(siren wails) (meredith) they hit you out of nowhere. (exhales and sniffles) what happened? (sniffling) (crying) we were arguing. he kept saying that he couldn't trust me anymore, that i was a liar, that i... (sobs) that i lied about how i was. he hit you? god, it just got so bad. (continues crying) whwh bad things come, they come suddddly, without warning. i don't know what's gonna happen now. nothing's gonna happen. you're safe. all right? you' safe here. you just need to get some sleep. all right? just try and sleep. mm. if you need anything... (jangles keys) i'll have my cell. where are you going?g? we rarely get to see the catastrophe coming... alex, what are you gonna do?! (ferry horn honks) make sure that's covered, and make sure... (power tools whirring, hammering) (lift whirs) (alert sensor beeping)

what is all this? weather report says a massive storm is coming. hurricane force winds and heavy rain. they say it's three days out. so we have time to prepare, then. exactly. so for the e.r., we're gonna need to overstock supplies and blood products. let's get ready y r double capacity intakes. that means extra beds and gurneys in the hallways. this storm will bring in a lot of causalities. we're gonna need to make room for them, so let's discharge all patients that can be. post-op and long-term patients are gonna be transferred to seattle pres further inland. we're gonna bring in supplementals-- water, food, meds, lighting. uh, we're gonna be checking and refueling the backup generators. as for you surgeons, push, postpone, or cancell all elective procedures until after this storm.... so we're canceling surgeries now? well, you can afford to slow down a little bit. i'm pregnant. i'm not sick. you're very pregnant. you're three weeks away from your due date. shepherd. yeah. i need your help. come with me. (owen) there will be a list of available surgeons... so you've got your craniofacial baby. are you gonna postpone?

the kid's got his brain on his face. don't snap. . was just wondering if maybe-- ll, we have three dada. most importantly, we're gonna need to print hard copies of all computerized patient charts in case of a power loss. (jackson) all of them? do we have time to-- i'll do that. bailey, it's good to have you back. i'll put you on the o.r. rotation. uh, i mean i'll do the charts. (staff murmuring indistinctly) folks, they're saying that this is going to be a bad one, but we have three e ys to prepare. so let's do ititnd be ready when the storm hits. thank you. (indistinct conversations) how's she doing? she feels like she can't go into an o.r. she thinks she'll kill anyone she touches. i-i tried to convince he to come down to l.a. with me, take some time off, but then we heard about the storm, and she said she had to stay and help. anytytng i can do? i wish there was, but honestly... (huffs) anyone but me. i know. (indistinct conversations continue) i brought him in a few hours ago. he had a c.t.

(curtain rings clatter) you gotta help him. (people speaking indistinctly) (alex) it's chest peckwell. i mean, jason myers. (equipment beeps) (people continue speaking indistinctly) so between removing the encephalocele and closing up the facial cleft... (beeping) it is gonna take most of the day. you guys have any questions? uh, n-no. (speaks indistinctly)i guess not. (man) no. i would tell you not worry, but that's a load of crap. you'll worry. but if it helps, i'm not worried a bit. (coos) it does help. a lot. thank you. so you knew exactly what to say to her. is that a mom thing? oh. the internet told you i was a mom, too, huh? (chuckles) oh, god. okay, all right. apparently, i'm super creepy 'cause i know evevything about yoyo well, i'm creepy, , o, because the internet told me that you studied with bud clement, and i did a year under him at hopkins. bud? i mean, he's a genius. yeah. but oh, my god... his breath. (laughs) his breath is so bad. something died in him.

all right. well, this changes everything. i mean, if you studied under clement, then i'll have you do the calvarial graft and i'll just focus the bipartition. cool? really? yay.y. yeah, yay. (people speaking indistinctly) do you want to go get coffee before we start this? um... uh, y--uh, yeah. you know, i have to get some stuff done. mm. so i will, um, i'll meet you-- i'll meet you up there. okay. i mean, you're probably just gonna go cyber stalk me some more, huh? (elevator bell dings) i might be. (l(lghs) creepy. i understand it. if my dad doesn't wake up, i go live with strangers. hey, hey, hey, not strangers. a foster family. people who want to take care of you and are more... morerepared to do that than your grandma is right now. will they play soccer? (monitor beeping rhythmically) (stool clatters) (exhales) i hope so. what if they don't? what if they're like the people from "harry potter"?

