WEBVTT 00:03.753 --> 00:05.880 [Meredith] Since the early 1900s, 00:05.964 --> 00:10.010 morbidity and mortality conferences, or "M&M"s, 00:10.093 --> 00:11.928 have helped surgeons learn from cases 00:12.012 --> 00:14.514 where there was a serious complication. 00:14.597 --> 00:16.307 Or a fatal outcome. 00:16.391 --> 00:17.225 No. 00:17.308 --> 00:19.644 ♪ I'm going for show ♪ 00:19.728 --> 00:21.730 ♪ Just give me a beat and melody ♪ 00:21.813 --> 00:26.401 [Meredith] During M&Ms, we assess both systematic and personal errors. 00:27.610 --> 00:30.905 We review every step, every decision. 00:31.614 --> 00:34.951 We get to the bottom of what happened and how it happened. 00:35.035 --> 00:36.161 -[knock on door] -Yeah? 00:36.244 --> 00:37.954 ♪ I got this stage ♪ 00:38.038 --> 00:38.872 Room service. 00:38.955 --> 00:41.666 Hi. Thank you. 00:41.750 --> 00:43.084 You, uh, get your kids to school? 00:43.168 --> 00:45.170 -I did. -Good. 00:45.253 --> 00:46.463 -They were five minutes early. -Mm-hmm. 00:46.546 --> 00:48.298 They're never five minutes early. 00:48.381 --> 00:49.382 [Nick chuckles] What's your day look like? 00:49.466 --> 00:51.259 Tedious. 00:51.342 --> 00:53.011 I have a follow-up with Hamilton, 00:53.094 --> 00:56.431 and then I have to watch someone I really like get interrogated in an M&M. 00:56.514 --> 00:58.975 -Anything good? -No, he avulsed the IMA 00:59.059 --> 01:01.227 right off the aorta during an ileostomy takedown. 01:01.311 --> 01:02.729 Patient bled to death. 01:02.812 --> 01:04.064 And there was no attending in the room. 01:04.147 --> 01:05.023 Oof. 01:05.106 --> 01:06.816 Yeah. What time's your flight? 01:06.900 --> 01:08.610 I have to leave for the airport in about 20 minutes. 01:08.693 --> 01:10.028 I wish you were staying. 01:10.111 --> 01:12.530 I have 20 minutes. 01:12.614 --> 01:14.157 ♪ You know, I'll seal your fate ♪ 01:14.240 --> 01:18.495 [Meredith] We consider what we could have done better or differently... 01:18.578 --> 01:19.746 Wow. 01:19.829 --> 01:21.289 ♪ Uh-huh ♪ 01:21.372 --> 01:22.707 I know. [chuckles] 01:22.791 --> 01:24.292 [Luna crying] 01:24.375 --> 01:27.212 ♪ Face present And I feel something coming for ya ♪ 01:27.295 --> 01:28.546 ♪ Na-na-na-na-na ♪ 01:28.630 --> 01:30.632 Oh, you were right. 01:30.715 --> 01:33.593 [exhales deeply] This is fun. 01:33.676 --> 01:35.678 ♪ Can't escape, but it's okay ♪ 01:35.762 --> 01:39.182 [Meredith] ...and hope we never make the same mistake ever again. 01:39.265 --> 01:40.558 ♪ A hook and a verse ♪ 01:40.642 --> 01:41.935 ♪ A couple of words ♪ 01:42.018 --> 01:43.394 ♪ Watch me do this ♪ 01:43.478 --> 01:45.313 ♪ Got it in your head ♪ 01:45.396 --> 01:46.981 Hey. 01:47.065 --> 01:49.025 Hey. How was Mr. Yeyni's CABG? 01:49.109 --> 01:50.443 Oh, smooth. Yeah. 01:50.527 --> 01:51.945 Were you able to talk to Richard? 01:52.028 --> 01:53.363 No. 01:53.446 --> 01:55.073 All he said when I asked him about it was, 01:55.156 --> 01:57.075 "Save it for the M&M." 01:57.158 --> 01:58.409 Well, I mean, he's not wrong. 01:58.493 --> 02:00.328 We are a teaching hospital. 02:00.411 --> 02:02.497 I know M&M's are essential, but I hate them. 02:03.164 --> 02:04.374 Both things are true. 02:07.335 --> 02:10.797 [woman over P.A.] Dr. Manner to the E.R. Dr. Manner to the E.R. 02:12.507 --> 02:14.384 Grey! Here, take this. 02:14.467 --> 02:16.177 A ventral hernia repair. 02:16.261 --> 02:18.304 Patient's name is Franks. 1443. 02:19.347 --> 02:20.223 Wait. 02:20.306 --> 02:21.349 -Right now? -Yeah. 02:21.432 --> 02:23.309 What about the M&M? A-Aren't I supposed to weigh in? 02:23.393 --> 02:26.437 No one else is available, and I need to run the M&M, 02:26.521 --> 02:28.398 so unless you're needed on a plane, 02:28.481 --> 02:30.275 I really need you in O.R. 3. 02:30.358 --> 02:31.568 -Okay. I'm on it. -Okay. 02:31.651 --> 02:33.444 But, you know, go easy on Schmitt. 02:33.528 --> 02:36.030 I'm sure he's suffering enough, and he's come a long way. 02:37.115 --> 02:39.450 He's still not here yet. Where is he? 02:39.534 --> 02:41.286 -I don't know. -Doesn't he live with you? 02:41.369 --> 02:43.246 I don't put GPS locators on my roommates, do you? 02:43.329 --> 02:44.247 No need to be rude. 02:44.330 --> 02:46.249 Do you think you'll have to go up there? Since you were in the room? 02:46.332 --> 02:47.500 Hey, where's Schmitt? 02:47.584 --> 02:49.043 -I don't know! -Okay. 02:49.127 --> 02:52.338 [people murmuring] 02:56.801 --> 02:58.595 [sighs] 03:01.347 --> 03:05.560 Okay, we all have surgeries and clinic, 03:05.643 --> 03:07.896 so I'm gonna go ahead and get started. 03:07.979 --> 03:11.733 Um, ask questions as they arise. 03:11.816 --> 03:14.569 Keep them constructive. We are a teaching hospital. 03:14.652 --> 03:16.154 This is how we learn. 03:17.280 --> 03:20.450 Dr. Schmitt will be presenting... 03:21.034 --> 03:21.868 Uh... 03:25.205 --> 03:28.958 Okay, so, our first case is colorectal surgery service. 03:29.042 --> 03:30.752 26 year-old male... 03:30.835 --> 03:34.547 ♪ 03:34.631 --> 03:35.590 Dr. Schmitt. 03:35.673 --> 03:40.345 ♪ 03:42.805 --> 03:48.269 ♪ 03:49.938 --> 03:55.318 ♪ 03:57.111 --> 03:59.572 The case is a 26-year-old male 03:59.656 --> 04:01.324 with history of ulcerative colitis. 04:08.998 --> 04:11.501 ...at which point, we were about ready to proceed 04:11.584 --> 04:13.211 with stapling the anastomosis, 04:13.294 --> 04:17.840 but I felt that I needed better exposure of the small bowel, 04:17.924 --> 04:19.717 so I reached into the cavity. 04:24.347 --> 04:26.683 Questions are not encouraged-- They're required. 04:27.934 --> 04:30.186 Dr. Wright, ask a question. 04:30.270 --> 04:31.938 Um... 04:32.021 --> 04:35.149 Uh, had you observed any bleeding at that point? 04:35.233 --> 04:37.193 -No. -Did you have good visualization 04:37.277 --> 04:38.820 on what you were putting traction on? 04:38.903 --> 04:39.988 I believed I did. 04:41.364 --> 04:42.865 Okay. 04:45.285 --> 04:46.744 [sighs] 04:46.828 --> 04:49.205 At that point, everything was dry 04:49.289 --> 04:51.541 and ready for anastomosis. 04:51.624 --> 04:54.127 -As stated, the patient... -[bird chirping] 04:54.210 --> 04:55.712 [Devon] It's been so long since I've 04:55.795 --> 04:58.589 -seen a waterfall in person. -[Bailey] Dr. Schmitt? Dr. Schmitt? 04:59.757 --> 05:00.591 Continue. 05:02.218 --> 05:06.347 Um, [clears throat] everything was dry and, um... 05:06.431 --> 05:12.020 the field was clean, so I asked for the GIA stapler. 05:12.103 --> 05:13.646 But there was-- 05:13.730 --> 05:14.772 Um... 05:15.732 --> 05:16.941 [clears throat] 05:17.025 --> 05:19.444 There, uh-- There was no indication 05:19.527 --> 05:23.823 of any abnormal anatomy or friable structures, right? 05:23.906 --> 05:25.283 That you could see, I mean. 05:25.366 --> 05:26.451 -[bird chirping] -What? 05:26.534 --> 05:28.619 [muffled] Meaning you couldn't have predicted 05:28.703 --> 05:31.164 that the aorta was gonna rupture... 