Grey's Anatomy (2005–…): Season 7, Episode 6 - These Arms of Mine - full transcript

Rails, hit the cyclist head on.

37-year-old male,
unconscious and unresponsive

With an idioventricular rhythm.
Obvious head trauma,

Brain matter evident on the scene,
15 minutes out.

You heard 'em. Somebody page shepherd.
Let's move. got it.

We're on trauma rotation,
so it's our job to take point

And assess each medical
emergency as it comes in.

let's get x-ray in here.
you better be precise.

Talk to me, grey.

His peripheral I.V.'s blown.
Pressure's plummeting.

running a code can be chaotic.



You know, sometimes the
best thing you can do

Is know, you know,
when to get out of the way.

someone page dr. Shepherd! V- tach!

charging to 200. no pulse.
Push one of epi.

starting compressions.

Give me those paddles.

Fluids are wide open.
charging, 200.

3 of epi.

I was paged down to assess
the patient's head trauma.

When they stabilize him,
I'll go in, and I'll do my stuff.

hold compressions, please.
Let's see what we have. got a rhythm.

Does he have a pulse?

That's it. He's
basically brain dead.

Um, excuse me one second, okay?



Dr. Hunt.

Excuse me.

about three minutes.

okay, good.

We're still gonna have
to crossmatch him.

Oh, yeah, of course.

Hey. Hey, look at this.

Blood type's a match,
skin's a match,

Age, size, gender, all matching.

We got our guy.

We got our guy?

We got our guy.

Oh, you picked a good
night to start filming.

Yeah.

This is gonna be fun.

we just got a call from dr. Sloan.

He said to hurry over,
so we got out of bed and came in.

Right in. I mean, I was in such a hurry,
I forgot my shoes.

Look. I've still
got my slippers on.

Oh, we've been waiting
for this for so long.

Today is the day.
Today is my transplant day.

Yay, transplant day.

Gonna get me some arms!

*

seattle grace mercy west hospital,

Home to some of the finest,

Most influential doctors
in the country.

Several months ago, a gunman
roamed these hse halls,

Leaving 11 people dead and
even more injured.

Today we visit the survivors-- their
patients, their triumphs,

And their disappointments.

This is...

*

things have changed since
the shooting, sure.

For one thing, uh,
over the last month,

We have installed a number of new,
uh, security measures.

Um, we're trying to make
it safer for the hospital,

Uh, the doctors,
and-- and-- and the patients.

So what-- what-- come on.
We go through this every morning.

It's me. I swear.

I just-- I have a different
hair color. That's all.

It's-- chief! Chief,
would you please--

Would you come tell em
that I'm me? Please.

Um, excu-excuse me a moment.

What's going on?

They just-- every day.

We, uh, we are fourth-year
s- surgical residents.

And, uh, we're friends,
you know, good friends.

Mm. It's pretty impossible
to work this closely

And not become good friends.

can we call respiratory
to get a vent down here?

what's the o-2 sat? 83.

he's starting to have arrhythmia.
He's tachycardic and hypotensive.

We need another blood pressure.
Decreased breath sounds on the left.

Let's get a chest tube.
His blood pressure's dropping.

uh, sure, I mean,

Going through something like that,
it's brought us closer.

Not that we weren't close before.

I mean, ask anyone. We're close.

Yeah, dr. Yang and my wife
sometimes have sleepovers...

In my bed with me in it.

so yeah, yes, it's brought
us closer for sure.

He needs a thoracotomy.
Right, right, right.

o-2 sats dropping. Yes, please.

I'll alert the o.R.
Where's that a.B.G.?

sterile drape.

Here. Take over compressions.
I'll get it.

Great. Thank you.

It's, uh, 7:00 a.M.

I've been here two hours.

And, uh, my interns,
they got here before that.

They check on the
patients and report to me

Before I check on the patients
and report to my attending.

* like fire and rain * lily,
I told you already,

Turn it down or put
in the headphones.

The rest of us don't
have bieber fever,

Whatever that is.

How have I changed
since the shooting?

Uh...

I don't know.

Uh, I got this.

uh, today I'm going
back toeattle grace

For my colostomy reversal.

