Help Me Through the Night (2020)
You're not in it alone.
It's a nice thought, but pretty useless in an O.R.
Get her to CT.
Clear trauma one, two, and three.
And let CT know we'll be rolling upstairs in a few minutes.
Uh, okay, these guys go straight to the front of the line.
Okay, Altman, take Parker. Got it.
Page everyone. It's all hands on deck.
Come on. Let's move. Move, move!
Hey, hey, hey, if you're gonna be here, so am I, all right?
Give me privileges. I can hop in.
Uh, okay, see if Altman needs help with Parker.
After that, go where needed in the E.R.
But, Ben, that's it. I can't have you in an O.R.
Okay, let's move.
The better you are as a surgeon...
...the more likely it is that no one else can do what you can do.
A good outcome, a loss...
100% of that rests solely on your shoulders.
It's a ridiculous amount of pressure.
Schmitt. I'm sorry.
I just... I-I-I-I don't know why I'm in here.
Oh, you were in the bar.
Uh, are you hurt? No.
I'm j... Uh, no.
I, uh... But my friends.
Mm. I hear you.
But right now, your friends need your help.
And mine, too.
So, look, whatever we're f-feeling, we put it aside and we help.
Come on, let's go.
Let's go. Let's go to work.
And I've seen it shatter the best of us.
He had a really hard day.
Yeah, and it just got harder 'cause now he's been kidnapped.
I didn't kidnap him.
I just didn't take him to the hospital right away.
He wasn't ready.
I-I don't think a Safe Haven volunteer's supposed to make that decision.
I just wanted him to have one cozy night before a social worker turns him into a pile of paperwork.
Oh, my God. It's the cops.
Wait, don't answer the door.
Wait, wait! Wait, wait!
Answer the door, and tell them that I brought the baby here for a wellness check with Alex.
He's a peds doctor.
He's in Iowa.
Who is it?
Oh, it's Meredith. Let her in.
You're not Alex.
Oh, yeah, he's, uh, visiting his mom.
Well, Cristina sent an obnoxious Irishman as a gift and he stole your husband's old job.
And who is that?
Oh, we already have a bottle open.
Can you get her a glass?
Jo stole a baby.
I did not steal a baby.
Well, that's what I said when I stole a baby.
Why are people stealing babies?
He was left at Station 19, and they called me to take him to the hospital, and I... didn't.
Well, because you didn't want him to go into the system and have a miserable life like you did.
Exactly. She gets it.
But I'm a convicted felon.
She's a convicted felon.
She's a felon. She's a convicted felon.
We should go back to the hospital.
You know what?
I've had two glasses of wine, so I really can't. Don't worry.
We'll call on the way, tell peds a Safe Haven's there waiting for a wellness check.
You can sneak him into the nursery, pretend he's been there all night...
Like he should have been.
Hey, I just heard. Is everyone alive?
Uh, do you know if Maggie has been paged?
I kinda have a thing, a personal... a talk thing, need to... a girl talk. Uh, girl thing.
Can you smile for me?
Ew, don't be that guy, Tom.
No, I want to make sure you're not having a stroke.
Pierce quit. What? Why?
Dr. Mahoney to the E.R.
Hey, big trauma?
You should head upstairs.
Elliott Calhoun was just transferred to the CCU on ECMO.
Go up there, sit with him, hold his wife's hand, whatever.
His heart still hasn't restarted.
I'm chief resident. I-I should go...
He has a premature baby and a hole in his chest.
You should go where I say you should go.
We need more O-neg!
I need some bandages over here.
Get his vitals right away.
How bad is it?
Simms and Helm got the worst of it...
Well, if you don't count the couple who were in the car.
It's okay, it's okay, it's okay.
Who is that?
Dr. Karev is a Safe Haven volunteer, and she is taking the baby to the nursery.
Right, Dr. Karev?
Yep. Here I go.
So, how'd the ultrasound go? Everything okay?
Yes. Uh, baby's healthy, uh, great, developing.
Uh, Lincoln, Shepherd, can you guys jump in here?
Not only are we swamped, but we're short-staffed.
Well, not anymore, because I've called in reinforcements.
Webber and Hunt were fired from this hospital.
Lay off, Koracick.
Look, I don't care. They are my students.
I hired them.
