Grey's Anatomy S16E7 Script

Papa Don't Preach (2019)

[ The Lumineers' "Life in the City" plays ]

Meredith: Talking with a patient's family is a crash course in grace under pressure.

One clumsy word, one careless gesture, can cause irreparable harm.

[ Sighing ] Okay, hold on. You know what?

I need to get a picture of her in this cute little hat.

Okay. Um.

Oh, come on. Great.

Camera's full. [ Chuckles ]

You need to delete some pictures.

No, I just need a bigger phone.

Okay? Yeah, okay. Hold on.


Have a good day. Thank you. You, too.

Ideally you're dealing with a healthy family, where the main focus is on the well-being of their loved one.

But that is not often the case.

[ Sighs ]

Hey, what are you doing with that elephant? Uh... Uh...

Leo left it at day care, and I need to give it back to Owen before he freaks out.

It's his favorite. [ Chuckles ]

We have three of them. And that one's Ellis's.

Owen doesn't know I'm pregnant.

And I think I should probably tell him.

Yeah. Probably.

Unless, I mean...

He has his own baby with another person.

I mean, does it really matter?

He will get it, eventually, when I'm huge and in labor and... Right.

Well, let me know what you decide. I can't be late.

But a surgeon is required, above all, to tell the truth.

[ Door closes ]

And the truth is messy.

[ Indistinct conversations ]

Catherine. Maggie.

Hi! How is it being back?

Oh, it's good to be operating again. Yeah.

Tell me, how are things here with the restructuring?

Uh, Tom Koracick is... a... brilliant surgeon. [ Elevator bell dings ]

Not everybody's cup of tea.

I heard he and Jackson really got into it.

Oh, yeah, I wouldn't know.

That boy can be so tight-lipped.

He gets it from me.

And I know that's hard to live with at times.

Have you and Jackson talked much lately?

We should have dinner soon.

The four of us.

I don't know if that's such a good... Oh. Oh, no excuses.

Come on. Family's too important.

Yeah, okay. Mm.


[ Indistinct chatter ] [ Telephone ringing ]

Woman: I'm looking forward to it.

[ Whispering ] Me, too. Yeah.

[ Indistinct conversations ]

Richard Webber, are you seriously just gonna walk on by me like that?

I'm sorry about what happened in the diner.

Let me make it up to you. I don't think so.

Just coffee... I'll keep my distance.

It's not a good idea.

[ Footsteps departing ]

Well, let's go ahead and change her pain meds from I.V. to oral.

We need to talk. I am talking.

To someone else.

Sorry about that. And check her drain output.

If it's below 20 cc, we can go ahead and remove it.

Yes, you were saying?

Your mother would like to have dinner.

I know. She texted.

She thinks we're still together.

Oh. Yeah. "Oh."

I take it you didn't say anything to Richard, then?

W-Well, I never see Richard because he's, um...

He's been fired. And that's my fault, too?

I-I'm having trouble keeping track with you. You know what? It's fine.

We can just tell them over dinner. You should bring Vic.

That'd be fun. I should bring Vic.

Vic is fun. Ohh.

Do you guys laugh a lot when you talk about her fiancé who died 10 minutes bef...

I wonder if you can help me. I'm looking for Richard Webber.

I'm sorry, does that woman look like me?

I dunno. I'd have to see her scowl first.

But he works here. I know it.

Richard Webber.

Can you check with someone?

Take it easy, Sabi. Don't wear yourself out.

Nurse Karen: Yeah, I know who he is, but he doesn't work here anymore.

You need to go to Pacific Northwest General. [ Sighs ]

I'm sorry, I couldn't help but overhear.

Are you looking for Richard Webber?

Oh, my God, it's you!


Oh! [ Chuckles ]

I can't believe it.

[ Exhales sharply ]

And who am I now?

Oh, sorry. I-I...

I'm Sabrina.

But everyone calls me Sabi.

Rhymes with "baby."

And this is my dad, Chris.

♪♪ I-I'm sorry, I'm still confused.

I... I'm Sabrina Webber.

Richard's my uncle.

And he's your biological father.

So... we're your family!

[ Laughs ] [ Exhales sharply ]

[ Horn honks ]

And I am not a big crier, but I'm telling to you, I cried for days.

I mean, that poor little hamster.

Long story short... never buy a pet on Craigslist.

You wanna see a picture? It's gross.

You'll love it. Oh, oh, no, thank you.

[ Chuckles ]

So, Uncle Richard got fired?

What happened? [ Sighs ]

It's a long story.

Drinking again?

What? No, no.

