WEBVTT 00:02.877 --> 00:04.045 [ Thunder crashes ] 00:07.507 --> 00:10.010 Meredith: The human body is full of energy. 00:10.844 --> 00:14.389 Sprinting at full speed, it produces enough wattage 00:14.472 --> 00:16.182 to power anything in your house. 00:16.266 --> 00:19.060 ♪ Let me in on all the secrets ♪ 00:19.144 --> 00:23.606 ♪ That shattered you to pieces, yeah ♪ 00:23.732 --> 00:26.943 ♪ How did you survive? ♪ 00:28.862 --> 00:31.573 -♪ You came out alive ♪ -[ Thunder crashes ] 00:31.698 --> 00:33.700 ♪ So much stronger than you know ♪ 00:33.783 --> 00:36.870 Your cells are built to move charged ions 00:36.953 --> 00:38.621 through the cellular membrane. 00:38.705 --> 00:41.082 -[ Thunder crashes ] -♪ You need a shoulder ♪ 00:41.166 --> 00:42.625 ♪ To lean on ♪ 00:42.709 --> 00:46.921 ♪ I'll be your bridge over dangerous waters ♪ 00:47.005 --> 00:48.965 [ Cellphone chimes ] 00:49.049 --> 00:50.133 ♪ If you need somebody ♪ 00:50.216 --> 00:51.551 And the nervous system is a highway 00:51.634 --> 00:53.470 -of electrical signals... -You better check your e-mail. 00:53.553 --> 00:55.972 ... zapping through your muscles and brain. 00:56.056 --> 00:58.892 Okay, alright, everyone, let's try to stay inside 00:58.975 --> 01:00.143 during lightning flurries. 01:00.226 --> 01:02.687 I noticed a lot of people wandering out during the last storm. 01:02.771 --> 01:04.814 We're here to treat patients, not become them. 01:04.898 --> 01:05.982 Here's one more. 01:06.524 --> 01:07.734 Hi! 01:08.443 --> 01:10.028 How are you this morning? 01:10.111 --> 01:11.321 Uh, great. 01:11.404 --> 01:12.739 I wasn't asking you. 01:12.864 --> 01:14.866 [ Clears throat ] Did you read this? 01:14.949 --> 01:18.119 Your body runs on positive and negative charges, 01:19.662 --> 01:22.624 all obeying a basic law of physics... 01:22.707 --> 01:23.583 ♪ Call on me ♪ 01:23.666 --> 01:24.542 [ Thunder rumbles ] 01:24.626 --> 01:26.377 ... opposites attract. 01:28.588 --> 01:30.465 Going for casual at the clinic? 01:30.548 --> 01:32.467 What's the point in even going in? 01:32.550 --> 01:35.220 There's a massive storm on the clinic's opening day, 01:35.303 --> 01:37.972 I just got Meredith's e-mail that she's leaving, 01:38.056 --> 01:40.266 and, oh, right, none of Luna's clothes 01:40.350 --> 01:41.601 fit her any more. 01:41.684 --> 01:44.521 So those are three omens, all telling me to stay home. 01:44.604 --> 01:47.899 Luckily, women only need abortions in pleasant weather. 01:48.316 --> 01:50.610 [ Scoffs ] I could put up a sign: 01:50.693 --> 01:52.278 "Come back when the sun's out." 01:53.738 --> 01:55.615 Okay, you eat. 01:55.698 --> 01:58.535 I'll go find some of Scout's clothes for Luna. 01:59.869 --> 02:01.287 Get a plate. 02:04.207 --> 02:05.583 [ Thunder rumbles ] 02:05.667 --> 02:06.668 What are you doing here? 02:06.751 --> 02:08.253 I took the day off work to help you pack. 02:08.336 --> 02:09.963 Where are your plate protectors? 02:10.046 --> 02:11.297 I mean, I don't know what those things are. 02:11.381 --> 02:13.633 But I have movers and packers coming this weekend. 02:13.716 --> 02:14.926 I have said this. 02:15.009 --> 02:16.511 Yes, but will they treat your things 02:16.594 --> 02:18.555 with as much love and respect as I will? 02:19.055 --> 02:21.141 I just-- Let me do this, please. 02:21.516 --> 02:22.517 Fine. [ Sighs ] 02:22.600 --> 02:25.895 Hey, uh, your e-mail was good, short and sweet. 02:25.979 --> 02:27.939 -Efficient. -It needed to be. 02:28.022 --> 02:30.024 I don't have a whole lot of time this morning, 02:30.108 --> 02:33.069 so if you want to come, I have a whipple with Nick. 02:33.153 --> 02:34.487 How's he taking the news? 02:34.571 --> 02:36.239 Uh, we're not talking about it. 02:36.322 --> 02:38.366 I'm avoiding Winston so that we don't have to talk 02:38.449 --> 02:39.576 about his whole switching specialties thing. 02:39.659 --> 02:41.286 So maybe you could stay home and we could avoid 02:41.369 --> 02:42.537 and pack together. 02:42.620 --> 02:45.415 That actually sounds amazing, but no. 02:45.999 --> 02:47.083 Bye. 02:48.168 --> 02:49.252 [ Sighs ] 02:49.335 --> 02:51.379 [ Thunder crashes ] 02:51.462 --> 02:52.797 -It's fine. -[ Electricity crackles ] 02:52.881 --> 02:54.674 Oh, everything's fine. 02:54.757 --> 02:57.135 [ Thunder crashes ] 02:57.218 --> 03:00.763 Hey, sorry I'm late. I brought sparkling cider. 03:00.847 --> 03:02.849 I figured this called for a celebration. 03:03.558 --> 03:06.102 Or not. Yeah, no, this is serious work. 03:06.186 --> 03:07.228 Forget the cider. 03:07.312 --> 03:08.479 You should've brought something stronger. 03:08.563 --> 03:10.523 -Right. -Wilson, we're not opening yet. 03:10.607 --> 03:12.317 Accreditation hasn't come through. 03:12.400 --> 03:14.235 Bureaucracy. 03:14.319 --> 03:16.362 This red ribbon might as well be red tape, 03:16.446 --> 03:18.281 and neither one of 'em is getting cut today. 03:18.364 --> 03:20.742 It's a national crisis. We scheduled patients. 03:20.825 --> 03:23.036 I can try to take them upstairs, pro-bono. 03:23.119 --> 03:24.370 Bless you. 03:24.454 --> 03:26.289 Happy opening day, everybody! 03:26.372 --> 03:28.791 I brought some almond croissants to celebrate. 03:28.875 --> 03:30.376 Opening's postponed. 03:30.460 --> 03:31.377 Uh, bureaucracy? 03:31.461 --> 03:33.588 -How do you know? -It always is. 03:33.671 --> 03:35.506 There may be a silver lining. 03:35.590 --> 03:37.926 Bailey, I could use your help with a sigmoid resection. 03:38.009 --> 03:40.887 And with this storm, the ER's gonna be packed. 03:40.970 --> 03:43.431 -[ Thunder crashes ] -Oh, shut up! 03:43.514 --> 03:45.141 [ Elevator bell dings ] 03:46.476 --> 03:48.144 Good morning, Lucas. 03:49.729 --> 03:51.272 I can tell from your face 03:51.356 --> 03:53.942 that you have not told anyone the truth. 03:54.025 --> 03:55.568 Actually, yes, I have. 03:55.652 --> 03:56.945 -Hmm? -Griffith knows. 03:57.028 --> 03:58.613 How about Kwan and everyone else? 03:58.696 --> 04:01.741 I-- Well, I've been busy, uh, studying for this whipple... 04:01.824 --> 04:04.118 -[ Elevator bell dings ] -... so I-- It's just been this whole... 04:04.202 --> 04:07.080 -[ Clears throat ] -And anyway, Dr. Shepherd, 04:07.163 --> 04:11.584 I'll, uh-- I'll get right on that thing for you. 04:11.668 --> 04:13.920 I'll let Dr. Marsh know he can reassign the whipple 04:14.003 --> 04:16.256 because you have a... thing. 04:18.967 --> 04:20.677 [ Elevator bell dings ] 04:23.429 --> 04:24.555 Stop. 04:25.223 --> 04:26.557 This is over. 04:26.891 --> 04:28.184 Follow me. 04:28.601 --> 04:29.852 Now. 04:31.688 --> 04:33.356 Geez, come on, people. 04:35.024 --> 04:36.359 [ Exhales deeply ] 04:41.406 --> 04:42.532 I'm not really a to-the-minute guy, 04:42.615 --> 04:44.158 but there is something called on time here. 04:44.242 --> 04:46.536 Sorry, the storm backed up traffic from First and Columbia. 04:46.619 --> 04:48.871 I know, I know, but everyone else got here except for Adams. 04:48.955 --> 04:50.206 Where's Adams? 04:50.290 --> 04:52.667 My fault, Dr. Marsh. I'm sure you're swamped, 04:53.167 --> 04:55.962 but Dr. Adams has an announcement to make. 04:56.546 --> 04:58.464 Okay. Okay, make it fast. 05:04.595 --> 05:05.471 [ Exhales deeply ] 05:05.555 --> 05:07.682 Some of you have gotten the wrong idea about me, 05:07.765 --> 05:09.934 so I need to clear things up. 05:13.271 --> 05:17.191 Uh, the truth is, D-Dr. Shepherd is-- 05:17.275 --> 05:20.987 her sister's my mom, so she's my aunt. 05:21.070 --> 05:22.363 I'm a Shepherd. 