WEBVTT 00:09.259 --> 00:11.511 [Meredith] Homeostasis is our body's way 00:11.803 --> 00:15.640 of maintaining a consistent and steady internal state. 00:16.391 --> 00:21.187 ♪ Pushin' away only gets me closer ♪ 00:23.440 --> 00:24.941 Nick. 00:25.859 --> 00:27.027 Hi. 00:27.110 --> 00:28.737 -Hi. -[chuckles] 00:28.820 --> 00:30.822 Yes, sorry. 00:31.740 --> 00:34.576 This is a very old-fashioned way to ask a girl on a date. 00:34.701 --> 00:36.745 I know. I know. I'm sorry. I... 00:37.037 --> 00:40.081 forgot to ask for your phone number and then I didn't want to wake you. So... 00:40.707 --> 00:41.916 note. 00:44.335 --> 00:45.920 So what do you think, should we get some dinner? 00:46.337 --> 00:48.673 I know a place. It's great. It's right by the lake. 00:48.757 --> 00:50.341 Yes. 00:50.592 --> 00:52.010 Okay. 00:52.510 --> 00:54.262 I'll pick you up at seven. 00:54.345 --> 00:55.638 Okay. 00:56.431 --> 00:58.558 -Okay. -Okay. 00:58.892 --> 01:00.852 -I'll see you at seven. -Okay. 01:16.993 --> 01:18.787 [Meredith] Multiple systems work in sync 01:18.870 --> 01:22.040 to regulate factors, like temperature, blood pressure, 01:22.123 --> 01:23.875 even sodium levels. 01:27.462 --> 01:29.631 Okay, I'm not gonna tell you how to parent your son, 01:29.714 --> 01:31.883 but this is not going in Luna's bag. 01:32.217 --> 01:34.344 [both laugh] 01:40.475 --> 01:43.186 [Meredith] These systems are designed to resist and combat 01:43.478 --> 01:45.730 anything that tries to throw our bodies off. 01:53.655 --> 01:56.825 It's a continual loop with checks and balances. 01:57.033 --> 01:59.536 So, what time did you tell them? 02:00.495 --> 02:02.413 They should be here any minute now. 02:03.289 --> 02:05.542 Feels like the old days. 02:05.625 --> 02:06.876 Finally. 02:08.711 --> 02:11.089 Until something manages to break the cycle. 02:13.842 --> 02:16.678 -[male intern] Hi! -How are you so awake? 02:16.761 --> 02:17.929 Kombucha, girl. 02:18.012 --> 02:20.098 [yawning] Remind me why we signed up to do this again? 02:20.181 --> 02:22.267 -To save lives. -Overrated. 02:22.392 --> 02:24.227 Hey, Ortiz, where's your mom? 02:24.310 --> 02:28.314 She transferred her residency to take a job with Dr. Avery and the foundation. 02:28.481 --> 02:30.733 -Good for her. -Better for us. 02:30.900 --> 02:32.277 More cases. 02:32.443 --> 02:34.904 There is no statistical evidence that proves residents learn better 02:34.988 --> 02:38.199 at the crack of dawn. I checked. I think we need to stage a sleep-in. 02:38.408 --> 02:39.534 Who's with me? 02:39.617 --> 02:41.161 [Richard clears throat] 02:42.954 --> 02:44.414 You finished? 02:45.206 --> 02:48.251 Big day. And a long one. Hope you ate breakfast. 02:48.543 --> 02:49.502 We didn't. 02:49.586 --> 02:51.796 Meet me in the skills lab, four minutes. 02:55.925 --> 02:57.927 He said four minutes. It's at least an eight-minute walk. 02:58.136 --> 03:00.889 I'm with cardio today. They requested me. 03:01.097 --> 03:03.600 But have fun going back to day one. [giggles] 03:05.435 --> 03:07.395 Thanks for coming on such short notice. 03:07.937 --> 03:12.233 I went down two wrong hallways, which feels like a metaphor for my life. 03:12.317 --> 03:16.321 But when somebody offers to pick you up in their private jet, you get on that jet. 03:16.404 --> 03:19.866 Meanwhile, Scout has decided it is no longer cool to sleep through the night, 03:20.033 --> 03:21.284 so I looked like crap when I dropped him off to Link, 03:21.784 --> 03:24.454 who has mastered, quite a disappointment. 03:24.913 --> 03:26.289 And somehow looks so good doing it. 03:26.372 --> 03:27.916 I think you look great. 03:33.213 --> 03:35.298 Wait. Are you kidding? 03:36.090 --> 03:40.345 They're giving you a lab? Oh, you're definitely not coming back to Seattle. 03:40.428 --> 03:41.888 By the way, who actually sent the private jet? 03:41.971 --> 03:43.306 Amelia. 03:44.224 --> 03:47.727 We're being offered millions of dollars to cure Parkinson's. 03:48.311 --> 03:50.813 -Us? -Well, me. But I'm asking you. 03:50.897 --> 03:52.023 So it's us. 04:06.579 --> 04:09.374 [Teddy] Leo says that Elsa needs a cape, 04:09.457 --> 04:12.585 but he shoved it in the dishwasher last night. Wasn't great. 04:12.669 --> 04:16.130 Well, even Snow Queens need to learn actions have consequences. 04:16.214 --> 04:21.010 -So is it costume day or something? -No. Leo's world, we just live in it. 04:21.094 --> 04:22.136 [cell phone chimes] 04:22.262 --> 04:23.972 -Incoming trauma. I gotta go. -Okay. 04:24.055 --> 04:28.893 Teddy, Allison, Elsa. I love you. Bye. Bye. 04:29.060 --> 04:30.019 Bye. 04:33.690 --> 04:37.277 I'm sorry, do you have a problem? 'Cause you're staring at my kid. 04:37.360 --> 04:41.364 -I'm staring at his costume. -I know. And I would appreciate it if-- 04:41.531 --> 04:43.700 My wife and I've been looking for that same one everywhere. 04:45.535 --> 04:47.578 Oh, yeah. I'll ask my husband. 04:47.662 --> 04:50.081 -Here. Yeah. -Thanks. 04:50.164 --> 04:53.418 Hey. We're gonna get you a new cape, okay? 04:53.501 --> 04:55.670 It's important work. Okay? 04:55.753 --> 04:59.549 Just stop being so cute for five seconds. Stop. 04:59.716 --> 05:02.260 I remember when Scout used to cry when I dropped him off. 05:02.343 --> 05:06.097 Now look at him. He's basically ready for his first studio apartment. 05:07.223 --> 05:08.141 Ow! 05:08.224 --> 05:10.601 Okay, I'm on scut all day. 05:10.768 --> 05:13.980 So can you just hop up here and check on her every five minutes? 05:14.063 --> 05:16.607 Nope. Webber roped me into a thing with the residents. 05:16.691 --> 05:20.570 Luna's a 36-second elevator ride away if you need to see her. 05:20.653 --> 05:22.030 Plus, they text you pictures. 05:23.072 --> 05:25.241 Go. Go! 05:25.325 --> 05:26.617 [sighs] 05:27.076 --> 05:31.539 Rashida Flowers, 34, chronic kidney disease secondary to diabetes, 05:31.706 --> 05:35.752 admitted for dialysis access insertion after a thrombosed AV fistula. 05:35.918 --> 05:38.463 After two failed grafts, I'm back in the hospital, y'all. 05:38.546 --> 05:40.131 Have to have another procedure. 05:40.214 --> 05:42.717 But guess what? My new doctor is a brother. 05:43.676 --> 05:45.261 And he fly. 05:45.345 --> 05:47.305 Say hi, Dr. Ndugu. 