Grey's Anatomy s03e20 Episode Script

Previously on Grey's Anatomy: I had sex with the wrong person.
The thing is, it didn't feel wrong.
This is our secret, OK? We heard about your mother.
We're here to make sure you're all right.
What if my husband shows up with a picture of what I look like, but it's too late and I'm stuck with the wrong face for my life? Cristina and I were together for three years.
- You going to invite me? - Where? - To the wedding.
- Leave.
A patient's history is as important as their symptoms.
It's what helps us decide if heartburn's a heart attack.
If a headache's a tumor.
Sometimes patients will try to rewrite their own histories.
They'll claim they don't smoke, or forget to mention certain drugs.
Which, in surgery, can be the kiss of death.
We can ignore it all we want.
But our history eventually always comes back to haunt us.
Meredith will accept a certain amount of help, then feels suffocated.
Oh.
Is this am I suffocating? Oh, no.
The groceries are just right.
It's me.
I sometimes overdo it.
Who can blame you, with everything? After Ellis died, I gave her some time.
But I want to be here, help make things easier.
Great.
Just try to keep it light, you know? Be helpful.
- Good morning.
- Morning.
- Want some coffee? - Yes.
This all you? - Things to restock your fridge.
- You bought groceries last week.
You have to do it every week.
If you want more.
Well, thank you.
It's unexpected and you didn't need to do all this.
- This for everybody? - Absolutely.
I'm gonna run.
I got to talk to Richard before things get busy.
- See you.
- Going to talk to him about the - Yeah.
Wish me luck.
- You don't need it.
Make him listen.
You deserve to be Chief.
Nice sweater.
Well my wife.
- What? - My wife.
She gave it to me.
The sweater.
Actually, it's my ex-wife.
- It's amicable.
- I'm sorry? The divorce.
It's amicable, very friendly.
She pressed five and got off at three.
She'd rather walk upstairs than flirt with you.
She'd rather climb up the building.
- I wasn't flirting.
- You're telling me.
There's no need to be embarrassed.
Time to shake off the rust and get back in the game.
- You need a wingman.
- I have patients to see.
We'd make a great team.
Nothing like a ventricular reconstruction to start your morning.
OK, you've officially become creepy.
Creepy and stalking.
Burke and I are getting married next month.
We both know you're not the marrying kind.
You don't know that.
You don't know me.
Just to be sure you're fully aware of what you're passing up, I'd like you to assist me on my heterotropic heart transplant today.
A piggyback transplant? Seriously? Burke will want to scrub in too.
See how it's done.
Heterotopic transplant.
He is upping his game.
I need a gambit.
I need to force him into the defensive.
Take his queen.
- You never played chess? - I'm not a geek.
I've got to crush him.
Annihilate him at his own game.
So it's weird, right? Susan keeps stopping by like this? We just became friends or whatever you call your estranged father's wife.
You may be confused since you were raised by wolves, but this is what mothers do.
They stop by, they stock the fridge.
Think she might do our laundry? Hey, get your own fake mom.
Hey.
Bad night on call? When my patient's gooey abscess exploded all over me at 4:00 a.
m.
? - That was the highlight.
- Holy Mary, Mother of God.
Pray for us sinners, now - Iz, you look nice.
- Did you just come from confession? - In a church? - Shut up.
Izzie Stevens does penance.
You did something bad.
I feel like poo.
Hope I make it today without falling asleep.
Do you want to make a coffee date? 3:00? You could use a little pick-me-up.
- Yeah.
That sounds nice.
Really nice.
- Good.
OK.
Smile.
Oh, come on, man.
That's not a smile.
Can I see? It's me? Oh, my God.
This is going to sound terrible, but I'm not bad looking.
I think beautiful is the word you're looking for.
- I was going to say hot.
- I was too, but I'd get in trouble.
- You would have.
- Still swelling.
In a day or two I'll raise hot to smoking.
Should we wait to take the after pictures? The sooner we take them, the sooner we get them out there.
Your picture's going to be everywhere.
The police, the news, the Internet.
If my face looks completely different, what good would pictures do? I was able to maintain your bone structure.
Your face bears similarities to your old face.
Your hair and eyes are the same.
Do you really think someone might recognize me? I think you should smile.
