Grey's Anatomy s01e07 Episode Script
The Self Destruct Button
- Previously on Grey's Anatomy: - l've had this thing for my roommate, and l just l can't tell her.
Wouldn't it be easier to just ask her out? Are you really as shallow and callous as you seem? Oh, you want to go out for a drink later and hear about my secret pain? l can't.
l'm seeing someone.
Save yourself the misery.
- She's off the market.
- What? But she's not.
l live with her, l would know it.
[Bailey.]
And the longer this little fling goes on, the more favors you get over the others, who are fighting tooth and nail just to make it through this program.
When those people start finding out what's going on What is this that we're doing here? You need a definition? The next time l see you favoring Meredith Grey in any way, l'll make sure she doesn't see an OR for a month.
[alarm beeping.]
[Meredith.]
OK, anyone who says you can sleep when you die, tell them to come talk to me after a few months as an intern.
Of course, it's not just the job that keeps us up all night.
You have to get up now.
What? My God, what time is it? lt's 5:20, and l have pre-rounds.
[Derek sighs.]
And you have to leave before they see you.
Oh, come on, now.
Why don't you just let them see? - [laughing.]
No! - Please! You get any sleep? Oh, she could oil the bedsprings as a courtesy or at least buy a padded headboard.
- [sighs.]
- So who's the guy? You think it was just one guy doing all that work? Do you mind if l don't think about that? Oh, jealous? l'm not jealous.
l am.
But at least l know she'll be having a long day at work.
[door opens.]
[? Jem: Wish I.]
Well, at least we know brain surgery isn't his only skill.
They can't be He's her boss.
We're late.
He's all of our boss.
[sighing.]
She has been scrubbing in a lot lately on his surgeries.
No, Meredith wouldn't sleep with him just to No.
lf she's not ashamed, why is it a secret? Maybe she didn't.
Maybe it just happened.
You know, spontaneously, last night.
- Hi.
Good morning.
- Morning.
lt sounded like you were having pretty radical sex last night, all night long.
Who was the guy? No one you know.
[chuckling.]
We're late.
Let's go.
[Meredith.]
If life's so hard already, why do we bring more trouble down on ourselves? What's up with the need to hit the self-destruct button? Yikes, wouldn't want to meet you in a dark alley.
Right back at you.
[lzzie.]
A run? You run? Every day, babe, every day.
Not suffering enough? What doesn't kill you, makes you stronger.
Don't go acting all indefatigable.
You're dragging like the rest of us.
Oh, what is that, professional weakness, Dr.
Yang? - lt's called the flu.
- Yeah.
l need a major rush to make it through this day.
l need a kick-ass surgery.
Ooh, you a bad boy last night, George? That would be Meredith.
You a bad boy, Meredith? Do tell.
Nothing to tell.
That says it all, huh? Sorry, l have a sex life.
Don't apologize.
Embrace it.
Share it.
Count me in.
Next time, just let me know if l need to go to a hotel so l can get some sleep.
[woman over PA.]
IV nurse, ICU.
Am l missing something? You were just a little loud.
Do they know it's McDreamy keeping them up all night? l hope not.
l already have Bailey riding me.
l don't need my roommates thinking l'm getting special treatment.
[yawning.]
O'Malley, Yang, Karev, go on to clinic.
O'Malley, patients are waiting.
You two come with me.
[Bailey.]
lzzie, you're hanging with me today.
Good morning, Dr.
Shepherd.
Dr.
Bailey.
Late night, Grey? No, caffeine just hasn't kicked in yet.
lf you're at all religious, you want to start praying it kicks in soon.
There's a consult in the pit.
Girl with a fever and abdominal pain.
After that, Nicholas in 331 1 needs his meds.
Mr.
Moeller's lV fell out, and he's a hard stick.
Postops in 1 337, 3342, Three-eighty-one.
Thirty-three-forty-two, 3363 and 23 Why are you still standing in front of me? You look more like me than you right now.
- What's the matter? - Nothing.
[woman.]
Help! l need immediate help.
What's the problem? My damn boyfriend swallowed my keys.
[wheezing.]
l didn't want her to leave.
Locate the lady's keys.
l think she got some bug on her trip to Mexico with her friends.
l told her not to go to a Third-World country, but does she ever listen? [man.]
She's been weak ever since, and she's lost weight.
Barely.
And this morning, she passed out in the shower.
When was the trip? A couple weeks ago.
l'm really fine.
l just have a fever.
OK, well, will you lie back for an exam for me? No, please, l don't need an exam.
Just give me some antibiotics and send me home.
Well, maybe it is just a fever, but they called down for a surgeon, so l have to give the OK to let you go.
So just let me do the exam.
Do the exam.
No.
[sighing.]
This is crazy.
l'm fine.
For God's sake, Claire, l don't want to spend my entire day here.
You know, actually, Mrs.
Rice, this might be easier if we had some privacy.
So would you two mind leaving the room? [Mr.
Rice.]
That's fine.
Digby.
Digby Owens.
l have an appointment.
Excuse me, sir, uh, you're bleeding.
You mind if l Sure, sure.
Have a look.
- That's a gunshot.
- Yeah.
We got a gunshot wound.
We got to get him down to the pit.
Sit, Mr Uh Digby.
All right, but it isn't an emergency.
- l scheduled it.
- What, the gunshot? Yeah.
My buddy shot me.
- Buddy? - Yeah, just as a favor.
- On purpose? - Hell, yeah.
He wasn't trying to hurt me, but you know - But why? - l like the scars.
[? Psapp: Nobody Knows.]
Look, everyone in town has tats, but my art is about commitment.
So, this your art, huh? [Digby.]
Damn straight.
Damn stupid.
The bullet went all the way through.
Bounced off my ribs.
l have another one still in my shoulder.
Nice, huh? You could hang it in the Louvre.
l have an ethos.
Why do anything unless you're willing to go one step further than anybody else? What doesn't kill you makes you stronger.
Exactly.
And pain is the great divide.
My coach used to say, it's all about how we process pain.
Football? Wrestling, lowa State.
lowa, 1 41 .
One-fifty-seven.
You got to be more than 1 80 now.
l'd like to see you get back under 1 45.
Excuse me, but thinking of you men in tights makes me want to puke.
There's a flu going around the hospital.
Somewhat ironic.
[Claire.]
Ow.
Don't push so hard.
Can you lift your shirt so l can examine your stomach? Where did you get these? Claire you've had surgery recently.
These scars are still pink.
Don't tell my parents.
You did this in Mexico so your parents wouldn't know? What did you have done? [George.]
Ahh.
And you noticed her foot twitching? - Come on, Jamie.
- My foot.
Oh, yeah.
About three months ago? Just a little.
We took her to County Hospital, and she got the CT scan, which showed her Brain abnormality.
Here, you can put it - And the twitching has gotten worse? - A lot worse.
They don't have the proper equipment back home to figure out what's wrong.
- You did a you did a good thing.
- Show Mommy.
- Yes, your mommy.
- Show Mommy and Daddy.
You did a good thing by coming all this way, Mr.
and Mrs.
Hayes.
You sit tight, Jamie, OK? l'm gonna bring Dr.
Shepherd to see you.
OK? Dr.
Shepherd.
OK? He's the brain specialist.
[Jamie.]
Mommy and Daddy.
Doctor? ls he good, this Dr.
Shepherd? At just about everything.
[Bailey.]
l assume the lady needs her keys to leave this guy's sorry ass behind.
- Yeah.
- Well, help her out.
He needs a bronchoscopy.
