Woman: [ Screams ] Man: What was that?!
[ Indistinct shouting ]
Man: Get away from the building!
♪♪
Meredith: When a patient consents to surgery,
they're not just trusting their lives to a surgeon.
They're trusting an entire team.
[ Indistinct conversations, alarm blaring ]
An anesthesiologist must continually monitor sedation,
respiratory and heart rate, blood pressure.
Let's go! Let's go! Ben: Clear. Clear.
Come on. Hustle. Hustle. Hustle.
Clear! Clear! Look out!
Sir! Sir, you can't enter. No, you don't understand.
You need to... No, you don't understand!
You need to evacuate now! You don't understand!
You need to evacuate now!
No! No! Go back!
A first assist suctions and retracts,
helping with every suture and staple.
[ Fire crackling ]
[ Coughing ]
A scrub tech organizes and hands over surgical tools,
saving valuable seconds and blood spilled.
♪♪
And circulating nurses document the case,
keeping track of who touches the patient,
what's used and when.
[ Clattering ]
♪♪
Help! Help us! We need some help in here!
Help!
Somebody help us! We need help!
Every member of the team shares responsibility
in the patient's survival.
[ Fire crackling ]
If someone's not there...
...you're in trouble.
[ Alarm blaring, siren wailing in distance ]
If you don't sit still for one damn minute...
The elevators are shut down. Dr. Webber!
This department exits through the east stairwell. Sir.
Sir! Okay.
Everybody stay calm. That's the generators kicking in.
People, keep your phones on for updated evacuation alerts.
Has anyone gotten through to the sixth floor?
Dr. Webber! What?!
It's the acetylene tank. It wasn't empty.
It was leaking gas the entire time.
Woman (over PA): All personnel... Oh, my God.
I need to speak to that fire chief right now.
You're going nowhere
but downstairs so we can evaluate that head.
We don't have time.
I need to lock this hospital down again.
We'll do it on the way. Come on.
Teddy: All patients on the third floor and above
will be moved to a secure area.
We need full cooperation from everyone.
Do not leave the marked safe zones.
Seattle Fire is working quickly to assess
the structural integrity of the north side of the building.
If we remain calm, our patients will.
Thank you.
How can I help? We're evacuating the CCU.
That includes Nora Young.
She's too critical to stay here,
so I want to transfer her to Seattle Pres.
Teddy. Uh, head upstairs.
That woman was my patient's mother.
We don't know that it's related.
If Dylan's outcome had been better...
if I had been better... Amelia.
Put me somewhere I can help.
I will evacuate patients, triage,
whatever you need, please. Okay.
Richard has sustained a head lac.
He is heading down to the E.R.
He will need a neuro evaluation.
Here you go. Thank you.
Meredith: Hi, Nick. It's me.
Listen, something happened at the hospital,
and you're gonna hear about it on the news.
But just know that I'm okay. I love you.
Can't let you in. E.R.'s completely full.
Fire department's orders. Okay. Well, I'm Meredith Grey,
and I work here. Badge, please.
I've worked here for a really long time.
I am a surgeon.
My name is on the building. Meredith Grey. Badge, please.
You know, can you just call Teddy Altman or Richard Webber?
Is your phone broken?
There's people out here that are injured.
Fire department says... Where are they supposed to go?
Some transfers are going to Seattle Pres.
Otherwise, we need to wait for beds to clear.
What if they don't have that kind of time?
Fire department says... Yes!
You've said it. I understand.
What...
Are you... Do you all work here?
Uh, in eight hours, we do. Yeah.
We just finished our intern orientation.
We want to help, but the guy won't let us in
until we are officially activated.
Meredith: Oh, good. Somebody who knows what she's doing.
Okay. Follow me.
The rest of you, try to find gurneys.
Uh, where are the gurneys?
Where's your fancy white coat? Not the time.
It's locked. What?
♪♪
Give me that IV pole.
You need it for a patient or something?
Stand back.
Oh!
♪♪
Whoo! Clinic's open.
All right. One way to do it. Come on, guys.