(chuckles) they-- they won't be, all right? i promise. but if my dad wakes up, i could stay with him, right? yeah, if he wakes up. ethan, honey. oh, eat your yogurt. okaywell, i'll seeeeou, all right? and don't worry. okay. (people speaking indistinctly) page me if anything changes. owen. nancy and i had a conversation about withdrawal of care. i did not bring it up. she did. she e nted to know at the chances are ter nine days-- it is way too soon to talk about pulling the plug. and i told her since he's gone eight days without improvement, the neurological deficits are more likely permanent. of course you did. i wasn't gonna lie, owen. she doesn't want to put her son through any more, or her-- it's too soon. (people continueue speaking indistinctly) get another head c.t., a c.b.c., and a chem panel.

i know. do it again. (elevator bell dings) oh, hey. hey. hey. (clicks button) (doors close) (exhales) (motor whirring) can i ask you something? s--yeah. when you and derek adopted zola, how did you know? i mean, how did you really know that that was something you were gonna do? (ding) why? are you thinking... (doors open) yeah, forget it. just forget it. (clears throat) (people speak indistinctly) clear the hallways for cots. people will come looking for shelter. how bad is this supposed to be? hope for the best, prepare for the worst, right? what do we got? 39-year-old construction worker. wind blew m off a building. fell four stories to impale himself on three bars of standing rebar. vitalslsre stable. nimal blood loss on the scene. maintaining airway. okay. let's go. let his name be bob. please let his name be bob. why? shishka-bob. my name's leon. the patient's awake and responsive. oh, my god. i'm so sorry. it's bad, huh?

means it's not as bad as it could be. i guess so. if these bars hadn't caught me, i'd be a stain on the pavement right now. that's the attitude, leon. just keep that up, okay? let's get him to the o.r. and we'll take x-rays there. page grey and torres. kepner, kepner. what? i'll take this. why? why? i caught it. it's a big case, and i need you on-- yes, it is a big case. it's my big case. hey, i-i am about to take my oral boards again, and this is exactly the kind of case that i want them to see that i can handle because i am going to crush them this year. i need you on storm prep. and you once told me that i should stop being an administrator and start being a surgeon. and that's my human shish kebab. (sighs) okay. all right. i hear you. go. thank you. now i will check in on you. if things get hairy, i'm tagging you out. you won't have to! (woman) nurse cano to e.r. nurse e ndy cano to e.r. (curtain rings clatter) what happened? what does it look like? brooks, what do you see? like, someone super messed him up. talk like a doctor. um, temporal bone fracture with an epidural hemorrhage. how soon does the bleed need to be evacuated?

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this one's sitting right next to the carotid, but it doesn't seem to have damaged it. this one's in the right upper quadrant. and according to the ultrasound... (whooshing) it might have missed the liver. (callie) the ultrasound on this one showed the femoral artery is intact, for now. these bars are rough metal. when we take them out, we risk shredding the vessels. he couldldleed out. (knox)x)octors, he's starting to lose his airway. i need to intubate. (april) okay, i want to cut down the protruding bars as close as possible to minimize the damage when we pull them out. bone cutter? maybe. uh, doubtful. (grunts) nope. (leon) 1/2-inch rebar. you're gonna want a 4-1/2-inch angle grinder with a cutoff wheel. thank you, leon. no worries. okay, run. do not walk. (shoes squeaking) chest peckwell? jo's chest peckwell? karev brought him in beat to hell. he has a brain bleed. karev brought him in? yeah. i think that he's-- mnh-mnh.

hey! hey! do you have a 4-1/2-inch angle grinder with a cutoff wheel? (chuckles) dr. bailey, i'm thlled that you're back and honored that you requested me. i'm very excited to be in your o.r. (printer whirring) so what are we doing? press "print," go to the printer, take the chart, collate it, repeat. we're doing this, then? you need me to go over it again? (elevator bell dings) but bailey tested negative for staph. and she knows that, but she doesn't feel it. this way. this way. murphy. murphy. where are you going with that? o.r. one. kepner needs to cut the excess rebar off of shiska-bob-- leon. all right. come on. (ding) (man grunts) hey! where were we, uh... oh, yeah, bailey. right. uh, yeah, i just think that she needs to... um, are you thinking what i'm thinking? yeah. yeah. (whirring) whoa! whoa! stop! stop! stop! (ben) shut it off! shut it off! you can't grind metal. the room is full of oxygen. (exhales) the grinder's gonna give off sparks. you'll blow up the room. oh, god. okay.

i've, uh, been through something like this before. and how'd that work out? not great. (clicks) (hinges squeak) oh, you're early. sosore you. welllli kind of like totoversee the prep. me, too.feel free to join n , 'cause clearly, you're a control freak. well, nothing wrong with that since clearly, you're a bigger one. (laughs) (laughs) it's exhausting, isn't it? god, yes. i'm surprised you're letting me do any of the reconstruction. i figure, the more people know how to do this, the safer for kids everywhere. it's kind of my way of controlling the world. (laughs) and this way, you have something to remember me by. well, every time i tuck a baby's brain back into his skull, i will think-- (singsongy) you are gonna think of me. (normal voice) that's the idea. (laughs) (chuckles) here we go, right? oh. here we go. the metal's laying on two major vessels. they'll red if we try and pull the entire bar through. you're right. but i'm damned if i know how to do it, though. (leah) can we take out the oxygen tanks? well, the tanks, yes, but there are o-2 outputs in the floor, there and there. i say we take him down to a patient room, do it there. he's already under anesthesia, and he's too unstable to move.