05:47.388 --> 05:50.433 Hey. You mind not recording so I can examine you? 05:50.600 --> 05:52.602 Oh, right, of course. Gotta go, y'all. 05:52.685 --> 05:54.103 Kisses. 05:54.937 --> 05:57.023 Sorry. Gotta keep my followers happy. 05:57.106 --> 05:59.984 I used to be a travel influencer, ventured around the world. 06:00.234 --> 06:02.278 But now I'm DiabeticBae, which is way less exciting, 06:02.362 --> 06:04.072 so I gotta get content where I can. 06:04.155 --> 06:07.033 Well, today won't be too exciting, I'm afraid. 06:07.116 --> 06:10.453 I'll be inserting a catheter into your chest to help you start dialysis. 06:10.620 --> 06:12.789 -How long have you been diabetic? -Years now. 06:12.872 --> 06:16.834 But I was able to manage it until I was visiting Thailand, living my best life, 06:16.918 --> 06:19.629 and I got real sick. Hit my kidneys hard. 06:19.712 --> 06:22.131 And every time my doctors tried to get access for dialysis, 06:22.215 --> 06:26.552 my body wouldn't cooperate because, plot twist, I have a clotting disorder. 06:26.636 --> 06:28.304 But none of this was a shock. 06:28.388 --> 06:31.641 Both my mother and brother were diabetic and both died from kidney failure. 06:31.724 --> 06:32.850 I'm sorry to hear that. 06:32.934 --> 06:34.769 Were they able to get kidney transplants? 06:35.603 --> 06:39.440 They weren't even able to get on the list. And neither am I. 06:39.524 --> 06:42.068 -You're not on the transplant list? -Nope. 06:43.111 --> 06:46.739 Ortiz, set me up a consult with Rashida's nephrologist, Dr. Krause. 06:46.823 --> 06:50.034 Look, I know it's bad. But it's okay. 06:50.201 --> 06:52.578 That's really why I record everything. 06:52.662 --> 06:57.417 I want the world to know who I am before this disease ends me. 06:59.710 --> 07:00.628 [siren wailing] 07:00.753 --> 07:03.881 -Hey. Where's my resident? -I'm not their keeper. 07:03.965 --> 07:06.342 -What have we got? -Noah Young, 35, auto vs tree, 07:06.509 --> 07:08.428 restrained driver, denies loss of consciousness, 07:08.511 --> 07:11.472 -O2 sats 89%, no visible chest trauma. -Okay. 07:11.556 --> 07:13.057 My son. I need to find my son. 07:13.141 --> 07:17.728 We got Danny Young, seven, GCS 15, vital signs stable, bleeding facial lac. 07:17.812 --> 07:19.272 -Daddy! -There's my big guy. 07:19.355 --> 07:21.190 I need you to see my son. Please! 07:21.274 --> 07:22.817 Okay, let's get you both inside first. 07:22.900 --> 07:24.360 I'm fine, I just need to-- 07:24.444 --> 07:26.112 [coughing] 07:26.988 --> 07:30.241 Trauma One, let's get a chest x-ray and a full trauma panel. Let's move! 07:30.408 --> 07:32.285 Somebody find me a resident! 07:33.161 --> 07:36.330 Becoming a skilled surgeon is like learning how to drive. 07:36.497 --> 07:37.915 The more you do it, the better you become. 07:37.999 --> 07:39.542 And over the last year, 07:39.625 --> 07:44.130 you have participated in fewer surgeries than any class of surgeon ever has. 07:44.213 --> 07:48.217 Which means that you're not where you are supposed to be, people. 07:48.968 --> 07:50.678 We woke up early to be shamed. 07:50.845 --> 07:51.888 [sighs] 07:52.138 --> 07:56.017 Today, you will embark on the toughest surgical work-out 07:56.184 --> 07:58.144 you have ever experienced. 07:58.227 --> 08:02.190 Through a series of simulations and skill assessments, 08:02.273 --> 08:05.902 each of you'll be evaluated in four areas: 08:05.985 --> 08:08.779 laparoscopic, suturing, 08:08.863 --> 08:12.241 vascular skills and endoscopic techniques. 08:12.325 --> 08:16.496 You will be graded on your proficiency and speed, judged by your attendings. 08:16.662 --> 08:19.123 -Any questions? -It's like surgical Olympics. 08:19.207 --> 08:20.791 Or the Hunger Games. 08:20.875 --> 08:23.252 I thought Dr. Grey was running the residency program now. 08:23.419 --> 08:24.962 Who do you think taught Dr. Grey? 08:25.046 --> 08:28.591 And one more thing. The resident with the highest score 08:28.758 --> 08:31.302 flies solo in the OR this afternoon 08:31.385 --> 08:33.095 with a surgery that's appropriate to their level. 08:33.179 --> 08:36.807 -Laparoscopic skills start... now. -[gasp] 08:45.441 --> 08:47.235 [Amelia] Relax your wrist for me. 08:47.318 --> 08:50.947 Back in my day, every neurosurgeon I worked with was an egotistical prick. 08:51.030 --> 08:53.115 So you can imagine my delight right now. 08:53.199 --> 08:56.369 You are brilliant and charming, Dr. Shepherd. 08:56.536 --> 08:58.955 Oh, except when I'm being an egotistical prick. 08:59.080 --> 09:02.708 [laughs] Well, as my friend Stephen Sondheim said, 09:02.792 --> 09:05.127 "Nice is different than good." 09:05.294 --> 09:07.964 -You're friends with Stephen Sondheim? -I could be. 09:08.047 --> 09:09.423 [Amelia] Okay. Follow my movement. 09:14.428 --> 09:17.640 So, Dr. Shepherd, what's your golden opinion, how do I look? 09:17.807 --> 09:21.185 You only have a mild resting tremor and slight bradykinesia, which is good. 09:21.269 --> 09:22.728 But Parkinson's is unpredictable. 09:22.895 --> 09:25.815 Your dopaminergic neurons are degenerating gradually, 09:25.982 --> 09:27.525 and it's only a matter of time. 09:27.608 --> 09:30.653 Have you considered switching your meds or deep brain stimulation? 09:30.820 --> 09:33.739 You know, I'm not interested in a Band-Aid. 09:33.823 --> 09:36.200 I need something that will make me whole again. 09:36.367 --> 09:41.414 Dr. Hamilton, Parkinson's is not a condition that surgery can fix. 09:41.581 --> 09:44.917 Yet. A condition that surgery can't fix yet. 09:45.084 --> 09:48.879 Enter brilliant, charming, egotistical you. 09:48.963 --> 09:51.924 As long as we can convince your sister-in-law over here. 09:55.511 --> 10:00.266 Chest pain, no. Open fracture, too specialized. 10:00.433 --> 10:03.436 Right upper quadrant pain, that's promising. 10:03.603 --> 10:06.188 -Dr. Bailey? -Wong. 10:06.439 --> 10:09.483 Richard is holding the surgical Olympics. 10:09.567 --> 10:13.029 It's a slow day so I'm looking for something good to be the solo. 10:13.195 --> 10:14.822 -You got anything? -Dr. Bailey, you've rescheduled 10:14.989 --> 10:18.034 our meeting twice now. You're avoiding me. 10:18.117 --> 10:21.329 No! I had surgeries. Important ones. 10:21.412 --> 10:24.749 He's also looking for judges, so if you'd prefer to help out that way... 10:24.915 --> 10:27.668 No. I'm here to tender my resignation. 