WEBVTT

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["On & On " by Jordan Max playing]

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[Meredith] The human body has three
systems of communication...

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the nervous, endocrine,
and immune systems.

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[packaging tape scraping]

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When any of these systems
experience a malfunction,

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it can wreak havoc on the body.

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Effective communication
between surgeons in the O.R.

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is just as essential.

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Guess who took the red eye?

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Guess who took the whole day off?

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[giggles]

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[door closes]

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[Meredith] When a life is at stake,

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there's no time or space
for body language

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or carefully chosen words.

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You're saying I should
crawl into a hole and hide?

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I'm saying
changing your phone number

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and email address isn't the worst idea.

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[cell phone vibrating]

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[Bailey] I'm not gonna let them win.

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It's just a cell phone number.

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Just a cell phone number?
It's the only one I've ever had.

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I've known that number
longer than I've known you.

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I've been reading--

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I've been reading up on
other doctors who've been doxxed,

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and it only gets worse from here.

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Calls at all hours of the night,
email inboxes flooded,

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people showing up at your door.

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You want to move.

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Look, we'll find an Airbnb.

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-It'll just be six months, tops.
-Six months!

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-Like a vacation--
-No.

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No, this will blow over.

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They'll get bored or find
someone else to be outraged about.

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Hmm-mm.

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Look, I'll have an intern
babysit my phone.

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[Meredith] But no matter how hard we try,

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there's always a risk
of being misunderstood.

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Or simply unheard.

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You look like crap.

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Yeah, I worked the closing shift at Joe's.
What's your excuse?

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-Do we still have that thing tonight?
-Yes, cake tasting at 7:00.

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Ah, can't wait to see what you do
with floral arrangements, Adams.

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Remember when you fainted in the O.R.?

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So, this is Pierce's last day?

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Oh, God, I hate that.

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Apparently Ndugu's staying.

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I work at a bar. I hear things.

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Good for her.

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You don't like Ndugu?

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Don't like marriage.

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What's wrong with marriage?

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-It's a distraction.
-From what?

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Meaningful career, making an impactful
contribution to the world,

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fully-realized individual potential.

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Ready.

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Are you sure?

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[elevator dings]

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[Jo giggles]

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Sorry.

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Are you going to get off work
on time tonight?

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Because I made us this reservation

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at that pizza place
you keep talking about.

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-Pizzageddon?
-Mm-hmm.

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It's impossible to get into.

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Well, I have an in with the manager.
I delivered his baby.

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Did I forget? Is it my birthday?

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-Is it your birthday?
-No, I just...

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I just...
I figured that we deserved a night out.

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-[Link] Yeah.
-[Jo] Yeah!

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-All right.
-Okay.

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Those two need to get a room.

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What, Link and Wilson?

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And they basically
just had sex in front of us.

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[scoffs] You remember what sex is, right?

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I'm just saying. Messy.

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I don't know.

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Hey, you remember when
you and me used to be like that?

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Nope.

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[clears throat]

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-Do you smell margaritas?
-It's me.

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Joe's had a two-for-one
special last night.

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Well, maybe you should try soap next time.

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Oh, maybe you should try
being the maid of honor

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for someone you have feelings for
who's marrying someone else--

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Oh, wait.

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-Mission accomplished.
-We're just friends.

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Don't care.

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But can you bring leftovers
from the cake tasting?

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-What do we got?
-William Hudson, 32.

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GCS 14.

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Left upper extremity deformity
and abdominal contusion.

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-Systolic's in the low 100s.
-Trauma three.

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-[Lucas] Okay. What happened?
-[William] Am I bleeding?

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He tried to mail himself
to his girlfriend in Florida.

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-Excuse me?
-Well, it's her birthday tomorrow.

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[Paramedic]
Says he was trying to surprise her.

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Wait, you put yourself in a box?

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And the box fell from the conveyor belt
while they were loading it into the plane.

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Yeah, maybe for the best.

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He could have died in the cargo hold.

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He could still die here.

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What?

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I'll go page Hunt.

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You guys still use pagers?

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[over PA]
Dr. Binder to QS. Dr. Binder to QS.

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Dr. Binder to QS. Dr. Binder to QS.

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Excuse me, excuse me.
Hi, are you doctors?

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Uh, yes, we are. How can we help you?

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We're here to speak
to Dr. Margaret Pierce.

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-Do you have an appointment?
-Viv, this was not a good idea.

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Can you just call Dr. Pierce?

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Her... her schedule is very busy.

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But if you... Give me
your information, I can--

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No, no, no, no. We just drove 400 miles
in my 1994 roadie van,

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without air conditioning,
so that my friend here

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can be seen for the giant tumor
that is crushing her heart.

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So can you two baby doctors
just pick up the phone

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and call Dr. Margaret Pierce?

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Because we are not leaving until you do.

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-You packing up?
-Yeah.

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I'm at that point where
I'm just throwing everything

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into a bag because I don't
have time to decide

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whether I want to keep it or not.

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I know this is all happening really fast.

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It's actually happening
a little quickly for me, too.

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But this is just such a huge opportunity.

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I guess I thought this place
meant more to you

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than just a stepping stone
for something bigger.

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Richard, of course it does.

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I mean, we just revived
the residency program.

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-We just lost Meredith.
-I know.

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And I told Teddy when I gave her
my resignation

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that I would help interview new candidates
over video chat.

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In my day, you accepted a job
after your fellowship,

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then you worked there until you retired.

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They taught you that loyalty mattered.

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So out of loyalty,
I should not pursue research

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that would save thousands of patients?

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You've already started
doing that here, with Winston.

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I hate that you're upset,
but I'm not going to apologize--

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[Viv over PA] Dr. Margaret Pierce,
can you please come to the nurses' station

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-on the first floor, please?
-I guess...

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-Dr. Margaret Pierce...
-We'll talk later.

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...can you please come
to first floor nurses' station...

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[Simone] Ma'am, you are not allowed--

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Dr. Margaret Pierce, can you please

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-come to the nurses' station...
-Please give me the phone.

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-Security is on their way.
-...on the first floor.

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And the longer we do this,

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-the longer it will--
-Oh, my God. I'm here.

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First floor--

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Why am I being paged
on repeat by someone

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who doesn't even work here?