05:26.117 --> 05:28.328 And yeah, that's it. 05:28.411 --> 05:31.331 Disturbing on so many levels. 05:31.414 --> 05:33.499 Amelia: Just to be very clear, we are not now 05:33.583 --> 05:36.919 and have never been having sex with each other. 05:38.546 --> 05:40.798 Yeah, that would be really weird if he's your nephew. 05:40.882 --> 05:42.175 Mm-hmm. 05:42.258 --> 05:43.968 Thank you, Dr. Adams. 05:45.053 --> 05:47.680 Okay, so if you're related to half the hospital, 05:47.764 --> 05:49.223 do you know why Grey is deserting us? 05:49.307 --> 05:51.517 She's the reason this program is running. 05:51.601 --> 05:53.394 I ju-- Should we be looking for other options? 05:53.478 --> 05:54.812 Okay, hold on, hold on. Take a seat. 05:56.105 --> 05:59.567 Okay. About Dr. Grey's news, 05:59.650 --> 06:00.860 you're scared, that's understandable. 06:00.943 --> 06:03.154 And I want to answer every question you might have. 06:03.237 --> 06:05.823 But right now, there are patients about to go into 06:05.907 --> 06:07.492 O.R.s who are far more concerned 06:07.575 --> 06:08.910 with whether they're living or dying. 06:08.993 --> 06:11.746 They don't care about the career moves of individual surgeons. 06:12.288 --> 06:15.249 They don't. So today we're gonna save lives, okay? 06:15.333 --> 06:17.168 Griffith, Adams, you're scrubbing in 06:17.251 --> 06:18.544 with me and Grey on the whipple. 06:18.628 --> 06:19.921 Yasuda, Kwan, Millin, you're in the pit 06:20.004 --> 06:21.589 with Altman and Schmitt. 06:21.672 --> 06:23.633 -Let's go. -Okay. 06:26.969 --> 06:28.638 Okay, hold up, hold up, hold up, hold up. 06:28.721 --> 06:30.973 Take a seat, please, sit. 06:31.057 --> 06:34.477 Surgical excellence, it takes more than one person. 06:34.560 --> 06:37.230 This program is more than one person. 06:37.814 --> 06:39.399 Youare the program. 06:40.191 --> 06:41.609 It ain't going anywhere. 06:42.735 --> 06:44.404 Okay? Let's go. 06:50.368 --> 06:51.327 -[ Thunder crashes ] -God help us all. 06:52.829 --> 06:54.747 [ Siren wailing ] 06:54.831 --> 06:56.582 Mika: Here I am! Sorry, weird meeting. 06:56.666 --> 06:58.418 Apparently, even more people in this place 06:58.501 --> 06:59.419 are related than I thought. 06:59.502 --> 07:00.586 Link: Let's focus, Yasuda. 07:00.670 --> 07:02.547 Alright, Ben Warren called ahead 07:02.630 --> 07:04.424 and said we're gonna need a lot of extra hands on this one. 07:04.507 --> 07:05.550 -[ Thunder crashes ] -That's cryptic. He say why? 07:06.092 --> 07:09.554 Jonathan Bright, 42-year-old male, local TV reporter. 07:09.637 --> 07:11.431 Survived a crash while reporting on the storm, 07:11.514 --> 07:13.141 and the helicopter was struck by lightning. 07:13.224 --> 07:15.810 Third-degree burns, possible spinal injury and neuro deficits. 07:15.893 --> 07:17.395 The bottom of the seat fractured upon impact 07:17.478 --> 07:18.938 and impaled him through the right thigh. 07:19.021 --> 07:19.939 We couldn't safely extricate him from the chair 07:20.022 --> 07:21.149 without risking further injury. 07:21.232 --> 07:23.443 Is my wife here? If I'm gonna die, 07:23.526 --> 07:25.111 I really want to see my wife. 07:25.194 --> 07:26.279 Hi Jonathan. I'm Dr. Altman. 07:26.362 --> 07:27.905 We are gonna work very hard to see to it 07:27.989 --> 07:30.158 -that you don't die. -Where do you want him? 07:30.241 --> 07:31.701 -Altman? -Alright, Trauma three. 07:31.784 --> 07:33.536 -Go get us some help. -Okay. 07:34.996 --> 07:37.290 -Alright, slowly, slowly. -Ben: Nice and easy. 07:37.373 --> 07:39.876 [ Thunder crashes ] 07:50.720 --> 07:51.888 [ Wind whistling ] 07:51.971 --> 07:53.181 -Winston: Hey. -[ Gasps ] 07:54.182 --> 07:55.850 -[ Door closes ] -Wh-- Uh, why aren't you at work? 07:55.933 --> 07:58.227 I'm not on until tonight. I thought I'd join you and lend a hand. 07:58.311 --> 07:59.812 Also, I think you're avoiding me, 07:59.896 --> 08:01.189 so I thought I'd ruin that plan. 08:01.272 --> 08:02.482 I'm not avoiding you. I... 08:04.025 --> 08:06.235 Um, I-I mean-- I am a little bit. 08:06.694 --> 08:08.613 [ Children shouting ] 08:08.696 --> 08:11.365 Um, also, I want to spend time with the children 08:11.449 --> 08:12.575 who are moving across country. 08:12.658 --> 08:16.329 I can leave, but I'd rather stay and talk. 08:17.246 --> 08:18.206 Or, you know, we don't have to talk. 08:18.289 --> 08:19.790 I can just, uh, help. 08:20.500 --> 08:21.709 I brought peanuts. 08:21.792 --> 08:24.795 [ Laughs ] Yeah, help me upstairs. 08:24.879 --> 08:26.797 Alright. Um, Meredith is purging, 08:26.881 --> 08:28.758 and she is not one for sentimentality. 08:28.841 --> 08:30.510 Oh, hey, save what you want now 08:30.593 --> 08:32.094 before she chucks it all into a dumpster. 08:32.178 --> 08:33.596 Yeah. Hey, Zola. 08:33.679 --> 08:34.680 Uh, yeah? 08:34.764 --> 08:36.891 Zola, we're gonna go start upstairs in the attic. 08:36.974 --> 08:38.559 Can you keep an eye on those maniacs? 08:38.643 --> 08:39.894 And, um, stay inside. 08:39.977 --> 08:41.437 The odds of being struck by lightning 08:41.521 --> 08:42.939 are only 1 in 15,000. 08:43.022 --> 08:45.066 Exactly. Don't give it a chance. 08:45.149 --> 08:46.442 [ Scoffs ] 08:46.526 --> 08:49.820 Okay, Zola, Bailey, and Ellis. 08:49.904 --> 08:50.821 Is that all of them? 08:51.197 --> 08:52.448 Yes, thank you, Ms. Hobbes. 08:52.990 --> 08:54.075 -Thank you. -No, it's Tessa, please. 08:54.158 --> 08:57.411 Wait, uh, you don't want an inscription? 08:57.495 --> 09:00.081 I already have some. We've met before, actually. 09:00.164 --> 09:01.791 My mother used to take me to see you read 09:01.874 --> 09:02.959 at the Seattle library. 09:03.042 --> 09:04.752 The character of Tessa is the reason 09:04.835 --> 09:06.045 I wore red sneakers all through third grade. 09:06.128 --> 09:07.296 [ Laughs ] Oh. 09:07.380 --> 09:09.006 Uh, Dr. Griffith, please. 09:09.549 --> 09:12.260 Tessa Hobbes, 68, diagnosed 12 months ago 09:12.343 --> 09:13.553 with chronic pancreatitis. 09:13.636 --> 09:14.929 All medical and endoscopic 09:15.012 --> 09:16.347 attempts at treatment have been ineffective. 09:16.430 --> 09:18.224 Today, she will undergo a whipple procedure 09:18.307 --> 09:20.142 to resect the damaged parts of the pancreas, 09:20.226 --> 09:22.061 -and I'm a huge fan, too. -Oh. 09:22.144 --> 09:24.438 Tessa, I do feel it necessary to reiterate, 09:24.522 --> 09:26.607 this is a very risky surgery. 09:26.691 --> 09:27.733 Well, I have to live through it. 09:27.817 --> 09:29.151 I still have a story to tell. 09:29.902 --> 09:33.698 It's tickling my fingers and the back of my throat. 09:33.781 --> 09:39.328 I even have a title for it-- "Tessa and the Rising Sun." 09:39.912 --> 09:41.289 Sure you don't want to postpone 09:41.372 --> 09:43.165 -the surgery and write the book? -Oh, gosh no. 09:43.249 --> 09:45.501 I am so sick. 09:45.585 --> 09:47.962 I can't write. I sleep all day. 09:48.045 --> 09:49.213 I can barely think. 09:49.297 --> 09:50.339 Nick: We just want to make sure 09:50.423 --> 09:53.009 that you're prepared for every outcome here. 09:53.092 --> 09:55.636 Yeah, I'm prepared for every outcome. 09:56.554 --> 09:58.472 But my readers are not. 09:59.223 --> 10:00.808 Every year, for over 40 years, 10:00.891 --> 10:02.268 I've written a Tessa book. 10:02.768 --> 10:07.607 My readers deserve an end to her story. 