Oh, uh, babe, did we remember
my robe and my fuzzy socks?

Yes, and yes,

If by "we," you mean me,
because you forgot.

I was supposed to get
this surgery months ago,

But... Well, the shooting
happened instead.

Did you get the parking ticket?

Yeah, in my pocket.

I haven't been back to the
hospital since that day.

I don't know how it
will feel to be back.

That's right, it's portman.
P- o-r-t-m-a-n.

Uh, and can you tell me where
I can get this validated?

I'll take care of it. Thanks.

Hey.

Hey, dr. B.

Oh.

Yeah, I don't generally
make it a habit

To hug my patients.

yeah, well,
when you get paged 9-1-1,

You don't walk. You never walk.

Okay, talk.

Okay.

God, I can't get
past the obstruction.

Damn it. Howong? Five minutes.

Damn it.

Yes. Yes, do it now.

no, no, no, lily, lily,

I know. I know. This is scary.
You stopped breathing,

And so we had to
take you to the o.R.

And put a tube in your
neck to help get you air.

No, no, no. You can't talk, okay?

But we called your mom at work, and she's
on her way. Okay? lily was admitted with
respiratory distress last night.

She has a, uh,
growth on her windpipe.

It's benign except for,
there's nothing benign

About something that's
blocking your airway.

She's had surgeries to
remove it in the past,

But it's aggressive,
it keeps recurring,

And obviously,
it's gotten worse, much worse.

okay, this is the nurse's button.

If you need anything, you push it.

I mean push it a lot.
Don't worry about being annoying.

Push it till they come in here.

It's okay. It's all right.

Here.

Not too loud, okay?

it happens more than you think,

Having to do a procedure on a
kid with no parents around.

Some of these kids are
in here for weeks.

The parents usually can't
take off that much work.

But I mean, we try to help out.

We have these beds,
we call 'em parent cots,

For the parents to sleep in.

But a lot of these kids
spend a lot of time alone.

Just works out that way.

Doesn't mean they're bad parents.

They're just, uh, busy parents.

I found out last night that he...

Had been in an accident.

Just before the phone rang,
I had this...

sinking feeling.

Motorcycles...

Donor cycles-- isn't
that what they call them?

They called me in here because
even though sam's a donor,

They need special consent
for something like this.

I know sam would want to
donate whatever he could,

So of course, yes,
they-- they could...

They could take his arms.

Absolutely. I have
no problem with that.

Although, uh...

It's hard, you k--

The thought of somebody else,
you know,

Holding his hand.

See that? That could be a problem.

What if we try a bypass instead?

Hmm.

derek and I? We go way back.

We grew up together,
went to med school together.

he's...

He's kinda like my better half.

Not the better-looking half,
mind you.

So when I heard he ghe got shot.

Every day, we give
bad news to patients.

We tell them their
loved ones are hurt...

Or dying...

Or dead.

And for the first time in my life,

I understood what that feels like.

It feels like .

No, no, you're thinking
like a nerve guy.

I am a nerve guy.
Goes blood supply, then nerves.

Actually, it's tendons,
then blood supply, then nerves.

Um, hello, what about the bones?

um, we estimate the
surgery will take

Anywhere from 15 to 20 hours.

We'll have two o.R.S going at once.

There will be five
teams of surgeons,

One team for each arm,

And then a fifth just to
harvest veins from the leg.

You know there's only
been one successful

Bilateral arm transplant in
the country? In the world.

In the world.
Yeah, I wouldn't go so far

As, uh, calling us medical titans,
but... we are.

not the first time I've
been called a titan.

uh, right now,

I am prepping the donor body

To extract antibodies
from his blood.

This is all in
preparation for later,

When we'll remove, uh,
bone marrow from the donor,

And then we'll infuse
the marrow into zack

To reduce the chances of his
body rejecting the arms,

Which is huge.

More than huge.

I mean, I'm no medical titan,
but, uh...

Still it's pretty damn cool.

Uh, yeah, zack lost his
arms four years ago.

It was an accident at work.

He is, uh, he was a logger.

So it coulda gone either way.

I mean, it-- this thing
coulda come between us

Or it could've brought
us closer together,

And for us...

