Grey's Anatomy (2005–…): Season 7, Episode 7 - That's Me Trying - full transcript
The residents are pushed to their limits when Owen puts them through a rigorous trauma certification drill; meanwhile, Cristina is also tested when left alone to monitor a very ill lung transplant patient.
[Pop music playing]
[Meredith] Question:
When was the last time
a complete stranger
took off her clothes in front of you,
pointed to a big purple splotch
on her back and asked,
- "What the hell is this thing?"
- OK. How about it, Mark?
You know you've always
wanted one of... these.
[Meredith] If you're a normal person,
the answer is, hopefully, never.
If you're a doctor,
the answer is probably,
- "About five minutes ago."
- Nah, I'm good.
- I will take that waffle iron.
- What?
- I have never seen you eat a waffle.
- I would if I had a waffle iron.
Callie, we're not gonna
take a waffle iron to Malawi,
and it's not gonna do anybody any good
sitting in storage for three years.
[Meredith] People expect doctors
to have all of the answers.
Congratulations. You won
yourself a waffle iron. Oh!
- And a French press.
- Hey. Stop giving my things away.
Maybe I should probably
pass on the French press.
[Meredith] The truth is
we love to think that we have
all of the answers, too.
So The Art & Lesley Phillips Foundation
has a few more hoops to jump through
than the others, but their primary focus
is Alzheimer's research.
And if you get this grant, it is more
than enough to get us started.
- You really did your homework.
- I'm a great student.
Just the kind you want around
when doing a clinical trial.
[Chuckles]
- How's that going?
- It's fine.
Is this because Richard gave Hunt
the million dollars and not me?
Is that why things
are frosty between you two?
We're not frosty. We're fine.
But if you're looking for solidarity,
I would be more than happy to skip
Owen Hunt's trauma certification lab.
- Go get certified.
- OK.
[Meredith] Basically,
doctors are know-it-alls.
Until something comes along
that reminds us we're not.
I need someone to help
me set up the trauma lab,
to keep things running smoothly.
You'd get your certification that way.
- And it's a pretty easy day.
- It's a skills lab.
- It's already an easy day.
- Dr. Hunt.
- I'm going to need to borrow Dr. Yang.
- Oh. Uh, what's up?
Lungs have become
available for Roy Henley.
And since he found himself
on the transplant list
based on Dr. Yang's recommendation,
I would say
- that would make him her patient.
- OK, what do you need me to do?
I just need someone to monitor him
while I go pick up the lungs.
- So I'll be on my own?
- Nope. Dr. McQueen, cardio fellow,
he will be around on the off chance
that you need anything.
Oh, and I finally was able to get
Roy's daughter to agree to come in,
- so just keep an eye out for her, OK?
- OK.
You'll be fine. Still an easy day.
I know.
Am I early?
I tried really hard not to be.
- That doesn't bode well.
- We did the same thing with Bailey
when we were interns.
Take turns treating a dummy,
get an early lunch,
then get back to work. It's lame.
A charter plane was forced
into an emergency landing,
and collided with a Greyhound bus.
Mass casualty situation.
Do we need to say it again?
Let's move!
Close to 30 victims in the field,
some critical,
multiple blunt trauma injuries.
[Jackson] I was so looking
forward to an early lunch.
This is gonna suck.
[Man] You're kidding me, right?
Welcome to trauma certification.
You will work in teams of four.
Each team will be responsible
for nine casualties.
You may treat your patients using only
what you can carry with your two hands
from this ambulance.
The evac helicopter is on its way.
You get your patients on the helicopter,
you get certified. Are you ready?
- [All chattering]
- Get to work.
[Mark clears throat]
- Dr. Grey?
- Uh, Christy Cornell, age 28,
she's here for a gluteoplasty?
She's so tiny. There's hardly
anything there to lift.
That's sort of the point, Dr. Grey.
I'm... I'm sorry. That was...
- Oh!
- I'm sorry.
Christy's not here for a lift.
She's here for a gluteal implant.
Yes. I'm finally gonna get
some junk up in this trunk.
This program shows a rendering of what
you can expect the gluteus to look like
after the implant.
Oh... Um...
Could I see what it'd look like
kicked up a couple points?
- [Mark] Sure.
- [Beeping]
- Mm... Couple more?
- [Beeping]
Couple more.
Stop. That's it.
That's my ass.
Come on, that was funny.
Any joke that starts
with an animal walking into a bar
is scientifically unfunny.
Humor me, Dr. Yang.
I need something to focus on.
I don't know if I'm more nervous
about getting new lungs
or about actually seeing my daughter.
Don't think about it
as getting new lungs.
Think of it as getting
rid of old, crappy lungs.
- [Wheezing]
- [Beeping]
Or don't think at all.
OK, Roy, take some deep breaths.
- Corinne?
- Roy.
- How ya been?
- This week,
or for the past 20 years?
I'm sorry. That was snarky.
No, snarky's good.
I like snarky. You get that from me.
[Gagging]
- Roy? Roy!
- [Beeping]
[Nurse] Get the crash cart!
- He's not breathing!
- V-fib!
[Nurse] Page cardio.
Aren't you the doctor? Do something!
Um... What's happening?
Your father's developed cor pulmonale
and his heart is overloading.
What? I-I don't understand.
I thought his lungs were the problem.
[Sighs] His lungs are putting
extra pressure on his heart.
Dr. Altman is picking up
the new lungs right now.
I'll call her and apprise her
of the situation.
What situation? What is going on?
His heart is failing. And the
damage seems pretty severe.
So... uh, there's a possibility
- he'll need a new one.
- A new what?
A new heart?
You know what? Take over here.
I'm going to call Dr. Altman
and I'm gonna get McQueen.
Dr. Bailey, do you have a second?
Only if what you have to talk
about is more important
- than my being on time for an autopsy.
- It's arguable.
We're throwing Torres and
Robbins a bon voyage party
- in the doctors' lounge this evening.
- That sounds lovely.
Uh, I have a full day,
but I'll try and stop by.
Well, the thing is, Altman volunteered,
uh, to pick up the cupcakes,
but she had to pick up lungs instead.
And I just figured,
since you're close
to both these ladies...
You're asking me to take
time out of my very busy day
to go to the bakery? Or would you prefer
I ran on home and baked some myself?
No. 'Course not.
- Just an invitation.
- Uh-huh.
Mark, I need to talk to you
about Christy Cornell's...
...butt.
- OK.
But first I need to talk
to you about cupcakes.
Callie! Check out all of the great stuff
the kids in Peds made me.
They want me to take pictures
of their crafts in Africa.
Wow! That's awesome.
You'd be surprised how often you find
yourself in need of a macaroni face
glued to a paper plate. It's way better
than gauze, malaria pills, antibiotics.
You are a delight this morning. Is there
something you'd like to talk about?
Um, no. No, I'm just...
[Callie groans, chuckles] No.
- Ah! Torres. Robbins.
- Hi.
I thought you'd be halfway
to Malawi by now.
We had some last-minute paperwork.
Plus, I promised the kids
I'd come say goodbye.
That's good. The work
you two will be doing there
will reflect very, very
highly on this hospital.
Sure, uh, it was a surprise to learn
that I'd have to replace
two excellent attendings,
as opposed to just the one.
But then, that's the chief's problem.
No one wants to really
hear chief's problems.
It's a shame, though, Torres.
I had, uh...
I had such big plans for you.
Big plans.
- [Man] Can I get suction? Thank you.
- [Suction sputtering]
Clamp please.
Dr. McQueen, I really need you
to take a look at Roy Henley.
