Chapter Summaries

Adam, Juno, and Karen watched the scandal over the nursing home and psychiatric hospital escalate into a public spectacle, while Bearded Dwarf mobilized to rescue his mother from his former gang. The chapter ended with Adam and Juno celebrating their impact as Karen fumed at being overlooked.

• Reporters exposed the elderly residents’ situation and confirmed that the woman at the psychiatric hospital showed no signs of dementia.
• Bearded Dwarf recognized his former gang’s symbol outside the hospital and ordered his men to gather so he could save his mother.
• A fierce battle erupted outside the psychiatric hospital as reporters watched and filmed.
• Adam, Juno, and Karen watched the fighting on television, and Juno reflected that their actions might help prevent future abuse.
• Juno and Adam shared their sense of achievement, then included Karen, who remained jealous and angry at Adam.

Adam responded to a wave of hospital emergencies after a returned soldier attacked Golden Light Nursing Home to rescue his mother. As Adam treated the wounded, he cautioned his staff and friends to stay safe and questioned whether the nursing home’s caregivers were truly innocent.

• Adam left for the hospital after his pager went off and sent Juno and Karen to stay with Monica, carrying a first-aid kit.
• George and Carter told Adam that a soldier had attacked Golden Light Nursing Home after learning his mother was there, killing the director and injuring or killing caregivers.
• Adam prepared the Four Interns for incoming patients, warned them to stay close, and called Marshall and the others to tell them to remain indoors.
• Paramedics brought in Officer Peter Verus with a gunshot wound, and Adam ordered Melendez and Carter to take him for X-rays.
• Lexie praised Peter for supposedly charging at the front, but George explained that Peter was likely a nervous rookie who had accidentally been shot; Adam advised Lexie to act more professionally.
• Adam treated gravely injured Golden Light Nursing Home caregivers and suspected they had known about or enabled the facility’s mistreatment of residents.

After the hospital lost power, Adam found Carter, Melendez, and a critically injured patient trapped in an elevator and guided Melendez through an emergency thoracotomy. A gunshot from the Operating Rooms left Adam nearly certain that the war god had attacked the hospital.

• Adam sent Lexie to assist Bailey while he headed for the Operating Room to treat the rookie cop.
• The hospital lights went out, and Carter called Adam to report that he, Melendez, and the patient were trapped in an elevator.
• Adam ordered Melendez to perform an emergency thoracotomy in the elevator and coached him through the procedure.
• Adam told the arriving firefighters to wait outside while Melendez continued operating on the patient.
• A gunshot sounded from the Operating Rooms, convincing Adam that the war god had struck.

Adam rushed to the Operating Room after gunshots rang out and subdued a soldier threatening Dr. Shepherd and the surgical staff. While keeping the attacker restrained, he guided Shorty through stopping the bleeding in another patient, then ordered firefighters to move the patient to Operating Room 3.

• Adam told Nurse Lori to keep a phone line open so Melendez and Carter could update him during the surgery, then ran toward the Operating Room.
• Adam found a security guard wounded outside and learned that an armed soldier had entered the Operating Room.
• The soldier threatened Dr. Shepherd and the medical staff, but Adam used Bullet Time to break the soldier’s gun arm, knock him down, and restrain him.
• Adam shouted for Dr. Clark to bring a sedative and ordered the staff to continue surgery while he guided Shorty through clamping the aorta and plugging a wound in the inferior vena cava.
• Shorty reported that blood was flowing into the heart and its heartbeat had strengthened, so Adam told Nurse Lori to have firefighters move the patient to Operating Room 3.

Adam sedated and restrained Soldier God of War after he threatened Dr. Shepherd, then planned ways to ensure the soldier faced severe legal consequences and remained under surveillance. He left Soldier God of War in the care of the medical staff and police while Shorty and Carter brought the rescued rookie cop toward them.

• Adam took George's sedative and injected it into Soldier God of War, knocking him unconscious.
• Adam thanked Dr. Shepherd for upholding medical ethics and decided to treat Soldier God of War as a mortal enemy after the soldier threatened him.
• Adam planned to use lawyers, police, the Doctors' Guild, and expanded surveillance to pursue and monitor Soldier God of War.
• Adam removed Soldier God of War's weapons, restrained him, reset his broken hand, and had the nurses transfer him to Kelly.
• Adam found Nurse Cindy tying a decorative bow onto Soldier God of War's restraints and warned her not to loosen them.
• Firefighters rescued Shorty and Carter from the elevator, and the two pushed the rookie cop toward Adam.

