Grey's Anatomy s04e03 Episode Script
Let the Truth Sting
Previously on Grey's Anatomy: You're an intern.
Again.
Yeah.
I won't tell anybody.
Izzie, meet Really Old Guy.
This is the best breakup.
Don't know why we didn't break up long ago.
He's gone.
You're my sister.
You're my family.
You're all I've got.
We have the same dad.
We don't have the same dad, Lexie.
I think my husband's having an affair.
I'm going to tell her.
Doctors give patients a number of things.
We give them medicine.
We give them advice.
And, most of the time, we give them our undivided attention.
I heard he saved a guy who coded yesterday.
By himself.
He just knows things.
He never messes up in rounds, always has the answer.
And he's so calm.
I'm always terrified, but he's, like, steady.
Best intern ever.
Hey.
Who are they talking about? George O'Malley.
Seriously? Don't they know that he? Shh! But, by far, the hardest thing you can give a patient is the truth.
Do you know O'Malley's got these morons snowed? They don't even know he's a repeater.
Yeah, whatever.
Hey.
Hey.
How are you today? Good.
Great.
The truth is hard.
The truth is awkward.
And very often the truth hurts.
Damn it! Bye.
She's doing McDreamy.
She's doing McDreamy and lying about it.
She thinks I'm weak? I'm fragile? Like I can't handle it because of Burke.
Poor Cristina.
All alone.
Damn right, poor Cristina.
George, what happened? I mean, people say they want the truth.
But do they really? Do I have sex hair? If I did my job right.
Go ahead.
What? You go ahead.
I'll wait a minute.
So this isn't just breakup sex, this is secret breakup sex.
Is this about Cristina? I don't know what to do.
We don't talk about it, the whole Burke thing.
I want to be a good friend, I want to take care of her, but you don't take care of Cristina.
Ok, so by being with me, you're cheating on Cristina? If she knew about you and me You'd have to talk about it.
You'd talk about you and me.
It'd be a long conversation.
There'd be no time to talk about her.
I told you, we don't talk about it.
Mm-hmm.
Pierce, you're in the pit.
James, need you in peds.
Laura, you're on scut.
I was on scut yesterday.
Oh, and just for that, you're on scut tomorrow.
Get lost! Dr.
Karev, this is Dr.
Norman Shales.
Hey.
Strong handshake.
That's a good sign.
Norman's transferring in from UCLA.
I want him to work with you.
Are you the new oblgyn guy? I don't have a specialty yet.
Norman is an intern.
You'll be his resident.
He's my intern? Don't you worry.
This tugboat's ready to pull his own weight.
Age is just a number, right, Norman? Absolutely.
A pretty important number.
Hey.
Hey.
You ok? I don't know.
I think it's all just hitting me, you know.
Stupid Burke, dumping me.
Then stupid Mama coming to reclaim her magic necklace.
You want to talk about it? No.
Not really.
Not yet.
If there's anything I can do You know, I just wish I had a good bloody surgery.
You know, bloody surgeries make me feel better.
One, Two, Three, Four.
Follow me.
Joanne, this is why you and I need to get sick.
These doctors.
One's more handsome than the next.
And here comes the handsomest one of them all.
Hi, Dr.
Webber.
Connie.
He took my appendix out three years ago.
Barely left a scar.
How's Adele? Um she's good.
Good.
Marriage is hard.
But we're dating again, uh and she agreed to date me tonight.
But more importantly, how are you doing? I just had a little bump on my tongue removed, is all.
Couple of taste buds.
It was a touch of cancer, so I'm here to have the rest out.
I mean, you know, the cancer.
Not the taste buds.
I don't know exactly how bad it is because Dr.
Sloan's been quiet.
Because you don't let him get a word in edgewise, is why.
Uh, how is she, Dr.
Sloan? We just got back the pathology report, Connie.
Unfortunately, the cancer is a bit more widespread than we'd hoped.
It's over 60 percent of your tongue.
Well, what does she do? Chemo? I think the best bet is a microvascular free flap.
Dr.
Grey? He'll remove the cancerous part of the tongue and then reconstruct it with a strip of flesh from your legs.
George? Uh, the extra flesh would provide the bulk your tongue needs to breathe properly, chew, swallow.
And talk? Dr.
Sloan? I'll be able to talk, won't I? You will be able to talk, Connie.
I just don't know how well you'll be understood.
It'll be ok.
It'll be ok.
Nurse Hollister, Peds ICU.
What are you doing in my clinic? I thought you didn't work in the clinic.
I don't.
But I thought I could get my new intern, Norman, settled in with you.
Bailey's the best.
You'll really learn.
Oh.
Pleased to meet you.
You want to leave Norman with me while you troll for surgeries.
The dude's got a bum hip and he smells like arthritis cream.
He can't keep up.
Come on.
Do me a favor and I'll do you a favor.
I'm calling in my favor now.
Curtain Five.
You can take your intern and show him how we do an H & P.
Nice to meet you, Norman.
Thank you.
Hunter, I'm Dr.
Karev.
This is Dr.
Shales.
What's going on? My son is on drugs.
I'm not on drugs, Mom.
I wasn't born yesterday.
I know the signs.
He's lethargic, irritable, school work's gone down the drain.
I'm not on drugs.
There are a host of reasons why your son could be exhibiting those symptoms.
I think we should run some tests.
But first a drug test, Dr.
Shales? I'm right to want a drug test? Yeah, I just said that.
Mrs.
Chapman, you are not wrong.
My Mary Beth, God rest her soul, was just like you.
When one of our kids started heading down that slippery slope, she just knew it.
You have a mother's instinct.
Right, Dr.
Karev? Yeah.
Right.
Ok.
What happened? George.
It's Really Old Guy.
We could bring a marching band in here.
What happened with Callie? What happened? You were gonna tell her last night.
I tried, but she would not let me.
She wouldn't let me.
And I wanted to kill her, but then I couldn't kill her because she did help me through a lot of stuff, and it was a lot of stuff.
And then I wanted to kill her again because who marries someone who just buried their father? And then I went to bed.
So what does this mean? I told you I needed a minute before rounds.
We heard you saved a guy yesterday.
What? Rounds! Excuse me.
We'll start in here.
Graziella, what can you tell us about Really Old Guy? - He has a name.
- I know he has a name.
We call him Really Old Guy.
Eighty-two year old semi-comatose male.
Came in a year ago status post fall and is post-op day 352 Which means he hasn't woken up for a year.
So what's the treatment plan? Um um It's really very simple.
Daily labs and dialysis three times a week.
Don't bother with any more dialysis.
I plan to die today, so it won't be necessary.
Nice to meet you.
And while I think Really Old Guy is charming in a neglected patient kind of way, my name is Charlie.
Charlie Yost.
Hey, I just heard.
Welcome back.
Is it true? Really Old Guy woke up? He has a name.
This time tomorrow you can call me Really Dead Guy.
I don't think Mr.
Yost knows who you are.
Sure I do.
That's Meredith.
She and the brain doctor are always running hot and cold.
And you're Alex.