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-We're so sorry, Dr. Pierce.
-She grabbed the phone.

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-And we called security.
-Dr. Pierce!

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Big fan. This is Nola.
She has mediastinal mass syndrome

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due to the large thymoma which has
completely taken over her heart.

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Uh... Dr. Griffith...

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get them upstairs in a room,
so I can do a proper consult.

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But do not ever come
into a hospital again that way,

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or you'll be quickly escorted out.

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I thought you were leaving.

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I'm going to push my flight.

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Next time, try listening to the patients
before you call security on them.

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[groans]

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-I'm sorry. I know it's uncomfortable.
-Uncomfortable?

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Hurts like hell.

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Can't you give him
anything for the pain?

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We need to complete
the initial exam first.

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Can I just get back
to playing Minecraft?

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What mode are you playing?

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Survival.

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Just nailed an enchanting table,

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and you came in
and started trying to kill me.

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-Aw! Ahh.
-Sorry.

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David.

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Hey, Daisy.

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Dr. Webber.

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Well, look who we have here.

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Dr. Kwan?

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Grayson Friedman, 13.

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History of ulcerative colitis,
which has previously been in clinical--

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He knows already. He's my doctor.

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Hey. Sorry.

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Dr. Webber diagnosed Grayson
when he was eight.

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We've been managing
his condition with meds.

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But this morning,
the pain was so bad

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he collapsed
on the floor in the bathroom.

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Do you think he needs surgery?

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-No.
-Last time you mentioned an ostomy.

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No, I know what that is.

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It's not that bad.
Don't do surgery, please.

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We won't do anything until
we find out what's going on.

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We'll run some tests,

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and then we'll get you
something for your pain.

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Thank you.

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I don't want surgery.

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I don't even think I need it.

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Order a CBC, CMP,
inflammatory markers with a CT.

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Then put him on an IV steroid

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with a PRN of morphine
to make him comfortable,

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and page me when you get the scans.

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Dr. Webber?

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Do you think that maybe
we could find some time to talk?

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Seems like we're
doing that now, Schmitt.

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Well, I don't have my notes with me.

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Right.

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I've been thinking about fellowships
and attending positions,

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and I would love to pick your brain--

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You haven't applied
for your fellowships yet?

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I submitted my recommendations
for most candidates months ago.

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I've been exploring options,
and I would love your suggestions.

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You're a fourth-year resident, Schmitt.

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My suggestion would be
get your act together sooner than later.

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[indistinct over PA]

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[sighs]

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Nola, we're really here.

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You're... You're really being examined
by Dr. Margaret Pierce.

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I mean, the Dr. Margaret Pierce!

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Meeting you in person, it's like--

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That time we met Stevie Nicks.

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I'm digging this more.

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I am flattered.

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Keep her elevated.

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If she's flat, the tumor could further
compress the vasculature,

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which could lead to more swelling.

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Griffith?

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Nola Marquez, 42.

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Developed a mediastinal mass
with a tissue diagnosis of a thymoma.

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The tumor grew alongside her heart,

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putting pressure on it
and the vasculature,

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causing SVC syndrome.

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Symptoms include shortness of breath
and mental acuity issues.

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-It's not that bad.
-No one believes you.

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-Sisters?
-Close.

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We're friends since elementary school.

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We met in chorus, and been
rocking together ever since.

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-You're in a band?
-We are a band.

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Double Helix.

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Ever since Nola got diagnosed,
she hasn't touched her guitar.

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I can barely sleep, let alone perform.

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Viv has dragged me to every heart surgeon
in the Pacific Northwest.

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No one will operate.

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They all say it's too risky.

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Bunch of cowards.
But now we have the best.

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Dr. Pierce, she's-- she's not pop rock,
she's Led Zeppelin.

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Double Helix is back.

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All right, well, first things first.
Let's get some scans, see where we are.

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Griffith, Millin.

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She's been fasting,
and we've both been visualizing.

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So she's ready for surgery
the minute you are.

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[clicks tongue]

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[Teddy]
Why didn't you show up with flowers?

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That's all I'm saying.

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It was supposed to be
a grand romantic gesture.

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Well, I surprised you in Germany.

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Yeah, but you came on a plane.

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Yeah, like a regular human person.

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We need to check his upper
left extremity for a fracture.

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Order some AP and lateral films.

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Okay.

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What's the lesson here?

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Romance can be fatal.

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Wouldn't be the first time.

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Or it can save lives and heal.

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Oh, please.
You're just trying to prove me wrong

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because you didn't even know
that Jo and Link were an item.

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No. No, Jo and I are--
We're just friends.

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Friends who have slept together.

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Wait, you guys slept together?

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-How do you know that?
-You know what?

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Just page me when the scans come in.

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Yeah.

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How much longer do I have to be in here?

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Not long.

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Just think like you have a health bar
that needs replenishing.

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It's a video game reference.

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I'm aware.

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How do you not know if you're
doing general or subspecialty?

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It's a fellowship reference.

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Wow. You're really begging
for a pile of scut, Kwan.

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No, I'm genuinely asking

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how you got into your fourth year
of residency without a clear direction.

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Well, let's see.

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Maybe it was the worldwide
pandemic that happened

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in the middle of my residency,

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or the program being shut down last year.

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Take your pick.

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Well, I like to track each subspecialty
I'm interested in with a spreadsheet

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and monitor trends in each area.

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[Grayson] I'm hot.

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And it's really dark in here, guys.

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I really want to get out.

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Grayson, just... hum a song or sing.

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Like what?

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[Levi] Anything inside your head.

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[chanting in Hebrew]

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You studying for your bar mitzvah?

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[Grayson] Yeah. I sound terrible.

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I've been practicing
for over 300 days in a row,

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and I still sound awful, right?

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-Yes.
-Keep chanting.

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[Grayson continues chanting in Hebrew]

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It's acute severe colitis.

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[sighs]

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That smells delicious.

13:16.879 --> 13:20.132
I was thinking, after we eat
we can go on a walk.

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I wanted to talk...

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Hey, what's wrong?

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With Mer gone and Maggie leaving,
there's not going to be Sunday dinners.

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On Sundays, Maggie cooks,

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and she puts enough leftovers in my fridge
to get me to Wednesday.

