Grey's Anatomy

James Harrison, an Australian blood donor,

was nicknamed "the man with the golden arm."

His blood contained a rare antibody,

necessary to make a lifesaving medication.

Anti-D.

We have kids. Did you forget about them?

Or have you just made up your mind,

and now I have to be the bad guy to tell you not to go?

-That's not what's happening. -The Royer Bridge collapsed.

-Assumed you'd need everybody. -Do whatever you want like you always do.

Chief?

I'm-I'm-I'm sorry, I just need a-a minute to take care of something.

Want me to have the desk send out an alert to all available personnel?

That'd be great, uh, thank you.

Wait, do you have eyes on that bridge?

Probably. Why, you need something?

-Owen takes that bridge to work. -Hopefully, he wasn't on it.

I'll ask my contacts, and I'll keep you posted.

Thank you.

Anti-D injections were given to pregnant mothers,

whose blood wasn't compatible with their unborn babies.

James donated over 1,000 times.

What he could survive without

saved over two million lives.

- -

I checked with the lab. The mice are still pubescent.

I do not envy them. That was a rough time in my life.

So, while they mature, we should focus on the estrogen receptors in the brain.

And Nick is kind enough to call over to the head of radiology at Fox Boston

and see if they'll let us use their FES-PET scanner.

Oh, tell him I said thank you.

You can tell him yourself. He's on his way here.

Yeah, no, maybe no ice cream.

We had ice cream when we told him about the divorce.

No, I know it's good news, it's...

Can we talk tonight?

Hey, Amelia.

- Good morning. -Why are you smiling like that?

You know when you want something really badly

that it can't possibly meet expectations,

but then it actually exceeds them?

-I slept with Lucas. -What? No.

- What'd I miss? -She hooked up with Adams.

-Hey. -I'm sorry. It just came out.

Wait, last night? I thought that was Bryant.

-Was he there too? -Aren't you fired?

The alert said whoever's available, and I'm available.

-You were fired? -Webber was angry.

But I'm gonna save a few lives, get back in his good graces,

and get my job back by the end of the day.

Do you have to?

I didn't realize you were working in here.

Uh-huh.

-Is it all right if I get some tea? -Oh, go ahead.

Copilot.

Summarize this bloated, self-indulgent, word salad

into three paragraphs.

Ah.

Much better.

People sending me 60-page compliance reports.

-I don't have time for that nonsense. -Hmm.

Apparently, I do.

I heard you got benched.

I'm sorry it came to that.

You know we cannot fool around with the IRB.

I know.

But doesn't it bother you

that they're trying to tell you how to run your hospital?

Nobody tells me anything. Everything is a negotiation.

Must be nice having a seat at the table.

It's hard work is what it is.

I had to learn epidemiology, data analytics, management theory.

And somebody's got to do it.

Good morning.

It's not a good morning. A bridge collapsed.

-Am I still smiling? -A little bit, yeah.

Sorry, I had a really good night.

-Me too. - Listen up, everyone.

SFD estimates that there were over 60 cars on that bridge.

We are setting up triage outside

and another area upstairs for patients who just need observation.

This is an all-hands-on-deck situation, people, so if you need help, ask.

If you see a need, jump in.

All right, let's go to work.

You were in bed pretty early last night.

-What? Uh... -No, I texted and called.

-I figured you were asleep-- -I forgot to turn my phone off silent.

-Sorry. Yeah. -Yeah, no, it's all good.

Just like old times.

-Just be fired. -Shut up.

- Cass? -Hey.

-Are you doing okay? Is-Is David okay? -We're okay.

I just can't get to Seattle Pres because of the bridge. You need extra hands?

-How many do you have? -

Damn it.

Help! We need help, please!

We need help!

-Hey. -Please!

I'm Owen Hunt. I'm chief of trauma surgery at Grey Sloan Memorial.

-What's your name? -Josh.

My family, we're trapped.

-What's your name? -Uh, I'm Hank. That's Laney.

All right, I'm gonna help you.

Yeah.

-What do we got? -

A 30-year-old female injured in a multicar pileup near the bridge,

intubated on the scene.

Paramedics put on a pelvic binder.

All right, everybody, stand back.

All right, Dr. Bryant, what do you see here?

Uh, a few right rib fractures, but no pneumothorax.

That is correct. All right, I'm getting paged to another trauma.

Get the pelvic X-ray, and I'll be right back.

-Okay. -

Someone's probably worried about her. Anyone mind if I get it?

Be my guest.

Hello.

This is Dr. Bryant at Grey Sloan Memorial.

Sir, listen, your wife has been in an accident.

We are assessing her injuries as we speak,

but I need to know, is she on any medication? Has she had any--

-Page OB. -What?

Page OB.

- She's pregnant. -I need OB down here!

- Was it weird? -I don't remember.

-Are you two getting back together? -No, it was a one-time mistake.

Griffith, Millin, we're up.

48-year-old male, MVC secondary to bridge collapse.

GCS 15, systolic 105,

tachycardia in the 120s.

Oh, my God.

-Dr. Marsh. -

Tell Dr. Grey that I made it.

All right. Let's move.

We got you, Dr. Marsh.

Are you able to move at all?

Laney, is your leg numb or are you in pain?

Laney? Hey, hey, hey, Laney, look at me.

-Why won't she talk? - Hank, give the doctor a minute.

Laney, sweetie? Is she okay? What's happening?

I can't tell the extent of the damage to her leg from out here,

but it looks like it's stuck between the door and this metal.

Josh, has your wife been unconscious this entire time?

-Yeah. Yeah. -Okay.

Okay, hold on.

Is Mom dying? Are Mom and Laney gonna die?

Hold on, sweetie.

All right. All right.

There's bruising on her neck. Most likely something hit her during impact.

Josh, she can't breathe.

I'm gonna have to place a tube in the skin of her throat,

it's gonna look scary, but it's gonna save her life, all right?

-Hank, check on your sister. -Dad--

For God's sake, turn around and check on your sister.

- - Okay.

-All right. Okay. -

Breathe.

Come on. Come on, breathe.

Okay.

- Evidence of abdominal trauma. - Start the FAST exam.

Millin, I'm any other patient.

Start at the tenth intercostal space

-and begin to-- Yeah. -Upper right quadrant.

Nick, I'm here.

-Hey. -What happened?

-Is he your husband? -Yes.

What does his FAST show?

He's got free fluid in the abdomen, but he's stable.

We're gonna need a CT with contrast.

He has a transplanted kidney, but his renal function is good.

Okay, call radiology and tell them we're on our way. Let's prep to move.

-So, I'm your husband? -Is that what you're focused on right now?

- -

-BP is dropping. -Hang another unit.

Mer, I love you. I need you to know that I love you.

I love you too.

- We need to intubate. -Okay, come on, let them do their jobs.

Come on, Mer. Come on.

Sorry it took me a minute.

-How are the CREOGs? -Um, okay, I think.

-Get me up to speed. - This is Morgan Lewis.

She has complex pelvic fractures which has resulted in locked symphysis.

-And she's 32 weeks pregnant. -Let me take a look.

- Let us know what you need. -Well, I need to do

a pelvic exam, so...

You said she's 32 weeks pregnant?

That's what her husband said, yeah. Why?

Because I see two feet sticking out. Get me an ultrasound.

Okay.

Okay.

Okay, I can see a heartbeat.

Crap. Baby's shifted further down into the pelvis, now I can't see anything.

Okay, let me try something.

Okay.

Come on. Come on.

Okay, the pelvic fracture is making it impossible for me to move the baby.

-It's stuck. -Can't you do a C-section?

It's too far down. That's why I'm trying to push it back up.