Last week we were left with the
crash survivors (and Callie) celebrating their $15 million settlement while
Owen was being told that the insurance company would not cover thanks to a
loophole and the hospital would be going bankrupt and closing. And since this
is not the Series Finale we all now there is no way that the hospital will be
closing.
We start off with Callie and Derek
discussing how he is doing a long ass surgery as his first one back. It has something
to do with a serious tumor that should have been removed months earlier had it
not been for the plane crash. Callie is worried since it is long and has a high
mortality rate but Derek says he can handle it and it has to be done. Since he’s
a neurology God he has to be the one performing the operation.
Owen announces that the hospital
has hired an efficiency advisor to oversee the hospital and work to find ways
to cut cost and save the hospital. It makes everyone uneasy as they feel there
will be an accountant watching their every move but Owen says she is a trained
surgeon and is only there to find ways to cut costs. Obviously she will be
stepping on people’s toes and I’m betting on her having some arguments with
Derek because he doesn’t handle authority very well.
But first Derek and Meredith are
trying to have some sexy times but are interrupted by Meredith’s pager. She has
a consult with a pregnant lady and starts crying due to the pregnancy hormones
and the fact that they don’t have time to get it on. They are interrupted by Ross who is trying to
switch services to work with Derek. Meredith answers the door and tells him to
go and get the lab results for the pregnant patient.
In the pit Stephanie asks April
for a consult as the Pit is crazy. April tells her that she will show her how to run the pit but when they approach the
bed with a lady waiting for a consult for shortness of breath it turns out to be
the efficiency advisor, Aliana Kayhill, who was faking and waiting for 45 minutes.
She is now late to meet Owen.
Alex, Arizona, and Christina are
doing a pro-bono operation on a little girls heart. The guardian for the little
girl asks if the program will be staying in Seattle because they like the
doctors and Arizona says the program Alex started is not leaving Seattle as
long as Alex and herself are there. Christina tells Alex that free surgeries
will be the first things to be cut.
Back with the pregnant lady, it
turns out after Ross messes up with the lab results that she is having liver
problems and needs a liver transport. Meredith puts Ross on phone duty waiting
for a liver. Derek tells Jo to switch services with Ross because Ross knows
what he needs and he doesn’t have time to teach. When Jo tries to get Ross to
switch he refuses as he has to wait for the call which he gets right then that
a liver is available.
While operating on the little
girl Christina and Alex find a unique case in the surgery (because every surgery
in Seattle has to be unique) and Arizona starts having phantom leg pains. She
lets Alex finish the procedure as she has to leave the operation room before
she falls over.
Owen tries to help Arizona with
her Phantom leg pains because she doesn’t want to be Callie’s patient anymore
and wants her live back. He places a mirror adjacent to her leg so she can
imagine that her other leg is there. This seems to work slightly to ease the pain.
Derek’s patient’s tumor has
progressed and the chance of complications with the operation (including a
melted face or death) have grown so Derek tells them they need to decide if
they still want to do the operation. His sister has to leave the room because
she refuses to cry in front of her brother. She says she was glad for Derek’s injury since
she got more time with her brother but they are ready for the operation. Derek tells Jo he doesn’t want anyone in the
gallery during the operation.
Meredith and Ross are working on
removing the liver for their patient and Ross messes up making the liver
unusable.I feel bad for the character. He has so many ups and downs and I feel that they just keep pushing him down rather then letting him grow. On the upside atleast he got some screen time which is more then can be said over some of the other new interns.
Alex is telling Kayhill about his
successful surgery and he is concerned about Arizona since he is worried about
the program and wants the operation to go well since the advisor will be in the
OR and doesn’t want to lose the program. Arizona has dreams of feeling pain
during the surgery and having to cut her own leg. It is well acted although the scene and the
blood running down the leg was on the gross side of TV. I’ve seen worse but I
wasn’t expecting it on ABC.
Webber is trying to talk to
Kayhill again since she was a student of his but she is avoiding him and
declines going for coffee to talk. While she is speaking with Webber Jo takes
the time to edit Derek’s OR time so that she won’t be in the OR.
Owen continues to help Arizona by
getting her to try to calm imaginary waves using a VR headset. She thinks it is
awkward but open to doing it.I like this storyline. The idea of phantom pains kind of freak me out and I can't imagine what it would be like for amputees.
There is a liver in Portland and
Meredith wants to send Ross to get it since she can’t get on a plane. Of course at the last minute she decides to
get on the plane and they are off to get the liver. There is a mass on the
liver but it ends up being ok and the patient and baby ends up fine.
In the OR Arizona starts
experiencing Phantom pains and the waves not working so she asks Alex to stab
her in her fake foot. Alex declines until Owen demands that he does it so Alex
stabs her in the foot and it works to stop the pain so she can completes the
surgery.
Kayhill was watching until she is
told that Derek was operating and takes off to watch him. He orders Kayhill out
of his OR since only necessary surgeons are to be in his OR and she lives. I
have the feeling this will not be the last time they butt heads.
There is a bleeder which Derek
has to fix and the patient is not twitching. Apparently he may have lost the
use of half of his face but they won’t know until he wakes up. His patient ends u being just fine with full
use of his face.
In the pit April helped Stephanie
get the pit working at peak and while they are talking a random paramedic asks April
out for coffee. He has been watching her but he’s not a creeper. I don’t know
why they are wasting our times when we all know April and Jackson need to end
up together.
Over with the little girl Alex
and Christina are advising the guardian that operation was successful.
Christina awkwardly asks what other types of sick kids they have in Africa
because she wants to find rare cases to operate on. Alex plays it off that they are excited the
program is running again.
The doctors are all meeting with
Kayhill. She starts by mentioning Alex’s Pediatric African Children’s Program
but Christina speaks up saying that they can’t shut down the program because “the
children” need the surgery but she means she likes the rare cases it can bring
in. Kayhill says that it will not be cut because it is good for PR for the
hospital.
She proposes shutting down the ER
because whether it is overrun or running at peak efficiency it is not bringing
in money. This causes an uproar and Derek tries to say she is crazy but Bailey
stops him because she is trying to save the hospital and not everyone has a few
million to fall back on.
It actually isn't that bad of a plan to save the hospital with all things considered but she plays the character as such a cold hearted bitch that it's easy to see why the other doctors quickly disagree with her suggestions.
Webber tries to talk to her but
she says she has grown with the medical field and he should be proud of her.
She also takes the time to tell him that he has logged the least amount of OR
time among the General Surgeons almost saying that he isn’t pulling his weight
and earning his salary.
Derek and Meredith discuss the
idea of closing the ER. Meredith says Bailly shouldn’t have called out Derek
but he says she is scared as everyone should be.
We end the episode with Callie
and Arizona taking a staycation on the beach and Arizona looks to finally be
having peaceful sleep.See you next week.
