"Previously on "Grey's anatomy"..." "Zola was our baby, and she's gone, and I don't want another baby." "(Miranda) You and I broke up." "You basically told me to wait for you." "(Callie) What the hell happened?" "(Teddy) That's the screw that I just pulled out of her heart." "I supervised you inserting pedicle screws and a plate." "She's half dead." "Dr. Altman's repairing her heart right now." "So who's gonna be operating on me?" "(Teddy) Cristina." "(Miranda) It's her mentor's husband." "Cristina doesn't have to know that it's Henry." "(Derek) Meredith and Alex are trapped in an ambulance in the middle of the highway." "We think they got hit." "(mark) They're sitting in a powder keg." "(Alex) We gotta get outta here before this thing blows." "(Owen) It's not right." "If she finds out that I waited, she will never forgive me." "(Richard) Her husband just died in our O.R." "She'll never forgive any of us." "(rainfall)" "(Meredith) Victims of a sudden impact are some of the hardest to treat." "(clattering)" "It's not just the collision that injures them." "It's everything after." "The centrifugal force keeps them moving, tossing them from vehicles, throwing them through windshields, slamming their internal organs into the skeleton." "(monitor beeping Erratically)" "Their bodies are injured over and over again." "(beeping continues)" "(speaking inaudibly)" "So there's no way to know how much damage has actually been done... (thunder rumbles)" "Until they stop." "(cracks)" "(Alex) Sir?" "(groans)" "Can you move?" "(groan)" "We need to get you off this road." "Honey." "(crying) Jessica." "Answer me." "(clattering)" "(man grunts)" "(girl) Mom?" "Mom." "Mom, wake up." "(grunting)" "Mom, wake up!" "(Alex) Sorry." "Help them, please." "You have to help!" "(crying) My mom, my dad, the Van..." "and I just stepped in blood." " I-I just stepped in blood." " Hey, what's your name?" "Lily." "Okay, Lily, I need you to calm down and take the baby." "Hold the baby." "I don't even babysit." "I can't hold a baby." "Lily, do you want me to help your family or not?" "Hold the baby." "(cries)" "Okay, I need you to squeeze." "One, two, squeeze." "What if I mess up?" "You're not gonna mess up, Lily." "One, two, squeeze." "Count out loud so I can hear you." "Okay, one, two, squeeze." "One, two, squeeze." "No matter what you do, don't stop squeezing." "One, two, squeeze." "One, two, squeeze." "One, two, squeeze." "Yeah." "Ma'am, ma'am, I'm a doctor." "Can you hear me?" "(lightning cracks, thunder rumbles)" "(people speaking indistinctly)" "I don't know." "Three or four hours I think." "Yeah, you know what?" "Hang on a second." "The doctor's back." "This is Laura's mom." "She wants to know how long the surgery should take." "Uh, that depends." "Dr. Altman is working on the repair right now." "Did you hear that?" "Um, he says Dr. Altman's still..." " No, Altman." " Mm-hmm." "No, for the heart." "Y-you know, c-can you talk to her?" "Uh, yeah." "Hi, this is Dr. Avery." "She's a cardiothoracic surgeon." "No, no, this..." "this is the heart." "No, it's really hard to tell at this point." "(Miranda) Oh, no." "This is cruel." "Her husband is dead, and she has no idea." "She's sewing a woman's heart back together." "Come on." "There's gotta be a better way to handle this." "There's no good way to handle it, Bailey." "This is an impossible decision." "So you land on the side of what is best for the patient, the one who's still alive." "Teddy will understand." "You think so?" "(exhales deeply)" "(lighting cracks)" "You got any tape in there?" "I have to do an adhesive dressing." "Probably." "I just grabbed whatever." "Is my mom okay?" "Mom?" "Lily, keep counting." "Why isn't..." "why isn't she talking?" "(Meredith) Lily!" "One, two, squeeze." "How's she doing?" "Not good." "I may have to intubate." "Don't you have to do a pressure dressing?" "Ugh." "I see gray matter." "Brains are on the ground." "Wait." "That's Nana." "That's my Na... there's nothing we can do." "Oh, crap." "This kid's got a shard of glass in her eye." "She's unconscious." "Her pulse is Low." " That's my Sister." "That's Abby." " Lily... just see the blinker on the Van?" "Just watch that blinker and keep counting." "(Meredith and Lily) One, two, squeeze." "One, two, squeeze." " Lily." " The kids." "The kids." "Your girls are okay, all right?" "I just helped one and the other one's right over there." "And Michael?" "What about Michael?" "There's another kid?" "(thunder rumbling)" "(man groans)" "Oh, crap." " There's no pulse." " Michael?" "Dad!" "Dad!" "(Meredith) Lily, keep