1 00:00:00,557 --> 00:00:01,850 [Alex] Previously on Grey's Anatomy... 2 00:00:01,934 --> 00:00:03,185 That was amazing. 3 00:00:03,352 --> 00:00:05,562 [Derek] Meredith won't be an issue anymore. She's out of my life. 4 00:00:05,646 --> 00:00:06,772 Goodbye, Derek. 5 00:00:06,855 --> 00:00:08,524 You could start thinking about moving in with me. 6 00:00:08,607 --> 00:00:09,441 She's cute and she likes you. 7 00:00:09,525 --> 00:00:11,068 You shouldn't let a little syph get in the way. 8 00:00:11,151 --> 00:00:13,111 I like you, Olivia. I just don't like you enough. 9 00:00:13,195 --> 00:00:14,947 Do you feel like doing it now? 10 00:00:18,617 --> 00:00:19,451 You're married? 11 00:00:19,618 --> 00:00:22,079 I'm pregnant, you blind moron. 12 00:00:22,788 --> 00:00:23,705 How much sodium did you give him? 13 00:00:23,789 --> 00:00:25,791 - [Alex] 500 cc over 4 hours. - Why didn't you do a follow up? 14 00:00:25,874 --> 00:00:27,876 - I gave you one thing to do. - I have a lot to teach 15 00:00:28,252 --> 00:00:29,127 If you want to learn. 16 00:00:29,211 --> 00:00:32,673 So when you decide how important it is for you to hate me, let me know. 17 00:00:32,756 --> 00:00:35,008 [Addison] Dorie Russell, she's giving birth to quints. 18 00:00:35,259 --> 00:00:36,635 [Izzie] We're gonna need all the hands we can get. 19 00:00:41,014 --> 00:00:42,182 [Meredith] 40 years ago, 20 00:00:42,266 --> 00:00:45,435 The Beatles asked the world a simple question. 21 00:00:45,811 --> 00:00:48,981 They wanted to know where all the lonely people came from. 22 00:00:49,731 --> 00:00:52,734 My latest theory is that a great many of the lonely people 23 00:00:52,818 --> 00:00:54,236 come from hospitals. 24 00:00:54,444 --> 00:00:58,240 More precisely, the surgical wing of hospitals. 25 00:00:58,365 --> 00:01:00,993 I have the best quint. Lucy... she just smiled at me. 26 00:01:01,368 --> 00:01:02,744 She's 9 hours old, George. 27 00:01:02,828 --> 00:01:07,624 I'm sayin' there are five babies here, and clearly, mine is the advanced one. 28 00:01:07,708 --> 00:01:09,001 Charlotte's smart. 29 00:01:09,084 --> 00:01:11,670 She's got wrinkles on her forehead very serious. 30 00:01:11,753 --> 00:01:14,673 OK, "A," this is not a competition, 31 00:01:15,007 --> 00:01:17,467 and "B," my quint kicks your quints' asses. 32 00:01:18,010 --> 00:01:20,387 Emily's strong. She won't let go of my finger. 33 00:01:20,470 --> 00:01:23,849 Hey, Julie has her organs on the outside of her body, 34 00:01:23,932 --> 00:01:25,851 and she's still alive, thank you. 35 00:01:25,934 --> 00:01:27,019 Kate's the best one. 36 00:01:29,980 --> 00:01:31,398 - Izzie. - Leave. 37 00:01:31,857 --> 00:01:33,066 Can we please just talk? 38 00:01:33,734 --> 00:01:36,486 You're too busy screwing nurses to talk. Just get out. 39 00:01:38,155 --> 00:01:40,282 Can someone make sure that Kate's vitals remain stable? 40 00:01:40,365 --> 00:01:41,199 I will. 41 00:01:42,492 --> 00:01:45,829 He is unbelievable. I am so glad I never slept with him. 42 00:01:45,996 --> 00:01:48,582 Which is his loss, because I'm really good in bed. 43 00:01:49,082 --> 00:01:51,585 Mind blowing... Mind blowingly good in bed. 44 00:01:51,668 --> 00:01:52,794 Are you trying to seduce us? 45 00:01:53,128 --> 00:01:55,130 And then he sleeps with Olivia instead of me. 46 00:01:55,756 --> 00:01:57,883 - [Izzie] Olivia. - Hey, I slept with Olivia. 47 00:01:57,966 --> 00:01:59,635 Yeah? Well, then you both have bad taste. 48 00:02:01,219 --> 00:02:03,096 You know, you can't say that you weren't warned. 49 00:02:03,180 --> 00:02:04,431 Alex has always been Alex. 50 00:02:04,514 --> 00:02:07,434 You dodged a bullet, Izz. You're better off without him. 51 00:02:07,768 --> 00:02:09,519 Why are you even surprised? 52 00:02:09,770 --> 00:02:11,480 You sleep with a snake, you get bit. 53 00:02:12,105 --> 00:02:12,981 [sighs] 54 00:02:13,065 --> 00:02:14,566 Thanks, guys, 55 00:02:15,233 --> 00:02:16,443 For the support. 56 00:02:16,944 --> 00:02:19,029 - Who's on call tonight? - I am. 57 00:02:19,196 --> 00:02:22,115 All right, the rest of you go home, sleep. 58 00:02:22,908 --> 00:02:25,661 All five quints are still alive. It's a good day. 59 00:02:25,786 --> 00:02:28,580 [Meredith] As surgeons, we ignore our own needs. 60 00:02:28,664 --> 00:02:30,749 So we can meet our patients' needs. 61 00:02:31,083 --> 00:02:33,794 We ignore our friends and families. 62 00:02:33,961 --> 00:02:36,546 So we can save other people's friends and families. 63 00:02:36,838 --> 00:02:38,966 Which means that, at the end of the day. 64 00:02:39,341 --> 00:02:41,259 All we really have is ourselves... 65 00:02:43,470 --> 00:02:47,557 [Meredith] And nothing in this world, can make you feel more alone than that. 66 00:02:53,980 --> 00:02:55,148 I made breakfast. 67 00:02:57,067 --> 00:02:58,777 I don't have time for breakfast. 68 00:02:58,860 --> 00:03:01,822 I have to round before everyone else does. If I want to get the good cases. 69 00:03:01,905 --> 00:03:02,739 You know that. 70 00:03:04,324 --> 00:03:05,158 Right. 71 00:03:06,660 --> 00:03:08,995 Well, coffee? 72 00:03:22,759 --> 00:03:23,635 Bye. 73 00:03:26,388 --> 00:03:28,515 So I was thinking we... I mean, me and you could. 74 00:03:28,765 --> 00:03:31,727 Maybe, uh, go to Joe's later to talk by ourselves. 75 00:03:31,810 --> 00:03:33,770 - [elevator bell dings] - [Derek] Why should I be the one to move? 76 00:03:33,854 --> 00:03:35,480 [Addison] Because you live in a glorified campground. 77 00:03:35,564 --> 00:03:38,400 It's 40 acres of some of the most beautiful land in Seattle. 78 00:03:38,483 --> 00:03:40,193 I did not give up a Central Park Brownstone 79 00:03:40,277 --> 00:03:41,361 to come live in the forest. 80 00:03:41,445 --> 00:03:44,322 Our house in the Hamptons had trees. You didn't mind those trees, did you? 81 00:03:44,406 --> 00:03:45,240 [Addison] They were the Hamptons. 82 00:03:45,323 --> 00:03:46,241 [Derek] Why are you pointing at me like that? 83 00:03:46,616 --> 00:03:47,826 I'm sorry. What were you saying? 84 00:03:48,118 --> 00:03:49,119 Uh, nothing. 85 00:03:52,039 --> 00:03:54,583 - Does anybody have any decent food? - You really should eat breakfast. 86 00:03:54,875 --> 00:03:56,084 God, you sound like Burke. 87 00:03:56,626 --> 00:03:58,879 You know, sometimes I think we'd be better off with dogs. 88 00:03:58,962 --> 00:03:59,796 Thanks. 89 00:04:00,047 --> 00:04:01,965 Preachin' to the choir. I'm over men. 90 00:04:02,215 --> 00:04:03,050 Real nice. 91 00:04:04,342 --> 00:04:07,846 You know, a dog is not a replacement for a human being. 92 00:04:09,097 --> 00:04:11,683 You guys better wake her. If Bailey catches her sleeping, she's dead. 93 00:04:11,767 --> 00:04:12,601 Izzie. 94 00:04:14,186 --> 00:04:15,020 Izzie. 95 00:04:15,312 --> 00:04:16,229 What? 96 00:04:17,272 --> 00:04:20,734 Hell hath no fury like a girl whose non boyfriend screws a nurse. 97 00:04:21,359 --> 00:04:22,194 Bitch. 98 00:04:24,488 --> 00:04:27,699 I like you better pissed off. You're almost like a normal person now. 99 00:04:30,077 --> 00:04:31,119 OK, what do we got? 100 00:04:31,745 --> 00:04:34,790 Uh, Karl Murphy, 52. Multiple skin melanomas. 