Owen: Patients need to be evacuated from the O.R.
Stretchers are over here. We go in in teams of four.
If anybody gets lightheaded or has shortness of breath,
say something immediately.
Hunt! Hunt! Have you seen Miranda?
Normally, she texts me when she's heading into surgery,
but maybe she got pulled into something.
By the time I got here, SFD had already started moving people.
I heard the blast was in O.R. 2. Was anyone in there?
We can check the O.R. schedule.
I'm not going anywhere until I find her!
Keep the hose line steady at the stairwell door!
[ Extinguisher hissing ]
Ben!
♪♪
Oh!
You okay? Mm-hmm.
You okay? I-I'm okay.
But Lincoln is not.
Come.
♪♪
[ Man groans ]
Jo. Jo was going home.
She went home, right? She wasn't in the building?
I saw her leave. She saved you.
You want me to call her? No.
She'll want to come here. It's not safe.
Her blood pressure and the babies.
We'll call her when we have to.
Obvious blunt trauma to the chest.
Systolic's in the high 90s.
Heart rate's been hovering in the 110s. Okay.
Link... Link, does it hurt more on one side?
It's pretty excruciating across the board,
but, um, I can't feel my right arm, so start there.
Bailey: Ben.
Okay. [ Grunts ]
Owen: Here we go.
No. Stop! We need to stop.
Why? What's happening?
Somebody say something.
I think a piece of the ceiling
is penetrating below your clavicle.
You got to get it out.
Please, g-get it out.
Stay calm. Try not to panic.
Please, you got to get it out.
Link, try not to panic, okay? Get this thing off me!
Monica: [ Groaning ]
It's too heavy. No kidding.
Help! Hello?!
Um, okay, so, are you having trouble breathing?
No, no, I just... I think part of my pelvis is shattered.
But I'm more worried about Parker.
[ Breathing heavily ]
Your patient needs you. Go.
Uh...
Okay. No burns.
Um, no shrapnel injuries.
Good. How are his vitals?
They're holding steady for now.
T-There's no bleeding at the port site.
Man: Hello? Anyone in there?
Yes! Help! We're in here! Help!
We're working on getting you out!
Just stay calm!
[ Monitor beeping rapidly ]
O2 is tanking. We need, uh...
How are we going to keep Parker alive
if we don't have anesthesia?
We can't panic. Not yet.
♪♪
Tell me there's news.
Fire chief said he doesn't know the extent of the fire,
the damage, or how long until it's contained.
Fatalities? At least one.
A patient on the O.R. floor.
I want to call the family myself. Of course.
How are you feeling?
I keep telling everyone I'm fine.
There's no sign of TBI or concussion on physical exam,
but we should still scan you
to rule out intracranial bleeding.
It can manifest up to 10 hours after the impact.
I'll take my chances. Okay?
When do you think you're going?
This hospital is on fire!
And you think you gonna put it out?
You can manage this from here. She's right.
The scan will only take a few minutes.
All right. Please keep your phone on.
I will call you with any updates.
Dr. Altman, where do you need me?
Uh, help Kwan upstairs with evacuations.
I've got to call Jackson.
If you get out of that bed,
there'll be hell to pay, Richard Webber.
Woman on P.A.: All rapid-response teams report to CCU for immediate...
Hey, I had to sneak in
through the maintenance entrance.
Are you okay?
I-It's just a scratch.
Have you seen Link?
He's not answering his phone.
He was heading into surgery, and...
Where is he?
He's on the O.R. floor.
They're bringing him down as fast as they can.
He's with Hunt and Bailey.
[ Grunts ] Winston: All right.
There's a rig standing by to take him to Seattle Pres.
Oh, my God. Can you tell these guys I need more morphine?
It's on the way.
Oh, we need that blood. Here, here.
Are you thinking subclavian injury? No telling what else.
We need to extricate him to fully assess him.
We need to give the blood and fluid a chance to work!
We need to get off this floor ASAP.
We don't know if it's structurally stable!
This piece could be tamponading something.
If we remove it too quickly, he could bleed out.