Okay, temporary privileges granted. We need the help.
Everyone, gowns and gloves, and keep up.
Blake Simms, mid-face instability, criked in the field.
Needs to head up to CT ASAP.
Hunt, join Avery. Yep.
I should be in here. In case there's any neuro.
Any other requests from the peanut gallery?
Good. Moving on.
Taryn Helm, hemodynamically stable, tib-fib fracture, but complains of pain in the pelvis, so we need a pelvic X-ray, chest X-ray, F.A.S.T. exam, the works.
Webber, Lincoln, Grey, go.
Where's Andrew DeLuca?
Uh, around here somewhere.
No, with patients. He's working.
Oh. He's okay, Meredith.
Casey Parker... he took a nasty blow to the head.
He's got a palpable scalp hematoma.
Did a bomb go off?
We're taking him up to CT now.
Uh, uh, well, you've got Shepherd.
And here I am.
Hey, how is she?
Minor lacs and bruises, but neuro check's clear.
I'm okay. I want to help.
Get cleaned up. Then jump in wherever needed.
And, uh, what about you?
What about me?
You good to operate on your residents?
Wouldn't be the first time.
Thanks for coming. Oh, thanks for calling.
She seems okay.
I mean, she says she is, but I...
She's working through a miscarriage.
She hasn't had time to take a break yet.
I-I can't be there in that O.R. with her, so someone else who loves her needs to be there.
In case she breaks. Of course.
Are y okay?
But Miranda comes first.
There was a bomb.
No, Casey, it wasn't a bomb. It was a car.
Stay nice and still, okay?
Are we in the green zone?
He was in the military, right?
Do you think he has PTSD?
We all do.
How far along are you?
They're always a little off, though, right?
With the whole counting-from-ovulation thing?
When I hit 30 weeks, I thought I was gonna pop.
Temporal lobe contusion.
Yeah, explains the PTSD exacerbation.
He needs to be in the neuro ICU, closely monitored, with q2 hour checks.
Dr. Shepherd, I just stepped out for a minute to prep the next patient, and when I came back...
Chief, there seem to be a lot of doctors in here, and I don't want to get in the way of anyone, specifically... You're in my way.
Move. Forward. How are we?
Oh, I'm sorry. I'm sorry. I'm fantastic.
Dr. Grey is here.
Hi, Dr. Grey. Hi, Helm.
Jackson gave her a whiskey sedative at the scene to set her leg.
I just gave her a little bit of fentanyl for the pain.
And the X-ray doesn't show pelvic fractures.
CT showed an infrarenal IVC injury with a clot...
That's near my kidney.
It also showed a small retrohepatic hematoma by the IVC. Oh, no.
I'm bruised in the liver.
Doppler shows, uh, vascular compromise to the foot, which is probably due to the fracture, so I'd like to get her to an O.R. ASAP.
We should put in an IVC filter to reduce the risk of pulmonary embolism.
Mm. But he just said my foot could die.
Don't worry, Helm, we got you. She's not wrong.
I can do the filter while she's getting prepped in the O.R. for her leg.
Okay. Let's get to work.
Can I scrub in?
Uh, you have full privileges, so jump in wherever needed.
Uh, Ben called me.
He shouldn't have done that.
But like I said, jump in wherever needed.
Where are we on Blake Simms?
Uh, doesn't appear to be any traumatic brain injuries.
Leave that to the expert, Red.
Yep, no epidural, subdural, or subarachnoid hemorrhage.
How many of these have you done?
I'm sure it's in our records.
More than 20?
This is a rare injury, the surgery extensive...
I have had a long night, Tom.
I don't have the energy to defend myself to you.
I'm well aware of your night, Avery.
It's just dumb luck those scans aren't of you. Or Brody.
You're about to peel off my protégé's face and bolt his fractured facial bones back into their place.
I want to make sure that you're in the right state of mind to do that.
Go babysit someone else.
Okay, let's, um, take him up to the O.R.
Brody, do you know of any relatives that we can reach out to?
I didn't even know his first name till I saw it on the scan.
His grandmother's local. I'll call her.
Brody, just get him to the O.R.
So, who do we have here?
Oh, Dr. Karev. Jo Karev.
Nice to meet you. But I meant the baby.
