It's always been you, April Kepner

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"I-I'm sorry, chief. I misunderstood. I thought you said I could tweet until you decided"

"Don't play dumb. That's not what I said, and you know it. Put away that little toy"

"Oh, he's hemorrhaging. The blood's coming from...I-I don't know where it's coming from"

"Okay, hold on. Let's see. Oh, yeah. Okay, we've got a pseudoaneurysm in the splenic artery" Richard says

"How did that ... what ... what happened?" April asks

"Uh, pancreatic enzymes are leaking into the abdomen. They're dissolving the blood vessels. Clamp"

"You need to get the spleen outta there Richard says

"I'm already on it. Clamp. Anyone see any more bleeding?" Bailey replies

Madelyn whispers to Lexie "Keep tweeting"

"No, but what's left of the pancreas is still leaking"

"We need to take out that whole thing"

"You know, its one thing to live with half a pancreas, but to remove the whole thing ... His life's gonna be hell"

Richard looks up "Grey, put that damn thing away! This is exactly what I was talking about. Grey." Richard warns

Lexie pauses for a moment before saying "It's Walter Reed. They suggest an islet cell autotransplant"

"No, that's for pancreatitis. You don't do it with trauma patients" Richard says

"What is it exactly?" April asks

"You isolate the cells from the pancreas and inject them into the liver. They trick the liver into acting like a pancreas and ... and making Insulin" Madelyn says

"Yeah, when it works. You need an awful lot of cells. You ... you know, just because it isn't done for trauma doesn't mean ..." Richard says

"I know" Bailey replies

"I ... but even if we wanted to, we don't have the equipment to extract cells. We need a ricordi chamber"

"We don't have it, but Northwestern does" Lexie says reading the tweets

"How do you know?"

"They can get it on a plane and have the equipment here in six hours"

"Well, that's ... It's too late. He's ... he's too unstable"

Madelyn interrupts "Okay. Okay. H-h-hold on. Denver, um ... Tacoma methodist. Yes, they've ... they've got it"

"Tacoma ... uh, we take out the pancreas, I get on the helicopter to Tacoma with it, I'm back in 90 minutes, and you manage in the meantime" Bailey says to Richard

Richard thinks for a moment but finally agrees "Let's do it. Okay, tell them"

-

"How's he holding up, Dr. Knox?" Richard asks

"Ph is good. He's normothermic. Stable"