However, over the years, several strains of staph such as MRSA have evolved and have now become resistant to the antibiotics that once could destroy it. For example, MRSA was discovered over fifty years ago and has since developed resistance to methicillin, amoxicillin, penicillin, oxacillin, and even more. Its resistance stems from years of unnecessary antibiotic use; for example, patients routinely take antibiotics for sicknesses such as colds, flu, and other viruses — illnesses that typically do not dissipate with antibiotics.
As antibiotics are used more and more frequently, they lose their ability to fight the germs that originally were intended to fight. Resistance has been, and will continue to be, a growing concern in the healthcare field as long as people keep using the antibiotics inappropriately. We know how Bailey's patients were infected, but are there other methods of transmission? In most cases, MRSA spreads by contact — when one person touches another's skin infection or other items such as bandages, towels, or razors that have touched the infected area.
However, if surfaces are contaminated, a person may not definitely acquire the infection. A person's risk increases if they happen to have any cuts or open wounds that provide an opening for the bacteria like with surgical patients. Healthcare facilities remain a vulnerable setting for MRSA infections due to the number of immune-compromised patients, procedures that require openings in the skin, and possible colonization of the facility's personnel.
Other at-risk locations include: athletic facilities, dormitories, military barracks, households, nursing homes, correctional facilities, and daycare centers. The patients initially presented with swelling, redness, and pain on their arms. The board, led by Meredith, was defending Bailey at every chance they got…. Instead, Alex decided to try and be nice to the guy, a plan that Cristina quickly made fun of. Hey, do you guys remember when Callie and Izzie almost got in a fist fight in the cafeteria?
Back to Bailey! I quickly knew things were a little off in this episode when I spotted Bailey in a pencil skirt and heels. But Bailey had to look professional for her meeting, also known as her interrogation.
Bailey spent the episode across from a CDC representative, recounting every last detail of both of her surgeries to the very stoic man. Cue the surgery flashbacks! Who knew? Poor Jackson now had six people against him. And as one of those people against Jackson, Meredith spent her time avoiding him and instead trying to persuade Cristina to be in the delivery room with her when she gives birth. According to Mer, she wants a natural birth and is worried that Derek would be too preoccupied with taking care of her to fulfill her wishes.
She did have a point with that one. But as much as Cristina would love to help, she was not a fan of the idea of watching her best friend poop on the table. The patient drama of the episode revolved around two families. First up, Ethan was still in the hospital. His dad was unconscious, so the young ginger hung out with his mom, his grandma, and his babysitter, the older ginger, Owen Hunt. The second family was a little larger, but they had a lot fewer fingers.
Long story short: A family reunion got a little crazy when Uncle Al recommended a game of tug-of-war using a clothes line. She did however have time to catch him up on the idea that Meredith wanted her in the delivery room. She, like most people, prefers to enter rooms after everyone has control of their bowels, which sounded reasonable enough.
However, in order to let him operate, Richard says there's only one doctor who spread the infection and that's been isolated. He tells he and the OR's are clean. The parents allow him to operate. Bailey feels betrayed by Richard and leaves. Leah asks if Dr. Bailey really did something wrong, but Dr. Webber says he only said that to convince the parents to let him operate, and threatens to fire Leah if she reveals anything to the parents.
Alex is checking on the baby when Jason comes over to him. Jason says he thinks they got off on the wrong foot because of the thing with Jo. Alex tells him he and Jo are friends because they share a messed up childhood. Jason didn't know about Jo's past. Jackson is treating the family uncle's nose. He says the rest of the family finds him annoying for organizing family reunions, but Jackson gives him the advice to keep trying.
Bailey returns to the conference room asking about the results of the staph strain test. The investigator asks her to talk him through Seth's procedure again. So does Bailey.
Meanwhile, Richard and Leah are operating on Seth and Bailey keeps asking about the test results. Bailey finds out she has the strain of staph. She starts blaming herself. Cristina tells Meredith that she'll be in the delivery room, despite of Meredith pooping on the table.
Cristina bumps into Owen and asks if he's angry with her. He says he's just angry at the situation Ethan's in. Owen says he's not sure he can leave the hospital. Jo is angry at Alex because he told Jason about her past. She wanted him to keep it secret and demands that he never talks to or about her again. The CDC investigation team leader is informing Owen and the board members about the infection when Bailey enters the room. Jackson asks her to leave, but the others vote to let her stay.
He says that Dr. He has one thing to add: the gloves are the reason that the infection was spread among Bailey's patients. They have microscopic tears in them. The hospital switched to those gloves when Pegasus would have normally bought the hospital. The investigation team leader says that it's not Bailey's fault, as the infection wouldn't have spread if the gloves were okay. He recommends Bailey to treat the infection. The board members are all happy. Bailey leaves the room without a word.
Callie enters her patient's room with a press release about the infection, giving her some time to write the article before they put it out in the morning. Jackson informs April about the infection in the ER. He also tells that he is sorry that Matthew broke up with her but that he isn't sorry for sleeping with her.
Suddenly, Matthew shows up, asking April for a second chance, which she gives him. Outside the ER, Bailey is sitting on a bench. Richard approaches her, telling it could've happened to any doctor. He tells her Seth died. Bailey is angry at him because of what she overheard him saying to Seth's parents.
She says she has made up excuses for him when Adele was complaining about him not being home and that she has supported him even when he was drunk and operating.
She says she expected the same from him, but she is disappointed because he didn't. She says he is not who she thought he was before leaving him alone on the bench. Meredith and Derek are talking about the delivery of their baby.
Derek agrees with Cristina being in the delivery room. Alex says Cristina was right when she said that he needed to fight for Jo. He sits down on her bed next to her and talks about losing Jo to Jason. Cristina says she thinks she'll lose Owen soon. Bailey had to recount Seth's surgery for the CDC investigator and it was shown in flashback.
When he became unstable, Richard had to put in a chest tube and told his parents that he needed surgery. Webber told them that he wasn't stable enough to move and they agreed to the surgery.
In surgery, Seth died. Derek told Rachel that she had no residual effects from her surgery, but he'd like to keep her for a few more days. She was up and moving around the hospital in a wheelchair with her son Ethan. While eating in the cafeteria, Rachel had a seizure due to a brain hemorrhage. While on the way to an OR, Rachel died. Paul was still not awake following his therapeutic hypothermia. Cristina continued to do neuro checks.
Deedee suffered finger amputation while playing tug-o-war at a family reunion. The fingers were successfully retrieved and reattached. Jane suffered finger amputation while playing tug-o-war at a family reunion.
Cash suffered finger amputation while playing tug-o-war at a family reunion. He was taken into surgery to have the fingers reattached. Frankie broke her hand while participating in the tug-o-war with her family. It was surgically repaired by Callie Torres and Arizona Robbins. After surgery, she needed physical therapy to regain full use of her hand.
Amelie was pregnant with a baby who had HLHS and had to be delivered via c-section so he could be taken into immediate surgery. Baby Ward had been diagnosed in utero with HLHS and had to be delivered via c-section so he could be rushed into surgery.
He was delivered and taken into the cath lab where the procedure to save him was successful. He was doing well post-op. Bailey had to recount what had happened with Joyce as part of the CDC investigation. The surgery was shown in flashback.
After being punched by Tony, Al's nose started bleeding. Jackson treated him and stopped the bleeding. Bailey was identified as a carrier of the strain of MRSA that killed her patients, but she was cleared of any wrongdoing.
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