Grey's Anatomy

To a critically ill patient,

an organ transplant means a new start,

a second chance.

But the body is designed to fight off

any outside invader,

even one that's trying to save it.

Jackson Avery really has a bigger say

than any of us in running this hospital?

That can't be true. Can it?

Well, he's a voting member of the management team

and he also represents the Harper Avery foundation.

And their 175 million bucks.

As opposed to our $15 million apiece.

According to Stan,

not only does he have the deciding vote,

he can veto ours.

Because a transplant doesn't guarantee

that it's an easier life.

That is ridiculous. He's a fellow.

So are you.

But he's a plastics fellow. And I'm me.

Well, let's not overreact.

I mean, it's Jackson. He's not some corporate stranger.

He's one of us.

No, you're right. He's a smart kid.

He's gonna follow our lead.

No. No. We made this plan.

We pulled it together.

Look, I'm grateful to Harper Avery

for an infusion of cash,

but I'm-I'm not gonna let some-some...

Plastics fellow?

Plastics fellow tell me how to run my service

'cause his mommy said he could.

Preach.

There's a threat that the body

will reject the organ outright.

It was your idea.

It was pillow talk.

And suddenly, it's a business plan.

You were all for it at the time.

You investing in the hospital, sure.

Anointing your son boy king?

What on earth makes you think that young man's prepared

to take on this kind of responsibility?

He's my son. I know what he's capable of.

And he's my student. I do, too.

You know, actually, I should revise that.

Now he's my boss,

and my girlfriend is my boss' boss.

What could possibly go wrong?

You are forgetting who you're dating, Richard.

I'm the chairman of the board of a large foundation.

I have made an extremely savvy investment.

And I will manage my investment as I see prudent.

I've placed at the top of the organization

an individual that is energetic,

motivated, and responsive.

There's only one room in which I take orders from my boyfriend.

This is not it.

Good morning, ladies and gentlemen.

Good morning.

Shall we?

Okay, so we're agreed that the peds and adult E.R.s

- will be combined to save on personnel? - Yeah.

I'm sorry, guys.

I was running on time,

and then my last rounds' patient turned into a crier.

Pow.

Uh, we were discussing the reopening of the E.R.

and the trauma department.

Oh, yes.

Um, I'm not ready for that just yet.

If you need more time with the material, we can go ahead...

No, no, I've-I've read it.

Uh, it's just that

the foundation feels like

the E.R. is not a forgone conclusion.

They need a site visit,

a chance to look over the numbers.

It could be a month before a decision.

Okay. The foundation knows we plan on getting

our level-I trauma designation back, right?

They know that's the idea, yeah.

Uh, it's the fact.

I think we should table this until we can bring in Owen.

Uh, he'll have a lot of thoughts on this, too.

Yeah... that's-that's the other thing.

What thing?

Okay.

Since we are starting fresh, the thought is that

new leadership would be good for morale.

What, like, uh, chief of surgery?

- Oh, no way. - Firing Owen?

Okay, we're not firing Owen.

- Okay, well, the foundation thinks that... - Your mother.

The Harper Avery foundation...

Your mother, Avery. Just say it.

It's a recommendation.

It's an inappropriate one.

Oh, tell your mom that. This is bull...

And this is going nowhere. I have surgery.

Yeah. Me, too. We should get back to this.

You know, I don't care

who's giving you your marching orders,

this thing with Owen is not happening.

Well, say what you want,

but without the Harper Avery foundation,

none of us are here.

And we appreciate that.

But no one expected them to come in

and start dictating policy.

Yeah, well, no one asked you

to sue the hospital into bankruptcy either.

For the plane crash that killed Lexie?

If we put Kepner's donor to O.R. 1,

that moves Bailey's hernia to O.R. 5.

- Robbins is in 5. - Okay, 6.

We don't have enough nurses to staff 6.

I thought you said you were getting them back.

I'm trying. Some of them are bitchier than I am.

Chief.

- Yeah. - U.N.O.S. just called.

They got a kidney that's a match for Jaelynn Donovan.

Yeah, we have no room today, Karev.

No O.R. staff. Half the nurses have quit,

including the transplant coordinator.

You may need to decline this one.

This girl's 16.

She's been on dialysis for 3 years.

Okay. All right.

Well, we'll figure it out, okay?

Okay, so...

Owen.

Uh, just a second.

Owen, they're talking about replacing you.

Ruth, excuse us, please.

What? W-why? Who is?

Avery.

But we're not gonna let that happen.

I just didn't want you to hear a rumor

- and think I didn't tell... - Dr. Yang, it's U.N.O.S.

They have a heart and lungs.

I'm gonna talk to Catherine Avery.

You're not gonna do anything. I am. Take your call.

Dr. Yang here.

Bradley Parker, 31 years old,

end-stage A.L.S.

Uh, trach-dependent.

Had a lap-chole three weeks ago.

Now presents with a chief complaint of hematochezia.

He actually used the word "Hematochezia."

Yeah, he was an internal medicine resident

at Mercy West while I was there.

He did a residency with A.L.S.?

He was diagnosed second year

and worked till he couldn't anymore.

He's an amazing guy.

Is that coming from...

Hey, could you turn that down?

Hey, guys. What the hell is going on here?

This is a hospital. There are very sick people here.

That includes you, too, Brad.

Okay, everyone out.

Let's go. Out. Come on.

It's all right.

I invited them.

Well, Dr. Edwards and I need to discuss your next steps.

So maybe if everyone could leave...

I already know my next step.

I'm donating my organs.

We do organ donation after a patient's brain dead.

You're nowhere close to brain dead.

I'm doing...

Mom.

He's doing D.C.D.

Uh, donation after cardiac death.

He can give if his heart stops.

I'm being kept alive

by this vent.

Once we disconnect it...

Booyah.

Chief Hunt signed off.

Welcome to my funeral.

Avery...

Am I in or out?

What? That's...

Word is I might be out of a job,

so I'd like to hear it from you.

Yeah, there was a thought that

a change in leadership could be good for staff morale.

Oh, for morale?

I've been killing myself to keep morale up

for the past three weeks,

to keep this place open.

And no one is saying that you haven't...

Nobody's saying anything.

I've been shut out of every decision

that you people make.

- And now I hear this? - All right. Calm down.