Grey's Anatomy (2005–…): Season 9, Episode 20 - She's Killing Me - full transcript

A couple of Syrian doctors arrive at Grey Sloan Memorial to learn field techniques for war zones. Then, when a series of patients return with post-op infections, one doctor's work falls under suspicion.

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Previously on "Grey's Anatomy"...

Aah!

Superman here broke protocol
and ran into the crash

to shield a kid from the blast.

- Ethan.
- Dad.

Stay with mom, all right?

- Where is my mom?
- Who are you?

It's me, mom. Ethan.

No, it's not. Who is he?

No, I'm not going anywhere!

How about we set you up in a room



and you can stay with him there?

Brooks, why don't you step up?
Switch with Ross.

God, you have fast hands, Brooks.

I know what you're doing.

Just so we're clear,
I'm not going down without a fight.

I want you to map me.

I want to know
if I'm gonna get Alzheimer's.

Patients say it all the time...

"Tell me straight up."

"I just want to know what's going on."

Okay, so I've got the results

of your genome sequencing here.

Now we weren't able to get
a clear read off Zola's sample.

Sometimes we just have to run it again.



- All right.
- But yours came out.

And?

"Tell me. I can handle it."

And, oh, uh, first off,

I just need to ask you a few questions.

We have a couple of different kinds of,

um, information here, so...

I have the gene. Just say it.

Look, this test gives
us tons of information.

Some of it's clear. And some of it isn't.

So, you know, we don't
want to jump to anything

without careful consideration of...

Yeah, I've carefully considered.

Do I have the Alzheimer's gene?

You gonna let me get
through this questionnaire?

Bailey, you're my mentor

and my friend, and I respect your work,

but I'm telling you,
if you don't answer my question,

I will punch you in the face.

We don't dodge
your questions 'cause we're mean.


Okay, you have... tested positive

for more than one

of the genetic markers for Alzheimer's.

We do it because
when you say you want the truth...


you have no idea what
you're talking about.


Shepherd says his wife's
still unconscious, too.

Oh, what did you do with her kid?

Oh, he... he was in peds overnight,

just so social services
didn't haul him off.

His grandmother comes today.

You know what? I thought
I was gonna see you last night.

Oh, I got caught up with a patient.

Ah, that's too bad.

I put on that T-shirt

you said I'm not allowed
to wear when we're arguing

'cause it makes you forget
what your point was.

I can't believe I missed it.

I can throw it on again tonight.

I mean, why is he still out?

You said that he would wake up

when you reversed his hypothermia.

Yeah, I said he might.

Or he might eight hours
later or eight days later.

If it's any more than that,
we have a problem,

but not until then.

You talk to Russell about it?

He knows about the eight days thing.

Maybe you should just check in with him.

You said yourself that he's not

supervising you that much lately.

There's no news.

If I go to him with this information,

he'll think I've lost my mind.

Well, then he can come talk to me.

Your hair looks really nice today.

My hair looks nice every day.

- I'm on Bailey's...
- No.

Last time I was with her,

I ordered the wrong test, twice.

If she has a 3-strike policy, I'm out.

I'm on Jackson's service today.

So even if I cared, I wouldn't trade.

What is this?

I don't know what that is.

It is a crumb,

and it was stuck to my laptop

after you used it to update my notes

right next to a splotch of...

what could either be pizza sauce or blood.

I think it's pizza.

I was hoping it was blood,
and you were dying

and not just getting pizza
all over my computer.

I'm so sorry. I was doing my notes late,

and I hadn't eaten...

I'll go clean it off.

These interns are sloppy.

You people are training sloppy interns.

And I trained you,

which means you're bringing
shame to the whole family.

I just got here.

Swag bags for the Syrians.

Some, um, sweatshirts and
baseball caps, post-its.

Ooh, really cool penlights.

Ooh, those are nice.

You're sending post-its to Syria?

Yeah, I'm working with
doctors aid international.

We've flown in two Syrian doctors.

They're general practitioners,
but now with the war,

they've been recruited to
staff the field hospitals.

They're getting advanced trauma training

with Seattle Pres, and they're here

for a crash course in
basic surgical skills.

They need to learn what
they can do quick and dirty.

