Derek: Do you know how long her shunt must have been malfunctioning for her bowel to have gotten this bad?!
Meredith: They didn't know what to look for.
Derek: Exactly, because she should've been with us.
Meredith: But she's not and that's my fault and I may never sleep another night again because of that. But if there's a prayer of us getting her back then we just have to dot our I's and cross our T's and not mess with the rules. Arizona is a great surgeon. Please don't make it worse.
Derek: What is your plan on fixing this?
Arizona: It's just kinked. Once I get in there and I remove the adhesions and fix the obstruction the shunt will be fine.
Derek: What if it's not? What if it's disconnected or broken?
Arizona: Then I convert to a V-A shunt. Derek, I can do this. Let me do this.