10:27.835 --> 10:29.211 Which I've been trying to do for days now. 10:29.295 --> 10:31.672 I know. I just didn't want you to. 10:31.839 --> 10:35.760 Chief, I'm retiring. I already bought a condo, picked out tile. 10:35.843 --> 10:39.055 What could you possibly want to do instead of surgery? 10:39.138 --> 10:41.265 -Mystery novels. -I'm sorry? 10:41.349 --> 10:45.478 I have a series of books where the main character is a PI and a surgeon. 10:45.561 --> 10:47.521 Doc Undercover. 10:47.605 --> 10:48.522 [laughs mockingly] 10:49.982 --> 10:52.485 Sounds... n-nice. 10:52.943 --> 10:56.864 Wong, the hospital, the country, we're in dire need of physicians with-- 10:57.031 --> 11:00.159 Miranda. Truthfully? 11:00.242 --> 11:01.494 It's just not fun anymore. 11:02.745 --> 11:04.497 I'll start your paperwork. 11:10.002 --> 11:14.882 Perfect suturing ensures proper wound closure, less bleeding, 11:15.007 --> 11:17.218 and a lower risk of infection. 11:17.301 --> 11:21.263 Excellence matters. This is an atraumatic tie. 11:21.389 --> 11:24.475 You will have 20 seconds to tie three square knots. 11:24.558 --> 11:28.312 Do not move the soda can. Any movement counts against you. 11:28.396 --> 11:31.190 And absolutely no air knots. 11:31.357 --> 11:35.403 On your mark, set... go! 11:35.736 --> 11:37.947 [upbeat music] 11:44.245 --> 11:45.830 Kinda sloppy, Tseng. 11:51.001 --> 11:52.712 -Huh... -What's that supposed to mean? 11:52.795 --> 11:55.214 It means, huh. 11:55.715 --> 11:57.883 -[Tseng] Is that better? -Nope. 12:02.596 --> 12:04.807 I'd start over if I were you. 12:05.224 --> 12:07.309 Opening with a compliment is customary. 12:07.393 --> 12:10.896 Time's up. Lincoln, do we have a winner? 12:11.772 --> 12:14.066 -Schmitt takes the gold. -Yes! 12:14.233 --> 12:15.276 Is there a silver? 12:18.612 --> 12:21.198 [whistling] 12:24.994 --> 12:28.122 -Name that tune. -I don't know. 12:28.289 --> 12:33.461 How long did you say that you have been experiencing abdominal pain for? 12:33.627 --> 12:35.296 A few days. 12:35.463 --> 12:39.759 Whistling calms my nerves when someone is, you know, inspecting my hooha. 12:42.303 --> 12:46.682 -Ow. -Sorry. But I feel something. 12:48.058 --> 12:49.685 It was "Twinkle, Twinkle, Little Star." 12:49.769 --> 12:51.437 -What? -The song I was whistling. 12:51.520 --> 12:52.605 "Twinkle, Twinkle?" 12:52.688 --> 12:56.066 Technically, it's the same melody as the "ABCs." 12:56.150 --> 12:57.735 And "Baa Baa Black Sheep." 12:57.818 --> 13:00.321 Who knew? Okay, I... 13:00.488 --> 13:03.616 Yep. There's something in here. I-- 13:07.119 --> 13:12.291 Robin, there was a strawberry lodged in your... 13:12.541 --> 13:14.210 Oh... 13:14.293 --> 13:16.170 Yeah. That tracks. 13:16.253 --> 13:20.007 So would that explain my abdominal pain? 13:20.090 --> 13:24.970 Um. It shouldn't. Why? Is there something strange in there, too? 13:25.054 --> 13:27.556 -[nervous chuckle] -Maybe? 13:30.226 --> 13:33.437 Danny. How you feeling? 13:33.604 --> 13:35.231 Looks like you had quite the adventure. 13:35.314 --> 13:37.817 Yeah. I got to ride in an ambulance. 13:37.900 --> 13:41.362 -And now you have superhero marks. -Do they come with powers? 13:41.529 --> 13:44.782 Maybe. If you eat enough cherry Jell-O and Popsicles. 13:44.865 --> 13:48.536 -Your Hunt's sister, right? -Yeah. You're Peds? 13:48.619 --> 13:49.787 Cormac Hayes. 13:49.870 --> 13:52.039 Are you coming to join our humble staff? 13:52.122 --> 13:55.584 Bailey just asked me to help out. Cover some of Grey's cases. 13:55.751 --> 13:57.503 Grey? Big shoes to fill. 13:57.586 --> 14:00.172 So she performed an abdominal wall transplant. Big whoop. 14:00.256 --> 14:03.551 It was actually my idea to even need an entirely new abdominal wall 14:03.634 --> 14:06.345 so Grey could win the Fox Award. So who's the genius now? 14:06.428 --> 14:09.098 -So you were the patient-- -Yep. All right, Danny. 14:09.181 --> 14:10.474 I'll be back to check on you, okay? 14:12.226 --> 14:13.519 Where's my dad? 14:14.478 --> 14:17.898 Can I please go sit with him? He shouldn't be alone out there. 14:18.065 --> 14:21.235 We have contacted your wife. And she's on her way. Okay? 14:21.318 --> 14:22.778 It was supposed to be a father and son weekend. 14:22.862 --> 14:25.447 Fishing, camping out by Deception Bay. I don't know what happened. 14:25.531 --> 14:28.158 Maybe you passed out. Your oxygen levels are very low. 14:28.242 --> 14:29.994 How long have you had shortness of breath? 14:30.077 --> 14:32.538 -It's nothing. -Okay, let's do an x-ray. 14:32.705 --> 14:35.666 No! No x-ray! Look, I'm fine. 14:35.833 --> 14:37.501 Relieved that me and Danny are alive. 14:37.585 --> 14:40.129 Could you please let me out of here so I can try to salvage this weekend? 14:40.212 --> 14:42.590 [coughing] 14:43.966 --> 14:47.219 I... I saw your tattoo. Bassett Infantry? 14:47.303 --> 14:49.972 Third generation, Bassett Infantry. You? 14:50.055 --> 14:51.432 Army trauma surgeon, two tours Iraq. 14:51.515 --> 14:56.186 Two tours Afghanistan, one Jordan, one Djibouti, two Iraq. 14:56.353 --> 14:57.688 I've never been to Vancouver. 14:57.771 --> 14:59.523 Sounds like you need a new travel agent. 14:59.607 --> 15:02.359 [laughs, coughs] 15:06.405 --> 15:10.242 Put him on high-flow O2, push 50 of fentanyl, and page Altman! 15:10.409 --> 15:12.661 We're gonna get him up to CT. Okay? 15:15.748 --> 15:17.708 -[gasping] -[elevator bell dings] 15:17.875 --> 15:21.545 Dr. Krause, hi. Winston Ndugu, cardiothoracic surgery. 15:21.629 --> 15:24.214 -Do you have a minute? -Barely. I've been drowning in cases. 15:24.298 --> 15:25.883 My patients put off seeing me for months, 15:25.966 --> 15:28.218 and now I'm dealing with the backlog. What can I do for you? 15:28.385 --> 15:30.763 Yeah, I'm consulting on your patient Rashida Flowers. 15:30.846 --> 15:32.556 She mentioned she's not on the transplant list. 15:32.640 --> 15:34.266 Yeah, Rashida. She's been through a lot. 15:34.350 --> 15:36.685 Unfortunately, she doesn't fit the transplant criteria. 