They tell me he's developed cor
pulmonale and circulatory collapse.
- Yes, sir, that's correct.
- Did you put him on dopamine,
milrinone and nitric oxide?
Yes, I did. He's stable.
Critical, but stable.
What would you do for a patient
with reduced cardiac output,
hypotension, sinus tach
and metabolic acidosis?
I'd insert an intraaortic balloon pump.
Exactly.
I'll be there when I can, Dr. Yang.
But it really doesn't sound
like you need me at all.
Permeate the suction.
You must be Dr. Bailey.
I'm Dr. Stanley, head of pathology.
And this must be Mary Portman, 30.
Multiple organ failure, cause unknown.
She came in for a standard colostomy
reversal and never woke up.
Well, all right. Looks like we've got
something we can sink our teeth into.
Um, I have a list of possible causes
I'd like to check as we proceed.
We have a specific order
to the way we work down here,
so we'll see what we see
when we see it. OK? OK.
[April] According to this card,
this guy's got a blown right pupil,
an atlanto-occipital dislocation, open
book pelvis, large open abdominal wound,
jeez... a sucking chest wound
with seven broken ribs...
- This guy is all messed up.
- Or he's dead.
Ah! Right. Yes. Moving on.
[Indistinct chatter]
Cristina? Hey, how long you been here?
Oh... Not long.
I just needed some fresh air.
- How's the patient?
- He's fine. He's great.
Uh, couple complications,
but... I'm handling it.
- Are you sure that you're OK?
- Yeah, I'm fine.
It's, uh... chilly out here.
[Pager beeping]
That's him. Um...
I need to... I...
...have to go look.
- OK. All right.
- Cristina.
- Uh-huh?
You can do this.
OK. Thanks.
Grey! Congratulations.
You're, uh... You're certified.
Now, you go inside
and give Cristina a hand.
What does she need?
Did she ask for me?
Meredith, please.
OK, thanks.
- Hey.
- What're you doing here?
- Owen sent me.
- I don't need a baby-sitter.
I'm just an extra set of hands.
What's the situation?
He went into cardiogenic shock, so I'm
inserting an intraaortic balloon pump
and hoping there are no other
complications before Teddy gets back.
So we are watching for hemolysis,
a gas embolism,
- a blue leg from peripheral ischemia.
- OK, if you want to do something,
his daughter is up in CCU
and she needs an update.
OK.
[Owen] Blue Team. Status report.
We arrived on the scene
to find nine casualties.
We identified three as priority one,
requiring immediate evacuation.
Four were priority two,
allowing for delayed evac.
One was priority three and the last was,
sadly, dead on the scene.
Nice work, Kepner, but it seems to me
that you now have two dead patients.
- Excuse me?
- While you were standing around
waiting for the helicopter to arrive
and not keeping a constant eye
on your patients' injuries,
this one developed a femoral bleed,
bled out and is now, sadly, dead.
Uh... A femoral bleed?
That wasn't on the card.
Really? Well, it's on this one.
- No, wait, that's not fair!
- [Owen] Patients don't suddenly die.
It just seems that way
when you stop paying attention.
Food for thought. Red Team, go.
I'm so sorry you guys.
- [Thunder crashes]
- [Rain pattering]
- [All groaning]
- Awesome.
[Owen] Tell me about the
bandaging on these two...
Right. The reservation's under Stanley.
Jennifer Stanley.
Four people, for 8:00.
Well, that doesn't make any sense.
Why would eight people want
to have dinner at 4:00?
Dr. Stanley, the clots could
indicate a pulmonary embolus.
- Let me talk to your manager.
- Dr. Stanley?
- What's up?
- I was asking about those blood clots.
Couldn't a pulmonary embolus
have led to her death?
Those are post-mortem clots,
Dr. Bailey. Perfectly normal.
Hello? Hi, yes. There's been a mistake
with my dinner reservation.
[Callie chuckles] Big plans.
[Mocking] Big plans.
You know what? I don't care.
I've got big plans, myself.
- Great big African plans.
- Yeah, you do.
Yeah, I don't need to grow cartilage in
a lab, I'll be building bones from dirt.
I'll be figuring out how
to create unbreakable joints
out of blood diamonds. I'll be making
artificial limbs out of elephant ivory.
I'm pretty sure a couple of those would
be frowned upon by the world community.
Whatever. Science
isn't about making friends.
The helicopter has to be getting here
soon. It's been three hours.
Just a few more minutes.
Right? Right, Dr. Hunt?
The helicopter will
be here any minute?
Nice rain gear, Karev.
Shouldn't you be more concerned
- with your patient staying dry?
- Yeah, well, he's a dummy
- and I'm a person, so...
- A dry patient is less likely to die
of hypothermia or shock.
Something to think about.
Alex, you can't break
the rules like that.
That's unsanctioned use of a trash bag!
You're gonna mess up our certification.
You need to relax.
This whole uptight thing?
- This is why you have no friends.
- Hey.
OK, this is why you have one friend.
Give me that back! Are you crazy?
There you go, little guy.
No hypothermia for you.
[Grunting]
Everyone, Green Team's
patients are all dead.
Only Red Team
and Blue Team remain.
Whoa! Do you see a helicopter?
- Take a knee and learn something.
- Take a knee?
He's gonna scalp them.
We're in Apocalypse Now
and we're gonna get scalped.
That, right there.
See what she's doing?
OK, I swear I'm not an idiot.
If Dr. Altman doesn't
get this new heart,
is that, like, game over
on the lung transplant?
Uh, there are a variety of factors.
Right now, I'm not sure.
- But I can get an answer for you.
- Fine. Uh...
Where are we on the heart?
Again, not sure. Dr. Altman should be
calling with an update very soon.
- OK. Uh, when can I see him?
- I have to check with Dr. Yang.
You're just like a wealth
of information, aren't you?
I'm sorry, I'm new to your
father's case, and Dr. Yang...
I called him Roy. I decided
to do that on the drive over.
'Cause I hadn't seen him in 20 years.
And I want to blame him for that.
I do blame him for that,
except... [sighs] he tried.
He tried to be my dad
in the beginning,
and I couldn't forgive him
for leaving my mom.
And then he stopped trying.
And... I have twins. They're three.
And I don't even know if he
knows that. I never told him.
And then... then I walked in there
and I called him Roy.
I called my dad Roy.
And I just... I need for that
to not be the last thing
he hears from me.
Please.
The daughter really needs
to talk to you.
She has too many questions
that I can't answer.
- Why don't you try reading his chart.
- Cristina, if you wanna be
- pissed at me, that's fine.
- We're not gonna do this right now.
- 'Cause I'm kinda busy here.
- Crap.
[Thunder rumbles]
All right, get him on ECMO.
That should keep him alive
until I can get back with these lungs.
There's a shot that
once we get them in,
the heart damage will reverse
- without the excess pressure.
- Teddy says get him on ECMO.
- What does it look like I'm doing?
- OK, apparently, Cristina's on it.
- Grey, how's she doing?
- She is doing great.
- She's doing great.
- [Teddy] Good. Good.
Intestines show
a well healed anastomosis
with no evidence of infection,
inflammation or necrosis.
I think this is as good a place as any
to call lunch. What do you say?
Lunch? We have to check the
adrenal glands and the kidneys.
What if the thyroid shows pathology?
Don't worry, those kidneys aren't
- going anywhere on their own.
- Yes, I'm aware.
But microscopic pathological
changes are harder to interpret
once the organs start decomposing.
We'll only be gone 45 minutes.
