1 00:00:02,968 --> 00:00:05,050 What was that? 2 00:00:05,075 --> 00:00:07,396 - Don't push! - Oh, my God. 3 00:00:07,421 --> 00:00:10,330 - Hurry up! - Get away from the building! 4 00:00:13,367 --> 00:00:15,966 When a patient consents to surgery, 5 00:00:15,991 --> 00:00:17,993 they're not just trusting their lives to a surgeon. 6 00:00:19,941 --> 00:00:22,376 They're trusting an entire team. 7 00:00:24,882 --> 00:00:28,472 An anesthesiologist must continually monitor sedation, 8 00:00:29,167 --> 00:00:32,411 respiratory and heart rate, blood pressure. 9 00:00:33,757 --> 00:00:36,312 Let's go! Let's go! Come on. 10 00:00:36,336 --> 00:00:37,668 Hustle, hustle, hustle. 11 00:00:37,692 --> 00:00:40,172 - Be careful. - Clear. Come on. Get out. 12 00:00:40,592 --> 00:00:43,767 - Sir, you can't enter. - You don't understand. 13 00:00:43,792 --> 00:00:47,015 You need to evacuate now! You need to evacuate now! 14 00:00:48,427 --> 00:00:49,907 - No! Go back! - A first assist 15 00:00:49,932 --> 00:00:51,371 suctions and returns, 16 00:00:51,396 --> 00:00:53,915 helping with every suture and staple. 17 00:01:02,075 --> 00:01:04,937 A scrub tech organizes and hands over surgical tools, 18 00:01:05,629 --> 00:01:08,356 saving valuable seconds and blood spilled. 19 00:01:14,787 --> 00:01:17,238 And circulating nurses document the case, 20 00:01:18,423 --> 00:01:22,203 keeping track of who touches the patient, what's used and when. 21 00:01:30,011 --> 00:01:32,515 Help! Help us! 22 00:01:32,540 --> 00:01:35,296 We need some help in here! Help! 23 00:01:37,010 --> 00:01:38,563 Somebody help us! We need help! 24 00:01:40,181 --> 00:01:42,171 Every member of the team shares 25 00:01:42,196 --> 00:01:44,186 responsibility in the patient's survival. 26 00:01:47,848 --> 00:01:55,015 If someone's not there... you're in trouble. 27 00:01:55,039 --> 00:02:00,132 - Synced and corrected by ChrisKe - — for www.addic7ed.com — 28 00:02:03,236 --> 00:02:06,273 If you don't sit still for one damn... 29 00:02:06,298 --> 00:02:07,965 - Dr. Webber! - The elevators are shut down. 30 00:02:07,989 --> 00:02:09,957 This department exits through the east stairwell. 31 00:02:09,982 --> 00:02:11,520 Sir. 32 00:02:11,545 --> 00:02:13,857 Everybody stay calm. That's the generators kicking in. 33 00:02:13,882 --> 00:02:16,628 People, keep your phones on for updated evacuation alerts. 34 00:02:16,653 --> 00:02:18,459 - Has anyone gotten through to the... - Dr. Webber. 35 00:02:18,483 --> 00:02:20,588 - What? - It's the acetylene tank. 36 00:02:20,613 --> 00:02:23,394 It wasn't empty. It was leaking gas the entire time. 37 00:02:23,419 --> 00:02:24,558 Oh, my God. 38 00:02:24,696 --> 00:02:26,767 I need to speak to that fire chief right now. 39 00:02:26,792 --> 00:02:30,078 You're going nowhere but downstairs so we can evaluate that head. 40 00:02:30,103 --> 00:02:32,955 We don't have time. I need to lock this hospital down again. 41 00:02:32,980 --> 00:02:34,671 You're gonna do it on the way. Come on. 42 00:02:34,696 --> 00:02:36,836 All patients on the 3rd floor and above will 43 00:02:36,861 --> 00:02:39,030 be moved to a secure area. 44 00:02:39,055 --> 00:02:41,477 We need full cooperation from everyone. 45 00:02:41,502 --> 00:02:43,690 Do not leave the marked safe zones. 46 00:02:43,828 --> 00:02:45,692 Seattle Fire is working quickly 47 00:02:45,717 --> 00:02:49,238 to assess the structural integrity of the north side of the building. 48 00:02:49,376 --> 00:02:52,620 If we remain calm, our patients will. Thank you. 49 00:02:53,438 --> 00:02:54,715 How can I help? 50 00:02:54,760 --> 00:02:57,100 We're evacuating the CCU, that includes Nora Young. 51 00:02:57,125 --> 00:03:00,603 She's too critical to stay here, so I want to transfer her to Seattle Pres. 52 00:03:00,628 --> 00:03:02,414 - Teddy. - Head upstairs. 53 00:03:02,699 --> 00:03:04,667 Uh, that woman was my patient's mother. 54 00:03:04,805 --> 00:03:06,531 We don't know that it's related. 55 00:03:06,556 --> 00:03:08,818 If Dylan's outcome had been better... If... If I had been better, I... 56 00:03:08,843 --> 00:03:10,535 - Amelia. - Put me somewhere I can help. 57 00:03:10,560 --> 00:03:13,582 I will evacuate patients, triage, whatever you need, please. 58 00:03:13,607 --> 00:03:15,670 Okay, Richard has sustained a head lac. 59 00:03:15,695 --> 00:03:18,560 He is heading down to the ER. He will need a neuro evaluation. 60 00:03:19,364 --> 00:03:20,434 Here you go. Thank you. 61 00:03:21,511 --> 00:03:22,763 Hi, Nick, it's me. 62 00:03:22,788 --> 00:03:24,249 Listen, something happened at the hospital. 63 00:03:24,273 --> 00:03:25,953 And you're gonna hear about it on the news, 64 00:03:25,978 --> 00:03:27,527 but just know that I'm okay. 65 00:03:27,552 --> 00:03:29,019 - I love you. - Can't let you in. 66 00:03:29,044 --> 00:03:30,884 ER's completely full. Fire department's orders. 67 00:03:30,909 --> 00:03:33,533 Okay, well, I'm Meredith Grey, and I work here. 68 00:03:33,558 --> 00:03:34,492 Badge, please. 69 00:03:34,517 --> 00:03:37,460 I've worked here for a really long time. I am a surgeon. 70 00:03:38,193 --> 00:03:39,789 My name's on the building... 71 00:03:39,814 --> 00:03:41,265 - Meredith Grey. - Badge, please. 72 00:03:41,290 --> 00:03:43,853 You know, can you just call Teddy Altman or Richard Webber? 73 00:03:43,878 --> 00:03:45,273 Is your phone broken? 74 00:03:46,778 --> 00:03:48,307 There's people out here that are injured. 75 00:03:48,331 --> 00:03:50,447 - Fire department says... - Where are they supposed to go? 76 00:03:50,471 --> 00:03:51,931 Some transfers are going to Seattle Pres, 77 00:03:51,955 --> 00:03:53,546 otherwise we need to wait for beds to clear. 78 00:03:53,571 --> 00:03:55,763 What if they don't have that time? - Fire department says... 79 00:03:55,787 --> 00:03:58,065 Yes, you've said it. I understand. 80 00:03:58,702 --> 00:04:00,842 What... 81 00:04:01,586 --> 00:04:04,081 - Are... Do you all work here? - Uh, in eight hours, we do, yeah. 82 00:04:04,105 --> 00:04:05,806 We just finished our intern orientation. 83 00:04:05,831 --> 00:04:07,430 We wanna help, but the guy won't let us in 84 00:04:07,454 --> 00:04:09,801 u-until we are officially activated. 85 00:04:10,654 --> 00:04:12,666 Oh, good. Someone who knows what she's doing. 86 00:04:12,691 --> 00:04:14,574 - Okay, follow me. - Yeah. 87 00:04:14,599 --> 00:04:17,404 - The rest of you try to find gurneys. - Uh, where are the gurneys? 88 00:04:17,429 --> 00:04:19,431 - Where's your fancy white coat? - Not the time. 89 00:04:23,222 --> 00:04:24,913 - It's locked. - What? 90 00:04:29,993 --> 00:04:31,273 Give me that IV pole. 91 00:04:31,467 --> 00:04:34,608 You need it for a patient or something? Okay. 92 00:04:35,400 --> 00:04:36,781 Stand back. 93 00:04:37,418 --> 00:04:38,488 Oh! 94 00:04:46,416 --> 00:04:48,556 Whoo! Clinic's open. 95 00:04:49,389 --> 00:04:52,081 All right. That's one way to do it. Come on, guys. Come on. 96 00:04:52,646 --> 00:04:54,934 Patients need to be evacuated from the OR. 97 00:04:54,959 --> 00:04:57,548 Stretchers are over here. We go in in teams of four. 98 00:04:57,573 --> 00:04:59,723 If anybody gets lightheaded or has shortness of breath, 99 00:04:59,747 --> 00:05:01,345 say something immediately. 