Grey's Anatomy (2005–…): Season 9, Episode 5 - Beautiful Doom - full transcript

Previously on
Grey's Anatomy...

Dr. Grey, you were on a plane.
You were in a plane crash.

Where's Lexie?

My sister is dead.

They're taking us home
tomorrow on a plane.

That's why I told Bailey
to just sedate all of us.

Cristina, please.
Say something, please.

I'm worried that
you're just running away.

Yeah, I am. I'm fleeing.

And so should you, 'cause
horrible things happen here.

No, something horrible happened,
and we should stick together.



How is Yang, by the way?

Does she like Minnesota?

Who says I have to like him?

He's my sex friend.

How'd it go with Dr. Thomas?

I respect you.
You're a historical landmark.

THOMAS'. It's been a while
since I've had anyone

who cared enough to give me grief.

He is my bestie.
He's my you here in Minnesota.

They call you Medusa...

The serpent-haired monster
who turns folks to stone.

I don't think that you're a demon.

Focus on what you're doing.

Are you firing him?



PARKER'. We can't fire him.

We can force him to retire, though.

It's okay if you're not ready to fly.

I said I'd come. I'll be there.

She's not gonna get
on that plane, is she?

Probably not.

You are my person.
You will always be my person.

Sometimes things
are simply out of your control.

You can't change them.

You can't bend them to your will.

It doesn't matter if you're
already 45 minutes late,

if your hair isn't brushed,

and you haven't fixed breakfast,

and you're hemorrhaging
brain cells by the second

while you sit here...

Dying...

Dying inside.

Pee.

Pee. Just relax and pee.

Did you do it?

Did you do a pee-pee
in the big-girl potty?

Potty.

Pee-pee in the potty.
Pee-pee in the potty.

Please don't make me strangle you.

{can't move.

I need to move,

but I can't.

I think I may be frozen to this spot.

Literally frozen.

I could stay.

Keep you warm.

Do you like being the big spoon
or the little spoon?

I am not a spoon.

I'm a knife, and I'm gonna
stab you in the eyeball.

You know, I think I'm gonna
try and get some sleep.

Oh... You sure?

I can't look at you.

I'm sure.

I can't look at you either.

Okay, please tell me you're
as miserable as I am?

We are potty training,
and I am wearing an apron.

No, I'm happy as can be.

My coat doubles as a sleeping bag.

Here you go, Zo.

Hi, Zozo.

Now don't forget to tell mommy
if you have to go pee.

Okay?

It's all about the layers, Mer.

Good morning. How are you?

Morning!

We sure got a nice fresh
snowfall last night.

- Sure did!
- Have a good one.

You too!

Who is that?

Just me being neighborly.
I'm neighborly now.

Oh, no. I think she just...

Did you just pee on me?

I think she just peed on me.

See, you have a fake voice, too.

Well, I'm using it on a child.
You're supposed to.

You know what? Tell her she's
got to get her act together

or she'll never be
on the Supreme Court.

She's gotta buck up.

Excuse me?

Buck up. All right.
It's a Minnesota thing.

We don't wallow in our self-pity.

We're... We're tough.

We're friendly.

We're...

My car is buried
under a mountain of snow.

Buck up.

I hate you.

Okay, I'm almost ready.

- Hi.
- Hey. Hi.

- So she needs a change...
- Uh-huh.

And I am late.

Okay. Well, Daddy's gonna
take a train today

to give a boring paper
to a bunch of boring people.

Zola, your daddy's my hero.

- I love you.
- Bye.

- I'll see you in a couple days.
- Oop.

All right.

I forgot the fish sticks.

What for?

Oh, it's, uh,
Multicultural Day at preschool.

We're Brazil. I burned the first batch.

All right. I'll see you later.

Okay, bye.

Say "Goodbye, Mama."
Say "Goodbye, Mama."

Bye-bye, Mama. I know. I know.

Well, you're in a mood.

My car is buried
under a mountain of snow.

Don't get crumbs on the upholstery.

Oh, you brought me a Danish.

Don't get emotional. Just eat it.

You're going to
need your strength. Here.

Oh! A complete vascular ring.

And a huge aneurysm.

Biggest aneurysm I have ever seen.

Considering how old you are,
that is saying something.

Now if you're gonna start
talking like that,

I'm going to get someone else
to scrub in with me.

This is ours?

Still in a mood?

