1
00:00:01,234 --> 00:00:02,633
<i>[Derek] Previously on</i> Grey's Anatomy:

2
00:00:02,669 --> 00:00:06,196
<i>[Cristina] You got some problems.</i>
<i>You got some big problems.</i>

3
00:00:06,239 --> 00:00:09,640
- <i>[Callie] I kissed a peds surgeon.</i>
- Calliope, this is Julie. My date.

4
00:00:09,676 --> 00:00:11,143
I'm seeing Lexie.

5
00:00:13,179 --> 00:00:14,646
[yells]

6
00:00:14,681 --> 00:00:18,242
- Oh, my God, I think I broke it!
- This is Patient X.

7
00:00:18,284 --> 00:00:22,084
She's a 29-year-old female
we misdiagnosed with anemia.

8
00:00:22,122 --> 00:00:24,920
I'm applying for a fellowship
in Pediatric Sur...

9
00:00:24,958 --> 00:00:26,482
Which is not what we had discussed!

10
00:00:26,526 --> 00:00:28,653
[Rob] Where's my wife?
You killed her!

11
00:00:28,695 --> 00:00:30,060
You're a murderer.

12
00:00:32,499 --> 00:00:35,468
<i>[Meredith]</i>
<i>Every surgeon I know has a shadow.</i>

13
00:00:37,237 --> 00:00:39,171
<i>A dark cloud of fear and doubt</i>

14
00:00:39,205 --> 00:00:42,106
<i>that follows even the best of us</i>
<i>into the OR.</i>

15
00:00:42,142 --> 00:00:44,940
- [Alex] Dude, he is fried.
- [Meredith] He is not fried.

16
00:00:44,978 --> 00:00:48,675
He lost a patient and got a lawsuit
all in one week, he just needs time.

17
00:00:48,715 --> 00:00:52,082
He's been there for three days.
The cushions are bonding to his ass.

18
00:00:52,118 --> 00:00:55,781
- And he's eating all my cereal.
- [Izzie] He's taking stock.

19
00:00:56,089 --> 00:00:59,752
Something huge and life-altering
happened to him,

20
00:00:59,793 --> 00:01:03,388
and he's taking stock,
figuring out his next move.

21
00:01:03,430 --> 00:01:05,022
We shouldn't judge and rush him.

22
00:01:05,065 --> 00:01:09,729
Whatever. Sylvia Plath's picking out
the marshmallows. They're the best part.

23
00:01:09,769 --> 00:01:11,862
I'm pretty sure he's sitting on my keys.

24
00:01:11,905 --> 00:01:15,432
I'd ask him to move,
but he looks so... comfy.

25
00:01:15,475 --> 00:01:17,670
You guys are cowards.

26
00:01:19,712 --> 00:01:21,111
Hey.

27
00:01:21,448 --> 00:01:24,383
You're eating, that's good.
Appetite is good.

28
00:01:24,417 --> 00:01:28,251
You know what else is good?
Showering. Cleansing. Water.

29
00:01:28,288 --> 00:01:31,314
Are you thinking you'll shower,
go in to the hospital?

30
00:01:31,357 --> 00:01:32,984
[Derek] I have to for the deposition.

31
00:01:33,026 --> 00:01:36,689
I have to go explain in detail
how I killed a man's pregnant wife.

32
00:01:36,996 --> 00:01:39,794
That's good. Not the killing part,

33
00:01:39,833 --> 00:01:42,802
but the... I think
you'll feel better once you...

34
00:01:43,770 --> 00:01:46,432
...go to... work.

35
00:01:52,712 --> 00:01:54,236
He'll be fine.

36
00:01:54,280 --> 00:01:56,271
<i>[Meredith]</i>
<i>We pretend the shadow isn't there.</i>

37
00:01:56,316 --> 00:01:58,147
[thunder rumbles]

38
00:01:58,184 --> 00:02:00,778
<i>Hoping that if we save more lives,</i>

39
00:02:00,820 --> 00:02:02,685
<i>master harder techniques,</i>

40
00:02:03,156 --> 00:02:05,090
<i>run faster and farther,</i>

41
00:02:05,558 --> 00:02:08,083
<i>it'll get tired and give up the chase.</i>

42
00:02:08,528 --> 00:02:10,018
<i>But like they say...</i>

43
00:02:12,298 --> 00:02:14,163
<i>You can't outrun your shadow.</i>

44
00:02:14,200 --> 00:02:17,101
- Hey.
- [both gasping, screaming]

45
00:02:22,542 --> 00:02:23,873
Morning.

46
00:02:31,217 --> 00:02:35,153
I dreamt once I was falling out a
window, hanging on to the drapes.

47
00:02:35,188 --> 00:02:37,213
I woke up pulling Meredith's hair.

48
00:02:38,391 --> 00:02:40,450
Ha.

49
00:02:40,493 --> 00:02:43,792
So we have a trauma coming,
a trampling on a football field.

50
00:02:43,830 --> 00:02:46,298
- I don't need your help.
- I'm on your service today.

51
00:02:46,332 --> 00:02:49,392
I'm telling you, Dr. Yang,
to take care of that elbow.

52
00:02:49,435 --> 00:02:51,995
There you are.
What happened to you?

53
00:02:52,038 --> 00:02:55,007
- I tripped and fell. It's fine.
- No, no, it's not.

54
00:02:57,177 --> 00:03:01,341
It's... It's nothing. It was
an accident. What's wrong with you?

55
00:03:01,915 --> 00:03:03,746
Derek won't get off the couch.

56
00:03:03,783 --> 00:03:06,274
[scoffs] So the weaker sex.

57
00:03:08,221 --> 00:03:10,689
It's still swollen.
I'd give it another day rest.

58
00:03:10,723 --> 00:03:13,590
- I haven't operated in days.
- Don't hit with your scalpel hand.

59
00:03:13,626 --> 00:03:16,060
- Have you talked to him?
- He threw the first punch.

60
00:03:16,095 --> 00:03:19,553
- You did catch him at a bad time.
- So he lost a patient. Boo-hoo.

61
00:03:19,599 --> 00:03:22,067
We're surgeons, we're men,
we lose patients.

62
00:03:22,101 --> 00:03:25,161
Doesn't give him the right to go around
behaving like a drunk frat boy.

63
00:03:25,205 --> 00:03:28,197
Now I'm supposed to go crawling back,
begging for his forgiveness?

64
00:03:29,409 --> 00:03:32,344
- What... What are you doing?
- Shh, shh, shh.

65
00:03:32,378 --> 00:03:34,403
[sighs]

66
00:03:34,447 --> 00:03:38,349
I went <i>Say Anything</i> on the ped surgeon
in front of the ped surgeon's date,

67
00:03:38,384 --> 00:03:42,047
- so I am hiding from the ped surgeon.
- Mature.

68
00:03:42,088 --> 00:03:44,454
You got in a fist fight. No judging.

69
00:03:46,292 --> 00:03:47,657
- Hi.
- Hand!

70
00:03:47,694 --> 00:03:50,629
Hand! Oh, God, I'm sorry. I forgot.

71
00:03:50,663 --> 00:03:52,631
I am so sorry, I feel terrible,

72
00:03:52,665 --> 00:03:56,260
about everything, about the fight,
and your hand, and Derek and...

73
00:03:56,302 --> 00:03:58,930
He's not doing so well,
I think you should talk to him.

74
00:03:58,972 --> 00:04:01,065
- I should talk to him?!
- Mm-hmm.

75
00:04:03,876 --> 00:04:08,472
Look at you, with your stethoscope
around your neck, charting...