05:31.456 --> 05:32.582 [Devon] This is just the best. 05:32.665 --> 05:34.208 Yeah. I'm gonna stay here awhile, you guys. 05:34.834 --> 05:37.337 It was an unanticipated complication. 05:37.420 --> 05:38.755 Is there a question in there somewhere, Helm? 05:40.048 --> 05:40.882 I didn't think so. 05:42.091 --> 05:43.468 Schmitt, go. 05:43.551 --> 05:46.304 Uh, that-- that was the... 05:48.264 --> 05:52.185 the f-- the field, it filled with blood, and, um... 05:52.268 --> 05:54.354 I'm-- I'm sorry. 05:54.437 --> 05:56.856 -[Levi] You're Devon Gomez. -[Devon] Never knew I had a groupie. 05:56.939 --> 05:57.940 It's nice to meet you, Dr. Schmitt. 05:58.024 --> 05:59.609 [Bailey] Schmitt, call it. 05:59.692 --> 06:01.986 [quietly] I killed Devon. I, uh... 06:02.070 --> 06:05.156 I just-- I killed him. He's dead. 06:05.239 --> 06:07.283 [Bailey] Dr. Schmitt, look, we are here-- 06:07.367 --> 06:08.618 Dr. Schmitt, no, no. 06:08.701 --> 06:11.829 We are here to determine what ha-- and how to-- 06:15.208 --> 06:17.710 Hey, no, no, no! The M&M isn't finished. 06:18.086 --> 06:20.338 Um, un-until Dr. Schmitt returns, 06:20.421 --> 06:22.298 Dr. Webber will take the questions. 06:28.388 --> 06:30.056 If Dr. Schmitt was the primary surgeon 06:30.139 --> 06:32.683 and you're the attending, who's in charge? 06:32.767 --> 06:35.853 The Webber Method dictates that a resident cannot go on 06:35.937 --> 06:37.188 to the next step in the procedure 06:37.271 --> 06:38.731 without an attending being present. 06:38.815 --> 06:40.817 Yeah, I-I understand what the method is, sir. 06:40.900 --> 06:42.944 I'm just not sure I understand the chain of command. 06:43.027 --> 06:44.195 I beg your pardon? 06:44.278 --> 06:47.031 Well, I mean, the-- the Webber Method seems to rotate authority during surgery 06:47.115 --> 06:48.533 depending on which step you're on, 06:48.616 --> 06:51.661 which, with all due respect, sir, seems... confusing. 06:51.744 --> 06:53.454 Perhaps a little more time in our program 06:53.538 --> 06:55.081 would help clear up any confusion. 06:55.164 --> 06:56.791 Alright, let's get back to the next question, please. 06:56.874 --> 06:58.543 In a Webber Method surgery, can you just remind us 06:58.626 --> 07:01.337 what exactly happens if a complication arises, 07:01.421 --> 07:03.423 even if it's not at the predetermined step 07:03.506 --> 07:05.466 when an attending would need to be called? 07:05.550 --> 07:07.093 Well, an attending should be called anyway. 07:07.176 --> 07:09.220 Right, but for all intents and purposes, 07:09.303 --> 07:11.889 your method sets up these senior residents 07:11.973 --> 07:13.474 as the attendings, right? 07:13.558 --> 07:16.519 Didn't you specifically use the word "attendings" 07:16.602 --> 07:18.187 when you first introduced the method? 07:18.271 --> 07:20.231 -"Today you will be the attendings." -...you will be the attendings. 07:20.314 --> 07:22.733 Welcome to the Webber Method. 07:24.360 --> 07:25.528 [Maggie clears throat] 07:25.611 --> 07:28.865 Dr. Webber, was there ever a meeting of department heads 07:28.948 --> 07:31.117 to discuss whether we should adopt 07:31.200 --> 07:33.077 this particular teaching style? 07:33.161 --> 07:34.454 Does that make a difference? 07:34.537 --> 07:36.205 Well, yes, I mean, we have meetings to discuss 07:36.289 --> 07:37.498 what brand of sutures we're going to buy. 07:37.582 --> 07:38.624 Why not meet about this? 07:38.708 --> 07:41.002 Are other hospitals using this, Catherine? 07:41.085 --> 07:42.503 Other foundation hospitals? 07:42.587 --> 07:45.256 [Michelle] Dr. Webber is your chief medical officer, Dr. Fox. 07:45.339 --> 07:46.424 The method's named after him. 07:46.507 --> 07:48.342 You never considered that there would be 07:48.426 --> 07:50.344 negative consequences or a P.R. nightmare? 07:50.428 --> 07:52.638 Dr. Lin, you recently promoted the Webber Method 07:52.722 --> 07:54.432 while recruiting new residents. 07:54.515 --> 07:56.017 This is a teaching tool, my dear, 07:56.100 --> 07:57.935 not some risky cure for cancer. 07:58.019 --> 08:00.938 It's a teaching tool that cost a patient their life. 08:01.647 --> 08:02.940 Dr. Bailey, you initially 08:03.024 --> 08:05.067 expressed reservations about the method. 08:05.151 --> 08:05.985 What changed for you? 08:06.068 --> 08:08.654 Is the M&M on the patient or the Webber Method? 08:08.738 --> 08:10.323 Because the method didn't hold the scalpel. 08:10.406 --> 08:11.282 Thank you. 08:11.365 --> 08:14.076 Well, there are clearly residents who are not ready. 08:14.160 --> 08:16.245 [Michelle] What about the American Board of Surgery? 08:16.329 --> 08:18.498 -Have they sanctioned it? -Everybody, just please. 08:18.581 --> 08:20.541 Dr. Webber is just prioritizing our education. 08:20.625 --> 08:22.793 -[resident 1] We're here to learn. -[Bailey] Okay, everyone. 08:22.877 --> 08:24.378 [resident 2] Why would they weigh in on a method for general procedure? 08:24.462 --> 08:26.464 [Bailey] We need to get back to asking questions. 08:26.547 --> 08:27.673 -[resident 3] What they need to approve... -[resident 4] This hospital... 08:27.757 --> 08:30.468 -Here we go. -[groans] 08:30.551 --> 08:31.928 [grunts] 08:32.011 --> 08:33.221 How's the pain? 08:33.304 --> 08:34.347 It's okay. It's not terrible. 08:34.430 --> 08:35.348 Good. 08:43.814 --> 08:45.191 -[door closes] -Listen, Owen, 08:45.608 --> 08:47.318 I-I know that you have gone through 08:47.401 --> 08:50.112 something horrible, and I've given it two days, 08:50.196 --> 08:51.822 but now I'm gonna sit here until you tell me 08:51.906 --> 08:52.823 what the hell is going on. 08:52.907 --> 08:54.909 Noah's wife has called the house 08:54.992 --> 08:56.118 several times looking for you. 08:56.202 --> 08:57.411 -Why? -Teddy-- 08:57.495 --> 08:59.497 Owen, after everything that we've been through, 08:59.580 --> 09:02.208 after 20 years, I deserve the truth. 09:02.291 --> 09:04.502 What does Heather want? Why did Hayes quit? 09:04.585 --> 09:06.754 I know that something happened in the car. 09:07.004 --> 09:08.422 Can you just tell me, please? 09:09.423 --> 09:11.968 You're right. Something happened in the car. 09:13.427 --> 09:15.721 But, Teddy, I'm asking you to trust me. 09:15.805 --> 09:16.764 I can't tell you. 09:17.181 --> 09:18.432 [scoffs] 09:19.684 --> 09:21.352 What about me? Don't I deserve the same? 09:21.435 --> 09:22.770 Doesn't trust go both ways? 09:22.853 --> 09:24.730 -Of course, but-- -Owen, it's me. 09:24.814 --> 09:26.274 You can sit there as long as you want, okay? 09:26.357 --> 09:27.275 But I'm not gonna tell you. 09:28.359 --> 09:29.735 I love you. 09:30.945 --> 09:32.363 But I can't. 09:32.446 --> 09:33.864 You can. 09:33.948 --> 09:35.491 But you won't. 09:35.950 --> 09:37.994 Okay, I won't. 09:38.077 --> 09:40.121 [chuckles] 09:40.204 --> 09:44.917 ♪ 09:49.046 --> 09:51.882 Legal hasn't heard anything from the Gomez family. 