"[Child fussing]" "Meredith:" "Turbulence... it means anything from a few little bumps to a catastrophic weather system that could knock your flying tin can right out of the air." "What I don't like is how they treat you... the comments and the backhanded compliments." "I'm gonna stop you before you say something you shouldn't." "This my family we're talking about." "Diego:" "No!" "In surgery, we call it" " "a complication."" " Diego:" "No." " Oh." " We've hit a snag a bump in the road... turbulence." "Sir, I can gate check that for you." " It'll fit." " No, sir, it won't." "I'm telling you, it's gonna fit." " I got it up here fine last flight." " I'll rephrase" "I'm going to gate check your bag for you now, sir." "Please find your seat." "So, you know... you better buckle up." "Diego:" "No, it's 'cause of the seat belt." " No!" "No!" "No!" " Oh, goody." "Candace:" "At this time, please make sure your seat backs and tray tables are in their fully upright and locked positions." "As we taxi, please direct your attention to the screens for a safety demonstration." " Marisela:" "Come on, Diego." " No!" "Diego." "Diego, calm down." "Come on." "Papa." " Sientate bien." "Come on." " No!" " No, no, no." " Come on." "[Sighs] I'm so sorry." "He's not usually like this, but he didn't get a nap today." "That's fine." "I have three of my own at home." "Oh." "No, I don't like Goldfish." " [Ding]" " Uh, excuse me?" "Hi." "Uh, can I switch seats or something?" "No!" "It's just I have a deadline, and I need this flight to work..." "You don't even have to move the screaming kid." " No, I don't like Goldfish." " I'll go." "Move me to the back, anywhere, I don't care." " No!" " Aisle seat would be best!" " [Screaming]" " No!" "Also not like the back back where the seat doesn't recline..." " It's a full flight, sir." " Worst flight ever." "I'm nervous." "I'm nervous." "I'm nervous." "Do you have a problem with a crying child?" "[Scoffs] I mean..." "As if his mother isn't under enough stress, you want to add to it, make it worse?" "I just want to focus on my briefing." "There are complimentary earplugs in the seat pocket." " Use those." " Diego:" "No!" "Marisela:" "Come on, let's put your seat belt on." " Diego:" "Ah!" " Diego." "You might be my new hero." "[Chuckles]" "This is our first family trip together." "Bryan planned it last minute." " No!" " Of course." "He said it was gonna be relaxing and blissful, but so far, not much bliss." "[Chuckles]" "Excuse me, sorry." "Marisela, are you okay?" "I can hear him all the way from my seat." "W-w-w-w..." "You want me to take him?" " Papa." " It's okay, go sit back down." "But I reserve the right to switch out mid-flight, because Mama's gonna need a glass of wine." " Or three." " [Laughs]" "You guys weren't able to sit together?" "Like I said, last minute." "Oh." "Well, do you want to?" " Thank you." " [Ding]" "Max:" "I make so many efforts." "Jay:" "Did you or did you not call my mom back when she left you a message two weeks ago?" " Maybe if you made..." "Ma'am." " We're taxiing." "You must take your seat." "Right, I was just..." "I just switched seats, and I'm..." "My seat is right there." "Max:" "All she said was "Happy Birthday!"" "Jay:" "Did you or did you not fail to call her back?" " I did not call her back." " [Ding]" "Meredith:" "Here." " Oh, God." " Um, right now, ma'am." "Yes." "I'm sitting." "Hello." "Hi." "Where'd you come from?" "4C." "I was being a good Samaritan and reuniting a family." "Serves me right." "What are you doing here?" "I'm going to a conference." "What are you doing here?" "I'm going to a conference." "National Conference on..." "Both:" "Operative Advances." "Yeah, me too." "You didn't mention you were going." "Neither did you." "You sure you're not following me?" "[Laughs] What?" "You just found a way to move into my row." "I should be asking you if you're following me." "Don't flatter yourself." "Well, it is a little suspicious." "One minute, some guy with a beard's sitting there, and next thing I know, there you are." "Hmm." " [Ding]" " Captain:" "Flight crew, please start readying the cabin." "Of course." "Might not be the worst thing in the world." " What's not?" " Three whole days... far from home... no one around to bother us." "I told you, we're done." "I'm not messing around." " Not even a little