You still got a thing for that old patient of yours? I was semi-comatose, Blondie.
I could still hear you guys.
Get a CT, a CBC and chemistries.
Your kidneys may be working, which may be why you woke up.
It's good news.
Oh, it just means now I got two things to do today.
Take a pee and die.
Nobody's dying.
"Aah.
" Functional muscle transfer.
What? For Connie.
I was reading up on glossectomies and saw the procedure.
We could microsurgically reinnervate her hypoglossal nerve.
A nerve graft? It's too risky.
The free flap's still your best bet.
Even if that goes well, you and I know she'll never speak the same.
That woman loves to talk.
What's a functional muscle transfer? You won't find it in the books.
It's cutting edge.
Connect the nerves from the leg with the nerves from the tongue.
Gives her a shot at really speaking.
If it works.
They've only done a half a dozen of them.
Better than none.
Sometimes you got to push the envelope.
Better to do a surgery that neither of you have done than do a surgery that you know at least gives her a chance to have a normal life? Do you know how to do this? Are you saying that we're too old to learn new ways, O'Malley? No.
Saying we're old dogs, can't learn new tricks? No.
I was just asking We're not old dogs.
We still got it.
Ok.
I did do a functional muscle transfer to restore elbow function once.
Elbow, tongue.
That's pretty close.
Come on.
What do you say? Let's light this candle.
Yes, sir.
Age is just a number, O'Malley.
Yes, sir.
Excuse me.
I got Karev down in the clinic all day.
I hope that's not a problem.
Nope.
I know how you like to be told these things, so I'm telling you.
Thank you.
You know, he tried to dump a new intern on me, Karev.
He's not interested in teaching.
Thank you for letting me know.
You ever feel old? I'm young.
I'm a fetus.
You ever feel like there's going to be a time when new techniques pass you by? I'm a genius and a scholar.
Shut up.
Meredith isn't telling Cristina about us.
And, well, she tells Cristina everything.
I thought you broke that off.
I meant to.
You think she's gonna want to get back together.
No.
You think she's going to grow up and get all whole and want a relationship.
I do not.
You're a bad liar.
You're old.
I'm just getting started, my friend.
Hey.
You feeling any better? Heard you're on that hemiglossectomy.
Tongue surgery? Yeah.
Here I am stuck in the pit with those know-nothing interns.
You'd think, eventually, I'd catch a break.
Cristina, are we ever going to talk about this, the Burke thing? I'm not Izzie.
I'm not going to lie on the bathroom floor all day.
I'm going to lie here, on the counter.
I'll trade you the hemiglossectomy.
What? You take the hemiglossectomy, and I will take the ER and your interns.
Are you sure? Take the surgery if it makes you feel better.
You're starting to freak me out.
I saw the whole thing, Yang.
You can stop pretending.
I'm not pretending.
I'm sad.
I'm very sad.
Me so sad.
I should try it.
See if I can get Grey to take my new intern.
No.
Hey.
Forget it.
Sad is mine.
Go find your own pretend emotion.
Blondie! Hey, Blondie! Charlie, I have a million charts to update.
I'm busy.
I want lobster.
What? For my last meal.
It's traditional.
The dying man gets to choose what he wants to eat.
I want lobster.
I'm not getting you lobster.
You're not dying.
I won't allow it.
A man can only hang on for so long, Blondie.
After a while it's just not worth it.
Don't you have any friends? Family? Anyone? They're all dead or on their way to dead.
You'll understand someday.
When you're older.
Less naive.
I'm not naive.
You and what's his face.
That's not naive? I don't know what you're you know about what's his face? I know you're crazy if you think he's leaving his wife.
Guys always say that.
Not that it's your business, but this is different.
I'm sure it's true love.
I'm sure he's told his wife.
I'm sure he's moved out.
And I'm sure all your friends know.
Right? Yeah.
By the way, I want real lobster.
Not that fake whitefish crap.
Dr.
Pierce, ER stat.
Dr.
Pierce, ER stat.
Hey, I'm filling in for Cristina.
So how's it going? I pulled a splinter out of a guy's toe and now I'm writing about it.
Ok.
Well, if you have any questions I have a lot of questions.
Just not about a splinter.
Ok.
Ok.
Coming through! Forty year old unrestrained driver in a rollover MVC.
Lost vitals, unable to intubate.
Lexie, let's go! Open the intubation tray.
How long's he been down? Took ten minutes to load him, 14 to get here, so 24.
Do you know how to intubate? Uh, I've never done it.
You've seen it done? A couple times.
Come do one now.
Are you sure? Visualize the cords, pull straight up, watch the tube, go through the cords.
I can't see the cords.
You should do this.
You can do it.
Just don't rock up against the teeth.
Just pull straight up.
Pulse ox's down to 86.
That wasn't bad.
What? That wasn't bad for your first intubation.
Is that some kind of a joke? The guy is dead.
He died.
He was dead when he came in here.
He was dead on the scene.
He was dead for 15 minutes in the ambulance.
He was dead before I asked you to intubate.
You're pretty cavalier, don't you think? I mean, they brought him here for help.
They brought him here because they're legally required to.
And I had you intubate because I'm required to teach you, and that is how you learn.
No.
No.
You should have done everything that you could.
That was everything I could.
What kind of doctor are you? What is this about? If you don't want to learn from me, that's fine.
But I have to cover the pit today, so why don't you do both of us a favor and go help Bailey in the clinic.
Fine.
Fine.
Pretend I'm not here.
Pretend I'm not busting in on you and your pictures of tongues.
Really Old Guy is giving me a hard time.
I liked him better when he was sleeping.
Which he's not.
He's awake.
You've probably heard.
But my point is, is that he's stubborn.
He's stubborn and really old and he's telling me I'm an idiot for thinking you're gonna leave Callie.
Seriously? We're in this together.
You're going to tell her tonight.
Right? George? I have to get this research done.
You're not gonna tell her.
Just yesterday you said you didn't want me to tell her.
Fine! Forget it! Just play with your stupid pictures of tongues! We got back the tox screen back, Mrs.
Chapman.
Your son's not on drugs.
You're sure? There's no drugs in his system? No, it came back clean.
Your son is fine.
This is not my son, Dr.
Shales.
It's not.
Maybe we should order more tests.
You know, he's a teenager.
I raised four of them myself.
Teenagers don't like to do homework, they talk back to parents and never come out of their rooms.
You have apple hair.
I threw a pancake in the river.
A pancake! Hunter? Do you know what you just said? I'm I'm not sure.
Did you mean to say it? No.
I was trying to say that I wanted to go home.
Oh, my God.
We need to do a full neuro exam.
Order a head CT and labs.
Now.
It's going to be ok, you know? It is.
It's going to be ok.
Do you think so? Dr.
Sloan's going to do this fancy new surgery.
You'll make it into medical journals.
Maybe you'll be famous.
What if the surgery doesn't work? Oh.
What if this is my last chance to talk? I still have so much to say.
Say it now, Connie.
Don't be so morbid.
The surgery will work.
You'll be fine.
She should say it all now, just in case.