15:36.769 --> 15:40.064 Rashida's renal function tests seem to make her a prime candidate. 15:40.230 --> 15:43.067 Well, you would think, but Rashida's eGFR is high, over 20, 15:43.150 --> 15:44.276 disqualifying her from the list. 15:44.360 --> 15:45.611 -Estimated. -I'm sorry? 15:45.778 --> 15:47.863 It's an estimated number of what her kidney function should be, 15:47.947 --> 15:48.948 not what it really is. 15:49.031 --> 15:51.825 Dr. Ndugu, the eGFR is the standard clinical formula 15:51.992 --> 15:54.161 used in the field for the past 20 years. 15:54.244 --> 15:57.998 It's what we use to determine care and qualification of kidney transplant. 15:58.082 --> 16:00.793 A transplant could save her from having to need dialysis in the first place, 16:00.876 --> 16:02.753 which we both know has high mortality rates, 16:02.836 --> 16:04.004 especially in the first three months. 16:04.088 --> 16:06.131 I'm aware. But Rashida just doesn't qualify. 16:06.215 --> 16:10.052 And believe me, I hate that, at least as much as you do. 16:17.101 --> 16:19.478 [Meredith] So, what if we fail? 16:19.561 --> 16:21.105 How do we know you'll even survive it? 16:21.188 --> 16:25.109 I think we can both agree that you learn more in the attempt than the outcome. 16:26.110 --> 16:29.738 And I'm under no delusion about how risky it is. 16:30.614 --> 16:32.032 But what's life without risk? 16:32.116 --> 16:34.952 Meredith? Meredith. 16:36.870 --> 16:38.914 Is this that robot arm that does cell culture? 16:39.289 --> 16:41.458 It is. And please don't touch it. 16:41.542 --> 16:44.336 Dr. Grey, Dr. Shepherd. Please meet Dr. Kai Bartley, 16:44.503 --> 16:47.840 the neuroscientist who accepted an offer they couldn't refuse. 16:47.923 --> 16:50.551 It's great to meet you. I've been reading your stem cell research. 16:50.634 --> 16:53.512 Which is brilliant. I've been following it for years. 16:53.595 --> 16:56.890 They were at Hopkins a couple years behind me. 16:57.057 --> 16:59.852 When you inject the cells into the brain, 16:59.935 --> 17:01.562 what about the risk of the cells developing tumors? 17:01.645 --> 17:04.356 That very question stalled my research for two years. 17:04.440 --> 17:07.484 -But once I teamed up with David-- -Once they took my funding. 17:07.568 --> 17:10.362 I uncovered a Chinese herbal compound that completely removes 17:10.446 --> 17:13.323 -the undifferentiated cells. -That's amazing. 17:13.407 --> 17:15.617 -They're amazing. -Excuse me, I have a conference call. 17:15.701 --> 17:17.161 -But we'll talk more later. -Great to meet you. 17:17.244 --> 17:19.121 -Thank you, Dr. Bartley. -Thank you, David. 17:19.872 --> 17:24.418 -So, what do you-- -Yes. All the yeses. 17:24.585 --> 17:27.212 An opportunity to impact Parkinson's and change the world 17:27.296 --> 17:30.424 with this equipment and this team? I am... I'm in. 17:30.507 --> 17:34.178 -Dr. Grey? -Just say yes. 17:44.146 --> 17:45.355 [Teddy] Hey. 17:47.274 --> 17:50.194 -Should we shelve the Elsa costume? -What? 17:50.277 --> 17:54.656 You know, put Leo in more t-shirts and jeans? 17:54.823 --> 17:57.534 -Is that the right parenting move? -Did something happen? 17:57.618 --> 18:01.163 No, I just, none of the other kids at daycare are wearing costumes, so... 18:02.998 --> 18:05.459 -What do we got? -MVC with no visible trauma. 18:05.542 --> 18:07.753 Young vet who did several tours in Iraq. 18:07.836 --> 18:10.255 He has finger clubbing, cynanosis, dyspnea, 18:10.339 --> 18:12.007 he coughed up blood when he was downstairs. 18:12.091 --> 18:13.509 His chest x-ray does not look good. 18:13.592 --> 18:16.261 I'm thinking it's some kind of respiratory illness. 18:16.345 --> 18:18.263 Are you sure nothing happened? 18:18.472 --> 18:20.224 [rapid beeping] 18:20.808 --> 18:22.392 Oh, my God. Owen. 18:22.476 --> 18:23.977 [Owen sighs] 18:24.728 --> 18:26.522 His lungs look like a war zone. 18:30.442 --> 18:33.278 Is Pierce taking a job in Boston? Is that why you paged me? 18:33.362 --> 18:36.907 -Because if I lose one more surgeon-- -Her dad is having hip surgery. 18:36.990 --> 18:39.701 Oh. Well, now I feel badly. 18:39.785 --> 18:42.412 Chief, I have a patient, 34, Black woman 18:42.496 --> 18:44.248 with chronic kidney disease from diabetes. 18:44.331 --> 18:46.959 She hasn't been able to get on dialysis due to a clotting disorder. 18:47.126 --> 18:48.210 Candidate for transplant? 18:48.293 --> 18:51.755 Her eGFR is too high, according to her nephrologist. 18:51.839 --> 18:55.217 But look. Here's another patient on the transplant list. 18:55.300 --> 18:58.262 Almost the same age, weight, and health profile to my patient. 18:58.345 --> 19:01.640 The only real differentiating factor is that they're White. 19:01.723 --> 19:05.644 So their eGFR measures lower, making them better transplant candidates. 19:05.727 --> 19:08.188 When the estimated GFR was developed, 19:08.355 --> 19:11.483 it was assumed that Black people have higher muscle mass. 19:11.567 --> 19:13.861 It added a multiplier to account for that assumption. 19:13.944 --> 19:16.029 Which then increases a Black patient's GFR 19:16.113 --> 19:19.158 and registers them as having less severe disease than other people. 19:19.241 --> 19:22.744 Making them ineligible for transplants. How does this even happen? 19:22.911 --> 19:26.123 Stems from a long line of assumptions about Black people 19:26.248 --> 19:28.167 that have snaked their way into medicine. 19:28.333 --> 19:31.044 That we have a higher tolerance for pain, 19:31.211 --> 19:34.047 different bone density, lower lung capacity. 19:34.214 --> 19:38.677 And yet, these assumptions still exist in clinical formulas. 19:38.844 --> 19:42.681 I... I never even stopped to think about the eGFR. 19:42.764 --> 19:44.975 Is there any way around it, chief? 19:45.142 --> 19:46.977 Can I write an appeal to the transplant board? 19:47.144 --> 19:51.648 That only works if the patient qualifies for medically urgent status. 19:51.732 --> 19:53.066 Rashida might not have that kind of time. 19:53.734 --> 19:55.736 There's a lot of Rashidas, though. 19:58.697 --> 20:00.574 Fight for them, too. 20:01.992 --> 20:03.535 [cell phone vibrating] 20:03.702 --> 20:04.912 The IR suite is ready for us. 20:09.458 --> 20:11.835 Sergeant Young, this is Dr. Teddy Altman. 