Oh, right, yes. Uh, so, boy.
Less than three days old. Mm-hmm.
Bottle feeding's been good.
He's sleeping well. Mm-hmm.
Good job. Oh, there we go.
Let's get that hat off. Let's have a look.
Normal chest contour. Okay.
Motor function. Oh, yeah.
Does this hospital have a baby hatch?
A baby hatch.
It's like a post box but for babies.
That sounds not great.
No, actually, they're brilliant.
Decorated like a little nursery inside, connect straight to the E.R.
Mum puts the baby in.
A sensor notifies the staff to come.
My last hospital had one. They're safe and anonymous.
Where was your last hospital?
That was in Switzerland.
Oh, you're him?
You're new guy.
New chief of peds guy.
Well, yes, I suppose I am.
Oh, you're related to the old chief of peds? Okay.
I've heard good things.
Um, no, but, um, let's have a listen.
I got nothing.
What are you doing up here?
Uh, scrubbing in with Avery on Simms.
Type III Le Fort fracture.
Yeah, it's bad.
And Koracick's leaning heavy on Avery to get the reconstruction right.
Well, making sure we get things right is Tom's job.
Yeah, well, being an ass about it isn't.
What are you two looking for?
Parker's MIA with a temporal lobe contusion and a nasty episode of PTSD about a really big bomb.
Well, if I were scared about a bomb, I'd be looking for a bomb shelter.
Maybe check the morgue and the basement, and I'll meet you in security.
Cut Tom some slack.
Umbrella filter has been deployed.
She's got the umbrella in.
Thank you, Helm. You're welcome.
Are you gonna fix my tib-fib, too?
I don't do bones.
And these are not regular bones.
These are my bones.
Helm-mouth. I get it.
Dr. Schmitt, let's prep her, and let's remind Dr. Kim and Dr. Lincoln to check her neck for hematomas and recheck her H&H.
Mm, no, no. No Schmitt.
It's his fault you left me.
He got the love of my life fired.
Which is you.
I love you, Meredith Grey.
And I know it's stupid and I should get over it, and I will if I ever meet anyone else.
I'm starting to think I never will.
I'm embarrassed now, so I'm... I'm gonna go prep myself.
Thank you for that, Helm.
We'll have Dr. Kim prep you, okay?
Kim's a traitor-lover.
Schmitt, let's go downstairs.
Hey! Guys! Oh, my God. Levi.
You fainted in the O.R., Schmitt.
I'm doing a full work-up.
I fainted and you're okay being my doctor?
I couldn't really leave you there on the O.R. floor.
They could take away my license for that.
Your blood work all looks good, except for your cardiac enzymes are slightly elevated, which could indicate...
I'm having a heart attack?
That's very unlikely at your age, but I'm gonna do an echo just to be sure.
I'm not even 30.
I take fish oil every morning.
And, y-yeah, I had double cheeseburgers every day freshman year, but since then, I-I've been pretty good.
Okay, but you do need to calm down, Schmitt.
Is there anyone I can call for you?
Well, I'd say my mom, but she'd only panic.
Probably have her own heart attack.
And then I'd say Taryn Helm, but she hates me because of what I did to you, and she's dying.
So then I'd say Nico, but he's in the O.R., saving Taryn's life.
There's no one to call.
Take a deep breath, Schmitt.
We just finished temporarily wiring his jaw, and now we're doing our coronal incision to expose the superior orbit and zygoma.
All right, keep me posted. Every update.
You know what, Tom?
You might as well bring in a camera crew here.
Really great press.
Plenty of human drama and vulnerability to exploit.
You'd love it.
I do not miss that guy.
Altman could do so much better.
Are you serious?
Altman's a badass.
She's smart and skilled and hot.
Koracick's just like a creepy frat-house uncle.
She has done better, Brody. She's with Hunt.
Periosteal elevator, please.
Oh, I'm so sorry.
It's just the way that he talks to her...
Yeah, don't worry about it.
Skin hooks, please.
Owen, these flaps are coming along pretty nicely.
Speaking of which, how are you two doing? You set a date yet?
W-We're... We're not engaged.
Wow. I figured 'cause you have two kids together, you live together, you marry everyone... but I guess you have been busy, haven't you?
Okay, let's, um, take a look at these fractures.
