Grey’s Anatomy – S18E03 – Hotter than Hell | Transcript

Seattle's favorite redhead returns and graces the Grey Sloan halls with her experience and expertise as she attempts to help Richard teach the newest crop of residents.
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Grey's Anatomy - S18E03 - Hotter than Hell

Original air date: October 14, 2021

Seattle’s favorite redhead returns and graces the Grey Sloan halls with her experience and expertise as she attempts to help Richard teach the newest crop of residents.

* * *

♪ I’m so used to being broke ♪

Meredith: When the body’s exposed to rising temperatures, it has the ability to cool itself down.

We sweat, our blood vessels dilate, and our heart rate increases…

Zola: Mom! Why don’t we have air-conditioning?

Because we live in Seattle.

Please go get dressed.

…and our body releases as much excess heat as it can.

I thought Gen Z was all about climate conservation.

Well, they’re all about speaking their minds and spot-on hashtags.

Oh, and calling you “bestie” as an insult.

Do you know what the temperature is in Minnesota right now?

73 degrees. No heat waves.

You’re as bad as the kids.

Is it gonna be weird?

I can’t do Minnesota and be chief of general surgery and be chief of the residency program.

Richard will have to understand.

Well, I’m not talking about Richard.

She’s like my sister. You’re like my sister.

I just

I don’t want it to be weird.

Then stop making it weird.

But when the temperature starts to inch above 100 degrees, our bodies have to work overtime…

I have back-to-back craniotomies, and then I have that video call with Kai Bartley.

…leading to heat exhaustion.

I know

I can’t tell anyone.

73 degrees, Mer.

Maybe we just move to Minnesota and become lake people.

Moving to Minnesota? Great.

Not moving. Just might take a few more trips there.

Got it. Glad we discussed it. Mm.

Uh, kiddie pool?

Yes, thank you. Out back.

We become nauseated, dizzy, and confused.

It’s one of Link’s lifelong dreams to cure Parkinson’s.

I know

I can’t tell anyone.

And we fight like hell to cool down before it’s too late.

♪ 1, 2, 3 ♪

[Line rings]

[Beep]

Hey. I got the last window unit, and I installed it myself.

Oh. More burn pits?

Yeah, I found some anecdotal accounts, but no official documentation about pulmonary fibrosis.

And Noah is still not answering.

Well, he was pretty clear that he didn’t want treatment.

Yeah, I know. I just…

I can’t stop thinking about how it could have been us, you know?

I know.

[Telephone ringing in distance]

It’s over 100 degrees outside.

Did you not read my e-mail?

I mean, not only is today grand rounds, but it is also Silly Hat Day!

Bailey said that she wanted better morale around here.

I said that I agreed with her.

So she appointed me Ambassador of Fun.

You? Ambassador of Fun?

I’m fun!

♪♪

Whoa. Teddy…

No. Okay.

[Breathes deeply]

Hey, Teddy, come on.

♪♪

[Laughs]

See?

Fun.

Who do you think it is?

Definitely someone big.

Maybe it’s Pier Cristoforo Giulianotti.

He pretty much invented robotic surgery.

Hey, Dr. Wilson, do you know who’s doing our grand rounds?

Just because I have to slum it in the residents’ lounge with all of you doesn’t mean I can just give out privileged information.

You don’t know who it is, do you?

I have important work to do.

Did you know that excessive heat presents huge risks in pregnant women?

Including Braxton-Hicks.

They announced who it is.

♪♪

You’ve got to be kidding me.

Oh! [Laughter]

[Breathes sharply]

Mm!

Good morning.

Welcome back, Grey.

Hey! Woman over P.A.: Dr. Tracy Seip to Recovery.

How’d you know I was back?

I had a feeling. Dr. Seip to Recovery.

I saw you getting out of your car in the parking lot.

Oh.

You brought me coffee.

Hot coffee.

[Elevator bell dings] In triple-digit weather.

Iced coffee isn’t really coffee.

It’s just coffee-flavored water.

Not a fan of the heat, I see.

There’s more sheep than people in Ireland, so I like weather that goes with hats and gloves and scarves and the like.

[Laughs]

How’s my friend Austin?

No idea, to be honest.

Literally everything’s a secret on him.

Basically not even allowed to ask.

I’m a few years away from that, but I’m definitely not looking forward to it.

Well, enjoy your kids speaking to you while you still can.

Well, they’re really mad at me right now because they’re adjusting to the idea that

I may spend half the week in Minnesota.

I’m adjusting to that idea, as well.

Bailey: Late! None of us like it.

Late! Excuse me! Late!

[Groans] Cardio Tech Room 342.

