Grey's Anatomy s06e14 Episode Script
Valentine's Day Massacre
[Meredith.]
The surgical scalpel is made of sterilized, carbonized stainless steel.
This is a vast improvement over the first scalpel, which was pretty much a sharp stick.
Medicine is constantly reinventing itself.
That means surgeons have to keep reinventing themselves, too.
- I can't believe we're doing this.
- [Derek, Owen.]
It's Valentine's Day.
[Meredith, Cristina.]
We don't do Valentine's Day.
- More to life than the hospital.
- No, there isn't.
- It's romantic.
- No, it isn't.
[Meredith.]
There's constant pressure to adapt to changes.
[Siren wailing.]
- Ambulance! - It can be a painful process.
- Eyes front, ladies.
- But without it [sirens wailing, horn honking.]
- OK, that seemed big.
- If it's big, they'll page us.
[Pagers beeping.]
- It's big.
- Yes! [Meredith.]
you'll find yourself moving backwards, instead of forwards.
- What's going on? - Grandinetti's roof collapsed.
We'll be getting more than a dozen.
All scheduled procedures are pushed.
On Valentine's Day? Grandinetti's must have been packed.
Well, tonight's out.
I told you this would happen.
That's why we went to dinner at four, and exchanged gifts.
[Giggling.]
Just special.
Original.
Magical.
Squeals of joy.
- Wow, Scrooge! - [Bailey.]
Scrooge is Christmas.
- That's a holiday.
- [Dr.
Warren.]
Dr.
Bailey.
My hemicolectomy is pushed.
It's a shame.
I was really looking forward to that.
Well, that's You know Maybe we could make up for it.
Dinner tomorrow? No! [stammering.]
I Just I'm busy.
I have surgeries most nights.
I always have surgery.
Right.
Well, um Maybe see you in the OR, then.
[Elevator dings.]
[Arizona laughs.]
[Laughing.]
Oh, my God.
She likes him.
Oh! [giggles.]
- You like him? - You should totally go out with him.
- You have to say yes! - It's Valentine's Day! You have to! OK, see? This, right here, what's happening, with the giggling, the girl talk, the OMGs - OK, it has to stop.
I am busy.
- [Laughing.]
- [Laughing.]
- [Elevator dings.]
[Mark.]
Hey, Torres.
Do you know anything about putting together cribs? - You bought a crib? - Sloan's coming home tonight.
And I got it put together, but it wobbles.
It can't wobble.
Will you take a look at it? [Laughs.]
You're like a sweet, nerdy dad, now.
I don't even recognize you.
- Who's the blonde? - I don't know.
I may be a dad, but I am a single dad.
- Excuse me.
- [Laughs.]
OK, now I recognize you.
It must, uh, suck to work on Valentine's Day.
I don't believe we've met.
Aah! - What did you do to your hair?! - I changed it.
I colored it.
I just [sighs.]
Wait, you thought I was someone else.
You didn't know it was me, and you were hitting on me? No, I pretty much thought you were some blonde.
You are pathetic.
And hypocritical.
- And slutty.
- And you are no blonde.
You can't pull that off.
Blondes are either bad-ass or fun.
And you're you're a brunette.
- Damn! - Shut up! Quit staring.
I'm probably gonna change it back anyway.
No, I get it.
You get dumped by your boyfriend, and you go for the extreme makeover.
Chicks always do that.
I didn't get dumped.
I did not do this for Mark.
I just It's Valentine's Day, and I wanted to change something, and I could change I wanted to do something for me.
OK? This was for me.
How is that different than what I just said? I'm changing it back.
- [Man 1.]
Watch that rock, please.
- [Man 2.]
This is medic 16 Restaurant roof collapse.
So far a penetrating abdominal injury, a sucking chest wound - and a massive head wound.
- [Owen.]
To the left! - There's an open fracture on the way.
- You're still here.
If you're here, I'm here.
An OSHA investigator is waiting in the lobby and also two TV crews are asking for a statement.
- I told them to wait for you.
- We cleared the OR board.
Also, I paged Bailey, Nelson, Altman, Hagan and Sloan.
- I'll get - Stop! Who do I see first? - Skull fracture, trauma one.
- The OSHA guy.
- Chart, please.
- [Owen.]
Get as many people as possible off the backboard, clear C-spines clinically but if you're not sure, wait for X-ray, no matter how backed up they are.
- Hold the elevator! - [Woman.]
I got it! [Derek.]
Trauma four is open.
- Bring the chart, please.
- [Woman.]
Right away.
- Where are they taking my husband? - He's going into surgery.
His doctors will let us know more soon.
Take a deep breath for me? - What do we have, Grey? - Decreased breath sounds on the left, - possibly a pneumothorax.
- Put in a chest tube if you need to.
- Evaluate and page me if it's surgical.
- [Both grunt.]
- Sorry.
- I'm sorry.
[Owen.]
OK, let me see the chart.
Looks like a pretty bad break.
You're gonna have to have that reset.
I wonder if there's any chance you could put me in a bed next to that lady.
[Scoffs.]
Yeah, sorry, it doesn't work like that.
Of course.
Forgive me.
I've been a head waiter for 25 years.
I know how it works.
I'll see what I can do.
[Derek.]
Depressed skull fracture with a subdural hematoma.
All right? Book an OR.
- Chief.
- Yeah.
Reassign some anesthesiologists.
You're being cupid for Bailey.
I don't do that.
I did that once, she yelled at me.
I'll be cupid.
You just be the chief.
- I am not cupid.
- Sign.
Dr.
Shepherd, the reporters are waiting for a statement.
- I have surgery.
- Actually, Dr.
Nelson said he can take your skull fracture.
You've got the trustees' breakfast in the morning, and when the trustees turn on the 11:00 news, it's your face they'll want to see.
[Derek sighs.]
- [Woman.]
Clear the hallway! - [Woman 2.]
Will do.
- Watch it, coming through! - [Man.]
I've got the arm.
[Owen.]
What do you got? [Woman.]
Traumatic amputation through the left distal humerus, bleeding controlled with pressure.
Got ten of morphine - and vital signs are stable.
- Get him in Trauma Three.
Put him on a monitor, push two of O neg! - Grey, Avery, you're with me.
- [April.]
Chief Shepherd? [Reporter.]
Shepherd! [Reporter 2.]
What about the fact that this? Can she have some water, please? I'm afraid she can't.
Emile, stop.
My husband and I have been going to Grandinetti's for 15 years.
Every Friday night.
And sometimes Tuesdays.
Emile always takes very good care of us.
But now it's time to look after yourself.
I just thought you'd want someone with you, until you find out that Mr.
Banks was OK.
Thank you.
My patient's stalking your patient.
He's being a good waiter.
And apparently, we're his busboys.
Dude gave me 50 bucks to put him next to her.
He's got the hots for her.
Her husband is in surgery.
She's married.
You're saying that 'cause you think you're married.
His 50 bucks says he makes a move.
You in or out? I'm in.
And I am married.
