Grey's Anatomy

Previously on "Grey's Anatomy"...

Your tumor is smart. But so am I. I can beat it.

Any one of these approaches would likely kill the patient?

I refuse to spend the last few months of my life

feeling like a pile of crap.

I am going to give you more than a few months.

- Are you nervous? - Nobody thinks that this can work.

No one understands it.

You get at my tumor, you get at my knowledge, I get at my life.

Each card represents a fetus

that I'm gonna teach Robbins how to fix.

I'm not ready to take this over yet.

- Where's Dr. Herman? - She stepped out.

- What do you need? - It's Glenda Castillo.

- I need you to scan me. - Let's go.

- I need Herman right now. - Arizona, it's time.

Amelia?

I'll get the O.R. prepped.

You'll inform the patient?

In 1888, William Williams Keen

became one of the first surgeons

to successfully remove a brain tumor.

A big win. It's true.

You can look it up.

What's harder to find, however, are stories

of all the times old double-Billy K tried

to pull a tumor out of a brain and lost.

The losses must have happened.

A surgeon must always be prepared to lose.

And in neurosurgery, with the big tumors...

We lose those battles as often as we succeed.

The key, though, win or lose, is to never fail.

And the only way to fail is not to fight.

So you fight until you can't fight anymore.

Word's getting around.

You're gonna have a full gallery.

Everybody wants to see the show.

You feeling good, confident?

You're not worried, are you? Are you worried?

This is where you leave me, Dr. Hunt.

Oh.

You okay? Do you need anything?

I'm fine. I'm great. I just...

Prep alone, so...

I will see you on the other side.

Okay.

Okay. Okay.

We are doing this, okay?

We're doing this.

If she's awake, she'll tell you for the 15th time

to save her child's life, not hers.

Listen to her, let her say her piece,

then you do what needs to be done.

I don't think that I can do... No, I know I can't.

You can.

- Nicole. - You will.

Let's get you inside now, okay?

Okay, I have everything set up.

You will have all of your films,

your favorite scrub nurse...

What is happening?

I'm being a superhero.

O... Kay.

There's a scientific study that shows

that if you stand like this in superhero pose

for just five minutes before a job interview or...

A big presentation or a really hard task,

you will not only feel more confident,

you will perform measurably better.

Seriously?

Seriously.

You feel it?

We're superheroes.

We are superheroes.

Hold up your head and enter the arena

and face the enemy.

Fight until you can't fight anymore.

Never let go. Never give up.

Here's the plan.

We're gonna embolize the tumor to see if we can reverse

the effects on mom's circulation.

And if not, then I'm afraid...

Where's Herman?

Never run.

Never surrender.

Glenda's platelet count is critically low,

so we need to give her six packs of platelets

to avoid liver capsule bleeding. And then we'll perform the fetoscopy

to reverse the cascade...

You keep saying "we," but I only see you.

- Where the hell is Herman? - She's not coming.

What do you mean she's not coming?

Fight the good fight.

Start the clock, please.

You fight...

Ten blade.

Even when it seems inevitable...

That you're about to go down swinging.

Mnh-mnh. Mnh-mnh.

So... This is a regular thing.

You all come up here and you watch surgeries. Why?

Not just surgeries... the big surgeries, the whale surgeries,

the rare ones, the crazy ones.

I mean, you're on the edge of your seat.

The patient could die. This is life or death.

The adrenaline, the rush...

Okay, so you watch, like, the worst day

of a person's life like a movie.

No, not like a movie. That's insulting.

This is not entertainment.

"Movie."

Oh, okay. This is where the

- good part starts. - Shh.

Excuse me. Ah, thanks for saving my seat.

I almost got my arm torn off,

but, uh, your timing is excellent.

Ah, the dye's coming in.

It's kickoff time.

Let's go ahead and inject the dye.

Lights, please.

What does the dye do?

Oh, the dye makes the whole tumor glow so that

we can see where the tumor ends and where the brain begins.

Nice to see you face-to-face.

Now you have to go.

Bipolars, please.

This is my favorite part.

Yeah, I thought only the tumor was supposed to glow.

That is the tumor.

Oh, we are not in Kansas anymore.

The baby's anemic. Let's transfuse him.

40 milliliters of irradiated PRBC.

Robbins, we need to get in and out. Glenda's pressure is through the roof.

Well, if we don't stop this bleeding, the baby will die.

And the idea is to save both of them, and I think that I can do it.

Do you think, or you know?

I know I can.

Robbins, I respect you and consider you a friend,

so it is with kindness when I tell you

that you're only half a fetal surgeon, not even.

- You're half a fellow. - You brought this patient to me.

No, I brought this patient to your boss.

I have spent the past 4 1/2 months getting everything

that Dr. Herman knows pounded into my brain.

Do you hear yourself? 4 1/2 months?

You want her hands, you have them right here.

- 22-gauge needle. - Here you go.

Hey. Hey, Chief, any chance you could lose me tonight?

What? No.

Oh, I just thought that it's kind of quiet down here,

and now Dr. Herman's surgery is happening.

Every other resident is watching that surgery.

I'm sorry you pulled the short straw,

- but I need someone down here. - Oh, so, wait.

I'm gonna be the only resident who's down here?

Just you. I'm counting on you to hold down the fort.

- Can I do that? - Yes. Absolutely.

I'm your girl. Thank you.

Hunt, you pushed my meniscus tonight.

- What, uh... what gives? - I needed the O.R.

Shepherd has taken Dr. Herman up

for her brain surgery.

Wait, Dr. Herman's going in now?

I thought she had another month.

Okay. Right here.

It's invaded the chiasmatic cistern a little.

Dr. Shepherd is examining

the margins of the tumor.

Who's subbing in for you?

- I'm sorry? - We're gonna be here

for another 14 hours, probably more.

Definitely more.

You know the protocol... Over 12 hours,

have another resident sub in to replace you

so you can recharge, rest, and return.

Who's subbing in for you?

Hey, I have been planning this for months.

There's kind of no substitute for me.

Well, then there's no substitute for me, either.

If you're here, I am here.

We're superheroes.

I mean, I'd do the thing with the hands on the hips,

but I can't break scrub.

Okay.

Retract here, please, Edwards.

It's not working.

I can't embolize all the vessels.

I handpicked you. And you are letting me down.

- I need to open her up. - Oh, absolutely not.

We'd have to increase Glenda's anaesthesia, and...

He's got persistent decels.

I'm not just questioning your abilities.

Now I'm questioning mine.

All right, I could open her up,

exteriorize the uterus and then resect the entire tumor.

The prolonged anaesthesia could be catastrophic

to both mom and baby. If you're gonna open her up,

- then you should go ahead and deliver. - No. It's not an option.

This is mirror syndrome, Robbins. You know that.

The sicker the baby gets, the sicker Glenda gets.