1 00:00:01,002 --> 00:00:02,212 [Alex] Previously on Grey's Anatomy... 2 00:00:02,462 --> 00:00:05,090 I'm really good in bed. Mind-blowingly good in bed. 3 00:00:05,215 --> 00:00:07,133 [Izzie] Then he sleeps with Olivia instead of me. 4 00:00:07,300 --> 00:00:11,054 I'm having a baby, too. Yes, I am, a little boy. 5 00:00:11,221 --> 00:00:13,681 - You lied to me. - You'll be a better doctor for it. 6 00:00:13,890 --> 00:00:15,058 I'm lonely, Derek. 7 00:00:16,184 --> 00:00:17,018 I can't. 8 00:00:17,102 --> 00:00:20,730 When Derek broke up with you, I was there. All I ever am is there for you guys, 9 00:00:20,814 --> 00:00:21,981 and the one time I need you... 10 00:00:22,315 --> 00:00:25,485 - [Meredith] Are you OK? - I failed the medical boards. 11 00:00:25,568 --> 00:00:27,320 Karev, it's over, it's done. You screwed up. 12 00:00:27,404 --> 00:00:29,447 If I take the exam for a second time, and I don't pass... 13 00:00:29,531 --> 00:00:32,492 [Richard] You will no longer be a surgical resident at Seattle grace. 14 00:00:33,743 --> 00:00:35,537 [dog barking] 15 00:00:38,581 --> 00:00:40,667 [Meredith] It's an urban myth that suicide rates 16 00:00:40,792 --> 00:00:42,252 spike at the holidays. 17 00:00:43,795 --> 00:00:46,339 Turns out, they actually go down. 18 00:00:46,673 --> 00:00:49,008 [Nat king Cole] ♪ Chestnuts roasting ♪ 19 00:00:49,175 --> 00:00:52,220 ♪ On an open fire ♪ 20 00:00:53,680 --> 00:00:56,015 [Meredith] Experts think it's because people 21 00:00:56,141 --> 00:00:59,602 are less inclined to off themselves when surrounded by family. 22 00:01:00,895 --> 00:01:02,772 ♪ Yuletide carols ♪ 23 00:01:03,064 --> 00:01:04,816 Looks like Santa threw up in here. 24 00:01:04,983 --> 00:01:08,820 Just... go with it. We're being supportive. 25 00:01:09,279 --> 00:01:10,321 Oh, hey! 26 00:01:11,072 --> 00:01:14,200 What do you think? Did I go too overboard? 27 00:01:14,826 --> 00:01:17,245 Oh, I know. I know sometimes I can go a little overboard. 28 00:01:17,328 --> 00:01:18,621 - No, it's great. - No, we love it. 29 00:01:18,830 --> 00:01:21,666 Oh, yay! I love Christmas. 30 00:01:21,791 --> 00:01:22,834 - We know. - Clearly. 31 00:01:23,126 --> 00:01:26,337 [Meredith] Ironically, that same family togetherness 32 00:01:26,546 --> 00:01:28,631 is thought to be the reason that depression rates 33 00:01:28,840 --> 00:01:31,217 actually do spike at the holidays. 34 00:01:31,467 --> 00:01:33,303 ♪ With their eyes all aglow ♪ 35 00:01:33,469 --> 00:01:35,388 Yeah, OK, Izzie doesn't count. 36 00:01:35,555 --> 00:01:39,559 ♪ Merry Christmas to you ♪ 37 00:01:46,941 --> 00:01:50,612 Oh, I thought you might like to help me decorate it tonight, 38 00:01:51,946 --> 00:01:53,531 to mark our first Christmas together. 39 00:01:54,991 --> 00:01:55,825 I'm Jewish. 40 00:01:59,662 --> 00:02:00,747 Seriously? 41 00:02:01,498 --> 00:02:03,458 My stepfather... Saul Rubenstein? 42 00:02:04,167 --> 00:02:05,877 Oh. Right. 43 00:02:07,587 --> 00:02:08,421 Right. 44 00:02:11,758 --> 00:02:12,592 Right. 