1 00:00:01,001 --> 00:00:02,764 Previously on Grey's Anatomy: 2 00:00:02,836 --> 00:00:05,430 We received word of a mass casualty incident. 3 00:00:05,505 --> 00:00:06,733 You cannot tell Shepherd 4 00:00:06,806 --> 00:00:09,297 - until I've told Meredith. - Cristina and I are engaged. 5 00:00:10,377 --> 00:00:11,867 Immediate! I need help! 6 00:00:11,945 --> 00:00:15,403 - My buddy's trapped under a car. - Dr. O'Malley and I made a deal. 7 00:00:15,482 --> 00:00:18,178 He's going to find my son before I go into surgery. 8 00:00:18,251 --> 00:00:21,982 We have to bandage him up, find someone to take him and find your mom. 9 00:00:22,055 --> 00:00:24,319 - I got to get out of here! - Sir, don't move! 10 00:00:31,164 --> 00:00:35,999 Like I said, disappearances happen. 11 00:00:38,071 --> 00:00:40,801 Pains go phantom. 12 00:00:42,876 --> 00:00:46,471 Blood stops running. 13 00:00:47,847 --> 00:00:49,508 And people... 14 00:00:50,784 --> 00:00:52,445 People fade away. 15 00:01:23,383 --> 00:01:25,544 There's more I have to say. 16 00:01:29,089 --> 00:01:30,920 So much more. 17 00:01:36,396 --> 00:01:37,761 But... 18 00:01:42,202 --> 00:01:44,136 ...I've disappeared. 19 00:02:03,156 --> 00:02:06,922 Did you check on Kramer in 2309? Because his X Rays are done. 20 00:02:06,993 --> 00:02:09,791 Higgins in 2312 needs diet orders before he can eat. 21 00:02:09,863 --> 00:02:12,889 Done. I need you to monitor Collins in 2323. 22 00:02:12,966 --> 00:02:15,298 Page me if his systolic drops below 90. 23 00:02:15,368 --> 00:02:18,303 I gave him a loading dose of dig to lower his heart rate. 24 00:02:18,371 --> 00:02:21,807 - You seen Dr. Grey? - I checked on her. She's sedate today. 25 00:02:21,875 --> 00:02:24,343 Not Dr. Ellis Grey. Dr. Meredith Grey. 26 00:02:25,145 --> 00:02:27,409 - No. - Not since this morning. 27 00:02:27,480 --> 00:02:30,677 Fine. if there's anything emergent, page me in the pit. 28 00:02:32,986 --> 00:02:35,477 George, did you find him? 29 00:02:35,555 --> 00:02:38,046 Is Chris OK? Is he awake? Is he...? 30 00:02:40,760 --> 00:02:42,990 Answer Mrs. Heit, O'Malley. 31 00:02:51,304 --> 00:02:53,238 Chris is fine. 32 00:02:53,306 --> 00:02:56,867 He's glad you're OK, he'll be waiting for you after surgery. 33 00:02:56,943 --> 00:03:01,676 - He's being very brave. - That's my Chris. That's my boy. 34 00:03:01,748 --> 00:03:04,182 Thank you, Dr. O'Malley. So much. 35 00:03:08,888 --> 00:03:11,857 Dr. O'Malley. Hold up a second. 36 00:03:13,826 --> 00:03:17,592 What happens when the happy mother in there wakes up after surgery 37 00:03:17,664 --> 00:03:20,394 and her son isn't there to greet her? What then? 38 00:03:20,466 --> 00:03:23,264 How are you going to explain that, O'Malley? 39 00:03:23,336 --> 00:03:26,464 If she wakes up because my lie helped us save her life, 40 00:03:26,539 --> 00:03:29,997 I'm OK with that, Dr. Bailey. 41 00:03:31,744 --> 00:03:34,838 - Find that child. - Yes, ma'am. 44 00:03:47,060 --> 00:03:49,494 Keeping mom alive means keeping baby alive. 45 00:03:49,562 --> 00:03:52,360 - I'll monitor the surgery. - I'll notify the OR. 46 00:04:02,408 --> 00:04:04,774 Chief, we got a mob scene in the clinic 47 00:04:04,844 --> 00:04:08,041 of people looking for family members and a two-hour-old list. 48 00:04:08,114 --> 00:04:10,378 No one has any more information than you do. 49 00:04:10,450 --> 00:04:14,477 The police are asking us questions. Search and Rescue can't track it. 50 00:04:14,554 --> 00:04:17,614 - We'll have to do it ourselves. - Is there some system...? 51 00:04:17,690 --> 00:04:21,990 You're the system, Karev. Figure it out. 52 00:04:27,000 --> 00:04:28,627 How she doing? 53 00:04:28,701 --> 00:04:30,794 We won't know until we get her to the OR. 54 00:04:30,870 --> 00:04:34,101 - She still a Jane Doe? - Yeah. 55 00:04:34,173 --> 00:04:38,007 To be in that condition and have no one who knows you even know. 56 00:04:38,978 --> 00:04:43,142 - What? - She's all alone. It makes you think. 57 00:04:44,317 --> 00:04:48,754 You know if I went missing, would anyone notice I was gone? 58 00:04:59,732 --> 00:05:02,223 - Do something! - There's nothing more I can do. 59 00:05:02,302 --> 00:05:04,702 You're supposed to put something in his mouth. 60 00:05:04,771 --> 00:05:07,831 Nobody's putting anything in his mouth. Let him ride it out. 61 00:05:07,907 --> 00:05:11,035 What're you going to do? You just can't let him die. 62 00:05:13,913 --> 00:05:17,815 They're going to come in a little while and they'll get him out. 63 00:05:17,884 --> 00:05:20,978 - We don't got much time. - What if they don't get him out? 64 00:05:21,054 --> 00:05:24,080 I don't know. I don't know, OK? I don't know. 65 00:05:24,157 --> 00:05:28,685 Please. You can't quit on us now. You just got to try something else. 66 00:05:28,761 --> 00:05:31,821 I'm out of practice. I've been watching. 