WEBVTT

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♪ I'm so used to being broke... ♪

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[Meredith] When the body's exposed
to rising temperatures,

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it has the ability to cool itself down.

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We sweat, our blood vessels dilate,
and our heart rate increases.

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[Zola] Mom!
Why don't we have air conditioning?

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Because we live in Seattle!

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Please go get dressed!

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Our body releases
as much excess heat as it can.

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I thought Gen Z
was all about climate conservation.

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[Amelia] Well, they're all about speaking
their minds and spot-on hashtags.

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And calling you “bestie” as an insult.

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Do you know what the temperature
is in Minnesota right now? 73 degrees.

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-No heatwaves.
-You're as bad as the kids.

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Is it gonna be weird?

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I can't do Minnesota
and be chief of general surgery

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and be chief of the residency program.

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-Richard will have to understand.
-I'm not talking about Richard.

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She's like my sister.
You're like my sister.

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-I just-- I don't want it to be weird.
-Then stop making it weird.

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But when the temperatures starts
to inch above a 100 degrees,

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our bodies have to work overtime.

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I have back-to-back craniotomies
and then I have that video call

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-with Kai Bartley.
-[Meredith] Leading to heat exhaustion.

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I know! I can't tell anyone.

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Seventy-three degrees, Mer.

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Maybe we should just move to Minnesota
and become lake people.

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-Moving to Minnesota? Great.
-[Amelia] Not moving.

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Just might take
a few more trips there.

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Got it. Glad we discussed it.

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-Kiddie pool.
-Yes, thank you. Out back.

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We become nauseated, dizzy, and confused.

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It's one of Link's lifelong dreams
to cure Parkinson's.

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I know, I can't tell anyone!

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[Meredith] And we fight like hell
to cool down before it's too late.

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Hey, I got the last window unit
and I installed it myself.

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-More burn pits?
-Yeah, I found some anecdotal accounts.

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But no official documentation
about pulmonary fibrosis.

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And Noah is still not answering.

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Well, he was pretty clear
that he didn't want treatment.

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Yeah, I know. I just...

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I can't stop thinking about
how it could have been us, you know?

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I know.

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-It's over 100 degrees outside.
-Did you not read my email?

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Not only is today grand rounds,
but it is also silly hat day.

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Bailey said that she wanted
better morale around here.

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I said that I agreed with her,
so she appointed me ambassador of fun.

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You? Ambassador of fun?

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I'm fun!

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-Whoa. Ted...
-No, okay.

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-[zip opens]
-[sighs]

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Hey, Teddy, come on.

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[Teddy giggles]

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See? Fun.

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-Who do you think it is?
-Definitely someone big.

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Maybe it's Pier Cristoforo Giulianotti.

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He pretty much invented robotic surgery.

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Hey, Dr. Wilson. Do you know
who's doing our grand rounds?

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Just because I have to slum it
in the residents' lounge with all of you,

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doesn't mean I can just give out
privileged information.

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-You don't know who it is, do you?
-I have important work to do.

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Did you know that excessive heat
presents huge risks in pregnant women?

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-Including Braxton-Hicks.
-They announced who it is.

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You've gotta be kidding me.

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-Oh!
-[scoffs]

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Yes!

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Good morning.

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-Welcome back, Grey.
-Hey!

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-How'd you know I was back?
-I had a feeling.

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I saw you getting out of your car
in the parking lot.

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Oh. You brought me coffee. Hot coffee.

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-In triple digit weather.
-Iced coffee isn't coffee.

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-It's just coffee-flavored water.
-Not a fan of the heat, I see.

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There's more sheep than people
in Ireland.

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So I like weather that goes with hats
and gloves and scarves and the like.

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-How's my friend Austin?
-No idea, to be honest.

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Everything's a secret.
I'm basically not even allowed to ask.

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I'm a few years away from that,
but definitely not looking forward to it.

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Well, enjoy your kids speaking to you
while you still can.

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Well, they're really mad at me right now
because they're adjusting to the idea

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that I may spend half the week
in Minnesota.

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I'm adjusting to that idea as well.

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-None of us like it.
-Late! Late! Excuse me! Late!

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[groans]

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-Have you, uh, told her yet?
-No.

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-Webber?
-No.

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And I don't like this line
of questioning.

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Thank you for the coffee.
Have a great day.

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-It's locked.
-Why would it be locked?

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[Richard] Welcome to grand rounds.

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This is not your typical grand rounds.

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There's no lecture hall.
No slideshow presentations.

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-This is grand rounds on its feet.
-What does that mean?

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It means... you'll be coming with me.

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Nice to meet everyone.
I'm Dr. Addison Montgomery.

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[camera clicks]

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And you must be the group
that's been screwing up the program.

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Uh--

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[Addison] Kidding.

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Follow her, people!

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[mumbling]

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[chuckles]

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[exhales]

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[announcer PA] Dr. Dornberg to OR post-op.
Dr. Dornberg to OR post-op.

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Do I look like a batch
of raw cookie dough to you?

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Why are you trying to bake me alive?
Let these automatic doors close!

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Chief? Dr. Altman says
that you put her in charge of “fun”

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and that I have to wear this.

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I'm starting to think the heat
may have influenced my decision-making.

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[boy 1 groaning]

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-[Lin] Hold still, please.
-Dr. Lin. How are you settling in?

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Besides being told to wear a hat
to work on a 100-degree day?

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Just fine, thank you.

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[groaning]

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-Dare I ask?
-[Owen] Second degree burns

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to the buttocks and upper thigh.
Needs debriding.

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My buddy dared me to fry an egg
on the sidewalk for our web channel,

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-NakedBroStuff, and I fell on my butt.
-Naked.

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-More views.
-And it worked, bro.

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That egg got full on fried.

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He also fried through his epidermis.

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Epic fail because of the burns
and blisters.

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But look how many likes we got!

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We're gonna go viral.

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-[crashing and screaming on phone]
-[boy 2] Dude, check this out.

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Some chick gets shot off
the back of a Jet Ski

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-and the water went straight up her--
-"Some chick?"

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This will a lot hurt less
if you hold still

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and stop referring to women
as baby birds.

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Where are all the residents today?

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There's been monumental progress
made in infertility.

