Grey’s Anatomy
Season 20 – Episode 6
Episode title: The Marathon Continues
Original air date: May 2, 2024
Plot: Mika and Teddy receive a patient from a nearby penitentiary; Catherine pushes back on Link and Monica’s treatment plan for a VIP; Bailey tries to integrate wellness into the residency program.
* * *
[Grey] Genetics. Diet. Exercise.
All of these factors have shown to be the key determinants of longevity.
Okay, kids. Off to day care.
But researchers discovered another way to predict our lifespans, our zip codes.
Good morning. How’’s my little
Hi.
Oh. What is this?
[Lincoln] Bluey. It’’s educational.
Not what I meant.
“Property of Scout”?
I got a new one. And, you know, he loves it.
And we talked about limited screen time, now he has one of his own?
[phone beeps]
[Shepherd] Ooh.
Mommy has a consult. I gotta go.
[sighs]
Hey, you’’re alive. Why aren’t you answering my texts?
My meditations for A Woman Scornedpodcast advises waiting until you’’re no longer angry before speaking.
Wait. You’’re mad? At me?
I am not a part of this.
Can you at least give me a hint?
I was covered in puke.
I’’m gonna need a bigger hint.
You stuck me with a crappy assignment when Schmitt was going to put me on an impalement.
You got in the way of me learning to become a better surgeon.
So, yeah. I am mad.
And I am not ready to talk about it.
[sighs]
[Grey] In some cities…
I assigned you to cardio today.
…a few blocks could increase the likelihood of dying 30 years sooner.
Where we live, determines how we live.
Do you have lunch plans?
[grunts] I have backtoback meetings all day.
Our most important benefactor family is coming into peds, so I need to make an appearance.
I could go to that Chinese restaurant
that you like and bring something back.
You’’re not operating today?
Uh, today’’s an admin day.
You’’ve had quite a few of those lately.
Well, it’’s been slow.
I have a lot of administrating to do.
You’’re married to a very important man, you know.
Well, if you get bored at a desk, I can change that.
I’’m important too.
Like I could ever forget that.
[Avery chuckles]
[Grey] And how we live matters more than you might imagine.
June Sally’’s chest tube has minimal output, no air leaks.
She should be ready for discharge tomorrow.
Home in time for her birthday.
That’’s great.
Yep. Uh, Dr. Beltran, I know that we don’’t know each other that well yet, but I did turn in my fellowship application.
Oh, was I supposed to read over your personal statement?
Yes, but it’’s fine.
I already turned it in and now I’’mI’m hoping that you’’d put in a good word for me here.
Okay, get me up to speed. Why peds?
Doctor Webber suggested it.
People say I’’m great with kids and ped surgeons are always in high demand, so I’’d be providing a much needed service.
Noted. And noble.
So, you’’ll make the call?
No, but, um, thank you for asking.
[PA announcer] Dr. Vardy to Radiology.
Dr. Kerry Vardy to Radiology.
Would you wanna study together tonight at the house?
I don’’t know if that’’s a good idea.
Good morning, everyone.
Here. Take one.
Aha. There, there.
Are we practicing suturing?
While blindfolded?
These are wellness kits.
As you care for your patients, you need to make sure that you are also taking care of yourselves.
So we want to avoid exhaustion, burnout, and depression.
Oh, I could swim in this.
[Bailey] It holds 64 ounces.
It is important to stay hydrated, along with getting quality sleep and eating healthy.
Are these supposed to help us finish our procedure logs?
It is hard to finish anything if you are unwell, Millin.
Now, if you would pull out the workbook.
It has recipes.
[phone buzzes]
[Yasuda] Dr. Bailey, Dr. Altman is paging me.
If I already care about myself, may I start my service?
Uh, that’’s the ICU.
[phone beeps]
[Millin] Ortho.
[phones beeping]
Oh, everybody’’s…
[sighs] Okay. Go on, go on.
Hey, take your bags!
[stammers, sighs]
[door buzzes]
Thank you.
Never been to this part of the hospital before.
Doesn’’t the prison system have its own doctors?
There are some. Not nearly enough.
Um, couldn’’t they have given this guy a TB test?
[Altman] They may not have the resources.
If it’’s tuberculosis, it spreads pretty quickly in crowded conditions.
That’’s why prisons need to contain it as quickly as possible.
Do we know why he’’s in prison?
No, and it’’s not important.
I know. Was just curious.
Before we go in, this patient room is a little different.