- [April.]
Mrs.
Shepherd? - Huh? - I'm not Mrs.
Shepherd.
- You're not? - I'm Dr.
Grey.
- Right.
Right.
Um, Chief Shepherd wanted me to ask you about the trustees' breakfast.
You Shepherd's flunky? Is that why he hired you back? I'm on his service this week.
And during this transition, he needed a little more help on the administrative side.
I'm not his flunky.
So will you be going with him to the breakfast or meeting him there? I, um am not sure I'm going.
- Well - [both laugh.]
You have to.
You're his wife.
Sloan? When did you get in? - Does Mark know you're here? - No.
My flight got in a little early.
And I took a cab over.
I didn't want to bug him.
Somebody said that you guys have a free clinic.
- Do you know where that is? - Is everything OK? Yeah, I just want someone to check me out after the surgery and everything.
- Maybe give me an ultrasound.
- The clinic closed an hour ago.
Come on, I have a second.
I'll take a peek for you.
I need another four-by-four.
Dress him, I'm gonna take another look at the arm.
His wound's completely macerated and contaminated.
Why wasn't this guy brought in first? He was lying in dirty dishwater for a while before they found him.
- They forgot I was back there.
- No.
It's all right.
I'm not I'm not too big on talking to people.
And nobody talks to me much back there.
They just, you know, bring me the dishes.
I lost my arm.
I don't wanna have one arm.
I don't want to be a freak.
I don't like people staring at me.
- We're gonna do everything we can.
- Please.
OK, Frankie, I'm gonna take you up to surgery now.
We're gonna try and reattach the arm, OK? Do we have an open OR? I'll prep him.
Work on the stump.
You debride the arm, tag the vessels, get it up to me as soon as you can.
[Lexie sighs.]
Wow.
Trauma Room Barbie.
[Bailey.]
Irrigation here and suction, please? [Arizona.]
So Grandinetti's is gone.
A Seattle institution.
- Dr.
Warren, you ever been there? - Couple times.
Good scampi.
Yeah, place is so romantic.
Perfectly lit, intimate.
Those cozy little booths in back.
[Bailey.]
Three-oh silk tie, please.
[Arizona.]
A little too intense for a first date, though.
Bailey, where would you go on a first date? - Isn't there a dying child somewhere? - Nope.
I had some time.
And I wanted to observe one one of these.
- [Scoffs.]
[Callie.]
Aw! - Baby looks perfect.
- Awesome.
- Um, can I, like, get that in writing? - Oh.
Even better.
- Here is a souvenir.
- Oh Um Don't you have some kind of official form or a hospital document you can give me? - Why do you need an official form? - Well, it's none of your business.
If you want your official form, it is, Sloan.
What's going on? It's for the adoption attorney, OK? They need, like, a clean bill of health from me or something.
There's this great couple in San Francisco.
- And they have these two big dogs.
- An adoption attorney? Yeah, I'm not ready to be a mom.
I'm just not ready yet.
- Have you told Mark? - No.
And you're my doctor, right? I mean, don't you guys have some kind of rule that says you can't say anything? I'm not gonna tell him.
And neither are you.
[Beeping.]
Do you think she needs an extra blanket? She gets chilled easily.
She must be one hell of a tipper.
- Sorry? - I see why she comes in every week.
I bet you take better care of her than her own husband.
[Emile chuckles.]
[Emile.]
When she first started coming in, before they met, we had a little game.
She would try anything we served.
She was adventurous.
Fearless.
When she'd gone through the menu, I would challenge the chefs to come up with something new.
[Chuckles.]
It became, she became, my favorite part of the week.
Then one night, she came in with him.
She felt like this was a safe place for a first date.
[Chuckles.]
That ring on her finger The night he proposed to her, I placed it in the creme brulée for her to find.
I watched her say yes from the kitchen window.
And they never stopped coming in.
But now he orders for her, same thing every time.
For 15 years, I've watched their conversations grow shorter and shorter.
Until now, all they do is eat.
She has no children.
If he dies, she'll be She'll be all alone.
She's so afraid, I can see.
And all I want to do is take her hand in mine and tell her she'll be all right.
She'll never have to be alone, if she doesn't want to be.
You'll let me know when you have good news about Mr.
Banks, yes? Yeah, right.
Of course.
- You can't leave without telling him.
- Yes, I can.
I can do whatever - Sloan! - Crap.
When did you get here? I thought you were gonna call first.
Look! Oh, my God.
Would you look at that? That's the Sloan nose.
Can you see it? Can you see it? It's my dad's.
He has my dad's nose.
That's the Sloan nose.
[Pager beeping.]
Damn it.
Will you wait for me? I wanna take you home.
I got a surprise for you.
Could I see this again? The Sloan nose.
You win.
He's been staring at her from his kitchen for 15 years.
- He's not gonna tell her now.
- He just did.
She was awake the whole time.
She heard everything.
She has to say something.
- She's not.
Her husband's in surgery.
- So? They're clearly miserable.
Did you hear the whole creme brulée thing? Fifty bucks says she tells him she loves him, too.
- You're on.
- Hi.
- I've got your keys.
- What? Dr.
Shepherd told me you might not make it home before the breakfast, so I should ask you what you need from your closet and I'll grab it for you.
You are not going in my closet.
Aren't you supposed to be a surgeon? He really needs you by his side at that breakfast.
I am a surgeon.
You tell the chief that I will be in surgery.
[Stammers.]
So I'll just pick something out for you.
[Avery.]
So Yang's with Hunt.
Grey's with Shepherd.
Torres is with Robbins.
And you were with Sloan, until he dumped you.
It's a wonder you guys got any work done.
He didn't dump me.
He forgot about me.
He decided that we were going to start a family, and didn't ask me.
He forgot I was even there.
He just left me lying in dirty dishwater.
What? Nothing.
I'm pretty.
- What? - In my family.
I'm the pretty one.
You know, um, my eyes and my smile and my body.
You should see me without a shirt on.
It's kind of ridiculous.
But my family is smart, driven, crazy overachievers.
And they look like they're smart.
They don't look like me.
Which has its perks, except that my family treated me like I'm pretty.
They expected nothing from me.
Ever.
They never pushed me.
Never thought to.
So I had to push myself.
Hard.
I didn't even tell them I was taking the MCATs till after I'd aced them.
My point is that you can't just change your hair.
You want to be unforgettable, you want to not be mousy? You can't just change your hair.
You have to actually change.
Just saying.
[Bailey.]
OK.
I'm removing the glass very slowly OK, take this.
Bovie.
[Arizona.]
Nice work, Dr.
Bailey.
Dr.
Warren, can you believe Dr.
Bailey almost left general surgery for Peds surgery? Did you know that? - [Warren.]
I did not.
- [Arizona.]
She almost said no to general surgery.
But then she thought about it, and she changed her mind.
She wasn't afraid to rethink her decision.
She just needed to be asked again.
[Warren.]
I see.
Clearly.
- You have my report thing? - No.
He took you in.