counting!" "One, two, squeeze." "One, two, squeeze." "One, two, squeeze." " Michael?" " Help." " Help." " Michael?" "Michael?" "Help." "Help." "Okay." "Um, I'm..." "I'm gonna check your pulse." "Pulse is a little weak." "All right." "I'm gonna try to free your legs, okay?" "(Lily) One, two, squeeze." "(debris clatters)" "One, two, squeeze." "(tires squealing)" "One, two, squeeze." "(metal squeaks)" "(squealing continues)" "Meredith, there's a car coming!" "Oh, crap." "Can you feel your legs?" " You gotta get outta there!" " Michael!" "He's trapped." "I have to get his legs free!" " There's not time!" " Oh, my god!" "Kid, just keep counting." "Meredith!" " Oh, my God." " You gotta get off the road!" "(grunts) Come on." " Come on!" " Oh, my God." " Help me." " Meredith!" " ..." "Squeeze." " No, don't leave me." "What the hell are you..." "they're not even gonna see you!" "Meredith, what are you doing?" "!" "(engine rumbling)" "Stop!" "Please!" "(brakes squeak)" "(air hisses)" "(man coughs) Son of a... (pants and groans)" "It's okay." "You're okay." "(moans) All right?" "Just breathe." "Just breathe." "Help is here." "Help is here." "(man moans)" "(Lily) One, two, squeeze." "One, two, squeeze..." "(pants)" "♪ Greys Anatomy 8x10 ♪ Suddenly Original Air Date on January 5, 2012" "B.P.'s down and she's tachycardic." "We gotta get her up to the NICU." "13-year-old female, intubated in the field." "Multiple facial fractures." "Foreign body to the eye." "You're bleeding you need stitches." "No, I'll be okay." "I'm gonna take care of it." "Take the mom to trauma two." "And we need to staff as many O.R.S upstairs as possible." "I'll take care of it later, I promise." "Go." "We'll talk later." "What do we got?" "(man) 14-year-old male, trapped under the van." "Abdominal pain." "Last vitals show a B.P. of 100 over 80 and a pulse of 120." "Grey, you need someone to take a look at that?" "It's fine." "Where do you want me?" "Bailey needs hands on bed four." "Wait." "Is that my mom?" " Could you get her back in the bed?" " But that... that's my mom." "She needs to be checked out." "Dr. Hunt, how can I help?" "What are you doing here?" "Is Altman out of surgery?" "Uh, almost." "She's about to take her off bypass, but our pagers kept going off, so she figured, maybe you need some extra help." "Dr. Webber, I could use you on this." "You, too, Hunt." " I... w..." " Okay." "Okay, go back into Altman's surgery and tell her that I didn't need you." "I was really hoping to log some more trauma hours." "Kepner... (sirens wailing)" "Altman's husband died in surgery, and she doesn't know, so I need you in the O.R." "And page me the moment that she's d..." "Wait, wait." "I'm sorry." "W-what?" " Kepner." " Henry's... kepner, can you handle this?" "(indistinct conversations)" "Um, yeah, yes." "No." "No, no, no." "You can't go into her surgery like that." "So go to the gallery and watch the surgery from there." "Okay?" "(indistinct conversations continue)" "She went about two hours with no antibiotics and an unknown amount of fluids 'cause we didn't have a pump." "All right." "Careful with that suction." "We weren't able to suction for a while." "Her pneumonia May be getting worse." "She probably needs another X-Ray." "Well, that's great." "You did extraordinary work tonight, Karev." "I've got it from here." "No." "What?" "No." "Yes." "You were in a major accident." "You need to go get yourself checked out." "Take a breath." "You're gonna sit this one out." "I'm not sitting anything out." "Yes, you are." "(people speaking indistinctly)" "Good-Bye." "(babies crying)" "(people continues speaking indistinctly)" "Okay, what do we got?" "His pelvis is dust." "(groans) Must be massive internal bleeding." "Can't keep his systolic above 68." "Okay, there's definitely free fluid in his abdomen." "It's just hard to define where the bleeding's coming from." "Where do you want to start?" " Pelvis." " Abdomen." "(groaning and muttering)" "Abby couldn't wait to sleep in a tent." "Sir, I'm Dr. Hunt." "(Richard) B.P.'s still dropping" "We're gonna be taking you up to surgery." "Lily didn't even want to come." "Okay, if we don't stabilize this pelvis, there won't be any surgery." "There's no time for fixators." "She wanted to spend her birthday with friends, not... not camping with us." "I said no." "(voice breaking) I made her come." "Oh, my god, I..." "I did this to them." "I did this." "You didn't harm your family." "You didn't mean for this to happen." "You didn't do this." "Okay, sir, I am really sorry, but even with the painkillers, this is gonna hurt." "(crack)" "Aah!" "That should hold for now." "Okay, let's get him to surgery." "Okay." "(pager beeps)" "Altman paged. 