67 00:05:31,898 --> 00:05:33,991 For weeks I've just been watching. 68 00:05:37,003 --> 00:05:38,402 I'm sorry. 69 00:05:39,405 --> 00:05:40,895 I'm sorry. 70 00:05:45,044 --> 00:05:47,239 You stopped the bleeding, that was good. 71 00:05:49,248 --> 00:05:53,548 Come on, please. I know this guy. I believe in him. 72 00:05:53,619 --> 00:05:55,484 I believe he can make it. 73 00:05:56,222 --> 00:05:57,712 You got to believe in it too. 74 00:05:58,758 --> 00:06:01,226 You got to believe you can do this. Please. 75 00:06:02,028 --> 00:06:04,223 Don't stop now. 76 00:06:11,304 --> 00:06:12,965 Who's got a cell phone? 77 00:06:17,643 --> 00:06:20,635 You guys good? You OK? 78 00:06:20,713 --> 00:06:22,544 - What you got? - Nearly severed leg, 79 00:06:22,615 --> 00:06:25,379 but he had his artery tied off so, that's something. 80 00:06:25,451 --> 00:06:27,316 Yeah. Who tied off the artery? 81 00:06:27,387 --> 00:06:30,618 - Was it Dr. Grey? This is her jacket. - We found him like this. 82 00:06:30,690 --> 00:06:32,954 - She must have moved on. - Yeah. 83 00:06:36,429 --> 00:06:38,124 - Doc! - Yeah. 84 00:06:39,966 --> 00:06:41,194 What is it? 85 00:06:41,267 --> 00:06:44,236 Yeah, just stabilize the fracture. 86 00:06:44,303 --> 00:06:46,737 Get him to the hospital as soon as possible. 87 00:06:48,841 --> 00:06:50,832 Three more rescues en route. 88 00:06:56,582 --> 00:06:58,607 Hey. You OK? 89 00:07:02,321 --> 00:07:07,020 Did the doctor bring you here? Huh? Meredith. 90 00:07:09,529 --> 00:07:11,463 Is Meredith OK? 91 00:07:32,819 --> 00:07:34,218 I'm hungry. 92 00:07:51,070 --> 00:07:52,935 Hi. My name's George. 93 00:07:53,005 --> 00:07:54,632 Is your name Chris? 94 00:07:54,707 --> 00:07:55,867 No. 95 00:07:55,942 --> 00:07:58,240 Is he...? Thank you. 96 00:07:58,311 --> 00:08:00,279 Thank you very much. 97 00:08:10,790 --> 00:08:12,587 - Do you have a new list? - Uh, not yet. 98 00:08:12,658 --> 00:08:16,321 - How can there be no new information? - Isn't there someone you can call? 99 00:08:16,395 --> 00:08:19,455 - Nobody knows anything right now. - That doesn't make sense. 100 00:08:19,532 --> 00:08:22,501 That's ridiculous! 101 00:08:22,568 --> 00:08:23,899 Come on! 102 00:08:25,304 --> 00:08:26,601 Quiet! 103 00:08:26,672 --> 00:08:30,540 All right, that list is all I have for you and it sucks, but that's it! 104 00:08:30,610 --> 00:08:33,374 I can't believe you don't have some kind of a system. 105 00:08:33,446 --> 00:08:37,007 If you give me a minute to think, I'll come up with the damn system! 106 00:08:46,425 --> 00:08:50,691 I want you to know that I understand you're under a lot of pressure. 107 00:08:50,763 --> 00:08:53,027 If you need to sit for a minute, 108 00:08:53,099 --> 00:08:56,830 or if you need a hand or a hug... 109 00:09:10,583 --> 00:09:12,517 I'll hang the bag. 110 00:09:14,120 --> 00:09:17,351 Pulse ox is 98. 111 00:09:18,057 --> 00:09:20,252 - This is ChiefWebber. - Oh, Chief. 112 00:09:20,326 --> 00:09:23,056 I got a guy here and we can't extricate him. 113 00:09:23,129 --> 00:09:25,120 - Who is this? - I've tried everything. 114 00:09:25,197 --> 00:09:27,495 - Who's this? - Izzie Stevens. I'm at the dock. 115 00:09:27,567 --> 00:09:30,593 I've got a patient with a skull fracture and intracranial bleed. 116 00:09:30,670 --> 00:09:32,797 - Showing signs of increased pressure? - Yes. 117 00:09:32,872 --> 00:09:34,863 His left pupil is blown, he's gone limp. 118 00:09:34,941 --> 00:09:37,910 He's seizing and now his right pupil is dilating. 119 00:09:37,977 --> 00:09:42,073 - Could be herniating. What's your ETA? - We can't get him out! 120 00:09:42,148 --> 00:09:44,207 He's stuck under a car. We can't get him out. 121 00:09:44,283 --> 00:09:47,184 - First you've got to stay calm. - I can't stay calm. 122 00:09:47,253 --> 00:09:50,120 Calm was over minutes ago. Calm is gone. Calm is an impossibility. 123 00:09:50,189 --> 00:09:52,419 I've got his friends here. I can't let him die. 124 00:09:52,491 --> 00:09:54,823 So please just tell me what I need to do. 125 00:10:00,199 --> 00:10:02,030 You need to do some burr holes. 126 00:10:02,101 --> 00:10:05,730 Burr holes? I can't do burr holes out here. 127 00:10:05,805 --> 00:10:08,205 - Do you want to save his life, Stevens? - Yes. 128 00:10:08,274 --> 00:10:12,267 I need to check something out in the book, then I'll talk you through it. 129 00:10:12,345 --> 00:10:15,246 - In a book? - I'm not a neurosurgeon, Stevens. 