There are limited supplies, bare furniture, and everything is strapped down.
Not only to contain potential TB, but also
Anything can be a weapon.
Right.
Do you have your mask?
[clears throat]
Ready?
Yeah.
[Altman] Thank you.
[coughing]
[Altman] Hello, Mr. Jiménez.
I am Dr. Altman and this is Dr. Yasuda.
Thank you for seeing me.
Is it okay if I listen to your chest?
[grunts]
Can we remove the handcuffs please?
[coughing continues]
Okay, can you lean forward for me?
Thank you. Now, try to take a deep breath.
Okay, you can lie back.
We’’re also gonna do some blood work, okay?
Misty Valentine, 15, MVC two years ago,
resulting in an abovetheknee amputation.
She’’s experiencing discomfort
Try fricking agony.
She’’s now experiencing extreme pain
from the socket connecting her residual limb to her prosthesis
which is negatively impacting her mobility and coordination.
And my entire life.
Misty’’s a longdistance cyclist
Was a longdistance cyclist.
Her dream was to race a century
for the Grand Prix Seattle next year.
Impressive. A hundred miles.
Emphasis on “dream.”
Amputees can be badass cyclists.
[door opens]
If anyone can do it, she can.
Catherine. [chuckles]
[Avery] Shannon.
Anthony, so good to see you.
Where were we last
That resort.
The Maldives. Yeah.
[Avery] And how is my Misty girl now?
You ready for surgery?
Thank you for getting us in here so quickly.
Oh, of course.
So, what’’s the plan?
We’’ll be doing a residual limb revision,
which will give your prosthesis a much better fit,
and it should ease your pain and improve maneuverability.
Over a hundred miles?
Because right now the thing falls off
just trying to get to class.
Not to mention the phantom pain.
We’’ll do our best to reduce all of that.
But you’’re saying I might go through all of this for nothing?
You work for a Fox hospital.
Do you know who works for Fox hospitals?
Top surgeons.
So tell me,
is that surgery truly the best you can do?
It’’s the standard of care.
[Avery] Standard?
In this hospital, that family flies first class.
You just offered them coach.
That’’s not how I would describe the treatment
The Valentines are not just my dear friends.
They are major benefactors to this hospital.
And if they decide to pull back on their annual contribution,
guess whose salaries I’’ll be cutting it from?
Do better.
Wow.
I’’ve only flown coach.
What the hell just happened?
That’’s what we call the Catherine Fox effect.
[sighs] Stop. Mom, I’’m fine. Just back off.
Dorian. How are we doing this morning?
Dr. Webber, will you please tell him
he can’’t have a cheeseburger?
I haven’’t had real food the entire time I’’ve been here.
I’’m afraid it’s gonna be a little longer.
[groans] Ow.
This is why you need to let us help you.
You’’re weak.
Because I can’’t eat real food.
Can you stop?
[Adams] I got it.
How much longer before you guys let me out of here?
We’’re not ready to talk about discharging you quite yet.
Adams?
Your hemoglobin was low this morning.
What does that mean? Should we be worried?
Anemia can be caused by a number of factors.
First, Dr. Adams is gonna run some tests
to confirm that it’’s not a lab error.
No. No more tests.
Dorian
People come in every 20 minutes. I can’’t sleep.
I can’’t eat, I can’t think because all I hear are monitors.
I’’m done.
No more needles, no more tests, no more medicine.
I wanna go home.
We just need to take some blood so we
No.
You’’re not touching me. Get out.
Well, he doesn’’t mean
Out!
Now.
Let’’s, uh Let’’s give him some space, yeah?
Please don’’t give up on him.
He’’s just been through a lot.
Oh, we understand.
What about the hemoglobin?
I’’ll keep an eye on it.
You need to take a break too.
Yeah.
You go home.
If anything changes
We’’ll call you.
Yeah.
Let’’s do some repeat labs.
If he doesn’’t let you, just come back every hour and try again.
You think it’’s dilutional?
I hope so. If it’’s not,
we’’re losing time diagnosing what else it could be.
After all he’’s been through,
you’’d think a blood draw would be nothin’’.
He’’s feeling a loss of control.
It happens with longterm ICU patients.
How long does it usually last?
Everyone’’s different.
All we can do is be patient.
[Bailey] You fill up that water bottle.
[nurse 1] Thank you.
Who else?
[inhales deeply] What’’s this?
