1 00:00:02,602 --> 00:00:07,403 Your kids, your keys, your family photo album. 2 00:00:08,141 --> 00:00:09,301 Little more suction. 3 00:00:09,376 --> 00:00:12,539 Perfect. There it is. Clipping the cystic duct. 4 00:00:12,612 --> 00:00:13,772 It's the list you repeat in your head 5 00:00:13,847 --> 00:00:15,178 before you fall asleep. 6 00:00:15,248 --> 00:00:17,443 I just went to prep Lizzie Hagans for her biopsy, 7 00:00:17,484 --> 00:00:20,317 and it was already done. By you. At 5:00 a.m. 8 00:00:20,387 --> 00:00:21,547 You're welcome. 9 00:00:21,888 --> 00:00:23,185 I thought you were going to D.C. 10 00:00:23,823 --> 00:00:27,554 I was, until Mr. Cordell got septic from his gallstones. 11 00:00:27,694 --> 00:00:29,355 Derek can wait. Mr. Cordell can't. 12 00:00:31,698 --> 00:00:34,895 Why is your girlfriend stalking me? 13 00:00:37,103 --> 00:00:40,266 It's the short list of things you'd grab in case of disaster. 14 00:00:40,340 --> 00:00:43,639 So apparently, Grey starts morning pre-rounds 15 00:00:43,710 --> 00:00:45,769 in the middle of the night now. 16 00:00:45,845 --> 00:00:47,608 I've been here for hours. 17 00:00:48,748 --> 00:00:50,773 The list makes you feel in control. 18 00:00:50,884 --> 00:00:52,681 What are we looking at? 19 00:00:52,752 --> 00:00:56,552 I don't know. I'll know when I see it. 20 00:00:56,623 --> 00:00:58,215 Okay, now what am I looking at? 21 00:00:58,291 --> 00:01:00,623 All of Grey's surgeries since November. 22 00:01:00,693 --> 00:01:02,684 At first, I thought it was just a fluke. 23 00:01:02,762 --> 00:01:05,458 My God. Is this right? 24 00:01:05,532 --> 00:01:06,556 Your kids. 25 00:01:06,633 --> 00:01:10,660 She hasn't lost a single patient, not one bad outcome since November? 26 00:01:10,737 --> 00:01:12,034 How is that possible? 27 00:01:12,105 --> 00:01:13,595 She's on a streak. 28 00:01:13,673 --> 00:01:14,662 Your keys. 29 00:01:14,741 --> 00:01:15,935 It's time for rounds. Let's go. 30 00:01:16,009 --> 00:01:18,500 Dude, Grey is pitching a no-hitter. 31 00:01:18,578 --> 00:01:20,637 She hasn't lost a single patient since November. 32 00:01:20,713 --> 00:01:21,702 What? 33 00:01:21,948 --> 00:01:23,882 Your family photo album. 34 00:01:23,917 --> 00:01:25,282 Whoa. 35 00:01:25,351 --> 00:01:26,682 When the fire starts, 36 00:01:27,087 --> 00:01:29,317 when the tsunami hits, 37 00:01:29,389 --> 00:01:31,584 When the earth literally quakes, 38 00:01:32,258 --> 00:01:34,089 do you remember your list? 39 00:01:38,765 --> 00:01:40,323 Whoa! Watch the cabinet! 40 00:01:45,872 --> 00:01:48,238 - Somebody... - I got it! I got it! 41 00:01:53,079 --> 00:01:55,377 Or do you just duck and cover? 42 00:01:56,549 --> 00:01:58,073 - You okay? - We're okay. 43 00:01:58,151 --> 00:01:59,709 Everybody okay? 44 00:02:02,489 --> 00:02:04,252 We're not moving. 45 00:02:04,390 --> 00:02:05,687 Yeah, safety feature. 46 00:02:05,758 --> 00:02:07,453 It did this to me after the last earthquake. 47 00:02:07,560 --> 00:02:08,857 The last earthquake? 48 00:02:10,530 --> 00:02:13,021 I did a lot of research about Seattle before I moved out here. 49 00:02:13,099 --> 00:02:14,691 Earthquakes were never mentioned. 50 00:02:14,767 --> 00:02:16,064 They don't happen too often. 51 00:02:16,169 --> 00:02:18,330 Only when you ride in elevators, apparently. 52 00:02:18,705 --> 00:02:19,694 Apparently. 53 00:02:19,772 --> 00:02:22,297 Remind me not to ride in an elevator with you again. 54 00:02:22,375 --> 00:02:25,503 Sure, Dr. Pierce, or I guess I could just start taking the stairs. 55 00:02:26,679 --> 00:02:28,647 It is Dr. Pierce, right? 56 00:02:30,216 --> 00:02:33,083 Yeah, uh... Um... 57 00:02:33,419 --> 00:02:34,408 Ethan. 58 00:02:35,522 --> 00:02:37,717 Sorry. Ethan. Yeah. 59 00:02:38,558 --> 00:02:39,616 Oncology, right? 60 00:02:40,393 --> 00:02:41,417 Radiology. 61 00:02:42,295 --> 00:02:43,626 Sorry. 62 00:02:44,063 --> 00:02:45,052 No problem. 63 00:02:45,100 --> 00:02:51,000 Ripped By mstoll 64 00:02:53,773 --> 00:02:55,104 - Ah. There we are. - Oh. Yeah. 65 00:02:55,175 --> 00:02:57,609 - Anyway, see you around. - Yep. 66 00:02:59,612 --> 00:03:00,670 My God! 67 00:03:00,780 --> 00:03:03,214 You had to dive on top of me? 68 00:03:03,349 --> 00:03:06,011 I was being your human shield. I was protecting you. 69 00:03:06,085 --> 00:03:08,918 Do I strike you as a woman who needs protecting? 70 00:03:08,988 --> 00:03:10,046 You're right. All right. 71 00:03:10,123 --> 00:03:11,818 Next time, I'm gonna use you as my human shield. 72 00:03:12,992 --> 00:03:15,051 Oh, I should call and check on Tuck. 73 00:03:15,128 --> 00:03:17,722 Oh, you know who probably felt it where she lives? 74 00:03:17,830 --> 00:03:19,195 - Hmm? - Your sister. 75 00:03:19,699 --> 00:03:22,759 Yeah, you should call and see if she's okay. 76 00:03:22,835 --> 00:03:24,826 I will call when I am ready. 77 00:03:24,904 --> 00:03:27,998 I've asked you, Miranda. Please, just let this rest. 78 00:03:29,342 --> 00:03:31,367 Well, what about the trans-family support group tonight, 79 00:03:31,444 --> 00:03:34,038 the one I told you about? You planning to go, or... 80 00:03:34,113 --> 00:03:35,273 - No. - Why not? 81 00:03:35,381 --> 00:03:38,009 Why is this any of your business? 82 00:03:40,186 --> 00:03:41,778 Why, indeed? 83 00:03:42,522 --> 00:03:44,319 Miranda. Miranda! 84 00:03:44,891 --> 00:03:47,485 Warren. There he is. Hey, you feel that quake? 85 00:03:47,794 --> 00:03:49,022 Yes. Yes, I did. 86 00:03:49,095 --> 00:03:50,653 Exciting stuff, exciting stuff. 87 00:03:50,730 --> 00:03:53,790 Almost as exciting as what I have planned for you today. 88 00:03:54,701 --> 00:03:56,191 Breast enhancements and nose jobs. 89 00:03:56,703 --> 00:03:58,068 You need to fix that attitude. 90 00:03:58,805 --> 00:04:01,899 Today is all about instilling self-confidence and changing lives. 91 00:04:01,975 --> 00:04:03,806 So, you play your cards right, 92 00:04:03,876 --> 00:04:08,813 you just might get an invite from me to join the Plastics Posse. 93 00:04:09,983 --> 00:04:12,008 You think that sounds cool? 94 00:04:12,518 --> 00:04:15,510 I did not, at first, but it grows on you. 95 00:04:18,558 --> 00:04:19,718 Come on. 96 00:04:22,295 --> 00:04:23,728 Two more on the way, 97 00:04:23,796 --> 00:04:25,354 one adult male, blunt abdominal trauma, 98 00:04:25,431 --> 00:04:27,126 one minor with a leg fracture post-fall. 99 00:04:27,200 --> 00:04:29,395 - Page Grey and Karev. - Right away. 100 00:04:31,170 --> 00:04:34,298 Kepner, you're here. I'm glad to see you back. 101 00:04:34,374 --> 00:04:36,842 Yep, back and busy. Here, you take bed eight. 102 00:04:36,909 --> 00:04:38,342 I'm gonna head over to five and six. 103 00:04:41,014 --> 00:04:42,242 Grey Sloan Emergency. 104 00:04:42,315 --> 00:04:43,907 - I got a page? - Bed seven. 105 00:04:44,951 --> 00:04:46,680 Okay. Got it. 106 00:04:47,420 --> 00:04:48,478 Did you need something else? 107 00:04:49,422 --> 00:04:51,686 No, no. Bed eight. I'm on my way. 108 00:04:51,758 --> 00:04:53,282 Okay. Yes. 109 00:04:53,726 --> 00:04:54,988 - Yeah. - You've got more incoming? 110 00:04:55,061 --> 00:04:56,551 - I was paged about a hip? - Yes. 111 00:04:56,629 --> 00:05:00,963 Jean Dominy, 75, angioplasty patient, discharged last week, 112 00:05:01,034 --> 00:05:03,525 brought in today with shortness of breath after a fall. 113 00:05:03,603 --> 00:05:06,163 Well, I fell out of bed, dear, onto my hip. 114 00:05:06,306 --> 00:05:08,501 I'm pretty sure I busted the damn thing. 