She shouldn't have any more regrets.
You can tell us anything, Connie.
We're your best friends.
You should tell them.
I'm sorry, I don't mean to pry, but if you have something you want to say you should say it.
I've been here long enough to know that things don't always go the way that you want them to, and if there's something you want to say, you should say it.
Joanne, stop wearing those pants.
Make your ass look like two puppies are struggling to get out.
As a matter of fact, all of your pants are too tight.
You have to buy some new pants.
And, Elaine, your breath is god-awful.
My breath? You need to see a doctor, because I know you have good hygiene, but sweet God, your breath is bad.
And you've got to get a new hairdo.
The 80s are over, honey.
What now? He's pulling off his monitor leads.
I told him he could pull them off, he's not gonna die.
I'm sick and tired of waiting.
I'm tired of coming to your room.
Sorry, Blondie.
It's time I took things into my own hands.
Know what? You want to die? Fine.
Here.
Let me help you.
You missed this one.
Damn.
You're still with us.
Oh, wait, this looks promising.
A nice, thick wire.
How's that? Any luck? No? Well, no wonder that's why.
It's attached to this lamp.
Ok.
Well, let's see what else we got.
Dr.
Stevens.
What? He's not breathing! What? He doesn't have a pulse.
He's in cardiac arrest.
I swear, I didn't do anything! Code blue, fourth floor.
Code blue, fourth floor.
The epi and atropine in? Epi's in.
Pushing atropine.
Hold CPR, let's see what happens.
Looks like v-fib.
Charge paddles.
Three hundred.
Clear! No change.
Charge again.
Clear.
We got a pulse.
Charlie? Charlie? Stop saving my life! I can't believe I said all that.
Do you believe I said all that? Not really, no.
You think I hurt their feelings? I mean, real bad hurt their feelings? You think they'll forgive me? You told me.
You told me to tell them.
You told me to say everything.
You said it would be ok.
I'm really sorry.
Dr.
Bailey? Dr.
Grey sent me down here to work with you.
She did, did she? And why is that? Truthfully? Uh She didn't want to work with me anymore.
She kicked me out.
You can go and tell Dr.
Grey that the clinic is not a dumping ground for strays.
We are not the Island of Broken Interns.
Please go tell her that.
Please don't make me do that.
I can't work with Meredith Grey.
I can't work with her because I can't look at her.
Because she hates me, she hates my dad.
She obviously hated my mother.
I am Please just let me work down here today.
Please, Dr.
Bailey.
Kid in Curtain Three needs stitches.
Go.
What do you got? A teenager came in this morning.
He was lethargic, irritable, dysphasic.
Sorry, I don't know you.
Norman Shales.
Up from UCLA.
Are you neuro? I thought I knew all the neuro guys.
Norman's an intern, Dr.
Shepherd.
My intern.
Welcome.
Thank you.
Ok.
What do we got? Hmm Look at this.
The kid's got hydrocephalus.
It's pushing against his Broca's area.
Which explains the screwed up speech.
I was sure it was drugs.
That's what happens when you're a pharmacist for 30 years.
You're sure everybody's hooked on pills.
I won't make that mistake again.
Right.
Ok.
Um, we need to put in a shunt.
Schedule an OR and we'll talk to Hunter.
Will do, captain.
The guy doesn't know when to shut up.
He does it with patients, too.
You're his resident.
I know.
But it'd be like yelling at my grandfather.
Hey.
I heard about Really Old Guy.
What's the matter, couldn't find his LVAD wire? It was a coincidence.
And he's still alive.
Well, have fun with Really Old Guy.
I'm off to do Meredith's hemiglossectomy.
Has George said anything to you? She's faking! She's faking sadness.
Pretending to be sad to steal my surgeries.
Ok.
I have a really old guy trying to kill himself and problems of my own! So I don't have time for the two of you and your fake drama.
A person wants to die, you let them.
It's polite.
Not in a hospital, it's not.
In a hospital, it's a lawsuit.
I don't like you.
Really? I thought we were BFFs.
You know what? Just for that? I'm dying right now.
That might make you poop your pants, but it's not gonna make you die.
Damn it! You really think he's not going to leave his wife? I think if a person wants to do something, like die, they do it.
Oh.
Maybe I'm wrong.
Maybe there's hope.
Maybe he'll tell her and you two will get together and end up happy.
You think? Not that I'll be alive to see it.
You're not dying, Charlie.
Not on my watch.
Dead Man Walking! I don't see much walking, Charlie.
You know Yang and Grey are playing musical chairs with the interns? Oh? I thought that might interest you, seeing as how one of Yang's interns is actually one of Grey's relatives.
And the two Greys are having some kind of family feud.
I'm just saying it would probably be best if the residents stuck with their own interns in the future.
Yeah, I got it.
Thanks.
You plan to hide out here all day long, or you plan to emerge at some point and do your job? Why would I come out there to do my job when you clearly do it so much better? I'm doing paperwork because I don't have more fight in me.
I don't want to fight you, I don't want to fight my I don't.
I don't want to fight today.
So I'm doing paperwork, ok? The graft's a perfect fit.
Yeah.
It's got good vascularization.
You may actually get to go on that date with Adele.
Yeah, I better.
Can't very well have her take me back if I cancel our first date.
Where are you taking her? There's a nice little Chinese restaurant we like to go to.
Hmm.
What happens next? Um Dr.
Sloan, I I know.
Is everything ok? Um We're not sure.
What does that mean? It means we've never done this before.
What about if we coapt the lingual nerve underneath here? We'd end up losing the vascular supply.
The graft might not work at all.
She likes to talk, Sloan.
She likes to talk a lot.
We need an extra set of hands.
Someone who knows nerves.
O'Malley, get Dr.
Shepherd.
Yes, sir.
A functional muscle transfer of the tongue? Yeah, it was looking good for a while, but, um I'll be right there.
Yeah.
Izzie.
What? What is there to say, George? I'm a "Blondie.
" I'm the other woman.
I'm a bad '50s cliché.
No, no, no.
We're not in this together.
Wow.
Great.
Well, thank you for letting me know.
Hey.
No.
No, you don't get to be mad here.
Seriously? We said No, no! There is no "we!" It's just me.
I'm the one who has to tell Callie.
I'm the one who has to destroy her.
This is not about you and me.
This is about her and me.
I'm ending a marriage to a wonderful woman.
Me.
I'm the one.
It's not you.
You It's not something you just blurt out.
It's not.
I'll do it.
I will do it.
You have to back off and let me do it.
I'm sorry.
You traded? A hemiglossectomy for the pit? It's a long story.
A story that ends with you pawning off Lexie Grey on me? I had her do an intubation on a dead guy.
It's something you used to have us do.
I was trying to teach her.
Whatever she told you She told me you hate her.
I don't And you hated her mother.
I didn't say that.
Her mother who came to you with a case of hiccups and died in our hospital.
Do you see where I'm going with this? She's not my intern.
No, she's your sister.
And you haven't said a kind word to say to her since she got here.
You were her mother's doctor.