I think it's brought us closer.

Literally. I have
to wipe his for him.

okay, really?

That'shat you want to talk about

In front of everyone right now?
Yeah, I do.

I'm sorry. I'd cover my face,
but I don't have any hands.

you been good since I last saw you?

Busy.

Bill and I, uh, left town
right after the shooting,

And... Pretty much
never looked back.

So far, we've been to paris,

Morocco, alaska...

A cruise through the baltic.

What?

Blew through our savings,

But... Hey, life is short, right?

Sure is.

Is there anything I'm
looking forward to

Once my surgery is done?

babies.

Lots and lots of babies.

deep breath.

Another.

enter security access code.

You're sure? You're sure?

I'm sure. I'm sure. I'm sure.
I'm sure. I'm sure.

enter security access code.

there are some kinks with
the new security system,

But-- but there are always
kinks with something...

n-new. Ah.

But we're-- we're working them out.

we got this, uh, new,
state-of-the-art

Like, lockdown system.

to, um, isolate different
areas of the hospital

In case of an emergency.
Yeah, 'cause, um,

Supposedly, the last emergency,

There were... Some
people wandering around.

Even with the kinks,
I think people feel safer,

Which is important, yeah.

Uh, sorry to interrupt, chief.

I just-- I got your page,
but hey, I can come back.

Oh, nonsense.

Congratulations.
I just heard the big news,

And I am so proud of you.

Oh.

Uh, our very own, um, dr.
Robbins here

Has been award

The prestigiousn, um,
carter madison grant.

yeah, I haven't told
that many people yet.

A carter-madison grant?
Nobody wins those.

I mean, nobody normal.
I mean, just sort of

Those brainy, scientist types
who are from germany and sweden.

Oh, my god! You won!
Are you kidding?

Nope. She's not kidding.
Oh, come here.

Aw, thank you.

No, I didn't apply for the
grant because of the shooting.

There are major gaps

In the care of children
in developing countries.

Global health initiatives
exist for things like malaria,

Uh, infectious diseases,
immunizations,

But not for pediatric surgery,

And with this grant...

I could start to change that.

Well, I applied for this
thing two years ago.

I was a completely
different person.

You know, I was new here,
um, a surgical fellow...

Single.

But now I have people here,

Important people, which...

Complicates things.

But... this is bigger than me.

This is-- this is the
opportunity of a lifetime.

So...

yeah,

Of course I'm accepting the grant.

That just means I'm...
moving to africa.

*

coming up on "seattle medical"...
how long has he been coding?!

um, dr. Torres, have you seen this?

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

something like this
could ruin everything.

Well, I mean, not just anyone's
a good arm donation candidate.

Not every candidate s donated arms.

Most, uh, amputee patients opt
to continue using prosthetics.

When you think about it,

We're attaching two cadaver arms

To another living person's body.

That's the kind of thing

That could really mess
with someone's head.

Not to mention the
rehabilitation time.

Recovering from something like this,
it takes years.

Well, the screening process is,
uh, extensive.

We have to ensure
that the recipient

Is stable mentally and physically,

Determined, patient, very patient.

And that's all before you
even begin looking for an arm.

Uh, in this case, we've been
looking for arms for zachary

For over two years.

It's been a long time coming.

Um, dr. Torres. Hmm?

Uh, you've probably seen this,

But-- but h-have you seen this?

oh, my god. No.

oh, no, no, no, no, no.

okay, um, page sloan right now.

a tattoo?

It's just so unfair
that something like this

Could ruin everything.

hi. Is it true?

Are you guys scrubbing in on the...

Double arm transplant?

What's wrong with you?

nothing.

What's wrong with you?

oh, no, yeah.

It's a very real concern, actually.

The patient could
easily reject the arms,

Not just physically
but emotionally.

The first-ever hand
transplant recipient

Ultimately asked to
have the hand removed.

Yeah, he said he
couldn't connect to it,

That it felt like dead
weight sewn on to his body,

That the hand wasn't and
never would be his.

Imagine looking at a tattoo
of your donor's wife's name

Every day to remind you that these aren't
your arms. you're making me nervous. What's
wrong?

