Chapter Summaries

Adam and Cristina helped Gilly prepare for surgery as she explained why she had called her parents and wanted a Mennonite funeral. During Gilly’s operation, Dr. Bailey sought support for a free clinic, and Adam offered funding, but the team discovered Gilly’s cancer was too advanced for surgery.

• Gilly told Adam and Cristina that she wanted her parents present and hoped for a Mennonite funeral if she died.
• Dr. Bailey proposed a free clinic for annual checkups, and Adam promised to provide funding.
• Dr. Montgomery agreed to support Dr. Bailey’s plan.
• Adam saw that Gilly’s cervical cancer had spread throughout her bladder and told the team to stop the surgery and close her up.

After Gilly’s cancer was found to be terminal, Rachel tried to accept that Gilly might return home with her parents, while Adam offered to bring in Juno to persuade them to let Gilly stay. Gilly reunited with her parents as Rachel waited for Juno’s help.

• Dr. Montgomery told Rachel that Gilly’s cancer had reached stage four and could no longer be treated with surgery.
• Adam offered to introduce Rachel to his persuasive friend Juno, and Rachel agreed to wait for her.
• Rachel told Gilly she would let her return home if her parents wanted, while promising their bond would endure; Gilly’s mother agreed to tell Rachel’s parents that Rachel was well and happy.
• Gilly cried with Rachel, then greeted her mother and father as they held her hands.
• Adam told Rachel outside Gilly’s room that God would make the right choice.

Adam brought Juno and Karen to meet Rachel, hoping Juno could offer Rachel support as she faced leaving Gilly. Rachel opened up to Juno while Adam returned to the hospital, where Cristina and the other interns practiced emergency triage.

• Adam persuaded Rachel to wait outside the medical center rather than leave before learning whether she could stay with Gilly.
• Juno and Karen arrived in matching red hoodies, and Adam introduced them to Rachel.
• Juno asked Adam to leave so she could speak privately with Rachel, who soon began sharing her feelings as Juno comforted her.
• Adam hoped Juno's friendship would support Rachel, though he was unsure she could change Gilly's father's strict beliefs.
• Adam went inside and found Cristina and the other interns training in emergency triage.

Dr. Bailey tested the interns’ ability to assess injuries independently, while Sheran’s rivalry with her over the vacant Chief Resident position interrupted the exercise. Adam identified the dangerous possibility of an open fracture, and George embarrassed Kelly by flirting with her in front of everyone.

• Dr. Bailey asked Meredith to assess Sheran, who was pretending to be a patient, and warned the interns not to seek Adam’s help.
• Kelly called time, and Sheran sat up before Dr. Bailey could announce Meredith’s result.
• Adam explained that Sheran’s protruding bone indicated a possible open fracture that could become infected and lead to death if untreated.
• Dr. Bailey used Adam’s assessment to teach the interns to consider dangerous possibilities during rapid triage.
• George took photos of Kelly and called her his heart-stirring boss, embarrassing her until Dr. Bailey ordered him to put the camera down.

A cruise ship collided with a container ship, leaving many casualties and triggering the hospital’s emergency response. Adam learned Heather, Tatiana, Megan, and Megan’s daughter were aboard, so he and Karen raced to the docks to reach them.

• Chief of Surgery Richard announced a mass-casualty emergency and sent Dr. Bailey, Adam, Cristina, Meredith, and George to respond.
• Adam learned that the cruise ship carrying Heather and the others had been struck by a container ship, then called Heather and urged her to get everyone somewhere safe.
• Adam grabbed his first aid kit and drove toward the docks with Karen, who joined him to assist.
• Adam and Karen discussed how to coordinate their rescue efforts while they raced to the scene.

After a cruise ship disaster in New York, Adam joined the overwhelmed rescue effort and took charge of the red zone, saving critically injured victims. He continued racing between patients as Meredith, Dr. Bailey, and the others arrived and watched in disbelief.

• Adam checked Heather, Tatiana, Megan, and the lost little girl for injuries, then sent them with Heather to get the girl cleaned up and examined.
• Adam took over resuscitation of a patient being sent to the gray zone and told Karen to find anyone there who still showed signs of life.
• Adam revived and stabilized critical patients, directing EMT Lydia to transport them to the Medical Center and assigning other doctors to handle patients who could not wait.
• Adam's rescue work impressed the other doctors, who began following his directions and calling him when they encountered cases beyond their ability.
• Karen brought apparently dead victims back from the gray zone for Adam and the team to resuscitate, while Adam raced through the red zone to treat the most urgent cases.
• Dr. Bailey arrived with Meredith and the others and saw Adam directing the rescue effort as the red zone's chaos gave way to organized treatment.

During the cruise ship rescue, Meredith fell into the sea after an injured man shoved her from the dock, and she stopped fighting to stay afloat as painful thoughts overwhelmed her. Meanwhile, Cristina was summoned to a dangerous case and ordered the bald man to fetch Dr. Adam Duncan.