What is she supposed to think? Whether you like it or not, your job is to help that girl be a better doctor.
So help her.
You paged me? Really Old Guy? Yeah.
He's checked out AMA.
He's leaving the hospital.
He can't leave.
He's sick.
He can barely walk.
And I got him lobster.
I got a 911.
What happened? He collapsed.
He started talking nonsense Pupil's blown.
The brain's starting to herniate.
We got to get him up on a bed.
What's happening? Count of three.
One, two, three.
What's happening? His spinal fluid's backing up.
Shepherd's not answering.
Try it again! What do I do? Hyperventilation.
Mannitol.
I don't know everything.
Go get Shepherd.
Go.
Dr.
Shepherd.
I'm busy right now.
Hunter Chapman's brain is herniating.
His right pupil blew.
Do what I say or that kid's gonna be dead in ten minutes.
Can you do that? Yes, sir.
Get the biggest needle you can find.
Dr.
Karev.
What's going on? Where's Shepherd? Dr.
Karev.
It might help Mrs.
Chapman if she knows exactly What are you doing? Get her out! She is the boy's mom.
Get her out of here, Norman! Mrs.
Chapman, it's time to go.
What are you doing? What are you doing? Hold his head.
Shepherd told me what to do.
Charlie, you can't go.
I know that you think your life is over.
I know you feel you don't have anybody, but your life's not over.
And and you have me.
You have me.
I need you.
I need somebody to talk to.
I think you may have been right before.
I don't think George is gonna leave his wife, and I need you to tell me what to do.
I need some You can't go, Charlie.
Charlie? Charlie? Crap.
All this time, he was telling me the truth.
Once we get the shunt in, any excess spinal fluid will drain to his abdomen.
He's going to be ok.
Excuse me.
Sorry I unloaded on you, Norman.
You know how it is, heat of the moment.
Don't apologize to him.
What? Dr.
Bailey's right.
Shut up.
I'm not talking to you.
He got in your way.
He's been doing it all day.
When that happens, when an intern gets in the way of a resident, you're not doing what's best for your patient.
You almost missed diagnosing that kid today because Norman thought it was drugs.
So don't apologize.
He should be yelled at.
Dr.
Bailey, he's as old as the hills.
I don't care how old he is, Dr.
Karev.
He's still an intern.
And interns are basically teenagers.
We are not hard on them because it's fun.
We're hard on them because this is a life and death job.
They need to learn that.
There's a reason why we have a pecking order in a hospital.
It saves lives.
That woman's gonna be able to talk for the rest of her life, thanks to us.
I think I still got it.
I think you do, too.
We've got to figure out what you're going to tell Adele.
I forgot about that.
First off, don't tell her you want to move back in.
No? Reeks of desperation.
It's a deal breaker.
Trust me.
I can't take this anymore.
You guys are kidding yourselves.
You know how close you came to that woman losing her tongue? To her never speaking again? Oh, yeah.
You were a couple of cowboys in there.
Telling yourselves you can do this.
Acting like the big boys.
You had no business doing that surgery.
No business.
Lucky I came in when I did.
Shame on you.
And shame on you.
As for Adele, tell her you can't imagine your life without her.
Tell her for the last month you've been walking around this hospital just thinking about her.
Tell her the truth.
I'm sorry I called you an idiot.
Hey.
So I've been thinking about how you're sad.
And what I can do to help.
You have another surgery? No, that's not what you need.
It kind of is.
No.
What you need is me.
And my time.
So I thought we could go back to my house and get into our pajamas.
Just sit and talk about this Burke thing and get to the root of your feelings.
Just talk all night long if we have to.
Talk.
Talk.
And cry.
Cry.
You know.
You're damn right I know! Surgery-stealer! So? Person who's sleeping with Derek.
How'd you know that? What, you think I'm too fragile to handle your sex life? Well, he did leave you at the altar and I'm your person.
How? By protecting me? That's not how to be my person.
That's not what we do.
You know that.
I'm dealing, ok? The best I can.
If you need to take care of someone, you're gonna need to take care of someone else.
Fine.
But you owe me a surgery.
Yeah, well, you owe me sex details.
Are we doing this or not? What are we supposed to say? We didn't even know the guy.
We ate lunch in here for a year.
The least we can do is say a few kind words about him.
He didn't snore too loudly.
He, um never complained.
And he always took his meds.
Hardly ever farted.
Alex.
Fine.
He had 12 surgeries this year and he lived through them.
That's that's impressive.
Thank you, Alex.
Cristina? I got to practice stuff on him.
Central lines and IV, it was good practice.
Um Charlie, the truth is, you were a bastard.
You were.
You were mean and stubborn and just a bastard.
But you were a bastard who knew what you wanted.
And you stuck to your guns and proved that if you want something badly enough, if you're determined enough and patient enough, eventually it will happen.
It will.
And that gives me hope, so thanks for that.
Bye-bye, Charlie.
The truth is painful.
It went really well.
Your friends, um I'm so sorry.
I haven't seen them.
How'd she do? Great.
She did great.
She's going to talk again? Yeah, the chances are very good.
In that case, we have a few things we'd like to say.
Your first husband? He put his hand on my ass every chance he got.
And your second husband? He spat when he talked and plus he was ugly.
We know that you thought he was handsome, but the man was a troll.
And that guy you dated last year? Comb-over guy.
My God.
Deep down, nobody wants to hear it.
Especially when it hits close to home.
What? I have your mother's death note here.
Everything that happened on the day she died is in here.
And I know because I wrote it.
So, I'd like to go over it with you, if that's ok.
Yeah.
First of all, let me just say that everything that happened that day every setback, there was a one percent chance of each of those things happening.
One percent.
And your mother was the one percent.
She came in complaining of a persistent hiccups.
We did an endoscopic fundoplication.
You did it endoscopically? So it would be an outpatient procedure.
We wanted to avoid major surgery.
For what it's worth, I was very fond of your mother.
She was I was very fond of her.
She got bacterial endocarditis from the procedure.
Sometimes we tell the truth because the truth is all we have to give.
I've been having trouble with this whole pecking order of things.
I've been having trouble.
Because I'm used to being number one.
But I'm not number one.
Not anymore.
So the best that I can come up with is to be number two.
The best damned number two this hospital has ever seen, but your number two.
I will I will I will help you.
We'll be like a team.
Because, look, girl, you just seem to be having a hard time.
And, uh, I know I'm having a hard time, but together we could do this.
I just think we can do this together.
Sometimes we tell the truth because we need to say it out loud to really hear it for ourselves.
You got to reattach a woman's tongue? I was there.
I didn't do the reattaching.
Yeah, but still, you're the intern they wanted on that case.
He's a repeater.
What? Your big hero here, he was an intern last year.
That's why he knows some of this stuff.
He's already been through it.
But if you want to learn from someone, really, really learn, go to a resident.
Not this dude.
Well, he's right.
If you want to emulate someone, it's definitely not me.
I'm not that guy.
And sometimes we tell the truth because we just can't help ourselves.
What the hell are you looking at? Interns.
