While it’s nice of this week’s episode of Grey’s Anatomy to give us an easy, breezy storyline about Link and Jo arguing over Link’s secret man cave on their first outing away from their four children (don’t worry about those two; they are solid), most of “Get Lucky” is about the growing chaos at Grey Sloan Memorial. There is some real angry tension building everywhere you turn! Teddy and Winston! Teddy and Owen! Bailey and Lucas! Mohanty and Jules?! Neither the hospital nor my brain was built to withstand this kind of mounting pressure. Exciting, right? Let’s talk about it.

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Do or die

Teddy, Teddy, Teddy. Look what you’ve gotten yourself into, girl. And in this episode, I mean that both professionally and personally. At the top of the hour, we learn that Corban is only getting worse. Last week, Teddy sold Corban on sticking with the less-risky treatment plan to treat his infected graft instead of going for broke with the famed ventral aorta surgery she and Winston performed on Nora Young. Teddy was scared to try it a second time — but now there is literally no other option. But before she can attempt the surgery a second time, she has to get two people who might not exactly be on board with performing this surgery now to consent: Corban’s sister Leticia and Winston Ndugu.

Teddy goes to Winston first. She is surprisingly mean and angry for someone who not only needs help but was also in the wrong. Winston wanted to do this surgery yesterday before Corban got worse. By now, Corban has deteriorated so much that it makes this risky surgery even riskier. When he points out that she wasted his best shot out of fear, she bites his head off with lines like I made the best choice with the information I had! and Do you want me to say I was wrong? And honestly, yes, Teddy, I do. Her proclamation to “either help me come up with a plan to save him, or stop wasting my time” is rich coming from this woman. Thankfully, Winston has thick skin and is a professional — of course, he wants to help Corban.

Getting Leticia on board happens at a much lower decibel. She’s confused on the treatment-plan whiplash here but can see this is his only option. Yes, he could die during this surgery, but without it, he will definitely die. As Simone points out, this is his only chance of survival, and these two surgeons are literally the only two people who can perform the surgery. Leticia gives consent but begs Teddy not to make her regret it. They have to watch her tearfully say goodbye to her unconscious brother, a speech that includes the fact that she’s naming her unborn son after him. It is gutting — as if the stakes weren’t already high enough here.

I guess Winston can take solace in the fact that he’s not the only person Teddy’s directing her ire at today. When Owen finds her running through the surgery in a supply closet and offers her some words of encouragement, she responds by yelling at him about how infuriating he is and has always been. Teddy is a monster! When I voluntarily feel the need to defend Owen Hunt, you know someone is really out of line. Thankfully, for Corban’s sake, Teddy and Winston do make amends while scrubbing in. He once again points out that her ego is what got her into trouble here and that he would really like to be sure that they are in a partnership, that in that OR, she is going to listen to what he has to say instead of just dismissing him. She promises. And so, he gives her his full support.

Despite how complicated and intense this surgery is, it mostly goes well. I mean, the staples on the new aorta not staying in place at first and Corban’s blood spraying all over Teddy isn’t, like, great, but other than those things, Teddy and Winston — assisted by Simone and Kwan — really work as a cohesive unit. When they place staples the second time, they hold. They have successfully completed the surgery a second time. Do we have a new cardio dream team at Grey Sloan on our hands?

The specter of Cristina Yang hangs over this episode in more ways than this display of incredible cardiothoracic medicine. Teddy goes home to relieve Owen, who was with the kids, and she apologizes for snapping at him and thanks him for always believing in her no matter what. She thanks him again by sticking her tongue down his throat. The ink hasn’t even dried on those divorce papers, and they are hopping back into bed together! When Owen continued to have sex with Cristina after their divorce, it did not end well — it was just a mess. Will post-divorce backsliding work out for the guy this time around? I’m sure we’ll find out.

Who said surgery is a team sport?

Cardio might have gotten a big win today, but the same cannot be said for plastics. Mohanty is still nervous about getting a good recommendation from Dr. Wright so she can score that plastics fellowship under Jackson Avery in Boston. Her family lives there, Jackson is as good as it gets in plastics, this is her dream. She’s working with Wright today, so she has a lot riding on it. You’d think the fact that her boyfriend’s friend Jules is on her service would be comforting (or even kind of fun?), but Mohanty simply tells her to be on her A-game today.