130 00:10:15,314 --> 00:10:17,646 And I want to make sure we get this right. 131 00:10:17,717 --> 00:10:21,847 Somebody find me a copy of Boardman's Neurosurgery! 132 00:10:22,722 --> 00:10:24,155 Everything OK? 133 00:10:25,925 --> 00:10:28,393 You know anything about making burr holes? 134 00:10:28,461 --> 00:10:32,420 - Done it a couple times. - Good. Don't go anywhere. 135 00:10:33,399 --> 00:10:34,661 Stevens, listen to me. 136 00:10:38,371 --> 00:10:41,169 - I need a drill. - There's one in my truck. 137 00:10:41,240 --> 00:10:43,003 What do you need a drill for? 138 00:10:45,478 --> 00:10:48,072 I've got to drill holes in your friend's head. 139 00:10:57,223 --> 00:10:59,054 Watch your back. Coming through. 140 00:11:12,505 --> 00:11:14,598 Hello. I'm suturing here. 141 00:11:14,674 --> 00:11:16,539 - I'm sorry. - Did you just get back? 142 00:11:16,609 --> 00:11:18,042 Yeah. I'm looking... 143 00:11:18,110 --> 00:11:20,203 Have you seen any lost children? 144 00:11:20,279 --> 00:11:22,179 Is Meredith back? It's important. 145 00:11:22,248 --> 00:11:25,183 - This kid, his mom's in surgery. - What kind of surgery? 146 00:11:25,251 --> 00:11:26,684 This kid's lost. 147 00:11:27,887 --> 00:11:30,287 You didn't see it today. You weren't out there. 148 00:11:30,356 --> 00:11:31,687 I know. 149 00:11:33,793 --> 00:11:37,092 Have you seen any lost kids down here or not? 150 00:11:37,163 --> 00:11:39,188 Not. Do you know where Meredith is? 151 00:11:39,265 --> 00:11:42,462 - I'm leaving. - Yeah, I know. 152 00:11:45,805 --> 00:11:47,466 If you can identify the patient, 153 00:11:47,540 --> 00:11:50,407 - write their name on the picture. - I've got markers. 154 00:11:50,476 --> 00:11:54,640 These patients are in surgery and these patients are in the ICU. 155 00:11:54,714 --> 00:11:59,549 - This is Fatima! Is she OK? - Yeah. She's in the OR. Stable. 156 00:12:03,989 --> 00:12:07,049 These people have been transferred from other hospitals. 157 00:12:07,126 --> 00:12:08,423 And I have the details. 158 00:12:08,494 --> 00:12:10,257 - Is that him? - No. 159 00:12:12,531 --> 00:12:15,762 - Hey, it's me. - I got a case I need to check on. 160 00:12:18,604 --> 00:12:21,732 - My husband's not on that board! - Kelly Winter's not either. 161 00:12:21,807 --> 00:12:23,399 What does that mean? 162 00:12:23,476 --> 00:12:27,242 It's... they could be in shock 163 00:12:27,313 --> 00:12:29,338 or walked away from the site... 164 00:12:29,415 --> 00:12:32,782 Just say it. A lot of people died! They're dead! 165 00:12:32,852 --> 00:12:34,547 We don't know that. 166 00:12:34,620 --> 00:12:36,645 So, how can we know? 167 00:12:37,957 --> 00:12:40,653 My wife, she wasn't in these photos either. 168 00:12:40,726 --> 00:12:44,025 But she's pregnant. Is it possible you just didn't see her? 169 00:12:44,096 --> 00:12:45,563 She's pregnant? 170 00:13:06,786 --> 00:13:10,051 What? It's OK. Just think. 171 00:13:10,122 --> 00:13:12,989 Where is she? Which way she go? 172 00:13:13,058 --> 00:13:15,356 It's OK. Take your time. 173 00:13:16,796 --> 00:13:19,458 Take all the time you need. You're doing great. 174 00:13:20,499 --> 00:13:22,364 - What is it? - Good. 175 00:13:43,489 --> 00:13:46,390 OK. Use your words. 176 00:13:47,226 --> 00:13:49,490 Where exactly is Meredith? 177 00:14:17,256 --> 00:14:19,986 The leak in the heart is from the right atrium. 178 00:14:20,059 --> 00:14:23,153 You gonna put her on bypass? That could compromise the baby. 179 00:14:23,229 --> 00:14:27,689 I can fix her heart while it's beating. Push 40 milligrams of esmolol. 180 00:14:30,469 --> 00:14:32,733 I found her husband. I found him. 181 00:14:33,639 --> 00:14:36,802 She's not a Jane Doe. Her name's Casey. Casey Clark. 182 00:14:36,876 --> 00:14:39,242 - What? - How do you know? 183 00:14:40,145 --> 00:14:43,205 - What? - How do you know it's Casey Clark? 184 00:14:43,282 --> 00:14:44,510 She's pregnant... 185 00:14:44,583 --> 00:14:47,814 There were hundreds of people on that ferry, Alex. Hundreds. 186 00:14:47,887 --> 00:14:50,355 Chances are that more than one was pregnant. 187 00:14:50,422 --> 00:14:53,186 Now do not give that man hope unless you are certain. 188 00:14:53,259 --> 00:14:57,753 Do not give him hope until you've checked every last body in the morgue. 189 00:14:59,431 --> 00:15:01,865 - Dr. Burke, can I...? - Yes. Make it fast. 190 00:15:17,182 --> 00:15:20,174 I gotta tell you, this group of interns... 