing?

I could ask you the same thing.

- Dr. Pierce is about to.
- Start Fierce Fernanda's surgery. - Uh-huh.

We heard a rumor that she's now
doing a Ross-Konno procedure.

And we snagged front row.

Uh, for the learning
opportunity. Hm, okay.

Tseng, you're supposed
to be covering the ICU,

and I have not received
your monthly case report.

Perez, you're
assigned to general,

which means you
should be in OR 3

assisting Ruiz with a colectomy.

Dr. Hunt, this is a
once-in-a-career surgery...

How many times does
Dr. Bailey need to remind you

there is a physician shortage?

All of you, up.

Go do medicine instead
of watching it.



I'm still not clearing you.

Dr. Hunt?

Yeah, how can I help you?

You're a hard person
to track down.

Maryann Suchan, from the
Medical Accreditation Council.

We need to talk.


Must be really nerve-wracking,

doing this kind of surgery
with so many eyes watching.

I mean, the entire country's
pulling for this little girl,

and you just made
a rare procedure

into an even rarer one.

Helm, are you
finished scrubbing?

I am.

Are you...

Please pick a
different question.

Are you aware that your
entire body is tense?

Even your jaw is locked.

I was wrong.

I was wrong to tell
you to call this off.

This surgery is
mildly terrifying,

but... I can do it.

Even so, I need someone in
there who can assist me.

And I need that person
to be completely focused.

So I'm asking you, Winston,
do I need to page Altman?

Whatever's going on
with your brother...

When my mom had cancer,
Wendell and my dad,

they flipped out on the outside.

Wendell would get into fights
with anyone who crossed him.

And my dad drank and
just threw away money.

And he landed in
jail a few times.

And even after everything
he put us through

over the years,

Mom forgave him.

And she would use her
money for her treatment

to bail him out.

And because Mom had cancer,
I was also freaking out.

Just on the inside.

And they didn't help.

They just made it worse.

And I started... Started
having panic attacks,

and I almost had to
quit my fellowship.

My whole life almost
derailed because of them.

And now I have this
amazing thing here,

and I think I got scared

that Wendell's somehow

just gonna do it all over again.

But I'm not gonna let him.

Because my wife is a genius.

And we have a life to save.

Hell, we have a
whole family to save.

Ready to deploy the clip.

How's her pressure?


And you're sure
about the valve size?

A 3 - D-CTA was
performed. We're a match.

And you have a proper alignment?

Is there a problem with the
fetal monitor, Dr. Wilson?

- Nope.
- Well, and I trust you when you tell me that,

so trust me when I tell you

that everything is
okay up here. Sorry.

I just have all these
study questions in my head,

so I'm going over every
worst case scenario.


Nothing to do with the fact
that fruit-boy's sister

is on the table?

Can I ask a question?

How long do we think
this procedure will take?


Well, Dr. Pierce upgraded
Fernanda's surgery

to a Ross-Konno.

So I thought maybe
I could head over...

No, you can't ask a question.

As you can see, it's not
an isolated incident.

We've received
over 15 complaints

about Grey-Sloan's
residency program

in the last six months.

From the actual residents?

It's anonymous, so
it could be anyone.

But the complaints include
working over 80 hours a week,

being asked to perform
surgeries without supervision,

participating in a program with
a glaring lack of teachers...

And, Dr. Hunt, I
witnessed you yelling

at a group of residents today.

Oh, um, uh, we've been
short-staffed recently...

So you kicked students out
of an incredible experience

to observe a surgery that's
never been done before?

I apologize for that, but...

Apologies don't fix a
systemic problem, Dr. Hunt.

But why am I speaking
to you about all of this

and not Dr. Webber
or Chief Bailey?


They were right to travel
across the country for you.

But I already knew that.

I did it, too.


Here we go.



Is Laura okay?

Dr. Altman said that
everything was... was...

Oh, yeah, no, Laura's great.

Oh. She's annoyed at me,

which means that
she's doing just fine.