09:52.508 --> 09:55.136 We may avoid a lawsuit altogether. 09:55.219 --> 09:57.722 Hmm. But you still have some decisions to make. 09:57.805 --> 09:59.765 I have some decisions to make? 09:59.849 --> 10:03.311 He's my husband, Dr. Bailey, but this is your hospital. 10:04.604 --> 10:05.771 The method was successful 10:05.855 --> 10:07.523 as long as the residents stuck to it. 10:07.607 --> 10:10.109 But surgical residents are not known for their humility, 10:10.192 --> 10:12.612 so whether or not the method continues on 10:12.695 --> 10:16.073 after this suspension, it's up to you. 10:16.157 --> 10:18.826 [woman over P.A.] Dr. O'Dell to the ICU. Dr. O'Dell... 10:18.909 --> 10:21.412 Hey, ventral hernia's repaired. 10:21.495 --> 10:22.788 How was the M&M? 10:22.872 --> 10:25.166 I want to check in on Richard before my VIP's scans. 10:25.249 --> 10:26.584 The M&M was awful. 10:26.667 --> 10:28.127 Richard needs space. 10:28.210 --> 10:29.587 But I put you down for 10:29.670 --> 10:32.840 a Roux-en-Y hepaticojejunostomy in O.R. 4. 10:32.923 --> 10:35.384 Oh, well, I've already over-scheduled my own day. 10:35.468 --> 10:36.969 I want to help you, but I can't-- 10:37.053 --> 10:39.013 Look at my face. This is a desperate face. 10:39.096 --> 10:41.015 This is a-a begging face. 10:41.098 --> 10:42.391 I'm desperate and I'm begging, 10:42.475 --> 10:44.560 and I'm asking for your help, Grey. 10:44.644 --> 10:48.522 Look, I'm down a trauma surgeon, a cardio surgeon, 10:48.606 --> 10:50.900 a peds surgeon, and now a resident 10:50.983 --> 10:52.943 'cause Schmitt walked out. 10:53.027 --> 10:55.738 And t-the rest of them are so traumatized 10:55.821 --> 10:58.324 that they'll probably need a safe space 10:58.407 --> 11:00.326 and a week off to feel their feelings. 11:00.409 --> 11:02.953 Okay. I can take the hepatico-J. 11:03.037 --> 11:05.122 And I know someone who can do the hernia repair. 11:06.540 --> 11:08.084 -Ideally, a surgeon. -Uh-huh. 11:08.167 --> 11:09.043 Hi. 11:12.046 --> 11:13.297 Hey. You okay? 11:13.381 --> 11:15.383 You kinda went after Richard in the M&M. 11:15.466 --> 11:16.801 I went after the method. 11:16.884 --> 11:18.969 Right, but the Webber Method is Richard. 11:19.053 --> 11:20.596 Do you still stand by it? 11:20.680 --> 11:23.307 The Webber Method? After everything that we just heard? 11:23.391 --> 11:25.726 We don't use it in our department, 11:25.810 --> 11:27.228 so I'm not really sure that I can-- 11:27.311 --> 11:29.605 I know that you respect Richard. We all do. 11:29.689 --> 11:32.316 It's why I wanted to speak to him before the M&M. 11:32.400 --> 11:34.318 Maggie, the method works. 11:34.402 --> 11:36.112 -You just haven't been around to see it. -Exactly. 11:36.195 --> 11:38.197 I haven't been around, and I come back 11:38.280 --> 11:39.657 and Richard's new teaching method 11:39.740 --> 11:41.158 has gotten someone killed, 11:41.242 --> 11:44.203 and no one is being honest with him about it. 11:44.286 --> 11:47.331 So, you respect him, but I love him, 11:47.415 --> 11:49.166 so I'm gonna keep telling him the truth. 11:50.042 --> 11:51.168 Okay? Okay. 11:51.252 --> 11:52.628 [cellphone ringing] 11:52.712 --> 11:54.964 [sighs] I gotta take this. 11:55.047 --> 11:56.048 Alright. 12:00.219 --> 12:01.387 Thank you, Carla. 12:01.470 --> 12:04.432 Hey, um, have you seen Levi anywhere? 12:04.515 --> 12:05.850 No one has seen him since the M&M. 12:05.933 --> 12:07.852 No, I've been swamped all morning. 12:08.477 --> 12:11.021 Oh, uh, I might have a double arthroplasty later. 12:11.105 --> 12:12.481 You want in? 12:12.565 --> 12:15.735 Films show major scar tissue, so it should be fun. 12:15.818 --> 12:17.737 Things better with you and Shepherd? 12:17.820 --> 12:19.071 Uh, no. 12:19.155 --> 12:21.615 But... I feel great. 12:21.699 --> 12:25.035 [woman over P.A.] Dr. Burkes to oncology. Dr. Burkes to oncology. 12:25.119 --> 12:26.287 Hello. 12:26.370 --> 12:28.539 I'm Dr. Lincoln. What seems to be going on? 12:28.622 --> 12:29.540 Uh, Ms. Hanley. 12:29.623 --> 12:31.292 Second grade science teacher. 12:31.375 --> 12:32.460 Wish she had been mine. 12:32.543 --> 12:33.919 Please, call me Lila. 12:34.003 --> 12:35.921 Not even my students call me Ms. Hanley. 12:36.005 --> 12:38.382 Anyway, uh, my leg's numbed up again. 12:38.466 --> 12:40.050 I've got shooting pains right below the knee. 12:40.134 --> 12:41.844 But this time when it happened, 12:41.927 --> 12:44.138 I barely made it down the staircase at the IMAX. 12:44.221 --> 12:45.264 Northwest Science Center. 12:45.347 --> 12:46.932 We go every year during winter camp. 12:47.016 --> 12:48.726 X-rays show some minimal changes 12:48.809 --> 12:50.311 indicative of osteoarthritis. 12:50.394 --> 12:52.188 Okay. Uh, you said "this time." 12:52.271 --> 12:53.147 This has happened before? 12:53.230 --> 12:54.565 It's happened a couple times. 12:54.648 --> 12:56.150 Cortisone shot usually does the trick, 12:56.233 --> 12:57.735 but now my leg's a little off. 12:57.818 --> 13:00.029 And no allergic reaction to the cortisone? 13:00.112 --> 13:01.155 No. 13:01.280 --> 13:02.239 Okay. 13:02.323 --> 13:04.158 Perez here will do a work-up on your knee, 13:04.241 --> 13:05.534 and we'll see if we can get you that shot. 13:05.618 --> 13:07.036 Uh... 13:09.455 --> 13:11.457 -Morning, Francesca. -[exhales deeply] 13:11.540 --> 13:13.083 I would say it's good to see you, 13:13.167 --> 13:14.919 but I really wish I wasn't back here. 13:15.002 --> 13:17.004 We're gonna figure out why. Tseng? 13:17.087 --> 13:19.340 Francesca Lyons, 26. 13:19.423 --> 13:21.592 Complains of continued pain in the lower back. 13:21.675 --> 13:23.803 Treated for pain from mildly herniated discs 13:23.886 --> 13:25.679 with an epidural injection three weeks ago 13:25.763 --> 13:27.181 and another six weeks ago. 13:27.264 --> 13:28.557 Do you mind if I take a look? 13:30.184 --> 13:33.270 Has the pain been consistent since your last injection? 13:33.354 --> 13:34.980 I felt great during the first week. 13:35.064 --> 13:37.691 I hiked in Discovery Park, I biked around the waterfront, 13:37.775 --> 13:39.068 and I got back on Bumble. 13:39.151 --> 13:41.028 Sounds very busy. 13:41.111 --> 13:43.572 I started having sex again, but the pain just came back, 13:43.656 --> 13:44.865 same as the time before. 13:44.949 --> 13:48.077 And now I am on my period, so I have horrible cramps and this. 13:49.161 --> 13:51.664 Tseng, would you call for a GYN consult? 13:51.747 --> 13:53.541 Perfect. Lady problems. 13:53.624 --> 13:56.252 That won't be embarrassing to bring up with my new boyfriend. 13:56.335 --> 13:57.503 -Hiker or biker? -Neither. 13:57.586 --> 13:59.129 He's got a boat, which normally I hate 13:59.213 --> 14:00.840 because sharks are close to boats. 