100 00:05:01,370 --> 00:05:02,794 Hunt, Hunt, have you seen Miranda? 101 00:05:02,819 --> 00:05:04,625 Normally, she texts me when she's headed into surgery, 102 00:05:04,649 --> 00:05:06,143 but maybe she got pulled into something. 103 00:05:06,167 --> 00:05:07,945 By the time I got up here, SFD had already started moving. 104 00:05:07,970 --> 00:05:10,482 Well, I heard the blast was in OR 2. Was anyone in there? 105 00:05:10,620 --> 00:05:11,842 We can check the OR schedule. 106 00:05:11,866 --> 00:05:13,727 I'm not going anywhere until I find her. 107 00:05:13,752 --> 00:05:16,548 Keep the hose line steady at the stairwell door. 108 00:05:20,941 --> 00:05:22,494 Ben. 109 00:05:23,294 --> 00:05:24,954 Come here, baby. 110 00:05:29,881 --> 00:05:31,678 You okay? You're okay? 111 00:05:31,702 --> 00:05:35,473 I'm... I'm okay, but Lincoln is not. Come. 112 00:05:35,498 --> 00:05:38,570 - Extra manpower! Stretchers! - Come on. 113 00:05:39,649 --> 00:05:41,375 The two-and-and-a-half inch! 114 00:05:41,400 --> 00:05:42,656 Damn. 115 00:05:42,681 --> 00:05:45,028 There he is. 116 00:05:49,210 --> 00:05:50,384 It's okay. 117 00:05:50,635 --> 00:05:51,912 Jo... Jo was going home. 118 00:05:51,937 --> 00:05:53,708 She went home, right? She wasn't in the building? 119 00:05:53,732 --> 00:05:55,745 No, I saw her leave. She's safe. Do you want me to call her? 120 00:05:55,769 --> 00:05:58,988 No, no. She'll wanna come here. It's not safe. 121 00:05:59,357 --> 00:06:02,396 Her blood pressure and the babies. We'll call her when we have to. 122 00:06:02,486 --> 00:06:05,201 Obvious blunt trauma to the chest, systolics in the high 90s. 123 00:06:05,226 --> 00:06:07,159 - Heart rate's been hovering in the 110s. - Okay. 124 00:06:07,184 --> 00:06:10,379 Link. Link, does it hurt more on one side? 125 00:06:10,404 --> 00:06:12,044 It's pretty excruciating across the board, 126 00:06:12,069 --> 00:06:14,615 but, um, I can't feel my right arm, so start there. 127 00:06:14,640 --> 00:06:15,640 Yeah, Ben. 128 00:06:15,867 --> 00:06:17,869 Okay, okay. 129 00:06:17,894 --> 00:06:20,414 - Okay. - Here we go. 130 00:06:20,439 --> 00:06:23,747 - No, stop. We need to stop. - Why? What's happening? 131 00:06:25,522 --> 00:06:27,179 Somebody say something. 132 00:06:27,628 --> 00:06:30,227 I think a piece of the ceiling has penetrated below your clavicle. 133 00:06:30,364 --> 00:06:33,782 Well, you gotta get it out. Please g-get it out. 134 00:06:33,807 --> 00:06:35,636 - Stay calm. - Try not to panic. 135 00:06:35,661 --> 00:06:37,717 - You gotta get it out. - Link, try not to panic. 136 00:06:37,742 --> 00:06:38,743 Get this thing off me. 137 00:06:45,612 --> 00:06:48,060 - It's too heavy. - No kidding. 138 00:06:48,619 --> 00:06:49,862 Help! Hello! 139 00:06:51,411 --> 00:06:53,689 Um. Okay, so are you having trouble breathing? 140 00:06:53,714 --> 00:06:56,865 No. No, I just... I think part of my pelvis is shattered. 141 00:06:57,331 --> 00:06:58,531 I'm more worried about Parker. 142 00:07:01,885 --> 00:07:03,128 Your patient needs you. Go. 143 00:07:04,825 --> 00:07:05,826 Uh... 144 00:07:07,885 --> 00:07:10,543 Okay, no burns, um, no shrapnel injuries. 145 00:07:10,568 --> 00:07:11,682 Good. How are his vitals? 146 00:07:11,707 --> 00:07:13,304 They're holding steady for now. 147 00:07:13,329 --> 00:07:14,813 There's no bleeding 148 00:07:14,838 --> 00:07:16,721 - at the port site. - Hello! Anyone in there? 149 00:07:16,746 --> 00:07:18,482 - Yes! Help! - Yes! We're in here, help! 150 00:07:18,507 --> 00:07:21,648 We're working on getting you out! Just stay calm! 151 00:07:21,673 --> 00:07:25,308 O2's tanking. We need, uh... 152 00:07:27,352 --> 00:07:30,390 How are we going to keep Parker alive if we don't have anesthesia? 153 00:07:30,415 --> 00:07:32,573 We can't panic. Not yet. 154 00:07:40,419 --> 00:07:41,730 Tell me there's news. 155 00:07:41,755 --> 00:07:43,894 Fire chief said he doesn't know the extent of the fire, 156 00:07:43,919 --> 00:07:45,847 the damage, or how long until it's contained. 157 00:07:46,017 --> 00:07:47,881 - Fatalities? - At least one. 158 00:07:48,019 --> 00:07:49,848 - Hmm. - A patient on the OR floor. 159 00:07:50,780 --> 00:07:54,183 - I wanna call the family myself. - Of course. 160 00:07:54,208 --> 00:07:57,521 - How are you feeling? - I keep telling everyone I'm fine. 161 00:07:57,546 --> 00:08:00,731 There's no sign of TBI or concussion on physical exam, 162 00:08:00,756 --> 00:08:03,182 but we should still scan you to rule out intracranial bleeding. 163 00:08:03,206 --> 00:08:04,839 It can manifest up to ten hours after the impact. 164 00:08:04,863 --> 00:08:06,313 Look, I'll take my chances, okay? 165 00:08:06,396 --> 00:08:08,132 - Get me out of here. - Where do you think you're going? 166 00:08:08,157 --> 00:08:10,797 - This hospital is on fire. - And you think you're gon' put it out? 167 00:08:11,437 --> 00:08:13,448 You can manage this from here. 168 00:08:13,803 --> 00:08:16,254 She's right. The scan will only take a few minutes. 169 00:08:16,279 --> 00:08:17,380 All right, please keep your phone on. 170 00:08:17,404 --> 00:08:18,714 I will call you with any updates. 171 00:08:18,739 --> 00:08:21,535 Uh, uh, Dr. Altman. Where do you need me? 172 00:08:21,560 --> 00:08:23,558 Uh, help Kwan upstairs with evacuations. 173 00:08:24,142 --> 00:08:25,316 I've got to call Jackson. 174 00:08:25,470 --> 00:08:27,576 If you get out of that bed, 175 00:08:27,601 --> 00:08:29,622 there'll be hell to pay, Richard Webber. 176 00:08:29,647 --> 00:08:31,176 Rapid response teams, 177 00:08:31,200 --> 00:08:32,926 report to CCU for immediate... 178 00:08:32,951 --> 00:08:35,712 Hey. I had to sneak in through the maintenance entrance. 179 00:08:36,446 --> 00:08:39,001 - Are you okay? - It's just a scratch. 180 00:08:39,139 --> 00:08:40,761 Okay. Have you seen Link? 181 00:08:40,786 --> 00:08:44,316 He's not answering his phone. He was heading into surgery and... 182 00:08:46,560 --> 00:08:47,698 Where is he? 183 00:08:48,838 --> 00:08:50,115 He's on the OR floor. 184 00:08:50,140 --> 00:08:52,507 They're bringing him down as fast as they can, okay? 185 00:08:52,532 --> 00:08:53,878 He's with Hunt and Bailey. 186 00:08:55,086 --> 00:08:56,397 All right. 187 00:08:56,422 --> 00:08:58,659 There's a rig standing by to take him to Seattle Pres. 188 00:08:58,684 --> 00:08:59,956 Oh, my God. 189 00:09:00,125 --> 00:09:02,171 Ndugu, tell these guys I need more morphine. 190 00:09:02,196 --> 00:09:04,474 It's on the way. Oh. We need that blood. 