Grey's Anatomy (2005–…): Season 9, Episode 8 - Love Turns You Upside Down - full transcript
In an intern-centered episode, Jo and Alex work closely together and Jo discovers she has a certain image. Meanwhile, Meredith's intern is forced to find a donor nerve for Derek's hand and ...
Most people hate hospitals.
But not the interns.
For them, the hospital
is a magical place.
It's poetic...
The rhythm of the machines,
the crackle of a trauma gown.
It's a place full of promise,
excitement,
surprises.
It's a place where
dreams can come true.
Just look at them. They're
so... (Indistinct conversations)
fresh and shiny.
Laughing, talking. It's
pathetic. (Interns laugh)
They're pathetic.
I can't believe we used to be them.
Why are they still staring at us?
Just keep busy and look cool.
Come here.
Shane's right. Just gotta focus.
On what, your boobs? (Laughs)
(Jo) Breast awareness is the first,
and most important part of breast health.
(Laughs) My cousin thought
that she had breast cancer once.
But it turned out it was just a big zit.
Hey, if you need a breast exam...
I don't.
(Teeth clenched) Are they still out there?
Rounds are in five minutes, freaks.
(Indistinct conversations continue)
Coast is clear.
Oh, thank God.
You're on peds, right?
Do you want to switch? I'm with Yang.
No, I am not feeding your
creepy obsession with Karev.
Ooh. Well, guess you'll be stuck
watching me outshine you all day, Murphy.
Don't take it personally. Yang loves me.
(Shane) No way I'm trading.
I've got outpatient surgery with Kepner.
Sounds like I'll be cutting all day.
Kepner... dud of attendings.
No way you're doing something that cool.
I like Kepner. She's the only
one who's actually nice to us.
'Cause she's the dud.
Well, I'm in the pit with medusa today
if anybody wants to trade with me.
- Nope.
- No.
- No.
- Unh-unh.
(Indistinct conversations)
(Baby fussing)
- You're late. I hate late.
- NICU.
Who's presenting?
I guess I am.
Samantha Morgan, 3 months old.
Born with idiopathic
neonatal cardiomyopathy.
She's currently status 1b
on the heart transplant list.
What did I miss? Is there
any update on a heart?
I know how hard it is to
just sit here and wait.
But sometimes that's all we can do
until a heart becomes available.
77 days.
That's how long she's
been on the list already.
But who's counting, right?
She'll get a heart. I know she will.
The good news is, your
daughter's stable for now.
Oh. Oh, no, she's not...
He isn't...
I'm not, um... Laura and I met here.
Our kids were born about a week apart.
My son Rhys is right over there.
We're both doing all of this alone.
It helps to have a second set of ears
to hear all the medical jargon.
My turn next?
Yes.
(Baby crying)
Rhys Rutstein, status 2 on
the heart transplant list,
born with a single-ventricle defect.
Post-op from receiving a central shunt
and recovering very well.
It's possible you might
be able to take Rhys home
some time next week.
Home? Next week?
Ah, yes. There's no reason Rhys
has to wait for a heart here.
Oh, Noah. That's amazing.
Oh, I'm not... (Laughs)
I... I don't think I'm ready for this.
I mean, I am, but...
home...
without all the doctors or nurses or you...
You can do this. You and
Rhys are gonna be just fine.
We'll check in with you later.
(Crying continues)
Dr. Yang, did you read
the recent "West Coast
Surgical Journal" article
on central shunts?
They listed some very
compelling statistics.
No, I didn't.
I'll get you a copy.
Mm. Check out the new girl.
I was gonna call her Droopy.
But maybe Perky now.
Or doc.
(People speaking indistinctly)
Hey. (Sighs)
(Whistles) Damn. Look at that thing.
Mm. (Chuckles) What do those run, 5k?
- I don't know. It was a gift.
- Oh, from daddy?
No.
All right. Don't get defensive,
princess. Just a question.
Here.
What's this?
That's your job this morning.
I'm on my way into surgery.
But, uh, little Carter Kaynig in room nine,
he swallowed some crayons.
Crayons aren't toxic. Don't
we just wait for them to pass?
That's exactly what his
parents have been doing
for the past eight days.
Bowel's impacted.
The kid's in a lot of pain,
and he won't be passing
it on his own, so...
You don't want me to...
Start digging, princess.
Oh. You might want to
take off your watch first.
(Elevator bell dings)
Dr. Kepner.
I'm here, I'm ready, I'm excited...
Stop right there.
That... all of that fake enthusiasm...
I see through it,
and I don't appreciate insubordination.
Okay? So just order these
by date of appointment made.
Uh... okay.
(Sighs) Problem?
No, no, no. It's just...
outpatient surgery.
I was hoping I'd be doing some
surgery on the outpatients.
Oh, you'll be cutting.
It's lump and bump day.
Yay? (Elevator bell dings)
This hospital likes to schedule
all of its outpatient
mass and growth removals
on one day.
So one lucky surgeon will find herself
carving out glorified
pimples for 12 freakin' hours.
It's called whittling.
A hillbilly with a pocketknife could do it.
Come with me. (Exhales)
(Indistinct conversations)
(Sighs)
Mr. Publer?
Pube... Publer?
Pu-Publer?
(Shane) We're seeing all of them today?
Oh, this is just this morning's.
Sharpen your pocketknife, Jethro.
(Indistinct conversations)
Mrs. Crossley's getting a pacemaker today
for a complete heart block.
Barring any complications,
she'll be going home this afternoon.
What'd they say?
(Raised voice) I'm going
home later today, honey.
Oh. (Normal voice) Sorry.
He's deaf in one ear.
We'll be prepping you for surgery soon.
It should be a fairly simple procedure.
Well, I wasn't planning
on staying here overnight.
(Raised voice) No one's
arguing with you, honey.
Okay. See you soon.
I took the liberty of
reserving O.R. three for you.
I know you prefer it.
And I e-mailed you a list
of Mrs. Crossley's latest
rhythms for reference.
(People speaking indistinctly)
Perky...
(Elevator bell dings) man the NICU.
Check my post-ops. Grumpy, scrubbing in.
Ah, look at that. Guess I'm scrubbing in.
(Claps hands)
(Singsongy) Mm. Mm-hmm.
Mm-hmm.
(Snaps fingers)
(Sighs)
(Indistinct conversations)
♪
(fabric snaps)
(Crashes)
(Heartbeat thumps)
(Heartbeat stops)
(Heartbeat thumping)
What are you doing? (Sound whooshes)
Oh. Uh, I'm sorry. I was... I was just...
Never mind. I don't care. Go away.
(Indistinct conversations)
(Siren whoops)
Help. We need a doctor. Help.
Sir, sir. Just calm down.
Please. Just tell me what happened.
I think we killed Bigfoot. Bigfoot?
Yeah.
I was just having a go at some whitetails,
and I heard this scream.
You shot someone?
I... I didn't see him. I swear.
It just happened so fast,
and then I saw this thing coming at me,
like... like a monster.
- Did you shoot him again?
- I may have fired a warning shot.
And I was just headed into town
and it jumped into the road.
I tried to swerve, but...
Wait. You shot Bigfoot?
And then you ran him over?
(Both) Yes.
Well, where's Bigfoot now exactly?
Ohh!
(Doctors scream and gasp) Aah!
Aah!
(Grunts)
(Medical staff speaks
indistinctly) You're doing great.
Ultrasound shows the baby has C.D.H.
I'm sorry. What?
Congenital diaphragmatic hernia.
He may not be able to
oxygenate well when he's born.
Well, why didn't you page Dr. Karev?
He's in surgery. He sent you.
Okay. Okay. Um, how old
is she... (Woman screaming)
- The mom?
- 15.
Aah!
Don't just stand around watching.
Do something. My baby's in pain!
Could you page Dr. Karev again, please?
Aah! I can't do this. I can't do this.
I can't do this. Yes, you can, Kimmy.
One last push. Here we
go. (Screams and groans)
(Exhales)
(Kimmy exhales)
(Medical staff speaking indistinctly)
Okay.
(Woman) Watch the monitor.
He's so small. He's just...
What do we do? What do we do?
You're the surgeon, hon. You tell us.
(Exhales)
(Breathes unsteadily)
(Rustles)
(Distorted beeping continues)
(Sound whooshes)
Dr. Wilson, what do you want us to do?
Okay, okay.
His sats are low. We need to intubate.
Get me a laryngoscope and intubation tray.
It hurts.
It's okay, sugar. It's okay. Right?
Everything is okay?
Okay, hand me a size 4 E.T. tube.
No, no, no. A smaller one.
Sats are dropping. There you go.
Okay, hang on. His epiglottis is floppy.
- There no time to hang on.
- What's happening?
Somebody want to tell
my baby what's happening?
If I could just get this tube to pass.
(Woman) Dr. Wilson...
Got it. Got it. I got it.
- You're doing just fine.
- Okay.
Now what's next?
Um, I think that, um...
How about suction?
And maybe you want to put
in an umbilical catheter.
Yes. Right. Yes.
And please page Dr. Karev again.
(Woman) I'll page him.
(Man) Guy's crazy, wearing this thing.
I... it's like he wanted to get shot.