And sometimes we tell them because we owe them at least that much.
Just say it.
I slept with Izzie.
Again.
Yeah.
I won't tell anybody.
Izzie, meet Really Old Guy.
This is the best breakup.
Don't know why we didn't break up long ago.
He's gone.
You're my sister.
You're my family.
You're all I've got.
We have the same dad.
We don't have the same dad, Lexie.
I think my husband's having an affair.
I'm going to tell her.
Doctors give patients a number of things.
We give them medicine.
We give them advice.
And, most of the time, we give them our undivided attention.
I heard he saved a guy who coded yesterday.
By himself.
He just knows things.
He never messes up in rounds, always has the answer.
And he's so calm.
I'm always terrified, but he's, like, steady.
Best intern ever.
Hey.
Who are they talking about? George O'Malley.
Seriously? Don't they know that he? Shh! But, by far, the hardest thing you can give a patient is the truth.
Do you know O'Malley's got these morons snowed? They don't even know he's a repeater.
Yeah, whatever.
Hey.
Hey.
How are you today? Good.
Great.
The truth is hard.
The truth is awkward.
And very often the truth hurts.
Damn it! Bye.
She's doing McDreamy.
She's doing McDreamy and lying about it.
She thinks I'm weak? I'm fragile? Like I can't handle it because of Burke.
Poor Cristina.
All alone.
Damn right, poor Cristina.
George, what happened? I mean, people say they want the truth.
But do they really? Do I have sex hair? If I did my job right.
Go ahead.
What? You go ahead.
I'll wait a minute.
So this isn't just breakup sex, this is secret breakup sex.
Is this about Cristina? I don't know what to do.
We don't talk about it, the whole Burke thing.
I want to be a good friend, I want to take care of her, but you don't take care of Cristina.
Ok, so by being with me, you're cheating on Cristina? If she knew about you and me You'd have to talk about it.
You'd talk about you and me.
It'd be a long conversation.
There'd be no time to talk about her.
I told you, we don't talk about it.
Mm-hmm.
Pierce, you're in the pit.
James, need you in peds.
Laura, you're on scut.
I was on scut yesterday.
Oh, and just for that, you're on scut tomorrow.
Get lost! Dr.
Karev, this is Dr.
Norman Shales.
Hey.
Strong handshake.
That's a good sign.
Norman's transferring in from UCLA.
I want him to work with you.
Are you the new oblgyn guy? I don't have a specialty yet.
Norman is an intern.
You'll be his resident.
He's my intern? Don't you worry.
This tugboat's ready to pull his own weight.
Age is just a number, right, Norman? Absolutely.
A pretty important number.
Hey.
Hey.
You ok? I don't know.
I think it's all just hitting me, you know.
Stupid Burke, dumping me.
Then stupid Mama coming to reclaim her magic necklace.
You want to talk about it? No.
Not really.
Not yet.
If there's anything I can do You know, I just wish I had a good bloody surgery.
You know, bloody surgeries make me feel better.
One, Two, Three, Four.
Follow me.
Joanne, this is why you and I need to get sick.
These doctors.
One's more handsome than the next.
And here comes the handsomest one of them all.
Hi, Dr.
Webber.
Connie.
He took my appendix out three years ago.
Barely left a scar.
How's Adele? Um she's good.
Good.
Marriage is hard.
But we're dating again, uh and she agreed to date me tonight.
But more importantly, how are you doing? I just had a little bump on my tongue removed, is all.
Couple of taste buds.
It was a touch of cancer, so I'm here to have the rest out.
I mean, you know, the cancer.
Not the taste buds.
I don't know exactly how bad it is because Dr.
Sloan's been quiet.
Because you don't let him get a word in edgewise, is why.
Uh, how is she, Dr.
Sloan? We just got back the pathology report, Connie.
Unfortunately, the cancer is a bit more widespread than we'd hoped.
It's over 60 percent of your tongue.
Well, what does she do? Chemo? I think the best bet is a microvascular free flap.
Dr.
Grey? He'll remove the cancerous part of the tongue and then reconstruct it with a strip of flesh from your legs.
George? Uh, the extra flesh would provide the bulk your tongue needs to breathe properly, chew, swallow.
And talk? Dr.
Sloan? I'll be able to talk, won't I? You will be able to talk, Connie.
I just don't know how well you'll be understood.
It'll be ok.
It'll be ok.
Nurse Hollister, Peds ICU.
What are you doing in my clinic? I thought you didn't work in the clinic.
I don't.
But I thought I could get my new intern, Norman, settled in with you.
Bailey's the best.
You'll really learn.
Oh.
Pleased to meet you.
You want to leave Norman with me while you troll for surgeries.
The dude's got a bum hip and he smells like arthritis cream.
He can't keep up.
Come on.
Do me a favor and I'll do you a favor.
I'm calling in my favor now.
Curtain Five.
You can take your intern and show him how we do an H & P.
Nice to meet you, Norman.
Thank you.
Hunter, I'm Dr.
Karev.
This is Dr.
Shales.
What's going on? My son is on drugs.
I'm not on drugs, Mom.
I wasn't born yesterday.
I know the signs.
He's lethargic, irritable, school work's gone down the drain.
I'm not on drugs.
There are a host of reasons why your son could be exhibiting those symptoms.
I think we should run some tests.
But first a drug test, Dr.
Shales? I'm right to want a drug test? Yeah, I just said that.
Mrs.
Chapman, you are not wrong.
My Mary Beth, God rest her soul, was just like you.
When one of our kids started heading down that slippery slope, she just knew it.
You have a mother's instinct.
Right, Dr.
Karev? Yeah.
Right.
Ok.
What happened? George.
It's Really Old Guy.
We could bring a marching band in here.
What happened with Callie? What happened? You were gonna tell her last night.
I tried, but she would not let me.
She wouldn't let me.
And I wanted to kill her, but then I couldn't kill her because she did help me through a lot of stuff, and it was a lot of stuff.
And then I wanted to kill her again because who marries someone who just buried their father? And then I went to bed.
So what does this mean? I told you I needed a minute before rounds.
We heard you saved a guy yesterday.
What? Rounds! Excuse me.
We'll start in here.
Graziella, what can you tell us about Really Old Guy? - He has a name.
- I know he has a name.
We call him Really Old Guy.
Eighty-two year old semi-comatose male.
Came in a year ago status post fall and is post-op day 352 Which means he hasn't woken up for a year.
So what's the treatment plan? Um um It's really very simple.
Daily labs and dialysis three times a week.
Don't bother with any more dialysis.
I plan to die today, so it won't be necessary.
Nice to meet you.
And while I think Really Old Guy is charming in a neglected patient kind of way, my name is Charlie.
Charlie Yost.
Hey, I just heard.
Welcome back.
Is it true? Really Old Guy woke up? He has a name.
This time tomorrow you can call me Really Dead Guy.
I don't think Mr.
Yost knows who you are.
Sure I do.
That's Meredith.
She and the brain doctor are always running hot and cold.
And you're Alex.
You still got a thing for that old patient of yours? I was semi-comatose, Blondie.