20:12.002 --> 20:13.921 -Major Teddy Altman. -Where's Danny? 20:14.087 --> 20:17.299 He's with Dr. Hayes. He's fine, but we need to do a head CT to be sure. 20:17.382 --> 20:19.843 [Teddy] Your scans reveal severe scarring on both lungs. 20:19.927 --> 20:23.764 -We'd like to admit you and-- -I have pulmonary fibrosis. 20:23.847 --> 20:28.310 Mystery solved. That's why I didn't want any work-ups, no treatments. 20:28.477 --> 20:30.229 I know what I have. And I know there's no cure. 20:30.312 --> 20:32.272 Just a crap-ton of different ways to the poor house. 20:32.356 --> 20:35.400 -When were you diagnosed, sergeant? -About a year ago. 20:35.484 --> 20:38.779 I started coughing after the second Iraq tour. I couldn't shake it. 20:38.946 --> 20:41.990 I started hearing from buddies about the burn pits, 20:42.741 --> 20:47.329 how they were linked to all these cancers and mystery illnesses. 20:47.412 --> 20:49.915 The VA's gotta cover these conditions. 20:49.998 --> 20:53.669 [coughs] Barely. They just started covering stuff like asthma. 20:53.752 --> 20:55.420 But I haven't heard of a single vet who's been covered 20:55.504 --> 20:56.838 for conditions like mine. 20:56.922 --> 21:00.801 All kinds of ways to twist it so you can't prove it was service-related. 21:00.968 --> 21:03.470 The cherry on top? I lost my job at the seafood plant 21:03.553 --> 21:05.264 'cause I was too weak to finish my shift. 21:05.347 --> 21:09.601 So I got no insurance, no job and a stack of medical bills. 21:09.685 --> 21:11.395 -Sergeant, look-- -Please, just call me Noah. 21:11.561 --> 21:13.897 Noah, would you sit down with our pulmonologists? 21:14.064 --> 21:18.652 We'll redo your workup, and get you in for some tests, we can start treatments. 21:18.819 --> 21:21.238 Pass. No tests, no treatments. 21:21.405 --> 21:24.616 Nothing against you guys, but whatever time I have left, 21:24.700 --> 21:26.618 I'd like to spend it with my son. 21:28.078 --> 21:30.497 -[intern 1] That's full! -[intern 2] I know, I know! 21:30.580 --> 21:31.957 Pop these balloons, Tseng! 21:32.124 --> 21:33.542 If you lose to a second year, 21:33.709 --> 21:35.127 you're cleaning the bathroom for six months! 21:35.210 --> 21:37.337 -Get away from me! -[Hayes] Endoscopic proficiency 21:37.421 --> 21:39.047 is just as important as speed. 21:39.214 --> 21:41.008 One slip could mean you've perforated a colon. 21:41.091 --> 21:42.175 Twenty seconds! 21:42.259 --> 21:43.510 [Levi] Yes, yes, yes! 21:43.593 --> 21:45.929 -On her! -What category are they on? 21:46.096 --> 21:49.182 Endoscopy. It's a trash fire. 21:49.349 --> 21:51.351 You're a resident now. Sleep when you can, eat when you can. 21:51.518 --> 21:54.479 -I'm on the scut diet. -Rectal exams? 21:54.646 --> 21:57.065 -Vaginas. -Right. Pink. 21:58.191 --> 21:59.526 The scrubs! 21:59.693 --> 22:00.986 [laughs] 22:01.069 --> 22:03.280 I found a strawberry in my patient. 22:03.363 --> 22:05.824 Back in med school, I found a yam. 22:05.907 --> 22:08.201 -Twenty bucks on Tseng. -I'll take Helm. 22:08.285 --> 22:09.494 Come on! Go, go! 22:09.578 --> 22:11.288 Karen, it's right there! 22:11.371 --> 22:14.249 -Go, go, come on, come on! -Go, go! 22:14.416 --> 22:16.418 [speaking over each other] 22:16.752 --> 22:18.420 -Finished! -Me. 22:18.587 --> 22:19.838 It's Tseng. 22:19.963 --> 22:20.922 [Tseng screaming] 22:25.052 --> 22:27.262 Today's winner of the competition... 22:27.971 --> 22:29.639 [interns breathing heavily] 22:30.724 --> 22:34.269 Schmitt, you will be flying solo today. 22:34.353 --> 22:36.855 I won, I won, I won! 22:37.522 --> 22:39.358 Of course he won. There was no actual blood. 22:39.524 --> 22:42.152 Come on! Wait! What's the-- what's the surgery? 22:42.235 --> 22:45.238 -Find anything good? -Wilson did. 22:45.405 --> 22:48.700 Ex-lap on foreign body extraction. 22:48.784 --> 22:51.536 Yes! Oh! Get it, get it! 22:52.162 --> 22:54.164 [exclaims, laughs] 22:54.873 --> 22:57.167 I love you! [laughs] 22:58.710 --> 23:03.465 Hmm. Let's think... deep pockets, unlimited time, 23:03.548 --> 23:06.635 space, Kai Bartley's groundbreaking research, 23:06.802 --> 23:09.554 and a chance at curing a neurodegenerative disease? 23:09.638 --> 23:12.682 You're forgetting about the part where we have kids who need stability. 23:12.766 --> 23:15.811 And I have a job that I love that I just got back to. 23:15.894 --> 23:18.313 -I don't want to abandon them. -We're not abandoning anyone. 23:18.397 --> 23:23.068 We're revolutionizing medicine. And that's a great example for our kids. 23:23.151 --> 23:26.238 And Grey Sloan, they're gonna be proud to have us 23:26.363 --> 23:28.949 -be part of something so high profile. -Exactly. 23:29.032 --> 23:31.201 If the surgery works, it's huge. 23:31.368 --> 23:33.745 If it doesn't, we've killed an incredible surgeon, 23:33.829 --> 23:36.289 and set the research back years. 23:36.373 --> 23:37.958 Give us more credit than that, Meredith. 23:38.041 --> 23:40.794 You asked me here for my opinion, I'm saying yes. 23:41.837 --> 23:45.632 Because people with Parkinson's need more than just hope. 23:52.514 --> 23:54.975 Is this is our last possible access port for dialysis? 23:55.225 --> 23:58.103 It is. We need to pull back the catheter just a bit. 23:58.186 --> 24:00.522 What about transhepatic, which runs lumbar access? 24:00.647 --> 24:02.482 May be too dangerous given her clotting disorder. 24:02.858 --> 24:04.734 This isn't how medicine should work. 24:04.818 --> 24:06.903 Anybody who needs life-saving care should get it. 24:07.362 --> 24:08.905 Heparinized saline. 24:10.031 --> 24:12.033 But if this port clots off, she loses it? 24:12.117 --> 24:13.452 You tell me. 24:13.660 --> 24:16.204 Waste'll build up in her blood leading to uremia 24:16.329 --> 24:19.499 and her organs will start to shut down one after the other. 24:22.752 --> 24:26.339 Secure the catheter, with stitches on the wings and shaft and get a chest x-ray. 24:27.966 --> 24:30.469 -Where are you going? -To get her a kidney. 24:37.350 --> 24:39.853 You don't need to escort me off the premises. 