- They rope you in?
- Mm-hmm.

Which must mean that...

Yeah. Yeah, they're losing a lot of kids.

Godspeed.

All right, let's get this stuff

with the boxes of supplies
we're sending back with them.

Ah, so Bailey got her genome thing funded.

You got this thing funded.

I need to get my cartilage
project bankrolled

while we still got bank.

Dr. Hunt?

Dr. Avery's recommendation
on your burn patient.

- Oh.
- Oh.

Um, have you rounded
on Matthew Taylor yet?

He was one of Avery's patients yesterday.

He was here overnight for observation.

They were worried about a concussion.

He'll probably leave this afternoon.

I think his mom's coming to get him.

Tell Avery that is fine.

- Ready?
- Yeah.

Um, wait.

His-his mom is coming to pick him up?

What, can he walk?

You'll have to ask Dr. Avery.

Joyce Basche.

You and I put in a dialysis
graft two weeks ago.

She's had fevers to 102 and
the site is red and tender.

It looks infected.

Maybe you dropped a pizza
crust on her wound.

I told him it's normal, right?

It's red and swollen.

She said come in if it was swollen or red.

He loves doctors, you in particular.

You do like spending time with me.

Get her healthy,
we'll have you over for dinner.

Okay, well, he's right.

So give her a gram of cefazolin.

It's probably a post-operative infection.

Dr. Murphy is gonna run some labs

and get an ultrasound.

We'll figure out what's going on.

Okay.

You tested positive for
the risk factor genes.

It doesn't mean you're gonna get it.

I know what it means.

It's entirely possible
it means nothing at all.

We need an updated will.

I want you to call the lawyer.

Whoa, whoa, whoa, whoa. Slow down.

Even if you get the disease,
it's decades away.

It might not be.

We have a child

and we're having another child.

Look, right now, it says that
Lexie is Zola's legal guardian

if anything happens to us.

That's not going to work.

No, but...

Derek, we were in a plane crash.

We don't need Alzheimer's...

Potential Alzheimer's.

We need an updated will.

Okay. You're right.
I will contact the guy.

Okay.

Okay, we're gonna try as closely as we can

to replicate your circumstances
in the field hospital.

The most important skills
you need in a wartime situation

is controlling bleeding.

Normally we'd use lasers
and argon beam coagulators,

but as you can see, for now,

we're only using

the contents of this tray.

Is something wrong?

Uh, we, um, before had
all of these things,

but recently the supply
trucks cannot reach us,

and the electricity is unreliable,

so many of our instruments,
we-we cannot use

so if you want to, um,
replicate our circumstances,

we may need to adjust this slightly.

Please. We're here to
make this work for you.

Thank you. Um...

This is more right.

Also...

Now we go.

Dr. Shepherd, hey.

I wanted to follow up on
the patients we saw yesterday,

'cause I care.

Ross, you should be
learning something else

from someone else.

Oh, I am. I'm covering the pit,

which I can do and manage your post-ops.

Also, I brought you a latte.

It's not your job to bring my coffee.

Sorry. I'm here.
I had to get a piece of gum.

I had epically bad breath.

I didn't want it to bowl you
over in the O.R., but...

I'm all set. See?

I didn't need to see it.

Okay. Well, I'm going
to check your post-ops.

Anything you'd like me to look for?

Ross already did it.

Spectacular.

Anything we should know?

Yeah, Rachel Dawson's awake.

Um...

tell Hunt she's up.

We're gonna send you back
with a bunch of equipment,

uh, but if supplies aren't reaching you

and there's no electricity,

then we're gonna have to
figure out another way.

Yeah, so, um, take a look around

and see what items you do have
left in the field hospital,

and, uh, put it in the box.

Dr. Hunt. Can I borrow you?

I don't think I should go in there.

She's okay now, Ethan.

She was really mad when she saw me before.

She wasn't mad at you. She was confused.

There's something in her
head that they needed to fix,

and they've done that.

She's back to her old self again.

You sure?

I don't know 100%, Ethan, but...

I think we should try, okay?

All right.

Ethan?

You're okay?

Come here.

Oh.

Oh, god.

I love you so much.

Did you get hurt?