Ah. A wellness kit that I painstakingly assembled
on my kitchen floor at 2:00 in the morning
for our ungrateful interns.
You know who cared about my wellness when I was an intern?
[stammers] Um…
[stammers] Nobody.
It’’s hard to prioritize wellness
when you’’re working 80hour weeks.
[scoffs] That’’s what the bags are for.
Look.
You You want me to
Mmm.
Thank you.
[scoffs]
That so hard?
You talked to Bailey about me.
No, I didn’’t.
You told Bailey what I said on the roof that night,
and now we’’re getting lectured on step counts and meditation.
I wouldn’’t do that.
Not without talking to you first.
Please. You’’re desperate to get in good with Bailey.
Like you aren’’t?
If you’’re gonna be a snitch, own it.
[PA announcer] Dr. Sellers, 4619.
Dr. Monty Sellers, 4619.
I think I’’ve got a solution.
Tell me it’’s picking up a custom prosthetic
from the Maldives.
Is that a thing?
No, I just haven’’t had a vacation in three years.
What’’s your idea?
Osseointegration.
You want to implant a titanium rod into her bone?
It’’ll attach directly to the prosthesis,
which can reduce pain and increase mobility.
Schmitt, can you tell me why this is not a great option?
It’’s, uh, not going to the Maldives?
How many have you done? Or have you done any?
I know it’’s fairly new.
[Lincoln] Two.
I’’m one of four surgeons trained to do it.
How many of those were on kids?
Kids grow.
That means more operations
to adjust it over time.
But Misty’’s 15. She’’s an adult skeletalwise,
and this is the first surgery I would have offered her
if she was over 21.
[sighs] I’’m trying to give her what she wants.
What she wants or what Dr. Fox wants?
But you said it, she’’s 15. She’’s still a kid.
Just because she wants something,
doesn’’t mean she should have it.
Yeah. What a concept.
Look, I’’m not saying that this surgery
isn’’t ever a viable option.
I’’m saying we should tell Dr. Fox
that Misty needs to wait a while.
[Shepherd] Good luck with that.
Okay, what’’s happening?
It’’s not you.
I let our kid play with
a tablet this morning.
To be clear, he gave our threeyearold a tablet
with his name on it,
despite many conversations
about screens and brain development.
Saying “no” is not his forte.
Do you want some privacy?
[both] No.
Look, I’’ve spent years working with professional athletes,
most of them don’’t have half of the passion
Misty has for cycling.
She has her whole life ahead of her.
How are we gonna tell her to give up on her dream
if there’’s a chance we can keep it alive?
[sighs]
Fine. If Misty’’s okay with it
and her parents are okay with it, then I’’m on board.
Wait, no caveats,
no threats if anything goes wrong?
I’’m thinking it, but it looks like
you have enough arguing in your life already.
[coughs] Is it tuberculosis?
[Altman] We’’re still waiting on your blood work,
but in the meantime, we’’re gonna take a chest Xray.
Okay.
So you’’ve had this cough for about a year now?
[Jiménez] More or less. It’’s hard to keep track of time.
[Altman] Any other symptoms, any pain?
I’’ve had, uh, back pain for a while now.
And lately my stomach has been hurting.
Okay. Can you please put your arms up over your head?
Great. Thank you.
[Jiménez grunts]
[Altman] Any weight loss?
Yes. I just traded in my pants
for a smaller size.
[Altman] All right.
Mr. Jiménez, take a deep breath.
[scratchy inhale]
[Yasuda] Hold.
Okay. You can breathe normally.
[Jiménez coughing]
Okay, TB usually appears as a small cavitary lesion.
Is that…
All right, we need to get him up to CT as soon as possible.
This is definitely not TB.
[coughing]
[sighs]
[Adams] Can I come in?
I really need to send over another lab.
I’’ll just use your Aline. No needle.
Are you gonna let me leave?
Nope.
Eat food?
No.
Then, no, you can’’t come in.
All right, you’’re a smart guy.
You know it’’s not a good idea to refuse care.
I was shot because I had $40,000 in my pants.
Not all my ideas are good.
Low hemoglobin could be nothing,
but it could also be a serious issue
that needs immediate treatment.
I’’ll take those odds.
Dorian, it’’s not about
You don’’t get it.
This place is fun for you.
You get to cut people open and save lives
and whatever the hell else.
I’’m not sure that “fun” would be the most accurate description.
I can’’t even go to the bathroom on my own.
You wanna swap nightmares?
I need a break.
