Walk on the Ocean

is the third episode of the twentieth season and the 423rd overall episode of Grey's Anatomy.
==Short Summary==
Meredith and Amelia work to secure funds for their research while Amelia finds herself at odds with a new attending. Levi runs into someone from his past, and Owen gives Winston advice. Lucas ditches Mika, forcing her to treat a patient alone.
==Full Summary==
Amelia and Meredith are presenting their planned research to an investment committee. Karl is quick to say that the board will vote in favor of funding given Meredith's affiliation with the Fox Foundation. Amelia and Meredith are taken aback when he asks to set up a meeting with Catherine to discuss next steps.
Mika parks her van in the hospital parking lot. Lucas comes running up and scolds her for almost hitting him when she made a turn. Simone quickly heads inside for a wound vac change in order to avoid Lucas. While still mad at him, Mika declares a momentary truce to support him after getting dumped. He insists it was a mutual breakup. She states he's making it hard to be Team Skywalker.
As they pull into the parking lot, Meredith tells Amelia she's not attending any more meetings since someone is bound to tell Catherine since their affiliation is so well-known. Amelia steals a parking spot from a woman who's on her phone while waiting for the spot to free up. The woman then honks and Amelia points out she was on her phone. The woman angrily drives off.
Richard and Bailey meet Winston at the OR board. Dorian's abdominal washout is cancelled. He's stable for now. Bailey then invites Winston to tell her about his problems with the changes she's made to the residency program. He's going on a vacation to Chicago so he's not giving into any negativity today. When he's back, he does want to discuss an idea about the interns.
Levi hands out assignments to the interns. They proceed to make trades in order to fill out their procedure logs but Levi shuts that down. Levi is shocked to see Jo meeting with Nico in the waiting area.
Amelia and Monica Beltran, the new peds attending whose parking spot Amelia stole, arrive to consult on Malan Vasconcellos. Monica apologizes for being late and dismisses Amelia as she introduces herself. Malan was diagnosed with congenital hydrocephalus at birth. She's had 5 VP shunts but her mom claims she's "not acting like herself." The mother explains that she's less energetic than usual. Amelia's exam reveals no abnormalities. Monica is quick to say that that doesn't mean anything. Amelia wasn't finished talking yet and she proposes scans. Maria-Flor is opposed to yet another shunt surgery. Amelia says they'll wait for the imaging results.
Owen requests all available surgeons for a big incoming trauma. Winston has to leave in a couple of hours but Owen welcomes any help he can get until then. Jules, Simone, and Link tag along.
In the back lot, they meet Nate Ardilla, whose self-made watercraft was hit by a containership. He couldn't be fully extricated at the scene. Nate explains he built a self-propelled floating bubble. He regrets the steel rims now. The surgeons are not sure they'll be able to get him out.
Bailey has a full day in the OR so she instructs Mika and Lucas to keep Dorian alive, who is stable in the ICU after his abdominal closure today. Mika knows they are looking out for elevated peak and plateau pressures on the ventilator. If only the peak pressure alarm goes off, the tube is dislodged or kinked, which they can fix on their own. Lucas is disappointed to be just monitoring Dorian. Mika interrupts his complaining and thanks Bailey. Once she's gone, Mika calls off the truce.
Nate explains it was his fourth try. He wanted to get to Hong Kong. He wants to do better than billionaire Rich Doyle, who set a solo record rowing from San Francisco to Hawaii. Rich is his wife's ex-boyfriend. He thinks she still thinks about him. Link is sure there is a vascular injury to the arm. He's at risk of losing his arm if they don't get him out soon. Nate starts spiraling. Owen explains that the pressure from the bars might be the only thing keeping him alive now, so he urges him to stay still. Nate wants someone to call his wife. Simone will take care of that. Firefighters start cutting at the bars.
Levi tracks down Jo and confronts her about not telling him about Nico being here today. Jo can't tell him why Nico's here because of HIPAA. Levi wonders why Nico is in need of an OB/GYN. Jo stays mum.
Teddy runs into Meredith on her way to physical therapy. Meredith claims to be here for a consult. Teddy says Winston has locked her out of the cardio charts, Owen refuses to tell her about Leo acting up, and Richard refuses to let her help with admin so that she can rest. Teddy invites Meredith to join her for PT so they can both get in their steps. Meredith refuses but changes her mind as soon as she spots Catherine in the lobby.
