Grey's Anatomy

Every time a surgeon operates, it's for the first time all over again.

- Whoa. W-What-What are you doing? - I'm hiding from James.

- I just saw his car pull up. - I thought you liked him.

- I did. We had sex. Twice. - Oh.

And then, I find his wedding album. To Ryan.

I had sex with Ryan's husband. How did I miss this?

- This is not a problem. - He is a man of God who cheats.

I'm pregnant with twins.

- -

Hey, I...

- I can see you. Can we talk? -

- Whoa! Oh. - Brought you tea.

I can't hear you.

Ask him if it's caffeinated.

Fine, I'll get coffee from the cart.

Look, I know this is a lot, but we'll figure it out.

We're gonna get a night nurse. My mom can move in for a while.

- Where are we going? - The other entrance.

Even if you've done hundreds of kidney resections or heart transplants,

you've never resected this kidney or transplanted this heart.

Past experience usually helps, but for unique cases, you fake it first.

No. Sorry.

Then who are those for?

Me. I'm going to put them in the fridge. I don't have time to come back here.

Hope you made time for an EKG after consuming 400 mg of caffeine.

I have taken two of Yasuda's shifts this week.

Same. She and her sister really appreciate it.

Not enough to share her mom's cookies she sent her.

I'm just glad that Chloe seems to be recovering well.

- Excuse me. Have you registered to vote? - Ah. Already registered.

- Yeah, me too. - Same.

Not my thing.

You rehearse on replicas for hours on end,

and hopefully, when the real patient is on the table,

- you know what you're doing. -

Lots of people put sex on the calendar.

When you're juggling two busy schedules,

it's perfectly normal to schedule intimacy.

- Okay. You schedule a haircut. -

I do not wanna have to schedule sex with my wife.

Why do you think this bothers you?

It feels like she's not trying to fix anything.

You know, we're hemorrhaging, and she's just reaching for a Band-Aid.

So if I don't wanna fix our problems the same way that you do,

- that means I'm not trying? - No, no, no...

Unfortunately, we have to stop for today. But I want you to see this through.

Have scheduled sex this week and see how it feels.

It might not be what you think. For either of you.

Well, I guess I'll see you at 10:00 tomorrow night.

Um...

Would this be a bad time to tell you that I have to reschedule?

Hey. Haven't seen you in a while.

I know, yeah. Sorry. It's been busy.

- - Been meaning to give this to you.

- Oh. - You left it at my place. So...

Yeah.

- Oh. - Mm-hmm.

Yeah, I guess you have been really busy. Because this is not mine.

- Uh, you sure? Uh... - Yeah.

It's a really nice color though. She has good taste.

Oh, my God. I'm so sorry.

- -

Hey. You needed a consult?

Uh, I have a patient coming in from Friday Harbor with a head injury.

Uh, the local hospital's sending in the scans.

- Should I come back? - No.

I was just leaving. I'm gonna go.

Have the nurses page me when the scans are in.

Schmitt is with Dr. Beltran today,

so I've got your assignments.

Let's do a lineup.

A lineup. It's something we did in the fire station

to get the day started right.

Discipline, organization.

Or you can stay exactly where you are. That works too.

So, uh, Yasuda's out on PTO today.

But, Adams, you're with Schmitt on Beltran's service.

Millin, you're with me and Ndugu.

Griffith with Lincoln.

Um, hey, you forgot someone.

And you've forgotten your dictations.

There are over a hundred incomplete records

with your name on it.

Have fun staring at a computer all day playing catch-up.

Orderly to 6 East. Any available orderly to 6 East.

Are you lurking?

Okay, your...

Your evaluation forms were sent out today.

I know. Ndugu will be the first one who will officially assess me.

You know? How do you know?

Um, you left your laptop open on the kitchen counter today.

Hey, hey, hey. You lurk, I snoop.

Okay, just... just... Mmm...

Just be yourself.

I've never been to Friday Harbor.

I went on a field trip in 7th grade. We picked apples.

Hey. Today, you are picking up Ofelia Lopez. She's ten years old.

She fell off a moving tractor.

Her vitals are stable, but she's got a bad leg injury and a TBI.

She needs a higher level of care than her community hospital can provide.