14:00.923 --> 14:03.926 But I'd be willing to suck it up because he is so, so hot. 14:04.009 --> 14:05.052 He is shark-risk hot. 14:05.135 --> 14:07.429 He wants to cruise around Puget Sound next week, 14:07.513 --> 14:09.431 and I want to have sex on a boat. 14:09.515 --> 14:11.517 -We will see what we can do. -[chuckles] 14:12.726 --> 14:14.228 Hayes! Hey. 14:14.311 --> 14:15.479 I've been looking for you. 14:15.563 --> 14:16.564 Do you have a second? 14:17.481 --> 14:18.315 Sure. 14:18.858 --> 14:19.733 So, I heard you quit. 14:20.651 --> 14:21.861 I have some cases to hand off. 14:21.944 --> 14:24.154 But, uh... yeah. 14:24.238 --> 14:26.198 Bailey can't lose you right now. 14:26.282 --> 14:27.658 I know. 14:27.741 --> 14:29.410 Well, I've been trying to call you. 14:29.493 --> 14:31.370 It's been pretty hectic getting the boys packed up. 14:31.453 --> 14:32.329 So, what? 14:32.413 --> 14:33.747 Your whole life flashed before your eyes 14:33.831 --> 14:36.208 and you realized you're unhappy here and need to quit? 14:36.292 --> 14:37.960 Something like that. 14:38.043 --> 14:40.004 And your plan was to leave without saying goodbye? 14:40.087 --> 14:41.213 Yeah. 14:42.673 --> 14:43.507 Why? 14:45.092 --> 14:47.303 Because if I said goodbye to you, Grey, 14:47.386 --> 14:48.804 I might not actually leave. 14:48.888 --> 14:51.640 ♪ 14:51.724 --> 14:53.267 In all the years since Abigail died, 14:53.350 --> 14:55.978 you're the first person who got it. 14:57.313 --> 14:58.939 You made me feel less alone. 15:00.482 --> 15:01.317 You helped me believe 15:01.400 --> 15:03.861 there might even be life after Abigail. 15:05.446 --> 15:07.156 Thank you for that. 15:07.239 --> 15:11.994 ♪ 15:12.077 --> 15:13.162 Take care. 15:13.245 --> 15:14.538 You too. 15:14.622 --> 15:19.627 ♪ 15:24.590 --> 15:26.133 Hi, Francesca. 15:26.216 --> 15:27.760 I'm Dr. DeLuca, and this is Dr. Wilson. 15:27.843 --> 15:29.929 -Hi there. -Hi. 15:30.012 --> 15:31.263 You're gonna stay with me, right? 15:31.347 --> 15:33.807 Of course. Yeah, we're gonna figure this out together. 15:33.891 --> 15:35.976 So, I treated Francesca for back pain 15:36.310 --> 15:37.853 and minor degenerative disc disease, 15:37.937 --> 15:39.855 but her pain coincides with her period, 15:39.939 --> 15:42.566 she's on oral contraceptives, and she has pain with sex. 15:42.650 --> 15:43.817 Okay, yeah, okay. 15:44.526 --> 15:48.155 Um, thank you, Dr. Shepherd. [chuckles] 15:48.238 --> 15:51.408 Francesca, would you mind if Dr. Wilson examines you? 15:51.492 --> 15:52.576 -Go for it. -Thank you. 15:52.660 --> 15:55.829 Okay, um... so how long 15:55.913 --> 15:59.083 have you been having severe pain with your periods? 15:59.166 --> 16:01.752 Since I was the girl sitting on the bleachers 16:01.835 --> 16:03.671 for half the month during P.E. 16:04.129 --> 16:06.757 Nothing like 30 eighth graders knowing your menstrual cycle. 16:06.840 --> 16:08.384 Okay, you're gonna feel a little pressure, okay? 16:10.219 --> 16:12.554 Ahh! Ooh. 16:12.638 --> 16:14.765 Has you ever been evaluated for endometriosis? 16:14.848 --> 16:15.724 Mnh-mnh. 16:16.058 --> 16:18.102 It's when the cells that line the inside of the uterus 16:18.185 --> 16:20.521 grow outside the uterus, and in some cases, 16:20.604 --> 16:22.773 the tissue can accumulate in one space. 16:22.856 --> 16:24.692 Now, that would also explain the back pain, 16:24.775 --> 16:26.402 if that's where the tissue built up. 16:26.485 --> 16:27.778 [Jo] A little pressure. 16:27.861 --> 16:28.779 Okay, the good thing is, 16:29.238 --> 16:32.449 if it is that, then it is treatable. 16:32.533 --> 16:34.451 When do we start, and how long is recovery? 16:34.535 --> 16:36.161 We'll schedule a diagnostic surgery, 16:36.245 --> 16:38.914 and if endometriosis is present, we'll do what we can 16:38.998 --> 16:40.833 to try and remove it when you're ready. 16:40.916 --> 16:43.460 The sooner the better. I've got things to do. 16:43.544 --> 16:46.088 And by "things," I mean my new boyfriend. 16:46.171 --> 16:49.633 [chuckles] Never underestimate the value of pain-free sex. 16:49.967 --> 16:52.302 Let's see if we can get it done today. 16:52.386 --> 16:53.220 Yeah. 16:53.303 --> 16:55.723 ♪ 16:55.806 --> 16:58.058 Okay. Privileges received. 16:58.142 --> 16:59.435 Pays to have an in, I guess. 16:59.518 --> 17:00.352 Thank for coming back. 17:00.436 --> 17:01.311 Sure. 17:01.395 --> 17:03.188 -You're saving our sanity. -Yes. 17:03.272 --> 17:04.565 -And a man's life, of course. -Of course. 17:04.648 --> 17:06.650 -Okay. What do we got? -45-year-old man 17:06.734 --> 17:08.694 with a right-sided direct inguinal hernia. 17:08.777 --> 17:10.654 -Okay. -Five months of pain. 17:10.738 --> 17:11.905 Booked for an open repair. 17:11.989 --> 17:13.991 Okay, got it. And what do you have? 17:14.199 --> 17:15.868 Hepatico-J. 17:15.951 --> 17:17.202 Sorta feels like you took the fun one. 17:17.286 --> 17:18.954 -I would never do that. -Never? 17:19.038 --> 17:20.497 Have fun. You're going to O.R. 3. 17:20.581 --> 17:23.417 Okay. O.R. 3. 17:25.044 --> 17:26.336 You're gonna need scrubs first. 17:26.420 --> 17:27.755 Oh. Thank God. 17:28.130 --> 17:29.757 [elevator bell dings] 17:31.216 --> 17:34.678 [woman over P.A.] Nurse Hazard to the O.R. Nurse Hazard to the O.R. 17:35.679 --> 17:37.264 Construction accident. Something with a circular saw. 17:37.681 --> 17:38.640 I believe she just needs sutures, 17:38.724 --> 17:40.309 but there could be debris inside. 17:40.726 --> 17:42.061 Okay, have we gotten an X-ray, 17:42.144 --> 17:43.520 cleaned out and examined the wound? 17:43.604 --> 17:44.563 No. 17:44.646 --> 17:48.025 I'm waiting for the twist in the story as for why you haven't. 17:48.108 --> 17:50.527 I-I thought you'd want to examine her first. 17:51.695 --> 17:52.654 Just in case, you know? 17:52.738 --> 17:55.741 Or you could observe while I do the exam. 17:55.824 --> 17:58.952 I-I wanted to make sure that I was doing it right. 17:59.036 --> 18:00.788 Well, you haven't done anything, so how could it be wrong? 18:02.498 --> 18:05.042 -X-ray, irrigation, lap tray now! -Okay, yeah. 18:05.125 --> 18:05.959 Wha... 18:06.043 --> 18:09.713 [woman over P.A.] Nurse Cline, extension 2219. 18:09.797 --> 18:11.465 Perez, what's Lila still doing here? 18:11.548 --> 18:12.883 She wanted a cortisone injection. 18:12.966 --> 18:14.051 Uh, that's why I paged you. 18:14.134 --> 18:15.761 I think she also needs an MRI. 18:15.844 --> 18:17.346 I was thinking it might be-- 18:17.429 --> 18:19.264 Um, Lila? 18:19.348 --> 18:21.934 Will you show me exactly where it hurts? 18:25.312 --> 18:26.188 It's along there. 18:26.772 --> 18:29.191 The cortisone shot should help, 18:29.274 --> 18:31.443 but if you're looking for a more permanent solution, 18:31.527 --> 18:33.195 you might try losing a little weight. 18:34.154 --> 18:36.073 I might try losing a little weight? 