messing around?" " We agreed." "You two want to switch seats so that you're sitting next to each other, or...?" " Sure." " No." " [Ding]" " Captain:" "Cabin crew, please be seated for take-off." "[Sighs]" "I never travel without children." "I was so looking forward to being on this flight alone." "This is my "me" time." "Please don't ruin it." "[Plane engine roars]" "I'm just saying, sometimes the universe gives you signs, and this could be one of those signs." "[Whispering] I know you're not asleep." " What's that?" " Oh, sorry." "No, Ingrid, you're fine." "I wasn't talking to you." "I would be asleep if you would leave me alone." "Why isn't she talking to you?" "Well, we got together." " Mm." " In her car." " Mm." " And then we stayed apart, and then we were colleagues, which turned into friends, which got us back together... sort of." "Or at least, it was going to," " and then..." " And then nothing." "For very good reasons." "She has a sister." "You cheated with her sister?" " No." "No." " [Laughs] God, no." "No, there was no cheating because there was no us." "She's oversimplifying it." "[Ding]" "I'm going to stretch my legs." "♪ ♪" "What are you...?" "What are you doing?" "Well, you said to come in here." " No, I didn't." " Yeah, you did." "You did that thing with your eyes." " My eyes?" " Yeah, where you look at me all... you know, then you came in here, so I figured you wanted me to come in here, too." "I did nothing with my eyes." "I swear it looked like..." "There's no room in here." "Well, I do need to talk to you." "That's all you've been doing." "Yeah, without someone sitting in between us and you closing your eyes." "Well, make it quick, because I have to pee." "All right, well, you've had a lot to say lately, about us, about how you don't think we should be together." "Yes." "I've been very clear." "Yes, you were, and I think I need to be clear, too." "You and I... this is something." "And I can't keep ignoring that." " Well, you have to." " I can't." "Not my problem." " Can you?" " What?" " Ignore it." " Yes." " I don't believe you." " Well, believe whatever you have to believe to get out of here." "[Plane rumbling]" "Why?" "Why do we have to ignore it?" "Okay?" "I-In Seattle, sure, but Pierce isn't here." "No one is." "That doesn't matter." "Why?" " You know why." " ♪ I know, I, I" " ♪ I know, I, I ♪" " Okay." "Then I'll go." "♪ I know, I, I ♪" "But you might want to move so I can actually get out the door." "[Exhales]" "I know." "♪ I crash and I burn ♪" "So why aren't you moving?" "I don't know." "♪ It's what I deserve ♪" "♪ It's what I deserve ♪" "♪ She'll never return ♪" "Whatever happens, this never happened." "Got it?" "♪ It's what I deserve ♪" "♪ It's what I deserve ♪" "♪ I know, I, I ♪" "♪ And it's what I deserve ♪" "♪ It's what I deserve ♪" "[Toilet flushes]" " Oh!" " [Chuckles]" "Sorry, that's, uh, still occupied." "Oh." "Glad someone's enjoying this flight." "[Laughs]" "Oh, hang on, you're a little inside out." " Oh, thank you." " Sorry." "I'm jealous." "All my fiancé and I have done today is fight... about everything." " I'm Max." " Meredith." "Oh, this is perfect timing." "Gonna yell at me again?" "Do I need to?" "Flying is very stressful for me." "I forgot to take my water pill this morning, and I have a condition where, at this altitude, it can be very hard to breathe." "Pulmonary hypertension." "Y-yes." "Wh-Th-so?" "So is that an excuse to shame mothers and their children?" "Which one is yours?" "Halfway back, green shirt by the window." "He's handsome." "I know." " Also handsome." " I know." "[Chuckles]" "[Plane engine roars]" " [Ding]" " Attendant:" "Please make sure that your seat belts are fastened." "I guess she got tired of us talking over the top of her, huh?" "What happened back there changes nothing." " Okay." " I mean it." "I said okay." "[Plane rumbling]" "Ooh." "You don't like flying?" "It's not my favorite." "Me neither." " Plane crash." " Plane crash." "Wait." " You were in a...?" " Yeah." " Y-yeah." " Was it bad?" "I mean, it was... we crashed and got lost." "People died." "It wasn't great." "What about your plane crash?" "Did anyone die or lose a limb?" "You know that's how Arizona lost her leg." "Okay, I'm definitely not telling you about mine now." "It can't compare." "It's not a contest." "[Plane rumbling]" " [Sighs]" " Come