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So, maybe it's time to learn how to cook.

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I have a history of spiraling
when people leave me,

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and a good old-fashioned
spiral does not leave

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much time for cooking lessons.

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What does it leave time for?

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All kinds of fun things.

13:56.252 --> 13:59.672
Uh... pulling away from people you love,

13:59.755 --> 14:03.175
starting fights, lack of sleep,

14:03.259 --> 14:06.178
spilling your worst instincts
to someone who just flew

14:06.262 --> 14:09.723
halfway across the country
to cook for you.

14:09.807 --> 14:12.017
You love your sisters.

14:12.101 --> 14:14.520
This is a big change.
Anybody would be sad, Amelia.

14:18.190 --> 14:19.984
How could I be sad with you here?

14:28.993 --> 14:32.913
[announcement over PA]

14:33.747 --> 14:35.833
Yasuda, I have a job for you.

14:35.916 --> 14:39.003
Oh, Dr. Bailey, thank you.
At your service.

14:39.086 --> 14:41.088
Hey, I need you to hold on to this.

14:43.048 --> 14:46.510
That is my lifeline,
and I'm entrusting it to you.

14:46.594 --> 14:49.221
Do not answer it unless caller ID says

14:49.305 --> 14:52.141
it's my husband, Ben Warren,
or a hospital number.

14:52.224 --> 14:55.519
Got it. So Grey Sloan,
your husband, or Ben Warren?

14:56.353 --> 14:57.897
My husband is Ben Warren.

14:57.980 --> 15:00.190
Do I need to entrust this to someone else?

15:00.274 --> 15:02.526
Nope. I got this. Entrust me.

15:06.405 --> 15:07.615
Hey, if you don't screw it up,

15:07.698 --> 15:10.326
maybe she'll entrust you
to babysit her tablet next.

15:10.826 --> 15:12.578
[cell phone vibrating]

15:18.918 --> 15:20.377
Do I need to get surgery?

15:21.378 --> 15:23.297
We should really wait for your parents.

15:23.380 --> 15:24.882
I can't get surgery.

15:24.965 --> 15:26.884
My bar mitzvah's to be in 36 hours.

15:26.967 --> 15:28.552
[Richard]
You haven't been taking your medication.

15:28.636 --> 15:29.637
What?

15:29.720 --> 15:31.889
No, I have. Every day.

15:31.972 --> 15:34.308
My parents set this annoying alarm.

15:34.391 --> 15:37.019
Grayson, I have your urine results.

15:37.102 --> 15:40.230
The labs don't lie,
but sometimes, patients do.

15:44.693 --> 15:47.363
Yeah, okay, I stopped.

15:47.446 --> 15:48.948
But just for a little bit.

15:49.031 --> 15:50.282
I've been in these Hebrew classes,

15:50.366 --> 15:52.034
and the pills and infusions,
they made me...

15:52.117 --> 15:54.203
they made me really tired,
so tired that I...

15:54.286 --> 15:56.038
I fainted one day, and everyone saw.

15:56.121 --> 15:58.457
And then the medications,
they dried my eyes out.

15:58.540 --> 16:00.292
And then the eye drops, they burned.

16:00.376 --> 16:02.252
And I got this gross-looking
rash on my neck

16:02.336 --> 16:03.629
that Eloise Schurmann saw--

16:03.712 --> 16:05.839
Do you know how worried
your parents have been?

16:05.923 --> 16:06.924
Dr. Webber--

16:07.007 --> 16:08.884
How much money they've spent
on your treatment?

16:08.968 --> 16:11.345
-Now you need surgery.
-No. No surgery.

16:11.428 --> 16:12.638
It doesn't even hurt that badly.

16:12.721 --> 16:14.556
Just... Just give me some
steroids or infusions.

16:14.640 --> 16:16.850
The Torah portion is only 25 minutes.

16:16.934 --> 16:18.560
-I can make 25 minutes.
-No, you can't.

16:18.644 --> 16:19.728
-Please.
-If you don't get

16:19.812 --> 16:21.897
this surgery immediately,
the inflammation in your intestine

16:21.981 --> 16:23.607
will get worse, spread further,

16:23.691 --> 16:25.609
and lead to an incredibly
serious infection.

16:25.693 --> 16:28.445
You would be in excruciating pain,
and you would die.

16:28.529 --> 16:30.739
-Kwan!
-You know what? Dr. Kwan is right.

16:30.823 --> 16:33.701
Grayson, you're not an adult,
and you're not a doctor.

16:33.784 --> 16:35.661
I'm talking to your parents,
because clearly

16:35.744 --> 16:37.454
you aren't mature enough
to understand how much

16:37.538 --> 16:41.667
we care about you, and how much harm
you could have done to yourself.

16:49.008 --> 16:51.135
Okay, Hudson's X-rays are in.

16:51.218 --> 16:53.387
Sorry. One sec. It's Jo.

16:58.225 --> 17:00.769
It looks like a simple
mildly displaced humeral fracture.

17:00.853 --> 17:04.857
Yeah, and a shattered spleen
with decreasing responses to fluids.

17:04.940 --> 17:06.942
Teddy and I can take him up
for an ex-lap now.

17:07.026 --> 17:09.111
And I will set and reduce
the fracture when you're done.

17:09.194 --> 17:10.487
-Hmm-mmm.
-[cell phone continuously chiming]

17:14.575 --> 17:16.035
I know what you're thinking.

17:16.118 --> 17:18.787
That I should tell Jo
I have feelings for her.

17:18.871 --> 17:20.914
But listen, we built a home
together as friends.

17:20.998 --> 17:22.082
Our kids are practically siblings.

17:22.166 --> 17:24.793
If I make a move and she doesn't feel
the same way, it's over.

17:24.877 --> 17:26.336
Saying something is not a good idea.

17:26.420 --> 17:28.213
That is not at all what I was thinking.

17:28.297 --> 17:30.716
-So you think it's a good idea?
-I have no opinion.

17:30.799 --> 17:33.552
Plus, the last person I talked to
about their relationship was Ndugu,

17:33.635 --> 17:35.679
and his wife
is moving to another state.

17:35.763 --> 17:37.056
Not to mention him and Altman.

17:37.139 --> 17:38.474
What was that, Yasuda?