I'm telling you, this confession thing, it really works.
It's like we have a do-over.
Our sin is gone.
- So you don't have to keep avoiding me.
- Until this blows over, I do.
Javier Ruggero? Javier Ruggero? Blows over? What does that even mean? When Meredith and I eventually, it blew over.
It passed.
You mean the sad sex? The tragic, depression-inducing sex - you had with Meredith is the same - I can't.
OK? Back off.
Just for now, back off.
Javier Ruggero? You're Dr.
Isobel Stevens.
Yes.
If you're Mr.
Ruggero though, you're with Dr.
O'Malley.
Dr.
Stevens We, um Our daughter has leukemia and needs a bone marrow transplant.
You're looking for hematology.
It's third floor west.
Through these double doors, second set of elevators on the on the right.
I'm so sorry about your daughter, but Seattle Grace has one of the best bone marrow transplant centers in the country.
I can take you up there myself.
No, no.
It's just that you look so much like our daughter.
We're Dustin and Caroline Klein.
We're Hannah's parents.
We're her we're your daughter's parents.
You're Hannah's birth mother.
Hannah was diagnosed with acute myeloid leukemia.
We, um, looked you up and we know that's wrong, but She needs the transplant.
And we were set to go.
We had a donor.
Her donor died.
The registry called Hannah's oncologist last night.
Apparently, Hannah hasn't had enough bad luck.
We'd never ask.
We had no intention of bothering you, ever.
- But last night, everything changed.
- No.
Of course.
Of course I'd donate, it's just A biological parent isn't a good donor.
I'm only a half match.
Hannah would probably do better getting back on the donor list and waiting.
I know when you gave her up, we promised to take care of her and keep her safe.
But I can't protect her from this.
It's genetic.
You have to take care of her.
Every day we wait, she gets sicker.
And if we're lucky, you could be better than a half match.
Yeah.
Is she? She's here.
- God, she must be scared.
- She's upstairs.
With my mother.
Can I? Um I'd like to meet her.
We'd have to check with Hannah.
But, if she agrees, of course we'd be OK with it.
Isobel, our daughter could die.
Charles, this is Dr.
Burke.
I've invited him to assist on the surgery.
- How do you do, Dr.
Burke? - Playing yourself? It distracts me from the fact you're going to have your hands in my chest in a few hours.
And this, Charles, is a former student of mine, a formidable chess player, Dr.
Cristina Yang.
Soon to be Dr.
Cristina Burke.
We're getting married.
Next month.
- Congratulations.
- Thank you, sir.
Perhaps you'd like to explain the procedure, Dr.
Yang? Absolutely.
Mr.
Redford, instead of replacing your current heart, we're going to attach it to the new heart, piggybacking it.
The two hearts pump together, sharing the workload.
It's a perfect team.
More accurately, the new heart will circulate blood to the body, the native heart will pump blood to the lungs.
More of a divide and conquer approach, wouldn't you say, Dr.
Yang? - Sounds risky.
- All surgeries carry risk.
Dr.
Marlow pioneered the procedure.
Dr.
Burke is one of the foremost cardiothoracic surgeons in the country.
I'll be the one on point, so you've nothing to worry about.
You've picked the best man for the job.
What was that? That was my smug, passive-aggressive, limey ex-boyfriend trying to show me I picked the wrong guy.
I know, I'm fine with it.
As long as I'm learning something.
I was actually talking about you.
What was that? You have to put up with me being nice and sweet for a little while.
That'll be a nice change of pace.
- Shut up.
- That's more like it.
Hey.
I saw Ava.
She looks terrific.
Yeah, yeah, she does.
Sloan kicked it out.
You had something to do with that, too.
- Just doing my job.
- You cannot take a compliment.
- I just don't want people thinking - Trying to build the perfect woman? Dr.
Montgomery.
The police called, they're on their way.
They think they found Jane Doe's family.
I'm sure you needed to be evenhanded when you announced you were looking for someone to take over.
Give everyone a shot at the brass ring.
- I did.
- Can we drop that ruse soon? It's not a ruse.
You promised me the job, it's why I came.
Your marriage fell apart and you had to get out.
You're having me jump through hoops with every attending.