Cardio Tech Room 342. Have you, uh, told her yet?

No.

Webber?

No. And I don’t like this line of questioning.

Thank you for the coffee.

Have a great day.

♪♪

It’s locked. Why would it be locked?

Richard: Welcome to grand rounds.

This is not your typical grand rounds.

There’s no lecture hall.

There are no slide-show presentations.

This is grand rounds on its feet.

What does that mean?

It means… you’ll be coming with me.

Nice to meet everyone.

I’m Dr. Addison Montgomery.

♪♪

[Camera shutter clicks] And you must be the group that’s been screwing up the program.

Uh…

Kidding.

♪♪

Oh, my.

[Sighs]

Follow her, people!

Oh, my God.

Oh!

♪♪

[Chuckles]

Mm.

Ohh. Woman over P.A.: Dr. Robinson to Nuclear Medicine.

Dr. Robinson to Nuclear Medicine.

[Indistinct conversations]

Do I look like a batch of raw cookie dough to you?

Why are you trying to bake me alive?

Let these automatic doors close.

[Sighs]

Woman over P.A.: Dr. Mahoney to the ER.

Dr. Mahoney to the ER.

Chief?

Dr. Altman says that you put her in charge of “fun” and that I have to wear this.

I’m starting to think the heat may have influenced my decision-making.

Dr. Eisenberg, 4673. Dr. Eisenberg, 4673.

Chet: [Groans]

Michelle: Hold still, please.

Dr. Lin, how are you settling in?

Besides being told to wear a hat to work on a 100-degree day, just fine. Thank you.

Ow! Ow! Ooh!

Dare I ask?

Owen: Second-degree burns to the buttocks and upper thigh.

Needs debriding.

My buddy dared me to fry an egg on the sidewalk for our web channel, NakedBroStuff.

And I fell on my butt.

Naked. For more views.

And it worked, bro. That egg got full-on fried.

Yeah, he also fried through his epidermis.

Epic fail because of the burns and the blisters, but look at how many likes we got.

We’re gonna go viral.

[Woman screams]

Dude, check this out.

Some chick gets shot off the back of a Jet Ski and the water went straight up her

“Some chick?”

Chet: [Screams]

This will hurt a lot less if you hold still and stop referring to women as baby birds.

[Monitor beeping]

Where are all of the residents today?

There’s been monumental progress made in infertility, but there is much more work to be done.

With my background in obstetrics and medical genetics…

And as one of the foremost neonatal surgeons in the country.

…I will always endeavor to find more options for women who want to become mothers.

Why isn’t her grand rounds for OB?

[Cellphone chimes]

Damn it! Save me a spot.

I’ll be back.

Fix your face. It’s Addison Forbes Montgomery.

Apparently, she and Grey have a “history.”

And whatever happened, I’m Team Grey.

I heard Dr. Grey cheated with her husband, Dr. Shepherd.

You mean Dr. Grey’s husband, Derek Shepherd?

No. M-Maybe. I’m confused.

Uh-huh.I heard he was married to both of them.

Probably not at the same time.

Would you guys shut up?

Addison: You.

Middle left.

Yeah, you.

What’s your name?

Schmitt?

Is that a question? No?

Schmitt, what are the vessels found in the broad ligament?

Um, blood vessels to the ovaries, fallopian tubes, and uterus?

Uterus

not a question.

Correct. Congratulations.

You’re presenting.

[Breathes sharply]

Today’s case is a groundbreaking procedure that has the potential to change the game for both fertility and childbirth.

I will be performing Grey-Sloan Memorial’s first surgical uterine transplant.

Go ahead, Dr. Schmitt.

Oh, on my feet. Okay.

Um…Tovah Freedman, 33 years old.

G-4, P-zero.

Had a complete hysterectomy two years ago this January.

Secondary to a placental abruption in the second trimester.

Taking out the uterus was unavoidable with the hemorrhage.

We couldn’t save the baby, but Tovah really wanted to be a mother.

I was the youngest of five, and, yet, I was always the mom when we played house.

[Laughs]

And when I found out that Jonathan was also one of five, it was… b’shert.

“Meant to be.”

In Yiddish.

I had my first miscarriage about six months after we were married.

Then it was pretty much one a year until we made it to the second trimester, and I had the abruption and lost the baby.

And then it got worse.

Jonathan was diagnosed with malignant mesothelioma.

And before he did chemo, we froze his sperm.

[Voice breaking] When Jonathan passed away, I couldn’t imagine being a parent without him.

[Breathes sharply]

But then I heard about Dr. Montgomery’s clinical trial [sighs] and I realized that I could be the mom I was meant to be… and maybe even bring my and Jonathan’s baby into the world myself.