It was a-a bureaucratic matter.

"Bureaucratic matter"?

So there's a really long story.

[ Sabrina and Maggie chuckle ]

So you're, like, a super genius, right?

I mean, well, that's what all the articles say.

[ Stammers ]

I'm sorry, this is j... It's so weird.

You know so much about me, and I know almost nothing about you.

Not a surprise. Richard's ashamed of us.

What? [ Scoffs ]

No, that can't be true.

Only you've never talked to us, never met us, never even heard of us.

Yeah, d-don't mind him.

He's a grump.

Uncle Richard called us a while back, after your podcast, explained the whole secret affair thing.

Then I read all about you.

Made sense, too.

Genius is in our blood.

You know I got into Stanford. Uh-huh...

Woulda gone, too, except in-state tuition is a whole lot cheaper. Yeah, yeah.

I'm sorry, this is just so weird!

I mean, we look the same, sound the same...

We could be twins!

Well, twins, no... I mean, we're genetically...

We're more... Oh. [ Chuckles ] [ Shutter clicks ]

...akin to...

[ Gasps, chuckles ] Well, that's... that's weird.

Woman on P.A.: Mary Griggs to L&D.

Mary Griggs to L&D.

Owen. Yeah.

A... Amelia. Everything okay?

[ Exhales sharply ] Fine.

Uh, great, actually. Um...

I just wanted to, uh... To give this back to Leo.

Oh, well, thanks, but I don't think this is...

Link and I are having a baby.

[ Quietly ] Wow. Um... okay.

And you need to know.

Well, I want Leo to be in the baby's life.

He's already such a good big brother to Allison, and I...

I'm...[chuckles] realizing in this moment that we've gone from zero to three babies in 60 seconds.

So... yay for all the babies!

Incoming! Cassidy Gardner, 25, GCS 14, blunt trauma to the abdomen, arm lac.

Hemodynamically stable.

[ Breathing quickly ]

Okay, what happened?

I fell down the stairs. I just fell.

Her son called 911.

Henry, Mommy's gonna be fine.

You did real good, buddy.

So someone's gonna sit with you until we take care of your mom, okay?

I got him.

I need the practice. Thanks.

Okay, let's go.

We need chest and pelvic X-rays now.

[ Indistinct chatter ] [ Footsteps approaching ]

[ Telephone rings in distance ]

Uncle Richard! [ Chuckles ]

Oh! Sabi?

What... What are you... [ Chuckles ]

Maggie? Chris? W-W-What's going on?

They were looking for you at Grey-Sloan.

It's so good to see you, Uncle Richard! Oh, my gosh.

We missed you at Christmas. And Thanksgiving.

And Easter and birthdays and family reunions.

I-I-I know. It's, uh, been a tough year. [ Sighs ]

Has it been a tough five years?

Anyway, hi! [ Laughs ]

Hi. [ Grunts ]

Well... Well, um...

Welcome to Pac North.

Um, you want the tour?

[ Chuckles ] Well, that sounds like fun, but maybe in a minute. I'm kinda worn out.

Okay, sweetie, take it easy.

And I need you look at something first...

I don't think he needs to see a dead hamster.

[ Laughs ] No.

It's even grosser than that.

Oh, okay. [ Chuckles ]

[ Indistinct chatter ]

♪♪ Maggie: [ Gasps ]

Why are you showing us a picture of an insanely large biatrial myxoma?

Because it's mine.


You haven't had any other symptoms?

Some swelling in my legs.

Um, and I lose my breath sometimes when I walk my dog.

These scans are three weeks old.

Why did you wait so long to come?

My doctor said it could be some time before it got really bad.

And news like this, it takes a minute to process.

And Dad wanted to go up to Chicago, but I wanted to come here.

I'm glad you agreed.

I didn't want her traveling alone.

Okay, Sabrina, this kind of...

Sabi, please. Okay. Sabi.

This kind of tumor is operable, but it can grow really rapidly, so we need to get some new imaging right away.

It was really dumb of me to wait, wasn't it?

♪♪ Let's, uh... Let's go get those scans.

♪♪ Was your dad home when your mom fell?

I don't have a dad.

I came home from school on the bus, and Mom was in the basement o-o-on the floor.

She couldn't move.

Is she gonna be okay?

She has got a really great team of doctors taking care of her.


Maybe holding this guy will make you feel better.

♪♪ I'm so sorry about this wait. Do you want to sit down?

No, no. I'm okay now.

Minute you start acting sick, that's when you really get sick.

So... what's the tea?

You know what tea is, right? Yeah, no, I do.