• Dr. Bailey sent Meredith and George to the yellow zone and directed Cristina to assist with the rescue effort there instead of joining Adam in the red zone.
• Meredith treated a bleeding man at the edge of the dock, but he struggled to leave for work and shoved her into the sea before passing out.
• Meredith surfaced, then thought about whether her mother or Dr. Shepherd would miss her and let herself sink back underwater.
• Cristina examined a dangerous injury in a parking lot and told the bald man to go to the red zone and get Dr. Adam Duncan.

At the docks, Adam treated critically injured victims while remotely guiding Cristina through emergency care for Rick, a rescuer trapped beneath a car. He arranged for a rescue team to reach Rick and promised to lift the car himself if necessary.

• Adam continued resuscitating patients in the red zone as system notifications rewarded him for saving lives.
• A bald DEA agent asked Adam to save Rick, who had been crushed beneath a car while rescuing victims.
• Cristina reported Rick's injuries by phone, and Adam told her to stabilize him while he stayed with the critically injured patients.
• Adam guided Cristina through treating Rick, including setting his broken arm, while arranging for a rescue team to free him.
• When Cristina warned that Rick might not survive the wait, Adam promised to run over and lift the car himself if needed.

During the dock rescue, Adam coordinated medical care and discreetly guided the rescue team to prioritize Rick without publicly interfering. Meredith returned to work after a brief, private spell of despair underwater, and the chapter left her accepting her role in the rescue rather than trying to make herself its protagonist.

• Adam instructed Cristina over the phone and asked Karen to discreetly remind the rescue team to prioritize Rick.
• Adam warned Cristina to watch her safety after Meredith had been pushed into the sea, and Meredith overheard him.
• Meredith recalled that she had deliberately stopped swimming to imagine how her mother and Mr. Dreamy would react if she disappeared, then resurfaced when she began to run out of air.
• Meredith swam to the dock and walked away dramatically, but Dr. Bailey ordered her to change clothes and return to the rescue.
• Meredith went back to work and decided that Adam was the protagonist of the rescue while she should focus on doing her own job.

Adam guided Cristina over the phone as she performed emergency cranial drilling surgery on Rick at the rescue site. Rick regained consciousness, and Adam told the group to wait for the search-and-rescue team.

• Cristina reported Rick's worsening symptoms, and Adam diagnosed possible brain herniation and ordered an emergency cranial drilling procedure.
• Adam sent visiting doctor Taylor and Vincent to assist Cristina, then coached her through preparations and the procedure by phone.
• Cristina made two holes in Rick's skull, relieved the pressure, and cleared blood clots under Adam's guidance.
• Rick regained consciousness, and Adam said the search-and-rescue team would find the group soon.

As Adam continued rescuing victims from the cruise ship accident, news coverage made him an overnight sensation and drew attention to his fame and abilities. Watching the broadcast, Juno realized Adam’s growing prominence would bring more work and decided to focus on Rachel while Heather stayed with the others.

• Reporters gathered at the docks and tried to learn everything they could about Adam, while Sandra privately suspected she knew his identity and planned to investigate.
• Television coverage praised Adam’s emergency treatment, and viewers at the Medical Center watched as the reported number of patients he had treated rose to sixty-three.
• Heather and the others celebrated Adam’s rescues, while Juno worried that his growing fame would bring darker consequences and increase her workload.
• Juno recalled that Amazing Amy might have become a useful helper and concluded they could not give up on Rachel.
• Juno left to check on Rachel, telling Heather to stay with Tatiana and the others because she was better suited to the task.

After saving more than a hundred people at the dock, Adam returned to the Medical Center and performed surgeries for three days, gaining more Lifespan. As he left with Juno and Karen, a familiar blonde woman called out to him.

• Adam left the rescue site to return to the Medical Center, where Juno told him the children were safe and Megan was caring for a lost little girl whose mother had not been found.
• Juno explained that she was working to help Rachel stay near Gilly during Gilly’s final days with her parents’ tacit consent.
• Adam began leading surgeries at Richard’s request and performed twenty operations over three days, gaining another +0.2 Lifespan.
• Adam left the Medical Center with Juno and Karen, then turned when a familiar blonde woman called out to him.

At the medical center, Adam recognized a blonde stranger as a possible threat and discussed with Juno how to uncover her intentions. Juno urged him to use his charm to obtain information, and the stranger grew irritated as Adam ignored her.

• Adam spotted a blonde woman whose appearance reminded him of the Black Widow and warned Juno that she might be trouble.
• Adam asked Juno to help get rid of the woman, while Juno advised him to use a Male Honey Trap to learn what she wanted.
• Juno and Karen planned to return to the bedroom while Adam went back to the apartment with the stranger and questioned her.
• Adam ended his eye conversation with Juno after noticing Karen and the blonde woman watching him.
• The blonde woman became annoyed when Adam ignored her and focused on Juno, but stayed because she wanted an explosive exclusive scoop.