Is there a problem with the arms?

oh, god. There's a
problem with the arms.

Well...

Maybe.

Um...

There's a tattoo on one of the arms

Of the name "nicole."

I love the name nicole.

Me, too. I love it.
We couldn't love it more.

I sawe rename our dog nicole.

I'm gonna name myself nicole.

change my name.

If it means I can
still get those arms,

Then... Nicole is my
new favorite name.

Yeah.

I was-- I was not expecting that.

He got that tattoo exactly
one year after we met.

He took me to the
tattoo shop and told me

He was gonna get this tattoo

To show me just how much
he loved me, which...

Is when I'm pretty sure I called
him an idiot or something worse.

You don't clare your love for
someone by getting a tattoo.

You do normal things, like--

Like plan a nice date,
or-- or write a poem,

Or hell, drop down on
one knee and propose.

You don't brand yourself
with another person's name.

Which is when sam said, "okay,"

And he got down on one knee,

Pulled out a ring and proposed...

On the spot.

After that, every time...

Even if we were fighting

Or I was mad at him
because he forgot to...

Take the garbage cans out or...

I'd catch a glimpse of that tattoo,

And I'd remember,
this guy loves me.

Even if the garbage is gonna
smell up the yard for a week...

He loves me.

Loved me.

I don't even like kids.

Come on.

Oh.

Ugh!

pediatric surgery

Has nothing to do with liking kids.

All right, lily.
I need you to stay still, okay?

Or you're gonna mess up the test.

I'm gonna be right over
there in that booth,

And that's how it goes.

Lily, you can't have this
in the machine, okay?

I'm sorry.

Hey, look, guys,

Why don't you back off
for a little while, okay?

Hey. it's gonna be okay.

I mean, you go into
peds because it's elite,

You know, uh, hard-core,
the best of the best.

* na na na, dum and rain *

* instead of driving me insane *

* but I can't stay mad
at you for anything... *

Did you know that there are

Only 38 pediatric surgery
fellowship spots in the country?

The country.

I mean, uh, to compare,
cardiothoracic has 120.

pediatric surgery is
the elite of the elite,

So yeah, I'd consider
specializing...

in pediatric surgery, for sure.

But not because of the kids.

definitely not because of the kids.

* and I wouldn't change a thing *

airway's clear.

you know, the truth is that

It's actually a good thing that...

The shooting happened here
instead of somewhere else,

Because we are better
equipped to handle trauma.

I mean, we see trauma every day.
It's our job.

we got a stab wound there.

Yeah, I-I got it.
put him on a monitor.

Thank you. Oh, wow.

Uh, he needs surgery.

Okay, let's pack it,

Stabilize him, and get him upstairs.
right away, doctor.

Right. Right. Um...

There's another incoming
trauma on his way in,

So I'm just gonna stay
down here and handle that.

yeah, I mean, trauma is a
part of our job,

So improvising and
thinking on our feet,

That's what we're trained to do.

no, it's not strange dr.
Yang isn't coming with me.

I was available,
so I'll take this guy,

She'll take the next one.
It's first come, first serve.

Everyone wants to get in that o.R.

We're surgeons. We live to cut.
It's who we are.

*

it's not too late, you know?

We could move up our next trip,

Skip out of here, and--
and just catch a plane tonight.

I mean, you've been fine this
long without the surgery.

You'd be fine a little longer.

colostomy reversal is
a very basic surgery.

On a typical day,
I might do two or three in a row.

Uh, this was the surgery

I was supposed to perform
on mary that day.

The day that...

That-- that, um...

Anyway, um,

Medically speaking,

She was getting a
little stoma prolapse

And some electrolyte imbalances,

So it's good that we're
doing the surgery now.

Good to get it over with.

So we just got lily's labs back,

And I'm taking 'em to dr. Robbins.

They don't, uh... I mean,
I'm just saying,

I think that at least you could be happy.
Well, I thought we were hap--

uh, should I come back?

No, whatever. We're done anyway.

Uh, you have--
you have lily's results?

well, it's her decision, obviously.

it's an incredible opportunity.

