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MEREDITH: Over the
past 20 years,
one of the most valuable tools
a doctor has is the algorithm.
Your patient's main complaint
goes into a box...
Cristina was supposed to fly
out with us this morning,
and she didn't show.
And then the formula helps
you decide what to do next.
(SIGHS)
Her phone's still off.
No, uh, Derek, all-all she said
was, "that's how it goes."
Last night after the ceremony.
And then that smug
idiot's speech
was a 20-minute ode to himself.
Ma'am, we're shutting the doors.
She'll just be one second.
- (DING)
- His research wasn't even research.
I read his paper on lymph nodes.
It sounded plagiarized.
I'm very sorry, but you'll
need to put your phone away.
I heard you.
Uh, I'll call you when we land.
But what happens when the
problem doesn't fit into a box?
(CELLPHONE BEEPS)
All right, mama hung up on us.
Zola, time to put on
your shoes, sweetie.
Well...
(KNOCK ON DOOR)
You're suddenly on your
own, unexpectedly,
with about a thousand
paths to choose from.
I should have called. I know.
- Uh...
- But if I called, you'd have said no.
And then I wouldn't get to
see how grown up you are.
Zola! Wow!
Look at you! What are
you, like 16 now?
And I wanted to meet my nephew.
Oh.
Um... hello to you, too.
I haven't talked to you
in like two months.
Amy, what are you doing here?
A... thing happened.
James proposed.
Ah! Congratulations.
- And I freaked.
- I'm sure you did.
Just sort of freaked, not...
not flee-the-country freaked.
Just... suddenly...
(SIGHS)
There's the possibility
that I may be facing a
different kind of life...
The kind that you and
Meredith have...
so I thought I would come visit
and see what it's like and get...
unfreaked.
Hopefully.
You're mad.
No. I'm happy to show you.
Hey, Zola, auntie Amy is gonna
play with you and Bailey today
- while I go to work.
- Oh. Oh.
- Wow. Really not mad.
- No, I'm excited.
- Yeah. (CHUCKLES)
- So, Bailey gets a bottle in an hour.
His schedule's on
the refrigerator.
Zola likes to stick
stuff up her nose,
so keep an eye on her.
Oh. Okay.
I'll see you later.
(DOOR OPENS, CLOSES)
CALLIE: Okay, so, we
turkey-baste me in may.
- And then the baby's born in February?
- Yep.
Sorry. Just, uh, need to
borrow some toothpaste.
As you were.
Okay, so, I take off the
spring, recover, nurse,
and then you take
off the summer.
Mm-hmm. And then I put
Karev in charge of peds.
I think that that works.
Are you sure about that?
'Cause if you're
gone in the summer,
you're gone when the
new interns start.
You really want Karev in
charge of all the new kids?
Maybe-maybe push off the
insemination to July?
Kepner. Kepner.
Get out of my ***.
Yes. Right.
(CHUCKLES)
(SIGHING)
Oh, wow.
It's really only
been two nights?
'Cause it feels like 10.
(DOG BARKING)
No. I'm not gonna have
time to pre-round.
Screw pre-rounds.
Your peds fellow
needs a consult.
(LAUGHS)
No! No, no, no. Wait-wait.
You have to work, too.
You're avoiding something.
Less talk, more stuff.
(SIGHS)
No, Alex. I'm serious.
- (SIGHS)
- What's going on?
I got an offer from Lebackes
to work at his practice.
It's a good offer...
a really good offer.
Oh! That's great!
Why don't you look
like it's great?
I'm supposed to give them an
answer by the end of the day.
- Oh.
- (SIGHS)
Robbins is gonna be so pissed.
What am I gonna tell her?
Just be pleasant and
confident and firm,
smile
(LAUGHS) when you talk,
and just tell her
how excited you are
about this great
new opportunity.
If she starts making
her scary, angry face,
distract her with a compliment.
That works?
The compliments thing?
Mm-hmm.
God, you're sexy.
Doesn't work on me.
(CHUCKLES)
SHANE: Frankie McNeil, post-op
day 2 after LVAD implantation.
Currently listed status
1a for transplant.
Despite the LVAD,
we haven't been able to
reverse her end-organ damage.
The good news is, a heart
became available this morning.
We're just waiting for confirmation
from the hospital in Oakland.
- I'm sorry, but who are you again?
- ARIZONA: Oh, I'm sorry.
Um, Dr. Russell is our head
of cardiothoracic surgery.
Since Dr. Yang's not back,
he'll be performing
Frankie's transplant today.
But Dr. Yang's our surgeon.
No offense, but how do
we know you're as good?
I'm an attending.
She's a fellow.
Trust me... I'm as good.
ALEX: Dr. Robbins and I will be in the O.R.
the entire time.
Frankie's in good hands.
And Link?
LEAH: Breath sounds are strong,
and this morning's
echo was all clear,
and his heart pump is doing
everything it should.