Almost done here.
If you want to tap out, it's cool.
Your boyfriend did just collapse.
Helm needed a plate and screws, so I'm doing a plate and screws.
Me stopping to freak out won't change the outcome of Levi's condition.
And, plus, Helm is Levi's best friend.
She's hypotensive and tachycardic.
Page Bailey. Right away, Dr. Lincoln.
He's not in the morgue.
Did you check the exits?
Backed up all the tapes half an hour.
I didn't see him leave.
Here's the basement.
I can do this without you if you want to go.
He's a veteran and he's suffering.
We send people overseas and we ask them to give up their lives, their health, their families, and when they come home, we don't even give them mental health care.
And Riggs. And Megan. And...
I can't imagine.
Do you think that Owen's...
God. Forget it.
It's not appropriate.
Do I think Owen's what?
PTSD is about patterns.
Owen has a history of feeling trapped.
By fear of disappointing, fear of hurting people, trapped by obligations.
And I arrived here with a belly full of a heavy obligation.
Honestly, Teddy, I don't think that Owen is triggered.
I think... he loves you.
Well, he hasn't proposed.
And I feel really embarrassed saying that out loud, but it's, uh...
You know, it's... it's not like I'm a stupid little girl waiting for a ring from a man.
It's just... Hang on.
If he felt trapped by an obligation, don't you think he would've proposed by now?
I really think he's just... trying to do things differently.
You are incredibly kind, Amelia Shepherd.
The hyperbaric chamber.
Thank you. Mm-hmm.
Talk to me.
We repaired her leg, and her vitals just plummeted.
She's hypotensive with a worsening base deficit.
Uh, did you check her abdomen?
Okay, prep for an ex-lap and call Dr. Grey.
Okay. I-I can assist.
Look, I hired Dr. Helm.
I'm gonna help, and you can't stop me.
His heart. What is it? What's wrong?
It's coming back. It's... It's beating.
His heart's beating.
Okay, uh, need to try and wean him off the pacing wires and ECMO.
Oh, my God.
Page Dr. Altman.
Right away, Doctor. Oh, my God.
We got incoming.
Lieutenant Parker, permission to approach.
I am right here, Parker.
We're in a hospital. You're at Grey-Sloan.
You want to come with me and we'll get you some help?
Okay. I got you.
I got you. Yep.
I got you.
Here we go.
It's all right.
Dr. Altman, Elliott Calhoun's heart started beating again.
He's ready to come off ECMO.
Whoa. Parker, what happened?
He took a blow to the head at Joe's.
Did you get into a bar fight?
There was an accident at Joe's Bar.
Casey and some of the residents were there.
We are taking him up to the ICU to monitor his contusion.
Damn it. Grey needs me.
It... It's Schmitt. Whoa, whoa, whoa.
Schmitt was there, too? What the hell happened?
Apparently, it's cardiomyopathy.
I need to meet them in the cath lab.
What about Elliott Calhoun?
All right, why don't you prep him? Clear an O.R.
I will go handle Schmitt, and then I'll join you when I can.
Page me with any updates on Parker.
The rash is just a little erythema toxicum, so...
But it's not remarkable. Nothing to worry about.
So I think we can bring in social services for his placement.
Maybe we can wait for another couple of minutes.
What do you think?
Do you have kids?
You? No. No, not yet.
I'm just volunteering.
I was in residency when my boys were this age.
All the pictures I have with them, my eyes are half-closed.
I love my boys, but sometimes I think I probably missed their perfect stage, you know?
Yeah, he's pretty perfect.
Don't know how you even brought this guy in.
I think I would've stolen him.
The subcostal incision isn't enough.
Uh, can you visualize the IVC?
I can't see from my side.
Okay, we need to extend up to a sternotomy to get better visualization.
Clamp the IVC from all directions so I can isolate the bleed.
You want to crack her chest, too?
No, but I don't want her to die, and this is the only way we can get control.
You can do it if you feel more comfortable.
Get the saw ready.
Very good alignment.
Dr. Hunt, the E.R. is asking if we can spare anyone for an intake.
Uh, Brody, we got this.
But we haven't closed the skin yet.
Dr. Avery is perfectly capable of doing it, so...
It's not her fault she didn't know about you and Teddy.