You're giving Marlow privileges to do a piggyback surgery.
This is a teaching hospital, Derek.
My interview didn't go as well as I'd hoped.
I'd like your support.
- You know my credentials.
- I only have one vote.
It's a strong vote.
I'm not feeling well.
What's wrong with that girl? I can't talk to you when you're making all that noise.
Pull it together and get out here.
Now.
I have an 11-year-old daughter.
She needs a bone marrow transplant.
I'm potentially a good match.
Please don't tell anybody.
- This isn't a chapter of my history - I understand.
She's here.
My kid.
And I'm supposed to go up to Pediatrics and meet her.
Right now and I've thought about this moment.
What I would look like.
What I would say.
But I thought I would be older, more together, more mature.
I thought she would be older.
And I never thought that she would be sick.
Oh, God.
I don't know what to do.
I don't know what to do.
What do I do? We love our Shannon, but we never got along with her husband.
- So she has a husband.
- Had.
While she was at work, he packed up and disappeared.
He didn't want a baby.
But she went after him, even pregnant like that.
We hadn't heard from her in months and then today we saw her picture on TV.
Mr.
and Mrs.
Waring, the woman we found, if she is your daughter Well, her nose is different and her chin.
But they said that her face had been, you know, changed.
Do you happen to know your daughter's blood type? She's B-positive.
Any medical conditions, surgeries we should know about? She had her tonsils out when she was 12.
It's her, isn't it? It's Shannon.
- Susan.
- Meredith.
Hi.
- I found you.
- Twice in one day.
Is this a bad time? I know you're busy, but - Yeah.
No, I'm busy.
I'm at work.
- OK.
I was, um I'd love to talk with you, to find a time for you and me to sit down I'm sorry.
This is too much.
Way too much.
You keep showing up.
I cannot be your daughter or charity case - or the thing that you need to fix.
- I'm not trying to No, stop talking, OK? Stop mothering.
Just stop.
She is mid-30s, brunette, eight months pregnant.
If you recognize her, please My glamour shot's been on the news a dozen times.
You're going to miss me when my fancy family shows up.
- You don't know they're fancy.
Open up.
- Why? What's wrong with my throat? How would I know? I haven't seen it.
Open up.
No.
Not until you tell me Wait.
Someone has recognized me, haven't they? Alex.
Alex, you have to tell me who it is.
Please.
Their daughter's blood type is B-positive.
She's your age, pregnant.
Your height, hair color.
And she has no tonsils.
So, now you're going to open up? - Yes.
Please tell me I have no tonsils.
- Say ah.
Ah.
- No tonsils.
- Shannon? Mr.
and Mrs.
Waring, I asked you to wait.
I have tests to complete Alex.
It's OK.
Your name is Shannon Marie.
Marie was my mother's name.
Your grandmother.
Shannon Marie.
OK, discharge beds one and three, two needs a social worker, and hold this down for me, I'm going to be out for a while.
Why? What's going on with Izzie? What's going on with Stevens is none of your concern.
Your concern, sick people.
All these sick people, until I get back.
- Understand? - Dr.
Bailey.
Did a consult in trauma one.
The guy has a perf.
Can I scrub in? No, you cannot scrub in.
You're here with O'Malley for now.
Hey, what's wrong with Izzie? Beds seven through 13.
Start with eight.
He doesn't have much bladder control.
While Dr.
Marlow is preparing the surgical area, I will examine the donor heart.
Actually, I'll examine the donor heart.
I want to be sure the IVC orifice is oversewn.
All right.
Carry on.
Then I'll open your chest and put you on bypass, at which point we will connect the left, then the right atrium The superior vena cava.
It simplifies the subsequent cardiac biopsies.
You didn't read my article in the Cardiothoracic Monthly last year, did you? Well, I think Cristina has a copy of it.
Cristina? May I? Of course.
Oh.
What on earth is that? - Oh, I'm testing colors.
- For the big day, I assume? I'm thinking, um coral? Hey, Chief, I want to show you something.
I'm busy, Sloan.
I need an update on my patient, room 3129.
- Hi.
OK.
I have that right here.
- Hi.
Like those sneakers.
You a runner? - Yeah.
- Me too.
- Maybe we should go running sometime.
