Grey's Anatomy s03e12 Episode Script

Previously on Grey's Anatomy: - You're watching me sleep again? - It's just that you snore.
Harold O'Malley, 63, scheduled for a transhiatal esophagectomy - tomorrow morning at 9:00.
- I want you to take the tumor out.
As things progress with my dad, it'd help if you were straight with me.
- OK.
- So we're closing him back up? - No.
- But I thought.
.
The patient asked us to proceed.
If the kidneys fail, that's a sign that everything else is starting to go.
A hundred and thirty cc's of shiny, yellow urine! That is fantastic! Heather Douglas, 17, past history of VATER syndrome.
I think I can help with the spinal curvature.
- I get to scrub in.
- Not until I say so.
I deposited the check.
Insurance bastards.
The surgery's too experimental.
Looks like there won't be a surgery to scrub in on.
Sorry.
You don't get the high horse this week.
Not this week.
Dr.
Burke's hand, has he had any tremors? Talk to him.
- No.
Then he wins.
- My father's here.
The one I don't talk to and barely know.
- If you want to go back to plastics - No.
Shut it off, please! - Could you not snap at me? - Sorry.
I didn't sleep much.
Maybe it's because you were too busy shoving me every five minutes.
I wasn't shoving you.
I was nudging you to stop the very loud sawing of wood.
- I wore the nose strip.
- It's cute, but it doesn't work.
- Ow! - What? You need to shave.
Izzie! The the check! It's not, uh It's not Did you drop it? It Here, move.
Did you? It's not here! Izzie, it's not here! I deposited it, OK? You didn't deposit it in the garbage disposal? It's at the bank.
OK, George? Now just shut up about it already.
It's at the bank? That money, it could That money could travel.
It could buy things.
It could buy many things.
That's a It's a lot of money, Izzie! - Shut up about it, George! - I'm just saying.
I'm just saying, life is short.
You know, cancer happens and surgery happens, and, you know Just "Gather ye rosebuds.
"' You have eight point seven million rosebuds, Izzie! You got to spend some rosebuds! That's what I'm saying.
- You made me burn my French toast.
- You can buy new French toast! Oh! Hey.
Uh, I was, uh - Yeah, it's just - The baby's doing? Good.
Yeah, she's good.
- Good, that's good.
- Yeah.
- Doctors, I was wondering - Yes? - The baby looks - Good.
- She's good.
- She looks good.
- She is.
- She's good? She's out of the woods? - She is.
She is - She's good.
Yeah, she's out of the woods.
Her vitals are strong.
She made it through the night, and she's a She's a fighter.
So I can tell my wife and my daughter? You can and you should.
Oh, thank you.
Thank you both so much.
Yeah.
No, she's out of the woods.
- How am I related to that man? - What do you mean? - No, no, no.
- Look at him.
He's a mess.
Yeah? I mean, he's a disaster.
A stammering, mumbling, clumsy disaster with whom I have absolutely nothing in common.
Not one thing.
I hate to break this to you - What? - You do your own share of stammering.
That nervous talking thing you do, it's actually a lot like him.
- Right.
I'm so happy.
- No, it's not.
- Plus that messy thing.
- Totally.
- You're the messy one.
- No, no.
My apartment's messy.
My locker's messy.
But I am not messy.
Sometimes you have, like, food and stuff in your hair.
Yeah, food.
Band-Aids on your face.
I can see that indentation from the nose strip you were wearing last night.
You are in a relationship with no words.
And you are a millionaire in $20 shoes.
So, whatever.
Oh, my God.
- She's just like him.
- Right? - Dr.
Bailey, you paged me? - Yes, I did.
We're going to proceed with Heather's surgery as scheduled.
The insurance company changed their mind? No, better.
It seems an anonymous donor has offered to foot Heather's entire bill.
Wow.
That is incredible.
You're a very lucky girl.
It's the first time anyone's ever said that sentence to me in my entire life.
I like it.
You spent three hundred grand so you could scrub in on this surgery? - No.
- No? I spent the three Have you seen that girl? Her life is miserable.
She's desperate.
She'll never have a date.
She'll never wear high heels, never feel normal.
I spent three hundred grand because it's a good thing.
I was hoping you would tell me you spent the money so you could scrub in.
- But, I - You need to decide whether or not you're a surgeon.