Link, buddy, that's great.
You're getting better.
When can Ivy come back in here?
Um...
Well, she's still sick,
so she needs to stay in
there a little bit longer.
Unfortunately, Ivy's
still in rejection.
UNOS has her listed
as status 1b,
and we're monitoring
her very closely.
(SIGHS)
Page, when we know
the heart's a go...
WOMAN: Here you go, doctor.
So... Dr. Yang won't
be back today?
Well, I haven't heard from her, and I
can't exactly postpone the surgery.
Has anyone heard from her?
Y... just make sure that
Frankie's ready and prepped.
Why are you hovering?
- WOMAN: Thank you.
- What's wrong with your face?
- I like your hair.
- Oh, what did you do?
Radiology's backed up.
Can you get me in line for
the next available MRI?
- Sure.
- Hey, Shepherd,
You're back to more of a regular
surgical schedule, right?
Yes. Why?
The foundation asked me
to report on the status
of our surgeon-run
research projects...
Want to see which ones are
actually getting results.
So, what, they can start
shutting other ones down?
Neurological research
takes a really long time.
I'm looking at all the projects,
Derek, not just yours.
We can start making these
decisions ourselves
or wait for the foundation
to do it for us.
Remember... Dr. Torres and I
have a presidential
seal of approval.
(INDISTINCT TALKING)
You're back!
You're gonna want to
stay away from me today.
Where's Cristina?
She must be devastated.
If I were here, I'd be face-first in
a pile of chocolate-chip cookies.
Stop it!
Cristina Yang doesn't
need your pity!
She was robbed!
And you robbed her!
Oh! I did?
Yes! You! You're an
Avery by association!
That pack of fools can't tell
their *** from their elbows,
never mind an
award-winning surgeon
versus some half-wit
who tinkers with science kits
in his mother's basement!
I told you to stay away
from me today, didn't I?
Mm-hmm.
- When did all this happen?
- About a month ago.
Lebackes approached me.
I've been doing work
with him on my off time.
He thinks I could make
a really good fit.
So you've already decided?
You're leaving?
No. I-I don't know.
I mean, my fellowship
is almost over, so...
Well, um, when do
they need to know by?
Tonight.
(SIGHS)
What, you're not gonna
yell at me or something?
(PAGERS BEEP)
Frankie's heart is on its way.
(VOICE BREAKING) See, we-we
just don't understand.
Two days ago, he was fine,
and now he's struggling
to even breathe.
You gave him chemo last night.
Is that what's making
him so much sicker?
I mean, I know it has something
to do with the gene therapy.
Well, the chemo obliterated
the bone marrow,
which contained the
enzyme-deficient cells.
Such a mild dose
wouldn't make him sick.
We believe he picked
up a viral infection.
How?! He's in isolation!
He-he has no contact
with anyone.
How is that possible?
Your son has no immune system.
We-we've taken every precaution,
but this is a hospital.
Look at him! He's barely alive!
Maybe we should just
stop everything...
- Yes.
- And let him get better, just let him rest.
Remember, we went through this.
He could get sicker
before he got better.
We're still on track
for this afternoon.
When you inject an *** virus
into our very-sick little boy.
Inject a deactivated ***...
O-o-okay, look, look,
w-we just need to hang on
a little while longer.
(SIGHS)
We're almost there.
Brady bug.
(WHIMPERS)
Let's give this kid a
new heart, shall we?
10 blade.
I've got it, Dr. Russell.
Yang!
This is a surprise.
When'd you get back?
Thank you for covering, Russell,
but I've got it from here.
I'm already scrubbed
and ready to go.
Why don't you take a load off?
You must be tired.
I've followed Frankie McNeil since day 1.
Thank you.
Tough loss last night, Yang.
Must have stung.
Better luck next time.
It was an honor just
to be nominated.
10 blade.
What on earth are
you doing here?!
Ohh!
BOTH: Mwah!
I like to keep you guessing.
Ooh!
You better get in here
before I do something that
will embarrass Henry.
(DOOR CLOSES)
Oh, wow!
Ooh! Mmm.
Mm.
Mm. I should surprise
you more often.
(LAUGHS)
Well, I'm not that surprised.
How come?
I thought you might show
up and poke around,
trying to figure out why Dr.
Yang didn't get her award.
Oh, please. I planned this
trip a long time ago.
I figured you'd be exhausted
from the ceremony
and need a little getaway.
You didn't plan it
as a victory lap
to celebrate Yang's big win?
Mm... That would have
been a nice feature.
Mm. Yeah.
But I think the weekend will
have other nice features.
Oh. Really?
(CHUCKLES)
So, why don't you finish
what you're doing?
- Mm-hmm.
- I'll sit here and watch the magic,
and then I'll take
you to dinner.
Mm.
Yes, Dr. Webber.
(BOTH CHUCKLE)
Hey.