See one, do one, teach one.
You've seen one.
lt's time to do one.
Alone? Seriously? Thanks.
l mean, the vote of confidence in my skills and all.
l didn't think anyone was noticing how hard - lzzie? Go.
- Yeah.
- You paged? - Where are we? l did the consult, did the lV, the meds, the postops, everything.
How is your pit patient? She's febrile and has peritoneal signs.
You all right, Dr.
Yang? Fine.
On my way back to clinic.
l think she had some sort of illegal surgery done in Mexico.
Botched abortion? She has four laparoscopic scars on her abdomen and won't say what they're from, the parents are clueless.
- She's a minor.
- Seventeen.
Freshman in college.
- You order up for a CT? - Yes.
So while she's there, the nurses couldn't get a Foley on Mr.
Garay.
He may need a Coude cath if you can't get a normal one in there.
Write up postop notes on all surgical-floor patients that had surgery within the last 24 hours.
Be sure to document their EKGs and x-rays.
Hunt them down if you can't find them.
Right away.
Hey.
Whoa.
Got the flu? Yeah, and thanks for it.
lt's making my life so much easier.
l didn't give it to you.
lt's all over the hospital.
- You should be in bed.
- [scoffs.]
Disease, diagnosis and prescription from one man.
Seriously, l'll give you a ride home.
This is not gonna make me go home.
You go home.
But l feel fine.
Hey, hey, hey.
Have you seen Shepherd? Not as up close as Meredith has.
What? Are you trying to get her in trouble? This program will make or break our careers.
Some of us will make it through, and some of us won't.
And that decision depends entirely on recommendations from doctors like Shepherd.
There is a reason we don't sleep with the attendings.
lt's not her fault, it's Shepherd's.
He's taking advantage of her.
lt didn't sound like anything was happening against her will last night.
OK, we're in good shape here.
[nurse.]
l think so, Dr.
Shepherd.
[Derek.]
Looks good.
[monitor beeping.]
Here you go, doc.
The kid's CTs just arrived from County.
- Thanks.
- Excuse me.
- Sorry, Dr.
Taylor.
- [door closes.]
That would be bourbon.
- What? - l smelled it too.
And he's the best anesthesiologist on the staff.
l'll worry when he's too juiced to do his crossword puzzle.
[Derek.]
Will you close up for me? Thank you, everyone.
- Dr.
Shepherd - l got to get some coffee.
Jamie Hayes has been admitted.
The little girl with the brain abnormality.
How's she presenting? She has what looks like continuous seizure activity in her left foot.
- Her balance is off.
- How old are these? - Three months old.
- l need new ones.
Her brain could look dramatically different today.
OK, l'll order them Thank you.
doc.
[Burke.]
And that? That's a bullet from a previous gunshot.
Previous gunshot? OK.
No reason to take it out.
No, the guy likes pain.
lt's his ethos.
Pain as an ethos? Wait, l think l know this guy.
You remember this guy? Hey, the tattooed masochist.
Had himself shot again.
Glad to see he's still stupid.
lt's his ethos.
Let's go tell him what he gets to do today.
Dr.
Bailey? Claire Rice's abdominal CTs.
ls this girl fat? Not at all.
She's a normal college kid.
So, what do you see? Her stomach's stapled.
[Meredith.]
She's had a gastric bypass.
And a bad one, at that.
Gastric bypass is a procedure normally done on obese patients to help them lose weight.
Claire? She doesn't need to lose weight.
Are you kidding? This means the world to her.
But it is so typical of this girl to take the easy way out.
She's done it with everything since she was a little kid.
Nothing about this is gonna be easy.
She's gonna face a lifelong struggle with malnutrition unless she has surgery to reverse the procedure.
Do the surgery.
l told her to watch the freshman 1 5.
Don't eat junk, exercise.
But when she came home Christmas, who had to buy her a pair of size-6 jeans because she couldn't get in the ones l got her? Tina, you know, she tries so hard.
- [sighs.]
- She does.
She gets good grades.
She gets A's.
She has illegal surgery in Mexico.
Unfortunately, there were complications with the bypass.
What do you mean? She has what looks like an abscess under her diaphragm, an edema, which is a swelling of the bowel wall.
l can't say for certain she'll recover completely.
[sighs.]
Just do whatever you have to do to make her well, OK? You look like a princess.
[Jamie.]
lt's not lipstick.
[Derek.]
lt's not lipstick? No, it's not lipstick.
Want to do my shoulder? Oh, good.
[Jamie.]
And nose? We're gonna find out what's causing these seizures.
- Does MRl know we're coming down? - You said CT.
Now l'm saying MRl.
lt's available.
Good.
Doctor, is she gonna need surgery? l don't know yet.
l don't know if our insurance We know it can be very expensive.
l don't want you to worry about that.
lt's a focal, left-size seizure.
Let's get that diazepam running now, please.
[Derek.]
Jamie, here's what we're gonna do.
We're gonna put this on your arm.
lsn't that fun? Here, we're gonna put that onto you, like that.
And this is gonna feel cold.
This is a butterfly.
[fluttering.]
Butterfly lands right there.
Mmm, there we go.
Blanket for the butterfly.
Good, nicely done.
lt's amazing stuff, isn't it? [sighs.]
Uh-huh.
- Hey, you like spaceships? - Yeah.
OK, should we take Captain O'Malley, my first lieutenant, to the spaceship MRl? Let's go.
lt'll be safer to wait until your lunch digests before we do the procedure.
Perfect, this is just perfect.
l was hoping to be in Portland right now.
You'll be under conscious sedation, which means you'll be awake, but groggy.
[wheezing.]
Wait, wait.
ls this gonna hurt? We'll give you something for pain.
Do you know how stupid you make me look? l thought you would think this is funny.
Funny? Romantic? [woman.]
The therapist thing was funny and romantic? - [man.]
That was funny.
- No, that was sad.
He called my therapist, pretending to be his therapist, - to find out what l'd said.
- Passive-aggressive, JP? He is the king of passive-aggressive.
And he's manipulative - [JP grunts.]
- and needy.
Well, that's the trifecta.
What do l win? [wheezing.]
What? Doc! l prefer we stop meeting like this, Mr.
Owens.
Digby.
So how's the trumpet playing? Very safe, compared to your hobby.
Getting shot is a little more risky.
That's kind of the point.
He's running a fever.
Due to the extra stress on his body from the gunshot.
Digby, the impact of the bullet on your chest fractured a rib and caused a hemopneumothorax.
That sucks, l guess.
There's blood in your collapsed lung.
The price of body art went up.
Ah, no pain, no gain, right? [Burke.]
That's one way to look at it.
We have that in common, you docs and me.
[Burke.]
Do we? Yeah, the way you guys push, push and push.
When l was wrestling, if you wanted to pin me, you was gonna have to kill me.
[chuckles.]
lowa-style.
[Digby.]
lowa-State-style.
Back home, we were sworn enemies.
But in Seattle, man, we're brothers.
[chuckles.]
[coughs.]
So, what are we gonna do about this, um hemopneumo-Jurassics? lnsert a chest tube to drain the blood, then re-inflate your lung.
Oh, please tell me l get to watch.
Oh, man, lowa-style.
Before you guys start, l know you're mad.
Disbelief, Claire, just disbelief.
[Mr.
Rice.]
l'm just concerned.
Where did you get the idea to do this? The lnternet.
Honey, there is a healthy way to lose weight.
[Claire sighs.]
Yeah, l tried that, but lt doesn't work for me like it does for you.