191 00:15:20,252 --> 00:15:22,015 - Emotional. - Headstrong. 192 00:15:22,087 --> 00:15:25,215 Hotheaded. Stubborn. They think they know everything. 193 00:15:25,291 --> 00:15:28,692 You can only give them so much rope before they hang themselves. 194 00:15:28,761 --> 00:15:31,730 They lose all rationality, don't listen to reason. 195 00:15:31,797 --> 00:15:33,788 Jeez, Preston. Don't hold back. 196 00:15:36,568 --> 00:15:38,229 She's getting hypotensive. 197 00:15:38,304 --> 00:15:41,205 I'm seeing some late decels on the fetal heart monitor. 198 00:15:41,273 --> 00:15:43,264 The baby is not getting enough blood! 199 00:15:43,342 --> 00:15:48,109 Almost. Just got one more stitch. 200 00:15:49,782 --> 00:15:52,046 Got it. Turn on the echo. 201 00:15:53,385 --> 00:15:55,751 Baby's heart rate's stabilized. 202 00:15:57,990 --> 00:16:00,254 I think we've seen the worst of it. 203 00:16:08,167 --> 00:16:09,634 What's the deal? 204 00:16:11,270 --> 00:16:14,967 Know how massive this hospital is? How many people... 205 00:16:15,040 --> 00:16:18,271 If I'm a little kid, how many places can I hide? 206 00:16:18,344 --> 00:16:21,370 He's little. A little kid could hide anywhere. 207 00:16:22,014 --> 00:16:25,313 - What, you're looking for a kid? - Yeah. 208 00:16:26,752 --> 00:16:29,846 His mom's in surgery and I... If I don't find him 209 00:16:29,922 --> 00:16:31,446 Bailey will... 210 00:16:31,523 --> 00:16:34,458 To start she'll change her son's middle name 211 00:16:34,526 --> 00:16:37,427 to "Elvis" or "Tupperware". 212 00:16:39,465 --> 00:16:42,366 I'm not kidding. Anything will be better than George. 213 00:16:42,434 --> 00:16:44,493 I know a place a kid might be. 214 00:16:46,672 --> 00:16:48,003 Really? 215 00:16:58,951 --> 00:17:01,283 - You could've warned me. - Yeah. 216 00:17:01,353 --> 00:17:03,844 - You didn't check down here, right? - No. 217 00:17:03,922 --> 00:17:06,982 So, stop whining and tell me if you find a pregnant chick. 218 00:17:07,826 --> 00:17:10,454 You're not the only one with a detail that sucks. 219 00:17:10,529 --> 00:17:14,727 You know? I'm supposed to deal with these freaked out families. 220 00:17:14,800 --> 00:17:18,133 I'm not good with people. They should let me stick to patients. 221 00:17:18,203 --> 00:17:20,433 Patients are people. Especially kids. 222 00:17:21,707 --> 00:17:23,868 - You know what I mean. - He's face down. 223 00:17:25,210 --> 00:17:26,643 How does that...? 224 00:17:27,479 --> 00:17:29,743 Come here and help me turn this body right. 225 00:17:29,815 --> 00:17:32,045 - Dude. - Don't tell me it doesn't matter! 226 00:17:36,255 --> 00:17:38,883 - God. I swear to God. - Dramatic much? 227 00:17:41,326 --> 00:17:43,920 This doesn't bother you? Any of this? 228 00:17:45,364 --> 00:17:47,798 All this death doesn't mean anything to you? 229 00:17:47,866 --> 00:17:49,697 I'm working. Why would it? 230 00:17:50,469 --> 00:17:52,232 Yeah, but it was working... 231 00:17:55,941 --> 00:17:58,068 Caucasian female about 30-years-old. 232 00:17:59,845 --> 00:18:02,473 She's... She's pretty. 233 00:18:04,583 --> 00:18:06,915 She looks about seven months pregnant. 234 00:18:22,901 --> 00:18:26,268 Now remember, Stevens, that drill isn'tjust going to stop 235 00:18:26,338 --> 00:18:30,707 like a neurosurgical drill. So as soon as you feel the release in pressure, 236 00:18:30,776 --> 00:18:33,370 stop the drill or you'll pierce his brain. 237 00:18:33,445 --> 00:18:37,643 - Even if I don't see blood? - Trust your instincts, the feel of it. 238 00:18:37,716 --> 00:18:42,176 I'm ready. No, wait. I need to clean the drill off one more time. 239 00:18:42,254 --> 00:18:44,245 You've cleaned it a dozen times. 240 00:18:44,323 --> 00:18:46,450 It's as clean as it's going to get. 241 00:18:48,494 --> 00:18:49,825 You ready? 242 00:18:52,030 --> 00:18:53,156 Yes. 243 00:18:54,166 --> 00:19:00,162 OK. Place three fingers above the ear and two or three fingers 244 00:19:00,239 --> 00:19:03,606 in front of that on the side where the first pupil blew. 245 00:19:04,209 --> 00:19:05,369 Got it. 246 00:19:05,444 --> 00:19:10,882 Now use the scalpel to make a vertical scalp incision down to the skull. 247 00:19:14,386 --> 00:19:15,512 Jeez. 248 00:19:15,587 --> 00:19:17,282 I see a lot of blood. A lot. 249 00:19:17,356 --> 00:19:20,484 Superficial bleeders. Nothing to worry about. 250 00:19:20,559 --> 00:19:22,424 - Are you at the skull? - Yes. 251 00:19:22,494 --> 00:19:25,588 Drill a hole in the middle of the incision. 