Brooks, get over here
and help with the cutting.
(Monitor beeping erratically)
(Groans) Oh!
Did you cut him?
Don't cut my ghillie suit.
His what?
It's army issue. Best
damn camouflage there is.
Yeah, for war. Not hunting deer.
We wear orange coats for a reason.
Oh, I got it. I got it. (Fabric rips)
You know, I myself prefer hobbies like
stamp collecting or crochet...
something that doesn't involve guns and...
(Grunts) helpless little creatures.
(Beeping continues)
Um, Brooks, escort the
gentlemen outside. (Brooks) Okay.
This way. Hi, Dr. Torres, we just
heard back about the cadaver nerves,
but the longest they have is 7 centimeters.
Oh, damn it. We need more than that.
Okay.
(Miranda) No blood in the pericardium.
(Richard) There's definite
abdominal guarding.
Brooks, reach in my left
pocket. Get my phone.
Go into my phone book.
Go to "Shepherd... Nancy,
Amy, Liz, and Kate."
Call all of his sisters.
See which one's willing to donate a nerve.
First one that bites, grab me.
Okay, Derek was very clear.
He wants to use a cadaver
nerve for his hand surgery.
You're on sister duty. Go.
You're sure you don't need more hands,
you know, in here?
- We got this.
- Nope.
We got it. We should turn him over.
(Richard) Yes. See if
there's an exit wound.
- (Miranda) Yeah?
- Okay.
(Indistinct conversations)
(Woman speaking
indistinctly over P.A.)
(Sighs)
Fill me in.
Baby born with a C.D.H. I intubated him.
But the sats are still low.
Ah, it could be pulmonary hypertension.
You ever hooked a baby up to Ecmo before?
I never intubated a baby
before five minutes ago.
Okay, we hook up catheters into his neck,
pump his blood into the Ecmo machine,
which puts in oxygen, and
takes out the carbon dioxide.
Then it cycles it all back in.
Okay.
You need to make sure
that you get good borders
so we can send this to path.
Whoa. That's... (Inhales sharply)
Whoa.
What do you mean? What's "whoa"?
I don't know. It just keeps coming.
You don't know?
(Clears throat)
Hi.
I know how scary this must be for you.
But I want you to know that we are taking
really good care of you, okay?
Dr. Ross... (Clatters)
a word.
(Monitor beeps rhythmically)
(People speaking indistinctly)
What was that?
I don't know, but it's disgusting.
You were, like, a magician
with a handkerchief.
Ross, these lumps are attached to people.
Scared people.
You need to acknowledge
that fear and ease it.
You look them in the eye, you
talk to them like you care.
I-imagine if it were you and I was pull
a wormy handkerchief out of your flesh.
(Exhales)
I... I'm sure you think
this is beneath you.
Okay? I get it.
I know you guys call me "the dud."
But that doesn't mean that these patients
don't deserve your respect and care,
now matter how crappy you feel.
Do you understand?
I...
I think so.
Enough with the attitude.
(Man) Hello?
And here you go. I'll see you soon.
(Exhales)
(Clears throat)
Dude, I am a rock star.
I just rocked pacemaker
post-op dictation on my own.
That is how much Yang trusts me.
- That's cool.
- Mm-hmm.
Not as cool as this maybe.
That's disgusting.
Yeah. Hey, have you seen Leah?
'Cause I have some more gloating to do.
Oh, yeah. I just passed her.
9-1-1 in the NICU, I think.
(Cristina) What do you see?
(Monitor beeping erratically)
(Leah) Is that an
effusion around his heart?
- How could he have C.H.F.?
- He has a shunt.
His shunt might be leaking.
- He's tamponading.
- What happened?
He was fine, and then he just... he wasn't.
It's okay. It'll be okay.
Let's prep him for transport.
What can I do? Do you need
another set of hands in there?
I need you to keep an eye on my patients
and call the O.R. tell
them we're coming up.
Huh. Look at that.
Guess I'm scrubbing in this time.
(Beeping continues)
(Suction gurgling, monitor
beeping rhythmically)
Uh, the bullet's torn through the colon.
We're gonna have to resect this.
(Gurgling continues)
Um... she belong to any of you?
(Beeping continues)
(Meredith) Brooks, do I look
like I enjoy multitasking?
What's the report?
I... I left messages for Kathleen and Amy.
Nancy hung up on me. I called her back.
She hung up on me again so
I'm guessing that she's a "no."
But I did talk to Lizzie,
and she might be in.
Also, she wanted to know
what size Zola wears now.
And I thought maybe a 2-T,
but that's just a guess.
Anyway, can I scrub in? (Door opens)
(Derek) Meredith.
I just got a call from Lizzie.
She's under the impression
she's gonna donate a nerve
to me.
Yay!
Not yay.
I thought I made it clear, I
didn't want my family involved.
Well, a live donor nerve is preferable,
and it's definitely easier to find.
My hand, my sisters, my decision.
The longer we wait, the less chance we have
that it will work.
And we need this to work,
sooner rather than later.
Sounds like a no-brainer to me.
But what do I know? I don't have sisters.
Who'd you get to make the calls?
(Suction gurgling)
Call them all back and undo what you did.
Now.
(Door opens)
Don't undo a thing.
(Door closes)
(Alex) You're doing great.
You've isolated the
jugular and the carotid,
avoided the vagus nerve.
Now you need to put in a
venous drainage cannula.
(Monitor beeping
erratically) I hadn't even...
He's coding. Switch with me.
You need to do C.P.R. while
I hook the kid up to Ecmo.
At the same time? How will that work?
Start the compressions now.
(Beeping continues)
Stop.
(Beeping continues)
Go.
Keep going.
Stop.
(Gurgling)
Okay. Keep going.
(Beeping continues)
Stop.
(Beeping continues)
(Clamp clicks)
Go.
(Monitor beeping erratically)
How long have we been going?
20 minutes.
Stop.
(Beeping continues)
Karev, I heard you had a crash Ecmo.
You need my help? You need me to take over?
No, no, just connecting it to the circuit.
Okay.
Initiate bypass.
(Whirring)
(Beeping normalizes)
(Inhales and exhales deeply)
We did it.
(Chuckles) Son of a bitch.
And it seems like only yesterday that I was
showing you how to do your
first pulmonary hypoplasia.
I hope you're taking notes, Wilson.
He's one of the good ones.
(Monitor beeping rhythmically)
So what's next?
Well, now that he's hooked up to Ecmo,
the baby needs to be monitored 24/7.
Gonna be a long day and a longer night.
You might want to go grab
a power nap, princess.
Why do you keep calling me princess?
Mm. Have you seen yourself?
(Sighs)
(Beeping continues)
You see anything?
Looks great so far, ma'am.
Oh! (Squishes)
What is it?
Hi.
I know this must be
scary for you right now.
I want you to know we're gonna
take really good care of you,
okay?
There's just a little
gross... growth... bump...
on your...
bottom.
Excuse me.
(Indistinct conversations)
What do you do when you need to...
Sorry.
When you need the lab to fast-track a...
a specimen?
What is wrong with you?
That lady has the most
disgusting butt scab.
It's just...
Oh, my gosh. You're a child.
♪
(man) * then you thaw
♪ maybe not, no
Tell the lab to...
(Inhales sharply) tell them that I said
to push this to the front of the line.
(Exhales) We're gonna
need those results stat.
Would you mind doing it?
Nope. Yours.
(Exhales) (Door opens and closes)
(Inhales deeply)
♪ pushing on
Leah's a shark.
Don't know why Yang can't see it.
Oh, how great does this feel?
Hit me, vitamin D. Mama needs a power nap.
I smell crab cakes.
We're by the kitchen.
No, it's not crab cakes. It's meat loaf.
(Door opens) I love/hate
it so much. (Laughs)
(Exhales) Oh, man. It's
like Vegas in there.
No idea when it's day or night.
(Laughs)
Sun, meet Shane. Shane, sun.
Nice change from the black hole of sepsis
I've been staring at
for the past half-hour.
You should see the thing
growing on this one woman's ass.
It is so nasty.
Wouldn't bother me. I am
just fine with nasty things.
Although all Karev does
is call me "Princess."
What is that? I don't
act like some priss, do I?
♪ you started something
Am I prissy?
♪ yeah
What?
I am not prissy.
(Spits)
How do you like that?
You spit like a priss.
Stop.
(Cell phone ringing)
Just let it go to voice mail.
I can't handle another
raging Shepherd sister.
(Ring) Actually, I think
you should take this.
- It says "Bigfoot. 9-1-1."
- Oh!
♪ hey, hey
(door closes)
(Mouths word)
I'm here. I got your page. How can I help?
Oh, sorry, sorry. That was me.
I needed Grey. I forgot you had her phone.
Um, well, maybe I can help since I'm here.
I could... I could
irrigate that wound or...
(Cell phone rings)
(Ring) Are you gonna get that?
(Ring)
(Beeps)
Hello. Dr. Grey's phone. Heather speaking.
Oh, hey, Lizzie.
Yeah, I know. She just keeps
getting cuter every day.
Um... okay.
I'll ask.
Great. Bye. (Beep)
- What did she say?
- That Zola's the cutest niece ever
and she's wondering if
you're visiting for Christmas,
'cause there should be snow.