45 00:02:15,637 --> 00:02:17,096 [telephone rings] 46 00:02:17,472 --> 00:02:18,515 Look at her belly. 47 00:02:18,806 --> 00:02:20,808 She's almost as wide as she is tall. 48 00:02:20,892 --> 00:02:23,686 Are her ankles swollen? Is that why she's waddling? 49 00:02:24,103 --> 00:02:25,688 What's gonna happen to us when she goes on leave? 50 00:02:25,772 --> 00:02:27,065 [Cristina] Leave? She's going on leave? 51 00:02:27,148 --> 00:02:28,149 What do you think happens 52 00:02:28,233 --> 00:02:30,360 When people push babies out of their vaginas? 53 00:02:30,443 --> 00:02:31,986 Do you think we're gonna get a new resident? 54 00:02:32,111 --> 00:02:34,697 Na, they'll probably just let us all wander around unattended 55 00:02:34,781 --> 00:02:36,074 to see how much damage we can do. 56 00:02:36,241 --> 00:02:37,534 Yeah, well, you would know. 57 00:02:38,451 --> 00:02:40,453 Hey, you guys, we should all get together 58 00:02:40,537 --> 00:02:42,747 and get Bailey a Christmas gift for the baby. 59 00:02:42,830 --> 00:02:44,832 Or we could organize some sort of secret Santa thing. 60 00:02:45,083 --> 00:02:46,876 - Listen, tiny Tim, - You can take your... sounds great. 61 00:02:46,960 --> 00:02:49,963 - Secret Santa sounds great, Izzie. - OK. 62 00:02:52,131 --> 00:02:53,341 We're being supportive. 63 00:02:56,844 --> 00:02:57,887 Hey. 64 00:02:58,930 --> 00:03:01,057 Hey. You OK? You seem... 65 00:03:01,182 --> 00:03:03,851 Yeah. You know... 66 00:03:05,228 --> 00:03:06,145 Holidays. 67 00:03:06,688 --> 00:03:08,856 Oh. Yeah. 68 00:03:09,857 --> 00:03:10,942 I do know. 69 00:03:15,655 --> 00:03:17,156 [singing] 70 00:03:17,282 --> 00:03:20,660 Tim Epstein, 38, fell off the roof of his house. 71 00:03:20,743 --> 00:03:22,787 I was stringing hannumas lights, 72 00:03:22,870 --> 00:03:24,247 and a shingle came loose. 73 00:03:24,622 --> 00:03:25,581 Hannumas? 74 00:03:25,790 --> 00:03:28,751 Hannumas, Chrismukkah. We go all out. 75 00:03:28,835 --> 00:03:29,794 Awesome. 76 00:03:29,877 --> 00:03:30,878 He fell 12 feet. 77 00:03:31,921 --> 00:03:34,215 The good news is, my head broke my fall. 78 00:03:35,049 --> 00:03:37,385 Uh, there are no visible deformities, 79 00:03:37,468 --> 00:03:40,096 but he's definitely having some focal left arm weakness. 80 00:03:40,471 --> 00:03:42,807 He'll probably be fine. He's always been a little hardheaded. 81 00:03:44,934 --> 00:03:46,477 Does your head hurt when you laugh? 82 00:03:46,561 --> 00:03:48,187 Is that a bad thing? 83 00:03:48,563 --> 00:03:51,858 Follow my finger with your eyes, please. 84 00:03:52,609 --> 00:03:53,776 I know karate. 85 00:03:55,653 --> 00:03:56,738 Uh... 86 00:03:57,780 --> 00:04:00,241 You know what? Your husband might need a little quiet, 87 00:04:00,366 --> 00:04:01,951 so there's a cafeteria right down... 88 00:04:02,035 --> 00:04:03,745 No, no, let 'em stay. 89 00:04:03,828 --> 00:04:07,582 Pain or no, I don't wanna miss out on the holidays with my kids. 90 00:04:08,458 --> 00:04:12,170 Who'd like to take Mr. Epstein down for a C.T.? 91 00:04:12,545 --> 00:04:13,588 Stevens it is. 92 00:04:15,340 --> 00:04:16,424 [woman] Should we have a dog? 93 00:04:17,091 --> 00:04:19,510 - No dog. - Come on, get a dog. 94 00:04:19,636 --> 00:04:22,180 [George] Nadia Shelton, 41, scheduled for excision 95 00:04:22,263 --> 00:04:24,807 - of her gastric ulcer. - Lot of good it's done us. 96 00:04:24,891 --> 00:04:26,559 She's been scheduled for three days. 97 00:04:26,684 --> 00:04:28,019 Mom, it's not his fault. 