[ Monitor beeping ] Ben: BP's still unstable.
He's not responding to blood alone.
Hunt's right. We're running out of time.
Okay. Okay. Okay. Good.
Ready?
Okay. On my count.
Okay. One, two, three.
[ All grunt ]
Pressure. Pressure. We need a clamp.
On it.
Move, move, move. Go, go, go, go.
[ Groans ]
All right. Can you see anything?
Yep. Got it.
If I'm going to Seattle Pres...
we better start moving.
Guys, the elevators are out.
Then we take the stairs.
♪♪
Talk to me.
I'm only getting breath sounds on the right-hand side.
Maybe a left pneumothorax.
Okay. Are there any signs of blunt trauma?
Um, I don't see anything. [ Monitor beeping ]
Then I'm betting the ET tube got pushed
further into his bronchus with the blast.
Uh, I can try repositioning it.
Okay. Yeah. J-Just keep bagging
and pull the tube back slowly and then listen.
[ Monitor beeping rapidly ]
Okay.
I have bilateral breath sounds.
And his O2 sat's improving. Nice work, Millin.
How's your pain? Oh, I can barely feel it.
We need to get you out of here.
We need to get Parker out of here
before his anesthesia wears off.
We need to get you both out of here.
What is taking so long?!
They... They're working on it.
For now, we need to get his incisions closed up.
And by "we," I mean you.
[ Monitor beeping, respirator hissing ]
[ Indistinct conversations, telephone ringing ]
Hey. Altman sent me to help.
I'm glad you're not dead.
Nora Young... Altman and Ndugu
built her a new aorta out of nothing two hours ago.
Her M.A.P.s need to be above 65 and below 80
for the entire transport. What happens if they don't?
Too low, she dies.
Too high, her new aorta blows, and she dies.
Fun.
Hey, have you seen Simone? She's not answering my texts.
Uh, not since the locker room. Also, I haven't seen Millin.
So, are you and Simone back together?
Yeah. Yep.
Great. Good for you.
[ Monitor beeping ]
She's a bit tachy.
Let's give her another bolus before we move.
Code red, sixth floor.
Evacuate all patients and staff via stairwell.
I'm sure she's fine.
Code red, sixth floor.
Evacuate all patients and staff via stairwell.
[ Sighs ] Yeah.
Are we clear? Yes.
Okay.
[ Indistinct conversations ]
We'll start with the left side.
Okay, so I think...
Dr. Grey told me to find Griffith.
Point me to Griffith.
It's Dr. Griffith.
Doc... Okay.
When was there time for me to learn that last night?
Go. Assess the woman in bed three.
Okay.
Baseball cap, I need a doppler.
Right. Doppler.
Uh... Right here.
Hey, um, I think maybe you can just ask me
for stuff from now on.
Why is that?
Uh...
I mean...
♪♪
Oops. Uh...
♪♪
Sorry. Right. Okay.
Interns? Everyone over here.
Quickly, please.
Okay. Listen up.
Okay. I'm not asking anyone to perform a Whipple.
Put patients in beds. Take down information.
It's basic triage.
You've all matched with Grey-Sloan for a reason.
Show me why. Do we have any questions?
Um... Hi. Hi. Um, I'm Dani.
Dani Spencer. Dr. Spencer.
Right. Right.
Um, what if you have a patient
who sustained blunt trauma to the abdomen
and is now experiencing some delayed pain?
Which patient is that?
Me.
Oh!
Let's get her in a bed.
Let's move, let's move! Get 'em out! Get 'em out!
[ Groans ] Careful. Watch his lines.
Uh, h-have you picked out names for the girls?
Jo told you before me, didn't she?
Uh, no.
The twins are girls?
Yikes. Congratulations.
Oh, those girls are gonna have you wrapped
around their little baby fingers before you've even blinked.
I can't wait. Stop, stop.
W-We need to stop.
Okay. Oh, shoot.
Okay, so we need a plan B.
We just need to keep moving.
And I just need you to look at all the blood
on the damn stairs.
You think he's really gonna make it to Seattle Pres?