101 00:04:34,873 --> 00:04:37,000 Underwent re-constructive surgery to his nose, his right ear, 102 00:04:37,084 --> 00:04:38,752 as well as a skin graft of the left index finger. 103 00:04:38,835 --> 00:04:39,961 [Miranda] How's the capillary refill? 104 00:04:40,295 --> 00:04:41,797 It's slow. About four seconds. 105 00:04:42,255 --> 00:04:45,050 What do you recommend to get that blood moving again, Dr. O'Malley? 106 00:04:45,133 --> 00:04:48,512 At this stage, our best option is probably a biotherapeutic agent. 107 00:04:50,055 --> 00:04:51,348 What is that? 108 00:04:52,682 --> 00:04:54,226 We put leeches on your face. 109 00:04:54,559 --> 00:04:55,393 Leeches? 110 00:04:55,977 --> 00:04:57,104 Huh, you don't say? 111 00:04:57,229 --> 00:04:58,563 They secrete blood thinners, 112 00:04:58,647 --> 00:05:01,566 that help break up pooled blood so it can be evacuated. 113 00:05:01,691 --> 00:05:03,693 It's sort of like a big drain. 114 00:05:03,860 --> 00:05:05,153 Look, if this makes you uncomfortable... 115 00:05:05,487 --> 00:05:09,741 No, I've been a hiker for 40 years. Almost 40 years, yeah. 116 00:05:09,825 --> 00:05:12,035 And mother nature hasn't come up with anything yet, 117 00:05:12,119 --> 00:05:13,453 I haven't found a reason to love. 118 00:05:13,537 --> 00:05:15,288 You a big outdoorsman? 119 00:05:15,372 --> 00:05:17,666 How do you think I got all these melanomas in the first place? 120 00:05:20,877 --> 00:05:22,796 Oh, Dr. Shepherd, you're in early. 121 00:05:22,921 --> 00:05:24,756 - If you'd like us to come back... - [Derek] No, go ahead. 122 00:05:25,006 --> 00:05:27,425 [Meredith] Robert Martin, 45. Collapsed and hit his head, 123 00:05:27,509 --> 00:05:29,469 which caused a small subdural hemorrhage. 124 00:05:29,553 --> 00:05:30,595 That was the problem. 125 00:05:31,346 --> 00:05:35,058 Mr. Martin was found to have a Rathke's cleft cyst on his pituitary, 126 00:05:35,684 --> 00:05:38,728 And surgery was postponed when... 127 00:05:40,105 --> 00:05:41,523 - When I told a nurse... - Olivia. 128 00:05:41,606 --> 00:05:43,692 When I told a nurse to administer, 129 00:05:43,775 --> 00:05:45,735 an incorrect dosage of hypertonic saline. 130 00:05:45,819 --> 00:05:47,487 Essentially dehydrating Mr. Martin's brain. 131 00:05:47,571 --> 00:05:48,822 He still has a chance. He could wake up and be fine. 132 00:05:49,990 --> 00:05:51,116 [Derek] There's a chance. 133 00:05:51,700 --> 00:05:54,911 I know I screwed up. Just put me back on this case, please. 134 00:05:54,995 --> 00:05:56,413 There's not much of a case left here, Dr. Karev. 135 00:05:56,496 --> 00:05:58,915 You saw to that. You want back on this? Be my guest. 136 00:06:18,101 --> 00:06:19,269 [Addison] Oh, good. Here you are. 137 00:06:20,061 --> 00:06:21,605 Mom and dad are anxious for an update. 138 00:06:21,813 --> 00:06:22,647 Dr. Yang? 139 00:06:23,440 --> 00:06:26,568 [Cristina] We've done the initial surgery on Julie's omphalocele. 140 00:06:26,651 --> 00:06:30,155 A primary closure was attempted but there was pulmonary compromise, 141 00:06:30,238 --> 00:06:31,072 So we couldn't continue... 142 00:06:31,156 --> 00:06:33,742 Yang, how about we do this in plain English? 143 00:06:34,868 --> 00:06:39,122 Oh, um, we operated on Julie's external sack of organs, 144 00:06:39,205 --> 00:06:41,207 and we pushed in as much of the bowel as we could, 145 00:06:41,291 --> 00:06:44,044 and we think we can push in the rest with a second operation. 146 00:06:45,045 --> 00:06:46,838 She has to have a second operation? 147 00:06:46,922 --> 00:06:47,756 Yeah. 148 00:06:48,715 --> 00:06:50,550 Oh, well, not for a few days. 149 00:06:50,842 --> 00:06:51,801 [Addison] Dr. O'Malley? 150 00:06:52,552 --> 00:06:55,764 We put in Lucy's brain shunt yesterday, and she's doing very well. 151 00:06:55,889 --> 00:06:57,515 We just have to keep monitoring her to make sure that the... 152 00:06:57,599 --> 00:06:59,100 spinal fluid doesn't back up. 153 00:06:59,351 --> 00:07:00,185 Stevens? 154 00:07:00,268 --> 00:07:04,189 Dr. Burke used a catheter to open Emily's atrial septum last night. 155 00:07:04,481 --> 00:07:06,274 Today we're gonna go in and try to reconstruct 156 00:07:06,399 --> 00:07:07,525 the left chamber of her heart. 157 00:07:07,609 --> 00:07:09,361 - [Izzie] We're very hopeful. - [Addison] Dr. Grey? 158 00:07:10,195 --> 00:07:12,113 Charlotte's lungs were a little more underdeveloped 159 00:07:12,197 --> 00:07:13,114 than the rest of the quints. 160 00:07:13,198 --> 00:07:16,076 So we put a special mask on her to help her breathe, 161 00:07:16,243 --> 00:07:18,036 and we're monitoring her closely. 162 00:07:18,495 --> 00:07:19,996 And that just leaves Kate. 163 00:07:20,080 --> 00:07:23,124 She seems to be pretty healthy. No major issues have been identified. 164 00:07:23,208 --> 00:07:26,044 But we're gonna keep her in the isolette until she makes it to 4 pounds. 165 00:07:26,211 --> 00:07:28,129 [Tom] You hear that, honey? Kate's doing really well. 166 00:07:29,798 --> 00:07:30,882 I'll be in my room. 167 00:07:34,094 --> 00:07:35,220 Dr. Shepherd... 168 00:07:35,804 --> 00:07:36,763 Tom. 169 00:07:36,846 --> 00:07:40,183 She's just had five babies. Her hormones are all over the place. 170 00:07:40,267 --> 00:07:42,018 [Addison] You've just got to give her some time. She'll come around. 171 00:07:45,981 --> 00:07:47,524 Grey, keep an eye on the mother of the quints. 172 00:07:47,607 --> 00:07:49,609 Make sure her hormones don't get the best of her. 173 00:07:49,693 --> 00:07:50,735 I can look out for Dorie. 174 00:07:50,819 --> 00:07:53,321 No, you have Emily's heart surgery with Dr. Burke. 175 00:07:53,405 --> 00:07:54,739 But I have a relationship with the mother. 176 00:07:54,823 --> 00:07:56,449 - Why are you arguing with me? - Because I don't understand 177 00:07:56,533 --> 00:07:58,118 why I'm being pushed off of a case... 178 00:07:58,201 --> 00:08:00,203 Hey, Stevens, I don't know what you're so angry about, 179 00:08:00,287 --> 00:08:01,830 but I don't care and you better keep it to yourself. 180 00:08:02,497 --> 00:08:04,416 On top of every other patient we have under our care, 181 00:08:04,499 --> 00:08:06,251 we have quints to worry about, understood? 182 00:08:06,960 --> 00:08:08,503 Look, these are preemies, people. 183 00:08:08,586 --> 00:08:10,755 They were supposed to have spent another eight weeks in the womb. 184 00:08:11,172 --> 00:08:13,049 Just like interns, they're not ready for the real world. 185 00:08:13,133 --> 00:08:14,217 [pager beeps] 186 00:08:14,301 --> 00:08:16,386 Oh, it's the pit. Yang, come with me. 187 00:08:16,469 --> 00:08:18,138 [siren whirring] 188 00:08:19,014 --> 00:08:20,807 Constance Ferguson, 40. 189 00:08:21,016 --> 00:08:23,226 Inmate at Henderson, swallowed a razor blade. 190 00:08:23,601 --> 00:08:24,686 Attempted suicide? 191 00:08:24,936 --> 00:08:26,980 Attempted field trip. Worked, too. 192 00:08:27,147 --> 00:08:28,398 [Ferguson screams] 193 00:08:30,233 --> 00:08:32,110 - [Cackles] - What do you mean, "field trip"? 194 00:08:32,193 --> 00:08:34,904 She was in solitary. This is her way out. 195 00:08:35,155 --> 00:08:36,031 So is she crazy? 