I could still hear you guys.
Get a CT, a CBC and chemistries.
Your kidneys may be working, which may be why you woke up.
It's good news.
Oh, it just means now I got two things to do today.
Take a pee and die.
Nobody's dying.
"Aah.
" Functional muscle transfer.
What? For Connie.
I was reading up on glossectomies and saw the procedure.
We could microsurgically reinnervate her hypoglossal nerve.
A nerve graft? It's too risky.
The free flap's still your best bet.
Even if that goes well, you and I know she'll never speak the same.
That woman loves to talk.
What's a functional muscle transfer? You won't find it in the books.
It's cutting edge.
Connect the nerves from the leg with the nerves from the tongue.
Gives her a shot at really speaking.
If it works.
They've only done a half a dozen of them.
Better than none.
Sometimes you got to push the envelope.
Better to do a surgery that neither of you have done than do a surgery that you know at least gives her a chance to have a normal life? Do you know how to do this? Are you saying that we're too old to learn new ways, O'Malley? No.
Saying we're old dogs, can't learn new tricks? No.
I was just asking We're not old dogs.
We still got it.
Ok.
I did do a functional muscle transfer to restore elbow function once.
Elbow, tongue.
That's pretty close.
Come on.
What do you say? Let's light this candle.
Yes, sir.
Age is just a number, O'Malley.
Yes, sir.
Excuse me.
I got Karev down in the clinic all day.
I hope that's not a problem.
Nope.
I know how you like to be told these things, so I'm telling you.
Thank you.
You know, he tried to dump a new intern on me, Karev.
He's not interested in teaching.
Thank you for letting me know.
You ever feel old? I'm young.
I'm a fetus.
You ever feel like there's going to be a time when new techniques pass you by? I'm a genius and a scholar.
Shut up.
Meredith isn't telling Cristina about us.
And, well, she tells Cristina everything.
I thought you broke that off.
I meant to.
You think she's gonna want to get back together.
No.
You think she's going to grow up and get all whole and want a relationship.
I do not.
You're a bad liar.
You're old.
I'm just getting started, my friend.
Hey.
You feeling any better? Heard you're on that hemiglossectomy.
Tongue surgery? Yeah.
Here I am stuck in the pit with those know-nothing interns.
You'd think, eventually, I'd catch a break.
Cristina, are we ever going to talk about this, the Burke thing? I'm not Izzie.
I'm not going to lie on the bathroom floor all day.
I'm going to lie here, on the counter.
I'll trade you the hemiglossectomy.
What? You take the hemiglossectomy, and I will take the ER and your interns.
Are you sure? Take the surgery if it makes you feel better.
You're starting to freak me out.
I saw the whole thing, Yang.
You can stop pretending.
I'm not pretending.
I'm sad.
I'm very sad.
Me so sad.
I should try it.
See if I can get Grey to take my new intern.
No.
Hey.
Forget it.
Sad is mine.
Go find your own pretend emotion.
Blondie! Hey, Blondie! Charlie, I have a million charts to update.
I'm busy.
I want lobster.
What? For my last meal.
It's traditional.
The dying man gets to choose what he wants to eat.
I want lobster.
I'm not getting you lobster.
You're not dying.
I won't allow it.
A man can only hang on for so long, Blondie.
After a while it's just not worth it.
Don't you have any friends? Family? Anyone? They're all dead or on their way to dead.
You'll understand someday.
When you're older.
Less naive.
I'm not naive.
You and what's his face.
That's not naive? I don't know what you're you know about what's his face? I know you're crazy if you think he's leaving his wife.
Guys always say that.
Not that it's your business, but this is different.
I'm sure it's true love.
I'm sure he's told his wife.
I'm sure he's moved out.
And I'm sure all your friends know.
Right? Yeah.
By the way, I want real lobster.
Not that fake whitefish crap.
Dr.
Pierce, ER stat.
Dr.
Pierce, ER stat.
Hey, I'm filling in for Cristina.
So how's it going? I pulled a splinter out of a guy's toe and now I'm writing about it.
Ok.
Well, if you have any questions I have a lot of questions.
Just not about a splinter.
Ok.
Ok.
Coming through! Forty year old unrestrained driver in a rollover MVC.
Lost vitals, unable to intubate.
Lexie, let's go! Open the intubation tray.
How long's he been down? Took ten minutes to load him, 14 to get here, so 24.
Do you know how to intubate? Uh, I've never done it.
You've seen it done? A couple times.
Come do one now.
Are you sure? Visualize the cords, pull straight up, watch the tube, go through the cords.
I can't see the cords.
You should do this.
You can do it.
Just don't rock up against the teeth.
Just pull straight up.
Pulse ox's down to 86.
That wasn't bad.
What? That wasn't bad for your first intubation.
Is that some kind of a joke? The guy is dead.
He died.
He was dead when he came in here.
He was dead on the scene.
He was dead for 15 minutes in the ambulance.
He was dead before I asked you to intubate.
You're pretty cavalier, don't you think? I mean, they brought him here for help.
They brought him here because they're legally required to.
And I had you intubate because I'm required to teach you, and that is how you learn.
No.
No.
You should have done everything that you could.
That was everything I could.
What kind of doctor are you? What is this about? If you don't want to learn from me, that's fine.
But I have to cover the pit today, so why don't you do both of us a favor and go help Bailey in the clinic.
Fine.
Fine.
Pretend I'm not here.
Pretend I'm not busting in on you and your pictures of tongues.
Really Old Guy is giving me a hard time.
I liked him better when he was sleeping.
Which he's not.
He's awake.
You've probably heard.
But my point is, is that he's stubborn.
He's stubborn and really old and he's telling me I'm an idiot for thinking you're gonna leave Callie.
Seriously? We're in this together.
You're going to tell her tonight.
Right? George? I have to get this research done.
You're not gonna tell her.
Just yesterday you said you didn't want me to tell her.
Fine! Forget it! Just play with your stupid pictures of tongues! We got back the tox screen back, Mrs.
Chapman.
Your son's not on drugs.
You're sure? There's no drugs in his system? No, it came back clean.
Your son is fine.
This is not my son, Dr.
Shales.
It's not.
Maybe we should order more tests.
You know, he's a teenager.
I raised four of them myself.
Teenagers don't like to do homework, they talk back to parents and never come out of their rooms.
You have apple hair.
I threw a pancake in the river.
A pancake! Hunter? Do you know what you just said? I'm I'm not sure.
Did you mean to say it? No.
I was trying to say that I wanted to go home.
Oh, my God.
We need to do a full neuro exam.
Order a head CT and labs.
Now.
It's going to be ok, you know? It is.
It's going to be ok.
Do you think so? Dr.
Sloan's going to do this fancy new surgery.
You'll make it into medical journals.
Maybe you'll be famous.
What if the surgery doesn't work? Oh.
What if this is my last chance to talk? I still have so much to say.
Say it now, Connie.
Don't be so morbid.
The surgery will work.
You'll be fine.
She should say it all now, just in case.
She shouldn't have any more regrets.
You can tell us anything, Connie.
