Grey's Anatomy

Pharmaceuticals are designed to mimic

the body's natural brain chemicals...

the ones that make you feel good,

make you feel better, make you feel unstoppable.

3-0 tie, please.

How long do you think it'll take

before I'm ready to do a 24-hour surgery?

I'm not sure that's a healthy life goal, Qadri.

Hey.

What's going on?

Mer's doing a pancreas-sparing total duodenectomy

in a frozen abdomen.

Oh. It got moved from yesterday?

No, she started it yesterday.

Five more hours, and she's gonna break the hospital's record

for the longest surgery.

You think it's gonna take five more hours?

Well, I mean, with the adhesions and the scar tissue,

it's taking her longer, so, yeah.

She can beat the record.

- Feel a little better? - No.

I mean, yeah, she gets awards and prizes and all that,

but I get to be chief, so we're good.

They make it in a lab and put it in a pill for pain relief,

giving you the high your body creates naturally

anytime you're doing something you love.

Helm.

You want to tap out?

No, thank you.

- DeLuca? - No, thank you. I'm good.

Think he could use a break, though.

When I said "breakfast,"

I meant more of a place where we sit,

someone takes our order, there's less... lion jaws.

No. Um... pointed reduction clamp.

I let interns assist on hip replacements

once they're prepared.

I don't dish out special favors.

At work.

Neck osteotomy's done.

Now we got to get into the femoral canal.

What's the next step?

Okay, first, I'll do a ream.

And what would you use?

I think the Christmas Tree Reamer.

Let's do actual breakfast on Thursday.

I'll make French toast.

Why are you holding toilet paper?

It's the most important camping supply.

Oh, God. Why's your face like that?

I, uh...

O-Our weekend away is camping?

Yeah. Babe, what did you think Glen Rock was?

"Sounds fancy, but I deserve it"?

I mean, of all the campsites I went to,

yeah, I guess it's the fanciest.

It did have running water.

But no toilet paper, so no...

Toilets.

Okay, so, right. Where do we go...

I packed a small shovel.

And there are these really nice rocks. They're great.

You just kind of move over them, kind of, as you...

Look, it's camping, babe.

We're going camping.

Are we, though?

Ohh! You're gonna love it!

This is Tom Koracick? The one who works here?

I was surprised, too. But it's, you know...

I don't know. It's new, and it's...

it's just kind of... amazing.

Look, I definitely didn't expect to be dating

at 30 weeks pregnant, but he's kind and fun,

and he's kinda wow.

- Huh. - I know.

How about you and Ben,

now that he's back home? Watch out!

Slow down! This is a hospital!

Get out! Go, go, go!

- Oh, my... - Go, go, go, go!

Hey, Bailey, pinpoint pupils!

Yeah. Get some Narcan, a crash cart, and some O2.

I think we got an OD.

I thought you'd be in O.R. 3.

I've been busy.

This boy's buddies almost ran me over in the ambulance bay.

Tossed him out of the car.

Opioid overdose.

Why? What's going on in O.R. 3?

Grey's been in surgery since yesterday.

Quite a crowd.

Bailey, we got two more.

Two more overdoses?

Mm-hmm. Jerry and Paula. Regulars.

Always shooting up in the park down the street.

They usually wake up with one dose of Narcan

and then refuse treatment,

but I've already given them three doses, and they're not responding.

There's a bad batch of something out there.

Attention, all units. We've reached Code Red status.

Any available unit, please report to Meridien Park

for multiple suspected overdose events.

Looks like I'll be seeing a lot of you today.

Okay, listen up.

This is gonna be an all-hands-on-deck situation.

Let's page on-call personnel.

Let's make sure that we got all the Narcan from the pharmacy

to reverse the opioids.

We need to be prepared for secondary injuries

and side effects.

Wait a minute. Where are all my residents?

Uh, they're in Grey's gallery.

I'll make sure they get down here.

- Okay. - What about Hunt?

Um, he's, uh...

He's saying goodbye to Leo. Betty's parents are taking him.

Oh. Um...

I'm sorry to hear about that, but this is a mass OD.

Yep. Okay. We'll page him.

Get your shoe on.

Okay. Get your shoe on.

Your mom got this for him. Do you want to keep it or...

No, no. That's his favorite.

We were gonna... We were gonna watch him grow up.

We were gonna teach him so many things.

Well...

Listen.

I, um...

I hope you play soccer.

I hope you love your life.

Wait, wait. Yours makes mine sound shallow.

Yeah. You should probably go again.

Yeah. Um...

Listen.

I'm always gonna be rooting for you.

Okay. Ready?

No.

But they're good people, Owen, and they love him.

He will be loved.

Hey.

Come in.

So, uh... may I?

Oh. Uh, sorry.

Yeah. Here.

Hi!

Ohh!

When he gets fussy like that, he's usually just hungry.

- We've raised one before. - It's okay.

Right.

E.R. 911. All hands on deck.

So, we are, uh... very grateful to you both.

- I have to go. - Owen...

Listen, it's a massive incoming trauma. I have to go.

I'll just, um...

Do you want to feed him while I finish packing him up?

Yeah, that'd be great.

Whoopsie!

Whoa, whoa, whoa! Okay, everybody slow down.

Speak to your team calmly, get what they need, and handle it.

With this many people, communication is key.

- What do you got? - He was responding

until about two minutes ago, when he started hypoventilating again.

Get him on a Narcan drip.

Bailey, how's it going?

It's worse outside than it is in here.

And too many teenagers.

I'm aware that I sound like my mother,

but is the world going to Hell in a handbasket?

Uh, 0.4 of Narcan.

All right. Bailey, you got this?

I'm gonna go to the ambulance bay

and see if I can get it under control.

Teddy, I'll do it.

Owen. Look, I'm sorry.

I-I wasn't gonna page you, but...

No, no, no. Better here than at home.

Okay.

Hey.

People are dropping like flies all over the park.

Never seen anything like it.

How many ODs have been called in?

50 and counting.

Whoa.

Hey, everybody! Listen up! Here's how this is gonna go.

Three ambulances are gonna pull up.

When the patients are offloaded, they're gonna pull out,

and then the next three are gonna come in.

We're gonna set up a triage area,

where we're gonna assess each ambulance

and mark them with the appropriate tag.

Red tags get priority for the E.R.

Walking wounded will be shown to the clinic,

where they're gonna be evaluated.

Thank you.

Thank you. Let's go.

Helm, tell me about the SMA first approach.

You, uh, dissect out

the entire superior mesenteric artery

to, uh, evaluate for any... tumor invasion.

Helm, are you in pain?