9-1-1." "Is everything okay?" "Uh, uh, we got this." "Go." "Scrub in when you can." "(door opens) (Owen) You paged?" "Yeah, the patient's got a flail mitral valve." "The sutures for the patch caught on the valve when we went on bypass." "Uh, what can I do?" "You can tell me where Cristina is." "I've been paging her, but she won't answer." "Damn it." "Why won't this hold?" "Okay, you need a resident?" "I'll get you a resident." "No, not a resident." "Yang." "This is... (sighs) I need another me, and she is the closest thing." "Don't tell her I said that." "She just got out of surgery." "She's exhausted." "All right, well, splash some water on her face and get her in here." "She can handle it." "All right, sponge stick." "(sighs) Damn it." "(monitor beeps rhythmically)" "(people speaking indistinctly)" "Let's get an irrigation tray and start cleaning this up." "Craniofacial lac?" "Oh, it's worse than that." "We're gonna need a retinal-vitreous surgeon." "Yeah." "I've got Lexie calling around for one right now." "Parker isn't answering, and Waldman is gonna be at least another hour." "Try Jassy." "Jassy?" "(keypad beeping)" "No, I got someone who will run circles around Jassy." "(cell phone Beeps)" "Hey, Babe." "Your girlfriend?" "Hold on, Julia." "She's great." "You'll love her." "Um, you know, it's gonna take at least 45 minutes to get here from seattle Pres." "She's not at Seattle Pres." "She's at my place." "It's five minutes away." "Hey, how'd you like to operate with me and Derek tonight?" "(grunts) it... it hurts." "My stomach really hurts." "Okay, Michael, we gave you something for the pain." "It should kick in in a minute." "Abdomen feels rigid." "(groans)" "Yep." "Free fluid in the right upper quadrant." "So that could be a liver lac." "We should order a C.T." "(Lily, crying) No, keep trying!" " That's my mom!" " Okay, Michael, I need you to stay still, please." "What... what... what's going on?" "You can't just give up." "You have to keep trying." "She already watched the grandmother die." "Yeah, go, go." "(Lily crying)" "How long you been going?" "What have you given her and what have her rhythms been?" "She's been coding for 30 minutes." "She's already gotten lidocaine and amiodarone." "Okay, her kid's outside the window watching." "We need to go again." "Charge to 360." "Clear." "(defibrillator beeps, paddles thunk)" "(monitor beeping erratically)" " Push another of epi." "Let's charge again." "(crying) Please." "Please." "(defibrillator beeps, paddles thunk)" "Dr. Grey." "Damn it." "(beeping continues)" "Charge again." "(mouths word)" "(defibrillator whines)" "Clear." "(defibrillator beeps, paddles thunk)" "(beeping continues)" "(single beep)" "(monitor emitting continuous tone)" "(whispers) Damn it." "Come on." "Come on." "(sighs)" "Mom." "(beeping and tone continue)" "(sighs)" "Time of death... 2:27." "(air hisses)" "Hand me the ultrasound and get me a kit." "We're doing a bedside gastrostomy." "What do you think you're doing?" "We need to decompress her stomach so she doesn't get more reflux into her trachea." "Karev, you're not on this case." "Look, I've been with this baby since yesterday." "Okay?" "She almost died." "I almost died." "I didn't go through hell with this kid to just back off." "(babies crying)" "Then slow down." "Okay?" "We don't need to rush through this." "Yeah, I know." "Just..." "suction, please." "(suction gurgles)" "(Owen) Cristina, just stop for one minute and listen to what I have to... no." "I said no." "I know you're exhausted." "This is a mitral valve re..." "I am not operating now!" "She requested you." "Now if you don't go in there..." "Teddy requested me?" "(exhales deeply)" "Oh, my God." "You haven't told her." "You haven't told her yet?" "What are you..." "no, no." "No, I am not..." "no, I'm not going in..." "Cristina, if that patient dies on the table, this will all have been for nothing." "This has... this has to be worth something." "Saving a life is worth something." "(pants)" "(voice breaking) I can't." "I can't." "I can't." "I can't do it." "You have no choice." "She's waiting." "So go." "How much trauma has your girlfriend done?" "A lot." "She's told me about a bunch of her cases." "Oh, so we're just going off your pillow talk?" "(elevator bell dings)" "If I get a hint that your girlfriend is in over her head," "I'm gonna boot her out of my O.R." "You know what your problem is?" "You don't think anyone who sleeps with me can be talented or have half a