No?

You look really good.

My car crash mom woke up.

And the lawyer sent over an e-mail

with the forms.

We need two names...
a guardian and a backup.

Before it was Lexie, Cristina, and Owen.

So Cristina and then
which one of your sisters

do you want as a backup?

Cristina doesn't want children.

This isn't children. It's Zola and fetus.

Stop calling the baby fetus.

Well, she will love him
whatever his name is.

All right, talk to her
and see what she says.

I know what she'll say.

And I'll be wrong,
and that'll be good for everybody.

My talk was a viral sensation.

Cartilage is trending...

because of me.

I couldn't be happier.

A cartilage regeneration lab

would be a huge boon for the hospital.

I am not an A.T.M.

I have one vote just like you do

and Arizona does.

Oh, no. Arizona has to vote
for me 'cause she's my wife.

And your vote is like a vote and a half.

- Uh-huh.
- I'll vote for myself.

Now that is a solid voting block.

You put a lot of thought into this, huh?

Is this how it works?

You all whisper to each
other in your board meetings

about your pet projects,

and that's where all the money goes?

That's exactly how it works.

That is not how it works.

Everybody's supposed to submit
their proposals in writing.

You can't have people
bugging board members

while they're trying to work.

Uh... you're sitting in a chair.

I need money for my orphan thing.
I want to take it global.

You see what you've done?

Who canceled my valve replacement?

Hunt canceled half of everybody's day.

Thank you for coming, everyone.

Sorry we had to rearrange your schedule,

but this is important.

We've got two Syrian doctors here.

they used to be G.P.S,

but now they're operating
in a field hospital

in a war zone.

We were planning on teaching
them surgical procedures

they could do with limited resources,

but it turns out
they have way less to work with

than we anticipated.

Just give 'em more stuff.

When it runs out in two weeks,

they'll be right back where they started.

He wants to help them function
with what they know they have.

Which is this.

So... we need to

be able to do the procedures on this list

using only what is in this box.

Are you kidding me? There's no way.

There has to be. We gotta figure it out.

Joyce Basche's labs.
She's in ultrasound now.

Mm. Her white count's pretty high.

And her electrolytes are off.

Um, I think we err on the side of caution

and admit her.

And, uh, this is kind of weird.

Um, we have another post-op complication

on the same day as Mrs. Basche.

And, uh, I scrubbed in
on both of them with you.

And you managed their post-op care?

Okay, you better go through

All your notes on both these charts

And figure out what the hell went wrong.

Edwards, you're with me today.

I'm with Dr. Avery today.

Ditch him. Murphy's having a time-out.

What did you do?

So the second post-op infection
was your patient, too?

Kathy Dong.

Mm-hmm.

- Does she need surgery?
- Probably.

And Bailey got Medusa to scrub
in with her this afternoon

on the first lady that
came in with an infection.

They've gotta take out her shunt.

It's got this huge abscess under it.

It's a mess.

They're gonna kill me.

What did you do?

Did you forget the pre-op
antibiotics or scrub too fast?

I was sick. I had the flu or something.

And you came in?

Of course I did.

We all work when we're sick, all the time.

Patients have post-op infections

all the time, right?

Okay, so they can debride the wounds

with a basic instrument set,

but now they're faced with
a huge risk of infection.

Well, I guess wound vacs are
out of the question then.

Simple wet-to-dry dressings might work?

Mm. No.

They'd have to change those
out three times a day.

They would use their entire
gauze supply with one patient.

Sugar.

Excuse me?

It's not in the box,
but they may have it around.

It's an osmotic dressing

that allows you to avoid
multiple dressing changes.

Okay. Well, somebody go find
out if they still have sugar.

Okay.

Anything? You've barely made a dent.

It's gonna take forever.

Oh! Well, you try using this hand drill,

- Mr. Backseat driver.
- Let me try.

If they had an infrascanner,
it would be a lot easier.

Well, they don't. I think whoever it is,

- you just killed him.
- You know, start with a fresh one.

Oh, does anybody have any betadine?

I just have bleach.

- Yeah, that'll work.
- Sure.

All right.

So anybody ready to start teaching?

Uh, me. I can do fracture repairs.