191 00:09:04,499 --> 00:09:06,969 - Here, here, here. - You're thinking subclavian injury? 192 00:09:06,994 --> 00:09:09,283 No telling what else. We need to extricate him to fully assess. 193 00:09:09,307 --> 00:09:11,620 We need to give the blood and fluid a chance to work... 194 00:09:11,645 --> 00:09:13,034 We need to get off this floor ASAP. 195 00:09:13,059 --> 00:09:14,564 We don't know it's structurally stable. 196 00:09:14,588 --> 00:09:16,228 This piece could be tamponading something. 197 00:09:16,253 --> 00:09:17,955 If we remove it too quickly, he could bleed out. 198 00:09:17,980 --> 00:09:19,361 BP's still unstable. 199 00:09:19,386 --> 00:09:21,226 He's not responding to blood alone. Hunt's right. 200 00:09:21,250 --> 00:09:23,286 - We're running out of time. - Okay, okay. 201 00:09:23,311 --> 00:09:25,452 Okay. Ready? 202 00:09:26,738 --> 00:09:29,776 Okay, on my count. Okay, one, two, three. 203 00:09:31,329 --> 00:09:32,962 - Pressure. - We need to clamp. 204 00:09:32,986 --> 00:09:35,505 On it. All right, move, move, move. Go, go, go. Go. 205 00:09:35,530 --> 00:09:37,495 Let me get in here. 206 00:09:40,352 --> 00:09:42,078 All right. Do you see anything? 207 00:09:45,298 --> 00:09:46,645 Yep, got it. 208 00:09:46,670 --> 00:09:50,530 If I'm going to Seattle Pres, we better start moving. 209 00:09:50,766 --> 00:09:52,561 Guys, the elevators are out. 210 00:09:53,913 --> 00:09:55,052 Then we take the stairs. 211 00:09:55,334 --> 00:09:58,605 Okay. 212 00:10:01,977 --> 00:10:03,013 Talk to me. 213 00:10:03,879 --> 00:10:05,926 I'm only getting breath sounds on the right-hand side. 214 00:10:05,950 --> 00:10:07,280 Maybe a left pneumothorax? 215 00:10:07,305 --> 00:10:09,066 Okay, are there any signs of blunt trauma? 216 00:10:09,091 --> 00:10:10,964 Um, I don't see anything. 217 00:10:10,989 --> 00:10:12,479 Then I'm betting the ET tube 218 00:10:12,503 --> 00:10:14,185 got pushed further into his bronchus 219 00:10:14,210 --> 00:10:15,210 with the blast. 220 00:10:15,235 --> 00:10:16,719 I could try repositioning it? 221 00:10:16,857 --> 00:10:19,204 Okay. Yeah, jus-just keep bagging 222 00:10:19,229 --> 00:10:21,489 and pull the tube back slowly, and then listen. 223 00:10:24,720 --> 00:10:25,997 Okay. 224 00:10:26,718 --> 00:10:27,995 Uh... 225 00:10:33,011 --> 00:10:34,677 I have bilateral breath sounds. 226 00:10:35,442 --> 00:10:37,677 - And his O2 sats improving. - Nice work, Millin. 227 00:10:37,702 --> 00:10:39,535 How's your pain? 228 00:10:39,560 --> 00:10:42,202 - Oh, I can barely feel it. - We need to get you out of here. 229 00:10:42,227 --> 00:10:44,516 We need to get Parker out of here before his anesthesia wears off. 230 00:10:44,540 --> 00:10:47,260 We need to get you both out of here. What is taking so long? 231 00:10:47,285 --> 00:10:48,657 Th... They're-They're working on it. 232 00:10:48,682 --> 00:10:51,280 For now, we need to get his incisions closed up. 233 00:10:51,305 --> 00:10:52,859 And by we, I mean you. 234 00:11:07,390 --> 00:11:09,012 Hey, Altman sent me to help. 235 00:11:09,037 --> 00:11:10,383 I'm glad you're not dead. 236 00:11:11,181 --> 00:11:13,169 Nora Young. Altman and Ndugu built her 237 00:11:13,194 --> 00:11:15,442 a new aorta out of nothing two hours ago. 238 00:11:15,467 --> 00:11:19,550 Her MAPs need to be above 65 and below 80 for the entire transport. 239 00:11:19,575 --> 00:11:21,897 - What happens if they don't? - Too low, she dies. 240 00:11:21,922 --> 00:11:25,383 Too high, her new aorta blows, and she dies. 241 00:11:25,408 --> 00:11:26,927 Fun. 242 00:11:26,952 --> 00:11:29,525 Hey, have you seen Simone? She's not answering my texts. 243 00:11:29,550 --> 00:11:32,700 Uh, not since the locker room. Also, I haven't seen Millin. 244 00:11:33,002 --> 00:11:35,466 So, are you and Simone back together? 245 00:11:35,491 --> 00:11:40,304 - Yeah. - Yep. Great. Good for you. 246 00:11:41,839 --> 00:11:42,874 She's a bit tachy. 247 00:11:43,530 --> 00:11:45,250 Let's give her another bolus before we move. 248 00:11:45,275 --> 00:11:46,922 Code red, 6th floor. 249 00:11:46,947 --> 00:11:50,088 Evacuate all patients and staff via stairwell. 250 00:11:50,226 --> 00:11:51,572 I'm sure she's fine. 251 00:11:51,711 --> 00:11:53,067 Code red, 6th floor. 252 00:11:53,091 --> 00:11:55,542 Evacuate all patients and staff via stairwell. 253 00:11:55,680 --> 00:11:56,992 Yeah. 254 00:11:57,130 --> 00:11:58,486 - Are we clear? - Yes. 255 00:11:58,510 --> 00:11:59,753 Okay. 256 00:12:01,755 --> 00:12:03,308 Start with the left side. 257 00:12:03,420 --> 00:12:07,184 Hey, uh, Dr. Grey told me to find a Griffith. 258 00:12:07,248 --> 00:12:08,249 Point me to Griffith. 259 00:12:09,317 --> 00:12:11,285 It's Dr. Griffith. 260 00:12:12,467 --> 00:12:14,404 Doc... Okay. When was there 261 00:12:14,428 --> 00:12:16,365 time for me to learn that last night? 262 00:12:16,390 --> 00:12:17,875 Go. G... Assess the woman in bed 3. 263 00:12:18,127 --> 00:12:19,542 Okay. 264 00:12:19,990 --> 00:12:23,856 - Baseball cap, I need a Doppler. - Right. Doppler. 265 00:12:25,029 --> 00:12:27,031 - Uh... - Right here. 266 00:12:27,056 --> 00:12:28,599 Six... 267 00:12:28,624 --> 00:12:30,957 Hey, um, I think maybe you can just ask me for stuff from now on. 268 00:12:31,336 --> 00:12:32,613 Why is that? 269 00:12:33,269 --> 00:12:35,279 Uh... I just... I mean... 270 00:12:45,631 --> 00:12:48,076 - Oh, sorry. - Right. Okay, interns. 271 00:12:48,101 --> 00:12:50,889 Everyone over here. Quickly, please. 272 00:12:51,943 --> 00:12:53,264 Okay, listen up. 273 00:12:53,705 --> 00:12:56,095 Okay, I'm not asking anyone to perform a Whipple. 274 00:12:56,120 --> 00:12:58,481 Put patients in beds, take down information. 275 00:12:58,506 --> 00:13:01,850 It's basic triage. You've all matched with Grey-Sloan for a reason. 276 00:13:01,875 --> 00:13:04,875 Show me why. Do we have any questions? 277 00:13:05,040 --> 00:13:06,303 Um... 278 00:13:06,563 --> 00:13:09,798 Hi. Hi. Um... I'm Dani, Dani Spencer. 279 00:13:09,823 --> 00:13:12,889 - Dr. Spencer. - Right. Right. Um... 280 00:13:13,276 --> 00:13:17,876 What if you have a patient who sustained blunt trauma to the abdomen 281 00:13:17,900 --> 00:13:20,416 and is now experiencing some delayed pain? 282 00:13:20,441 --> 00:13:21,546 Which patient is that? 283 00:13:22,249 --> 00:13:23,664 Me. 284 00:13:24,873 --> 00:13:27,807 Let's get her in a bed. 285 00:13:31,534 --> 00:13:32,880 Come on, let's move, 286 00:13:32,904 --> 00:13:34,537 let's move. Get them out. Get them out. 287 00:13:36,125 --> 00:13:38,403 Careful. Watch his lines. 288 00:13:38,541 --> 00:13:41,510 Uh... H-Have you picked out names for the girls? 289 00:13:41,761 --> 00:13:43,694 Jo told you before me, didn't she? 290 00:13:43,719 --> 00:13:46,446 - Uh... No. - Your twins are girls? 291 00:13:46,471 --> 00:13:48,266 - Yikes. - Congratulations. 