brain." "That is not true." "It's mostly true." "Yeah." "Yeah, it's mostly true." "Your ex-wife is brilliant, and she slept with me." "Well..." "I'm not trying to start a fight." "I'm just sayin'." "(inhales deeply)" "Ah, Dr. Canner, thank you very much for showing up on such short notice." "No problem." "Fastball here just updated me about your patient." "(sighs) Again, I am..." "I'm really sorry for hitting you in the..." "I'm fine." "My breast made a quick recovery." "Mm." "It did." "Okay, mark." "The glass penetrated the globe through to the orbit." "(Derek) So she's gonna lose the eye?" "Normally, yes." "I was thinking, if you used a temporal approach to expose the orbit and decompress the eye, we could save it." "Well, if you do that, there's more risk of bleeding." "That's true." "I could get control of the blood supply first, then enucleate the eye." "But I think the Eye is salvageable." "Either way, it's your call." "Let's save the Eye." "Agreed." "(people speaking indistinctly)" "(exhales deeply) Lily." "I'm so sorry about your mom." "Yeah." "(sirens wailing)" "(people continue speaking indistinctly) your dad and your sister are in surgery." "And I'm about to take your brother up to repair a tear in his liver." "Okay." "Do you know if anyone in your family is on any medications?" "I don't know." "What about allergies?" "Has... has anyone had surgery?" "I don't think so." "Do you remember your parents talking about what they would do if someone got really sick?" "Would they want extraordinary measures taken?" "I'm sorry." "I know it's a difficult question, but anything you could tell us would help." "No." "We don't talk about stuff like that." "We just talk about normal things, so I don't..." "I don't know anything." "Well, is there anyone we can call?" "Who takes care of you when your parents go out of town?" "(people continue speaking indistinctly)" "My grandma." "But she's dead now, so... (crying)" "(woman clears throat)" "Okay, I've got the bleeding under control." "It's your turn, Dr. Canner." "All right, pull up my microscope, please." "(monitor beeping rhythmically)" "(woman) Dr. Shepherd." "(Derek) Okay, 4 by 4." "Okay." "Speculum." "Saline." "(beeping continues)" "Dr. Shepherd." "4-0 Silk." "Thank you." "♪♪♪" "(beeping continues)" "♪♪♪" "Damn it." "Did you just push the glass in deeper?" "You must have speared a branch of the ophthalmic artery." "Cautery." "(exhales deeply)" "All right." "Let me get in there." "It's kind of hard right now." "My hand is in her eye." "Forceps." "Canner." "♪♪♪" "Hold on." "There." "Bone Fragment." "Thank you." "I'll be needing that." "♪♪♪" "A little bleeding is natural, Dr. Shepherd." "I'm not gonna find any more little presents in there, am I?" "Mm." "Okay, everyone, here comes the fun part." "Clamp." "(men) ♪ Impress ♪" "♪ god bless ♪" "♪ why ♪" "♪ couldn't I be less confused?" "♪" "(beeping continues)" "♪ Even to think ♪" "(Julia) All right." "♪ I would never do this ♪ looks like a grade 4 liver lac." "Grey, do you want to do an omental pedicle repair?" "Absolutely." "Okay." "Heard you lost one of your clinical trial patients today," "Dr. Bailey." "I'm sorry to hear... it wasn't my trial that killed him." "The man suffered from Von-Hippel Lindau." "That's what killed him." "Well, I wasn't implying that your trial..." "Let's focus on the living patients, and not the dead ones, okay?" "(beeping continues)" "(Ben sighs)" "(monitor beeping erratically)" "Wh-What'd you do?" "Nothing." "I'm just irrigating." "His temp Spiked." "C-O-2 Levels are through the roof." "Well, what's the problem?" "Uh, he's tachycardic." "Increased heart rate." "Patient's burning up." "I didn't use sux, but I did use sevoflurane." "(beeping continues)" "Ice." "We need ice." "Wait." "Now this is my patient..." "Run." "Get ice, now." "Right away, doctor." "Kid's about to go into organ failure." "I'm pushing dantrolene." "Let's get some cooling blankets." "(woman) On it." "And turn the thermostat down in here as low as it will go." "(woman) Right away, doctor." "Oh, my God." "Malignant Hyperthermia." "Where's that ice?" "(inhales)" "(exhales)" "(inhales and exhales)" "(stomps foot)" "(monitor beeping rhythmically)" "What do we got?" "Oh, good." "I got a flail mitral valve when I took her off Bypass." "Just put her back on and cooled her down again." "I need your hands." "Okay." "Oh, and, um... thank you... for Henry." "I am so sorry that we had to lie to you, but you were the only one that I trusted to do it." "You get it, right?" "Right." "You're not mad at me?" "(beeping