They'll keep.
Still, I don't think it's right...
Dr. Bailey, I'll see you in 45 minutes.
I don't know, they're
chocolaty-looking with sprinkles.
- Where'd you get them?
- That grocery store down the street.
This isn't a baby shower for some nurse
who couldn't keep her knees together.
Torres and Robbins deserve
better than off-brand crap.
I'm not an errand girl. I'm a doctor
with a patient who is about
- to make a giant butt-shaped mistake.
- That's not for you to say.
OK. Well, someone has to. The only
reason a woman does something
like this to her body is to impress a
guy. Sure, it starts with a giant butt.
Then the next thing you know,
she's giving up her friends.
She's moving in with him
before she's even ready.
If she's not careful, she'll find
herself a 26-year-old step-mother
to the pregnant daughter
she didn't even know he had.
Then she's single,
dying her hair a new color,
and, you know what? It's really
hard to manage your roots
when you've been committed
to the psych ward.
[Sighs] Psych ward?
[Sighs]
It happens.
[Sighs] Great. You're in here.
Now, where can I sulk?
There's plenty of room.
That's all I'm doing. Please, sit down.
- What's the matter?
- I have been down in the morgue
all morning trying to determine
the cause of death for Mary Portman,
who survived
the horrors of Gary Clark,
only to die from a surgery
that I perform every day.
So it's very important to me, and it's
very important to Mary's husband,
to find some answers today.
But do you know what is important
to the pathologist who
is leading the autopsy?
Oh, her dinner reservations.
And her lunch break.
Basically, food, that's what's
important to this pathologist.
[Sighs]
- Feeling better?
- No. Not really, no.
What's all this?
Oh, I'm just trying to
write this grant proposal.
- Why only trying?
- Because the more you research
Alzheimer's, the more depressing
it gets. And then, when you include
the early onset, the type that Ellis
Grey suffered from, it just gets worse.
There's a woman
in England, she's 32,
she can't recognize
her three-year-old daughter.
It's just terrifying.
This pathologist
also chews gum while she works.
Oh, my God. That's disgusting.
Thank you.
- Christy.
- Yes.
Dr. Grey is concerned that you might
be going through with this surgery
for the wrong reasons, that you
might be trying to please someone
who prefers a more...
robust body type.
[Groans]
Dr. Grey, I hope you don't
take this the wrong way.
But even through your lab coat,
I can tell you have an amazing ass.
And with an ass like that,
I bet you know what it's like
to find a perfect pair of jeans.
Jeans that make you feel like
you're the sexiest person
to ever put on a pair of pants.
And I envy that 'cause I never have.
Every pair hangs off me.
Unless I shop in the boys' department.
And I've tried gaining weight, Dr. Grey.
It turns out I'm a person whose fat goes
straight to my upper arms and my boobs.
Which makes it really hard
for me to wear a sundress.
Which is all I can wear,
because jeans don't fit.
So, Dr. Grey, I'm getting a big, juicy,
easy-to-grab-onto ass, and you'd better
believe I'm doing it just for me.
And I'm telling you, I can't wait.
You are so nice.
Red Team's patients have all died!
Only Blue Team remains.
Keep an eye on Karev.
That's what resourceful looks like.
Good effort, Avery.
But this incision you made is too wide.
You lacerated
the superior thyroid arteries.
- Move on.
- Damn it!
- I hear it. I hear the helicopter!
- You what?
- I hear it! I hear it!
- [Alex] Wake up!
You don't hear the helicopter
because A, it's imaginary,
and B, the imaginary
helicopter is never coming!
Hunt's trying to break us,
trying to teach us some BS lesson
about how trauma
isn't fair or whatever!
We're not done until he says
these dummies are dead! The end!
It's not true! No, you are wrong!
- Screw this. I'm done.
- What?
[April] Jackson!
[Owen] Avery, where
are you going? Avery!
- Avery, get back here.
- No.
No?
No, sir.
[Stanley] That should do it.
Close her up and call it a day.
Aren't we gonna get
a sample from the brain?
Sure, in about two weeks,
when it's had a chance
- to firm up in the formalin.
- It's possible to cut the brain fresh.
It's also possible that the moment
you cut into a fresh brain,
it slides apart like Jell-O.
If you don't want to risk that,
you put it in formalin
and wait two weeks.
I'm not trying to tell you
how to do your job...
That's exactly what you're trying to do.
And I'm trying very hard
not to hold it against you.
This is what I do all day, every day.
I mean, do you think
I failed medical school?
Is that your actual belief,
that people become pathologists
because they fail
to become surgeons?
The autopsy was inconclusive,
Dr. Bailey.
And believe me, I hate that,
at least as much as you do.
- He's stable?
- He's critical,
I have to keep checking
his acid-base balance, but yes.
- He's stable-ish for now.
- Great.
So let me take over here, and you
can go give his daughter an update.
No, you go. Um, tell her that his
blood pressure is coming up.
- She needs to hear from you.
- He needs to be monitored.
- Well, I can do that.
- OK.
She doesn't need to hear
an update from me.
All she wants is to make sure
that I know that she's afraid.
And I can't hear that right now
because I'm scared enough as it is.
I was scared when he coded.
I'm scared now that he's stable.
I'm scared walking across the lobby.
I am scared all the time.
- Well, let me help.
- You cannot help!
- You can't help me!
- Dr. Altman's 30 minutes out.
We need to get him to the OR.
- Dr. Grey can help with that.
- Cristina...
[all] Bon voyage!
[Laughs] Oh, my God,
it's a going-away party! You guys!
- Um, this is a party?
- [Thunder rumbles]
It's a busy day.
No, yeah. I mean I'm... Just been
at this hospital since residency.
But, uh, if people are too busy
to see me off, they're too busy.
- Callie...
- It's hard to blame them, Torres.
We're down a couple of attendings.
Things are going to be busier
all around for a while.
Well, I'm glad you
could find the time, chief.
With all your chief problems
and big plans.
Which were what exactly?
Now, why would I
just give away my good ideas?
- [Callie sighs]
- He's just crabby.
- He's messing with your head.
- Yeah, well, I'll never know, will I?
[Clears throat]
[Arizona] Thank you both, so much.
Um, I actually have to finish up
some packing, so I'm gonna go.
- Good luck.
- Give 'em hell.
[Sighs] I don't want to go home yet.
You want to see us
give a lady a really big ass?
Oh, my God, yes.
Sir! You said the helicopter
was gonna be here hours ago!
And it's not here!
And I'm not complaining,
- but where is it?
- Well, the rain's still pretty bad.
Probably got caught in a hail storm.
No! No! I know what
that card is gonna say!
It's gonna say he
has cardiac tamponade
with associated hypotension
and bradycardia! But he can't,
'cause I already did a
pericardiocentesis and bolused him
- with IV fluids!
- She's right. What do I do?
[April] Karev, grab his feet!
- The patient! Come on!
- [Owen] Hey, hey!
[Man] Son of a bitch,
that's awesome!
[Owen] What do you
think you're doing?
- The ambulance is not in play.
- You're just making stuff up!
Which I can do, too,
and I say it is in play!
You can't fit nine patients on an
ambulance, but two will fit just fine!
Seven of my patients may have
died today, but these two won't
because I'm gonna get them
on this ambulance
and I'm gonna take them
to that hospital right there!
All right!
Kepner, this ambulance was involved
in the accident and no longer runs.
The keys are in the ignition,
so let's see!
- [Engine starts]
- [Laughs]
Looks like I got AAA.