292 00:13:48,517 --> 00:13:50,978 Oh, those girls are gonna have you wrapped around their little baby fingers 293 00:13:51,002 --> 00:13:53,246 - before you've even blinked. - I can't wait. 294 00:13:53,271 --> 00:13:56,155 Stop, stop. We need to stop. Okay. 295 00:13:56,180 --> 00:13:57,906 Uh... 296 00:13:58,157 --> 00:14:00,021 Shoot. Okay, so we need a plan B. 297 00:14:00,046 --> 00:14:01,668 We just need to keep moving. 298 00:14:01,693 --> 00:14:05,421 And I just need you to look at all the blood on the damn stairs. 299 00:14:05,672 --> 00:14:07,384 Think he's really gonna make it to Seattle Pres? 300 00:14:07,409 --> 00:14:10,056 Well, the CCU is one floor down. We could operate there. 301 00:14:10,194 --> 00:14:13,250 - They evacuated it. - I'm waiting for a better idea. 302 00:14:13,275 --> 00:14:15,864 Let's go. Come on, come on. 303 00:14:15,944 --> 00:14:19,568 Let's go. Be careful. Go with care, but we gotta go. 304 00:14:22,137 --> 00:14:23,803 If you clip my heels one more time... 305 00:14:23,828 --> 00:14:25,875 Nora's pump will get to Seattle Pres before she does. 306 00:14:25,899 --> 00:14:28,188 She's the chief's miracle patient. I'm not trying to kill her. 307 00:14:32,526 --> 00:14:34,711 Uh... Tube's still in. Nothing's out of place. 308 00:14:34,735 --> 00:14:38,197 The screen says "high volume." What do you know about ventilators? 309 00:14:38,222 --> 00:14:39,916 What do you know about ventilators? 310 00:14:39,941 --> 00:14:43,158 Okay, uh, the pressure control has a set inspiratory pressure, right? 311 00:14:43,183 --> 00:14:45,012 Yeah, but tidal volume can vary. 312 00:14:45,263 --> 00:14:47,378 Okay, maybe we switch the setting to volume control? 313 00:14:47,403 --> 00:14:49,819 Or maybe we just call a resident from Anesthesia. 314 00:14:50,247 --> 00:14:52,732 Screw it. 315 00:14:59,405 --> 00:15:00,855 How did you know that would work? 316 00:15:01,512 --> 00:15:02,824 I didn't. 317 00:15:04,144 --> 00:15:05,180 Let's go. 318 00:15:06,742 --> 00:15:09,504 Attention, Engineering. Report to the East Lobby. 319 00:15:09,529 --> 00:15:11,772 - Some bruising on the right flank. - Mm-hmm. 320 00:15:11,797 --> 00:15:13,419 She said a gurney slammed into her. 321 00:15:13,671 --> 00:15:15,638 Not here. On the sixth floor. 322 00:15:15,776 --> 00:15:19,228 It happened during the blast, or explosion, or whatever that was. 323 00:15:19,253 --> 00:15:21,083 And you didn't tell anyone about it? 324 00:15:21,224 --> 00:15:25,337 Um... Technically, I wasn't supposed to be up there. 325 00:15:27,616 --> 00:15:31,697 I wanted a selfie in an OR. 326 00:15:32,421 --> 00:15:34,460 Um, we finished onboarding, 327 00:15:34,485 --> 00:15:37,541 and I just wanted to take a picture and show it to my dad 328 00:15:37,566 --> 00:15:38,947 because he's so proud of me. 329 00:15:39,120 --> 00:15:41,778 He's ironed my white coat, like, three times for tomorrow. 330 00:15:43,432 --> 00:15:45,054 I can still start tomorrow, right? 331 00:15:45,185 --> 00:15:48,740 Well, we have to make sure the hospital's still standing first. 332 00:15:48,878 --> 00:15:50,579 - Right. - Ultrasound. 333 00:15:50,940 --> 00:15:54,150 Uh, can I do it? Just for, you know, learning purposes. 334 00:15:57,025 --> 00:15:59,212 Not unless you're gonna go in vaginally. 335 00:15:59,855 --> 00:16:01,763 This is normally a reproductive clinic. 336 00:16:01,788 --> 00:16:03,652 This is beyond humiliating. 337 00:16:03,677 --> 00:16:05,555 Well, half the battle of intern year is 338 00:16:05,580 --> 00:16:07,345 standing out from the rest of your class. 339 00:16:07,370 --> 00:16:09,441 So you're ahead of the game. 340 00:16:10,383 --> 00:16:11,522 Okay, ready? 341 00:16:11,547 --> 00:16:12,686 Right, tell me what you see. 342 00:16:14,697 --> 00:16:16,147 Take your time, go slow. 343 00:16:16,674 --> 00:16:17,917 Yeah. 344 00:16:18,262 --> 00:16:20,705 There's some free fluid in Morrison's pouch. 345 00:16:21,294 --> 00:16:23,233 Yeah, but nowhere else. She seems stable. 346 00:16:23,258 --> 00:16:26,443 Okay. As soon as we have access to the hospital, she will need a scan. 347 00:16:26,468 --> 00:16:29,022 Until then, keep a very close eye on her. 348 00:16:29,511 --> 00:16:30,926 Welcome to Grey-Sloan. 349 00:16:42,035 --> 00:16:44,865 Okay, I've completed the periumbilical incision. 350 00:16:45,004 --> 00:16:47,671 - Now what? - Now you close the lateral port sites. 351 00:16:49,663 --> 00:16:51,503 He's getting more hypertensive and tachycardic. 352 00:16:51,675 --> 00:16:54,471 - Oh, God. Is he waking up? - Is he distended? 353 00:16:54,496 --> 00:16:57,853 Oh... Okay. 354 00:16:57,878 --> 00:17:00,157 Okay, he might be bleeding internally. 355 00:17:00,409 --> 00:17:01,996 He wasn't bleeding from the incisions. 356 00:17:02,021 --> 00:17:05,265 But the move from the blast could've nicked something. 357 00:17:05,290 --> 00:17:08,189 It could've been building slowly. 358 00:17:08,814 --> 00:17:11,092 You're gonna have to open him up. 359 00:17:12,100 --> 00:17:13,980 Absolutely not. We're running out of anesthesia. 360 00:17:14,102 --> 00:17:16,011 Yeah, that's why you have to move fast. 361 00:17:16,035 --> 00:17:17,697 I... I-I haven't done a solo procedure 362 00:17:17,721 --> 00:17:19,383 on an adult, let alone a six-year-old. 363 00:17:19,408 --> 00:17:22,307 Millin. We always do this. 364 00:17:22,541 --> 00:17:24,880 You always panic spiral, and I always snap you out of it, 365 00:17:24,905 --> 00:17:26,676 and we really don't have time for that right now. 366 00:17:26,700 --> 00:17:30,137 So unless you wanna see that sweet little boy die, 367 00:17:30,162 --> 00:17:33,234 I suggest you open him up. Right now. 368 00:17:37,568 --> 00:17:40,330 Scalpel. 369 00:17:50,690 --> 00:17:52,140 Keep the second trauma bay open. 370 00:17:52,165 --> 00:17:55,202 We may have to reroute more post-op criticals. 371 00:17:55,453 --> 00:17:57,248 Should I transfer Dylan Gatlin? 372 00:17:57,273 --> 00:17:58,641 This wasn't her fault, and I don't 373 00:17:58,665 --> 00:18:00,227 want her to become the headline in this. 374 00:18:00,251 --> 00:18:01,780 All right. Well... we can try, 375 00:18:01,804 --> 00:18:05,404 but Seattle Pres has already taken 15 of our CCU patients. 376 00:18:05,429 --> 00:18:08,259 I hear that they're triaging patients in the hallways. 377 00:18:08,397 --> 00:18:11,055 Did we confirm if we lost any more patients on the OR floor? 378 00:18:11,080 --> 00:18:13,291 I can't share that information with you right now. 379 00:18:14,372 --> 00:18:16,070 Richard's scan came back negative. 380 00:18:16,095 --> 00:18:18,131 There's no clinical change. That's a good thing. 381 00:18:18,156 --> 00:18:20,756 I'll take that. And I'm still waiting to hear about Link's status. 382 00:18:21,511 --> 00:18:24,653 Link. What happened to Link? 383 00:18:30,454 --> 00:18:33,466 Trauma two needs to be transferred to Seattle Pres. 384 00:18:33,491 --> 00:18:35,079 We could see if they need some help. 385 00:18:36,011 --> 00:18:39,290 I thought you said your wife said you couldn't get out of bed. 386 00:18:39,584 --> 00:18:40,723 Do you see my wife? 387 00:18:44,711 --> 00:18:45,850 Bailey? 