196 00:08:36,323 --> 00:08:38,158 Only if you'd call a murderer crazy. 197 00:08:38,742 --> 00:08:41,578 Yeah, baby. That's what I'm talkin' about. Whoo! 198 00:08:56,162 --> 00:08:59,249 Ms. Ferguson, are you experiencing any discomfort? 199 00:08:59,666 --> 00:09:03,086 You mean apart from these snazzy handcuffs you've got pinching my wrists? 200 00:09:03,294 --> 00:09:05,213 Did you at least put tape on the blade? 201 00:09:05,296 --> 00:09:06,339 I'm not an idiot. 202 00:09:06,422 --> 00:09:07,966 You swallowed a razor blade. 203 00:09:08,591 --> 00:09:09,968 [Miranda] So you're not gonna tell me what hurts? 204 00:09:10,051 --> 00:09:11,636 What, and shorten my vacation? 205 00:09:11,928 --> 00:09:13,513 Hey, since you're just standing around, 206 00:09:13,596 --> 00:09:14,973 why don't you get me some chocolate pudding? 207 00:09:15,056 --> 00:09:16,474 Make the blade go down smoother. 208 00:09:17,267 --> 00:09:19,102 Yang, get an x-ray. Make it portable. 209 00:09:19,435 --> 00:09:21,229 With prisoners, we have to minimize flight risk. 210 00:09:21,980 --> 00:09:23,898 OK, but I'm supposed to check on Julie. 211 00:09:23,982 --> 00:09:25,942 I thought you said we're supposed to keep a close eye on the quints. 212 00:09:26,025 --> 00:09:28,486 Julie's my quint, too. I got that covered. You do this. 213 00:09:29,070 --> 00:09:30,196 Are you sure you can't do it? 214 00:09:30,280 --> 00:09:32,365 I can. I choose not to. 215 00:09:34,784 --> 00:09:35,868 Come on, baby. 216 00:09:35,952 --> 00:09:37,245 I'm not gonna hurt you. 217 00:09:37,996 --> 00:09:40,665 I only murdered three people, and none of them were doctors. 218 00:09:43,960 --> 00:09:45,587 - [George] Olivia. - [Olivia] Dr. O'Malley. 219 00:09:45,670 --> 00:09:46,754 How are the leeches doing? 220 00:09:46,838 --> 00:09:48,673 They're not. I still can't get them to bite. 221 00:09:48,965 --> 00:09:51,342 With all this blood, you'd think it'd be a no brainer for a leech. 222 00:09:51,426 --> 00:09:53,511 [George] Sometimes they get a little anxious bright lights, 223 00:09:53,720 --> 00:09:55,096 thunder storms, you know... 224 00:09:57,223 --> 00:09:58,266 Nervous handlers. 225 00:09:58,349 --> 00:09:59,726 I'm sorry. I should be better at this. 226 00:10:00,018 --> 00:10:01,811 I still get a little squeamish around leeches. 227 00:10:01,894 --> 00:10:03,563 Oh, that is not what I have heard. 228 00:10:06,357 --> 00:10:07,942 Dr. O'Malley can take over from here. 229 00:10:11,529 --> 00:10:13,615 Whoa. What was that all about? 230 00:10:14,490 --> 00:10:15,325 Nothing. 231 00:10:20,830 --> 00:10:22,081 [giggling] 232 00:10:22,290 --> 00:10:23,124 There we are. 233 00:10:23,750 --> 00:10:24,584 He's in. 234 00:10:27,712 --> 00:10:28,963 [elevator bell dings] 235 00:10:35,094 --> 00:10:36,471 [elevator bell dings] 236 00:10:39,265 --> 00:10:41,934 I had no idea that you and Alex were a couple. 237 00:10:42,477 --> 00:10:43,311 It's just... 238 00:10:44,604 --> 00:10:48,441 I was having a bad day and it was good to have someone. 239 00:10:48,524 --> 00:10:49,359 [bell dings] 240 00:10:49,442 --> 00:10:51,819 Good to talk to, I mean. Not good to... 241 00:10:53,488 --> 00:10:55,740 Alex really is good. 242 00:10:57,575 --> 00:11:00,745 I mean, he's good in the way he's a good person good. 243 00:11:01,371 --> 00:11:02,955 - Not the other kind of good. - [bell dings] 244 00:11:03,289 --> 00:11:05,375 You know, good in bed good. 245 00:11:07,043 --> 00:11:10,963 - Which, he is, as I'm sure you know. - [bell dings] 246 00:11:11,214 --> 00:11:14,175 But... OK, well... 247 00:11:14,634 --> 00:11:15,510 [Olivia] Bye. 248 00:11:25,686 --> 00:11:26,813 Any temperature spikes? 249 00:11:26,896 --> 00:11:28,606 No, no fever. Vitals are stable. 250 00:11:28,689 --> 00:11:29,524 [Derek] Good. That's very good. 251 00:11:29,649 --> 00:11:30,858 Go ahead. After you. Thank you. 252 00:11:36,781 --> 00:11:38,408 So you're giving up the trailer? 253 00:11:39,325 --> 00:11:40,451 I'm not giving up the trailer. 254 00:11:40,868 --> 00:11:42,537 Is Addison telling people that I'm giving up the trailer? 255 00:11:43,454 --> 00:11:44,288 It's just funny. 256 00:11:44,372 --> 00:11:46,874 [Meredith] I just would never have pegged you for that guy. 257 00:11:46,958 --> 00:11:48,042 - What guy? - [Meredith] You know, 258 00:11:48,126 --> 00:11:51,129 the marble bath, private pool, gated community guy. 259 00:11:52,171 --> 00:11:53,673 Don't peg me. I'm not peggable. 260 00:11:54,173 --> 00:11:55,842 You're pegged. Deal with it. 261 00:11:55,925 --> 00:11:57,385 [monitor beeping rapidly] 262 00:11:57,468 --> 00:11:59,470 - BP's low. She's tachycardic. - [Derek] Stats? 263 00:12:00,138 --> 00:12:01,305 Dropping on high flow 02. 264 00:12:01,389 --> 00:12:03,474 [beeping continues] 265 00:12:06,769 --> 00:12:08,271 No breathing sounds on the right side. 266 00:12:08,354 --> 00:12:10,106 - Her lung has collapsed. - Should I call the other Dr. Shepherd? 267 00:12:10,189 --> 00:12:12,233 There's no time. Here, stick this between her second and third rib. 268 00:12:12,608 --> 00:12:13,609 Do not go too deep. 269 00:12:13,943 --> 00:12:15,862 You're gonna hear a small gush of air. 270 00:12:18,281 --> 00:12:20,700 [beeping continues] 271 00:12:24,287 --> 00:12:25,204 [air gushing] 272 00:12:25,872 --> 00:12:26,706 I heard it. 273 00:12:27,999 --> 00:12:29,250 [monitor beeping stabilizes] 274 00:12:31,627 --> 00:12:33,212 - Nice job. - Thank you. 275 00:12:33,963 --> 00:12:35,131 I'm not giving up the trailer. 276 00:12:36,090 --> 00:12:38,134 Whatever you say, Dr. Shepherd. 277 00:12:40,970 --> 00:12:41,888 Her lung collapsed? 278 00:12:41,971 --> 00:12:43,306 And I know it sounds scary. 279 00:12:43,473 --> 00:12:46,309 But it's really not that uncommon in a preemie this size. 280 00:12:47,185 --> 00:12:49,854 So we've inserted a tube into Charlotte's chest, 281 00:12:50,021 --> 00:12:51,314 and that will help her breathe. 282 00:12:51,397 --> 00:12:53,316 Until her lung can stay up on its own. 283 00:12:54,484 --> 00:12:55,401 Mrs. Russell? 284 00:12:55,818 --> 00:12:57,361 [cell phone rings] 285 00:12:57,653 --> 00:12:59,530 She really is doing fine now. 286 00:13:01,616 --> 00:13:02,825 That's me. I gotta go. 287 00:13:03,201 --> 00:13:05,953 My mom can only handle the triplets for half a day. 288 00:13:06,037 --> 00:13:07,622 She's 74, so... 289 00:13:11,167 --> 00:13:12,877 I'll call you as soon as I get home, OK? 290 00:13:14,170 --> 00:13:15,004 I love you. 291 00:13:23,513 --> 00:13:25,389 - Could you, uh... - I'll keep an eye on her. 292 00:13:25,473 --> 00:13:26,516 - Thank you. - OK. 293 00:13:31,646 --> 00:13:32,480 Dorie. 294 00:13:34,190 --> 00:13:35,816 This isn't your fault. 295 00:13:36,025 --> 00:13:38,110 You can't blame yourself for this. 296 00:13:40,279 --> 00:13:43,449 I've got one baby who can barely breathe and one with half a heart. 297 00:13:46,327 --> 00:13:47,495 Two of the others are... 298 00:13:51,541 --> 00:13:52,458 [sighs] 299 00:13:52,542 --> 00:13:55,628 If I'd have listened to the doctors, I could've had three healthy girls. 300 00:13:55,711 --> 00:13:58,089 Instead of four who might not live until tomorrow. 