115 00:05:08,574 --> 00:05:10,906 You know, I had it replaced 15 years ago. 116 00:05:11,044 --> 00:05:13,137 Oh, wow. Okay, so the earthquake threw you off balance? 117 00:05:13,212 --> 00:05:17,171 Yes. Well, that and Herbert. He lives down the hall. 118 00:05:17,517 --> 00:05:20,509 I invited him over so I could spit-shine his nine-iron. 119 00:05:22,021 --> 00:05:24,182 - His club, dears. - Oh, of course. 120 00:05:24,257 --> 00:05:25,781 I mean, his penis, ooh... 121 00:05:26,192 --> 00:05:27,819 Anyway, well, we were having sex. 122 00:05:27,894 --> 00:05:30,260 You know, vigorously, legs up in the air. I mean... 123 00:05:30,330 --> 00:05:31,592 - Well, you know how it goes. - Mmm-hmm. 124 00:05:31,964 --> 00:05:32,953 - And then... - Okay. 125 00:05:33,032 --> 00:05:34,897 So, I'll just check off the box for "sexually active." 126 00:05:34,967 --> 00:05:36,264 - Yeah. - Oh, uh, yeah. 127 00:05:36,336 --> 00:05:39,066 See, I have this book with all the positions listed. 128 00:05:39,138 --> 00:05:42,198 - It is like a menu for love-making. - Really? 129 00:05:42,275 --> 00:05:44,402 And, anyway, we were trying number 28, 130 00:05:44,477 --> 00:05:46,172 - you know the... - Uh-huh. Oh. 131 00:05:46,245 --> 00:05:48,008 And then the earth started shaking. 132 00:05:48,081 --> 00:05:49,070 And I thought, 133 00:05:49,148 --> 00:05:51,480 "Whoa, there is no way that Herbert..." 134 00:05:51,584 --> 00:05:53,074 Ow! Ooh. Hmm. 135 00:05:53,252 --> 00:05:55,152 See, now, that's no good. 136 00:05:55,221 --> 00:05:58,247 I'll never get to 29 if I'm hurting like that. 137 00:05:59,959 --> 00:06:01,119 You can fix it, right? 138 00:06:01,194 --> 00:06:02,718 I'll tell you what. We're gonna get you some films. 139 00:06:02,795 --> 00:06:04,888 And then we'll go from there, okay? 140 00:06:04,964 --> 00:06:06,556 - Okay. - Okay. 141 00:06:09,302 --> 00:06:12,169 14-year-old male, sustained a non-displaced tib-fib fracture 142 00:06:12,238 --> 00:06:14,900 secondary to a 14-foot fall from a chair lift. 143 00:06:14,974 --> 00:06:17,101 44-year-old male with blunt abdominal trauma. 144 00:06:17,176 --> 00:06:19,974 BP is 135 over 85, pulse 95. 145 00:06:21,247 --> 00:06:23,875 So, you all were skiing when the earthquake hit? 146 00:06:23,950 --> 00:06:27,249 If only. Didn't even get a chance to ski, thanks to the dweeb. 147 00:06:27,553 --> 00:06:29,384 Danielle, be nice. 148 00:06:30,556 --> 00:06:31,784 Edwards, set up for a trauma panel 149 00:06:31,858 --> 00:06:33,257 and an abdominal ultrasound. 150 00:06:33,326 --> 00:06:34,554 - On it. - We were on the lift. 151 00:06:34,694 --> 00:06:37,492 I was with Danielle. Brian was with Micah. 152 00:06:37,563 --> 00:06:39,326 Everything started shaking, and they fell. 153 00:06:39,399 --> 00:06:41,959 You mean, the dweeb fell. Dad tried to stop him. 154 00:06:42,034 --> 00:06:43,524 - And he took my dad down with him. - Danielle! 155 00:06:43,603 --> 00:06:44,797 You know, he shouldn't have been up there. 156 00:06:44,871 --> 00:06:46,270 He doesn't ski. He didn't even want to go. 157 00:06:46,339 --> 00:06:49,240 Okay, why don't you and your mom go wait in the waiting room, please? 158 00:06:49,442 --> 00:06:51,069 - She's not my mom. - Yet. 159 00:06:52,311 --> 00:06:53,505 We're engaged. 160 00:06:53,579 --> 00:06:54,978 Brian thought we should take a family ski trip. 161 00:06:55,081 --> 00:06:56,639 Of course, we always do what Brian wants to do. 162 00:06:56,716 --> 00:06:58,183 - Shut your face. - Shut your face! 163 00:06:58,251 --> 00:06:59,343 Why don't we all shut our faces 164 00:06:59,419 --> 00:07:01,580 and let us figure out what's wrong with you guys, okay? 165 00:07:03,322 --> 00:07:05,688 Hey, we need to re-stock the supply cart in trauma two right away. 166 00:07:05,758 --> 00:07:06,884 Right away. 167 00:07:08,294 --> 00:07:10,558 Hey, that kid in bed two's ready to be discharged. 168 00:07:10,630 --> 00:07:12,530 Ditto bed one, who has hypochondria 169 00:07:12,598 --> 00:07:14,463 and not a giant tumor growing in her head. 170 00:07:16,135 --> 00:07:18,626 Heard anything from Herman? How's she doing? 171 00:07:18,704 --> 00:07:19,898 Ooh, um... 172 00:07:20,273 --> 00:07:23,538 "Enjoying blind institute. Learning how to not bump into things. 173 00:07:23,609 --> 00:07:26,043 "Not typing this, obvi. Don't kill any babies." 174 00:07:26,112 --> 00:07:27,306 Okay, well, she sounds all right. 175 00:07:27,647 --> 00:07:29,376 Is somebody gonna answer that call? 176 00:07:29,449 --> 00:07:30,711 - Not it. - Yeah, no, all yours. 177 00:07:32,118 --> 00:07:35,281 - I'll page someone for you. - Thank you. 178 00:07:35,354 --> 00:07:36,616 Grey Sloan Emergency. 179 00:07:36,689 --> 00:07:38,179 Is this the hospital? I need help. 180 00:07:38,257 --> 00:07:40,054 Well, you need to hang up and call 911. 181 00:07:40,159 --> 00:07:42,354 I tried. It was busy. My mom fell off a chair. 182 00:07:42,428 --> 00:07:45,556 She's not moving. I don't know what to do. What do I do? 183 00:07:45,631 --> 00:07:47,997 Your what? Your mom? How old are you? 184 00:07:48,367 --> 00:07:49,925 I'm 11. 185 00:07:50,002 --> 00:07:51,867 - Where are you? - Our cabin. I don't know. 186 00:07:51,938 --> 00:07:53,462 The power's out. Please help. 187 00:07:53,539 --> 00:07:56,099 All right, it's all right. Just hang on. 188 00:07:56,175 --> 00:07:58,370 Somebody, Kepner, get on with 911 189 00:07:58,511 --> 00:08:01,071 and get them to trace the call on line three right now. 190 00:08:01,147 --> 00:08:03,547 It's a kid with her injured mom in the mountains somewhere. 191 00:08:03,616 --> 00:08:04,742 - Go. - Okay. 192 00:08:04,817 --> 00:08:06,375 Are you still there? 193 00:08:06,452 --> 00:08:07,942 I'm here. I'm right here. 194 00:08:08,020 --> 00:08:10,352 - What's your name? - Ruby. 195 00:08:10,423 --> 00:08:12,550 Ruby, I'm Owen. 196 00:08:12,658 --> 00:08:14,785 Are you a doctor? Can you help? 197 00:08:14,861 --> 00:08:17,989 I can. I'm right here, and I'm going to help you. 198 00:08:29,408 --> 00:08:30,534 We were making S'mores. 199 00:08:30,610 --> 00:08:31,975 She was getting hot chocolate from the cabinet. 200 00:08:32,044 --> 00:08:33,068 Watch your back. 201 00:08:33,145 --> 00:08:35,204 Yes, it's a line coming into Grey Sloan Memorial. 202 00:08:35,281 --> 00:08:37,545 She was standing on the chair, and then everything was shaking. 203 00:08:37,617 --> 00:08:40,609 Then she fell. Now she's on the floor. I can barely see anything. 204 00:08:40,686 --> 00:08:43,746 - She's on the floor. Is she awake? - No. What do I do? 205 00:08:43,823 --> 00:08:44,881 Two hours! I waited two hours! 206 00:08:44,957 --> 00:08:47,289 And now I still can't leave because somebody double-parked behind me! 207 00:08:47,360 --> 00:08:48,384 Quiet, please. 208 00:08:48,461 --> 00:08:49,951 Don't you have security here or a valet? 209 00:08:50,029 --> 00:08:51,758 - Listen, I'll find someone... - You better waive my co-pay! 210 00:08:51,831 --> 00:08:53,162 He said, "Quiet!" 211 00:08:55,701 --> 00:08:57,032 I'll get it. I'll help you. 212 00:08:59,305 --> 00:09:01,535 Ruby, I am gonna move to another phone 213 00:09:01,607 --> 00:09:02,631 so I can hear you better. 214 00:09:02,708 --> 00:09:03,970 - Don't hang up. - No, no, no. 215 00:09:04,043 --> 00:09:07,535 I'm just moving to another phone. I'll be right there, okay? 216 00:09:07,613 --> 00:09:09,103 Okay? 217 00:09:09,215 --> 00:09:11,445 Okay. 218 00:09:12,718 --> 00:09:15,414 - I always screw this up. - What? 219 00:09:15,521 --> 00:09:16,579 No, no, no. No. Nothing. 