10:07.690 --> 10:11.861 You and your kids deserve an end to her story, 10:12.403 --> 10:15.197 so do your best to save my life, okay? 10:21.120 --> 10:22.413 Richard: I hate this new board. 10:22.496 --> 10:23.623 Ah, Webber. I'm getting rid of this. 10:23.706 --> 10:27.710 So I hear this hospital is in need of a new chief. 10:27.793 --> 10:30.087 Oh, why? Have someone in mind? 10:30.171 --> 10:31.339 Oh, yeah. 10:31.422 --> 10:32.423 Me. 10:34.342 --> 10:35.509 I need this. 10:35.593 --> 10:37.345 I need to be useful again. 10:37.428 --> 10:38.763 I was chief for five years. 10:38.846 --> 10:40.389 I-I have the experience and the skills, 10:40.473 --> 10:42.433 and I will move mountains for you. 10:42.516 --> 10:43.559 Who could be better? 10:44.518 --> 10:46.687 Someone who doesn't have a suspended license. 10:48.189 --> 10:50.775 Hunt, this program has gone through a lot. 10:50.858 --> 10:52.818 We're just now finding our footing again. 10:52.902 --> 10:54.320 I mean, promoting you... 10:54.820 --> 10:56.864 Hey, you're a great teacher, Hunt. 10:56.947 --> 10:59.200 Uh, if you need something to do, 10:59.283 --> 11:01.494 I've been asking all of the attendings to help Schmitt. 11:01.577 --> 11:03.537 -Okay? -Okay. 11:05.289 --> 11:06.666 We need him out of this chair 11:06.749 --> 11:08.334 in order to assess his spine fully. 11:08.417 --> 11:10.753 Wait, he's hypotensive. We need to put in another line. 11:10.836 --> 11:12.797 He may be in neurogenic shock. 11:12.880 --> 11:14.799 Alright, collapsed lungs on both sides. 11:14.882 --> 11:16.717 He needs bilateral chest tubes. 11:16.801 --> 11:18.761 Okay, it's hard to see, but it looks like 11:18.844 --> 11:20.721 there's a deformity in the mid cervical 11:20.805 --> 11:22.390 and high thoracic spine. 11:22.473 --> 11:25.434 The impalement is near his femoral fracture. We're gonna need a CT. 11:25.518 --> 11:26.936 -Jonathan? -Paola. 11:27.019 --> 11:28.437 Yasuda, I need you to put in an IO line. 11:28.521 --> 11:29.563 On it. 11:29.647 --> 11:30.773 I'm so sorry I went up there. 11:30.856 --> 11:33.693 It was awful and gorgeous and... 11:34.235 --> 11:37.196 then I just fell straight down. 11:37.279 --> 11:38.364 Why aren't you getting him out? 11:38.823 --> 11:40.199 -We're working on it. -I'm so glad you came. 11:40.282 --> 11:42.284 I didn't know if you'd make it before I... 11:43.536 --> 11:44.745 Wait! Wait, is he dying? 11:44.829 --> 11:46.288 -We need to cut him out of this thing. -Please don't let him die. 11:46.372 --> 11:48.249 Hang on. Hang on. I need everyone to let me ensure 11:48.332 --> 11:49.875 he's getting oxygen into his lungs 11:49.959 --> 11:51.085 because without it, he's gonna go into 11:51.168 --> 11:54.046 respiratory arrest before we can even turn a saw on. 11:54.130 --> 11:56.340 I need a chest tube tray and someone to page 11:56.424 --> 11:57.842 Dr. Owen Hunt right now! 11:57.925 --> 12:01.053 We are a level one trauma center in a lightning storm. 12:01.137 --> 12:04.432 You will see gnarly injuries. You do not have time to gawk. 12:04.515 --> 12:06.684 Well, we probably won't see anyone struck by lightning today. 12:06.767 --> 12:08.144 Check your tablet, Kwan. 12:08.227 --> 12:09.687 The patient intake log disagrees. 12:09.770 --> 12:11.689 Most people who are struck by lightning aren't actually hit. 12:11.772 --> 12:13.441 They're standing next to something that is. 12:13.524 --> 12:16.152 Current enters wires, pipes, the ground 12:16.235 --> 12:18.195 until a body, and then boom. 12:18.279 --> 12:20.823 You also don't have time for random lightning facts. 12:20.906 --> 12:22.366 Hey, Doctor, are you here for us, the Smiths? 12:22.450 --> 12:23.617 Uh, Heather, Logan, and Paige? 12:23.701 --> 12:24.952 Yeah, my wife and kids. 12:25.035 --> 12:26.120 Uh, they were in our backyard, 12:26.203 --> 12:27.580 and, uh, lightning struck 12:27.663 --> 12:29.165 the basketball hoop, and-- and they got zapped. 12:29.248 --> 12:30.416 Did anyone lose consciousness? 12:30.499 --> 12:32.460 No, but they were very disoriented. 12:32.543 --> 12:33.919 [ Shouting ] I once got a concussion when a volleyball 12:34.420 --> 12:35.629 hit me in the face, and it was just like that! 12:35.713 --> 12:36.630 I think the shock did something 12:36.714 --> 12:37.798 -to her hearing. -[ Cellphone chimes ] 12:37.882 --> 12:38.924 So now she's even more annoying. 12:39.300 --> 12:41.427 Um, I have to, um... 12:41.510 --> 12:42.386 Go, Dr. Schmitt. 12:42.887 --> 12:43.763 -We've got this. -Excuse me. 12:43.846 --> 12:44.722 -Uh, page me if you need me. -Uh-huh. 12:47.099 --> 12:48.476 Uh, let's get a full set of labs-- 12:48.559 --> 12:50.978 CBC, troponins, a comprehensive metabolic panel. 12:51.061 --> 12:53.647 Also 12-lead EKGs to check for arrhythmias. 12:53.731 --> 12:54.774 Wait, wait, what? 12:54.857 --> 12:57.109 Um, most complications happen within an hour of injury, 12:57.193 --> 12:58.486 but we just want to be safe. 12:58.569 --> 13:01.489 -Okay. Alright, thank you, Doctor. -Mm-hmm. 13:01.572 --> 13:02.698 Hey, I was gonna say all that. 13:02.782 --> 13:04.158 Then why didn't you? 13:06.285 --> 13:07.870 [ Thunder crashes ] 13:11.457 --> 13:15.002 Antioxidants for the pancreas, sugar for energy, 13:15.085 --> 13:18.172 and it's a long surgery, so we should eat. 13:18.881 --> 13:19.965 Just one second. 13:20.591 --> 13:21.717 What's that? 13:22.927 --> 13:25.095 I made it up to organize the whipple steps. 13:25.179 --> 13:27.556 It's anatomical designed, so you start clockwise 13:27.640 --> 13:29.183 with 8:00 with the events-- 13:29.266 --> 13:31.352 SMV, Kocher, portal dissection, bah, bah, bah. 13:31.435 --> 13:34.188 And then counterclockwise for anastomosis. 13:35.022 --> 13:36.482 Oh. Tessa's like Seattle royalty. 13:36.565 --> 13:37.817 Man, I grew up on her stories. 13:37.900 --> 13:39.985 I used to go to her midnight book releases 13:40.069 --> 13:41.195 with my dad and grandma. 13:41.278 --> 13:45.866 Now I'm part of her story in a tiny way, but still... 13:49.870 --> 13:52.164 You feel better now that the secret's out? 13:53.332 --> 13:54.667 Uh... 13:55.835 --> 13:58.254 different, not better. 13:58.337 --> 14:02.049 So... Shepherd, Shep is your nickname? 14:02.716 --> 14:04.051 Yeah, it's my middle name. 14:04.134 --> 14:06.345 -You want us to call you that? -No. No. 14:06.428 --> 14:10.599 You know, most people go to work to avoid their families. 14:11.308 --> 14:12.560 Heard. 14:17.147 --> 14:20.401 Uh, oof, I-I-I should check in with Marsh. 14:20.484 --> 14:21.986 -It's almost time. -Mm-hmm. 14:22.611 --> 14:24.154 [ Sighs ] You okay? 14:24.238 --> 14:27.283 Oh, yeah, it's just my childhood on the operating table. 14:27.366 --> 14:28.492 No pressure or anything. 14:28.576 --> 14:29.827 [ Both laugh ] 14:29.910 --> 14:31.120 Yeah. 14:32.496 --> 14:34.248 Uh, I'll see you up there. 14:34.331 --> 14:37.459 -Alright. -Alright. 14:44.925 --> 14:46.719 There's a small amount of fluid in the upper left quadrant. 14:46.802 --> 14:48.721 The CT will give us a better picture. 14:48.804 --> 14:50.973 Sats back in the 90s. Alright, let's go over the plan. 14:51.056 --> 14:52.683 I'll hold his head to keep the cervical spine 14:52.766 --> 14:54.435 -in a neutral position. -Link and I will hold 14:54.518 --> 14:55.853 his legs until after the chair's been detached 14:55.936 --> 14:58.188 to prevent any shift in the spinal fractures. 14:58.272 --> 15:00.816 Yasuda, help Altman steady the chest tubes. 15:00.900 --> 15:02.234 Why does it sound like you've all done this before? 