Grey's Anatomy

24 hours.

1,440 minutes.

86,400 seconds.

That's all it takes for a patient

to go from sick to healthy,

from hopeful to dire...

- Oh! - Sun's up, Doc. I'm outta here.

Let you sleep as long as I could.

Oh, so ridic.

Ja, ja, ich komme... I'm coming.

Okay, okay, okay, keep your pants on...

They're on.

Oh, my God!

Oh! Hi!

One day can bring you back from the brink...

change your entire life with one heartbeat,

one single breath.

What the hell are you doing here?

It's why doctors watch you like a hawk,

hold you for observation.

Hey, grab this for me? I'll be right there.

Hey, you break it, you buy it.

It's why we behave as if your every move, every sound...

Can I help you, doctor...

Uh, Dr. Marsh. No, I'm fine, I'm good.

I'm great.

Just, um... I had a kidney transplant.

Every input...

I can see that. Congratulations.

I can also see your ride is leaving without you.

And output.

No, when I said I had a kidney transplant,

I meant I had a... kidney transplant.

Just a little one. I'm five-weeks post-op,

and I'm... I'm great. I'm just...

is life or death.

Dr. Marsh! Can I get a gurney over here?!

I got it!

Because it is.

*GREY'S ANATOMY* Season 14 Episode 17

Episode Title: "One Day Like This"

Okay, I'm not finding you in the system, Mr. Zigler.

Possibly because my last name is Rigler, with an R.

Ah. I'm sorry.

It happens to the best of us, Dr. Zepner?

Ah, here you are. Okay.

You were here a week ago with diverticulitis.

- Yeah. - You saw Dr. Bailey.

Yeah, it's the third time it happened to me,

and she gave me antibiotics... each time.

She didn't suggest surgery?

Well, she said that antibiotics would be

the less-invasive option, and I really wanted to go

on my synagogue's youth trip.

You a little old for that?

I'm a rabbi, and I've been around long enough

to know you don't stick a junior rabbi

with a bunch of hormonal teens on a weekend trip.

Anyway, I started feeling like I was coming down with something,

and... and then I got this rash.

Which I thought it would get better in a few days,

but... it got worse... a lot... a lot worse.

- Can I take a look? - Yeah.

Here we go.

Yeah.

Okay.

- O... kay. - Yeah.

All right.

Page Dr. Avery, and tell the burn unit we're on our way.

So, tell me.

Tell you what?

Whatever it is that you wanted to say,

but you couldn't say in an e-mail or over the phone,

that you had to show up at my door in the middle of the night.

I mean, it must be...

Is it Amelia's tumor?

No, no, it's nothing like that.

Oh, I... Is she pregnant?

Owen, are you going back to Iraq?

Will you just tell me what it is? I can't take it.

Amelia and I are done.

We're done, Teddy.

So, for the first time, you and me...

there's nothing standing in our way.

Okay. So, I said something,

so you gotta say something, so...

Go ahead... ask.

I wasn't going to.

You want to know why I was operating

not six weeks post-kidney-transplant.

You're dying to know, but you're too polite to ask, so ask.

I'm not polite.

- It's none of my business. - Mm-hmm.

The thought did cross my mind.

Well, you know what they say...

doctors make the worst patients.

I'm rejecting it, aren't I?

That's what's happening...

I'm rejecting my kidney, or I formed a clot.

Have you had any other symptoms...

oliguria, nausea, vomiting?

Nothing. Up until a few hours ago, I was fine.

A few hours ago, you were supposed to be on medical leave.

I was, but my pain's been at a consistent 3,

and I've been off narcotics for weeks.

What's your immunosuppressive regimen?

Tacro, azathioprine,

and I stopped prednisone post-op day 4.

Any mTOR inhibitors?

No. I'm keeping that bullet in the chamber.

For the next time you defy doctors' orders

and perform an organ recovery that someone else could've done?

I mean, come on. You cannot expect surgeons

to just sit on the sidelines watching surgeries go by.

It's not gonna happen.

I donated half of my liver. I spent the month in a bed.

Yeah, and I bet you hated every second of it.

Vicki Greenberg.

59 years old, fantastic mom, even better grandmother.

She can decoupage like a rock star

and makes a ridiculously good salmon.

Your favorite patient.

Six years she's been waiting for that liver.

Me? I was on dialysis for a month when I got my kidney.

A month is hell, but it's nothing.

For six years, Vicki's been miserable, dying.

You think I was gonna leave that in anyone else's hands but mine?

- No. - No.

So I came back a week early, and I was fine until I wasn't.

Just... tell me I didn't screw this up, Dr. Grey.

Tell me I'm not gonna lose this kidney.

Well, we have to wait for your labs to come back.

I'll do an ultrasound, and let's just not get ahead of ourselves.

Too late.

Oh. Hey. What's the good word, Doc?

I'm not making my synagogue trip, am I?

Which means someone's gonna get pregnant, or drunk...

probably both.

- Rabbi... - Oh, no, please... Eli.

I mean, you're shellacking half my body in Vaseline.

I think we can dispense with the formalities.

Eli, you have Toxic Epidermal Necrolysis,

also known as TEN.

It's a reaction to the antibiotics you were prescribed.

It's what's causing your skin to separate from itself.

That sounds... about as disgusting as it looks.

I-I thought I took the antibiotics as prescribed.

You did. TEN is something that just happens to some patients.

Nobody's really sure why.

Hard to believe that something this disgusting

just... happens.

Dr. Kepner and I are gonna do our very best

to keep you comfortable

and prevent this thing from progressing any further.

Oh, good. 'Cause I gotta be honest...

this is not my best look.

You sure there's no one we can call?

- A family member... - Oh, my wife, Elyse. She's on a train.

She's on her way back from visiting her mother.

I don't really... want to worry her.

Eli...

You're saying worry her.

Couldn't hurt to have her company is all.

How is he?

You know the expression "makes his flesh crawl"?

Yeah, he's kind of like that,

except in a hundred times more pain.

Oh. He had diverticulitis.

I gave him antibiotics...

For the third time. You didn't want to...

I don't know... try something different?

I made a judgment call based on the standard of care.

You can take antibiotics a dozen times and no reaction.

It's random. It's awful, but it's random.

You didn't do anything wrong.

Look, I-I can take over from here.

- He was my patient. - No, no. No way.

No, I'm not gonna let you go in there and tell him you screwed up

and then sit by his bedside and make it all about you.

- April. - April, you know that's not fair.

All right? Any one of us could've done the same thing.

Yeah, but we didn't, and she did,

and I'm not about to let her sit vigil

while he circles the drain.

I know you're going through something.

I want to help. I truly do.

- But that doesn't mean you... - This has nothing to do with me, Jackson.

I am just trying to clean up her mess.

We've all seen his labs. He has a SCORTEN of 5.

We can give him as much care as we want,

but he'll be lucky if he makes it through the night.

And if he doesn't, that's on her.

Fair or not.

No thrombosis in the renal artery. That's good.

No hydronephrosis.

No fluid collections, no obstructions,

- cysts, abscesses... - Yeah.

Looks good.

One hurdle down, one more to go.

Oh, and Mayo called and said that Vicki's transplant surgery