Okay. What about the nerve?
Uh, she's getting back to me.
(Cell phone rings and beeps)
Hi, again.
Mm-hmm. I understand.
It is a lot to ask. (Cell phone rings)
Hey, hang on.
(Beeps)
Heather Brooks.
Hi, Kathleen.
How did you get my cell phone number?
Sorry. Hang on.
Yes, Liz.
I... I have Kathleen on another line.
I... I... I don't know if
she booked her flight yet.
Please don't make me
repeat all of that to her.
(Cell phone rings) Sorry.
The other line's going.
(Beep)
Hello. Oh, hang on.
Dr. Grey, it's Dr. Simpson's office.
They want to confirm your ultrasound.
Hang up. Right now.
(Indistinct conversations)
(Beep)
(Beep)
(Monitor beeping rhythmically)
Oh, is Rhys out of surgery already?
No.
I just... I couldn't wait
in the surgical waiting area.
It's where I found out my wife had died.
It's not my favorite place.
Oh. I'm sorry.
They'll page me when it's done.
And in the meantime,
I get to watch Laura play
solitaire on her phone.
I'm addicted. It's pathetic.
She never takes her eyes off the screen.
You know, I don't even know
if she knows what I look like.
Big nose, receding
hairline, tiny, beady eyes.
Oh.
Well, I've been told I
look like George Clooney.
Dr. Edwards, I've got U.N.O.S.
On the line for Dr. Yang.
(Laura) Oh, my God. It
could be Samantha's heart.
Or it could be a routine call.
(Steph) This is Dr. Edwards.
Part of my job is to keep you
from letting your
emotions get away from you.
Remember?
But, yeah,
it could be her heart,
and by the end of the day,
- she could have a chance at a real life.
- Yes, I've got the chart right here.
- And Rhys is gonna get out of surgery. He's gonna be fine.
- Wait. What?
And they're both gonna be regular kids.
And you and I are gonna keep
being there for each other...
'Cause I can't imagine going
through any of this without you.
I mean, I... I can't
imagine life without you.
How is that for not letting
my emotions get away from me?
Okay. Good-bye.
Was that... is there a heart?
Uh, I... I'm... I'm gonna go find Dr. Yang.
(Monitor beeping erratically)
Dr. Yang,
I just received a call from U.N.O.S.
A heart's available.
We have an hour to let
them know if we want it.
We want it. Call them back right away.
(Beeping continues)
(Phone rings) Charge to 5.
(Defibrillator whining)
(Ring)
(Defibrillator beeps, paddles thunk)
♪
(baby cries)
(Monitor beeping rhythmically)
(Beeping continues)
(Beeping continues)
Is there a heart for Samantha?
(Sound whooshes)
Mr. Rutstein, could I talk to you?
Uh, what is it? Is Rhys okay?
He's still in surgery.
He's in critical condition.
Oh, God. It's gonna be fine.
Mr. Rutstein, could I
speak with you privately?
Oh. I'll be outside if you need anything.
(Exhales) No.
Stay. I... I want you here.
I need you here.
Rhys has gotten worse,
much worse, 'causing his status to change.
He's been moved to the
top of the transplant list.
There is a heart.
Our team is harvesting it as we speak.
But if it's in good condition,
it's not going to Samantha.
It's going to Rhys.
(Woman) Dr. Stein, call dialysis.
Dr. Stein, call dialysis.
Don't even try to get in on the transplant.
It's mine.
We don't have to do this.
The fighting, the competing, it's...
What's wrong?
You worried that Yang's
starting to like me better?
Please tell me that heart is on its way.
The harvest team will
be here in 30 minutes.
Good.
What's wrong with your face?
I had to tell Noah his son gets
a transplant in front of Laura.
It's like I personally
stole her daughter's heart.
An equation decides where the heart goes,
not us. I know.
Scrub in on the transplant, grumpy.
It'll cheer you up.
"Gosh. I'm so sad and sensitive.
I really could use some
cheering up, Dr. Yang."
Nicely done.
(Woman speaking indistinctly over P.A.)
(Ecmo whirring)
(Machine clicking rhythmically)
You're saying, the baby needs
that machine to stay alive?
Well, for now. Ecmo, it
works a little like bypass
to give your grandson's heart a rest.
For how long?
'Cause my friend Nikki's
having a party for me on Friday,
and I'm supposed to bring the baby.
Kimmy, your baby will be
here a lot longer than Friday.
How much longer? Weeks? Months?
It's hard to know at this point.
I'll have to call Nikki.
She ordered cupcakes and stuff.
Mom, where's your phone? Oh, here.
Kimmy, would you like to
go in and see your baby now?
No, thanks.
Are you sure? You won't hurt anything.
I can wheel you right up next to the bed.
It's not like he's gonna
know who I am or anything.
I'm tired. Can I just go back to my room?
Sure, baby.
Oh, I can't believe we didn't
get through everybody today,
and now... I am on lumps
and bumps again tomorrow.
Still, we got through a bunch of...
Word of advice.
You want to avoid lump and bump day again,
just make sure you pass your stupid boards,
or you will always
get stuck doing...
(Indistinct conversations)
Sorry. Um...
You can go, Ross. That's all.
You want me to help tomorrow?
Don't mock me, Ross.
It's been a long day.
Just... (Elevator bell dings)
Get outta here.
(Indistinct conversations continue)
(Woman speaking
indistinctly over P.A.)
Oh, my God congratulations.
No!
(Lowered voice) Did the doctor call back?
Yes.
To confirm your appointment
for the 8-week ultrasound?
So you know that?
I do?
Okay, let's be clear.
You never heard anything. You know nothing.
And you don't ever mention
any of this to anyone, ever.
You got it?
Is there anything else
you would like to say
before we drop this subject
for the rest of eternity?
Congratulations?
♪
(monitor beeping rhythmically)
♪
(beeping continues)
(Splashes echo)
(Beeping continues)
(Ice rattles)
(Beeping continues)
(Ice rattles)
(Woman) * baby, bet you
♪
(water bloops, instrument clatters)
♪ I want to
♪ take you out
♪ out, out
(sound whooshes) I can't wait to
scrub in on something like that.
That should be me down there.
Look at that.
Yang just ligated the pulmonary artery
with one stitch.
She's incredible.
Yes, she is.
♪
(chuckles)
(Monitor beeping rhythmically)
(Exhales) You sure you're not
asleep with your eyes open?
You've been staring at
that kid for an hour.
She didn't even want to see him.
She cared more about her best
friend's stupid pizza party
than seeing her child.
Well, she's 15.
It doesn't matter. She oughta...
You don't know her story.
Not everybody lives in a
perfect little world like you.
I never said my world was perfect.
Oh... (Sighs) Princeton,
Harvard, perfect G.P.A.
Look, not all of us go
to Ivy league schools
or drive fancy cars or rely
on our richy-rich daddies
to bankroll our pretty little lives.
Some of us have to
overcome more than others.
I know that.
So... get over it, princess.
You're in no position to judge.
♪ ooh, ooh
did you also know that I
blow my nose with $100 bills?
(Chuckles) Ha ha.
And my 1-year-old
birthday cake
was made out of caviar.
Gross.
Also, in one of the rooms
of my obscenely big mansion,
instead of paint, I just
lined the walls with mink.
(Chuckles) Shut up.
It's true.
Guess how many fireplaces I've got.
Four.
27.
Well, 28 if you count the Butler's room.
But, please, he's the help.
Explains a lot.
(Laughs)
Obviously, the next 24 hours
will be critical, but so far,
he is the poster child for transplant.
(Exhales)
Do an A.B.G. every two hours
and monitor his PH level.
(Monitor beeping rhythmically)
♪ baby
♪ bet you
♪
♪ I want to
hey.
We've been waiting for a heart for months.
Her sats aren't budging.
She's dying.
♪
I sit here and play solitaire
because I can't watch my baby die.
And I...
♪ take you out
that was her heart.
♪ ooh, ooh
that was her heart, and you...
♪ ooh, ooh, ooh, ooh
I want to be happy for you.
But right now I can't.
I just can't.
♪
(woman speaking
indistinctly over P.A.)
♪
oh, give me that coffee.
I'm so tired right now, I'm sleepwalking.
Which I do, by the way.
In college, I sleptwalk
into this guy's room,
and when I woke up, we were doing it.
Ew.
No, he was hot. (Laughs)
(Chuckles)
Oh. Where did you get that?
The coffee cart's closed.
Would you judge me if I told you
I stole it from a nurse
when she wasn't looking?
(Laughs)
She's a stealer, too. Little baby hearts.
No wonder you guys get along so well.
Aren't you supposed to be
with Karev in the ecmo room?
Yeah, but I keep falling asleep,
so he sent me out to walk
around and wake myself up
because a tiny, fragile baby's life
is in my very tired hands. (Yawns)
That's frightening.
No, it's not. It's awesome.
All the attendings are asleep right now,
and we're in charge. Mm.
We're saving lives.
I'm making phone calls.
Uh, lifesaving phone calls.
And you're removing warts.
And saving lives.
And she's stealing surgeries from me.
(Shane) Stop complaining.