on." "No." "I told you mine." "[Sighs]" "All right, I was a teenager, total idiot." "My mate's dad had one of those crop dusters." "We snuck it out." "We got it off the ground pretty high for about four whole minutes before we crashed into a shed. [Chuckles]" "But that feeling of falling straight down." "Yeah, mine was way worse." "Well, I told you mine couldn't compare to yours." "[Plane rumbling]" "[Screaming]" "[Screaming, engine roaring]" "Meredith." "Meredith." "Nathan:" "Oh, just breathe." "Just breathe." "[Echoes] Derek!" " Okay?" " It's okay." "Here... just breathe." "Just breathe." " Mer?" " Cristina:" "Meredith!" " How you doing?" " Meredith." "Get up." "I'm fine." "Jay:" "Max, Max, get up." "Max." "Max is on the ground." "Max?" "Are you okay?" "He's not moving." "Oh, God." "He..." "He's not moving." "Max!" "Max!" "Max." "Stay buckled, all right?" "We're not gonna be able to help anybody else if we get hurt, too." "Okay." "[Plane rumbling]" "[Screaming]" "Okay." "Listen to me." "I'm a doctor." "You got to reach down and feel his wrist or his neck." " Feel for a pulse." " I don't know how." "Just lean down and feel his wrist." " What's your name?" " Jay." "You're doing good, Jay." "Take a deep breath." "Just reach down and tell me if you feel anything." "There's two more down." "There's an older man in the back of the plane." "I think he's okay." "He's getting back into his seat." "There's a flight attendant on the floor up there." "Which one?" "Candace?" "Is she moving?" "I think she hurt her arm or something." "Hey, Candace." "Are you okay?" "Yes." "I mean, no..." " Yes." " I feel something." " I-I feel a pulse." " Okay, good." "Good." "His eyes are opening." "He's waking up." "Max, do you know what happened?" "Do you know where you are?" "[Mumbles]" "He lost consciousness." "There could be a brain bleed." "Or he could just be groggy." "He just got slammed against the ceiling." "[Plane rumbling]" "Turbulence is dying down." "Sort of." "Okay, let's go." "Where are you going?" "You can't go." "Just... it's okay." "Just... it'll be okay." "Just breathe into your mask." "Okay?" "[Moans]" "Okay, you may have broken your wrist." "I think we're gonna have to brace it, okay?" "Yeah, the main medical kit's in the galley." " I can go unlock it." " No, I'll go." "Just tell me the code." "Not allowed to give that out." "Well, I'm a doctor." "Doesn't matter." "Just help me up." "I'll get the kit myself." "It's only my wrist." "It's not the end of the world, okay?" " Just help me up." " Okay." " Ah." " Here you go." "Ah!" "[Exhales sharply] Ah!" "Okay?" "Yeah." "Ugh." "Okay, Max, I'm gonna need you to follow my finger, okay?" "Candace:" "On behalf of the captain, we ask everyone to please remain calm and seated." "If you need immediate medical assistance, please press your call buttons." "[Baby cries]" "[Dinging]" "Okay, all right." "Max, I need to examine you some more." "Can you sit up for me?" "All right." "No, no." "No standing." "Let's just lean him against the seat here." "Okay?" "He's following instructions..." "That's good, right?" "It is." "It is good." " It'll be okay, honey." "It'll be okay." " Okay." "All right." "All right." "Can I get some tissues please?" "Do you have napkins?" "Yeah." "Okay." "Great, great, great." "So you're gonna be all right, honey." "You're all right." "Doing great." "Okay, I can feel the step off where he hit his head." "Oh, that's great." "Thanks." "Sure thing." "Uh, can I help?" " I'm a doctor, too." " Absolutely." "You can, um, go around and see if there's any other passengers that need immediate assistance." "Thank you." "You want to hold that for me?" " Yeah." " Thanks." "Got a bunch of Band-Aids and a defibrillator and no splint, so I can shock you, but I can't splint your wrist." "So probably gonna have to reset it, and then wrap it tight, and there's no good pain meds in here so this will hurt." "Okay?" "But I'll go fast." "Quick and dirty." "Quick and dirty..." "I can handle that." "Here we go." "[Screams]" "[Breathes heavily]" "Okay." "Hey, everything okay here?" "Deep forehead lac." "It's bleeding pretty bad." "We should try and close it if we can." "Well, I got no suture here, but I got some antiseptic gauze, some butterfly strips." "The luggage just came flying out, right to us." " It..." " We tried to block