Thank you, God. Thank you.
Thank you. Thank you.

Hey, hey, hey, I'm trying to drive here.

Sorry, Dad.

That ginormous thing is in my body?

Yes.

It formed because
of a congenital heart defect,

so it's been there a long time.

We'll need to perform two surgeries.

The first one will repair the aneurysm.

And the second will deal with the defect

to prevent another aneurysm
from forming.

Wow.

And we thought we were ready
for everything.

All right, this is nothing.

We're prepared for a nuclear holocaust.

This is just a few days in the hospital.

Are we expecting a nuclear holocaust?

No, we're trained for disasters.

Are you EMT s'?

- No, we're...
- Will.

- What?
- These are my doctors,

and I don't want them
to think we're crazy.

Hey, we're not crazy.

We're doomsday preppers,
ready for the apocalypse.

You think we're crazy.

- No.
- No, no.

Look, we're not, like,
Mayan calendar nut jobs.

We're preparing for the real stuff.

Ozone depletion, global warming,

melting ice caps.

We met at a workshop
on making bug-out bags.

Dare I ask?

They're survival backpacks.

You should really have one
or several, actually.

One in the home and one in the car.

So your surgery will be this afternoon.

We just need to run some scans,
and then we'll be all set.

Okay. That's okay, babe.

Small doses of radiation prepare
your body for ozone depletion.

I guess it's my lucky day.

It's huge. I e-mailed it to you.

Look at my giant aneurysm

and marvel at the gift Thomas gave me.

I can't. I'm driving.

Besides, I'm jealous.
You have a new best friend.

I really do.

I might love him more than you.

I'm happy for the both of you.

And I get two surgeries out of it,

'cause she has
a complete vascular ring.

Imagine your good luck.

Are you still being
a bitter working mother?

I am. I have pee on my shoe.

You're a doctor. Can't you call it urine?

Because "urine on my shoe"
is more appealing?

I need help!

Oh, there's an accident.

- Is it bad?
- It doesn't look like it.

I gotta go-

I'm fine.
There was a woman on a bicycle.

I think I hit her. I heard my tire blow.

Hurry! Someone call 9-1-1.

I'll do it. I'll call.

She's being
crushed under there.

Does anybody know CPR?

Can you hear me?

I'm a doctor. What's your name?

Melissa.

I can't breathe.

Okay, Melissa, we're gonna
get you outta here. Okay?

I'm a doctor. She can't breathe.

We gotta get this car off of her.

I'm on with 9-1-1
and they say don't move her.

The paramedics are on the way.

She can't breathe!
She will die before they get here.

Look, I don't wanna be
responsible if she's paralyzed.

Don't you see she's dying under there?

Do you wanna be responsible for that?

I need someone to help me
move this car.

Is anybody gonna help me?

Is anybody gonna help me?

Come on, guys. We got this.

Ready, guys. Okay, everyone on three.

We got this, okay? Here we go.

One, two, three.

Come on!

Just a little higher.

Okay, let me help you.

Okay, easy, easy. Okay!

She's out.

Oh, she's blue.

Come on, damn it. Breathe.

Come on. Breathe.

Breathe.

Breathe, damn it.

Oh, she's alive.

She's alive.

She's alive.

Dr. Yang.

I hope you got some shut-eye.

A gastropericardial fistula
came into the ER,

and I'd like you to join me.

Uh, with a pneumopericardium?

A huge one.

Did you do
a pericardial decompression?

Just about to.

I can't. I'm scrubbing in with Thomas.

Cristina...

I'm offering you
a gastropericardial fistula.

Chocolate? Pretzels? No. Chocolate.

Dr. Yang.

Sorry. Not available.

Wilson, I've got cyclist versus auto.

Multiple crush injuries.

I need you to call upstairs.

Tell them we need a trauma OR.
Open, and get Ross.

He's on my service.

You, I need you to go get my car.

It's at the intersection
of Fourth and Pike.

In the backseat, there's a box
of frozen fish sticks.

Grab 'em, nuke 'em,
bring 'em up to daycare

for Brazil day.

Grey, you know you just
stole my intern?

Sorry.

It's interesting how crazy you can be

and still comb your hair.

I find her delightful.

Yeah?

You got a bug-out bag
in that big ol' car of yours?

I have no desire to survive Armageddon.

When the big one hits,
I want to go quickly.

Huh.

You didn't mention your surgery

was an aneurysm
the size of a honeycrisp.