15:02.318 --> 15:03.444 -We have. -Yep. 15:03.527 --> 15:04.987 Link: I haven't. 15:05.070 --> 15:06.864 Paola, we're gonna need you to step outside 15:06.947 --> 15:09.825 -while we cut him out. -Wait, just one second. 15:11.577 --> 15:13.120 I've been an ass. 15:13.829 --> 15:14.830 I love you. 15:14.914 --> 15:20.419 I gave up my dream for you, and then I blamed you for it. 15:21.253 --> 15:22.838 And if I live through this, 15:22.922 --> 15:26.342 I will spend every day making it up to you. 15:27.676 --> 15:30.095 Paola, I love you. Please forgive me. 15:33.933 --> 15:36.101 Alright, yep. We're good to go. 15:36.185 --> 15:37.895 Okay. Ready? Let's do this. 15:37.978 --> 15:39.521 Very, very slowly. 15:39.605 --> 15:41.106 -[ Saw whirring ] -We got you. 15:41.523 --> 15:44.318 [ Whirring ] 15:47.029 --> 15:48.739 Hey, uh, have you seen Dr. Altman? 15:48.822 --> 15:49.823 I'm jumping in down here. 15:49.907 --> 15:51.742 Trauma 3, but she's not handing out assignments. 15:51.825 --> 15:53.243 Who is? 15:53.994 --> 15:55.746 Oh, you've got to be kidding me. 15:55.829 --> 15:58.290 Are you here stealing supplies? 'Cause the clinic can have them. 15:58.374 --> 15:59.750 No, I'm here to help. 15:59.833 --> 16:02.044 No, I-I said that I don't need supplies. 16:02.127 --> 16:03.921 Well, you do if you're gonna see the head lac in bed 6 16:04.004 --> 16:05.422 and the ankle injury in 9. 16:06.298 --> 16:08.717 Okay, uh, well, thank you, Dr. Wilson. 16:08.801 --> 16:09.760 I really appreciate your help. 16:09.843 --> 16:11.261 Thank you, thank you, thank you. 16:11.345 --> 16:12.596 Is that supposed to be sincere? 16:12.680 --> 16:15.557 Yes, but for the rest of the day, gratitude is implied. 16:17.643 --> 16:20.646 Her pancreatitis formed a pseudoaneurysm of the GDA. 16:20.729 --> 16:22.815 See? Right there. 16:22.898 --> 16:24.191 So you're gonna have to be very careful 16:24.274 --> 16:25.901 -with the Kocher maneuver. -Right. 16:27.319 --> 16:28.529 You okay? 16:29.571 --> 16:30.489 Yeah. 16:30.572 --> 16:32.282 There's nothing you can do we can't fix. 16:32.866 --> 16:35.536 Alright? And you did the work, yeah? 16:35.619 --> 16:37.246 Yeah. Yeah, so you did the work. 16:37.329 --> 16:39.707 You trust your instincts. You trust your work. 16:40.791 --> 16:41.875 Okay? 16:41.959 --> 16:43.627 And, Adams, 16:44.294 --> 16:47.381 you're good enough to make your own name. Believe me. 16:48.215 --> 16:50.217 Uh, Marsh, can I have a word? 16:50.300 --> 16:51.593 Yes, please, come in. 16:53.554 --> 16:55.347 If this is about Meredith, I've already informed 16:55.431 --> 16:57.266 the interns that their program is in good hands here. 16:57.808 --> 16:58.767 No, it's not about them. 16:58.851 --> 17:02.730 Uh, to put it directly, should I anticipate 17:02.813 --> 17:04.106 any goodbye e-mails from you? 17:04.732 --> 17:05.899 Ah. No. 17:05.983 --> 17:08.152 Uh, well [chuckles] 17:08.736 --> 17:09.820 I don't know. 17:09.903 --> 17:11.697 I mean, to be honest, I've been so busy 17:11.780 --> 17:13.532 with the residency and my caseload, 17:13.615 --> 17:14.616 I haven't had time to think about it. 17:14.700 --> 17:16.702 And if I had, I wouldn't have thought for very long 17:16.785 --> 17:18.454 because trying to think the right way 17:18.537 --> 17:20.539 to the right answer with Meredith is... 17:20.622 --> 17:22.207 She's not easy, I know, 17:22.291 --> 17:24.376 but there's also no one like her. 17:25.210 --> 17:27.129 And when she leaves, this place will feel it, 17:27.212 --> 17:29.339 so I just need to make sure that 17:29.423 --> 17:30.841 I'm prepared across the board. 17:30.924 --> 17:32.926 -Understood. -Okay. 17:34.261 --> 17:35.554 Please keep me posted. 17:35.971 --> 17:37.264 [ Door opens ] 17:38.807 --> 17:39.850 [ Exhales deeply ] 17:45.022 --> 17:47.066 Simone: Ms. Hobbes, it's time. 17:47.149 --> 17:48.734 Ready? 17:49.526 --> 17:51.111 -Sure am. -Mm. 17:51.195 --> 17:52.404 Are you? 17:52.488 --> 17:53.530 We all are. 17:54.573 --> 17:56.408 But before I take you... 17:57.493 --> 17:58.994 Oh! 17:59.745 --> 18:01.747 This is a real collector's item. 18:01.830 --> 18:03.457 Meant a lot to me growing up. 18:03.540 --> 18:06.126 My childhood was-- I-I grew up without a mom. 18:06.210 --> 18:07.377 And this helped me to-- 18:08.504 --> 18:11.298 helped me to see Tessa's life wasn't perfect either. 18:11.381 --> 18:12.466 Kids need messy stories. 18:12.549 --> 18:15.594 Kids need messy stories. 18:16.303 --> 18:17.387 That should be my epitaph. 18:17.471 --> 18:19.098 [ Chuckles ] Except you're not dying today. 18:19.181 --> 18:21.350 I might. Let's be honest. 18:21.433 --> 18:22.559 I don't want to, but I might. 18:23.435 --> 18:25.020 You have another story to tell. 18:25.104 --> 18:26.438 Dr. Griffith, don't do that. 18:26.522 --> 18:28.357 I don't do fairy tales, never have, 18:29.316 --> 18:31.860 so let's not start now. 18:33.278 --> 18:35.739 I tell children the truth 18:36.573 --> 18:38.325 in a way that helps them hear it. 18:38.408 --> 18:39.493 Mm-hmm. 18:40.035 --> 18:41.203 And I expect them to do the same, 18:41.286 --> 18:42.621 even when they're no longer children. 18:43.956 --> 18:46.583 I do have another story to tell. 18:46.667 --> 18:48.418 I don't want to die. 18:48.502 --> 18:53.298 I have asked my surgeons to do their very best. 18:54.591 --> 18:56.385 But I might not make it. 18:57.177 --> 18:59.012 That's the truth. 18:59.096 --> 19:01.014 So... 19:01.098 --> 19:02.891 since this might be my last signature, 19:02.975 --> 19:04.184 let's make it a good one. 19:05.102 --> 19:06.687 They're ready for you, Tessa. 19:09.523 --> 19:10.816 Okay. 19:11.984 --> 19:13.652 [ Sighs ] Here I come. 19:15.112 --> 19:16.446 [ Sighs ] 19:17.739 --> 19:18.907 Hey. 19:19.575 --> 19:20.826 Hey. 19:20.909 --> 19:22.452 Did you tell Lucas about the pseudoaneurysm? 19:22.536 --> 19:24.496 Mm-hmm. He's seen the scans. 19:25.247 --> 19:27.249 I need him to appreciate everything that could go wrong. 19:27.332 --> 19:29.084 Why? Because he's Derek's nephew? 19:31.253 --> 19:32.921 Glad I could find out when everyone else did. 19:33.005 --> 19:35.424 He asked me to keep his family connection private. 19:35.507 --> 19:37.009 -I respected that. -Great. 19:37.092 --> 19:39.011 And he knows about the pseudoaneurysm. 19:39.094 --> 19:40.554 I wasn't gonna blindside him. 19:45.475 --> 19:48.562 I don't know what to do either. I want to fight for us. 19:48.645 --> 19:51.815 I want to try, but every answer feels bad. 19:51.899 --> 19:53.483 Yeah, because there isn't a good one. 19:53.567 --> 19:54.943 If I ask you to stay, I'm being a jerk. 19:55.027 --> 19:56.820 And if I follow you, I'm deserting this class-- 19:56.904 --> 19:58.322 your class. 19:58.405 --> 20:00.032 But I haven't asked you to do 20:00.115 --> 20:01.366 -either one of those things. -Yeah, exactly. 20:01.450 --> 20:03.827 You-- You haven't asked me to do anything. Nothing. 20:03.911 --> 20:04.953 You don't consider me part of your life. 20:05.037 --> 20:06.288 Of course you're part of my life. 20:06.830 --> 20:07.956 You took the Boston job without even talking-- 20:08.040 --> 20:09.583 without even thinking of talking to me. 20:10.334 --> 20:11.752 And I get it. I do, I get it. 20:11.835 --> 20:14.338 Your family needs it, but it sucks. 20:14.838 --> 20:16.590 It sucks, and I'm being supportive 20:16.673 --> 20:18.050 because there is no other answer. 