I mean, you don't just, uh,

Turn down a carter madison grant.

Nobody turns down a
carter madison grant.

I mean, I-I... I know that. I...

I understand that. I do.

I mean, if the situation
were reversed...

Oh.

Actually, no. You know wha no.

If the situation were reversed,
I would turn the thing d

I wouldn't even consider

Moving to another
continent right now.

But I'm not her.

So, uh...

Like I said, it's an
incredible opportunity.

Hope you've got
that bone saw ready,

'cause I am really in the
mood to cut off some arms.

unfortunately, because
of her prior surgeries,

Lily has fistulas

That make removing her tumor
that much more difficult.

The tumor is now so large

That it's impinging on
her airway and esophagus.

Removing the tumor

Would mean removing
lily's entire trachea,

Which means...

Lily wouldn't be able
to breathe at all.

the other thing

That's changed for me most
since the shooting is that...

Now I feel like...

There's always something
that we can do,

'cause I should've died.

You know, I was shot point-blank.

So, uh...

There's always something
that we can do.

so you're saying...

That if you operate...

It's a death sentence,

And if you don't operate,
it's a death sentence?

So in a few minutes, we'll be ready

To completely detach the
arms from the donor.

Why use zigzag incisions?

to get maximum exposure.

Good. See what I'm doing here?

I'm tagging each vessel,
artery and vein

So we know exactly how to
hook them up to the recipient.

It's kind of like
the back of your tv.

You need to know which
connection goes where,

Or you wind up with
sound and no picture

Or a picture and no sound.

the minute we remove the
arms from the donor,

The tissue starts to die,
so we have to work fast, really fast.

We have a very limited window

To complete this
part of the surgery.

Okay.

Okay, let's get started.

You don't understand.

I was sent to get coffee for dr.
Sloan

Because he needs his
caffeine right now

To get through the most
amazing surgery

That is happening right
now in o.R. 2.

So I-I'm pretty sure it's not okay

To be late for the making
of medical history,

So you need to let me through,
okay,

To get to that surgery, to get dr.
Sloan his caffeine,

To witness medical history
being made.

I- I-- my I.D.
Is valid, I promise.

Let me take a look.

Yeah, she-- she swiped
it a couple times.

It didn't go through.

just go. Just go.

enter security access code.

hey. Hey. Anybody?

enter security access code.

Nurse! Come here.

Enter security access code.

Dr. Avery. Dr. Avery, your patient!

enter security access code.

Enter security access code.

Avery! Dr. Avery!
Hold on! Dr. Avery!

Enter security...

so we're about nine hours in.

Uh, dr. Torres has finished
attaching the donor arm bones

To the recipient with
titanium plates and screws,

And now they are beginning
to attach the tendons.

I'm on it.

Where have you been?

has getting shot changed me?

Um, I don't think

I love my job any more or any less.

Um, I don't think I'm...

I'm a-a better doctor or worse.

Uh, if anything it's
made me grateful,

Um, to be here.

So yeah, getting
shot has changed me

In the sense that I feel lucky.

We've reconnected the
arteries and veins.

but we need to check
the circulation

Before we continue.

What we're gonna do now

Is release the tourniquets
one arm at a time

And then look to see if blood
flows into the vessels.

okay, moment of truth.

releasing the tourniquet.

arm's pinking up!

that's good. Good job, everybody.

The commute's tough.

We've been coming here

Since lily's tumor got
diagnosed three years ago.

It's just the two of us,
just lily and I.

We live over three hours away,

So it makes it difficult for me
to come more than twice a week

And weekends.

I hate leaving her for that long.

But I just want
what's best for her.

I want her to live.

Dr. Robbins came to me,
and she said

There might be something they
could do for lily after all--

Something experimental.

Um, that's why you come to a
place like this, you know?

Because even if it is a commute,
three hours on the road,

It's nothing if--
if it'll save lily's life.

we've completed a stent

To temporarily help lily breathe,

And now we're gonna remove
part of her twelfth rib.

See? It's just one more example

Of how our doctors here rise.

First a carter
madison grant winner,

And now cutting-edge...

Regenerative medicine.

well, there's no
artificial replacement

For a trachea.