Tovah is the last patient in my trial, and her family’s here in Seattle, so she has a solid support system.

If all goes well, I will have met my criteria to publish my first round of patient results, which means we’re that much closer to changing fertility all over the world.

And one lucky resident will be credited when she publishes. Oh!

Dr. Schmitt, you’ll be scrubbing in to assist me today.

Good. Dr. Schmitt, start your pre-op.

Everyone else, let’s file out.

♪♪

Hi, hi, uh, Dr. Montgomery.

Are you an OB resident?

Yes! Dr. Wilson.

Great! Can you get me some coffee?

Black and sweet.

♪♪

Say it again.

Rashida, a donor kidney has been found, and it’s on its way here to Grey-Sloan for you.

[Beeps] Did y’all hear that?

Dr. Ndugu got it done.

Say hi, Dr. Ndugu!

Hey, followers! Mm.

Mnh-mnh. Forget it, y’all.

He’s married. Bye!

♪♪

Is this really happening?

It’s really happening.

Ohh!

I can’t believe this.

I want to thank the donor. I want to thank their family.

You can thank them by getting well and living your best life.

[Sighs] Who’s doing the transplant?

I am still confirming that.

But I’ll be back soon, alright?

♪♪

[Breathes deeply]

♪♪

Hi.

Oh, you’re back. Yes.

Good, good. You know what? I have so many ideas, you know?

Ideas?

Yeah, ideas, thoughts, proposals.

You and I are gonna update this teaching program together.

Okay. Well, we should talk, because

[Chuckles]

Oh, and not just grand rounds.

I think we should bring in visiting surgeons each week.

And, also, we should start video-recording the surgeries again.

I mean, it’s the best way to learn.

They

They can see what went wrong and how the team adapted.

[Chuckling] Well, what do you think?

I…

It’s a great idea.

♪♪

Come on. Come on.

Hi. Hey, Dr. Grey.

Hi, Dr. Grey.

Welcome back, Dr. Grey.

Missed you.

♪♪

Hunt. My man.

Hey.

You are a general surgeon.

Mm-hmm.

And you’re skilled.

And you might be head of trauma, but don’t you ever think to yourself like, “Man, it sure would be cool to not just do trauma”?

You sound like a person who’s about to ask for a favor.

I need you to do a kidney transplant.

Hmm. Yeah, I know.

Webber’s got grand rounds, and

and Grey’s got a surgery.

And I-I definitely can’t ask Bailey.

Why not?

Well, because Bailey thought there was no way to get my patient on the transplant list, and I… came up with a way.

Would I be committing some kind of a crime if I did this favor?

No, no. Definitely not.

But I will owe you one.

Okay. Alright.

Thanks. Thank you.

[Siren wails]

What do we have?

16-year-old female.

Hemodynamically normal.

Hydrostatic pelvic injury.

Water plowed up and cut through her entire pelvic region.

What? How?

She fell off a Jet Ski. Or was blasted off.

Apparently, it’s all over the Internet.

No! [Coughing]

That video was for real?

[Groans]

Tovah, eyes on me.

Okay.

We have you, okay?

And the uterus?

It’s being prepped as we speak.

I hope it works.

I’m going to do my absolute best.

And remember that whatever happens is, um…

B’shert. B’shert.

Mm-hmm?

[Respirator hissing]

I heard there were sex parties.

Greys, Shepherds, Yangs

all of ’em.

And they survived a plane crash together.

What does that have to do with Dr. Montgomery?

Pretty sure she was on the plane.

She wasn’t. It was the Seattle Grace Six.

Or Five. Definitely not Seven.

No

Groundbreaking surgery happening below us right now, so shut up!

♪♪

[Monitor beeping, respirator hissing]

♪♪

Grand rounds on its feet means that you will be asked questions during surgeries.

All of you.

So maybe you want to put away the chips.

♪♪

You ready?

Ready. Scalpel.

♪♪

Why is the uterine transplant removed after one or two healthy babies are born?

♪♪

Okay, if I don’t get an answer in five seconds, I’m clearing the gallery.

You want to limit the immunosuppressive drugs on the patient.

Okay, Dr. Schmitt, is she right?

She is.

I swear, my 8-year-old listens better than some of these guys.

You asked me for an OR.

I didn’t tell you it wouldn’t come with a price.

[Chuckles]

Now, who can tell me where the uterine arteries are branched from?

Ooh, ooh!

[Grunts]

♪♪

Hayes: Hello, Lily. I’m Dr. Hayes.

How are you feeling?

[Retches]

Oh. Alright.

[Coughing] There we go.

I feel like that. Mm-hmm.

Sorry.