18:36.156 --> 18:38.408 Maybe start with some good walks with a friend 18:38.492 --> 18:39.576 and build up to more. 18:39.660 --> 18:41.870 I've been on a diet since 1992, 18:41.954 --> 18:45.290 and I get a serious workout every day chasing eight-year-olds. 18:45.374 --> 18:47.459 How am I supposed to take "good walks with friends" 18:47.543 --> 18:50.129 when I have shooting pains coming from my knee when I walk? 18:50.212 --> 18:51.964 All I'm saying is, you might be surprised 18:52.047 --> 18:54.591 what even 10 to 15 pounds can do to exacerbate joint pain. 18:54.675 --> 18:55.634 [Lila] Got it. 18:55.717 --> 18:59.054 So if I just figure out how not to be fat, 18:59.138 --> 19:01.098 all my problems will magically go away. 19:01.181 --> 19:02.099 Thank you. 19:03.851 --> 19:04.852 Zero stars. 19:05.978 --> 19:07.354 Lila... 19:08.355 --> 19:10.816 Oh, I'm sorry, Lila. Wait, uh... 19:12.025 --> 19:14.069 It looks like you might have foot drop, 19:14.153 --> 19:15.821 -based on the way you're walking. -Have what? 19:15.904 --> 19:16.905 [Perez] Uh, a foot drop is something that 19:16.989 --> 19:19.950 losing a solid 10 to 15 pounds will not fix. 19:20.033 --> 19:22.494 Would you like me to order the MRI now, sir? 19:22.578 --> 19:24.413 Walking there might help me build up to more. 19:24.496 --> 19:26.498 ♪ 19:26.582 --> 19:27.958 Thank you. 19:28.041 --> 19:29.418 Thank you. 19:31.795 --> 19:34.339 -[Teddy] Hayes, please. -[Hayes] Altman, I can't. 19:34.423 --> 19:37.801 We almost died together, and y-you can't return a phone call? 19:37.885 --> 19:39.469 -[Hayes sighs] -What happened? 19:39.553 --> 19:41.305 Please, can you just-- can you just tell me? 19:41.388 --> 19:42.806 Talk to your husband. 19:42.890 --> 19:44.766 I am talking to my husband, but he's not talking to me! 19:44.850 --> 19:46.810 There was something wrong with Owen even before he got in that car. 19:46.894 --> 19:48.270 I felt it. I feel it. 19:48.353 --> 19:50.522 And if you've loved Owen as long as I have loved him, 19:50.606 --> 19:52.316 you feel when he's lying to you. 19:52.399 --> 19:54.651 You-- You-- You feel your stomach turn to ice. 19:54.735 --> 19:57.196 And now he's hurt, and I know he's in so much pain, 19:57.279 --> 19:59.448 but I have this horrible feeling in my whole body, 19:59.531 --> 20:02.534 so can you please tell me what happened in that car? 20:06.705 --> 20:08.207 He told me to get out first. 20:09.791 --> 20:11.919 He told me to think about my kids. 20:12.002 --> 20:14.171 And for that, I'll always be in his debt. 20:15.631 --> 20:17.758 It's a miracle he survived. I might not have. 20:18.425 --> 20:20.886 Thanks to your husband, I got to get home to my kids. 20:22.221 --> 20:24.514 Thanks to your husband, I-- I get to 20:24.598 --> 20:25.891 bring them back to my family in Ireland. 20:25.974 --> 20:28.352 They get the chance to-- to build a new life. 20:28.435 --> 20:30.938 But why? Why are you building a new life? 20:31.021 --> 20:33.023 Hayes, I see you at work. 20:33.106 --> 20:35.859 It's not like you just to quit without notice. 20:35.943 --> 20:39.696 So whatever he did or whatever he said to you must be so big 20:40.530 --> 20:42.157 that you're willing to uproot your whole life. 20:42.241 --> 20:43.825 And for that, I am-- I am so sorry. 20:43.909 --> 20:45.786 My kids and I have been uprooted long before 20:45.869 --> 20:47.204 I got in that car with you and Owen. 20:50.916 --> 20:52.084 Your husband's alive. 20:53.168 --> 20:54.503 Try to hold on to that. 20:56.546 --> 20:58.215 Goodbye, Altman. 20:58.298 --> 21:00.842 [sighs] 21:00.926 --> 21:02.386 [car door closes] 21:08.350 --> 21:10.185 ♪ 21:10.269 --> 21:13.021 [sighs] 21:13.105 --> 21:15.232 [door opens] 21:15.315 --> 21:18.735 ♪ 21:23.949 --> 21:25.867 -I'd like to be alone. -I know you would. 21:29.162 --> 21:32.541 Richard, I know you know how traumatizing it is 21:32.624 --> 21:36.962 for a surgeon to lose a patient due to an honest mistake. 21:37.045 --> 21:38.880 Yeah, I do. So do you. 21:40.257 --> 21:41.925 Do you remember what happened to my niece? 21:42.718 --> 21:44.052 Sabie? 21:44.136 --> 21:45.512 Yeah, you're right. You're right. 21:45.595 --> 21:49.766 Um... it's because of Sabie that I know how agonizing it is 21:49.850 --> 21:54.563 for a family to lose a loved one due to a surgical error, 21:54.646 --> 21:57.107 especially one that could have been prevented. 21:57.482 --> 21:59.609 You publicly humiliated me in the hospital 21:59.693 --> 22:01.903 where I've worked for over 30 years-- 22:01.987 --> 22:03.363 Richard, that was not my intention. 22:03.447 --> 22:05.157 I was just trying to do my job. 22:06.533 --> 22:08.702 [sighs] I took an oath-- 22:08.785 --> 22:10.037 I took the same damn oath! 22:10.120 --> 22:11.788 Now, Schmitt didn't make a mistake. 22:11.872 --> 22:13.582 Schmitt made a decision, okay? 22:13.665 --> 22:15.500 He chose to subvert my teaching method. 22:15.584 --> 22:17.586 He chose to proceed without waiting, 22:17.669 --> 22:19.963 and then, somehow, you went after me?! 22:20.756 --> 22:23.050 I believe in systems, okay? 22:23.133 --> 22:26.261 I believe in scientific data, of running scenarios 22:26.345 --> 22:28.805 multiple times to ensure they work 22:28.889 --> 22:30.932 before we implement new procedures, 22:31.016 --> 22:32.851 and I-I don't believe that we have done that here. 22:32.934 --> 22:35.645 We? W-W-W-Who is "we," Maggie? 22:35.729 --> 22:36.938 You haven't been here. 22:37.022 --> 22:40.067 Neither has Meredith, so neither of you get an opinion. 22:40.150 --> 22:41.818 So please leave me alone 22:41.902 --> 22:44.029 before I say something that I'll regret! 22:44.112 --> 22:49.201 ♪ 22:49.284 --> 22:53.580 ♪ 22:54.456 --> 22:57.417 [Carina] What do the classic lesions of endometriosis look like? 22:57.626 --> 23:01.254 Most commonly, they have a blue-black appearance... 23:01.338 --> 23:03.840 like right there. 23:03.924 --> 23:06.635 [Carina] Nice catch, Dr. Wilson. 23:06.718 --> 23:08.053 We'll get a biopsy to confirm. 23:08.136 --> 23:09.388 [Amelia] Hey. How's she doing? 23:09.471 --> 23:12.516 Hey. I thought you had a consult. 23:12.599 --> 23:14.142 I-I finished. 23:14.226 --> 23:15.268 [Carina] Wilson, can you pull the scope back? 23:15.352 --> 23:16.186 Yeah, sorry. 23:16.269 --> 23:18.522 -[Amelia] Are those all lesions? -[Carina] Yes. 23:18.897 --> 23:21.566 Here and here by the uterosacral ligament, 23:21.650 --> 23:23.235 which explains the back pain 23:23.318 --> 23:25.237 and also why your epidurals didn't work. 23:25.320 --> 23:27.072 We'll get a biopsy and send it to Path. 23:27.155 --> 23:30.075 Menstruation, pregnancy, ovarian cysts, 23:30.158 --> 23:31.743 menopause, endometriosis... 23:31.827 --> 23:33.036 I want to know what men get. 23:33.120 --> 23:34.454 All the research. 23:34.538 --> 23:36.039 Sounds like we make a good team. 23:36.123 --> 23:38.542 Raaah! 23:38.625 --> 23:40.085 [clears throat] 23:40.168 --> 23:44.214 ♪ 23:47.926 --> 23:48.802 I'm worried about Richard. 