We know that. But then
I remembered a study,

And I thought, well...
What if it isn't artificial?

We're gonna use some
of lily's own cells

To manufacture her a new trachea.

Grow it in the lab,
remove the damaged organ,

Replace it with a newer model.

Outstanding.

Absolutely outstanding, dr.
Robbins.

let me in here. Move. Avery, avery!

Avery, look,
I was waiting in radiation.

How's the patient?

Damn it! How long
has he been coding?!

Avery, you're gonna break his ribs.

enter security access code.

Okay, okay, okay.

O- okay, okay, okay.

The new security system? Yeah,
I'm not a fan.

compressions only last for so long,

So you call whoever
you need to call,

You override whatever
you need to override,

And you open the door
before I report you

For the wrongful
death of a patient!

avery.

Avery, it's okay.
Just hang in there, okay?

enter security access code.

Avery.

all right, you can stop now.

Someone else can take over.

Avery, look at me. Look at me.
You can stop now.

Avery, avery, it's okay. It's okay.

it's been, uh...

Hard...

Since the shooting.

I, uh, I lost some fr--
some friends that day.

you learn to think about
things differently.

Like, um, like buttoning a button--

You can't-- you can't do that,

You know, even with
the hooks, so...

Now I just buy zack
t-shirts and hoodies.

He can usually get
those on by himself

By using his hooks and his feet.

And, uh, I help him
bathe in the morning,

And... Well,
brush his teeth and shave.

It took me--

It took me a long time
to get the hang of that.

but it's all in the wrist,
I've learned.

It's late.

I thought I w--
I would have an update by now.

So what's the big deal?
You'll visit her.

She'll visit you. It's just a plane ride.
Um, can we not talk about this right now?

arms getting cyanotic.

The vessel attachments
are all good.

uh, picture. We've got
picture and no sound.

excuse me?

Move over. Just move over.

Any update?

What? Just tell me.

Um... There was a
possible complication

With one of the arms.

Complication?

There's a clot,

And they're trying to,
uh, restore blood flow.

But...

He could lose it, couldn't he?

well...

One arm's better than none, right?

Torres, do you need help?
I can retract that for you.

Want me to patch that?
just give me a second.

are you sure you don't want me to...
I know what I'm doing...

torres, do you want me to patch this?
Just give me a second.

Okay, I know what I'm doing.
I just need a second.

Everybody, shut up.

Okay. All right.

There. Picture and sound, I think.

yeah.

good job.

oh.

good. Nicely done.

basically, we break
the cartilage down

To its cellular level and
turn it into a protein liquid.

We build a scaffolding
to hold the liquid,

Then we cook it in an
incubator to let it grow.

This is the incubator.

We're gonna grow the
trachea in here first.

And then once it's big enough,
we're gonna insert it

Into lily's abdomen
till it gets stronger.

It'll be there a few months.

then we'll take that new trachea

And replace her old one.

Some might say that a shooting
would set people back.

Then you look at
residents like dr. Karev

And attendings like dr. Robbins,

And you see their--
their innovative thinking,

Their resilience.

You see them becoming
reinvested in-- in medicine.

It's inspiring, isn't it?

*

I've mobilized the two
intestinal segments,

And I've stapled,

And...

That's it.

Textbook. In an out in an hour.

Time to close.

hey.

it went well.

Uh, mary's being wheeled
into recovery right now.

So it's... It's over?

It's over.

Oh, god.

Oh, thank you.

Oh. Oh. thank you.

okay.

Thank you.

Oh.

this is, uh,

One surgery I am happy...
to have finished.

Tonight...

You know, I may very
well take the night off.

Go out. Maybe have a drink.

Who knows?

oh, man.

Oh, gentlemen and lady... Hey.

We gave a man arms today. We did.

All right. I like to think of it
more as I gave a man arms today.

The rest of you just helped. Another
round for everybody but my friend here.

come on. That's a really
nice shirt, by the way.

Where'd you get that, the special titan
store? Hey, you saw the way she saved that
arm today?

You want to hear something funny?

She hooked up my tv.