[Mr.
Rice.]
Hey, you don't need to lose weight.
What are you eating? And how much have you been working out? Most of the time, when people hit their target weight, they have to work to stay there.
Everyone gains weight in college, Mom.
lt's it's stressful.
There's there's not enough time for exercise.
l just thought if l wasn't worried about my diet, then l could focus more on my studies.
So you took yet another shortcut? Life doesn't work that way, Claire.
[Mr.
Rice.]
Tina! What? You want to argue this? She has so much potential.
lf she would just apply herself OK, l think we should focus on taking care of your daughter.
And, Claire, your parents agree, the best thing to do is to reverse the bypass.
No! No, it's my body.
l do not want surgery again.
Please? There are serious complications.
And this is about your health.
But l'd rather be thin.
Well, l'm afraid the choice isn't up to you.
lt's called Rasmussen's encephalitis.
What it amounts to is that this side of her brain This part's healthy, working perfectly.
This black part of the brain, this all of that is dead, or dying.
The condition has gotten radically worse since her CT scans three months ago.
Left untreated, the disease is gonna kill her.
How soon? [Derek.]
Too soon.
[Mr.
Hayes.]
So is there a cure? The treatment requires the diseased portion of her brain be removed and sealed off.
[Derek.]
See, eventually, the spinal fluid will fill the cavity.
R-Remove? But, l mean, that's Half her brain, yes.
Half her brain.
That seems impossible.
[Derek.]
Her age makes it possible.
Her brain's not fully developed, so the remaining neurons will compensate.
But will she be normal? There are risks to any surgery, and this is, you know, a major one.
But if we're successful, Jamie could walk out of this hospital in a couple weeks, go on to live a relatively normal life.
Look, l know this is a lot to digest.
The important thing is we can save her life.
Thank you.
- Dr.
O'Malley? - Yes? What? lf the parents consent, l thought you'd like to scrub in on the hemispherectomy.
Are you in, or not? Uh, in.
Good.
[elevator dings.]
[George.]
Yay.
l'm scrubbing in on a hemispherectomy with Shepherd.
Get out! l would kill for that.
We're gonna cut out half a girl's brain, and it's going to work.
lt's outrageous.
Almost makes it hard to hate him.
- Why do you hate him? - Oh, no reason.
You know about him and Meredith? You know? When are you gonna figure out that l know everything? She knows.
- [lzzie.]
What, about doctor-cest? - lt's been going on for, like, ever.
- And you didn't tell us? - Ooh, you're a gossip, huh? - l am not! - l am.
He's about to go into major brain surgery on no sleep? Not very responsible.
Jealous? Sex all night isn't about being responsible.
No, it's about sex all night.
l can't believe you're not more pissed off.
Well, she works hard all day.
She's good at her job.
Why should you care how she unwinds? You like to bake all night.
Some people like to drink.
Others like a screaming orgasm.
[Alex.]
Yeah, we do.
Forget l said that.
Pretend like l'm not here.
[Alex.]
Continue.
You look like you need to be spoon-fed.
You look like Alex.
Yeah, about drinking, Dr.
Taylor, the anesthesiologist - Do you think he drinks? - Whatever gets you through the day.
l mean here, at work.
Earlier, l thought l smelled Do you think? l mean, his patients trust that [sighs.]
So l should say something, right? lt's a can of worms, George.
Weren't we talking about sex, anyway? - Doofus.
- Ew.
This is gonna leave a pretty sexy scar, huh? Don't get any more crazy ideas.
[Digby.]
You really think my ideas are crazy? l'm leaning that way.
We wrestle, he plays trumpet.
Hey, l feel pretty dizzy.
You've lost some blood.
[Digby.]
This, too, shall pass.
Hey How come l don't see you down at the Mat in Belltown? Oh, man, no time.
Bro, make time.
[chuckles.]
l'll be expecting you.
l'm there.
[whimpers.]
Handle with care.
This thing's Full of gunk.
l know.
We need to free the bowel from the adhesions caused from the abscess.
This poor girl.
What was she thinking? She wants her mother's approval.
She wanted to please her.
And this damage is the result? Here, resect that.
Needle-tip Bovie, please.
When you're done here, you have postops waiting.
l know, Dr.
Bailey.
Cristina's got the flu.
You need to pick up the slack.
Look, l'll mop the floors, OK? Sorry, that was inappropriate.
lt's not the only thing that's inappropriate.
You care to tell me what you think you're doing? l'll jump through hoops if you want me to.
But what l do when l leave this hospital is my business.
Half this hospital knows.
Flu isn't the only virus spreading around here.
l made a choice, and l know you don't respect me for that choice.
But l'll live with the consequences.
Then l'll have lots of hoops for you to jump through.
l've done everything you've asked me to do.
l may not do it your way, but it gets done.
So whatever else you got, bring it on.
- Ew! - [laughter.]
OK, Dr.
Grey, now that you've drained the organ, we can attempt to repair it.
Now my day is perfect.
OK, bye.
l appreciate this.
The chance to scrub in on this kind of procedure is, well Yeah, l appreciate it.
Here you go.
Triple espresso, not too hot.
Oh, l love you, seriously.
Ah, coffee, where would medicine be without it, huh? l hope you have a new crossword, Taylor.
We're gonna be here a while.
Never go without.
Big day for you, kid.
Congrats.
Thanks.
Hey, princess.
You ready to take a nap? - Hey, look what l got.
- Blow bubbles, that's it.
[Derek.]
Just breathe in.
Oh, that's it.
- What? - Do you smell? Smell what? l have a mask.
Uh l'm sorry, Dr.
Taylor, but did you just? Have you been drinking? l beg your pardon? - [Derek.]
What? - [George.]
Do you smell l l smell alcohol.
[Taylor.]
Where do you get off accusing me of something like that? George, you're out of line.
There are rules.
You know, there are rules for a reason.
You ju There is a 2-year-old girl on this table.
You shouldn't take advantage of someone else's vulnerability.
l don't need some punk intern telling me what's at stake here.
Get him out of here, Shep.
[Taylor.]
Shep? You're out, George.
You damn well better be ready, Taylor.
l wouldn't be here if l wasn't.
[monitor beeping.]
[woman.]
Do you really, seriously want to know why l'm leaving?! How about when you started insisting that l quit my job, when l made more money than you? That should have been the last straw.
The last straw should have been when l found out those phone calls that you kept denying were from other women were really coming from your mother! This isn't healthy.
- Hold still, please.
- Don't you dare try to patch this up! Could the both of you please stop? You don't love me, JP.
You love to smother me.
And if l could just get you to admit that, then l could leave you with an ounce of respect.
Athena, l let you stay in here to keep him calm.
lf you're gonna keep Check that.
l can't respect a man desperate enough to swallow my exit strategy.
That is the last straw! Michelle, can you get her out of here? [Michelle.]
Ma'am? - Fine! - [choking.]
- Come on.
- What? What's happening? The keys moved farther down.
Oh, my God, what does that mean? What did you do? Don't you dare die, JP! Please! Please, just shut up! Breathe, JP.
Just breathe.
[grunting.]
[lzzie.]
Got it.
[choking.]
[gagging.]
[coughing.]
Very impressive, JP.
[sighs.]
ls he OK? ls he gonna be OK? Yeah, he'll be fine.
[panting.]
[JP chuckling.]
You lit You did that on purpose, didn't you? [sighs.]
Can l offer you some advice? Get in your car and go, for all of our sakes.
You're never gonna find where l parked it.
[Meredith.]
l need a shower.
l need a shower.