20:18.133 --> 20:19.927 Well, maybe there is. What do you want? 20:20.010 --> 20:21.678 I just-- I want to do this surgery. 20:21.762 --> 20:22.888 It's one thing we can fix. 20:22.971 --> 20:24.097 That's all I want from you right now. 20:25.098 --> 20:26.642 [ Water running ] 20:28.894 --> 20:30.896 Yeah, she has a perforated eardrum which explains 20:30.979 --> 20:32.272 the hearing loss. 20:32.356 --> 20:33.774 Uh, it's common in lightning strike victims. 20:33.857 --> 20:35.317 It should heal on its own. 20:35.400 --> 20:37.152 [ Shouting ] Am I okay?! 20:37.236 --> 20:39.238 Can I keep reading?! 20:40.197 --> 20:42.032 Will he be able to walk? 20:42.115 --> 20:43.742 Uh, it's important he does. 20:44.159 --> 20:47.955 This might hurt, but it helps prevent infections, no crutches. 20:48.038 --> 20:49.539 I just got new Jordans. 20:50.207 --> 20:52.251 It's like the lightning wanted my sneakers. 20:52.334 --> 20:53.627 It wanted your sweat. 20:53.710 --> 20:55.545 That's why you've got burns in your armpits 20:55.629 --> 20:56.755 and the backs of your knees, 20:56.838 --> 20:58.215 on your elbows, and on your feet. 20:58.298 --> 20:59.591 It turned it to steam. 20:59.675 --> 21:01.677 So his feet were sweating so much his shoes exploded? 21:01.760 --> 21:04.221 -Mom! -Will that happen to me?! 21:04.304 --> 21:07.724 [ Shouting ] No, no, no, no. You have something different! 21:10.894 --> 21:12.479 [ Whirring ] 21:12.562 --> 21:13.897 Jonathan, you okay? 21:13.981 --> 21:15.524 -The noise... -We're almost there. 21:15.607 --> 21:17.734 Once he's detached, we need to use the board 21:17.818 --> 21:20.946 to keep him flat and level. And everyone moves at the same time, okay? 21:21.029 --> 21:23.031 Hold him tight, and we move at the same time. 21:23.115 --> 21:26.076 Remember, any movement of his spine could paralyze him. 21:26.159 --> 21:27.577 Let's get ready. He's almost through. 21:27.661 --> 21:29.913 [ Whirring ] 21:29.997 --> 21:31.331 Teddy: Get in here, Julius. Let's go. 21:31.832 --> 21:35.961 Alright, on my count-- one, two, three. 21:36.503 --> 21:38.213 -[ Jonathan screams ] -Wait, watch the lines. 21:38.630 --> 21:39.840 Slow, slow, keep it straight. 21:39.923 --> 21:41.842 [ Screaming ] 21:41.925 --> 21:43.302 -Get this out of here. -Okay, nice work. 21:43.385 --> 21:46.013 -Let's get him up to CT. -Damn it. He's lost his airway. 21:46.096 --> 21:48.307 Someone get me an intubation tray right now! 21:49.933 --> 21:51.643 Come on, Jonathan. 21:57.107 --> 21:58.317 Alright. 21:58.400 --> 21:59.526 [ Thunder crashes ] 22:02.696 --> 22:04.740 Oh, wow! [ Gasps ] 22:04.823 --> 22:07.034 I haven't seen this in years. 22:07.117 --> 22:09.161 Remember I told you about this? 22:09.244 --> 22:11.288 This is the Post-It note that Meredith and Derek 22:11.371 --> 22:13.582 -wrote their vows on. -Oh, yeah. 22:13.665 --> 22:14.916 Ugh, it's one of my favorite stories. 22:17.127 --> 22:20.088 Ugh. I'm going to hold on to this. 22:20.172 --> 22:22.257 No way I'm letting her accidentally throw it away. 22:23.884 --> 22:25.302 I feel weird. 22:26.011 --> 22:29.556 It's like... I know that I'm going to miss Meredith, 22:29.639 --> 22:32.309 and I'll probably be diving into a pint of Rum Raisin 22:32.392 --> 22:35.937 very soon, but right now, I'm just excited. 22:36.021 --> 22:39.733 For Meredith's next chapter and for Zola. 22:40.233 --> 22:43.362 Yeah, well, um, as long as we're on new chapters, 22:43.445 --> 22:45.072 I did some research. 22:45.155 --> 22:47.115 Turns out Grey-Sloan has a fellowship 22:47.199 --> 22:48.575 for vascular surgery. 22:49.284 --> 22:51.161 And I don't want this to turn into a fight-- 22:51.244 --> 22:52.329 Me neither. Maybe we can revisit it 22:52.412 --> 22:54.998 after Meredith has moved and things calm down. 22:55.082 --> 22:56.166 I'm filling out the application. 22:56.249 --> 22:58.668 Nick and Teddy gave me references, 22:59.086 --> 23:00.587 and, actually, it looks really promising. 23:02.130 --> 23:03.715 Okay, sure. 23:04.758 --> 23:06.301 -For now. -For now? 23:06.385 --> 23:08.303 -What is that supposed to mean? -It means, honestly, 23:08.387 --> 23:09.971 I think you're going to change your mind. 23:10.055 --> 23:12.766 You've worked extremely hard in cardio, 23:12.849 --> 23:15.477 and I know that the last few months have been rough-- 23:15.560 --> 23:17.187 Maggie, would you stop for one second, please? 23:17.270 --> 23:19.272 We just got the program back up and running, 23:19.356 --> 23:21.441 and it's really not an ideal time to find a replacement. 23:21.525 --> 23:22.651 For you. It's not an ideal time for you. 23:23.735 --> 23:25.987 What about me? What about us? 23:28.031 --> 23:31.118 Woman over P.A.: Dr. Dahanne to the ER. Dr. Colette Dahanne to the ER. 23:32.327 --> 23:33.495 Is he... 23:33.578 --> 23:35.122 He's on his way to surgery. 23:35.205 --> 23:37.999 We had to put in a breathing tube, but he is stable. 23:38.083 --> 23:39.793 [ Exhales deeply ] 23:39.876 --> 23:42.879 God, that man is not capable of letting me rest easy. 23:42.963 --> 23:45.590 He turned down being a war correspondent for me. 23:45.674 --> 23:47.050 That was his dream. 23:49.386 --> 23:53.140 He wanted to risk his life every day in a literal war zone, 23:54.099 --> 23:57.269 and I wanted him to not do that because I just-- 23:57.352 --> 23:58.937 I just want to be able to breathe. 23:59.646 --> 24:02.315 And then he goes up in a lightning storm. 24:02.858 --> 24:05.735 I don't know what I'll do if he doesn't make it. 24:05.819 --> 24:08.947 And if he does make it, I think I'm gonna kill him. 24:09.030 --> 24:11.408 Paola, we are gonna do everything we can. 24:11.491 --> 24:14.619 -And we'll keep you updated. -Okay. 24:16.371 --> 24:18.540 [ Sobs ] 24:20.000 --> 24:22.210 Okay, I'm going to start mobilizing the ligament of Treitz. 24:22.294 --> 24:24.212 -I can take it. -It's okay, I got it. 24:24.296 --> 24:25.297 I'm right here. 24:25.964 --> 24:27.757 Adams, why don't you mobilize it for us? 24:27.841 --> 24:30.302 Right angle. W-- Is he ready for that? 24:30.385 --> 24:32.762 Dissect right in between my right angle. 24:32.846 --> 24:35.056 Don't go deeper than what I show you, yes. 24:35.765 --> 24:38.059 And, Griffith, why do we dissect the ligament? 24:38.143 --> 24:39.311 To give better mobility to the duodenum. 24:39.686 --> 24:41.104 Correct. Okay. 24:42.439 --> 24:43.607 Okay, what's next? 24:43.690 --> 24:44.900 The Kocher maneuver. 24:44.983 --> 24:46.234 You keep this up, you can do the chole. 24:46.318 --> 24:47.694 Okay, well, when we get to that. 24:47.777 --> 24:49.404 Yes. Not yet. Obviously. 24:50.739 --> 24:51.865 Okay. 24:52.491 --> 24:53.992 [ Elevator bell dings ] 24:56.578 --> 24:59.206 Hey. Can you see if Mr. Vizcaino's scans are-- 25:00.123 --> 25:01.041 Are you shopping? 25:01.124 --> 25:02.918 Yeah. Luna's outgrown everything. 25:03.001 --> 25:06.254 Oh, you should see her. She is huge! 25:06.338 --> 25:07.506 Yeah. She's gigantic. 25:07.589 --> 25:10.133 Just like our backlog of patients in the ER. 25:10.217 --> 25:11.635 I just need five minutes. 25:11.718 --> 25:13.762 Is Luna cold? No. 25:13.845 --> 25:15.847 Is she naked? No. 25:15.931 --> 25:17.724 Is she suffering? No. 25:17.807 --> 25:19.100 But you know who is? 25:19.184 --> 25:20.852 Ms. McGregor in bed four. 25:20.936 --> 25:23.396 -No. -No, what? 25:23.480 --> 25:26.525 No, you're not gonna let the tiny bit of power 25:26.608 --> 25:28.860 you've had for five minutes go to your head. 25:28.944 --> 25:31.988 You're chief resident? Ooh, congratulations. 