23:50.095 --> 23:51.638 Because of the method? 23:51.721 --> 23:53.014 You thought it was a good idea, right? 23:53.265 --> 23:55.725 It was. For lap choles. 23:55.809 --> 23:58.562 We had a two-month-long waiting list for patients in need. 23:58.645 --> 24:01.231 Then he extended it to more complicated procedures. 24:01.314 --> 24:02.858 I wasn't here, but he must have thought 24:02.941 --> 24:03.942 the residents could handle it. 24:04.025 --> 24:05.110 Yeah, that's what he said. 24:06.528 --> 24:08.488 He just screamed at me that you and I 24:08.572 --> 24:10.490 don't get to have a say because we weren't here. 24:10.574 --> 24:11.992 How did I get dragged into this? 24:13.285 --> 24:15.120 Because I wasn't at the M&M? 24:16.163 --> 24:18.790 I did sign off on it, and then I wasn't there to defend it, 24:18.874 --> 24:21.168 so, yes, I'm sure he feels like I abandoned him. 24:21.251 --> 24:23.170 He thinks we all did. 24:27.883 --> 24:29.885 Hey. Want some coffee? 24:32.345 --> 24:33.430 Thank you. 24:35.348 --> 24:36.975 Did Owen run you out of the room already? 24:37.058 --> 24:40.604 -[laughs] -He is the worst patient. 24:40.687 --> 24:43.732 I remember this one time when he was 18 with the flu, 24:43.815 --> 24:46.026 I swear, the whining that was coming out of his mouth, 24:46.109 --> 24:47.569 it was guttural. 24:47.652 --> 24:48.653 How's Farouk? 24:48.737 --> 24:50.280 He's so good. 24:50.363 --> 24:52.449 They weaned him off a few lines already, and so far, 24:52.532 --> 24:54.576 he's tolerating the anti-rejection meds. 24:54.659 --> 24:56.119 T-Teddy? 24:56.203 --> 24:57.245 What? 24:57.329 --> 24:59.289 [sighs] 24:59.372 --> 25:01.500 Did did Owen say anything to you? 25:01.583 --> 25:03.001 Or-- Or-- Or Hayes 25:03.084 --> 25:04.920 about what happened in that car after I got out? 25:05.003 --> 25:07.756 Hayes came by to check on Farouk, and he said goodbye. 25:08.924 --> 25:10.383 I think that near-death experience, 25:10.467 --> 25:11.635 -it made him want to-- -Owen's keeping something from me, 25:12.052 --> 25:13.512 and it is big. 25:13.929 --> 25:16.556 For all I know, he's got a secret wife in another country. 25:16.640 --> 25:17.599 [scoffs] 25:17.682 --> 25:19.059 I'm serious. 25:19.142 --> 25:20.227 I mean... [scoffs] 25:23.063 --> 25:24.022 [sighs] 25:25.106 --> 25:27.901 Owen confessed something, Megan, to Hayes. 25:27.984 --> 25:30.362 It wasn't a near-death experience that made Hayes quit. 25:30.445 --> 25:32.906 It's whatever Owen said to him when he thought he was dying. 25:32.989 --> 25:35.408 Owen did something, and if it's so big 25:35.742 --> 25:36.826 that he can't even tell me... 25:36.910 --> 25:38.411 He probably did do something. 25:38.495 --> 25:40.622 Come on. It's Owen. 25:40.956 --> 25:44.876 He's rash and stupid and almost always... selfless. 25:46.253 --> 25:48.213 All of you almost died to save Farouk. 25:48.296 --> 25:50.840 But, Owen, he-- he literally put himself last 25:50.924 --> 25:52.968 in order for that heart to get here. 25:53.051 --> 25:55.428 He-- He chose to end his life 25:55.512 --> 25:59.099 and went careening down a cliff for us-- Farouk, me, you-- 25:59.182 --> 26:00.267 and he would do it again, Teddy. 26:00.976 --> 26:02.936 He always believes that he's making the right decision, 26:03.019 --> 26:05.855 so whatever he did, whatever he's doing... it's Owen. 26:07.566 --> 26:09.442 He must believe that it's his only option. 26:09.526 --> 26:13.613 ♪ 26:17.367 --> 26:18.368 [Link] Rongeur? 26:21.538 --> 26:23.373 Chief. Always a pleasure. 26:23.456 --> 26:25.208 Hey, um, as soon as Perez is done in here, 26:25.292 --> 26:28.295 I need him with Garrison on an ex-lap in O.R. 5. 26:28.378 --> 26:30.255 I'm short on residents today. 26:30.338 --> 26:31.923 -Not a problem. Almost done. -Okay. 26:32.007 --> 26:34.134 Perez made a nice catch on this patient. 26:34.217 --> 26:35.510 Caught a foot drop that I missed. 26:35.927 --> 26:36.886 Spinal disc herniation. 26:37.304 --> 26:38.763 Well, nice job, Perez. 26:38.847 --> 26:40.307 You seem to be the only one who hasn't turned into 26:40.390 --> 26:42.642 a hapless intern after the M&M. 26:42.726 --> 26:44.769 I caught it because I examined her thoroughly. 26:45.937 --> 26:48.064 Excessive weight can cause damage on the joints. 26:48.148 --> 26:49.649 True, but you looked at Lila 26:49.733 --> 26:51.818 and decided she was just a fat person. 26:51.901 --> 26:53.278 Fat people know they're fat. You do not need to tell them. 26:53.403 --> 26:54.321 Of course not. 26:54.404 --> 26:56.072 But if the weight might be making things worse-- 26:56.156 --> 26:58.408 Might. Might be. Obesity is a disease. 26:58.742 --> 27:01.036 It's not as easy for some of us to lose weight as it is for you. 27:01.119 --> 27:04.414 [clears throat] Sir. 27:04.497 --> 27:08.001 Sorry. I made a snap judgment based on her history and BMI. 27:08.084 --> 27:09.919 -Well, stop looking at the BMI. -Excuse me? 27:10.003 --> 27:11.463 It's stupid. 27:11.546 --> 27:15.467 The Body Mass Index is a fancy title and formula 27:15.550 --> 27:18.553 that was developed like 200 years ago by a mathematician. 27:18.637 --> 27:20.472 It doesn't account for differences 27:20.555 --> 27:25.018 in the density of bones or muscle tones or fat. 27:25.101 --> 27:28.229 It looks at numbers, not distribution. 27:28.313 --> 27:31.775 So stop looking at it and examine the patient. 27:31.858 --> 27:33.652 So why is it even on the chart still? 27:33.735 --> 27:35.403 So insurance companies can rob us blind. 27:36.279 --> 27:38.740 Hey, they charge higher premiums for higher BMIs. 27:38.823 --> 27:40.241 Told you it was stupid. 27:40.742 --> 27:43.370 Now, let's hurry up. I need Perez. 27:46.122 --> 27:47.332 Do you want to finish the discectomy? 27:47.415 --> 27:48.917 Um, yes. 27:56.007 --> 27:57.342 Hey! 27:57.425 --> 28:01.554 So, I, um-- I just updated Francesca. 28:01.638 --> 28:04.015 We are going to start her 28:04.099 --> 28:07.227 on a new low-dose, continuous birth control, and, um, then-- 28:07.310 --> 28:09.312 I know Link is really angry with me. 28:10.146 --> 28:11.398 And I can hear in your voice, 28:11.481 --> 28:14.567 which goes up an octave every time I enter a room, 28:14.651 --> 28:16.569 that you are who he's talking to about it. 28:16.653 --> 28:18.071 -He's actually not. -It's okay. 28:18.154 --> 28:19.614 You're his best friend. 28:19.698 --> 28:22.367 I am grateful that he has someone to talk to. 28:22.450 --> 28:25.578 But if it means that we can't work together effectively, 28:25.662 --> 28:26.788 I need for you to tell me that, 28:27.288 --> 28:29.040 because this was awkward today, 28:29.124 --> 28:31.751 and our first responsibility is to our patients. 28:33.169 --> 28:34.379 Okay? 28:34.462 --> 28:35.797 Thank you for your help today. 28:46.099 --> 28:47.016 [Jo clears throat] 28:47.100 --> 28:50.729 So, my wife works 24-hour shifts. 