76
00:04:08,514 --> 00:04:10,607
I can totally see you in ten years,

77
00:04:10,650 --> 00:04:13,448
little salt and pepper in your hair,
big shot attending...

78
00:04:13,486 --> 00:04:15,283
You're gonna be a rockstar, Alex.

79
00:04:16,823 --> 00:04:18,723
- What is this?
- What?

80
00:04:18,758 --> 00:04:22,125
I can't fantasize about my boyfriend
and his bright, bright future?

81
00:04:23,863 --> 00:04:25,763
- Shut up.
- Dr. Stevens?

82
00:04:25,798 --> 00:04:28,824
We've been working on the Patient X
case and we have a couple of ideas.

83
00:04:28,868 --> 00:04:30,130
Great. Let's get to work.

84
00:04:32,639 --> 00:04:35,733
What's this Patient X
that's taking the interns?

85
00:04:35,775 --> 00:04:38,539
When's it gonna be over?
I need minions to do my crap work.

86
00:04:38,578 --> 00:04:40,011
Some new teaching thing.

87
00:04:40,046 --> 00:04:44,107
We're killing ourselves to get OR. When
is the last time Izzie held a scalpel?

88
00:04:44,150 --> 00:04:46,675
She's falling behind.
She's like the new O'Malley.

89
00:04:46,719 --> 00:04:49,051
- Izzie's nothing like O'Malley.
- Hello...

90
00:04:49,088 --> 00:04:51,955
OK, O'Malley, you're in the clinic,

91
00:04:51,991 --> 00:04:55,085
Grey and Yang, with me.
Karev, you're in the pit with Hunt.

92
00:04:55,128 --> 00:04:59,326
- Dr. Bailey, I'm on trauma today.
- Save it, Yang. Hunt wants Karev.

93
00:04:59,365 --> 00:05:01,162
Oh! Sir, there you are.

94
00:05:01,200 --> 00:05:03,668
Shepherd planning to grace us
with his presence?

95
00:05:03,703 --> 00:05:05,466
Yes, he's fine.

96
00:05:07,307 --> 00:05:09,901
Sir! I've been trying
to page you all morning.

97
00:05:09,942 --> 00:05:13,605
- I could use help on a case.
- No peds today?

98
00:05:13,646 --> 00:05:14,943
Uh, no.

99
00:05:15,448 --> 00:05:18,975
- Must be slumming.
- Excuse me? Sir...

100
00:05:20,119 --> 00:05:24,681
Tricia Shelley, 31, Megan Shelley, 27,
Michael Shelley, 23.

101
00:05:24,724 --> 00:05:28,660
Genetic testing revealed
they all carry the CDH1 gene

102
00:05:28,695 --> 00:05:30,788
for hereditary diffuse gastric cancer.

103
00:05:30,830 --> 00:05:32,161
Which means what, Dr. Grey?

104
00:05:32,198 --> 00:05:35,463
Which means they all have a 3-in-4
chance of developing the cancer.

105
00:05:35,501 --> 00:05:38,595
Dr. Bailey's taken tumors
out of everyone on our mother's side.

106
00:05:38,638 --> 00:05:42,631
Unfortunately, it's a highly aggressive
cancer, the tumors grow quickly,

107
00:05:42,675 --> 00:05:45,906
- by the time I get in...
- Our family's tree's down to a branch.

108
00:05:46,446 --> 00:05:49,415
How is... Uncle Bud doing?

109
00:05:49,449 --> 00:05:50,507
Dead.

110
00:05:51,851 --> 00:05:53,910
- And Aunt Helen?
- Dead.

111
00:05:53,953 --> 00:05:56,387
- What about the Minnesota cousin?
- Not dead!

112
00:05:56,422 --> 00:06:00,381
- She's 90 pounds and in hospice, Meg.
- Still. Not dead yet.

113
00:06:00,426 --> 00:06:04,726
So, uh, you've decided you're ready
to take the next step.

114
00:06:04,764 --> 00:06:07,426
We've made a pact,
we're all in this together.

115
00:06:08,134 --> 00:06:10,068
Cut our stomachs out, Dr. Bailey.

116
00:06:16,442 --> 00:06:19,502
Beth Dearborn, 17-year-old
with a history of seizures,

117
00:06:19,545 --> 00:06:22,844
had a grand mal during band performance,
started seizing on arrival.

118
00:06:22,882 --> 00:06:24,281
Push two of lorazepam.

119
00:06:25,118 --> 00:06:27,586
She's in v-fib!
Charge the paddles to 200.

120
00:06:27,620 --> 00:06:32,023
The v-fib could be from the seizure.
If she's not in v-fib, she'll flatline.

121
00:06:32,058 --> 00:06:34,925
- You got a pulse?
- I don't think so. It's hard to tell.

122
00:06:34,961 --> 00:06:37,156
- Lorazepam's not working.
- What do we do?

123
00:06:37,196 --> 00:06:40,165
We shock her and save her
or shock her and kill her.

124
00:06:43,369 --> 00:06:45,929
What the hell. Clear!

125
00:06:49,642 --> 00:06:52,024
[monitor beeping]

126
00:06:53,312 --> 00:06:54,438
Clear!

127
00:07:04,424 --> 00:07:06,085
- Sinus tach.
- Good call, Dr. Hunt.

128
00:07:06,125 --> 00:07:08,025
The odds are 50-50 shot.

129
00:07:10,062 --> 00:07:13,088
Oh, no... it happened again?

130
00:07:13,132 --> 00:07:16,295
I'm Dr. Robbins, the pediatric
surgeon on call, this is Dr. Hunt.

131
00:07:16,335 --> 00:07:20,135
You got beat up while marching, I'm
going to check for internal injuries.

132
00:07:20,173 --> 00:07:23,233
I seized during the performance?
But I took my meds...

133
00:07:23,276 --> 00:07:25,642
Relax, it's not like you
crapped your pants.

134
00:07:25,678 --> 00:07:29,739
It is like I crapped my pants. I had
a seizure in front of the entire band.

135
00:07:29,782 --> 00:07:34,242
It is exactly like I crapped my pants.
They're going to kill me.

136
00:07:34,287 --> 00:07:36,221
- Who?
- Seizure patrol.

137
00:07:39,459 --> 00:07:43,520
- You're the seizure patrol?
- I'm first clarinet, he's drum major.

138
00:07:43,563 --> 00:07:45,326
Whenever Beth has a seizure,

139
00:07:45,364 --> 00:07:49,357
we drop our instruments, roll her on her
side so she doesn't choke on her tongue.

140
00:07:49,402 --> 00:07:52,769
We were in the Northwest Regional
Parade. We were favored to win.

141
00:07:52,805 --> 00:07:55,797
Yeah, until Beth took down
the snare drum, woodwinds...

142
00:07:55,842 --> 00:07:58,470
the tubas tried to avoid her
but she was in formation.

143
00:07:58,511 --> 00:08:00,911
Yeah. Why don't you go call her parents?

144
00:08:03,382 --> 00:08:06,613
I'm gonna run some tests, but
she's coded once, so watch her,

145
00:08:06,652 --> 00:08:09,780
- standby with a crash cart.
- You want me to baby-sit?

146
00:08:09,822 --> 00:08:12,848
- That's an intern job.
- I don't see any interns around.

147
00:08:15,628 --> 00:08:17,289
Dr. Grey?

148
00:08:17,630 --> 00:08:20,827
Patient X, a previously healthy
29-year-old female

149
00:08:20,867 --> 00:08:24,268
presented with stable vital signs,
a normal physical exam,

150
00:08:24,303 --> 00:08:28,672
with symptoms of right upper quadrant
pain, nausea, and hallucinations.