Don’t be. I’m used to it.

I’ve developed reflexes like a cat.

I’m seeing free fluid in the abdomen.

Mm-hmm. Pressure looks stable.

Lily, we need to get you upstairs for a CT scan.

Are your parents here?

Lily!

Oh, my God. I’m so sorry.

I-I didn’t even realize she slipped off the back.

Is she okay? Hey, are you a friend?

Yeah. I’m

I’m

I’m Micah.

Okay.

Micah, uh, we’re going to take care of her, but Lily has had the equivalent of a fire hose blasted up her undercarriage,

so we need to get ahold of her parents right away.

I need you to call them and tell them to get down here right now. Lily: No!

She hates them, like, really hates them.

And, um…they don’t know she was meeting me IRL.

Understood. I still need you to call them

IRL.

No!

Lily, your parents are going to be worried sick about you.

Not if they don’t know.

You’re 16 years old. We have to call your parents.

Am I dying?

No. Then I’m not calling them.

[Monitor beeping]

♪♪

What is the benefit of using a deceased donor uterus versus a live one?

Richard: The larger vessels of the cadaver can be used for the anastomoses, simplifying the procedure.

Is he allowed to answer?

No.

I’ve never done one of these either.

Good dissection here.

Ready for the uterus.

♪♪

[Cellphone chimes]

Oh, come on!

Shh!

You shush!

♪♪

Dr. Schmitt, can you point out the uterine artery and vein?

[Whooshing, rattling]

♪♪

[Thud]

[Ringing]

What the hell was that?

Noah, this is Owen Hunt again.

I’ve left you a few messages.

Can you please call me back? Thank you.

[Grunts]

[Rumbling]

Well…crap.

[Whooshing stops]

You heard that, too, right?

Air-conditioning system is overworked.

A bit like the rest of us, Chief, you know?

Ugh.

Jet Skis.

Basically just motorcycles on water.

Nothing good ever comes out of them.

Except fun.

Is it just me or are all teenagers losing their minds right now?

Teenagers don’t have minds to lose.

Lily: Micah?

Micah?

He’s in the waiting room, Lily.

Just try and hold still, okay?

You know, I have OCD.

I don’t like germs.

I don’t like disorder.

This world is full of both of them.

I wish I could lock my kids in the house, away from all of it.

But if you lock your kids up too tight, you run the risk of locking up their minds.

Their wildly immature, under-developed, overly hormonal minds.

[Laughs]

You know, we’ve all been through a trauma this past year and a half, but the kids

they don’t even know how to ask for help.

So they blast off on Jet Skis with “friends” they met on the Internet.

[Computer dings]

She’s got free air.

I suspect her rectum is perforated.

Let’s book her for an ex-lap immediately.

[Beeping]

♪♪

Optimum temperature in the OR, Schmitt?

Between 68 and 75 degrees?

Correct. But it’s really the surgeon’s personal preference.

Oh, good. Then can we prefer that we turn it down in here?

66 degrees, please.

The AC is out.

The whole hospital is down.

I need to start transferring surgeries.

Tseng, Ortiz, Chee, you’ll help.

How long will it take you to close Tovah?

I’m halfway through a complex end-to-side vascular anastomosis, Richard.

I can handle a little heat.

The HVAC system controls the air filtration in the hospital.

You’ll need to close her as soon as possible to prevent infection.

I’m not stopping Tovah’s transplant.

She’s been waiting months for this.

Then find a way to double your speed.

Find me a set of hands who’s experienced in microvascular anastomosis of the abdomen.

Get me Meredith Grey.

Get all available staff to put portable AC units and fans in the ICU and close any open window.

It’s cooler in here than it is out there.

[Scoffs] For now.

What’s going on? The HVAC’s out.

All surgeries are canceled or postponed.

We need to divert trauma.

I have a kidney transplant. It’s already en route.

Tell them to call the next person on the list.

Our patient is down to her last access point for dialysis.

She’s at severe risk for bacteremia or sepsis.

I just got approval from the transplant board to list her with medically urgent status.

I’m sorry, Winston.

There is a protocol for when and if the hospital HVAC blows out.

I just never thought we’d have to use it.

[Breathes deeply]

Woman over P.A.: Nurse Kruger to the OR. Nurse Kruger to the OR.

She can’t wait for the next one.

She’s getting sicker every day because I made the decision not to put in a permanent port.

Why? It’s complicated.

But she needs this kidney.

She needs it, and I need her to get it.

Okay. [Sighs]

Where are you going? I’m gonna save your kidney.

♪♪

[Monitor beeping, respirator hissing]

Dr. Grey.

Dr. Montgomery. Congratulations. Uterine transplant.