Hi. How are you?
Good.
How'd you sleep?
Fine, thanks.
Have you talked to Cristina?
Is she okay?
I really thought that she had...
Yeah, I-I know.
I was shocked, too.
Um, so... I need to
come home tonight.
You want to talk?
I...
I need my iPod.
- I went running today, and I wished...
- Sure. Sure.
Are you okay?
You look...
Stressed. I'm a little stressed.
I got to compile a report
for the foundation
on the value of people's
research projects, (DOOR OPENS)
'Cause we're not gonna be able to
keep all of them, I don't think.
Wow.
What?
You guys deny her the award
and not 24 hours later,
you're talking about
shutting down her research?
You know that that was, like,
her life's dream, right?
(PAGER BEEPS)
That's not what we're doing.
They're looking for ways to...
- (SIGHS)
- Classy move, Avery family.
Way to make it all
about the medicine.
APRIL: Okay. What do we got?
Sam Roane, 23...
Been walking cross-country
for the past three months,
stopping only for sleep
and the pickup
that took him out.
Hypotensive with
multiple blunt trauma
and deformity to the
right lower extremity.
Paramedics splinted
him in the field.
So, three months? That means
you started walking from...
- Wilmington.
- CALLIE: Wow.
Were you, uh, walking
for charity?
No. I mean, I fell in with a few
cancer groups along the way,
you know, for the snacks,
but it was more about really
committing to something
and following it
through to the end.
And then I got hit by a truck.
Okay, the femur fracture must have
transected the femoral artery.
OWEN: Whoa.
That's why he's so hypotensive.
He is losing all his blood
volume into his thigh.
- Mm-hmm.
- Foot is pulseless and cold.
We need to do an angio in the O.R.
Let's move now.
I mean, they screwed her!
And I was ready to make a scene,
but she just sat
there in her seat.
She clapped for him.
She applauded him, Derek!
No, go ahead. Get it out.
And now I can't even
get ahold of her.
I mean, she could
still be in Boston.
She could be in Mexico.
I have no idea where...
(CELLPHONE VIBRATES) She's in O.R.
1. Thank god!
Is that a spinal schwannoma?
- It is.
- Extended into the retropleural space?
Mm-hmm.
Is that for me?
We're overdue for a date.
O.R. 3, you in fresh scrubs,
me in a ferry-boat scrub cap.
You in?
Well, this could take hours.
What about the kids?
- Amy's with them.
- We have a babysitter named Amy?
- Amy my sister.
- The junkie?
She's a recovering addict,
and she loves kids.
I've only been gone a day.
The tumor involves
the great vessels.
- I know what you're doing.
- Mm-hmm.
And it's working.
- Mm-hmm.
- (LAUGHS)
Yeah, his femur's toast.
He'll need an ex-fix.
SFA's transected.
Okay. We got to relieve
the pressure on this leg.
OWEN: I just heard from Grey...
Cristina's in O.R. 1,
doing a heart transplant.
Karev and Robbins are with her.
Hey, Wilson, did you happen to put on
boot covers before you came in here?
JO: Why would I...
(GASPS)
(OWEN LAUGHS)
Okay. I get it.
It's in my socks.
(LAUGHTER)
Oh! That never gets old.
(LAUGHTER CONTINUES)
I just feel like it's one thing
after another, after another.
I don't know how you do
it with three sick kids.
I'm barely keeping it
together with just one.
- (KNOCKS) Teresa?
- Hm?
Uh, do you have those consent
forms for this afternoon?
Oh. Yeah, I forgot. Hang on.
Yeah. Take your time.
I mean, you're their parent.
You're who they trust.
But you can't
actually help them.
That's the doctor's job.
Then weeks go by, and all this...
stuff
that's supposed to be
making them better
keeps not working.
And I just... I start to wonder,
"do these doctors really know
what's best for my kids?"
"Am I just kidding myself?"
"Will we ever go home?"
(SIGHS)
Sorry, doctor. No offense.
Nope. None taken.
Uh, Teresa, I'm sorry.
You just have a
couple more to sign.
(CHUCKLES LIGHTLY)
Removing cross clamp to
re-establish blood flow.
I don't see one tear, one leak.
You did it perfectly.
I mean, I've really never seen
such an efficient anastomosis.
- Look, Karev.
- Awesome job, Yang.
- Inspiring.
- Flawless.
Charge it to 20.
(WHIRRING)
(BEEPING)
(DEFIBRILLATOR SURGES)
Should be pumping
any minute now.
How long does it take?
Usually, it's pretty much right
after restoring blood flow,
so eyes on the field.
This is not something
you want to miss
on your first transplant.
So...
shouldn't it be
contracting by now?
Dr. Yang?
Starting cardiac massage.
- Pacing wires now.
- Get me intracardiac epi.
Come on, come on, come on. Beat.
What's UNOS saying?
We're waiting on a call back.
I don't understand.