The CCU is one floor down. We could operate there.
They evacuated it.
I'm waiting for a better idea.
Man: Go! Come on! Come on! Let's go!
Be careful! Be careful! Let's go!
If you clip my heels one more time...
Nora's pump will get to Seattle Pres before she does.
She's the chief's miracle patient.
I'm not trying to kill her.
[ Monitor beeping rapidly ]
Uh, tube's still in. Nothing's out of place.
Okay. The screen says high volume.
What do you know about ventilators?
Okay. Uh, the pressure control
has a set inspiratory pressure, right?
Yeah, but tidal volume can vary.
Okay, maybe we switch the setting to volume control.
Or maybe we just call a resident from anesthesia.
Screw it.
[ Beeping stops ]
How did you know that would work?
I didn't.
Let's go.
Attention, engineering. Report to the east lobby.
Some bruising on the right flank.
She said a gurney slammed into her.
Not here. On the sixth floor.
It happened during the blast
or explosion or whatever that was.
And you didn't tell anyone about it?
Um, technically, I wasn't supposed to be up there.
Okay. I-I wanted a selfie in an O.R.
Um, we finished on boarding, and I just wanted to take a picture
and show it to my dad because he's so proud of me.
He's ironed my white coat like three times for tomorrow.
I can still start tomorrow, right?
Well, we have to make sure
the hospital is still standing first.
Right. Ultrasound.
Uh, can I do it? Just for, you know, learning purposes?
Not unless you're gonna go in vaginally.
This is normally a reproductive clinic.
This is beyond humiliating.
Well, half the battle of intern year
is standing out from the rest of your class,
so you're ahead of the game.
Simone: Okay. Ready?
Okay. Tell me what you see.
Take your time. Go slow.
There's some free fluid in Morrison's pouch.
Yeah, but nowhere else. She seems stable.
Okay. As soon as we have access to the hospital,
she will need a scan.
Until then, keep a very close eye on her.
Welcome to Grey-Sloan.
Okay. I've completed the periumbilical incision.
Now what? Now you close the lateral port sites.
Okay. [ Monitor beeping ]
He's getting more hypotensive and tachycardic.
Oh, God. Is he waking up? Is he distended?
Oh.
Mm-hmm.
He might be bleeding internally.
But he wasn't bleeding from the incisions.
But the move from the blast could have nicked something.
It could have been building slowly.
[ Groans ]
You're gonna have to open him up.
Absolutely not! We're running out of anesthesia!
Yeah, that's why you have to move fast.
I-I haven't done a solo procedure
on an adult, let alone a 6-year-old!
Millin! We always do this.
You always panic spiral, and I always snap you out of it.
And we really don't have time for that right now.
So unless you want to see that sweet little boy die,
I suggest you open him up right now.
♪♪
[ Clears throat ] Scalpel.
♪♪
Keep the second trauma bay open.
We may have to reroute more post-op criticals.
Should I transfer Dylan Gatlin?
This wasn't her fault,
and I don't want her to become the headline in this.
All right. Well, we can try, but Seattle Pres
has already taken 15 of our CCU patients.
I hear that they're triaging patients in the hallways.
Did we confirm if we lost any more patients
on the O.R. floor?
I can't share that information with you right now.
Richard's scan came back negative.
There's no clinical change. That's a good thing.
I'll take that.
And I'm still waiting to hear about Link's status.
Link?
What happened to Link?
♪♪
Trauma 2 needs to be transferred to Seattle Pres.
We can see if they need some help.
I thought you said your wife said
you couldn't get out of bed.
Do you see my wife?
[ Cellphone rings ]
Bailey?
Link: Hi.
Before you say anything,
I sound way worse than I am.
Where are you? I want to find you.
That's not safe.
If anybody lets you up here,
I'm gonna... I'm gonna take them out.
[ Chuckles ]
Or maybe start a rumor or something.
I don't know. I-I know dirty stuff.
I love you.
I love you. And I love our kids.
I feel... I feel pretty damn stupid
it took me so long to get my crap together to tell you that.