Congratulations to you, too. Abdominal-wall transplant.

[Beeps] Dr. Grey also assisted on an abdominal-wall transplant that included the penis.

Yes, I read about that one, too.

She won a Catherine Fox award, performed several ALPPS procedures, and built mini-livers in the lab.

Yes, Helm, we got it. Thank you so much.

♪♪

Have you prepared the external iliac on my side?

I have. 8-0 Prolene.

♪♪

Thank you.

Okay, so, I closed us to trauma.

I diverted the rigs to Seattle Pres.

Should we let the walk-ins know about the situation?

What do you mean “outsourced”?

You manage the facilities. Uh

Hello?

Apparently, our specialized industrial HVAC company is overwhelmed with calls from all over the city.

You canceled my double-knee replacement?

It’s 87 degrees in OR 3.

Well, it was hotter in Iraq. Honestly, this is balmy.

Yes, I’m still holding.

I should go check on Scout.

Oh, I was just in the daycare.

Everyone’s good. They’ve got a snow-cone guy.

Hopped up on sugar, but good.

I’m more worried about the babies in the NICU.

Immunocompromised and unable to regulate their temperature?

Yeah, should we consider transferring them?

[Receiver slams]

No ETA for our HVAC team.

I could take a look.

Where is it? The HVAC?

I’m good at fixing things.

Oh, oh. I-I can assist.

I just installed a window unit this morning.

[Siren chirps]

Wow. That’s it? Yep.

You’re gonna do my surgery on a Mack Truck?

It’s not a truck. Or it is, but it’s also a fully operational OR.

It was designed for emergency surgeries in the field.

It’s incredible.

I gotta warn you guys it’s chilly in here.

Do you guys have jackets?

Rashida: Ooh! Is he single?

Can I post live?

No and no.

Thanks for coming. Hey…

But if the fire chief asks, I did not drive this here.

And if your wife asks, same.

Are you serious?

The way I see it, we’re in a Grey-Sloan annex.

[Clears throat] Let’s go.

Okay.

♪♪

[Ringing]

[Computer chimes] Oh, my God.

Kai: Shepherd.

Dr. Bartley, hey!

I am so sorry that I missed our call earlier.

What happened?

I had a complication in the OR, and it took longer than I expected.

Your head. You hurt?

Oh, no. I’m fine.

Just incredibly hot. [Chuckles]

[Chuckles]

Uh, historic Seattle heat wave.

Even the hospital is not as cool as it should be.

Got it. I got the MRI scans on the latest mice group.

And? 74% showed that the transplanted cells are functional.

Oh, my God! That’s fantastic news.

Meh. I see it as a need for 26% improvement.

I want to start another group next week.

Can you get up here by then, do some trouble-shooting with me?

I would be thrilled. Absolutely, yeah. Thanks.

Close your eyes.

Um… Okay.

You’re in Lake Superior in late fall, right before it freezes over.

No wetsuit, no sunshine.

It’s the type of cold that makes your fingers ache and your eyelashes frost.

Your whole body chatters, not just your teeth.

♪♪

Uh…are you trying to guide-meditate me into feeling cool?

Did it work?

I mean, it didn’t not work.

[Chuckles]

See you next week, Shepherd.

[Computer beeps]

♪♪

Doppler.

[Monitor beeping, respirator hissing]

So, what’s next, Dr. Grey?

Uh, just finishing up this last stitch here.

No, I meant for you.

I will win the Fox award this year for uterine transplants, but what will earn you second place?

To be honest, I could give you a run for first if I could get my logistics and responsibilities here sorted.

Have to have some difficult conversations.

Richard.

I’m not hearing a signal. Levi: What do you mean?

I don’t hear anything on the Doppler.

Anastomosis looks perfect.

Damn it. There must be a clot in the vessel.

Okay, we’ll have to reopen the anastomosis.

You just finished. Well, it’s all for nothing if we don’t get proper blood flow.

Let’s re-open the anastomosis. Now, Schmitt.

♪♪

This is… not a window unit.

[Siren wails in distance]

Nope.

NICU babies.

[Wailing continues]

Let’s give it a try, then.

Yeah.

Uh…

Hey, I’m

I’m

I’m sorry about you and Amelia.

[Metal clanks lightly]

Well, I’m sorry I didn’t make it to the wedding.

Teddy: Oh, please. It was impromptu.

I mean, 20 years in the making, but impromptu.

Oh, my God!

What is it, like, 120 up here?

You know, my body adjusted to extreme heat in Iraq.

I’m not even sweating.

That sounds more like dehydration.

[Grunts lightly]

♪♪

So, what’s the plan?