it, but we couldn't." "No, no, don't worry." "You guys did great." "We're gonna get him fixed up." "Uh, Harrison Peters." "The other doctor sent me over here to help." "Oh, right on." "Nathan Riggs." "You a surgeon, too?" "I'm a pediatric dentist." "Um, maybe I should help with that." "All right, look." "There's a plane full of freaked out people here." "I went through residency." "I can help." "Let me help." "Head... really... hurts." "Okay." "Okay." "Is he on any meds?" "Do you know his medical history?" "No, God, I-I-I don't know." "But, I mean, yes, he... he takes pills every day." "U-um, I always joke that he has his Monday, Tuesday, Wednesday boxes" " like my grandma used to." " Okay, do you know where that is?" " Yeah." " Mer, I got the kit." "Okay, I don't like this." "I mean, he hit his head hard." "And I don't have the tools here to tell if he has a brain bleed or how bad it is." " How's his mental status?" " I mean, it's spotty." "He's awake, but he's not making much sense." "But his pupils are equal, round, and reactive." "Found it." "Here." "Great." "He takes these every day?" "Yeah." "Oh, whoa, whoa, whoa." "I mean, these are..." "these are blood thinners." "So if it's a brain bleed, it's not going to stop." "This plane needs to land." "No passengers are allowed inside the cockpit while we're in the air." "Okay, but get the captain out here or get her on the phone or something." "I've already given Captain LeVantine a full report of the various injuries," " and she was clear..." " Y-you're not a doctor," " so you can't understand..." " Clear that she has no intention of landing this plane right now because..." "We have passengers who are bleeding." "They need to be evaluated." "Because we are currently flying between two very dangerous storm systems," " one above and one below." " I really need to speak to her." "There's no way to descend without putting the lives of every single person on this plane at risk." "Call her." "Hi, Captain." "Hi, yeah, it's Candace." " Yes, I have Dr..." " Dr. Grey." "...Dr. Grey here, she's asking to speak to you about landing the plane." "Yes, I understand." "Of course." "Thank you, Captain." "No, no, I need to speak to her." "Okay, she's busy navigating the plane through dangerous weather." " She can't talk right now." " What about the landing?" "She won't be doing that either, Dr. Grey, not until it's safe." "[Sighs] Can I help you with anything else?" "[Sighs]" "[Baby crying]" "♪ ♪" "Well?" "We're stuck up here for a while." "Okay, that's fine." "For now." "Everyone seems to be stable." "Max has regained consciousness." "Yep." "For now." "[Thunder cracks]" "I'm going to recline you back." "Everything I said, the stuff we were fighting about earlier," "I take it back, all of it." "I-I thought I'd lost you, Max." "I mean, for a minute there, I thought you died." "I thought all of us were going to die." "We didn't." "[Ding]" "I'm so glad." "Okay, so I need to go check on some other passengers." " I need you to rest." " Mm-hmm." "And, Jay, I need you to let him." "If there are any changes..." "anything at all... any pain, any slurring of speech, call me." "I do feel better." "Don't worry." "I'm here." "Good." "How's your hand?" "Hit it on something." "It's fine." "It hurts." "How's yours?" "Fine." "Hurts." "Ingrid:" "You left." "And you didn't come back, and I've been back there alone." "Um, I'm bleeding." "Probably just nicked it when the plane fell, okay?" "So we'll just get that cleaned up for you, okay, Ingrid?" "One minute, that's all it takes." "We hit one bad air pocket or cloud or whatever, and we're all just one big plane crash waiting to happen." "You get used to it." "No." "Not me." "I'm..." "I hate this." "I'm not flying ever again." "No, you're just scared." "Give it time." "The fear goes away, trust me." "You might be willing to risk it again." "Hi." "Can I take a look at your head?" "Okay." "This might sting a little, okay?" "[Winces]" " There we go." " Ah." "Okay, Diego, look at this boo-boo." "You may need a few stitches when we land." "But that's okay." "You know what, my little girl, when she was your age, she busted her knee open." "Do you know how many stitches she got?" "Three." "And you know what else she got?" "She got a lollipop for every stitch." "You're so good with him." "Thank you." " [Laughing] Of