Apparently, they could get here
when the helicopter couldn't!
Now, move, or I will run you down!
- [Siren chirps]
- Go!
[Siren wails]
John Doe, multiple chest
and extremity trauma.
Still hypotensive despite two
large bore IVs started in the field.
- All right, Kepner. That's enough.
- He needs a full work-up
and likely a thoracotomy. I suspect
active bleeding in the chest.
Will you tell us we won,
or she's never gonna stop.
- It's not a contest.
- [April] Karev, call the OR
- and make sure a room's available.
- Will do.
All right, all right, fine!
- Blue Team wins.
- Blue Team wins?
Yeah, yeah, yeah. You win.
He's gonna live for 40 more years
and have 15 grandkids. You happy?
- Blue Team wins!
- Yes.
- [Laughs]
- Yeah!
Yes! [laughs]
Yeah! [laughing]
Here. Check that out.
"Alzheimer's is a bad disease.
We should cure it."
Twelve hours worth of work.
Dr. Stanley refuses
to cut into Mary's brain
without letting it set
in fixative for two weeks.
- I need you to go over her head.
- I can't do that.
She's right. I can't speed up
the process any more than she can.
That is not what you
were supposed to say.
Miranda, I know this has been
a very personal loss for you.
But you need to let it go.
I have to go
and tell Mary's husband
that I don't know
why his wife died.
That I can't answer the
one question he has to ask.
And I can't answer that
question because medicine,
because science, is failing me.
That, I take personally.
That, I can't accept.
And don't you dare stand there
and talk to me about letting things go.
I'm not the one who can't stop thinking
about the possibility of his wife
getting Alzheimer's long enough
to write a damn essay.
[Door opens, closes]
- Shouldn't you be with the patient?
- He's prepped and in the OR.
- And now you're gonna talk to me.
- Please just go back downstairs.
Cristina.
How are you fine?
How are you just completely fine?
I'm ruined, OK?
I am dead. I am wrecked.
And you're just walking
around baby-sitting me,
as if you didn't go through
the same thing, too?
- Why are you OK?
- I don't know.
You were there, too, you know.
You were there, too,
with your sad eyes,
screaming at me to save his life.
Telling the guy to shoot you,
and not giving a crap about yourself
- or your pregnancy!
- Cristina!
I didn't have a choice!
And you did that!
If it was anyone else on the table,
if it was anyone else standing there,
- I would have walked away.
- You would not...
I could have walked away!
And then I wouldn't be here!
[Helicopter thwacking]
Walk with me, Dr. Yang.
Tell me everything.
Now, who am I gonna
talk to about women?
- You have Derek.
- He's married and self-satisfied.
- It's irritating.
- [Giggles]
You can always email.
- What?
- It's not my place. Um...
Say it.
[Sighs]
- I give a lot of boob jobs.
- [Laughs] OK.
Not where I thought you were going.
But I also reverse a lot of boob jobs.
Women come to me, a year, two years
after they've had work done,
and they're totally unhappy
with the decision they've made.
Today, though, you watched me
give a lady a really big ass.
And I'm not the slightest
bit worried about it
because I know for a fact
there's no boyfriend pressuring her.
It wasn't about anyone else.
It was for her.
As your friend, I gotta tell you,
you sound an awful lot like
someone who's getting double-D's
just 'cause her girlfriend
likes a big rack.
By big rack, I mean Africa.
- I love her, Mark.
- I know you do.
But you need to figure out
how to love Africa, too.
[Sighs]
Avery, hey.
Hey. You don't get to just
walk away when I'm teaching.
Two of my friends died
during the shooting. So thanks,
I don't need lessons
on how unfair trauma is.
I lost dozens of friends
in the field. Dozens.
And I have never, never
used them as an excuse to quit!
You're a doctor, Avery. And that doesn't
stop because you're up against a wall.
You need to figure out
how to be a doctor,
no matter what you're dealing with,
no matter what tools you don't have.
That is the lesson you need to learn.
You don't get to quit!
So if I need to drag you
outside by the throat,
you're coming with me
and you're going to finish!
[McQueen] If his heart doesn't start
beating soon, we're not gonna be able
- to take him off bypass.
- [Teddy] He's back up
to his core temperature.
[Teddy] I don't see any leaks.
All the connections are right.
We're just gonna have to wait and see
if Dr. Yang's hard work has paid off.
- There it is. Nice work, Dr. Yang.
- [Beeping]
- Well done.
- [Beeping]
[Teddy] Clamp.
You know, sure,
there's not a lot to do over there,
but, uh, that just means
less to distract us from the medicine.
It'll just be us, focusing
on the medicine, which is great.
What? Oh, my God.
Did you forget your passport?
I won the Carter Madison Grant.
I won the Carter Madison Grant.
Do you know how rare that is?
Do you know how special that is?
This is the biggest opportunity
of my professional career.
I get to go to Malawi with almost
unlimited funds and help children,
help tiny humans who might otherwise
never see a pediatric surgeon.
I get to change lives.
That's the dream.
I am living the dream. And I am
over the moon about it, or I would be.
But you are ruining it for me.
First with your whining,
and now with your fake, smiley
passive aggressive enthusiasm.
You're ruining Africa for me.
- I'm not.
- You are!
OK. Fine.
I don't want to go to Africa.
OK? But I do want to be with you, OK?
So I'm really trying here.
We're gonna miss our plane. Let's go.
Oh, my God.
OK, you wanna fight?
The flight's 18 hours.
We can fight on the plane.
[Sobbing] You are ruining this for me.
- And I don't want to do this.
- What... What does that mean?
What, you suddenly
don't want to go, or?
I don't want to go to Africa with you.
Arizona...
No. OK?
- No.
- I'm sorry.
- I'm sorry.
- You're sorry? It's three years!
I'm gonna miss my plane.
You take care of yourself.
[Sighs, sobbing]
No! No!
[Sobbing] Please. Please, I can...
We can do this.
We can figure this out.
You stay here and be happy.
And I'll go there and be happy.
If you get on the plane,
if you go without me, we are done.
Do you hear me? We are over!
We are standing in the middle of an
airport screaming at each other.
We're already over.
[Richard] Yang.
Dr. Altman told me
about your work today.
I know it's been hell
for you these past few months.
So... well done.
Thank you, sir.
Chief?
Do you have a minute?
I can't wait until the next skills lab.
I'm totally on your team.
"Move or I'll run you down!"
[Laughs] Freaking hilarious.
[Meredith] We're all
looking for answers.
In medicine...
... in life...
... in everything.
Were you just checking out my ass?
Not the first time.
Won't be the last.
No.
[Meredith] Sometimes,
the answers we're looking for
have been hiding
just below the surface.
I had the worst day today.
I've been working, um...
working on the grant proposal,
and I just, I couldn't do it.
Then I realized...
...it was you.
It's a clinical trial for Alzheimer's.
It's serious work, and I couldn't
think of anything but you.
I know you want
to be a part of the trial,
but I can't have you anywhere near it.
Cristina blames me.
She hates me.
[Meredith] Other times, we find answers
when we didn't even realize
we were asking the question.
Avery, good.
[Meredith] Sometimes,
the answers can catch us
completely by surprise.
Hey, hey, hey. Did you hear?
The lab, it could not have gone better.
You should have seen Kepner.
You wouldn't think it to look at her,
but there is a trauma surgeon
in that girl. I wish
you could have been there.
- How was your day?
- I quit.
- What?
- You were right.
I can do it.
I can still be a surgeon.
I just... don't want to anymore.