I just, uh...

I mostly work. [ Chuckles ]

There's nothing? No scandal?

No love life?!

Uh, my ex-boyfriend rebounded with a firefighter?


Hot chick.

Okay, then. I hate him.

[ Laughs ]

We're family. I've got you. [ Laughs ]

I hope he wakes up tomorrow, realizes what a mistake he made, but it's too late because you're with Idris Elba.

[ Laughs ] Oh, girl.

Mm-hmm! [ Both laughing ]

Girl, gimme your phone. You need my number.

[ Chuckles ] [ Laughs ]

Here. [ Laughs ]


Hey, do you like crossword puzzles?

Love 'em.

Acrostics, Sudoku, but crosswords are the best.

I only do the ones on the weekends, though, because the other ones are... Together: ...too easy.

Right?! I get so bored! [ Laughing ] I know.

We have so much shared DNA, I bet we have a ton in common.

Do you like classical music? Love it.

Can you whistle? Yes!

I know that's not necessarily, like, a genetic thing... Um... they're, uh... They're ready for you.

[ Inhales deeply ] Okay.

To be continued... Cuz! Yeah.

[ Maggie and Sabrina laugh ]

[ Chuckles ]


[ Door closes ]

[ Cellphone vibrates ]

♪♪ This thing smells new.

Am I the first person in it?

Close to it.

Hold still now.

[ Scanner whirring ]

I can't imagine how strange this must be for you.

I'm sorry I didn't tell you ...Oh, are you kidding?!

It is fascinating.

And, yes, it's really, really strange.

I've never had a relative who looked like me before.

And she's just been out there practically my entire life, just having different experiences. [ Chuckles ]

I wonder if we've ever been in the same town at the same time before today.

I was in Dayton once. I had a long layover.

I went to the mall.

Has it really been five years since you saw each other?

Uh... Sabi's not like the others.

My brother and sister always resented me for leaving, resented my success.

Accused me of putting on airs and acting like I was better.

Adele always had a way of smoothing things over.

I should've tried harder after she died.

And they didn't know about me until the podcast.

When I called to tell them, they, uh, said some vicious things, and I think I just wanted to protect you from that.

[ Breathes sharply ]

But it's, uh, it's nice to see the two of you get along so well.

[ Beeps ]

Oh, God.

The tumor's reaching up through the tricuspid valve and into her pulmonary artery now.

I think it's doubled in size.

This might be the biggest heart tumor I have ever seen. [ Sighs ]

Is somebody gonna get me out of this thing or what?

♪♪ FAST exam shows the free fluid on the perisplenic space.

Ma'am, did you have any symptoms before you fell?

I-I was bringing the laundry upstairs, and I got really dizzy.

Uh-huh. Wait, you see that?

Excess fluid?

That's a heartbeat. [ Inhales deeply ]


Ma'am, did you know that you were pregnant?

Was or am?

[ Heart beating ]

We have a strong heartbeat. Your baby's okay.


[ Whispering ] It didn't work.

What... What didn't?

I can't have another baby.

I can't.

[ Breathes shakily ]

[ Heat beating ]

Woman on P.A.: Jeanette Brody to Admitting. Jeanette Brody to Admitting.

Hey. Hey. Hey.

How's Mom?

She's, um...

[ Whispering ] Listen, her fall wasn't an accident.

She was trying to terminate a pregnancy.

By throwing herself down the stairs?

I don't know. She's not talking much...

Well, do you want me to try?

She might be more comfortable talking to another woman.

I can say it's a neuro check.

Sure, might help.

I already paged psych, but they take forever around here, so...

How pregnant is she? 8, 10 weeks. I'm not sure.

Uh, if you're not up to this, then I can get someone else, you know.

Why wouldn't I feel up to it?

[ Telephone ringing in distance ]

Because I'm all knocked up?

[ Scoffs ] It's okay, Owen.

I don't need a fainting couch.

I will be fine.

Yeah, okay. Thank you.

[ Telephone rings in distance ]

[ Beeping ]

That's the same tumor? Yes.

And now it's extending into your pulmonary artery.

Looks kinda like a baby swan with that little neck.

[ Laughs ] Sabi... this tumor isn't stable.

It could stop your heart's ability to pump blood.

We need to get you up to surgery.


Well, who's gonna do it? You're in luck.

This happens to be my specialty.

You? But you don't work here.

They granted me privileges, so we're good to go.

Sabi: But we're family.

And we're basically twins.

I mean, What if you see me lying on that operating table, and you freak out because it's you on the table?

Maggie: That is not a thing I do.

