Grey's Anatomy

Do you know who you are?

Do you know what's happened to you?

Do you want to live this way?

There's a hole in the pericardium.

That's the source of all this blood?

No, that's what's keeping him alive.

Well, hello.

All it takes is one person, one patient, one moment,

to change your life forever.

Ross, I would like to introduce you to...

the black mamba.

It can change your perspective, color your thinking...

Um... isn't that the IVC?

The single trickiest vessel in the entire human body...

delicate, unpredictable.

Hear that? The gurgling? That's its song.

See that? Look how it twitches.

One wrong move, one misstep, and this patient is dead.

You can't repair that mamba without moving...

with the mamba.

Some people say it's impossible to repair.

One moment that forces you

to re-evaluate everything you think you know.

Come on, mamba.

Let's dance.

You paged?

MVC victim.

Wanted you to take a look at the C-spine X-rays.

Oh, damn. Poor guy.

Oh. Hey.

I just nailed the mamba.

Do you know who you are?

The patient's C3 and 4 are obliterated.

His spinal cord is severed.

There's no way I can repair that.

Do you know what's happened to you?

But we just fixed his heart.

Against all odds. 'Cause I'm awesome.

Yeah, well, even so,

he's lost all motor function from the neck down.

The man's paralyzed.

Do you want to live this way?

Wait. What?

Unfortunately, the impact of the crash

severed his spinal cord at C3,

which is quite high in the neck...

Yeah, no, I'm a nurse. I-I know what C3 is.

So you're saying...

he's paralyzed.

Yes.

I am so sorry.

But his brain function is good,

and I was able to fully repair his heart...

Uh, is his diaphragm working? Can he breathe on his own?

No, he's currently on a ventilator.

There are options from here, once he's had time to recover...

Uh, surgery to fuse his spine so he can sit up.

We can, uh, insert a-a permanent trach.

These are all options we can discuss...

Will he ever breathe on his own again?

No. He will not.

Okay, um...

I need you to wake him up... right now.

You can do that, right?

Elise, your husband just underwent major surgery.

I know, and now I'm asking you to wake him up.

And I need you to ask him

if he wants you to remove the vent.

Well, the vent is breathing for him.

It's-it's what's keeping him alive.

I was gonna surprise him tonight.

As an early anniversary gift, I got us playoff tickets.

I mean, nosebleed seats, but we kind of love it up there.

It's like, pretzels and hot dogs for dinner.

I mean, it's fun.

The last thing I thought when I woke up this morning

was I'd lose Jason.

I understand...

what I'm asking.

Believe me, I don't want to lose him.

But...

I know him. I know everything about him.

I understand how he thinks. I get his humor.

I could predict what he's gonna order in a restaurant.

And I just... I don't think he would want this.

I know it.

I think he would rather die

than live one more minute hooked up to a machine.

It's your husband's right to decline treatment,

if that's what he wants.

Uh, it'll-it'll take some time

to fully wean him off the sedation,

but I'll let you know when he starts to wake.

Thank you.

I think she really means it.

And that bugs you?

No. I mean, maybe. I don't know.

It's just... I don't know.

It's not like I want to get married tomorrow, but never?

But you're with her.

I-if you love her, who cares if she's not the marrying kind?

- I wasn't. - Yeah, but then you did.

Right, but some people don't.

So, what... we just keep doing what we're doing

for the next 20 years, and that's it?

But if you're together, what does it matter?

Hey!

Hey.

Didn't see you there.

You okay?

Yep.

Jason?

My name is Dr. Yang.

I know you must be very confused right now,

but I need to ask you some questions, okay?

There's a tube down your throat, so you can't speak,

but you should be able to nod "yes" or "no."

Think you can do that for me?

That's great. Okay. Let's get started.

Do you know who you are?

Do you know where you are?

Do you know what has happened to you?

You were in a car accident.

Your vehicle was hit from behind,

and you flipped over into oncoming traffic.

You're in a hospital right now.

Do you know who this is?

Your spine was crushed in the accident,

and you are paralyzed from the neck down.

You're currently breathing with the help of a ventilator.

That's the tube in your mouth.

Now, I understand it might be your wish

for me to remove the vent?

I want to make sure you understand what this means.

The ventilator is breathing for you.

That means, once it's removed,

you will not be able to breathe on your own.

Now, if you can't breathe...

you will die.

It might take a few hours... probably less.

Do you understand this?

Oh, God.

Do you still want me to remove the vent?

I love you.

And I want you to know, whatever you decide...

I'll support you.

I'll be by your side, no matter what.

I'm sorry, but I have to ask one more time.

Jason...

would you like me to remove the vent?

Do you know who you are?

Do you know what's happened to you?

Do you want to live this way?

Ohh! God!

Hey, you.

What are we doing? What the hell are we doing?

I'm... waiting for an elevator?

I just spent my day

saving the life of a man who's now choosing to die,

and all I keep thinking is...

You and I are throwing so much away.

We should be together.

You're the love of my life, and it is stupid...

just stupid... for us to keep pretending.

I love you.

I want to be with you... for real, forever.

It's as simple as that.

That's it.

We've christened every room in this house.

Yeah.

- And it's a pretty big house. - Mm-hmm.

I thought I wasn't gonna make it through the guest room.

- Yeah, but you rallied at the end. - Mm-hmm. Mm-hmm, I did.

You know, the house feels big for just two of us.

Don't you think?

Ah. He is gorgeous.

- No. - Oh.

Okay. Um...

this one.

I agreed to a dog, not a horse.

That's a mid-size dog.

No, that is huge. You know what a big dog makes?

- What? - Big poop.

That thing could crap my entire body weight in a day.

Hmm. That is a beautiful image. Thank you.

That one.

- What? - That's the one.

No. No. That is not even a dog.

That is a rodent, and it looks mean.

Hey, uh, we want this thing in here.

Can someone get it out?

Conduit, please.

Fresh off the printer.

Kid's tiny for 12 months.

He'll grow when his heart's sending

a little more blood around the system.

The first couple kids we put conduits in,

you can already see the difference in only a year.

Hey, so, I have an emergency surgery.

I'm gonna be in the O.R. for the next nine hours.