301 00:13:58,714 --> 00:13:59,840 It was my decision. 302 00:14:01,884 --> 00:14:03,427 Tom agreed with the doctors. 303 00:14:03,594 --> 00:14:04,470 So... 304 00:14:05,513 --> 00:14:06,556 Really, Dr. Grey... 305 00:14:08,849 --> 00:14:10,184 Who else should I blame? 306 00:14:13,354 --> 00:14:15,606 [Izzie] First step in the Norwood is the cardiopulmonary bypass. 307 00:14:15,731 --> 00:14:19,318 With HLHS, what else do you get besides hyperplasia of the ventricle? 308 00:14:19,569 --> 00:14:22,113 Stenosis or atresia of the mitral and aortic valves. 309 00:14:22,572 --> 00:14:24,740 Why are we using the rv-pa conduit 310 00:14:24,824 --> 00:14:26,868 instead of the modified blalock taussig shunt? 311 00:14:26,993 --> 00:14:28,494 It limits diastolic runoff. 312 00:14:28,828 --> 00:14:31,122 Well, you've done your homework. 313 00:14:32,123 --> 00:14:33,332 I was on call last night. 314 00:14:33,624 --> 00:14:35,001 I study when I'm on call. 315 00:14:35,251 --> 00:14:36,085 [chuckles] 316 00:14:36,502 --> 00:14:37,336 Well... 317 00:14:37,837 --> 00:14:39,130 No matter what the books say, 318 00:14:39,922 --> 00:14:41,257 I guarantee you. 319 00:14:41,591 --> 00:14:43,259 You have never seen a heart this small. 320 00:14:48,598 --> 00:14:49,599 Betcha I have. 321 00:14:50,558 --> 00:14:51,809 [Miranda] How you doing, you? 322 00:14:52,310 --> 00:14:54,186 You know, I'm having a baby, too. 323 00:14:54,812 --> 00:14:57,023 [baby talk voice] Yes, I am. A little boy. 324 00:14:57,773 --> 00:14:59,483 Maybe you can meet him someday. 325 00:14:59,942 --> 00:15:01,694 How's that sound? Does that sound good? 326 00:15:02,653 --> 00:15:03,654 - We could... - [clears throat] 327 00:15:09,327 --> 00:15:11,037 [normal voice] Pregnancy has not made me soft. 328 00:15:11,120 --> 00:15:13,539 I haven't gone soft. I don't do soft. 329 00:15:14,415 --> 00:15:15,416 Of course not. 330 00:15:15,666 --> 00:15:17,376 You were just talking to a patient. 331 00:15:18,044 --> 00:15:19,629 - What's this? - [Cristina] The inmate's x-rays. 332 00:15:22,632 --> 00:15:26,886 That foolish, foolish woman. She swallowed four razor blades? 333 00:15:36,600 --> 00:15:37,976 [cuffs rattling] 334 00:15:39,186 --> 00:15:40,270 Hey! Hey you! 335 00:15:40,687 --> 00:15:41,688 Hey, nurse! 336 00:15:43,523 --> 00:15:44,900 Would you keep it down, please? 337 00:15:44,983 --> 00:15:45,942 I'm starving. 338 00:15:46,151 --> 00:15:47,861 You're N.P.O. No food allowed. 339 00:15:48,695 --> 00:15:51,656 Come on, April, baby, don't go for him. He's such an idiot. 340 00:15:54,576 --> 00:15:56,161 I didn't come here to starve to death. 341 00:15:56,536 --> 00:15:58,413 I want mint chocolate chip ice cream. 342 00:15:58,705 --> 00:16:00,248 Mint, OK? Not rocky road. 343 00:16:00,332 --> 00:16:02,167 You better not get me that rocky road. It sucks. 344 00:16:02,959 --> 00:16:04,169 Oh, thank god. 345 00:16:04,252 --> 00:16:06,630 Mama bear, help me out here, OK? I'm starving. 346 00:16:06,713 --> 00:16:07,923 Don't give her anything. 347 00:16:08,131 --> 00:16:09,841 See, right there you're in official violation 348 00:16:09,925 --> 00:16:11,259 of the eighth amendment. 349 00:16:11,676 --> 00:16:14,638 [Cristina] You can't eat anything because you're about to undergo major surgery. 350 00:16:14,721 --> 00:16:15,555 What? 351 00:16:16,097 --> 00:16:16,932 What's she talkin' about? 352 00:16:17,015 --> 00:16:20,769 You're at risk for a perforated intestine and half a dozen kinds of infection. 353 00:16:20,977 --> 00:16:22,437 We need to operate right away. 354 00:16:22,896 --> 00:16:25,482 I don't need an operation. I taped up the blade like I always do. 355 00:16:25,565 --> 00:16:26,858 It passes the next day. 356 00:16:27,025 --> 00:16:27,984 What's the big deal? 357 00:16:28,068 --> 00:16:30,946 You swallowed four blades this time. That's the big deal. 358 00:16:32,822 --> 00:16:34,407 I thought it would buy me an extra day. 359 00:16:36,993 --> 00:16:39,746 Does this operation have a nice, long recovery time? 360 00:16:39,829 --> 00:16:41,623 [Cristina] You realize this is major surgery? 361 00:16:41,706 --> 00:16:42,874 It's dangerous and you could die. 362 00:16:47,337 --> 00:16:48,338 Mint chocolate chip. 363 00:16:49,005 --> 00:16:50,340 I want at least a gallon 364 00:16:50,423 --> 00:16:52,008 After you ghouls are done splitting me open. 365 00:16:57,347 --> 00:16:59,140 [Dorie] What exactly is it that we're doing? 366 00:16:59,599 --> 00:17:00,517 We're visiting. 367 00:17:01,142 --> 00:17:03,395 We've thrown all this medical talk at you. 368 00:17:03,603 --> 00:17:05,772 And outlined all these worst case scenarios 369 00:17:05,855 --> 00:17:07,899 which has probably scared you half to death. 370 00:17:08,275 --> 00:17:11,152 The one thing we haven't done is actually given you 371 00:17:11,236 --> 00:17:12,946 a chance to be with your daughters. 372 00:17:13,029 --> 00:17:14,197 Well, how is that gonna help? 373 00:17:15,073 --> 00:17:16,741 If I learned anything in these past few days, 374 00:17:16,825 --> 00:17:18,451 it's that I need to face reality. 375 00:17:20,203 --> 00:17:21,788 Here's Kate. 376 00:17:22,455 --> 00:17:24,124 You can reach in and touch her if you like. 377 00:17:27,794 --> 00:17:29,713 I would like to very much. 378 00:17:33,091 --> 00:17:33,925 [monitor beeping rapidly] 379 00:17:34,050 --> 00:17:35,760 [nurse] Dr. Grey, Charlotte's not breathing. 380 00:17:36,011 --> 00:17:37,387 [beeping continues] 381 00:17:40,932 --> 00:17:43,268 [Meredith] Page Addison Shepherd. She's in the OR. 382 00:17:44,185 --> 00:17:45,645 [Addison] We didn't see this on the echo. 383 00:17:46,229 --> 00:17:48,148 You can never get an exact measurement. 384 00:17:48,815 --> 00:17:49,649 What? 385 00:17:51,818 --> 00:17:53,987 The baby's aorta is narrower than we thought. 386 00:17:54,362 --> 00:17:55,613 [Preston] The diameter is only a millimeter. 387 00:17:56,364 --> 00:17:57,949 Just not getting enough blood flow. 388 00:17:58,325 --> 00:17:59,200 Damn. 389 00:18:04,039 --> 00:18:06,041 I wanted you to see this before I started closing up. 390 00:18:06,124 --> 00:18:07,625 [Izzie] You're closing up? You didn't do anything. 391 00:18:07,709 --> 00:18:08,918 - Dr. Stevens. - No, we barely started. 392 00:18:09,002 --> 00:18:10,962 Dr. Burke has done as much as he can do for now, 393 00:18:11,046 --> 00:18:13,423 so unless you know how to do a first stage norwood, 394 00:18:13,882 --> 00:18:15,383 he's gonna close this baby's chest. 395 00:18:15,884 --> 00:18:16,718 [pager beeps] 396 00:18:23,224 --> 00:18:24,059 You OK? 397 00:18:25,101 --> 00:18:26,728 I'm fine. May I go? 398 00:18:28,730 --> 00:18:29,564 Yes. 399 00:18:33,318 --> 00:18:35,320 - [Addison] What happened? - She had an apneic episode. 400 00:18:35,403 --> 00:18:37,072 She's still not breathing on her own. 401 00:18:40,325 --> 00:18:41,868 [Addison] Let's intubate and give her surfactant. 402 00:18:41,951 --> 00:18:44,704 Push .1 Atropine and 3 milligrams of ketamine. 403 00:18:45,622 --> 00:18:46,456 [woman] Meds are in. 404 00:18:46,873 --> 00:18:47,749 Tube. 405 00:18:52,879 --> 00:18:54,464 OK. Place the CO2 detector. 