We're your best friends.
You should tell them.
I'm sorry, I don't mean to pry, but if you have something you want to say you should say it.
I've been here long enough to know that things don't always go the way that you want them to, and if there's something you want to say, you should say it.
Joanne, stop wearing those pants.
Make your ass look like two puppies are struggling to get out.
As a matter of fact, all of your pants are too tight.
You have to buy some new pants.
And, Elaine, your breath is god-awful.
My breath? You need to see a doctor, because I know you have good hygiene, but sweet God, your breath is bad.
And you've got to get a new hairdo.
The 80s are over, honey.
What now? He's pulling off his monitor leads.
I told him he could pull them off, he's not gonna die.
I'm sick and tired of waiting.
I'm tired of coming to your room.
Sorry, Blondie.
It's time I took things into my own hands.
Know what? You want to die? Fine.
Here.
Let me help you.
You missed this one.
Damn.
You're still with us.
Oh, wait, this looks promising.
A nice, thick wire.
How's that? Any luck? No? Well, no wonder that's why.
It's attached to this lamp.
Ok.
Well, let's see what else we got.
Dr.
Stevens.
What? He's not breathing! What? He doesn't have a pulse.
He's in cardiac arrest.
I swear, I didn't do anything! Code blue, fourth floor.
Code blue, fourth floor.
The epi and atropine in? Epi's in.
Pushing atropine.
Hold CPR, let's see what happens.
Looks like v-fib.
Charge paddles.
Three hundred.
Clear! No change.
Charge again.
Clear.
We got a pulse.
Charlie? Charlie? Stop saving my life! I can't believe I said all that.
Do you believe I said all that? Not really, no.
You think I hurt their feelings? I mean, real bad hurt their feelings? You think they'll forgive me? You told me.
You told me to tell them.
You told me to say everything.
You said it would be ok.
I'm really sorry.
Dr.
Bailey? Dr.
Grey sent me down here to work with you.
She did, did she? And why is that? Truthfully? Uh She didn't want to work with me anymore.
She kicked me out.
You can go and tell Dr.
Grey that the clinic is not a dumping ground for strays.
We are not the Island of Broken Interns.
Please go tell her that.
Please don't make me do that.
I can't work with Meredith Grey.
I can't work with her because I can't look at her.
Because she hates me, she hates my dad.
She obviously hated my mother.
I am Please just let me work down here today.
Please, Dr.
Bailey.
Kid in Curtain Three needs stitches.
Go.
What do you got? A teenager came in this morning.
He was lethargic, irritable, dysphasic.
Sorry, I don't know you.
Norman Shales.
Up from UCLA.
Are you neuro? I thought I knew all the neuro guys.
Norman's an intern, Dr.
Shepherd.
My intern.
Welcome.
Thank you.
Ok.
What do we got? Hmm Look at this.
The kid's got hydrocephalus.
It's pushing against his Broca's area.
Which explains the screwed up speech.
I was sure it was drugs.
That's what happens when you're a pharmacist for 30 years.
You're sure everybody's hooked on pills.
I won't make that mistake again.
Right.
Ok.
Um, we need to put in a shunt.
Schedule an OR and we'll talk to Hunter.
Will do, captain.
The guy doesn't know when to shut up.
He does it with patients, too.
You're his resident.
I know.
But it'd be like yelling at my grandfather.
Hey.
I heard about Really Old Guy.
What's the matter, couldn't find his LVAD wire? It was a coincidence.
And he's still alive.
Well, have fun with Really Old Guy.
I'm off to do Meredith's hemiglossectomy.
Has George said anything to you? She's faking! She's faking sadness.
Pretending to be sad to steal my surgeries.
Ok.
I have a really old guy trying to kill himself and problems of my own! So I don't have time for the two of you and your fake drama.
A person wants to die, you let them.
It's polite.
Not in a hospital, it's not.
In a hospital, it's a lawsuit.
I don't like you.
Really? I thought we were BFFs.
You know what? Just for that? I'm dying right now.
That might make you poop your pants, but it's not gonna make you die.
Damn it! You really think he's not going to leave his wife? I think if a person wants to do something, like die, they do it.
Oh.
Maybe I'm wrong.
Maybe there's hope.
Maybe he'll tell her and you two will get together and end up happy.
You think? Not that I'll be alive to see it.
You're not dying, Charlie.
Not on my watch.
Dead Man Walking! I don't see much walking, Charlie.
You know Yang and Grey are playing musical chairs with the interns? Oh? I thought that might interest you, seeing as how one of Yang's interns is actually one of Grey's relatives.
And the two Greys are having some kind of family feud.
I'm just saying it would probably be best if the residents stuck with their own interns in the future.
Yeah, I got it.
Thanks.
You plan to hide out here all day long, or you plan to emerge at some point and do your job? Why would I come out there to do my job when you clearly do it so much better? I'm doing paperwork because I don't have more fight in me.
I don't want to fight you, I don't want to fight my I don't.
I don't want to fight today.
So I'm doing paperwork, ok? The graft's a perfect fit.
Yeah.
It's got good vascularization.
You may actually get to go on that date with Adele.
Yeah, I better.
Can't very well have her take me back if I cancel our first date.
Where are you taking her? There's a nice little Chinese restaurant we like to go to.
Hmm.
What happens next? Um Dr.
Sloan, I I know.
Is everything ok? Um We're not sure.
What does that mean? It means we've never done this before.
What about if we coapt the lingual nerve underneath here? We'd end up losing the vascular supply.
The graft might not work at all.
She likes to talk, Sloan.
She likes to talk a lot.
We need an extra set of hands.
Someone who knows nerves.
O'Malley, get Dr.
Shepherd.
Yes, sir.
A functional muscle transfer of the tongue? Yeah, it was looking good for a while, but, um I'll be right there.
Yeah.
Izzie.
What? What is there to say, George? I'm a "Blondie.
" I'm the other woman.
I'm a bad '50s cliché.
No, no, no.
We're not in this together.
Wow.
Great.
Well, thank you for letting me know.
Hey.
No.
No, you don't get to be mad here.
Seriously? We said No, no! There is no "we!" It's just me.
I'm the one who has to tell Callie.
I'm the one who has to destroy her.
This is not about you and me.
This is about her and me.
I'm ending a marriage to a wonderful woman.
Me.
I'm the one.
It's not you.
You It's not something you just blurt out.
It's not.
I'll do it.
I will do it.
You have to back off and let me do it.
I'm sorry.
You traded? A hemiglossectomy for the pit? It's a long story.
A story that ends with you pawning off Lexie Grey on me? I had her do an intubation on a dead guy.
It's something you used to have us do.
I was trying to teach her.
Whatever she told you She told me you hate her.
I don't And you hated her mother.
I didn't say that.
Her mother who came to you with a case of hiccups and died in our hospital.
Do you see where I'm going with this? She's not my intern.
No, she's your sister.
And you haven't said a kind word to say to her since she got here.
You were her mother's doctor.
What is she supposed to think? Whether you like it or not, your job is to help that girl be a better doctor.