As they wait for Malan's scans, Benson asks Beltran and Amelia about their medical schools and residencies. Monica tells Amelia to just say Harvard rather than Boston as it's not any less pretentious. Benson says he went to Saint Kit's, which Monica comments is balmy. The scans confirm that the shunt is malfunctioning again. Amelia wants to replace it but Monica says it'll keep disconnecting as Malan grows. Monica suggests the less-invasive endoscopic ventriculostomy, which is not the standard of care. Besides, Amelia says she is a candidate because of a history of ventriculitis and an abnormal basilar artery. Monica challenges her to take a minute to figure it out. Amelia doesn't have the time for that in her day. Monica points out that impatience appears to be Amelia's thing. She lists the things she has on her plate today and then says she's going to tell Malan's mother that Amelia is looking into other options.
Simone leaves Nate's wife a voicemail as she and Jules fetch supplies from the ER. Jules comments on Simone's new hairdo and asks what happened between her and Lucas. Simone says they are just roommates because apparently she's selfish. Jules doesn't want to get involved, especially when Simone asks her about her and Kwan.
Full summary to be continued.
==Cast==
20x03MeredithGrey.png|Meredith Grey
20x03MirandaBailey.png|Miranda Bailey
20x03RichardWebber.png|Richard Webber
20x03OwenHunt.png|Owen Hunt
20x03AmeliaShepherd.png|Amelia Shepherd
20x03JoWilson.png|Jo Wilson
20x03TeddyAltman.png|Teddy Altman
20x03LeviSchmitt.png|Levi Schmitt
20x03AtticusLincoln.png|Atticus Lincoln
20x03WinstonNdugu.png|Winston Ndugu
20x03SimoneGriffith.png|Simone Griffith
20x03BensonKwan.png|Benson Kwan
20x03JulesMillin.png|Jules Millin
20x03MikaYasuda.png|Mika Yasuda
20x03LucasAdams.png|Lucas Adams
20x03CatherineFox.png|Catherine Fox
20x03MonicaBeltran.png|Monica Beltran
20x03NicoKim.png|Nico Kim
20x03DorianCardenas.png|Dorian Cardenas
20x03MariaFlorVasconcellos.png|Maria-Flor Vasconcellos
20x03NateArdilla.png|Nate Ardilla
20x03JessicaArdilla.png|Jessica Ardilla
20x03Karl.png|Karl
20x03JasonShaheen.png|Jason Shaheen
20x03Paramedic.png|Paramedic
20x03MalanVasconcellos.png|Malan Vasconcellos
===Main Cast===
*Ellen Pompeo as Dr. Meredith Grey
*Chandra Wilson as Dr. Miranda Bailey
*James Pickens, Jr. as Dr. Richard Webber
*Kevin McKidd as Dr. Owen Hunt
*Caterina Scorsone as Dr. Amelia Shepherd
*Camilla Luddington as Dr. Jo Wilson
*Kim Raver as Dr. Teddy Altman
*Jake Borelli as Dr. Levi Schmitt
*Chris Carmack as Dr. Atticus Lincoln
*Anthony Hill as Dr. Winston Ndugu
*Alexis Floyd as Dr. Simone Griffith
*Harry Shum Jr. as Dr. Benson "Blue" Kwan
*Adelaide Kane as Dr. Jules Millin
*Midori Francis as Dr. Mika Yasuda
*Niko Terho as Dr. Lucas Adams
===Guest Stars===
*Debbie Allen as Dr. Catherine Fox
*Natalie Morales as Dr. Monica Beltran
*Alex Landi as Dr. Nico Kim
*Freddy Miyares as Dorian Cardenas
*Bianca Comparato as Maria-Flor Vasconcellos
*Garrett Coffey as Nate Ardilla
*Alisa Allapach as Jessica Ardilla
*Merrick McCartha as Karl
*Brandon Santana as Jason Shaheen
===Co-Starring===
*Ulysses Montoya as Paramedic
*Makayla Sandoval as Malan Vasconcellos
==Medical Notes==
===Dorian Cardenas===
*Diagnosis:
**Abdominal compartment syndrome
*Doctors:
**Richard Webber (general surgeon)
**Miranda Bailey (general surgeon)
**Mika Yasuda (surgical intern)
**Lucas Adams (surgical intern)
*Treatment:
**Abdominal washout
**Exploratory laparotomy
Dorian had an abdominal washout and was stable in the ICU. Bailey left Mika and Luca in charge of monitoring him. When he crashed, Mika evaluated his symptoms and diagnosed abdominal compartment syndrome. While she was getting a cutdown tray, Bailey came in and opened him up in the ICU, then moved him to the operating room for an exploratory laparotomy.