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But there is much more work to be done.

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With my background in obstetrics
and medical genetics--

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And as one of the foremost
neonatal surgeons in the country--

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I will always endeavor
to find more options

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-for women who wanna become mothers.
-Why isn't her grand rounds for OB?

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Damn it! Save me a spot. I'll be back.

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Fix your face.
It's Addison Forbes Montgomery.

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Apparently,
she and Grey have a history.

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And whatever happened, I'm Team Grey.

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I heard Dr. Grey
cheated with her husband, Dr. Shepherd.

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You mean Dr. Grey's husband,
Derek Shepherd?

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No. Maybe. I'm confused.

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I heard he was married to both of them.
Probably not at the same time.

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-Would you guys shut up?
-[Addison] You.

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Middle left.

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Yeah, you. What's your name?

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-Schmitt?
-Is that a question?

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-No?
-[Addison] Schmitt.

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What are the vessels found
in the broad ligament?

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Um, blood vessels to the ovaries,
fallopian tubes and uterus?

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Uterus. Not a question.

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Correct. Congratulations,
you're presenting.

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Today's case is a groundbreaking
procedure that has the potential

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to change the game for both fertility
and childbirth.

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I will be performing
Grey Sloan Memorial's

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first surgical uterine transplant.

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-Go ahead, Dr. Schmitt.
-On my feet. Okay...

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Uh... Tovah Freedman, 33 years old,
G four P zero.

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Had a complete hysterectomy
two years ago this January.

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Secondary to a placental abruption
in the second trimester.

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Taking out the uterus was unavoidable
with a hemorrhage.

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We couldn't save the baby,
but Tovah really wanted to be a mother.

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I was the youngest of five, and yet I
was always the mom when we played house.

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[Tovah chuckles]

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And when I found out that Jonathan
was also one of five, it was...

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b'shert.

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“Meant to be” in Yiddish.

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I had my first miscarriage
about six months after we were married.

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Then it was pretty much one a year
until we made it to the second trimester

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and I had the abruption
and lost the baby.

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And then it got worse.

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Jonathan was diagnosed
with malignant mesothelioma.

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And before he did chemo,
we froze his sperm.

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When Jonathan passed away, I couldn't
imagine being a parent without him.

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But then I heard about Dr. Montgomery's
clinical trial,

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and I realized that I could be the mom
I was meant to be

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and maybe even bring my and Jonathan's
baby into the world myself.

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Tovah is the last patient in my trial.

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And her family's here in Seattle,
so she has a solid support system.

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And if all goes well, I will have met
my criteria to publish my first round

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of patient results,
which means we're that much closer

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to changing fertility
all over the world.

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And one lucky resident will be credited
when she publishes.

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Dr. Schmitt. You'll be scrubbing
in to assist me today.

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Good. Dr. Schmitt, start your pre-op.
Everyone else, let's file out.

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Hi. Hi. Uh, Dr. Montgomery?

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-Are you an OB resident?
-Yes! Dr. Wilson.

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Great! Can you get me some coffee?
Black and sweet.

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-Say it again.
-Rashida, a donor kidney has been found

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and it's on its way here to Grey Sloan.
For you.

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Did y'all hear that?

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Dr. Ndugu got it done.
Say hi, Dr. Ndugu.

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Hey, followers.

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Mm-mm. Forget it, y'all. He's married.

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Bye!

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-Is this really happening?
-It's really happening.

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Oh, my...

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I can't believe this.

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I want to thank the donor.
I want to thank their family.

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You can thank them by getting well
and living your best life.

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-Who's doing the transplant?
-I am still confirming that.

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But I'll be back soon. All right?

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-Hi!
-Oh, you're back!

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-Yes.
-Good, good.

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-I have so many ideas.
-Ideas?

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Yeah. Ideas, thoughts, proposals.

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You and I are going to update
this teaching program together.

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-Okay. Well, we should talk because--
-Oh, and not just grand rounds.

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I think we should bring in
visiting surgeons each week.

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And also, we should start
video-recording surgeries again.

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It's the best way to learn.

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They can see what went wrong
and how the team adapted.

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-Well, what do you think?
-I think it's a great idea.

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Come on. Come on.

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-[resident 1] Hi, Dr. Grey!
-[resident 2] Hey, Dr. Grey!

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-[resident 3] Welcome back, Dr. Grey!
-[resident 4] Missed you.

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-Hunt. My man.
-[Owen] Hey.

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-You are a general surgeon.
-Mm-mm.

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And you're skilled.

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And you might be head of trauma,
but don't you ever think to yourself,

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"Man, it sure would be cool
to not just do trauma?"

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You sound like a person
who's about to ask for a favor.

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I need you to do a kidney transplant.

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Hm?

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Yeah, I know. Webber's got grand rounds,
an-- and Grey's got a surgery,

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-and I-- I definitely can't ask Bailey.
-Why not?

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Well, because Bailey thought
there was no way

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to get my patient on the transplant list,
and I... came up with a way.

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Would I be committing some kind of crime
if I did this favor?

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No, no. Definitely not.
But I will owe you one.

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-Okay.
-All right. Thank you.

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-What do we have?
-16-year-old female.

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Hemodynamically normal.
Hydrostatic pelvic injury.

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Water plowed up
and cut through her entire pelvic region.

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-What? How?
-She fell off a Jet Ski.

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Or was blasted off.
Apparently, it's all over the internet.

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-No! That video was for real?
-[groaning]

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[Addison] Tovah, eyes on me.

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[sighs nervously]

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-We have you, okay?
-And the uterus?

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-Being prepped as we speak.
-I hope it works.

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I'm going to do my absolute best.

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And remember that whatever happens is...

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-[Levi] B'shert.
-B'shert. Hm?

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I heard there were sex parties.

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Greys, Shepherds, Yangs. All of 'em.

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And they survived
a plane crash together.

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What does that have to do
with Dr. Montgomery?

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-I'm pretty sure she was on the plane.
-She wasn't.

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It was the Seattle Grace Six. Or five.
Definitely not seven.

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Groundbreaking surgery happening
below us right now, so shut up.

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Grand rounds on its feet means you will
be asked questions during surgeries.

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All of you.

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So maybe you wanna put away the chips?

