Grey's Anatomy

Dying isn't easy.

The body was designed to stay alive...

Thick skulls...

Strong hearts...

Keen senses.

Morning.

Morning. Mm.

And when the body starts to fail...

Medicine takes over.

Morning, Kim, Sean. How are you feeling?

Ready.

Today is the day.

How are you doing?

Okay.

Surgeons are arrogant enough to think...

There's no one we can't save.

- Hey, you need a consult? - Uh, Kim Allan.

She had stage IV large cell lung cancer.

I removed a second mass from her right lung

about two months ago, but her tests had showed that

the cancer had spread to her lymph nodes and to her liver.

She was readmitted last week with pulmonary edema.

I drained as much fluid as I could,

but she is still having a tough time breathing.

That's too bad. You gonna have to intubate her?

She doesn't want that.

You're gonna have to treat her palliatively.

I don't see what else we can do for her.

She wants us to help her die.

Like I said, dying isn't easy.

Since the state requires two physicians' signatures,

I've asked Dr. Hunt to look over your chart.

Okay.

Her prognosis says that she has less than six months to live.

I have informed her of her treatment options.

She has met with a psychologist who has determined that she is mentally fit.

And this can serve as her second oral request.

Okay.

You have to say it.

Washington State says I have to hear you ask two times

at least 15 days apart.

It's so weird. It's like I'm applying to die.

Well, if you're having second thoughts...

You saw how bad it got last night.

It's just gonna get worse.

I would like to end my life

through physician-assisted suicide.

Excuse me. Um...

I... I'm just gonna go see what's up.

Dr. Altman.

How long does it take...

to die, once I take the barbiturates?

Can we not talk about this?

It's just, um...

we're not there yet.

We are there, Sean.

We are.

Kim, to answer your question...

about 45 minutes.

It takes about 45 minutes to die.

Three dates, no sex. Just talking.

Do you have any idea how much you can learn

about someone if you remain upright?

Like I'll bet you didn't know Teddy hates the word "moist".

Hates it.

Would really prefer people say "damp".

You hear me?

I'm growing again. I'm, like, grown.

She's making cartilage from scratch.

She's a little preoccupied these days.

It's super hot.

I'm gonna be late.

Bye.

She doesn't want kids.

Arizona doesn't want kids...

in her womb, in her house, ever.

She told me.

- What'd you say - Nothing.

I mean, we're doing so great.

I don't want to ruin it by being the crazy,

desperate girl with the aching womb.

Better than being the crazy, childless woman

who sits out at the playground watching the children play.

They have laws for people like that.

You gotta tell her.

All right, so in the third quarter,

the collection rate of medicaid was what percent again?

Hey. Would you excuse me one second?

You have 30 seconds.

Okay, so this woman comes into the E.R. with abdominal pain.

She's had it off and on for about six months.

And a lot of doctors have told her

it's either an ulcer or gastritis.

All right, get to the point. You have 15 seconds.

Okay, so it occurs to me that the nausea is

probably caused by a positional shift in the...

C.S.F. Okay. Brain tumor. Got it.

Right, but not just any brain tumor.

I mean, she's got this huge, beautiful ependymoma.

- So Shadow Shepherd... - Dr. Nelson.

Okay, Shadow Shepherd is going to

do an intraventricular resection,

and let me assist,

and I may even get to debulk the tumor.

That's it?

Okay. Sorry for the interruption.

So where were we?

Percentage, third quarter of Medicaid... what was the rate of return?

- How close? - Two minutes.

Nicole, right?

Three guys waiting on an ambulance?

Must be Nicole behind the wheel.

Have you seen her ass?

Man, I'd love to hit that.

Morning, Chief.

Sorry about that, Chief. I...

That's quite all right. And, um, I'm not the chief.

- Hey, Nicole. - Hey.

Nick Kelsey, 32, injured skiing off a helicopter.

Vital signs are stable.

It wasn't the helicopter that did it.

It was the avalanche.

Idiotic either way.

He's got two idiot friends coming in behind him,

but he's got the worst of it.

Open fracture to the left tibia and left hip fracture.

What are you looking at, Chachi?

What happened? We were in the middle of a consult.

You're her doctor. You shouldn't be pushing her to do that.

I offered her options. I told her about hospice.

She doesn't want to die a slow death hooked up to machines,

or be so heavily sedated, she might as well be dead.

And I have to say, I don't blame her.

This is an act of mercy.

Oh, "an act of mercy"? You are killing her.

Just so that you are clear,

by writing that prescription, you are killing that woman.

All right, then.

I'll find someone else.

Watch it. Watch it. Heads up!

- You need to work on your passing game, Hunt. - Oh, yeah?

You ball hog.

Well, you need work on...your game!

Owen, on your four! Oh!

- Go! Go! Go, go, go! - Not a chance, Major!

Get it! Get it! Get it!

Okay. Watch out! Watch out! Watch out!

- Go! Go! - I got him. I got him.

- Whoo-hoo-hoo! - Yeah!

Whahoo!

Hey, break it up, break it up. Break it up, you two.

- We're only down by 3. - Oh, yeah, 'cause you suck.

- Insubordinate. - Oh, sir, you suck, sir.

I mean, Dan. Come on, it's true. You play like my grandma.

Whatever.

Get your battle rattle. It's time to go to work.

Owen, come on.

I need to reduce this ankle dislocation. Give him 10 of morphine.

I need to treat his frostbite.

- Nick, you like the tips of your fingers? - Yes, please.

You jumped out of a helicopter on skis?

Yeah. You can't get powder like that anywhere else.

I'm seeing fluid around your kidney.

We're gonna need to do a C.T. of your abdomen.

Do what you gotta do.

Me and the guys are running with the bulls in Pamplona next year.

Gotta be up on my feet.

Hey, Phil!

Tell those doctors they need to fix you up

so you can run with the bulls next year.

You're an active guy.

Once a year anyhow. Better than nothing.

Once a year, we live like men.

You almost died like men.

On my count. One, two... three.

Big ass car bomb waxed half their unit.

They tried to evac, but it turned into an insurgent firefight.

GSW to the abdomen. Let's stabilize him till we get him to an OR.

Get me some wet bandages and an occlusive dressing.

All out of those!

Okay, uh, some wet towels and, uh...

that.

We'll close him with this.

Gekko, give me that roll of 2-inch tape.

I need a laryngoscope, an ET Tube. I need to intubate.

- Okay, finish this. - Yes, sir. I'm on it.

Pupils fixed, dilated.

He's way past go. Who's next?

Over here, sir.

Colonel Mooney, sir. Sandstorm's coming.

Command's ordered us to move back.

You're kidding me. When?

Now, sir.

All right

People, secure your patients.

I almost have my guy stabilized.

You'll ride with him on the MedEvac.

Take my amputation and the head trauma too.

Hunt, we'll take your GSW in the APC.

Let's move.