continues)" "No." "No." "Good." "Okay." "Go get scrubbed." "(beeping continues)" "(door hisses open)" "gown me." "What did Altman want?" "How's the patient?" "She'll be fine now that I put Cristina in there." "You... you what?" "You put Yang in the same O.R. With Teddy with my patient on the table?" "What the hell made you think that was a good idea?" "I believe it was your mistake that put everyone in this position in the first place, so you're really not one to point fingers right now." "(monitor beeping rhythmically)" "Catch me up." "I can't get visualization of the mitral valve." "The... the left atrium's too small." "What about superior pulmonary vein exposure?" "Yes, Good." "Let's do that." "Scissors." "What is she doing up there?" "Sorry?" "Kepner." "She's been sitting up there like a gargoyle." "I thought there was a big trauma." "Oh, yeah." "Um, I don't know." "Did you get a chance to check on Henry post-op before I pulled you in here?" "(suction gurgles)" "I bet no one wanted her." "What?" "Kepner." "Probably because her voice can Peel paint off Walls." "(imitates April) Charge to 200." "(laughing)" "Clear!" "(normal voice) I mean, a trauma is stressful Enough." "Who needs that?" "(laughs) You're..." "you're horrible." "(imitates April) Push 100 of lidocaine." "(continues laughing) (normal voice) Am I wrong?" "(continues laughing)" "I'm right." "Would you stop?" "Stop it." "(continues laughing) kind of." "You agree with me." "I can tell... would you stop?" "By your eyes." "Okay, Stop." "Oh." "(chuckles)" "She's obviously from the midwest." "How are they doing?" "(Teddy laughs) Please stop it." "Uh, still trying to repair the valve." "Well, and making fun of me." "What?" "Cristina doesn't want to talk about Henry's surgery, so instead she's making fun of me." "I'll turn off the intercom." "No, it's... (Teddy laughs) Oh." "I have to know everything that's going on." "It's okay. (chuckles)" "I can handle it." "(sighs)" "(Cristina and Teddy speaking indistinctly)" "(Cristina) Still bad visualization." "There is a lot of unexpected fibrosis." "We're just increasing our chances of rupturing her heart." "We can't get in there." "There's too much tension on the walls." "All right. (exhales)" "We need to do this right." "We're gonna do an ex vivo." "You want to the heart out?" "Can we... can we try to..." "Oh, come on, Yang." "A cardiac autotransplantation for an ex vivo valve reconstruction?" "If that's not on your bucket list, it should be." "Are you up for this?" "(suction gurgling) you bet." "Great." "Okay." "We're gonna start with the atria to explant the heart." "And Let's get some music in here." "What do you want to listen to?" "You pick?" "(Meredith) Let's get another cooling blanket in here." "Grey, let's repack this liver." "Gelfoam." "What's next?" "We gave him dantrolene to relax his muscles and lidocaine to calm his heart." "He's on ice inside and out." "Only thing left to do now is wait." "(Miranda) All right, well, settle in." "Could be a while." "(monitor beeping erratically)" "Dr. Warren... isn't malignant hyperthermia genetic?" "(beeping continues)" "You gotta warn them... already on it." "(beeping continues)" "How's she doing?" "She's a little full of herself if you ask me, but she's getting the job done, I guess." "No, the kid." "Abby." "Oh." "You gotta watch her temp if you gave her any sux or inhalation anesthetics because our kid had a reaction." "Meredith, did you get your stitches?" "I will." "Fill them in." "Oh, pelvic stabilization's not holding." "(monitor beeping erratically)" "Get me more lap pads." "(Richard) More." "Do it." "Yeah." "I got that." "You need something?" "You haven't used any sux or inhalation anesthetic, have you?" "'cause our kid had a reaction." "(Richard) Oh, damn it." "This hematoma's expanding." "(Owen) I'll occlude the internal iliac." "Try and get some temporary control." "All right." "I need more lap sponges here." "(Meredith) Just watch his temp." "We got it, Grey." "Thank you." "Hemoclip." "(Richard) Yeah, hold it right over there." "Yep." "Okay, one more." "Come on." "Let's pack it." "Yep." "(monitor beeping rapidly)" "(beeping normalizes)" "Heart Rate's coming Down." "His temperature's starting to stabilize." "(monitor beeping rhythmically)" "Usually about the time you realize it's malignant hyperthermia, it's too late." "That's a nice catch." "You probably saved this kid's life." "(beeping continues)" "Figured you didn't need another patient dying on you today." "Oh, so you did it for me?" "Oh, yeah." "Any other doctor, I probably wouldn't have said Anything." "(mutters and