I'm still only getting
sound out of one speaker.

so I'll have to
irrigate the trachea

With this protein mixture
a few times a day,

Every day,
for the next few weeks...

which means I'll pretty much
be living in this hospital

To make sure it gets done right.

That's my priority,
is to make sure this trachea grows.

I mean, it's my focus.

I'll basically be eating,
breathing and sleeping trachea

For the next month.

Do people treat me differently now,
after the shooting?

Uh, well, um... I mean, yeah.

I mean, like, you're
here filming me, so...

I mean, like, people like to
say what I did was heroic,

But it wasn't. You know,
it was just a thing I had to do.

I think people like to have a hero,

And, uh, it-- it-- it...

It makes them feel
better to think that,

There in the middle
of all that horror,

You-- you know,
that there's someone...

Special working medical miracles.

But...

I mean, I...

I- I mean, I don't--

I don't have super surgical powers.

You know, I mean,
I'm-- I- I did what--

Cristina is a hero...

Especially to me.

The truth is, is most surgeons

Could not have done what
she did that day.

If you had seen--

stop.

If you had seen--

Stop. Please just-- can you...

can you just stop this?

Can we cut?

just doing a little construction.

Things are always
evolving around here...

For the better.

Always for the better.

whoa! hey!

I don't know. Man, I don't know.

Are you kidding me?
You guys all right?

hey, let me give you a hand.

Uh, yeah, I mean,
he already has some feeling

At the tops of his new arms,
like-- ow!

watch this.

Not bad, huh?

pretty good.

Look right there.

You can barely even see a scar

Where they put the
tube in last month.

And now I'm back today

To get my new trachea
sewn into my belly.

Dr. Karev calls me
the human incubator.

He's been sending me
photos from the lab,

Of my new trachea.

See?

Look at that right there.

It's really grown.

See? Right there.

I always figured I'd grow
up to be a rock star,

But I might consider
being a doctor now, too.

I mean, dr. Karev is pretty cool.

Check it out. Homegrown trachea.

*

Whatever you do,

Just don't screw around and
mess up my trachea, okay?

I mean it.

I know you think
you're a rock star,

But no mosh pits or crowd surfing.

I mean, lilith fair's okay,

But no drinking, or drugs,
or smoking, or driving drunk,

Or giving your number out
to guys you don't know.

Um...

You get that I'm 9?

* the time you lost your mind *

* there's always *

* something sneaking up behind *

* you know *

* the way to go *

well, I-I really can't believe it.

The big move to africa is
really just around the corner.

Yes, I would say things
are better between us now,

And, uh, yes, we worked it out

Even with arizona moving to africa.

The fix was, uh, pretty simple, actually.
I'm going with her.

Hey.

Hi.

Did you get them, um...

* tell me there's still... *

got you some new flowers.

Uh... Yellow ones today.

Uh, don't ask me what kind.
I have no idea.

*

* you know the way to go *

They're, uh,
they're pretty, though,

Just like you.

* the way to go *

it's rare,

But sometimes patients do
not wake up from surgery.

With every surgery,
there is a risk.

In this case,
the post-operative c.T.

Showed no sign of stroke,

No acute bleed.

We've run p.E.T. Scans, m.R.I.S,

Tried fluids, pressors.

Basically, that's what

I have to go and talk
to bill about today.

Mary has been in a
coma since her surgery.

There's no sign of brain activity.

And now she's septic.

Her organs are failing.

Best-case scenario,

Um, she regains some function

And wakes up with extreme deficits,

Mentally and physically.

But the chance of her...

Waking up at this point...

* you know *

it's hard...

To imagine someone
surviving a crazy gunman,

And then not to survive
such a simple surgery.

I have to go and tell
bill that it's time.

* back home *

He has a decision to make.

* back home *

* you know *

* the way to go *

* back home *

* back home *

* back home *

Hi.

Well, we went through

The scariest thing a
person can go through,

And we survived.

So now every day is just a gift.

And we're all just blessed...

Blessed to be here,

Blessed to be doing what we do best

Not bad, huh?

Which is saving lives...

Every day...

One life at a time.

we're healed...

So we can continue healing others.

is there any one thing

You'll take away from all of this?

Being a hero has its price.