And I'm the best.

Then get second best.

Sabi, she won't even be able to see your face.

It's covered during surgery.

Okay, that is really creepy. Do people know that?

I-Isn't there a law against operating on family?

It isn't a law. It's a guideline.

And since we've only known each other about two hours, I'm not really sure how it applies here.

Apple doesn't fall too far from the tree.

Excuse me? You're steamrolling her, thinking you know what's best.

You're not even listening to her concerns.

I'm listening. They're just not valid.

Not valid?

We look alike, we have some things in common, but we're... We're not family.

Not in the way that matters.

I am the best cardiothoracic surgeon in the Northwest.

I run my department. I innovate.

You want me in that room.

What makes you think you know what she wants?

You don't even know her. Which is why I can do this!

Richard? A little support, please?

Um... you know, I don't trust the cardio surgeon who's here today.

Thank you.

So I am your only option.

But, um... there is an on-call surgeon who's quite good.

I'll, um... I'll make a call.

Thank you.

Took you long enough.

[ Sighs ]


[ Sighs ]


Um, will you, uh, stick around and brief the surgeon?

Maybe consult?

You want me to consult for someone who's not as good as me instead of giving your niece the best shot she's got?

[ Sighs ] Maggie, they're family.

So you're just gonna agree with them because of some bad history with your brother?

No, that's not what I meant.

Look, they're your family, too.

I know you just met and it may not feel that way, but they... Look, one day, it could.

And God forbid something goes wrong in the OR and...

I'll always be the love child who killed your favorite niece?

Oh, come on, now.

You'll never get a chance to know them.

And I never would've known they existed if they hadn't come here.

Richard, your niece came here for help as a doctor.

It's too bad you can't do her the favor of thinking like one.

Yes, I'll consult.

Text me when he's here.

[ Monitor beeping ]

No sign of concussion.

How's Henry? Is he scared?

Henry is over the moon.

A very sweet nurse showed him the snack drawer.

Owen: Cassidy, the CT shows that there is some bleeding in your spleen.

We're gonna have to take you up to the OR to remove it, and I can do that laparoscopically.

I-I don't have insurance right now.

Henry just qualified for a state program, but I'm still waiting to hear.

Emergency departments don't turn people away, regardless of their financial situation, so they will give you the surgery that you need, okay?

[ Inhales deeply ] But surgery, uh, will put the fetus at risk, so, I have to ask you...

Are you planning on keeping this pregnancy?

I love Henry.

But it's a lot.

I already work at two restaurants, and they try to give me a flexible schedule, but there's only so much that they can do.

And another kid... I mean, that's way more money, and... and even more time away from Henry.

I can't... I can't and I don't want to.

So you threw yourself down the stairs?

What?! Oh, my God, no!

No, I tried to go to a clinic that had financial assistance three times, but something always fell through.

Henry got sick or no one could sub for me.

I-I ran out of favors.

So I looked online, and I found this herb that was supposed to work.

I-I doubled the recipe to make sure it would work, but it made me dizzy.

And then I fell.

I just fell.

I love my son.

And I would never do anything to try to hurt myself.

I would never do anything to try to hurt him.

Okay, Cassidy, listen.

You are okay right now.

And Henry is okay.

And if you want an abortion, Dr. Hunt can get someone from OB to do that during your surgery once the bleeding in your abdomen is under control.

Oh, God, really?

Thank you.

Thank you so much... Um, actually, Cassidy, I think we want to focus on the fall injuries first.


We can address the pregnancy once we know that you're alright.

Oh. Okay.

Okay, so, we'll see you up in the OR shortly.


[ Exhales deeply ]

What are you doing? You really overstepped in there.

I'm a trauma surgeon. I don't order abortions.

You would have if the fetus hadn't survived.

But it did.

Owen, she's eight weeks. She doesn't need a full D&C.

Exactly. It's not emergent, but her internal injuries are.

So I'm gonna deal with those, and then she can go see an OB.

She seems pretty clear in her thinking and committed to her plan.

Why not just give her the help she's asking for?

Thank you, Amelia, for your consult, but I'm gonna take it from here, okay?


[ Siren wails in distance ] [ Indistinct conversations ]


What are you doing here? In the neighborhood.

Lunch break. Having coffee with Alex.

What are you doing in enemy territory?

Wow. That's a beautiful tumor.

Are you taking this out?

[ Scoffs ] I wish, but, no.

I can't do it.

Is it too risky?

Please. I would destroy that thing.

No, I can't do it because it belongs to Richard's niece.

And she doesn't want me to.

