Grey's Anatomy

When training for a marathon,

a runner's body composition physiologically changes.

Guess the wedding wasn't a cash bar.

Where's Adams?

I really screwed up.

Hey.

You two aren't exclusive, are you?

-Nope. -Okay, great.

Listen, last night was fun.

I put my number in your phone in case you ever wanna have more, uh, fun.

Breakfast. All right.

Way to close out your intern year.

I think I'm gonna throw up.

- - With consistent exercise,

the heart improves its efficiency to send oxygen to the muscles.

-That was your floor. -I don't care.

Oh, we need a honeymoon.

-I'm thinking beach. -Beach. Yeah.

Have a good day.

Muscles adapt to storing and using energy,

while bone density increases to make bones stronger.

Oh. Um, I-I'm-I'm so sorry. I should've knocked.

No. I should have locked the door.

Uh...

Um, did-did you sleep in here?

I was up late. I was working on Nora Young's case.

-Mm-hmm. -Yeah.

-Uh, Millin. -Oh, yeah.

-Maybe don't come out right after me. -Yeah.

-Somebody might Get the wrong idea. -Yeah, yeah.

On average, the process take around 20 weeks

of mental and physical dedication,

stamina, and complete exhaustion

to compete in a race that's over in a day.

After I tell you what happened to me,

you're gonna have to tell me what's going on there.

O-Out of my way, people. Move.

Goodness! Okay.

All right, you are all one shift away

from completing your intern year.

Tomorrow, you will be second-years.

You will wear coats with your names on it. Stop.

And you will help me teach a new group of liabilities.

When are the new interns arriving?

They will be here onboarding all day.

In the meantime, I have a gift for you.

Everyone gets to scrub in today.

Yeah. So, Adams, you're with Beltran.

Kwan, Ndugu. Griffith, Shepherd.

Millin, Altman.

And, Collins, Webber.

-I got your page. What's up? -That's--

Okay, so Altman's office will be reaching out

to set up a meeting for the end of the day.

She will not be recommending to permanently bring you on board.

-I do not know the details. But-- -Where do you need me today?

I just wanted you to hear it from me.

Miranda, if this is my last day, I wanna work.

Uh, there's an MVC patient from last night in the ICU, Carter Samuels.

He is status post ex lap with a shattered liver.

Keep an eye on him.

You got it.

Mmm.

Dylan Gatlin, nine years old.

Day five post-op from resection of a cavernous angioma of the brain stem.

Diagnosed with locked-in syndrome following complications of surgery.

Repeat MRI shows no change of the small hematoma--

We get it. Nothing's changed.

The swelling hasn't gone down at all?

Unfortunately, the bleeding has not reabsorbed like we hoped.

So, what now?

I know this is difficult to hear,

but we'd still like to wait.

-No. - Jenna.

No, more waiting.

- Mrs. Gatlin. - Do you have kids?

-No. -I have a son.

Imagine him trapped like this.

He can't tell you he's cold or hungry. He can't walk, he can't move.

There must be something you can do.

Please.

Dr. Shepherd, Ms. Alvarado's surgery will be in OR 2.

I have to go, but I will come back and check on her as soon as I can.

Dr. Morrisey to the OR. Dr. Nicolas Morrisey to the OR.

I saw Boston on the schedule for later this month. Important business?

Very. Harriet's dance recital.

Oh, wow. Okay.

Meredith? What... I thought you were coming tomorrow.

You still planning to meet the new class? I already told them you were coming.

I am, but I have a meeting with Catherine.

My Alzheimer's research with female mice

is yielding significant preliminary results.

Oh, congratulations.

Whatever. Can we just get to it?

Get to what?

I'm selling my hospital shares.

Are you cutting ties with Grey-Sloan?

Not at all. I'm pursuing my research.

But I can't bankrupt my family while doing it.

Amelia and I would apply for federal funding,

but our research is focused on women.

And we all know how that would go.