After Adam and the others saved a rookie cop and completed the hospital surgeries, Adam learned that the power outage had been deliberate and discussed the incident with Meredith, Kate, and Jessie. He took Kate to his office to ask for more details, while considering how to build connections in the FBI for his own security.

• Adam finished the rookie cop's surgery, then credited Shorty and Carter for keeping him alive as police officers thanked them.
• A nurse told Adam that someone had deliberately cut the hospital's main power and disabled one backup generator, and that Dr. Shepherd's surgery had gone smoothly.
• Meredith hugged Adam and thanked him for saving Derek, and Adam urged her to accept Derek's proposal if she loved him.
• Adam teased Kate and Jessie, then hugged Jessie as he thanked her for enforcing the law fairly.
• Adam took Kate to his office to discuss the incident and considered building FBI connections to protect himself.

At the Medical Center, Adam persuaded Kate to tell him about the psychiatric hospital shootout, then joked about her helping him pursue Jessie. He later called Monica and Juno, and Monica reassured him that she and Chandler were happy and expecting Little Adam.

• Kate refused to go to Adam's office but told him what she knew about the psychiatric hospital case.
• Kate explained that the Bearded Dwarf had been nearly blown apart, while his mother survived and was detained for a psychiatric evaluation.
• Adam joked about Kate helping him pursue Jessie, prompting her to leave him at the Medical Center.
• Adam called Juno and learned that Monica was still awake and chatting with her.
• Adam and Monica reminisced about Mr. Heckles, and Monica said she and Chandler had Little Adam to keep them from being lonely.

Adam lent The Four Interns to Dr. Montgomery to help handle the surge in assisted-reproduction consultations caused by the Golden Light Nursing Home scandal. He learned that his uncle Bell Duncan was reconsidering having a family, then answered an excited call from his mother Amy by pleading that her news not be another pregnancy.

• Dr. Montgomery asked Adam for interns because the Golden Light Nursing Home scandal had overwhelmed her with high-status couples seeking assisted-reproduction advice.
• Adam sent The Four Interns with Dr. Montgomery for an early Neonatology rotation, and later checked that they were handling the consultations well.
• Adam spotted Bell Duncan at the hospital with a woman and learned Bell had been promoted to oversee Dating End Station in New York.
• Bell told Adam that the scandal had made him question his past refusal to have children and that he wanted to avoid a lonely future.
• Amy called Adam with good news, and he repeatedly begged her not to say she was pregnant.

Adam panicked when Amy called with good news, fearing another pregnancy, and reassured himself that his parents would not have a seventh child. Amy revealed the news involved Teddy, while Adam insisted none of his girlfriends was pregnant and boasted about his ability to prevent accidents.

• Amy told Adam she was not pregnant, and he thanked Bob for avoiding another accident.
• Adam pleaded with Amy not to have a seventh child, and she said she had gotten an IUD.
• Amy joked that Adam was one of a kind because Bob had not dropped his head against the floor again.
• Amy said her good news was about Teddy, and Adam mistakenly feared that a girlfriend was pregnant.
• Amy guessed that Heather, Paige, or Juno might be pregnant, but Adam denied it and claimed his medical skill made accidents nearly impossible.

Adam learned that his sister Teddy was engaged to Spencer and decided to send them an engagement gift. The gift arrived in Los Angeles, where Adam revealed it was meant to welcome Spencer into the Duncan family.

• Mom Amy told Adam that Teddy was getting married, and Bob confirmed that Spencer had proposed to her.
• Adam spoke with Bell Duncan, then decided Spencer had mishandled the proposal by failing to seek Bob's permission.
• Adam sent his assistant Ada to arrange express delivery of an engagement gift to Teddy and Spencer in Los Angeles.
• Teddy received the gift, called Adam, and began opening it as he told her it was meant to welcome Spencer into the Duncan family.