220 00:09:16,656 --> 00:09:21,992 Don't worry. I'll be right back. Just hang on. 221 00:09:22,061 --> 00:09:24,393 Where's that chest X-ray? 222 00:09:45,318 --> 00:09:47,809 Move, move. 223 00:09:47,887 --> 00:09:49,514 - Ruby, you still there? - I'm here. 224 00:09:50,056 --> 00:09:52,422 - What's going on? - Okay. 225 00:09:53,192 --> 00:09:56,684 - Uh, is your mom breathing? - Yes, yes. 226 00:09:56,762 --> 00:09:58,457 It sounds like she's snoring. 227 00:09:58,531 --> 00:10:00,362 And what position is she in? 228 00:10:00,433 --> 00:10:02,901 - Is she on her side? Is she... - She's on her back. 229 00:10:02,969 --> 00:10:05,062 - She's just laying there. - 11 -year-old kid, 230 00:10:05,137 --> 00:10:07,537 her mom fell at a vacation cabin somewhere. 231 00:10:07,607 --> 00:10:09,040 Kepner's trying to trace the call. 232 00:10:09,108 --> 00:10:12,544 Ruby, I need you to hold the phone to your mom's mouth, okay? 233 00:10:12,612 --> 00:10:14,204 - I need to listen. - Okay. 234 00:10:16,682 --> 00:10:18,582 An obstructed airway. 235 00:10:18,651 --> 00:10:20,312 We need a trauma room. This one's free, right? 236 00:10:20,419 --> 00:10:21,579 - No. - No. 237 00:10:22,254 --> 00:10:23,414 Occupied, apparently. 238 00:10:23,489 --> 00:10:25,150 She needs to call 911 from a land line. 239 00:10:25,224 --> 00:10:27,715 It's the only way the EMS can trace her directly. 240 00:10:27,793 --> 00:10:28,919 Ruby, listen to me. 241 00:10:28,995 --> 00:10:31,395 What kind of phone are you calling on? 242 00:10:31,464 --> 00:10:35,298 If it is the phone in the cabin, you need to hang up and call 911. 243 00:10:35,401 --> 00:10:38,859 No, that one's dead. I'm on a cell, my mom's. 244 00:10:38,938 --> 00:10:41,099 Cell won't work. Crap. Okay, okay. 245 00:10:41,173 --> 00:10:44,939 Her lips are blue. Why are her lips turning blue? 246 00:10:46,846 --> 00:10:49,644 Because your mom's not getting enough air. 247 00:10:50,983 --> 00:10:53,008 So, no go on the open trauma room. 248 00:10:53,085 --> 00:10:56,521 It's fine. These injuries look pretty superficial. 249 00:10:57,123 --> 00:10:59,785 You know, we would be on the Wolf Run right now 250 00:10:59,859 --> 00:11:02,555 if it was just you and me on the trip, like it was supposed to be. 251 00:11:02,628 --> 00:11:05,893 Dani, honey, this is not Micah's fault. 252 00:11:05,965 --> 00:11:08,866 It's not his fault he can't sit in a chair? Because I think it is. 253 00:11:12,405 --> 00:11:15,033 The kids don't get along. 254 00:11:15,508 --> 00:11:17,066 Oh, you're kidding. 255 00:11:19,111 --> 00:11:21,443 Karen and I got engaged over the summer 256 00:11:21,514 --> 00:11:23,448 after three years of dating. 257 00:11:23,516 --> 00:11:25,381 I would have proposed after the third date, 258 00:11:25,451 --> 00:11:27,248 but the kids... 259 00:11:29,522 --> 00:11:31,854 I thought, "Let's take a trip. 260 00:11:31,924 --> 00:11:36,452 "Let's do something together as a family, see if it might help." 261 00:11:36,529 --> 00:11:38,463 I think I made it worse. 262 00:11:41,000 --> 00:11:42,092 Do you think I made it worse? 263 00:11:45,271 --> 00:11:48,240 Sometimes, adversity can make a family stronger. 264 00:11:52,878 --> 00:11:54,812 Or tear it apart. 265 00:11:57,183 --> 00:12:00,516 I'm just saying, swap me out. I want to be close to the good stuff. 266 00:12:01,554 --> 00:12:04,682 Not that you're not the good stuff, but she's got a streak going. 267 00:12:04,757 --> 00:12:06,918 Stop saying that, and definitely don't say it to Meredith, 268 00:12:06,992 --> 00:12:09,460 unless you want it to end. You'll jinx her. 269 00:12:11,330 --> 00:12:12,854 - Ow. - That hurts? 270 00:12:13,632 --> 00:12:15,224 I'm concerned about this abdominal tenderness. 271 00:12:15,301 --> 00:12:16,996 Schedule a CT and rush his labs. 272 00:12:17,069 --> 00:12:20,004 So what, so you're not gonna swap me out? 273 00:12:20,072 --> 00:12:21,869 Never mind. 274 00:12:24,009 --> 00:12:25,374 Could you go back one? 275 00:12:28,614 --> 00:12:29,740 One more? 276 00:12:35,054 --> 00:12:36,078 This one. 277 00:12:36,489 --> 00:12:37,717 How soon can we do it? 278 00:12:38,390 --> 00:12:39,721 - Well... - You know what? 279 00:12:39,792 --> 00:12:42,192 We're not gonna schedule the surgery quite yet. 280 00:12:42,595 --> 00:12:44,153 But I want to do it before summer. 281 00:12:44,230 --> 00:12:46,664 Six weeks. Then we'll all meet again. 282 00:12:46,732 --> 00:12:49,929 We'll talk through our options. Thanks for coming in. 283 00:12:54,273 --> 00:12:55,501 Yeah, I don't get it. 284 00:12:55,574 --> 00:12:57,007 Are we no longer granting wishes today, or... 285 00:12:57,076 --> 00:12:59,271 Did you see how she looked to the boyfriend? 286 00:12:59,779 --> 00:13:02,247 He's not here for support. He's here for approval. 287 00:13:02,681 --> 00:13:04,239 Six weeks. 288 00:13:04,350 --> 00:13:05,977 That's how long it's gonna take her to realize 289 00:13:06,051 --> 00:13:08,246 that it's not her wish that we'd be granting. 290 00:13:08,320 --> 00:13:09,947 So, you're saying she was being too hasty. 291 00:13:10,022 --> 00:13:12,047 I'm saying I'm not giving that girl a set of new breasts 292 00:13:12,124 --> 00:13:13,785 that were never her idea in the first place. 293 00:13:13,859 --> 00:13:15,486 That's just a bra full of regret. 294 00:13:15,995 --> 00:13:18,486 All right, time to power up. 295 00:13:18,564 --> 00:13:20,225 The Posse's got a big afternoon. 296 00:13:22,835 --> 00:13:25,827 Ruby, open your mom's mouth and take two fingers 297 00:13:25,905 --> 00:13:28,738 and sweep the back of your mom's throat, 298 00:13:28,808 --> 00:13:30,673 like a scooping motion. 299 00:13:30,743 --> 00:13:32,506 She might have something blocking her airway. 300 00:13:32,578 --> 00:13:33,806 Let's see if you can get it. 301 00:13:33,879 --> 00:13:35,312 Okay, okay. 302 00:13:36,549 --> 00:13:38,642 There's nothing. What now? 303 00:13:39,118 --> 00:13:41,916 Try a Heimlich. Give a hard push on your mom's... 304 00:13:41,987 --> 00:13:44,148 Belly? I've seen it on TV. How hard do I... 305 00:13:44,223 --> 00:13:46,088 As hard as you can. 306 00:13:52,131 --> 00:13:53,962 Nothing happened. Nothing... 307 00:13:54,033 --> 00:13:56,058 Nothing came out. Her breathing's getting worse. 308 00:13:56,135 --> 00:13:57,227 Okay... 309 00:13:57,469 --> 00:14:00,563 Okay, we're gonna try opening her airway another way. 310 00:14:00,639 --> 00:14:03,665 I need you to put your hand under your mom's chin 311 00:14:03,809 --> 00:14:05,674 and very gently lift it up. 312 00:14:05,744 --> 00:14:08,372 No, wait, stop. You'll paralyze her. 313 00:14:11,050 --> 00:14:13,644 Hello? What should I do? 314 00:14:14,253 --> 00:14:16,346 Hello? 315 00:14:16,422 --> 00:14:17,514 So, the good news is, 316 00:14:17,590 --> 00:14:20,991 your EKG and chest films came back clear. 317 00:14:21,060 --> 00:14:23,893 So, my ticker's good. How about my kicker? 318 00:14:25,397 --> 00:14:29,731 Well, you have what is called a below-the-stem femur fracture. 319 00:14:29,802 --> 00:14:30,791 Oopsy. 320 00:14:30,870 --> 00:14:34,601 Now, you have two cracks in the bone, one here and here. 321 00:14:34,673 --> 00:14:39,508 So, how do we get me back in the saddle? So to speak. 322 00:14:40,079 --> 00:14:43,344 Well, I would like to completely replace the hardware. 