We look so much alike we could be twins, which is, you know, surreal, but it's not more than I can handle.

But she thinks it would be like getting cut into by herself.

I had a dream like that once.

Not good. What are we all doing here?

Alex. Patient.

What patient?

Sexy. Yeah, I know.

I told Owen about the baby.

Oh, that's why you're here. I thought you were defecting.

I told him about the baby, and he got weird.

That's understandable.

Is it?

I mean, he's with Teddy, and he's happy.

And just now, he just seemed like he was angry with me for being pregnant.

But he's gotta get with the program.

This kid is gonna be Leo's little brother or sister.

So he and Teddy are gonna be... aunt and uncle, I guess?

Does Leo call Teddy "Mom"?

No, no, he calls her "Weddy" because he's working on his T's.

Oh, I get the question.

Uh, I'm... Auntie Amelia.

Betty's more like big sister.

So Teddy's... stepmom, I guess?

[ Pager ringing, cellphone vibrates ]

Damn it.

Sabi's crashing. Here.

[ Siren wailing ]

Sabi is...?

Her patient. And Richard's niece.

Oh, damn. Yeah.

[ Wailing continues ]

You know, Owen can be pissed at me... I don't care...

But he can't take it out on a patient.

Do you want any...?

[ Wailing continues ]

Everybody's got a patient.

I want a patient.

[ Alarms blaring ] What happened?

She just stopped talking...

She went into respiratory distress.

I had to intubate. [ Blaring continues ]

The tumor is obstructing blood flow to her lungs.

Let's push fluids and start pressors.

Where's my sub? He's in the parking lot.

But I didn't want him operating.

This is all you.

I'm glad you came to your senses.

Prep an OR! Let's get her ready to move!

Wait. I didn't say you could.

You're not supposed to operate.

I haven't even talked to the other doctor.

I know you say I always think I know what's best.

Well, in this case, I do.

I know Margaret Pierce.

And there's not a surgeon in this city with half of her skill and expertise.

Chris, please.

Don't put your daughter's life in someone else's hands.

♪♪ Thank you. I'm sorry. I should've said it sooner.

Alright, come on, let's move. Move!


[ Monitor beeping ]

Hey, you look like someone I used to work with.

Thank you for letting me do this.

Hello, everyone. I'm Maggie Pierce.

I'm Chief of Cardiothoracic at Grey-Sloan Memorial.

Don't hold that against me.

Who is ready to take on the biggest biatrial myxoma I have ever seen? This isn't gonna work if she doesn't know everyone's listening.

[ Cheers and applause ] Alright! That's better.

Okay, folks, best behavior.

If we impress Pierce, she just might come and run cardio for us.

You know that's never gonna happen, right?

You'd be surprised how many times it's worked.


Shout if you need anything.

[ Breathes deeply ]




♪♪ I'm sorry if I raised my voice earlier.

Maggie really is the best there is.

Sabi couldn't be in better hands.

Last time you tried to calm my nerves in a waiting room, Mom died.

I was 10 years old, Chris.

No signal here.

I need to call the family.

Woman on P.A.: Dr. Sykes...

Dr. Jennifer Sykes, call Recovery.

Dr. Sykes, call Recovery.

Hey, Richard. What's wrong?

N-Not now, Gemma, please. Oh, we go back too far back for me to leave you alone looking like this.

What is it? You need a meeting?


Maggie's operating on my niece right now.

She came out here for the first time in years.

Her father, too.

For my help.

I thought they wanted nothing to do with Maggie.

My brother and sister, yes, but...

Sabi, she's not like them.

She's welcoming and forgiving and kind... and I turned my back on her.

Family's complicated. [ Chuckles ]

I know. I keep saying that.

But I feel like it's just an excuse now.

You made a sincere attempt at amends.

If the other person doesn't want to hear it, that's not on you.

They aren't wrong.

I did think I was better.

Or at least knew better.

You know, I never understood why they were so content staying in their small, little world.

You know what Chris said to me when I told him I was an alcoholic?

"That's what you get."

Like ambition was to blame.

Like everything would've been fine if I hadn't gotten a big head and left home.

I'm sorry, Richard.

[ Sighs ]


[ Sighs ]

♪♪ Richard?


Uh, oh, well, this is Gemma.

Uh, she's a friend.

I can see that.

It's so good to meet you, Catherine.

I've heard a-a lot about you, and, um...

Well, I'll let... I'll let you two be. Yeah.

♪♪ Um...

I wasn't sure you'd come. [ Chuckles ]

Of course I came.

It's family.

♪♪ Chris: Vanessa's making calls.

