Grey's Anatomy

When the risk of a procedure is greater than the possible benefit,

we watch and wait.

If the symptoms progress

-Good morning. -Good morning.

then we pick up a scalpel.

- -

Who's that? We're in the middle of nowhere.

Probably some camper who forgot toilet paper.

- -I'll be right back. Okay. Coming.

Okay.

- -Hey,

the kids wanted to bring you the pancakes that they made.

Whoa, whoa, whoa.

- Who are you? - Where are your clothes?

You should have called first.

Okay, you know what?

Uh, we-we gotta go, or we're gonna be late.

Um, all right, come on. Say goodbye to Daddy.

-Bye, guys. -You should leave your ringer on.

Yeah.

-I'm so sorry. -No. She was just surprised.

Listen, why don't you just relax, and I'll go get us some coffee, okay?

Okay.

Sounds easy,

but doing nothing is one of the hardest things a surgeon has to do.

We're trained to act, to remove, to fix.

Restraint isn't in our DNA.

Babies look good.

-And the cerclages are still in place. -That's good.

Good would be my water breaking seven weeks from now when I'm full term.

- -You might make it all the way.

It's possible. Babies are healthy. There's no sign of infection.

Now. If I deliver early, they're at risk of sepsis,

have underdeveloped lungs, have trouble feeding as

It's a choose-your-own-adventure newborn hellscape.

But you're right. I could make it seven weeks.

Yeah.

-You okay? -I'm having shortness of breath.

-Can you page cardiology? -What do you What do you think it is?

Do you think it's a heart thing or a lung thing?

-Do you have any pain? Is it sharp, dull? -It's probably nothing.

I just want to practice what I preach, get it all checked out.

-Okay. I'll call upstairs. -Okay.

In the end, all you can do is hope for the best.

And trust you're making the right call.

Meade? Where Where do you think you're going?

Miranda. Webber canceled the surgical lecture series.

-I assumed you knew. -Well, do I look like I knew?

- Not Not particularly. -

Well, who cancels someone else's lecture and doesn't tell them?

Well, maybe he forgot.

Did he forget that I am the residency director?

No. Ever since he took over as chief,

he's been making changes to my program without consulting me.

Like there's no rhyme or reason to how I do things here.

-I'm just the messenger. -

How's this for a message?

I've had it.

Yeah.

Did you see Dr. Webber's email?

How are we supposed to increase our cases by ten percent?

Where are we supposed to find all these extra cases?

You seem calm. You're not behind?

I'm trying to finish this,

because in five minutes, I'll never have free time again.

I didn't know you knit. Cool.

-It's crochet. -You two back together?

-Uh, I-I am not with anyone right now. - We made a pact.

We are focusing on ourselves and hobbies.

Is that a bowel movement?

It's a spleen.

Dr. Leone, call the blood bank.

Dr. Leone, call the blood bank.

- Oh, my God. -

Someone call 9-1-1.

Help! I need help.

Help.

-Help's here. Where are you? - Down here.

- - Help.

- -What's your name?

Maisie.

Maisie, I'm Owen. I am a doctor.

I am calling 911, and we're gonna get you out of there.

-All right? -Okay.

- Okay. -

911, what's your emergency?

Make sure none of this is yours.

It's getting donated at the end of the day.

Ooh. This is a good one.

Oh. I've been looking for that.

Hey, how was your trip?

Uh, I was in the south of France

but I had to study and take my oral boards,

so kinda canceled each other out.

I, uh, put in the orders to replace Mr. Litton's electrolytes.

Thank you.

No prob. Um, if he needs a chest tube, can I do it?

No.

Bryant's on your service? Stay strong.

-Trust me, not gonna be a problem. -Mm-hmm.

Yeah, hi, I have a three-vehicle pileup incoming,

and one is a bus with at least 30 passengers.

Oh, finally some good news.

For our-our case logs,

I mean, I'm sorry that there was a car accident.

Have I said welcome back yet? No?