323 00:14:43,415 --> 00:14:46,145 Now, it's a very big surgery, and it does carry risks, 324 00:14:46,218 --> 00:14:49,517 but you would come out of it with full flexibility, 325 00:14:49,588 --> 00:14:50,919 which I think is what... 326 00:14:50,990 --> 00:14:53,322 So, I'd be good to go on my back? 327 00:14:53,392 --> 00:14:55,519 - You should be. - Or on my side. 328 00:14:55,594 --> 00:14:56,583 Or that thing, you know, 329 00:14:56,662 --> 00:14:58,630 where you bend over the couch and then he... 330 00:14:58,697 --> 00:15:00,927 Like I said, full flexibility. 331 00:15:01,000 --> 00:15:03,127 Yeah, okay, but considering your cardiac history, 332 00:15:03,202 --> 00:15:05,636 I'm not sure a big surgery is a great idea. 333 00:15:05,704 --> 00:15:08,605 Tell me, dear, have you ever been married? 334 00:15:08,674 --> 00:15:11,541 Are you seeing anyone or getting laid? 335 00:15:12,011 --> 00:15:13,069 Well, that's not... I mean... 336 00:15:13,145 --> 00:15:16,637 You see, I was married to my husband for 44 years. 337 00:15:16,715 --> 00:15:19,013 That's 44 years with the same man. 338 00:15:19,084 --> 00:15:22,110 We had three children, seven grandchildren, 339 00:15:22,187 --> 00:15:24,348 and a lifetime of memories. 340 00:15:25,457 --> 00:15:28,449 He was the first man that I ever loved. 341 00:15:29,194 --> 00:15:32,425 And he's the only man that I ever will love. 342 00:15:32,998 --> 00:15:34,659 But I'll be hot-damned 343 00:15:34,733 --> 00:15:38,362 if he's going to be the only man to ever razz my berries. 344 00:15:38,671 --> 00:15:41,071 I mean, I have time left, 345 00:15:41,140 --> 00:15:43,938 and there's still things that I want to do, you know? 346 00:15:44,009 --> 00:15:45,977 There's things that I haven't done, 347 00:15:46,045 --> 00:15:47,535 and there's a whole lot of things 348 00:15:47,613 --> 00:15:49,979 that, I mean, I didn't even know you could do. 349 00:15:50,049 --> 00:15:52,074 You know, like that thing where you go... You know? 350 00:15:52,151 --> 00:15:54,449 - Yeah. Yeah. Yeah. - Right, right, we got it. 351 00:15:54,520 --> 00:15:55,509 Yeah. 352 00:15:55,587 --> 00:15:59,887 I mean, what's the point of living if you can't try something new? 353 00:16:01,360 --> 00:16:02,418 Hmm? 354 00:16:02,995 --> 00:16:04,428 I want that surgery. 355 00:16:05,898 --> 00:16:06,922 Sounds good. 356 00:16:06,999 --> 00:16:09,524 That is a five-hour surgery on a 75-year-old 357 00:16:09,601 --> 00:16:11,501 who has a stent and is on blood thinners. 358 00:16:12,104 --> 00:16:14,368 I can't believe you would suggest a surgery like that to a patient 359 00:16:14,440 --> 00:16:15,930 without running it by me first. 360 00:16:16,041 --> 00:16:17,770 I'm sorry. You called me for my opinion. 361 00:16:17,876 --> 00:16:19,275 Look, I do hip replacements all the time 362 00:16:19,345 --> 00:16:21,438 on far older patients with far weaker hearts. 363 00:16:21,513 --> 00:16:24,914 She is clearly still active. I think her heart's in pretty good shape. 364 00:16:24,984 --> 00:16:26,042 That's not your call. 365 00:16:26,118 --> 00:16:29,246 Okay, we are talking about a healthy, vibrant woman here. 366 00:16:29,355 --> 00:16:31,687 She deserves the best quality of life that we can give her. 367 00:16:31,757 --> 00:16:33,816 If she wants a new hip, that's her call. 368 00:16:34,093 --> 00:16:37,324 So she can get laid? Really? Really? 369 00:16:37,396 --> 00:16:40,126 You think that's important enough to risk her dying on the table? 370 00:16:40,199 --> 00:16:42,861 If her hip is so damaged that she winds up immobilized 371 00:16:42,935 --> 00:16:44,869 and bed-ridden for the rest of her life, then, yeah, I sure do, 372 00:16:44,937 --> 00:16:46,268 because either way, she's dying. 373 00:16:50,576 --> 00:16:51,941 Fine. 374 00:16:52,011 --> 00:16:55,378 I will reevaluate the images and take a closer look. 375 00:16:55,447 --> 00:16:57,938 Maybe there's another option. Okay? 376 00:16:59,351 --> 00:17:01,080 Thank you. 377 00:17:01,220 --> 00:17:02,847 Kepner told me about the little girl. 378 00:17:02,988 --> 00:17:04,922 What can I do? Tell me, can I help? 379 00:17:04,990 --> 00:17:07,481 - We are trying to get an airway. - By risking paralysis. 380 00:17:07,559 --> 00:17:11,120 I'd rather have her paralyzed and alive than dead with respiratory arrest. 381 00:17:11,196 --> 00:17:13,562 Do you have a better idea? 382 00:17:13,665 --> 00:17:14,996 - Hello? Are you still there? 383 00:17:15,067 --> 00:17:17,763 Ruby. Go ahead. 384 00:17:17,836 --> 00:17:20,669 Lift her chin and pull it forward, gently. 385 00:17:21,273 --> 00:17:22,865 Okay. 386 00:17:23,675 --> 00:17:27,133 Okay, now put the phone on your mom's chest, okay? 387 00:17:27,212 --> 00:17:29,237 And let me listen. 388 00:17:29,314 --> 00:17:32,010 The stridor's gone. She opened the airway, but... 389 00:17:32,084 --> 00:17:34,177 She still could be in distress. 390 00:17:34,253 --> 00:17:36,312 It's something else. 391 00:17:36,388 --> 00:17:39,152 Ruby, put your head on your mom's chest 392 00:17:39,224 --> 00:17:40,816 on the left side and listen. 393 00:17:43,595 --> 00:17:45,790 I don't hear anything. What am I listening for? 394 00:17:45,864 --> 00:17:47,593 Breathing. Do you hear her breathing? 395 00:17:48,801 --> 00:17:50,530 No. 396 00:17:50,602 --> 00:17:52,570 Owen. Owen. 397 00:17:52,638 --> 00:17:54,606 Okay, okay, okay, Ruby, 398 00:17:54,673 --> 00:17:58,234 now put your ear on the right side and listen. 399 00:17:59,678 --> 00:18:01,111 Anything? 400 00:18:03,916 --> 00:18:04,905 Ruby? 401 00:18:05,050 --> 00:18:06,813 She's breathing! I hear it! 402 00:18:06,885 --> 00:18:08,785 Okay, could be a tension pneumo. 403 00:18:08,854 --> 00:18:12,950 Ruby, now just push the phone into your mom's chest, 404 00:18:13,025 --> 00:18:14,458 right where you were just listening. 405 00:18:14,526 --> 00:18:17,154 Just push the phone in and move it. 406 00:18:20,766 --> 00:18:22,199 That's sub-Q air. Do you hear that? 407 00:18:22,568 --> 00:18:23,557 - Mmm-hmm. - She's gonna need... 408 00:18:23,635 --> 00:18:26,069 She's gonna need to release the trapped air 409 00:18:26,138 --> 00:18:28,538 - with a chest tube or something. - Okay. 410 00:18:28,607 --> 00:18:32,065 It's the only way, or her mom's gonna suffocate. 411 00:18:32,144 --> 00:18:34,271 You mean... You're gonna ask her to... 412 00:18:34,346 --> 00:18:35,779 Okay. Ruby, 413 00:18:36,882 --> 00:18:40,010 I'm gonna ask you to try something. It's gonna be fine, 414 00:18:40,085 --> 00:18:42,713 and I'm gonna walk you through it, step by step, okay? 415 00:18:42,788 --> 00:18:45,621 Okay, but can you tell me fast? The phone keeps beeping. 416 00:18:46,158 --> 00:18:47,523 I think it's running out of battery. 417 00:19:01,473 --> 00:19:03,907 - What are you doing here? - I am hiding out. 418 00:19:03,976 --> 00:19:05,341 We're waiting on the dad's labs, 419 00:19:05,410 --> 00:19:07,310 but I couldn't sit there and listen to those two 420 00:19:07,379 --> 00:19:08,846 bite each other's heads off anymore. 421 00:19:08,914 --> 00:19:10,006 Me, neither. 422 00:19:10,415 --> 00:19:13,816 Brian's labs came back clear. How's Micah? 423 00:19:13,952 --> 00:19:16,716 Looks like a grade four splenic lac, possible rupture. 424 00:19:16,788 --> 00:19:18,255 We need to prep him for ex-lap. 425 00:19:19,424 --> 00:19:21,187 What? He's crashing. 