Because this thing you did This is lovely and generous, and I'm not trying to take away from any of that.
But you are, once again, overly involved.
Once again, you are personally involved.
So, no, I'm sorry.
You cannot scrub in.
George kissed me.
Yesterday.
One minute he's holding a urine bag, the next minute he's kissing me.
You think he's just freaking out about his dad? Eh, you're right.
He's probably just freaking out.
I shouldn't hold him to it.
What? Did you just not hear a word I said? I'm pouring my heart out here.
Geez.
It's all about you, isn't it? Everything's about Addison.
I aborted Mark's baby.
It is all about you.
The floor's all yours.
About eight months ago I peed on a stick.
And I wasn't even gonna tell him, but then I did.
Tell him.
And he went out and he bought this insane Yankees onesie, and a calendar and marked the due date.
Which, I should mention, was today.
- You didn't want a baby? - I wanted Derek.
I wanted to have a baby with Derek.
I never thought I'd end up alone.
Hey, you have not ended up anywhere.
Yeah, you're right.
I know.
It's just that sometimes it feels that way, you know? This is one of those weeks it feels that way.
- Drill.
- Here you go.
The other screw, please.
Hey.
How's your old man? His urine output's holding steady.
Mostly it's steady today, which is good.
Have you seen Burke today? Even if I did like you, I still wouldn't tell you that.
How can you be OK with Burke, but not Cristina? Her career wasn't on the line when she lied to me.
Why don't you just ask Burke about the hand? I'm not talking to him.
He owes me.
- What? - I don't know.
You're together, but you don't talk to each other? - Mm-hmm.
- Wish I could find that in a woman.
- Hey, how's it going with Addison? - What? What? Why would you? What do you mean by that? Laura Grey.
Tiny baby.
Laura.
The baby.
Right.
She's, uh, doing fine.
She's doing well.
I got to get out of gynie, though.
I got to get back to Sloan.
What are you plotting, and can I get in on it? - Shut up.
- Oh! This is my surgery.
I should be down there.
No.
Excuse me.
- Mr.
O'Malley.
- 911? Yeah.
- That sucks.
- Yeah.
- Give me the retractor.
- Can you proceed without me? Are you kidding me? This is your surgery, Torres.
This is your find.
You want to leave? I am I don't, but, yes.
I'm sorry.
But, if it's all right, I need to leave.
Give me some sponges.
I called the family in because I need to perform a procedure on your father to help him breathe.
So you're saying he can't breathe? With the extensive surgery, your father is not breathing on his own, which is why we still have him intubated.
- Intubated? - The tube in dad's mouth.
It's breathing for him.
And, right now, that tube has a kink in it, which is straining his breathing.
- How did it get a kink in it? - It just happens.
- We don't always know why.
- But he's doing good today.
I mean, he made plenty of pee Still, we need to replace the tube.
Why don't you just do it? What are we waiting for? OK.
With the damage to your father's esophagus, and the swelling in his throat from being intubated You might not be able to get it in? The new tube.
Under these circumstances, it can be a complicated procedure.
If I'm not successful I'm saying, uh, you need to prepare yourselves.
- What is that? - It's Jerry.
I'm sorry.
I'm nervous.
- Oh, God! - My God.
- God, stop it, Jerry! - I'm nervous! For God's sake, take some charcoal or something, son.
That's disgusting! Shh! - Tyler.
- Yeah? Could you let Dr.
Burke know that Mr.
O'Malley is having some kind of medical crisis right now, and I thought he would like to know? He's awake, you know.
Yeah, I know.
You want to handle this, chief? Dr.
Bailey, you have a lot more hands-on hours these days than I do.
I'll be standing by to help, but this is all yours.
All right, Grey, let me have an eight-0 ET tube.
Dr.
Bailey.
This is a patient.
Like any other patient.
There's no room for error.
Which means there's no room for nerves.
So shake it off.
All right.
Let's do this.
Great.
Eight up.
- I can't - Is it too tight? I can't get past the vocal cords.
Damn it! - Pulse ox down to 88.
- Damn it.
Eighty-six.
Come on.
Let's go.
Let me have a seven and a half.
- Hurry.
- Come on, come on, come on.
Good.
- Let me get in.
- OK.
I got it.
Beautiful job.
Beautiful job.
Can I go tell George? Dr.
Bailey, you all right? My son is named after his son.