Just tell me when you come down here.
Yeah.
[ Whispering ] Bailey, we need to keep moving.
We will.
Hey, it's gonna be okay, but, um...
...but just in case, my password book
is in the second left drawer of my desk.
What? And get a dog.
Link, what are you doing?
It'll drive Amelia crazy
because we keep telling Scout no, but get a damn dog.
Can you stop?
Find one with big paws, 'cause, uh...
'cause big... big paws means... means it's a big dog.
It's protection... for my girls.
[ Monitor beeping ] Link?
-Come on, come on. -Starting compressions.
[ Voice breaking I Bailey? Bailey?
Someone tell me what's happening!
[ Gasps ] Link?
[ Line disconnects ]
[ Sobs ]
♪♪
Okay. This is the last unit.
He's in hemorrhagic shock.
Winston: Something else is going on.
Maybe his rib fractures caused a lung injury.
Could be a tension pneumo as well.
Yeah. Let's decompress him.
You have a 14-gauge angio-cath in there?
Yeah, I got you. Okay, I'll hold his arm.
Okay.
There you go.
♪♪
Would you hold that for me?
Bailey: Yeah.
♪♪
There's a weak pulse.
Yeah, but he's still really hypotensive.
He needs a chest tube. Let's get him to CCU right now.
I'll stabilize the angio-cath.
Can someone grab his legs? Yep.
I'll help at the head.
Ready. One. Two. Three.
Millin: I can't find where the bleed is coming from.
I'm gonna have to tell the mother of this kid
that I killed her child.
Come on, Millin, focus.
I think it's coming from the mesentery,
but I'm not sure. Okay. Clamp it.
And then look around for bleeding in another area.
Okay. Okay.
[ Monitor beeping rapidly ]
Clamp is in place.
You know, I had my first solo surgery on a kid
when I was a second year, like you.
My attending just handed me a scalpel
and left to take a nap in the O.R. next door.
Please tell me that this story has a happy ending.
The patient's name was Demetrius.
He was 4 years old, and he loved Spider-Man.
I mean, he, uh,
he asked me to surgically implant webs into his wrists.
That was the surgery? [ Chuckles ] No, no.
It was a bowel resection.
Poor guy had an obstruction, but...
...he did great.
And, uh... I did great.
I was so terrified, I almost passed out.
[ Exhales deeply ] But then I...
Then I got to tell his parents he was okay.
There is nothing better
than the hug you get from a grateful mom.
I mean, that...
that makes you feel like the superhero.
Bleeding stopped.
His vitals are improving.
Uh, what stitch do I use to ligate?
What do you think?
Um... 3-0 silk?
See? You don't even need me.
[ Jackhammer whirring in distance ]
[ Exhales deeply ]
[ Monitor beeps ] 140/90.
Still a little high.
Just keep taking deep breaths.
We've only been married 36 hours.
Link's tux is still on the bathroom floor.
His parents were just here.
His parents.
Do I call them?
What do I even say?
We see miracles here every day.
I haven't given up hope yet, and neither should you.
He's the only family that I have.
Oh, you know that's not true.
Dr. Lloyd to the E.R. Dr. Emily Lloyd to the E.R.
We work well together. What we did was wrong,
and it wouldn't have ever happened if I had known...
You were my boss? Hey!
What? Say it louder.
I'm really tired. Intern year gets better, right?
This is just, like, a really bad first day?
No one has a good first day.
Oh, she's really hypotensive.
I can see that. I'm what?
She's decompensating!
[ Monitor beeping rapidly ]
What happened? BP's dropped to 70s over 40s.
Heart rate's 130, up from the low 100s before.
Aah! Ow! Abdomen is more distended.
Bruising around the flank and now belly button.
What do we call this?
Grey Turner sign and Cullen's sign.
They can indicate retroperitoneal bleeding.
Excellent deduction, Dr. Spencer.
We're going to intubate you and prep you for an ex-lap.
Does that mean I get to go to the O.R.?
Something like that. Yeah.
I need an intubation kit and a surgical tray.
You want to do it here, in the clinic?