You grew up here. I mean, th-this hospital is part of who you are.

Part of who I was.

We will build you a new aorta out of a synthetic graph

that connects the ascending aortic arch to your abdominal aorta.

And this would eliminate blood flow in the infected area.

And once the graft is in place,

we'll staple off the old graft and remove it.

Why not try what you did before?

What was it, a kind of bypass?

-I told you, Mom. It doesn't-- -I don't love you being a guinea pig.

The last time that we tried to do a bypass, her heart stopped.

We were essentially bypassing an artery

the diameter of a golf ball with something the width of a straw.

At this point, any extra anatomical bypass could do more harm than good

because she's hypercoagulable.

-What does that mean? -Her blood's more likely to clot

because of the sepsis.

Owen, is this true?

I've known you for years. Don't sugarcoat it.

I'm afraid so. We were lucky to get her back.

Are you sure you wanna do this?

They don't even know if this will work. And if it doesn't...

I think it's my only chance.

Do I have time to see my kids?

Teddy, hey, hey, are you sure this is a good idea?

Stapling the largest artery in the human body

goes against everything that I know about heart surgery.

A stapler doesn't even exist for this type of thing.

So no, I am not sure that it's a good idea,

but it's the only one that I have.

So, why not wait a beat? Look at other case studies.

Who are you concerned about, Owen?

Me or Nora?

You came up with this procedure ten hours ago on a cocktail napkin.

I saw you last night with Nora.

- -Was there a trauma

or did you just lie so that you could spend quality time with your girlfriend?

My gir...

Teddy, she is dying, and she has no one.

Seems like she has you.

Are you in love with her?

Teddy, I told you.

I told you, sleeping with her meant nothing.

I'm not talking about that night. I am talking about right now.

-Are you in love with her? -Teddy, I am married to you.

That's not what I asked. I have to go prep.

They're bringing Ms. Alvarado up.

-Are you okay? -Absolutely.

I'm prepped on the patient's aneurysm.

I've studied her scans, memorized the steps.

That's not what I'm asking.

I always know when something is off with Lucas.

-I know that relationships at work are-- -I'm good.

Dr. Shepherd, I'm focused. I'm clearheaded.

-I would never put Ms. Alvarado in danger. -Stop talking.

-Jenna, what are you doing? -This tank is full of acetylene.

One exploded at my husband's work site,

and it took down half the building.

Okay, why don't we take it outside--

You're gonna put your phone on the counter.

And then you're gonna operate on Dylan, and you're gonna fix her.

And if you don't... If you don't save her,

I'm taking everyone down with me.

Dr. Lux to Radiology. Dr. Beverly Lux to Radiology.

Hey, have you seen Dr. Beltran?

-I don't know. Try the peds floor. -Well, she's not there,

and she's not responding to my pages.

Hey, have you seen Dr. Beltran?

I need you to bring Dylan Gatlin up

to the corridor outside of OR 2.

I'll pick her up from there.

-Wait, why? - I'm gonna operate.

But the hematoma's stable.

Don't argue. Just do it. Now.

Where's Griffith? Hello?

All right, well, I gotta run a patient up to the OR.

If you see Dr. Beltran, can you please tell her to answer my page?

Nope.

He's bleeding from the wound vac, by the way.

Page Dr. Bailey and book an OR.

I love you, and I'm gonna see you when I wake up, okay? All of you.

We love you too, Mom. It's gonna be fine.

-Yeah. - Come on, kids.

Okay, give me a hug.

-Let's go. - Okay.

All right, I'm-I'm gonna be out very soon.

-I don't wanna go. -It's okay. It's okay, honey, I'll be out.

I'll be out very soon, okay?

Okay, go with Nana. I'll be out soon, okay?

Bye. It's okay.

-Mom, Mom, wait, I wanted to-- -I'll see you after your surgery.

Okay.

I can't do this.

Yes, you can.

What if that was the last time I see my kids?