Listen, I want to marry Teddy, okay?
It's just complicated. How's it complicated?
I'm afraid. That you'll screw the whole thing up?
I am afraid it won't be big enough to make up for the fact that I didn't do this sooner.
And I'm not talking about the months since Allison's been here.
I'm talking about years, decades.
That is a lot of pressure.
But pressure or not, don't wait too long.
If it's somebody you feel like you want to be with forever, that should include now.
What part of "updates at every stage" was unclear?
Well, you know how it is when you're in the zone.
Sometimes you just forget everything else, right?
Fractures are reduced.
We're ready to reattach the coronal flap.
I mean, unless you want to check my handiwork first.
All right. We're ready for closure.
4-0 Vicryl, please.
Whoa. Wait, Avery.
There is clear fluid around the blood. Look.
CSF fluid's leaking from his brain, damn it.
You said scans didn't indicate... Well, it doesn't matter now, does it?
I got to find the leak and seal it.
I said updates every stage.
If I hadn't shown up, he'd be dead on your table.
Now, when I clamp the intrapericardial IVC, she'll flatline, and then I have about a minute to find the bleeding.
You'll have less than a minute.
All right, on my count.
Starting cardiac massage.
Oh, man, I still can't see it. It's too much blood.
Do not die. Do you hear me?
You are not dying. You are not dying today.
Okay. I will not let you.
No one is dying.
Ah, okay. There, there, there. I found it.
Okay. 6-0 Prolene. Okay, Richard, seconds.
Okay, I'm repairing the IVC.
Richard. Hold on.
We're gonna lose her!
Got it. I'm releasing the clamp.
Come on, come on.
Great job, doctors. All right.
Ah! All right!
Okay. Okay. Okay.
You should so hate me right now.
Schmitt, try and relax.
I'm sorry. I'm sorry. I'm sorry.
I forgive you.
I have my license. I have my job.
I forgive you.
But I need you to be quiet and stay still so Dr. Altman can do her job.
Dr. Altman, am I dying?
No, it just felt like it.
No, he didn't have a heart attack.
It appears from the echo and angio that he has broken-heart syndrome.
It's when you have the symptoms of a heart attack...
Chest pain, shortness of breath...
But there's nothing wrong.
Comes from extreme stress.
No. Schmitt's as cool as a cucumber.
No, I'm not. I'm the most stressed-out person...
Oh, you're kidding.
I'm glad you're okay.
You may have gotten off to a bumpy start, but you're gonna be just fine, buddy.
You got people looking out for you, people who love you.
Never doubt that.
Thank you, Dr. Karev.
When I signed up to volunteer, I just wanted to heal me.
I fell a little bit in love with him.
Is that weird?
Uh, you're asking the wrong guy.
I'm in love with a baby that hasn't even been born yet.
I went from being terrified about being a father to...
I'm just sunk.
And, uh, if this Safe Haven thing is too much for you, you are welcome to come hang with our kid anytime you want.
As long as there's no kidnapping involved.
Are you... I...
Helm's gonna be okay.
You can tell her it was my call to crack the chest.
What about, uh, Simms?
Linda said they just closed, and they are taking him up to the ICU now.
They found him.
Shepherd's been monitoring him.
She's optimistic, and, uh, his recovery will take awhile.
Anyone figure out what happened to Schmitt?
Heartbreak syndrome, apparently.
He'll need a few weeks rest.
Bailey, everyone's fine.
Everyone I touched today, everyone I held in my hands or gave to another surgeon to put back together again, and fine.
I lose you and Grey, Hunt, Karev, but I made that fine.
I made that work.
But this... this...
I am not fine.
She isn't fine!
And I can't even hold her in my hands
or put her in someone else's hands who could put her back together again.
She just was!
And now she isn't.
And I can't do anything but just stand here...
Stand here and lose her.
My heart was broken.
Taryn's out of surgery.
Can I go see her? Yeah.
In a minute.
He did have facial fractures we were able to fix, and then we discovered he had fluid leaking from his brain, but Dr. Koracick was able to get in there and patch up the leak.
Dr. Tommy operated on him?
Dr. Tommy is...?
Well, he's our angel.
When he offered Blake the job to come out here, Blake said no.
He didn't want to leave me behind.
It's just been the two of us since his parents died.