I would go myself, but I've got a full patient roster.

I don't mind getting out of the hospital. It's a nice drive.

I'm sure it is, but you're taking a helicopter.

- No! - Nice.

Taking an ambulance would be more cost efficient.

M-More environmentally friendly.

- And it's not up in the sky. - Update me when you arrive.

Morning, Mr. Riley.

No, no. Left, right, left.

The other left, Kenneth.

Instructions go in one ear and out the other with this kid.

Maybe he's missing his director, huh?

- He's missing something, all right. -

Go ahead.

Uh, Darren Riley, 55.

Presented with antibiotic-resistant pneumonia,

with a concern for a rapidly progressing necrotizing infection.

Was intubated but couldn't oxygenate despite maximal ventilation settings,

placed on VV ECMO, and was extubated last night.

Mr. Riley's X-rays from this morning.

Uh, left lung's completely whited out.

We need to order him a CT with contrast.

Mr. Riley, I'm gonna change your cannula dressing.

Oh, I can take care of that as soon as I place this order.

- We'll just meet you in radiology. - That's not necessary.

- I wanna help with transport anyway. - Oh, but we can handle that.

Moving a patient on ECMO can be tricky, so I'd like to be there for it.

Okay. Uh, great.

All risks and benefits were explained,

and patient agreed to sign an informed consent...

Hey, are you okay?

Yeah, yeah. Good. Must've slept funny.

The patient was taken to an operating room and placed...

Hey, are you sure you're okay?

- I could take a look if you want. -

Someone get me a gurney!

Mr. Wheeler, how are you feeling?

Fit as a fiddle.

- Think I'm about ready to go home? - Not quite yet.

I saw some fluid building around your heart on this morning's echo.

It's a common complication after heart surgery.

We might have to do a procedure to drain it,

in which case we'd have to keep you a bit longer.

Oh, no. I can't stay longer.

I have to be home next week.

It's my 40th wedding anniversary.

Congratulations. That's a big milestone.

Hey, why don't we watch it and see if it resolves on its own

before we jump into a new procedure?

Macie and I got engaged when we were 19.

She wanted this big church wedding,

but our parents didn't approve, so we eloped at city hall.

We know how that goes.

We wanted to get married in the park, but we wound up doing it in a bar.

Every year, we recreate our wedding dinner.

Hot dogs from the cart on the corner.

You know, we should go to Joe's for our anniversary.

It's the only place we ever go.

Look, I wanna run another set of coags, and we will take it from there.

Get her flowers on your way home. Works every time.

- Thanks for the tip. - Yeah.

Thanks for making the trip. She's got severe left lower extremity trauma.

Extensive soft tissue damage as well as vascular injury.

Suffered some head trauma with multiple contusions and lacerations.

- Okay. Hi. - Hi.

Her respirations look a bit labored.

Her sats were in the 80s when she arrived. The oxygen's helped.

- But you didn't intubate? - Our only ventilator's in use,

and we don't have the resources to manually bag her if we did RSI.

- Okay. - We rushed her here as soon as we could.

This doctor say you'll be able to help her more?

Will her leg be all right? She loves to play in the fields.

I'm Dr. Schmitt. This is Dr. Adams.

We'll have a better idea once we examine her, okay?

Okay.

We temporized with a splint and tourniquet.

- Ischemia time is about 45 minutes. -

Um...

Hi.

I'm Levi.

Your name's Ofelia, right?

My friend Lucas and I are gonna help make you feel better, okay?

Okay.

Okay. This is my number.

We're gonna get to Grey-Sloan before you, so once you get there,

give me a call.

Wait, we can't go with you?

I'm so sorry. There's not enough room in the helicopter.

But I promise we'll take excellent care of her, okay?

- Okay. - Okay.

We love you, mija .

We're gonna have to amputate the leg if we don't get back fast.

- So let's intubate for transport ASAP. - Okay.

Back to the helicopter.

- Dr. Kwan? Aren't you supposed to... - Look, I know I'm behind on charts,

and when I'm behind, it becomes your problem,

and you don't like problems...

Uh, is that Zayne from custodial staff?

Yeah. He, uh, collapsed with a severe abdominal and hip pain.

Mr. Johnson, I see you took the whole rack down with you. You okay?