[firefighters, paramedics clamoring]

-We got them, Dr. Hunt. -Okay, I'll see you at the hospital.

-Hey. -Thanks for coming.

A car blew a tire, then hit another car which then hit a bus,

and the bus hit a cyclist.

I knew you were close by since you showed up unannounced this morning.

I don't want to talk about this here. Where do you need me?

Under the bus.

SFD's concerned that we might need to amputate the cyclist's leg

to get her out of there.

A paramedic could assist, but I'd much rather have a surgeon.

-Owen, is that you? -I'm right here. This is Maisie.

She has pain in her left leg and pelvis, and she has some bleeding,

but I can't reach her, so I have no idea where it's coming from.

Right.

Hi, Maisie. I'm Teddy. I'm a doctor too.

-Are they getting close? - They're evacuating the bus

and there's one more patient to come out of one of the cars,

and then we're gonna get you out, okay?

Maisie, is there anyone that you want us to call while we wait?

I was gonna say that you can call my boyfriend, but I remembered that

-he's not my boyfriend anymore. - I'm sorry.

We got into a stupid fight because he didn't want to go on a stupid cruise

for my parents' anniversary, which is perfectly reasonable.

You know how cold it is in October in Alaska?

I can imagine.

I wanted to take it back, but he won't pick up my calls.

Maybe if you tell him I'm trapped under a bus, he'll pick up.

First, we are gonna get you out of here,

and then we can call your boyfriend, okay?

-Okay. -

Were you going to tell me that you canceled my lecture series?

Oh, I I thought I did.

Yeah, I got here at 5:45

to print handouts and set up the conference room for fun.

- -Oh.

My mistake, you know, with all the construction

and the residents who are behind in their cases,

it was all-hands-on-deck situation.

With all due respect, this is not your deck.

Hey, come on.

-Oh. - Whoa.

- Oh, my God. - Aaron!

He's autistic, he's nonspeaking and sustained a head lac.

-The patient is his aide. -Oh. Go after him!

Glen Kelly, 53, GCS 3T,

MVC with a city bus at high speed, restrained driver.

Unknown past medical history, intubated on the scene.

-How long did you administer CPR? -Ten minutes.

Doesn't look good.

Well, not if I can help it. Let's take him to trauma three.

- Maisie, how you doing? -It's cold under here.

I can't catch my breath.

She's losing a lot of blood from her leg.

They're working on the second car.

All right, stay with me, Maisie.

-Hang on. -Where are they with stabilizing the bus?

-What are you doing? -I can't control internal bleeding,

but I can try and stop the blood from pouring out of her leg.

-Dr. Hunt, they can't get an airway. -Go. I got this.

- Okay. -Ma'am, you can't go under there.

It's Doctor, and she needs a tourniquet on her leg, now.

All right, I'm just gonna put this on you

and then I gotta get this tourniquet on you, okay?

-Okay. Deep breaths. -

You good? Teddy.

Teddy, we still haven't stabilized the bus.

You called me here. I'm gonna do my job.

-Is it time? Are they getting me out? -Not yet.

I need to work on your leg.

I need to tighten this to stop the bleeding. Okay, here we go.

- -I know, I know it hurts. Keep breathing.

We're gonna get you some medicine for the pain--

Teddy, they need you to move right now.

Just give me a minute.

Are you going back out?

-Teddy! -I'm gonna stay right here with you.

Keep breathing.

- -Come on, Maisie. Stay with me. Come on.

Dr. Adams?

Hi, I'm Dani Spencer. I'm your intern.

It's my first day. Well, actually, it's my second day.

My first day, Meredith Grey gave me an ex-lap in the reproductive health clinic.

So, here I am.

-How caffeinated are you? -Oh, I don't drink coffee.

Good morning. A patient's flap went down.

I'm taking him to the OR to try and salvage it.

-I need-- -Can I get in on that?

No, I need someone to keep up with my dressing changes.

How about you get in on that?

Yep.

-Come. -

-I heard you have a TRAM flap. -I already have an assist.

No, you--