151
00:08:28,708 --> 00:08:31,336
Head CT, chest X-ray, CBC were normal,

152
00:08:31,377 --> 00:08:33,743
but chemistries revealed
an elevated LDH.

153
00:08:33,779 --> 00:08:38,842
You are this girl's doctor, she comes to
you, scared, doesn't know what's wrong,

154
00:08:38,885 --> 00:08:41,410
you have to diagnose her.
What do you do next?

155
00:08:41,454 --> 00:08:44,321
- What test do you run?
- A retic count or peripheral smear?

156
00:08:44,357 --> 00:08:47,053
You'd be wasting your time.
The CBC was normal, remember?

157
00:08:47,093 --> 00:08:50,028
You said there was abdominal pain,
what about an upper Gl?

158
00:08:50,062 --> 00:08:51,393
Good.

159
00:08:51,430 --> 00:08:55,298
That is exactly what
Patient X's doctor did next.

160
00:08:55,968 --> 00:08:58,266
What does this tell us?

161
00:09:00,573 --> 00:09:03,235
- What is this?
- Side effects and complications

162
00:09:03,276 --> 00:09:07,110
from prophylactic gastrectomy, so
post-op you know what to expect.

163
00:09:07,146 --> 00:09:10,741
Malnourishment, weakness, fatigue...
dumping syndrome?

164
00:09:10,783 --> 00:09:13,752
- That doesn't sound good.
- Possible anal leakage?!

165
00:09:13,786 --> 00:09:16,721
A gastrectomy isn't like
getting your appendix out.

166
00:09:16,756 --> 00:09:20,624
We're changing the way your digestive
system works, a serious adjustment.

167
00:09:20,660 --> 00:09:23,823
I'm president of my frat,
have a girlfriend, go snowboarding!

168
00:09:23,863 --> 00:09:27,629
How am I supposed to do that when
I'm a weak old man with anal leakage!?

169
00:09:27,667 --> 00:09:29,635
You know how important
this is to Trish.

170
00:09:29,669 --> 00:09:31,864
Trish has run our lives
since we were kids,

171
00:09:31,904 --> 00:09:35,567
she decides where we go to dinner,
vacation, where we do Thanksgiving...

172
00:09:35,608 --> 00:09:38,839
I'm 23. If I don't want to butcher
myself, she can't make me.

173
00:09:38,878 --> 00:09:42,939
So you'd rather die like Mom?
Or Grandpa? Or Uncle Bud?

174
00:09:42,982 --> 00:09:45,644
It's not quick, Mike.
It's a slow, painful way to go.

175
00:09:45,685 --> 00:09:48,176
There's a 1-in-4 shot
we don't get it, right?

176
00:09:49,689 --> 00:09:51,486
- That's something!
- Don't be stupid.

177
00:09:51,524 --> 00:09:56,120
- You are doing this, we discussed...
- You're not in charge of me anymore!

178
00:09:57,697 --> 00:09:59,631
Meg?

179
00:10:01,334 --> 00:10:04,667
I didn't realize it was such a big deal.

180
00:10:04,704 --> 00:10:09,141
I just... I need a little time
to think about it, OK?

181
00:10:12,645 --> 00:10:16,775
No, Callahan on the bypass,
Levin on the appy.

182
00:10:16,816 --> 00:10:19,512
Damn craniotomy.
Where the hell is Shepherd?!

183
00:10:19,552 --> 00:10:22,350
You can't rely on Shepherd.
Is there anything I can do?

184
00:10:22,388 --> 00:10:26,722
My neurosurgeon has been missing
for days, I have no head of cardio,

185
00:10:26,759 --> 00:10:29,227
general surgeons quitting on me
left and right,

186
00:10:29,261 --> 00:10:31,786
surgeries piling up like dead fish
and no surgeons!

187
00:10:31,831 --> 00:10:33,628
Now would be a bad time to tell you

188
00:10:33,666 --> 00:10:37,295
my hand's still out of commission
and I can't operate.

189
00:10:39,071 --> 00:10:41,665
Leave me on the board, chief.
I won't let you down.

190
00:10:41,707 --> 00:10:43,368
I could do that craniotomy.

191
00:10:47,446 --> 00:10:49,346
Um...

192
00:10:49,382 --> 00:10:51,373
Put Dr. Nelson on the craniotomy.

193
00:10:52,852 --> 00:10:55,548
- Appreciate it, John.
- It... It's Jim.

194
00:10:56,922 --> 00:10:59,152
You must be new.
Welcome to Seattle Grace.

195
00:10:59,191 --> 00:11:01,182
I've been here ten years.

196
00:11:01,227 --> 00:11:04,128
I was interim chief of neuro
before Shepherd in his red cape

197
00:11:04,163 --> 00:11:06,097
swooped in from New York.

198
00:11:06,132 --> 00:11:10,398
- Mark Sloan, plastics.
- We've met. Three times.

199
00:11:14,573 --> 00:11:17,440
I don't know why Mr. Bimm
ever let her join band.

200
00:11:18,944 --> 00:11:21,845
- Not like she's a master flautist...
- OK, get out!

201
00:11:21,881 --> 00:11:26,250
- Mr. Bimm said to stay until her...
- I got it! I'm seizure patrol now.

202
00:11:28,454 --> 00:11:30,479
[sighs]

203
00:11:30,523 --> 00:11:33,549
- Your friends are asses.
- They're not my friends.

204
00:11:33,592 --> 00:11:36,527
Once you spazz out in school,
friends are hard to come by.

205
00:11:36,562 --> 00:11:40,464
You can't help the epilepsy, but nobody
made you join the marching band.

206
00:11:40,499 --> 00:11:43,434
- It's spreading nerd on nerd.
- I like being in the band.

207
00:11:43,469 --> 00:11:46,734
It's the one thing I'm good at.
What'd you do in high school?

208
00:11:46,772 --> 00:11:48,933
- I wrestled.
- You're a wrestler?

209
00:11:48,974 --> 00:11:51,738
- You wearing tights under that?
- It was a long time ago.

210
00:11:51,777 --> 00:11:53,870
That was high school,
I'm a surgeon now.

211
00:11:53,913 --> 00:11:57,440
How would you feel if you seized every
time you went into the operating room?

212
00:11:57,483 --> 00:11:59,474
Yeah, OK.

213
00:12:02,722 --> 00:12:06,715
You realize, as your doctor,
I'm not recommending this, right?

214
00:12:06,759 --> 00:12:09,284
I need to get through
my surgeries today.

215
00:12:09,328 --> 00:12:11,762
You're gonna get through them,
just hurt later.

216
00:12:11,797 --> 00:12:14,960
You heard of a Dr. Nelson in neuro?

217
00:12:16,202 --> 00:12:19,729
Oh, yeah.
[chuckles] Shadow Shepherd.

218
00:12:19,772 --> 00:12:21,569
- Shadow Shepherd?
- Yeah.

219
00:12:21,607 --> 00:12:25,873
He's a solid surgeon, but sort of
the JV player to Shepherd's varsity.

220
00:12:25,911 --> 00:12:29,711
The B team to Shepherd's A.
The bricklayer to Shepherd's architect.

221
00:12:29,749 --> 00:12:31,307
I get it.

222
00:12:31,350 --> 00:12:34,342
Just 'cause the guy doesn't
publish fancy clinical trials,

223
00:12:34,386 --> 00:12:38,618
or take on flashy surgeries, or have
creepy perfect hair, he's less of a man?

224
00:12:38,657 --> 00:12:39,988
Kinda.

225
00:12:40,025 --> 00:12:42,425
[gasps]

226
00:12:50,569 --> 00:12:52,469
How'd it go with the lawyers?