98 00:04:28,102 --> 00:04:30,104 Every day she gets rescheduled for some emergency. 99 00:04:30,396 --> 00:04:31,981 We're very, very sorry for the inconvenience. 100 00:04:32,273 --> 00:04:33,358 Inconvenience? 101 00:04:33,983 --> 00:04:35,777 You watch your child spend three days in pain, 102 00:04:35,902 --> 00:04:37,945 and then come and talk to me about inconvenience. 103 00:04:38,112 --> 00:04:40,615 We get a lot of trauma cases at the holidays. 104 00:04:40,698 --> 00:04:42,784 Your daughter's ulcer is serious, but it's non-emergent. 105 00:04:42,867 --> 00:04:45,912 - Is that the news? - Are you saying my wife's not important? 106 00:04:46,120 --> 00:04:47,538 Is that what he's saying? Is that what I'm hearing? 107 00:04:47,622 --> 00:04:48,915 [woman] when are you taking her in? 108 00:04:48,998 --> 00:04:50,041 Grandpa, it's not the remote. 109 00:04:50,124 --> 00:04:52,669 We have reservations to eat at the top of the space needle. 110 00:04:52,919 --> 00:04:54,253 We've had them for months. 111 00:04:54,337 --> 00:04:56,714 All right! Dr. O'Malley, prep Mrs. Shelton 112 00:04:56,839 --> 00:04:59,300 for her ulcer excision, which will happen this morning. 113 00:04:59,384 --> 00:05:00,301 Thank you! 114 00:05:00,468 --> 00:05:03,096 [all speaking over each other] 115 00:05:03,304 --> 00:05:05,640 ♪ We're gonna go to the needle, oh ♪ 116 00:05:05,807 --> 00:05:07,475 Grey, Karev, cover the pit. 117 00:05:07,809 --> 00:05:10,103 You can expect all sorts of holiday idiocy, 118 00:05:10,186 --> 00:05:12,063 so that is my gift to you. 119 00:05:12,605 --> 00:05:13,439 Yang... 120 00:05:13,523 --> 00:05:15,983 Dr. Bailey, U.N.O.S. Just called. 121 00:05:16,275 --> 00:05:17,902 They have a donor heart for a patient of mine. 122 00:05:17,985 --> 00:05:18,986 Heart surgery. I'm free. I'm totally free, right? 123 00:05:19,070 --> 00:05:19,904 I can do this. 124 00:05:19,987 --> 00:05:20,822 - I'm free. - I'm available. 125 00:05:20,905 --> 00:05:22,740 No, you're not. You're covering the pit. 126 00:05:22,824 --> 00:05:24,409 - Yang, it's yours. - Thank you. 127 00:05:24,867 --> 00:05:25,785 Pit! 128 00:05:27,286 --> 00:05:28,955 Damn! Heart transplant. 129 00:05:29,205 --> 00:05:31,374 - Would've liked to have seen that. - There's always tomorrow. 130 00:05:31,457 --> 00:05:33,000 - Yeah, maybe for you. - Meaning? 131 00:05:33,334 --> 00:05:36,129 I retake the boards tomorrow. I'm pretty sure I'm gonna fail, 132 00:05:36,295 --> 00:05:38,631 which makes today my last day here, 133 00:05:38,756 --> 00:05:40,925 and I get to spend it doing stitches in the pit. 134 00:05:45,721 --> 00:05:47,849 So when does Hanukkah fall this year? 135 00:05:48,015 --> 00:05:49,308 Uh, no idea. 136 00:05:50,768 --> 00:05:54,272 Oh. Well, if there are any more traditions you want me to be aware of... 137 00:05:54,355 --> 00:05:55,356 Oh, no, Burke, seriously, 138 00:05:55,523 --> 00:05:59,277 I haven't observed religious holidays since I was old enough to know better. 