Adam was confronted by Daily Bugle reporter Sandra Plansky, who accused his novel Lord of the Mysteries of inspiring a British serial killer. As Adam defended himself, he learned Sandra had exposed the recent killing as the work of an imitator rather than the original Tarot Card Serial Killer.

• Juno and Karen left Adam alone with the blonde reporter in the medical center parking lot.
• Sandra Plansky interviewed Adam about the cruise ship accident and his career before accusing Lord of the Mysteries of influencing the Tarot Card Serial Killer.
• Adam rejected Sandra’s accusation, arguing that the killer’s crimes could not fairly be blamed on his novel.
• Adam recalled that the killer had staged victims as members of the Tarot Club, prompting public fascination and pressure that led him to stop writing after Volume Eight, The Fool.
• Sandra revealed that she had exposed the recent murder staged as Miss Justice Audrey as the work of an imitator.

Adam reflected on Sandra’s unlikely rise from journalism student to celebrated reporter after she exposed Peter Lehman as the Tarot Killer. Sandra then came to see Adam, leaving her reason for the visit unresolved.

• Adam recalled how Sandra used a dead reporter’s note to investigate Peter Lehman, drawing closer to him while collecting evidence.
• Peter Lehman confessed to killing Betty and his former secretary, then pushed Sandra into the lake and called the police to report her accidental drowning.
• Sandra revealed that she could swim, and the police arrested Peter Lehman after learning what had happened.
• Sandra’s exclusive report made her famous, and she joined the Daily Bugle after graduating.
• Adam wondered why Sandra had come to see him.

Adam argued with Sandra about the Tarot Card Killer case, then used her attraction to him to turn their confrontation into a night together. Juno listened from the guest room and concluded that the reporter's looks and figure made her a serious rival to Heather.

• Adam gave up trying to persuade Sandra that he should not bear responsibility for the Tarot Card Killer case and prepared to leave.
• Sandra accused Adam of losing sleep over the innocent victims, and Adam stopped to flirt with her.
• Sandra rejected the idea of dating Adam, while he took her response as an opportunity to play the rake.
• At Duncan Apartment, Juno heard Sandra arrive and inferred Adam's intentions from the sounds.
• Two hours later, Juno judged Sandra's appearance and figure to be a match for Heather's.

Adam and Juno discussed Sandra’s suspicions that a real Tarot Club existed and decided Adam would teach her a lesson. Sandra woke the next morning, remembered what had happened, and cried out in shame and anger.

• Juno arranged for Karen to watch the unconscious Sandra, then asked Adam to discuss matters outside the bedroom.
• Adam explained that Sandra suspected he knew about a real Tarot Club and hoped to uncover a sensational story through him.
• Adam and Juno agreed that he would handle Sandra, while Juno warned him not to let his soft heart compromise their plans.
• Sandra woke the next morning, accepted water from Juno, recalled the previous night, and cried, “Damn it~!”

After waking in Adam Duncan’s apartment, Sandra remembered how she had revealed her investigative purpose to him and felt ashamed that her professionalism had failed again. She decided Adam was pretending not to know and resolved to keep investigating him, leaving the apartment convinced she could eventually uncover his weakness.

• Sandra woke up and recalled that she had disclosed her investigation to Adam the night before.
• Juno told Sandra that Adam had ordered breakfast for her, prompting Sandra to suspect he had an ulterior motive.
• Sandra reasoned that Adam was pretending not to know she remembered their conversation so she would keep investigating without suspecting him.
• Sandra decided to continue pursuing Adam and looked forward to turning whatever she discovered into an exclusive.

The interns prepared for their Certification Exam while Dr. Bailey tried to keep them focused and Adam continued operating. Adam arrived after the exam was delayed for him, finished quickly, and left, while Cristina kept working.

• Cristina and George reviewed frostbite treatment while watching injured climbers arrive, but Dr. Bailey ordered the interns away to study.
• Dr. Bailey recalled how she had cleared the interns’ schedules so they would be rested for the exam and warned them that the five lowest scores would be fired.
• Cristina shared her test-taking strategies with Meredith and George while they waited for the exam to begin.
• The proctor delayed the exam until Adam arrived, with the hospital making room for him to finish surgery.
• Adam handed in his paper soon after the exam began and left, prompting Cristina to complain as she continued answering questions.

Adam finished the surgical interns’ certification exam early and hosted a free celebration at Friends Bar on the final night of their internship. He met Lexie Grey, Meredith’s half-sister, and recognized her resemblance to Meredith.

• Adam returned to surgery instead of spending time on the easy certification exam, while the other interns struggled under the pressure.
• The proctor ended the exam, and the interns left uncertain about the results that would determine their futures.
• Adam arranged a free party for the hospital staff at Friends Bar to mark the end of the internship.
• Adam prepared to leave the crowded bar, but Lexie Grey approached and offered to buy him a drink.
• Adam guessed that Lexie had come from Boston and was a Grey because she resembled Meredith.