- Sure.
Anything else I can help you with, Dr.
Sloan? Nope.
All good.
- Wingman.
- Wingman.
- Hannah's in there right now? - She is.
You see her, you'll know what to do.
Must be nice to know she has parents like this.
Who fight for her.
Think about what she wants.
Try to make her happy, like you would've.
Doesn't mean you don't want that girl to want you.
Yeah.
I'm She's so, so tired.
We left it up to Hannah and, uh, she's just not ready.
I'm sorry.
We don't want to force it.
Maybe another time? - When she's feeling better.
- No, of course.
I understand.
I'm sorry, but the transplant? Stevens.
Look at me.
Look at me.
Your girl, you can want her to want you all day long, but she has to be here if she's going to have that chance.
I'm sorry.
Of course.
Yeah.
I'm ready.
Let's get started.
Hey, guess what? I'm a teacher.
I teach second grade at North Bend Elementary.
- Or at least I did until - You can get your job back.
They love you there.
When will we be able to take her home? - Take her back to - North Bend.
We've got a room set up.
Your mom's got your books and your letters and diaries.
- I kept diaries? - About 800 of them.
So even if you don't remember everything now, you will.
You hear that? - I can go? - You're still getting IV antibiotics, and we're monitoring the baby very closely right now.
But you can make it happen, right? Come on, Alex.
Don't doctor me, help me get out of here.
Dr.
Montgomery's got you on strict bedrest until your delivery.
But I'll ask.
Maybe you can do it from home.
Home.
Wow.
- Hey.
- Hey.
- You OK? You look - I'm in a horrible mood.
I yelled at Susan.
I think I scared off my fake mommy forever.
- Mmm Need cheering up? - No.
- Me either.
It's going to be OK.
- You think? Yes, Susan will be OK.
- How'd it go with the Chief? - As well as you and Susan.
- Wow.
We make a good team.
- Hm.
I've been waiting in Really Old Guy's Room for 20 minutes.
- Sorry.
We decided to eat here today.
- Nobody told me.
Anybody move.
Anybody know what's going on with Izzie? - Something's going on! - Just ask her yourself.
- I would if I knew where she was.
- I brought you lunch.
- You've got stuff on your hands.
- I'm trying to scare away Cardio God.
- With pretty fingers? - He takes my rook, I take his bishop.
Hey, Pouty Head.
Why you so sad? No-Face girl's family taking her home? - Someone claimed Ava? - Yeah, her parents.
- She must be relieved.
- Unless they suck.
Can you imagine? You can't remember a family and they show up, - turns out they're killers.
- Or over-sharers.
Whatever.
She's a patient.
I don't give a crap who her parents are or where she goes.
Can we move on? One second.
What's up with Izzie? - None of your concern.
- It is my concern.
- I demand to know.
- I didn't just hear you say you demand.
Well, are you her father? Are you her husband? Then stay here and keep your mind on your job, you hear me? Grey.
Uh, look, I need to be upstairs, so do not let this out of your sight.
Walk this to the lab, watch the lab run the tests, bring the test results directly to me, nobody else.
It's Izzie? What's the matter? You will be discreet and not ask a bunch of questions.
Now this is a private matter.
She needs these results now.
OK.
- Wow.
That's a big needle.
- It's standard.
You should start to feel numb ten minutes after I inject the lidocaine.
Yeah.
No, I know.
I've given epidurals before.
I know that's the needle.
It's just that it seems so much bigger now that it's going into my spine.
- Little stick.
- Oh, God.
You sure I can't call one of your friends? You're going to need somebody to hold your hand.
No.
- Thank you.
- You sure? I can take a lot of pressure.
Just it's rough as sandpaper.
A little pressure.
Meredith! Tell me where she is.
- I can't! If she wanted you to know - She does.
She We're just having one of our stupid fights.
You know how wrong it is if she's in trouble and I'm not there because we're being idiots? Come on.
Meredith, please.
She's upstairs in Procedure Room A.
That's all I know.
Thank you.
So.
Dr.
Montgomery says you can take your daughter home, but she wants to talk to her local ob-gyn.
Things to go over before we release her.
I can't.
Well, OK.
I can go through all this with your husband if No, you don't understand.