Yeah, you can put me down.

I got a blade I can use for skin grafting.

Great. Get to the lab. Uh, Shepherd,

how long till Rachel
Dawson's out of the I.C.U.?

Oh, check with Ross.

He's tracking her through post-op.

Wait. I thought Brooks was
on your service today.

Ross gets connected to the patients.

He likes to follow through.

Owen, peds just called.

Ethan Dawson's grandmother
got stuck back east.

Her flight got canceled,

and she's not gonna make
it here until tomorrow.

So I think you should call social services

and see if they can
take him for the night.

But this is pretty standard, right?

This must happen all the time.

It's an unusually aggressive infection.

But we're gonna take care of it.

Ah, she said it was nothing,
and I knew it.

- Steven...
- No.

I waited a whole day.

I am going to take care of her,
you hear me?

And now even if you don't
have an electric dermatome,

you can still do skin grafts using blades.

but you want to be very careful

about how much pressure you apply.

You don't want to cut too deep.

Mm. Is that okay?

That's good. But no deeper.

Yeah, that's better.

Okay, so you want to place the screws

medial to the tibial crest

so you don't interfere
with intravascular bundle.

Medial to the tibial crest.

Mm-hmm. Now advance
the screw by hand. Yeah.

Until it's anchored in the far cortex.

Don't be afraid to push too hard.

Ah, sorry. I'm-I'm just...
I'm trying to figure out

how to hold down
the patient to keep him still

while I do this.

Oh, the patient's sedated.

Not when you don't have anesthesia.

O-okay.

Um...

Let's go at this another way.

I am so sorry I wasn't here earlier.

It's okay.

We've got these two Syrian doctors here

and we're trying to get all the surgeons

to figure out how to do these procedures

with, like, a piece of gum and a matchstick,

and this was our first pee break.

And meanwhile, you're sitting here

and you can't even walk?

- I thought it was just a small laceration.
- It is. I'm fine.

But is it infected?
Because you should be able to walk.

- April. April.
- I don't know why you can't walk.

April, I can walk. I'm...

You can?

Yeah.

W... they said that you... you couldn't leave

till your mom came to pick you up.

Oh. Uh... I, um...

my mom's not coming here

because I can't get myself home.

She's coming here because

I wanted her to meet you.

Oh.

I had a low-grade fever.

I felt bad the night before,

but when I woke up,
I figured I could muscle through it.

So I came in.

I felt okay for most of the day,

so I figured it wasn't...

Of course I'll take Zola and fetus.

That's what I told Derek.

You're not shipping them off to Ohio

or wherever his stupid sisters are from.

I knew you would say that.

I will oversee the most competent herd

of child care professionals ever.

I'll get only german nannies.

They're super organized.

I'm not sure a herd of german nannies

is what I had in mind.

Wait. You don't want me
to be a stay-at-home mom?

No.

Yeah, 'cause you're not.

Right, but Zola is at the day care here

when we pick her up.

Yeah, and you do 30%
less surgeries than I do

'cause you're not putting
in the hours anymore.

You don't want to do this.

Hey, I love Zola.

I know you do.

But you don't want to be her mom.

No.

You really hate those sisters?

- Kind of.
- Mm.

Not all of them.

Kathleen seems like a good mom.

I mean, I don't want to hang
out with her all the time,

but her kids seem sane.

Yeah, well, that's not nothing.

Okay, how about this?

You write in the will

that I get your children
three weeks every year.

We'll travel.

I'll take them to get their first tattoo...

someplace clean.

And I'll teach 'em how to put a condom

on a... on a cucumber.

Come on, sierra! Come on!

Okay.

I will be the coolest aunt in the world.

I just can't be a mom.

Oh.

They deserve a mom.

They already have a mom.

I know.

You're not dying right now.
You know that, right?

Dr. Webber. I paged you.

Can you check out bed three?
Patient is Seth Lepik.

Erythema and swelling
along a surgical site.

Febrile. Looks pretty sick.
Probably needs to be admitted.

Sorry.

I'll be right back.

Dr. Shepherd just ordered an M.R.I.

on one of his patients.

I thought you were covering the pit.

Oh, I am.