[Meredith] And sometimes,
even when we find the answer
we've been looking for...
Avery, that's enough.
[Sighs]
[Meredith]... we're still left with
a whole hell of a lot of questions.
[Meredith] Question:
When was the last time
a complete stranger
took off her clothes in front of you,
pointed to a big purple splotch
on her back and asked,
- "What the hell is this thing?"
- OK. How about it, Mark?
You know you've always
wanted one of... these.
[Meredith] If you're a normal person,
the answer is, hopefully, never.
If you're a doctor,
the answer is probably,
- "About five minutes ago."
- Nah, I'm good.
- I will take that waffle iron.
- What?
- I have never seen you eat a waffle.
- I would if I had a waffle iron.
Callie, we're not gonna
take a waffle iron to Malawi,
and it's not gonna do anybody any good
sitting in storage for three years.
[Meredith] People expect doctors
to have all of the answers.
Congratulations. You won
yourself a waffle iron. Oh!
- And a French press.
- Hey. Stop giving my things away.
Maybe I should probably
pass on the French press.
[Meredith] The truth is
we love to think that we have
all of the answers, too.
So The Art & Lesley Phillips Foundation
has a few more hoops to jump through
than the others, but their primary focus
is Alzheimer's research.
And if you get this grant, it is more
than enough to get us started.
- You really did your homework.
- I'm a great student.
Just the kind you want around
when doing a clinical trial.
[Chuckles]
- How's that going?
- It's fine.
Is this because Richard gave Hunt
the million dollars and not me?
Is that why things
are frosty between you two?
We're not frosty. We're fine.
But if you're looking for solidarity,
I would be more than happy to skip
Owen Hunt's trauma certification lab.
- Go get certified.
- OK.
[Meredith] Basically,
doctors are know-it-alls.
Until something comes along
that reminds us we're not.
I need someone to help
me set up the trauma lab,
to keep things running smoothly.
You'd get your certification that way.
- And it's a pretty easy day.
- It's a skills lab.
- It's already an easy day.
- Dr. Hunt.
- I'm going to need to borrow Dr. Yang.
- Oh. Uh, what's up?
Lungs have become
available for Roy Henley.
And since he found himself
on the transplant list
based on Dr. Yang's recommendation,
I would say
- that would make him her patient.
- OK, what do you need me to do?
I just need someone to monitor him
while I go pick up the lungs.
- So I'll be on my own?
- Nope. Dr. McQueen, cardio fellow,
he will be around on the off chance
that you need anything.
Oh, and I finally was able to get
Roy's daughter to agree to come in,
- so just keep an eye out for her, OK?
- OK.
You'll be fine. Still an easy day.
I know.
Am I early?
I tried really hard not to be.
- That doesn't bode well.
- We did the same thing with Bailey
when we were interns.
Take turns treating a dummy,
get an early lunch,
then get back to work. It's lame.
A charter plane was forced
into an emergency landing,
and collided with a Greyhound bus.
Mass casualty situation.
Do we need to say it again?
Let's move!
Close to 30 victims in the field,
some critical,
multiple blunt trauma injuries.
[Jackson] I was so looking
forward to an early lunch.
This is gonna suck.
[Man] You're kidding me, right?
Welcome to trauma certification.
You will work in teams of four.
Each team will be responsible
for nine casualties.
You may treat your patients using only
what you can carry with your two hands
from this ambulance.
The evac helicopter is on its way.
You get your patients on the helicopter,
you get certified. Are you ready?
- [All chattering]
- Get to work.
[Mark clears throat]
- Dr. Grey?
- Uh, Christy Cornell, age 28,
she's here for a gluteoplasty?
She's so tiny. There's hardly
anything there to lift.
That's sort of the point, Dr. Grey.
I'm... I'm sorry. That was...
- Oh!
- I'm sorry.
Christy's not here for a lift.
She's here for a gluteal implant.
Yes. I'm finally gonna get
some junk up in this trunk.
This program shows a rendering of what
you can expect the gluteus to look like
after the implant.
Oh... Um...
Could I see what it'd look like
kicked up a couple points?
- [Mark] Sure.
- [Beeping]
- Mm... Couple more?
- [Beeping]
Couple more.
Stop. That's it.
That's my ass.
Come on, that was funny.
Any joke that starts
with an animal walking into a bar
is scientifically unfunny.
Humor me, Dr. Yang.
I need something to focus on.
I don't know if I'm more nervous
about getting new lungs
or about actually seeing my daughter.
Don't think about it
as getting new lungs.
Think of it as getting
rid of old, crappy lungs.
- [Wheezing]
- [Beeping]
Or don't think at all.
OK, Roy, take some deep breaths.
- Corinne?
- Roy.
- How ya been?
- This week,
or for the past 20 years?
I'm sorry. That was snarky.
No, snarky's good.
I like snarky. You get that from me.
[Gagging]
- Roy? Roy!
- [Beeping]
[Nurse] Get the crash cart!
- He's not breathing!
- V-fib!
[Nurse] Page cardio.
Aren't you the doctor? Do something!
Um... What's happening?
Your father's developed cor pulmonale
and his heart is overloading.
What? I-I don't understand.
I thought his lungs were the problem.
[Sighs] His lungs are putting
extra pressure on his heart.
Dr. Altman is picking up
the new lungs right now.
I'll call her and apprise her
of the situation.
What situation? What is going on?
His heart is failing. And the
damage seems pretty severe.
So... uh, there's a possibility
- he'll need a new one.
- A new what?
A new heart?
You know what? Take over here.
I'm going to call Dr. Altman
and I'm gonna get McQueen.
Dr. Bailey, do you have a second?
Only if what you have to talk
about is more important
- than my being on time for an autopsy.
- It's arguable.
We're throwing Torres and
Robbins a bon voyage party
- in the doctors' lounge this evening.
- That sounds lovely.
Uh, I have a full day,
but I'll try and stop by.
Well, the thing is, Altman volunteered,
uh, to pick up the cupcakes,
but she had to pick up lungs instead.
And I just figured,
since you're close
to both these ladies...
You're asking me to take
time out of my very busy day
to go to the bakery? Or would you prefer
I ran on home and baked some myself?
No. 'Course not.
- Just an invitation.
- Uh-huh.
Mark, I need to talk to you
about Christy Cornell's...
...butt.
- OK.
But first I need to talk
to you about cupcakes.
Callie! Check out all of the great stuff
the kids in Peds made me.
They want me to take pictures
of their crafts in Africa.
Wow! That's awesome.
You'd be surprised how often you find
yourself in need of a macaroni face
glued to a paper plate. It's way better
than gauze, malaria pills, antibiotics.
You are a delight this morning. Is there
something you'd like to talk about?
Um, no. No, I'm just...
[Callie groans, chuckles] No.
- Ah! Torres. Robbins.
- Hi.
I thought you'd be halfway
to Malawi by now.
We had some last-minute paperwork.
Plus, I promised the kids
I'd come say goodbye.
That's good. The work
you two will be doing there
will reflect very, very
highly on this hospital.
Sure, uh, it was a surprise to learn
that I'd have to replace
two excellent attendings,
as opposed to just the one.
But then, that's the chief's problem.
No one wants to really
hear chief's problems.
It's a shame, though, Torres.
I had, uh...
I had such big plans for you.
Big plans.
- [Man] Can I get suction? Thank you.
- [Suction sputtering]
Clamp please.
Dr. McQueen, I really need you
to take a look at Roy Henley.
They tell me he's developed cor
pulmonale and circulatory collapse.
- Yes, sir, that's correct.