♪♪

Still coming up with one.

♪♪

How about that?

Careful. Oh.

[Monitor beeping, respirator hissing]

Uh, lap pads for Lily and my face.

Catheter.

I take it this isn’t typical summer weather in Seattle?

You didn’t live here last summer?

I don’t remember seasons during the pandemic.

[Chuckles] [Door opens, closes]

What is it about closing the ORs that is so difficult to understand?

This patient should have been transferred!

And I chose not to do that.

My patient, my call.

You’re working with bowel. The risk of infection

Did not outweigh the need for my patient to receive immediate surgical care.

And the longer you stand there arguing with me about it, the longer it’s gonna take to get what you want, which is no operating in this OR.

Have anything else to say about it?

Eh!

♪♪

Didn’t think that would work.

It works on my two teenage boys every day.

3-0 Vicryl. [Laughs]

♪♪

[Suction gurgling]

♪ Caught in the morning low ♪

Addison: Okay, we’ve got good inflow.

Heparinized saline.

Won’t the graft die if this doesn’t work?

Not if Dr. Montgomery can dissolve or dislodge the clot.

♪♪

Still no flow.

We should use a Fogarty. Fogarty Catheter.

♪ Pulled by the undertow ♪

♪ An infinite map with no directions ♪

Inflate the cuff slowly.

Pull back gently.

♪♪

[Laughs] Yes!

Well done, team!

You okay, Schmitt?

Who? Me?

I actually enjoy a shvitz.

“Sweat” in Yiddish.

Yeah, I know.

♪ …away ♪

Feels like old times

you manning the anesthesia.

[Chuckles] Don’t get used to it.

Warren, I can’t thank you enough.

I’m just happy that somebody’s using this thing.

Well, why’d it get benched?

There was an incident with my, um

with a junkie with a gun.

And the department didn’t love that there was a traveling target for drug addicts who were desperate enough to hijack us for fentanyl.

Fair, but there must be a solution.

Trust me, I pled my case, but, you know, no dice.

Now it’s just a very expensive piece of machinery that sits out back of the firehouse, waiting for the day when someone will let me dust it off.

Hmm. Or some stubborn surgeon asks you to borrow it.

[Chuckles]

And Grey-Sloan paid for it, alright?

Grey-Sloan can decide what to do with it.

Plus, you know, no one ever accused us of being rule followers.

Well, I generally am a rule follower, unless the rules mean my patient can’t get the kidney she deserves.

Wait, wait, wait. Is this an illegal kidney transplant?

Okay, d-does my wife know that I’m here?

No, but she’s the one who told me to fight the broken system.

By breaking the rules?

No. Yeah, I didn’t think so.

[Chuckling] Anyway, no, I didn’t steal a kidney.

And even if we had, it wouldn’t matter now, because there’s urine in the Foley.

Rashida now has a functioning kidney.

[Laughter]

♪ …away ♪

[Clattering]

Come on!

[Clattering continues]

Damn it! [Sighs]

[Siren wailing in distance]

Sorry. I’m…hot… and I just wanted to… fix something.

I just wanted to fix something!

Some things are harder to fix than others.

I’m in love with her. I’m in love with her and I don’t even think she even thinks about me.

She’s planning trips without me.

She’s

She thinks I’m old-fashioned.

She… [Scoffs]

I mean, I don’t even know.

She thinks I’m trying to control her because I want some.. some commitment from her?

I mean, I don’t get it.

I-I don’t get it!

[Sighs]

This is not what I wanted for my kid.

This is

This is… This is what I had!

This is not what I want for Scout.

I’ve been there.

For whatever it’s worth, I have been right where you are.

♪♪

I’m sorry. I’m just really hot.

I made people put on hats.

[Laughing] For fun on the hottest day of the year.

♪♪

Yeah, you want to do fun today… think cool.

♪♪

Taryn: Zander, they’re coming.

So, what happened?

Shh, shh, shh! [Clears throat softly]

[Telephone rings in distance]

Did they have it out in the OR?

No, but there was tension.

There was definitely tension.

[Elevator bell dings]

We can hear you.

Stairs. Yes!

Go, go!

[Both laugh]

[Breathes sharply]

[Sighs]

[Crying]

[Elevator stops]

Oh. [Crying]

[Sniffles]

[Laughs]

I thought…

♪♪

…coming back here…

♪♪

…to Seattle, to Grey-Sloan, that, uh, he’d be here, that I would be able to feel that he was still here…

♪♪

…in the city that he loved, with the people he loved, but he isn’t.

♪♪

[Sniffles] And it’s real.

He’s not here.

And I’m really sorry I’m doing this in front of you, because you’re the one who had to actually go through it.

