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Legacy

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“ The Apgar test. The Whipple procedure. The DeBakey clamp. So many of the tools we use in our hospitals every day are named after the people who invented them. Even diseases used to be named after the people who discovered them. But a medical board in the 1970s discontinued that practice, claiming that no one could "own" a sickness. As altruistic as the profession is, doctors are human. If we do something that could change the face of medicine, we want our name on it. When people hear our names, what will they remember? What did we leave behind? Did we blaze trails? Did we guide a new generation? Did we bestow all the wisdom we could? Have we paved a legacy? Maybe instead of wanting to be known for what we've done, let's be known for who we are. ”

Legacy is the eleventh episode of the eighteenth season and the 391st overall episode of Grey's Anatomy.

Short Summary[]

While Meredith, Amelia and the team prepare for Dr. Hamilton's long-awaited, groundbreaking surgery, Bailey receives an unexpected offer. Owen's impatience makes him a difficult physical therapy patient, forcing Link to intervene. In Minnesota, Nick makes a liver transplant a teaching moment.

Full Summary[]

Meredith is walking through the park.

Nick leaves on his bike.

Amelia is in the operating room as they place an ‘Authorized Personal Only’ sign in the gallery, Kai joins her and asks if she’s ready. She says she was ready the first time as they place additional signs on the OR doors. Kai directs other equipment.

Meredith returns home and finds Maggie in the kitchen. She’s surprised to hear Meredith went for a hike. Meredith says the silence and fresh air clears her head. Maggie assumes she needs to clear her head for the secret, groundbreaking surgery that no one can be a part of. She says it’s fine, she will get the kids ready and off to school. Meredith says someday Maggie will make history and she’ll watch her kids and they will be even. Maggie tells her Zola is watch the whipple tape.  

Meredith joins Zola in the living room. Zola says Ellis was great, but not as good as Meredith. Meredith tells her to get ready for school and answers a call from Nick. He’s not able to come down for her big day, but he thinks he would be a distraction anyway. He’s heading in to see a patient with end-stage liver disease, primary sclerosing cholangitis. A donor has become available. Meredith offers him a bittersweet congratulations. He asks  her to send him pictures but quickly realizes how it sounds a clarifies he means of the surgery, doc pics.

Jo and Link are walking in the hospital. Link greets her and comments that she changed her hair. She says she realized it was a mistake, so she pulled herself together and fixed the mistake. He says the new look looks nice too and asks if she had a long night. She had a patient with placenta previa which turned into a c-section at 4:45am. Mom and baby are great, but the OB resident is fully wiped. He says she’s been working a lot of nights lately, which she dismisses saying a lot of babies come at night. He cuts to the chase and asks if she’s avoiding him. She says she’s not and asks if he’s avoiding her. They share an awkward moment before she leaves saying she’s off to get the greasiest egg sandwich Joe’s has to offer, then home for a nap before coming back to pick up Luna. Link offers to pick her up instead, she agrees and heads out.

Bailey is in the conference room on a phone call as Jordan Wright walks up with coffee and a smoothie. She asks him to walk with her and he notices she’s distracted by whatever that phone call was. She tells him a med school friend called, he works with NASA at the Aerospace Medicine Fellowship. She starts to tell him what they do, but he’s already very aware they are working on innovative devices designed to identify and combat special disorientation and vestibular abnormalities. She’s not surprised he knows. She says it’s a program that combines the two things she’s dreamt of her entire life – medicine and space. She’s been asked to run their clinical training, but it comes at the most difficult time of her life. Jordan is impressed she got asked to go to space and says just when he thought she couldn’t get any more amazing, she goes and breaks the stratosphere.

Meredith enters Hamilton’s room followed by Amelia. She tells him pre-op laps, EKG, and CXR are all clear, and his abdominal incision is healing nicely without signs of infection.  Amelia says his pre-op MRI scans are done and ready to be uploaded. Kai confirms the cell vials are all in the temperature range. Hamilton uses a voice recorder commenting about watching the team come together to realize his remarkable vision, he's humbled by how far they’ve come. Amelia stops him to ask what he’s doing. He says its for his book and asks how they think history books are written. Meredith says she, Amelia, and Kai will publish in medical journals to record posterity. Amelia congratulates him as ‘patient x’.  Hamilton asks if there is a bigger room available to accommodate all their egos. Meredith tells him that despite how he’s treated her and the entire team, that she’s still here, just like she was 11 days ago when his arrogance and dishonesty nearly sank the entire project. She leaves to make sure the OR is ready.

Levi is still playing video games in his mother’s basement when Richard arrives. He thought he and Levi could talk, but Levi ignores him until he loses his game. Levi tells him that every time he closes his eyes, he sees blood pouring out of Devon’s body while hearing Devon’s voice in his head. He says he doesn’t mean to be rude, but doesn’t think talking will help, the game does, and starts another round.