- Did you put him on dopamine,
milrinone and nitric oxide?
Yes, I did. He's stable.
Critical, but stable.
What would you do for a patient
with reduced cardiac output,
hypotension, sinus tach
and metabolic acidosis?
I'd insert an intraaortic balloon pump.
Exactly.
I'll be there when I can, Dr. Yang.
But it really doesn't sound
like you need me at all.
Permeate the suction.
You must be Dr. Bailey.
I'm Dr. Stanley, head of pathology.
And this must be Mary Portman, 30.
Multiple organ failure, cause unknown.
She came in for a standard colostomy
reversal and never woke up.
Well, all right. Looks like we've got
something we can sink our teeth into.
Um, I have a list of possible causes
I'd like to check as we proceed.
We have a specific order
to the way we work down here,
so we'll see what we see
when we see it. OK? OK.
[April] According to this card,
this guy's got a blown right pupil,
an atlanto-occipital dislocation, open
book pelvis, large open abdominal wound,
jeez... a sucking chest wound
with seven broken ribs...
- This guy is all messed up.
- Or he's dead.
Ah! Right. Yes. Moving on.
[Indistinct chatter]
Cristina? Hey, how long you been here?
Oh... Not long.
I just needed some fresh air.
- How's the patient?
- He's fine. He's great.
Uh, couple complications,
but... I'm handling it.
- Are you sure that you're OK?
- Yeah, I'm fine.
It's, uh... chilly out here.
[Pager beeping]
That's him. Um...
I need to... I...
...have to go look.
- OK. All right.
- Cristina.
- Uh-huh?
You can do this.
OK. Thanks.
Grey! Congratulations.
You're, uh... You're certified.
Now, you go inside
and give Cristina a hand.
What does she need?
Did she ask for me?
Meredith, please.
OK, thanks.
- Hey.
- What're you doing here?
- Owen sent me.
- I don't need a baby-sitter.
I'm just an extra set of hands.
What's the situation?
He went into cardiogenic shock, so I'm
inserting an intraaortic balloon pump
and hoping there are no other
complications before Teddy gets back.
So we are watching for hemolysis,
a gas embolism,
- a blue leg from peripheral ischemia.
- OK, if you want to do something,
his daughter is up in CCU
and she needs an update.
OK.
[Owen] Blue Team. Status report.
We arrived on the scene
to find nine casualties.
We identified three as priority one,
requiring immediate evacuation.
Four were priority two,
allowing for delayed evac.
One was priority three and the last was,
sadly, dead on the scene.
Nice work, Kepner, but it seems to me
that you now have two dead patients.
- Excuse me?
- While you were standing around
waiting for the helicopter to arrive
and not keeping a constant eye
on your patients' injuries,
this one developed a femoral bleed,
bled out and is now, sadly, dead.
Uh... A femoral bleed?
That wasn't on the card.
Really? Well, it's on this one.
- No, wait, that's not fair!
- [Owen] Patients don't suddenly die.
It just seems that way
when you stop paying attention.
Food for thought. Red Team, go.
I'm so sorry you guys.
- [Thunder crashes]
- [Rain pattering]
- [All groaning]
- Awesome.
[Owen] Tell me about the
bandaging on these two...
Right. The reservation's under Stanley.
Jennifer Stanley.
Four people, for 8:00.
Well, that doesn't make any sense.
Why would eight people want
to have dinner at 4:00?
Dr. Stanley, the clots could
indicate a pulmonary embolus.
- Let me talk to your manager.
- Dr. Stanley?
- What's up?
- I was asking about those blood clots.
Couldn't a pulmonary embolus
have led to her death?
Those are post-mortem clots,
Dr. Bailey. Perfectly normal.
Hello? Hi, yes. There's been a mistake
with my dinner reservation.
[Callie chuckles] Big plans.
[Mocking] Big plans.
You know what? I don't care.
I've got big plans, myself.
- Great big African plans.
- Yeah, you do.
Yeah, I don't need to grow cartilage in
a lab, I'll be building bones from dirt.
I'll be figuring out how
to create unbreakable joints
out of blood diamonds. I'll be making
artificial limbs out of elephant ivory.
I'm pretty sure a couple of those would
be frowned upon by the world community.
Whatever. Science
isn't about making friends.
The helicopter has to be getting here
soon. It's been three hours.
Just a few more minutes.
Right? Right, Dr. Hunt?
The helicopter will
be here any minute?
Nice rain gear, Karev.
Shouldn't you be more concerned
- with your patient staying dry?
- Yeah, well, he's a dummy
- and I'm a person, so...
- A dry patient is less likely to die
of hypothermia or shock.
Something to think about.
Alex, you can't break
the rules like that.
That's unsanctioned use of a trash bag!
You're gonna mess up our certification.
You need to relax.
This whole uptight thing?
- This is why you have no friends.
- Hey.
OK, this is why you have one friend.
Give me that back! Are you crazy?
There you go, little guy.
No hypothermia for you.
[Grunting]
Everyone, Green Team's
patients are all dead.
Only Red Team
and Blue Team remain.
Whoa! Do you see a helicopter?
- Take a knee and learn something.
- Take a knee?
He's gonna scalp them.
We're in Apocalypse Now
and we're gonna get scalped.
That, right there.
See what she's doing?
OK, I swear I'm not an idiot.
If Dr. Altman doesn't
get this new heart,
is that, like, game over
on the lung transplant?
Uh, there are a variety of factors.
Right now, I'm not sure.
- But I can get an answer for you.
- Fine. Uh...
Where are we on the heart?
Again, not sure. Dr. Altman should be
calling with an update very soon.
- OK. Uh, when can I see him?
- I have to check with Dr. Yang.
You're just like a wealth
of information, aren't you?
I'm sorry, I'm new to your
father's case, and Dr. Yang...
I called him Roy. I decided
to do that on the drive over.
'Cause I hadn't seen him in 20 years.
And I want to blame him for that.
I do blame him for that,
except... [sighs] he tried.
He tried to be my dad
in the beginning,
and I couldn't forgive him
for leaving my mom.
And then he stopped trying.
And... I have twins. They're three.
And I don't even know if he
knows that. I never told him.
And then... then I walked in there
and I called him Roy.
I called my dad Roy.
And I just... I need for that
to not be the last thing
he hears from me.
Please.
The daughter really needs
to talk to you.
She has too many questions
that I can't answer.
- Why don't you try reading his chart.
- Cristina, if you wanna be
- pissed at me, that's fine.
- We're not gonna do this right now.
- 'Cause I'm kinda busy here.
- Crap.
[Thunder rumbles]
All right, get him on ECMO.
That should keep him alive
until I can get back with these lungs.
There's a shot that
once we get them in,
the heart damage will reverse
- without the excess pressure.
- Teddy says get him on ECMO.
- What does it look like I'm doing?
- OK, apparently, Cristina's on it.
- Grey, how's she doing?
- She is doing great.
- She's doing great.
- [Teddy] Good. Good.
Intestines show
a well healed anastomosis
with no evidence of infection,
inflammation or necrosis.
I think this is as good a place as any
to call lunch. What do you say?
Lunch? We have to check the
adrenal glands and the kidneys.
What if the thyroid shows pathology?
Don't worry, those kidneys aren't
- going anywhere on their own.
- Yes, I'm aware.
But microscopic pathological
changes are harder to interpret
once the organs start decomposing.
We'll only be gone 45 minutes.
They'll keep.
Still, I don't think it's right...
Dr. Bailey, I'll see you in 45 minutes.