28:50.812 --> 28:53.356 If you want, we can get coffee and talk. 28:53.440 --> 28:56.359 -You are my boss. -Mm-hmm. 28:56.443 --> 28:57.736 But you're also a very nice person 28:57.819 --> 29:00.029 who happened to study the female orgasm. 29:01.740 --> 29:04.367 Casual sex is good, right? 29:04.451 --> 29:06.369 Oh, I'm very pro casual sex. 29:07.495 --> 29:08.747 With friends? 29:08.830 --> 29:10.248 Yeah, casual sex with friends 29:10.331 --> 29:12.500 can be the best kind of casual sex. 29:12.584 --> 29:16.296 A friend wants to take care of your body, make you feel safe, 29:16.379 --> 29:18.965 and please you all at the same time, so... 29:20.508 --> 29:23.386 Oh, but it's not casual for you, is it? 29:23.470 --> 29:27.599 Okay. Wilson, if you love him, you have to tell him, 29:27.682 --> 29:29.142 or you have to stop having sex with him. 29:29.225 --> 29:30.810 Those are the only two choices you have 29:30.894 --> 29:34.189 to give this friendship a chance of surviving, okay? 29:34.272 --> 29:35.565 But before you do, 29:35.648 --> 29:38.443 check Wendy Costello's incision in 1202. 29:41.613 --> 29:45.617 [door opens, closes] 29:45.700 --> 29:47.660 [footsteps approaching] 29:50.079 --> 29:50.914 Helm? 29:55.585 --> 29:56.753 You know, I was so busy worried about 29:56.836 --> 30:00.256 what Schmitt did in that O.R., but you were in there, too. 30:00.340 --> 30:05.053 You're not okay, either, and... I missed that. 30:05.136 --> 30:05.970 I'm sorry. 30:06.805 --> 30:08.765 I used to never raise my hand in class, 30:08.848 --> 30:11.976 even though I always had the right answer. 30:12.060 --> 30:15.814 All through elementary school, I was so scared 30:15.897 --> 30:19.609 that people would hate me or call me a know-it-all, 30:19.692 --> 30:22.070 so I just... 30:22.153 --> 30:23.404 didn't raise my hand. 30:26.032 --> 30:29.077 I thought I outgrew it. 30:32.205 --> 30:34.833 [sighs] 30:34.916 --> 30:37.043 I should have said something to Levi. 30:37.126 --> 30:39.128 I could have stopped him in that O.R. 30:39.212 --> 30:41.047 He would have listened to me. I'm his best friend. 30:41.130 --> 30:44.926 It can be very hard to speak up 30:45.009 --> 30:47.595 to people who are so sure of themselves. 30:48.429 --> 30:54.310 But in that O.R., Schmitt was the lead surgeon. 30:54.686 --> 30:58.773 So he wasn't just your best friend, he was your boss. 31:00.108 --> 31:01.025 Hmm? 31:02.318 --> 31:05.154 Yeah, I was kind of a know-it-all, too, you know? 31:07.198 --> 31:08.116 I know. 31:08.199 --> 31:11.119 -[laughs] -Hard to believe. 31:11.202 --> 31:12.620 [chuckles] 31:12.704 --> 31:15.373 ♪ I've seen the light ♪ 31:15.456 --> 31:17.834 Okay. [sighs] 31:17.917 --> 31:21.379 ♪ I've felt the darkness grow ♪ 31:21.462 --> 31:22.964 [Richard] I preach responsibility. 31:23.047 --> 31:26.384 I encourage people to take the full consequences. 31:27.260 --> 31:30.471 I try and live my life with personal accountability. 31:31.306 --> 31:34.893 Even if my intent was good, it killed a man. 31:34.976 --> 31:37.061 Your intent was good, Richard. 31:37.145 --> 31:41.983 ♪ 31:42.317 --> 31:44.444 Lines can blur, 31:44.527 --> 31:49.407 and sometimes good intentions can cloud good judgment. 31:49.490 --> 31:51.409 I'm sorry I wasn't here. 31:51.492 --> 31:52.952 I was gone with good intentions. 31:54.621 --> 32:00.251 You three are the-- the closest I have to, um... 32:01.920 --> 32:02.921 Well, you know. 32:03.421 --> 32:07.175 The thought of disappointing you is-- is unbearable. 32:07.258 --> 32:08.718 I wasn't disappointed, Richard. 32:08.801 --> 32:10.178 I was mad. 32:11.554 --> 32:13.056 [chuckles] I was enraged. 32:14.599 --> 32:18.227 Not at you or the Webber Method. 32:18.311 --> 32:20.229 I mean, a little bit at you. 32:20.855 --> 32:23.483 Mostly, I was enraged at myself. 32:23.566 --> 32:25.401 Because, suddenly, I was right back there again, 32:25.485 --> 32:29.113 right there where Schmitt was. 32:29.197 --> 32:32.533 And I have spent years struggling with 32:32.617 --> 32:34.661 the appropriate amount of accountability to take 32:34.744 --> 32:36.079 for Sabie's death on my table. 32:36.663 --> 32:39.082 And, yes, the surgeon holding the scalpel is the one 32:39.165 --> 32:41.125 who is ultimately responsible, 32:41.209 --> 32:44.087 but if you discount all of the other factors at play, 32:44.170 --> 32:46.422 then how does that surgeon recover? 32:48.758 --> 32:51.260 How does that surgeon move forward and heal other people? 32:51.344 --> 32:54.055 How does that surgeon heal? 32:54.722 --> 32:57.350 What happened to Levi is devastating. 32:57.433 --> 32:58.267 And to me. 33:01.479 --> 33:03.481 And it deserves to be scrutinized 33:03.564 --> 33:07.068 from every single angle. 33:07.151 --> 33:08.486 [scoffs] 33:08.569 --> 33:10.113 The world's changed. 33:11.489 --> 33:13.491 Medicine's evolved. 33:14.784 --> 33:18.246 These students are-- are unlike any I've ever taught. 33:19.372 --> 33:23.584 And I just wanted to give them something to... 33:25.086 --> 33:27.880 feel excited about practicing medicine. 33:28.297 --> 33:32.010 But you are what's exciting about them practicing medicine. 33:33.011 --> 33:34.387 They don't need a method. 33:34.470 --> 33:36.597 They just need you. 33:36.681 --> 33:39.684 ♪ 33:43.604 --> 33:48.276 [woman over P.A.] Dr. Eisenburg, 4673. Dr. Eisenburg, 4673. 33:49.652 --> 33:50.653 Hey. 33:51.070 --> 33:52.030 So, you're welcome. 33:52.113 --> 33:53.489 Perfect technique, barely left a mark. 33:53.573 --> 33:54.949 Might be my best work yet. 33:55.033 --> 33:55.867 Maybe it's Seattle. 33:55.992 --> 33:58.036 Maybe, or it's having my favorite resident back. 33:58.119 --> 33:59.454 I'm not sure. [cellphone chimes] 33:59.912 --> 34:01.831 You want to grab some dinner? Celebrate my stellar work? 34:01.914 --> 34:02.832 [Maggie] Hi. 34:02.915 --> 34:05.126 Hello. 34:05.209 --> 34:06.502 Hi. 34:06.586 --> 34:07.670 [quietly] Sorry. 34:07.754 --> 34:09.505 For what? 34:10.673 --> 34:14.427 Um, Amelia Shepherd and Maggie Pierce, this is Nick. 34:14.510 --> 34:16.596 -These are my sisters. -Oh. 34:16.679 --> 34:18.347 Wow. Hi. 34:18.431 --> 34:20.058 -Nice to meet you. -[Nick] Mm-hmm. 34:20.141 --> 34:20.975 Uh-huh. 34:21.059 --> 34:22.852 Um, I'm from Minnesota. 34:22.935 --> 34:25.480 Oh, are you on the secret project? 34:25.563 --> 34:28.441 -I would've noticed. -[chuckles] 34:28.900 --> 34:30.193 He has a post-op. 34:30.276 --> 34:31.486 -I do have a post-op. -Yeah. 34:31.569 --> 34:32.612 Very complicated hernia repair. 34:33.905 --> 34:34.864 Okay. 34:34.947 --> 34:35.990 Nice to meet you. 34:36.949 --> 34:40.119 ♪ 34:40.203 --> 34:42.747 -I have a thing... to go do. -[Amelia] Hmm. 34:43.790 --> 34:47.460 [chuckles] I like Minnesota. 34:47.543 --> 34:50.296 It is... full of surprises. 