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Living In a House Divided

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“ Since the early 1900s, morbidity and mortality conferences, or M&Ms, have helped surgeons learn from cases where there was a serious complication or a fatal outcome. During M&Ms, we assess both systematic and personal errors. We review every step, every decision. We get to the bottom of what happened and how it happened. We consider what we could have done better or differently. And hope we never make the same mistake ever again. It's been said that a house divided against itself cannot stand. But conflict on the road to progress is inevitable. And at least some division is always a certainty. Because we all want what we think is best for everyone. And when we can trust at least that much to be true, it's simply not realistic for any house to avoid some division. But how much division can any house withstand before it finally falls? ”

Living In a House Divided is the tenth episode of the eighteenth season and the 390th overall episode of Grey's Anatomy.

Short Summary[]

Schmitt must face the Morbidity and Mortality conference. Meanwhile, Meredith convinces Nick to scrub in on a surgery in Seattle, and Jo faces her feelings.

Full Summary[]

Cast[]

Main Cast[]

Guest Stars[]

Co-Starring[]

Medical Notes[]

Mr. Yeyni[]

  • Diagnosis:
  • Treatment:
    • Coronary artery bypass graft

Mr. Yeyni was in the hospital for a coronary artery bypass graft. Winston said it went well.

Franks[]

  • Diagnosis:
    • Hernia
  • Treatment:
    • Ventral hernia repair

Meredith scrubbed in to do a ventral hernia repair on a patient named Franks.

Owen Hunt[]

  • Diagnosis:
    • Open femoral fracture
    • Tibial plateau fracture
    • Facial lacerations and contusions
    • L1 burst fracture
  • Doctors:
  • Treatment:
    • Casting

Owen was still in the hospital recovering from his surgery.

Meredith's Patient[]

  • Diagnosis:
  • Treatment:
    • Roux-en-y hepaticojejunostomy

Meredith performed a roux-en-y hepaticojejunostomy.

Nick's Patient[]

  • Diagnosis:
    • Right-sided direct inguinal hernia
  • Treatment:
    • Hernia repair

Nick came to Grey Sloan to do a hernia repair on a man, 45, with a right-sided direct inguinal hernia.

Link's Patient[]

  • Diagnosis:
  • Treatment:
    • Double arthroplasty

Link said he had a double arthroplasty and invited Nico to scrub in with him.

Lila Hanley[]

  • Diagnosis:
    • Osteoarthritis
    • Spinal disc herniation
  • Treatment:
    • Discectomy

Lila came into the ER complaining of numbness and shooting pains below her knee. An x-ray showed mild osteoarthritis. She'd had the same symptoms before and shots of cortisone helped relieve her pain, so Link ordered a workup on her knee with the intent of giving her another shot. After examining her, Zander told Link he thought she needed an MRI, but Link went back to Lila and told her if the cortisone shots weren't enough, she could try losing weight as a more permanent solution. This offended her, as she said she was very physically active and had been dieting since 1992, and she got up to leave. As she walked away, Link notice she had a foot drop, which Zander had already noted, and called her back. He authorized an MRI, which showed spinal disc herniation. They removed the herniated disc.

Francesca Lyons[]

  • Diagnosis:
    • Herniated disks
    • Endometriosis
  • Treatment:
    • Epidural injections
    • Low-dose, continuous birth control

Francesca, 26, came into the ER with severe pain in her back. She'd previously been given epidural injections twice for pain due to slightly herniated disks. The pain was worse during sex and while menstruating, so Amelia called for a GYN consult. She told Carina and Jo that she'd always had severe pain during her period. After an exam, she was tentatively diagnosed with endometriosis and Carina scheduled diagnostic surgery for the same day, as she was ready to be free of the pain. In surgery, they found several lesions, so they did a biopsy. After her surgery, they put her on continuous birth control to manage her symptoms.

Taryn's Patient[]

  • Diagnosis:
    • Laceration to the palm
  • Treatment:
    • Stitches

Taryn treated a patient in the ER who had been cut on her palm on a surgical saw. She called Bailey for a consult, not trusting her own skill after being in the OR during a patient's death. Bailey told her to get an x-ray, then irrigate and stitch the wound.

Farouk Shami Hunt[]

  • Diagnosis:
  • Treatment:
    • Anti-rejection drugs

Farouk was recovering well from his heart transplant and his body was tolerating the anti-rejection meds.

Zander's Patient[]

  • Diagnosis:
  • Doctors:
  • Treatment:
    • Exploratory laparotomy

Bailey told Zander she needed him on an ex-lap as soon as she was done with Lila's surgery.

Wendy Costello[]

  • Diagnosis:
  • Treatment:
    • Surgery

Carina sent Jo to check Wendy's incision after her surgery.

Music[]

Song Performer Scene
"In Your Head" Isabelle Brown
  • Bailey reschedules all of Cormac's surgeries.
  • Catherine ties Richard's tie and they kiss.
  • Meredith brings Nick coffee and they talk about their days.
  • Jo and Link are interrupted by Luna crying.
  • Teddy sits by Owen's bedside.
"Breathe In" Andrew Galucki
  • Bailey talks to Taryn about Levi.
  • Richard talks to Amelia, Maggie, and Meredith about what happened.
"Awake" Sleeping at Last
  • Bailey and Richard say goodnight.
  • Levi tells Nico he's quitting surgery and they're over.
  • Teddy walks in on Owen giving Heather his key.
  • Teddy follows Heather out of the room over Owen's objections.
  • Nick and Meredith talk about being together.
  • Heather gets medicine out of Owen's car.
  • Teddy confronts her, threatening to call the police.

Notes and Trivia[]

  • This episode's title originated from the song Living In a House Divided, originally sung by Cher.
  • This episode scored 3.95 million viewers.[1]
  • This episode marks the final appearance of Richard Flood as Cormac Hayes as a series regular.[2]

Gallery[]

Episode Stills[]

Quotes[]

See Also[]

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


References[]

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