Starting a prayer chain.

♪♪ Oh, uh, Catherine, you remember Chris.

Of course. Chris, you must be worried sick.


Once we go on bypass, I'll make my incision into the right atrium.

What's her activated clotting time?

ACT shows 300 seconds and rising.

That's good enough to start.

Let's go on pump.

[ Monitor beeping ]

Clamps off.


[ Beeping continues ]

And so how is Vanessa?

Is she still in that house?

She'll never leave that house.

I did some work for her.

I added a sunroom in the back.

Oh, that sounds lovely.

And the, uh... The... the hardware store?

It closed last month. Oh.

Everyone orders online now.

It closed?

No one told me that.

You didn't ask.

[ Breathes sharply ]

So, uh, when was the last time you all came to visit Seattle?

Well, um, Sabi couldn't have been more than... what... 8?


W-What was that game she always wanted to play?


Papa Never Misses!

The little ones would line up on one side of the yard, Chris on the other.

And they would throw him a football as crazy as they could.

I mean, they would fling it, and flip it, and spin it.

[ Chuckling ] They'd try everything to make him miss, and he never did.

Not once.

Papa Never Misses.

[ Laughter ]

Sabi came close a few times, though.

Yeah, I remember once we had a kiddie pool set up, and Sabi would fill a little pail of water and pour it over her cousins' heads, and they would laugh.

But then, one time, my... My nephew...

W-Was that... Was it Eddie, Jeffrey, or...?

It was Eddie. [ Laughs ] Yeah, okay.

Her cousin Eddie poured a pail of water over Sabi's head. Oh.

Oh, she burst into tears. [ Chuckles ]

She came running to me. She said...

[Whimpering, stammering] "Uncle Richard, tell Eddie we don't play like that!"

[ Laughter ]

Oh, boy. [ Chuckles ] That's Sabi.

Adele loved that story.

[ Sighs ]

♪♪ You got a vending machine around here?

Oh, yeah, down the hall.

Oh, you need some cash?

♪♪ I can afford a soda, Rich.

♪♪ Everything I say pisses that man off.


♪♪ Okay, look, I don't know what you think you saw, but...

We will talk about that later.

There is nothing to talk about, Catherine.

Gemma is an accountant here.

A friend from the program.

A while back, she needed a job, I made some calls.

It was before I even worked here.

I've known her for years.

She was concerned, and that's all.

You're talking an awful lot for someone who says there's nothing to talk about.

[ Tab pops ]

I need some fresh air.


[ Door opens ]

[ Sighs ] [ Door closes ]

[ Quietly ] Doctors made Mommy all better, Bub.

I'm so sorry I scared you.

I love you so much.

And when I'm all better, we're gonna go to the zoo.

Can we see the baby giraffes?

Yes, anything you want.

Okay? But right now, Mommy's got to rest a little bit.


[ Monitor beeping ]

I got so lucky with Henry.

He's such a good kid...

You know, he's so happy, even with the little I can give him, and he does not deserve less.

Of course not.

And you don't have to explain that to anyone.

It is your decision, even if you didn't have Henry or money problems.

[ Breathes sharply ]

[ Beeping continues ]

Alright, Cassidy, the doctors said the labs and imaging showed an eight-week pregnancy, so you're all clear.

Okay, so that's it? It's just the pill?

Two pills, actually.

You'll take one medication now to block the hormones that keep the pregnancy viable, then a second pill in 24 hours to help contract the uterus.

You'll feel nauseated and crampy, probably emotional... Because hormones.


And it will be difficult when you're passing the tissue.

A lot of doctors say it's like a heavy period, but it's more than that.

It's completely safe.

I just want you to be prepared.

[ Chuckles ] Thank you.

You'll need to schedule an appointment with an OB in about a week or so to confirm that the medication worked and that there's no infection.

Thank you. Thank you so much.

I'm so grateful to both of you.

Looks like Dr. Hunt is here to do some post-op work, so get some rest, Cassidy.

And you have my card if you need anything.


[ Siren wails in distance ]

[ Footsteps approaching ]

Oh, hey.

Any news?

Still in surgery.

I'll say another prayer. Mm.

Richard tells me you're quite gifted.


With numbers. You work in accounting, right?

Oh. [ Chuckles ] Yes. Mm.

You know, at the Fox Foundation, we're always looking for people we can trust with our finances. Oh.

There's a lot of opportunity.

I'm sure it pays better than this place.

[ Chuckles ] You're too kind.

Any friend of Richard's...

Give him a résumé.

Okay. Maybe I will.

You should.