If you can’’t understand that, could you at least respect it?
I’’ll come back in an hour.
We’’d implant a titanium rod in Misty’’s femur,
and place an abutment that attaches
directly to the prosthesis.
Less pressure, pain and chafing.
And no falling off on your way to class.
And because it attaches to bone and muscle,
it’’ll grow stronger with use,
which increases mobility.
This sounds complicated.
Have you done a lot of these?
It’’s a relatively new technique. I’’ve done two, both on adults.
Obviously it’’s more involved.
But given Misty’’s age and height,
I think it’’s a viable option.
I don’’t know.
What do you think?
[sighs] I think, um
I think this sucks.
Dr. Beltran
No, I think it blows.
You’’re 15.
You should be deciding
what to do over spring break,
or whether to join drama club
or who’’s extra.
Do kids even say that anymore? Probably not.
You shouldn’’t have to be picking which surgery
is gonna make you more comfortable
as you walk to class.
So, yeah, I think the whole thing sucks.
It does suck.
So much.
I just wanna go back.
I want to walk and jump and dance
and ride without all the pain.
If this surgery will do that, even if it’’s just a chance.
[sighs]
I think we have our answer.
Just try and take deep breaths.
[groans, coughs]
Easy for you. I feel trapped.
This coming from a guy who’’s been locked up
for more than 40 years.
[chuckles]
Uh, that was supposed to be funny.
[breathing heavily]
[phone buzzing]
So sorry.
[coughs]
Oh, things have really changed.
Know what a pay phone is?
Uh, I think I saw one in an oldtimey movie once.
Ouch.
You make a guy feel old.
When you’’re in prison, you stop.
The whole world just keeps going.
I wonder if Seattle Unified still serves
lemonberry coffee cake.
That’’s what you think about?
School cafeteria food.
Best part of school: Free food.
And Mrs. Samba who who would smile at me every morning
when she handed it to me.
Hey, I’’m good at reading people,
and I saw your face…
when you looked at my Xray.
How bad is it?
Let’’s look at your CT. [clears throat]
[coughs, grunts]
We’’re gonna start the scan now. Please try to hold still.
Hey, thanks for coming by.
I could use a second set of eyes on this.
Happy to help. Is this his Xray?
He came in to rule out TB, and then we found that mass.
It’’s big, but I think I can resect it.
It’’d be a hell of a surgery on your first day back in the OR.
[Yasuda] Scan’’s coming in.
Oh, my God. Is
Are those mets on his liver?
[Ndugu] Yeah, and his spine.
His pelvis, his adrenal glands.
[Altman] He has an 8 cm lesion on the left upper lobe,
and two others on the right middle lobe.
Looks like multiple positive nodes.
Right. Yasuda, get us on the schedule
for an image guided biopsy ASAP.
Welcome back.
Can you confirm that home health is set for Ms. Land
in room 4877?
Mmhmm.
You okay?
[sighs] I’’d be better if this conversation was over.
I think you wish I’’d said something to Bailey
and you’’re mad I didn’t.
I think you missed your calling as a detective.
Okay, if you don’’t wanna be real, fine,
but don’’t take whatever this is out on me.
I don’’t deserve it.
You want real?
I eat chips from the vending machine for lunch
because I am too busy to go to the cafeteria.
Haven’’t had a full night’’s sleep in months
because my upstairs neighbors blast house music till 3:00 a.m.
And I don’’t remember the last time
I had a vegetable or drank enough water.
But it is not because I am having a mental breakdown.
It’’s because I’’m a firstyear resident.
What flavor chips?
Sea salt and vinegar.
Sometimes sour cream and onion.
Correct answer is barbecue.
You’’re right. Lecturing us on wellness is useless.
If Bailey wants us to feel better,
she should give us raises.
And reduce our hours.
[sighs]
That is the first thing we agreed on all day.
Go home.
Dr. Bailey
You wanna disrespect me
and this program,
do it somewhere else.
Now!
[sighs]
The pathologist said their prelim read
on the biopsy tissue is adenocarcinoma.
It’’s cancer?
Well, we have to wait for the final pathology,
but yes.
[Altman] I mean, there are lesions
throughout his body. It’’s definitely inoperable.
Okay, so, chemo.
[sighs] It depends on those results.
There is a lot of red tape.
It’’s a little out of our hands,
but we will definitely give him meds
for the pain and his cough.
And hopefully there are people
at the facility that can help too.
Wait. So we’’re sending him back to prison?