You need to go tell that girl's parents what kind of kid they're getting back.
You're not gonna let me shower first? That would be a hoop, would it not? lt would qualify.
Shower first, then.
Ew, what smells? That would be me, or more specifically, my patient's insides all over me.
That makes me strangely happy.
Oh, God.
Oh, Meredith, you smell like Karma.
- What? - Nothing.
Something vile's stuck in your hair.
You know, just go stand over there, please.
Ugh, how much do l love being a surgeon right now? Karma.
What does karma have to do with anything? l'm just saying, you've been given all the best surgeries.
And now you smell like putrid goo.
And you're giving off a stench.
Karma's a bitch.
[Bailey.]
Dr.
Shepherd needs an intern.
- Which one of you is clear? - Where do you want me? - You need to lie down somewhere.
- l'm completely healthy.
Grey? - [sighs.]
Of course.
- What is your problem? Um, you! 'Cause apparently, you can help Dr.
McDreamy in ways the rest of us can't.
- You did not just s - Yes, l did! [Bailey.]
Hey! Hemispherectomy in OR 1 with Dr.
Shepherd.
Go.
Apparently, l'm not the only one with hoops.
[? Tegan and Sara: Downtown.]
- Doctor.
- [Burke sighs.]
Digby's postop CBC shows a severe spike in the white blood cell count.
What is it? lt's 27, with 1 6 percent bands.
Something else is wrong.
That's a little high for simple stress.
Check for any other possible sources of infection or recent illness.
[Derek.]
We're gonna start the procedure with the left temporal lobectomy.
Thanks for joining us, Dr.
Yang.
After the temporal, we'll do the frontal, and then the occipital.
We were able to reverse the gastric bypass, but we did lose a significant portion of her bowel.
And because of the short gut syndrome, Claire will never eat normally again.
OK, wait, do? How do we help her here? Well, getting proper nutrition will be a lifelong problem for Claire.
Great, as if we already don't have our hands full with her.
She gets good grades.
She stays out of trouble.
She's smart.
l just think she feels like nothing she does is good enough for you.
lf you think that l'm responsible for this l think Claire is killing herself to please you.
[scoffs.]
Oh, please.
You have no idea what's going on in that girl's mind.
You're her mother.
She worships the ground you walk on.
She didn't do this for herself.
[clearing throat.]
l think that this situation Tina Shut up.
What is it? l'm freezing, doc.
l-l can't stop shaking.
His temp's way up, and BP's dropping, doctor.
Digby, have you had any recent illnesses, new piercings, tattoos, wounds? New tat on my calf.
[panting.]
Ew.
Oh, my God.
lt was nowhere near that nasty this morning.
lt was infected? Why didn't you say anything? Ah, it was nothing.
l'm not here to complain about a little pain.
[Alex.]
The infection's been exacerbated by the stress from the gunshot.
Get him to lCU.
We'll get you started on some antibiotics.
From the frontal lobectomy, l'm going to encounter a, uh [Cristina.]
We'll encounter the anterior cerebral artery.
Yes, so we're gonna need to, uh [sighing.]
The branches of the artery need to be coagulated and divided.
You know, Taylor, her anesthesia's awful light.
Come on, Taylor, s-she's waking up.
Dr.
Taylor? Uh, he's asleep! Taylor! Dr.
Taylor! Huh? Oh, God, sorry.
Sorry, l'm on it.
[sighs.]
[Taylor.]
My bad, Shep.
He was right, wasn't he? Aw, l nodded off.
Come on.
Whatever you got to do to get through the day.
Steph, get me some coffee.
[Steph.]
Yes, doctor.
l'll be fine.
lt won't happen again.
Yeah, not in here, it won't.
Uh, Steph, call Dr.
Pennington.
Hopkins, take over until she gets here.
Get out of here.
What happened? Multisymptom organ failure, secondary to overwhelming sepsis.
Now he's all Fix his BP, that should help his mental status.
He's maxed out.
We got V-tach.
[Burke.]
He's looking bad.
Put the defib pads on him and give him 1 50.
[flatlining.]
l lost his pulse.
Defib! Get the pads! Get the pads! Clear.
Again at 300.
Clear.
[? Joe Purdy: Suitcase.]
Come on.
This packing, we hope, will prevent hemorrhaging.
Dr.
Yang, do you want to add something to that? lt will allow the cerebral spinal fluid to eventually fill the cavity.
Hmm, very nice.
- You two, you wanna close up? - [woman.]
Yes, doctor.
l'm gonna go to bed.
[sighs.]
That was unreal.
l mean, that's that's all there is.
l l was feeling sick until l came here.
l was tired.
Now l'm tired again.
lt's back to reality.
- Let me explain.
- lt's fine.
There is a code among doctors.
We're not supposed to ask each other questions within the walls of this hospital.
OK, l was out of line.
No, you weren't.
l was.
l was out of line.
Somebody should have taken responsibility.
lt should have been the guy doing the cutting.
lt should have been me.
You didn't deserve what happened to you today.
You did the right thing, code or no code.
[scoffing.]
You saw me leave the house this morning, didn't you? Oh, was that you? Hmm.
l'm not using her.
And l don't favor her.
She's pretty great, you know.
Mm-hmm.
So let's go tell Jamie's parents she's gonna be fine, barring any complications.
[George clears throat.]
Did you fix me? No, not completely.
So l won't get fat? No.
Oh.
That's awesome.
Claire, l've asked social services to contact your parents.
Why? [Meredith.]
They can help you.
With what? [sighing.]
You don't know this yet, but life isn't supposed to be like this.
lt's not supposed to be this hard.
[sighs.]
Time of death, 20:49.
The first guy l ever met out here from back home.
l thought you'd be asleep by now.
Yeah, well, l'm not.
lf you wait a few minutes, you can have a piece of cake.
Baked it chock-full of love.
Actually, chock-full of unrelenting, all-consuming rage and hostility, but it's still tasty.
- So you know? - l know.
Well, do you want the long, sordid version, or the short version, where l started sleeping with a guy who turned out to be my boss? Neither.
lzzie, cut me some slack here.
No.
You went to Dartmouth.
Your mother is Ellis Grey.
You grew up Look at this house! You know, you walk into the OR, and there isn't anyone who doubts that you should be there.
l grew up in a trailer park.
l went to state school.
l put myself through med school by posing in my underwear.
You know, l walk into the OR, and everyone hopes l'm the nurse.
Y-you have their respect without even trying, and you're throwing it away for what? A few good surgeries? No.
lt's not about the surgeries.
lt's not about getting ahead.
[lzzie.]
Then what? A little hot sex? You're willing to ruin your credibility over that? l mean, Meredith, what the hell are you doing? Oh, my God.
You're falling for him.
l am not.
Oh, you so are.
No, l'm not.
You so are.
Damn it, you poor girl.
You know, it's just that he's just so And l'm just l'm having a hard time.
Wow, you're all, uh, mushy and warm and full of secret feelings.
l hate you! And your cake.
My cake is good.
So, um, how hot is the sex? lzzie.
What? Come on, l'm not getting any.
Help a girl out with a few details.
[rowing machine whirring.]
[bangs.]
[Meredith.]
Maybe we like the pain.
Pooh.
How's she doing? - Good.
- Good.
[Meredith.]
Maybe we're wired that way.
Cristina? Because without it, I don't know maybe we just wouldn't feel real.
You know, we could just Sleep? We could, yeah, if if you want to.
Yeah? [Meredith.]