I can't take her home.
That girl is not my daughter.
She does look an awful lot like Shannon.
Sometimes she even sounds like her.
Well, with the surgery and the loss of memory A mother knows her own child, Dr.
Karev.
And that is not my child.
- But your husband is - Look, if that's not Shannon, we still don't know where our girl is.
Do you understand? He needs it to be her.
How am I supposed to tell him? How do I tell either of them? - Mrs.
Waring - Dr.
Karev would you ask my husband to meet me in the lobby? - You have to face her.
- Please, tell her I'm sorry.
- Things have changed.
- No, no.
Nothing has changed.
I deserve your support.
Tell me I didn't move for nothing.
You moved to Seattle to start a new life.
And you did.
You have a fantastic woman who loves you.
This is about my career.
Do you know what being Chief will do to you? Why do you think I'm divorced? Or dying my hair? You can't do it all.
- Not if you want to be Chief.
- You couldn't.
- Neither can you.
- Don't put your mistake on me! I am the best candidate for this job.
You and I know it.
That is the only factor you need to consider.
I don't need protection, don't want it.
I'm not trying to protect you, Derek.
I told Ellis.
I promised her that I would look after her daughter.
O'Malley.
Did Stevens ask for you here? - No, I did not.
- You need to turn yourself around - Giving bone marrow? - This is private.
I'm not leaving.
- George! - No.
Make me.
- Hey! - Sorry.
I'm starting now.
Let me know when you're going to do stuff, OK? Hey.
You're OK.
I got it here.
Fine.
Stevens, I'm going, unless you need me to call security.
I'll manage.
Thank you.
You said back off.
You didn't tell me you were having a hole drilled in your damn hip.
For who? What's this private matter? - OK.
I'm going in when you're ready.
- Yeah.
Yeah? - Hey, Callie.
- Hey.
If you could just take these two, then that will free me up to Oh, no, no.
No, I'm not here to work.
I'm sorry.
I haven't slept in two days.
I'm looking for George to meet up for coffee.
- Oh.
- So, yeah.
OK.
He's, uh, with Izzie, I think.
If you're not here to work, I'm just going to take these back.
Thanks.
Fifteen blade.
Suction, please.
Using the superior transeptal approach for the atriotomy, are you? Is that a problem? Not unless your intention is to kill the patient.
From what I've read Reading about procedure is one thing, performing is another.
I should never have allowed you to scrub in.
I think it best from this point on that you simply observe.
Suction, please.
Hurry up.
Use the wheelchair.
You're going to be sore.
I'm aware.
I'm fine now.
Thank you.
- You mean pantless, but fine? - Crap.
Stand.
- I got it.
- OK.
Hannah.
An eleven-year old girl.
That's the private matter.
She's mine.
Don't don't look at me.
My mother wanted me to keep her.
But I knew, even at 16 I knew, that baby deserved better than life at a Chehalis trailer park.
And now she's here and and she might be dying and she doesn't want to meet me.
Oh, crap.
I didn't think I really cared until she said no.
How about that? I can say Hail Mary's until until I turn into Mary, but I still miss you.
Not the the sex.
It was not tragic, George.
But I'll live without it.
I won't make it if you can't be my friend.
If we can't What you did today, you should be proud.
I'll get an orderly to take you downstairs.
But I have to go.
You understand? Some surgery.
- And Colin was - Brilliant.
He's a gifted surgeon.
Listen, I had a question.
When you moved the atrium to the vena cava, why did you switch from 3-O to 5-O sutures? You want to use the finest sutures you can for vascular structures.
Delicate tissue demands a delicate touch.
Right.
That makes sense.
- Thank you.
- Of course.
- See you at home? - Yeah.
- How long have you been there? - Long enough.
You've been playing our little game all day.
But what I just saw that was real.
The question about the sutures, that was from my paper you helped me write.
You already knew the answer.
The Cristina Yang I knew was concerned with excellence.
She would never play helpless girl, trying to build up a grown man's ego.
What has become of you? I've learned that sometimes you have to think about other people.
- You compromised yourself.
- No.
I'm going home.
You're right.
It's senseless coming here, chasing after a job that was beneath me, just so I could be near a woman who a woman who apparently no longer exists.