406 00:18:54,547 --> 00:18:56,299 She was doing fine with the chest tube. 407 00:18:56,383 --> 00:18:57,926 That's the thing with RDS cases. 408 00:18:58,093 --> 00:18:59,928 Just when you think the baby's getting better, 409 00:19:00,011 --> 00:19:01,304 they can slip right back. 410 00:19:03,139 --> 00:19:04,057 Breath sounds equal. 411 00:19:04,516 --> 00:19:05,350 Good. 412 00:19:07,894 --> 00:19:08,937 Mrs. Russell. 413 00:19:16,653 --> 00:19:17,487 Unbelievable. 414 00:19:18,154 --> 00:19:19,406 Who would do this to themselves? 415 00:19:19,489 --> 00:19:21,991 The woman wasn't just in prison, Yang. 416 00:19:22,117 --> 00:19:23,451 She was in solitary. 417 00:19:24,661 --> 00:19:26,538 Well, she was seriously deranged. 418 00:19:27,414 --> 00:19:33,711 You try spending a month locked in a room with no windows, no one to talk to, 419 00:19:34,295 --> 00:19:37,632 Twenty three hours a day, See how deranged she is then. 420 00:19:37,715 --> 00:19:39,175 Dr. Bailey, she's a murderer. 421 00:19:39,259 --> 00:19:40,593 I didn't say she wasn't. 422 00:19:41,553 --> 00:19:42,595 One, two, three... 423 00:19:42,971 --> 00:19:48,101 I said try having no one to make your snarky comments to for a solid month. 424 00:19:48,184 --> 00:19:52,355 My guess is you'd swallow the entire razor. 425 00:19:54,357 --> 00:19:56,151 How are they treating you, Mr. Murphy? 426 00:19:56,234 --> 00:19:58,027 Oh, I've done worse for company. 427 00:19:58,111 --> 00:19:59,529 Oh, they're definitely filling up. 428 00:20:00,280 --> 00:20:02,115 The tissue is getting nice and pink. 429 00:20:03,074 --> 00:20:05,493 You make up with that cute little girlfriend of yours yet? 430 00:20:05,869 --> 00:20:06,995 Olivia's hardly my girlfriend. 431 00:20:11,124 --> 00:20:12,792 - Is she OK? - She? 432 00:20:13,251 --> 00:20:14,502 Yeah. Isabella. 433 00:20:16,212 --> 00:20:17,630 And this one here on my finger... 434 00:20:18,965 --> 00:20:19,924 That's Darcy. 435 00:20:20,633 --> 00:20:22,010 And that little guy on my nose... 436 00:20:22,427 --> 00:20:23,386 Named O'Malley. 437 00:20:23,970 --> 00:20:26,347 - [laughs] - That's right. I named him after you. 438 00:20:26,556 --> 00:20:27,765 You're the one that got him to bite. 439 00:20:28,725 --> 00:20:30,435 Isabella's fine. She's just full. 440 00:20:32,270 --> 00:20:34,063 Wait, what are you gonna do with her? 441 00:20:34,522 --> 00:20:35,482 She's done her job. 442 00:20:35,565 --> 00:20:37,192 We don't really have any more use for her. 443 00:20:37,275 --> 00:20:38,776 Except as medical waste. 444 00:20:38,985 --> 00:20:39,819 No. 445 00:20:40,445 --> 00:20:41,362 I'd like to keep her, 446 00:20:42,655 --> 00:20:43,698 if I could. 447 00:20:45,492 --> 00:20:48,703 Crazy nature man. You wanna take a leech home as a pet? 448 00:20:48,786 --> 00:20:50,079 That's fine with me. 449 00:20:50,288 --> 00:20:52,248 You had no right to speak to me that way in front of a patient. 450 00:20:52,332 --> 00:20:53,833 Yeah? Well, you hurt my friend. 451 00:20:54,667 --> 00:20:57,170 I had no idea Alex was seeing Izzie. 452 00:20:57,712 --> 00:20:58,713 [Olivia] That's not what you're upset about. 453 00:20:58,796 --> 00:21:00,381 You have no idea why I'm upset. 454 00:21:00,465 --> 00:21:05,637 Besides, you know what I don't understand is, uh, why Alex, and why again? 455 00:21:07,805 --> 00:21:09,724 People get lonely, George. 456 00:21:12,602 --> 00:21:15,063 [Meredith] Hi, Mr. Russell. It's Meredith Grey calling. 457 00:21:16,731 --> 00:21:18,858 I was wondering if there was any chance 458 00:21:18,942 --> 00:21:21,444 maybe you could bring your boys by to visit their mom. 459 00:21:21,986 --> 00:21:23,530 I think she could use the company. 460 00:21:25,573 --> 00:21:28,326 Oh, the flu. No, definitely don't bring them. 461 00:21:29,118 --> 00:21:30,119 Thank you. You too. 462 00:21:37,418 --> 00:21:38,545 You've been lying low. 463 00:21:39,295 --> 00:21:42,048 Well, nobody's talking to me so it makes it kind of easy, right? 464 00:21:45,260 --> 00:21:46,469 I'm talking to you... 465 00:21:47,262 --> 00:21:51,057 In short, monosyllabic sentences laced with disdain and contempt. 466 00:21:51,432 --> 00:21:53,893 So, what, according to girl rules, now you all have to hate me? 467 00:21:54,435 --> 00:21:55,311 I don't hate you. 468 00:21:55,645 --> 00:21:58,273 If my mother hadn't gotten Alzheimer's, I'd probably be you. 469 00:21:58,523 --> 00:21:59,357 Oh, really? 470 00:21:59,566 --> 00:22:00,441 Really. 471 00:22:01,234 --> 00:22:03,152 Before she got sick, I mean, I... 472 00:22:03,236 --> 00:22:04,737 I mean, I finished college. 473 00:22:04,821 --> 00:22:09,576 But I was partying way too much. Staying out way too late to keep a job. 474 00:22:09,909 --> 00:22:13,413 I was the one at family reunions everybody was embarrassed to talk about. 475 00:22:13,496 --> 00:22:14,539 So that's what you think of me? 476 00:22:17,584 --> 00:22:18,751 Are you OK? 477 00:22:20,962 --> 00:22:22,880 - I almost killed a guy yesterday. - [Meredith] Mr. Martin. 478 00:22:22,964 --> 00:22:24,799 So I'm just trying to find anything I can to help him. 479 00:22:24,924 --> 00:22:26,718 OK, well, what are we looking for? 480 00:22:28,011 --> 00:22:30,638 Uh, anything on central pontine myelinolysis. 481 00:22:39,689 --> 00:22:40,857 Unbelievable. 482 00:22:41,691 --> 00:22:42,525 Izzie. 483 00:22:47,071 --> 00:22:48,114 Izzie, come on. 484 00:22:48,489 --> 00:22:49,449 Come on? 485 00:22:49,532 --> 00:22:52,243 You're fraternizing with the enemy and you're telling me to come on. 486 00:22:52,327 --> 00:22:54,120 Alex and I are sort of friends. 487 00:22:54,203 --> 00:22:56,831 Since when? Since when are you and Alex friends? 488 00:22:56,956 --> 00:22:59,334 You tell me to cut my losses, that I'm better off without him, 489 00:22:59,417 --> 00:23:00,793 And as soon as I turn my back... 490 00:23:01,336 --> 00:23:03,504 Izzie, you're making way too big a deal outta this. 491 00:23:03,588 --> 00:23:05,381 Right, of course, because I'm the unreasonable one. 492 00:23:05,465 --> 00:23:07,133 You know what, Meredith? Do whatever you want. 493 00:23:07,216 --> 00:23:08,217 Sleep with the guy for all I care. 494 00:23:08,551 --> 00:23:10,678 Well, obviously I'm not going to sleep with him, Izzie. 495 00:23:10,762 --> 00:23:12,388 Why not? You've slept with everyone else. 496 00:23:27,836 --> 00:23:29,379 [Cristina] Your surgery went smoothly. 497 00:23:29,463 --> 00:23:31,590 You'll have some abdominal pain for a day or two... 498 00:23:31,673 --> 00:23:32,716 Just a day or two? 499 00:23:33,091 --> 00:23:34,926 We'll watch you until your bowels start moving again. 500 00:23:35,010 --> 00:23:37,554 - The average is about 36 hours. - 36. 501 00:23:38,472 --> 00:23:40,724 4 Razor blades, and that's all you can give me? 502 00:23:40,932 --> 00:23:43,060 Come on, sugar plum. I thought we were having fun. 503 00:23:43,810 --> 00:23:44,645 Don't leave. 504 00:23:44,811 --> 00:23:45,646 What? 505 00:23:46,647 --> 00:23:48,440 Just maybe a little conversation. 506 00:23:48,690 --> 00:23:49,983 I mean, they got me in here all by myself. 507 00:23:50,067 --> 00:23:52,235 I thought I'd have a roommate, somebody to talk to. 508 00:23:52,486 --> 00:23:53,320 OK. 509 00:23:56,740 --> 00:23:57,908 Why'd you kill three people? 