Adam sent Teddy and Spencer a videotape that began as an engagement tribute but turned into a display of his medical work and strength, making Spencer fear his future brother-in-law. The chapter ended with Teddy happily welcoming Spencer into the Duncan family while telling him he could still back out if he settled things with Adam first.

• Teddy gave Spencer the gift box Adam had sent, and Spencer excitedly mistook the videotape inside for an adult tutorial.
• Teddy and Spencer watched Adam congratulate them on their engagement, then learned Spencer had never asked Teddy's father for permission.
• Adam showed clips of his work, including snapping the Soldier God of War's arm, which frightened Spencer.
• Adam welcomed Spencer into the Duncan family and warned him to cherish Teddy, crushing walnuts in his hand as he spoke.
• Spencer asked Teddy whether it was too late to back out, and Teddy said it was if he first explained things to Adam.

Adam learned that Lexie was living in a cockroach-infested apartment and furnishing it with items taken from the hospital, so he sent The Four Interns to help her exterminate the pests. He left them competing to devise the best method and earn extra points.

• Adam celebrated his second sister Teddy's engagement before learning Lexie had found a run-down apartment and taken hospital supplies to furnish it.
• Lexie explained that she was struggling with student debt and could not afford a better home, while her half-sister Meredith had inherited Ellis Grey's assets.
• Adam told Lexie to invite Carter, Shorty, and George to help clear the cockroaches and offered extra points to whoever contributed most.
• The Four Interns eagerly competed to help Lexie, and Adam sent them to her apartment to come up with pest-control methods and prove their results.

Adam and the interns treated three people mauled by a bear after a man reached for its cub, and Adam suspected the badly injured brother’s sudden reckless behavior might be caused by a brain tumor. The chapter ended as Adam, Lexie, and Carter entered surgery to treat Mr. Robinson’s severe injuries and blood loss.

• Adam teased The Four Interns after they admitted they had failed at pest control work.
• Mr. Robinson and two other survivors arrived at the medical center after a bear attacked them, and Adam rushed the critically injured brother into emergency treatment.
• Adam assigned Melendez to treat the brother and O'Malley to take the injured woman to Dr. Shepherd, then ordered Grey to reserve an operating room.
• Mr. Robinson explained that his brother had touched a bear cub and that the brother had recently married a waitress after knowing her only a few days.
• Adam suspected the brother’s sudden change in judgment might indicate a brain tumor and asked Carter to arrange an MRI after Dr. Bailey treated his injuries.
• Carter reported that the woman’s scalp had been badly torn but her brain was unharmed, and Adam, Lexie, and Carter prepared to operate on Mr. Robinson for severe blood loss and signs of sepsis.

Adam stabilized Mr. Robinson and proposed a clinical research project using viruses to shrink his brother’s inoperable malignant glioma. Dr. Shepherd agreed to assist, and they went to tell Mr. Robinson Jr. about the experimental treatment.

• Adam transferred Mr. Robinson to the Intensive Care Unit and assigned Carter and Lexie to stitch his wounds while monitoring him.
• Shorty told Adam that Mr. Robinson Jr. had an extensively spread malignant glioma that could not be surgically removed.
• Adam proposed injecting active viruses into tumors to shrink them, starting with patients who had incurable malignant tumors.
• Dr. Shepherd warned that viral mutation was difficult to control but agreed to assist Adam with the clinical research project.
• Adam and Dr. Shepherd went to tell Mr. Robinson Jr. about the experimental treatment.

Adam treated Mr. Robinson's worsening condition and proposed an experimental virus therapy for his brain tumor, but urged Mr. Robinson Jr. to consider the risks before agreeing. After a successful surgery, Mr. Robinson Jr. agreed to think the trial over, while Adam prepared to continue his work and missed Paige.

• Dr. Shepherd and Adam explained the experimental treatment's risks to Mr. Robinson Jr. and Mrs. Robinson Jr., and Mrs. Robinson Jr. said it was their only chance.
• Adam left to resuscitate Mr. Robinson, whose condition had suddenly worsened, and worked to keep him alive through the night.
• Adam told Mr. and Mrs. Robinson Jr. that Mr. Robinson's surgery had succeeded.
• Mr. Robinson Jr. said he agreed to the clinical trial, but Adam urged him to rest and consider the decision for a few more days.
• Adam planned to refine the treatment and monitor Mr. Robinson, and he thought about how much he missed Paige.