He's given you money, he flew you to LA.
He deserves to know.
So if you're not gonna tell him, I will.
You paged me? - What's going on? - You paged him? - What's the matter? - [Callie sighs.]
- Mark, she's - I'm giving the baby up for adoption.
I'm not a mom.
I'm not ready.
And I want him to have good parents and a good home.
No, don't.
Don't do this.
Don't give this baby away.
They'll love him.
They'll love him more than I will.
Give him to me.
I'll take him.
I'll adopt him.
I understand.
I understand you're not ready, but I am.
And I know I don't have the best track record.
And I should have been there for you, and I wasn't.
But I will be there for this baby.
Please.
I want him to have a family and You've been really nice to me the past couple of months, but you're not a family.
You're just a guy.
- Sloan, please.
- I'll help.
Uh [laughs.]
I'm right across the hall.
And we're a family, sort of.
And we're doctors.
And we're best friends.
And And we're good people.
We'll We'll take care of the baby.
Together.
We'll love him.
Really will.
[Mark.]
Just think about it.
Go home, we'll talk about it.
Can we talk about it? Yes.
Yes, we can.
We can talk about it.
[Callie laughs.]
- Thank God.
Where'd you get those? - Patient room.
Guy's in a coma, he's not gonna miss them.
Anything happen? He's still asleep.
She wants to say something.
Oh! Oh, my God, I'm starving! - Ooh.
These are all half-eaten.
- So you can see what they are.
What are we doing? [Alex.]
Her boring husband's in surgery.
This dude's been in love with her for 15 years.
[Meredith.]
She just found out.
We're waiting to see if she says something.
- Or if her husband croaks.
- It's OK if he does because they're miserable.
I mean, is this what marriage turns into? Running out of things to say and changing who you are? - Probably.
- Yeah.
Well, I didn't marry Derek to be the chief's arm candy.
I'm a surgeon.
Yeah, you married him for the great surgeries.
[Laughs.]
I didn't do that either.
- Right.
- You should have.
Shh! She's gonna say something.
She's gonna wake him up.
Oh! What's she saying? [Inaudible.]
[Rapid beeping.]
She can't breathe! Get a crash cart! [Rapid beeping continues.]
She's got a big air leak in her chest tube.
- What's happening? - Keep her on 100 percent O2.
Get a bronchoscopy.
Grey, see if an OR's available just in case.
She's having trouble breathing.
We'll let you know more as soon as we do.
We saved the arm.
We saved it.
We're ready.
- It's gonna have to be an amputation.
- [Lexie.]
What? There's too much devascularized tissue, too much contamination.
We could push antibiotics and let the stump heal, but by that time [Owen.]
The arm will be dead.
Page me when he's awake.
I'll tell him.
They They can't just leave it behind.
We could move it somewhere else.
Attach it to a healthy zone.
Don't tell me, mouse.
I'm just saying they could Temporary ectopic replantation! You have to keep the arm alive until the stump heals.
Yes, but in cases involving the elbow It's extreme.
He'll lose range of motion, grip failure.
He'll keep his arm! He deserves extreme measures! If the arm is still viable, you can't just let it die.
Has it ever been done before, above the elbow? I don't know.
It could be done.
You could implant it onto the epigastric and the venae commitante.
Give you a few days for the stump to heal.
- [Owen.]
I've never done one.
- Neither have I.
So? After today, you can't say that anymore.
Come on! I told him that we would do everything we could, do everything that we can! I'll call Shepherd and let him know.
Grey, Avery, get ready to scrub in.
We're gonna be a while.
OK, that? Not mousy.
You're going into surgery now? - There's this breakfast.
- I know.
I know about the breakfast.
Because there's some resident I don't know - rooting through my closet right now.
- Sorry.
She's over-eager.
I have surgery.
I can't really give up the surgery.
- No, I wouldn't want you to.
- Just to smile and stand at a podium for the suits? It's No, you shouldn't come.
You know, my patient, she's somebody's wife, too.
And I'm her doctor, and - OK? - OK.
OK.
[Water running.]
- Hey.
- Hey.
I got a tracheobronchial tear.
Transitory ectopic implantation.
Wow.
Nice.
I rented a house.
It's amazing.
It's right on the water, a little cottage.
And there are deer.
Like Bambi deer and singing birds, it's incredible.
I found this little secret coffee place down the street from here.
And, uh, oh, I was thinking of getting a puppy.
But, you know, you have to be home with a puppy and I'm always here.
So I went down to the pound, 'cause I I wanted to get it out of my system.
You know, the puppy love.
And I held all of these incredibly sweet dogs, and you would have been really really proud of me, Owen.
I didn't take one home.
I went out and got a fish instead.
Let me see.
What else? Oh, I got a bikini wax.
Yeah, an actual wax.
I haven't had one those since, remember I tried to wax myself - What is your point?! - You were my best friend! My best friend who I could tell everything to.
And now you won't even look at me.
'Cause you said you loved me.
You said you loved me, too.
And then - And then you chose Yang.
- You chose her, too.
You chose her, too.
I feel like I'm cheating on her.
When I talk to you, I feel like I'm cheating on her.
So I'm sorry.
I miss my best friend, too.
[Thunder rumbles.]
Don't you have something else to do? This is the closest I've been to the inside of an OR in a week.
[Mark sighs.]
[Derek.]
Last week, I would have been paged in to help.
Now, I'm paged about fundraising brunches.
I'm adopting Sloan's baby.
It's the right thing to do.
- I think I can.
- Mm-hmm.
I certainly want to.
Callie said she'd help.
- I'm having a baby.
- Congratulations.
- I'm happy for you.
- I'm happy for you, too, chief.
It's what you always wanted, right? Yep.
It's what I've always wanted.
[Arizona.]
How is he, Dr.
Bailey? It looks like you're nearly done.
And it's just in time for dinner.
And maybe even some dancing.
- If the patient looks good - [Bailey.]
He'll be just fine.
He won't be dancing anytime soon, but when the time comes and he wants to go out dancing, he will be perfectly capable of making that determination himself, without any help from anyone.
And I don't need any help here, so if you are through helping me, you can go.
- I just - Now.
- She's nice.
Chatty.
- Stop talking.
To be fair, I never said a word about dancing, although - Shh! What is all this bleeding? - [Liquid sucking.]
Ah! Splenic artery's torn.
- He's gonna lose this spleen.
- [Rapid beeping.]
Lap pads! Where's my patient? [Nurse.]
No idea.
He must have left.
[Gagging.]
I need help in here! [Derek groans, sighs.]
There you are.
I've got your wife's clothes for the breakfast and I made note cards for your speech for this morning.
- Good.
Go home.
- If you're here, I'm here.
- Honestly, I'm happy to help with this.
- You wanna be an executive assistant? You should want to do surgery.
That's all I want to do.
I'm not sure I can.
I Look, I'm grateful that you hired me back.
It's just been easier to help out with this stuff.
It's easier coming back as that, rather than coming back as the doctor who made a mistake and killed someone.