25:32.072 --> 25:34.449 Guess what? You're still a resident. 25:34.533 --> 25:38.995 And in the world of general surgery, I'm still an attending. 25:39.079 --> 25:42.207 I can do surgeries by myself. Can you? 25:43.875 --> 25:45.377 Didn't think so. 25:45.710 --> 25:47.879 I'm down here helping you out of the kindness 25:47.963 --> 25:50.090 of my warm, fuzzy little heart. 25:50.173 --> 25:51.508 -Mm. -So you can say it. 25:53.802 --> 25:54.886 Thank you. 25:54.970 --> 25:56.930 Gratitude is implied for the rest of the day. 26:00.267 --> 26:01.434 [ Sighs ] 26:01.518 --> 26:06.648 Woman over P.A.: Dr. Williams to Peds ICU. Dr. Cody Williams to Peds ICU. 26:06.731 --> 26:09.025 Uh, I need to show you something on a patient. 26:09.109 --> 26:09.943 Can you take a look? 26:10.026 --> 26:13.196 Dr. Kwan, are you asking me for a consult? 26:13.280 --> 26:14.614 No. 26:18.201 --> 26:19.953 I already told him it's jewelry. 26:20.036 --> 26:21.913 Thank you, Heather, I know it's jewelry, 26:21.997 --> 26:23.790 but we just need some more details on why it's-- 26:23.873 --> 26:25.000 Well, that's bronze. 26:27.961 --> 26:30.880 It's copper now, but the jewelry was bronze. 26:30.964 --> 26:33.800 Bronze is just copper and tin together, 26:33.883 --> 26:36.595 and tin has a lower burning temperature. 26:36.678 --> 26:37.971 So the tin vaporized, and the copper 26:38.054 --> 26:39.431 embedded itself in your skin, 26:39.514 --> 26:42.392 so you just clean with chlorhexidine and then debride. 26:44.644 --> 26:45.729 Good consult. 26:46.521 --> 26:49.399 I'll be right over there if you get stumped again. 26:56.740 --> 26:58.408 What did the CT find? 26:58.491 --> 27:00.076 Unilateral facet fracture at C3 27:00.160 --> 27:01.911 and a compression fracture at T5. 27:01.995 --> 27:03.663 There's also an epidural hematoma. 27:03.747 --> 27:06.583 I will decompress the spinal cord and stabilize 27:07.083 --> 27:08.084 the spine as fast as I can. 27:08.168 --> 27:10.211 I saw extrav from the femoral artery on the imaging. 27:10.295 --> 27:12.047 Alright, I'll help you with the vascular repair, 27:12.130 --> 27:14.341 and stand by in case there's abdominal bleeding. 27:14.424 --> 27:16.176 Dr. Shepherd, um, can I assist you 27:16.259 --> 27:17.302 on the decompression and fusion? 27:17.385 --> 27:19.512 Sure. Stand over there. 27:19.596 --> 27:21.681 But I-I can't reach the field from here. 27:21.765 --> 27:22.849 I know. 27:22.932 --> 27:24.559 Jonathan needs an extremely delicate 27:24.643 --> 27:25.935 and complicated procedure. 27:26.019 --> 27:27.854 You're most useful if you don't touch anything. 27:28.313 --> 27:31.107 It's been a dramatic case, Yasuda. You're doing great. 27:31.191 --> 27:32.067 Ten blade. 27:36.279 --> 27:37.238 Adams? 27:37.781 --> 27:39.407 Uh, what'd I do? 27:39.491 --> 27:40.784 Nothing. That's just the problem. 27:40.867 --> 27:42.118 You have to follow me. 27:42.202 --> 27:44.287 I cannot work if I cannot visualize the field. 27:44.371 --> 27:45.872 -Okay, on it. -Don't worry about 27:45.955 --> 27:47.415 what happened this morning. None of that matters in here. 27:47.499 --> 27:50.710 -In here, it's perfect. Okay? -Okay. 27:50.794 --> 27:52.003 Where are we? 27:52.671 --> 27:54.839 Uh, 10 o'clock. Still on the Kocher maneuver. 27:54.923 --> 27:56.549 -Kocher maneuver. -Which is what? 27:56.633 --> 27:59.427 Mobilizing the duodenum and pancreatic head off of the IVC. 27:59.844 --> 28:01.054 Good. 28:01.805 --> 28:03.890 Okay. Focus it where I'm dissecting. 28:05.141 --> 28:07.686 Okay. Easy with the retractor. 28:09.979 --> 28:11.356 Okay, that's enough. Stop. 28:11.439 --> 28:12.565 This isn't working. 28:13.316 --> 28:15.443 Griffith, step in here. We need a fresh set of hands. 28:15.527 --> 28:17.445 -I've got it. -Yeah, you don't have to do this. 28:17.529 --> 28:19.406 -Can you see the portal vein, Dr. Marsh? -I can. 28:19.948 --> 28:22.117 One nick to her abdominal aorta, and it's over. 28:22.200 --> 28:24.536 This is not a skills lab. He's clearly tired. 28:24.619 --> 28:26.996 He keeps spacing out. He's done for the day. 28:27.080 --> 28:29.416 You're free to observe. Griffith, step in, please. 28:31.000 --> 28:32.585 -It's okay. -Where am I, Griffith? 28:32.669 --> 28:34.629 Simone: You've dissected to the left lateral border 28:34.713 --> 28:36.756 -of the aorta. -Good. Let's go. 28:42.137 --> 28:44.806 You're switching specialties to get away from me. 28:44.889 --> 28:47.434 How could I not be worried? How are you not worried? 28:47.517 --> 28:48.560 Because that's not what this is! 28:48.643 --> 28:50.228 You gotta come see the lightning! 28:50.311 --> 28:51.521 -Oh, not now, sweetie. -We'll be right down 28:51.604 --> 28:52.814 there, alright, buddy? 28:52.897 --> 28:54.274 [ Sighs ] 28:57.527 --> 28:59.070 I never tried to dodge you. 28:59.154 --> 29:01.364 You dodged me this morning. You came here to get away from me. 29:01.448 --> 29:02.907 I just needed some space. 29:02.991 --> 29:04.576 I just wanted to have some control over something, 29:04.659 --> 29:06.327 even if it was just putting junk into boxes. 29:06.411 --> 29:08.037 Maggie. Maggie. Maggie. 29:08.121 --> 29:10.206 If we keep working together, we're not gonna make it. 29:10.290 --> 29:12.459 Okay? I love cardio. 29:12.542 --> 29:16.463 But I love you more, and I'm-- I'm willing to give it up. 29:18.298 --> 29:20.175 That is the dumbest thing I've ever heard. 29:20.258 --> 29:21.384 I thought you'd be flattered! 29:21.468 --> 29:23.678 That you'd be willing to give up your career goals for me? 29:23.762 --> 29:26.139 -Yes. -No. No! No! 29:26.222 --> 29:27.766 That is the opposite of what I want. 29:27.849 --> 29:29.434 That is the opposite of what I would do. 29:29.517 --> 29:30.935 I would never give up cardio. 29:31.019 --> 29:33.438 I would never, ever give up my passion for you. 29:33.521 --> 29:35.774 Youare my passion, Maggie! 29:35.857 --> 29:37.275 [ Sighs ] 29:37.942 --> 29:41.362 I... guess I'm not sure that I respect that. 29:41.446 --> 29:44.115 [ Thunder crashes, glass shatters ] 29:44.199 --> 29:45.492 [ Child screaming ] 29:45.575 --> 29:47.702 Zola: Maggie! Winston! 30:00.089 --> 30:03.927 ♪ Long way from the middle ♪ 30:04.010 --> 30:05.261 Sats are dropping. 30:05.804 --> 30:07.514 Tube is still connected. Vent pressures are through the roof. 30:08.181 --> 30:10.225 There's no bleeding in the field. What do you hear? 30:10.308 --> 30:11.851 No breath sounds on the right side. 30:13.019 --> 30:14.604 There's no movement of air. 30:14.687 --> 30:17.106 The chest tube must be blocked. He's got a tension pneumothorax. 30:17.190 --> 30:18.149 Scissors. 30:19.150 --> 30:20.443 Come on, come on, come on. 30:20.527 --> 30:22.487 [ Monitors beeping ] 30:23.446 --> 30:26.866 ♪ Oooo, oooo, oooo, oooo ♪ 30:30.245 --> 30:31.538 Okay. 30:32.038 --> 30:32.956 Oh, my God. 30:35.959 --> 30:38.044 -Okay. -Alright, you can continue. 30:42.257 --> 30:48.096 ♪ On the other side ♪ 30:50.139 --> 30:53.226 ♪ Oooo, oooo, oooo, oooo ♪ 30:54.936 --> 30:56.020 You read her books? 30:56.104 --> 30:57.105 Hm, yeah. 30:57.188 --> 30:58.898 "Tessa and the Upside Down Garden" 30:58.982 --> 31:00.817 was one of my favorites. 31:00.900 --> 31:02.402 Read it in one sitting. 31:02.485 --> 31:07.156 Then I went out and spent my whole allowance on a cactus. 