Grey's Anatomy

Before operating, a surgeon scrubs.

We meticulously wash our hands and forearms for several minutes,

and then dry with sterile towels.

Technically, we do this to prevent infection.

But it's also a ritual.

It's a way to shut out the rest of the world

and mentally prepare.

Because no matter how experienced you are...

...it's never easy holding someone's life in your hands.

How's she doing?

Well, Ndugu says the heart pump is doing its job,

but I won't feel better until she's awake.

-And how are things going with you? -I'm fine.

-Have you told Catherine? -She's flying home tonight.

Uh, did you speak with your urologist?

He wants me to get new blood work, and then we'll discuss a plan.

Oh. You have time to do that today? You should do that as soon as possible.

I got my biopsy results not even 24 hours ago.

Can I have a minute to wrap my head around it?

I just want to make sure that you are taking care of yourself.

- I mean, you should take the day.

I-I can cover your patients.

Well, it's not a terrible idea.

If that's your way of thanking me...

...it needs work.

Oh.

Okay, I have to check on a patient.

Hey, would you sit with her until Link comes back?

I... I just don't want her to be alone.

-Oh. Of course. -Hmm.

Dr. Higgins to the ER. Dr. Higgins to the ER.

They are beautiful.

They're so small.

But mighty. Do they have names?

Uh, we hadn't decided yet.

And if I name them without Jo, I'll have a very short marriage.

Smart man.

Do you know when they're gonna be extubated?

Baby A's having a CPAP trial later today, and we don't know about her sister.

They haven't been able to decrease the vent settings.

It hasn't even been 12 hours. She'll get there.

-Dr. Lincoln, can I have a word? -Oh. Dr. Kasliwal.

This is Ben Warren. He's one of the doctors that helped deliver the girls.

You all did a great job. They came out just in time.

So I examined them again.

No news on Baby A, which is good,

but I am picking up a heart murmur on Baby B.

It can be normal, but since she needs more oxygen, I'd like to do an echo.

Whatever you need to do.

If you wanna check on Jo, I'll find you when we get the results.

My day-old baby is having an echo.

NICU is a different world.

Minute to minute and a marathon at the same time.

Just pace yourself.

My usual and whatever she wants.

Just the coffee.

You sure? You burned a lot of calories last night.

Hi. Uh, large coffee, please.

-Me, me, me. -Make that two.

-You got it. -Max host karaoke again?

No, I was just up late at Joe's.

I wasn't breaking the pact.

-I was just having a drink. -Hmm.

Here you go. That'll be 5.50, please.

I thought she hated him.

They hooked up last night. - Gross.

And she made him waffles.

- Look. - Check it out.

- Aw. - See that?

You think they changed their mind?

Wouldn't be the first person.

Millin. Hey, I'm sorry I didn't make it last night.

Uh... No problem.

-Rain check? -I don't think that's a good idea.

Okay.

Uh, well, if you change your mind, I will definitely need a drink tonight.

Yep.

You were trying to break the pact.

But I didn't. The pact is intact.

-Why? Are you trying to break the pact? -Absolutely not.

How's my favorite patient?

Yeah, I bet you say that about all your patients.

But you are the only one

that I am visiting on her first day of her clinical trial.

Come on. You ready to kick cancer's--

- I've already vomited twice today.

But you are here.

Look, and you're young,

you're strong, and you can do this.

And the results for this immunotherapy continue to be very promising.

-Hi. -Oh. It's time to go?

Uh, almost. Uh... Can I-- Can I talk to you?

Sure. Hmm.

Yes?

Her medication is expired.

That's-- That's impossible. It just got here.

I don't know. Maybe it's mislabeled?

No, it's not worth the risk. Okay, better move on to plan B.

-Which is? -You tell me.

Uh... I-I can have them ship a new bag.

- It'll be here end of the week. - Absolutely not.

No, I want her treatment to start today.