My generation's all
about multitasking, sir.

Dr. Horowitz...

Dr. Horowitz...

Mr. Lepik, I'm Dr. Webber.

I understand that you're not feeling well.

Yeah, um...

I've been dizzy for a couple of days,

and they said to come back in
if I didn't feel good.

They who?

You guys.

I had surgery here a couple of weeks ago.

Oh, here it is.
Dr. Bailey operated on you.

Yep.

Okay, well-well, let's see what we have.

So you want to stop the bleeding,

but you don't want to do a blind clamp

in a bloody field.

Uh, your goal is to get
control of the hilum.

Since you won't have a stapler,

you can get control by
using finger pressure,

like that.

So... just reach in here?

Yeah, you want to feel for the bronchus

and then you'll know
you're near the hilum.

Matthew's mother is coming here.

I can't meet her.

I can't lie to a mother.

Don't sell yourself short.

You thought you couldn't
lie to Matthew either,

but somehow you had it in you.

What kind of grown man

gets his mommy to pick him up?

They have a good relationship.

He respects women.

He has good values.

I think I'm there.

Okay, so if you don't have a clamp,

you can just use your hand

and twist the lung on the hilar axis.

That's it. I see it. Thank you.

You know what? He doesn't make fun of me.

He thinks I'm brave.

He likes it when I babble.

He's a unicorn.

He's an amazing guy.

Well, then you should tell him the truth.

I have this really cool
technique for autotransfusion

that I would love to show you
when you're done here.

Not bad, huh?

Who needs a fancy splint
when you have duct tape?

- It holds quite nicely.
- Mm-hmm.

27 new e-mails about where
my research goes next.

It should sound like
a cash register to you.

Can you go bug Shepherd
for his vote, please?

Oh, I plan to, and I'm sure I'll get it.

Shepherd knows we bought
this hospital so that

we could all be the doctors we want to be.

I'm not living my dream.

My dreams are big and bright

and filled with extremely shiny machines

that grow cartilage out of thin air.

I have that dream all the time.

Since you have limited blood supply,

you do this...

and you're giving your patient

their own blood back.

Do you want to give it a try?

Sure.

So...

are you going to tell this man the truth

or include his mother in the lie?

Because I cannot get on that
plane without some closure.

Uh, I-I am so sorry.

You do not need to bother
with my stupid problems.

You have real problems.

Courtship troubles

are everyone's troubles.

Wooing my wife was very tricky.

Well, how'd you win her over?

Ahh.

A picnic

of spiced lamb

under the cypress trees,

almonds dipped in honey,

the words of my heart.

Dr. Kepner...

we went to see "Terminator 3."

You were right. Cristina only
wants to be the cool aunt.

I'm sorry. I wish I was wrong.

That's okay. What about Kathleen?

What about Lizzie? You two got along.

Oh, I forgot about Lizzie.

You know, I don't want to leave our kids

with somebody you forgot about.

Well, she's the alternate.

Well, it's a disaster plan.
Most disasters don't happen.

They do to us.

That's true.

We have survived

an unusual number of very bad things.

At this point, it ups our odds.

Just send the papers.

Uh, apparently we have never filled out

a health care directive.

The lawyer wants that, too.

Oh, well, I mean, you know all of this.

I don't want to be a potato.

No extraordinary measures taken
if it's obviously at the end.

He wants it in writing.

Oh, it doesn't matter.

We both know you're gonna give
me a lethal dose of morphine

the second I start to
forget where my keys are.

I'm not kidding.

Before we knew my mother was sick,

she couldn't remember
anything I'd ever said to her.

And I thought it was because
she didn't give a crap about me.

I don't want to put my kids through that.

You'll give me a lethal dose,
we'll hold hands,

and I'll fade off into the night.

We will cross that bridge
when we come to it.

More irrigation.

Looks like I'm gonna
have to open this all up.

You doing okay?

I'm fine.

You sure?

Dr. Bailey, don't get all weird on me

because you think you shattered my psyche.

I knew what I was asking
when I took that test.

Well, if you ever need to talk...

Stop it.

All right. Fine.

How about we talk about
the sloppy job you're doing

raising those crappy interns?

There you go.