I just need a minute.
There's a surgery.
It's a minor laser thing.
It's supposed to really help.
We could look into it.
Sure.
And while we're at it, let's look at halitosis cures for you.
Not to mention stubble cures because it's now become physically impossible for me to kiss your face.
I am too tired to shave! Sloan! Dr.
Sloan.
Bone dry cappuccino.
I watched them make it this time, so no mistakes.
I noticed you had a reconstructive rhinoplasty today, and I'd really like to scrub in if at all possible.
You've been working with Addison this week? Yes, sir.
Working.
Working a lot.
Working hard.
Just working.
- Is she miserable? - I'm sorry? It's just I need to know if she's at least miserable this week.
Did she seem? - Is she miserable? - Well, dude, she's awful.
She's torturing me.
I have to get away from that woman.
I mean, she's completely and utterly 100 percent miserable.
Good.
- So can I scrub in? - No.
- Are you sleeping? - I should be.
- I haven't slept in days.
- Me neither.
I can't sleep alone anymore.
I used to sleep just fine.
And then he God, he gets me all strung out on him and then he disappears.
He didn't disappear.
He's in the hospital.
- I just want to know how he's doing.
- You could just ask him.
He could just tell me! George's dad is going into renal failure.
- I heard.
- My dad's here.
Everywhere, every day.
He's perfectly healthy, and I have nothing to say to him.
- If George's dad dies - I know.
If Thatcher died, my life wouldn't be any different.
Is it weird that I'm a little jealous of George? Yes.
Bailey re-intubated him, but he was without oxygen for, I don't know - a few minutes.
- O'Malley.
There's no blame here.
Your father's body is diseased and has undergone tremendous trauma.
Now his organs are shutting down.
- There's no blame here.
- Do people come back from this? His BUN and creatinine are high, I get that.
I'm just wondering, in your experience, can people come back from this? I don't have any statistics.
I don't have any more medicine for you.
Now it's about faith.
We're men of science.
In my experience, science is not enough, O'Malley.
But if you want me to hope with you, if you'd like me to send up a prayer, that is a thing I'd be happy to do.
You have family here? - Yeah, a daughter.
She's 17.
- Oh, I'm so sorry.
Yeah She had surgery on her spine.
And they said it went well, but then she has trouble with her kidneys, and Well, she hasn't woken up.
My husband, either.
It was a dangerous surgery.
They told us that.
My husband's, too.
He has cancer so I was surprised when they went through with it.
I thought I'd be taking him home.
Excuse me.
Mrs.
Douglas? Heather is asking for you.
- She woke up? - She did.
- And she looks great.
- Congratulations.
- That's wonderful.
- Good luck.
I'll - Good luck.
- Thanks.
- Why did you do it? - Dr.
O'Malley.
Why did you do the surgery once you saw the cancer had spread? George.
He asked you, right? He asked you to do it no matter what? We have to honor our patient's wishes.
You said you'd be straight with me.
He could've lived for weeks or months.
We could've had months with him.
My mom, she could've had months with him! - He wanted to fight the cancer, George.
- He didn't know any better! You knew better! You shouldn't have done it! You shouldn't have done it! Chaplain Colling to Admitting.
Oh, my God, look at you.
- I'm miserable.
- It's the rain.
The constant dampness in the air.
- It takes the body awhile to adjust.
- I don't want to adjust.
Then go home.
If you'd had the baby, we'd be together in New York right now.
It wouldn't be raining, and even if it was we wouldn't care because we'd be together.
We'd be together and I'd have a family instead of walking pneumonia, - and an ex-best friend who hates me.
- You didn't want to raise a child.
You wanted to trump Derek.
You wanted to win.
Don't make this my fault.
You didn't want a baby.
No, I did want a baby, Mark.
That last woman you slept with before I left New York, Charlene? The Peds nurse? Did you think that she was the only one I knew about? You're rewriting history, Mark.
We wouldn't still be together.
We weren't a great couple.
And you would have made a terrible father, Mark.
I did want a baby.
I did.
I just I just didn't want one with you.
- Is that his lunch? - Oh, no, you can't have it.
- What? - He's restricted from food.
- No, he's not.
- I'm his doctor.
- You are not.
- I just want to know how he is.
And withholding food gets her that how? Fine.
Feed him.
Whatever.