How does that happen?
They sent us a
freaking lemon heart.
They must have injured it when they
were moving it from the donor.
(CLATTER)
(TELEPHONE RINGS)
It's UNOS. They've located
another heart that's a match.
- It's in Portland.
- How often does that happen?
ARIZONA: Karev and I will go get it.
We can't risk another screw-up.
- Well, both of us don't need to...
- Now. Let's go.
- Cristina, you okay?
- Yeah.
Dr. Yang, Frankie's already
been on bypass for hours.
And she's gonna stay on it.
Keep monitoring her.
Page me if anything changes.
All right.
That's it.
Shall we?
You really thought
I would come here
and question why Yang
didn't get a Harper Avery?
Well, you're a proud papa.
She's your prize student.
I know it's important to you.
I-it's important to
the whole hospital.
And you're an investor
in that hospital,
so I think it'd be
important to you, too.
It is.
That's why it's good that there
is an impartial committee.
(CHUCKLES)
Well...
"Well" what?
It's not that impartial.
Look, it makes no
sense that she lost.
See, I read her paper, I read
every other nominated paper.
There's no comparison...
unless there was some statistical
calculation she blew,
some gross error buried
way down in the data.
You know as well as I do
none of them even holds a candle
to what Yang's been doing.
Number one, I'm
glad you're alive.
Number two, who do you
want me to go after?
- Because I'm in your corner.
- Mer. (SIGHS)
But I can't be in your corner
if you disappear on me.
- Mer, not now.
- NURSE: Dr. Yang,
they're asking for
you in the CCU.
Ivy McNeil's SATs
dropped below 70.
(MONITORS BEEPING RAPIDLY) Dr. Yang.
You're back. Thank god.
(BREATHING HEAVILY)
Ivy's heart is failing.
She has a lot of
fluid in her lungs.
I need to intubate right away.
Prepare for RSI with 15 of
etomidate and 10 of vec.
Link. Link, don't look, buddy.
(VOICE BREAKING)
I'm here, honey.
Push etomidate.
MEREDITH: I barely got
two words out of her.
She's obviously not okay, right?
DEREK: You said she got
pulled into an emergency.
I'm sure she's fine.
You know, this is the most
time we've spent together,
just the two of us, in weeks.
It's really nice.
We have to do it more often.
Grey?
Should have left a
tie on the door.
About your portal
vein project...
Do you really need lab
staff five days a week?
- Yes. Say yes.
- Yes. Why?
- The foundation is trimming research.
- What?!
- No, no, no. They're just looking...
- The hell they are...
the Harper Avery foundation
doesn't make any decisions
about this hospital.
If there's one thing
the Harper Avery
foundation can't do well,
it's decide who
should get something.
Okay, I am just...
Tell them that if they cut my
funding, I cut their tires.
Cristina Yang
deserved that award,
not Dr. Nobody Sucksalot
from Hopkins.
And tell them in short sentences
with little, tiny words,
because they are boneheads!
(SUCTION)
(SIGHS) And we were
having so much fun.
APRIL: Jackson and I aren't
having just a fight.
This is important...
it's not something
that can be just glossed
over, ignored, or fixed.
It... I can't pretend
like nothing's wrong.
CALLIE: Yeah, I know. I know.
You said all that last night,
then again this morning
over breakfast.
(CHUCKLING) And now...
you're saying it all again now.
Hey. Wow. Look at that.
His ex-fix really
looks ready to go.
Sadly, I think our
work is done here.
W-w-wha... y-y-y-you're leaving?
Y-you're not leaving.
Don't we need to review the
measurements with imaging?
No, we do. We do.
Uh, it's just...
We should really stay out
of Kepner and Hunt's way,
so we're gonna do
it in radiology,
where there are bigger screens
and better lighting. Sound good?
Well, we're almost
done here, so...
N... take your time.
Let's go, Wilson.
(SIGHS)
TERESA: We should take him home!
Let him get better!
Let this treatment get
more established!
We don't have to
be the guinea pig!
But the treatment can
bring us our son back.
He can live a normal life.
Or it could kill him!
They say it won't,
but this therapy
is made with ***.
That doesn't freak you out?
It's deactivated!
Do you even know
what that means?!
Do you know what that means?
Excuse me. I need to do one
final blood test on Braden.
No! No more blood draws!
No more injections!
Nothing else! We're done!
This treatment is too much!
It's killing him!
Okay, Teresa, look, I
know that you're scared.
Teresa...
No, tell Dr. Bailey we
have changed our minds.
You're not injecting Braden with
anything today. You got it?
(DING)
The last time that we
were on a plane...
Can we not talk about the last
time you were on a plane?
No. (SIGHS)
Alex, the last time that we
were on a plane together...
the first time we met.
Look, I know you brought
me on this plane
to talk me out of
taking this job.
We'll be in Portland soon.
Just get it over with and
say what you're gonna say.