What's that saying? ''Why do I keep hitting myself with a hammer?'' Oh, thank God.
''Because it feels so good when I stop.
''
Wouldn't it be easier to just ask her out? Are you really as shallow and callous as you seem? Oh, you want to go out for a drink later and hear about my secret pain? l can't.
l'm seeing someone.
Save yourself the misery.
- She's off the market.
- What? But she's not.
l live with her, l would know it.
[Bailey.]
And the longer this little fling goes on, the more favors you get over the others, who are fighting tooth and nail just to make it through this program.
When those people start finding out what's going on What is this that we're doing here? You need a definition? The next time l see you favoring Meredith Grey in any way, l'll make sure she doesn't see an OR for a month.
[alarm beeping.]
[Meredith.]
OK, anyone who says you can sleep when you die, tell them to come talk to me after a few months as an intern.
Of course, it's not just the job that keeps us up all night.
You have to get up now.
What? My God, what time is it? lt's 5:20, and l have pre-rounds.
[Derek sighs.]
And you have to leave before they see you.
Oh, come on, now.
Why don't you just let them see? - [laughing.]
No! - Please! You get any sleep? Oh, she could oil the bedsprings as a courtesy or at least buy a padded headboard.
- [sighs.]
- So who's the guy? You think it was just one guy doing all that work? Do you mind if l don't think about that? Oh, jealous? l'm not jealous.
l am.
But at least l know she'll be having a long day at work.
[door opens.]
[? Jem: Wish I.]
Well, at least we know brain surgery isn't his only skill.
They can't be He's her boss.
We're late.
He's all of our boss.
[sighing.]
She has been scrubbing in a lot lately on his surgeries.
No, Meredith wouldn't sleep with him just to No.
lf she's not ashamed, why is it a secret? Maybe she didn't.
Maybe it just happened.
You know, spontaneously, last night.
- Hi.
Good morning.
- Morning.
lt sounded like you were having pretty radical sex last night, all night long.
Who was the guy? No one you know.
[chuckling.]
We're late.
Let's go.
[Meredith.]
If life's so hard already, why do we bring more trouble down on ourselves? What's up with the need to hit the self-destruct button? Yikes, wouldn't want to meet you in a dark alley.
Right back at you.
[lzzie.]
A run? You run? Every day, babe, every day.
Not suffering enough? What doesn't kill you, makes you stronger.
Don't go acting all indefatigable.
You're dragging like the rest of us.
Oh, what is that, professional weakness, Dr.
Yang? - lt's called the flu.
- Yeah.
l need a major rush to make it through this day.
l need a kick-ass surgery.
Ooh, you a bad boy last night, George? That would be Meredith.
You a bad boy, Meredith? Do tell.
Nothing to tell.
That says it all, huh? Sorry, l have a sex life.
Don't apologize.
Embrace it.
Share it.
Count me in.
Next time, just let me know if l need to go to a hotel so l can get some sleep.
[woman over PA.]
IV nurse, ICU.
Am l missing something? You were just a little loud.
Do they know it's McDreamy keeping them up all night? l hope not.
l already have Bailey riding me.
l don't need my roommates thinking l'm getting special treatment.
[yawning.]
O'Malley, Yang, Karev, go on to clinic.
O'Malley, patients are waiting.
You two come with me.
[Bailey.]
lzzie, you're hanging with me today.
Good morning, Dr.
Shepherd.
Dr.
Bailey.
Late night, Grey? No, caffeine just hasn't kicked in yet.
lf you're at all religious, you want to start praying it kicks in soon.
There's a consult in the pit.
Girl with a fever and abdominal pain.
After that, Nicholas in 331 1 needs his meds.
Mr.
Moeller's lV fell out, and he's a hard stick.
Postops in 1 337, 3342, Three-eighty-one.
Thirty-three-forty-two, 3363 and 23 Why are you still standing in front of me? You look more like me than you right now.
- What's the matter? - Nothing.
[woman.]
Help! l need immediate help.
What's the problem? My damn boyfriend swallowed my keys.
[wheezing.]
l didn't want her to leave.
Locate the lady's keys.
l think she got some bug on her trip to Mexico with her friends.
l told her not to go to a Third-World country, but does she ever listen? [man.]
She's been weak ever since, and she's lost weight.
Barely.
And this morning, she passed out in the shower.
When was the trip? A couple weeks ago.
l'm really fine.
l just have a fever.
OK, well, will you lie back for an exam for me? No, please, l don't need an exam.
Just give me some antibiotics and send me home.
Well, maybe it is just a fever, but they called down for a surgeon, so l have to give the OK to let you go.
So just let me do the exam.
Do the exam.
No.
[sighing.]
This is crazy.
l'm fine.
For God's sake, Claire, l don't want to spend my entire day here.
You know, actually, Mrs.
Rice, this might be easier if we had some privacy.
So would you two mind leaving the room? [Mr.
Rice.]
That's fine.
Digby.
Digby Owens.
l have an appointment.
Excuse me, sir, uh, you're bleeding.
You mind if l Sure, sure.
Have a look.
- That's a gunshot.
- Yeah.
We got a gunshot wound.
We got to get him down to the pit.
Sit, Mr Uh Digby.
All right, but it isn't an emergency.
- l scheduled it.
- What, the gunshot? Yeah.
My buddy shot me.
- Buddy? - Yeah, just as a favor.
- On purpose? - Hell, yeah.
He wasn't trying to hurt me, but you know - But why? - l like the scars.
[? Psapp: Nobody Knows.]
Look, everyone in town has tats, but my art is about commitment.
So, this your art, huh? [Digby.]
Damn straight.
Damn stupid.
The bullet went all the way through.
Bounced off my ribs.
l have another one still in my shoulder.
Nice, huh? You could hang it in the Louvre.
l have an ethos.
Why do anything unless you're willing to go one step further than anybody else? What doesn't kill you makes you stronger.
Exactly.
And pain is the great divide.
My coach used to say, it's all about how we process pain.
Football? Wrestling, lowa State.
lowa, 1 41 .
One-fifty-seven.
You got to be more than 1 80 now.
l'd like to see you get back under 1 45.
Excuse me, but thinking of you men in tights makes me want to puke.
There's a flu going around the hospital.
Somewhat ironic.
[Claire.]
Ow.
Don't push so hard.
Can you lift your shirt so l can examine your stomach? Where did you get these? Claire you've had surgery recently.
These scars are still pink.
Don't tell my parents.
You did this in Mexico so your parents wouldn't know? What did you have done? [George.]
Ahh.
And you noticed her foot twitching? - Come on, Jamie.
- My foot.
Oh, yeah.
About three months ago? Just a little.
We took her to County Hospital, and she got the CT scan, which showed her Brain abnormality.
Here, you can put it - And the twitching has gotten worse? - A lot worse.
They don't have the proper equipment back home to figure out what's wrong.
- You did a you did a good thing.
- Show Mommy.
- Yes, your mommy.
- Show Mommy and Daddy.
You did a good thing by coming all this way, Mr.
and Mrs.
Hayes.
You sit tight, Jamie, OK? l'm gonna bring Dr.
Shepherd to see you.
OK? Dr.
Shepherd.
OK? He's the brain specialist.
[Jamie.]
Mommy and Daddy.
Doctor? ls he good, this Dr.
Shepherd? At just about everything.
[Bailey.]
l assume the lady needs her keys to leave this guy's sorry ass behind.
- Yeah.
- Well, help her out.
He needs a bronchoscopy.
See one, do one, teach one.
You've seen one.
lt's time to do one.