388 00:18:46,090 --> 00:18:49,058 Hi. Before you say anything, 389 00:18:49,310 --> 00:18:50,966 I sound way worse than I am. 390 00:18:50,991 --> 00:18:52,648 Where are you? I wanna find you. 391 00:18:52,673 --> 00:18:54,537 That's not safe. 392 00:18:54,788 --> 00:18:58,689 If anybody lets you up here, I'm gonna take 'em out. 393 00:18:59,619 --> 00:19:03,419 Or maybe start a rumor or something. I don't know. I know dirty stuff. 394 00:19:05,679 --> 00:19:06,956 I love you. 395 00:19:07,491 --> 00:19:09,941 I love you, and I love our kids. 396 00:19:11,322 --> 00:19:13,472 And I feel... I feel pretty damn stupid 397 00:19:13,497 --> 00:19:16,224 it took me so long to get my crap together to tell you that. 398 00:19:17,607 --> 00:19:19,471 Just tell me when you come down here. 399 00:19:20,606 --> 00:19:21,641 Yeah. 400 00:19:25,198 --> 00:19:27,545 - We need to keep moving. - We will. 401 00:19:28,650 --> 00:19:33,147 Hey, it's gonna be okay, but, um... but just in case, 402 00:19:33,172 --> 00:19:36,184 my password book is in the second left drawer of my desk. 403 00:19:36,209 --> 00:19:38,004 - What? - And get a dog. 404 00:19:38,255 --> 00:19:39,636 Link, what are you doing? 405 00:19:39,661 --> 00:19:41,973 It'll drive Amelia crazy because we keep telling Scout no, 406 00:19:41,998 --> 00:19:44,907 - but get a damn dog. - Can you stop? 407 00:19:44,932 --> 00:19:47,920 And find one with big paws 408 00:19:47,945 --> 00:19:54,296 'cause, uh... 'cause big paws means it's a big dog. 409 00:19:55,719 --> 00:19:59,544 It's protection for my girls. 410 00:20:00,377 --> 00:20:02,762 - Link? - Okay. Start compressions. 411 00:20:02,787 --> 00:20:05,273 - Come on. - Bailey? Bailey? 412 00:20:05,298 --> 00:20:08,991 Someone tell me what's happening. Link? 413 00:20:22,299 --> 00:20:25,060 Okay. This is the last unit. 414 00:20:25,085 --> 00:20:27,029 - He's in hemorrhagic shock. - Something else is going on. 415 00:20:27,053 --> 00:20:28,720 Maybe his rib fractures caused a lung injury. 416 00:20:28,744 --> 00:20:30,436 Could be a tension pneumo as well. 417 00:20:30,574 --> 00:20:32,897 Yeah, let's decompress him. You have a 14-gauge angiocath in there? 418 00:20:32,921 --> 00:20:36,545 - Yeah, I got you. - Okay, I'll hold his arm. Okay. 419 00:20:46,797 --> 00:20:48,833 - Could you hold that for me? - Yeah. 420 00:20:55,505 --> 00:20:58,439 - There's a weak pulse. - Yeah, but he's still really hypotensive. 421 00:20:58,464 --> 00:21:00,584 He needs a chest tube. Let's get him to CCU right now. 422 00:21:00,638 --> 00:21:02,547 I'll stabilize the angiocath. Can someone grab his legs? 423 00:21:02,571 --> 00:21:03,790 - Yep. - All right. 424 00:21:03,814 --> 00:21:05,125 I'll help at the head. 425 00:21:07,206 --> 00:21:09,760 - Ready. - One, two, three. 426 00:21:11,373 --> 00:21:14,878 I can't find where the bleed is coming from. 427 00:21:14,903 --> 00:21:16,974 I'm gonna have to tell the mother of this kid 428 00:21:16,999 --> 00:21:20,081 - that I killed her child... - Come on, Millin. Focus. 429 00:21:20,106 --> 00:21:22,488 I think it's coming from the mesentery, but I'm not sure. 430 00:21:22,513 --> 00:21:25,880 Okay, clamp it and then look around for bleeding in another area. 431 00:21:25,905 --> 00:21:27,803 Okay. All right. Okay. 432 00:21:29,736 --> 00:21:30,956 Clamp is in place. 433 00:21:30,981 --> 00:21:32,784 You know, I had my first solo surgery on a kid 434 00:21:32,808 --> 00:21:34,638 when I was a second-year like you. 435 00:21:35,501 --> 00:21:38,030 My attending just handed me a scalpel 436 00:21:38,055 --> 00:21:40,506 and left to take a nap in the OR next door. 437 00:21:40,531 --> 00:21:42,448 Please tell me that this story has a happy ending. 438 00:21:42,473 --> 00:21:44,372 The patient's name was Demetrius. 439 00:21:44,580 --> 00:21:49,205 He was four years old, and he loves Spider-Man. 440 00:21:49,756 --> 00:21:51,723 I mean, he, uh... he asked me to 441 00:21:51,747 --> 00:21:54,209 surgically implant webs into his wrists. 442 00:21:54,234 --> 00:21:58,273 - That was the surgery? - No, it was a bowel resection. 443 00:21:58,298 --> 00:22:02,300 Poor guy had an obstruction, but he did great. 444 00:22:02,635 --> 00:22:05,880 And, uh, I did great. 445 00:22:06,568 --> 00:22:09,502 I was so terrified. I almost passed out. 446 00:22:10,225 --> 00:22:15,541 But then I... then I got to tell his parents he was okay. 447 00:22:16,680 --> 00:22:21,798 There is nothing better than the hug you get from a grateful mom. 448 00:22:21,823 --> 00:22:26,345 I mean, that... that makes you feel like a superhero. 449 00:22:27,974 --> 00:22:30,184 Bleeding stopped. 450 00:22:30,487 --> 00:22:33,110 His vitals are improving. 451 00:22:33,248 --> 00:22:35,354 Uh, what stitch do I use to ligate? 452 00:22:35,742 --> 00:22:37,157 What do you think? 453 00:22:38,667 --> 00:22:41,749 Um, 3-0 silk? 454 00:22:41,922 --> 00:22:43,751 See? You don't even need me. 455 00:22:49,506 --> 00:22:53,786 140 over 90. Yeah, it's still a little high. 456 00:22:53,924 --> 00:22:55,891 Just keep taking deep breaths. 457 00:22:57,099 --> 00:22:59,688 We've only been married 36 hours. 458 00:23:02,070 --> 00:23:07,869 Link's tux is still on the bathroom floor. His parents were just here. 459 00:23:10,389 --> 00:23:12,149 His parents. 460 00:23:13,322 --> 00:23:16,809 Do I call them? What do I even say? 461 00:23:17,127 --> 00:23:19,301 We see miracles here every day. 462 00:23:20,223 --> 00:23:22,616 I haven't given up hope yet, and neither should you. 463 00:23:24,040 --> 00:23:25,973 He's the only family that I have. 464 00:23:27,515 --> 00:23:29,068 Now, you know that's not true. 465 00:23:29,994 --> 00:23:33,515 Dr. Lloyd to the ER. Dr. Emily Lloyd to the ER. 466 00:23:36,449 --> 00:23:38,599 - We work well together. - What we did was wrong. 467 00:23:38,624 --> 00:23:40,774 And it wouldn't have ever happened if I had known that you... 468 00:23:40,798 --> 00:23:42,248 - You were my boss? - Eh! 469 00:23:42,424 --> 00:23:44,391 - What? - Say it louder. 470 00:23:45,631 --> 00:23:49,393 I'm really tired. Intern year gets better, right? 471 00:23:49,531 --> 00:23:51,809 It's just like a really bad first day? 472 00:23:51,834 --> 00:23:53,733 Well, no one has a good first day. 473 00:23:53,950 --> 00:23:56,306 - She's really hypotensive. - I can see that. 474 00:23:56,331 --> 00:23:58,160 I'm what? 475 00:23:58,185 --> 00:23:59,325 She decompensating! 476 00:24:01,440 --> 00:24:03,555 - What happened? - Uh, BP's dropped to 70s over 40s. 477 00:24:03,580 --> 00:24:05,867 Heart rate's 130, up from the low 100s before. 478 00:24:05,892 --> 00:24:07,879 - Ow! - Abdomen is more distended. 479 00:24:07,904 --> 00:24:10,147 Bruising around the flank and now the belly button. 