It's an apple, the state fruit.

I don't recall mentioning
this surgery to you at all.

Dr. Yang, could I talk to you?

That aneurysm is a disaster area.

We have a solid surgical plan.

Let me assign the surgery
to somebody else.

No.

Look, I don't know what's going on.

Maybe you pity Thomas.

Maybe you actually like him.
Hell, I like him.

He's a great old guy.

But there's nothing to gain
by working with him.

Nothing.

There is, actually.

Suction.

There's a lot of blood.
Suction keeps clogging up.

Adjust the angle. Lower your hand.

Ross, let's run the small bowel.

How do I do that again?

Just take them in your hands,
look for injuries,

nice and slow.

Hey, I just dropped Sofia off at daycare.

Did you remember
it was Multicultural Day?

Yeah. I made fish sticks.

Ugh, I signed up for plantains
and I totally forgot.

I'm sure no one will notice.

Yeah, well, Mark
always kept track of that stuff.

Okay, the break
is near the femoral artery.

Ooh, she's losing a lot of blood?

Um, yeah.

Suction.

I'm trying.

Okay, Wilson, just get in there

and scoop it outwith your hands.

Just scoop it out.

Just get right in there.

This would go faster if I used scissors.

Well, when the tissue
is this thin and friable,

I find the fingers are easier
to isolate the anatomy.

Oh, there you go.

Okay, I've located the insertion point

in the carotid.

Ah, Dr. Parker.

Two visits in one day. What a treat.

Well, it's my job
to ensure my department

is working to the highest standard.

Oh, nonsense.

You want the front-row seat
to my inevitable demise.

I hope you'll forgive me if I disappoint.

Dr. Yang, are we ready
to bypass to the subclavian?

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

- Did the aneurysm blow?
- Hold pressure.

I'm trying to. I'm trying to.

The hole's getting bigger.
Damn it. Damn it. Damn it.

Watch your language, Dr. Yang.

I run a respectable OR. Clamp.

Dr. Yang, I suggest you get one, too.

Put her on bypass. You need time to...

Listen to me. Dr. Yang will tell you

that I have been doing this
since the Jurassic Period.

We'll have this done in a jiffy.

That's it. I'm scrubbing in.

Clamp on.

Let's go, Dr. Yang. Time's a-wasting.

Okay.
The liver's exsanguinating.

Ross, suction.
Wilson, grab a clamp for this.

Right away.
Which one should I ask for?

Debakey.

Uh, good news. We tracked down

the young woman's parents in Toronto.

They're getting the first flight.

Suction, and let's hang more blood.

That one makes 57.

Grey, we've replaced her entire
volume of blood four times.

I got this. More laps.

It might be time
to pack her and let her rest.

Looks like you're at a point
of diminishing returns, Grey.

There's a limit to how much
this patient can take.

She was crushed by two tons
of twisted metal.

That's a lot of trauma for the body.

I know.

I know exactly how much
trauma that is for a body.

I'm not doing damage control here.

I'm not gonna pack her up
and hope for the best.

- I need you to stop.
- She needs an intact liver.

Meredith, just take a second.

I am trying to save her life.

Hands off the patient. Now.

Grey-

Let's pack her up.

That was a train wreck in there.

We saved her life.

That aneurysm could have blown

no matter what we did. You know that.

You should've listened to me

when I suggested that you put her on...

You walk into my OR

in the middle of a surgery

and try to backseat drive?

I'm trying to help you, Craig.

I'm not Craig. I'm Dr. Thomas.

And I don't need or want your help.

Dr. Thomas,
you're a danger to our patients.

I need to see a patient.

Surrender your license.

Go out gracefully. It's time.

I will not step down.

Okay. You want to go that way,
we can go that way.

Starting today, I sign off
on every patient you see,

every scan, every Band-Aid.

Talk to him.

Please.

So her liver has been packed.

The next 24 hours are crucial.

Monitor her closely.

Um...

Meredith, do you have a moment?

Do you want me to take point on this?

On my patient? No.

Meredith, I'm concerned that...

This may be hitting
a little too close to home.

I mean, after what
you've been through, what...

What happened with your sister...

Same injuries, same age.

What's your point?

Emotions might be
clouding your judgment.

They're not.

Excuse me.
I have to go check on my patient.

What happens now?

The next few hours are critical.