17:39.558 --> 17:41.769
Do you and Altman need us
to prep him for surgery?

17:41.852 --> 17:44.188
Yes. And type and cross
two units of blood.

17:56.366 --> 17:57.701
And deep breath.

17:59.203 --> 18:01.330
My parents toured
with the band for a minute.

18:01.413 --> 18:02.748
They were called Blessed Wolf.

18:02.831 --> 18:06.001
Well, I tried to name us
after our third-grade teacher,

18:06.085 --> 18:10.422
Mrs. Hatmaker, but Nola here nixed it.

18:10.506 --> 18:13.175
Two women in a folk-rock duo called

18:13.258 --> 18:16.303
"The Hatmakers" might as well
sew up their vaginas forever.

18:16.386 --> 18:18.680
Is Viv your only emergency contact?

18:18.764 --> 18:21.475
My ride or die, since day one.

18:21.558 --> 18:23.727
And you repay me by trying to die.

18:23.811 --> 18:27.022
Think about all the songs you'll be
able to write about my death.

18:27.106 --> 18:28.482
You're better off.

18:28.565 --> 18:30.734
I mean, who needs a spouse
when you have a bandmate?

18:31.318 --> 18:34.071
Well, we prefer
the term platonic soulmate.

18:34.154 --> 18:35.447
Another excellent band name.

18:35.531 --> 18:36.865
We're going to talk to Dr. Pierce,

18:36.949 --> 18:38.659
and we'll be back to update you.

18:45.874 --> 18:46.875
Thank you.

18:48.502 --> 18:50.587
-Okay, what is your problem?
-With what?

18:50.671 --> 18:52.506
You're hating on marriage
to anyone who will listen,

18:52.589 --> 18:53.924
when I'm about to get married.

18:54.007 --> 18:56.260
Or I'm doing my job
and connecting with our patients.

18:56.343 --> 18:58.095
Yeah, but you don't know Trey.
You don't know our relationship.

18:58.178 --> 18:59.471
I know.

18:59.555 --> 19:01.598
Get married, don't get married.
I don't care.

19:01.682 --> 19:02.683
But it's not a distraction.

19:02.766 --> 19:04.309
I've been singularly focused
on becoming a surgeon

19:04.393 --> 19:05.477
since I was eight.

19:05.561 --> 19:08.689
Griffith, I've already said I don't care.

19:08.772 --> 19:10.274
Who are you trying to convince?

19:10.357 --> 19:12.609
Doctors? It's Nola. Something happened.

19:12.693 --> 19:14.361
We were talking and she gasped.

19:14.444 --> 19:16.738
And then... this machine
started going off.

19:16.822 --> 19:18.949
-I don't know.
-Grab a crash cart.

19:19.032 --> 19:20.367
How's her airway?

19:21.451 --> 19:22.786
Airway's patent and she's breathing.

19:22.870 --> 19:23.912
She has JVD.

19:23.996 --> 19:27.166
Okay, we need to get her oxygen.
And page Dr. Pierce!

19:29.585 --> 19:30.460
O2.

19:36.800 --> 19:37.885
[machine beeping]

19:37.968 --> 19:38.969
What happened?

19:39.052 --> 19:39.928
[Jules] Her BP dropped.

19:40.012 --> 19:41.805
-[Simone] JVD, muffled heart sounds.
-[Maggie] What does it mean?

19:41.889 --> 19:44.683
-[Simone] Cardiac tamponade.
-Someone tell me what that means.

19:44.808 --> 19:50.063
[Maggie] Nola's tumor has caused fluid
to accumulate around her heart.

19:50.147 --> 19:51.899
We need to relieve
the pressure by draining it,

19:51.982 --> 19:54.026
by doing what's called
a pericardiocentesis.

19:54.109 --> 19:56.153
18-gauge spinal needle.

19:56.612 --> 19:57.571
Griffith?

20:02.951 --> 20:04.077
Find your landmarks.

20:04.161 --> 20:08.081
Find one centimeter inferior
to the left xiphocostal angle.

20:08.165 --> 20:09.166
Yep.

20:09.249 --> 20:11.335
[Maggie] Insert the needle
at a 30-degree angle.

20:12.127 --> 20:16.381
Good. And slowly advance it
toward the left shoulder,

20:16.465 --> 20:18.133
while aspirating.

20:19.218 --> 20:22.387
And you should start to see fluid.
Good, there it is. Good.

20:22.930 --> 20:24.223
[beeping slow down]

20:24.306 --> 20:27.142
She's stable, but we don't have much time.

20:27.226 --> 20:28.352
Until what?

20:28.435 --> 20:30.145
Until the fluid builds up again.

20:30.229 --> 20:34.066
Let's get her to the CCU,
and page Dr. Ndugu right now.

20:34.149 --> 20:37.819
[intense music plays]

20:39.363 --> 20:40.864
Do you hear something?

20:40.948 --> 20:42.491
Don't worry about it, William.

20:42.574 --> 20:43.909
Maybe it's Rose.

20:43.992 --> 20:46.411
-Who's Rose?
-She's my girlfriend.

20:46.495 --> 20:48.372
She's so pretty and smart.

20:48.455 --> 20:50.165
Except for her teeth.

20:50.249 --> 20:51.583
Don't worry about it, William.

20:51.667 --> 20:53.043
It's not Rose.

20:53.126 --> 20:54.336
-Oh, my God.
-[cell phone vibrating continuously]

20:54.419 --> 20:55.796
It's not my fault.

20:57.631 --> 21:00.425
Stop calling, asshat!
You're not harassing Dr. Bailey.

21:00.509 --> 21:02.469
You are harassing me! A poor, overworked,

21:02.552 --> 21:04.721
tired intern who would really
appreciate it if you could--

21:05.389 --> 21:06.765
Hello?

21:06.848 --> 21:07.933
Hi.

21:08.016 --> 21:09.101
Sorry.

21:09.184 --> 21:11.103
I'll-- I'll tell her.

21:12.604 --> 21:14.773
That was Dr. Bailey's optometrist.

21:14.856 --> 21:16.400
Tuck's glasses are ready.

21:16.483 --> 21:17.526
Do you need me to hold
the phone for a while?

21:17.609 --> 21:18.944
No, thank you.