510 00:23:58,867 --> 00:24:00,619 Start off a little small talk, why don't you? 511 00:24:02,621 --> 00:24:03,497 I was high... 512 00:24:05,874 --> 00:24:06,792 On meth. 513 00:24:11,922 --> 00:24:13,507 And I had this boyfriend who... 514 00:24:15,634 --> 00:24:16,968 had this robbery all planned out. 515 00:24:18,887 --> 00:24:20,931 He said that he would leave me if I didn't help him. 516 00:24:23,141 --> 00:24:24,434 Things got out of control. 517 00:24:26,061 --> 00:24:26,895 [sighs] 518 00:24:27,854 --> 00:24:29,022 He was gonna leave me. 519 00:24:30,941 --> 00:24:32,150 He was all I had. 520 00:24:33,276 --> 00:24:34,569 I would've been all alone. 521 00:24:37,114 --> 00:24:39,116 Clearly, being alone has its benefits. 522 00:24:47,207 --> 00:24:50,085 [indistinct chattering] 523 00:24:51,336 --> 00:24:52,212 You paged me? 524 00:24:52,713 --> 00:24:53,964 Another leech fell off, 525 00:24:54,256 --> 00:24:57,092 and I can't get the new one to bite. I'm sorry. They just really freak me out. 526 00:24:57,175 --> 00:24:59,803 - I'm a surgeon, Olivia. - You're an intern, George. 527 00:25:02,055 --> 00:25:03,140 You know what time it is? 528 00:25:04,808 --> 00:25:08,061 Time for you two kids to kiss and make up, that's what time it is. 529 00:25:08,145 --> 00:25:10,147 Mr. Murphy, we are not a couple. 530 00:25:10,605 --> 00:25:12,566 Oh, you can't pull much over on me. 531 00:25:12,774 --> 00:25:14,860 Now I say there's something between the two of you. 532 00:25:16,153 --> 00:25:17,779 You're right, Mr. Murphy. There was. 533 00:25:18,613 --> 00:25:21,032 Olivia, this isn't the time. And this... 534 00:25:21,408 --> 00:25:23,577 - Really isn't the place. - He broke up with me for this girl 535 00:25:23,660 --> 00:25:24,995 who doesn't even know that he's alive. 536 00:25:25,078 --> 00:25:26,413 - She does so know I'm alive. - Listen to me, George. 537 00:25:26,496 --> 00:25:28,081 You, Meredith Grey never gonna happen. 538 00:25:28,248 --> 00:25:30,709 What? Why would you even think it's Meredith? 539 00:25:30,792 --> 00:25:32,294 Anyone who's paying the slightest bit of attention 540 00:25:32,377 --> 00:25:33,628 knows how you feel about Meredith. 541 00:25:33,879 --> 00:25:36,506 [Olivia] Except Meredith, which should tell you something, shouldn't it? 542 00:25:36,590 --> 00:25:37,841 Sorry, Mr. Murphy. 543 00:25:42,512 --> 00:25:43,764 She gave me syphilis. 544 00:25:44,473 --> 00:25:47,434 Remember what you did to me when I was an intern? 545 00:25:48,143 --> 00:25:49,144 How could I forget? 546 00:25:49,603 --> 00:25:51,396 You didn't speak to me for almost a year. 547 00:25:53,064 --> 00:25:54,107 But you learned. 548 00:25:54,983 --> 00:25:57,402 Yeah, well, I think I gotta do that to Izzie Stevens. 549 00:25:58,779 --> 00:26:00,697 Well, she's smart, hardworking. 550 00:26:01,323 --> 00:26:03,241 Gets a little too involved with her patients. 551 00:26:03,742 --> 00:26:04,576 A lot like you. 552 00:26:04,785 --> 00:26:05,619 I know. 553 00:26:07,078 --> 00:26:08,997 It took me a long time to recover from that, Richard. 554 00:26:09,289 --> 00:26:11,291 But it made you a better surgeon, Addison. 555 00:26:12,542 --> 00:26:13,585 The question is. 556 00:26:13,710 --> 00:26:16,087 Is she talented enough to make the lesson worth it? 557 00:26:16,379 --> 00:26:18,381 She's the best I've seen in years. 558 00:26:19,216 --> 00:26:21,802 - I was hoping that we could... - You're not here to make friends, Addison. 559 00:26:21,968 --> 00:26:23,386 You're here to make better surgeons, 560 00:26:23,929 --> 00:26:25,847 and being a teacher can be a lonely business. 561 00:26:31,144 --> 00:26:34,022 I'm telling you, Meredith was all over him. 562 00:26:34,272 --> 00:26:36,399 Seriously? She was all over him? 563 00:26:36,525 --> 00:26:39,319 What, like, uh, mounting him with all the babies watching? Seriously? 564 00:26:39,402 --> 00:26:41,321 Well, she would've been if I hadn't interrupted. 565 00:26:41,404 --> 00:26:42,280 She was talking to him... 566 00:26:42,364 --> 00:26:45,283 You don't talk to bastards who cheat on their girlfriends George. That's the rule. 567 00:26:45,367 --> 00:26:46,535 You weren't officially his girlfriend. 568 00:26:46,618 --> 00:26:48,245 - [Izzie] That's not the point. - It is kind of the point. 569 00:26:48,328 --> 00:26:50,497 You don't see me getting all emotional over people I'm not dating. 570 00:26:50,705 --> 00:26:52,916 Really? You wanna go there? 571 00:26:56,294 --> 00:26:58,547 - No. - [Izzie] I'm having a moment here. 572 00:26:58,630 --> 00:26:59,965 Don't mess with me. 573 00:27:00,549 --> 00:27:03,134 You're not gonna have a nervous breakdown or kill yourself, are you? 574 00:27:03,593 --> 00:27:04,427 No. 575 00:27:05,512 --> 00:27:08,348 So there's no chance you'll kill us? 576 00:27:12,310 --> 00:27:14,312 Oh, that was wrong on so many levels. 577 00:27:14,479 --> 00:27:15,939 - [Cristina] So good. - That was... 578 00:27:16,481 --> 00:27:17,399 That was good. 579 00:27:18,024 --> 00:27:19,276 Yeah, it was good. 580 00:27:20,151 --> 00:27:22,737 Your lungs are not good. 581 00:27:26,783 --> 00:27:30,453 I know we got you out of there a little earlier than you would've wanted. 582 00:27:30,954 --> 00:27:32,956 We have to find something to help you. 583 00:27:33,248 --> 00:27:35,333 So if you have any ideas, Charlotte... 584 00:27:47,554 --> 00:27:48,889 [Addison] Dr. Stevens. 585 00:27:49,723 --> 00:27:51,808 Dr. Shepherd, is there something you need? 586 00:27:51,892 --> 00:27:53,435 Yes, Dr. Burke and I have reassessed. 587 00:27:53,518 --> 00:27:55,228 We think there's a chance with the norwood, 588 00:27:55,312 --> 00:27:57,856 if Emily can make it through the next ten hours. 589 00:27:57,939 --> 00:27:59,316 Would you look after her for the night? 590 00:27:59,524 --> 00:28:00,775 I was on call last night. 591 00:28:02,319 --> 00:28:03,820 But, I mean, yeah, of course. 592 00:28:03,945 --> 00:28:05,614 Good. I've left a list of meds, 593 00:28:05,780 --> 00:28:08,658 and you're familiar with pediatric life support? 594 00:28:08,867 --> 00:28:10,619 Got myself certified as soon as I got in the program. 595 00:28:10,744 --> 00:28:11,578 OK then. 596 00:28:11,912 --> 00:28:14,122 Is there anything else I should know to look out for? 597 00:28:14,456 --> 00:28:16,082 No. That should do it. 598 00:28:16,499 --> 00:28:17,834 Should I notify Mrs. Russell about Emily's... 599 00:28:17,918 --> 00:28:19,461 No. I've done that. 600 00:28:20,837 --> 00:28:23,006 Dr. Stevens, this baby is your responsibility. 601 00:28:23,840 --> 00:28:25,717 She better be alive when I get back in the morning. 602 00:28:26,384 --> 00:28:27,218 OK. 603 00:28:31,264 --> 00:28:34,559 Dr. Shepherd, I found these studies where they used aggressive plasmapheresis. 604 00:28:34,893 --> 00:28:36,311 I think these could work on Mr. Martin. 605 00:28:36,394 --> 00:28:37,979 Those are all isolated cases. 606 00:28:38,271 --> 00:28:40,231 But still, the studies resulted in improved clinical symptoms. 607 00:28:40,315 --> 00:28:42,776 No trial study's ever been done. There is nothing you can do. 608 00:28:42,859 --> 00:28:43,944 OK, what about thyrotropin releasing hormone? 