When she wakes up,

if she can speak
and move her arms and legs,

then we'll know she got good blood flow

and that the grafts held.

I'm sorry... Uh...

Flowers aren't allowed in the CCU.

We have a seed bank in case, you know,

it all goes to hell.

We have every grain

and every fruit and vegetable you need.

Katy was like,
"What about the flowers, Will?

"If the world is ending,
I'm gonna want something beautiful."

You know, I'll put them just outside.

She can see them from there. Okay?

This is my fault.

The aneurysm would've blown

no matter whose hands were on it.

Her vessels are cotton candy.

I know, but Parker wouldn't have given

that surgery a second thought

if I wasn't in there with you.

Oh, don't flatter yourself.

That man has been after my hide
for a long time.

Probation is one step away
from being fired.

You know, I find it a little unseemly

to worry about
my employment prospects

when there's a woman's life
hanging in the balance.

Come on.
I'm gonna give you a ride home.

We have another surgery tomorrow.

You need your sleep.

It's going to be fine.

Thomas made me leave my patient.

Now she's gonna die, and he'll be fired.

Well, I'm leaving my patient, too.

I have to pick Zola up from daycare,

and Derek's out of town
so it has to be fine.

It's not gonna be fine.

She's surrounded by interns.

That's one of the signs,
Meredith, like locusts

or the four horsemen of the apocalypse.

Well, except there's only three of them

and it's one night.

You need a bug-out bag.

What's that?

Like a diaper bag for adults.

I'm making mine right now.

Well, what do you have so far?

Tequila.

- Well, that's a good start.
- What else?

Well, the sign
of a well-packed diaper bag

is backups in case you run out.

- So more tequila?
I am out

trying to have one night,

and my intern decides
to close my patient's wound,

an infected wound,

which I left open to heal.

Dumbass, over-eager,
barely-out-of-med-school child!

I'm staying.

I'm going back.

- Hi.
- Hi.

Hey, cutie pie.

I gotta run.
My interns are with my patient.

There's extra clothes in the bag.

- Okay.
- Okay.

Hey.

No, no, no. No.

No, don't do that to yourself.

It's good for her to see you work.

It is good for her to see you achieve.

Yes. That's how she'll become
CEO one day.

Yeah? 'Cause mommy works.
That's good.

Okay. I owe you one.

My first surgery's at 10:00.

I'll just drop her off
at daycare with Sofia.

Okay. Bye.

Well, can't you just give
your sex friend more sex

in exchange for not firing
your old man friend?

Ew, I'm not a prostitute.

Besides, I thought of that.
It's just way too much sex.

She is barely hanging on.

Should I take her back into surgery?

What does Webber think?

He thinks I'm too emotional
to handle this.

Vitals check.

Okay-

Are you still there?

Yeah. Why are you whispering?

Granola guy's asleep.

He brought his own hemp pillow.

Stable over here. You?

Stable-ish.

Maybe we should try to get some sleep.

I'm not gonna be able to sleep.

Yeah. Me neither.

You know what we need?

What?

A 30-second dance party.

Okay-

I'm too tired.

Yeah, me, too.

- You do n.
- Uh-uh.

Dr. Yang!

Please be alive.

- Please be alive.
- Please be alive.

Good news.

Ms. Doomsday is doing great.

While you were getting
your beauty sleep,

a lot has happened.

Katy, why don't you fill in Dr. Yang?

Although she hasn't had her coffee yet,

so maybe just give her
the broad strokes.

You guys are gonna go ahead
with my second surgery

this afternoon.

Dr. Yang will start to prep you...

As soon as she brushes her teeth.

She needs another surgery
to take out the packing

and check for more bleeding,

but right now
she would never survive it.

So what do we do?

There's a perfect window.

We have to correct her acidosis

and her hypothermia

and make sure her coags are stable.

And until then?

Until then, we have to try
and keep her alive.

I am so sorry. I'm so sorry.

I have surgery in ten minutes.
I tried leaving her in daycare,

but she's running a little fever.

No big deal.
I'm sure she's just teething.

But they won't take her

if she hasn't been fever-free
for 24 hours.

Did I mention I have surgery?

- In ten minutes.
- I'm sorry.

Dr. Grey, the patient's BP
just plummeted to 70 over 50.

Crap. Edwards.

No, I... No.

I did your fish stick drop.
I valeted your car.

I am here to practice medicine.

Great. Monitor her temp.

