Richard (James Pickens Jr.) is the director-in-residence of Gray Sloan in the fourth episode of the 18th season of "Grey the Intern" on October 21, also known as "With the Help of Friends" . And he is going all out to introduce what he called the "Weber Method", which has made Bailey (Chandra Wilson) very concerned.

[Warning: The following contains the main spoilers for "Grey's Anatomy" Season 18, Episode 4 "With the Help of My Friend". ]

Using the Weber method, Richard authorized the resident to perform the knee cholecystectomy-that is, laparoscopic cholecystectomy. According to Richard's schedule, the most challenging five to ten minutes of each operation requires participation. The residents are very excited, but once they enter the operating room, their mileage is different...

For example, Schmidt (Jake Borelli) and Khan (Nikhil Shukla) operated bile so easily that Richard assigned them a second bile. But Helm (Jaicy Elliot) and Chee's (Robert I. Mesa) When Helm clamped an artery, one and only bile went south, and Bailey—he had great reservations about the idea of ​​the Webber Method— Had to intervene to save the patient.

Despite the perilous crisis, even Bailey had to admit the success of the Weber method: thanks to Richard's new teaching method, most residents regained confidence and 12 patients were free from cholecystitis.

Schmidt celebrated his OR prowess by contacting Nico (Alex Randy) in the call room, who called him a "rock star boyfriend."

Meanwhile, Helm mourned her mistake on the bench outside the hospital. But Bailey gave her an inspiring conversation. "Don't you think I have never made a mistake in the operating room before? Or watch Meredith Gray make a mistake?" Bailey asked. "That feeling, that kind of horror, it has always been with us, so we have never made such a mistake before. This is how we become great."

As for this week's case, last week Addison's (Kate Walsh) uterine transplant patient Tova was experiencing postoperative seizures. So Addison asked Amelia (Katrina Scorson) to perform a neurological test. While waiting for the results, Addison asked Emilia about her and Link (Chris Carmack) The relationship and his failed marriage proposal. But Addison also made public her own personal life, admitting that she was "really dark" during the pandemic. She hated being trapped at home, began to resent her husband and son, and imagined not waking up every morning.

Later, Amelia found the answer in Tovah's case: Tovah was suffering from neurotoxicity from anti-rejection drugs. However, Amelia's diagnosis means that Tovah can keep her new uterus.

That night, Addison tried to give Amelia some perspective, starting from her own experience of crashing during the pandemic: “When a person is in a mental health crisis, a person may make a decision that he regrets later.” she says.

But Amelia insisted on her position, convinced that she had made the right decision with Link. "I just don't want rings, and I don't want more children," she told Addison. "I hate the life he loves, so I think the most sensible and kind thing I can do is to let him go, no matter how painful it is sometimes."

Edison's response? "Looking at you. Amelia Shepard, all grown up."

At the same time, Irving (Kevin McKidd) is still working hard to help veterans who have contracted illnesses from exposure to burn pits. In fact, he is starting a study to prove the link between burn pits and veterinary disease. His patient Noah took him to a support group led by veteran Roy, who is planning to travel to Washington, DC to expose Virginia's inaction. But Roy started coughing up blood, so Owen took him to Graceron.

In addition to Roy's pulmonary fibrosis, Owen and Winston (Anthony Hill) also diagnosed Roy with lung cancer. The surgeon knew that Roy could not remove part of the lung, so they recommended a segmentectomy to remove only the cancerous mass. However, before he moved the knife, Roy admitted that he authorized the incineration pit while performing the mission and wanted to dispose of the garbage accumulated in his base. "I know I committed the worst crime: complicity," he told Irving. "So, at the end of the day, I should probably die. Everyone else deserves to live."

Unfortunately, Roy did not pass the operation, and his death made the distraught Noah cancel the offer to help Owen study. "You convinced me to introduce you to my family, my friend," he told Owen. "Look at what happened. You made things worse."

Meanwhile, Joe (Camilla Ludington) is working with a pregnant patient named Nicky, who is in the early stages of childbirth. Nicky’s partner Dustin sent her to the hospital, but was later released on bail, saying that he did not realize that she was pregnant and that he was not qualified to be a father. Nikki panicked about being a single mother, but Joe told her from experience that she would be fine—as long as she met children, she would love her children wholeheartedly. "This is more valuable than your fears," she added.

With the help of Carina, Jo successfully delivered the baby and cleverly solved the dystocia. The baby's shoulder was trapped behind Niki's pelvic bone. When Niki picked up her baby for the first time, she shed tears of joy.

Another patient this week is a teenager Megan told Hayes (Richard Frod): a 14-year-old boy who felt tired during football training and had swollen ankles. The patient turned out to be Meghan's son Faruk. Hayes noticed non-specific ST-T wave changes and heart murmurs. He diagnosed Farouk with constrictive pericarditis, which is an inflammation of the pericardium. This is where we left Farouk, so as the season progresses, we may see more Megan and her son.

At the end of tonight's episode, Meredith (Alan Pompeo) flew to Minnesota to continue her work on Parkinson's disease. When she arrived, Mel met Nick (Scott Speedman), who was on his way home from the donor organ extraction facility. Meredith suggested that they meet for dinner. (Let the romance begin!)

ABC’s trailer at the end of the episode made fun of another station 19 crossing event, where some kind of earthquake or explosion shook the fire station and hospital, and the trailer warned-ominously-that not everyone will survive . The two-hour event will start on Thursday, November 11th, 8/7c-goodbye!

Grey Intern, Thursday, 9/8c, ABC

Keep up with your favorite shows...deliver to your inbox!