So help her.
You paged me? Really Old Guy? Yeah.
He's checked out AMA.
He's leaving the hospital.
He can't leave.
He's sick.
He can barely walk.
And I got him lobster.
I got a 911.
What happened? He collapsed.
He started talking nonsense Pupil's blown.
The brain's starting to herniate.
We got to get him up on a bed.
What's happening? Count of three.
One, two, three.
What's happening? His spinal fluid's backing up.
Shepherd's not answering.
Try it again! What do I do? Hyperventilation.
Mannitol.
I don't know everything.
Go get Shepherd.
Go.
Dr.
Shepherd.
I'm busy right now.
Hunter Chapman's brain is herniating.
His right pupil blew.
Do what I say or that kid's gonna be dead in ten minutes.
Can you do that? Yes, sir.
Get the biggest needle you can find.
Dr.
Karev.
What's going on? Where's Shepherd? Dr.
Karev.
It might help Mrs.
Chapman if she knows exactly What are you doing? Get her out! She is the boy's mom.
Get her out of here, Norman! Mrs.
Chapman, it's time to go.
What are you doing? What are you doing? Hold his head.
Shepherd told me what to do.
Charlie, you can't go.
I know that you think your life is over.
I know you feel you don't have anybody, but your life's not over.
And and you have me.
You have me.
I need you.
I need somebody to talk to.
I think you may have been right before.
I don't think George is gonna leave his wife, and I need you to tell me what to do.
I need some You can't go, Charlie.
Charlie? Charlie? Crap.
All this time, he was telling me the truth.
Once we get the shunt in, any excess spinal fluid will drain to his abdomen.
He's going to be ok.
Excuse me.
Sorry I unloaded on you, Norman.
You know how it is, heat of the moment.
Don't apologize to him.
What? Dr.
Bailey's right.
Shut up.
I'm not talking to you.
He got in your way.
He's been doing it all day.
When that happens, when an intern gets in the way of a resident, you're not doing what's best for your patient.
You almost missed diagnosing that kid today because Norman thought it was drugs.
So don't apologize.
He should be yelled at.
Dr.
Bailey, he's as old as the hills.
I don't care how old he is, Dr.
Karev.
He's still an intern.
And interns are basically teenagers.
We are not hard on them because it's fun.
We're hard on them because this is a life and death job.
They need to learn that.
There's a reason why we have a pecking order in a hospital.
It saves lives.
That woman's gonna be able to talk for the rest of her life, thanks to us.
I think I still got it.
I think you do, too.
We've got to figure out what you're going to tell Adele.
I forgot about that.
First off, don't tell her you want to move back in.
No? Reeks of desperation.
It's a deal breaker.
Trust me.
I can't take this anymore.
You guys are kidding yourselves.
You know how close you came to that woman losing her tongue? To her never speaking again? Oh, yeah.
You were a couple of cowboys in there.
Telling yourselves you can do this.
Acting like the big boys.
You had no business doing that surgery.
No business.
Lucky I came in when I did.
Shame on you.
And shame on you.
As for Adele, tell her you can't imagine your life without her.
Tell her for the last month you've been walking around this hospital just thinking about her.
Tell her the truth.
I'm sorry I called you an idiot.
Hey.
So I've been thinking about how you're sad.
And what I can do to help.
You have another surgery? No, that's not what you need.
It kind of is.
No.
What you need is me.
And my time.
So I thought we could go back to my house and get into our pajamas.
Just sit and talk about this Burke thing and get to the root of your feelings.
Just talk all night long if we have to.
Talk.
Talk.
And cry.
Cry.
You know.
You're damn right I know! Surgery-stealer! So? Person who's sleeping with Derek.
How'd you know that? What, you think I'm too fragile to handle your sex life? Well, he did leave you at the altar and I'm your person.
How? By protecting me? That's not how to be my person.
That's not what we do.
You know that.
I'm dealing, ok? The best I can.
If you need to take care of someone, you're gonna need to take care of someone else.
Fine.
But you owe me a surgery.
Yeah, well, you owe me sex details.
Are we doing this or not? What are we supposed to say? We didn't even know the guy.
We ate lunch in here for a year.
The least we can do is say a few kind words about him.
He didn't snore too loudly.
He, um never complained.
And he always took his meds.
Hardly ever farted.
Alex.
Fine.
He had 12 surgeries this year and he lived through them.
That's that's impressive.
Thank you, Alex.
Cristina? I got to practice stuff on him.
Central lines and IV, it was good practice.
Um Charlie, the truth is, you were a bastard.
You were.
You were mean and stubborn and just a bastard.
But you were a bastard who knew what you wanted.
And you stuck to your guns and proved that if you want something badly enough, if you're determined enough and patient enough, eventually it will happen.
It will.
And that gives me hope, so thanks for that.
Bye-bye, Charlie.
The truth is painful.
It went really well.
Your friends, um I'm so sorry.
I haven't seen them.
How'd she do? Great.
She did great.
She's going to talk again? Yeah, the chances are very good.
In that case, we have a few things we'd like to say.
Your first husband? He put his hand on my ass every chance he got.
And your second husband? He spat when he talked and plus he was ugly.
We know that you thought he was handsome, but the man was a troll.
And that guy you dated last year? Comb-over guy.
My God.
Deep down, nobody wants to hear it.
Especially when it hits close to home.
What? I have your mother's death note here.
Everything that happened on the day she died is in here.
And I know because I wrote it.
So, I'd like to go over it with you, if that's ok.
Yeah.
First of all, let me just say that everything that happened that day every setback, there was a one percent chance of each of those things happening.
One percent.
And your mother was the one percent.
She came in complaining of a persistent hiccups.
We did an endoscopic fundoplication.
You did it endoscopically? So it would be an outpatient procedure.
We wanted to avoid major surgery.
For what it's worth, I was very fond of your mother.
She was I was very fond of her.
She got bacterial endocarditis from the procedure.
Sometimes we tell the truth because the truth is all we have to give.
I've been having trouble with this whole pecking order of things.
I've been having trouble.
Because I'm used to being number one.
But I'm not number one.
Not anymore.
So the best that I can come up with is to be number two.
The best damned number two this hospital has ever seen, but your number two.
I will I will I will help you.
We'll be like a team.
Because, look, girl, you just seem to be having a hard time.
And, uh, I know I'm having a hard time, but together we could do this.
I just think we can do this together.
Sometimes we tell the truth because we need to say it out loud to really hear it for ourselves.
You got to reattach a woman's tongue? I was there.
I didn't do the reattaching.
Yeah, but still, you're the intern they wanted on that case.
He's a repeater.
What? Your big hero here, he was an intern last year.
That's why he knows some of this stuff.
He's already been through it.
But if you want to learn from someone, really, really learn, go to a resident.
Not this dude.
Well, he's right.
If you want to emulate someone, it's definitely not me.
I'm not that guy.
And sometimes we tell the truth because we just can't help ourselves.
What the hell are you looking at? Interns.
And sometimes we tell them because we owe them at least that much.
Just say it.
I slept with Izzie.