I don't know, they're
chocolaty-looking with sprinkles.
- Where'd you get them?
- That grocery store down the street.
This isn't a baby shower for some nurse
who couldn't keep her knees together.
Torres and Robbins deserve
better than off-brand crap.
I'm not an errand girl. I'm a doctor
with a patient who is about
- to make a giant butt-shaped mistake.
- That's not for you to say.
OK. Well, someone has to. The only
reason a woman does something
like this to her body is to impress a
guy. Sure, it starts with a giant butt.
Then the next thing you know,
she's giving up her friends.
She's moving in with him
before she's even ready.
If she's not careful, she'll find
herself a 26-year-old step-mother
to the pregnant daughter
she didn't even know he had.
Then she's single,
dying her hair a new color,
and, you know what? It's really
hard to manage your roots
when you've been committed
to the psych ward.
[Sighs] Psych ward?
[Sighs]
It happens.
[Sighs] Great. You're in here.
Now, where can I sulk?
There's plenty of room.
That's all I'm doing. Please, sit down.
- What's the matter?
- I have been down in the morgue
all morning trying to determine
the cause of death for Mary Portman,
who survived
the horrors of Gary Clark,
only to die from a surgery
that I perform every day.
So it's very important to me, and it's
very important to Mary's husband,
to find some answers today.
But do you know what is important
to the pathologist who
is leading the autopsy?
Oh, her dinner reservations.
And her lunch break.
Basically, food, that's what's
important to this pathologist.
[Sighs]
- Feeling better?
- No. Not really, no.
What's all this?
Oh, I'm just trying to
write this grant proposal.
- Why only trying?
- Because the more you research
Alzheimer's, the more depressing
it gets. And then, when you include
the early onset, the type that Ellis
Grey suffered from, it just gets worse.
There's a woman
in England, she's 32,
she can't recognize
her three-year-old daughter.
It's just terrifying.
This pathologist
also chews gum while she works.
Oh, my God. That's disgusting.
Thank you.
- Christy.
- Yes.
Dr. Grey is concerned that you might
be going through with this surgery
for the wrong reasons, that you
might be trying to please someone
who prefers a more...
robust body type.
[Groans]
Dr. Grey, I hope you don't
take this the wrong way.
But even through your lab coat,
I can tell you have an amazing ass.
And with an ass like that,
I bet you know what it's like
to find a perfect pair of jeans.
Jeans that make you feel like
you're the sexiest person
to ever put on a pair of pants.
And I envy that 'cause I never have.
Every pair hangs off me.
Unless I shop in the boys' department.
And I've tried gaining weight, Dr. Grey.
It turns out I'm a person whose fat goes
straight to my upper arms and my boobs.
Which makes it really hard
for me to wear a sundress.
Which is all I can wear,
because jeans don't fit.
So, Dr. Grey, I'm getting a big, juicy,
easy-to-grab-onto ass, and you'd better
believe I'm doing it just for me.
And I'm telling you, I can't wait.
You are so nice.
Red Team's patients have all died!
Only Blue Team remains.
Keep an eye on Karev.
That's what resourceful looks like.
Good effort, Avery.
But this incision you made is too wide.
You lacerated
the superior thyroid arteries.
- Move on.
- Damn it!
- I hear it. I hear the helicopter!
- You what?
- I hear it! I hear it!
- [Alex] Wake up!
You don't hear the helicopter
because A, it's imaginary,
and B, the imaginary
helicopter is never coming!
Hunt's trying to break us,
trying to teach us some BS lesson
about how trauma
isn't fair or whatever!
We're not done until he says
these dummies are dead! The end!
It's not true! No, you are wrong!
- Screw this. I'm done.
- What?
[April] Jackson!
[Owen] Avery, where
are you going? Avery!
- Avery, get back here.
- No.
No?
No, sir.
[Stanley] That should do it.
Close her up and call it a day.
Aren't we gonna get
a sample from the brain?
Sure, in about two weeks,
when it's had a chance
- to firm up in the formalin.
- It's possible to cut the brain fresh.
It's also possible that the moment
you cut into a fresh brain,
it slides apart like Jell-O.
If you don't want to risk that,
you put it in formalin
and wait two weeks.
I'm not trying to tell you
how to do your job...
That's exactly what you're trying to do.
And I'm trying very hard
not to hold it against you.
This is what I do all day, every day.
I mean, do you think
I failed medical school?
Is that your actual belief,
that people become pathologists
because they fail
to become surgeons?
The autopsy was inconclusive,
Dr. Bailey.
And believe me, I hate that,
at least as much as you do.
- He's stable?
- He's critical,
I have to keep checking
his acid-base balance, but yes.
- He's stable-ish for now.
- Great.
So let me take over here, and you
can go give his daughter an update.
No, you go. Um, tell her that his
blood pressure is coming up.
- She needs to hear from you.
- He needs to be monitored.
- Well, I can do that.
- OK.
She doesn't need to hear
an update from me.
All she wants is to make sure
that I know that she's afraid.
And I can't hear that right now
because I'm scared enough as it is.
I was scared when he coded.
I'm scared now that he's stable.
I'm scared walking across the lobby.
I am scared all the time.
- Well, let me help.
- You cannot help!
- You can't help me!
- Dr. Altman's 30 minutes out.
We need to get him to the OR.
- Dr. Grey can help with that.
- Cristina...
[all] Bon voyage!
[Laughs] Oh, my God,
it's a going-away party! You guys!
- Um, this is a party?
- [Thunder rumbles]
It's a busy day.
No, yeah. I mean I'm... Just been
at this hospital since residency.
But, uh, if people are too busy
to see me off, they're too busy.
- Callie...
- It's hard to blame them, Torres.
We're down a couple of attendings.
Things are going to be busier
all around for a while.
Well, I'm glad you
could find the time, chief.
With all your chief problems
and big plans.
Which were what exactly?
Now, why would I
just give away my good ideas?
- [Callie sighs]
- He's just crabby.
- He's messing with your head.
- Yeah, well, I'll never know, will I?
[Clears throat]
[Arizona] Thank you both, so much.
Um, I actually have to finish up
some packing, so I'm gonna go.
- Good luck.
- Give 'em hell.
[Sighs] I don't want to go home yet.
You want to see us
give a lady a really big ass?
Oh, my God, yes.
Sir! You said the helicopter
was gonna be here hours ago!
And it's not here!
And I'm not complaining,
- but where is it?
- Well, the rain's still pretty bad.
Probably got caught in a hail storm.
No! No! I know what
that card is gonna say!
It's gonna say he
has cardiac tamponade
with associated hypotension
and bradycardia! But he can't,
'cause I already did a
pericardiocentesis and bolused him
- with IV fluids!
- She's right. What do I do?
[April] Karev, grab his feet!
- The patient! Come on!
- [Owen] Hey, hey!
[Man] Son of a bitch,
that's awesome!
[Owen] What do you
think you're doing?
- The ambulance is not in play.
- You're just making stuff up!
Which I can do, too,
and I say it is in play!
You can't fit nine patients on an
ambulance, but two will fit just fine!
Seven of my patients may have
died today, but these two won't
because I'm gonna get them
on this ambulance
and I'm gonna take them
to that hospital right there!
All right!
Kepner, this ambulance was involved
in the accident and no longer runs.
The keys are in the ignition,
so let's see!
- [Engine starts]
- [Laughs]
Looks like I got AAA.
Apparently, they could get here
when the helicopter couldn't!
Now, move, or I will run you down!
- [Siren chirps]
- Go!
[Siren wails]
John Doe, multiple chest
and extremity trauma.