24:40.187 --> 24:43.148 [laughs] That's not what I'm doing. Go home to your baby. 24:43.315 --> 24:46.735 I just wanted to make sure I'm not being completely ridiculous 24:46.860 --> 24:48.278 for even entertaining this. 24:48.403 --> 24:51.615 No, you're being ridiculous because you haven't accepted the offer yet. 24:51.698 --> 24:55.410 We're talking about curing Parkinson's, Meredith. Parkinson's. 24:55.494 --> 24:56.495 What is the matter with you? 24:56.578 --> 25:00.373 This-- This famous surgeon is basically throwing money at us 25:00.457 --> 25:03.835 to play with the most innovative equipment in the world. 25:03.919 --> 25:07.881 And not only that, he wants to give us his diseased brain as a testing ground! 25:08.006 --> 25:11.051 I mean, when you started your career, you wanted to go into neuro. 25:11.134 --> 25:13.678 This is your chance to get back to that. 25:13.762 --> 25:16.097 Maybe this is what you're supposed to do. 25:16.181 --> 25:18.225 What we're supposed to do. And I... 25:18.308 --> 25:20.477 I cannot, for the life of me, 25:20.560 --> 25:23.188 understand why you would walk away from something like this. 25:24.648 --> 25:26.733 [sighs] So don't. 25:29.110 --> 25:30.487 I will see you at home. 25:38.703 --> 25:41.957 -I inserted Rashida's access point. -Great. Thanks. 25:42.499 --> 25:44.042 Rashida needs to be on the transplant list. 25:44.209 --> 25:45.919 We found six cases of patients 25:46.002 --> 25:48.004 with similar clinical profiles who are on the list. 25:48.088 --> 25:50.131 The only major difference is that these patients are White. 25:50.298 --> 25:51.967 -Are those cases patients of mine? -A few. 25:52.050 --> 25:55.428 [scoffs] There's gotta be more to it than that. The patients' eGFR-- 25:55.512 --> 25:57.430 Yeah, their eGFR is lower, which makes them eligible, 25:57.597 --> 26:01.101 but that's only because the formula unjustifiably uses race as a factor. 26:01.184 --> 26:03.645 Dr. Krause, we all know race doesn't play a role in kidney function. 26:03.728 --> 26:04.980 -Dr. Ndugu-- -I know, you're busy, 26:05.063 --> 26:08.316 but if you look at Rashida's eGFR without accounting for her race, 26:08.400 --> 26:10.402 she falls below the criterion of 20. 26:10.902 --> 26:13.488 I don't understand. The eGFR is the field's standard. 26:13.572 --> 26:15.865 -It's a tried and true formula. -Yes. 26:15.949 --> 26:18.076 And it's time we start questioning our standards. 26:19.202 --> 26:21.246 Look, I have clinic right now, but I'll look into it. 26:21.371 --> 26:24.124 Rashida doesn't have other options for a dialysis port if this one fails. 26:24.249 --> 26:26.960 I hear you. I'll look into it, Dr. Ndugu. Thank you. 26:30.171 --> 26:32.591 Robin Jeter, 23, abdominal pain, 26:32.674 --> 26:35.885 x-ray shows a lodged crystal causing intestinal obstruction. 26:36.052 --> 26:38.597 I think you mean to say intestinal stone. 26:38.763 --> 26:39.848 -No, I don't. -She didn't. 26:39.931 --> 26:43.268 It's a yoni egg. Amethyst, specifically. 26:44.227 --> 26:48.607 It's a crystal egg that is typically inserted into the vagina-- 26:48.690 --> 26:50.567 -Got it. -Huh? 26:50.650 --> 26:54.195 I was doing a ritual I saw on social media that was supposed to bring love 26:54.279 --> 26:55.864 and healing into your life. 26:55.947 --> 26:58.575 But I was doing it so fast, I mixed it all up. 26:58.658 --> 27:02.621 I was supposed to eat the strawberry and insert the yoni egg. 27:02.704 --> 27:04.664 What did you do with the strawberry? 27:07.042 --> 27:08.710 Oh. I... 27:08.793 --> 27:10.170 I see. 27:10.253 --> 27:11.588 [clears throat] 27:11.671 --> 27:13.632 Oh, right. I'm up. 27:14.591 --> 27:17.886 Hello, Robin, I'm Dr. Schmitt. I'll be doing your surgery today. 27:18.053 --> 27:22.515 -To remove the... -Yoni egg. 27:24.309 --> 27:25.477 How old is he? 27:27.937 --> 27:29.814 Yeah, these symptoms sound familiar. 27:29.898 --> 27:32.233 I've treated dozens of soldiers exposed to burn pits. 27:32.359 --> 27:36.112 -What are burn pits? -Electronics. Plastics. 27:36.196 --> 27:38.031 Soiled uniforms. Human waste. 27:38.448 --> 27:41.368 Douse it all with some jet fuel, light it with a match, then... 27:41.451 --> 27:42.994 Whoosh. What could possibly go wrong? 27:43.078 --> 27:45.830 Some of these men have illnesses that we haven't even named yet. 27:45.914 --> 27:48.625 Others are in pain 24/7. They get nowhere with the VA. 27:48.708 --> 27:52.253 This guy did six tours of service to protect us. 27:52.337 --> 27:55.048 Never questioning, never complaining. He just... answered the call. 27:55.131 --> 27:56.216 We need to do the same for him. 27:56.299 --> 27:58.802 Tomorrow, I'm gonna go down to the VA, I'm gonna demand answers. 27:58.885 --> 28:02.347 Okay, so after you defeat the US military, maybe grab some lunch, 28:02.430 --> 28:04.224 -then take on Putin? -[scoffs] 28:04.349 --> 28:05.767 -How's his kid? -Danny's gonna be fine. 28:05.850 --> 28:08.812 Head CT was clear, he can be discharged later today. 28:08.978 --> 28:12.148 Maybe Avery can help Noah through the foundation. 28:12.232 --> 28:15.110 He'll be dead before we even line up the votes on the board. 28:15.193 --> 28:18.530 We can't save Noah. He needs immediate medical care just to be comfortable. 28:18.613 --> 28:21.282 And we can give him that. We'll figure out the details later. 28:21.449 --> 28:24.119 Look at you two, breaking rules and saving lives. 28:24.202 --> 28:25.870 Aren't you glad I got you to tie that knot? 28:29.708 --> 28:32.001 [indistinct conversation] 28:33.336 --> 28:34.421 [monitor beeping rapidly] 28:34.504 --> 28:36.214 -What happened? -Her sats dropped, 28:36.297 --> 28:38.842 and her face and neck keep swelling more and more. 28:39.008 --> 28:40.468 Superior vena cava syndrome. 28:40.635 --> 28:43.596 The catheter must have blocked her SVC entirely. 28:43.680 --> 28:44.514 I'm taking it out. 28:44.597 --> 28:46.725 Can we take her back to the IR suite and reposition it? 28:46.808 --> 28:49.018 -No. -How else will she get dialysis? 28:49.102 --> 28:50.687 -She wouldn't. -Dr. Ndugu! 28:50.812 --> 28:52.439 She's already clotted off multiple access points. 28:52.522 --> 28:55.191 Who's to say it wouldn't happen again? Page Dr. Krause! 29:01.489 --> 29:05.577 It's fine. Everyone's watching. That's what happens. 