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-You ready?
-[Addison] Ready. Scalpel.

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Why is the uterine transplant removed

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after one or two healthy babies
are born?

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Okay, if I don't get an answer
in five seconds, I'm clearing the gallery.

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You want to limit the immunosuppressive
drugs on the patient.

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-Dr. Schmitt, is she right?
-[Levi] She is.

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I swear, my eight-year-old listens
better than some of these guys.

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You asked me for an OR. I didn't tell you
it wouldn't come with a price.

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Now, who can tell me
where the uterine arteries branch from?

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-Ooh! Ooh!
-[grunts]

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[Cormac] Hello, Lily, I'm Dr. Hayes.
How are you feeling?

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[gags, coughs]

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[Lily] I feel like that.

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-Sorry.
-Don't be. I'm used to it.

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Developed reflexes like a cat.

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-I'm seeing free fluid in the abdomen.
-[Cormac] Pressure looks stable.

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Lily, we need to get you upstairs
for a CT scan. Are your parents here?

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Lily! Oh, my God, I'm so sorry.

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I didn't realize she slipped
off the back. Is she okay?

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-Are you her friend?
-Yeah. I'm... I'm Micah.

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Okay, Micah.

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We're going to take care of her,
but Lily had the equivalent of a fire hose

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blasted up her undercarriage, so we need
to get a hold of her parents right away.

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Need you to call them
and tell them to get down here.

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-[Lily] No!
-She hates them.

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Like, really hates them. And...
they don't know she was meeting me IRL.

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Understood.
I still need you to call them IRL.

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-No!
-Lily, your parents

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are gonna be worried sick eventually.

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-Not if they don't know.
-You're 16 years old.

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-We have to call your parents.
-Am I dying?

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-No.
-Then I'm not calling them.

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[monitor beeping]

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And what is the benefit of using
a deceased donor uterus versus a live one?

15:21.545 --> 15:23.756
[Richard] The larger vessels of a cadaver

15:23.839 --> 15:25.007
can be used for the anastomoses,

15:25.090 --> 15:27.468
-simplifying the procedure.
-Is he allowed to answer?

15:27.551 --> 15:30.554
-[Addison] No.
-I've never done one of these either.

15:31.513 --> 15:33.057
[Addison] Good dissection here.

15:33.140 --> 15:34.183
Ready for the uterus.

15:40.898 --> 15:42.399
[phone chimes]

15:42.483 --> 15:45.402
-Oh, come on! You shush!
-[all shushing]

15:47.404 --> 15:51.033
Dr. Schmitt, can you point out
the uterine artery and vein?

15:51.116 --> 15:53.452
[air hissing, rumbling]

15:58.707 --> 16:01.001
[rumbling]

16:03.128 --> 16:04.713
What the hell was that?

16:04.880 --> 16:08.175
Noah, this is Owen Hunt again.
I left you a few messages.

16:08.342 --> 16:10.511
Can you please call me back? Thank you.

16:10.594 --> 16:13.180
-[grunts]
-[air hissing stops]

16:13.263 --> 16:15.933
Well, crap.

16:18.811 --> 16:20.479
You heard that too, right?

16:20.562 --> 16:24.733
Air conditioner system is overworked,
like the rest of us, chief, you know?

16:24.817 --> 16:25.859
[scoffs]

16:28.904 --> 16:32.157
Jet Skis. Basically,
just motorcycles on water.

16:32.324 --> 16:35.077
-Nothing good comes out of them.
-Except fun.

16:35.244 --> 16:38.163
Is it just me, or are all teenagers
losing their minds right now?

16:38.330 --> 16:41.125
-Teenagers don't have minds to lose.
-[Lily] Micah?

16:42.001 --> 16:44.420
-Micah?
-[Cormac] He's in the waiting room, Lily.

16:44.503 --> 16:46.255
Just try and hold still, okay?

16:46.338 --> 16:50.968
No, I have OCD. I don't like germs.
I don't like disorder.

16:51.135 --> 16:53.095
This world is full of both of them.

16:53.178 --> 16:57.808
I wish I could lock my kids
in the house, away from all of it.

16:58.726 --> 17:01.270
But if you lock your kids up too tight,

17:01.353 --> 17:04.148
you run the risk
of locking up their minds.

17:04.314 --> 17:08.068
Their wildly immature, under-developed,

17:08.152 --> 17:11.155
overly-hormonal minds. [chuckling]

17:13.198 --> 17:18.037
We've all been through a trauma
this past year and a half, but the kids,

17:18.203 --> 17:20.122
they don't even know
how to ask for help.

17:20.289 --> 17:24.334
So they blast off on Jet Skis
with "friends" they met on the internet.

17:24.418 --> 17:26.003
[computer beeping]

17:26.253 --> 17:29.715
She's got free air.
I suspect her rectum is perforated.

17:29.798 --> 17:32.718
Let's book her for an ex-lap,
immediately.

17:37.681 --> 17:40.100
Optimum temperature in the OR, Schmitt?

17:40.184 --> 17:43.103
-Between 68 and 75 degrees?
-[Addison] Correct.

17:43.187 --> 17:45.314
But it's really the surgeon's
personal preference.

17:45.481 --> 17:48.859
[Levi] Oh, good. Then can we prefer
that we turn it down in here?

17:48.942 --> 17:50.235
[Addison] Sixty-six degrees, please.

17:51.737 --> 17:54.281
The AC is out.
The whole hospital's down,

17:54.448 --> 17:56.116
I need to start transferring surgeries.

17:56.200 --> 17:59.661
Tseng, Ortiz, Chee, you'll help.

17:59.828 --> 18:01.747
How long will it
take you to close Tovah?

18:01.830 --> 18:04.458
I'm halfway through a complex
end-to-side vascular anastomosis,

18:04.541 --> 18:06.001
Richard, I can handle a little heat.

18:06.085 --> 18:09.088
The HVAC system controls
the air filtration in the hospital.

18:09.171 --> 18:11.673
You need to close her as soon
as possible to prevent infection.

18:11.757 --> 18:14.927
I'm not stopping Tovah's transplant.
She's been waiting months for this.

18:15.010 --> 18:17.471
-Then find a way to double your speed.
-Find me a set of hands

18:17.596 --> 18:20.933
who's experienced in microvascular
anastomosis of the abdomen.