course." " Are you done?" "Uh, excuse me, miss?" "Are we landing on time?" "I really don't want to miss my connection." " It was already tight." " How's your breathing?" "Are you having any trouble?" "Weren't you just talking to the pilot on the phone?" " You have to know something." " We're still in the air, so obviously we're not landing." "I don't think you understand the level of stress that I'm feeling." "Okay, so..." "Here." "Breathe into that and sit down." "Could you grab me a cup of water?" "Or juice?" "Juice would be great right now." "Apple, no ice." "You do realize I'm a doctor." "[Baby crying]" "His mother did not raise him right." "[Plane engine roars]" "We've gone through most of the gauze." "Thanks for helping out." "Oh, it's kind of fun treating adults for a change." "They can actually tell me where it hurts." "They don't expect any stickers when I'm done." "That was not cool." "This is not fun." " This is terrible." " No, no, no." "I know exactly what you mean." "I'm gonna go sit a minute while I can, until the next call button rings." "Yeah, of course." "Um, is there anything else you need?" "Company maybe or...?" "You could go check on Max." "Copy that." "Will do." "[Thunder rumbles]" "Hey." "Sorry." "Can you..." "Do you have any antacids or anything?" "I'm sure someone does." "Ask around." "No." "Sorry." "Can you touch my head?" "Do..." "Do I have a fever, do you think?" "Does it feel hot?" "[Sighs]" "[Sighs] You, too, huh?" "Excuse me?" "You're looking for a place to hide so you can get five minutes alone without someone new asking for a consult." "I just had a lady in row 27 ask for a mole check." "[Laughs]" "[Sighs]" "How's it going with your dentist friend?" "You guys seem pretty chummy." " You're one to talk." " Hmm?" "How long were you wrapping your flight attendant's arm?" "Oh, her name's Candace." "Mm." "It's what I do when I board a plane." "I always ask the crews their name." " It's a respect thing." " Oh." "Also, it usually gets me free drinks." "Ah." "[Plane rumbling]" "What was your plane crash like?" "I told you." "It was bad." "I know, but what was it like?" "Uh, it was cold." "So cold." "Even being numb was cold." "I could not warm up." "You know, they call us the Seattle Grace Five." "There were six of us that went up, and only five of us came back." "And now there are only three of us alive." "My sister died out there." "You..." "You have another sister?" "Mm-hmm." "My kid sister Lexie." "I loved her." "[Inhales deeply]" "Anyway, it's weird." "Sometimes I feel like I'm cursed." "A lot of people die around me." "Sometimes I feel like I'm just waiting for my turn." "I'm sorry about your sister." "Hmm." "It makes sense now." "What does?" "The way you feel about Maggie... how you want to protect her." "I mean, I get it better." "Well, there's nothing to get." "I mean, it makes sense, you know, all the self-sacrifice." "You don't want to lose this one, too." "Is it so crazy that I would put someone else's happiness before mine?" "No, but, I mean, it's not completely practical in the long run." "I mean, at some point, you have to think about the things that are gonna make you happy, too." "And you think you're it?" "Well, you haven't exactly been backing away from me." "I told you..." "what happened in the bathroom..." "I'm not just talking about the damn bathroom." "Then what?" "For months now." "Look..." "You try to stay away." "Maybe you even want to stay away." "But you don't." "You never do." "A week ago, you called it quits." "An hour ago, we're having sex in the bathroom." "Will you stop it, please?" "I will respect whatever you decide, okay?" "But don't sit here and pretend that you don't want this thing between you and me as much as I do." "I am married." "Uh, hey." "Uh, sorry." "Uh... we need you." " You're okay." "It's okay." " [Retching]" "[Passengers murmuring]" "Wow, okay, Max, we're gonna get you cleaned up." " I need some towels." " Ingrid:" "Yeah." "I'll find some." " Excuse me." " My head." "He was..." "He was fine." "We..." "We were talking, and he... he got tired, so he just was resting, and then he just doubled over." "If..." "If he got better and he suddenly deteriorated..." "Okay, well, he has a brain bleed, and it's getting worse." "Oh, God!" "Get him on the floor." "Definitely getting