We have openings all over the country, though none here in Seattle, I'm afraid.

[ Sighs ] I should be getting back inside.

Have a good night.


[ Footsteps departing ]

[ Siren wailing in distance ]

Okay, I've dissected most of the tumor from the right atrium.


[ Alarms blaring ]

MAPs are dropping.

The bypass circuit is clotting off.

Damn it, she's clotting.

Why is she clotting?!

What is her ACT now? 370 seconds.


You said it was 300 and rising before we started.

It should be over 480 by now.

We could've given her more heparin.

She's been dosed multiple times with heparin.

Why didn't you tell me she had stopped rising?

Our cardio doctor always asks.

It's protocol.

You never asked.

Okay, she's heparin-resistant.

Her blood doesn't clot like normal.

Her pressure's gone.

Okay, everyone stop and listen to me!

We have three minutes before we lose this patient from lack of blood flow.

We need a new bypass machine and pumps, ice to keep her body cool, and start FFP.

Let's move! Clamps!

[ Alarms blaring ]

♪♪ Come on. Come on.

Stay with me.

♪♪ Amelia. You crossed a line.

She needed help that you wouldn't give her.

You don't work here.

Well, from what I've heard, most of the people who do lack the skill and sensitivity that I have, so you could just say thank you.

Owen, did you really want to force that poor mom to bring another human being onto the planet against her will, or did you refuse her an abortion because I wanted to help her have one?

You don't get to come to my place of work and order me around, okay?

[ Door slams ]

I didn't order you around.

I ordered her an OB who ordered her some pills!

And you're angry with me for reasons I can't quite ascertain.

So you said no to her because I said yes.

I said no to her because...

'cause sometimes people change their minds, and she was traumatized by a fall.

A fall that she took accidentally after intentionally trying to abort the fetus.

You think that the trauma would change her mind? [ Sighs ]

Is this about me?! Is this because I'm pregnant?

So you think that women who say that they don't want babies are gonna just wake up one day and change their minds?

Amelia, that's absurd.

I agree. She was clear.

She knew what she wanted.

She was not gonna change her mind.

And for the record, I did not change my mind, either.

I... I just got pregnant, and I exercised my freedom of choice to not have an abortion. That's right.

So you didn't want to have kids, but now you're with somebody else, and you do.

Y-You're... You're perfectly happy now that you're having a baby with another man!

You and I broke up twice.

Once when we got divorced and then... Yeah. Yeah, we got divorced.

You remember why we got divorced?

You remember the pain that you put me through when you told me that you didn't want to ever have kids?

That you didn't want to ever be a mother?

That pain, that "truth," Amelia, it...

It ended our marriage.

And now you're telling me that it's not because you didn't want to have kids, you just...

[ Sighs ]

You didn't want to have them with me.

♪♪ Owen.

♪♪ Uh, I gotta, um...


Amelia. Amelia, wait. Wait.

Owen. [ Sighs ]

I'm sorry.

It's my turn to apologize.

I should have thought this through.

I should not have ambushed you at your place of employment.

I should've known that this was gonna be a bigger conversation, and I'm sorry.

When I told you that I didn't want kids...

I didn't.

I didn't when we started seeing each other and you had Leo.

I didn't when Betty showed up.

If I'm honest, I didn't even know for sure when I found out I was pregnant.

But something changed. [ Sighs ]

What we went through with Leo and Betty is a big part of that.

I wasn't ready before.

I am now.

And I have you to thank for that.

Like it or not, we're family now.

I like it.

I always liked it.

[ Roo Panes' "Commentator" plays ]


[ Humming ] Mm.

So, okay, how are we gonna do this whole family thing?

'Cause there's a lot of us.

There's me, Teddy, you, Link, Leo, Allison, and...

You got a name yet? Uh...

W-We literally have nothing.

And I don't know how this works.

I mean, there should be a book...

Like, "What to Expect When You're Expecting", But You Already Sort of Have an Adopted Kid with Your Ex..." [ Chuckles ]

"...Who Just Had a Baby with His, uh, Soul Mate."

Sounds like a bestseller. [ Laughs ]

[ Sighs ]

♪ She was like the wind in your hair ♪ I was really terrible with my patient, so I should...

Yeah, you should bring her an extra Jell-O, for sure.

[ Chuckles ]

Maybe one for Henry.