This is it, you know? We're surgeons.
We're no longer med students
waiting to be surgeons.
We're...
Help! Someone help us!
(Shane) What the...
Oh, my God.
Oh, hell, no.
God, I love this job.
Mr. Crossley, you need
to put your wife down.
I've got her. Just let go of her ankles.
I'm not putting her down.
If I put her down, she goes out.
Sir, we're doctors. We can help.
Show 'em, honey. (Exhales)
♪ ooh, ooh
(grunts)
♪ ooh, ooh
♪ ooh, ooh, ooh, ooh
I can't feel a pulse. Starting C.P.R.
I'll grab a crash cart.
(Crossley) I'm picking her back up.
Sir, sir. You need to back away.
(Shane) Found one.
(Grunts)
(Gasps)
What the hell?
Now get us a real damn doctor!
(Siren wails)
(Monitor beeping rhythmically)
So, Mrs. crossley,
you went home, you were feeling fine,
you had a coughing spasm,
and then, uh, you passed out?
Yes.
She slipped when I tried to pick her up,
so I just grabbed her by her ankles.
And she regained consciousness.
Please tell me I don't have to spend
the rest of my life upside down.
Oh, no. Your coughing episode
knocked the ventricular lead
from your pacemaker loose.
We're gonna have to open you
back up and reposition the lead.
(Sighs)
(Smartphones chime)
(Callie) This is it, people.
Your chance to scrub in
on one of the coolest,
most innovative surgeries
you will ever see.
(Yawns)
Was that a yawn? Avery, did you see a yawn?
Brooks, you're out.
But...
If you can't handle one overnight shift,
you can't handle this surgery.
Look alive, people.
All right. Now the rest of you
will each get a chance
to examine our patient
before we move on to the skills
lab portion of the contest.
Dr. Avery, will you bring in our patient?
Now Dr. Torres and I will be
performing a nerve transplant
on Dr. Shepherd's injured hand.
We need an intern we can trust.
And that's saying a lot,
because we don't trust
any of you people yet.
Wilson, you're up.
Oh. I'm not gonna bite you, Wilson.
Right.
Mm.
And you're done.
(Exhales)
Edwards.
Did you do a proximal or a
distal repair the first time?
Come on. You should know the answer to that
by looking at the scars.
You're done.
You're done.
(Callie) Ross.
Hi. I'm Dr. Ross.
Yeah, I know who you are, Shane.
I know. I was just...
Um...
Do you have any pain with
prehension or pronation?
Yeah. It's getting worse, though.
Okay.
(Inhales)
(Exhales)
♪
♪
(sound whooshes)
I know this must be scary for you.
It would be for me. That's for sure.
But Dr. Torres and Dr. Avery,
they're really talented.
They're gonna take really good care of you.
I know it.
Okay, we're done.
I've selected our winner.
Ross is the only one who actually
treated the patient like a patient.
Congratulations. You're on the team.
Thank you.
Thank me later. He gets grouchy.
It's true.
All right. You can leave now.
(Indistinct conversations)
Mrs. Crossley's mine. I'm prepping her.
Not if I get there first.
♪
hey, no running!
(Man) * I wanna get going
♪ gotta get going
oh!
(Elevator bell dings)
Oh. Damn it.
I'm prepping her. Not you.
Looks like I'm the one who's
got the portable monitor.
I'm the one that's got
her leads. I got the chart.
Excuse me. Can I...
You don't get to steal this from me.
You stole the transplant from me.
I'm sorry, but I...
Gimmie!
Can you guys just hold on one second?
Ooh. Too late. I'm done.
Oh, my God.
Pull it out. Pull it out. What?
You hooked her o-2 to the I.V.
No, no, no, no, no.
If an air embolus gets into
her heart, it'll kill her.
What? Oh, my God. Oh, my
God. Oh, my God. Oh, my...
What's going on?
They're trying to kill
me! That's what's going on.
♪
(indistinct conversations)
Kimmy, hey.
If you want to get up to the NICU,
the South elevator's
actually a little bit closer.
I could take you there... that's okay.
Were you discharged already?
Where's the damn elevator?
Uh, my shift's not over
for another couple of hours.
What time are you coming back?
You don't have to talk to her, Kimmy.
I-I...
I'm not coming back.
Wait. What?
Of course you are.
Whoa. Hey, hang on. You can't just leave.
You have a baby. She has a baby upstairs.
He's 1 day old.
Yeah, and he's all messed up.
So you're just gonna... (Bell dings)
You can't... you can't abandon him.
No, you can't. No.
No! Let me on.
No. You don't want to mess with me.
You don't want to mess with me.
No, stop. You can't walk out on that baby!
You can't do that! Get off me!
No! Let her go!
No! Hey, let 'em go.
You're crazy!
Let 'em go.
Why aren't you in the tunnels?
Interns always hang out in the tunnels.
This place smells like fish.
(Man) We've got a delivery in a minute.
Look, I don't know what your deal is,
but you can't go around
assaulting patients.
She was abandoning her baby.
Then let the cops handle it.
It's not your job, princess.
Stop calling me princess!
(Sighs)
My mother left me at a fire station
when I was 2 weeks old.
I got bumped around
foster homes till I was 16,
when I took matters into my hands
and started living out of a car.
I parked it behind the
gym of my high school
so I could sneak in and use
the showers before class.
My home ec teacher... Ms. schmidt...
She let me do my laundry there for free.
And, yeah, I got into good schools
because I worked my ass off.
And when I walked across
that stage at graduation,
I didn't have a cheering section
filled with my richy-rich family.
I had one person... Ms. schmidt.
That's it.
She's the one who gave me this watch
when I got the job.
Her son works for the company.
It is a nice watch.
Thanks.
This was not just my fault.
It sure as hell wasn't mine.
You could have killed her.
I understand competition and drive,
but you two,
you need to figure out
how to work together,
and you better do it fast.
You're both off my service.
I'll do you one better.
You're both banned from the O.R.
Until further notice.
Thank you.
(Elevator bell dings)
(People speaking indistinctly)
(Woman speaks indistinctly over P.
A.)
Guess what.
Butt-scab lady was seen
by oncology last night.
The mass was malignant.
They said I might have got it all.
What are you doing here?
I told you I'd come help
with the rest of your
lumps and bumps today.
Who put you up to this?
Because nobody slums it down
here unless they have to.
I'm here because I want to be.
(Chuckles)
All I ever wanted to be was a surgeon.
And now Torres just chose me to scrub in
on one of the coolest
surgeries I'll ever see
because of you.
You gave me 27 solo procedures yesterday.
At least one of them saved a woman's life.
I'm grateful for this job
and I'm grateful to you.
I'm hardly slumming it.
So I'm gonna glove up
and I'm gonna help you with your lumps...
(People speaking indistinctly)
And you're gonna like it.
Okay. Fine.
But you get the nasty
smelling green one in bed two.
Ohh.
(Monitor beeping rhythmically)
I'm off Dr. Yang's service now.
But I wanted to come by one last time to...
I'm sorry, but...
Could you excuse me for just one minute?
Yes.
(People speaking indistinctly)
You okay?
(Beeping continues)
They say there's still a
chance he may reject the heart.
He won't reject it.
(Derek speaking indistinctly)
This happened before.
It has nothing to do...
Hey, you. (Elevator bell dings)
Yeah, you.
Dr. Shepherd.
Did you or did you not
shut things down with my sisters?
Don't bring Brooks into this.
You brought Brooks into this.
They are your family and
they want to help you.
(Sighs) Right?
Oh, oh. You're asking me? Yes.
Um, they seemed willing to help.
Of course they want to help
me. I practically raised them.
But if my sisters find
out that I need help...
Look, who did you call so I
can call and shut this down?
Don't tell him that.
Don't tell her not to tell me.
All right, enough.
You know that live nerves
are better than dead ones.
Even I know that, and I'm an intern.
And you. You put me in a
really awkward position today.
You just threw me to the wolves.
Not that I'm comparing
your sisters to wolves.
But oh, my God. They're out for blood.
They are furious with you that
you didn't call them yourself.
And they told me some things.
Okay? Unkind things.
And now I know stories
about you. And you, too.
I know things about both of
you that I don't want to know.
I don't want to be in on
your secrets or your fights.
It makes me really, really,
really uncomfortable.
Let me guess. Your parents
had a messy divorce...
(Groans) And always put you
in the middle. Am I right?
How'd you know that?
Lucky guess. Lizzie.
One of the wolves.
Good to see you, Mer.
I hope you got some baby pictures handy
because I did not take the red-eye
just so my brother could hack
my nerves into hamburger meat.
There don't have to be harps playing
or birds singing or rose petals
falling from the sky...
(Elevator bell dings)
I have never been this tired,
ever.
I have a jacket.
It's so far away.
I just want to go home.
Hunt really put you guys on probation?
(Men) * all around your place
♪
and there are definitely
days when the romance is dead.
♪
but...
If you look around...
(Sound distorts)
(Man) Coming through!
Things are pretty amazing.
♪
so stop for a second.
Enjoy the beauty.
Feel the magic.
Drink it in. (Man) Watch your back!
'Cause it won't last forever.
(Coughing) The romance will fade.
(Groans) Things will happen.