227
00:12:52,505 --> 00:12:54,473
They told me my death rate.

228
00:12:54,507 --> 00:12:57,135
These are the people I saved.

229
00:12:58,577 --> 00:13:00,477
These are the people I killed.

230
00:13:03,048 --> 00:13:07,747
Most of those were terminal when they
came to you, you were their last chance.

231
00:13:07,787 --> 00:13:11,518
And you take on impossible cases.
Look at the clinical trial.

232
00:13:11,557 --> 00:13:13,684
There's so many people.

233
00:13:13,726 --> 00:13:16,194
More than Dahmer,
Manson and Bundy combined.

234
00:13:16,929 --> 00:13:19,193
You're not looking at the big picture.

235
00:13:22,868 --> 00:13:25,132
This is the big picture.

236
00:13:29,175 --> 00:13:31,370
Shepherd! Thank God you're back.

237
00:13:31,410 --> 00:13:34,208
- Can you swing two brain biopsies?
- I'm not operating.

238
00:13:34,246 --> 00:13:37,147
I know you've got a big lawsuit
breathing down your neck,

239
00:13:37,183 --> 00:13:39,481
I know you lost a patient,
but I need you back,

240
00:13:39,518 --> 00:13:42,487
- doing the job I hired you to do.
- I am not operating.

241
00:13:42,521 --> 00:13:45,319
I'm not asking,
I'm telling as Chief Surgeon,

242
00:13:45,357 --> 00:13:48,224
if you don't get back
into that OR today, Shepherd...

243
00:13:55,701 --> 00:13:58,534
And he just walked out.
Without saying a word.

244
00:13:58,571 --> 00:14:01,404
Hunt won't look at me since he
went all <i>Apocalypse Now</i> this morning.

245
00:14:01,440 --> 00:14:05,376
Had to get scalpel happy in that
patient's brain and can't face it.

246
00:14:05,411 --> 00:14:08,209
He thinks I'm this wilting flower.
I'm the strong one.

247
00:14:08,247 --> 00:14:11,080
- I'm the strong one.
- If I had that stomach cancer gene?

248
00:14:11,116 --> 00:14:14,176
I'd get that gastrectomy.
I face things, I don't walk away.

249
00:14:14,220 --> 00:14:16,620
Derek walks away.
Maybe walking away is the answer.

250
00:14:16,655 --> 00:14:19,886
It's not emotional, it's science.
Have a problem, don't ignore it.

251
00:14:19,925 --> 00:14:23,053
If you have to pee, and you ignore it,
it does go away.

252
00:14:23,095 --> 00:14:25,620
[Izzie, chuckling]
You guys are hilarious!

253
00:14:25,664 --> 00:14:29,498
Do you even know what she just said?
Or what she just said?

254
00:14:29,535 --> 00:14:32,231
I see you guys in 50 years
in a nursing home,

255
00:14:32,271 --> 00:14:36,605
just talking at each other with
your hearing aids off. Hi-larious.

256
00:14:38,077 --> 00:14:40,443
Oh! I love lunch.

257
00:14:48,053 --> 00:14:49,816
[monitor beeping]

258
00:14:50,956 --> 00:14:52,446
What the hell?

259
00:14:53,792 --> 00:14:55,259
- [steady beep]
- Beth?

260
00:14:56,695 --> 00:14:58,287
Code blue!

261
00:15:01,300 --> 00:15:04,064
After I take out the stomach
I'll do what, Yang?

262
00:15:04,103 --> 00:15:08,938
- Sew the esophageal anastomosis.
- Or the other option is, Grey?

263
00:15:08,974 --> 00:15:12,808
- You could staple the anastomosis.
- Now why would I want to do that?

264
00:15:12,845 --> 00:15:15,177
Fistula rates can be higher
when you hand sew.

265
00:15:15,214 --> 00:15:19,446
You might say that using the old stapler
is sort of my specialty.

266
00:15:19,485 --> 00:15:24,320
Thought your specialty was baby-sitting.
I'm sure you'd rather be doing that.

267
00:15:24,356 --> 00:15:26,483
Frankly, sir, I feel like I am.

268
00:15:26,525 --> 00:15:29,119
[Cristina] Excuse me, sir,
I think you should feel this.

269
00:15:29,662 --> 00:15:31,323
Right here.

270
00:15:37,002 --> 00:15:39,903
Tell me that's not
what I think it is.

271
00:15:42,174 --> 00:15:43,334
[people chattering]

272
00:15:43,375 --> 00:15:47,778
Wait, I think I got it. Liver enzymes
are normal, cardiac workup's negative...

273
00:15:47,813 --> 00:15:50,577
- If LDH is a false positive...
- It's a trick question.

274
00:15:50,616 --> 00:15:53,710
- What?
- She's fine. Patient X is fine.

275
00:15:54,153 --> 00:15:57,145
- She's not fine.
- Her SED rate is slightly elevated.

276
00:15:57,189 --> 00:16:00,852
- Did we check for autoimmune disease?
- ANA and CRP were negative.

277
00:16:00,893 --> 00:16:04,920
At worst, she's got an anxiety disorder.
The girl is totally fine.

278
00:16:05,564 --> 00:16:07,998
She is not fine!

279
00:16:09,335 --> 00:16:11,326
She had hallucinations.

280
00:16:11,370 --> 00:16:16,535
She had visual, auditory
and tactile hallucinations

281
00:16:16,575 --> 00:16:19,271
about her dead fianc�.

282
00:16:19,311 --> 00:16:23,338
She thought she could
talk to him and touch him.

283
00:16:23,382 --> 00:16:27,979
She is not fine.

284
00:16:31,590 --> 00:16:33,581
You're missing something.

285
00:16:34,226 --> 00:16:38,595
You're not looking in the right place.
Go back, figure out what you're missing.

286
00:16:39,665 --> 00:16:40,859
[door shuts]

287
00:16:42,968 --> 00:16:45,300
She has it? Trish has cancer?

288
00:16:45,337 --> 00:16:50,036
The cancer was stage one. We got to it
so early, the gastrectomy was curative.

289
00:16:50,075 --> 00:16:52,066
She had her endoscopy a few months ago.

290
00:16:52,111 --> 00:16:54,807
It was an aggressive cancer
that grew quickly.

291
00:16:54,847 --> 00:16:58,681
- The fact we took her stomach today...
- It saved your sister's life.

292
00:17:02,221 --> 00:17:04,280
The reason Trish decides everything,

293
00:17:04,323 --> 00:17:07,315
Thanksgiving, dinners, vacations...

294
00:17:07,359 --> 00:17:10,089
She's the only one left
who knows how to cook a turkey, Mike.

295
00:17:10,129 --> 00:17:13,656
She's the only one left
who likes planning vacations,

296
00:17:13,699 --> 00:17:16,759
who ever remembers
to make dinner reservations.

297
00:17:16,802 --> 00:17:20,829
She's in charge of us
because everyone else is dead.

298
00:17:21,273 --> 00:17:23,707
I want it. Now.

299
00:17:23,742 --> 00:17:25,471
I want the surgery right now.

300
00:17:32,351 --> 00:17:35,252
Why is she coding when she seizes?
It doesn't make sense.

301
00:17:35,287 --> 00:17:37,278
Not this young.
Her heart should be fine.

302
00:17:37,322 --> 00:17:41,122
Beth coded before her seizure not
during. I saw her heart go into v-fib.

303
00:17:41,160 --> 00:17:44,652
- She's 17 with no heart history, Karev.
- I saw it on the monitor.

304
00:17:44,696 --> 00:17:48,598
You think you saw it on the monitor.
Seizures are chaotic. Doctors panic...