21:19.027 --> 21:21.071
Do you need me to hold
the phone for a while?

21:21.154 --> 21:22.906
[cell phone vibrating]

21:23.532 --> 21:24.866
[Levi] You in the Nether worlds now?

21:24.950 --> 21:26.076
[game sound playing]

21:26.159 --> 21:27.786
Do you play with friends, or--

21:27.869 --> 21:31.665
Do you think Dr. Webber will
still want to be my doctor after this?

21:31.748 --> 21:33.083
Of course he will.

21:33.166 --> 21:34.751
I disappointed him.

21:34.835 --> 21:38.588
Well, if it makes you feel any better,
so have I.

21:40.173 --> 21:42.217
Kids at school call me a defect,

21:42.301 --> 21:44.636
because I'm always at
the nurse's office taking my meds.

21:44.720 --> 21:48.432
I just want to be... normal, you know?

21:48.515 --> 21:52.352
You know, I tried for a really long time

21:52.436 --> 21:53.770
to be what I thought was normal,

21:53.854 --> 21:57.858
and then I decided to see
what would happen if I stopped.

21:57.941 --> 21:59.359
What happened?

21:59.443 --> 22:02.029
I liked myself a lot more.

22:05.407 --> 22:06.450
Okay.

22:07.075 --> 22:08.118
I'm ready.

22:08.702 --> 22:09.578
Okay.

22:13.915 --> 22:15.042
You paged?

22:16.710 --> 22:18.045
I wasn't sure you'd answer it.

22:18.837 --> 22:20.589
You're still my boss
till the end of the day.

22:21.256 --> 22:22.966
Pushed my flight till tomorrow.

22:24.885 --> 22:28.013
Looks like a large thymoma
in the mediastinum.

22:28.096 --> 22:30.182
It's already starting to tamponade

22:30.265 --> 22:33.143
with sympathetic fluid,
so I don't have a lot of time.

22:33.226 --> 22:35.103
Tumor is shaped like a heart.

22:36.146 --> 22:37.564
-You didn't notice?
-No.

22:37.647 --> 22:41.693
I was more concerned with how close it was
to the heart, not its shape.

22:41.777 --> 22:43.945
Have you considered doing
a reconstruction of the SVC?

22:44.029 --> 22:44.946
Yes.

22:45.030 --> 22:48.784
But I'm concerned that the tumor involves
the innominate artery.

22:48.867 --> 22:51.828
Okay, what if you take the entire SVC
and left subclavian?

22:51.912 --> 22:53.622
You'd have to resect the sternum,

22:53.705 --> 22:57.167
the SVC, and all the pericardium,
but you'd get the entire tumor.

22:57.250 --> 22:59.419
That's if she doesn't
decompensate first.

22:59.503 --> 23:04.841
If I go into the wrong dissecting plane
even a tiny bit, she bleeds out and dies.

23:05.634 --> 23:07.928
She'll die if she continues
to have fluid buildup.

23:11.390 --> 23:14.768
What if we use
a bovine pericardial patch

23:14.851 --> 23:16.478
for the reconstruction?

23:20.148 --> 23:22.943
Maybe that would allow us
to have clear margins.

23:23.819 --> 23:26.363
No interns. There's no margin for error.

23:26.446 --> 23:28.949
-Just you and me.
-Just you and me.

23:35.330 --> 23:36.498
[sniffles]

23:40.335 --> 23:41.420
I'm sorry.

23:41.503 --> 23:42.587
It's okay.

23:42.671 --> 23:44.256
We hardly get to see each other,

23:44.339 --> 23:46.174
and I'm sitting here crying
like somebody died.

23:52.681 --> 23:55.725
Even though I'm scaring you,
I'm so glad that you're here.

23:55.809 --> 23:57.894
It takes a lot
for this one to scare.

24:01.022 --> 24:03.984
I've hidden parts of myself
in every relationship I've ever had,

24:04.067 --> 24:05.986
except for this one.
It feels so freeing.

24:06.069 --> 24:08.780
[sighs] I just can be myself,

24:09.698 --> 24:10.907
queen of spirals.

24:11.491 --> 24:13.827
You can't be the queen
of something that's only, like,

24:13.910 --> 24:15.912
a tiny part of who you are.

24:18.039 --> 24:21.376
You are sweet and kind.

24:21.960 --> 24:25.172
But I also think
that you are underestimating

24:25.255 --> 24:27.716
my ability to fall off the deep end.

24:28.341 --> 24:30.677
I'm not underestimating anything.

24:32.387 --> 24:37.017
The Amelia I know is
a badass neurosurgeon,

24:37.100 --> 24:38.852
an amazing mom.

24:40.187 --> 24:42.189
She works hard on her sobriety.

24:43.607 --> 24:47.277
She's a loving sister, a devoted friend.

24:48.403 --> 24:50.071
The Amelia I know is inspiring.

24:51.114 --> 24:53.033
She is not the queen of spirals.

24:53.909 --> 24:55.118
She is just a queen.

25:14.679 --> 25:18.308
Dr. Bailey, Dr. Altman, Dr. Fox.

25:19.684 --> 25:22.103
All married surgeons with stellar careers.

25:30.654 --> 25:32.030
[Maggie] Careful.

25:32.113 --> 25:34.074
The tissue is very friable.

25:34.157 --> 25:35.325
I'm aware, Dr. Pierce.

25:36.910 --> 25:38.078
All right.

25:38.161 --> 25:39.412
Specimen's coming out.

25:41.373 --> 25:44.376
[heartbeat beating]

25:48.171 --> 25:51.424
[machine beeping]

25:55.679 --> 25:58.098
Her blood pressure's soaring.

26:02.352 --> 26:03.979
Why aren't you doing anything?

26:07.732 --> 26:09.192
[Maggie] Pressure is stabilized.

26:09.276 --> 26:10.902
[Winston] Pseudo tamponade effect.

26:10.986 --> 26:13.238
The heart isn't used to all
that space without the tumor.

26:13.989 --> 26:16.366
Now it's alone and happy.

26:18.577 --> 26:19.828
Let's start the reconstruction.

26:19.911 --> 26:21.413
Put her on bypass.

26:25.083 --> 26:27.127
[Teddy] Dr. Hunt and I were able
to perform your splenectomy

26:27.210 --> 26:28.420
without any complications.