People will change.
(Man) Out of the way! Out of the way!
Love will die.
But...
Maybe not today.
(Sound whooshes)
I can't believe they used to be us.
But not the interns.
For them, the hospital
is a magical place.
It's poetic...
The rhythm of the machines,
the crackle of a trauma gown.
It's a place full of promise,
excitement,
surprises.
It's a place where
dreams can come true.
Just look at them. They're
so... (Indistinct conversations)
fresh and shiny.
Laughing, talking. It's
pathetic. (Interns laugh)
They're pathetic.
I can't believe we used to be them.
Why are they still staring at us?
Just keep busy and look cool.
Come here.
Shane's right. Just gotta focus.
On what, your boobs? (Laughs)
(Jo) Breast awareness is the first,
and most important part of breast health.
(Laughs) My cousin thought
that she had breast cancer once.
But it turned out it was just a big zit.
Hey, if you need a breast exam...
I don't.
(Teeth clenched) Are they still out there?
Rounds are in five minutes, freaks.
(Indistinct conversations continue)
Coast is clear.
Oh, thank God.
You're on peds, right?
Do you want to switch? I'm with Yang.
No, I am not feeding your
creepy obsession with Karev.
Ooh. Well, guess you'll be stuck
watching me outshine you all day, Murphy.
Don't take it personally. Yang loves me.
(Shane) No way I'm trading.
I've got outpatient surgery with Kepner.
Sounds like I'll be cutting all day.
Kepner... dud of attendings.
No way you're doing something that cool.
I like Kepner. She's the only
one who's actually nice to us.
'Cause she's the dud.
Well, I'm in the pit with medusa today
if anybody wants to trade with me.
- Nope.
- No.
- No.
- Unh-unh.
(Indistinct conversations)
(Baby fussing)
- You're late. I hate late.
- NICU.
Who's presenting?
I guess I am.
Samantha Morgan, 3 months old.
Born with idiopathic
neonatal cardiomyopathy.
She's currently status 1b
on the heart transplant list.
What did I miss? Is there
any update on a heart?
I know how hard it is to
just sit here and wait.
But sometimes that's all we can do
until a heart becomes available.
77 days.
That's how long she's
been on the list already.
But who's counting, right?
She'll get a heart. I know she will.
The good news is, your
daughter's stable for now.
Oh. Oh, no, she's not...
He isn't...
I'm not, um... Laura and I met here.
Our kids were born about a week apart.
My son Rhys is right over there.
We're both doing all of this alone.
It helps to have a second set of ears
to hear all the medical jargon.
My turn next?
Yes.
(Baby crying)
Rhys Rutstein, status 2 on
the heart transplant list,
born with a single-ventricle defect.
Post-op from receiving a central shunt
and recovering very well.
It's possible you might
be able to take Rhys home
some time next week.
Home? Next week?
Ah, yes. There's no reason Rhys
has to wait for a heart here.
Oh, Noah. That's amazing.
Oh, I'm not... (Laughs)
I... I don't think I'm ready for this.
I mean, I am, but...
home...
without all the doctors or nurses or you...
You can do this. You and
Rhys are gonna be just fine.
We'll check in with you later.
(Crying continues)
Dr. Yang, did you read
the recent "West Coast
Surgical Journal" article
on central shunts?
They listed some very
compelling statistics.
No, I didn't.
I'll get you a copy.
Mm. Check out the new girl.
I was gonna call her Droopy.
But maybe Perky now.
Or doc.
(People speaking indistinctly)
Hey. (Sighs)
(Whistles) Damn. Look at that thing.
Mm. (Chuckles) What do those run, 5k?
- I don't know. It was a gift.
- Oh, from daddy?
No.
All right. Don't get defensive,
princess. Just a question.
Here.
What's this?
That's your job this morning.
I'm on my way into surgery.
But, uh, little Carter Kaynig in room nine,
he swallowed some crayons.
Crayons aren't toxic. Don't
we just wait for them to pass?
That's exactly what his
parents have been doing
for the past eight days.
Bowel's impacted.
The kid's in a lot of pain,
and he won't be passing
it on his own, so...
You don't want me to...
Start digging, princess.
Oh. You might want to
take off your watch first.
(Elevator bell dings)
Dr. Kepner.
I'm here, I'm ready, I'm excited...
Stop right there.
That... all of that fake enthusiasm...
I see through it,
and I don't appreciate insubordination.
Okay? So just order these
by date of appointment made.
Uh... okay.
(Sighs) Problem?
No, no, no. It's just...
outpatient surgery.
I was hoping I'd be doing some
surgery on the outpatients.
Oh, you'll be cutting.
It's lump and bump day.
Yay? (Elevator bell dings)
This hospital likes to schedule
all of its outpatient
mass and growth removals
on one day.
So one lucky surgeon will find herself
carving out glorified
pimples for 12 freakin' hours.
It's called whittling.
A hillbilly with a pocketknife could do it.
Come with me. (Exhales)
(Indistinct conversations)
(Sighs)
Mr. Publer?
Pube... Publer?
Pu-Publer?
(Shane) We're seeing all of them today?
Oh, this is just this morning's.
Sharpen your pocketknife, Jethro.
(Indistinct conversations)
Mrs. Crossley's getting a pacemaker today
for a complete heart block.
Barring any complications,
she'll be going home this afternoon.
What'd they say?
(Raised voice) I'm going
home later today, honey.
Oh. (Normal voice) Sorry.
He's deaf in one ear.
We'll be prepping you for surgery soon.
It should be a fairly simple procedure.
Well, I wasn't planning
on staying here overnight.
(Raised voice) No one's
arguing with you, honey.
Okay. See you soon.
I took the liberty of
reserving O.R. three for you.
I know you prefer it.
And I e-mailed you a list
of Mrs. Crossley's latest
rhythms for reference.
(People speaking indistinctly)
Perky...
(Elevator bell dings) man the NICU.
Check my post-ops. Grumpy, scrubbing in.
Ah, look at that. Guess I'm scrubbing in.
(Claps hands)
(Singsongy) Mm. Mm-hmm.
Mm-hmm.
(Snaps fingers)
(Sighs)
(Indistinct conversations)
♪
(fabric snaps)
(Crashes)
(Heartbeat thumps)
(Heartbeat stops)
(Heartbeat thumping)
What are you doing? (Sound whooshes)
Oh. Uh, I'm sorry. I was... I was just...
Never mind. I don't care. Go away.
(Indistinct conversations)
(Siren whoops)
Help. We need a doctor. Help.
Sir, sir. Just calm down.
Please. Just tell me what happened.
I think we killed Bigfoot. Bigfoot?
Yeah.
I was just having a go at some whitetails,
and I heard this scream.
You shot someone?
I... I didn't see him. I swear.
It just happened so fast,
and then I saw this thing coming at me,
like... like a monster.
- Did you shoot him again?
- I may have fired a warning shot.
And I was just headed into town
and it jumped into the road.
I tried to swerve, but...
Wait. You shot Bigfoot?
And then you ran him over?
(Both) Yes.
Well, where's Bigfoot now exactly?
Ohh!
(Doctors scream and gasp) Aah!
Aah!
(Grunts)
(Medical staff speaks
indistinctly) You're doing great.
Ultrasound shows the baby has C.D.H.
I'm sorry. What?
Congenital diaphragmatic hernia.
He may not be able to
oxygenate well when he's born.
Well, why didn't you page Dr. Karev?
He's in surgery. He sent you.
Okay. Okay. Um, how old
is she... (Woman screaming)
- The mom?
- 15.
Aah!
Don't just stand around watching.
Do something. My baby's in pain!
Could you page Dr. Karev again, please?
Aah! I can't do this. I can't do this.
I can't do this. Yes, you can, Kimmy.
One last push. Here we
go. (Screams and groans)
(Exhales)
(Kimmy exhales)
(Medical staff speaking indistinctly)
Okay.
(Woman) Watch the monitor.
He's so small. He's just...
What do we do? What do we do?
You're the surgeon, hon. You tell us.
(Exhales)
(Breathes unsteadily)
(Rustles)
(Distorted beeping continues)
(Sound whooshes)
Dr. Wilson, what do you want us to do?
Okay, okay.
His sats are low. We need to intubate.
Get me a laryngoscope and intubation tray.
It hurts.
It's okay, sugar. It's okay. Right?
Everything is okay?
Okay, hand me a size 4 E.T. tube.
No, no, no. A smaller one.
Sats are dropping. There you go.
Okay, hang on. His epiglottis is floppy.
- There no time to hang on.
- What's happening?
Somebody want to tell
my baby what's happening?
If I could just get this tube to pass.
(Woman) Dr. Wilson...
Got it. Got it. I got it.
- You're doing just fine.
- Okay.
Now what's next?
Um, I think that, um...
How about suction?
And maybe you want to put
in an umbilical catheter.
Yes. Right. Yes.
And please page Dr. Karev again.
(Woman) I'll page him.
(Man) Guy's crazy, wearing this thing.
I... it's like he wanted to get shot.
Brooks, get over here
and help with the cutting.
(Monitor beeping erratically)
(Groans) Oh!
Did you cut him?
Don't cut my ghillie suit.
His what?