It's not like I can go anywhere.
We were on our way
to pick up a liver
and a small bowel for
a 10-year-old...
And now you think
I'm selling out,
that I'm choosing
money over substance,
and that it's a waste of
my talent or whatever...
That there's more to life
than nice schedules and
a big, fat paycheck.
Well, I've thought
about it hard.
You've been awesome, but I've
already stayed here once for you.
I have to start thinking about
myself, about what I want.
I've worked hard,
and I deserve this.
I deserve to think about
myself for once, okay?
(SIGHS)
LEAH: Yang is a robot.
If I just lost the Harper
Avery, I'd be awol,
in my bed with a
bottle of scotch.
Although, she did just throw
pickups across a crowded O.R.
Yang's a surgeon.
She cares more about her
patients than stupid awards.
What's the latest A.B.G.?
Uh, pH is 7.15,
pCO2 is 52.
Crap. She's acidotic.
Push bicarb and
increase her sweep.
- Okay.
- Okay, good. Good.
Shane, she's bleeding.
(MONITOR BEEPING RAPIDLY)
It's coming from one
of the suture lines.
Page Dr. Yang now!
Ivy's lungs are doing better
after the intubation,
but I need to place
a special line
to get a more accurate
measurement of her heart.
You may want to leave
during this procedure.
No. I'm staying. I want to stay.
You ran in here after Frankie's surgery.
Is she...
There was a...
complication with Frankie's donor heart,
but a second one
has been located,
and it's on its way.
I just wanted to keep Frankie in the O.R.
until it arrives.
(TELEPHONE RINGS) What? Is... is that safe?
Is she gonna be okay?
She's being closely monitored.
Dr. Yang,
Dr. Ross and Dr. Murphy are
on the phone from O.R. 1.
Put them on speaker.
(TELEPHONE BEEPS)
- Ross, update me.
- I'm here with Frankie's dad.
SHANE: Frankie's bleeding
from one of her suture lines.
And she's really acidotic.
- John, you should step out.
- I'm staying.
- Ross, did you push bicarb?
- We did.
- How are her coags?
- Stable, but this bleed isn't slowing down.
Okay, well, you need
to stop that bleeding.
If she continues to bleed...
The triad of death... we know.
I'm so sorry, sir.
Okay, throw a horizontal
mattress stitch,
but careful with her tissues.
They're extremely
friable, so soft hands.
You're on the right
side of the table.
CRISTINA: You have one chance, or
else you could rip through the aorta,
which is essential to connecting
the new heart when it arrives.
Nope.
(SIGHS)
Just take a breath,
just throw the stitch.
You can do this.
I've never put a
horizontal mattress
in an aorta before...
only in a bowel.
From this side, I'll just tear
through her native aorta.
- Well, what if I tear through it?
- You won't!
You can do this.
(BEEPING CONTINUES)
Ross! Murphy!
SHANE: We got it.
We stopped the bleed.
She's fine.
- (SIGHS)
- They're both fine.
RICHARD: She gets results.
She always has, and
this is no exception.
M-make me understand,
because my read is that Yang
should have clearly won.
I mean, what am I missing?
From where I'm standing,
she had it by a mile.
Richard, honestly, tell
me you're not this naive.
Well, what is that
supposed to mean?
The Harper Avery foundation
co-owns the hospital
Cristina Yang works for.
She could never win that award.
I don't know how long this
stitch is gonna hold.
- PH and bicarb?
- MAN: 7.0 and 14.
Dr. Yang, now she's
oozing from the IVC.
- I see it, Shane.
- Aren't we gonna put in a suture?
If we just keep
throwing in stitches,
she'll dissect all
over the place.
We have to get Frankie
off this table.
LEAH: How?
She's getting a transplant.
In this state, she'll
never survive it.
First, she gets a lemon heart,
and now we don't know if the
new one's gonna make it?
(TELEPHONE RINGS) Wait.
Is that Robbins?
How we doing?
The heart is out, and
we're on the move.
(TELEPHONE BEEPS)
Want to let the
coordinator know?
Oh. Phone the pilot.
Let him know we're on our way.
So, this is how
it's gonna be now?
Radio silence till the
end of my fellowship?
That's how you're
gonna leave things?
Alex, I brought you here today
because I trusted your skills
to properly procure this heart.
And then we got on that plane,
and I started feeling sad
because you're leaving
soon and I will miss you.
I didn't bring you
today to scold you.
I'm proud of you and
I'm happy for you,
and all I wanted was to share
a freaking memory, okay?
I was being sentimental!
Oh.
(LATCHES CLICK)
You know, if I take the job,
I'm still gonna have
hospital privileges.
You'll see me around.
Shut up, Karev. Moment's ruined.
OWEN: Just a few more sutures.
You know where he was
when he got hit?
He was crossing highway 519.
He could see the water.
All he wanted to do was
walk from ocean to ocean.