Alone? Seriously? Thanks.
l mean, the vote of confidence in my skills and all.
l didn't think anyone was noticing how hard - lzzie? Go.
- Yeah.
- You paged? - Where are we? l did the consult, did the lV, the meds, the postops, everything.
How is your pit patient? She's febrile and has peritoneal signs.
You all right, Dr.
Yang? Fine.
On my way back to clinic.
l think she had some sort of illegal surgery done in Mexico.
Botched abortion? She has four laparoscopic scars on her abdomen and won't say what they're from, the parents are clueless.
- She's a minor.
- Seventeen.
Freshman in college.
- You order up for a CT? - Yes.
So while she's there, the nurses couldn't get a Foley on Mr.
Garay.
He may need a Coude cath if you can't get a normal one in there.
Write up postop notes on all surgical-floor patients that had surgery within the last 24 hours.
Be sure to document their EKGs and x-rays.
Hunt them down if you can't find them.
Right away.
Hey.
Whoa.
Got the flu? Yeah, and thanks for it.
lt's making my life so much easier.
l didn't give it to you.
lt's all over the hospital.
- You should be in bed.
- [scoffs.]
Disease, diagnosis and prescription from one man.
Seriously, l'll give you a ride home.
This is not gonna make me go home.
You go home.
But l feel fine.
Hey, hey, hey.
Have you seen Shepherd? Not as up close as Meredith has.
What? Are you trying to get her in trouble? This program will make or break our careers.
Some of us will make it through, and some of us won't.
And that decision depends entirely on recommendations from doctors like Shepherd.
There is a reason we don't sleep with the attendings.
lt's not her fault, it's Shepherd's.
He's taking advantage of her.
lt didn't sound like anything was happening against her will last night.
OK, we're in good shape here.
[nurse.]
l think so, Dr.
Shepherd.
[Derek.]
Looks good.
[monitor beeping.]
Here you go, doc.
The kid's CTs just arrived from County.
- Thanks.
- Excuse me.
- Sorry, Dr.
Taylor.
- [door closes.]
That would be bourbon.
- What? - l smelled it too.
And he's the best anesthesiologist on the staff.
l'll worry when he's too juiced to do his crossword puzzle.
[Derek.]
Will you close up for me? Thank you, everyone.
- Dr.
Shepherd - l got to get some coffee.
Jamie Hayes has been admitted.
The little girl with the brain abnormality.
How's she presenting? She has what looks like continuous seizure activity in her left foot.
- Her balance is off.
- How old are these? - Three months old.
- l need new ones.
Her brain could look dramatically different today.
OK, l'll order them Thank you.
doc.
[Burke.]
And that? That's a bullet from a previous gunshot.
Previous gunshot? OK.
No reason to take it out.
No, the guy likes pain.
lt's his ethos.
Pain as an ethos? Wait, l think l know this guy.
You remember this guy? Hey, the tattooed masochist.
Had himself shot again.
Glad to see he's still stupid.
lt's his ethos.
Let's go tell him what he gets to do today.
Dr.
Bailey? Claire Rice's abdominal CTs.
ls this girl fat? Not at all.
She's a normal college kid.
So, what do you see? Her stomach's stapled.
[Meredith.]
She's had a gastric bypass.
And a bad one, at that.
Gastric bypass is a procedure normally done on obese patients to help them lose weight.
Claire? She doesn't need to lose weight.
Are you kidding? This means the world to her.
But it is so typical of this girl to take the easy way out.
She's done it with everything since she was a little kid.
Nothing about this is gonna be easy.
She's gonna face a lifelong struggle with malnutrition unless she has surgery to reverse the procedure.
Do the surgery.
l told her to watch the freshman 1 5.
Don't eat junk, exercise.
But when she came home Christmas, who had to buy her a pair of size-6 jeans because she couldn't get in the ones l got her? Tina, you know, she tries so hard.
- [sighs.]
- She does.
She gets good grades.
She gets A's.
She has illegal surgery in Mexico.
Unfortunately, there were complications with the bypass.
What do you mean? She has what looks like an abscess under her diaphragm, an edema, which is a swelling of the bowel wall.
l can't say for certain she'll recover completely.
[sighs.]
Just do whatever you have to do to make her well, OK? You look like a princess.
[Jamie.]
lt's not lipstick.
[Derek.]
lt's not lipstick? No, it's not lipstick.
Want to do my shoulder? Oh, good.
[Jamie.]
And nose? We're gonna find out what's causing these seizures.
- Does MRl know we're coming down? - You said CT.
Now l'm saying MRl.
lt's available.
Good.
Doctor, is she gonna need surgery? l don't know yet.
l don't know if our insurance We know it can be very expensive.
l don't want you to worry about that.
lt's a focal, left-size seizure.
Let's get that diazepam running now, please.
[Derek.]
Jamie, here's what we're gonna do.
We're gonna put this on your arm.
lsn't that fun? Here, we're gonna put that onto you, like that.
And this is gonna feel cold.
This is a butterfly.
[fluttering.]
Butterfly lands right there.
Mmm, there we go.
Blanket for the butterfly.
Good, nicely done.
lt's amazing stuff, isn't it? [sighs.]
Uh-huh.
- Hey, you like spaceships? - Yeah.
OK, should we take Captain O'Malley, my first lieutenant, to the spaceship MRl? Let's go.
lt'll be safer to wait until your lunch digests before we do the procedure.
Perfect, this is just perfect.
l was hoping to be in Portland right now.
You'll be under conscious sedation, which means you'll be awake, but groggy.
[wheezing.]
Wait, wait.
ls this gonna hurt? We'll give you something for pain.
Do you know how stupid you make me look? l thought you would think this is funny.
Funny? Romantic? [woman.]
The therapist thing was funny and romantic? - [man.]
That was funny.
- No, that was sad.
He called my therapist, pretending to be his therapist, - to find out what l'd said.
- Passive-aggressive, JP? He is the king of passive-aggressive.
And he's manipulative - [JP grunts.]
- and needy.
Well, that's the trifecta.
What do l win? [wheezing.]
What? Doc! l prefer we stop meeting like this, Mr.
Owens.
Digby.
So how's the trumpet playing? Very safe, compared to your hobby.
Getting shot is a little more risky.
That's kind of the point.
He's running a fever.
Due to the extra stress on his body from the gunshot.
Digby, the impact of the bullet on your chest fractured a rib and caused a hemopneumothorax.
That sucks, l guess.
There's blood in your collapsed lung.
The price of body art went up.
Ah, no pain, no gain, right? [Burke.]
That's one way to look at it.
We have that in common, you docs and me.
[Burke.]
Do we? Yeah, the way you guys push, push and push.
When l was wrestling, if you wanted to pin me, you was gonna have to kill me.
[chuckles.]
lowa-style.
[Digby.]
lowa-State-style.
Back home, we were sworn enemies.
But in Seattle, man, we're brothers.
[chuckles.]
[coughs.]
So, what are we gonna do about this, um hemopneumo-Jurassics? lnsert a chest tube to drain the blood, then re-inflate your lung.
Oh, please tell me l get to watch.
Oh, man, lowa-style.
Before you guys start, l know you're mad.
Disbelief, Claire, just disbelief.
[Mr.
Rice.]
l'm just concerned.
Where did you get the idea to do this? The lnternet.
Honey, there is a healthy way to lose weight.
[Claire sighs.]
Yeah, l tried that, but lt doesn't work for me like it does for you.
[Mr.
Rice.]
Hey, you don't need to lose weight.