You wanted on the team? Figure it out. Today.

Looks like a Monteggia fracture. We need to page ortho to get him admitted.

-Uh-huh. -"We" as in "you."

Hey.

Hey. Can this wait? We're slammed.

Link's obviously out, and Webber gave Bailey all his cases for some reason.

I'll make it quick.

Sound Science Magazine wants to do an interview.

Oh. Congratulations.

It's about the ventral aorta, so it would be a joint interview.

With Nora.

Oh, well, you don't need my permission to do an interview.

Wasn't asking. I just wanted to be transparent.

Yeah.

-Incoming trauma. -Oh. I... I need to go.

Okay, what do we got?

Graham Clayton, 26-year-old male in a small aircraft crash.

GCS 15, tachycardiac, systolics in the 90s.

He's got a right leg fracture

and burns involving left-sided lower and upper extremities, chest and back.

Damn, that does not look good. I'll page the burns team.

Tell 'em 911. Let's get him to trauma three.

Okay? Let's go.

-Whoa. -Hey. What the...

Hey, you can't park here.

Graham. That's my friend. Is he okay? You gotta be okay, man.

He borrowed my uncle's plane to propose to his girlfriend.

- She on the plane too? - No, she's at work.

So, Graham was the skywriter?

He has a pilot's license, but it was his first time doing loops.

Sir, you need to move your car.

Take it. I don't care.

Unfortunately, her echo doesn't show an increase in her EF.

Thought you said the pump was working.

It is working.

It's keeping her alive and it's allowing her heart

a chance to recover after the cardiomyopathy.

But all we can do is monitor her

and keep watching her EF, look at the contractility.

So sit and wait?

What happens if it doesn't recover?

Okay. Let's not go there yet.

What happens?

We would need to consider a more permanent solution,

possibly a heart transplant.

Can I have a minute?

Of course, but like Warren said, let's not go to the worst-case scenario.

It's only been hours.

I need a minute alone with my wife.

Dr. Bailey?

Uh. I'm late for my next consult, so talk fast.

Okay, Harbor General in Tacoma.

It's a site for the same clinical trial that Katie's enrolled in.

Liking the sound of this.

Yeah, they have the medication, but the drug--

There's always a "but."

Yeah, the drugs are already mixed, so it's too unstable to transport.

Katie will have to go there to get it.

Oh. Doesn't sound like an issue to me.

Drive safe now.

Wait, you want... you want me to take her?

Well, she's in no shape to drive.

And if you think you're going to stuff her into a rideshare

and call it a day, you clearly don't understand the assignment.

Okay. Well, why not send her with medical transport?

I have other patients.

Your interns can cover you. That is what they're here for.

Katie is precious cargo. I expect you to treat her as such.

Dr. Brasington to Oncology...

Ooh. Got anything good?

Plane crash survivor, extensive burns, possible internal bleeding.

-Shut up. -Mmm.

He's an intern.

There's nothing going on.

Trying to convince me or you?

I've learned my lesson about dating coworkers, unlike some people.

Why aren't you answering my page?

-Uh, you paged two minutes ago. -Precisely.

And I heard you were late for rounds.

So was Millin.

Oh. Throwing your coresident under the bus and late.

Congratulations. You're both on ureteral stent removals.

All day?

Six kidney transplant at an hour each, plus documentation.

So unless you do it in a time portal, yes.

There's nothing you need help with that's more surgical?

Or less boring?

Uh, can-- can we get in on that plane crash guy?

What color are my scrubs?

-Navy. -Correct.

I'm an attending doing a favor for your chief resident

who is with his friend in a coma.

You don't like your assignment? Take it up with him.

Or Bailey. Would you like to talk to Dr. Bailey?

-Oh. We're-- We're good. We're good. -Love stents.

I suggest you be on time tomorrow.

Excuse me. What have we got?

Full thickness burns to the left, upper and lower extremities.