get all additional oxygen tanks out. i manually hyperventilatathim, get him onon00% o-2, and then i shut off the vent. you cut. when he runs out of air, you stop, i hyperventilate him again. that'll take forever. (owen) and it's still risky, but... it's our best shot. all right. just give me the grinder, and you can go. all right, knox, you can go, too. i got this. (owen) this is dangerous work, people. so everybody out. i'll stay. you'll need someone to hold the bar steady while you cut. and you'll need me to irrigate the metal. the grinder will heat up and could burn through the vessels. that's... very good thinkingng (clears throat) there may y liver damage. no, grey, not you. you go. because i'm pregnant? she has a kid. she didn't bring hers to the o.r. with her today. he's got a point, grey. you should go. (owen) grey. go. that's an order. (sighs) okay, let's gown up and wet down these drapes. (people speaking indistinctly) hey, what's going on? why am i being kicked out of my o.r.? owen hunt just kicked me out of my o.r. for being pregnant. he what? (man) excuse us. well, there was a chance that it could explode, and it's--it is incredibly dangerous.

he brought in a friend with a brain bleed. guy was beaten half to death. jason myers from o.b. (people continue speaking indistinctly) it's not his friend. (cristina) these are today's scans? (beeps) (steph) with smaller cuts, like you asked. wait. (beep) what is that? we have a problem. mer, check out this hyperdensity. is that something or just noise on the film? (beeping) that looks real to me. it's alex. get a c.t. angio and find me. i want to look at those vessels. okay. all right. i'll hyperventilate him. when we get to 100%, i'll say go, you cut. watch his sats drop to 90%. below 90%,%,here could be ssue damage, even brain damage, so at 90%, i'll say stop and i'll pump him up again. you ready? (april and callie) ready. and if anybody sees any sparks, then run like hell, understood? yeah. okay. (chuckles) okay. (callie) mm-hmm. (air whooshes) (whoosh) go. (whirring) (rattling) (april) oh, my god. sparks! whoa! whoa! whoa!

torres? fine. yep. let's do this. okay, kepner, if you're someone who still prays, maybe-- dear lord, please be with us right now. help us save this man, help us save leon. in your name, we pray. amen. and... go. (whirring and rattling) i'm jerry bell the second. and i'm jerry bell the third. i'm like a big bear ananhe's my little cub. this little guy is non-stop. he's always hanging out with his friends. you've got to be prepared to sit

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enjoy your path. (clanks) (owen) let's move to the abdomen. okay. all right. all right. go. (whirring) (rattling) oh, sparks! sparks! oh! oh, my--oh! oh! ben, look! oh, god! oh, god! oh, god! (whirring and rattling continue) (callie) oh! no, we're good. we're good. we're good. go. go, go. (april) okay. (whirring and rattling) (derek) oh, damn it. the c.s.f. is leaking. this is worse than i thought. (sighs) the crack has torn the dura. it's pretty grody. "grody" is not a thing we say. list the possible complications. (exhales) um, death, that's pretty solid. strokes, re-clots, being a potato, goofiness, loopiness, simpletonism. brooks. difficulty with speech, memory, and vision. why are you making me talk so much today? because you're weird, and it bugs me. but you also have a natural talent for this. and the weirdness is there because you're covering up

so now it is my job to make you feel confident and less weird. okay? whatever twists your knickers. (instrument clinks) i said fight the guy. i didn't mean fight the guy. alex, this kind of stuff was okay when we first met you, but now? now you're supposed to be less stupid. i mean, you could go to jail, your whole career-- look, i'm not going to jail. he was like that when i found him. that's your story? no cop is gonna believe you. alex, it's us. just tell us. i didn't do anything. (jo) he didn't do it. he just found him. i did it. (whirring and rattling) (ben) 93. 92. 91. (april) oh... oh, god. this is taking too long. we've have to get into the abdomen. 90. hunt. (callie groans) almost there. almost there. (callie exhales deeply) (whirring and rattling continue) go! (april speaks indistinctly) ohh. stop! no! no! no! can't turn it on! don't turn it on! cover the body! cover the body! fire! 88. he's getting hypoxic. i got this. (april screams)

god, good catch, kepner. okay, all the bars are cut. let's see what we've got. oh, god. torres, you go scrub. kepner, go back to the e.r. what? i need you prepping for the storm. wh--no, no, no, no. you need another surgeon for when we pull the rod out of his abdomen. right, we're gonna be working on his neck so we have some time. send in grey or whoever's available. (intercom beeps) (richard) kepner. i've got it. i'll find someone. chief, he is my patient. i have made every single right call since he came in here. and what, you want me to stock shelves like some grocery clerk? i need you there more than i need you here. kepner, i'm not gonna ask you again. go now! (bag hissing) (monitor beeping rhythmically) (door opens) nice. mm. i'm gonna mark where i'm making my cuts, arizona. then you will mark a 2x3-centimenter piece of the parietal for the graft. dr. avery, dr. robbins is gonna do the calvarial graft, and then i thought i would walk you through the reconstruction of the nose and the lip.