29:05.660 --> 29:10.623 People watch, you screw up, and then you quit and go find a rock to hide under. 29:13.418 --> 29:14.711 [Richard] You ready? 29:16.087 --> 29:17.589 Scalpel. 29:19.007 --> 29:22.010 [upbeat music] 29:28.391 --> 29:30.977 [interns cheering] 30:01.382 --> 30:04.344 -Nice extraction, Schmitt. -Thank you. 30:04.511 --> 30:06.012 3-0 chromic, please. 30:19.984 --> 30:20.985 [beeps] 30:22.737 --> 30:24.113 [Levi] Doppler. 30:24.197 --> 30:25.824 Relax, Schmitt. 30:25.907 --> 30:27.784 If you're calm, everyone else is calm. 30:33.748 --> 30:35.792 God, this can't happen. 30:36.501 --> 30:38.044 Come on, come on, come on. Think. 30:39.212 --> 30:40.672 You can do this. Think. 30:45.051 --> 30:48.012 [Bailey] I'm turning the speaker on. Help him out, people. 30:48.179 --> 30:50.723 Are you getting a good signal from the adjacent segments? 30:50.807 --> 30:53.268 -Yes, both sides. -Resect that segment. 30:53.434 --> 30:57.689 -Do a hand-sewn-- -End-to-end anastomosis. Stapler. 31:00.608 --> 31:04.028 To close, start bringing the bowel together with vicryl suture, 31:04.195 --> 31:06.531 come around the corner with a Connell stitch and-- 31:06.614 --> 31:08.116 A three-millimeter gap between every two sutures. 31:08.199 --> 31:09.742 [Levi] Got it. 31:09.826 --> 31:12.078 Suction, Taryn... Dr. Helm. 31:23.256 --> 31:24.424 What happened? 31:24.591 --> 31:26.676 There was a complication from the catheter, so I had to remove it. 31:26.801 --> 31:28.344 -So you'll reinsert it? -I won't. 31:28.469 --> 31:30.972 And because we couldn't gain access for dialysis, Rashida needs to be placed 31:31.055 --> 31:33.016 on the transplant list immediately. 31:33.099 --> 31:34.684 Rashida has been my patient for months. 31:34.767 --> 31:37.353 -These aren't your decisions to make. -Except that now she's also my patient. 31:37.437 --> 31:40.064 And she has suffered from multiple unnecessary procedures, 31:40.231 --> 31:42.025 so I'm not putting her through even more. 31:42.108 --> 31:45.361 -This is not protocol. -It's not. It's a life. 31:45.987 --> 31:47.030 Rashida's. 31:51.784 --> 31:54.454 Even if we list her, we don't know when a kidney will come through. 31:55.121 --> 31:56.664 It'll come faster than if we didn't. 31:59.417 --> 32:01.753 Hey, I'm looking for Danny and Noah. 32:01.836 --> 32:04.631 -They left. -What do you mean they left? 32:04.714 --> 32:05.965 I didn't discharge Noah. 32:06.716 --> 32:09.719 No, but I discharged his son, and he wanted to go home with him. 32:10.637 --> 32:12.722 So you just let him go, without asking me? 32:12.805 --> 32:15.892 He said he declined all further testing and then he signed an AMA. 32:16.434 --> 32:19.979 He has severe fibrosis on both lungs. He needs supplementary oxygen, 32:20.188 --> 32:22.315 a full pulmonary work-up, an evaluation by a specialist 32:22.482 --> 32:26.069 -and we need to do more studies if-- -Hunt, he's terminal. 32:26.152 --> 32:27.195 [sighs] 32:27.278 --> 32:30.198 You know that, I know that, Noah knows that. He's accepted that. 32:30.281 --> 32:32.909 Which is very difficult to do when you have a little one at home. 32:32.992 --> 32:34.243 Believe me. 32:36.329 --> 32:39.832 All those things you want to do for him, they take time, they take energy. 32:39.999 --> 32:43.336 There are two things Noah wants to give his son right now while he still can. 32:44.504 --> 32:48.424 Look, I'm sorry I didn't ask you, but I'm not sorry I let him go. 32:54.514 --> 32:56.432 [siren wailing] 33:09.612 --> 33:10.989 You look amazing. 33:11.823 --> 33:14.659 But, yeah, you may want to change. 33:14.742 --> 33:16.077 [chuckles] 33:18.079 --> 33:19.288 Sorry. 33:20.623 --> 33:22.208 It's okay. 33:27.046 --> 33:29.716 Listen. Do you hear that? 33:32.385 --> 33:34.512 -[Meredith] What? -Exactly. 33:35.680 --> 33:38.474 This right here, this is why I pulled back on my hours. 33:39.726 --> 33:43.187 I was... I was ignoring everything around me. 33:44.272 --> 33:45.690 You know? 33:45.857 --> 33:48.818 The perfect silence, the two-mile hike through the woods behind my house, 33:48.985 --> 33:52.655 just sitting here, sitting, staring up at the stars. 33:54.866 --> 33:58.453 -I don't stargaze much. -I'm sorry, since when? 33:58.619 --> 34:01.998 -Since ever. -Oh, we're gonna have so much fun. 34:02.498 --> 34:04.000 I've got so much to teach you. 34:04.167 --> 34:05.835 [laughs] 34:07.378 --> 34:10.631 Hey, tell me about this top-secret project. 34:10.715 --> 34:12.759 If I told you, it wouldn't be top secret. 34:12.925 --> 34:14.302 Fine, tell me one thing. 34:14.469 --> 34:17.346 You really struggle with the concept of secrets. 34:17.430 --> 34:18.931 Yes, I do. 34:21.893 --> 34:23.561 I'm scared to say yes. 34:23.644 --> 34:24.771 [Nick] Hmm. 34:25.021 --> 34:27.482 And I am very rarely scared. 34:32.737 --> 34:36.324 -What are you scared of? -Failure. 34:38.242 --> 34:40.953 This project will cost millions of dollars. 34:41.496 --> 34:43.206 It will be very risky. 34:44.165 --> 34:46.709 Win or lose, it will eventually be written about. 34:47.251 --> 34:51.422 I'm just not sure I want the first thing that I do after surviving COVID 34:51.589 --> 34:54.175 to be a public failure. And I know that's my ego. 34:54.258 --> 34:55.635 [chuckles] 34:56.094 --> 34:59.180 I have a very comfortable situation in Seattle. 34:59.263 --> 35:01.599 I have safety, I have comfort. 35:01.766 --> 35:04.018 And now you're gonna trade all of that in. 35:04.102 --> 35:05.645 You're gonna risk it all. 35:06.687 --> 35:08.523 Listen, you're not a safety person, Meredith. 35:08.689 --> 35:11.484 You're not a comfort person. It's not your nature. 35:11.818 --> 35:13.611 -How do you know? -Because it's not mine either. 35:13.694 --> 35:17.115 And it takes one to know one. You're gonna risk it all. 35:17.198 --> 35:20.827 And win or lose, it's gonna be a hell of a ride. 35:30.002 --> 35:31.963 [Winston] I'm really sorry to say this, Rashida. 35:32.630 --> 35:35.049 We couldn't gain access for your dialysis. 35:36.759 --> 35:39.762 But you're on the transplant list, Rashida. 