What, she sneezed all over my patients,

now I have two post-op infections?

They have no judgment

or common sense.

Mm. Sorry to butt in, Bailey.

I saw a patient of yours
from a couple of weeks back.

Post-op infection, pretty extensive.

He's on I.V. antibiotics,
but he's gonna need surgery.

You have time today or
you want me to handle it?

What do you mean, he?
He's a she, and I saw her.

I'm dealing with her

after I deal with this post-op infection.

It's not a she.

Seth Lepik.

It's not the same patient.

It's a third one.

Three? Have you spoken to Hunt?

No, not yet. I thought it was just two.

Look, I'll take care
of your third patient.

You need to find Hunt.

Which intern was it?

It's Leah Murphy.

Dr. Darwish, can I get you something?

Oh, no. I'm...

just looking.

It's quiet.

We don't have a lot of quiet anymore.

So there's been a big rainstorm back east,

and your grandma's flight

isn't gonna be able to
get in until tomorrow,

so Carol here from social services

is going to take you to a place

that you can sleep tonight.

Why can't I stay here
like we did last night?

Well, that's not going to work out.

I don't want to go with her.
My mom and dad are here.

It's gonna be fine, okay?

They're gonna give you a great dinner...

and they'll probably give
you ice cream for dessert,

and they're gonna let you
play video games, so...

Hey. Hey, hey, hey. Come on.

It's going to be fine. I promise.

Okay, is that...

better?

Yeah. Uh, but, uh,
practice it a bunch more times.

The faster you get in and out,

the better your outcomes will be.

Promise me you'll kill me
with a lethal injection

before I start to forget
where my keys are.

Of course.

Early.

Not when I set the house on fire

because I forgot to shut the stove off

or when I'm sitting in the rocking chair

in the corner of the nursing home.

I don't want my kids to go
through what I went through...

Mer, you had me at "Lethal injection."

Wow. Is that my door prize?

Okay, so you know I was working

with these two Syrian guys today?

They barely get any supplies anymore.

I mean, this is all
they have to work with.

But the attendings all pitched in,

and we figured out a whole bunch

of lifesaving procedures they can do.

That's great.

Yeah. Um...

my point is...

you think you need everything,

but you don't.

We could get by without
a lot of stuff, right?

Sure.

What exactly are we getting by without?

My virginity.

I was...

I was a virgin for a really long time,

and then I wasn't.

Uh, I... really wanted to wait

for someone like you...

for marriage, but I screwed up.

And I was just...
I was so scared to tell you.

But then I was watching these guys today,

and they-they literally
have nothing left,

and they're making do.

And then I-I just felt
like I was being so stupid

to-to worry about this one little thing,

li-like-like you couldn't even get over it.

So...

I guess I would be an ungrateful jerk

if I worried about your virginity

while there's a war going on
somewhere and people are dying?

That what you're saying to me?

No, no. I-I-I didn't...

you didn't think I'd be
more hung up on the lying?

'Cause I bet even in a war,
people still value honesty.

He's still not awake?

Uh, no, not yet.

I gave him a bolus of D50.
We'll see if that helps.

Why didn't you talk to me first?

Because I talked to Russell about it,

like you asked me to.

But you knew that I was
concerned about this case.

You really want me to have
three highly trained surgeons

supervising one man's recovery?

It shouldn't be news to you

that we work as a team at this hospital.

Oh, yes, and the entire team

is helping you save Syria from itself.

I came up with, like, 14 ways
of doing thoracotomy procedures

without a chest tray.

I didn't have time for a groupthink

on perfectly straightforward post-op care.

Tomorrow, you, Russell, myself

will round on Paul together, all right?

- Are you serious?
- I am.

Uh, Dr. Hunt, I need to speak with you.

- Could you give me moment?
- It has to be now.

And Webber's in the O.R. with the third.

So we have no idea how extensive this is?

All right. You and I are gonna
need to talk to infection control,

let them know what we know so far.

I need you to find all
your charts from that day,

figure out every patient
you touched in post-op,

or anywhere, for that matter.

We're gonna need to
call every one of them,

have them come in, and exam them.

This is going to be a nightmare.

They're gonna fire me, aren't they?

Just go.