===Malan Vasconcellos===
*Diagnosis:
**Congenital hydrocephalus
*Doctors:
**Amelia Shepherd (neurosurgeon)
**Monica Beltran (pediatric surgeon)
**Benson Kwan (surgical intern)
*Treatment:
**Endoscopic ventriculostomy
Malan, 8, had been diagnosed with congenital hydrocephalus at birth and had had five VP shunts to control the build-up of fluid. Her mom said she wasn't acting like herself. They did tests which showed that her shunt was no longer worked. Amelia wanted to replace it, but Monica proposed an endoscopic ventriculostomy to drain the cerebral spinal fluid, as her mother didn't want her to have another surgery just to have the shunt fail again. Amelia said Malan wasn't a candidate due to a history of ventriculitis and an aberrant basilar artery, which made getting a scope in impossible. Monica ask Amelia to take a minute to figure it out, so Amelia figured out a way to use a computer guidance system combined with intraoperative imaging to keep them on the safest path. The procedure was successful and Malan's mom was told she'd be okay.
===Nate Ardilla===
*Diagnosis:
**Vascular injury to the arm
**Crush injuries
*Doctors:
**Atticus Lincoln (orthopedic surgeon)
**Owen Hunt (trauma surgeon)
**Winston Ndugu (cardiothoracic surgeon)
**Simone Griffith (surgical intern)
**Jules Millin (surgical intern)
*Treatment:
**REBOA
**Surgery
Nate 34, was driving a water craft he built himself when he was clipped by a container ship. They were unable to extricate him in the field, so they brought him to the hospital inside his water bubble. The doctors evaluated him as the firefighters worked to free him. Link found a vascular injury to his arm, threatening use of it. He also had crush injures to his abdomen. When they removed the bar across his abdomen, he started bleeding profusely, so Winston did REBOA in the parking lot to give him more time to get to the OR. In the OR, they operated, but the bleeding was too severe and he was pronounced dead at 18:45.
===Teddy Altman===
*Diagnosis:
**Sprained ankle
*Doctors:
**Meredith Grey (general surgeon)
*Treatment:
**Bandaging
Teddy came to the hospital to do her physical therapy. While walking on a treadmill, she slipped and hurt her ankle. She was insistent it was just a sprain, but agreed to an x-ray. Then Meredith wrapped it for her.
==Music==
Song 	Performer 	Scene
"Magic Motion" 	Joy Pageant feat. BEADIE	
*Mika arrives at work and fights with Lucas.
*Simone snubs Lucas.
*Mika asks Lucas if he's okay.
*Meredith and Amelia discuss their meeting.
*Amelia steals someone's parking space.
"Always On Your Side"	Adona, Oshins 	
*Monica and Amelia scrub in.
*Mika and Lucas work on Dorian.
*Bailey comes in and confirms Mika's diagnosis.
*Link, Owen, and Winston operate on Nate.
*Monica and Amelia work on Malan.
*Maria-Flor lights a candle in the chapel.
*Nate crashes and dies.
"Better Now" 	Texada 	
*Monica and Amelia tell Maria-Flor her daughter's okay.
*Winston and Owen tell Nate's wife that he's dead.
*She says she should have spent more time reassuring him.
*Simone tells Nate's wife that the loved her.
*Benson makes his case to Monica.
*Monica tells him she requested him for her service.
"Changes" 	The Careful Ones 	
*Benson, Jules, and Mika agree to get drinks.
*Levi talks to Monica about a fellowship.
*Mika and Jules do shots and Jules watches Benson flirt with someone else.
*Winston takes off his ring.
*Amelia tells Meredith they shouldn't quit.
*Meredith says she found them some money.
*Simone goes to talk to Lucas, but he's moved out.
"Magic Motion" Joy Pageant feat BEADIE
"Always On Your Side" - Adona, Oshins
"Better Now" - Texada
"Changes" - The Careful Ones
==Notes and Trivia==
*This episode's title originated from the song , originally sung by Toad the Wet Sprocket.
*This episode scored 3.26 million viewers.https://programminginsider.com/thursday-ratings-cbs-dominates-with-ncaa-march-madness-9-1-1-grows-yet-again-in-total-viewers-for-abc/
==Gallery==
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==Quotes==
==See Also==
de:Notlüge
es:Caminata sobre el Océano
Category:All Episodes
Category:GA Episodes
Category:GA S20 Episodes