(VOICE BREAKING) He was
just so freaking close.
Okay, let's check the pulse.
It's not fair, you know?
You make a commitment, it's
supposed to mean something,
and then a... pickup truck
just takes you out.
(CRYING)
Hey, you okay?
(CRYING)
S... sorry.
I just f-feel like
this fight with Jackson
is, like, the fight,
and I...
I don't know how we
recover from it.
Listen.
(SIGHS)
Some fights, you
just can't get past.
- (SNIFFLES)
- You know?
Like me and Cristina, it was...
it was about kids.
You and Avery?
This is your first fight.
You will get past this,
and then something
else will come along,
(CHUCKLING) and you'll
fight about that, too.
And you guys will
recover every time.
This is not your pickup truck.
(CHUCKLES, SNIFFLES)
(WHIRRING)
Now that it's thawed,
and I've added the
virus to the culture,
I just have to wash them down
and give him the injection
within the next
four to six hours,
and then, theoretically,
that's when the
magic will happen.
See, that's the problem,
though, Bailey.
So far, all of this
is theoretical,
and the foundation
needs actual results.
I need you to help me out, okay?
Give me something,
anything concrete,
that shows that your project
is producing results.
No, d... it will be.
Once I give this
targeted gene therapy
to my bubble boy,
I know it will.
I-I can feel it.
Okay, I can't exactly pitch
that we need to keep your lab
because you have a
feeling, can I?
You said you're
doing this today?
Yes, I am.
And it's going to work.
Dr. Bailey, do you
have a minute?
You pursued her.
You encouraged her.
You all but told her she
was a front runner,
when you knew she was nothing
but window dressing.
She was not window dressing!
She was nominated for
a prestigious award
that brought publicity
to her and the hospital.
You used her!
She was never gonna win that
damn thing for a second.
Nobody from Grey-Sloan memorial
will ever win a Harper
Avery, will they... ever?
Do you want me to remind you
why there is a Grey-Sloan
memorial hospital?
Or should I just take my
$24 million and go home?
What draws me to you,
Richard, is your idealism.
I find it extremely attractive.
But this is business.
And I do not appreciate
your coming all the way
across the country
to harangue me about the fact
that your prize pony
didn't get a ribbon!
And if it makes you
feel better...
she had the votes.
Are you that naive?
Catherine, do you really think
that's why I came all this way,
why I planned an entire weekend
with the things that you love?
- Richard...
- I made reservations at Cipriani's
because I know you
love it there.
And I was going to wait
until just before dessert
and the waiter was gonna bring
you a glass of champagne,
and I was going to tell
you how much I love you
and how right for
one another we are,
how you make me feel
excited to be alive,
how you give me a reason
to get up each morning
and say a thankful
prayer every night.
I was gonna ask you
to be by my side
for the rest of our lives.
That's why I'm here.
That's why I came.
And now I'm leaving.
(DOOR OPENS, CLOSES)
SABINE: I'm-I'm sorry. What?
You're gonna have to say...
You're gonna have to
say it all again.
Dr. Robbins is on her way
with a new heart for Frankie,
but Ivy's deterioration
has caused her
to shoot up to the top of
the transplant list, too.
Ivy is also a perfect match
for the donor heart en route.
But t-that's Frankie's heart.
Officially, yes, but...
under the circumstances, the
heart could be redirected.
To Ivy?
You w... you want to give
Frankie's heart to Ivy?
No, I don't want...
Medically speaking,
Frankie's condition
is declining rapidly.
Technically, Ivy is more stable,
which would give the heart a
better chance of survival.
Wait. Just...
But... b-b-but if
Frankie's worse,
don't you have to give the heart
to the one that's the worst?
Unless she thinks it's a waste.
You think the heart will
be wasted on Frankie?
I just want to explain
all your options.
Our options?
This is our decision?
Wait. You're...
you're asking us to choose?
You want us to try to pick
which of our children
gets a heart
and which one doesn't?
Frankie can be fitted with a
total artificial heart for now.
We can't choose.
You have to do it.
We have three children, Dr.
Yang...
Three... amazing...
(CRYING) beautiful,
kind children.
And we can't...
we can't try and pick
between two of them.
We won't.
You have to make this decision.
Please.
Please.
There you are.
(SIGHS)
Frankie's heart is
as stiff as a rock,
and Ivy's got global
systolic dysfunction.
It's absolutely impossible.
Why didn't you call me?
(SIGHS) Mer already
yelled at me about this.
I'm sorry, okay? I just...
I wanted to be alone, so I left.
I'm not talking about...
(SIGHS)
I just heard about the McNeils.
You should have called me to
help you make this decision.
No surgeon should have to make a
decision like this on their own.
That's why I'm here. That's why
you have a chief of surgery.
They're my patients.
I know their status.
I can decide this.
But you don't have to.
Yes, I do.