What are you eating? And how much have you been working out? Most of the time, when people hit their target weight, they have to work to stay there.
Everyone gains weight in college, Mom.
lt's it's stressful.
There's there's not enough time for exercise.
l just thought if l wasn't worried about my diet, then l could focus more on my studies.
So you took yet another shortcut? Life doesn't work that way, Claire.
[Mr.
Rice.]
Tina! What? You want to argue this? She has so much potential.
lf she would just apply herself OK, l think we should focus on taking care of your daughter.
And, Claire, your parents agree, the best thing to do is to reverse the bypass.
No! No, it's my body.
l do not want surgery again.
Please? There are serious complications.
And this is about your health.
But l'd rather be thin.
Well, l'm afraid the choice isn't up to you.
lt's called Rasmussen's encephalitis.
What it amounts to is that this side of her brain This part's healthy, working perfectly.
This black part of the brain, this all of that is dead, or dying.
The condition has gotten radically worse since her CT scans three months ago.
Left untreated, the disease is gonna kill her.
How soon? [Derek.]
Too soon.
[Mr.
Hayes.]
So is there a cure? The treatment requires the diseased portion of her brain be removed and sealed off.
[Derek.]
See, eventually, the spinal fluid will fill the cavity.
R-Remove? But, l mean, that's Half her brain, yes.
Half her brain.
That seems impossible.
[Derek.]
Her age makes it possible.
Her brain's not fully developed, so the remaining neurons will compensate.
But will she be normal? There are risks to any surgery, and this is, you know, a major one.
But if we're successful, Jamie could walk out of this hospital in a couple weeks, go on to live a relatively normal life.
Look, l know this is a lot to digest.
The important thing is we can save her life.
Thank you.
- Dr.
O'Malley? - Yes? What? lf the parents consent, l thought you'd like to scrub in on the hemispherectomy.
Are you in, or not? Uh, in.
Good.
[elevator dings.]
[George.]
Yay.
l'm scrubbing in on a hemispherectomy with Shepherd.
Get out! l would kill for that.
We're gonna cut out half a girl's brain, and it's going to work.
lt's outrageous.
Almost makes it hard to hate him.
- Why do you hate him? - Oh, no reason.
You know about him and Meredith? You know? When are you gonna figure out that l know everything? She knows.
- [lzzie.]
What, about doctor-cest? - lt's been going on for, like, ever.
- And you didn't tell us? - Ooh, you're a gossip, huh? - l am not! - l am.
He's about to go into major brain surgery on no sleep? Not very responsible.
Jealous? Sex all night isn't about being responsible.
No, it's about sex all night.
l can't believe you're not more pissed off.
Well, she works hard all day.
She's good at her job.
Why should you care how she unwinds? You like to bake all night.
Some people like to drink.
Others like a screaming orgasm.
[Alex.]
Yeah, we do.
Forget l said that.
Pretend like l'm not here.
[Alex.]
Continue.
You look like you need to be spoon-fed.
You look like Alex.
Yeah, about drinking, Dr.
Taylor, the anesthesiologist - Do you think he drinks? - Whatever gets you through the day.
l mean here, at work.
Earlier, l thought l smelled Do you think? l mean, his patients trust that [sighs.]
So l should say something, right? lt's a can of worms, George.
Weren't we talking about sex, anyway? - Doofus.
- Ew.
This is gonna leave a pretty sexy scar, huh? Don't get any more crazy ideas.
[Digby.]
You really think my ideas are crazy? l'm leaning that way.
We wrestle, he plays trumpet.
Hey, l feel pretty dizzy.
You've lost some blood.
[Digby.]
This, too, shall pass.
Hey How come l don't see you down at the Mat in Belltown? Oh, man, no time.
Bro, make time.
[chuckles.]
l'll be expecting you.
l'm there.
[whimpers.]
Handle with care.
This thing's Full of gunk.
l know.
We need to free the bowel from the adhesions caused from the abscess.
This poor girl.
What was she thinking? She wants her mother's approval.
She wanted to please her.
And this damage is the result? Here, resect that.
Needle-tip Bovie, please.
When you're done here, you have postops waiting.
l know, Dr.
Bailey.
Cristina's got the flu.
You need to pick up the slack.
Look, l'll mop the floors, OK? Sorry, that was inappropriate.
lt's not the only thing that's inappropriate.
You care to tell me what you think you're doing? l'll jump through hoops if you want me to.
But what l do when l leave this hospital is my business.
Half this hospital knows.
Flu isn't the only virus spreading around here.
l made a choice, and l know you don't respect me for that choice.
But l'll live with the consequences.
Then l'll have lots of hoops for you to jump through.
l've done everything you've asked me to do.
l may not do it your way, but it gets done.
So whatever else you got, bring it on.
- Ew! - [laughter.]
OK, Dr.
Grey, now that you've drained the organ, we can attempt to repair it.
Now my day is perfect.
OK, bye.
l appreciate this.
The chance to scrub in on this kind of procedure is, well Yeah, l appreciate it.
Here you go.
Triple espresso, not too hot.
Oh, l love you, seriously.
Ah, coffee, where would medicine be without it, huh? l hope you have a new crossword, Taylor.
We're gonna be here a while.
Never go without.
Big day for you, kid.
Congrats.
Thanks.
Hey, princess.
You ready to take a nap? - Hey, look what l got.
- Blow bubbles, that's it.
[Derek.]
Just breathe in.
Oh, that's it.
- What? - Do you smell? Smell what? l have a mask.
Uh l'm sorry, Dr.
Taylor, but did you just? Have you been drinking? l beg your pardon? - [Derek.]
What? - [George.]
Do you smell l l smell alcohol.
[Taylor.]
Where do you get off accusing me of something like that? George, you're out of line.
There are rules.
You know, there are rules for a reason.
You ju There is a 2-year-old girl on this table.
You shouldn't take advantage of someone else's vulnerability.
l don't need some punk intern telling me what's at stake here.
Get him out of here, Shep.
[Taylor.]
Shep? You're out, George.
You damn well better be ready, Taylor.
l wouldn't be here if l wasn't.
[monitor beeping.]
[woman.]
Do you really, seriously want to know why l'm leaving?! How about when you started insisting that l quit my job, when l made more money than you? That should have been the last straw.
The last straw should have been when l found out those phone calls that you kept denying were from other women were really coming from your mother! This isn't healthy.
- Hold still, please.
- Don't you dare try to patch this up! Could the both of you please stop? You don't love me, JP.
You love to smother me.
And if l could just get you to admit that, then l could leave you with an ounce of respect.
Athena, l let you stay in here to keep him calm.
lf you're gonna keep Check that.
l can't respect a man desperate enough to swallow my exit strategy.
That is the last straw! Michelle, can you get her out of here? [Michelle.]
Ma'am? - Fine! - [choking.]
- Come on.
- What? What's happening? The keys moved farther down.
Oh, my God, what does that mean? What did you do? Don't you dare die, JP! Please! Please, just shut up! Breathe, JP.
Just breathe.
[grunting.]
[lzzie.]
Got it.
[choking.]
[gagging.]
[coughing.]
Very impressive, JP.
[sighs.]
ls he OK? ls he gonna be OK? Yeah, he'll be fine.
[panting.]
[JP chuckling.]
You lit You did that on purpose, didn't you? [sighs.]
Can l offer you some advice? Get in your car and go, for all of our sakes.
You're never gonna find where l parked it.
[Meredith.]
l need a shower.
l need a shower.
You need to go tell that girl's parents what kind of kid they're getting back.