Do you want to kill an intern on her first day?
Not this one. Then get me a surgical tray.
[ Whimpers ]
Simone's helping other patients, I'm sure.
Just like us.
How'd you know we broke up?
What? Well, did she tell you last night?
Was she upset or... [ Monitor beeping rapidly ]
Hold her down.
I don't know what's wrong.
Do we increase her sedation drip?
Won't her pressure drop too low?
I think we should risk it.
Do it. Me? Me? It's... It's your idea.
I don't know how to do it. The nurse normally does it.
S-So, what makes you think that I know how to do it?
Oh, she's waking up. Oh, no, no, no, no.
Uh, should we... should we... should we extubate her?
I mean, worst case scenario is that we re-intubate.
No, no, no, no, no.
Worst case scenario is that she rips her chest open
from coughing and bleeds out.
♪♪
Owen: Okay. Chest tube is in.
Winston: All right. Uh, dissect a little farther.
Bailey: I'm trying. The man has so much muscle.
Okay. There.
Oh, my God. What's his status?
Ben: Penetrating trauma to the chest.
Injuries to the subclavian vessels.
Multiple rib fractures with pneumothorax.
Sustained cardiac arrest, resuscitated with CPR
and eight units of blood.
We needed all the hands we could get.
Amelia: He's A neg. He needs to be scanned.
We need to rule out a brain bleed.
Ben: BP's tanking. Pushing epi.
No, he needs blood.
Okay. We know. We got it.
Okay, then do something.
Somebody get her out of here right now!
No, no. I'm fine, I'm fine. Amelia...
No, no, no, no. Get off me.
No, it's fine. I'm fine.
Altman, take over. I'm okay, I'm okay.
Amelia? Just calm down.
No, I'm fine. Do not touch me.
I'm fine. Please... Amelia.
No! I want to stay! Go. Right now. Come on.
I need to be in there! Please! I want to help!
[ Monitor beeping rapidly ]
♪♪
I need retraction.
Oh, we don't have a Bookwalter.
We don't need one.
Dr. Bryant, grab one of those towels and come over here.
Put your hands where mine are.
Hell of a way to start intern year.
I don't mind being a human retractor.
I meant for her. Meredith: Well, she'll learn
what it feels like to be a patient.
It takes some interns years to learn bedside manner.
Okay, don't put too much pressure. Okay.
But don't let her bowel slip out.
That's the dopest thing I've ever seen.
Okay, Griffith. What's next?
Uh, in an O.R., I'd use a bovie
to carefully divide the White Line of Toldt.
Once in the retroperitoneum, I'd isolate the IVC.
I'm in.
You... dissected the retroperitoneum
with your finger?
It's the one tool we always have.
Oh, my God. Got it.
Nope. I lied. That is the dopest thing I've ever seen.
Okay. Let's ligate the lumbar
and close her up as soon as we can.
Okay. We got to pull the tube out.
It's the only way to keep her alive.
Yeah, I thought that once about a patient,
and it almost cost me my residency.
I've already seen her die once. I'm not gonna watch it again.
[ Monitor beeping rapidly ]
♪♪
All right.
[ Coughing ]
Don't drop. Don't drop. Don't drop. Don't drop.
Good breath sounds.
Let's check her incision for bleeding.
[ Monitor beeping steadily ]
[ Coughs ]
Hi, Nora. It's Dr. Kwan.
I know. I heard you guys the whole time.
♪♪
Why are we in the hallway?
We'll catch you up on the way.
♪♪
Teddy: All right. Graft is in. He's still hypotensive.
I can't see any more bleeding, and there's minimal blood
in the pleurovac. Why isn't he stabilizing?
I made the wrong call. I should've taken him to Seattle Pres.
No. We didn't lose him on the stairwell.
We're not gonna lose him here.
Don't think about what we didn't do or should have done.
Think about what we can do.
Okay. Let's do a thoracotomy
and check the chest cavity for injuries.
With minimal blood in the pleurovac,
there's no indication. We should resuscitate him,
take him to Seattle Pres for a full exploration.