That’’s how it works.
[Yasuda] But he’’s sick.
He was getting sicker and sicker for over a year
and they didn’’t even give him screening tests.
If we send him back now, he’’s just gonna
It’’s a valid point.
We will talk him through his options.
Dr. Altman
We can at least talk to him.
Your three minutes are almost up.
[stammers] You’’re making me nervous.
You have half that time on the real test.
Okay.
Bleeding after cardiac surgery,
TEG with prolonged Ktime.
A: Give cryo.
Correct.
[sighs] How pissed do we think Bailey is?
She’’s not happy. That’s why we can’’t slow down on ABSITE prep.
You’’re right.
Give me the timer.
I don’’t need it.
You think you’’re that fast?
I know 3 minutes.
The time I no longer have to make a softboiled egg.
You cook softboiled eggs?
Yeah. They’’re good in salads and ramen.
Mmm. You’’re making me hungry.
Oof. It is way past lunchtime.
Should we order pizza?
[chuckles]
After Bailey’’s wellness lecture?
We have frozen peas, expired yogurt,
and I could maybe dig up some stale pretzels.
Buried in the cabinets?
More like the couch.
So, pizza?
Or…
whatever’’s in these bags.
[sighs] Dr. Webber still needs those labs on you.
Is there a burger inside that lab coat?
I’’ll just… [sighs] …update your chart.
You are in grad school?
I was.
You’’re not going back?
Engineering was my parents’’ dream. Not mine.
Yeah. My parents always wanted me to be a doctor.
Congrats on not being a disappointment.
No, I mean, that was always a reason
for me not to go into med school.
Yeah. I don’’t really get along with them.
Junior year in college,
I got into a car accident on my way home from soccer practice.
Internal bleeding, broken bones.
The surgeons on call that night saved my life.
After that I changed my mind.
I’’ve never felt that way about anything.
I don’’t know. You seem pretty passionate about cheeseburgers.
[chuckles]
[coughs]
[Adams] Dorian!
I need a crash cart in here and blood!
Page Dr. Webber!
[nurse 2] Right away.
Come on. Come on. Dorian, I got you. It’’s okay.
It’’s okay. Just hold on, just hold on.
[Lincoln] Implant is in position.
Now we carefully screw it into the bone.
Schmitt, wanna do the honors?
Absolutely. Yes.
Wait, this is the only the third time
you’’ve done this and you’’re letting a resident do it?
He’’s got it.
You’’re gonna have to screw it
with a little more force than that.
[Schmitt strains]
Mmm. There you go.
[Schmitt] Okay.
Okay. Great. Fluoro.
[Schmitt sighs]
Damn it.
It’’s in position, right?
No, it’’s not fitting perfectly,
especially if we want her to ride again.
[Beltran] What do you mean?
We’’re gonna have to take the implant out.
And then what? How did you not anticipate this?
You can’’t know until you’’re doing it.
You have to feel the bone quality.
A CT won’’t show you that. We have to take more of the bone.
We’’ll need her parents’ consent.
So we’’re gonna tell her parents
that your plan is gonna cost their daughter more of her leg?
Stay here. It was my idea. I’’ll get their consent.
[Schmitt] I can’’t wait to see
the Catherine Fox effect on that.
Let’’s just keep this dry.
[Shannon] You want to take more of her femur?
If that doesn’’t work, then what?
Maybe we should have stuck with the original plan.
We’’re pretty close to making thi
I’’m sure Dr. Lincoln can revert
to the old plan if that’’s what you want.
We can do that.
Um, and Misty will probably feel fine
for a few months.
Then her residual limb will begin to chafe,
her pain will increase.
She’’ll push through because
that’’s what competitive cyclists do.
She might not tell you right away
because that’’s what teenagers do,
which means she could damage her leg even more.
Look, I know that this is not exactly what you want,
and I know it’’s tough,
but I really do believe the outcome will be worth it.
Let’’s do it.
[machines beeping]
[Webber] What happened?
He was fine. We were talking,
and then all of a sudden he started vomiting blood.
BP’’s tanking. Systolic’s in the 80s. Sats, 70s.
I gave him 80 mg of pantoprazole.
[distorted] Blood is running.
Next two units are on their way.
[nurse 2 distorted] Maxed out his oxygen.
His sats aren’’t responding.
Dr. Webber. I’’ve been waiting for you
to get here to intubate.
[normal] Dr. Webber!
[machines beeping]
I’’ll take it from here, Adams. Good work.