426 00:19:21,260 --> 00:19:22,454 - Crap. - Oh, crap! 427 00:19:23,428 --> 00:19:24,952 His pressure's bottoming out. 428 00:19:25,097 --> 00:19:27,531 - Hurry up! - He's in v-fib. We got to bag him. 429 00:19:28,901 --> 00:19:30,994 One, two, three. 430 00:19:32,771 --> 00:19:34,068 Easy. 431 00:19:35,507 --> 00:19:37,941 Where is that crash cart? I need those paddles. 432 00:19:40,946 --> 00:19:42,243 Almost here. 433 00:19:45,751 --> 00:19:47,275 There's no time. 434 00:19:57,029 --> 00:19:58,053 Got a rhythm. 435 00:19:59,731 --> 00:20:01,824 Edwards, you and Wilson go and prep that OR, please. 436 00:20:03,068 --> 00:20:04,695 - Magical. - Told you. 437 00:20:05,170 --> 00:20:07,695 - What? - Nothing. 438 00:20:08,240 --> 00:20:10,333 Get going. Move. 439 00:20:10,542 --> 00:20:12,407 Ruby, do you guys have straws in the kitchen? 440 00:20:12,477 --> 00:20:13,739 - No. - A pen, maybe? 441 00:20:13,812 --> 00:20:15,973 - A ballpoint pen? - Anything? 442 00:20:16,048 --> 00:20:17,709 Not yet. Lines are down because of the earthquake. 443 00:20:17,783 --> 00:20:19,375 They're trying to triangulate from the cell towers. 444 00:20:19,451 --> 00:20:20,748 How's the mom? 445 00:20:21,753 --> 00:20:23,118 - Okay. - Wait! Wait. 446 00:20:23,188 --> 00:20:25,588 We got milkshakes on the way here. Got a straw! 447 00:20:25,824 --> 00:20:27,724 Great. Now, we're gonna need you to get a... 448 00:20:29,161 --> 00:20:30,321 What? What? 449 00:20:31,530 --> 00:20:33,088 I don't want to ask her to do this. 450 00:20:36,735 --> 00:20:38,930 Ruby, we're gonna... 451 00:20:39,004 --> 00:20:42,565 We're gonna need you to get a knife. Not a big one, but a sharp... 452 00:20:42,641 --> 00:20:45,201 You were making s'mores? Are the skewers there? 453 00:20:45,344 --> 00:20:48,279 Yes. Got one. Oh, God. 454 00:20:48,480 --> 00:20:50,175 You want me to stick this into her, don't you? 455 00:20:50,249 --> 00:20:53,582 Ruby, you can do this. You can. It's gonna help your mom, okay? 456 00:20:53,652 --> 00:20:54,676 We just need you to find the... 457 00:20:54,786 --> 00:20:57,584 Second intercostal. I don't know how to explain that to her. 458 00:20:57,656 --> 00:20:58,680 Wait, wait, wait. 459 00:21:00,792 --> 00:21:02,487 Um, Ruby. 460 00:21:02,561 --> 00:21:07,191 Okay, touch your mom's left collarbone, 461 00:21:07,266 --> 00:21:10,099 the one that looks like a wing, coming out from her neck. 462 00:21:10,168 --> 00:21:12,500 Now walk your fingers down from it. 463 00:21:12,571 --> 00:21:15,096 Two steps. You got it? 464 00:21:15,173 --> 00:21:18,472 Okay. One. Two. 465 00:21:18,543 --> 00:21:19,532 - Stop. - Stop. 466 00:21:19,611 --> 00:21:21,704 Now slide your finger right underneath that rib. 467 00:21:21,780 --> 00:21:25,045 And with your other hand, right above that finger, 468 00:21:25,117 --> 00:21:27,244 push the skewer in about an inch. 469 00:21:27,986 --> 00:21:30,250 - I can't do that. - Ruby, yes, you can. 470 00:21:30,322 --> 00:21:32,017 - What if we're wrong? - I'm not wrong. 471 00:21:32,090 --> 00:21:33,421 Okay. Ruby, you can do this. 472 00:21:33,492 --> 00:21:35,289 - She could puncture her heart. - She won't. 473 00:21:35,360 --> 00:21:36,588 Ruby, right now. 474 00:21:37,129 --> 00:21:39,393 - Oh, God. - Ruby, push. Hard. 475 00:21:39,665 --> 00:21:42,190 Push hard. Push hard. Right now. 476 00:21:43,435 --> 00:21:45,926 Oh, my God! There's blood! 477 00:21:46,004 --> 00:21:46,993 - She's bleeding! - It's okay. It's okay. 478 00:21:47,072 --> 00:21:49,939 Now take the straw and put it over the skewer 479 00:21:50,008 --> 00:21:53,034 into the hole that you just made and push hard. 480 00:21:53,111 --> 00:21:54,840 - She's breathing a lot! - You did it. 481 00:21:54,913 --> 00:21:56,005 Thank God. 482 00:21:57,716 --> 00:21:59,809 Wait, wait. She stopped. 483 00:21:59,885 --> 00:22:01,477 Her lips are going blue again. 484 00:22:01,553 --> 00:22:04,147 Ruby, put your fingers on the right side of her neck, 485 00:22:04,222 --> 00:22:05,883 right by her throat. 486 00:22:05,957 --> 00:22:08,289 - Do you feel a pulse? - No. 487 00:22:08,360 --> 00:22:09,384 Okay. 488 00:22:09,461 --> 00:22:11,554 Ruby, I need you to get on top of your mom 489 00:22:11,663 --> 00:22:15,099 and put your hands on her chest and push hard right now. 490 00:22:15,167 --> 00:22:17,158 Okay, I'm gonna teach you how to do CPR. 491 00:22:19,204 --> 00:22:20,796 All right, let's take a look. 492 00:22:23,075 --> 00:22:25,509 Yikes. That hip took a hell of a pounding. 493 00:22:27,145 --> 00:22:28,544 Oh, Ethan, you have no idea. 494 00:22:28,947 --> 00:22:31,814 Could you, please, zoom in on the right femoral prosthesis? 495 00:22:31,883 --> 00:22:32,872 Sure thing. 496 00:22:34,152 --> 00:22:36,586 Twice in one day, Dr. Pierce. 497 00:22:36,655 --> 00:22:39,249 Yeah. Careful, or you'll get sick of me. 498 00:22:40,225 --> 00:22:41,249 Unlikely. 499 00:22:44,129 --> 00:22:45,460 Yeah, see that? There. 500 00:22:45,530 --> 00:22:47,361 Her femur lateral to the stem is cracked. 501 00:22:47,432 --> 00:22:48,558 Her hip isn't gonna resolve on its own. 502 00:22:48,633 --> 00:22:49,657 She needs surgery. 503 00:22:49,735 --> 00:22:53,068 Although, I guess the femur fracture isn't displaced. 504 00:22:53,138 --> 00:22:55,800 Maybe I could put in a plate to bridge the fracture, 505 00:22:55,874 --> 00:22:58,035 go in from the side. It would be a little less invasive. 506 00:22:58,110 --> 00:23:00,476 - And less time in the OR? - A lot less, actually. 507 00:23:00,579 --> 00:23:02,376 Good, so she could stay on her blood thinners, 508 00:23:02,447 --> 00:23:04,381 substantially lowering the risk to her heart. 509 00:23:04,449 --> 00:23:06,349 And she can get back to getting her freak on. 510 00:23:06,485 --> 00:23:08,180 I'll let her know. 511 00:23:10,856 --> 00:23:13,518 I've been taking the stairs, by the way. 512 00:23:13,658 --> 00:23:15,717 Since this morning, you know, just in case. 513 00:23:17,028 --> 00:23:19,394 Oh, I wasn't serious before. I was just... 514 00:23:19,498 --> 00:23:20,658 Yeah, I know. 515 00:23:20,866 --> 00:23:22,697 I'm not actually taking the stairs. 516 00:23:23,301 --> 00:23:24,359 Oh! 517 00:23:24,536 --> 00:23:25,628 Okay. 518 00:23:25,704 --> 00:23:28,264 I would like to take you out, though, sometime. 519 00:23:28,340 --> 00:23:31,605 Maybe for coffee, or a drink, or... 520 00:23:32,611 --> 00:23:34,272 The point is, I'm flexible. 521 00:23:36,381 --> 00:23:37,541 This is coming out all wrong. 522 00:23:37,649 --> 00:23:39,014 - I'm gonna start over. - No, no, it's... 523 00:23:39,084 --> 00:23:41,609 I'm gonna stop you, actually. 524 00:23:41,686 --> 00:23:44,177 I'm sorry, Ethan. You seem really... 525 00:23:44,890 --> 00:23:46,619 Tall... Nice. 526 00:23:46,691 --> 00:23:49,182 But, I'm just... I'm not... I don't... 527 00:23:49,261 --> 00:23:52,196 Sure. That's okay. I understand. 528 00:23:53,598 --> 00:23:55,122 Okay. 529 00:23:59,771 --> 00:24:02,205 This is basically my office, 530 00:24:02,274 --> 00:24:06,734 so, if you're waiting for me to make this less awkward by leaving, I... 531 00:24:06,812 --> 00:24:09,280 Right. Of course. Okay. 532 00:24:09,748 --> 00:24:12,649 I'm gonna get out of here. Take this with me. Bye. 533 00:24:17,255 --> 00:24:18,654 Is Karen around? 534 00:24:18,723 --> 00:24:20,748 She went to get snacks. How's Micah? 535 00:24:20,826 --> 00:24:23,590 Actually, we need to talk to Karen. 536 00:24:23,895 --> 00:24:27,296 Sorry. Legally, we can only talk to the legal parent. 537 00:24:27,365 --> 00:24:29,731 - Are you serious? - Who cares? 