18:21.016 --> 18:23.477
Get me Meredith Grey.

18:28.732 --> 18:32.653
Get all available staff to put portable
AC units and fans in the ICU.

18:32.820 --> 18:35.948
And close any open window.
It's cooler in here than out there.

18:36.115 --> 18:37.950
-For now.
-What's going on?

18:38.117 --> 18:41.954
HVAC's out. All surgeries are canceled
or postponed. We need to divert trauma.

18:42.037 --> 18:43.872
I have a kidney transplant.
It's already en route.

18:43.956 --> 18:45.457
Tell them to call the next person
on the list.

18:45.624 --> 18:48.418
Our patient is down
to her last access point for dialysis.

18:48.502 --> 18:50.671
She's at severe risk for bacteremia
or sepsis.

18:50.838 --> 18:52.422
I just got approval
from the transplant board

18:52.589 --> 18:54.383
to list her
with medically urgent status.

18:54.550 --> 18:56.844
I'm sorry, Winston.
There is a protocol for when

18:57.010 --> 18:59.471
and if the hospital HVAC blows out.

18:59.638 --> 19:01.598
I just never thought
we'd have to use it.

19:01.682 --> 19:03.058
I...

19:04.434 --> 19:07.020
She can't wait for the next one.
She's getting sicker every day

19:07.187 --> 19:09.231
because I made the decision
not to put in a permanent port.

19:09.314 --> 19:10.482
-Why?
-It's complicated.

19:10.649 --> 19:13.360
But she needs this kidney.
She needs it and I need her to get it.

19:15.320 --> 19:17.823
-Where are you going?
-I'm gonna save your kidney.

19:22.161 --> 19:24.496
-[Addison] Dr. Grey.
-[Meredith] Dr. Montgomery.

19:24.580 --> 19:26.915
Congratulations, uterine transplant.

19:26.999 --> 19:30.502
Congratulations to you too,
abdominal wall transplant.

19:31.128 --> 19:35.090
Dr. Grey has assisted on an abdominal
wall transplant that included the penis.

19:35.257 --> 19:37.301
Yes, I read about that one, too.

19:37.384 --> 19:40.345
[Taryn] She won a Catherine Fox Award,
performed several ALPPS procedures,

19:40.512 --> 19:43.557
-and built mini-livers in the lab.
-Yes, Helm. We got it.

19:43.640 --> 19:44.975
Thank you so much.

19:46.226 --> 19:48.770
Have you prepared
the external iliac on my side?

19:48.854 --> 19:50.439
I have. Eight-oh Prolene.

19:54.234 --> 19:56.403
Thank you.

19:56.570 --> 19:59.740
Okay, so I closed us to trauma,
I diverted the rigs to Seattle Pres.

19:59.823 --> 20:01.950
Should we let the walk-ins
know about the situation?

20:02.034 --> 20:07.164
What do you mean, outsourced?
You manage the facilities! Hello?

20:08.165 --> 20:11.460
Apparently, our specialized
industrial HVAC company is overwhelmed

20:11.585 --> 20:13.003
with calls from all over the city.

20:13.170 --> 20:14.671
You canceled my double knee replacement?

20:14.755 --> 20:17.257
-It's 87 degrees in OR Three.
-It was hotter in Iraq.

20:17.424 --> 20:19.801
-Honestly, this is balmy.
-Yes, I'm still holding!

20:19.968 --> 20:22.638
-I should go check on Scout.
-I was just in the daycare.

20:22.721 --> 20:24.556
Everyone's good.
They've got a snow cone guy.

20:24.640 --> 20:25.933
Hopped up on sugar, but good.

20:26.016 --> 20:27.893
I'm more worried
about the babies in the NICU.

20:28.060 --> 20:30.729
Immunocompromised and unable
to regulate their temperature? Yeah.

20:30.812 --> 20:32.522
Should we consider transferring them?

20:32.606 --> 20:36.360
[sighs] No ETA for our HVAC team.

20:37.527 --> 20:39.238
I can take a look. Where is it?

20:39.321 --> 20:41.949
-The HVAC?
-I'm good at fixing things.

20:42.032 --> 20:46.495
Oh! Oh! I can assist. I just installed
a window unit this morning.

20:50.666 --> 20:52.542
-Wow. That's it?
-[Owen] Yep.

20:52.626 --> 20:54.002
You're gonna do my surgery
in a Mack truck?

20:54.086 --> 20:57.506
It's not a truck. Or it is,
but it's also a fully operational OR.

20:57.589 --> 20:59.716
It was designed for emergency surgeries
in the field.

20:59.800 --> 21:01.635
-It's incredible.
-[Ben] I gotta warn you guys,

21:01.718 --> 21:03.553
it's chilly in here.
You guys have jackets?

21:03.637 --> 21:07.599
-Ooh! Is he single? Can I post live?
-No and no.

21:07.683 --> 21:09.559
-[Owen] Thanks for coming.
-Hey.

21:09.643 --> 21:12.271
Look, if the fire chief asks,
I did not drive this here.

21:12.354 --> 21:14.231
And if your wife asks, same.

21:14.731 --> 21:15.732
Are you serious?

21:15.816 --> 21:19.152
The way I see it,
we're in a Grey Sloan annex.

21:19.903 --> 21:21.863
-Let's go.
-Okay.

21:27.577 --> 21:29.746
-[Dr. Bartley] Shepherd.
-Dr. Bartley, hey.

21:29.830 --> 21:33.709
I am so sorry that I missed
our call earlier.

21:33.792 --> 21:35.877
-What happened?
-I had a complication in the OR,

21:36.044 --> 21:39.339
-it took longer than I expected.
-Your head. You hurt?

21:39.423 --> 21:42.384
Oh, no, I'm fine.
Just incredibly hot.

21:43.719 --> 21:47.764
Uh, historic Seattle heatwave. Even the
hospital is not as cool as it should be.

21:47.848 --> 21:51.476
Got it. I got the MRI scans
on the latest mice group.

21:51.560 --> 21:53.478
-And?
-Seventy-four percent showed

21:53.562 --> 21:55.397
that the transplanted cells
are functional.

21:55.480 --> 21:57.482
Oh, my God! That's fantastic news.