I need to stop the bleeding.
Call us an endo tower.
[nurse 2] Here’’s a laryngoscope.
[Webber] Have the tube ready for me.
Did you go to culinary school or something?
I’’m a surgeon, I like cutting.
Me too, but not vegetables.
[chuckles]
Yeah, I spent a lot of years
watching my mom turn whatever was in our fridge
into something delicious.
Hmm.
What do you need?
Tongs, spatula, or Ooh.
This works.
So, the key to stirfry is getting the pan really hot,
and keeping the vegetables moving
so they don’’t steam and get soggy.
Mmhmm.
Do you have any soy sauce?
[Griffith] Mmm.
Maybe from takeout the other night.
What else does your mom cook?
Oh, chicken soup.
Lasagna.
Mmm.
Jook, which is a rice porridge.
Mmm. She give lessons?
She died.
Sorry.
No, uh, it’’s okay. It’’s been a while.
Mine died when I was born. So…
No cooking lessons.
Here.
Come on.
[chuckles]
Just, like, keep it all moving.
Hey, Bailey. Any of those extra vegetables
from the wellness seminar up for grabs?
We were too busy to go grocery shopping this week.
And as a department head, I feel entitled to
Be my guest.
Are you sure? I don’’t have to
Owen, do you know how tired I am?
I mean, I I have three jobs.
[stammers] I run a clinic.
I’’m residency director, a full time surgeon, and
and I’’m a mom.
Actually, that’’s four jobs.
I’’m lucky if I get five hours of sleep a night,
and I took time out of my busy, sleepdeprived life
to do something about the wellbeing of our interns
so they don’’t end up stressed and run down or burnt out.
Because I am a damn good teacher and I care about these people.
And what do I get in return? Just blatant disrespect.
You know, sounds like you could use a little wellness yourself.
Excuse me?
When was the last time you took a day off?
I mean, four jobs, fivehours sleep. You might need a break.
Listen, you want to give the interns permission
to take time for themselves?
Maybe you need to take your own advice.
There was this guy in my cellblock that had colon cancer,
and by the time that he got diagnosed, he went pretty quick.
It’’s just like that.
So, um…
Mmhmm.
…when you have this many mets, it affects a lot of your organs.
We don’’t know how long you have,
but it explains why you’’ve been feeling so awful.
Is there, like, any chance
that this could just… [coughs] …magically stop spreading?
No, but there are treatments that we could consider.
That could fix me?
[Altman] It may give you more time.
But I’’ll be honest with you,
in your case, your circumstances,
it may cause you more pain than good.
How long?
Uh
It’’s hard to say. Some people live months.
Forget it.
No treatment.
I spent a lot of nights struggling to breathe.
Begging for someone to listen to me.
It won’’t change.
I was 17 when I got locked up.
Tough Tough as nails on the outside…
[coughs]
…scared on the inside.
I would lie awake at night
praying that I wouldn’’t get stabbed
or beat to death.
I never thought I’’d go like this.
I wish it wasn’’t this way. I am so sorry.
I am too.
[Lincoln] The implant is almost in. Let’’s try this again.
Schmitt.
Okay.
Clockwise rotation until I feel resistance.
Almost there.
Okay. That That feels good.
Okay. Moment of truth. Fluoro.
[sighs]
[Lincoln] Oh, thank God.
[Schmitt] It worked.
Yeah, see the implant is just hitting the isthmus.
It feels rock solid.
Yeah.
Nice work, Schmitt.
[Schmitt] Thanks.
Okay. Let’’s look for the sciatic nerve.
[Lincoln] Time for targeted muscle reinnervation.
Hey, are you almost done
with Mr. Jiménez’’s discharge paperwork?
Yasuda, the prison transport is on their way.
What about enrolling him in a clinical trial?
Yasuda.
I found one at the University of Chicago.
Uses immunotherapy and stereotactic radiotherapy
for stage 4 lung cancer.
He doesn’’t want treatment.
And
You know, just because the system failed him
doesn’’t mean that we should too.
There has to be something else we can do.
His punishment was supposed to be time, not not death.
Listen to me.
I know it is frustrating.
The suffering, the neglect, the pain.
And knowing that it might have been prevented
with earlier intervention
just makes it so much worse.
But you know what else is frustrating?
Lying in bed alone and feeling like
feeling like you have no control.
That no one is hearing you.
We can’’t even begin to imagine what he’’s been through.
