Grey's Anatomy

In a rare instance when a patient died

while hooked up to brain monitors,

doctors saw an increase in brain activity

right before and after his heart stopped.

Call 911.

Come on.

- Come on. - What's your emergency

The brain waves that surged

were associated with dreaming,

-information processing and memory recall. -

- Push another epi. - Please, Jackie.

-Still nothing. -

Someone get me a TEE right now.

It confirms what we often hear

when we revive a patient in cardiac arrest,

that right before their heart stopped,

they saw their life flash before their eyes.

After everything we've been through,

I thought this was impossible.

Me too. Not that I remember it all, but...

- -

ER. I have to go.

Can you stay?

I'll look for you as soon as I can.

I have nowhere else to be.

Ah.

Bailey, have you seen Yasuda?

I paged her ten minutes ago, nothing.

It's because she doesn't work here anymore.

-She quit the program. -What happened?

Just being back here where her sister died.

It was too hard.

It's just unthinkable.

I wish there was more I could've done to help her.

Uh, she's tough, all right? She'll... She'll find a way.

Not so sure about the others.

Millin isn't handling it very well.

First year of residency,

your fellow interns are all you got.

-Mmm. -I'll keep an eye on her.

- -Thank you.

- -I thought we were closed to trauma.

Bring it in this way. All right, hold it right there.

Watch yourself. Watch yourself.

Watch your backs, folks. Watch your backs.

Make room for the emergency vehicles.

What the hell happened?

Warren left us open to trauma,

so you're looking at the consequences.

Look, I was going to set up an additional triage tent

then I was gonna come up with some work-arounds.

I was chief of staff of the Army Medical Command.

This is not a work-around. This is a fireable offense.

So if you get the urge to make another decision

without consulting me, don't.

Uh, this is Altman. Go ahead.

-What did you do? -Not the time.

-Ben! - All right. That's the last one!

We are closing to trauma!

-Adams! -I... I'm okay. It's not all mine.

Jo Wilson, 38-year-old female.

-Wilson! - Jo.

I'm gonna have to call you back.

-What happened? -Got a gunshot wound over here.

Yeah. His name is Damian, 28-year-old male,

GSW to the right chest. No exit wound. Intubated on the scene.

-He was with you? -He held up the store.

All right, I'll go. Stay with Wilson.

Let's get her inside.

She's bleeding.

- You were shot? -No. I...

I'm pregnant.

I got you.

I really appreciate you taking me to my hotel.

I know they need you at the hospital.

Teddy hired a bunch of outside doctors to pitch in.

She has plenty of help.

-I can't believe you still drive a truck. -

What was it that you used to drive? An old Silverado?

I just remember it took up two parking spaces.

Yeah. And it didn't go over 45 miles an hour.

And only one of the handles worked.

It was not what you'd call a chick magnet.

You could've driven an RV and I would've thought

it was the sexiest truck on earth.

What? You... You hated me.

I was madly in love with you. I thought you knew.

Hold on.

Okay, you were mean to me.

You were my best friend's older brother,

and I was a teenage girl who didn't know

how to tell a boy I liked him.

-Wha... Wow. -

-Are you okay? -

Yeah, I'm fine. It's just, um...

It's pain where I had the surgery.

It happens sometimes.

You had the surgery weeks ago.

-I'm running you back to the hospital. -That's not necessary.

Any amount of pain could indicate a complication.

We're not taking any chances.

Beautiful day, isn't it?

It's 108 degrees.

Sun is out.

Everyone's working together towards a common goal--

Mika quit.

What? Why?

Well, her sister died here, and she almost died.

And I think she wasn't into the weather,

but that's just an observation.

You okay? You two were close.

I didn't come here to make lifelong friends. Did you?

No.

People come and go. And I still have a job to do.

- - Do you see anything?

What's going on? Why won't her heart start? Ndugu?

Right there. The aortic root aneurysm

dissected and extended down,

occluding the left coronary artery.

The blockage is keeping her heart from starting?

It's the tear. It caused a massive infarction.

We need to revascularize her coronary artery

to restore blood flow, then put in an aortic graft.

Let's prep for a sternotomy.

I know you wanted to take care of this first,

but I maintain that this was the right call.

She could have dissected no matter what.

At least she did it in the safest place

where we can treat it.

An aortic dissection is never safe.

Jackie's already been under for hours.

We need to move faster. Let's go.

- Dr. Shepherd. -Whatever it is, it's gotta wait.

It's Dr. Adams. He wants you to know he's okay.

Get us up to speed.

Single GSW to the right chest.

No exit wound.

He's hypoxic. He has a right hemothorax.

His FAST exam on his heart was negative.

We need to prep for a chest tube.

Bullet fragments are localized in the right chest.

Let's order a type and cross and trauma panel.

-Can I do the chest tube? -Get her sterile gloves.

His sats are dropping so we need to move quickly.

I bet when he walked out of the house with a gun today,

he didn't expect to be the one getting shot.

-Ready? - Mm-hmm.

All right. You're gonna make an incision

between the fourth and fifth rib space.

Now you're gonna pop through the pleura.

Mm-hmm. Good. And now dilate by opening the clamp.

Time for the tube. Yeah, keep going.

All right. He's putting out a lot of blood. We need to call up to the OR.

Nice work, Millin.

Her BP is 105 over 65.

That's good. Uh, how many weeks are you?

Sixteen weeks. I, uh, had an appointment a week ago

and everything looked fine.

Have you paged OB? I can do it.

No, you will not. You will get yourself checked.

-Dr. Warren. -Come on, you heard her. Let's go.

I was just grazed. It can wait.

Do you think your colleague wants you

to see me do her ultrasound?

No. Go. Now.

-Don't let him out of your sight. -Wait, wait. Adams.

Thank you.

Come on. Let's go.

Bailey, I need to see for myself.

You are not your doctor.

-Okay? We paged OB. In the meantime... -

All right. The placenta looks great.

Hey, no abruption.

And where is the--

-We have a strong heartbeat right there. -

Mmm.

What about the other one?

There's an "other one"?

Okay, let me see.

Oh.

There it is.

-Oh, beautiful. -

- -

It's just these two, right?

As far as I'm aware. Yeah.

-You okay? -Mmm.

- -No. Okay.

All right. Someone help me get her to OB. And where is Lincoln?

- -All right. Hold on. Thank you.

-We were finishing a surgery. -Are you okay?

It's just superficial abrasions.

Steri-Strips and I'm good.

-I've got psych coming down for an eval.

-I don't need that. -Hospital policy.

You have to be cleared before you can go back to work.

It's important. You gotta process.

-You called your mom? Want me to call her? -I really do not.