Killed someone's mom.
And I'm not sure I can be that person.
So if you're not sure you need me, then maybe I shouldn't be here.
Dr.
Shepherd? I have a patient with an epidural bleed.
Come with me.
- You couldn't do it? - Actually, we could.
Um You need to prepare yourself.
We needed to take some extraordinary measures.
Your arm needed a blood supply to keep it alive until we could reattach it.
So we had to relocate it to where we could get one.
[Gasping.]
Is that my arm?! What did you do? Why would you do this to me? - What did you do to me?! - It's only temporary.
OK, just for a few days.
Frankie, this is what you wanted.
- You wanted your arm.
- [Frankie.]
In the right place! I said I didn't want to be a freak! You should have left me like I was! Oh, come on.
Did you even tell him you're leaving? Look, I just wanted a place to stay.
And some money.
I didn't know he was gonna care this much.
He bought a crib.
He's a good man.
And he'll be very good to your baby.
You could know the baby, if Mark raised him.
You could come back and visit.
I don't want to know where to come back to.
If I give him to you guys, it's still my baby.
And I need him to be somebody else's.
I mean, my dad got a clean break from me.
And look at him now.
Don't I deserve that? [Callie clears throat.]
Prenatal vitamins are not a joke.
Take them.
And do not skip any doctor's appointments.
And if you get into any trouble, or you have a problem with anything call us.
Just take care of yourself.
Thanks.
- Mrs.
Banks? - How is my husband? There's been some complications, but Dr.
Bailey's working very hard.
And I'll let you know more as soon as I do.
Is Is Emile still here? Emile is in surgery.
There's been some bleeding in his brain.
Oh, my God.
Oh, God.
He never said a word.
For 15 years.
- Did you know? - [Chuckles.]
Why do you think I kept going back there? But then I met Bob, and Emile never I made a choice.
- But you kept going back.
- I did.
Because Bob liked it.
And I love Bob.
It became our place.
And, yes, he orders for me.
Because he knows what I like.
And it may seem like we have nothing left to talk about, but sometimes it's nice not to have to talk.
Fifteen years ago, I made a choice.
And I keep making it every day.
That's what marriage is.
That's a lot of damage to his pancreas.
I can't get this bleeding under control.
- [Rapid beeping.]
- OK.
More suction! More! [Derek.]
The middle meningeal artery's completely severed.
[Alex.]
What did I miss? I've been literally watching this guy all night.
- How could I miss? - [Derek.]
You didn't miss anything.
First CT was negative, there were no neurological symptoms.
The kind of bleed you never know about until it's too late.
- [April.]
Is it too late? - [Derek.]
I don't know yet.
Bipolars.
- BP's 80 over 60, falling! - [Bailey.]
Push another atropine! Damn it.
Come on! [Derek.]
Damn it, come on! Stay with me! Come on! Stay with me! Come on! Stay with me! Stay with me.
Come on.
Come on.
[Water running.]
The dude waited on tables and watched his life happen without him.
He's probably better off.
[Sobbing.]
I can't I can't do this.
I can't just I can't just watch people die! I I shouldn't have come back.
[Derek.]
Listen.
I made a mistake last year.
I almost walked away.
If you don't feel the losses if they don't hurt you and humble you, that's when you know you're not cut out for this kind of work.
You can be a good surgeon, Kepner.
It's why I brought you back.
Congratulations.
I thought we'd lost him, - but you managed to - I can't talk to you.
Right.
Um Look, I'm sorry.
- I thought you and I might - I can't talk to you.
You make me nervous.
I forget what I And I say things I don't want to say.
And I can't I just go stupid.
I I like you.
That's all.
There.
- All right.
- And so if you want to go to dinner, fine.
We'll show up and try to talk.
- How's tomorrow night? - Fine.
I might have surgery.
I might join you.
[laughs.]
You can tell your patient her husband's gonna be OK.
- What about Emile? - Shepherd said there was no way to know it was detectable until it was too late.
Here.
- I think this means you win.
- I know.
I don't want it.
I don't want it either.
You would have won anyway.
- You think? - Of course.
- That's her husband.
- Grey, you ready to scrub in? I have a valve replacement.
You know, I Yang is still here.
Can she do it? [Meredith.]
We have to keep reinventing ourselves, almost every minute.
Because the world can change in an instant.
[Alex.]
Hello, Mrs.
Banks.
How's Emile doing? I'm sorry.
We did everything we could, but the bleeding in his brain was too severe.
I'm very sorry.
Thank you.
[Sobbing.]
[Meredith.]
And there's no time for looking back.
All those people out there.
They just want to stare at me.
They do.
The doctors want to see you, they want to ask you questions.
Because you're very rare.
And special.
There might be press.
And there's a personal injury lawyer floating around somewhere that thinks that restaurant might owe you a lot of money.
How much money? Sometimes, change is good, right? [Mark.]
I don't believe you.
You don't have to do that.
I wanted to before you got home.
And you don't have to do what you offered to do.
I'm not gonna hold you to that.
- Mark - But thank you so much for offering.
And, uh it could be kind of great, right? [Meredith.]
Sometimes, the changes are forced on us.
What are you doing? Sit down.
[Meredith.]
Sometimes, they happen by accident.
Oh, get used to it.
I'm keeping it.
You should.
You're moving on.
I didn't mean that was a bad thing.
It's what you should do.
- I hate Valentine's Day.
- Me, too.
[Meredith.]
And we make the most of them.
[Teddy.]
Hey, Owen.
Hey.
- Hi.
Do you have a minute? - I'll wait in the car.
No, stay.
It's fine if you stay.
I said that I love you and it's out there and I know that I can't un-ring the bell, but I'm un-ringing the bell.
I take it back.
- [Cristina.]
I'm gonna go - No, stay.
I miss my friend, Owen.
More than anything, I miss my friend.
The rest I can deal with.
I can deal with it.
It's I have a job that I love, and an amazing student to teach, and I've got a cottage with deer, and a fish and various waxed body parts.
I'm gonna be fine! You and I are gonna be friends.
And you're doing a valve replacement with me in ten.
- [Cristina.]
Really? - Go prep 2219.
OK.
I'll see you at home.
[Meredith.]
We have to constantly come up with new ways to fix ourselves.
You can't un-ring the bell.
I know.
But I am gonna try like hell.
[Meredith.]
So we change.
We adapt.
[Man.]
Congratulations.
- [Man 2.]
Good to see you, chief.
- Good to see you, too.
- Hey! - Hi.
- You didn't have to come.
- I know I didn't.
I chose to.
[Meredith laughs.]
- Shall we go in? - Yes.
[Meredith.]
We create new versions of ourselves.
- [Meredith.]
Mrs.
Shepherd?! - [Derek.]
I know.
- Mrs.
Shepherd? - I know.
I don't do brunches.
I don't miss surgeries.
- And I don't do Valentine's Day.
- [Meredith.]
We just need to be sure that this one is an improvement over the last.