26:28.503 --> 26:30.922
-You should heal nicely.
-Same with your shoulder.

26:31.006 --> 26:33.425
You're going to need a couple
of months of rehabilitation,

26:33.508 --> 26:35.969
but then you should be able
to regain normal function.

26:36.052 --> 26:37.596
Great.

26:37.679 --> 26:38.847
-Thanks.
-[Teddy]  MM-hmm.

26:40.640 --> 26:43.685
William, this is all good news.

26:45.228 --> 26:46.688
Yeah. No, sorry.

26:48.189 --> 26:51.192
Rose heard what I did,
and she dumped me.

26:51.776 --> 26:53.278
-[sighs]
-You know.

26:53.361 --> 26:56.615
I fell for her the second I saw her
in line for Space Mountain.

26:56.698 --> 26:58.700
Company retreat in Orlando.

26:58.783 --> 27:00.744
I thought she was the love of my life.

27:02.287 --> 27:03.455
How could I have been so wrong?

27:04.414 --> 27:06.082
Listen, me and my wife,

27:06.875 --> 27:09.336
we were friends for years
before we became a couple.

27:09.419 --> 27:11.630
We met when we were
army surgeons together.

27:11.713 --> 27:13.757
So just to get this right,
are you judging me

27:13.840 --> 27:15.800
for meeting Rose at a theme park,

27:15.884 --> 27:17.844
or for believing in love at first sight?

27:17.927 --> 27:19.054
Neither.

27:20.221 --> 27:22.682
Listen, even though it took us
years to get together, I knew...

27:22.766 --> 27:24.517
I knew from the moment that I saw her,

27:24.601 --> 27:27.562
emerging from a surgical tent
in 100 degrees heat,

27:27.646 --> 27:31.566
having just repaired an aortic dissection
and saving a soldier's life.

27:31.650 --> 27:34.611
-I knew I wanted her in my life.
-Then what took you so long?

27:34.694 --> 27:36.863
Well, I was--

27:36.946 --> 27:40.408
I was engaged, and then
I was married for a while,

27:40.492 --> 27:43.411
and then she was married.
Our timing was just never quite right.

27:43.495 --> 27:45.372
But those relationships,
they came and went.

27:45.455 --> 27:47.749
And our friendship outlasted them all,

27:47.832 --> 27:50.043
even after she moved out of the country.

27:50.126 --> 27:52.253
Then one day, I--

27:52.337 --> 27:54.130
I just realized that
she was the one person

27:54.214 --> 27:55.340
that I wanted to talk to
at the end of a long day,

27:55.423 --> 27:56.591
or a great day.

27:56.675 --> 27:59.302
When I was reading a book
or watching a movie, I'd think,

27:59.386 --> 28:01.054
"Man, she would love this," you know?

28:01.137 --> 28:04.474
She just kept-- She would
constantly pop into my mind,

28:04.557 --> 28:05.892
until finally, I just--

28:05.975 --> 28:09.604
I got on that plane to Germany, and I...

28:09.688 --> 28:11.106
I just told her.

28:12.774 --> 28:17.696
So if you feel that way about Rose,
if you know you want her in your life,

28:17.779 --> 28:18.905
you should just try again.

28:23.368 --> 28:24.452
Yeah.

28:25.745 --> 28:27.539
I don't think Rose is it.

28:28.748 --> 28:30.375
Excuse me.

28:30.458 --> 28:31.626
I got to be somewhere.

28:33.586 --> 28:36.756
I mean, I did mail myself in a box,
but she's not it.

28:37.340 --> 28:38.591
Thank you for that story.

28:41.344 --> 28:43.847
Look at all of this
inflammation and necrosis.

28:43.930 --> 28:46.141
I mean, this is almost the entire colon.

28:46.224 --> 28:48.393
How long had Grayson's
symptoms been under control?

28:48.476 --> 28:49.894
Years.

28:49.978 --> 28:51.855
The medication protocol worked wonders.

28:51.938 --> 28:53.982
And now he's completely
turned that around.

28:54.065 --> 28:56.443
Foolish to the point of stupid.

29:00.238 --> 29:03.825
Dr. Kwan, do you even remember
what being 13 is like?

29:03.908 --> 29:04.993
Because I do.

29:05.702 --> 29:07.120
It was really, really hard.

29:07.203 --> 29:10.623
You think Grayson doesn't already know
that he disappointed everyone around him?

29:10.707 --> 29:13.293
You think he doesn't already feel stupid?

29:13.376 --> 29:14.544
Believe me, he does.

29:14.627 --> 29:17.213
Did you even hear him
when he was trying to tell us

29:17.297 --> 29:19.591
that the medications
made him feel terrible,

29:19.674 --> 29:22.260
worse than it already feels to be 13?

29:22.343 --> 29:24.971
Did you listen to your patient?

29:25.054 --> 29:26.556
Of course I did. But--

29:26.639 --> 29:30.310
Grayson has spent an entire year
working his butt off

29:30.393 --> 29:32.896
on becoming a man,
so maybe stop chastising him

29:32.979 --> 29:35.356
like a toddler and freaking him out
that he could die.

29:36.232 --> 29:41.780
Sometimes being a good doctor,
or a... parent,

29:41.863 --> 29:44.240
or even a good mentor,

29:44.324 --> 29:46.367
means listening to what
the other person needs.

29:50.580 --> 29:51.831
Suction, Kwan.

29:55.668 --> 29:58.129
[Maggie] [deep inhales] All right.

30:00.757 --> 30:02.008
What is it?

30:02.592 --> 30:04.427
There's no back wall left
for the reconstruction.

30:04.511 --> 30:05.762
I don't think the patch is going to work.

30:06.721 --> 30:07.639
[Maggie sighs]

30:07.722 --> 30:09.974
["Animal" by Milck playing]

30:11.142 --> 30:14.646
[Winston] What if we access the jugulars
and use reverse cryo-artery,

30:14.729 --> 30:15.980
and drain into the right atrium?

30:16.064 --> 30:18.191
Two incisions, end-to-end,
on the two jugulars.

30:18.274 --> 30:19.317
Yes.

30:19.400 --> 30:20.902
You think we can pull it off?