If it gets above 101, give her
a teaspoon of acetaminophen

and push fluids.

Her sippy cup is in the bag. Bye, Zo.

Bye-bye.

This is a bad idea.

Parker will never sign off
on this surgery.

I can't tell you

how strenuously I object
to your extracurricular gymnastics

with that man.

He's making you conventional
and skittish.

You know,
condoms don't protect against that.

How did...

You were the first one to point out,

I've been around a long time.

Now Katy is awake, she's speaking,

she's moving her extremities.

Yes, but...

The repair worked,
so why put her in danger

of another life-threatening aneurysm?

Well, what about Parker?

I spend very little time
thinking about him.

Can I assume that's your child I hear

wailing outside those doors?

Well, she has a fever,

and Derek is out of town,
and I have this patient...

Dr. Grey, you know why men
think they can run the world

and women can't?

Because of crying babies.

I was hoping no one would hear it.

Uh, we can all hear it.

I can hear it.

Dr. Ross out there can hear it.

Only difference is,
the crying doesn't affect him.

But you and I are
genetically predisposed

to respond to crying babies.

It's pulling your focus.

It's gonna be fine. I'm almost done.

Okay, this is about world domination.

If we're going to take over,
we need to have our babies

crying somewhere other than the ICU.

Dr. Yang, could you go over
the risks of the surgery

one last time?

Will, Dr. Thomas went over
all of it already.

I could die or turn into a potato

or start leaking
unicorn poop out of my ears.

I signed the scary paper already.
I'm doing it.

He also said that you could
live with this condition

for years without another aneurysm.

Right?

Yes.

Last night, I didn't know
if you'd even wake up.

And now I know what the end
of the world feels like,

and I don't want to feel that again.

You want me to live

with a sword hanging
over my head every day,

afraid to hiccup because
I might blow an aneurysm?

That's not living, and you know it.

We take action, Will.

We look disaster in the eye

and we do not shrink with fear.

Tell him, Dr. Yang.

Tell him it's gonna be all right.

Scissors. Get the tube ready.

Got it.

Hey. I'm here.

Lung collapsed.
I have to do this chest tube.

I can keep her till 3:00, but then

I've got a hernia repair.

Hey, Brooks,
see if Zola's temp is down

and if you can sweet talk
daycare into taking her back.

- Okay. Got it.
- Tube is in. Zero silk.

I'll just go get her.

Okay, don't forget her diaper bag.

She's got extra clothes in there, diapers.

The sippy cup is in the side pocket,

and if she goes pee-pee in the potty...

Meredith, I'm not gonna
potty train your kid.

Right. Okay. Sorry. Forget it.

Already did.

He's doing it, Mer.

He's doing the surgery.

And if he does it, he'll get fired.

Yeah.

I need to figure out

the exact right time
to reopen my patient.

A month ago, this would've been
someone else's decision.

I was just a resident along for the ride.

Now if I misjudge...

Yeah.

Doomsday.

Yeah.

You know what we need?

Dance party?

Nope.

We need to buck up.

Yep.

Dr. Parker.

Ah, Dr. Yang.

You're a day late and a dollar short.

I just had to reopen
my gastropericardial fistula...

You need to take Dr. Thomas
off probation.

I take it you weren't able to convince him

to go gracefully?

Why would I?

- He's a liability.
- Because he's old?

No, because he habitually
undermines my authority.

Look, you were in that OR yesterday.

Yeah, he saved our patient's life.

He was insubordinate and reckless.

He cut out her aneurysm
and interposed a graft

in under 30 minutes.

Now I can't do that. Can you?

There's no good reason...

Cristina, there is no point
in belaboring this.

It's done.

Then undo it.

Let him ride out his tenure.

Firing him would be bad for the hospital

and bad for you.

Please, just let this slide.

Look, I know you're in
an awkward position,

and it's partly my fault
for sticking you with him.

You came in a little strong,

and I felt like I needed
to temper your overconfidence.

But he's holding you back.

And once he's gone, you'll see that.

Okay, her temp is 96.
What were her last coags?

Her INR was 1.3,

and I tested her pH levels
two hours ago, and it was 7.29.

Okay, let's run 'em again.

Why the hell are you
sitting out in the cold?

Sun's out. Gotta take advantage.

Let me do the surgery
with someone else.

Dr. Yang...

Or go kiss his ass. Play politics.

I don't think you understand
how serious he is.