139 00:06:05,241 --> 00:06:06,617 [woman] "Run as fast as you can. 140 00:06:07,160 --> 00:06:09,078 - "You can catch..." - Good morning, Justin. 141 00:06:09,162 --> 00:06:09,996 Marion. 142 00:06:10,079 --> 00:06:11,747 - Good morning. - Hi, Dr. Burke. 143 00:06:12,206 --> 00:06:14,333 I'm here with good news, great news. 144 00:06:15,751 --> 00:06:17,336 - You don't mean that... - U.N.O.S. called. 145 00:06:17,420 --> 00:06:18,504 We have a heart. 146 00:06:18,796 --> 00:06:20,006 [laughing] 147 00:06:20,381 --> 00:06:21,883 Now I'll operate this morning. 148 00:06:21,966 --> 00:06:23,259 You hear that, baby? 149 00:06:23,509 --> 00:06:25,887 Santa Claus is bringing you a new heart for Christmas. 150 00:06:27,138 --> 00:06:29,348 Tell the fat-ass to give it to someone else. 151 00:06:30,099 --> 00:06:30,975 I don't want it. 152 00:06:32,268 --> 00:06:34,604 ♪ Gonna find out who's naughty or nice ♪ 153 00:06:34,812 --> 00:06:38,774 ♪ Santa Claus is comin' to town ♪ 154 00:06:47,637 --> 00:06:51,182 I'm sorry, Dr. Burke. He's tired today. 155 00:06:51,391 --> 00:06:53,852 I'm tired every day, I hate Christmas every day. 156 00:06:54,436 --> 00:06:56,438 And I'm not having another stupid operation. 157 00:06:56,855 --> 00:06:59,482 Justin, I know surgery can be frightening, 158 00:06:59,858 --> 00:07:02,861 but you need this heart. You've worn out your last one. 159 00:07:02,944 --> 00:07:04,029 His last one? 160 00:07:04,487 --> 00:07:06,531 Justin had a heart transplant as a baby, 161 00:07:07,115 --> 00:07:09,159 but his heart hasn't aged as well as he has. 162 00:07:09,743 --> 00:07:10,994 You understand that, Justin? 163 00:07:11,077 --> 00:07:12,871 Your heart just can't keep up with you anymore. 164 00:07:12,954 --> 00:07:13,788 You need a new one. 165 00:07:14,831 --> 00:07:17,083 I don't care. I don't want it. 166 00:07:17,876 --> 00:07:19,169 Can you tell me why not? 167 00:07:24,466 --> 00:07:27,719 [woman over P.A.] Dr. Kenwood, 471. Dr. Kenwood, 471. 168 00:07:27,886 --> 00:07:31,014 Anxiety attacks, aneurysms and ulcers. 169 00:07:31,097 --> 00:07:32,474 Must be December. 170 00:07:32,557 --> 00:07:34,559 - Chief, Adele just called. - Tell her I'm in... 171 00:07:34,643 --> 00:07:38,063 She knows you're not in surgery, and she said to tell you, quote, 172 00:07:38,396 --> 00:07:41,274 "We are going to our niece's school pageant this morning. 173 00:07:41,358 --> 00:07:43,026 You have known about it for months, 174 00:07:43,109 --> 00:07:45,195 and after what you pulled on thanksgiving..." 175 00:07:45,320 --> 00:07:47,364 And then she started using a great many words 176 00:07:47,447 --> 00:07:51,117 - that I don't feel comfortable repeating. - Look, I have seven surgeons on vacation. 