worse." " Ingrid:" "Here." "Towels." " Woman:" "He's having a seizure!" "Oh, my God!" "Dave:" "What else do you need?" "I need the captain right now." "Do you think I'm being arbitrary, that I'm just trying to get in the way here?" "My patient's condition has escalated." "I need to get him on the ground and to a hospital now." "If I tell you I can't land this plane yet, it's because I can't." "He has classic symptoms of a severe epidural bleed." "Every minute, the pressure is building up in his brain." "I need to relieve that pressure, and I can't do that up here." "I don't have clearance to land here." " You think I haven't tried?" " Well, you have to try harder!" "And endanger the lives of 257 people so you can save one?" "Absolutely not." "[Plane rumbling]" "I will land this plane the minute it's safe to do so, no sooner." "End of discussion." "[Radio chatter]" "[Door slams, air hisses]" "[Sighs]" "Well?" "She can't land the plane right now." "So we wait?" "Max isn't just postictal, okay?" "The B.P. was elevated." "The pressure on his brain is reaching critical levels." "How much longer did she say?" "She didn't say." "Maybe an hour, maybe two." "There's no way to know." "He doesn't have that kind of time." "I know." "Listen, if we were on the ground," "I'd be rushing him to the O.R." "or drilling burr holes." "Yeah, and if we were in the field, we'd be looking for a way to puncture his skull to relieve the pressure, but..." "Meredith, we're on a moving plane." " Meredith?" " I know there won't be much that's sharp, but there's got to be something." "[Whispering] To puncture his skull?" "Did I mention the moving plane?" "Where's Candace?" "I'm sorry." "Maintenance tool kits aren't allowed on board unless they're checked underneath." "And there's no way to get down below?" "Definitely not." "What's going on?" "A drill." "I need something I can use as a drill." "Meredith, can we just pause for a minute?" "Hey, should we move Max or..." "Hey, you're a dentist." "Do you have any drills on you?" "Sure, yeah." "I always have them in my carry-on." "I have them in a special case, you know, like chef's knives." "Wait." "Really?" "No." "My key chain has nail clippers on it, but that's about it." "I've got one syringe." "Ah." "I'm sorry." "What?" "We believe he has a brain bleed, and we don't know when we're gonna be able to land." "But we feel that the bleed needs to be addressed now." "But he's fine." "He's sleeping." "Why can't he just keep sleeping?" "No, Jay." "He looks like he's just sleeping, but the pressure is building in his head, and if we just do nothing..." "He might not wake up?" "Then..." "Then why are you wasting your time talking to me?" "Do..." "Do what you have to do." "Just help him, please." "We need your seats for a medical emergency." "Thank you for your patience." "Right this way." "Let's recline him and strap him in." "Yeah, we've got seat belt extenders." "Yes." "Get them." "Uh, where do you want the blankets?" "Here and here." "Ingrid, I can't guarantee you're not about to see" " a lot more blood." " Yeah." "No." "I know." "I-I'm okay." " [Seat belt clicks]" " Here you go." "Candace, did the kit have an ambu bag?" " I'll get it." " Okay." "And get some more towels." "I felt skull movement along the fracture line earlier." "I need to go in through there and decompress the hematoma with the needle." "You can do that?" "Isn't that bad, to stick a needle in the brain?" "Depends." "If she goes in too deep, then she could hit the dura." "I won't go in too deep." "Puts her less than a millimeter away from puncturing brain matter with a syringe in an uncontrolled, unsterile environment." "Are you done?" "I'm aware of the risks." "If you don't think I can do this..." "Oh, I'm sure you can do this once, maybe twice, but evacuating a bleed with just a syringe?" "You're gonna have to insert that needle time and time again." "What are the odds you don't hit brain matter eventually?" " Then don't help." " I have to help." " You need the assist." " I have other people here." "Other surgeons?" "Look, Meredith, I'm here." "We're gonna do this together, all right?" "Got the ambu bag, more towels, and all the saline solution I could round up." "Found it." "I'm gonna need you to bag him" " and hold his head steady." " Got it." "Ingrid, I need you to go tell Jay not to worry, and