305
00:17:48,634 --> 00:17:50,465
I didn't panic. I know what I saw.

306
00:17:50,502 --> 00:17:54,268
You suggesting I tell her parents she's
been wrongly treated for six years?

307
00:17:54,306 --> 00:17:56,866
We should run a cardiac workup
with an EP study.

308
00:17:56,909 --> 00:18:01,243
You want me to deliberately shock a
perfectly healthy heart? Absolutely not!

309
00:18:03,749 --> 00:18:06,616
- Dr. Hunt?
- If right, it'd explain the coding.

310
00:18:06,652 --> 00:18:09,485
- If he's wrong, it will kill her!
- I'm not wrong!

311
00:18:16,361 --> 00:18:18,591
Then it's your call, Karev.

312
00:18:26,705 --> 00:18:28,332
[sighs]

313
00:18:28,373 --> 00:18:30,136
Maybe Cristina's right.

314
00:18:30,175 --> 00:18:32,666
Maybe trying to teach the interns
is pointless.

315
00:18:32,711 --> 00:18:35,874
Don't listen to Cristina. She thinks
because you'd rather teach

316
00:18:35,914 --> 00:18:38,815
than take out a gallbladder,
that you're the new me.

317
00:18:38,851 --> 00:18:40,148
[chuckles]

318
00:18:40,185 --> 00:18:44,246
- O'Malley the sequel.
- O'Malley 2.0.

319
00:18:48,560 --> 00:18:51,791
You read more journals
and do more research

320
00:18:51,830 --> 00:18:56,096
and log more hours in the skills lab
than any other resident here.

321
00:18:56,135 --> 00:18:58,626
You never give up
trying to be a better doctor.

322
00:18:58,670 --> 00:19:01,400
And you don't step
on other people to do it.

323
00:19:02,374 --> 00:19:04,569
I would be lucky to be the new you.

324
00:19:11,049 --> 00:19:14,450
You gonna tell me about Patient X?

325
00:19:14,486 --> 00:19:17,478
- I know what we missed.
- I gotta go, George.

326
00:19:17,523 --> 00:19:20,287
She had enlarged lymph nodes,
but it's not mono.

327
00:19:20,325 --> 00:19:22,418
What if we missed
a malignancy in her brain?

328
00:19:22,461 --> 00:19:25,123
- You ruled that out with the CT.
- That was a mistake.

329
00:19:25,164 --> 00:19:27,997
I'd like an MRI with contrast,
maybe biopsy a lymph node.

330
00:19:28,033 --> 00:19:30,627
Whatever's wrong,
it's already in her brain.

331
00:19:30,669 --> 00:19:33,729
Yeah.

332
00:19:33,772 --> 00:19:35,467
[Cristina] Clamp's going in.

333
00:19:35,507 --> 00:19:37,065
[Meredith] I don't feel any masses.

334
00:19:37,109 --> 00:19:38,371
2- O vicryl please.

335
00:19:38,410 --> 00:19:42,471
Sir, if I may one more time, I think
stapling would be a better choice.

336
00:19:42,514 --> 00:19:46,006
Dr. Bailey, you no longer wish
to be a surgeon in this hospital.

337
00:19:46,051 --> 00:19:48,019
So leave the technical calls up to me.

338
00:19:48,053 --> 00:19:51,216
I was expressing my opinion
what would be best for my patient.

339
00:19:51,256 --> 00:19:55,022
You don't get an opinion! This is
my patient because it's my hospital.

340
00:19:55,060 --> 00:19:58,188
When it's your hospital
you make decisions, but until then,

341
00:19:58,230 --> 00:20:02,166
this is my hospital and I want
all of you people to do what I say!

342
00:20:07,773 --> 00:20:09,434
Yes, sir.

343
00:20:09,474 --> 00:20:11,669
2- O vicryl, please.

344
00:20:20,953 --> 00:20:25,287
You're gonna be OK.
You're in really good hands.

345
00:20:32,998 --> 00:20:36,456
I'm going to ask you
one more time, Karev.

346
00:20:36,501 --> 00:20:38,332
Are you sure about this?

347
00:20:38,971 --> 00:20:40,461
Yeah.

348
00:20:42,641 --> 00:20:44,404
Then you're on crash cart.

349
00:20:44,443 --> 00:20:46,138
If you're wrong...

350
00:20:47,312 --> 00:20:48,836
...be ready to use it.

351
00:21:03,629 --> 00:21:05,927
Your path report came back clear,

352
00:21:05,964 --> 00:21:09,331
there were no cancerous cells
in your stomach. How's your pain?

353
00:21:09,368 --> 00:21:12,804
The wound hurts a little...
not too bad, right?

354
00:21:12,838 --> 00:21:14,430
Yeah.

355
00:21:17,976 --> 00:21:21,002
Don't you remember how much pain
Mom was in at the end?

356
00:21:21,046 --> 00:21:22,411
No.

357
00:21:22,447 --> 00:21:24,972
You used to help me wet her lips
with an ice cube.

358
00:21:25,017 --> 00:21:27,645
It was awful.
She couldn't even drink.

359
00:21:27,686 --> 00:21:30,416
She had so many tubes everywhere.

360
00:21:30,455 --> 00:21:34,824
I don't remember.
I was two years old when Mom died.

361
00:21:34,860 --> 00:21:37,852
The only reason I know
it was sad and horrible

362
00:21:37,896 --> 00:21:40,694
is because you tell me all the time.

363
00:21:41,833 --> 00:21:44,825
I don't have nightmares about funerals.

364
00:21:44,870 --> 00:21:49,637
I don't freak out and think it's cancer
every time I have indigestion. You do.

365
00:21:49,675 --> 00:21:52,303
- Mike...
- This is your fear.

366
00:21:53,011 --> 00:21:54,569
It's not mine.

367
00:21:54,980 --> 00:21:58,848
So just let me decide when I'm scared.

368
00:22:01,987 --> 00:22:04,353
[sighs]

369
00:22:04,389 --> 00:22:07,290
- Let's take the pace down to 300.
- Vitals are still stable.

370
00:22:07,326 --> 00:22:10,227
This is pointless. The study
is showing no sign of arrhythmia.

371
00:22:11,663 --> 00:22:14,894
- Wait. She's in v-tach.
- Let's pace her out of it at 330.

372
00:22:14,933 --> 00:22:17,060
- BP's down to 60 over 10.
- 340. Damn it.

373
00:22:17,102 --> 00:22:18,467
Karev, get in there, now.

374
00:22:19,171 --> 00:22:21,969
Wait, hold the shock.

375
00:22:30,982 --> 00:22:32,973
She's coming out of it.

376
00:22:33,018 --> 00:22:36,249
This could be ARVC. The right
ventricle's causing arrhythmia.

377
00:22:36,288 --> 00:22:39,917
- The brain doesn't get oxygen.
- And she seizes. Oh, my God.

378
00:22:44,062 --> 00:22:46,394
Karev, you just saved this girl's life.

379
00:22:58,777 --> 00:23:02,474
It's OK. It's OK, just breathe.

380
00:23:03,448 --> 00:23:05,143
Put the paddles down and breathe.

381
00:23:05,183 --> 00:23:08,516
It's OK... it's OK.

382
00:23:20,665 --> 00:23:23,190
Well, it wasn't easy.

383
00:23:23,235 --> 00:23:27,365
Not only did I push through my hare lip
reconstruction and a tympanoplasty,

384
00:23:27,406 --> 00:23:32,173
but I pulled out a burn graft so
beautiful it could bring a man to tears.

385
00:23:37,015 --> 00:23:38,778
Chief?

386
00:23:38,817 --> 00:23:41,183
You haven't heard from Shepherd,
have you?