34:52.131 --> 34:53.716 I have a thing, too. 34:59.263 --> 35:00.640 [door opens] 35:00.723 --> 35:01.974 -Hey. -Hey. 35:02.058 --> 35:02.975 -[door closes] -We're home, 35:03.059 --> 35:05.353 and we brought falafel. 35:05.436 --> 35:07.313 Oh, no. I stopped by Nicoletti's. 35:07.396 --> 35:09.524 Oh, we got enough food to feed a-- 35:09.607 --> 35:10.483 You? 35:10.566 --> 35:12.443 [chuckles] Maybe. 35:12.527 --> 35:13.986 [both chuckle] 35:14.070 --> 35:18.032 I guess we should talk next time before we do anything. 35:21.285 --> 35:22.620 [exhales deeply] 35:23.579 --> 35:25.248 -So, I misread something at work today. -I've been thinking about-- 35:25.331 --> 35:26.207 -Oh. -Oh. 35:26.290 --> 35:27.416 -You first. -You go ahead. 35:32.046 --> 35:32.880 Link... 35:34.799 --> 35:35.633 What is it? 35:39.053 --> 35:40.179 Link, I... 35:43.933 --> 35:45.059 We shouldn't have sex. 35:46.769 --> 35:47.645 Oh. 35:47.728 --> 35:49.522 ♪ 35:49.605 --> 35:50.439 Okay. 35:51.065 --> 35:55.903 ♪ 35:55.987 --> 35:56.821 Are you sure? 35:57.780 --> 35:58.990 Yes. 36:00.366 --> 36:01.576 Okay. 36:01.659 --> 36:03.953 [Luna crying] 36:04.036 --> 36:05.204 I will be right back. 36:05.288 --> 36:06.998 Do not eat all the garlic bread. 36:07.081 --> 36:08.708 [chuckles] 36:08.791 --> 36:10.751 [crying continues] 36:10.835 --> 36:13.921 ♪ 36:19.760 --> 36:21.387 Can we talk? 36:21.470 --> 36:22.471 Yeah. Come in. 36:29.770 --> 36:31.856 I let you down. 36:32.273 --> 36:37.570 When you introduced the Webber Method, I had concerns. 36:37.653 --> 36:41.115 But I decided to trust in it, 36:41.199 --> 36:42.491 because it was you. 36:42.992 --> 36:45.036 And I know I-- I should have been 36:45.119 --> 36:46.704 more vocal about it from the beginning. 36:46.787 --> 36:50.082 I should have said something m-more. 36:50.166 --> 36:52.919 I-I should have said m-more. 36:53.002 --> 36:53.920 It's okay, Bailey. 36:56.214 --> 36:57.215 You can say it. 36:59.425 --> 37:03.387 Despite the physician shortage 37:03.471 --> 37:06.891 and the backlog of surgeries, 37:06.974 --> 37:10.645 I feel, strongly, that the Webber Method 37:10.728 --> 37:13.606 should not just be suspended temporarily, 37:13.689 --> 37:14.774 but permanently. 37:14.857 --> 37:16.067 Understood. 37:17.026 --> 37:18.486 Oh, and-- and for the record... 37:19.779 --> 37:21.030 you did say something. 37:23.616 --> 37:26.953 And I had my wife overrule you. 37:28.079 --> 37:30.206 It wasn't right, and it wasn't fair, 37:30.289 --> 37:31.958 and I'm sorry I did it. 37:33.292 --> 37:38.965 ♪ So, what do I do now? ♪ 37:40.341 --> 37:41.509 [Meredith] It's been said that 37:41.592 --> 37:44.929 a house divided against itself cannot stand. 37:45.012 --> 37:47.265 -[Richard] Good night. -♪ Sunrise ♪ 37:47.348 --> 37:50.059 [Meredith] But conflict on the road to progress is inevitable. 37:50.142 --> 37:51.394 [Nico] Thanks, Mrs. Schmitt. 37:53.020 --> 37:55.189 [sighs] 37:55.273 --> 37:56.190 Levi. 37:56.274 --> 37:58.067 My mom shouldn't have called you. 37:58.150 --> 37:59.360 Please go away. 37:59.652 --> 38:02.780 Hey, look, we've-- we've all lost patients. 38:02.863 --> 38:04.824 I know it's hard, but it's part of the job. 38:04.907 --> 38:06.742 But you got to come back to work. 38:06.826 --> 38:08.828 -I'm not going back there. -What do you mean? 38:08.911 --> 38:10.121 If-- If-- If you don't come back, 38:10.204 --> 38:11.622 you're gonna lose your residency spot and-- 38:11.706 --> 38:12.915 Please go away. 38:13.791 --> 38:14.625 Levi-- 38:14.709 --> 38:17.837 Please go away and don't come back. 38:18.754 --> 38:19.672 We're done. 38:19.755 --> 38:22.675 ♪ Before another day ends ♪ 38:24.093 --> 38:26.804 ♪ Today I'll survive ♪ 38:26.887 --> 38:29.015 ♪ Tomorrow, I'll make sense of my life ♪ 38:29.098 --> 38:32.560 [Meredith] And at least some division is always a certainty. 38:33.644 --> 38:36.314 Because we all want what we think is best for everyone. 38:36.397 --> 38:38.107 [Teddy] Owen, I just... 38:38.190 --> 38:40.234 ♪ 38:41.819 --> 38:43.070 Thank you, Dr. Hunt. 38:43.821 --> 38:48.242 ♪ Our stories will keep us alive ♪ 38:48.326 --> 38:49.368 -Teddy-- -No. 38:49.452 --> 38:50.911 Teddy, just leave it, okay? 38:50.995 --> 38:51.996 I can't. 38:53.456 --> 38:54.498 Teddy. Teddy! 38:54.582 --> 38:57.543 ♪ Midday, I've grown a little restless ♪ 38:57.626 --> 39:00.921 [Meredith] And when we can trust at least that much to be true... 39:02.590 --> 39:07.928 ♪ But the strength of the sea Is tamed by the shore ♪ 39:08.012 --> 39:09.096 [Meredith] Hi. 39:09.180 --> 39:12.350 Bad timing, bad hallway, bad sisters. 39:12.433 --> 39:14.477 [chuckles] No, no, no, it was fun. 39:14.560 --> 39:15.728 -Was it? -Yeah, it was. 39:15.811 --> 39:16.896 It was fun. 39:16.979 --> 39:18.397 Do you have to leave tonight? 39:18.522 --> 39:19.982 I don't want to leave you ever. 39:20.066 --> 39:21.525 ♪ Our sacred ground Will cast out any doubt ♪ 39:21.609 --> 39:22.985 [laughs] 39:23.069 --> 39:25.321 I'm sorry. Was that weird? That's-- 39:25.404 --> 39:27.156 You know what? Screw it. 39:27.698 --> 39:28.991 We're adults. I don't care. 39:29.075 --> 39:32.286 I-I don't like leaving you. I want to be with you. 39:32.995 --> 39:34.455 You know? 39:34.538 --> 39:35.998 Why don't you just come with me on the red-eye 39:36.082 --> 39:37.792 and spend a few days with me in Minnesota, 39:37.875 --> 39:39.210 and I'll come back with you. 39:39.293 --> 39:42.338 As exhausting as that sounds, I have the kids. 39:42.880 --> 39:45.508 And you know I used to know everything 39:45.591 --> 39:46.884 that went on in there. 39:48.094 --> 39:49.762 And right now, I'm feeling pretty disconnected 39:49.845 --> 39:52.056 from some people that I'm very close to. 39:53.015 --> 39:54.225 Hamilton is recovering, 39:54.308 --> 39:57.144 so I think I'm going to take advantage of that 39:57.228 --> 39:59.522 and just stay put for a while. 40:00.773 --> 40:01.857 But for the record, 40:01.941 --> 40:04.110 I don't ever want to leave you, either. 40:04.819 --> 40:07.822 And my children are asleep. 40:07.905 --> 40:10.032 If you don't have to leave tonight... 40:10.491 --> 40:11.992 I don't. 40:12.076 --> 40:13.869 Then why are we still standing here? 40:13.953 --> 40:15.287 I don't know. 40:15.371 --> 40:16.747 [Meredith] It's simply not realistic 40:16.831 --> 40:18.791 for any house to avoid some division. 40:18.874 --> 40:21.419 ♪ Sunset ♪ 40:21.502 --> 40:24.171 But how much division can any house withstand... 40:24.255 --> 40:28.467 ♪ Maybe it's all necessary ♪ 40:29.260 --> 40:34.557 ♪ The holding on ♪ 40:35.182 --> 40:36.475 [car alarm chirps] 40:36.559 --> 40:38.519 -♪ The letting go ♪ -Dr. Altman. 40:38.936 --> 40:40.521 Tell me what you just got out of my husband's car, 40:40.604 --> 40:42.273 or I'm gonna have to call the police. 40:42.356 --> 40:44.733 ♪ And I'll take a deep breath ♪ 40:44.817 --> 40:46.610 [Meredith] ...before it finally falls? 40:46.694 --> 40:50.281 ♪ Let's get some rest ♪ 40:55.870 --> 41:01.709 ♪