480 00:24:10,172 --> 00:24:11,208 What do we call this? 481 00:24:11,233 --> 00:24:12,943 Grey Turner sign and Cullen's sign. 482 00:24:12,968 --> 00:24:15,177 They can indicate retroperitoneal bleeding. 483 00:24:15,315 --> 00:24:17,128 Excellent deduction, Dr. Spencer. 484 00:24:17,153 --> 00:24:19,743 We're gonna intubate you and prep you for an ex-lap. 485 00:24:19,768 --> 00:24:21,667 - Okay. - Does that mean I get to go to the OR? 486 00:24:21,692 --> 00:24:22,988 Something like that. Yeah. 487 00:24:23,013 --> 00:24:24,921 I need an intubation kit and a surgical tray. 488 00:24:24,946 --> 00:24:26,612 You wanna do it here? In the clinic? 489 00:24:26,637 --> 00:24:28,512 Do you want to kill an intern on their first day? 490 00:24:28,536 --> 00:24:30,399 - Not this one. - Then get me a surgical tray. 491 00:24:38,718 --> 00:24:41,466 Simone's helping other patients, I'm sure. Just like us. 492 00:24:42,204 --> 00:24:43,450 How'd you know we broke up? 493 00:24:44,185 --> 00:24:45,198 What? 494 00:24:45,223 --> 00:24:47,426 Did she tell you last night? Was she upset or... 495 00:24:49,478 --> 00:24:51,066 Hold her down. 496 00:24:51,317 --> 00:24:53,950 Uh, I don't know what's wrong. Do we increase her sedation drip? 497 00:24:53,975 --> 00:24:55,632 No, won't her pressure drop too low? 498 00:24:55,657 --> 00:24:58,023 - I think we should risk it. - Do it. 499 00:24:58,048 --> 00:24:59,887 M-Me? Me? It's... It's your idea. 500 00:24:59,912 --> 00:25:02,086 I don't know how to do it. The nurse normally does it. 501 00:25:02,111 --> 00:25:03,911 What makes you think that I know how to do it? 502 00:25:05,227 --> 00:25:07,102 - Uh, she's waking up. - Oh. Oh, no. No, no, no. 503 00:25:07,126 --> 00:25:08,654 Uh, should we... Should we extubate? 504 00:25:08,679 --> 00:25:11,233 I-I mean, worst-case scenario is that we reintubate. 505 00:25:11,258 --> 00:25:12,865 No, no, no, worst-case scenario is 506 00:25:12,890 --> 00:25:15,833 that she rips her chest open from coughing and bleeds out. 507 00:25:20,311 --> 00:25:21,589 The chest tube is in. 508 00:25:22,382 --> 00:25:24,102 All right, dissect a little farther. 509 00:25:24,143 --> 00:25:28,294 I'm trying, but the man has so much muscle. 510 00:25:28,486 --> 00:25:29,486 Okay, there. 511 00:25:29,813 --> 00:25:31,953 - Oh, my God. - What's his status? 512 00:25:31,978 --> 00:25:33,230 Penetrating trauma to the 513 00:25:33,254 --> 00:25:34,888 chest, injuries to the subclavian vessels, 514 00:25:34,912 --> 00:25:36,776 multiple rib fractures with pneumothorax. 515 00:25:36,801 --> 00:25:38,235 Sustained cardiac arrest, 516 00:25:38,260 --> 00:25:40,953 resuscitated with CPR and eight units of blood. 517 00:25:40,978 --> 00:25:42,930 We needed all the hands we could get. 518 00:25:42,955 --> 00:25:45,095 He's A-neg. He needs to be scanned. 519 00:25:45,120 --> 00:25:47,244 We need to rule out a brain bleed. 520 00:25:47,269 --> 00:25:49,109 - BP's tanking. Pushing epi. - No, he needs blood. 521 00:25:49,133 --> 00:25:51,135 - Okay, we know. We got it. - Then do something. 522 00:25:51,160 --> 00:25:52,836 - Get her out of here right now. - No, I'm fine. 523 00:25:52,861 --> 00:25:54,494 - Amelia, why don't you take a breath? - No. 524 00:25:54,518 --> 00:25:56,071 Get off me. No, it's fine. I'm fine. 525 00:25:56,096 --> 00:25:57,496 Altman, take over. 526 00:25:57,521 --> 00:25:59,016 - I'm okay. Calm down. - Amelia. 527 00:25:59,040 --> 00:26:00,938 - I'm calm. No, I'm fine. No. - Come on. Hey. 528 00:26:00,963 --> 00:26:02,950 - Do not touch me. I'm fine. - Come on. Please. 529 00:26:02,975 --> 00:26:05,375 - Amelia, let's go! Right now. Come on! - No. I wanna stay! 530 00:26:05,400 --> 00:26:08,075 I need to be in there! Please! I wanna help! 531 00:26:18,404 --> 00:26:19,854 I need retraction. 532 00:26:19,992 --> 00:26:22,788 - We don't have a Bookwalter. - We don't need one. 533 00:26:22,926 --> 00:26:24,350 - Dr. Bryant. - Yes. 534 00:26:24,375 --> 00:26:26,482 Grab one of those towels and come over here. 535 00:26:26,870 --> 00:26:29,493 - Put your hands where mine are. - Okay. 536 00:26:30,174 --> 00:26:31,875 It's a hell of a way to start intern year. 537 00:26:31,900 --> 00:26:33,645 I don't mind being a human retractor. 538 00:26:33,670 --> 00:26:35,223 I meant for her. 539 00:26:35,248 --> 00:26:37,330 Well, she'll learn what it feels like to be a patient. 540 00:26:37,354 --> 00:26:39,770 It takes some interns years to learn bedside manner. 541 00:26:39,795 --> 00:26:42,403 - Okay, don't put too much pressure. - Okay. 542 00:26:42,428 --> 00:26:43,887 But don't let her bowel slip out. 543 00:26:43,912 --> 00:26:45,372 That's the dopest thing I've ever seen. 544 00:26:45,396 --> 00:26:47,477 Griffith, what's next? 545 00:26:47,502 --> 00:26:48,791 Uh, in an OR, I'd use a Bovie to 546 00:26:48,815 --> 00:26:50,470 carefully divide the white line of Toldt. 547 00:26:50,722 --> 00:26:52,795 Once in the retroperitoneum, I'd isolate the IVC... 548 00:26:52,820 --> 00:26:53,924 I'm in. 549 00:26:54,868 --> 00:26:59,040 You dissected the retroperitoneum with your finger? 550 00:26:59,065 --> 00:27:00,619 It's the one tool we always have. 551 00:27:00,757 --> 00:27:02,862 - Oh, my God. - Got it. 552 00:27:02,887 --> 00:27:05,322 Nope, I lied. That is the dopest thing I've ever seen. 553 00:27:05,511 --> 00:27:07,260 Okay, let's ligate the lumbar 554 00:27:07,284 --> 00:27:09,032 and close her up as soon as we can. 555 00:27:10,007 --> 00:27:12,158 We gotta pull the tube out. 556 00:27:12,182 --> 00:27:13,977 It's the only way to keep her alive. 557 00:27:14,115 --> 00:27:15,707 Yeah, I thought that once about a patient, 558 00:27:15,731 --> 00:27:17,128 and it almost cost me my residency. 559 00:27:17,152 --> 00:27:19,707 I've already seen her die once. I'm not gonna watch it again. 560 00:27:25,910 --> 00:27:26,911 All right. 561 00:27:31,329 --> 00:27:32,745 Don't drop. Don't drop. 562 00:27:33,341 --> 00:27:34,860 Good breath sounds. 563 00:27:35,373 --> 00:27:36,779 Check her incision for bleeding. 564 00:27:38,035 --> 00:27:40,693 It's all right. Okay. 565 00:27:46,319 --> 00:27:48,011 Hi, Nora. 566 00:27:48,036 --> 00:27:49,712 It's Dr. Kwan. 567 00:27:49,955 --> 00:27:52,440 I know. I heard you guys the whole time. 568 00:27:55,903 --> 00:27:57,552 Why are we in the hallway? 569 00:28:00,112 --> 00:28:02,060 We'll catch you up on the way. 570 00:28:07,413 --> 00:28:09,904 - All right, graft is in. - He's still hypotensive. 571 00:28:09,929 --> 00:28:11,907 I can't see any more bleeding and there's minimal blood 572 00:28:11,931 --> 00:28:13,761 in the pleurovac. Why isn't he stabilizing? 