21:57.566 --> 22:00.027
Yeah, I see it as a need
for 26 percent improvement.

22:00.110 --> 22:02.779
I want to start another group next week.
Can you get up here by then?

22:02.863 --> 22:06.033
-Do some troubleshooting with me?
-I would be thrilled. Absolutely. Yeah.

22:06.116 --> 22:08.827
Thanks. Close your eyes.

22:08.910 --> 22:10.245
Um...

22:10.620 --> 22:11.913
Okay.

22:12.080 --> 22:17.044
You're in Lake Superior in late fall,
right before it freezes over.

22:17.127 --> 22:19.588
No wetsuit, no sunshine.

22:19.671 --> 22:24.509
It's the type of cold that makes your
fingers ache and your eyelashes frost.

22:24.593 --> 22:27.721
Your whole body chatters,
not just your teeth.

22:30.557 --> 22:31.433
Uh--

22:32.059 --> 22:35.395
Are you trying to guide-meditate me
into feeling cool?

22:35.479 --> 22:38.440
-Did it work?
-I mean, it didn't not work.

22:38.523 --> 22:39.900
[chuckles]

22:40.317 --> 22:42.444
See you next week, Shepherd.

22:42.527 --> 22:43.570
[line beeps]

22:45.447 --> 22:47.199
Doppler.

22:48.408 --> 22:50.243
So, what's next, Dr. Grey?

22:50.410 --> 22:54.748
-Just finishing up this last stitch.
-No, I meant for you.

22:54.831 --> 22:57.918
I will win this Fox Award this year
for uterine transplants,

22:58.001 --> 22:59.336
but what will earn you second place?

22:59.419 --> 23:01.338
To be honest,
I could give you a run for first,

23:01.505 --> 23:04.716
if I could get my logistics
and responsibilities here sorted.

23:04.800 --> 23:06.718
I have to have some
difficult conversations.

23:06.885 --> 23:10.013
Richard. I'm not hearing a signal.

23:10.097 --> 23:12.057
-[Levi] What do you mean?
-I don't hear anything on the Doppler.

23:12.140 --> 23:13.892
-Anastomosis looks perfect.
-[Addison] Damn it.

23:13.975 --> 23:15.602
There must be a clot in the vessel.

23:15.685 --> 23:17.104
[Meredith] Okay,
we'll have to reopen the anastomosis.

23:17.187 --> 23:18.647
-You just finished.
-Well, it's all for nothing

23:18.814 --> 23:19.940
if we don't get proper blood flow.

23:20.023 --> 23:22.025
Let's re-open the anastomosis.
Now, Schmitt.

23:30.200 --> 23:33.495
This is... not a window unit.

23:34.538 --> 23:35.580
Nope.

23:36.623 --> 23:38.333
NICU babies.

23:39.960 --> 23:42.170
-Let's give it a try then.
-Yeah.

23:42.254 --> 23:43.588
[Atticus sighs]

23:43.713 --> 23:47.217
Hey, I'm-- I'm sorry about you and Amelia.

23:49.219 --> 23:50.929
Well, sorry I didn't make it
to the wedding.

23:51.012 --> 23:52.597
Oh, please. It was impromptu.

23:52.681 --> 23:56.143
I mean, 20 years in the making,
but impromptu.

23:56.226 --> 23:58.770
Oh, my God!
What is it, like, 120 up here?

23:58.937 --> 24:03.233
My body adjusted to extreme heat
in Iraq. I'm not even sweating.

24:03.316 --> 24:05.444
That sounds more like dehydration.

24:11.158 --> 24:13.493
So, what's the plan?

24:14.453 --> 24:16.121
Still coming up with one.

24:20.125 --> 24:21.460
-How about that? Oh!
-Careful.

24:24.463 --> 24:28.592
Uh, lap pads for Lily and my face.

24:28.758 --> 24:30.719
[Cormac] Catheter.

24:30.886 --> 24:33.013
I take it this isn't typical
summer weather in Seattle?

24:33.430 --> 24:34.639
You didn't live here last summer?

24:34.806 --> 24:36.475
I don't remember seasons
during the pandemic.

24:36.558 --> 24:37.767
[Bailey chuckles]

24:38.810 --> 24:42.314
What is it about closing the ORs
that is so difficult to understand?

24:42.397 --> 24:43.940
This patient should
have been transferred--

24:44.024 --> 24:46.318
And I chose not to do that.
My patient, my call.

24:46.401 --> 24:48.987
[Richard] You're working with bowel.
The risk of infection--

24:49.070 --> 24:52.407
Did not outweigh the need for my patient
to receive immediate surgical care.

24:52.491 --> 24:54.993
And the longer you stand there
arguing with me about it,

24:55.076 --> 24:57.037
the longer it's gonna take
to get what you want.

24:57.120 --> 25:01.833
Which is no one operating in this OR!
Have anything else to say about it?

25:03.418 --> 25:05.504
Eh!

25:07.464 --> 25:10.383
-Didn't think that would work.
-Works on my two teenage boys every day.

25:10.550 --> 25:12.511
-3-oh Vicryl.
-[Cormac chuckles]

25:15.055 --> 25:18.308
-[Addison[ Okay, we've got good inflow.
-Heparinized saline.

25:18.391 --> 25:20.560
Won't the graft die
if this doesn't work?

25:20.727 --> 25:23.730
[Meredith] Not if Dr. Montgomery
can dissolve or dislodge the clot.

25:26.316 --> 25:29.945
-Still no flow. We should use a Fogarty.
-[Addison] Catheter.

25:31.279 --> 25:32.614
[music playing]

25:35.283 --> 25:37.410
Inflate the cuff slowly.

25:38.245 --> 25:39.412
Pull back gently.

25:44.960 --> 25:47.587
[Addison laughs] Yes! Well done, team.

25:47.671 --> 25:50.590
-You okay, Schmitt?
-Who, me?

25:50.757 --> 25:53.260
I actually enjoy a schvitz.

25:53.426 --> 25:55.470
-Sweat in Yiddish.
-Yeah, I know.

25:59.099 --> 26:01.768
[Owen] Feels like old times,
you manning the anesthesia.

26:01.935 --> 26:04.521
-[Ben] Don't get used to it.
-Warren, I can't thank you enough.