We can’’t imagine what any of our patients have been through.
So we have to trust that they know their lives better than us.
I wish that people had listened to him when he first got sick.
I wish that I could turn back time and diagnose him earlier.
But right now, the best way that we can take care of him
is to try to alleviate any suffering that we can.
I’’ll finish the discharge papers.
Thank you.
Yeah.
And, Yasuda.
Yeah?
It’’s good that you care.
Not enough people do.
[machine beeping]
[Adams] What are we looking for?
I won’’t know until we find it.
Ah. There it is. It’’s an upper GI bleed from an ulcer.
Let’’s inject epi.
This is likely a stress ulcer
which can cause focal damage to the mucosa
and have high risk of bleeding.
[Adams] Ah. Still bleeding.
Come on.
[Webber] Let’’s clip it.
Okay.
[Adams] Come on, Dorian.
All right. Let’’s hurry.
[Adams] Okay.
[Webber] Clip it.
There. Got it.
[Adams] Amazing.
Good job, everyone.
Oh. You did that like it was nothing.
I’’ve been clipping upper GI bleeds
since before you were born.
You’’ll get there.
Let’’s get repeat labs.
[sighs]
[sighs]
[sighs]
Okay. Mmhmm.
Okay.
Which of the following is not true
of preoperative selective portal vein embolization?
B.
B as in “boy” or D as in “dog”?
[chuckles]
“B” as in Bailey’’s wellness plan kind of worked.
I feel better.
Correct on both accounts.
Unless she fires us for being disrespectful.
I’’m okay. I just want you to know
med school was a rough time in my life,
but I worked through it.
I’’m good.
Really.
Okay.
Done?
Mmm.
But if you did have to drop out of medicine,
I think you have a career in the restaurant business.
[chuckles] Well, I will settle for a full kitchen.
You and Yasuda need some real knives.
And you want us to do what with them?
I wash, you dry.
You had to take more of my leg?
II don’’t understand.
We did. Um, in order for the technique to work,
the implant has to fit perfectly.
Now it does.
So, does that mean I’’ll be able to ride again?
We are confident that you will.
I never thought this would be possible.
And now that it is,
I I don’’t even know what to say.
Catherine, these surgeons have outdone themselves.
I’’d expect nothing less.
When I race my first century ride, will you all come?
I’’d love to.
[Beltran] Of course.
I’’ll make Tshirts.
[all chuckle]
Deal.
Okay. We’’ll come back
and check on you later, all right?
Thank you all again.
And whatever we can do to support your work in the future,
don’’t hesitate to ask.
[chuckles] You know I won’’t. Now, enough of this shop talk.
We got a lot to celebrate. [chuckles]
Yeah.
[Shannon, Anthony laugh]
Millin, follow up on her postop labs.
Yeah, got it.
Yeah, I guess it really does pay to be rich.
Nice work, everyone.
[Schmitt] Hmm.
Schmitt, you really stepped up.
[Beltran] Can I just Thank you.
Thank you.
Do you have a problem with me?
I’’m sorry? What?
I did step up today.
My bedside manner was excellent.
I successfully placed Misty’’s implant.
Dr. Lincoln said I did a good job. Why can’’t you?
Why does it matter?
I wanna be a peds surgeon.
Okay. Well, if you need my validation
or anyone’’s validation to feel like you did a good job,
then peds is not the right specialty for you.
Everybody likes validation.
It’’s human.
No, it’’s needy.
What happens when you mess up?
What happens when there’’s a bad outcome?
What’’s gonna sustain you then?
Where’’s your heart?
Where is your passion for this?
Because that is what’’s gonna get you through the bad days.
You show me more of that, and then we’’ll talk.
[“Comeback” playing]
What happened?
You had bleeding from an ulcer in your stomach.
Dr. Webber went in with a scope and stopped it.
[sighs] I left school because I was miserable.
When I thought about being a civil engineer
for the rest of my life, I couldn’’t breathe.
I thought I’’d work on a boat for a few months
and come back enlightened or whatever.
Instead, I got shot, and now I’’m stuck here.
We’’ll get you out of here.
You just gotta let us do our job.
That was pretty dumb, I guess.
Hey, you were tired.
I get it, you know, but the best stuff is on
the other side of all this.
And you won’’t get there
if you push away the people who wanna help you.
And then can I eat?
I’’ll bring the cheeseburger myself.