come on, boswell. it sounds like you're trying to get us to do all the work. sounds to me like avery is chicken. not what i said. you came out all this way. well, he can run a hospital, but he's still a baby surgeon. you're one of the grey sloan seven? is that a thing? yes, that's a thing. you guys are legend. you bought the hospital, saved the staff. well, you know us control freaks. we try to run everything. it was brave. i couldn't have done it. and i'm so impressed. and you, sir, are doing this reconstruction, okay? okay. okay. arizona, are you ready to mark your graft? yeah. yeah, let me in. all right. come right over here next to me. here, go through these again and just make sure they're in order. (sighs) dr. bailey, is there a reason you chose me to do this? because you're an intern. a surgical intern, at a hospital, not a kinko's. (telephone rings) (sighs) just... since dr. shepherd kicked me off his service,

and if that's what people think-- do you want to be responsible for killing a patient, ross? if the power goes out and we lose access to a patient's electronic files and we reach for her chart in this pile and it's not there, what will happen? well, that's pretty hypothetical-- the patient would die, ross, and it would be your fault. and how would you feel? i-- how would you feel? uh, bailey. hunt needs another hand in the o.r. asked for you to scrub in. uh, tell him i can't. storm's coming. this needs to get done. bailey. i'm in the middle of the backup charts. if i stop, i'll lose the order. he needs to get someone else. i'll go. i'll do it myself. mm. (people speaking indistinctly) of course you will. (telephone rings) we were having a fight. he--he grabbed my arm. i fought him off. it just--it got ugly. he fell backwards and he hit his head on the fireplace, but he was still yelling when i left. he was fine. i swear. all right, you gotta go. go. uh, no, she has to explain to them what happened.

look, go home. don't let anyone see you. you two don't say a word to anybody until we know exactly what's going on. understand? hey. are you okay? she's okay. you never saw her. what? i have paul dawson's c.t. angio results. great. go. (sighs) don't do anything stupid. (door closes) (people speaking indistinctly)) (sighs) oh, is that chest peckwell? h-how is he? oh, a bad bleed. we won't know more until he wakes. what the hell happened? i don't know. um, i need your help. people keep saying that to me today. i found that on paul dawson's scan. could that be a clot that we missed? yeah, that's exactly what it is. it's blocking blood flow to the basilar artery. brooks... why would we miss that? oh, i'm not asking her. yeah, she's-- she's asking you. and i'm asking you. (sighs)

mm. which is harder to see. it's more common to find a bleed or an infarct. you were looking for the wrong thing. nice job. could you take it out, like now? run a pipeline stent and restore the blood flow to the basilar? i mean, could that wake him up? it could. it could also kill him. does the family want to take that risk? but, um, you--you said that yesterday. you said it-- it was our last chance. this is... a long shot. oh. well, what does dr. hunt say? dr. hunt is in surgery, and paul is my patient. and it's your decision. (people speaking indistinctly) nancy, every second counts now. (crying) well, if there's a chance that... okay. okay. (woman) dr. mahoney to the e.r. dr. mahoney to the e.r. wocka, wocka, wocka, wocka, wocka, wocka, wocka, wocka, wocka, wocka, wocka, wocka, wocka-- what are you doing? sorry. it's pac-man. because it looks like pac-man.

mm. dislodging the clot. mm-hmm. jamming the stent, or-- (monitor beeping erratically) oh, damn it. the basilar wall is dissecting. it's just too weak. if you don't place the stent, it could rupture, right? yeah. if we place it too fast-- you risk ripping the artery in half. either way, he's-- he's dead. good. yeah. just be quiet. (beeping continues) (woman) dr. kent to neonatal i.c.u. dr. kent to neonatal i.c.u. hey, wilson. i'm going, i swear. i just had to grab some clothes. look... (door closes) i'm sorry. i didn't mean to hurt jason. i was just trying to get away from him. and i lost it. i just lost it. i like you. but i love alex. i don't know if he's dumb enough or loyal enough to take the fall for you, but he just might be. i'd never let him do that. i wouldn't. okay. (door opens) (sighs) hey. are they done with that in the o.r.? yeah, they were done a while ago. (door closes) (clenched teeth) then why aren't i back up there?

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