[ Chuckling ] Yeah. ♪ Just like the freshest air ♪

♪ Ooh, ooh, ooh, ooh ♪

♪ Whoo, ooh, ooh, ooh, ooh, ooh, ooh, ooh ♪

♪ Ooh, ooh, ooh, ooh, ooh ♪

♪ Whoo, ooh, ooh, ooh, ooh, ooh, ooh, ooh, ♪ Is this normal? ♪ Ooh, ooh, ooh, ooh, ohh ♪ For it to take this long? ♪ Ooh, ooh, ooh, ooh ♪ Uh, you don't want to rush something like this.


♪ Remember... ♪ I can't imagine what you're going through.

No, you can't. ♪ ...when I used to say ♪ Look, what I mean was that... ♪ You never took your shoes off at the door? ♪ I've only known Maggie a few years.

But in that time, I've grown to care about her more than any person I've ever known.

I worry about her future, her safety, her happiness. ♪ Well, love ♪ If I loved her any more... ♪ I just want you to know ♪

...I'm not sure I could bear it.

♪ How I miss your running commentary ♪ And it's a fraction of what you must be feeling right now.

♪ Beside me... ♪ I'm sorry.

♪ an empty seat ♪


♪ You got me wondering ♪

♪ All the things you're thinking ♪ Maggie: It's all clotted! Everything has clotted!

Suction! Start the pump!

I'm trying. Still no flow.

We need to get oxygen to her brain!

How long has the circuit been down?

I can get her back! I can.

How long? Seven minutes.

I connected bypass in time.

There's just too many clots. We need some more ice!

We need to cool her down some more.

Pierce, seven minutes is too long.

We can get her back! We can get her back!

Her entire circulation has clotted off.

There's no way she can recover from that.

Come on. Alright? She's gone.

Come on, come on, come on. Okay, everybody stop!

Not yet, Alex. Not yet.

Maggie... No, no!

...she's brain dead. Let her go.

[ Breathing heavily ]

♪ Ohh, ohh ♪

[ Breathing shakily ] Time of death, 18:58.

♪ Well, thank you for this whole surprise ♪

♪ I have been alive ♪

♪ I have been alive ♪

♪ I have been alive ♪

♪ I have been alive ♪

[ Indistinct chatter ]

[ Cellphone vibrates ]

[ Sighs ]

[ Cellphone vibrates ]

[ Exhales sharply ]

I can't do this. I'll be with you.

No, no, no, Alex, I can't do this. I can't.

I can't. I can't. They... They...

They didn't want me to operate.

They told me not to, and I pushed them.

I bullied them.

I told them I was the best.

You are.

Alex, I-I can't... I can't tell them.

Come on. [ Breathing shakily ]

You lost your patient.

You tried to do all the right things, but you lost your patient.

And you're blaming yourself, and...

And I can't make you not feel that.

But you have to tell them.

So just stand here, get it all out of your system, and then pull yourself back together again.

Get it out.

[ Crying ]

[ Sobbing ]

Meredith: Grace under pressure.

One clumsy word, one careless gesture can cause irreparable harm.



H-How is she?

Is she okay?

Can I see her? [ Door closes ]

I'm Alex Karev. I'm the Chief.

Would you, uh, like to sit down?

I'm fine standing.

So, focus on facts.

What happened?

What was the problem, and what did you do?

Don't make it personal.

During surgery, we discovered that Sabrina has a resistance to heparin, so her blood... W-What's that?

W-What's heparin?

Uh, it's a drug to prevent clotting.

Which didn't work for her.

So during surgery, her blood began to clot, and that clogged the bypass machine, which meant we had to change machines mid-surgery.

I-I don't understand.

So you had to stop?

Is she okay?

Answer questions directly.

This is not your loss.

This is not your pain.

Never make it about you.

Sabrina's condition was critical before we ever got to the operating room.

I did everything that I could, but, unfortunately, I couldn't save her.

[ Exhales sharply ] She died.

Oh, Maggie...

Chris: No.

No, no, no, no. no.

[ Jeffrey Amor's "Too Much" plays ]


♪ Underneath it all ♪ No.

And if there's no silver lining, don't make one up.

Your job isn't to make the bad news sound better.

Chris, let's get you out of here. Get your hands off me!

Okay, now.

I didn't even want her to operate! ♪ Tell me it's not real ♪ Sabrina didn't!

♪ I know it is, but... ♪ You didn't listen!

♪ ...I'd rather just pretend ♪ Even though you're in pain, too...

♪ And feel your heartbeat next to mine ♪

[ Door slams ] ...even though you don't feel like a doctor...

Maggie, is... Is she cleaned up?

Can we see her? ♪ One last time ♪ Come on, Richard. Richard, come on. Get your brother.

We got to go help him call the rest of the family.

You're just another person, alone, falling into the dark.