You want me to call security? - Hey.
- Hey.
I haven't seen you in the last couple of days.
Yeah, I was covering the pit and I got pulled into an emergency appy and ruptured spleen.
It's been pretty chaotic.
Look, Karev, I'm your attending.
I'm sorry about what happened.
It's been a weird week.
For me.
So normally Anyway, I apologize.
The baby's bowels functioning yet? Yeah, actually, she had her first diaper change today.
- So - That's good.
Yeah, it is.
That neighbor kid, Mike Wilden? I did hit him in the face with a stick.
And when his dad came over, and he was yelling, and you asked me if it was true I lied.
And you thought I never lied.
So you took my side.
And you and his dad got in that big fight, and then his kids egged our house and then Ronny and Jerry went over and blew up his lawn mower.
Anyway I did it.
He was teasing me, and he was bigger than me so I needed a stick to reach his face.
And I lied to you, Dad.
So I'm saying I'm sorry.
Dad? If you have any more fight in you If you could fight this thing just a little harder, that would be good.
That'd be good right now.
- Where's Derek? - He slept at his place.
Do I really snore? I grew up next to a freeway, so it doesn't bother me.
But yeah, you do.
- Did you get any sleep last night? - No.
No, I stayed up baking and cleaning the bathroom floor in case George wants to lay down on it.
It's weird.
I have all this money.
I I have all this money and I would spend every penny of it to save George from what he's about to go through, but I can't.
It's useless.
So I made cobbler.
- Well, cobbler's good.
- Yeah.
EKG Tech to the ER stat.
She told you.
Uh Yeah.
You think I'd be a terrible father? Oh, I don't I don't Are you? - OK, do you like kids? - I don't know.
Depends on how loud they are.
OK.
Do you like your family? I mean, are you a family kind of guy? I don't really have a family.
- Derek was my family.
- OK.
Well, what about birthdays and anniversaries? - Do you remember those sorts of things? - No.
- I don't know.
Sometimes.
- Hmm.
- Isn't it the same with all men? - No.
Some men just like kids.
To some men, family's everything.
Right.
- And you know these men? - I do.
I know one.
I would've made a terrible father.
You're saying You're saying it's not getting better.
You're saying he's not going to wake up.
Mrs.
O'Malley, all of his organs are shutting down.
His liver and his kidneys are no longer supporting him.
He's entirely dependent upon his life-support machines.
We're saying he's not going to wake up.
You can keep him on life-support and wait for nature to take its course.
That can take days or weeks.
Or you can take him off life-support.
- Unplug him? - Yes, ma'am.
- George? - Yeah.
What do you think? Dad's in pain.
His organs are shutting down.
He can't breathe on his own.
It's painful.
And he's on medication, but medication can only do so much.
You think? You're saying you think it's time? To let him go? We can't tell you what to do here, George.
He's not dad like this.
And he's not going to wake up, Mom.
Is there a drawer of unopened cards somewhere? I'm sorry? I just wanted to know.
I've only ever heard my mother's version of the story of why you left.
And I was just wondering if, maybe, you have a side that I haven't heard.
Your mother moved to Boston, and I wanted to.
But she told me not to call or come around, and, uh, she was, uh Eventually, I remarried.
And I I'm sorry.
- Do you snore? - What? It appears that I snore.
My mother never did, so I was just - Forget it.
- I snore.
Snore like a trucker.
You get that from me.
The wax earplugs work pretty good.
Thanks.
Hey.
Derek.
I was waiting on an update on Mr.
O'Malley.
I didn't want to intrude, but do you have an update? They're letting him go.
Hm.
I haven't had any more tremors.
Not one all week.
How about that? Yeah.
How about that? - I'm both.
- What? I'm both.
I'm a surgeon and I'm a person who becomes emotionally involved.
And I will never again cross a line like I did with Denny.
I've learned my lesson, but I'm still both.
And I'm not going to give up either part of me.
And I'm not going to apologize for it.
There's a club.
The Dead Dad's Club.
And you can't be in it until you're in it.
You can try to understand, you can sympathize.
But until you feel that loss My dad died when I was nine.
George I'm really sorry you had to join the club.
I don't know how to exist in the world where my dad doesn't Yeah, that never really changes.
Beer, Joe, please.
George's dad? Hey.
Hey.
You got a dad? Not really.
Not anymore.