31:07.949 --> 31:10.410 Ah. Oh, and thanks for your help. 31:11.077 --> 31:13.621 You know, I had forgotten how nice it is operating with you. 31:14.205 --> 31:17.208 Was that a backhanded compliment about my time off? 31:17.876 --> 31:19.878 You're an excellent surgeon, Bailey. 31:19.961 --> 31:22.964 I mean, it's been a while. I'm just stating facts. 31:23.756 --> 31:25.049 Then I accept. 31:26.676 --> 31:28.678 Y-You know, it's nice to bring in new people, 31:28.761 --> 31:32.015 and the attendings that Meredith hired are-- 31:32.098 --> 31:35.852 are good, but there's really no substitute 31:35.935 --> 31:37.812 for institutional knowledge. 31:37.896 --> 31:40.732 Uh, the short hand. I mean, it's efficient. 31:40.815 --> 31:41.816 -It is-- -No. 31:41.900 --> 31:43.234 N-No? 31:43.318 --> 31:46.446 No, I will not take over as chief now that Grey is leaving. 31:46.529 --> 31:47.947 I didn't ask you to. 31:48.531 --> 31:52.160 But no one can run this place like you. 31:52.243 --> 31:54.203 I have a clinic to open, 31:54.287 --> 31:56.748 and flattery will not distract me. 31:56.831 --> 31:58.166 Honestly, I resent it. 31:58.249 --> 31:59.417 -Bailey-- -No. Nope. 31:59.500 --> 32:00.752 Ba-- Ah! 32:03.296 --> 32:05.673 You tried to butter me up with almond croissants. 32:06.299 --> 32:08.426 -Uh. [ Groans ] -[ Cellphone rings ] 32:08.927 --> 32:10.345 [ Laughs ] 32:10.428 --> 32:11.638 Ben? 32:13.723 --> 32:14.849 Everything okay? 32:20.146 --> 32:21.356 Meredith: No leaks. 32:21.439 --> 32:24.359 Pancreatojejunostomy is patent. 32:24.442 --> 32:25.985 Yeah, she's gonna make it. 32:26.069 --> 32:29.238 Oh. Yes. Almost there, Tessa. 32:31.115 --> 32:32.825 Dr. Grey, I need a moment. 32:32.909 --> 32:34.869 Okay, well, I can't step away right now. 32:34.953 --> 32:37.246 I need you to take your hands out of the field right away, Meredith. 32:38.581 --> 32:39.874 I got a call from Ben Warren. 32:39.958 --> 32:41.751 There's a report of a fire at your address. 32:41.834 --> 32:44.295 I tried calling Winston and Maggie, but they didn't answer. 32:44.379 --> 32:45.964 -[ Heart beating ] -Station 19 is on the way. 32:46.047 --> 32:47.548 -I'll take you now. -My kids? 32:47.632 --> 32:48.549 I've told you everything I know. 32:49.926 --> 32:51.511 Go. Go. We got it. 32:53.763 --> 32:55.765 It's okay. Keep going. You're in it now. Keep going. 32:55.848 --> 32:59.143 Concentrate now. Good. 33:05.400 --> 33:06.943 What are you doing? You can't come through here. 33:07.026 --> 33:08.152 -Ben: Meredith! Meredith! -Hey! Hey! 33:08.236 --> 33:09.946 -I live here! -I-It's her house, man, alright. 33:10.029 --> 33:11.322 Let her through. Alright, it's okay. 33:11.406 --> 33:12.824 E-Everything's fine. The kids are right here. 33:12.907 --> 33:14.200 What happened? 33:14.283 --> 33:15.743 Oh, my God. 33:15.827 --> 33:17.495 -Hi. -Mom! 33:17.578 --> 33:19.205 -What has happened? -Uh, we were upstairs, 33:19.288 --> 33:20.415 and lightning struck the house. 33:20.498 --> 33:21.416 We got the kids, we came down, 33:21.499 --> 33:22.709 got outside as quickly as we could. 33:22.792 --> 33:24.168 I need an inch and a half line here. 33:25.670 --> 33:27.255 Dr. Grey, I'm-- I'm so sorry. 33:27.338 --> 33:29.507 I know this is hard, but you got to keep a safe distance, alright? 33:29.590 --> 33:30.800 -[ Siren wailing ] -Okay. Okay. 33:30.883 --> 33:33.594 We wanted to go back in and take some boxes, but the fire. 33:33.678 --> 33:35.638 It's okay. It's-- You're okay. 33:35.722 --> 33:37.056 That's all I care about. 33:37.140 --> 33:38.766 It's just stuff. 33:40.977 --> 33:43.688 Nick: Yeah, I'm still concerned about the JP output. 33:43.771 --> 33:45.898 So monitor closely and make sure to call me 33:45.982 --> 33:47.859 and transfuse if it dips below 7. 33:49.110 --> 33:50.153 -Of course. -Okay? 33:50.236 --> 33:51.320 Yeah. 33:51.404 --> 33:53.740 Any news on Dr. Grey's house? 33:53.823 --> 33:56.492 All I've heard is the kids are okay, and that's all that matters. 33:58.202 --> 34:01.205 Griffith, you did great today. 34:01.289 --> 34:03.791 It was a rough surgery for many reasons. 34:04.000 --> 34:06.669 You were not one of them. Good job. 34:09.380 --> 34:12.884 [ Imie Taala's "Look At The Sky" plays ] 34:15.762 --> 34:17.847 ♪ Our love was born ♪ 34:17.930 --> 34:19.766 -Will he be okay? -The recovery will be long. 34:19.849 --> 34:22.685 His injuries are extensive and severe, 34:22.769 --> 34:24.312 but he made it through today. 34:25.605 --> 34:28.399 Thank you. Thank you all so much. 34:28.483 --> 34:30.109 You can go in and see him if you want. 34:30.193 --> 34:32.445 ♪ To the place where it resides ♪ 34:36.199 --> 34:38.743 Shepherd will want neuro checks every half-hour. 34:38.826 --> 34:39.869 And keep an eye on his oxygen. 34:39.952 --> 34:41.162 Copy that. 34:41.621 --> 34:42.663 ♪ No matter the time ♪ 34:42.747 --> 34:43.998 Dr. Altman... 34:45.124 --> 34:46.626 there are nine kids in my family. 34:47.210 --> 34:49.170 I-I promise I have a point, and I will talk faster. 34:49.253 --> 34:51.839 Um, my parents always wanted a boy, 34:51.923 --> 34:53.883 and they kept having kids until they got one. 34:53.966 --> 34:55.843 And our parents always told me and my sisters 34:55.927 --> 34:58.596 that we could be anything we wanted, 34:58.679 --> 35:00.723 but it was kind of hard to ignore the subtext, 35:00.807 --> 35:02.350 you know-- girls aren't enough. 35:02.433 --> 35:05.478 And on almost every level, I know that it's not true, 35:05.561 --> 35:08.147 but they cooked it into me pretty good. 35:08.231 --> 35:10.817 And today you uncooked it. 35:10.900 --> 35:13.277 Watching you work today, you changed me. 35:13.361 --> 35:15.696 You are a badass boss lady surgeon, 35:15.780 --> 35:17.365 and I want to be you when I grow up. 35:17.949 --> 35:19.742 -Yasuda, I'm-- -Sorry. Is it-- 35:19.826 --> 35:22.495 Is it disrespectful to call you a badass or a boss lady? 35:22.578 --> 35:26.749 No. I-- It's much appreciated. 35:31.295 --> 35:34.632 If you're gonna crack a joke about me being more bossy 35:34.715 --> 35:36.342 than a boss lady, I already have it in my head. 35:36.425 --> 35:39.846 Actually, I was gonna say maybe you should apply to be chief. 35:41.848 --> 35:43.599 We kind of need the money, so... 35:43.683 --> 35:44.976 [ Laughs ] 35:47.395 --> 35:50.481 ♪ And no words to speak ♪ 35:50.565 --> 35:52.900 ♪ This isn't goodbye ♪ 35:53.025 --> 35:55.444 ♪ If you need my love ♪ 35:55.528 --> 35:59.866 ♪ Look to the sky ♪ 36:00.867 --> 36:02.034 ♪ Mm, mm ♪ 36:02.118 --> 36:03.244 Let me show you how it's done. 36:04.203 --> 36:05.538 Spare me. 36:11.043 --> 36:13.838 So, are you gonna tell me how you know so much about lightning? 36:14.463 --> 36:15.882 Were you struck by lightning as a child? 36:15.965 --> 36:17.175 Because that would explain a lot. 36:17.258 --> 36:19.552 Well, I'll tell you if you tell me how you happen to know 36:19.635 --> 36:21.846 the melting points of precious metals. 36:22.221 --> 36:23.556 Oh, that's easy. 36:24.056 --> 36:25.641 My mom used to make jewelry. 36:26.225 --> 36:28.561 And my brother and I would sell it at the farmers' market 36:28.644 --> 36:31.230 as a cover while my dad sold weed under the table. 36:31.314 --> 36:33.816 Wow. Your parents sound... 36:34.275 --> 36:35.443 fun. 36:35.526 --> 36:36.986 Hmm. 36:37.195 --> 36:38.487 Honestly? 36:40.990 --> 36:42.408 I spent most of my childhood 36:42.491 --> 36:43.993 just wishing they would disappear. 