387
00:23:44,623 --> 00:23:47,490
No, sir. I haven't.

388
00:23:49,161 --> 00:23:54,997
Sir, I have tried to let it go,
I know it's not personal,

389
00:23:55,033 --> 00:23:57,399
I understand it's very hard for you,

390
00:23:57,436 --> 00:24:00,667
I understand you're under
a great deal of pressure,

391
00:24:00,705 --> 00:24:03,902
but the way you yelled at me in the OR,

392
00:24:03,942 --> 00:24:06,706
today, in front of my residents?

393
00:24:06,745 --> 00:24:10,181
Not OK, sir. Not OK at all.

394
00:24:10,215 --> 00:24:15,209
Now you and me, we're going to have
to find a way to work together so you...

395
00:24:16,688 --> 00:24:18,315
Not talking to me now?

396
00:24:19,558 --> 00:24:21,048
Oh! Well...

397
00:24:21,092 --> 00:24:25,028
That's just real mature, sir.

398
00:24:26,531 --> 00:24:28,556
Real mature.

399
00:24:31,770 --> 00:24:33,601
We have a diagnosis.

400
00:24:36,241 --> 00:24:37,606
Go ahead, Dr. Grey.

401
00:24:37,642 --> 00:24:42,409
Patient X. An elevated LDH
was our only clue.

402
00:24:42,447 --> 00:24:46,679
We found out she had enlarged lymph
nodes and a mole, which was biopsied.

403
00:24:46,718 --> 00:24:51,655
Meanwhile, this MRI with contrast showed
a met on her right temporal lobe.

404
00:24:51,690 --> 00:24:54,250
The biopsy revealed dividing cells.

405
00:24:54,292 --> 00:24:56,692
That, coupled with
further staging tests,

406
00:24:56,728 --> 00:25:00,027
led to our final diagnosis
of metastatic melanoma

407
00:25:00,065 --> 00:25:02,898
with mets to the liver,
skin, and brain.

408
00:25:08,807 --> 00:25:13,244
- Your prognosis?
- With chemo and radiation...

409
00:25:13,278 --> 00:25:16,008
- ...a few months.
- At best. The girl's toast.

410
00:25:16,047 --> 00:25:18,140
Survival rate's five percent.

411
00:25:18,183 --> 00:25:21,016
If I were her I'd go
on a really good vacation.

412
00:25:21,052 --> 00:25:22,576
[all chattering]

413
00:25:28,527 --> 00:25:30,495
Good job, everybody.

414
00:25:31,563 --> 00:25:33,087
That's it?

415
00:25:33,131 --> 00:25:36,692
- The last contest, we got a prize.
- What's our prize?

416
00:25:39,571 --> 00:25:44,702
You think every time you hand someone
a death sentence there's a prize?

417
00:25:46,645 --> 00:25:51,082
The prize is, you didn't
screw it up this time.

418
00:25:51,116 --> 00:25:54,017
The prize is, you people actually did
something right.

419
00:25:54,052 --> 00:25:58,989
The prize is, you were doctors today!
You are doctors. That is the prize.

420
00:26:13,471 --> 00:26:15,029
[clears throat]

421
00:26:15,073 --> 00:26:19,237
- Adele, what are you doing here?
- Conference room, Richard. Now.

422
00:26:20,979 --> 00:26:23,379
You too, Miranda. Let's go.

423
00:26:31,022 --> 00:26:35,118
It's a pacemaker. It's gonna
regulate your abnormal arrhythmias,

424
00:26:35,160 --> 00:26:37,720
so you won't have any more seizures.

425
00:26:38,296 --> 00:26:42,255
So... I'm not sick anymore?

426
00:26:43,101 --> 00:26:44,227
A wrestler fixed me.

427
00:26:44,269 --> 00:26:46,635
Not exactly. You have
a serious heart condition,

428
00:26:46,671 --> 00:26:48,866
we're gonna set you up with
a cardiologist...

429
00:26:48,907 --> 00:26:52,001
But no one has to know.
I won't be frothing at the mouth,

430
00:26:52,043 --> 00:26:54,705
I don't have to wear
a bracelet to school.

431
00:26:54,746 --> 00:26:58,375
- I can cover this with a shirt.
- Yeah. That's something.

432
00:26:59,250 --> 00:27:03,949
It's everything. Once people see you
as sick, they don't see anything else.

433
00:27:06,992 --> 00:27:09,961
Mr. Bimm just called.
We didn't get a trophy.

434
00:27:11,363 --> 00:27:13,092
There's next season.

435
00:27:13,131 --> 00:27:16,828
Yeah, we were thinking, maybe you
should try out for choir or debate.

436
00:27:16,868 --> 00:27:22,272
Something requiring less movement.
We're just worried for your safety.

437
00:27:22,307 --> 00:27:26,869
You don't have to be.
We fixed her. Epileptic bone.

438
00:27:26,911 --> 00:27:27,969
[boy] What?

439
00:27:28,013 --> 00:27:30,004
There's no such thing
as an epileptic bone.

440
00:27:30,048 --> 00:27:31,106
Are you a doctor?

441
00:27:34,519 --> 00:27:37,488
So she's like... totally normal now?

442
00:27:37,522 --> 00:27:41,458
Dude, none of you are normal.
You're freaking band nerds.

443
00:27:41,493 --> 00:27:43,552
[scoffs]

444
00:27:49,034 --> 00:27:51,798
[Adele] Of all the petty,
ridiculous, infantile...

445
00:27:51,836 --> 00:27:54,100
Are you running a hospital
or a playground?

446
00:27:54,139 --> 00:27:57,404
- Adele, I will not be spoken to...
- Hospital or playground?!

447
00:28:00,045 --> 00:28:02,343
- Hospital.
- Then start acting like

448
00:28:02,380 --> 00:28:06,783
the chief of a hospital and
apologize to that woman. Right now.

449
00:28:08,453 --> 00:28:10,978
- Sorry.
- You call that an apology!?

450
00:28:11,022 --> 00:28:13,923
Now you better not leave this room
until you work this out.

451
00:28:13,958 --> 00:28:17,553
If I have to drag myself here
through rush hour traffic again

452
00:28:17,595 --> 00:28:21,326
- to police this damn jungle gym...
- Adele, you've made your point.

453
00:28:23,501 --> 00:28:26,368
And you wipe that smile off your face.
You're no better.

454
00:28:26,404 --> 00:28:29,168
Tattling on a man to his wife.

455
00:28:31,776 --> 00:28:34,768
When you have your stomach out,
you can't eat sugar.

456
00:28:34,813 --> 00:28:38,681
If he's doing this because he doesn't
want to give up damn jelly beans...

457
00:28:38,717 --> 00:28:40,912
- It's more than that.
- Or football

458
00:28:40,952 --> 00:28:43,978
or girls or snowboarding,
whatever, it doesn't matter.

459
00:28:44,022 --> 00:28:47,458
- Not compared to the alternative.
- We'll be as vigilant as we can.

460
00:28:47,492 --> 00:28:50,757
- Use every screening tool available.
- That won't be necessary.

461
00:28:50,795 --> 00:28:54,128
Mikey's gonna have the surgery.
Maybe not today,

462
00:28:54,165 --> 00:28:57,623
but I'm gonna be on him like glue,
to my dying breath, until he does.

463
00:28:57,669 --> 00:29:00,502
[Meredith] And if he
just wants to be left alone?

464
00:29:00,538 --> 00:29:03,871
You don't leave the people
you love alone, Dr. Grey.

465
00:29:03,908 --> 00:29:07,366
That idiot may not know it, but my
fear is what's going to save his life.