Link is walking by as he hears Owen arguing with his physical therapist. Owen believes he can do therapy on his own. Link offers to take over for the therapist and thanks him as he leaves the room. Owen says he needs someone else, but Link says he’s already have 3 different therapists in 10 days, and mentions the rumor that Owen made one cry. Owen says as he sits in this bed, he sees patients he could be helping, rigs pulling in all night, that it’s torture to know he can’t help anyone. He frustrated he hasn’t graduated to the treadmill, but Link tells him the only way that happens is if he put in the hours. Owen says he’s trying but Link cuts him off and says he either cancels the sessions or yells at people leading them. He needs a solid support system as it is a major factor in patient outcome, especially with long rehabs. He asks if Teddy is coming by soon, but Owen isn’t sure. Link checks his watch, then grabs a wheelchair and orders Owen into it.

Levi is still playing video games as a worried Richard watches on. He says he had his own Devon, and he knows exactly how Levi is feeling. He tells him about Chuck Higgins, a cannery worker. They met when Richard and Adele went on a food-and-blanket drive for the homeless community. Chuck had organized the event. As Richard continues, Levi sets down the game controller. One day, Chuck came in for a bowel obstruction, he didn’t like hospitals and Richard remembers the fear in his eyes when they told him he needed surgery. When Richard told him he would be the operating surgeon, Richard saw the fear go away. Chuck was comforted by the thought that someone who looked like him in a white coat would be operating. Richard was a young attending and too inexperienced and timid to speak up, and after 3  hours, and a miscommunication in the OR. Levi interrupts assuming the end of the story. Richard tells him doctors don’t always kill people they feel close to, that it makes the lose unbearably worse. Richard says it’s not even Chuck’s death that haunts him, it’s the relief in Chuck’s eyes and the trust he put in Richard. Levi reaches for the remote,  increases the volume, and continues his game.

Teddy is drinking at Joe’s when Jo comes in to pick up her order. Teddy assumes Jo is judging her for day drinking, and says she hasn’t had a day off in 35 days, she was on all night, her kids are with Owen’s mother, and she’s going through some stuff. Jo asks if she would like some company.

Full Summary Not Completed.

Cast[]

Main Cast[]

Guest Stars[]

Co-Starring[]

Medical Notes[]

David Hamilton[]

  • Diagnosis:
    • Parkinson's Disease
  • Treatment:
    • Experimental treatment

Hamilton, 62, was prepared for his surgery. Earlier that day, he had had a pre-op MRI and labs, which all looked good, so they proceeded with the surgery.

Arthur Kyat[]

  • Diagnosis:
    • End-stage liver disease
    • Primary sclerosing cholangitis
  • Treatment:
    • Liver transplant

Arthur, 21, had end-stage liver disease due to primary sclerosing cholangitis. He had spent 137 days on the transplant list before a liver became available. Nick retrieved the liver and transplanted it into Arthur. He was stable after surgery and was told he'd be up and walking in a few weeks.

Jo's Patient[]

  • Diagnosis:
    • Placenta previa
  • Treatment:
    • C-section delivery

Jo assisted on a c-section at 4:45 AM due to placenta previa.

Owen Hunt[]

  • Diagnosis:
    • Cerebrospinal fluid leak
  • Treatment:
    • Physical therapy
    • Dural patch

Owen was refusing to do his assigned physical therapy after his surgery, so Link took over and forced him to do his exercises. After he was done, he had a sharp pain behind his eye and swelling around his incision, so Link rushed him to CT, which showed a cerebrospinal fluid leak. Tom operated and repaired the leak. Owen was stable and awake after his surgery.

James[]

  • Diagnosis:
    • Brain death
  • Treatment:
    • Organ harvest

James was in a car accident that resulted in brain death. His family chose to donate his organs. His liver was harvested for Arthur Kyat.

Music[]

Song Performer Scene
"What, Me Worry?" Portugal the Man
  • Meredith walks in the park.
  • Nick rides his bike.
  • Kai joins Amelia in an OR as it is prepped for David's surgery.
  • Meredith comes home and talks to Maggie.
""
  • Jo and Teddy talk at the bar.
""
  • Jo and Teddy talk about their children.
"Falling Short" MOONZz
  • David is prepped for his surgery.
  • Nick starts his organ harvest.
  • David goes into the CT.
  • Amelia starts drilling burr holes.
  • Nick harvests the liver.
  • Kai confirms cell viability.
  • Amelia gets paged and is told Owen's the patient.
""
  • Jo and Teddy play darts and talk about Teddy's marriage.
"Una fortiva lagrima" Gaetano Donizetti, Enrico Caruso, Salvatore Cottone
  • Nick prepares to start the transplant and talks to the other surgeon.
  • Amelia does David's injection.
"Lost With You" Raya Zaragoza, Viv Parker
  • Teddy sits with Owen.
  • Nick updates Duda and Arthur.
  • Amelia finds Kai outside the hospital and they talk about Owen.
  • Jo finds Link in the shower and they start kissing before pulling back.
"Headlights" Michigander
  • Schmitt tells Richard he's not going back to work.
  • Jordan asks Bailey about her off. He's surprised she said no.
  • He leans in to kiss her and she pulls back.
  • He walks away.
  • Meredith surprises Nick at home.

Notes and Trivia[]

  • This episode's title originated from the song Legacy, originally sung by Eminem.
  • This episode scored 3.87 million viewers.[1]

Gallery[]

Episode Stills[]

Behind the Scenes[]

Quotes[]

See Also[]

A complete overview of this episode's crew can be found here.


References[]

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