CRISTINA: Prepare to start
sectioning off the vessels.
Is that a Gustafson
artificial heart?
We're getting Frankie off
this table immediately.
And the heart that's on its way?
We're reallocating that heart.
It's going to Ivy.
Russell's prepping her now.
Okay, let's move.
AMELIA: You guys gonna
be home for dinner?
Yeah. Sure. Sounds good.
Okay, awesome! Can't wait!
Yeah, neither can we.
(CELLPHONE BEEPS) Does that
mean what I think it means?
That there's gonna be
dinner waiting for us
on our dining room table
when we get home?
Have we ever even used
our dining room table?
Just remind me to
thank my sister
for letting me actually spend
an entire day with my wife.
(BOTH LAUGH)
Well, she's not a
permanent solution.
Ah, not yet, but we
have a spare bedroom.
We could give her
surgical privileges.
That would give her less
time for childcare.
I know it's not permanent,
but we spent an entire day
without dropping any balls.
You know, maybe she'll
even put the kids to bed.
Maybe we could have some wine.
You know, Amy is making
dinner for the kids.
Maybe we have time
for a little mm-mm.
It would be a shame to
end such a great day
with no dessert.
(SQUEALS)
ALEX: Why aren't you trying
to talk me into staying?
ARIZONA: Oh, god.
Are we still on this?
Can't we just focus
on transplanting the
heart we just retrieved?
Yeah. Never mind. I'll shut up.
Of course I want you to stay.
But this sounds like an
incredible job opportunity,
and you're right... you did
stay here for me once,
and I don't want to stand
in your way again,
so if you want to leave,
you should leave...
but not because of something
that I do or don't say.
You should leave
because this is the
next best thing for you
and because you're
excited about this job
and you're ready to
go do great things.
(INHALES DEEPLY)
And collect a big, fat paycheck.
Really big.
I guess you have a
decision to make.
Don't screw this one up.
(DOOR OPENS)
OWEN: Okay, let's transport her.
B.P.'s stable. I'm gonna see
how Russell's doing with Ivy.
(MONITOR BEEPING RAPIDLY)
Bring in the bed.
What happened?
Ventricular
pressure's up to 200.
She's dissecting.
Now she's plummeted to 15.
What the hell?
Damn it. It-it ruptured.
Okay, we're gonna
have to reopen her.
Staple remover!
I mean, the thing I
don't understand is,
won't Braden die if he
doesn't get this treatment?
It's possible.
So...
I mean, does this happen often
with experimental treatments?
That the parents
or the guardians
just withdraw their consent?
Please stop talking.
And then what do I do
with these consent
forms she just signed?
I mean, do I... do I shred them?
Do I toss them?
I told you... stop talking!
♪ What has happened to it all? ♪
Uh, I'll take care of those.
♪ Crazy, some would say ♪
♪ Where is the life ♪
♪ that I recognize? ♪
♪ It's gone away ♪
♪ But I won't cry ♪
♪ for yesterday ♪
♪ There's an ordinary world ♪
Just get one damn
suture to hold.
How's her ventricular pressure?
SHANE: Zero.
Pupils?
Fixed and nonreactive.
(FLATLINE)
Cristina.
What?!
Cristina, we've been at
this for almost an hour.
♪ When I need you most? ♪
♪ Gone away ♪
Ivy's transplant went perfectly.
Her post-op echo is
completely normal.
She should be awake soon.
JON: And Frankie?
No.
No!
I-it can't be.
(SOBS)
(CRYING)
You...
Well, how-how the
hell did this...
We trusted you!
What the hell did you
do to our child?!
We are so sorry for your loss.
Oh, god!
(SOBBING)
- (VOICE BREAKING)
- We need to be with our kids.
(SIREN WAILS)
(WOMAN SPEAKING INDISTINCTLY OVER P.A.)
Your stitch held.
So?
I've never seen
vessels that friable,
and I've been around a
lot of diseased hearts.
You did an amazing thing.
Shane, the kid died.
It wasn't anything you did.
♪ I want to know what ♪
♪ you're thinking ♪
♪ There are some... ♪
ARIZONA: They want us to be
the center of innovation,
- but they don't want to pay for it.
- They love it when we innovate.
They nominated
Yang for an award.
She was robbed.
They're boneheads.
We can't give with one hand
and take with the other.
We have to stop this.
There's no stopping this.
Guys, they own the place.
We are just their
managing board.
This conversation is
our relationship now.
Best we can do is try to guide
them to make the right decision.
That's by making
our own decision,
as tough as that might be.
Look, this is my
report, all right?
All the projects are here...
operating budgets versus
progress to date.
Best to worst.
Take a look, but the decision
is pretty clear to me.
(KNOCK ON DOOR)
Uh, y-you got a second?
- Never mind. I'll come back.
- No, no. Alex, come in.
You okay?
Uh, yeah. Yeah.