36:44.076 --> 36:45.578 -And did they? -Nope. 36:45.661 --> 36:47.038 They are still here. 36:47.622 --> 36:49.081 And still high. 36:50.166 --> 36:52.126 Okay, your turn. 36:52.210 --> 36:54.045 Well, I spent a few years in Saint Kitts, 36:54.128 --> 36:56.589 where lightning is a fact of life. 36:56.672 --> 36:58.174 -You grew up there? -No. 36:58.257 --> 36:59.634 I went there for... 37:00.927 --> 37:02.428 I went there for medical school. 37:03.304 --> 37:06.599 Because I didn't get into medical school in the U.S. 37:06.682 --> 37:10.561 But your nickname is Blue Ribbon, 37:10.645 --> 37:12.605 -so I'm a little confused. -[ Chuckles ] 37:12.980 --> 37:15.566 My nickname is just Blue 37:15.650 --> 37:19.570 because I was a valedictorian in high school, 37:19.654 --> 37:23.324 all state track and field, and a national chess champion. 37:23.407 --> 37:25.910 But then in college, my mother got sick, 37:25.993 --> 37:27.411 my grades took a nosedive, 37:27.495 --> 37:29.622 and Saint Kitts became my only option. 37:31.499 --> 37:33.292 And your mom, is she okay? 37:33.376 --> 37:34.585 No. 37:34.669 --> 37:36.671 She got really sick, 37:37.964 --> 37:39.006 and then she died. 37:44.136 --> 37:45.346 But on a brighter note, 37:45.429 --> 37:47.181 we'd make a hell of a trivia team. 37:55.147 --> 37:56.315 -Hey. -Hey. 37:56.399 --> 37:58.317 Oh, I was kind of craving 37:58.401 --> 38:00.278 that little Italian place on the corner. 38:00.361 --> 38:02.196 Uh, yeah, no. 38:02.280 --> 38:03.489 I wouldn't eat what's in that bag. 38:05.574 --> 38:08.202 It's not the eco-friendly stuff that you love, 38:08.286 --> 38:10.329 but it will get you through the week. 38:10.413 --> 38:12.373 What, you didn't like Scout's Elsa shirt 38:12.456 --> 38:14.583 cinched at the waist with a headband? 38:15.042 --> 38:17.211 I'm more of an Anna guy. [ Laughs ] 38:17.795 --> 38:21.048 Thank you. I really-- I really appreciate you helping me. 38:21.132 --> 38:22.800 Yeah, of course. 38:22.883 --> 38:23.968 [ Sighs ] 38:25.011 --> 38:27.388 [ Jeremy Lister's "One Step" plays ] 38:27.471 --> 38:30.808 [ Chuckles ] Yeah, you know, I just-- I-- 38:30.891 --> 38:33.185 I knew that it was a rough day 38:33.269 --> 38:34.895 because of the clinic not opening. 38:34.979 --> 38:36.522 -Yeah. -So, hey, why don't we, uh, 38:36.605 --> 38:37.982 -go get takeout at the Italian place? -[ Cellphone chimes ] 38:38.065 --> 38:40.151 Meredith: There's lightning in everyone. 38:41.068 --> 38:42.737 -[ Door opens ] -You get a better offer? 38:42.820 --> 38:44.780 Opposite charges finding each other. 38:45.281 --> 38:47.408 They connect. They spark. 38:47.491 --> 38:49.660 And as long as they do, your life goes on. 38:49.744 --> 38:51.120 Yeah, okay. Put the scissors on the ribbon, 38:51.203 --> 38:52.246 but do-- but don't cut. 38:52.330 --> 38:54.081 -I'm-- -Gotta... 38:54.165 --> 38:56.751 Does three people make this a grand opening? 38:56.834 --> 38:59.712 Oh, many great things start small, Wilson. 38:59.795 --> 39:01.213 This clinic will be one of them. 39:01.297 --> 39:03.549 -Flash or no flash? -Just take the picture, Lincoln! 39:03.632 --> 39:05.593 Your cells keep multiplying. 39:05.676 --> 39:07.428 Your brain keeps thinking. 39:07.511 --> 39:09.555 -Alright. -Okay, I'm gonna cut. 39:09.638 --> 39:11.098 -Okay. Alright. -Cut, cut, cut! 39:11.182 --> 39:13.934 -[ Cheering ] -♪ When all I know is that I'm feeling ♪ 39:14.018 --> 39:16.729 -♪ Numbed out, run down, made of stone ♪ -Right! Right! 39:17.229 --> 39:19.357 Oh, yes. We have earned the good stuff. 39:19.440 --> 39:21.525 -Alright. -[ Laughs ] 39:21.609 --> 39:22.860 ♪ There is something telling me that ♪ 39:22.943 --> 39:25.488 -Elena Bailey? -Oh, my mom. 39:25.571 --> 39:28.824 ♪ All I need to do is keep moving on ♪ 39:28.908 --> 39:31.369 [ Sighs ] She spent her life fighting to make sure 39:31.452 --> 39:35.539 I had every opportunity, every freedom I deserved. 39:35.623 --> 39:37.291 She was complicated-- 39:37.375 --> 39:40.419 our relationship was complicated, 39:40.503 --> 39:45.633 but she loved me with her entire heart. 39:45.716 --> 39:47.301 ♪ Take it one breath at a time ♪ 39:47.385 --> 39:48.636 And that took courage. 39:49.804 --> 39:55.267 Elena Bailey lived with love and courage. 39:57.103 --> 39:58.312 Now it's our turn. 39:58.396 --> 39:59.438 -Oh, it is. -Yeah. 39:59.522 --> 40:00.856 -Alright, pull that off. -Oh, oh, oh. 40:00.940 --> 40:02.525 Alright, everybody back. Back it up. Back it up. 40:02.608 --> 40:04.860 Back that thing up. Back that up. 40:06.153 --> 40:07.947 -Ah. -[ Cork pops ] 40:08.030 --> 40:09.407 -[ Cheering ] -♪ Take it one step at a time ♪ 40:09.490 --> 40:10.574 There it is. There it is. That's the good stuff. 40:10.658 --> 40:12.410 -There it is right there. -Ooh, look. 40:12.493 --> 40:16.497 Your body wants to move, so it moves, because it can. 40:17.289 --> 40:20.251 Tessa is awake. That was amazing! 40:20.334 --> 40:22.044 We just assisted on a successful whipple. 40:22.128 --> 40:27.049 We just assisted on a successful whipple in our first year! 40:27.133 --> 40:29.510 Damn, there is no job better than this. 40:29.593 --> 40:30.553 You assisted. 40:32.471 --> 40:35.766 I botched the portal dissection and got benched. I failed. 40:35.850 --> 40:37.476 You started strong. 40:37.560 --> 40:38.853 Plus, Grey and Marsh were out of sync today. 40:38.936 --> 40:40.938 I-It could have happened to any of us. 40:41.021 --> 40:42.898 Yeah? Would Kwan have lost focus? 40:42.982 --> 40:44.859 Or Millin? Hm? 40:45.401 --> 40:46.694 Did you? 40:47.820 --> 40:49.864 Lucas, you had a bad day. It's not the end of the world. 40:49.947 --> 40:53.367 Stop being nice! Tessa could have died! 40:53.451 --> 40:55.453 If-- If Tessa had died and your little book 40:55.536 --> 40:56.620 was the last thing she ever signed, 40:56.704 --> 40:58.539 would you be in here trying to make me feel better? 40:58.622 --> 41:00.958 Why are you yelling at me? I stepped in and saved your ass. 41:01.041 --> 41:02.501 -You should be thanking me. -Thank you! 41:02.585 --> 41:04.003 Well, you're welcome! 41:04.086 --> 41:09.300 ♪ I take it one step at a time ♪ 41:09.383 --> 41:10.885 I'm sorry. I can't. 41:10.968 --> 41:12.636 ♪ Mountain in front of me ♪ 41:12.720 --> 41:13.846 ♪ Hangs over everything ♪ 41:13.929 --> 41:15.097 I can't. 41:15.181 --> 41:18.058 Um... why not? 41:18.142 --> 41:20.519 Because I can't. 41:20.603 --> 41:22.271 Life is electricity. 41:22.980 --> 41:24.482 Positive and negative. 41:24.565 --> 41:26.734 Creation and destruction. 41:26.817 --> 41:31.197 ♪ Put one foot in front of the other ♪ 41:31.280 --> 41:35.075 ♪ One breath after another ♪ 41:35.159 --> 41:37.161 It's too early to say anything for sure, 41:37.244 --> 41:38.412 but we're trying everything. 41:38.496 --> 41:40.039 Thank you. 41:40.122 --> 41:42.291 ♪ Take it one step at a time ♪ 41:42.374 --> 41:43.375 [ Sighs ] 41:43.459 --> 41:44.752 Winston found this earlier. 41:44.835 --> 41:46.754 ♪ Take it one step at a time ♪ 41:46.837 --> 41:48.839 Uh, it fell when the lightning hit it. 41:48.923 --> 41:52.009 It was all I managed to take. 41:52.092 --> 41:54.762 Destruction, sometimes for the better, 41:54.845 --> 41:56.764 sometimes for the worse. 41:57.681 --> 42:01.602 ♪ One foot in front of the other ♪ 42:01.685 --> 42:07.233 ♪ One breath after another ♪ 42:07.316 --> 42:10.069 ♪ I still take it one step at a time ♪ 42:10.152 --> 42:12.738 But we're all storms inside. 42:14.031 --> 42:17.743 ♪ Take it one step at a time ♪ 42:17.826 --> 42:19.203 [ Meredith sighs ]