Best of luck with the wedding.
There they are.
I can't.
I can't.
- You look.
Please, you look for me.
- OK.
She's getting the infusion.
You did it.
Is she? - How does she look? - You can look, see for yourself.
It's OK.
She can't see us from here.
She's got your eyes.
And your mouth.
I mean, she probably talks a lot and eats a lot.
If she's in pain, she's not letting on.
Man, she's tough.
Come on.
- That's her, George.
That's Hannah.
- Yeah.
She's beautiful, don't you think? She's really beautiful.
Yeah.
Yeah, she's a heartbreaker.
Need some help? I know you didn't just wander in here to help me change pillowcases.
- You warned me she could be a problem.
- Who, Meredith? You love somebody, you think you can handle it all.
You've done all right.
Both of you.
I came out here to be Chief and Meredith complicates that.
Huh.
Now if this turns into an eitherlor, you pick the person you love.
End of story.
Look, all this means nothing if you're alone.
Oh, crap! Our coffee.
I'm I'm sorry.
I forgot.
I got so busy - Oh, yeah? With what? - Well, the clinic.
The patients and well, you know how it is.
Oh, man.
Yeah.
I know how it is, so I'm really, really tired, so I'll just see you at home.
- OK.
- OK.
OK.
OK.
- Solitaire.
- My dad taught me.
That sounds so weird.
My dad.
Good weird, though.
So, you and the redhead going to let me go home? Or are you too busy making eyes at each other to even ask? - What? - Ava No.
It's Shannon.
- Listen - My name is Shannon.
Shannon Marie.
I'm sorry.
Those are supposed to be my people.
I belong with them, Alex.
I'm supposed to go with them.
Your people, we don't know who they are.
You don't want to find them.
You want to keep me all to yourself.
Well, here I am.
Your pathetic, captive audience.
Isn't it sad that I'm the best you can do? - Ava - My name is not Ava! You made it up! It's not me! Get out! Get out! Some people believe that without history, our lives amount to nothing.
Sloan, you brought me to a bar.
- I don't drink.
- Perfect.
Better to keep your mind sharp.
Let the ladies do the drinking.
You think, if you get me laid, I might make you Chief.
At some point, we all have to choose.
Do we fall back on what we know? - I hear Dr.
Marlow was going home.
- About time.
The fingernails.
The hand holding.
Well played.
Now you can get back to being Cristina.
Or do we step forward to something new? It's hard not to be haunted by our past.
Our history is what shapes us, what guides us.
- Seriously? - OK, that stops right now.
It's just, I'm waiting for Derek and I'm very tired.
- I don't care.
Let me in.
- Excuse me? It's freezing out here and I've been working myself up to saying this, well, for awhile, so I need you to let me in now.
Please.
It's my fault your father didn't fight harder for you.
I knew about you.
I could have pushed him to be part of your life.
I should have.
You were a child.
We were the adults.
But we were just married and it was new and that's what I cared about.
I know the groceries and everything are a little much, that's just what I do.
Quit looking at me like I'm crazy, that's not fair.
I'm just trying to find a way to be there for you the only way I know how, and if you can't accept that, then fine.
Just stop being so rude.
And I OK.
I'm overstepping again, aren't I? As mothers go, I've only ever known overbearing.
Never overprotective.
This is all new.
- It's OK.
- It is? Yes.
Our history resurfaces.
Time after time after time.
Not just surgery, but Chief of Surgery.
- Really? - Well, not for much longer, really.
I'm going to go over there.
Hold down the fort, Chief.
So, um you come here often? Well, sometimes.
It's on my way home from bio class.
Excuse me.
Is this seat taken? No.
- Um, it was nice talking to you.
- You too.
The last time I tried to pick up a woman I had a Harvey Wallbanger in one hand and an afro pick in the other.
- Richard.
- Well, you think about it.
I mean, when you're married you like to think you still have game.
- Practice on me.
- I'm sorry? Mark's right.
I mean, he's wrong about so many things, but he is right about this.
You need to get back out there.
So.
Practice.
- I wouldn't know where to start.
- Ask me to dance.
- There's no dance floor.
- So, ask me anyway.
So we have to remember sometimes the most important history is the history we're making today.