Still hypotensive despite two
large bore IVs started in the field.
- All right, Kepner. That's enough.
- He needs a full work-up
and likely a thoracotomy. I suspect
active bleeding in the chest.
Will you tell us we won,
or she's never gonna stop.
- It's not a contest.
- [April] Karev, call the OR
- and make sure a room's available.
- Will do.
All right, all right, fine!
- Blue Team wins.
- Blue Team wins?
Yeah, yeah, yeah. You win.
He's gonna live for 40 more years
and have 15 grandkids. You happy?
- Blue Team wins!
- Yes.
- [Laughs]
- Yeah!
Yes! [laughs]
Yeah! [laughing]
Here. Check that out.
"Alzheimer's is a bad disease.
We should cure it."
Twelve hours worth of work.
Dr. Stanley refuses
to cut into Mary's brain
without letting it set
in fixative for two weeks.
- I need you to go over her head.
- I can't do that.
She's right. I can't speed up
the process any more than she can.
That is not what you
were supposed to say.
Miranda, I know this has been
a very personal loss for you.
But you need to let it go.
I have to go
and tell Mary's husband
that I don't know
why his wife died.
That I can't answer the
one question he has to ask.
And I can't answer that
question because medicine,
because science, is failing me.
That, I take personally.
That, I can't accept.
And don't you dare stand there
and talk to me about letting things go.
I'm not the one who can't stop thinking
about the possibility of his wife
getting Alzheimer's long enough
to write a damn essay.
[Door opens, closes]
- Shouldn't you be with the patient?
- He's prepped and in the OR.
- And now you're gonna talk to me.
- Please just go back downstairs.
Cristina.
How are you fine?
How are you just completely fine?
I'm ruined, OK?
I am dead. I am wrecked.
And you're just walking
around baby-sitting me,
as if you didn't go through
the same thing, too?
- Why are you OK?
- I don't know.
You were there, too, you know.
You were there, too,
with your sad eyes,
screaming at me to save his life.
Telling the guy to shoot you,
and not giving a crap about yourself
- or your pregnancy!
- Cristina!
I didn't have a choice!
And you did that!
If it was anyone else on the table,
if it was anyone else standing there,
- I would have walked away.
- You would not...
I could have walked away!
And then I wouldn't be here!
[Helicopter thwacking]
Walk with me, Dr. Yang.
Tell me everything.
Now, who am I gonna
talk to about women?
- You have Derek.
- He's married and self-satisfied.
- It's irritating.
- [Giggles]
You can always email.
- What?
- It's not my place. Um...
Say it.
[Sighs]
- I give a lot of boob jobs.
- [Laughs] OK.
Not where I thought you were going.
But I also reverse a lot of boob jobs.
Women come to me, a year, two years
after they've had work done,
and they're totally unhappy
with the decision they've made.
Today, though, you watched me
give a lady a really big ass.
And I'm not the slightest
bit worried about it
because I know for a fact
there's no boyfriend pressuring her.
It wasn't about anyone else.
It was for her.
As your friend, I gotta tell you,
you sound an awful lot like
someone who's getting double-D's
just 'cause her girlfriend
likes a big rack.
By big rack, I mean Africa.
- I love her, Mark.
- I know you do.
But you need to figure out
how to love Africa, too.
[Sighs]
Avery, hey.
Hey. You don't get to just
walk away when I'm teaching.
Two of my friends died
during the shooting. So thanks,
I don't need lessons
on how unfair trauma is.
I lost dozens of friends
in the field. Dozens.
And I have never, never
used them as an excuse to quit!
You're a doctor, Avery. And that doesn't
stop because you're up against a wall.
You need to figure out
how to be a doctor,
no matter what you're dealing with,
no matter what tools you don't have.
That is the lesson you need to learn.
You don't get to quit!
So if I need to drag you
outside by the throat,
you're coming with me
and you're going to finish!
[McQueen] If his heart doesn't start
beating soon, we're not gonna be able
- to take him off bypass.
- [Teddy] He's back up
to his core temperature.
[Teddy] I don't see any leaks.
All the connections are right.
We're just gonna have to wait and see
if Dr. Yang's hard work has paid off.
- There it is. Nice work, Dr. Yang.
- [Beeping]
- Well done.
- [Beeping]
[Teddy] Clamp.
You know, sure,
there's not a lot to do over there,
but, uh, that just means
less to distract us from the medicine.
It'll just be us, focusing
on the medicine, which is great.
What? Oh, my God.
Did you forget your passport?
I won the Carter Madison Grant.
I won the Carter Madison Grant.
Do you know how rare that is?
Do you know how special that is?
This is the biggest opportunity
of my professional career.
I get to go to Malawi with almost
unlimited funds and help children,
help tiny humans who might otherwise
never see a pediatric surgeon.
I get to change lives.
That's the dream.
I am living the dream. And I am
over the moon about it, or I would be.
But you are ruining it for me.
First with your whining,
and now with your fake, smiley
passive aggressive enthusiasm.
You're ruining Africa for me.
- I'm not.
- You are!
OK. Fine.
I don't want to go to Africa.
OK? But I do want to be with you, OK?
So I'm really trying here.
We're gonna miss our plane. Let's go.
Oh, my God.
OK, you wanna fight?
The flight's 18 hours.
We can fight on the plane.
[Sobbing] You are ruining this for me.
- And I don't want to do this.
- What... What does that mean?
What, you suddenly
don't want to go, or?
I don't want to go to Africa with you.
Arizona...
No. OK?
- No.
- I'm sorry.
- I'm sorry.
- You're sorry? It's three years!
I'm gonna miss my plane.
You take care of yourself.
[Sighs, sobbing]
No! No!
[Sobbing] Please. Please, I can...
We can do this.
We can figure this out.
You stay here and be happy.
And I'll go there and be happy.
If you get on the plane,
if you go without me, we are done.
Do you hear me? We are over!
We are standing in the middle of an
airport screaming at each other.
We're already over.
[Richard] Yang.
Dr. Altman told me
about your work today.
I know it's been hell
for you these past few months.
So... well done.
Thank you, sir.
Chief?
Do you have a minute?
I can't wait until the next skills lab.
I'm totally on your team.
"Move or I'll run you down!"
[Laughs] Freaking hilarious.
[Meredith] We're all
looking for answers.
In medicine...
... in life...
... in everything.
Were you just checking out my ass?
Not the first time.
Won't be the last.
No.
[Meredith] Sometimes,
the answers we're looking for
have been hiding
just below the surface.
I had the worst day today.
I've been working, um...
working on the grant proposal,
and I just, I couldn't do it.
Then I realized...
...it was you.
It's a clinical trial for Alzheimer's.
It's serious work, and I couldn't
think of anything but you.
I know you want
to be a part of the trial,
but I can't have you anywhere near it.
Cristina blames me.
She hates me.
[Meredith] Other times, we find answers
when we didn't even realize
we were asking the question.
Avery, good.
[Meredith] Sometimes,
the answers can catch us
completely by surprise.
Hey, hey, hey. Did you hear?
The lab, it could not have gone better.
You should have seen Kepner.
You wouldn't think it to look at her,
but there is a trauma surgeon
in that girl. I wish
you could have been there.
- How was your day?
- I quit.
- What?
- You were right.
I can do it.
I can still be a surgeon.
I just... don't want to anymore.
[Meredith] And sometimes,
even when we find the answer
we've been looking for...
Avery, that's enough.
[Sighs]
[Meredith]... we're still left with
a whole hell of a lot of questions.