He might not make it.
He certainly won't if we cut his chest open.
It is textbook. Trauma to the chest.
Rib fractures. Hemothorax. You do a thoracotomy.
In a controlled environment. This is too risky.
Altman, look, I have driven a rig from here to Seattle Pres
at least 100 times. Ben.
With lights and sirens and God on your side...
Bailey: Ben... minimum eight minutes.
Link is bleeding out from somewhere.
You really want to risk eight minutes?
♪♪
Chest tube is clogged.
He's bleeding out into his chest.
You still want to pack him?
All right. Okay. All right. Uh, where's the scalpel?
I've got it. Here we go.
Bailey: Got it. All right.
Hey. Let's go.
Okay.
♪ Letters sent before... ♪
The bleeding stopped. The ligating worked.
Monica: Try not to sound so surprised next time.
Okay, so now irrigate
and pack it with a wet, sterile towel as a temporary closure.
Uh, and then what?
Well, then we wait for them to get us the hell out of here,
and we hope everybody else is okay.
I, uh... hate babies.
[ Chuckles softly ]
Birth and...
their dependency and... tiny little organs
that are impossible to suture.
Not really a big fan of kids, either, but...
...you know, Parker...
he might have broken through to me.
You know, it might be my... my Demetrius.
♪♪
Dr. Beltran?
♪ ...cold wind, fate closing in ♪
Dr. Beltran?
No. No.
No, no, no, no, no, no, no, no, no, no, no.
[ Man shouting in distance ]
D-Damn it.
Okay. Dr. Beltran, you have to open your eyes, okay?
[ Grunts ] Wake up.
You have to wake up and look at me.
You wake up. Come on. Come on.
♪♪
I lost my dad when I was a kid.
It's been... the defining fact of my life.
Just this, like...
...unrelenting absence.
♪♪
I don't want that for Scout.
And Jo. [ Exhales sharply ]
My dad's death wrecked my mom...
probably forever.
♪♪
He'll pull through.
♪♪
If he doesn't, it'll be my fault.
And I will never forgive myself.
♪♪
♪ Oh, I push ♪
♪♪
Teddy: Anything? Still looking.
♪♪
Come on. Come on. Come on. There!
Yep. Intercostal artery...
...and a lung lac.
You can do the repair. Okay.
I feel it. All right. Stapler.
Yep. Here we go.
♪ It's howling ♪
♪♪
Man: Stand back! Coming in!
♪ I push ♪
♪♪
You're too late. She's gone.
[ Monitor beeping ]
♪♪
So, we were finally able to get him into the scanner.
The repair to the lung and to the subclavian is holding.
And apart from the chest wall, there are no other injuries.
But, Jo, this could be a tough road ahead.
He has lost a lot of blood.
[ Telephone ringing, monitor beeping ]
♪♪
I love you.
[ Voice breaking ] I love you so much.
I haven't seen anyone pull through like that
in a long time.
That man did not want to leave you.
He's been my best friend for 20 years.
He means everything to me.
So thank you. Thank you so much.
So, you have a half an hour,
and then you need to get a blood-pressure check.
Really? I'm fine.
Dr. Webber's orders.
♪♪
Okay. So, check his CBC and coags in an hour.
Warren.
I'll see you at home.
I'm sorry. I wasn't trying to question you...
Backing up Owen on the thoracotomy was the right move.
We would have never made it to Seattle Pres, and...
and Link would have died.
[ Click, machinery whirring ]
I used to be a lot like you.
I used to take risks and make decisions based on instinct
and second-guess everything.
But now I'm a suit, and I've become more cautious,
and I shouldn't put that on you.
Tomorrow I am gonna call the ACGME,
and I'm gonna tell them
that you're gonna finish your residency at Grey-Sloan.
[ Exhales sharply ] Oh.
Thank you. Thank you. You won't regret it.
But if I say that we're closed to trauma...
Got it, Chief.
♪♪
Yes!
Sorry. Sorry.
Parker is stable.
Um, we will need to bring him back for a permanent closure.