573 00:28:13,899 --> 00:28:16,084 I made the wrong call. I should've taken him to Seattle Pres. 574 00:28:16,108 --> 00:28:17,312 No, we didn't lose him on the 575 00:28:17,336 --> 00:28:19,042 stairwell, we're not gonna lose him here. 576 00:28:19,067 --> 00:28:22,158 Don't think about what we didn't do or should've done. 577 00:28:22,183 --> 00:28:23,909 Think about what we can do. 578 00:28:25,393 --> 00:28:26,852 Okay, let's do a thoracotomy 579 00:28:26,876 --> 00:28:28,637 and check the chest cavity for injuries. 580 00:28:28,662 --> 00:28:30,995 With minimal blood in the pleurovac, there's no indication. 581 00:28:31,019 --> 00:28:32,514 We should resuscitate him, take him 582 00:28:32,538 --> 00:28:34,411 to Seattle Pres for a full exploration. 583 00:28:34,436 --> 00:28:36,156 - He might not make it. - He certainly won't 584 00:28:36,181 --> 00:28:37,967 if we cut his chest open. 585 00:28:37,992 --> 00:28:40,108 It is textbook. Trauma to the chest, rib fractures, hemothorax. 586 00:28:40,132 --> 00:28:42,444 - You do a thoracotomy. - In a controlled environment. 587 00:28:42,469 --> 00:28:43,954 This is too risky. 588 00:28:43,979 --> 00:28:46,009 Altman, look, I have driven a rig from here 589 00:28:46,034 --> 00:28:47,364 to Seattle Pres at least a hundred times. 590 00:28:47,388 --> 00:28:50,027 - Ben... - With lights and sirens and God on 591 00:28:50,051 --> 00:28:52,119 your side, minimum eight minutes. 592 00:28:52,144 --> 00:28:53,950 Now, Link is bleeding out from somewhere. 593 00:28:53,975 --> 00:28:56,083 You really want to risk eight minutes? 594 00:28:59,464 --> 00:29:01,162 Chest tube was clogged. 595 00:29:01,187 --> 00:29:03,347 He's bleeding out into his chest. Still wanna pack him? 596 00:29:04,363 --> 00:29:06,685 Okay. All right, where's the scalpel? 597 00:29:06,710 --> 00:29:09,205 I've got it. Here we go. 598 00:29:09,230 --> 00:29:11,094 - You got it. - All right. 599 00:29:11,119 --> 00:29:13,086 - Let's go. - Chop-chop-chop. 600 00:29:13,111 --> 00:29:14,630 Okay. 601 00:29:14,994 --> 00:29:17,617 The bleeding stopped. The ligating worked. 602 00:29:18,135 --> 00:29:20,310 Try not to sound so surprised next time. 603 00:29:21,311 --> 00:29:23,520 Okay, so now irrigate... 604 00:29:24,107 --> 00:29:27,075 and pack it with a wet sterile towel as a temporary closure. 605 00:29:27,844 --> 00:29:29,639 Uh, and then what? 606 00:29:29,664 --> 00:29:32,632 Well, then we wait for them to get us the hell out of here. 607 00:29:33,426 --> 00:29:35,325 And we hope everybody else is okay. 608 00:29:36,809 --> 00:29:37,810 I, uh... 609 00:29:40,029 --> 00:29:41,720 hate babies. 610 00:29:43,195 --> 00:29:47,406 Birth, their dependency, 611 00:29:48,612 --> 00:29:51,857 and the tiny little organs that are impossible to suture. 612 00:29:53,698 --> 00:29:56,670 I'm not really a big fan of kids either, 613 00:29:56,695 --> 00:30:00,561 but, you know, Parker... 614 00:30:02,352 --> 00:30:04,492 he might've broken through to me. 615 00:30:04,739 --> 00:30:07,880 You know? He might be my... my Demetrius. 616 00:30:11,018 --> 00:30:12,019 Dr. Beltran? 617 00:30:17,077 --> 00:30:18,941 Dr. Beltran? 618 00:30:19,196 --> 00:30:24,305 No. No. No, no, no, no, no, no, no, no, no, no, no. 619 00:30:27,287 --> 00:30:29,969 Damn it. Okay. Dr. Beltran, 620 00:30:29,993 --> 00:30:32,602 I need you to open your eyes, okay? 621 00:30:33,624 --> 00:30:34,867 Wake up. 622 00:30:35,005 --> 00:30:37,180 You have to wake up. I need you to wake up. 623 00:30:37,318 --> 00:30:38,837 Come on. Come on. 624 00:30:46,790 --> 00:30:48,239 I lost my dad when I was a kid. 625 00:30:50,745 --> 00:30:54,231 It's been... the defining fact of my life. 626 00:30:54,256 --> 00:30:55,662 Just this, like... 627 00:30:58,434 --> 00:31:00,160 unrelenting absence. 628 00:31:04,410 --> 00:31:05,950 I don't want that for Scout. 629 00:31:08,245 --> 00:31:10,904 And Jo. 630 00:31:11,092 --> 00:31:13,146 My dad's death wrecked my mom. 631 00:31:14,371 --> 00:31:15,648 Probably forever. 632 00:31:17,116 --> 00:31:19,670 He'll pull through. 633 00:31:22,349 --> 00:31:24,177 If he doesn't, it'll be my fault. 634 00:31:26,539 --> 00:31:29,577 And I will never forgive myself. 635 00:31:41,821 --> 00:31:43,915 - Anything? - Still looking. 636 00:31:47,344 --> 00:31:49,261 Okay. Come on. Come on. Come on. 637 00:31:49,286 --> 00:31:52,845 There. Yeah, intercostal artery. 638 00:31:54,671 --> 00:31:56,121 And a lung lac. 639 00:31:56,146 --> 00:31:57,822 - You can do the repair. - Okay. 640 00:32:00,608 --> 00:32:01,896 I feel it. All right, stapler. 641 00:32:01,920 --> 00:32:03,576 Yep. Here you go. 642 00:32:10,408 --> 00:32:12,928 Stand back! Coming in! 643 00:32:23,491 --> 00:32:24,751 You're too late. 644 00:32:25,580 --> 00:32:26,581 She's gone. 645 00:32:33,572 --> 00:32:34,607 Yeah. 646 00:32:43,458 --> 00:32:46,180 So we were finally able to get him into a scanner. 647 00:32:46,205 --> 00:32:48,769 The repair to the lung and the subclavian is holding, 648 00:32:48,794 --> 00:32:51,348 and apart from the chest wall, there are no other injuries. 649 00:32:51,549 --> 00:32:55,346 But, Jo... this could be a tough road ahead. 650 00:32:55,911 --> 00:32:57,642 He has lost a lot of blood. 651 00:33:13,681 --> 00:33:14,854 I love you. 652 00:33:15,994 --> 00:33:18,385 I love you so much. 653 00:33:18,410 --> 00:33:22,517 I haven't seen anyone pull through like that in a long time. 654 00:33:22,542 --> 00:33:25,012 That man did not want to leave you. 655 00:33:25,037 --> 00:33:29,593 He's been my best friend for 20 years. He means everything to me. 656 00:33:29,863 --> 00:33:32,142 So, thank you. Thank you so much. 657 00:33:33,252 --> 00:33:34,815 Okay, so you have a half an hour, 658 00:33:34,840 --> 00:33:36,773 and then you need to get a blood pressure check. 659 00:33:36,934 --> 00:33:39,695 - Really, I'm fine. - Dr. Webber's orders. 660 00:33:45,230 --> 00:33:48,198 Okay, uh, so check his CBC and coags in an hour. 661 00:33:48,336 --> 00:33:49,416 - Mm-hmm. - Warren. 662 00:33:50,215 --> 00:33:51,216 I'll see you at home. 663 00:33:55,205 --> 00:33:56,896 I'm sorry. I wasn't trying to question you. 664 00:33:56,921 --> 00:33:59,046 - I was... - Backing up Owen on the thoracotomy... 665 00:33:59,071 --> 00:34:00,728 was the right move. 666 00:34:00,866 --> 00:34:03,314 We would've never made it to Seattle Pres. And... 667 00:34:04,042 --> 00:34:05,549 And Link would've died. 668 00:34:10,295 --> 00:34:12,118 I used to be a lot like you. 669 00:34:12,947 --> 00:34:17,227 I used to take risks and make decisions based on instinct. 670 00:34:17,365 --> 00:34:18,918 I didn't second-guess everything. 671 00:34:19,057 --> 00:34:21,680 But now I'm a suit, and I have become more cautious, 672 00:34:21,705 --> 00:34:23,439 and I shouldn't put that on you. 673 00:34:25,580 --> 00:34:27,824 Tomorrow, I am gonna call the ACGME 674 00:34:27,849 --> 00:34:29,382 and I'm gonna tell them that you're 675 00:34:29,407 --> 00:34:31,207 gonna finish your residency at Grey-Sloan. 676 00:34:33,071 --> 00:34:35,383 Um... 677 00:34:35,521 --> 00:34:37,454 Thank you. Thank you. You won't regret it. 678 00:34:37,592 --> 00:34:40,260 But if I say that we're closed to trauma... 