30:20.985 --> 30:23.488
I think we're Nola's only option.

30:23.571 --> 30:25.657
All right, let's do it. Right angle.

30:26.991 --> 30:28.159
[Maggie] Vessel loop.

31:48.031 --> 31:49.657
[cheering]

32:13.014 --> 32:14.599
I'm not saying I'm going
to throw it in the toilet.

32:14.682 --> 32:16.601
But if you throw it in the toilet,
I would cover for you.

32:16.684 --> 32:17.852
Just shut it up.

32:17.936 --> 32:19.062
I can't.

32:19.145 --> 32:21.522
[cell phone continuously vibrating]

32:23.942 --> 32:25.068
What are you doing?

32:29.030 --> 32:30.782
[sighs]

32:30.865 --> 32:32.033
[vibrating]

32:32.116 --> 32:34.035
Oh, my God!

32:39.707 --> 32:43.544
What on Earth do you think you're doing?

32:44.671 --> 32:48.299
Respectfully, Dr. Bailey,
have you considered just turning it off?

32:48.383 --> 32:50.969
Have you considered being a wife,

32:51.052 --> 32:52.804
a mother, and a high-level professional?

32:52.887 --> 32:53.972
Give me the phone.

33:00.895 --> 33:03.648
[soft sighs] Okay.

33:18.329 --> 33:19.539
No.

33:19.622 --> 33:21.541
No, no, no.

33:21.624 --> 33:23.960
No, no, no. No. No, no.

33:24.043 --> 33:25.878
-I can't.
-Viv, she's okay. Viv.

33:25.962 --> 33:27.422
Viv, she's alive.

33:28.047 --> 33:29.090
She's in the ICU.

33:29.173 --> 33:31.718
We were able to successfully
remove the mass.

33:31.801 --> 33:33.386
Wait, what-- What?

33:33.469 --> 33:34.679
The tumor is gone.

33:34.762 --> 33:37.515
She has a long recovery, but she's stable.

33:38.141 --> 33:39.225
[sighs]

33:42.145 --> 33:44.397
I thought she was dead. I just...

33:46.024 --> 33:47.358
Your faces, those were not

33:47.442 --> 33:49.360
"I just saved a life
against all odds" faces.

33:49.444 --> 33:51.988
Yeah. We have a lot going on.

33:53.740 --> 33:54.741
Thank you.

33:55.408 --> 33:58.327
Dr. Pierce, I knew you were the person.
Thank you.

33:58.953 --> 34:00.163
It was teamwork.

34:00.246 --> 34:02.248
I could not have done it
without Dr. Ndugu.

34:02.331 --> 34:04.500
Thank you, thank you.

34:04.584 --> 34:07.336
[mellow music playing]

34:17.805 --> 34:18.806
How long?

34:21.851 --> 34:24.020
How long do I have the ostomy for?

34:24.103 --> 34:25.772
Well, a few months.

34:27.523 --> 34:30.860
Your... Your parents went
to get something to eat,

34:31.736 --> 34:33.946
but they've been with you the whole time.

34:35.948 --> 34:38.576
I didn't mean to worry them
or to make you mad.

34:39.410 --> 34:41.454
I just didn't think
it'd be such a big deal.

34:41.996 --> 34:45.333
You know, I remember your diagnosis
like it was yesterday.

34:46.626 --> 34:47.960
It was a while ago.

34:48.044 --> 34:50.546
I was in... kindergarten.

34:50.630 --> 34:54.008
And you were very worried about missing
your end-of-class party.

34:54.092 --> 34:55.134
Yeah.

34:55.218 --> 34:57.845
I was worried about missing
the ice cream cake.

34:57.929 --> 34:58.805
[chuckles]

34:59.388 --> 35:01.349
I've known you for a long time, son.

35:02.058 --> 35:04.435
And I look forward to seeing
what's next for you.

35:05.144 --> 35:08.564
I mean, your bar mitzvah,
high school graduation,

35:08.648 --> 35:09.982
college.

35:10.066 --> 35:13.027
And when you make a decision
that puts your future at risk...

35:13.111 --> 35:15.822
Well, it's-- it's frustrating.

35:16.405 --> 35:17.573
But I'm not mad at you.

35:18.241 --> 35:20.868
And if it came off that way, I--

35:20.952 --> 35:22.495
I'm sorry.

35:23.204 --> 35:24.580
I'm sorry too.

35:24.664 --> 35:25.665
Good.

35:26.165 --> 35:29.293
Now that we've got that out the way,
I want you to do me a favor.

35:29.836 --> 35:31.671
Now, when you heal up from the surgery,

35:31.754 --> 35:34.298
I'm going to give you a prescription
for a new medication.

35:35.049 --> 35:36.467
You want me to promise to take it?

35:36.551 --> 35:39.345
I want you to tell me
if it gives you any problems,

35:39.428 --> 35:42.598
if something's off, and we'll...

35:42.682 --> 35:44.809
we'll find a solution together.

35:44.892 --> 35:46.769
-Okay.
-Okay.

35:48.020 --> 35:50.106
All right, let's check that ticker.

35:52.150 --> 35:53.192
[elevator dings]

35:56.362 --> 35:57.697
-Hey.
-Hey.

36:02.076 --> 36:04.120
I have to hand it to you,
you really went for

36:04.203 --> 36:06.664
your two favorite things in that speech...

36:06.747 --> 36:09.417
proving me wrong and getting laid.

36:11.335 --> 36:13.754
I was just trying to make
our patient feel better.

36:13.838 --> 36:15.464
-Uh-huh.
-Hmm-mm.

36:17.300 --> 36:18.426
Did it work?

36:18.509 --> 36:19.844
Didn't you see Link?

36:22.013 --> 36:23.181
I meant the other thing.

36:25.600 --> 36:27.894
Your mom's watching
the kids for the night.

36:34.442 --> 36:37.862
Dr. Mary Edwards Walker,
first female surgeon

36:37.945 --> 36:40.823
in the United States, the second female
to graduate from medical school.

36:40.907 --> 36:44.202
Married.
Started a practice with her husband.

36:44.285 --> 36:47.330
Wow. You're still worried
about what I think of you?

36:48.122 --> 36:50.333
The marriage isn't a distraction.

36:50.416 --> 36:51.459
It's the damn wedding.