There is a path that a doctor
walks in this hospital.

They begin by thinking
that I'm some sort of God.

Then they start to worry that I'm insane.

And then they take
some comfort in the notion

that it's just senility.

I mean, we've gone from
"A" to "Z" in no time at all.

Yeah, well, if this goes south,

it could be the end for you.

So be it.

Maybe I'm ready.

Well, I'm not.
You can't leave me alone here.

Oh, we're talking about you now, hmm?

You should've raised the flag.

I couldn't work here without you.

You're afraid to fly.
You're not going anywhere.

Hey, it's not funny.

No, it isn't.

You love me more than anybody has

in a very long time.

Look, if I'm going,

I want to go down fighting
for something that I believe in,

for this young woman's future,

and these women who have
so much to live for.

Come on.

You know I'm right.

You know that she deserves
this surgery.

And we're the best team to do it.

So...

You decided to go back in.

This is my window.
Her pH and coags are good.

She'll never make it through another day

if I don't stop this bleeding.

What?

Oh, nothing. I just, um...

Don't. Don't say it.

Say what?

This is nothing like
what happened in the woods.

We are in a hospital
with medical resources

that we could only dream
of having out there.

And I'm gonna use them

and try like hell to save this girl's life

so when her family comes
I can tell them she's alive.

So don't say this is Lexie. It's not Lexie.

Good luck.

That's all I was gonna say. Good luck.

Oh.

Thank you.

And it's the right call,
bringing her back in.

I was gonna say that, too.

So we'll take the packs out slowly

so that we can look for the bleed.

Wait. It's 4:30.

I thought you were with Zola.

No, yeah, 4:00 to 5:00,
that's Dr. Kepner's shift.

Yeah, that was before
my surgery went long.

23-year-old with more gallstones
than I've ever seen.

It's weird, right,
23-year-old with gallstones?

April, who has my daughter?

Um...
4:30... Jackson, I think.

April.

When I realized
my surgery was going long,

I sent my intern to make sure

that Alex could take her for longer,

but he couldn't push his surgery again,

so he left her with Ted,

so I was just about to go
relieve him right now.

Unless Jackson got there first.
His shift was after mine so...

Who's Ted?

Nurse Ted from the ER.

And I can tell by the look on your face

that you don't know who Ted is.

Um, don't worry about it.
I'm going there right now.

Zola will be fine. Okay?

Ross, follow her. Do not leave her side

until my daughter
is physically in her arms.

On it.

Ready, Dr. Yang?

Ready, sir.

- Scissors.
Here you go.

- Wire cutters.
- Wire cutters.

- Balfour retractor.
- Here you go, Doctor.

Sternal retractor.

- Retractor.
- Here you go.

These vessels are so fragile.

Let's go gently.

You're gonna have to suction
like your life depends on it.

If your hands move even
a centimeter without my say,

she's gonna bleed out.
Where's my suction?

I'm trying, but there's
a lot of bleeding over here.

Okay, keep trying, Wilson.
Wilson, hold still.

I thought I was.

Ross, are you sure my kid's okay?

It's like Camp Zola
in the attendings lounge.

She was smashing gummy worms
into her face when I left.

Who's letting her have gummy worms?

You're right. It doesn't matter.

Get in here and help retract.
I need more visibility.

If this continues to go this well,

I'm prepared to put your name first.

When we publish? That's big of you.

It is.

You know what?
You need it more than I do.

This could be your last journal article.

Is that your version of "thank you"?

No, it's my version of, "This is the end.

"Get while the getting's good."

Thank God I never had children.
They'd be just like you.

I'd have drowned them
like puppies in the river.

Oh, come on. I'm your dream come true.

That is the truth.

You're gonna make me gag.

BP's dropping.

This is really a lot of blood.

Who moved?

Somebody moved. Say it now.

I did.

Just a little. I'm sorry.

It's okay. It actually helps.

It means the bleeder's
in the retroperitoneum.

Okay, now literally this time,

nobody move.

Don't be crass.

Women of your generation
think they have to be crass

or no one will believe their strength.

You're fighting a battle
that women of my generation

have already fought for you

so you could have the grace
to appreciate their work

and move on to something else.

Yeah, I'm still gagging.

You know what?
These sutures aren't holding.

Can I have another 4-0 Prolene, please?

BP is really down.

I'm well aware of that.

Stop looking at the monitors

and just help me find this bleed.