538 00:24:31,503 --> 00:24:32,800 - Dani! - What? 539 00:24:32,871 --> 00:24:34,839 They didn't have turkey, so I got a ham and Swiss. 540 00:24:35,574 --> 00:24:38,270 - Ugh, nast. - Lovely. 541 00:24:38,343 --> 00:24:39,401 Really? 542 00:24:39,878 --> 00:24:42,403 - They have news on Micah. - Micah's stable, 543 00:24:42,481 --> 00:24:44,711 but I'm afraid his injury is worse than we thought. 544 00:24:44,783 --> 00:24:47,081 His spleen is ruptured, and he's lost a lot of blood. 545 00:24:47,185 --> 00:24:49,449 He had a cardiac episode in CT, and his heart stopped beating. 546 00:24:49,554 --> 00:24:50,578 Oh, God. 547 00:24:50,655 --> 00:24:51,747 But we're taking him to surgery now. 548 00:24:51,823 --> 00:24:53,290 We do have to remove his spleen. 549 00:24:53,725 --> 00:24:55,625 My God. 550 00:24:55,927 --> 00:24:57,258 What were we doing up there? 551 00:24:57,429 --> 00:25:00,421 Why did I let you talk us into that stupid ski trip? 552 00:25:00,599 --> 00:25:02,726 Karen, come on. It was an accident. 553 00:25:02,801 --> 00:25:04,792 - But he didn't want to go. - There was an earthquake. 554 00:25:04,870 --> 00:25:06,531 Karen, come on. For god's sake, this is... 555 00:25:06,605 --> 00:25:07,731 I didn't plan on any... 556 00:25:07,806 --> 00:25:11,674 Okay, so we will give you an update as soon as Micah is out of surgery. 557 00:25:13,278 --> 00:25:14,870 He's 14. He's 14! 558 00:25:14,946 --> 00:25:17,141 This couple might be the biggest casualty of the earthquake. 559 00:25:17,249 --> 00:25:18,238 Oh, my God! 560 00:25:18,316 --> 00:25:19,374 Ruby, you're doing great. 561 00:25:19,451 --> 00:25:22,284 My battery's at five percent. I'm getting tired. 562 00:25:22,354 --> 00:25:24,049 You can do this. Just keep pushing. 563 00:25:24,122 --> 00:25:28,081 Push, push, push, over and over, like the beat of a song. 564 00:25:29,160 --> 00:25:31,321 Ruby, do you know the song Stayin' Alive? 565 00:25:31,463 --> 00:25:33,488 Is it new? 566 00:25:34,132 --> 00:25:35,224 We'll sing it for you, okay? 567 00:25:35,300 --> 00:25:38,497 And you just... You push to the beat, just like this... 568 00:25:47,245 --> 00:25:50,544 Okay, Ruby, you sing now. You sing with us. 569 00:25:50,649 --> 00:25:52,947 - They found the region. - Ruby, did you hear that? 570 00:25:53,018 --> 00:25:54,610 Help is on their way. They're gonna find you. 571 00:25:54,686 --> 00:25:55,846 Some of the roads are blocked. 572 00:25:55,921 --> 00:25:56,910 They're sending a helicopter in, 573 00:25:56,988 --> 00:25:59,786 but they don't know how long it will take. 574 00:25:59,858 --> 00:26:02,884 Okay, Ruby, you just keep going until they find you, okay? 575 00:26:02,961 --> 00:26:05,623 You keep singing, and you keep pushing. 576 00:26:05,697 --> 00:26:09,258 And when they find you, use their phone and you call me back. 577 00:26:09,334 --> 00:26:10,323 Okay. 578 00:26:10,402 --> 00:26:11,699 Okay. 579 00:26:30,522 --> 00:26:31,784 Ruby? 580 00:26:34,526 --> 00:26:36,255 She's gone. 581 00:26:45,003 --> 00:26:46,971 They'll find her. She'll call. They'll find her. 582 00:26:47,072 --> 00:26:48,562 Yeah, she could be on her way in right now. 583 00:26:49,741 --> 00:26:53,108 Unless she's alone in a cabin with her dead mother. 584 00:26:53,178 --> 00:26:54,611 She'll call. 585 00:26:55,680 --> 00:26:57,272 Anything? 586 00:27:01,953 --> 00:27:03,614 She'll call. 587 00:27:04,489 --> 00:27:06,354 Did you hear the mom going at that guy? 588 00:27:06,424 --> 00:27:08,756 That couple is doomed, all that fighting. 589 00:27:08,893 --> 00:27:10,554 I do not miss that. 590 00:27:10,629 --> 00:27:14,429 Look at us, we're both in adult, stable relationships. 591 00:27:14,566 --> 00:27:16,397 For once, we're on the healthy side of things. 592 00:27:16,868 --> 00:27:17,857 Sure. 593 00:27:17,936 --> 00:27:20,131 I had to cancel D.C., but it's okay. 594 00:27:20,205 --> 00:27:22,696 Sometimes he cancels, and I say it's okay. 595 00:27:22,774 --> 00:27:24,901 We're happy. We're in a groove. 596 00:27:24,976 --> 00:27:26,273 Kind of sounds like a rut. 597 00:27:26,344 --> 00:27:27,811 We are not in a rut. 598 00:27:27,912 --> 00:27:29,038 Whatever. 599 00:27:29,180 --> 00:27:31,410 - I resent you saying it. - Okay. 600 00:27:31,483 --> 00:27:34,577 And you're hardly an expert at long-term relationships. 601 00:27:34,653 --> 00:27:36,587 Really? And that's not even true. 602 00:27:36,688 --> 00:27:37,677 What? Izzie? 603 00:27:37,756 --> 00:27:40,520 That was a cancer marriage that lasted five minutes. 604 00:27:40,959 --> 00:27:43,519 And then there was Ava, who peed on my couch. 605 00:27:43,595 --> 00:27:44,721 - All right, would you quit it? - No, 606 00:27:44,796 --> 00:27:46,093 there's one more I'm forgetting. 607 00:27:46,665 --> 00:27:48,428 Hello? I'm right here. 608 00:27:49,234 --> 00:27:51,361 Oh, I know. The nurse who had syph. 609 00:27:52,137 --> 00:27:53,502 As in syphilis? 610 00:27:53,571 --> 00:27:55,471 It was a long time ago, Wilson. Relax. 611 00:27:56,041 --> 00:27:57,303 Bovie. 612 00:27:57,642 --> 00:27:58,836 It's not a rut. 613 00:27:58,910 --> 00:28:01,470 I have an entire world to manage, all on my own. 614 00:28:01,579 --> 00:28:04,776 My world does not and should not revolve around Derek Shepherd. 615 00:28:04,883 --> 00:28:06,578 I wanted to go to D.C. This weekend, 616 00:28:06,651 --> 00:28:09,017 but I'm a busy surgeon with two kids at home, 617 00:28:09,120 --> 00:28:10,849 and he's at the NIH. 618 00:28:10,922 --> 00:28:13,686 So right now, we're just going to have to accept 619 00:28:13,758 --> 00:28:15,521 that this is the way our lives work. 620 00:28:15,593 --> 00:28:17,220 But that doesn't mean we're not happy. 621 00:28:17,328 --> 00:28:19,592 All right, fine. You have a happy marriage. 622 00:28:19,664 --> 00:28:20,858 With no husband in it. 623 00:28:26,738 --> 00:28:29,400 All right, plate's in position. I'll be placing the screws next. 624 00:28:29,474 --> 00:28:31,533 Her pressure's good. Rhythm's stable. 625 00:28:32,043 --> 00:28:35,672 So, you and Ethan. Is that a thing? 626 00:28:35,747 --> 00:28:40,013 No. I'm not... No, he's not my type. 627 00:28:40,251 --> 00:28:41,775 Sure. Right. 628 00:28:41,853 --> 00:28:43,343 You're not so into cute, smart, or funny? 629 00:28:43,421 --> 00:28:46,857 No, he is. I mean, he's great. 630 00:28:47,559 --> 00:28:50,153 He's a radiologist. 631 00:28:50,228 --> 00:28:52,696 Whoa, whoa, whoa. Did you just go all upstairs-downstairs? 632 00:28:52,764 --> 00:28:53,856 No. No! 633 00:28:54,065 --> 00:28:55,623 No, I didn't mean it like that. 634 00:28:55,700 --> 00:28:57,190 No, I just... I don't date at work. 635 00:28:57,268 --> 00:28:59,668 Or you don't date down at work. No, no, it's cool. 636 00:28:59,738 --> 00:29:02,468 Don't worry. I'm sure you have many other fine qualities. 637 00:29:02,941 --> 00:29:04,067 It's okay if you're kind of a snob. 638 00:29:04,943 --> 00:29:08,811 I am not a... God, you make me sound awful. 639 00:29:08,880 --> 00:29:10,871 "Dating down?" What is that even? 640 00:29:12,083 --> 00:29:14,278 I just don't date people who are... 641 00:29:14,352 --> 00:29:15,478 Beneath you? 642 00:29:15,553 --> 00:29:17,748 No, that is not what I was going to say. 643 00:29:17,822 --> 00:29:20,017 - Underlings? - No, stop it. I wasn't gonna say... 644 00:29:20,091 --> 00:29:21,581 Just a lowly maker of X-rays, madam. 