Still unconscious?

Bummer.

It's okay. He'll wake
up in a couple of days,

if we can all relax and
be patient about it.

- Good.
- Yeah, tell that to Owen.

We may be losing Leah
Murphy from the program.

Did I like her?

I think you said once that she didn't suck

As much as you expected her to suck.

Oh. That's too bad.

You know, maybe Owen
doesn't like being chief.

What makes you say that?

I thought he did,

but lately, he's had a bug up his butt

about Russell not supervising me.

You know, maybe
it's because he misses teaching.

I mean, Derek... he hated all
that administrative crap

- when he was chief, right?
- Mm-hmm.

Owen's had nothing but that for weeks.

Maybe he feels like

he's losing touch with the medicine?

Or maybe it's because
Russell's not supervising you.

Okay, I just agreed to off you

the minute you started acting dotty.

Shouldn't you be on my side
for the rest of the day

just as a courtesy?

- Ross was working the pit today?
- Yes.

Okay, I just took out
an infected dialysis graft.

- Mm.
- He saw the patient before I did...

- Right.
- But he didn't scrub in with me

because he wanted to make sure your M.R.I.

was just the way you liked it.

Hey, Dr. Webber.

Someone just put a glioblastoma resection

on your schedule for tomorrow.

Did you want to do that
before or after your aneurysm?

Shane, you have to stop.

I am working with Brooks now.

Yeah, but she annoys you, doesn't she?

I mean, you and I kind of get along.

Brooks has an instinct for
this that you don't have.

You make up for it with a ton of work.

Well, if I'm making up for it,
who cares how?

I care.

And you should, too.

You should find
a specialty where you shine.

This is what I'm passionate about.

Doesn't that count for anything?

She's better at this than you are.

And that means, to me,
I have to teach her, not you.

You're gonna be a great surgeon.

Go figure out where.

Hey.

Guy can't take a hint, huh?

Where are we going, sensei?

We are going to check in on Rachel Dawson,

see if her neuro exams have improved.

You went with spearmint gum this time.

Yeah. You can smell it?

Mm. I can.

Do you like spearmint?

Not really, no.

Just use peripheral vascular instruments

- if you don't have stuff for peds.
- Mm.

Okay, so pass the umbilical
tape around the vessel.

And then thread both ends

through the short rubber catheter

and place the hemostat.

There.

Uh, could I borrow her for a moment?

Yes, but not for long, please.

Uh, I would like to admit Ethan Dawson

to peds for the night.

Oh, he'll be fine with social services.

Kids go with them every day.

This kid doesn't have to.

Owen, there's protocol for a reason.

Yeah, but we're human for a reason.

I know that you've taken a
special interest in this kid...

Why is everybody acting like

this is some kind of a character flaw?

He ought to stay. He's sick.

I got a look at him when
I checked his wrist.

Short limb syndrome.

Karev.

Right. He's right.

Uh, limited growth,
excessive sleeping, and eating.

Impulse control problems.

Th-these are all
the symptoms of childhood.

Can't be sure.

Not until we confirm it

with testing and observation.

Guys, guys, I love the enthusiasm,

but it's not gonna happen.

All right.

Hey.

Cristina said she would pull the trigger

if it comes to that.

You're my wife.

Can we make the decision together

if we're gonna throw in the towel?

That sounds fair.

It's not gonna be easy on
you if I start to lose it.

Oh, don't worry.

You're a project even
with all your marbles.

I brought you something.

You did?

I had Bailey do my genome.

You did?

Yeah.

High-risk for liver cancer
and prostate cancer? Whoa.

Yeah. You're telling me.

Male pattern baldness?

Late onset, apparently.

Heroin addiction?

I'm a real prize. Ohh.

It's all a crapshoot.

We didn't get one single definite.

We only got maybes.

Ah, maybe we live forever.

Maybe we do, and maybe
I become a bald heroin addict.

Honey, I'm gonna get these
bags down to the car.

Uh, thanks, mom.

Wrapping it up for the day?

Yep.

How about you let me buy you dinner?

I want to bend your ear about
a project I'm thinking about.

You and everyone else

are free to submit
your proposals in writing

to the entire board.