Watch your dissection

and don't hold your breath.

Now you're gonna tell me
when to breathe?

Renal vessels are clear.

Damn it. Keep retracting.

You hold your breath when you stitch.

When you stop breathing,
you stop thinking.

It's a mistake.

Now what?

Hang on.

I'm breathing.

Slowly.

Not like an anxious hyena.

Freeze. Keep your hands
where they are.

We have to find the source
or she's dead.

Okay, do not panic. Don't panic.

My name will be first.

Saw that coming a mile away.

You will be the surgeon
of your generation.

I knew it as soon as I met you.

People will try to diminish you
as they did me,

and they will fail.

I would like it to be known
in the medical community

that I helped train you.

Hmm?

Okay. Your name first.

Found it. Clamp.

Tiny tear in the external iliac.

Whew.

Okay, does anybody know
what we do now?

- Ligate the artery.
- Nope.

Replace the clamp with a patch.

Nope.

Then what?

30-second dance party.

Dance or you're fired.

That clamp's coming up.
Can you adjust it?

Can you reach it, Pops?

Dr. Thomas?

Dr. Thomas?

Thomas! Dr. Thomas.
I need another clamp.

Move! Move! Move!
- Someone get to him.

- What's going on?
- I don't have a pulse.

- Get a crash cart.
- Right away.

Grab his clamp. Damn it.
I need a better angle.

- Switching sides.
Let's get an IV set up.

Get gowned and gloved.

What's happening?

Are the paddles on?
He's in v-fib.

Charging.
- Shock him. Charge to 200.

We're on it. Clear.

- Nothing.
- What the...

He collapsed in the middle of surgery.

We already shocked him once.

- Charge to 300.
Charging.

Why is this surgery even happening?

Don't worry about that right now.

Clear!

Nothing. Go again.

Charging.
- Is there a pulse?

Clear!

Parker, is there a pulse?

Someone tell me what's going on.

Starting CPR.

Deal with your patient, Cristina.

Don't hold your breath.

You stop thinking
when you stop breathing.

Breathe. Please, God.

Breathe.

Oh, God.

Please don't tell me that she's...

She's okay.

Katy has a strong heart.

She should have along life
ahead of her,

along, long life.

Thank you.

Thank you.

She's okay.

Breathe, Dr. Yang.

Don't be crass.

You're skulking.

Women of your generation
are graceless.

It's an affront to nature.

Mediocre surgeons will see you

and feel themselves wilting
in your shadow.

Do not shrink to console them.

Do not look for friends here.

You won't find them.

None of these people have
the capacity to understand you.

They never will.

If you're lucky,

one day when you're old
and shriveled like me,

you will find a young doctor

with little regard
for anything but their craft.

And you'll train them like I trained you.

Until then, read a good book.

You have greatness in you, Yang.

Don't disappoint.

Oh, my God. Where is she?

Who has Zola?

Ah!

There she is. There's your mama.

Kepner had to scrub in on a colectomy

so I took her, right?

Hi.

You look like you're feeling much better.

Mmm-hmm.
Well, we read Goodnight Moon

a couple times, didn't we?

And then you tried to show me
how to play patty-cake, right?

And it turns out, Uncle Owen
is pretty terrible at that.

Oh, and her fever broke
a couple hours ago.

Uh, 99.2 last time I checked.

Dr. Grey! Dr. Grey!

Is she crashing?

Melissa's asking for you.

Go, go. I don't need to be anywhere.

Okay. Bye, Zozo.

Say bye. Say bye.

Hey, you, what we gonna do?

We're gonna do high fives. Patty-cake.

Patty-cake, patty-cake, patty-cake.

Melissa.

Meet Dr. Grey.

Hi.

Hi.

I...

...don't know how much you remember.

I was trapped...

Under something.

And you were there.

You were there, right?

I was. I...

- Thank you.
Thank you, Doctor.

What's this?

My list of Tucker-tested babysitters.

You need a deeper bench, Dr. Grey.

You're an attending now,

you never know when a crisis
is gonna happen,

and this is gold.

I don't give it out to just anyone.

Thank you.

Don't wake up.
Please don't wake up.

Good girl.

Oh, God. No!

Not tonight.

Not one more thing.

Oh...

I downed the tequila bottle
from my diaper bag.

I can barely...

I don't even know what my name is.

Lexie's dead.

Yeah.

Everyone's dead.