Thank you, by the way.

I really didn't want
to have to tell her

that you were wrong. Mm.

You know, about her being okay.


I got to say, if you
talk to all your patients

the way you spoke to my sister,

you are going to pass this
test with flying colors.

Yeah, there's just a
little bit more to it

than bedside manner.

- Oh, is there?
- Mm-hmm.

You don't just put your arms
out and catch the babies?


I don't want to presume...

Oh, no, no, no, no, no.

Uh, these are for you.

And I-I didn't know
what you liked,

so the gift shop lady told me
to go with roses, to be safe.

So... here.

They're perfect. Thank you.


Study snacks.

What? Yes, yes.

I got you water... Uh-huh.

chips... Obviously.

Dark chocolate, and I
wanted to put some fruit in,

but I thought I
over-fruited earlier.

Mm-hmm, mm-hmm, mm-hmm.

Well, nobody has ever bought
me study snacks before.

Yeah, and I've never kissed
a girl in a library before.

But... the same reason

that kept me from
doing it in the past

is keeping me from doing it now.

And what's that?

People come to
libraries to study.

That's right.


Good luck on your test, Jo.

Good night, Todd.

Coming off bypass.

Moment of truth.

Come on, Fernanda.

Come on.

Still nothing.

Welcome back, Fierce Fernanda.

It worked?

It worked.

- Oh!
- Oh, my God! Oh, my God!



Come on. Come on.

- Thank you.
- Oh!

Thank you.

Sorry. Brazilians are huggers.

It's okay.

No, she's got a long
road to recovery,

but so far, so good.

Thank you. Thank
you, Dr. Maggie.

Thank you. Thank
you for saying yes.




You have your worried face on.

No, I don't.

Zola, it's me.

You keep ignoring
Dr. Hamilton's phone calls,

and you won't text
Dr. Marsh back.

Do you want the truth?

They want to talk to
me about something

that I probably should
talk to you about first.

What is it?

I've been offered
a job in Minnesota.

You already have a
job in Minnesota.

Right. But this job
would require me

to give up my job in Seattle.

So we would move?

We would have to, yes.

How w... How would
you feel about that?

Would the job save
a lot of lives?


Would you see Dr. Marsh more?


Would that make you happy?

You, Bailey, and
Ellis make me happy.

We would follow you anywhere.

Researchers studied
patient codes

at hundreds of hospitals.

They found patients had
increased survival rates

at hospitals with longer
attempts at resuscitation.

Of course, there are limits
on how much we can do.

Thanks for coming back.

Yeah. I'm surprised you called.

I still blame you for Mom dying.

I didn't give Mom cancer.

I know.

But sometimes...

I think that she
would still be alive

if she didn't put all
of her money and energy

into you and Dad.

I know... I know
that's not fair.

Look, her cancer

it took us out.

It took us both out in
different ways, man.

And she would be so
angry if she knew

if she knew that we let it
take us away from each other.

I miss you, man.

I'm glad you're here.

And... if you want
to stick around,

Maggie said you
can stay with us,

and I will try to introduce you

to some people at the
hospital, alright?

It'll be different this time.

I hope so.

Should we hug it out?

No. No?

We should get some food.

Come on. Some beer.

Maggie's waiting for us.

Uh, can you cover me for dinner?

I'm kidding. Wow,
look at that face.

It's on me, actually.

Uh, you know, company card.

It's on you? Yeah, exactly.

As hard as we try, not every
patient has a happy ending.

One day in that chair, and
you look 10 years older.

See? That's why I needed today.

So thank you.

I did that Whipple, a
fundo, two endoscopies.

I even squeezed in an ex-lap

that came from that horrible
pile-up on the bridge.

I haven't done that
much surgery in one day

since I was a resident.

Uh. Bailey.

Ah, I feel centered now.

This is manageable now.



What is it?

Our residency program

this is an official

They're trying to shut it down.

Sometimes we just
have to call it.