26:04.604 --> 26:06.856
I'm just happy someone's
using this thing.

26:06.940 --> 26:09.526
-[Winston] Why'd it get benched?
-[Ben] There was an incident with my, um--

26:09.609 --> 26:11.653
With a junkie with a gun.

26:11.820 --> 26:14.823
The department didn't love that there
was a traveling target for drug addicts

26:14.990 --> 26:16.658
who were desperate enough
to hijack us for fentanyl.

26:16.741 --> 26:20.203
-Fair, but there must be a solution.
-[Ben] Trust me, I pled my case.

26:20.287 --> 26:23.164
But, you know, no dice. Now it's just
a very expensive piece of machinery

26:23.248 --> 26:25.083
that sits out back of the fire house,

26:25.166 --> 26:27.252
waiting for the day when someone
will let me dust it off.

26:27.419 --> 26:30.213
Or some stubborn surgeon
asks you to borrow it.

26:31.047 --> 26:34.509
[Ben] Grey Sloan paid for it.
Grey Sloan can decide what do to with it.

26:34.676 --> 26:36.970
Plus, no one ever accused us
of being rule followers.

26:37.137 --> 26:39.347
Well, I generally am a rule follower.

26:39.431 --> 26:42.976
Unless the rules mean my patient
can't get the kidney she deserves.

26:43.059 --> 26:45.270
Whoa, is this
an illegal kidney transplant?

26:45.353 --> 26:47.105
Does my wife know I'm here?

26:47.188 --> 26:50.984
No, but she's the one who told me
to fight the broken system.

26:51.067 --> 26:53.361
-By breaking the rules?
-No.

26:53.445 --> 26:56.239
-Yeah, I didn't think so.
-Anyway, no, I didn't steal a kidney.

26:56.323 --> 26:58.241
And even if we had,
it wouldn't matter now

26:58.408 --> 27:02.912
because there is urine in the foley.
Rashida has a functioning kidney.

27:13.632 --> 27:14.633
Damn it!

27:17.218 --> 27:21.097
Sorry. I'm... hot.

27:21.181 --> 27:24.809
And I just wanted... to fix something.

27:25.810 --> 27:27.896
I just wanted to fix something!

27:30.023 --> 27:31.441
Some things are harder
to fix than others.

27:31.524 --> 27:33.276
I'm in love with her.
I'm in love with her,

27:33.360 --> 27:35.654
and I don't even think
she thinks about me.

27:35.862 --> 27:38.948
She's planning trips without me.
She's...

27:39.115 --> 27:42.077
She thinks I'm old-fashioned. She...

27:42.243 --> 27:44.371
I mean, I don't even know!
She thinks I'm trying to control her

27:44.454 --> 27:47.832
because I want some, some commitment
from her? I don't get it.

27:47.916 --> 27:51.461
I-- I don't get it! [sighs]

27:53.338 --> 27:56.299
This is not what I wanted for my kid.

27:56.466 --> 27:59.761
[stutters] This is what I had.
This is not what I want for Scout.

27:59.928 --> 28:01.137
I've been there.

28:02.097 --> 28:05.725
For whatever it's worth,
I have been right where you are.

28:09.312 --> 28:12.482
Sorry. I'm just... really hot.

28:12.649 --> 28:14.442
I made people put on hats.

28:15.735 --> 28:19.322
For fun. On the hottest day of the year.

28:21.616 --> 28:24.285
Yeah. You want to do fun today?

28:25.078 --> 28:26.496
Think cool.

28:33.503 --> 28:34.587
[Taryn] Zander, they're coming!

28:34.713 --> 28:36.631
So? What happened?

28:36.715 --> 28:37.966
[shushing]

28:43.012 --> 28:46.015
-Did they have it out in the OR?
-No, but there was tension.

28:46.099 --> 28:48.685
-There was definitely tension.
-[Meredith] We can hear you.

28:54.941 --> 28:56.443
-Stairs.
-Yes!

28:58.361 --> 28:59.529
Go, go!

29:07.036 --> 29:07.912
[inhales deeply]

29:09.414 --> 29:10.874
[sobs]

29:29.517 --> 29:31.603
I thought...

29:32.854 --> 29:34.856
coming back here...

29:36.983 --> 29:41.946
to Seattle, to Grey Sloan, that...
he'd be here.

29:42.113 --> 29:45.784
That I'd be able to feel
that he was still here.

29:47.744 --> 29:51.664
In the city that he loved,
with the people he loved. But he isn't.

29:54.459 --> 29:58.588
And it's real. He's not here.

29:58.755 --> 30:00.590
I'm really sorry
I'm doing this in front of you,

30:00.673 --> 30:03.718
because you're the one who actually
had to go through it.

30:07.430 --> 30:09.808
Addison...

30:14.229 --> 30:15.730
He is here.

30:16.439 --> 30:18.441
And he's in his children.

30:18.608 --> 30:20.902
And they are very real.

30:22.445 --> 30:25.865
And I would love for you
to come and meet them.

30:33.164 --> 30:35.124
Meredith...

30:38.044 --> 30:42.632
you've never been one to shy away
from fighting for what you love.

30:43.091 --> 30:46.636
So if you believe
in this next big thing, fight for it.

30:49.722 --> 30:52.225
Richard will understand.

31:02.569 --> 31:03.486
[elevator dings]

31:16.332 --> 31:20.169
Grey made her cry and I am here for it.

31:26.092 --> 31:27.594
Okay, thank you.

31:28.803 --> 31:32.557
-Congratulations.
-So far, so good.

31:32.640 --> 31:35.768
There's minimal output from her drains,
Doppler studies look good.

31:35.852 --> 31:38.855
But the true success
will be when she gets pregnant

31:38.938 --> 31:41.900
and we deliver a healthy baby.

31:43.359 --> 31:48.281
I'm sorry about the HVAC. It wasn't
designed to be pushed that hard.

31:48.448 --> 31:51.451
The Earth wasn't designed
to push this hard.

31:51.534 --> 31:54.996
Speaking of pushing hard, your residents
are almost there, Richard.

31:55.079 --> 31:57.290
You made it sound catastrophic.

31:57.457 --> 32:00.168
Well, they aren't like you and Derek
back in New York.