You're gonna have to make this up to me with a lot of sex.
Yes, dear.
The surgical scalpel is made of sterilized, carbonized stainless steel.
This is a vast improvement over the first scalpel, which was pretty much a sharp stick.
Medicine is constantly reinventing itself.
That means surgeons have to keep reinventing themselves, too.
- I can't believe we're doing this.
- [Derek, Owen.]
It's Valentine's Day.
[Meredith, Cristina.]
We don't do Valentine's Day.
- More to life than the hospital.
- No, there isn't.
- It's romantic.
- No, it isn't.
[Meredith.]
There's constant pressure to adapt to changes.
[Siren wailing.]
- Ambulance! - It can be a painful process.
- Eyes front, ladies.
- But without it [sirens wailing, horn honking.]
- OK, that seemed big.
- If it's big, they'll page us.
[Pagers beeping.]
- It's big.
- Yes! [Meredith.]
you'll find yourself moving backwards, instead of forwards.
- What's going on? - Grandinetti's roof collapsed.
We'll be getting more than a dozen.
All scheduled procedures are pushed.
On Valentine's Day? Grandinetti's must have been packed.
Well, tonight's out.
I told you this would happen.
That's why we went to dinner at four, and exchanged gifts.
[Giggling.]
Just special.
Original.
Magical.
Squeals of joy.
- Wow, Scrooge! - [Bailey.]
Scrooge is Christmas.
- That's a holiday.
- [Dr.
Warren.]
Dr.
Bailey.
My hemicolectomy is pushed.
It's a shame.
I was really looking forward to that.
Well, that's You know Maybe we could make up for it.
Dinner tomorrow? No! [stammering.]
I Just I'm busy.
I have surgeries most nights.
I always have surgery.
Right.
Well, um Maybe see you in the OR, then.
[Elevator dings.]
[Arizona laughs.]
[Laughing.]
Oh, my God.
She likes him.
Oh! [giggles.]
- You like him? - You should totally go out with him.
- You have to say yes! - It's Valentine's Day! You have to! OK, see? This, right here, what's happening, with the giggling, the girl talk, the OMGs - OK, it has to stop.
I am busy.
- [Laughing.]
- [Laughing.]
- [Elevator dings.]
[Mark.]
Hey, Torres.
Do you know anything about putting together cribs? - You bought a crib? - Sloan's coming home tonight.
And I got it put together, but it wobbles.
It can't wobble.
Will you take a look at it? [Laughs.]
You're like a sweet, nerdy dad, now.
I don't even recognize you.
- Who's the blonde? - I don't know.
I may be a dad, but I am a single dad.
- Excuse me.
- [Laughs.]
OK, now I recognize you.
It must, uh, suck to work on Valentine's Day.
I don't believe we've met.
Aah! - What did you do to your hair?! - I changed it.
I colored it.
I just [sighs.]
Wait, you thought I was someone else.
You didn't know it was me, and you were hitting on me? No, I pretty much thought you were some blonde.
You are pathetic.
And hypocritical.
- And slutty.
- And you are no blonde.
You can't pull that off.
Blondes are either bad-ass or fun.
And you're you're a brunette.
- Damn! - Shut up! Quit staring.
I'm probably gonna change it back anyway.
No, I get it.
You get dumped by your boyfriend, and you go for the extreme makeover.
Chicks always do that.
I didn't get dumped.
I did not do this for Mark.
I just It's Valentine's Day, and I wanted to change something, and I could change I wanted to do something for me.
OK? This was for me.
How is that different than what I just said? I'm changing it back.
- [Man 1.]
Watch that rock, please.
- [Man 2.]
This is medic 16 Restaurant roof collapse.
So far a penetrating abdominal injury, a sucking chest wound - and a massive head wound.
- [Owen.]
To the left! - There's an open fracture on the way.
- You're still here.
If you're here, I'm here.
An OSHA investigator is waiting in the lobby and also two TV crews are asking for a statement.
- I told them to wait for you.
- We cleared the OR board.
Also, I paged Bailey, Nelson, Altman, Hagan and Sloan.
- I'll get - Stop! Who do I see first? - Skull fracture, trauma one.
- The OSHA guy.
- Chart, please.
- [Owen.]
Get as many people as possible off the backboard, clear C-spines clinically but if you're not sure, wait for X-ray, no matter how backed up they are.
- Hold the elevator! - [Woman.]
I got it! [Derek.]
Trauma four is open.
- Bring the chart, please.
- [Woman.]
Right away.
- Where are they taking my husband? - He's going into surgery.
His doctors will let us know more soon.
Take a deep breath for me? - What do we have, Grey? - Decreased breath sounds on the left, - possibly a pneumothorax.
- Put in a chest tube if you need to.
- Evaluate and page me if it's surgical.
- [Both grunt.]
- Sorry.
- I'm sorry.
[Owen.]
OK, let me see the chart.
Looks like a pretty bad break.
You're gonna have to have that reset.
I wonder if there's any chance you could put me in a bed next to that lady.
[Scoffs.]
Yeah, sorry, it doesn't work like that.
Of course.
Forgive me.
I've been a head waiter for 25 years.
I know how it works.
I'll see what I can do.
[Derek.]
Depressed skull fracture with a subdural hematoma.
All right? Book an OR.
- Chief.
- Yeah.
Reassign some anesthesiologists.
You're being cupid for Bailey.
I don't do that.
I did that once, she yelled at me.
I'll be cupid.
You just be the chief.
- I am not cupid.
- Sign.
Dr.
Shepherd, the reporters are waiting for a statement.
- I have surgery.
- Actually, Dr.
Nelson said he can take your skull fracture.
You've got the trustees' breakfast in the morning, and when the trustees turn on the 11:00 news, it's your face they'll want to see.
[Derek sighs.]
- [Woman.]
Clear the hallway! - [Woman 2.]
Will do.
- Watch it, coming through! - [Man.]
I've got the arm.
[Owen.]
What do you got? [Woman.]
Traumatic amputation through the left distal humerus, bleeding controlled with pressure.
Got ten of morphine - and vital signs are stable.
- Get him in Trauma Three.
Put him on a monitor, push two of O neg! - Grey, Avery, you're with me.
- [April.]
Chief Shepherd? [Reporter.]
Shepherd! [Reporter 2.]
What about the fact that this? Can she have some water, please? I'm afraid she can't.
Emile, stop.
My husband and I have been going to Grandinetti's for 15 years.
Every Friday night.
And sometimes Tuesdays.
Emile always takes very good care of us.
But now it's time to look after yourself.
I just thought you'd want someone with you, until you find out that Mr.
Banks was OK.
Thank you.
My patient's stalking your patient.
He's being a good waiter.
And apparently, we're his busboys.
Dude gave me 50 bucks to put him next to her.
He's got the hots for her.
Her husband is in surgery.
She's married.
You're saying that 'cause you think you're married.
His 50 bucks says he makes a move.
You in or out? I'm in.
And I am married.
- [April.]
Mrs.