35:42.515 --> 35:43.891 Wait, what? 35:45.560 --> 35:47.687 -Are you serious? -Yeah. 35:55.194 --> 35:57.155 [sighs deeply] 35:57.488 --> 36:00.199 I honestly never thought I would see this day. 36:00.283 --> 36:02.827 You're not just saving my life. 36:03.828 --> 36:05.413 You're changing it. 36:06.372 --> 36:08.249 I can go back to who I was. 36:09.834 --> 36:11.878 I don't know how to thank you. 36:13.504 --> 36:15.089 I can't wait to tell everyone. 36:16.257 --> 36:19.927 And, Dr. Ndugu, when my followers find out how you helped me... 36:20.469 --> 36:22.972 -Are you single? -I'm not. 36:23.055 --> 36:26.142 I'm actually married to another cardiothoracic surgeon at this hospital. 36:26.309 --> 36:28.436 -Dr. Pierce. -And she fly. 36:28.519 --> 36:32.106 What? A cute doctor couple? Okay. 36:32.273 --> 36:33.816 I gotta meet her ASAP. 36:33.900 --> 36:35.985 Have you guys ever thought about becoming influencers? 36:36.152 --> 36:39.906 -The brands would come flocking. -Influencers? For what? Health? 36:40.072 --> 36:42.283 Yeah, I mean, there are influencers for everything. 36:42.450 --> 36:46.495 Movies, restaurants, plants. There are dog influencers, too. 36:46.579 --> 36:49.540 Biggie the Pug has two million followers. 36:49.624 --> 36:50.875 Ha! 36:50.958 --> 36:52.376 Come on. Okay, we gotta go live. 36:53.085 --> 36:55.421 -Hey! -Hey! 36:55.504 --> 36:58.341 I haven't seen them this happy in months. 36:58.466 --> 37:01.010 [Richard chuckles] Helm's more thrilled than Schmitt. 37:01.177 --> 37:02.720 He let her keep the crystal. 37:03.763 --> 37:05.598 You seem to be the happiest of them all. 37:05.681 --> 37:08.726 Feels good to be back in front of them. 37:08.893 --> 37:11.604 Well, Dr. Wong gave me his retirement notice today. 37:11.771 --> 37:14.649 Dr. Wong? He used to be a student of mine. Is something wrong? 37:14.732 --> 37:17.985 Healthy as a horse. It's getting worse, Richard. 37:18.152 --> 37:22.156 Every day someone retires or quits or moving to Minnesota. 37:22.240 --> 37:24.033 We don't know if that's happening. 37:24.116 --> 37:28.120 Whether it's burn-out or exhaustion or just needing a change, 37:28.287 --> 37:30.539 these residents aren't the only ones that need to reset. 37:30.706 --> 37:33.584 This whole hospital needs to remember why we're here. 37:33.668 --> 37:36.045 COVID took that from us. 37:36.128 --> 37:39.632 Remember when we used to have pizza night and retreats? 37:39.715 --> 37:42.551 -And residents would prank each other? -You hated that. 37:42.635 --> 37:44.178 But there was joy. 37:44.262 --> 37:46.806 And the feeling that we were all in this together, 37:46.889 --> 37:48.516 for something bigger than ourselves. 37:48.599 --> 37:51.644 I want to make room for that, I wanna make space for that again. 37:51.727 --> 37:55.523 You want people to remember the why. 37:56.524 --> 37:58.109 So do I. 38:01.195 --> 38:03.197 I got some ideas, Bailey. 38:04.699 --> 38:06.033 Big ones. 38:10.329 --> 38:14.583 ♪ And if that mockingbird don't sing ♪ 38:14.750 --> 38:18.087 ♪ Daddy's gonna buy you a diamond ring ♪ 38:18.546 --> 38:22.300 ♪ And if all of those rings don't work ♪ 38:22.466 --> 38:25.428 ♪ Daddy's gonna feel like a big, old jerk ♪ 38:25.594 --> 38:29.640 Okay, you need to stop with the depressing lullabies. 38:29.724 --> 38:31.434 It put him to sleep. 38:34.812 --> 38:39.108 Link, I know that you are upset 38:39.275 --> 38:43.279 and sad and grieving the future you thought you had. 38:43.988 --> 38:47.241 -Obviously, I have been there. -And what did you do? 38:49.577 --> 38:53.748 I looked for joy anywhere that I could. 38:55.374 --> 38:59.962 Then along came OB and Luna. 39:01.964 --> 39:06.385 I know that it sucks right now, but you're gonna be okay. 39:11.432 --> 39:13.934 Something did happen earlier with Leo. 39:15.102 --> 39:19.982 I thought a parent was being judgy about his Elsa costume, so I confronted him. 39:20.149 --> 39:22.943 -Who was it? -No one. He wasn't being judgy. 39:23.110 --> 39:25.488 I'm just... Owen, I'm worried. 39:26.364 --> 39:27.615 I... 39:28.532 --> 39:32.036 I want Leo to be okay in the world. 39:32.203 --> 39:35.164 And I'm worried, what if we... 39:35.247 --> 39:36.791 If we let him be himself? 39:36.874 --> 39:40.795 I'm worried that the world won't be kind. 39:40.878 --> 39:46.175 I'm worried that it will be hard. I'm worried that people will be cruel. 39:46.967 --> 39:48.511 Maybe they will be. 39:50.137 --> 39:51.472 But we won't be. 39:51.555 --> 39:55.351 Leo's happy. Let's just let him be happy, okay? 39:55.476 --> 39:56.644 Okay. 39:56.894 --> 39:58.729 -[Leo] Mommy! -There he is. 39:58.896 --> 40:02.108 -Hey! -How are you? [grunts] 40:02.274 --> 40:03.818 Look what I got. [gasps] 40:03.984 --> 40:08.364 A new cape for Elsa, the Snow Queen! 40:08.447 --> 40:10.950 -You like it? -Yeah. 40:11.033 --> 40:12.535 [Teddy chuckles] 40:13.536 --> 40:16.664 -Hi! You got her? Hi! -Yeah. 40:17.623 --> 40:18.958 Hi. 40:19.458 --> 40:21.335 -Let's go home. -Okay. 40:23.504 --> 40:25.589 How was your day? 40:27.550 --> 40:30.594 [Meredith] There is such a thing as predictive homeostasis. 40:31.137 --> 40:32.179 Late night. 40:36.142 --> 40:38.519 -You don't own me. -I know. 40:38.602 --> 40:41.355 -I need autonomy picking the team. -Absolutely. 40:42.314 --> 40:45.025 I'd like any progress we make from this process 40:45.192 --> 40:48.571 to be public and accessible to everyone with Parkinson's. 40:48.654 --> 40:50.364 Of course. 40:50.448 --> 40:54.577 It's when our body anticipates responses to future challenges. 40:54.660 --> 40:57.580 I'd like to move the whole project to Grey Sloan. 40:57.663 --> 41:00.291 Mm. That I can't do. 41:00.458 --> 41:05.713 It's expensive, and frankly I don't have the time. 41:05.880 --> 41:07.798 We have everything we need here. 41:07.882 --> 41:11.760 -I can't move to Minnesota. -I need you here as much as possible. 41:14.221 --> 41:16.682 I could set up a satellite lab in Seattle. 41:16.849 --> 41:18.726 I could travel back and forth once a week. 41:19.852 --> 41:21.937 That's the best I can offer. 41:24.356 --> 41:25.274 Done. 41:25.900 --> 41:28.444 And understands that change is inevitable. 41:28.527 --> 41:30.404 Does this mean you're in? 41:34.783 --> 41:36.160 It means I'm in. 41:37.786 --> 41:39.788 And doesn't have to be catastrophic. 42:02.728 --> 42:05.523 [theme music playing]