But Dr. Tommy wanted him badly enough he paid for me to move to Seattle.
I know he must be beating himself up that this happened.
I told him that it was a freak accident, but you... you know how emotional he is.
Koracick. Of course, yeah.
Mm-hmm. Yeah, s-super emotional guy.
So, um, will Blake be okay?
There is a slow recovery.
His trach should come out in a day or two.
As long as everything goes well... Lorraine?
Are these two men bothering you?
No, not at all.
Um, can I go in the room?
Dr. Avery, lead the way.
Of course, yeah.
That CSF leak, that was a great catch.
Hey, you and Avery got this?
Yeah. I got, uh, something I need to do.
You're here early.
Got called in.
Me too. Same.
I have to say, I kinda see it.
Really? You have to say that?
Oh, don't be mad at me.
He's Yang's gift.
Do you have a minute?
He didn't die.
No. No, he did not die. He just... had a really terrifying nap.
You saved him.
Thank you. Thank you so much.
Oh, no, no, no.
This was all Dr. Pierce and Dr. Altman.
I, uh... I just helped.
Well, you're the only one that's here.
So thank you.
Um, in here. This will work.
Give me this. And this.
Oh, my God, Owen. What are you doing?
Teddy. What are you doing?
This ring was my mom's.
She gave it to me the day that Allison was born, and I've been carrying it around with me in my pocket ever since.
And I love you.
And there's no perfect moment, and I am not a perfect man, but the one thing I know for sure is you're the perfect woman for me.
So, Theodora Grace Altman, will you...
Is it Tom?
Oh, my God, Teddy.
Owen, stand up. Get up. Listen to me.
You are not obligated to marry me.
You don't have to do this.
I want you to break the patterns, not reinforce them.
I'm not repeating a pattern.
I'm starting a new one.
Loving you, loving our family, with my whole heart, every day.
That's my new pattern.
I love you.
I love you.
Teddy, marry me.
Marry me, Teddy.
Uh, I have to tell you something, um, and I'm sorry to do it at work.
I... It deserves dinner and privacy, but if I don't spit it out...
Oh, it's okay. What is it?
We got news.
We're getting married.
Oh! Oh, wow!
Hey! Oh, my goodness!
Congratulations! I, uh... Congratulations.
Thanks, man. Aww, thank you so much. That's wonderful.
I know. Wonderful.
I know. Wow!
Congratulations. Thank you so much.
So, you had something you wanted to tell me?
I didn't want to know, uh, but... it's a boy.
What do you think of the name Scout?
Like Atticus and Scout?
I know it's a discussion, but I want it in the mix.
I'll understand if you don't want me to...
I forgive you.
♪ And even though we cry
You're my best friend at this place, and if I don't have you, I'm done for.
I told Meredith Grey I loved her.
You did. I heard.
She didn't say it back, did she?
But you will find someone. I promise.
Yeah, it's easy for you to say.
You get to make out with that every night.
Yeah. But it took me my whole life to find him.
And, also, for what it's worth, I am amazing, but I am no Meredith Grey.
Knowing you're alone in the O.R. can make you the best.
But that attitude can ruin your personal life.
All right, I-I'm coming.
Hey. I turned off my phone for a reason.
Okay, hey, hey, hey.
Elliott Calhoun's heart started beating again.
Yeah. You did that.
You saved him.
Oh, God. Thank you. Thank you, um...
Thank you for telling me. I needed to hear that.
Hey, c-can I... Could we, um, talk?
Look, I blew it, I think.
I think I made a big mistake with Meredith.
I asked her to take time.
I don't know. I...
I meant some of what I said.
I-I-I wanted her to see me.
I wanted to know she respected me.
But I think asking her to take time might've had the opposite effect.
You hurt someone who's had more than enough hurt for a lifetime.
I know. And I don't know how to undo it.
Dr. Margaret Pierce?
You've been served.
That's why depression, fatigue, and burnout are so common in our profession.
I'm being sued for wrongful death.
Who's Sabrina Webber?
But if you're going to make a life of this, you need to learn to rely on others whenever possible.
Get in here.
I had a miscarriage once.
I never felt so lonely.
Well, did... did you bring me the doughnuts? Did you bring...
And that if you break, it's okay to let your friends put you back together.