sighs)" "It's freezing in here." "Well, why don't you jump up and down?" "That'll warm you up?" "I think I'll repair the liver." "That'll warm me up." "Suction." "(beeping continues)" "(indistinct conversations)" "We have to go back in." "what?" "On the baby." "I forgot to place the tension-free anastomosis." "Do you hear me?" "I forgot to place it." "Whoa, whoa, whoa, whoa." "Look at me." "You did the anastomosis." "I watched you do it." "You used the double-layer technique." "You remember?" "I... okay." "You need to sit down." "You need to sit down." "You are overtired and probably experiencing some residual shock." "And you're gonna take a break this time, for real." "Yeah, but... no." "Don't argue with me, Karev." "Deep breath." "(inhales)" "♪♪♪" "Beautiful." "Nice work." "All right." "Let's prepare for reimplantation." "You know, you... you're gonna think that I'm crazy, but there is this thing that we used to do in med school to try and stay awake." "And after this many hours of surgery, you need to stay awake." "I'm, uh, I'm pretty awake, actually." "Whoo!" "(laughs)" "Give me a "Whoo!"" "Whoo." "Oh, come on." "Give me a "Whoo!"" "(louder voice) Whoo." "That's... no, that's not good." "Come on." "You gotta wake up." "Whoo!" "Whoo!" "Oh, okay, that's a little better." "Whoo!" "Whoo!" "Whoo!" "They still going?" "Whoo!" "What the hell are they doing?" "Come on." "I..." "whoo!" "Think they're having fun." "♪♪♪" "Whoo!" "(woman) ♪ I'm counting on you ♪" "(speaking indistinctly)" "(monitor beeping rhythmically)" "(sniffles) You gotta be okay." "'cause we need you right now." "So... if you can hear me," "I'm s-sorry for being such a jerk on the camping trip." "I'll try to be better." "Just please wake up." "You gotta wake up, and I'll be nicer." "I'll help Michael with his homework and I'll babysit." "You won't even have to pay me." "Just... please, dad, just open your eyes." "(ventilator clicking and hissing)" "Lily..." "I just came to tell you that your brother is out of surgery, and he's doing okay." "And so is your sister." "Okay." "Okay?" "(inhales sharply) Can you... make sure that nobody else tells them about my mom?" "I sh..." "I should be the one to tell them." "Of course." "Of course." "(monitor beeping erratically)" "He's coding!" "(beeping continues)" "Push 1 of epi, 1 of atropine." "(beeping continues)" "Charge paddles to 200." "Charging." "(defibrillator whines)" "Charged." "(defibrillator beeps) Clear." "(paddles thunk)" "(erratic beeping continues)" "(woman) Cardio tech, trauma one." "Cardio tech, trauma one." "They're almost finished." "Now they did have to take her heart out of her body to repair the valve, but the procedure went smoothly." "It's over." "They're putting the heart back in right now." "It's Good." "It's good?" "My wife's body is in pieces on some O.R. table, and you're telling me that it's good?" " What is wrong with you?" " I'm sorry." " I didn't..." " Dad?" "Hey, my man." "I'm here." "Go back to sleep." "Okay, Buddy?" "(sighs)" "(exhales deeply)" "Ow!" "I thought peds Surgeons were supposed to be gentle." "Yeah." "You look like hell." "You should go home." "Me?" "You smell bad." "You go home." "How's the baby?" "Good." "Actually, really good." "Aw." "How are the other kids?" "Oh, well, the oldest daughter, I mean, she watched her mother die, now her father keeps coding, and she won't leave his side." "(monitor beeping erratically)" "(Lily) Daddy?" "Daddy!" "(Benjamin Francis Leftwich's "Pictures" Playing)" "(crying) Dad, please." "Lily, I'm sorry." "You can't be in here." "Wait." "Wait." "Charge the paddles to 300." "(woman) Charging." "(defibrillator whines) Charged." "Clear." "(defibrillator beeps)" "(paddles thunk) I was paged." "Code blue?" "He keeps going into V-fib." "Okay, let's start compressions." "(Lily crying)" "Lily..." "you can't be in here." " She can't see this again." " Come on." "Let's go." " No, I'm not leaving." "I'm not gonna leave." " Meredith." "Lily, please." "Stop it!" "It's my Dad." "Please." "I have a right to be here," " and I'm not gonna leave him." " Charge again." "Clear." "(defibrillator beeps)" "(thunks)" "(monitor emitting continuous tone)" "Come on." "(mark) All right." "That's the last suture." "In that case, gentlemen," "I am all done." "Nice work, Dr. Canner." "It was a pleasure, Dr. Shepherd." "All right." "I can trust you two to finish this?" "You're not gonna ruin all the good work I just did?" "Well, I wouldn't bet on it." "(laughs)" "Follow me out, Dr. Grey." "I need to talk to you for a second." "Me?" "Why?" "I-I mean, uh, of