645 00:29:21,659 --> 00:29:23,024 - I didn't mean to... - Will you stop it? 646 00:29:23,428 --> 00:29:27,057 And we'll use the rasp to smooth out the bridge. 647 00:29:28,433 --> 00:29:29,900 You know, Mrs. Thurman could come out 648 00:29:29,968 --> 00:29:32,630 looking like a completely different person. 649 00:29:32,704 --> 00:29:37,266 So that she can be happy with what she sees in the mirror. 650 00:29:38,843 --> 00:29:41,710 But what if it's not her nose that makes her unhappy? 651 00:29:41,780 --> 00:29:43,372 I mean, maybe it's some other part of her life, 652 00:29:43,448 --> 00:29:44,813 like that patient with her boyfriend's boobs. 653 00:29:46,084 --> 00:29:49,212 How can you be sure that she's making the right choice? 654 00:29:49,454 --> 00:29:52,218 You do realize I can't talk to you about your sister's case, right? 655 00:29:53,858 --> 00:29:57,555 I'm not asking about my sister's case. I'm asking about this lady right here. 656 00:29:57,962 --> 00:30:01,193 All right, well, I know she's making the right choice 657 00:30:01,266 --> 00:30:04,861 because I talked to her at length, and I listened. 658 00:30:05,203 --> 00:30:08,832 And I've gotten very good at knowing. 659 00:30:37,402 --> 00:30:39,233 44-year-old female, vitals stable, 660 00:30:39,304 --> 00:30:41,499 tension pneumo relieved by a needle thoracostomy. 661 00:30:41,573 --> 00:30:43,131 - Is she okay? Is she... - Trauma from the fall. 662 00:30:43,208 --> 00:30:45,642 Her pupils are fully responsive. GCS of eight. 663 00:30:45,710 --> 00:30:47,439 Yeah, I got this. 664 00:30:55,787 --> 00:30:57,049 Ruby? 665 00:31:00,725 --> 00:31:01,987 Hey. 666 00:31:03,661 --> 00:31:04,650 My phone died, 667 00:31:04,729 --> 00:31:07,323 but I kept singing till they came, just like you said. 668 00:31:07,398 --> 00:31:08,990 I know. I know. 669 00:31:09,100 --> 00:31:12,297 You did great. You were perfect. 670 00:31:13,738 --> 00:31:15,000 You're okay. 671 00:31:19,477 --> 00:31:20,671 How is she? 672 00:31:20,745 --> 00:31:23,612 Subdural hematoma with a shift. 673 00:31:23,715 --> 00:31:24,977 What can I tell Ruby? 674 00:31:25,049 --> 00:31:27,347 Nothing. Not yet. 675 00:31:28,620 --> 00:31:30,212 Heart rate's dropping. Damn it. 676 00:31:30,288 --> 00:31:31,653 Drill, now. 677 00:31:31,723 --> 00:31:33,054 I need to evacuate this clot. 678 00:31:33,124 --> 00:31:34,557 What can I do? Let me help. 679 00:31:34,626 --> 00:31:35,752 Let me work. 680 00:31:42,734 --> 00:31:45,202 - Mrs. Thurman's awake. - Good. 681 00:31:45,270 --> 00:31:46,703 She looks like she's been in a bar fight, 682 00:31:46,771 --> 00:31:48,739 and she says she can't wait to see what she looks like 683 00:31:48,806 --> 00:31:49,864 when the swelling goes down. 684 00:31:53,478 --> 00:31:54,809 What else? 685 00:31:55,613 --> 00:31:57,171 Nothing. 686 00:31:58,683 --> 00:32:00,241 It's a big change. 687 00:32:00,318 --> 00:32:01,808 She's had that nose for plenty of years. 688 00:32:01,886 --> 00:32:04,787 I just... I hope she doesn't regret it. 689 00:32:04,856 --> 00:32:07,757 It was not a new thing, this change that she wanted. 690 00:32:07,825 --> 00:32:08,814 It wasn't a whim. 691 00:32:09,394 --> 00:32:13,228 It was how she had always seen herself. 692 00:32:13,298 --> 00:32:15,789 Her best version of her. 693 00:32:15,867 --> 00:32:17,994 The one that was the most true. 694 00:32:18,069 --> 00:32:19,331 Now, with a patient like this one, 695 00:32:19,404 --> 00:32:21,964 a patient who's dreamt about these changes 696 00:32:22,040 --> 00:32:24,099 since they were six years old, 697 00:32:24,375 --> 00:32:26,741 those patients do not change their mind. 698 00:32:27,045 --> 00:32:31,379 For them, change isn't elective. It's not a choice. It's a chance. 699 00:32:31,683 --> 00:32:33,844 It is her chance. 700 00:32:33,952 --> 00:32:37,820 And you can't know that without talking. 701 00:32:37,889 --> 00:32:38,913 And listening. 702 00:32:50,535 --> 00:32:52,560 It's not because he's a radiologist. 703 00:32:52,637 --> 00:32:55,902 Okay, and it's not just because I don't date people from work. 704 00:32:56,307 --> 00:32:57,968 I just... I kind of don't date. 705 00:32:58,042 --> 00:33:00,840 Hey, listen. I was just giving you a hard time. 706 00:33:00,912 --> 00:33:01,936 - No, no, no. - I didn't... 707 00:33:02,013 --> 00:33:04,743 There's a gap between me and most people. 708 00:33:04,816 --> 00:33:07,250 There just always has been. 709 00:33:07,318 --> 00:33:09,912 I used to think it was because I was younger in school, 710 00:33:09,988 --> 00:33:12,252 but even after school... 711 00:33:14,092 --> 00:33:18,927 The gap, it just got bigger and more impossible. 712 00:33:18,997 --> 00:33:21,591 I wasn't too young. I was just too... 713 00:33:23,101 --> 00:33:24,659 Different. 714 00:33:24,736 --> 00:33:28,001 So, I know what it looks like when I say yes to Ethan. 715 00:33:28,072 --> 00:33:31,007 It's fun, and we're happy for a while until it's not. 716 00:33:31,776 --> 00:33:35,837 Things always get awkward and weird. 717 00:33:36,280 --> 00:33:39,306 So, I overcorrect, or he misinterprets. 718 00:33:39,384 --> 00:33:40,976 And then we're not on the same page anymore 719 00:33:41,052 --> 00:33:42,519 because we never were on the same page. 720 00:33:42,720 --> 00:33:47,089 We were always miles and miles apart with this gap between us, 721 00:33:47,158 --> 00:33:49,422 pretending it wasn't there. 722 00:33:52,430 --> 00:33:54,364 I don't want to pretend. 723 00:33:54,432 --> 00:33:58,368 I came here to work and just stay focused on that, 724 00:33:58,436 --> 00:34:01,735 and I'm fine on my side of the gap. 725 00:34:01,806 --> 00:34:05,139 I'm a little lonely, but fine. 726 00:34:05,977 --> 00:34:08,138 There's just no point to me saying yes. 727 00:34:08,679 --> 00:34:10,408 Yeah. 728 00:34:10,982 --> 00:34:12,677 Okay, that's a load of crap. 729 00:34:13,851 --> 00:34:16,718 When you were younger, fine. Kids are weird. But now? 730 00:34:16,821 --> 00:34:19,449 You're a grown-up 731 00:34:19,524 --> 00:34:21,856 doing your grown-up job with other grown-ups. 732 00:34:21,926 --> 00:34:25,293 There's no gap. And there's nothing to lose. 733 00:34:25,363 --> 00:34:27,160 There's just you being scared. 734 00:34:27,265 --> 00:34:29,995 And for no reason. 735 00:34:30,068 --> 00:34:31,558 So choose not to be. 736 00:34:32,303 --> 00:34:34,134 Life's too short to be scared. Screw the gap. 737 00:34:34,205 --> 00:34:37,766 Let Ethan, I don't know, razz your berries. 738 00:34:38,342 --> 00:34:39,366 Ew! 739 00:34:39,444 --> 00:34:41,071 - Okay, goose your gander. - Okay. 740 00:34:41,145 --> 00:34:42,407 Tickle your tail feathers. 741 00:34:42,480 --> 00:34:43,913 - Cup your coconuts. - Nope. 742 00:34:43,981 --> 00:34:45,312 Rock your rump. 743 00:34:45,383 --> 00:34:46,941 Poke your hontas. 744 00:34:47,018 --> 00:34:48,713 Wallop your wonderland! 745 00:34:53,891 --> 00:34:56,382 There's still bleeding from the short gastric arteries. 746 00:34:56,461 --> 00:34:57,450 I see it. 747 00:34:57,528 --> 00:34:58,722 - Close to the pancreas. - I see it! 748 00:34:58,796 --> 00:35:00,058 Well, I can't get to it from here. 749 00:35:00,131 --> 00:35:02,292 - How many units did he use? - Four units. 750 00:35:02,366 --> 00:35:05,494 If everyone would just shut up and give me two freaking seconds, 751 00:35:05,570 --> 00:35:07,003 I can get this suture to hold. 752 00:35:07,071 --> 00:35:09,437 - There. Edwards? - No leaks. Looks good. 753 00:35:09,841 --> 00:35:11,069 The streak's alive. 