But until then, you can see him in the NICU...
Thank you.
Thank you so much.
♪ We're running out of time ♪
You have a very tough little boy.
Millin! ♪ Oh, where have you gone? ♪
Millin!
♪ No one ever finds the lonely one ♪
Hey.
I heard you were... with Beltran.
♪♪
You okay?
♪ Days burn into nights ♪
♪ Another sudden season's passed you by ♪
♪ On this sullen road ♪
♪ All these things unknown ♪
Millin...
Millin.
♪ Oh, oh, sun is gone ♪
[ Groans ] No.
Are you in pain?
I was really hoping this was just a bad dream.
You tore your lumbar vein. We repaired it.
You're gonna be okay.
I am never going to live this down.
If you were me, would you transfer programs?
Being a surgeon is hard.
I mean, you're gonna have days
where you feel like everything you do is a mistake.
That won't change no matter where you are.
So you've... you've worked here for a long time?
Long enough to know that if you stay, it's worth it.
Even without the O.R.s?
The O.R.s don't make you a surgeon.
The teachers and the patients do.
Thank you. Doctor...
Dr. Grey.
As in, like, you're... you're Meredith Grey?
I am. Still doesn't seem to get me in the building, but...
♪ Oh, sun is gone ♪
♪♪
♪ Oh, oh, oh, sun is gone ♪ Oh, my God.
[ Bell chimes ]
Dr. Hara to radiology. Dr. Erica Hara to radiology.
[ Clears throat ]
Why are you still here? Your shift doesn't start for another hour.
Mm. I don't know.
I thought I'd shower, get cleaned up.
No. No, No.
What? No smiling. No flirting.
None of... that.
We are strangers who met for the first time today.
Yeah. Fresh start. No problem.
[ Bell chimes ]
After you, stranger.
After you.
[ Indistinct conversations, telephone ringing ]
Hey. Hey.
Do you want to go home,
sleep for three days, and then eat greasy food?
I don't think...
we should get back together, Lucas.
We said a lot of things to each other the other night.
I took them back. Because we almost died in a hostage situation.
That's not real life.
I think we just both need to take some time,
focus on work, and if we find our way back to each other...
I don't want to take time.
Simone, I love you.
And, uh, I mean, we always work it out...
I slept with someone.
♪♪
Meredith: When something's been in your life for a long time,
you can often forget it's there.
Whether it's a person or a place,
sometimes you can take it for granted.
Hey. Hey.
Thank you for last night. [ Chuckles softly ]
Link is stable,
so I'm gonna go pick up Scout and not let him go for hours.
I'm just gonna text Dylan Gatlin's latest labs
over to Beltran, and then I am gone.
What?
♪ A friend in you ♪ Is it Link?
♪ A friend in me ♪ W-What happened?
It's Beltran.
♪♪
Monica, she...
...she was trapped on the O.R. floor.
♪♪
No.
She didn't make it, Amelia.
♪♪
Monica's dead.
You never consider that you won't walk in that door again
or hear that voice.
[ Siren wailing ]
Nora?
On her way to Seattle Pres.
Sats are strong. Incision looks great.
She looks like a different person already
after that surgery.
Thanks, Kwan.
♪♪
Hospital's been cleared of security threats
and has been deemed structurally sound.
They need me in a press briefing.
Do you think we'll ever be what we were?
[ Sighs ] Best friends.
♪ I'll take your pain ♪
I don't know.
I don't know if I know who I am anymore.
♪ Each burning seed ♪
I'll check on the kids and then I'll...
I'll look for a hotel room.
♪♪
Yet it happens every day.
♪♪
People experience unexpected loss...
♪♪
...and, as impossible as it may seem...
♪ A friend in you ♪
...don't give up.
♪ A friend in me ♪
Engineering says this floor might not be usable for weeks.
♪♪
I know you said you missed the O.R.
and that you'd stay for surgeries, but...
this?
I'm here. Whatever you need.
♪♪
What are we going to do here?
♪♪
What we always do.
We're gonna rebuild.
You have to believe you'll find hope again.
♪♪