♪♪

[Sighs]

♪♪

Addison…

[Sighs, sniffles]

♪♪

…he is here.

And he’s in his children.

And they are very real. [Chuckles]

And I would love for you to come and meet them.

♪♪

Meredith…

♪♪

…you’ve never been one to shy away from fighting for what you love.

So if you believe in this next big thing, fight for it.

♪♪

Richard will understand.

♪♪

[Sniffles]

♪♪

[Elevator rumbling softly]

♪♪

[Elevator bell dings]

♪♪

[Telephone ringing in distance]

♪♪

[Breathes sharply]

Grey made her cry, and I’m here for it. [Sighs]

Okay, thank you. Woman: Mm.

Congratulations.

So far, so good.

There’s minimal output from her drains.

Doppler studies look good.

But the true success will be when she gets pregnant and, uh, we deliver a healthy baby.

I’m sorry about the HVAC.

It wasn’t designed to be pushed that hard.

The Earth wasn’t designed to push this hard.

And speaking of pushing hard, your residents are almost there, Richard.

You made it sound catastrophic.

Well, they aren’t like you and Derek back in New York.

I mean, I remember you two were machines.

All this generation wants to do is complain.

They’re not complaining, Richard.

They’re standing up for themselves.

They’re not willing to be worked to death by a system that, frankly, should have been considered inhumane.

I think that’s progress.

Doctors are overworked.

You know, they’re getting sick. They’re retiring early.

There’s a reason for that.

You’re saying it’s our fault?

I’m saying that we can do better.

I’m saying… there’s always room for improvement.

And, okay, yeah… sometimes they’re a little whiny.

[Chuckles]

It’s really good to see you, Addie.

♪♪

It’s good to see you, too, Richard.

♪♪

[Fan whirring, monitor beeping]

She’s not gonna die, right?

No.

But she’s got some pretty serious injuries and a long road ahead of her.

So I need Lily’s phone, Micah.

I need to talk to her parents.

Lily says her parents don’t know her.

They just want to track her phone and control everything she does.

Okay.

But, on the other hand, if she doesn’t talk to them and if she keeps secrets from them, how are they supposed to know her?

How are they supposed to feel safe?

How are they supposed to even breathe?

She says all they do is yell at her.

‘Cause it’s impossible. [Tablet thumps lightly]

Because you’ve loved them really well all their damn lives, and then, all of a sudden, they turn 14 and they don’t want to have anything to do with you.

♪♪

And you can see that they’re hurting.

You can see their pain and their fear, their panic.

And they used to talk to you about everything and cling to your leg.

Now they just slam doors and stare at their phones and tune you out.

And, yeah, it’s…

[scoffs]

…it’s really hard being a teenager.

I remember it.

I remember how my father used to shout.

I remember how I used to hate him sometimes.

But do you know what, Micah?

It’s also really hard being the parent of a teenager.

So if Lily’s parents have been controlling, maybe they have a reason to be scared.

♪♪

Alright, Micah, Lily’s gonna be crapping into a bag for the next six months, so unless you’re gonna be the one to help clean that up, I suggest you unlock her phone.

♪♪

[Phone clicks]

Thank you.

There you are.

Richard: You saved the grand rounds surgery.

The HVAC team finally got here, and the AC is on in the ICU and the NICU.

The whole hospital should be back soon.

Thank God.

Can we talk about the residency program?

Yes! Ah!

And I hope I’m not stepping on any toes, but I really think the two of us can revamp this whole thing.

Except it won’t be the two of us.

You’re gonna take the job in Minnesota.

Yes and no.

I was offered an opportunity that I just cannot turn down.

Well, what is it?

It’s an opportunity that I cannot turn down.

Oh, I see.

It is so good that you can’t even talk about it.

I’ll split my time between here and there.

And I’ll stay on as chief of general surgery, but I do have to give up the residents.

It would not be fair to them.

And, quite honestly, Richard, I think it’s wrong for anyone to have that job but you.

Yeah, you’re just saying that to make me feel better.

So?

[Chuckles]

So I will be honored to stay in the role.

I thank you. Uh, Meredith, uh, eventually, you will tell me what it is, right?

♪♪

Right?!

[Monitor beeping]

Her labs look incredible.

And she’s got a full bag of urine.

[Beeping continues]

[Weakly] Did… Did it work?

Do I have a kidney?

It did.

Everything looks great, Rashida.

Ooh! Thailand, get ready.

[Chuckles] Yeah, you deserve to celebrate.

And so do you with your doctor-wife.

And somewhere cool.

Well, unfortunately, she’s out of town.

But I did score an invite to the coolest place in the hospital.