754 00:35:11,175 --> 00:35:13,166 - What was that, Wilson? - No. 755 00:35:13,978 --> 00:35:16,310 Wait, nothing. I didn't say anything. 756 00:35:16,380 --> 00:35:17,847 You said, "The streak is alive." 757 00:35:17,915 --> 00:35:21,476 No! No, I said, "Freak." I said, "The freak is alive." 758 00:35:21,986 --> 00:35:23,510 No, you didn't. No, she didn't. 759 00:35:23,588 --> 00:35:25,112 I didn't hear anything. I... 760 00:35:27,191 --> 00:35:29,421 You're pitching a no-hitter. 761 00:35:29,494 --> 00:35:33,089 You haven't lost a single patient since November 14th. 762 00:35:33,397 --> 00:35:36,730 Eighty-nine surgeries in a row with good outcomes. 763 00:35:36,901 --> 00:35:38,493 Did you say November 14th? 764 00:35:38,569 --> 00:35:42,665 Yeah, and 22 were traumas. I mean, who does that? 765 00:35:42,740 --> 00:35:45,004 You, because you're magic. 766 00:35:46,511 --> 00:35:49,002 Edwards, you can close. Wilson can assist. 767 00:35:50,548 --> 00:35:51,810 What did I tell you? 768 00:35:57,889 --> 00:36:00,050 Look, I told her not to tell you. 769 00:36:00,124 --> 00:36:01,648 This kind of thing messes with your head. 770 00:36:01,726 --> 00:36:03,250 I'm on a streak. 771 00:36:03,327 --> 00:36:05,795 There's no such thing. It's just dumb luck. 772 00:36:05,863 --> 00:36:08,229 Look, you're not that great, anyway, so just forget about it. 773 00:36:08,332 --> 00:36:12,996 No, no, no, it's not that. It's the date that it started. 774 00:36:13,070 --> 00:36:14,094 What about it? 775 00:36:14,172 --> 00:36:16,367 That's the day that Derek left. 776 00:36:16,908 --> 00:36:20,002 And I've been perfect ever since, have not lost one patient, 777 00:36:20,144 --> 00:36:22,908 not one, since the day he left. 778 00:36:22,980 --> 00:36:25,710 What does that tell you? That you're right? 779 00:36:26,317 --> 00:36:28,285 That I'm better off without him? 780 00:36:36,160 --> 00:36:38,594 Brian, your repeat labs look really good. 781 00:36:38,663 --> 00:36:40,597 I should be able to discharge you very soon. 782 00:36:40,665 --> 00:36:42,098 How's Micah? 783 00:36:42,166 --> 00:36:44,464 Not my kid. I know. 784 00:36:45,436 --> 00:36:47,495 Karen won't even speak to me right now, 785 00:36:47,572 --> 00:36:50,564 and, you know, I had all the best intentions. 786 00:36:50,641 --> 00:36:53,166 I was trying to bring the family together. 787 00:36:53,244 --> 00:36:55,906 I thought I was helping us. 788 00:36:55,980 --> 00:36:59,211 It all backfired. 789 00:36:59,817 --> 00:37:01,614 Maybe, now, we're too far gone. 790 00:37:01,686 --> 00:37:03,950 Maybe I can't get Karen back. 791 00:37:04,322 --> 00:37:05,846 Maybe Danielle is right. 792 00:37:06,557 --> 00:37:09,219 Maybe Karen and Micah are better off without me. 793 00:37:09,427 --> 00:37:13,363 All I wanted was for us to be happy, be a family. 794 00:37:15,833 --> 00:37:21,897 Can you just nod or blink twice or something if Micah's okay? 795 00:37:24,308 --> 00:37:27,368 Thank you, Dr. Grey. Thank you. 796 00:37:30,982 --> 00:37:33,610 You know, you should try and close your eyes, get some sleep. 797 00:37:33,684 --> 00:37:35,447 It could still be a while. 798 00:37:37,054 --> 00:37:38,749 Do you think I hurt her? 799 00:37:38,823 --> 00:37:41,758 No. No. Ruby, you did everything right. 800 00:37:42,927 --> 00:37:44,895 You don't know that. 801 00:37:49,100 --> 00:37:50,226 How is she? 802 00:37:50,668 --> 00:37:54,627 She's fine. Ruby, your mom is gonna be fine. 803 00:37:54,705 --> 00:37:55,729 Really? 804 00:37:56,774 --> 00:37:58,207 Absolutely. 805 00:38:03,080 --> 00:38:08,245 So, I called my sister and checked in. 806 00:38:08,319 --> 00:38:14,087 A bookcase fell. But other than that, she's fine. 807 00:38:14,158 --> 00:38:16,422 Good. Okay. 808 00:38:19,163 --> 00:38:22,792 I owe you an apology for what I said earlier. 809 00:38:22,867 --> 00:38:24,960 Yes, you do. 810 00:38:25,036 --> 00:38:28,005 And I will consider accepting your apology, Ben Warren, 811 00:38:28,072 --> 00:38:32,532 if you make it up to me. At home. 812 00:38:32,610 --> 00:38:35,374 You can start by making me dinner. 813 00:38:35,446 --> 00:38:39,610 And then some other things that I haven't even thought of yet. 814 00:38:41,152 --> 00:38:44,747 Well, you know I'm still on call. 815 00:38:45,923 --> 00:38:47,254 I can wait. 816 00:39:07,778 --> 00:39:08,904 Six weeks, right? 817 00:39:09,180 --> 00:39:13,139 Eight, just to be sure. Ease back in. 818 00:39:13,250 --> 00:39:15,411 Herbert isn't gonna know what hit him. 819 00:39:16,721 --> 00:39:18,746 Or Edward. Or Irving. 820 00:39:19,290 --> 00:39:23,021 Or maybe that guy upstairs with the bad toupee. 821 00:39:23,694 --> 00:39:25,423 - They're lucky guys. - Mmm-hmm. 822 00:39:25,730 --> 00:39:27,095 I'm telling you, girls. 823 00:39:27,164 --> 00:39:29,792 You have healthy hips. Put them to good use. 824 00:39:35,005 --> 00:39:37,473 Hold that! Wait, please! 825 00:39:37,541 --> 00:39:40,271 Hi. I will have that drink with you. 826 00:39:40,344 --> 00:39:41,777 If you want to, if you still want to. 827 00:39:41,846 --> 00:39:44,110 - Great. Let's do it. - Wait. Now? 828 00:39:45,216 --> 00:39:46,513 - Do you mean now? - No. 829 00:39:46,784 --> 00:39:48,979 Yes? I don't know. 830 00:39:49,720 --> 00:39:50,846 End of the week? 831 00:39:50,921 --> 00:39:52,479 Yes. 832 00:40:06,737 --> 00:40:09,262 Thank you. For today. 833 00:40:09,340 --> 00:40:10,500 You're welcome. 834 00:40:11,675 --> 00:40:14,735 Mmm. 835 00:40:47,478 --> 00:40:49,343 So my streak lives on? 836 00:40:49,413 --> 00:40:51,313 Sure. If you believe in that stuff. 837 00:40:51,549 --> 00:40:54,848 You're right. I don't need Derek. 838 00:40:54,985 --> 00:40:56,316 I don't need him in my house. 839 00:40:56,487 --> 00:40:57,749 I obviously don't need him 840 00:40:57,822 --> 00:41:01,519 to prove I can have 89 good outcomes in a row. 841 00:41:01,625 --> 00:41:02,922 I'm doing great. 842 00:41:02,993 --> 00:41:06,895 My kids are happy. My career is soaring. 843 00:41:06,964 --> 00:41:09,660 Derek going to D.C. Did exactly what it was supposed to do, 844 00:41:09,733 --> 00:41:12,827 which is remind me of who I am outside of my marriage, 845 00:41:12,903 --> 00:41:16,066 which, by the way, I'm kind of amazing. 846 00:41:16,574 --> 00:41:17,905 Okay. 847 00:41:18,008 --> 00:41:21,000 But that doesn't mean that I don't want to share it with him. 848 00:41:21,545 --> 00:41:23,843 I want to tell him that I'm... 849 00:41:23,914 --> 00:41:26,940 We're on a streak. 850 00:41:27,251 --> 00:41:30,311 I can handle Micah's post-op if you want to take off. 851 00:41:34,158 --> 00:41:36,752 That list of things you'd grab in a disaster. 852 00:41:39,964 --> 00:41:41,056 Hello? 853 00:41:41,131 --> 00:41:42,894 Hi. Is he in the lab? 854 00:41:42,967 --> 00:41:44,434 What? 855 00:41:45,603 --> 00:41:47,662 I know this is Derek Shepherd's phone. 856 00:41:47,738 --> 00:41:48,796 Who is this? 857 00:41:48,873 --> 00:41:53,003 Your kids, your keys, your family photo album. 858 00:41:53,077 --> 00:41:54,874 Who is this? 859 00:41:54,945 --> 00:41:57,345 That list goes out the window. 860 00:41:57,381 --> 00:41:59,542 Who is this? 861 00:42:01,785 --> 00:42:03,343 Hello? 862 00:42:03,420 --> 00:42:06,150 When the disaster starts with you wondering 863 00:42:06,223 --> 00:42:09,454 if this must be the woman who's been screwing your husband. 864 00:42:13,797 --> 00:42:16,163 That's a whole other earthquake. 865 00:42:19,000 --> 00:42:27,000 Ripped By mstoll