It's army issue. Best
damn camouflage there is.
Yeah, for war. Not hunting deer.
We wear orange coats for a reason.
Oh, I got it. I got it. (Fabric rips)
You know, I myself prefer hobbies like
stamp collecting or crochet...
something that doesn't involve guns and...
(Grunts) helpless little creatures.
(Beeping continues)
Um, Brooks, escort the
gentlemen outside. (Brooks) Okay.
This way. Hi, Dr. Torres, we just
heard back about the cadaver nerves,
but the longest they have is 7 centimeters.
Oh, damn it. We need more than that.
Okay.
(Miranda) No blood in the pericardium.
(Richard) There's definite
abdominal guarding.
Brooks, reach in my left
pocket. Get my phone.
Go into my phone book.
Go to "Shepherd... Nancy,
Amy, Liz, and Kate."
Call all of his sisters.
See which one's willing to donate a nerve.
First one that bites, grab me.
Okay, Derek was very clear.
He wants to use a cadaver
nerve for his hand surgery.
You're on sister duty. Go.
You're sure you don't need more hands,
you know, in here?
- We got this.
- Nope.
We got it. We should turn him over.
(Richard) Yes. See if
there's an exit wound.
- (Miranda) Yeah?
- Okay.
(Indistinct conversations)
(Woman speaking
indistinctly over P.A.)
(Sighs)
Fill me in.
Baby born with a C.D.H. I intubated him.
But the sats are still low.
Ah, it could be pulmonary hypertension.
You ever hooked a baby up to Ecmo before?
I never intubated a baby
before five minutes ago.
Okay, we hook up catheters into his neck,
pump his blood into the Ecmo machine,
which puts in oxygen, and
takes out the carbon dioxide.
Then it cycles it all back in.
Okay.
You need to make sure
that you get good borders
so we can send this to path.
Whoa. That's... (Inhales sharply)
Whoa.
What do you mean? What's "whoa"?
I don't know. It just keeps coming.
You don't know?
(Clears throat)
Hi.
I know how scary this must be for you.
But I want you to know that we are taking
really good care of you, okay?
Dr. Ross... (Clatters)
a word.
(Monitor beeps rhythmically)
(People speaking indistinctly)
What was that?
I don't know, but it's disgusting.
You were, like, a magician
with a handkerchief.
Ross, these lumps are attached to people.
Scared people.
You need to acknowledge
that fear and ease it.
You look them in the eye, you
talk to them like you care.
I-imagine if it were you and I was pull
a wormy handkerchief out of your flesh.
(Exhales)
I... I'm sure you think
this is beneath you.
Okay? I get it.
I know you guys call me "the dud."
But that doesn't mean that these patients
don't deserve your respect and care,
now matter how crappy you feel.
Do you understand?
I...
I think so.
Enough with the attitude.
(Man) Hello?
And here you go. I'll see you soon.
(Exhales)
(Clears throat)
Dude, I am a rock star.
I just rocked pacemaker
post-op dictation on my own.
That is how much Yang trusts me.
- That's cool.
- Mm-hmm.
Not as cool as this maybe.
That's disgusting.
Yeah. Hey, have you seen Leah?
'Cause I have some more gloating to do.
Oh, yeah. I just passed her.
9-1-1 in the NICU, I think.
(Cristina) What do you see?
(Monitor beeping erratically)
(Leah) Is that an
effusion around his heart?
- How could he have C.H.F.?
- He has a shunt.
His shunt might be leaking.
- He's tamponading.
- What happened?
He was fine, and then he just... he wasn't.
It's okay. It'll be okay.
Let's prep him for transport.
What can I do? Do you need
another set of hands in there?
I need you to keep an eye on my patients
and call the O.R. tell
them we're coming up.
Huh. Look at that.
Guess I'm scrubbing in this time.
(Beeping continues)
(Suction gurgling, monitor
beeping rhythmically)
Uh, the bullet's torn through the colon.
We're gonna have to resect this.
(Gurgling continues)
Um... she belong to any of you?
(Beeping continues)
(Meredith) Brooks, do I look
like I enjoy multitasking?
What's the report?
I... I left messages for Kathleen and Amy.
Nancy hung up on me. I called her back.
She hung up on me again so
I'm guessing that she's a "no."
But I did talk to Lizzie,
and she might be in.
Also, she wanted to know
what size Zola wears now.
And I thought maybe a 2-T,
but that's just a guess.
Anyway, can I scrub in? (Door opens)
(Derek) Meredith.
I just got a call from Lizzie.
She's under the impression
she's gonna donate a nerve
to me.
Yay!
Not yay.
I thought I made it clear, I
didn't want my family involved.
Well, a live donor nerve is preferable,
and it's definitely easier to find.
My hand, my sisters, my decision.
The longer we wait, the less chance we have
that it will work.
And we need this to work,
sooner rather than later.
Sounds like a no-brainer to me.
But what do I know? I don't have sisters.
Who'd you get to make the calls?
(Suction gurgling)
Call them all back and undo what you did.
Now.
(Door opens)
Don't undo a thing.
(Door closes)
(Alex) You're doing great.
You've isolated the
jugular and the carotid,
avoided the vagus nerve.
Now you need to put in a
venous drainage cannula.
(Monitor beeping
erratically) I hadn't even...
He's coding. Switch with me.
You need to do C.P.R. while
I hook the kid up to Ecmo.
At the same time? How will that work?
Start the compressions now.
(Beeping continues)
Stop.
(Beeping continues)
Go.
Keep going.
Stop.
(Gurgling)
Okay. Keep going.
(Beeping continues)
Stop.
(Beeping continues)
(Clamp clicks)
Go.
(Monitor beeping erratically)
How long have we been going?
20 minutes.
Stop.
(Beeping continues)
Karev, I heard you had a crash Ecmo.
You need my help? You need me to take over?
No, no, just connecting it to the circuit.
Okay.
Initiate bypass.
(Whirring)
(Beeping normalizes)
(Inhales and exhales deeply)
We did it.
(Chuckles) Son of a bitch.
And it seems like only yesterday that I was
showing you how to do your
first pulmonary hypoplasia.
I hope you're taking notes, Wilson.
He's one of the good ones.
(Monitor beeping rhythmically)
So what's next?
Well, now that he's hooked up to Ecmo,
the baby needs to be monitored 24/7.
Gonna be a long day and a longer night.
You might want to go grab
a power nap, princess.
Why do you keep calling me princess?
Mm. Have you seen yourself?
(Sighs)
(Beeping continues)
You see anything?
Looks great so far, ma'am.
Oh! (Squishes)
What is it?
Hi.
I know this must be
scary for you right now.
I want you to know we're gonna
take really good care of you,
okay?
There's just a little
gross... growth... bump...
on your...
bottom.
Excuse me.
(Indistinct conversations)
What do you do when you need to...
Sorry.
When you need the lab to fast-track a...
a specimen?
What is wrong with you?
That lady has the most
disgusting butt scab.
It's just...
Oh, my gosh. You're a child.
♪
(man) * then you thaw
♪ maybe not, no
Tell the lab to...
(Inhales sharply) tell them that I said
to push this to the front of the line.
(Exhales) We're gonna
need those results stat.
Would you mind doing it?
Nope. Yours.
(Exhales) (Door opens and closes)
(Inhales deeply)
♪ pushing on
Leah's a shark.
Don't know why Yang can't see it.
Oh, how great does this feel?
Hit me, vitamin D. Mama needs a power nap.
I smell crab cakes.
We're by the kitchen.
No, it's not crab cakes. It's meat loaf.
(Door opens) I love/hate
it so much. (Laughs)
(Exhales) Oh, man. It's
like Vegas in there.
No idea when it's day or night.
(Laughs)
Sun, meet Shane. Shane, sun.
Nice change from the black hole of sepsis
I've been staring at
for the past half-hour.
You should see the thing
growing on this one woman's ass.
It is so nasty.
Wouldn't bother me. I am
just fine with nasty things.
Although all Karev does
is call me "Princess."
What is that? I don't
act like some priss, do I?
♪ you started something
Am I prissy?
♪ yeah
What?
I am not prissy.
(Spits)
How do you like that?
You spit like a priss.
Stop.
(Cell phone ringing)
Just let it go to voice mail.
I can't handle another
raging Shepherd sister.
(Ring) Actually, I think
you should take this.
- It says "Bigfoot. 9-1-1."
- Oh!
♪ hey, hey
(door closes)
(Mouths word)
I'm here. I got your page. How can I help?
Oh, sorry, sorry. That was me.
I needed Grey. I forgot you had her phone.
Um, well, maybe I can help since I'm here.
I could... I could
irrigate that wound or...
(Cell phone rings)
(Ring) Are you gonna get that?
(Ring)
(Beeps)
Hello. Dr. Grey's phone. Heather speaking.
Oh, hey, Lizzie.
Yeah, I know. She just keeps
getting cuter every day.
Um... okay.
I'll ask.
Great. Bye. (Beep)
- What did she say?
- That Zola's the cutest niece ever
and she's wondering if
you're visiting for Christmas,
'cause there should be snow.
Okay. What about the nerve?
Uh, she's getting back to me.
(Cell phone rings and beeps)
Hi, again.