679 00:34:40,285 --> 00:34:41,872 Got it, Chief. 680 00:34:42,804 --> 00:34:44,979 Yes! 681 00:34:45,669 --> 00:34:46,808 Sorry. Sorry. 682 00:34:47,740 --> 00:34:49,294 Parker is stable. 683 00:34:49,432 --> 00:34:52,134 Um, we will need to bring him back for a permanent closure, 684 00:34:52,159 --> 00:34:54,159 - but until then you can see him in... - Thank you. 685 00:34:55,955 --> 00:34:57,371 Thank you so much. 686 00:34:59,407 --> 00:35:02,307 You have a very tough little boy. 687 00:35:03,245 --> 00:35:06,377 Millin. Millin. 688 00:35:10,591 --> 00:35:16,321 Hey. I heard you were with Beltran. 689 00:35:18,031 --> 00:35:19,343 You okay? 690 00:35:38,653 --> 00:35:40,816 Millin. Millin. 691 00:35:50,976 --> 00:35:53,220 No. 692 00:35:54,393 --> 00:35:55,601 Are you in pain? 693 00:35:55,739 --> 00:35:57,810 I was really hoping this was just a bad dream. 694 00:35:58,025 --> 00:35:59,558 You tore your lumbar vein. 695 00:36:00,274 --> 00:36:01,275 We repaired it. 696 00:36:01,469 --> 00:36:02,988 You're gonna be okay. 697 00:36:03,658 --> 00:36:06,957 I am never going to live this down. 698 00:36:07,572 --> 00:36:09,401 If you were me, would you transfer programs? 699 00:36:09,578 --> 00:36:11,028 Being a surgeon is hard. 700 00:36:11,065 --> 00:36:12,860 I mean, you're gonna have days where you feel 701 00:36:12,998 --> 00:36:14,386 like everything you do is a mistake. 702 00:36:14,410 --> 00:36:16,118 That won't change no matter where you are. 703 00:36:16,174 --> 00:36:18,488 So you've... you've worked here for a long time? 704 00:36:18,797 --> 00:36:21,179 Long enough to know that if you stay, it's worth it. 705 00:36:22,642 --> 00:36:23,880 Even without the ORs? 706 00:36:24,018 --> 00:36:25,848 The ORs don't make you a surgeon. 707 00:36:25,873 --> 00:36:27,599 The teachers and the patients do. 708 00:36:30,021 --> 00:36:34,640 - Thank you, Dr... - Dr. Grey. 709 00:36:34,665 --> 00:36:37,239 As in, like, you're... you're Meredith Grey? 710 00:36:37,264 --> 00:36:40,059 I am. Still doesn't seem to get me in the building, but... 711 00:36:46,447 --> 00:36:47,628 Oh, my God. 712 00:36:49,931 --> 00:36:53,797 Dr. Hara to Radiology. Dr. Erica Hara to Radiology. 713 00:37:06,293 --> 00:37:08,754 Why are you still here? Your shift doesn't start for another hour. 714 00:37:08,778 --> 00:37:12,713 Mmm. I don't know. I thought I'd shower, get cleaned up. 715 00:37:13,610 --> 00:37:15,346 No. No. No. 716 00:37:15,371 --> 00:37:17,382 - What? - No smiling. No flirting. 717 00:37:17,407 --> 00:37:20,479 - None of... that. - Okay. 718 00:37:20,730 --> 00:37:22,939 We are strangers who met for the first time today. 719 00:37:22,964 --> 00:37:26,796 Yeah. Fresh start. No problem. 720 00:37:28,936 --> 00:37:29,937 After you, stranger. 721 00:37:30,720 --> 00:37:32,377 After you. 722 00:37:43,709 --> 00:37:45,417 - Hey. - Hey. 723 00:37:45,442 --> 00:37:49,025 Do you wanna go home, sleep for three days, and then eat greasy food? 724 00:37:49,050 --> 00:37:53,620 I don't think we should get back together, Lucas. 725 00:37:54,133 --> 00:37:56,377 We said a lot of things to each other the other night. 726 00:37:56,402 --> 00:37:57,802 Well, I took them back. 727 00:37:57,827 --> 00:38:00,056 Because we almost died in a hostage situation. 728 00:38:00,456 --> 00:38:01,633 That's not real life. 729 00:38:01,658 --> 00:38:04,705 I think we just both need to take some time, focus on work. 730 00:38:04,730 --> 00:38:06,278 If we find our way back to each other... 731 00:38:06,302 --> 00:38:07,690 Well, I don't wanna take time. 732 00:38:08,458 --> 00:38:09,804 Simone, I love you. 733 00:38:10,943 --> 00:38:12,983 And, um... I mean, we always work it out. 734 00:38:13,014 --> 00:38:14,015 I slept with someone. 735 00:38:28,080 --> 00:38:30,566 When something's been in your life for a long time, 736 00:38:30,696 --> 00:38:32,534 you can often forget it's there. 737 00:38:33,207 --> 00:38:35,093 Whether it's a person or a place, 738 00:38:35,230 --> 00:38:37,531 sometimes you can take it for granted. 739 00:38:37,556 --> 00:38:39,869 - Hey. - Hey. 740 00:38:40,007 --> 00:38:42,354 Thank you for last night. 741 00:38:42,379 --> 00:38:45,089 Link is stable, so I'm gonna pick up 742 00:38:45,114 --> 00:38:48,956 Scout and I'm not letting him go for hours. 743 00:38:50,437 --> 00:38:53,478 I just gotta text Dylan Gatlin's latest labs over to Beltran, 744 00:38:53,503 --> 00:38:55,333 and then I am gone. 745 00:38:56,148 --> 00:38:57,183 What? 746 00:38:59,445 --> 00:39:00,929 Is it Link? 747 00:39:01,067 --> 00:39:02,556 Wha... What happened? 748 00:39:02,885 --> 00:39:03,990 It's Beltran. 749 00:39:06,483 --> 00:39:08,002 Monica, she... 750 00:39:10,555 --> 00:39:12,591 she was trapped on the OR floor. 751 00:39:14,775 --> 00:39:15,987 No. 752 00:39:17,803 --> 00:39:19,184 She didn't make it, Amelia. 753 00:39:23,844 --> 00:39:24,879 Monica's dead. 754 00:39:25,777 --> 00:39:28,331 You never consider that you won't walk in that door again 755 00:39:28,469 --> 00:39:29,919 or hear that voice. 756 00:39:32,439 --> 00:39:34,958 - Nora? - On her way to Seattle Pres. 757 00:39:35,096 --> 00:39:37,098 Sats are strong, incision looks great. 758 00:39:37,236 --> 00:39:39,791 She looks like a different person already after that surgery. 759 00:39:39,929 --> 00:39:41,586 - Thanks, Kwan. - Yeah. 760 00:39:43,795 --> 00:39:45,737 Hospital's been cleared of security threats 761 00:39:45,762 --> 00:39:48,662 and has been deemed structurally sound. 762 00:39:50,663 --> 00:39:52,492 They need me in a press briefing. 763 00:39:52,517 --> 00:39:53,675 Do you think we'll ever 764 00:39:53,700 --> 00:39:55,703 be what we were? 765 00:39:55,841 --> 00:40:00,097 - Best friends? - I don't know. 766 00:40:01,474 --> 00:40:04,581 I don't know if I know who I am anymore. 767 00:40:08,647 --> 00:40:12,824 I'll check on the kids and then I'll... I'll look for a hotel room. 768 00:40:15,231 --> 00:40:17,164 But yet it happens every day. 769 00:40:20,159 --> 00:40:22,368 People experience unexpected loss. 770 00:40:33,860 --> 00:40:36,242 And, as impossible as it may seem... 771 00:40:38,828 --> 00:40:40,002 don't give up. 772 00:40:42,716 --> 00:40:48,066 Engineering says this floor might not be usable for weeks. 773 00:40:50,571 --> 00:40:52,798 I know you said you missed the OR and 774 00:40:52,822 --> 00:40:55,049 that you'd stay for surgeries, but... 775 00:40:56,439 --> 00:40:57,475 this... 776 00:40:58,110 --> 00:40:59,595 I'm here. Whatever you need. 777 00:41:02,977 --> 00:41:04,358 What are we gonna do, Mer? 778 00:41:09,259 --> 00:41:10,531 What we always do. 779 00:41:11,952 --> 00:41:12,953 We're gonna rebuild. 780 00:41:14,057 --> 00:41:16,646 You have to believe you'll find hope again. 781 00:41:16,670 --> 00:41:21,670 - Synced and corrected by ChrisKe - — for www.addic7ed.com —