don't let him come up here." " Yes." " And close the curtains." "Candace, you go tell that captain she better keep this plane very freakin' steady." "Yeah, his pulse is slowing down." "Okay." "We got to move fast." "Let's go." "Needle." "[Plane rumbling, passengers murmuring]" "♪ ♪" "Now, there's usually a lull after a bomb hits before the next one explodes." "That's your window." "You just wait for that boom, then go." "♪ ♪" "Boom." "Okay." "I think it's... good." "Saline." "Okay." "Going in for round two." "[Plane rumbling]" "Nice and steady." "Round five." "[Sighs]" "What's wrong?" "It's just..." "It's just, re-inserting this over and over... it's..." "I'm undoing the syringe." "You're what?" "You want to hold the needle" " in your hand?" " It's gonna save me from having to re-insert the needle over and over again." "We've got to drain this fluid off his brain or we're gonna lose him." "If you move that needle even a little, he's as good as dead anyway." "Well aware." "Thank you." "Okay, you put it in." "I need both hands to keep this needle steady." "Okay." "It's not going in right." "It will." "Just untwist it and try again." "You have that needle inserted into his brain..." " I told you." "I've got the needle." " What if you don't?" "What if I slip and it goes right into his..." "Okay, just stop talking and do it." "It's on." "Okay." "Good." "Great." "Okay." "Evacuating again." "Great." "Only about 50 more times to go." "Janis:" "Help!" "Help!" "I've got this." "You should go." "This is a two-person job." "You need the assist." "Help!" "Help!" "You want me to go?" "I can see if..." "No." "You're bagging him and holding his head." "You can't move." "Just go." "[Sighs]" "I'll help." "Help!" "Him him!" "[Indistinct shouting]" "Sir, sir, is your chest hurting you?" "[Gasps] Can't breathe." "Okay." "Let's get him into space." "That's the guy with pulmonary hypertension." "Okay." "All right." "Lay him down." "Slow, slow, slow." " Okay." "It's okay." " What's that mean?" "That means the vessels to his lungs are constricted." "He's basically suffocating from the inside." "Ugh." "Need air." "Yeah, I know, man." "I know." "Just hang on there." "Okay, I need you to, uh, get me the O2 and get on the speaker and ask if anybody has some erectile-dysfunction pills." " I'm sorry." "What?" " I'll open up his vessels." "It could save his life." "Go!" "Go!" "Okay, okay." "Excuse me." "Excuse me." "Did you say erectile-dysfunction drugs?" "Yes, ma'am." "Hopefully somebody on board has some." "Well, actually... we do." "Okay." "Saline." "Hey, Dr. Riggs said you might need some help." "Yeah." "Grab some gloves." "[Wheezing]" "Okay, buddy, I need you to sit up and take this pill, okay?" "Okay." "I need you to empty this into the bag." "[Breathes deeply]" "Now I need you to put the barrel back on while I hold the needle steady, okay?" "Work fast, but go slow." "Okay." "Oh, no, no, no, no, no, no." "It's okay." "It's okay." "Okay." "No pulse." "I need you to get the defibrillator right now." "You have to stop shaking." "I know." "I know." "I'm trying." "I got it." "Hold on." "Deep breath." "Oh, God." "Oh, God." "I-I can't make it stop." "Stop it, hands." "We are fine." "Concentrate." "You got this." "Here." " Hook it up." " [Ding]" "I'm on." " V-fib." "Charging." " Okay." "Shock him." "Clear!" "Still in V-fib." " Charging again." " Shock him." "Clear!" "[Flatline]" "Breathe." "You got it." "There you go." "[Exhales sharply] Oh, thank God." "Whew." " [Intercom dings]" " Captain:" "Good news..." "I've confirmed a safe location for us to make an emergency landing." "Please be seated as we begin our descent." "Now she's gonna land the freakin' plane." "It will be a bumpy ride, so make sure your seat belts are fastened." "[Passengers screaming]" "It's still in there?" "Harrison:" "Did it move?" " Looks okay." "It's okay." " [Intercom dings]" "Captain:" "Flight attendants, please prepare for landing." "I wouldn't be doing my job if I didn't tell you all to be seated right now." "I wouldn't be doing my job if I listened, but you should do what's safe." "I'll take my chances." "Okay." "Come on!" "Come on!" "I'm moving too much." "I need some extra hands." " Nathan?" " What?" "I could use your help." "Little busy." " Has he had a rhythm since he arrested?" " Doesn't matter!" "It's irreversible