I, uh, just wanted
to let you know
that, uh, my fellowship
is, uh, almost done,
and, uh... well, I got an offer
from Lebackes pediatric
surgery clinic,
Oliver Lebackes' practice,
and, uh...
well, I gave it some
serious consideration,
and I've decided to take it.
So, I guess this is my notice.
♪ I want to know what ♪
♪ you're thinking ♪
♪ There are some things... ♪
Cristina, please don't
disappear on me again.
Where are you?
Please, just... call me.
(CELLPHONE BEEPS) Hunt.
We need to talk.
If it can wait, I really...
No, it can't.
Well?
I almost didn't go
through with it.
But... then I did.
And I think it's gonna
be good, right?
(GASPS) Are you kidding?!
It's gonna be awesome!
Baby!
(CHUCKLES)
Oh. Compartment syndrome?
(GROANS) Yes.
Blood went everywhere.
Mm. Torres loves that trick.
You should just toss those.
I know. You're right.
Why am I scrubbing
those nasty things,
when now you can afford
to buy me new ones?
(LAUGHS)
What happened?
MEREDITH: Wait.
Where are the kids?
They're asleep... totally fine.
What's wrong?
I can't do this.
The children broke your sister.
No, it's not them.
I didn't come here to see how
your perfect life worked.
I came to see if
I could do it...
the whole freaking thing,
the kids and marriage and
the full-time careers...
because I want that...
with James.
(VOICE BREAKING) And I am
wrecked after one day.
(WHIMPERS)
It goes on the list of things
that I suck at because...
(CRYING) I can't.
(SNIFFLES)
(WHIMPERS)
Well, I knew that was
too good to be true.
Why don't you go
fix your sister?
I'll order takeout.
(DOOR OPENS, KEYS JINGLE)
Hey.
Hey.
So, you are...
Right.
Uh, I'll see you tomorrow.
April.
I said a lot of things the
other night that I regret.
And I'm sorry that I
hurt your feelings.
I'm sorry, too.
Good. So come home. Stay.
This is a conversation we're
always gonna have to have.
It's a part of who we are.
It's gonna take some talking.
But we got married.
We love each other.
We made vows to push through
this sort of thing.
I know.
I love you, too, and
we made a commitment.
And if you believe in god,
then you believe he made me...
your husband...
who shares your
values, which I do.
I believe we shouldn't
kill or steal.
I believe that you
should be truthful.
I believe that you
should treat others
the way you want to be treated.
I agree.
So, then, we can push
through this problem.
At our core, we believe
the same things.
Until I think about
telling our children
how unbelievably loved they are
by the creator of the
universe, who also made them,
and I can just see
you standing there,
judging and dismissive, and
I just can't get past it.
Can we please just take a break
from our hypothetical
children for...
No, we can't, because they're
not hypothetical anymore.
♪ Say you don't know me ♪
Jackson, I'm pregnant.
MEREDITH: So, what do you do?
How do you decide?
When you're left in the dark?
♪ That kind of place ♪
How do you make sure
you're not making the worst
mistake of someone's life?
So, now what?
We just... cross our fingers
and hope he gets better?
Guess so.
Good night, Edwards.
♪ Eating up the night ♪
♪ Marconi plays the mamba ♪
You close your eyes...
♪ listen to the radio ♪
♪ Don't you remember? ♪
You block out everyone and
everything around you...
♪ we built this city ♪
Cristina?
♪ On rock 'n' roll ♪
(WATER RUNNING)
Cristina?
Cristina?
Are you okay?
♪ We built this city ♪
♪ on rock 'n' roll ♪
Cristina, they were
very sick kids.
Every one of them
would have been looking at a
death sentence without you.
The fact that any
of them survived...
I know this, Owen.
Frankie was on borrowed time
from the moment she got here.
You made the right decision.
You made the right call.
I know I made the right call.
You don't have to tell me.
It was an impossible
decision, and I stand by it.
I did everything...
exactly as I was supposed to.
I did it perfectly.
♪ Listen to the radio ♪
So what is wrong?
♪ Don't you remember ♪
♪ We built this city ♪
What's the point, Owen?
What's the point of anything?
♪ We built this city ♪
♪ on rock 'n' roll ♪
You won.
The Harper Avery...
you got the most votes.
Richard just told me.
The politics screwed you.
The foundation's relationship with us...
they used you.
(SCOFFS)
You never stood a chance.
♪ We built this city ♪
♪ on rock 'n' roll ♪
And pray that the
voice inside you...
♪ we built this city ♪
Is right.
♪ Built this city ♪
Because once you've decided...
♪ we built this city ♪
♪ on rock 'n' roll ♪
♪ Built this city ♪
You can't ever go back.
♪ We built this city ♪
♪ on rock 'n' roll ♪
Sync and corrected by
MystEre www.addic7ed.com
http://subscene.com/u/659433
Improved by: @Ivandrofly