252 00:19:30,969 --> 00:19:32,231 Oh, God! 253 00:19:32,304 --> 00:19:34,772 OK, that can't happen. Do you understand me? 254 00:19:34,840 --> 00:19:37,536 Sounds can't happen. Freaking out can't happen. 255 00:19:37,609 --> 00:19:39,338 Ifyou freak out, I'll freak out. 256 00:19:39,411 --> 00:19:41,971 I'm the one holding a drill to your friend's brain. 257 00:19:42,047 --> 00:19:45,483 If you're gonna vomit, if you're gonna make sounds, step away. 258 00:19:45,551 --> 00:19:49,009 If you're going to stay here, you have to pull it together. OK? 259 00:19:52,891 --> 00:19:54,188 We're good, doc. 260 00:19:55,227 --> 00:19:57,024 OK. I'm ready. 261 00:19:58,363 --> 00:20:02,129 The temporal bone's only going to be a couple millimeters thick. 262 00:20:19,918 --> 00:20:21,613 OK. I'm in. 263 00:20:22,321 --> 00:20:23,982 But the dura looks fine. 264 00:20:24,423 --> 00:20:27,654 - You're going to have to go in again. - Frontal lobe, right? 265 00:20:28,560 --> 00:20:32,690 That's right. Just behind the hairline. A few centimeters off the midline. 266 00:20:32,764 --> 00:20:37,133 This bone will be thicker. Five times as thick as the temporal bone. 267 00:20:37,469 --> 00:20:38,629 OK. 268 00:20:40,172 --> 00:20:41,469 Got it. 269 00:20:58,490 --> 00:21:01,050 - Second hole done. - What do you see? 270 00:21:01,126 --> 00:21:05,153 I think I see... blood. I see some blood. 271 00:21:05,230 --> 00:21:07,721 OK, now this is important. 272 00:21:07,799 --> 00:21:11,997 Drill around the hole. You have to try and relieve the pressure. 273 00:21:13,905 --> 00:21:14,997 OK. 274 00:21:26,385 --> 00:21:30,287 OK. The hole's about two centimeters around now. I see blood. 275 00:21:30,355 --> 00:21:31,549 I definitely see blood. 276 00:21:31,623 --> 00:21:34,649 Try to evacuate as much of the clot as you can. 277 00:21:34,726 --> 00:21:36,626 With what? I don't have suction! 278 00:21:36,695 --> 00:21:39,289 Use your finger. Gauze. Anything! 279 00:21:41,800 --> 00:21:43,825 - I see clotted blood. - No arterial? 280 00:21:43,902 --> 00:21:45,733 - No. - Good. 281 00:21:45,804 --> 00:21:49,262 Now how does the dura look? Is it bulging or does it look lax? 282 00:21:49,341 --> 00:21:52,208 It's pulsating regularly with the heart beat. 283 00:21:52,277 --> 00:21:54,268 That's another good, right? 284 00:21:54,346 --> 00:21:56,143 That's great, Stevens. 285 00:21:56,214 --> 00:22:00,150 If it's pulsating, that means blood and oxygen are entering the brain. 286 00:22:00,218 --> 00:22:03,210 Now pack it with gauze so you can minimize the bleeding. 287 00:22:03,755 --> 00:22:04,881 OK. 288 00:22:05,257 --> 00:22:07,157 Get the rescue rig in here. 289 00:22:13,165 --> 00:22:15,224 Nicely done, Stevens. 290 00:22:15,300 --> 00:22:17,427 Is that it? Is he going to be OK? 291 00:22:17,502 --> 00:22:22,439 We've relieved the pressure on his brain but he's got a lot of other injuries. 292 00:22:22,507 --> 00:22:24,065 Hey. 293 00:22:24,976 --> 00:22:26,910 His eyes are open. 294 00:22:48,934 --> 00:22:51,095 Hey, kid. Kid? 295 00:22:53,772 --> 00:22:55,399 You OK? 296 00:22:59,544 --> 00:23:01,569 You need to come with me. 297 00:23:03,115 --> 00:23:04,275 Kid? 298 00:23:34,913 --> 00:23:36,938 One, two, three, four, five. 299 00:23:39,184 --> 00:23:41,880 One, two, three, four, five. 300 00:23:43,054 --> 00:23:46,285 - ETA is five minutes. - One, two, three, four, five. 301 00:23:48,860 --> 00:23:51,260 One, two, three, four, five. 302 00:23:52,798 --> 00:23:54,925 One, two, three, four, five. 303 00:24:04,709 --> 00:24:07,610 - How is she doing? - Good. No intestinal damage. 304 00:24:07,679 --> 00:24:11,137 Missed all her vital organs. She's almost done here. You find her son? 305 00:24:11,216 --> 00:24:12,877 I've looked everywhere. 306 00:24:12,951 --> 00:24:16,318 I've been in contact with the scene, with Mercy West, 307 00:24:16,388 --> 00:24:19,323 with Seattle Presbyterian, I checked in the... 308 00:24:19,391 --> 00:24:20,983 He's lost. 309 00:24:21,827 --> 00:24:23,124 Or... 310 00:24:23,795 --> 00:24:25,695 - Or... - He's in the water. 311 00:24:28,834 --> 00:24:32,270 When she wakes up, I get to inform her that she's not going to die. 312 00:24:32,337 --> 00:24:35,306 - She's just going to want to die. - I'm sorry. I'll... 313 00:24:35,373 --> 00:24:37,898 - I'm going to keep looking. - Yeah, you do that. 314 00:24:43,982 --> 00:24:47,782 His right pupil's not dilated, but his pulse is still up in the 130's. 315 00:24:47,853 --> 00:24:50,651 - What's his neurological status? - GCS is eight. 316 00:24:50,722 --> 00:24:52,883 I'm sorry, I had to use some guy's t-shirt. 