It’s not a hard request to fulfill for Jules. She knows their patient Mr. Hill — he is in for a reconstruction surgery after complications with the CABG he recently had left a large open wound in his chest. Jules was the resident on the CABG, and she gets along swimmingly with Mr. Hill and his wife. It immediately pisses Mohanty off. The tension only grows when Wright asks Jules and Mohanty for ideas on how to go about this surgery, and Jules offers up an out-of-the-box idea that Wright winds up choosing over Mohanty’s suggestion. After Wright leaves, Mohanty snaps at Jules to know her place. Jules is blindsided.

Mohanty doesn’t warm up to Jules during the surgery either. Bailey and Ben are called in to perform the initial surgery on the omentum that will be used as the flap to cover the wound, and Bailey uses it as an opportunity to talk up Ben, who is still attempting to get on Wright’s good side. Wright sees through the incessant glazing, but it still works — when she gets called to an emergency burn case, she takes Ben with her and leaves Mohanty and Jules to finish up the omentum flap. Mohanty refuses to let Jules assist in any way. When Jules asks if she should just get another resident to replace her, Mohanty goes off on her — Jules made her look like a fool in front of Wright. Jules swears it wasn’t her intention. She told her to be on her A-game, so she was. If she wanted Jules to make her look good in front of Wright, she should have said exactly that. She’s on Mohanty’s side.

That sentiment is put to the test when Jules goes to check on Mr. Hill, only to discover that the omentum flap isn’t getting any blood flow, and it’s dying. They rush him back to the OR, and Wright is livid. She discovers that whoever stitched the flap in stitched it right over where the blood supply would come from. This was negligence by a surgeon, and it means Mr. Hill will need to have multiple surgeries — and at his age and in his condition, that’s risky. We know, of course, it was Mohanty who made the error, but she doesn’t fess up to it, and Jules, keeping her word, doesn’t out her. Wright kicks them both out of the OR. Mohanty assures Jules that everything will be fine, even when the likely M&M presentation comes around. She almost seems a little too casual about the enormous favor Jules just did for her.

Hey, at least Dr. Wright’s day isn’t a total disaster. Amelia gets weird when Wright asks her out on a proper date following their traditional Grey Sloan on-call room hookup — Amelia doesn’t want Wright to know she has a son since that proved detrimental in her previous relationship. But as is the way on Grey’s Anatomy, Amelia winds up with a patient who changes her perspective. When she meets Jeremy, who has a head contusion, she watches as he grows more infuriated with his brother, who repeatedly teases and humiliates him. Jeremy refuses — and apparently has always refused — to confront his brother. When he finally does, his brother is apologetic. He had no idea this bothered him. Why didn’t he just tell him earlier? It reminds Amelia that it’s best to just say how you feel — people may surprise you. And that’s exactly what happens with Dr. Wright when she comes clean about Scout. Because guess what? Wright has a son too. It seems like all things are a go for this budding relationship.

Well, this felt inevitable

Bailey doesn’t regret being so stern with Lucas about being overly involved in Katie Rogers’ case; she stands by her decision to ream him out so he’ll focus on his actual patients. (Let’s be real; she isn’t just looking out for the patients but is also trying to save Lucas from himself! She has seen this too many times in the past 22 seasons, and we all know it!) But just because that was the right call, it doesn’t mean she can easily shake the feeling that she is failing Katie. Could she be doing more? Ben does his best to get Bailey in an OR and working with patients she can actually help at the moment. It is a nice reprieve, but she is still infuriated by the Katie situation.

Lucas, for his part, does take Bailey’s admonishment to heart. He sees Katie texting him repeatedly, but he ignores it. He wants to show Bailey that he is listening. When he notices Bryant getting overly emotional in regard to Jeremy and his brother — oh, Bryant wants to tell that guy off so badly — Lucas kicks him out of the room. “It’s not our job to get involved,” he tells an annoyed Bryant. What a turnaround in just one day for our guy Lucas, huh? (Don’t worry about Bryant; he is working through some brother issues of his own that this clearly triggered — he tells Simone he’s leaving for a bit because his brother’s epilepsy got much worse.)

Bailey and Lucas both seem to be muddling through the day until the thing we knew was going to eventually happen occurs. An ambulance pulls up with Katie inside. She can’t breathe. She has fluid pushing up on her lungs. She had been trying to text Lucas about it as it got worse throughout the day, but he never responded. He is pissed at Bailey — Katie trusted him, and because he was following Bailey’s orders, she was alone and scared all day. Bailey promptly kicks him off Katie’s care team. Something tells me it won’t be that easy to keep Lucas away as Katie’s health deteriorates.

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Maggie Fremont is a freelance pop culture writer with a focus on television. You can find more of her writing on Vulture, Entertainment Weekly’s EW.com, and TV Guide.