Adam began a long-term clinical research project with the Four Interns and helped Dr. Burke save a bypass surgery by proposing high thoracic epidural anesthesia for Mr. Arnold. He then used his knowledge of birds to calm Mr. Adeno through an awake operation, which proceeded with Adam assisting.

• Adam assigned the Four Interns to observe and record Mr. Robinson Jr.'s reactions as part of a clinical research project.
• Cristina told Adam that Mr. Arnold's bypass surgery had been canceled because he was allergic to anesthetics, and Adam proposed high thoracic epidural anesthesia.
• Dr. Burke agreed to try Adam's approach, and Mr. Arnold accepted the operation after they explained the plan.
• Adam studied birds so he could distract and reassure Mr. Adeno during his lengthy awake surgery.
• Adam discussed bird calls and birding competitions with Mr. Adeno during the operation, helping him stay calm while Dr. Burke operated.

During Adam’s first American high thoracic epidural coronary bypass, he kept birdwatcher Mr. Adeno calm by imitating bird calls and turning the crowded observation room into a bird-identification game. Mr. Adeno overcame his fear of being watched and began matching the doctors to birds, including a melancholy Dr. Shepherd.

• Doctors crowded into the observation room to watch Adam operate and imitate bird calls for the conscious Mr. Adeno.
• After two hours, Mr. Adeno grew tired and became alarmed by the crowd watching him, causing his heart to pound.
• Adam calmed Mr. Adeno by comparing the onlookers to birds and distracting him with talk of bird migration and Attu Island.
• When Mr. Adeno grew uneasy again, Adam identified the Chief of Surgery as a Great Blue Heron and encouraged Mr. Adeno to identify the other doctors.
• Mr. Adeno joined the game, identifying a female doctor as an ibis and Dr. Shepherd as a melancholy Black-headed Nightingale Thrush.

Adam completed Mr. Adeno’s surgery, then visited Paige with a videotape that revealed a multiverse-themed surprise. Paige used it to challenge Sheldon’s boast about her old chess tactics, leaving Sheldon speechless when she told him to beat Adam first.

• Adam completed Mr. Adeno’s surgery, and the Chief of Surgery praised him and offered to help with future cases.
• Adam took the interns to the laboratory and told Melendez and Grey to monitor the virus being cultivated for Mr. Robinson Jr.’s treatment.
• Adam drove to New Jersey and brought Paige a videotape, which she initially mistook for one of his usual tricks.
• Paige watched the tape with Adam and Lisa, then excitedly asked Adam to call Sheldon.
• Paige told Sheldon she now believed in the multiverse theory and challenged him to play chess against Adam first, leaving Sheldon speechless.

Adam showed Sheldon a recording of a parallel-universe version of Sheldon who had become The Flash, leaving Sheldon horrified by the revelation that his counterpart traveled between universes to find a Great Spotted Woodpecker.

• Adam told Sheldon that he had met God and had proof, then played a recording for him.
• The Flash explained parallel universes and revealed that he had gained the Speed Force after being bullied and becoming a highly educated scientist.
• The Flash removed his cowl and revealed that he was Dr. Sheldon Lee Cooper, shocking Sheldon.
• The Flash said his mother and grandmother were fine, and that he visited his father in other universes.
• The Flash revealed that he crossed universes to see his beloved Great Spotted Woodpecker, prompting Sheldon to cry out in horror.

Adam pranked Sheldon with a fake video about a Flash version of himself who fell in love with a woodpecker, then revealed that the story was acted by Ichabod Crane. After Sheldon looked up the truth and cried out in disbelief, Adam turned his attention to Paige.

• Adam showed Sheldon a staged video in which Flash Sheldon described overcoming his fear of birds and falling in love with a Great Spotted Woodpecker.
• Flash Sheldon told how the bird returned, laid an egg, and later died beside her former lover, after which he called himself a mommy.
• Adam and Ichabod Crane broke character and revealed that the video was a prank, with Crane playing a birdwatcher rather than the real Flash.
• Sheldon vanished from the call to look up Ichabod Crane's website, then screamed when he confirmed the deception.
• Adam asked Paige if the prank had gone too far, and Lisa discreetly ended the call before leaving them alone.