brain damage after six minutes." "It matters to this guy." "If I come up there, I lose my guy!" "If you stay there, we lose two people!" "No, we won't, all right?" "We're not losing anybody." "We're doing that, okay?" "Okay." "This is..." "It's moving too slowly." "I-I need..." "You still have your keys on you?" " Yeah." " I need them." "I need better blood flow to relief this pressure faster." "If I can snip this needle with your nail clippers and put the straw over the needle..." "[Plane rumbling]" "I'm doing this." "Keep him still, completely still." "Come on!" "Sanitizer." "Okay." "Clip the hub of the needle." "Good." "Okay." "Now clip the straw..." "Whew!" "Over the needle, into the skull." "Please fit." "Please fit." "Please fit." "Okay, okay, I need a cup." " Give me a cup." " Uh..." "Okay, that was amazing." "The coolest stuff I see are kindergartners with teeth growing in behind their teeth." "Come on." " [Gasping] - [Heart monitor beeping]" "Pulse." "Does that mean he has a pulse?" "I've got a pulse." " [Breathing heavily]" " Welcome back, buddy." " Blood." " [Gunshot]" "It's just blood." "Nathan:" "That's the ground, Mer!" "We've landed." "We're on the ground." "[Ding]" "[Sirens wailing, passengers chatter]" "[Rag'n'Bone Man's "Grace" plays]" "[Sighs]" "♪ I made myself believe ♪" "[Chuckle" "♪ There was no fight left in me ♪" "[Sirens continue]" "♪ But redemption doesn't fall down at your feet ♪" "♪ In the half light ♪" "♪ We raised a hand to my defeat ♪" "♪ And I watched the worlds fall ♪" "♪ And I rebuilt them piece by piece ♪" "♪ In the eyes of a saint, I'm a stranger ♪" "♪ We're all trying to find a way ♪" "♪ At the death of every darkness, there's a morning ♪" "♪ And though we all try ♪" "Nice and easy." "You ready?" " ♪ We all try ♪" " Let's go." "Remember, he seized from an epidural hematoma." "I wrote it all down and taped it to his chest, okay?" "Thank you for keeping him alive." "Of course." "♪ We're all trying to find a way ♪" "Doctor." "Captain." "Nice flying with you." "Thank you." "♪ But we all try, we all try ♪" "Thank you for fixing my wrist." "[Chuckles]" "♪ We're all one step from grace ♪" "You know, sh-should I call you for a follow-up maybe?" "♪ In the eyes of a saint, I'm a stranger ♪" "Your regular doctor should be able to take care of that pretty good." "♪ We're all trying to find... ♪" "You sure?" "'Cause I fly in and out of Seattle all the time." "It would be absolutely no trouble to stop by and have you take a look." "[Sighs] It's not necessary." "♪ No, we all try ♪" "Take care." "♪ We all try ♪" "♪ We're all one step from grace ♪" "We did it." "We did." "Still going to the conference?" "I think I've learned enough." "Mm." "Thanks." "I don't even know what town we're in." "Sioux Falls, apparently." "Right." "Well, they got to have a nice hotel." "Well, if it's not nice, it's got to be halfway decent." "Look, we're stuck here." "We got to sleep." "But not together." "Oh, y-you just... you just treated a bloke's brain bleed with a cocktail straw." "You're so fearless about so many things." "How the hell are you still scared?" "I'm not scared." "One of the most unpredictable things about encountering turbulence is its aftermath." "I'm making a choice." "I'm prioritizing my family, my sister." "Look, don't." "Don't, please." "Don't pretend this is still about Pierce." "It's not." "You're scared." "Of what?" "Of him." "Of letting him go." "Where is Derek?" "!" "Derek!" "Everything's been shaken up, undone, turned on its head." "At some point, you got to let go." "I don't really want to talk about this." "Good." "I don't want to talk." "I don't want to talk about it." "I don't want to talk at all, okay?" "I just want to..." "I want to move forward." "I want to live my life 'cause I'm still here." "I've still got one, and so do you." "Don't look at me like that, like I don't know what I'm talking about 'cause you know I do." "That could have been you in that seat with no seat belt." "Yeah, but it wasn't." "Okay?" "I'm just fine." "And so are you." "[Sighs]" "So, if you have the choice to avoid the plane crash, do you take it?" "Do you play it safe?" "♪ ♪" "It better be a nice hotel." "Or do you get on board and take your chances?" "So, four-star hotel?" "Five-star?" "I mean, how nice are we talking?" "I'm not holding your hand."