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Grey's Anatomy

Grey's AnatomyABC

Season 12, Episode 4

5 medical diagnoses portrayed

Watch on Amazon

Also known as: Ruptured aneurysm

Rachel Bishop is post-op day one following decompressive craniotomy for subarachnoid hemorrhage. Dr. Shepherd implements an aggressive early ambulation protocol despite the patient's significant pain and distress, which becomes a source of conflict between Shepherd and Edwards.

Grey's Anatomy — S12E04Patient: Rachel Bishop

Also known as: Hole in the diaphragm

Splenic hematoma

Gabby suffers a diaphragmatic rupture and splenic hematoma from a shuttle bus crash. She undergoes emergency surgery while unaware that her partner Abe has died, creating emotional tension about when to tell her.

Grey's Anatomy — S12E04Patient: Gabby Margraff

Also known as: Heart attack

Eddie suffers a fatal heart attack after being given nitroglycerin when his blood pressure drops. He had concealed his use of erectile dysfunction medication despite warnings, leading to a lethal drug interaction. His death serves as the catalyst for teaching interns about delivering bad news.

Grey's Anatomy — S12E04Patient: Eddie Squire (Abe)
Multiple traumasupporting

Also known as: Major injuries from car accident

A shuttle bus crash brings a 'silver flood' of elderly patients with multiple fractures, traumatic injuries, and complications. This mass casualty event drives the episode's teaching storyline about communicating death to families, with 14 total fatalities.

Also known as: Sickle cell

Edwards reveals her childhood history of sickle cell disease and participation in a painful clinical trial, which informs her resistance to Dr. Shepherd's aggressive early ambulation protocol for Rachel. This backstory creates conflict and character development around medical ethics and trauma.

Grey's Anatomy — S12E04Patient: Stephanie Edwards
Recurring storyline