You're not gonna let me shower first? That would be a hoop, would it not? lt would qualify.
Shower first, then.
Ew, what smells? That would be me, or more specifically, my patient's insides all over me.
That makes me strangely happy.
Oh, God.
Oh, Meredith, you smell like Karma.
- What? - Nothing.
Something vile's stuck in your hair.
You know, just go stand over there, please.
Ugh, how much do l love being a surgeon right now? Karma.
What does karma have to do with anything? l'm just saying, you've been given all the best surgeries.
And now you smell like putrid goo.
And you're giving off a stench.
Karma's a bitch.
[Bailey.]
Dr.
Shepherd needs an intern.
- Which one of you is clear? - Where do you want me? - You need to lie down somewhere.
- l'm completely healthy.
Grey? - [sighs.]
Of course.
- What is your problem? Um, you! 'Cause apparently, you can help Dr.
McDreamy in ways the rest of us can't.
- You did not just s - Yes, l did! [Bailey.]
Hey! Hemispherectomy in OR 1 with Dr.
Shepherd.
Go.
Apparently, l'm not the only one with hoops.
[? Tegan and Sara: Downtown.]
- Doctor.
- [Burke sighs.]
Digby's postop CBC shows a severe spike in the white blood cell count.
What is it? lt's 27, with 1 6 percent bands.
Something else is wrong.
That's a little high for simple stress.
Check for any other possible sources of infection or recent illness.
[Derek.]
We're gonna start the procedure with the left temporal lobectomy.
Thanks for joining us, Dr.
Yang.
After the temporal, we'll do the frontal, and then the occipital.
We were able to reverse the gastric bypass, but we did lose a significant portion of her bowel.
And because of the short gut syndrome, Claire will never eat normally again.
OK, wait, do? How do we help her here? Well, getting proper nutrition will be a lifelong problem for Claire.
Great, as if we already don't have our hands full with her.
She gets good grades.
She stays out of trouble.
She's smart.
l just think she feels like nothing she does is good enough for you.
lf you think that l'm responsible for this l think Claire is killing herself to please you.
[scoffs.]
Oh, please.
You have no idea what's going on in that girl's mind.
You're her mother.
She worships the ground you walk on.
She didn't do this for herself.
[clearing throat.]
l think that this situation Tina Shut up.
What is it? l'm freezing, doc.
l-l can't stop shaking.
His temp's way up, and BP's dropping, doctor.
Digby, have you had any recent illnesses, new piercings, tattoos, wounds? New tat on my calf.
[panting.]
Ew.
Oh, my God.
lt was nowhere near that nasty this morning.
lt was infected? Why didn't you say anything? Ah, it was nothing.
l'm not here to complain about a little pain.
[Alex.]
The infection's been exacerbated by the stress from the gunshot.
Get him to lCU.
We'll get you started on some antibiotics.
From the frontal lobectomy, l'm going to encounter a, uh [Cristina.]
We'll encounter the anterior cerebral artery.
Yes, so we're gonna need to, uh [sighing.]
The branches of the artery need to be coagulated and divided.
You know, Taylor, her anesthesia's awful light.
Come on, Taylor, s-she's waking up.
Dr.
Taylor? Uh, he's asleep! Taylor! Dr.
Taylor! Huh? Oh, God, sorry.
Sorry, l'm on it.
[sighs.]
[Taylor.]
My bad, Shep.
He was right, wasn't he? Aw, l nodded off.
Come on.
Whatever you got to do to get through the day.
Steph, get me some coffee.
[Steph.]
Yes, doctor.
l'll be fine.
lt won't happen again.
Yeah, not in here, it won't.
Uh, Steph, call Dr.
Pennington.
Hopkins, take over until she gets here.
Get out of here.
What happened? Multisymptom organ failure, secondary to overwhelming sepsis.
Now he's all Fix his BP, that should help his mental status.
He's maxed out.
We got V-tach.
[Burke.]
He's looking bad.
Put the defib pads on him and give him 1 50.
[flatlining.]
l lost his pulse.
Defib! Get the pads! Get the pads! Clear.
Again at 300.
Clear.
[? Joe Purdy: Suitcase.]
Come on.
This packing, we hope, will prevent hemorrhaging.
Dr.
Yang, do you want to add something to that? lt will allow the cerebral spinal fluid to eventually fill the cavity.
Hmm, very nice.
- You two, you wanna close up? - [woman.]
Yes, doctor.
l'm gonna go to bed.
[sighs.]
That was unreal.
l mean, that's that's all there is.
l l was feeling sick until l came here.
l was tired.
Now l'm tired again.
lt's back to reality.
- Let me explain.
- lt's fine.
There is a code among doctors.
We're not supposed to ask each other questions within the walls of this hospital.
OK, l was out of line.
No, you weren't.
l was.
l was out of line.
Somebody should have taken responsibility.
lt should have been the guy doing the cutting.
lt should have been me.
You didn't deserve what happened to you today.
You did the right thing, code or no code.
[scoffing.]
You saw me leave the house this morning, didn't you? Oh, was that you? Hmm.
l'm not using her.
And l don't favor her.
She's pretty great, you know.
Mm-hmm.
So let's go tell Jamie's parents she's gonna be fine, barring any complications.
[George clears throat.]
Did you fix me? No, not completely.
So l won't get fat? No.
Oh.
That's awesome.
Claire, l've asked social services to contact your parents.
Why? [Meredith.]
They can help you.
With what? [sighing.]
You don't know this yet, but life isn't supposed to be like this.
lt's not supposed to be this hard.
[sighs.]
Time of death, 20:49.
The first guy l ever met out here from back home.
l thought you'd be asleep by now.
Yeah, well, l'm not.
lf you wait a few minutes, you can have a piece of cake.
Baked it chock-full of love.
Actually, chock-full of unrelenting, all-consuming rage and hostility, but it's still tasty.
- So you know? - l know.
Well, do you want the long, sordid version, or the short version, where l started sleeping with a guy who turned out to be my boss? Neither.
lzzie, cut me some slack here.
No.
You went to Dartmouth.
Your mother is Ellis Grey.
You grew up Look at this house! You know, you walk into the OR, and there isn't anyone who doubts that you should be there.
l grew up in a trailer park.
l went to state school.
l put myself through med school by posing in my underwear.
You know, l walk into the OR, and everyone hopes l'm the nurse.
Y-you have their respect without even trying, and you're throwing it away for what? A few good surgeries? No.
lt's not about the surgeries.
lt's not about getting ahead.
[lzzie.]
Then what? A little hot sex? You're willing to ruin your credibility over that? l mean, Meredith, what the hell are you doing? Oh, my God.
You're falling for him.
l am not.
Oh, you so are.
No, l'm not.
You so are.
Damn it, you poor girl.
You know, it's just that he's just so And l'm just l'm having a hard time.
Wow, you're all, uh, mushy and warm and full of secret feelings.
l hate you! And your cake.
My cake is good.
So, um, how hot is the sex? lzzie.
What? Come on, l'm not getting any.
Help a girl out with a few details.
[rowing machine whirring.]
[bangs.]
[Meredith.]
Maybe we like the pain.
Pooh.
How's she doing? - Good.
- Good.
[Meredith.]
Maybe we're wired that way.
Cristina? Because without it, I don't know maybe we just wouldn't feel real.
You know, we could just Sleep? We could, yeah, if if you want to.
Yeah? [Meredith.]
What's that saying? ''Why do I keep hitting myself with a hammer?'' Oh, thank God.
''Because it feels so good when I stop.
''