317 00:24:52,958 --> 00:24:56,291 - It wasn't sweaty or anything. - Tell the OR we're coming up. 318 00:24:56,361 --> 00:24:57,988 I dropped the scalpel in the field 319 00:24:58,063 --> 00:25:00,759 and I had used all the alcohol swabs on the drill bits, 320 00:25:00,832 --> 00:25:03,767 so I think we should load him up with lots of antibiotics. 321 00:25:03,835 --> 00:25:07,362 You put a drill through a man's skull and didn't hit his brain. 322 00:25:07,439 --> 00:25:09,407 You saved his life. 323 00:25:11,076 --> 00:25:13,670 Get cleaned up and get to the OR. You got work to do. 324 00:25:13,745 --> 00:25:16,339 - The OR? - Yes. The OR. 325 00:25:17,249 --> 00:25:19,444 You're officially off probation. 326 00:25:28,260 --> 00:25:31,320 Oh, Cristina! You are not going to believe what I just did. 327 00:25:31,396 --> 00:25:33,660 You're gonna think I made the whole thing up. 328 00:25:33,732 --> 00:25:37,168 - Is Meredith back? - I drilled a hole into a guy's skull. 329 00:25:37,235 --> 00:25:40,727 Several holes, with a drill I borrowed from a guy named Vince. 330 00:25:40,805 --> 00:25:43,467 Packed the hole with tissue, then brought him here. 331 00:25:43,542 --> 00:25:46,033 - I get to scrub in! - You haven't seen Meredith? 332 00:25:46,111 --> 00:25:49,672 It was a roller coaster ride with adrenaline shooting out of my ears! 333 00:25:49,748 --> 00:25:52,649 You think my hands would be shaking, but they weren't. 334 00:25:53,451 --> 00:25:56,011 - Did I mention the drill? - OK, Izzie, I get it. 335 00:25:56,087 --> 00:25:58,385 You are a hero, I am jealous. 336 00:25:58,456 --> 00:26:01,016 But I need to know where the hell Meredith is. 337 00:26:01,092 --> 00:26:05,324 OK. I don't know where the hell Meredith is. 338 00:26:05,397 --> 00:26:08,264 She should be back here. I didn't see her at the scene. 339 00:26:08,333 --> 00:26:11,496 The scene where I was a rock star, by the way. 340 00:26:11,570 --> 00:26:13,902 Did I mention I'm off probation? 341 00:26:13,972 --> 00:26:15,371 Rock star! 342 00:26:29,287 --> 00:26:31,221 These photos are fatalities. 343 00:26:31,289 --> 00:26:34,281 I know it's difficult, but please try to ID who you can. 344 00:27:03,521 --> 00:27:06,285 We've agreed to let you do the honors. 345 00:27:06,358 --> 00:27:08,986 A few more burr holes to start the craniotomy. 346 00:27:09,060 --> 00:27:10,288 Really? 347 00:27:10,362 --> 00:27:14,298 You saved his life, you might as well help finish what you started. 348 00:27:14,366 --> 00:27:16,630 After I strip off the periosteum, 349 00:27:16,701 --> 00:27:20,637 you can see what a high-speed pneumatic neurosurgical drill feels like. 350 00:27:23,441 --> 00:27:24,999 Drill, please. 351 00:27:59,077 --> 00:28:01,341 We, uh, have two pregnant women. 352 00:28:01,413 --> 00:28:05,110 One of them, she's in bad shape. She's pretty beat up. 353 00:28:05,183 --> 00:28:07,014 She might be hard to recognize. 354 00:28:07,719 --> 00:28:09,152 I don't know. 355 00:28:10,388 --> 00:28:12,788 - What color is her hair? - Brown. Reddish. 356 00:28:14,592 --> 00:28:17,652 My wife is blonde. Brownish, but blonde. 357 00:28:18,797 --> 00:28:22,198 Well, sometimes the blood makes it look darker like that... red. 358 00:28:22,267 --> 00:28:26,101 You can't tell from the photo, but her eyes, they're pretty distinctive. 359 00:28:27,205 --> 00:28:30,038 Casey's eyes are very distinctive. 360 00:28:30,108 --> 00:28:31,405 Brown. 361 00:28:31,476 --> 00:28:35,503 But not that really dark, dark brown. More golden. And really warm. 362 00:28:35,580 --> 00:28:38,208 It's not her. Casey's eyes are blue. 363 00:28:39,417 --> 00:28:41,351 Very, very blue. 364 00:28:44,923 --> 00:28:46,220 I'm sorry. 365 00:28:48,226 --> 00:28:50,786 I thought you said you had two pregnant women? 366 00:28:52,163 --> 00:28:53,596 Yeah. We... 367 00:28:54,599 --> 00:28:56,089 The other one is... 368 00:28:57,569 --> 00:28:58,763 She's... 369 00:28:59,738 --> 00:29:02,605 Oh, God. Oh! Oh, God. 370 00:29:02,674 --> 00:29:05,643 Oh, Casey. 371 00:29:10,882 --> 00:29:12,713 Oh, Casey. 372 00:29:22,761 --> 00:29:24,319 Oh, Casey. 373 00:29:25,663 --> 00:29:27,597 - What do we got? - Jane Doe, drowning. 374 00:29:27,665 --> 00:29:30,065 It's not a Jane Doe! It's Meredith Grey! 375 00:29:31,669 --> 00:29:34,661 Derek. Derek! Derek, how long she been down? 376 00:29:34,739 --> 00:29:36,331 I don't know. She's alive. 377 00:29:36,407 --> 00:29:38,432 - One, two. She's alive. - Derek! 378 00:29:39,477 --> 00:29:41,945 OK, look. I need you to help me get her inside. 