♪ You gotta wake it up You’’re going to the top♪
♪ You gotta open up The door…♪
[coughs]
♪ It’’s what They waited for…♪
We’’ve notified the penitentiary system of your condition
and provided prescription refills.
And I sent documentation
for your compassionate release application.
I appreciate it.
[Yasuda] Wait!
Wait. I have something for him.
[prison guard] Let me see that.
Mmhmm.
Here.
[chuckles]
Lemonberry coffee cake.
Yeah.
I haven’’t had this since I was a youngster.
Nurse Ashley’’s son goes to Fremont High.
So, she helped me out.
[Jiménez] Thank you.
I’’m really going to enjoy this.
♪ You gotta open up the door♪
[Jiménez coughs]
♪ And when you Come back, Baby♪
♪ It’’s what they waited for♪
♪ It’’s what they waited for♪
♪ It’’s what they waited for♪
[music stops]
Dr. Webber?
Thank you.
Oh, what’’s this?
You saved my son. Again.
Words will never be enough.
I’’m hoping chocolate fills the gap.
Oh, you didn’’t need to do this.
Dorian’’s a great kid.
With that said, I’’ll never refuse a box of chocolate.
[chuckles]
[Webber chuckles]
[sighs]
Mmhmm.
Ooh.
Do I need to tell that woman to keep her hands
off my man?
I saved her son today.
Look at you saving lives on your admin day.
Mmm. I still got it.
[both chuckle]
Yes, you do.
[both laugh]
[Shepherd sighs]
Hey.
Hey. I I just needed to zone out for a while. Don’’t judge me.
Um. Well, your brain is fully cooked.
I’’m not concerned.
I heard your surgery went well.
Catherine was practically dancing
through the hallways.
Thanks.
Are you okay?
[sighs] I lost a NICU patient this morning.
He had advanced necrotizing enterocolitis.
His name was Jagger.
He was three months old.
And, um…
I swear every time I went in to check on his belly,
he just looked at me with these piercing blue eyes.
It was like he was looking right into my soul.
I’’m sorry.
So, you and Lincoln have a kid?
Yeah, he’’s great The kid.
The dad and I are not together.
Mmm.
Well, I will let you get back to your game.
Or you could help me crush some gems.
[Grey] No matter where we live,
we all wish for long, healthy lives.
All right. So, how does this work?
For our family, for our loved ones, for our children.
Three, two, one.
Okay. Time to give me the tablet.
Come on, buddy. Work with me.
Okay. We are r Oh.
Oh, yeah. He got ahold of it from under the stroller
before I could stop him.
Well, if Amelia shows up, we’’re leaving without you.
[sighs]
Okay.
This is gonna be hard.
[Scout crying]
He’’ll get over it.
I meant on you.
[Grey] But even if the odds are in your favor,
predictions are only part of the picture.
We live in a world where everything can change
in the blink of an eye.
Hey.
Hey. [clears throat]
[sighs] I’’m sorry you got puked on.
If I could, I would give you all the best assignments,
but I can’’t play favorites. I’’ve got a job to do.
I don’’t wanna fight.
Yeah, I don’’t either.
So Adams finished his procedure card.
You’’re closer to getting back into the OR.
It doesn’’t matter.
Look, I I just wanna be alone right now.
[sniffles]
[clears throat]
Okay.
[Grey] You could be on top of the world one minute…
What is happening here?
[sighs] I came home early.
Are you feeling okay?
Well, I tried to step up the intern wellness program.
It was a huge failure.
Yeah, I’’m sure it’s not as bad as you think.
[grunts] I’’m not sure it ever had a chance.
But thethe system isis designed
to push doctors past their limits.
I’’d say it was broken, but I’’m not sure it ever worked.
So you’’re giving up.
I
I am modeling for the interns.
[laughs]
Selfcare and wellness.
I didn’’t have patients this afternoon,
so I decided to come home early.
Nice. Richard made you come home early, didn’’t he?
No.
Hunt.
[laughs]
But, no, it was my idea to send Tuck and Pru out for pizza.
That is a good idea.
Mmm.
In fact, um…
I could use a little wellness myself.
Oh. Could you now?
…but you never know when the rug might be pulled out from under you.
Anyone home?
Simone?
Hello?
Anyone?
When that happens, which it inevitably will,
all you can do is hold on…
Hey.
You’’re moving stuff?
Yeah, I got a lot of books, and I’’m thinking about putting a shelf right here.
Oh.
You forgot this in the dresser.
…and hope it won’’t end you.