36:52.168 --> 36:54.253
It's a pain in my ass.

36:54.337 --> 36:56.380
It's the menu, and the seating chart,

36:56.464 --> 36:59.258
and the dress shop is harassing me
because they want me to come get measured.

36:59.342 --> 37:01.093
But I am here from sunrise till sundown,

37:01.177 --> 37:03.137
because I'm trying to prove I'm just
as good as the rest of you.

37:03.221 --> 37:05.431
Also, bridal shops are open,
like, three hours a day

37:05.514 --> 37:08.100
or something, and I can't ask
Adams to measure me

37:08.184 --> 37:11.103
because we all know why,
and my sister won't text me back,

37:11.187 --> 37:12.355
so I'm not going to get measured,

37:12.438 --> 37:13.898
so I'm not going to get married,
so I'm not going to have a dress--

37:13.981 --> 37:15.816
Okay, okay, okay. Lift your arms.

37:16.817 --> 37:17.818
What?

37:18.444 --> 37:19.612
Lift.

37:19.695 --> 37:20.696
What are you doing?

37:21.948 --> 37:23.866
Well, we can't let Adams
near your inseam.

37:31.666 --> 37:32.833
Again.

37:33.334 --> 37:34.669
[Simone] Thank you.

37:34.752 --> 37:36.003
[Jules] You owe me a drink.

37:38.464 --> 37:43.261
Jo, you are... donuts in human form.

37:43.344 --> 37:44.679
[chuckles]

37:44.762 --> 37:46.430
Okay. No, no. All right.

37:46.514 --> 37:50.059
You are-- You are twinkle lights
and yellow roses,

37:50.142 --> 37:52.812
and although I hate most of humanity,
I do not hate you.

37:52.895 --> 37:55.564
That... Ooh. Um...

37:55.648 --> 37:58.276
Uh... in fact, you are the only person

37:58.359 --> 38:00.903
I want to come home
to for the rest of my-- Why--

38:00.987 --> 38:02.321
Why didn't I write a song?

38:02.405 --> 38:03.531
Should have written a song.

38:04.365 --> 38:05.574
[cell phone ringing]

38:10.579 --> 38:12.623
-Hey, Jo. I canceled the--
-[Jo cries]

38:12.707 --> 38:14.625
Whoa, whoa, whoa. What happened?

38:14.709 --> 38:17.795
It's Luna. Something's wrong.

38:17.878 --> 38:19.505
Wait, wait... what's wrong?

38:19.588 --> 38:22.925
The daycare think that--
that there's a problem with her hearing.

38:23.968 --> 38:25.720
I... I need...

38:25.803 --> 38:27.888
I need to get her checked out.

38:27.972 --> 38:29.515
I'll be right there.

38:29.598 --> 38:32.977
No, no, no. We're gonna...
We're gonna come straight home,

38:33.060 --> 38:34.145
so you stay there, okay?

38:34.228 --> 38:36.188
-Okay.
-Okay.

38:49.618 --> 38:52.330
[Meredith]
When we don't feel heard or validated,

38:52.413 --> 38:55.624
it can be very easy to forget
that we aren't actually alone.

39:00.463 --> 39:03.257
[mellow music playing]

39:13.434 --> 39:16.479
[Ben] Hey, there are my girls.
[chuckles]

39:16.562 --> 39:17.646
Hey, you ready to go home?

39:19.315 --> 39:22.443
We're not going home.
I got us a rental.

39:27.615 --> 39:28.616
What is this?

39:28.699 --> 39:30.201
It's a picture of Tuck in school.

39:30.284 --> 39:34.413
I know it's a picture of Tuck,
but... who sent it to you?

39:35.456 --> 39:38.376
One of the numbers
who's called my phone over 40 times.

39:38.459 --> 39:39.460
I know. I--

39:39.543 --> 39:42.296
Just change the number,
change the email.

39:42.380 --> 39:44.465
We're taking the kids out
of school for a few days.

39:45.800 --> 39:47.009
[Meredith] And that there is a difference

39:47.093 --> 39:49.387
between being alone,
and just feeling lonely.

39:49.470 --> 39:51.722
Sometimes being alone is the only way

39:51.806 --> 39:54.558
we can hear our own hearts
trying to communicate

39:54.642 --> 39:56.602
what it is that we actually want...

39:56.685 --> 39:58.145
I smell cake.

39:59.188 --> 40:02.149
[Meredith] What we need, and who we love.

40:02.817 --> 40:04.485
Ahh, no fork.

40:05.861 --> 40:08.739
[Meredith] So we can move through
this world with better communication

40:08.823 --> 40:11.367
when we actually have
something important to say.

40:11.450 --> 40:12.451
Hey.

40:13.577 --> 40:15.204
Hell of a way to go out today.

40:16.455 --> 40:19.041
I could not have done
that surgery without you.

40:19.125 --> 40:20.418
You would have figured it out.

40:20.501 --> 40:21.836
No, I wouldn't have.

40:22.962 --> 40:25.172
I wouldn't have figured out
a lot of things without you.

40:25.256 --> 40:28.134
You push me to be better.
You challenge me.

40:28.217 --> 40:31.637
You inspire me to never give in
on a challenging case.

40:32.430 --> 40:35.975
And the way that you accessed
that jugular today, it was...

40:36.559 --> 40:37.893
It was what?

40:41.689 --> 40:44.150
[music continuously playing]

41:17.766 --> 41:19.894
[Meredith]
And to be crystal clear when we do.

41:31.238 --> 41:32.823
I had a great day.

41:34.074 --> 41:35.451
Me too.

41:36.535 --> 41:38.454
Don't go back to Minnesota.

41:39.246 --> 41:40.289
I'm not.

41:44.043 --> 41:47.671
The team wants me to open up
a lab in London.

41:48.464 --> 41:49.465
I'd run it.

41:50.341 --> 41:52.676
Triple the size, triple the staff.

41:53.636 --> 41:58.432
I wanted to tell you earlier,
but you were already so sad.

42:00.392 --> 42:01.393
You want to go?

42:02.645 --> 42:04.230
Amelia, I accepted.

42:05.022 --> 42:06.440
I am going.

42:25.876 --> 42:27.878
[slow pop music playing]