379 00:29:42,013 --> 00:29:44,777 Clear a trauma bay! Stat! 380 00:29:46,518 --> 00:29:47,610 Move it! 381 00:29:49,287 --> 00:29:52,279 Dr. Wilson, Dr. Eric Wilson, to the OR. 382 00:30:00,365 --> 00:30:02,492 How was your surgery, Dr. Burke? 383 00:30:02,567 --> 00:30:06,264 The patient is out of the woods now, Dr. Yang. Thanks for asking. 384 00:30:06,337 --> 00:30:09,170 - Ow! - You're numbed. 385 00:30:09,240 --> 00:30:11,174 Whatever. It looked harsh. 386 00:30:12,177 --> 00:30:14,338 Fran, finish this, please. 387 00:30:22,587 --> 00:30:25,420 - What is your problem? - Everyone's back except her. 388 00:30:25,490 --> 00:30:27,117 And I listen to her. 389 00:30:27,192 --> 00:30:30,423 Every day about her McLove-life and McDreamy and the crap. 390 00:30:30,495 --> 00:30:34,829 And on the one day... the one day I have a thing... she disappears. 391 00:30:34,899 --> 00:30:37,060 Meredith. This is about Meredith? 392 00:30:37,836 --> 00:30:39,929 - She doesn't know yet. - Meredith. 393 00:30:40,004 --> 00:30:42,837 - She's my person. - Right. 394 00:30:45,143 --> 00:30:47,703 And if Meredith doesn't approve, then what? 395 00:30:47,779 --> 00:30:50,213 This is not about getting her approval. 396 00:30:50,281 --> 00:30:51,839 - It's about... - What? 397 00:30:51,916 --> 00:30:55,716 Telling her makes it... makes it... 398 00:31:00,058 --> 00:31:01,650 If I murdered someone, 399 00:31:01,726 --> 00:31:05,287 she's the person I'd call to help me drag the corpse across the floor. 400 00:31:06,764 --> 00:31:10,097 OK, see now? You're likening someone here to a corpse. 401 00:31:11,369 --> 00:31:12,631 I'm done. 402 00:31:14,105 --> 00:31:15,936 She's my person. 403 00:31:20,745 --> 00:31:22,940 Removing the bone flap. 404 00:31:25,483 --> 00:31:27,280 Ready with suction. 405 00:31:27,352 --> 00:31:29,820 - Looking good. - Yes. 406 00:31:29,888 --> 00:31:31,719 Yes it is. 407 00:31:35,894 --> 00:31:39,557 - Dr. Stevens? It's your pager. - That's OK. It can wait. 408 00:31:39,631 --> 00:31:41,997 I think you want to take this page. 409 00:31:53,511 --> 00:31:55,138 How she doing? 410 00:31:55,213 --> 00:31:57,181 She's holding steady for now. 411 00:31:58,416 --> 00:32:00,782 - Anybody claim her yet? - No. 412 00:32:02,320 --> 00:32:06,916 She's still a Jane Doe. 413 00:32:10,695 --> 00:32:12,925 - I'd notice. - What? 414 00:32:18,770 --> 00:32:22,866 If you went missing, I'd notice. 415 00:32:35,486 --> 00:32:39,081 Trauma team to OR four. Trauma team to OR four. 416 00:32:57,909 --> 00:33:00,503 - I need a little more suction, please. - Callie. 417 00:33:00,578 --> 00:33:02,808 O'Malley, I'm working. What do you want? 418 00:33:02,880 --> 00:33:05,371 You're doing an internal fixation of the spine 419 00:33:05,450 --> 00:33:08,146 on a John Doe from the ferry crash, age seven. 420 00:33:08,219 --> 00:33:10,687 - That's right. - Can I see his face? 421 00:33:11,689 --> 00:33:13,953 - I'm in the middle of surgery. - I know. 422 00:33:18,563 --> 00:33:20,531 Is this boy your patient? 423 00:33:21,632 --> 00:33:23,964 I know the picture's hard to see. 424 00:33:26,571 --> 00:33:29,563 Please tell me it's him. Tell me he has been right here, 425 00:33:29,640 --> 00:33:32,108 under my nose, open on your table all day 426 00:33:32,176 --> 00:33:35,577 and not drifting along the bottom of the ocean. 427 00:33:37,615 --> 00:33:39,879 Just please tell me that. 428 00:33:42,186 --> 00:33:45,587 Hold the photo under the light so I can get a better look. 429 00:33:46,591 --> 00:33:50,049 Oh, yeah. That's my kid. I could spot those goofy ears anywhere. 430 00:33:50,128 --> 00:33:51,755 - Really? - Really. 431 00:34:00,138 --> 00:34:03,904 Callie O'Malley, I can't kiss you right now because you're scrubbed in, 432 00:34:03,975 --> 00:34:07,672 but tonight, when you get home, I am going to... 433 00:34:07,745 --> 00:34:09,542 OK! OK. All right. You know what? 434 00:34:09,614 --> 00:34:11,844 People, let's focus. George, I'm working. 435 00:34:11,916 --> 00:34:14,384 - Yeah. - I'm working. 436 00:34:14,452 --> 00:34:17,751 - OK. - So... Bye. 437 00:34:33,137 --> 00:34:34,331 Oh, my God! 438 00:34:36,974 --> 00:34:39,340 You're safe. You're safe. 439 00:34:40,678 --> 00:34:43,806 Oh, honey. Mommy's sorry she got lost. 440 00:34:44,482 --> 00:34:45,608 Lisa. 441 00:34:47,251 --> 00:34:49,742 They could only put a 20-gauge IV in. 442 00:34:49,821 --> 00:34:52,688 I'll start a central line, you have to get out of the way. 443 00:34:52,757 --> 00:34:54,987 We put three milligrams of epi down the ET tube. 444 00:34:55,059 --> 00:34:57,527 - Derek. - The last dose was three minutes ago. 445 00:34:57,595 --> 00:34:59,085 - Push... - Shepherd, get out. 446 00:34:59,163 --> 00:35:02,997 I think we should push just one atropine. 