course, if... if... if you... don't worry." "I'm not gonna throw a ball at you." "It's about her post-op instructions." "(lid clatters)" "Her eye needs to be covered 24/7." "She can watch tv all she wants, but she can't read a book for the first three days." "(inhales and exhales)" "Whoa." "Okay." "Oh, thank god that is over." "Did I seem nervous in there?" "Just be... be honest with me." "Oh, you... you seemed more than okay." "That is Derek Shepherd in there, one of the best neurosurgeons in the country, and mark's best friend." "And the whole time I was in there, all I could think about was my high school Cross-country team." "Coach would always say, "don't look back," ""Never look back, because if the kid behind you sees that, he knows you're weak, and he will run you down."" "The whole surgery... that..." "that's all I was thinking about." "Don't look back." "Well, you didn't." "(laughs) Thanks." "(chuckles) Yeah." "Thank you, Dr. Grey." "♪ I have been waiting for it ♪" "♪ stop ♪" "♪ I knew... ♪" "Damn it. (chuckles)" "Now I like her." "♪ If you find a guard ♪" "♪ next to ♪" "♪ your girlfriend's bed ♪" "Um, that's, like, the fourth time you've had to revive him tonight." "Is that normal?" "His body has been through a lot." "♪ Stop ♪" "What are those tubes for?" "Uh, his body is filling with fluid, and those tubes are draining it." "And that... thing" "That's making noise?" "It's a ventilator." "It's breathing for him." "Is he gonna wake up?" "You can tell me." "I can take it." "I have no way to know that." "What do you know?" "I know that..." "we haven't been able to take him off of the life support." "And I know that it's very hard on his body every time we try and revive him and that it's taking longer and longer each time we try." "♪ Baby, and when we find ♪ and his kidney tests are elevated." "Which means what?" "Which means that... his... his organs are starting to fail, one by one." "(sniffles)" "You asked me about extraordinary measures before, if my parents ever talked to me about them." "What you're doing to my dad, are those extraordinary me... they are." "I think you should stop." "♪ Ooh ♪" "It's not that simple." "And it's not your call." "You're his child..." "I'm not a child, not anymore." "I turned 18 4 hours ago." "Today is my birthday." "And I've watched you torture my dad for the past six." "So I'm the head of the family now, and it's my job." "If you take him off the machines and he lives, then he lives." "But if you don't... then at least we let him go in peace." "You gotta stop." "Please." "♪ To get around your house ♪" "(instrument clicks)" "Okay, time to close." "Would you like to do the honors?" "Kepner can close." "(chuckles) What?" "Kepner, can you close?" "Uh, I-I can, but..." "Yang." "Kepner, close." "(beeping continues)" "Cristina... can I speak to you privately, please?" "(beeping continues)" "(door hisses open)" "(door hisses closed)" "What's up?" "You okay?" "When we brought your husband into the O.R., we originally thought We could go in with a bronchoscope and a laser, however, there was a lot of bleeding, so we had to open him up." "Wait." "You... you... wait." "No." "Owen said that... when we opened him up, we saw that his tumor had eroded his pulmonary artery." "Dr. Webber and I both used extraordinary measures..." "No." "But we... uh, no, no." "No." "We used extraordinary measures, but his heart could not tolerate the excessive bleeding." "No." "He did not survive the surgery." "I'm sorry." "You're saying..." "(voice breaking) You're saying, he's dead." "Yes." "Say it." "Teddy... when you inform the family, you have to say it so that they know that it's really happening." "It's the first thing that you're taught." "I never really thought about it... but now I get it, and, um..." "Cristina..." "I need you..." "I need you to say it." "Henry is dead." "(inhales)" "Thank you." "(exhales deeply)" "Where's Teddy?" "I don't know." "Wait." "You told her?" "Of course I did." "(sighs) you shoulda let me." "I should've been the one... oh, my God." "This is not about you." "Who cares who told her?" "Okay, I told her, because you made me stand there and talk and joke and... and lie to her for hours, forhours." "I am sorry." "I had to... no, I know, I know." "I don't wanna..." "I don't wanna hear it." "(sighs)" "And neither will she." "(Zola Jesus' "Skin" Playing)" "Oh, um... ♪♪♪ give me the chart." "Uh... just give me the chart." "♪ Don't hold me down ♪" "(whispers) Thank you." "(normal voice) Get out." "♪ In this hole I've fallen down ♪" "♪ secret home I made and found ♪" "♪ and you ♪" "♪ wait