466
00:29:07,412 --> 00:29:11,439
[<i>

467
00:29:15,854 --> 00:29:19,654
I learned a lot, diagnosing a patient
from beginning to end.

468
00:29:19,691 --> 00:29:23,183
So... thank you for teaching us.

469
00:29:26,397 --> 00:29:27,989
What would you say?

470
00:29:30,802 --> 00:29:34,568
To Patient X. How would you
break the news?

471
00:29:36,107 --> 00:29:37,301
One...

472
00:29:37,342 --> 00:29:40,277
I would say that I was very sorry

473
00:29:40,311 --> 00:29:43,405
and that there were support groups...

474
00:29:45,116 --> 00:29:49,314
I don't know. What do you say
to somebody who's going to...

475
00:29:50,889 --> 00:29:53,653
You say they have a choice.

476
00:29:54,692 --> 00:29:58,287
They can run away and hide from it,
or they can face it.

477
00:29:58,730 --> 00:30:00,891
You say to be around people
who love them,

478
00:30:00,932 --> 00:30:04,265
it's gonna be the toughest fight of
their life, no one should do it alone.

479
00:30:04,302 --> 00:30:07,100
And then you give them the odds,

480
00:30:07,138 --> 00:30:11,541
and even though a five percent survival
rate is bad, it's really bad, you say...

481
00:30:15,413 --> 00:30:19,543
- You say...
- [Lexie] Screw the odds.

482
00:30:19,584 --> 00:30:22,280
People die of the hiccups.

483
00:30:22,320 --> 00:30:24,345
My mother died of the hiccups.

484
00:30:24,756 --> 00:30:28,920
Survival rate for that is, what,
100 percent?

485
00:30:29,627 --> 00:30:32,721
The odds are that she
should be alive right now.

486
00:30:32,764 --> 00:30:35,733
The odds are that the odds mean crap.

487
00:30:37,168 --> 00:30:40,569
So people should face it
and they should fight.

488
00:30:44,008 --> 00:30:46,169
Maybe not those words.

489
00:30:47,412 --> 00:30:51,746
No... exactly those words.

490
00:30:54,853 --> 00:30:57,014
Thank you, Dr. Grey.

491
00:31:01,559 --> 00:31:03,083
How's she doing?

492
00:31:03,127 --> 00:31:05,425
- Uh, she's stable.
- Hmm.

493
00:31:06,431 --> 00:31:07,989
You did a hell of a job.

494
00:31:08,032 --> 00:31:11,866
- The chief's gonna hear about it.
- Pretty impressive for a resident.

495
00:31:11,903 --> 00:31:15,066
Fix that attitude, you could be
the future of this hospital,

496
00:31:15,106 --> 00:31:18,974
the one to watch.
You go, Karev!

497
00:31:26,050 --> 00:31:27,574
Iz!

498
00:31:28,786 --> 00:31:31,778
Hunt's letting me do the distal
anastomosis on his fem-pop.

499
00:31:31,823 --> 00:31:33,916
- That's awesome.
- It's crazy.

500
00:31:33,958 --> 00:31:39,123
They told me I could be the future
of this hospital, the resident to watch.

501
00:31:39,163 --> 00:31:41,893
I mean, I'm not the kind of guy who...

502
00:31:41,933 --> 00:31:44,629
I don't rise, OK? I sink to the bottom.

503
00:31:44,669 --> 00:31:47,866
And now I'm getting all
this... this respect.

504
00:31:47,906 --> 00:31:52,673
And... And you... you gotta stop wasting
your time with this Patient X crap.

505
00:31:53,144 --> 00:31:55,305
- Alex...
- I know you like teaching,

506
00:31:55,346 --> 00:31:59,942
but you need to start treating
real patients with real surgeries

507
00:31:59,984 --> 00:32:03,317
because once they see you as weak,
it's over, and Iz...

508
00:32:03,354 --> 00:32:05,151
...you could be a great surgeon.

509
00:32:05,189 --> 00:32:07,987
We could be great together.

510
00:32:08,026 --> 00:32:11,052
You just, you gotta stop
screwing around.

511
00:32:11,095 --> 00:32:15,429
I don't wanna be the future of this
hospital if you're not with me. OK?

512
00:32:17,001 --> 00:32:18,525
OK.

513
00:32:22,006 --> 00:32:23,974
- Alex!
- What?

514
00:32:52,437 --> 00:32:55,304
- You told Adele on me?
- You stopped speaking to me.

515
00:32:55,340 --> 00:32:58,036
That didn't exactly leave me
many options.

516
00:32:58,076 --> 00:33:02,979
Would you have reacted like this
if I left general surgery for neuro?

517
00:33:03,014 --> 00:33:05,005
- Or cardio?
- I don't follow.

518
00:33:05,049 --> 00:33:08,109
Is it because you regard peds
as a soft specialty,

519
00:33:08,152 --> 00:33:09,642
is that what's bothering you?

520
00:33:09,687 --> 00:33:12,349
- That's ridiculous.
- Maybe. But...

521
00:33:12,390 --> 00:33:15,723
It seems that every time I do something
you perceive as "soft,"

522
00:33:15,760 --> 00:33:19,355
like having a baby,
taking some time off to see my baby,

523
00:33:19,397 --> 00:33:23,128
specializing in babies...
I'm dead to you.

524
00:33:23,701 --> 00:33:26,169
- Wanna know what I think?
- Not particularly.

525
00:33:26,204 --> 00:33:30,368
I think you're scared
that you've gone soft.

526
00:33:30,408 --> 00:33:33,377
You blame this hospital's decline on it.
Know what I think?

527
00:33:33,411 --> 00:33:36,437
- You're gonna tell me.
- It's not doing you one bit of good!

528
00:33:36,481 --> 00:33:38,381
Surgeons are dropping like dominoes.

529
00:33:38,416 --> 00:33:41,510
So, maybe it's time you got in touch
with your feminine side.

530
00:33:41,552 --> 00:33:44,112
Maybe you need a little soft.

531
00:33:47,959 --> 00:33:50,826
You still shouldn't have
ratted me out.

532
00:33:50,862 --> 00:33:54,764
- Sorry.
- Me, too.

533
00:34:01,572 --> 00:34:03,039
[clears throat]

534
00:34:03,074 --> 00:34:04,371
What are you doing?

535
00:34:04,409 --> 00:34:06,843
Assigning myself to trauma
with you tomorrow.

536
00:34:06,878 --> 00:34:10,507
I'm a big girl.
I can handle my share of trauma.

537
00:34:10,548 --> 00:34:12,778
And I get to decide
when I've had enough.

538
00:34:15,420 --> 00:34:19,117
It's gonna take a lot more
than a bad dream to scare me off.

539
00:34:21,626 --> 00:34:23,753
It is more than a bad dream.

540
00:34:25,963 --> 00:34:27,954
I know.

541
00:34:28,900 --> 00:34:32,802
[<i>

542
00:34:43,614 --> 00:34:48,142
I know I have no business
asking you for anything,

543
00:34:48,186 --> 00:34:49,813
but I need your help.

544
00:34:49,854 --> 00:34:51,879
I need you to bring Derek back.

545
00:34:55,026 --> 00:34:57,358
And he's not "fine."

546
00:35:00,131 --> 00:35:03,225
Sometimes people just want
to be left alone.

547
00:35:15,880 --> 00:35:18,405
He's planning to propose.

548
00:35:19,217 --> 00:35:23,278
He's been carrying around
a big ring for weeks.

549
00:35:23,321 --> 00:35:26,222
That's not a man who wants
to be left alone.

550
00:35:31,996 --> 00:35:34,521
I just thought you should know.