32:00.251 --> 32:02.879
I remember you two were machines.

32:03.046 --> 32:05.673
All this generation wants to do
is complain.

32:05.840 --> 32:09.552
They're not complaining, Richard.
They're standing up for themselves.

32:10.553 --> 32:13.765
They're not willing to be worked
to death by a system that, frankly,

32:13.932 --> 32:17.226
should have been considered inhumane.
I think that's progress.

32:17.393 --> 32:22.023
Doctors are overworked, they're
getting sick, they're retiring early.

32:22.190 --> 32:23.650
There's a reason for that.

32:24.651 --> 32:27.862
-You're saying it's our fault?
-I'm saying that we can do better.

32:27.946 --> 32:32.867
I'm saying... there's always room
for improvement.

32:34.160 --> 32:38.164
And okay, yeah,
sometimes they're a little whiny.

32:38.247 --> 32:39.666
[Richard chuckles]

32:40.124 --> 32:42.126
It's really good to see you, Addie.

32:44.170 --> 32:46.089
It's good to see you too, Richard.

32:55.723 --> 32:59.519
-She's not gonna die, right?
-No.

33:00.353 --> 33:04.107
She's got some pretty serious injuries,
and a long road ahead of her.

33:05.858 --> 33:09.529
So I need Lily's phone, Micah.
I need to talk to her parents.

33:09.696 --> 33:11.155
Lily says her parents don't know her.

33:11.239 --> 33:13.449
They just want to track her phone
and control everything she does.

33:15.118 --> 33:16.703
Okay.

33:16.869 --> 33:19.038
But on the other hand,
if she doesn't talk to them,

33:19.122 --> 33:23.334
and if she keeps secrets from them,
how are they supposed to know her?

33:24.544 --> 33:26.671
How are they supposed to feel safe?
How are they supposed to even breath?

33:26.754 --> 33:29.716
-She says all they do is yell at her.
-Because it's impossible.

33:30.717 --> 33:32.844
Because you've loved them really well
all their damn lives,

33:33.011 --> 33:34.429
and then all of the sudden they turn 14

33:34.595 --> 33:36.472
and they don't want to have anything
to do with you.

33:38.599 --> 33:40.059
And you can see that they're hurting.

33:40.226 --> 33:42.520
You can see their pain
and their fear, their panic.

33:42.687 --> 33:46.190
And they used to talk to you
about everything and cling to your leg,

33:47.108 --> 33:50.778
now they just slam doors and stare
at the phones and tune you out.

33:51.738 --> 33:56.743
And, yeah, it's...
it's really hard being a teenager.

33:57.535 --> 34:00.163
I remember it.
I remember how my father used to shout.

34:00.913 --> 34:03.332
I remember how I used
to hate him sometimes.

34:03.875 --> 34:05.126
But do you know what, Micah?

34:05.293 --> 34:08.629
It's also really hard being the parent
of a teenager.

34:08.796 --> 34:10.590
So if Lily's parents
have been controlling,

34:12.008 --> 34:14.469
maybe they have reason to be scared.

34:19.807 --> 34:21.559
All right, Micah.

34:21.642 --> 34:24.604
Lily's gonna be crapping into a bag
for the next six months,

34:24.687 --> 34:26.355
so unless you're gonna be the one
to help clean that up,

34:26.522 --> 34:29.108
I suggest you unlock her phone.

34:34.781 --> 34:36.532
Thank you.

34:38.910 --> 34:42.789
-[Meredith] There you are.
-You saved the grand rounds surgery.

34:42.872 --> 34:48.211
The HVAC team finally got here
and the AC's on in the ICU and NICU.

34:48.294 --> 34:52.215
The whole hospital should be back soon.
Thank God.

34:52.298 --> 34:54.634
Can we talk about the residency program?

34:54.801 --> 34:57.845
Yes! And I hope I'm not
stepping on any toes,

34:57.929 --> 35:00.973
but I really think the two of us
can revamp this whole thing.

35:01.057 --> 35:02.683
Except it won't be the two of us.

35:05.061 --> 35:07.563
-You're gonna take the job in Minnesota.
-Yes and no.

35:07.647 --> 35:09.774
I was offered an opportunity

35:09.857 --> 35:12.235
-that I just cannot turn down.
-What is it?

35:12.318 --> 35:14.654
It's an opportunity
that I cannot turn down.

35:14.737 --> 35:18.950
Oh, I see. It's so good
that you can't even talk about it.

35:19.117 --> 35:21.285
I'll split my time
between here and there.

35:22.620 --> 35:24.664
And I'll stay on
as chief of general surgery,

35:24.747 --> 35:27.917
but I do have to give up the residents.
It would not be fair to them.

35:28.417 --> 35:30.503
And quite honestly, Richard,
I think it's wrong for anyone

35:30.670 --> 35:31.796
to have that job but you.

35:31.963 --> 35:34.799
Nah. you're just saying that
to make me feel better.

35:34.882 --> 35:36.175
So?

35:37.343 --> 35:41.222
So I will be honored
to stay in the role.

35:41.389 --> 35:43.266
-I thank you.
-Meredith, uh,

35:43.432 --> 35:45.768
eventually, you will
tell me what it is, right?

35:47.436 --> 35:48.604
Right?

35:51.399 --> 35:56.571
-Her labs look incredible.
-And she's got a full bag of urine.

35:59.323 --> 36:00.908
Did it work?

36:02.952 --> 36:04.871
-Do I have a kidney?
-[Winston] It did.

36:04.954 --> 36:07.582
Everything looks great, Rashida.

36:07.665 --> 36:12.044
-Ooh, Thailand, get ready.
-Yeah. You deserve to celebrate.

36:12.211 --> 36:13.504
So do you.

36:13.588 --> 36:15.423
With your doctor-wife.

36:15.506 --> 36:17.425
And somewhere cool.

36:17.508 --> 36:20.094
Well, unfortunately, she's out of town.

36:20.261 --> 36:23.347
But I did score an invite
to the coolest place in the hospital.

36:23.431 --> 36:26.559
Um... Hello. Where?

36:28.311 --> 36:31.355
Okay. It is definitely
cooler down here.