to breathe ♪" "♪ skin ♪" "♪ of ♪" "♪ all ♪" "♪ skin ♪" "♪ of ♪" "♪ all ♪" "♪ I've had ♪" "♪ enough ♪" "♪ Oh, oh, oh ♪" "♪ skin ♪" "♪ of ♪" "♪ all ♪" "♪ and in the sickness ♪" "♪ you have faith ♪" "(cries)" "♪ and in the thickness ♪" "♪ you find me ♪" "(cries)" "♪ Finally ♪" "(inhales)" "(cries)" "(beeps)" "♪ in the city, you find pain ♪" "(monitor beeping rhythmically)" "♪ and the people you see there ♪" "(beeping continues)" "I'll give you your privacy." "♪ ...of your role ♪" "So what happens now?" "His heart rate will slow down, and that's gonna make the alarm sound," "But I'll..." "I can turn the sound off." "And then his breathing is going to get slower and slower." "And then his organs will start to fail because they need oxygen to survive." "And then when there's no breathing and no pulse, that's when he's gone." "(monitor beeps erratically)" "(beep)" "♪ Oh, oh, oh ♪" "♪ skin of ♪" "Is this it?" "This is it, sweetie." "(crying)" "I'll wait outside." "♪♪♪" "No, please. (sniffles)" "Please wait." "(whispers) Okay, okay." "(mouths words)" "♪ you have faith ♪" "(continues crying)" "♪♪♪" "♪ and in the thickness ♪" "I really should be taking the fall for this." "I agree." "All right." "Well, then I'm just gonna walk in there and I'm gonna tell him." "Look, let me..." "let me spell it out for you, Avery." "This is on me." "Yes, it was your mistake, and, yes, you should feel like crap, but I'm your attending, you're a fifth year, which means that I'm responsible for what happens in my O.R.," "and you get a free ride." "Well, I don't want a free ride." "Well, I don't want to give it to you, but I will, because you're still young and inexperienced and hopefully, you'll learn something here." "You'll start double-checking your work, and the work of your residents when the time comes, because otherwise, you'll be me, walking in to apologize to a family that hates me almost as much as I hate myself right now." "(inhales)" "♪♪♪" "Dr. Torres, there you are." "I need to talk to you." "I know." "I know, Mr. Lewis." "I want to talk, too." "Yeah, you owe me an explanation." "Okay?" "A real explanation." "What happened to Laura..." "This is totally unacceptable." "(Callie) I, uh, I understand." "I was rude to you before when you mentioned Henry." "I'm used to it." "It's kinda your thing." "(chuckles)" "Look, when bad things happen to you, you Lash out." "You want space." "That's why I'm sitting way over here at my own table." "I'm... (laughs)" "I'm giving you space." "I didn't just lose a patient today." "I lost a friend." "I'm sorry." "I wouldn't mind if... you didn't give me quite so much space." "(snow Patrol's "New York" Playing)" "♪ If you were here beside me ♪" "♪ instead of in New York ♪" "♪ if the curve of you ♪" "♪ was curved on me ♪" "♪ I'd tell you that I loved you ♪" "♪ before I ever knew you ♪" "Canner did a good job." "Yeah, she did." "Don't screw this one up." "I like her." "She's a keeper." "(indistinct conversations)" "(sighs)" "♪ If our hearts are never broken ♪" "♪ then there is no joy ♪" "I'll be close by if you need me." "♪ There's so much this hurt can teach us both ♪" "You can't prepare for a sudden impact." "You can't brace yourself." "It just hits you out of nowhere." "And suddenly..." "(sighs) the life you knew before... is over... forever." "♪ Come on ♪" "♪ come out ♪" "♪ come here ♪" "♪ come here ♪" "♪ come on ♪" "Ohh." "What's wrong?" "There's no food, and I'm hungry." "I just ordered pizza." "For breakfast?" "We've been up for 39 straight hours." "It's dinner." "It's a very, very late dinner." "(sighs) Oh, that cheese is old." "I'm hungry." "I might die." "(chuckles)" "Don't eat the old cheese." "Come and sit down by me." "Put your head down." "♪ The long neon nights ♪" "♪ and the eek of the ocean ♪" "I'd like to put a little salt on your nose and eat a bite." "(laughs) The pizza will be here any minute." "Mm-hmm." "♪♪♪" "We'll be okay... if it's just the two of us... if that's what you want." "I love you." "♪ Snaps me in two ♪" "(doorbell rings)" "Pizza." "♪ Beside me, instead of in New York ♪" "Don't start eating that pizza without me." "♪ In the arms you said you'd never leave ♪" "Meredith?" "Derek." "Yes?" "Is that our baby?" "(laughs)" "Yes." "Yes, it is." "♪ Come on ♪" "♪ come out ♪" "♪ come here ♪" "She's yours." "(laughs)" "(kisses and laughs)" "(coos)" "♪ Come here ♪" "♪ come on ♪" "♪ come out ♪" "♪ come here ♪" "(baby talk Voice) Hi." "Hi." "Come here." "Hi." "Hi." "♪ Come here ♪" "♪ the long neon nights ♪" "♪ and the want of the ocean ♪" "♪ and the fire ♪" "♪ that started to go out ♪"