609 00:28:44,027 --> 00:28:44,903 No. 610 00:28:44,986 --> 00:28:46,279 There's European studies... 611 00:28:46,363 --> 00:28:48,323 Karev, it's over. It's done. You screwed up. 612 00:28:48,448 --> 00:28:50,200 [Derek] Mr. Martin's fried. You fried his brain. 613 00:28:50,784 --> 00:28:52,369 If he wakes up, you put him in a wheelchair. 614 00:28:52,452 --> 00:28:53,995 If he dies, you killed him. 615 00:28:55,038 --> 00:28:55,997 Deal with it. 616 00:29:04,631 --> 00:29:08,301 Dr. Stevens, baby's V02 is still 40% after transfusion. 617 00:29:08,510 --> 00:29:09,511 How's her BP doing? 618 00:29:09,594 --> 00:29:11,888 Still low. Last systolic was 52. 619 00:29:11,972 --> 00:29:14,641 OK, I'm gonna push 30 cc's of NS manually. 620 00:29:17,727 --> 00:29:19,479 [monitor beeping] 621 00:29:19,771 --> 00:29:21,898 Nice start. Pressure's 65. 622 00:29:22,399 --> 00:29:25,527 [music playing] 623 00:29:31,533 --> 00:29:32,367 Hey, Izz. 624 00:29:32,450 --> 00:29:34,828 OK, really? You think I'm talking to you? 625 00:29:36,079 --> 00:29:37,956 Well, I just wanted to say I'm sorry. 626 00:29:38,999 --> 00:29:40,041 What are you sorry for? 627 00:29:42,919 --> 00:29:44,963 When Derek broke up with you, I never once said, 628 00:29:45,297 --> 00:29:46,548 "you're better off without him." 629 00:29:47,215 --> 00:29:48,925 It's not supportive. It's condescending. 630 00:29:49,759 --> 00:29:50,635 I was there. 631 00:29:51,136 --> 00:29:54,556 All I ever am is there for you guys and the one time I need you... 632 00:29:55,640 --> 00:29:58,184 Just... go away, Meredith. 633 00:30:05,358 --> 00:30:07,569 - [Cristina] What the hell happened? - She was fine. She just started seizing. 634 00:30:08,403 --> 00:30:10,488 [gagging] 635 00:30:11,573 --> 00:30:12,866 She's not seizing, she's choking. 636 00:30:27,881 --> 00:30:29,424 She swallowed a light bulb. 637 00:30:42,616 --> 00:30:43,533 [nurse] We're losing her. 638 00:30:43,617 --> 00:30:45,535 I can see that. Don't you think I can see that? 639 00:30:53,627 --> 00:30:54,628 She needs an airway. 640 00:31:00,676 --> 00:31:03,762 Oh, she's clamped down. I can't intubate. We need some help in here. 641 00:31:03,845 --> 00:31:05,555 [nurse] You want me to get paralytics to relax the muscles? 642 00:31:05,681 --> 00:31:08,976 Uh, no. She'll be dead by then. I need a scalpel for a crich. 643 00:31:09,351 --> 00:31:11,311 - [nurse] Have you done one? - Of course not. Go. 644 00:31:15,232 --> 00:31:16,441 I was gonna do a crich. 645 00:31:16,900 --> 00:31:18,819 - How long has she been unconscious? - [Cristina] She just went down. 646 00:31:19,361 --> 00:31:21,530 - Prep OR 2 emergency thoracotomy. - [nurse] Right away. 647 00:31:21,613 --> 00:31:24,032 Cristina, it'll be OK. Come on. 648 00:31:26,827 --> 00:31:28,453 - [nurse] She's coding. - Again? 649 00:31:29,121 --> 00:31:31,289 OK, uh, turn up the epi drip. 650 00:31:31,373 --> 00:31:33,500 [monitor beeps] 651 00:31:35,419 --> 00:31:36,253 OK. 652 00:31:44,511 --> 00:31:45,512 OK. 653 00:31:47,097 --> 00:31:47,973 OK. 654 00:31:53,437 --> 00:31:54,312 Hi, Dorie. 655 00:31:55,105 --> 00:31:56,690 - What are you doing? - I'm packing. 656 00:31:57,399 --> 00:31:59,901 Dorie, you've just had major abdominal surgery. 657 00:31:59,985 --> 00:32:01,903 - You're not in any condi... - I'm going home, Dr. Grey. 658 00:32:02,821 --> 00:32:05,032 I need to go home. I can't be here. I can't... 659 00:32:05,490 --> 00:32:06,783 watch them die. 660 00:32:08,952 --> 00:32:10,078 They're not dying. 661 00:32:10,620 --> 00:32:11,997 They're trying to live. 662 00:32:12,414 --> 00:32:14,624 And you leaving them isn't going to help them. 663 00:32:14,708 --> 00:32:16,168 I have three boys who need me. 664 00:32:16,251 --> 00:32:17,502 Your daughters need you. 665 00:32:17,586 --> 00:32:20,005 Don't you understand that I can't do it? 666 00:32:21,465 --> 00:32:22,632 I can't do it. 667 00:32:23,675 --> 00:32:25,385 They're too sick. They're too hurt. 668 00:32:25,469 --> 00:32:27,054 Which is why they need their mother. 669 00:32:27,137 --> 00:32:28,346 If Emily dies, I... 670 00:32:28,430 --> 00:32:32,559 If Emily dies, it will be horrible. 671 00:32:34,311 --> 00:32:36,521 But if Emily dies, and you're not here... 672 00:32:38,023 --> 00:32:39,274 I can't even hold them. 673 00:32:39,357 --> 00:32:41,902 But you can sit with them and talk to them. 674 00:32:42,235 --> 00:32:45,238 And let them know they're not alone in this world. That's all they need. 675 00:32:46,198 --> 00:32:47,407 That's all anybody... 676 00:32:50,744 --> 00:32:51,578 What? 677 00:32:51,912 --> 00:32:53,789 I think I know how to help Charlotte. 678 00:33:01,171 --> 00:33:03,465 I don't know why I didn't think of this sooner. 679 00:33:03,548 --> 00:33:04,508 What are you doing? 680 00:33:04,633 --> 00:33:05,717 It's called co-bedding. 681 00:33:05,801 --> 00:33:09,179 Hospitals sometimes do it with twins when one of them is sick. 682 00:33:10,347 --> 00:33:11,389 And the other one gets... 683 00:33:12,140 --> 00:33:13,809 - better? - [Meredith] It helps. 684 00:33:13,975 --> 00:33:14,810 How? 685 00:33:15,227 --> 00:33:16,561 We don't really know. 686 00:33:17,104 --> 00:33:21,983 Sometimes babies get stressed in the ICUS from all the activity. 687 00:33:22,651 --> 00:33:25,570 This way, there's someone there to comfort them, 688 00:33:26,196 --> 00:33:27,405 to be there with them. 689 00:33:36,123 --> 00:33:38,333 That's excellent blood flow at all three places. 690 00:33:38,416 --> 00:33:39,709 You're healing very nicely. 691 00:33:39,793 --> 00:33:41,002 And I like my new nose. 692 00:33:41,086 --> 00:33:42,462 Well, I'm sure your wife will like it, too. 693 00:33:42,546 --> 00:33:45,841 I'm not so sure what she'll say about your new house-guests. 694 00:33:45,924 --> 00:33:49,678 Oh, I'm gonna let these guys go in the lake near my favorite hiking trail. 695 00:33:50,387 --> 00:33:52,305 Saved my face. Least I can do for 'em. 696 00:33:52,556 --> 00:33:53,849 And I don't have a wife. 697 00:33:54,266 --> 00:33:56,017 Oh, I'm sorry. I thought your wedding ring... 698 00:33:56,434 --> 00:33:58,645 No, I'm divorced. Just never took it off. 699 00:34:00,856 --> 00:34:01,773 By the way, uh... 700 00:34:02,566 --> 00:34:05,110 Sorry you had to see that little scene earlier. 701 00:34:06,528 --> 00:34:09,364 Oh, you mean, talking with the girl who isn't your girlfriend. 702 00:34:09,489 --> 00:34:11,324 about the girl who you'd like to be your girlfriend. 703 00:34:11,408 --> 00:34:12,242 Yeah. 704 00:34:12,325 --> 00:34:15,704 She shouldn't have said that stuff. It's just she was... 705 00:34:16,538 --> 00:34:17,706 Very unprofessional. 706 00:34:18,915 --> 00:34:19,833 Yeah. 707 00:34:20,667 --> 00:34:21,585 But is it true? 708 00:34:24,379 --> 00:34:25,714 Do you like this Meredith person? 709 00:34:25,797 --> 00:34:27,674 I don't think that's really any of your business. 710 00:34:30,677 --> 00:34:31,845 She's OK. 711 00:34:34,264 --> 00:34:35,140 I like her OK. 712 00:34:39,644 --> 00:34:40,520 All right, I love her. 713 00:34:40,937 --> 00:34:41,855 [laughs] 714 00:34:41,938 --> 00:34:44,232 Oh, come on. Don't be embarrassed. 