36:33.900 --> 36:36.736
The morgue?
We got invited to the morgue?

36:36.903 --> 36:39.655
I got invited. You just followed me.

36:42.325 --> 36:44.076
Hey! Come on in!

36:44.160 --> 36:46.287
Grab a snow cone, cool off.

36:46.370 --> 36:50.124
-[Winston] Wow! This is weird!
-But fun, right?

36:50.208 --> 36:51.626
Sure...

36:51.792 --> 36:56.297
I delivered two babies today
in 115 degree heat.

36:56.380 --> 36:57.506
I mean, it's not a competition,

36:57.590 --> 37:00.968
but I did help out
on a successful uterine transplant.

37:01.052 --> 37:04.222
“It's not a competition, but..." [mocking]

37:04.305 --> 37:08.601
Residents can feel like they're being
pulled in a zillion directions.

37:08.768 --> 37:10.478
You'll get in on the next cool thing.

37:10.645 --> 37:13.189
Are you seriously telling me
how it feels to be a resident?

37:13.356 --> 37:17.109
I tell you how it feels
to be a resident. Wait, wait, wait!

37:17.193 --> 37:19.654
Dr. Montgomery comes back
to deliver uterine transplant's baby,

37:19.820 --> 37:22.406
put in a good word for me
so I can get in on it?

37:22.573 --> 37:24.283
-[chuckles]
-Wha--

37:26.410 --> 37:29.872
Ambassador of fun. Nice job, Altman.

37:30.039 --> 37:31.749
Creepy, but nice.

37:31.832 --> 37:34.669
-People are dying to get in here.
-No.

37:35.419 --> 37:37.421
[music playing]

37:39.882 --> 37:41.550
[Meredith] For me, the boiling point

37:41.634 --> 37:43.803
is more about
stuff bubbling up from the bottom.

37:46.222 --> 37:48.015
Oh, my God.

37:48.182 --> 37:50.184
[both squealing]

37:59.235 --> 38:01.988
Oh, my God! I have been waiting
for this moment all day!

38:02.071 --> 38:04.240
I was stuck over a brain
when the stupid AC went out.

38:04.407 --> 38:06.701
-I was over a uterus.
-Okay.

38:06.784 --> 38:07.910
-[air vent rumbling]
-Oh, good.

38:07.994 --> 38:10.538
The air is back on,
just as we're leaving for the day.

38:10.621 --> 38:12.331
Typical of this place.

38:13.708 --> 38:16.794
-So where do you wanna go for dinner?
-Your place. Meredith invited me over.

38:16.961 --> 38:19.964
-She did? Is that weird?
-Mm-hmm.

38:20.131 --> 38:22.925
-Why would it be weird?
-No reason.

38:23.009 --> 38:25.261
Though I did hear you guys
had a threesome one time.

38:25.428 --> 38:28.180
I heard it was a foursome. So...

38:30.266 --> 38:32.935
[Meredith] It's about stuff
you haven't thought about in a while.

38:34.020 --> 38:37.481
It's about stuff that's been heating up
while you weren't even paying attention.

38:39.567 --> 38:42.153
-Listen, I know you're scared.
-No.

38:42.320 --> 38:46.365
Noah? Noah, I know you're scared,
I know you're in pain.

38:46.532 --> 38:49.493
But you should also know that there
are so many others just like you

38:49.577 --> 38:52.496
who are also scared and also in pain
because the military

38:52.580 --> 38:54.457
doesn't want to take responsibility.

38:56.208 --> 38:59.420
The only way to help all of you
is to at least try to fight.

38:59.503 --> 39:03.257
Because that is what we do.
We fight for what is right.

39:03.424 --> 39:05.384
For as long as we can.

39:06.260 --> 39:10.056
And I will help you, Noah.
Every step of the way.

39:17.063 --> 39:18.230
[Meredith] The question is,

39:18.522 --> 39:21.359
how well can you contain things
before they boil over?

39:24.904 --> 39:26.197
What do you need from me?

39:27.073 --> 39:28.657
I need to know everything that you know.

39:28.824 --> 39:32.286
What the VA said to you.
Your story and everyone else's.

39:37.583 --> 39:39.919
Okay. Come in.

39:41.504 --> 39:45.216
[Meredith] Thing is, even if things
don't boil over completely,

39:45.508 --> 39:48.260
they can still simmer.

39:50.679 --> 39:54.016
We're here! Come meet somebody, guys.

39:55.393 --> 39:57.061
-Hi!
-[Meredith] Hey.

39:57.144 --> 39:58.813
So this is Zola and Bailey.

39:58.896 --> 40:01.982
And the youngest one is Ellis,
she's upstairs in a mood.

40:02.066 --> 40:03.317
She gets it from me.

40:05.486 --> 40:06.946
-Hi.
-Hi!

40:07.029 --> 40:09.323
Hello. Were you Daddy's friend?

40:09.407 --> 40:11.992
I was. Yes. Um...

40:12.118 --> 40:14.495
I'm, uh, I'm Addison.

40:15.162 --> 40:18.374
But he... he called me Addie.

40:18.582 --> 40:21.335
[Meredith] And as long as you're careful
how you handle yourself...

40:21.419 --> 40:23.629
Want some ice cream, Addie?

40:23.796 --> 40:26.048
I would. I would love that.

40:27.633 --> 40:29.718
[music continues]

40:32.096 --> 40:34.473
Oh, wow. Look at this!

40:37.017 --> 40:40.729
-Is this rainbow sherbet?
-[Zola] Yeah, and guess what?

40:40.813 --> 40:43.441
-Rainbow everywhere too.
-[Addison] I mean, and the pizza.

40:43.524 --> 40:45.359
-[Meredith] And sprinkles.
-[Addison] Who doesn't want sprinkles?

40:45.443 --> 40:47.611
-I know, right?
-Which topping do you like best?

40:48.988 --> 40:51.991
Mini chips. Yeah. Oh!

40:52.074 --> 40:53.075
[Zola] Skittles?

40:54.618 --> 40:56.120
[Meredith] ...you won't get burned.

40:56.245 --> 40:57.746
[Addison] You guys, guess what?

40:57.830 --> 41:00.166
I'm falling more in love with you
every second.

41:00.249 --> 41:02.126
Every stinking second.