Um…hello. Where?

Okay, it is definitely cooler down here.

The morgue?

We got invited to the morgue? Unh-unh. No.

I got invited.

You just followed me.

[Sighs]

Hey! Come on in!

Grab a snow cone, cool off.

Winston: Wow! This is weird.

But fun, right?

Sure. Thanks.

I delivered two babies today in 115-degree heat.

I mean, it’s not a competition, but I did help out on a successful uterine transplant.

“It’s not a competition, but I did help out on a” bleh-bleh!

Residents can feel like they’re being pulled in a zillion directions.

You’ll get in on the next cool thing.

Are you seriously telling me how it feels to be a resident?

I tell you how it feels to be a resident. Mm-hmm. Okay.

Oh, b-b-but if Dr. Montgomery comes back to deliver Uterine Transplant’s baby, put a good word in for me so I can get in on it?

Mm. W–

[Chuckles]

Ambassador of Fun.

Yeah, nice job, Altman.

Creepy, but [chuckling] nice.

People are dying to get in here!

No.

They’re not.

♪ I know there’s gunna be some brighter days ♪

[Sighs]

Meredith: For me, the boiling point is more about stuff bubbling up from the bottom.

♪ I swear that love will find you in your pain ♪

Oh, my God. [Both laugh]

♪ I feel it in me like the beating of life ♪

♪ In my veins Oh! Oh! ♪

♪ I know there’s gunna be some brighter days ♪

[Both laugh]

♪ I know there’s gunna be some brighter days ♪

Oh, my God! I have been waiting for this moment all day.

I was stuck over a brain when the stupid AC went out.

I was over a uterus. Oh.

[Rumbling] Oh, good.

The air is back on just as we’re leaving for the day.

Typical of this place.

Oh! [Both laugh]

So, where do you want to go for dinner?

Your place. Meredith invited me over.

She did? Mm-hmm.

Is that weird?

Why would it be weird? [Laughs]

No reason.

Though I did hear that you guys had a threesome one time.

I heard it was a foursome.

Mm. So… [Laughs]

♪ I feel it in me like the beating of life in my veins ♪

It’s about stuff you haven’t thought about in a while.

It’s about stuff that’s been heating up while you weren’t even paying attention.

♪ I know there’s gunna be some brighter days ♪

Hey. Listen, I know you’re scared.

No. Noah…

Noah, I know you’re scared.

I know you’re in pain.

But you should also know that there are so many others just like you who are also scared and also in pain because the military doesn’t want to take responsibility.

♪ Oh, if your walls are crashing down ♪

The only way to help all of you is to at least try to fight, because that is what we do.

We fight for what is right for as long as we can.

And I will help you, Noah, every step of the way.

♪ I know there’s gunna be some brighter days ♪

♪ I swear that love will find you in your pain ♪

The question is…[Sighs]

…how well can you contain things before they boil over? [Door opens]

♪ I feel it in me like the beating of life in my veins ♪

What do you need from me?

♪ I know there’s gunna be some brighter days ♪

I need to know everything that you know…

…what the V.A. said to you, your story, and everyone else’s.

♪ I know there’s gunna be some brighter days ♪

♪♪

♪ Oh-oh, oh-oh-oh-oh ♪

Okay.

Come in. ♪ Oh-oh, oh-oh-oh-oh ♪

The thing is, even if things don’t boil over completely, they can still simmer.

♪ Oh-oh, oh-oh-oh-oh

[Laughs]

We’re here!

Come meet somebody, guys.

Hi!

Hey. So, this is Zola and Bailey.

And the youngest one is Ellis.

She’s upstairs, in a mood.

She gets it from me.

♪ Oh-oh, oh-oh-oh-oh ♪

Hi.

Hi. [Chuckles] Hello.

Were you Daddy’s friend?

I was, yes.

Uh, I’m, uh, I’m Addison.

But he… he called me Addie.

And as long as you’re careful how you handle yourself…

Want some ice cream, Addie?

I would. I would love that.

[Laughs]

♪ I know there’s gunna be some brighter days ♪

Oh, wow! Look at this.

♪ I swear that love will find you in your pain ♪

Is this rainbow sherbet?

Zola: Yeah, and guess what rainbow everywhere, too.

I mean, and a pizza.

And sprinkles.

Who doesn’t like sprinkles? I know, right?

Which topping do you like the best?

Um…

Mini chips.

Yeah.

Oh!

Skittles?

Psych. [Laughs]

…you won’t get burned.

You guys, guess what.

I’m falling more in love with you every second.

Thank you. Every stinkin’ second.

[Laughs]

♪ I know there’s gunna be some brighter days ♪

♪♪

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