Shepherd? - Huh? - I'm not Mrs.
Shepherd.
- You're not? - I'm Dr.
Grey.
- Right.
Right.
Um, Chief Shepherd wanted me to ask you about the trustees' breakfast.
You Shepherd's flunky? Is that why he hired you back? I'm on his service this week.
And during this transition, he needed a little more help on the administrative side.
I'm not his flunky.
So will you be going with him to the breakfast or meeting him there? I, um am not sure I'm going.
- Well - [both laugh.]
You have to.
You're his wife.
Sloan? When did you get in? - Does Mark know you're here? - No.
My flight got in a little early.
And I took a cab over.
I didn't want to bug him.
Somebody said that you guys have a free clinic.
- Do you know where that is? - Is everything OK? Yeah, I just want someone to check me out after the surgery and everything.
- Maybe give me an ultrasound.
- The clinic closed an hour ago.
Come on, I have a second.
I'll take a peek for you.
I need another four-by-four.
Dress him, I'm gonna take another look at the arm.
His wound's completely macerated and contaminated.
Why wasn't this guy brought in first? He was lying in dirty dishwater for a while before they found him.
- They forgot I was back there.
- No.
It's all right.
I'm not I'm not too big on talking to people.
And nobody talks to me much back there.
They just, you know, bring me the dishes.
I lost my arm.
I don't wanna have one arm.
I don't want to be a freak.
I don't like people staring at me.
- We're gonna do everything we can.
- Please.
OK, Frankie, I'm gonna take you up to surgery now.
We're gonna try and reattach the arm, OK? Do we have an open OR? I'll prep him.
Work on the stump.
You debride the arm, tag the vessels, get it up to me as soon as you can.
[Lexie sighs.]
Wow.
Trauma Room Barbie.
[Bailey.]
Irrigation here and suction, please? [Arizona.]
So Grandinetti's is gone.
A Seattle institution.
- Dr.
Warren, you ever been there? - Couple times.
Good scampi.
Yeah, place is so romantic.
Perfectly lit, intimate.
Those cozy little booths in back.
[Bailey.]
Three-oh silk tie, please.
[Arizona.]
A little too intense for a first date, though.
Bailey, where would you go on a first date? - Isn't there a dying child somewhere? - Nope.
I had some time.
And I wanted to observe one one of these.
- [Scoffs.]
[Callie.]
Aw! - Baby looks perfect.
- Awesome.
- Um, can I, like, get that in writing? - Oh.
Even better.
- Here is a souvenir.
- Oh Um Don't you have some kind of official form or a hospital document you can give me? - Why do you need an official form? - Well, it's none of your business.
If you want your official form, it is, Sloan.
What's going on? It's for the adoption attorney, OK? They need, like, a clean bill of health from me or something.
There's this great couple in San Francisco.
- And they have these two big dogs.
- An adoption attorney? Yeah, I'm not ready to be a mom.
I'm just not ready yet.
- Have you told Mark? - No.
And you're my doctor, right? I mean, don't you guys have some kind of rule that says you can't say anything? I'm not gonna tell him.
And neither are you.
[Beeping.]
Do you think she needs an extra blanket? She gets chilled easily.
She must be one hell of a tipper.
- Sorry? - I see why she comes in every week.
I bet you take better care of her than her own husband.
[Emile chuckles.]
[Emile.]
When she first started coming in, before they met, we had a little game.
She would try anything we served.
She was adventurous.
Fearless.
When she'd gone through the menu, I would challenge the chefs to come up with something new.
[Chuckles.]
It became, she became, my favorite part of the week.
Then one night, she came in with him.
She felt like this was a safe place for a first date.
[Chuckles.]
That ring on her finger The night he proposed to her, I placed it in the creme brulée for her to find.
I watched her say yes from the kitchen window.
And they never stopped coming in.
But now he orders for her, same thing every time.
For 15 years, I've watched their conversations grow shorter and shorter.
Until now, all they do is eat.
She has no children.
If he dies, she'll be She'll be all alone.
She's so afraid, I can see.
And all I want to do is take her hand in mine and tell her she'll be all right.
She'll never have to be alone, if she doesn't want to be.
You'll let me know when you have good news about Mr.
Banks, yes? Yeah, right.
Of course.
- You can't leave without telling him.
- Yes, I can.
I can do whatever - Sloan! - Crap.
When did you get here? I thought you were gonna call first.
Look! Oh, my God.
Would you look at that? That's the Sloan nose.
Can you see it? Can you see it? It's my dad's.
He has my dad's nose.
That's the Sloan nose.
[Pager beeping.]
Damn it.
Will you wait for me? I wanna take you home.
I got a surprise for you.
Could I see this again? The Sloan nose.
You win.
He's been staring at her from his kitchen for 15 years.
- He's not gonna tell her now.
- He just did.
She was awake the whole time.
She heard everything.
She has to say something.
- She's not.
Her husband's in surgery.
- So? They're clearly miserable.
Did you hear the whole creme brulée thing? Fifty bucks says she tells him she loves him, too.
- You're on.
- Hi.
- I've got your keys.
- What? Dr.
Shepherd told me you might not make it home before the breakfast, so I should ask you what you need from your closet and I'll grab it for you.
You are not going in my closet.
Aren't you supposed to be a surgeon? He really needs you by his side at that breakfast.
I am a surgeon.
You tell the chief that I will be in surgery.
[Stammers.]
So I'll just pick something out for you.
[Avery.]
So Yang's with Hunt.
Grey's with Shepherd.
Torres is with Robbins.
And you were with Sloan, until he dumped you.
It's a wonder you guys got any work done.
He didn't dump me.
He forgot about me.
He decided that we were going to start a family, and didn't ask me.
He forgot I was even there.
He just left me lying in dirty dishwater.
What? Nothing.
I'm pretty.
- What? - In my family.
I'm the pretty one.
You know, um, my eyes and my smile and my body.
You should see me without a shirt on.
It's kind of ridiculous.
But my family is smart, driven, crazy overachievers.
And they look like they're smart.
They don't look like me.
Which has its perks, except that my family treated me like I'm pretty.
They expected nothing from me.
Ever.
They never pushed me.
Never thought to.
So I had to push myself.
Hard.
I didn't even tell them I was taking the MCATs till after I'd aced them.
My point is that you can't just change your hair.
You want to be unforgettable, you want to not be mousy? You can't just change your hair.
You have to actually change.
Just saying.
[Bailey.]
OK.
I'm removing the glass very slowly OK, take this.
Bovie.
[Arizona.]
Nice work, Dr.
Bailey.
Dr.
Warren, can you believe Dr.
Bailey almost left general surgery for Peds surgery? Did you know that? - [Warren.]
I did not.
- [Arizona.]
She almost said no to general surgery.
But then she thought about it, and she changed her mind.
She wasn't afraid to rethink her decision.
She just needed to be asked again.
[Warren.]
I see.
Clearly.
- You have my report thing? - No.
He took you in.
He's given you money, he flew you to LA.
He deserves to know.