715 00:34:44,357 --> 00:34:45,567 I loved my wife. 716 00:34:46,943 --> 00:34:49,070 But sometimes, no matter how much you love someone, 717 00:34:49,154 --> 00:34:51,031 they just can't love you back in the same way. 718 00:34:55,243 --> 00:34:56,077 Believe me, son. 719 00:34:56,786 --> 00:34:58,955 Living with a woman who can't love you back... 720 00:34:59,873 --> 00:35:01,416 Way lonelier than being alone. 721 00:35:02,667 --> 00:35:03,668 [woman] What do you want to do? 722 00:35:04,044 --> 00:35:05,045 We can... 723 00:35:05,253 --> 00:35:06,171 We can put her on ecmo. 724 00:35:06,254 --> 00:35:08,423 Baby this size, you're risking intracranial hemorrhage. 725 00:35:08,506 --> 00:35:12,219 Um, she's already coded three times. You paged Dr. Shepherd? 726 00:35:12,302 --> 00:35:14,221 She called to say you have to handle this for yourself. 727 00:35:14,304 --> 00:35:16,598 What? I'm an intern. What is she... 728 00:35:16,681 --> 00:35:18,391 - Dr. Stevens? - Just give me a second. 729 00:35:18,475 --> 00:35:21,645 - You don't have a second. - OK, ecmo is too dangerous. 730 00:35:21,728 --> 00:35:23,146 We're just gonna have to keep her going on epi. 731 00:35:23,230 --> 00:35:24,940 [woman] Too much epi, it'll stop her circulation. 732 00:35:25,023 --> 00:35:26,691 There's no point in keeping her heart rate up 733 00:35:26,775 --> 00:35:28,818 if she doesn't have functioning arms or legs in the morning... 734 00:35:28,902 --> 00:35:29,903 I know that. 735 00:35:32,364 --> 00:35:33,198 I'm sorry. 736 00:35:34,074 --> 00:35:34,908 It's... 737 00:35:35,158 --> 00:35:37,911 We're just gonna have to keep pushing epi. It's our best option. 738 00:35:37,994 --> 00:35:39,496 We'll just have to find a middle ground. 739 00:35:43,208 --> 00:35:44,084 You can do this. 740 00:36:00,517 --> 00:36:03,186 I can't believe you would consider moving out of your trailer. 741 00:36:03,270 --> 00:36:04,354 The view alone... 742 00:36:05,605 --> 00:36:07,190 See the mist rise off the lake. 743 00:36:07,274 --> 00:36:08,108 Yeah. 744 00:36:08,650 --> 00:36:09,484 Yeah. 745 00:36:11,778 --> 00:36:12,821 I'm not moving. 746 00:36:18,952 --> 00:36:19,869 You're still you? 747 00:36:20,996 --> 00:36:21,913 I'm still me. 748 00:36:23,957 --> 00:36:24,791 Good. 749 00:36:40,223 --> 00:36:41,057 Where's Emily? 750 00:36:41,474 --> 00:36:42,559 They took her away. 751 00:36:42,892 --> 00:36:44,102 Where? Why didn't you wake me? 752 00:36:44,185 --> 00:36:45,729 Dr. Shepherd told us not to. 753 00:36:45,854 --> 00:36:46,688 What? 754 00:36:48,356 --> 00:36:49,316 Where is the baby? 755 00:36:50,275 --> 00:36:52,193 Dr. Stevens, she died half an hour ago. 756 00:37:23,029 --> 00:37:24,072 It wasn't your fault. 757 00:37:26,240 --> 00:37:28,326 You put me in charge. I fell asleep. 758 00:37:28,576 --> 00:37:30,578 - I killed that baby. - [Addison] No, you didn't. 759 00:37:31,746 --> 00:37:32,997 She was gonna die anyway. 760 00:37:33,623 --> 00:37:36,960 She had a restricted atrial septum and virtually no aorta. 761 00:37:37,043 --> 00:37:41,089 As soon as Dr. Burke opened up her chest, we knew she didn't have a chance. 762 00:37:45,051 --> 00:37:45,969 I don't get it. 763 00:37:47,053 --> 00:37:48,554 - You ordered me to stay the night... - [Addison] Izzie. 764 00:37:48,638 --> 00:37:49,847 Take care of her. I... 765 00:37:49,973 --> 00:37:52,642 Worked my ass off doing CPR 766 00:37:52,725 --> 00:37:54,894 and pumping her full of every drug on the planet. 767 00:37:54,978 --> 00:37:55,979 And... 768 00:37:56,062 --> 00:37:58,022 I mean, God, do you have any idea how scared I was? 769 00:37:58,106 --> 00:37:59,482 - It was all for nothing? - Hardly. 770 00:37:59,565 --> 00:38:00,692 [Addison] If the situation ever comes up again, 771 00:38:00,775 --> 00:38:02,235 I know you'll be able to handle the pressure. 772 00:38:02,318 --> 00:38:03,277 You lied to me. 773 00:38:03,361 --> 00:38:05,613 [Addison] You have to learn distance, Stevens. 774 00:38:05,822 --> 00:38:07,240 You'll be a better doctor for it. 775 00:38:08,950 --> 00:38:09,867 A better... 776 00:38:11,035 --> 00:38:12,161 A better doctor? 777 00:38:28,011 --> 00:38:29,929 [Miranda] I heard you worked a miracle last night. 778 00:38:30,013 --> 00:38:31,848 [Meredith] She came around so fast, 779 00:38:31,973 --> 00:38:33,891 I thought the equipment was malfunctioning. 780 00:38:34,559 --> 00:38:36,352 Her stats are completely stable. 781 00:38:36,436 --> 00:38:37,895 [Miranda] She's gonna make it. 782 00:38:39,605 --> 00:38:40,523 Go home, Grey. 783 00:38:41,024 --> 00:38:42,025 You've earned it. 784 00:38:42,775 --> 00:38:43,860 And, Grey... 785 00:38:45,194 --> 00:38:46,279 Way to go. 786 00:38:50,366 --> 00:38:52,702 Did you hear that? "Way to go." 787 00:39:07,341 --> 00:39:08,259 My baby died. 788 00:39:08,342 --> 00:39:09,177 We know. 789 00:39:11,554 --> 00:39:12,388 She just... 790 00:39:14,766 --> 00:39:15,600 died. 791 00:39:23,858 --> 00:39:24,984 I have an idea. 792 00:39:35,745 --> 00:39:38,164 [monitor beeping] 793 00:39:50,676 --> 00:39:52,053 The first person I killed... 794 00:39:53,346 --> 00:39:54,764 I was a second year resident. 795 00:39:56,265 --> 00:39:57,391 James Hanson. 796 00:40:01,395 --> 00:40:03,481 You should go home, Alex. There's nothing you can do here. 797 00:40:08,486 --> 00:40:09,821 Nobody should die alone. 798 00:40:12,824 --> 00:40:15,576 [Meredith] 400 years ago, another well known English guy 799 00:40:15,993 --> 00:40:18,037 had an opinion about being alone... 800 00:40:18,996 --> 00:40:19,872 John Donne. 801 00:40:20,748 --> 00:40:23,000 He thought we were never alone. 802 00:40:23,876 --> 00:40:26,170 Of course, it was fancier when he said it. 803 00:40:26,337 --> 00:40:28,047 Don't try and talk. 804 00:40:28,589 --> 00:40:30,383 Your windpipe was perforated. 805 00:40:30,466 --> 00:40:32,802 Dr. Burke repaired it, and you should be fine. 806 00:40:38,015 --> 00:40:41,102 We'll keep you here at least ten days for observation 807 00:40:41,185 --> 00:40:42,478 and make sure there's no infection. 808 00:40:44,355 --> 00:40:46,732 [police radio chattering] 809 00:40:49,569 --> 00:40:52,196 Maybe just to be on the safe side, we'll make it two weeks. 810 00:40:55,992 --> 00:40:57,618 [Meredith] No man is an island, 811 00:40:58,035 --> 00:40:59,871 entire unto himself. 812 00:41:11,299 --> 00:41:12,133 That's him. 813 00:41:12,508 --> 00:41:14,177 Yeah. That's him. 814 00:41:23,728 --> 00:41:24,854 I'm lonely, Derek. 815 00:41:29,609 --> 00:41:32,153 [Meredith] Boil down that island talk, and he just meant 816 00:41:32,236 --> 00:41:35,198 that all anyone needs is someone to step in... 817 00:42:03,226 --> 00:42:05,353 [Meredith] And let us know we're not alone. 818 00:42:09,565 --> 00:42:11,067 [barking] 819 00:42:11,359 --> 00:42:13,486 Here, boy. Good boy, doc. 820 00:42:14,403 --> 00:42:18,407 [Meredith] And who's to say that someone can't have four legs? 821 00:42:20,493 --> 00:42:23,037 Someone to play with or run around with... 822 00:42:27,291 --> 00:42:29,460 - [dog barking] - [both laughing] 823 00:42:31,545 --> 00:42:33,214 [Meredith] Or just hang out.