Blood, Sweat and Tears

is the eighth episode of the twentieth season and the 428th overall episode of Grey's Anatomy.
==Short Summary==
Owen and Teddy have the day off but encounter an injured civilian. Monica enlists Amelia's help with an operation on a young patient. The interns complete their procedure logs, allowing them back into the OR.
==Full Summary==
==Cast==
===Main Cast===
*Ellen Pompeo as Dr. Meredith Grey (voice only)
*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 Dr. Catherine Fox
*Natalie Morales as Dr. Monica Beltran
*Jaicy Elliot as Dr. Taryn Helm
*Freddy Miyares as Dorian Cardenas
*Jacqueline Obradors as Valeria Cardenas
*Nicole Aviva Sienkowski as Caroline Early
*Amy Stewart as Diane Early
*Trinity Jo-Li Bliss as Emmy Chen
*Mychala Lee as Rosie Scott
*Sean Anthony Baker as Joseph Scott
==Medical Notes==
===Jo and Levi's Patients===
*Diagnosis:
*Doctors:
**Jo Wilson (general surgeon)
**Levi Schmitt (surgical resident)
*Treatment:
Levi asked Jo to sign off on Mr. Quint moving to a step-down unit and asked her to order a CT for Mrs. Valenti, who still looked distended.
===Emmy Chen===
*Diagnosis:
**Cystic fibrosis
**Left pneumothorax
*Doctors:
**Monica Beltran (pediatric surgeon)
**Winston Ndugu (cardiothoracic surgeon)
**Mika Yasuda (surgical intern)
*Treatment:
**Mucomyst
**Supplemental oxygen
**VATS pleurodesis
Emmy, 16, was born with cystic fibrosis had a partially collapsed lung. She was scheduled for a VATS pleurodesis to irritate the outside lining of her lung and chest wall. Emmy collapsed while walking around the hospital. When Emmy woke up, Monica told her they needed to get her back to her room and hook her chest tube back up to suction. Emmy was scared that the pneumothorax had gotten worse and she wouldn't recover. Monica assured her she would be fine.
===Caroline Early===
*Diagnosis:
**Neurofibroma
*Doctors:
**Monica Beltran (pediatric surgeon)
**Amelia Shepherd (neurosurgeon)
**Jules Millin (surgical intern)
*Treatment:
**Surgical resection
Caroline, 14, had progressive discomfort behind her left knee, which another facility diagnosed as a lipoma. She was at the hospital to have it removed. Monica ordered an MRI and another ultrasound just to make sure nothing was missed and learned it wasn't a lipoma, but a neurofibroma. Because of the nerves involved, Monica called in Amelia. Caroline was hesitant to let Amelia operate, but after talking about her fears for surgery, she agreed to let them operate. The surgery went well and Caroline was stable afterward.
===Dorian Cardenas===
*Diagnosis:
**Recurrent sepsis
**Enterocutaneous fistula
**Frozen abdomen
*Doctors:
**Richard Webber (general surgeon)
**Miranda Bailey (general surgeon)
**Lucas Adams (surgical intern)
**Simone Griffith (surgical intern)
*Treatment:
**Antibiotics
**Laparotomy
**Fistula takedown
**Serial transverse enteroplasty procedure
Dorian was on his 56th day in the hospital and back in the ICU with recurrent sepsis and enterocutaneous fistula. They had given him antibiotics, which wiped out the sepsis and was scheduled for a laparotomy and fistula takedown. They said they'd also try to reverse his ostomy while they were operating. Unfortunately, when they opened him up, they saw he had a frozen abdomen. Bailey allowed Simone to take down the adhesions. Bailey soon realized they would have to remove so much of his bowel that he'd be reliant on TPN for nutrition. Desperate to avoid that, they decided to do a STEP procedure. While they were doing that, Dorian coded. They were able to resuscitate with difficulty and Dorian was in the ICU after his surgery.
===Rosie Scott===
*Diagnosis:
**Sprained ankle
*Doctors:
**Teddy Altman (cardiothoracic surgeon)
**Owen Hunt (trauma surgeon)
**Atticus Lincoln (orthopedic surgeon)
**Benson Kwan (surgical intern)
*Treatment:
**Bandaging
Rosie, 19, fell down into a cave while hiking. Her ankle was injured by the fall. She was rescued and taken to the hospital, where they checked out her ankle. She was told it was just a bad sprain.
===Joseph Scott===
*Diagnosis:
**Puncture wound
*Doctors:
**Teddy Altman (cardiothoracic surgeon)
**Owen Hunt (trauma surgeon)
*Treatment:
**Surgery
Joseph fell down into a cave while attempting to console his daughter, who had fallen before him. He badly cut his leg, so Owen talked his daughter through using her clothing to pack the wound to buy him time to get to the hospital. The packing wasn't enough to stop the bleeding, so shed used the strap from her fanny pack and a stick to create a tourniquet. That stopped the bleeding and Joseph and Rosie were rescued and taken to the hospital, where he had surgery to repair the damage.
==Music==
Song 	Performer 	Scene
"Keep It Up" 	Good Neighbors 	
*Benson rips his sock.
*Teddy and Owen hike in the woods.
*They get lost.
*Jules, Mika, and Lucas study together.
*Monica buys Amelia's coffee.
*Jo paces in the hallway.
"Count On Me" 	EMMIT FENN, Bettina Bergstrom	
*Owen updates Rosie about Joseph.
*Bailey and Richard do compressions on Dorian.
*They defibrillate.
"Lucky Ones (Acoustic)"	Gone Gone Beyond 	
*Bailey and Richard watch Dorian and talk.
*Owen pitches his project to Teddy.
"The Key" 	Morral 	
*Lucas and Simone kiss and undress.
*Mika wakes up with Jules just in time.
*Catherine listens to Owen's proposal.
*Mika and Jules walk in as the proctor explains the exam.
"Keep It Up" - Good Neighbours
"Count On Me" - EMMET FENN, Bettina Bergstrom
==Notes and Trivia==
*This episode's title originated from the song , originally sung by BTS.
*This episode scored 2.75 million viewers.https://programminginsider.com/thursday-ratings-young-sheldon-on-cbs-reaches-four-year-high-with-series-finale/
==Gallery==
===Episode Stills===
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==Quotes==
==See Also==
es:Sangre, sudor y lágrimas
Category:All Episodes
Category:GA Episodes
Category:GA S20 Episodes