So if you're not gonna tell him, I will.
You paged me? - What's going on? - You paged him? - What's the matter? - [Callie sighs.]
- Mark, she's - I'm giving the baby up for adoption.
I'm not a mom.
I'm not ready.
And I want him to have good parents and a good home.
No, don't.
Don't do this.
Don't give this baby away.
They'll love him.
They'll love him more than I will.
Give him to me.
I'll take him.
I'll adopt him.
I understand.
I understand you're not ready, but I am.
And I know I don't have the best track record.
And I should have been there for you, and I wasn't.
But I will be there for this baby.
Please.
I want him to have a family and You've been really nice to me the past couple of months, but you're not a family.
You're just a guy.
- Sloan, please.
- I'll help.
Uh [laughs.]
I'm right across the hall.
And we're a family, sort of.
And we're doctors.
And we're best friends.
And And we're good people.
We'll We'll take care of the baby.
Together.
We'll love him.
Really will.
[Mark.]
Just think about it.
Go home, we'll talk about it.
Can we talk about it? Yes.
Yes, we can.
We can talk about it.
[Callie laughs.]
- Thank God.
Where'd you get those? - Patient room.
Guy's in a coma, he's not gonna miss them.
Anything happen? He's still asleep.
She wants to say something.
Oh! Oh, my God, I'm starving! - Ooh.
These are all half-eaten.
- So you can see what they are.
What are we doing? [Alex.]
Her boring husband's in surgery.
This dude's been in love with her for 15 years.
[Meredith.]
She just found out.
We're waiting to see if she says something.
- Or if her husband croaks.
- It's OK if he does because they're miserable.
I mean, is this what marriage turns into? Running out of things to say and changing who you are? - Probably.
- Yeah.
Well, I didn't marry Derek to be the chief's arm candy.
I'm a surgeon.
Yeah, you married him for the great surgeries.
[Laughs.]
I didn't do that either.
- Right.
- You should have.
Shh! She's gonna say something.
She's gonna wake him up.
Oh! What's she saying? [Inaudible.]
[Rapid beeping.]
She can't breathe! Get a crash cart! [Rapid beeping continues.]
She's got a big air leak in her chest tube.
- What's happening? - Keep her on 100 percent O2.
Get a bronchoscopy.
Grey, see if an OR's available just in case.
She's having trouble breathing.
We'll let you know more as soon as we do.
We saved the arm.
We saved it.
We're ready.
- It's gonna have to be an amputation.
- [Lexie.]
What? There's too much devascularized tissue, too much contamination.
We could push antibiotics and let the stump heal, but by that time [Owen.]
The arm will be dead.
Page me when he's awake.
I'll tell him.
They They can't just leave it behind.
We could move it somewhere else.
Attach it to a healthy zone.
Don't tell me, mouse.
I'm just saying they could Temporary ectopic replantation! You have to keep the arm alive until the stump heals.
Yes, but in cases involving the elbow It's extreme.
He'll lose range of motion, grip failure.
He'll keep his arm! He deserves extreme measures! If the arm is still viable, you can't just let it die.
Has it ever been done before, above the elbow? I don't know.
It could be done.
You could implant it onto the epigastric and the venae commitante.
Give you a few days for the stump to heal.
- [Owen.]
I've never done one.
- Neither have I.
So? After today, you can't say that anymore.
Come on! I told him that we would do everything we could, do everything that we can! I'll call Shepherd and let him know.
Grey, Avery, get ready to scrub in.
We're gonna be a while.
OK, that? Not mousy.
You're going into surgery now? - There's this breakfast.
- I know.
I know about the breakfast.
Because there's some resident I don't know - rooting through my closet right now.
- Sorry.
She's over-eager.
I have surgery.
I can't really give up the surgery.
- No, I wouldn't want you to.
- Just to smile and stand at a podium for the suits? It's No, you shouldn't come.
You know, my patient, she's somebody's wife, too.
And I'm her doctor, and - OK? - OK.
OK.
[Water running.]
- Hey.
- Hey.
I got a tracheobronchial tear.
Transitory ectopic implantation.
Wow.
Nice.
I rented a house.
It's amazing.
It's right on the water, a little cottage.
And there are deer.
Like Bambi deer and singing birds, it's incredible.
I found this little secret coffee place down the street from here.
And, uh, oh, I was thinking of getting a puppy.
But, you know, you have to be home with a puppy and I'm always here.
So I went down to the pound, 'cause I I wanted to get it out of my system.
You know, the puppy love.
And I held all of these incredibly sweet dogs, and you would have been really really proud of me, Owen.
I didn't take one home.
I went out and got a fish instead.
Let me see.
What else? Oh, I got a bikini wax.
Yeah, an actual wax.
I haven't had one those since, remember I tried to wax myself - What is your point?! - You were my best friend! My best friend who I could tell everything to.
And now you won't even look at me.
'Cause you said you loved me.
You said you loved me, too.
And then - And then you chose Yang.
- You chose her, too.
You chose her, too.
I feel like I'm cheating on her.
When I talk to you, I feel like I'm cheating on her.
So I'm sorry.
I miss my best friend, too.
[Thunder rumbles.]
Don't you have something else to do? This is the closest I've been to the inside of an OR in a week.
[Mark sighs.]
[Derek.]
Last week, I would have been paged in to help.
Now, I'm paged about fundraising brunches.
I'm adopting Sloan's baby.
It's the right thing to do.
- I think I can.
- Mm-hmm.
I certainly want to.
Callie said she'd help.
- I'm having a baby.
- Congratulations.
- I'm happy for you.
- I'm happy for you, too, chief.
It's what you always wanted, right? Yep.
It's what I've always wanted.
[Arizona.]
How is he, Dr.
Bailey? It looks like you're nearly done.
And it's just in time for dinner.
And maybe even some dancing.
- If the patient looks good - [Bailey.]
He'll be just fine.
He won't be dancing anytime soon, but when the time comes and he wants to go out dancing, he will be perfectly capable of making that determination himself, without any help from anyone.
And I don't need any help here, so if you are through helping me, you can go.
- I just - Now.
- She's nice.
Chatty.
- Stop talking.
To be fair, I never said a word about dancing, although - Shh! What is all this bleeding? - [Liquid sucking.]
Ah! Splenic artery's torn.
- He's gonna lose this spleen.
- [Rapid beeping.]
Lap pads! Where's my patient? [Nurse.]
No idea.
He must have left.
[Gagging.]
I need help in here! [Derek groans, sighs.]
There you are.
I've got your wife's clothes for the breakfast and I made note cards for your speech for this morning.
- Good.
Go home.
- If you're here, I'm here.
- Honestly, I'm happy to help with this.
- You wanna be an executive assistant? You should want to do surgery.
That's all I want to do.
I'm not sure I can.
I Look, I'm grateful that you hired me back.
It's just been easier to help out with this stuff.
It's easier coming back as that, rather than coming back as the doctor who made a mistake and killed someone.
Killed someone's mom.