447 00:35:03,067 --> 00:35:06,628 I think I saw some reactivity in the pupils before the atropine. 448 00:35:06,704 --> 00:35:09,696 She might have actually had some cardiac activity... 449 00:35:09,774 --> 00:35:11,935 Shepherd, get out! 450 00:35:14,278 --> 00:35:16,212 We need to put an external pacer on. 451 00:35:16,280 --> 00:35:18,475 We need to save her life. 452 00:35:18,549 --> 00:35:21,245 You can't do this. We need to do this. Now go. 453 00:35:29,293 --> 00:35:33,059 - Go. - Three, four, five. One, two... 454 00:35:33,131 --> 00:35:36,066 She has a new 18-gauge in her left AC. 455 00:35:36,134 --> 00:35:37,863 Push one of epi through it. 456 00:35:55,386 --> 00:35:57,718 The chief is working on her, man. 457 00:35:58,422 --> 00:36:00,913 He threw me out. 458 00:36:07,465 --> 00:36:09,262 What do you need? 459 00:36:15,239 --> 00:36:20,040 I need you to go in there. 460 00:36:24,515 --> 00:36:28,144 Give me a new warm blanket. Her temp's still only at 80 degrees. 461 00:36:28,219 --> 00:36:29,982 - What can I do? - She needs an ABG. 462 00:36:31,355 --> 00:36:34,153 Whoa, was that v-fib? Charge to 300. 463 00:36:34,225 --> 00:36:36,125 Let's go! Let's go! Let's go! 464 00:36:36,194 --> 00:36:37,684 OK. Clear! 465 00:36:39,230 --> 00:36:41,630 Back to asystole. Keep compressions going. 466 00:36:42,567 --> 00:36:44,398 - Oh, my God. - She's hypothermic. 467 00:36:45,903 --> 00:36:49,896 Uh... Have you tried a warm peritoneal lavage 468 00:36:49,974 --> 00:36:53,034 or even continuous bladder lavage with warmed fluids? 469 00:36:53,110 --> 00:36:55,340 - You could do a thoracotomy. - Get back to ABG. 470 00:36:55,413 --> 00:36:57,210 Come on. Let's go, people. 471 00:37:44,362 --> 00:37:45,920 How's her temp? 472 00:37:48,633 --> 00:37:51,466 - Only up to 81 now. - Come on, Meredith. Don't do this. 473 00:38:12,056 --> 00:38:13,717 - It's Meredith? - Yeah. 474 00:38:13,791 --> 00:38:15,554 Are you sure? Did you see her? 475 00:38:15,626 --> 00:38:17,059 It's Meredith. 476 00:38:20,331 --> 00:38:22,526 Oh. 477 00:38:27,772 --> 00:38:31,970 Oh... oh. 478 00:38:32,043 --> 00:38:35,604 - She will come through this. - You don't know that. 479 00:38:36,447 --> 00:38:38,881 She will come through this. 480 00:38:42,853 --> 00:38:44,616 People die. 481 00:38:45,956 --> 00:38:47,753 I know people die. 482 00:38:48,392 --> 00:38:50,724 People die in front of us every day. 483 00:38:50,795 --> 00:38:54,458 But I believe Meredith will survive this. 484 00:38:54,532 --> 00:38:58,124 I believe... 485 00:39:00,404 --> 00:39:02,668 I believe in the good. 486 00:39:09,080 --> 00:39:11,207 I believe that it's been a hell of a year 487 00:39:11,282 --> 00:39:15,184 and I believe that in the face of overwhelming evidence to the contrary, 488 00:39:16,687 --> 00:39:18,655 we will all be OK. 489 00:39:20,024 --> 00:39:21,889 I believe a lot of things. 490 00:39:23,961 --> 00:39:25,861 I believe that... 491 00:39:26,931 --> 00:39:30,389 I believe that Denny is always with me. 492 00:39:31,802 --> 00:39:35,738 And I believe that if I eat a tub of butter and no one sees me 493 00:39:35,806 --> 00:39:37,671 that calories don't count. 494 00:39:39,377 --> 00:39:45,043 And I believe that surgeons who prefer staples over stitches are just lazy. 495 00:39:48,919 --> 00:39:53,481 And I believe that you are a man who made a terrible mistake marrying Callie. 496 00:39:56,093 --> 00:39:58,653 And I believe that because I'm your best friend 497 00:39:58,729 --> 00:40:00,594 I can tell you this and we can be OK. 498 00:40:00,664 --> 00:40:05,158 I believe that even though you made this mistake, you will be OK. 499 00:40:17,248 --> 00:40:19,682 I believe we survive, George. 500 00:40:22,987 --> 00:40:26,582 I believe that believing we survive 501 00:40:26,657 --> 00:40:29,319 is what makes us survive. 502 00:40:36,267 --> 00:40:37,825 She's going to be OK. 503 00:40:46,343 --> 00:40:48,208 Push another epi. 504 00:40:50,214 --> 00:40:53,911 - How many is that? - This is our fourth round, sir. 505 00:40:56,020 --> 00:40:59,251 - We've been here 20 minutes, sir. - Still in asystole. 506 00:41:03,994 --> 00:41:05,894 We're losing her. 507 00:41:46,170 --> 00:41:47,330 Hey. 508 00:41:48,973 --> 00:41:50,463 Hey. 509 00:41:54,912 --> 00:41:58,746 Am I... dead? 510 00:42:01,218 --> 00:42:02,810 Damn right you are. 511 00:42:10,694 --> 00:42:12,093 Holy...