And then I will vote
like everyone else does.

Hell, maybe I'll submit one myself.

Maybe I have an idea,

but I'm not out here
hawking it to people at work.

'Cause I'm gonna write
a proposal like you're supposed to.

Um... son,

nobody's ever saying yes to your proposal.

You're the most powerful
vote on the board.

You're the person who says
yes to other people's ideas.

We still let you be a surgeon.

Nobody wanted to take that away from you.

But your project is this hospital.

Yeah, it's exhausting sometimes.

Yeah.

You know something I learned
when I was the chief?

What?

Somebody offers to buy you dinner

while they talk your ear off

about something you don't want to hear...

You say yes.

Look at that. You're a natural.

Oh, looks like you got this.

Yes, but...

Not as fast as it could be.

Practice, practice, practice.

Thank you for all you've taught us.

I wish it could be more.
It feels like nothing.

If we will help even one child,

it's everything.

Short limb syndrome?

Mm-hmm. Yeah, we're not sure.

At this point, we're just
admitting him for observation.

We'll know more in the morning.

Thank you.

Hey.

So got your own TV,

they serve a chocolate
pudding that's not half bad,

and I'm gonna see if I can scare
up some comic books, okay?

Hey.

You okay?

You just told the nurse I was sick.

Yeah, you're... fake sick.

The nurse knows that. Even...

all the doctors know it.

We're just pretending so
you can stay here tonight.

There is nothing wrong with you.

Is it fake with my mom and dad?

No.

No, I wish it was.

My dad's still not awake?

No, he's not.

Is he ever gonna wake up?

I don't know.

So... you played soccer.

I did.

Hey. Owen's been acting crazy.

- I think this is why.
- The left defender is crucial.

Kids make you crazy.

Yeah.

Kinda cute, though.

Dr. Grey.

I'm not gonna get fired.

We'll cross that bridge
when we come to it.

No, it's worse than that.

Dr. Bailey, Joyce is crashing.

What?

Dr. Kepner, you have given
us piles of supplies already.

This equipment is expensive.

Yeah. Yeah, but this will really help.

Oh, and you should definitely take this.

It's an infrascanner.

It can detect a brain bleed.

Are you sure this is all right?

Perhaps you need to talk to Dr. Hunt.

Don't worry about it.

Honesty's not all it's cracked up to be.

They say the truth will set you free.

What the hell do they know?

The truth is horrible, frightening.

The truth is more than you can bear.

Bailey said the second patient
isn't responding to antibiotics.

So she's going to need surgery.

I just operated on the third.

He's hypotensive and
still pretty unstable.

Once Murphy's identified

all her patients for the day,

then we'll get them in here,

make sure no one else is infected.

We're gonna need to make
some kind of statement.

Before this gets out there on its own.

Hey, uh,

the first patient, Joyce Basche,

she didn't make it.

I thought that the surgery would
get rid of the infection, but...

You need to get cultures on
the other two right away.

And we need to make sure that
we're using the right antibiotics

so that this doesn't get out of control.

Okay.

We just lost Joyce Basche.

Dr. Bailey...

No, she's her patient. She should know.

Leah checked all the charts.

She was only on two of the patients

That got the infection.

She never touched the third one.

What, is that supposed to reassure me?

A woman just died.

It couldn't have been Leah.

The only doctor who touched
all three patients was you.

We're gonna need to get legal down here.

Wait. Any... anything could've
caused this kind of infection.

Yeah, no...

Well, we know that,
but until there's an investigation...

No, um, I gotta go,
'cause I have two more people...

- Owen?
- Dr. Webber will deal with them.

Yeah, this is Dr. Avery.

Get me Joelle Geller from legal down here,
conference room two.

I will...

go over my notes.

Sit down, Dr. Bailey.

No. M-my patients are in danger.

Dr. Webber will take care of them.

I haven't even told Joyce's
husband that she didn't make it.

W...

I know the man!

I don't need Grey to tell
him that I killed his wife!

Dr. Bailey, please sit down.

We're supposed to be straight with you,

so be careful what you ask for

when you walk into a hospital.

What are you saying?

I'm asking you to sit down.

Because when you find out
what's really going on...


you may never recover.