And I'm not sure I can be that person.
So if you're not sure you need me, then maybe I shouldn't be here.
Dr.
Shepherd? I have a patient with an epidural bleed.
Come with me.
- You couldn't do it? - Actually, we could.
Um You need to prepare yourself.
We needed to take some extraordinary measures.
Your arm needed a blood supply to keep it alive until we could reattach it.
So we had to relocate it to where we could get one.
[Gasping.]
Is that my arm?! What did you do? Why would you do this to me? - What did you do to me?! - It's only temporary.
OK, just for a few days.
Frankie, this is what you wanted.
- You wanted your arm.
- [Frankie.]
In the right place! I said I didn't want to be a freak! You should have left me like I was! Oh, come on.
Did you even tell him you're leaving? Look, I just wanted a place to stay.
And some money.
I didn't know he was gonna care this much.
He bought a crib.
He's a good man.
And he'll be very good to your baby.
You could know the baby, if Mark raised him.
You could come back and visit.
I don't want to know where to come back to.
If I give him to you guys, it's still my baby.
And I need him to be somebody else's.
I mean, my dad got a clean break from me.
And look at him now.
Don't I deserve that? [Callie clears throat.]
Prenatal vitamins are not a joke.
Take them.
And do not skip any doctor's appointments.
And if you get into any trouble, or you have a problem with anything call us.
Just take care of yourself.
Thanks.
- Mrs.
Banks? - How is my husband? There's been some complications, but Dr.
Bailey's working very hard.
And I'll let you know more as soon as I do.
Is Is Emile still here? Emile is in surgery.
There's been some bleeding in his brain.
Oh, my God.
Oh, God.
He never said a word.
For 15 years.
- Did you know? - [Chuckles.]
Why do you think I kept going back there? But then I met Bob, and Emile never I made a choice.
- But you kept going back.
- I did.
Because Bob liked it.
And I love Bob.
It became our place.
And, yes, he orders for me.
Because he knows what I like.
And it may seem like we have nothing left to talk about, but sometimes it's nice not to have to talk.
Fifteen years ago, I made a choice.
And I keep making it every day.
That's what marriage is.
That's a lot of damage to his pancreas.
I can't get this bleeding under control.
- [Rapid beeping.]
- OK.
More suction! More! [Derek.]
The middle meningeal artery's completely severed.
[Alex.]
What did I miss? I've been literally watching this guy all night.
- How could I miss? - [Derek.]
You didn't miss anything.
First CT was negative, there were no neurological symptoms.
The kind of bleed you never know about until it's too late.
- [April.]
Is it too late? - [Derek.]
I don't know yet.
Bipolars.
- BP's 80 over 60, falling! - [Bailey.]
Push another atropine! Damn it.
Come on! [Derek.]
Damn it, come on! Stay with me! Come on! Stay with me! Come on! Stay with me! Stay with me.
Come on.
Come on.
[Water running.]
The dude waited on tables and watched his life happen without him.
He's probably better off.
[Sobbing.]
I can't I can't do this.
I can't just I can't just watch people die! I I shouldn't have come back.
[Derek.]
Listen.
I made a mistake last year.
I almost walked away.
If you don't feel the losses if they don't hurt you and humble you, that's when you know you're not cut out for this kind of work.
You can be a good surgeon, Kepner.
It's why I brought you back.
Congratulations.
I thought we'd lost him, - but you managed to - I can't talk to you.
Right.
Um Look, I'm sorry.
- I thought you and I might - I can't talk to you.
You make me nervous.
I forget what I And I say things I don't want to say.
And I can't I just go stupid.
I I like you.
That's all.
There.
- All right.
- And so if you want to go to dinner, fine.
We'll show up and try to talk.
- How's tomorrow night? - Fine.
I might have surgery.
I might join you.
[laughs.]
You can tell your patient her husband's gonna be OK.
- What about Emile? - Shepherd said there was no way to know it was detectable until it was too late.
Here.
- I think this means you win.
- I know.
I don't want it.
I don't want it either.
You would have won anyway.
- You think? - Of course.
- That's her husband.
- Grey, you ready to scrub in? I have a valve replacement.
You know, I Yang is still here.
Can she do it? [Meredith.]
We have to keep reinventing ourselves, almost every minute.
Because the world can change in an instant.
[Alex.]
Hello, Mrs.
Banks.
How's Emile doing? I'm sorry.
We did everything we could, but the bleeding in his brain was too severe.
I'm very sorry.
Thank you.
[Sobbing.]
[Meredith.]
And there's no time for looking back.
All those people out there.
They just want to stare at me.
They do.
The doctors want to see you, they want to ask you questions.
Because you're very rare.
And special.
There might be press.
And there's a personal injury lawyer floating around somewhere that thinks that restaurant might owe you a lot of money.
How much money? Sometimes, change is good, right? [Mark.]
I don't believe you.
You don't have to do that.
I wanted to before you got home.
And you don't have to do what you offered to do.
I'm not gonna hold you to that.
- Mark - But thank you so much for offering.
And, uh it could be kind of great, right? [Meredith.]
Sometimes, the changes are forced on us.
What are you doing? Sit down.
[Meredith.]
Sometimes, they happen by accident.
Oh, get used to it.
I'm keeping it.
You should.
You're moving on.
I didn't mean that was a bad thing.
It's what you should do.
- I hate Valentine's Day.
- Me, too.
[Meredith.]
And we make the most of them.
[Teddy.]
Hey, Owen.
Hey.
- Hi.
Do you have a minute? - I'll wait in the car.
No, stay.
It's fine if you stay.
I said that I love you and it's out there and I know that I can't un-ring the bell, but I'm un-ringing the bell.
I take it back.
- [Cristina.]
I'm gonna go - No, stay.
I miss my friend, Owen.
More than anything, I miss my friend.
The rest I can deal with.
I can deal with it.
It's I have a job that I love, and an amazing student to teach, and I've got a cottage with deer, and a fish and various waxed body parts.
I'm gonna be fine! You and I are gonna be friends.
And you're doing a valve replacement with me in ten.
- [Cristina.]
Really? - Go prep 2219.
OK.
I'll see you at home.
[Meredith.]
We have to constantly come up with new ways to fix ourselves.
You can't un-ring the bell.
I know.
But I am gonna try like hell.
[Meredith.]
So we change.
We adapt.
[Man.]
Congratulations.
- [Man 2.]
Good to see you, chief.
- Good to see you, too.
- Hey! - Hi.
- You didn't have to come.
- I know I didn't.
I chose to.
[Meredith laughs.]
- Shall we go in? - Yes.
[Meredith.]
We create new versions of ourselves.
- [Meredith.]
Mrs.
Shepherd?! - [Derek.]
I know.
- Mrs.
Shepherd? - I know.
I don't do brunches.
I don't miss surgeries.
- And I don't do Valentine's Day.
- [Meredith.]
We just need to be sure that this one is an improvement over the last.
You're gonna have to make this up to me with a lot of sex.
Yes, dear.