551
00:35:48,546 --> 00:35:52,004
Yes, the odds are against us.
I'm a one woman wrecking ball.

552
00:35:52,049 --> 00:35:55,951
All I do is break you. Your hand, penis,
relationships, your life...

553
00:35:55,987 --> 00:36:01,015
I'd say our survival rate
is about three percent. And that's bad.

554
00:36:01,058 --> 00:36:03,026
But it's not nothing.

555
00:36:03,060 --> 00:36:05,927
I don't think we should
give up on this. Not yet...

556
00:36:06,898 --> 00:36:07,956
OK.

557
00:36:09,567 --> 00:36:11,762
You think you broke me, Little Grey?

558
00:36:13,171 --> 00:36:15,605
You're the one who put me back together.

559
00:36:22,113 --> 00:36:23,944
- Hand.
- Hand.

560
00:36:24,749 --> 00:36:28,947
Mark. I've got a couple of
Shepherd's post-ops to check in on,

561
00:36:28,986 --> 00:36:32,444
- but after that, feel like a drink?
- How about a rain check, John?

562
00:36:33,457 --> 00:36:35,357
Jim.

563
00:36:36,227 --> 00:36:38,559
It's Jim.

564
00:36:47,572 --> 00:36:52,168
So I've had quite a day.
Got my ass handed to me by Alex Karev.

565
00:36:52,210 --> 00:36:56,044
A second year resident.
Which is humbling for a surgeon,

566
00:36:56,080 --> 00:37:00,346
- especially a know-it-all...
- We don't have to do this, be friends.

567
00:37:00,384 --> 00:37:03,512
It's a big hospital, lots of floors,
lots of places to hide.

568
00:37:03,554 --> 00:37:06,250
I'm perfectly OK with doing that
for the next few years.

569
00:37:06,290 --> 00:37:08,884
You're not hearing me, Calliope.

570
00:37:08,926 --> 00:37:11,451
Sometimes I panic in the moment,
I call it wrong.

571
00:37:11,495 --> 00:37:13,725
I misjudge a situation.

572
00:37:13,764 --> 00:37:18,167
So if you're up for it,
I'd like to take you to dinner.

573
00:37:20,838 --> 00:37:22,772
[bell dings]

574
00:37:22,807 --> 00:37:24,274
Maybe.

575
00:37:25,276 --> 00:37:26,800
Maybe?

576
00:37:26,844 --> 00:37:30,871
My schedule's kind of insane right now,
so... I'll get back to you.

577
00:37:35,353 --> 00:37:37,719
How's, uh, tomorrow?

578
00:37:37,755 --> 00:37:39,950
[bell dings]

579
00:37:42,093 --> 00:37:45,119
[<i>
<i>A Storm Is Going To Come</i>]

580
00:37:52,970 --> 00:37:54,904
- Good night, Iz.
- Night.

581
00:37:59,510 --> 00:38:00,841
One...

582
00:38:00,878 --> 00:38:03,745
I've been keeping my distance
'cause you're with Alex.

583
00:38:03,781 --> 00:38:08,115
I just want to let you know
I'm still here. I still care.

584
00:38:09,754 --> 00:38:11,016
Thanks, George.

585
00:38:11,055 --> 00:38:13,046
And you don't want to talk about it?

586
00:38:13,090 --> 00:38:14,853
Not yet.

587
00:38:16,193 --> 00:38:18,991
- OK. Good night.
- Night.

588
00:38:29,874 --> 00:38:32,434
You don't like me very much, do you?

589
00:38:32,476 --> 00:38:34,603
- Uh...
- No. That's good.

590
00:38:34,645 --> 00:38:37,443
It's good. Because I need
to tell you something.

591
00:38:37,915 --> 00:38:43,114
I need to tell you because I need
to tell somebody and... you're a robot.

592
00:38:43,888 --> 00:38:45,651
You can take it.

593
00:38:46,590 --> 00:38:47,921
OK.

594
00:38:49,860 --> 00:38:53,318
- I can't tell you here.
- OK.

595
00:38:53,364 --> 00:38:56,822
- I can't...
- OK.

596
00:38:58,736 --> 00:39:00,169
OK.

597
00:39:00,838 --> 00:39:03,136
[thunder rumbles]

598
00:39:19,690 --> 00:39:23,251
You cleaned all of your clothes
out of the house.

599
00:39:23,294 --> 00:39:25,228
Go home, Meredith. Just go home.

600
00:39:25,262 --> 00:39:27,753
How long are you
planning on hiding out here?

601
00:39:27,798 --> 00:39:30,426
That's what you're doing.
You're hiding.

602
00:39:30,968 --> 00:39:35,632
You made a mistake, she's dead.
You can't hide from that.

603
00:39:35,673 --> 00:39:38,836
I'm not hiding, I'm done.

604
00:39:38,876 --> 00:39:40,901
I'm done operating.

605
00:39:40,945 --> 00:39:43,243
Oh, OK, so you're just quitting?

606
00:39:43,280 --> 00:39:46,716
You should understand,
you wrote the book on quitting,

607
00:39:46,751 --> 00:39:49,914
running, hiding...
You've written a lot of books, Meredith.

608
00:39:49,954 --> 00:39:53,253
That may be true, but I'm here now.

609
00:39:54,892 --> 00:39:57,759
You're here now? [chuckles]

610
00:39:59,597 --> 00:40:03,294
- You wanted me out since I moved in.
- That is not true.

611
00:40:03,334 --> 00:40:06,394
You are incapable of anything
that resembles commitment.

612
00:40:06,437 --> 00:40:09,895
You lied to me.
You said you were healthier,

613
00:40:09,940 --> 00:40:11,840
you were healed.

614
00:40:11,876 --> 00:40:14,401
There's no fixing you.
You're a lemon.

615
00:40:14,445 --> 00:40:16,242
Derek Shepherd, you are drunk.

616
00:40:17,915 --> 00:40:21,009
And you're angry.
And I've been there, so I get it.

617
00:40:21,051 --> 00:40:23,611
- That doesn't give you the right...
- Go home.

618
00:40:23,654 --> 00:40:25,781
- You don't get to...
- This is what you want,

619
00:40:25,823 --> 00:40:27,518
I'm giving you an out. Go!

620
00:40:27,558 --> 00:40:31,016
- I'm not going anywhere.
- I said leave! Meredith, leave!

621
00:40:37,868 --> 00:40:40,860
I know there's a ring.

622
00:40:42,673 --> 00:40:45,073
- What?
- The chief told me.

623
00:40:45,109 --> 00:40:46,906
I know there's a ring.

624
00:40:52,583 --> 00:40:54,073
You want the ring?

625
00:41:04,328 --> 00:41:05,693
Here's your ring.

626
00:41:08,632 --> 00:41:11,465
<i>[Meredith] Every surgeon has a shadow.</i>

627
00:41:13,704 --> 00:41:17,572
That the best you've got?
I'm not bailing. We're in this together.

628
00:41:18,809 --> 00:41:20,902
Go home, Meredith.

629
00:41:20,945 --> 00:41:23,413
<i>And the only way</i>
<i>to get rid of a shadow...</i>

630
00:41:25,850 --> 00:41:27,818
<i>...is to turn off the lights,</i>

631
00:41:28,686 --> 00:41:31,211
<i>to stop running from the darkness...</i>

632
00:41:33,657 --> 00:41:35,648
<i>...and face what you fear...</i>

633
00:41:35,693 --> 00:41:38,059
[vent hissing]

634
00:41:40,297 --> 00:41:41,889
<i>...head on.</i>

635
00:41:41,932 --> 00:41:44,366
[no audible dialogue]