Mm-hmm. I understand.
It is a lot to ask. (Cell phone rings)
Hey, hang on.
(Beeps)
Heather Brooks.
Hi, Kathleen.
How did you get my cell phone number?
Sorry. Hang on.
Yes, Liz.
I... I have Kathleen on another line.
I... I... I don't know if
she booked her flight yet.
Please don't make me
repeat all of that to her.
(Cell phone rings) Sorry.
The other line's going.
(Beep)
Hello. Oh, hang on.
Dr. Grey, it's Dr. Simpson's office.
They want to confirm your ultrasound.
Hang up. Right now.
(Indistinct conversations)
(Beep)
(Beep)
(Monitor beeping rhythmically)
Oh, is Rhys out of surgery already?
No.
I just... I couldn't wait
in the surgical waiting area.
It's where I found out my wife had died.
It's not my favorite place.
Oh. I'm sorry.
They'll page me when it's done.
And in the meantime,
I get to watch Laura play
solitaire on her phone.
I'm addicted. It's pathetic.
She never takes her eyes off the screen.
You know, I don't even know
if she knows what I look like.
Big nose, receding
hairline, tiny, beady eyes.
Oh.
Well, I've been told I
look like George Clooney.
Dr. Edwards, I've got U.N.O.S.
On the line for Dr. Yang.
(Laura) Oh, my God. It
could be Samantha's heart.
Or it could be a routine call.
(Steph) This is Dr. Edwards.
Part of my job is to keep you
from letting your
emotions get away from you.
Remember?
But, yeah,
it could be her heart,
and by the end of the day,
- she could have a chance at a real life.
- Yes, I've got the chart right here.
- And Rhys is gonna get out of surgery. He's gonna be fine.
- Wait. What?
And they're both gonna be regular kids.
And you and I are gonna keep
being there for each other...
'Cause I can't imagine going
through any of this without you.
I mean, I... I can't
imagine life without you.
How is that for not letting
my emotions get away from me?
Okay. Good-bye.
Was that... is there a heart?
Uh, I... I'm... I'm gonna go find Dr. Yang.
(Monitor beeping erratically)
Dr. Yang,
I just received a call from U.N.O.S.
A heart's available.
We have an hour to let
them know if we want it.
We want it. Call them back right away.
(Beeping continues)
(Phone rings) Charge to 5.
(Defibrillator whining)
(Ring)
(Defibrillator beeps, paddles thunk)
♪
(baby cries)
(Monitor beeping rhythmically)
(Beeping continues)
(Beeping continues)
Is there a heart for Samantha?
(Sound whooshes)
Mr. Rutstein, could I talk to you?
Uh, what is it? Is Rhys okay?
He's still in surgery.
He's in critical condition.
Oh, God. It's gonna be fine.
Mr. Rutstein, could I
speak with you privately?
Oh. I'll be outside if you need anything.
(Exhales) No.
Stay. I... I want you here.
I need you here.
Rhys has gotten worse,
much worse, 'causing his status to change.
He's been moved to the
top of the transplant list.
There is a heart.
Our team is harvesting it as we speak.
But if it's in good condition,
it's not going to Samantha.
It's going to Rhys.
(Woman) Dr. Stein, call dialysis.
Dr. Stein, call dialysis.
Don't even try to get in on the transplant.
It's mine.
We don't have to do this.
The fighting, the competing, it's...
What's wrong?
You worried that Yang's
starting to like me better?
Please tell me that heart is on its way.
The harvest team will
be here in 30 minutes.
Good.
What's wrong with your face?
I had to tell Noah his son gets
a transplant in front of Laura.
It's like I personally
stole her daughter's heart.
An equation decides where the heart goes,
not us. I know.
Scrub in on the transplant, grumpy.
It'll cheer you up.
"Gosh. I'm so sad and sensitive.
I really could use some
cheering up, Dr. Yang."
Nicely done.
(Woman speaking indistinctly over P.A.)
(Ecmo whirring)
(Machine clicking rhythmically)
You're saying, the baby needs
that machine to stay alive?
Well, for now. Ecmo, it
works a little like bypass
to give your grandson's heart a rest.
For how long?
'Cause my friend Nikki's
having a party for me on Friday,
and I'm supposed to bring the baby.
Kimmy, your baby will be
here a lot longer than Friday.
How much longer? Weeks? Months?
It's hard to know at this point.
I'll have to call Nikki.
She ordered cupcakes and stuff.
Mom, where's your phone? Oh, here.
Kimmy, would you like to
go in and see your baby now?
No, thanks.
Are you sure? You won't hurt anything.
I can wheel you right up next to the bed.
It's not like he's gonna
know who I am or anything.
I'm tired. Can I just go back to my room?
Sure, baby.
Oh, I can't believe we didn't
get through everybody today,
and now... I am on lumps
and bumps again tomorrow.
Still, we got through a bunch of...
Word of advice.
You want to avoid lump and bump day again,
just make sure you pass your stupid boards,
or you will always
get stuck doing...
(Indistinct conversations)
Sorry. Um...
You can go, Ross. That's all.
You want me to help tomorrow?
Don't mock me, Ross.
It's been a long day.
Just... (Elevator bell dings)
Get outta here.
(Indistinct conversations continue)
(Woman speaking
indistinctly over P.A.)
Oh, my God congratulations.
No!
(Lowered voice) Did the doctor call back?
Yes.
To confirm your appointment
for the 8-week ultrasound?
So you know that?
I do?
Okay, let's be clear.
You never heard anything. You know nothing.
And you don't ever mention
any of this to anyone, ever.
You got it?
Is there anything else
you would like to say
before we drop this subject
for the rest of eternity?
Congratulations?
♪
(monitor beeping rhythmically)
♪
(beeping continues)
(Splashes echo)
(Beeping continues)
(Ice rattles)
(Beeping continues)
(Ice rattles)
(Woman) * baby, bet you
♪
(water bloops, instrument clatters)
♪ I want to
♪ take you out
♪ out, out
(sound whooshes) I can't wait to
scrub in on something like that.
That should be me down there.
Look at that.
Yang just ligated the pulmonary artery
with one stitch.
She's incredible.
Yes, she is.
♪
(chuckles)
(Monitor beeping rhythmically)
(Exhales) You sure you're not
asleep with your eyes open?
You've been staring at
that kid for an hour.
She didn't even want to see him.
She cared more about her best
friend's stupid pizza party
than seeing her child.
Well, she's 15.
It doesn't matter. She oughta...
You don't know her story.
Not everybody lives in a
perfect little world like you.
I never said my world was perfect.
Oh... (Sighs) Princeton,
Harvard, perfect G.P.A.
Look, not all of us go
to Ivy league schools
or drive fancy cars or rely
on our richy-rich daddies
to bankroll our pretty little lives.
Some of us have to
overcome more than others.
I know that.
So... get over it, princess.
You're in no position to judge.
♪ ooh, ooh
did you also know that I
blow my nose with $100 bills?
(Chuckles) Ha ha.
And my 1-year-old
birthday cake
was made out of caviar.
Gross.
Also, in one of the rooms
of my obscenely big mansion,
instead of paint, I just
lined the walls with mink.
(Chuckles) Shut up.
It's true.
Guess how many fireplaces I've got.
Four.
27.
Well, 28 if you count the Butler's room.
But, please, he's the help.
Explains a lot.
(Laughs)
Obviously, the next 24 hours
will be critical, but so far,
he is the poster child for transplant.
(Exhales)
Do an A.B.G. every two hours
and monitor his PH level.
(Monitor beeping rhythmically)
♪ baby
♪ bet you
♪
♪ I want to
hey.
We've been waiting for a heart for months.
Her sats aren't budging.
She's dying.
♪
I sit here and play solitaire
because I can't watch my baby die.
And I...
♪ take you out
that was her heart.
♪ ooh, ooh
that was her heart, and you...
♪ ooh, ooh, ooh, ooh
I want to be happy for you.
But right now I can't.
I just can't.
♪
(woman speaking
indistinctly over P.A.)
♪
oh, give me that coffee.
I'm so tired right now, I'm sleepwalking.
Which I do, by the way.
In college, I sleptwalk
into this guy's room,
and when I woke up, we were doing it.
Ew.
No, he was hot. (Laughs)
(Chuckles)
Oh. Where did you get that?
The coffee cart's closed.
Would you judge me if I told you
I stole it from a nurse
when she wasn't looking?
(Laughs)
She's a stealer, too. Little baby hearts.
No wonder you guys get along so well.
Aren't you supposed to be
with Karev in the ecmo room?
Yeah, but I keep falling asleep,
so he sent me out to walk
around and wake myself up
because a tiny, fragile baby's life
is in my very tired hands. (Yawns)
That's frightening.
No, it's not. It's awesome.
All the attendings are asleep right now,
and we're in charge. Mm.
We're saving lives.
I'm making phone calls.
Uh, lifesaving phone calls.
And you're removing warts.
And saving lives.
And she's stealing surgeries from me.
(Shane) Stop complaining.
This is it, you know? We're surgeons.
We're no longer med students
waiting to be surgeons.
We're...
Help! Someone help us!
(Shane) What the...
Oh, my God.
Oh, hell, no.
God, I love this job.
Mr. Crossley, you need
to put your wife down.
I've got her. Just let go of her ankles.
I'm not putting her down.
If I put her down, she goes out.
Sir, we're doctors. We can help.
Show 'em, honey. (Exhales)
♪ ooh, ooh
(grunts)
♪ ooh, ooh
♪ ooh, ooh, ooh, ooh
I can't feel a pulse. Starting C.P.R.
I'll grab a crash cart.
(Crossley) I'm picking her back up.
Sir, sir. You need to back away.
(Shane) Found one.
(Grunts)
(Gasps)
What the hell?
Now get us a real damn doctor!
(Siren wails)
(Monitor beeping rhythmically)
So, Mrs. crossley,
you went home, you were feeling fine,
you had a coughing spasm,
and then, uh, you passed out?
Yes.
She slipped when I tried to pick her up,
so I just grabbed her by her ankles.
And she regained consciousness.
Please tell me I don't have to spend
the rest of my life upside down.
Oh, no. Your coughing episode
knocked the ventricular lead
from your pacemaker loose.
We're gonna have to open you
back up and reposition the lead.
(Sighs)
(Smartphones chime)
(Callie) This is it, people.
Your chance to scrub in
on one of the coolest,
most innovative surgeries
you will ever see.
(Yawns)
Was that a yawn? Avery, did you see a yawn?
Brooks, you're out.
But...
If you can't handle one overnight shift,
you can't handle this surgery.
Look alive, people.
All right. Now the rest of you
will each get a chance
to examine our patient
before we move on to the skills
lab portion of the contest.
Dr. Avery, will you bring in our patient?
Now Dr. Torres and I will be
performing a nerve transplant
on Dr. Shepherd's injured hand.
We need an intern we can trust.
And that's saying a lot,
because we don't trust
any of you people yet.
Wilson, you're up.
Oh. I'm not gonna bite you, Wilson.
Right.
Mm.
And you're done.
(Exhales)
Edwards.
Did you do a proximal or a
distal repair the first time?
Come on. You should know the answer to that
by looking at the scars.
You're done.
You're done.
(Callie) Ross.
Hi. I'm Dr. Ross.
Yeah, I know who you are, Shane.
I know. I was just...
Um...
Do you have any pain with
prehension or pronation?
Yeah. It's getting worse, though.
Okay.
(Inhales)
(Exhales)
♪
♪
(sound whooshes)
I know this must be scary for you.
It would be for me. That's for sure.
But Dr. Torres and Dr. Avery,
they're really talented.
They're gonna take really good care of you.
I know it.
Okay, we're done.
I've selected our winner.
Ross is the only one who actually
treated the patient like a patient.
Congratulations. You're on the team.
Thank you.
Thank me later. He gets grouchy.
It's true.
All right. You can leave now.
(Indistinct conversations)
Mrs. Crossley's mine. I'm prepping her.
Not if I get there first.
♪
hey, no running!
(Man) * I wanna get going
♪ gotta get going
oh!
(Elevator bell dings)
Oh. Damn it.
I'm prepping her. Not you.
Looks like I'm the one who's
got the portable monitor.
I'm the one that's got
her leads. I got the chart.
Excuse me. Can I...
You don't get to steal this from me.
You stole the transplant from me.
I'm sorry, but I...
Gimmie!
Can you guys just hold on one second?
Ooh. Too late. I'm done.
Oh, my God.
Pull it out. Pull it out. What?
You hooked her o-2 to the I.V.
No, no, no, no, no.
If an air embolus gets into
her heart, it'll kill her.
What? Oh, my God. Oh, my
God. Oh, my God. Oh, my...
What's going on?
They're trying to kill
me! That's what's going on.
♪
(indistinct conversations)
Kimmy, hey.
If you want to get up to the NICU,
the South elevator's
actually a little bit closer.
I could take you there... that's okay.
Were you discharged already?
Where's the damn elevator?
Uh, my shift's not over
for another couple of hours.
What time are you coming back?
You don't have to talk to her, Kimmy.
I-I...
I'm not coming back.
Wait. What?
Of course you are.
Whoa. Hey, hang on. You can't just leave.
You have a baby. She has a baby upstairs.
He's 1 day old.
Yeah, and he's all messed up.
So you're just gonna... (Bell dings)
You can't... you can't abandon him.
No, you can't. No.
No! Let me on.
No. You don't want to mess with me.
You don't want to mess with me.
No, stop. You can't walk out on that baby!
You can't do that! Get off me!
No! Let her go!
No! Hey, let 'em go.
You're crazy!
Let 'em go.
Why aren't you in the tunnels?
Interns always hang out in the tunnels.
This place smells like fish.
(Man) We've got a delivery in a minute.
Look, I don't know what your deal is,
but you can't go around
assaulting patients.
She was abandoning her baby.
Then let the cops handle it.
It's not your job, princess.
Stop calling me princess!
(Sighs)
My mother left me at a fire station
when I was 2 weeks old.
I got bumped around
foster homes till I was 16,
when I took matters into my hands
and started living out of a car.
I parked it behind the
gym of my high school
so I could sneak in and use
the showers before class.
My home ec teacher... Ms. schmidt...
She let me do my laundry there for free.
And, yeah, I got into good schools
because I worked my ass off.
And when I walked across
that stage at graduation,
I didn't have a cheering section
filled with my richy-rich family.
I had one person... Ms. schmidt.
That's it.
She's the one who gave me this watch
when I got the job.
Her son works for the company.
It is a nice watch.
Thanks.
This was not just my fault.
It sure as hell wasn't mine.
You could have killed her.
I understand competition and drive,
but you two,
you need to figure out
how to work together,
and you better do it fast.
You're both off my service.
I'll do you one better.
You're both banned from the O.R.
Until further notice.
Thank you.
(Elevator bell dings)
(People speaking indistinctly)
(Woman speaks indistinctly over P.
A.)
Guess what.
Butt-scab lady was seen
by oncology last night.
The mass was malignant.
They said I might have got it all.
What are you doing here?
I told you I'd come help
with the rest of your
lumps and bumps today.
Who put you up to this?
Because nobody slums it down
here unless they have to.
I'm here because I want to be.
(Chuckles)
All I ever wanted to be was a surgeon.
And now Torres just chose me to scrub in
on one of the coolest
surgeries I'll ever see
because of you.
You gave me 27 solo procedures yesterday.
At least one of them saved a woman's life.
I'm grateful for this job
and I'm grateful to you.
I'm hardly slumming it.
So I'm gonna glove up
and I'm gonna help you with your lumps...
(People speaking indistinctly)
And you're gonna like it.
Okay. Fine.
But you get the nasty
smelling green one in bed two.
Ohh.
(Monitor beeping rhythmically)
I'm off Dr. Yang's service now.
But I wanted to come by one last time to...
I'm sorry, but...
Could you excuse me for just one minute?
Yes.
(People speaking indistinctly)
You okay?
(Beeping continues)
They say there's still a
chance he may reject the heart.
He won't reject it.
(Derek speaking indistinctly)
This happened before.
It has nothing to do...
Hey, you. (Elevator bell dings)
Yeah, you.
Dr. Shepherd.
Did you or did you not
shut things down with my sisters?
Don't bring Brooks into this.
You brought Brooks into this.
They are your family and
they want to help you.
(Sighs) Right?
Oh, oh. You're asking me? Yes.
Um, they seemed willing to help.
Of course they want to help
me. I practically raised them.
But if my sisters find
out that I need help...
Look, who did you call so I
can call and shut this down?
Don't tell him that.
Don't tell her not to tell me.
All right, enough.
You know that live nerves
are better than dead ones.
Even I know that, and I'm an intern.
And you. You put me in a
really awkward position today.
You just threw me to the wolves.
Not that I'm comparing
your sisters to wolves.
But oh, my God. They're out for blood.
They are furious with you that
you didn't call them yourself.
And they told me some things.
Okay? Unkind things.
And now I know stories
about you. And you, too.
I know things about both of
you that I don't want to know.
I don't want to be in on
your secrets or your fights.
It makes me really, really,
really uncomfortable.
Let me guess. Your parents
had a messy divorce...
(Groans) And always put you
in the middle. Am I right?
How'd you know that?
Lucky guess. Lizzie.
One of the wolves.
Good to see you, Mer.
I hope you got some baby pictures handy
because I did not take the red-eye
just so my brother could hack
my nerves into hamburger meat.
There don't have to be harps playing
or birds singing or rose petals
falling from the sky...
(Elevator bell dings)
I have never been this tired,
ever.
I have a jacket.
It's so far away.
I just want to go home.
Hunt really put you guys on probation?
(Men) * all around your place
♪
and there are definitely
days when the romance is dead.
♪
but...
If you look around...
(Sound distorts)
(Man) Coming through!
Things are pretty amazing.
♪
so stop for a second.
Enjoy the beauty.
Feel the magic.
Drink it in. (Man) Watch your back!
'Cause it won't last forever.
(Coughing) The romance will fade.
(Groans) Things will happen.
People will change.
(Man) Out of the way! Out of the way!
Love will die.
But...
Maybe not today.
(Sound whooshes)
I can't believe they used to be us.