177 00:07:51,201 --> 00:07:53,203 And there was something about divorce. 178 00:07:57,958 --> 00:08:00,043 You'll have to cover my ulcer excision. 179 00:08:00,293 --> 00:08:01,169 Yes, sir. 180 00:08:01,878 --> 00:08:03,505 [Richard] The woman is unreasonable. 181 00:08:03,672 --> 00:08:07,342 When did watching a 6-year-old dressed up like a wise man become... 182 00:08:09,552 --> 00:08:11,763 [paramedic] Male, 44, had a gastric bypass. 183 00:08:11,846 --> 00:08:12,973 Three weeks post-op. 184 00:08:13,056 --> 00:08:14,599 Reported extreme pain when we found him. 185 00:08:14,683 --> 00:08:17,560 - Said something about fruitcake. - He must have torn his abdomen wide open. 186 00:08:17,852 --> 00:08:19,479 You're gonna have to fight me for this one. 187 00:08:19,562 --> 00:08:21,398 He's all yours. My parting gift. 188 00:08:24,693 --> 00:08:27,946 OK, for your mom, I got a lambswool blanket, 189 00:08:28,029 --> 00:08:30,615 handmade in Edinburgh. It's soft, comfortable. 190 00:08:30,699 --> 00:08:32,575 It says, "don't hate me for hurting your son," 191 00:08:32,701 --> 00:08:33,535 except with fabric. 192 00:08:33,618 --> 00:08:34,953 Addie, you know my mom loves you. 193 00:08:35,036 --> 00:08:36,162 No, she used to love me. 194 00:08:36,246 --> 00:08:37,747 I've got a lot of ground to make up for with these gifts. 195 00:08:37,831 --> 00:08:39,499 So what do you think... plain or plaid or both? 196 00:08:39,582 --> 00:08:41,251 I don't know. Whatever, you know? 197 00:08:42,043 --> 00:08:43,712 I thought you love Christmas shopping. 198 00:08:43,795 --> 00:08:45,630 I'm just really not in the mood for it right now, OK? 199 00:08:45,714 --> 00:08:47,215 OK, well, how about French food 200 00:08:47,299 --> 00:08:49,301 and Scottish catalogs tonight, around 9? 201 00:08:49,467 --> 00:08:51,344 Um, well, I guess that depends. 202 00:08:51,678 --> 00:08:52,971 - What time do we get outta here? - Dr. Shepherd? 203 00:08:53,054 --> 00:08:53,888 Yeah. 204 00:08:53,972 --> 00:08:55,598 [Izzie] I have Tim Epstein's C.T. scans back. 205 00:08:55,682 --> 00:08:56,599 Ah, good. 206 00:08:57,976 --> 00:08:58,810 What do you think? 207 00:08:58,977 --> 00:09:00,228 [Izzie] It's not great. 208 00:09:00,937 --> 00:09:03,064 [Derek] Oh, that's not good at all. 209 00:09:03,148 --> 00:09:05,525 Honey, what do you think of this scooter? 210 00:09:05,692 --> 00:09:07,694 Excuse me, I need to take her blood pressure. 211 00:09:07,777 --> 00:09:11,072 [all shouting over each other] 212 00:09:12,782 --> 00:09:14,701 Do you have any questions about the surgery? 213 00:09:14,951 --> 00:09:16,578 Apart from when you're actually gonna do it? 214 00:09:17,662 --> 00:09:18,997 - We're doing it now. - Good. 215 00:09:19,122 --> 00:09:21,082 - I'm sorry. - Don't apologize. 216 00:09:22,208 --> 00:09:23,335 Any questions? 217 00:09:23,543 --> 00:09:24,502 No. 218 00:09:24,627 --> 00:09:27,172 I've had three bleeding ulcers in the last five years. 219 00:09:28,381 --> 00:09:30,508 Yeah. I hope you read the chart. 220 00:09:31,801 --> 00:09:32,886 - Yes. - Good. 221 00:09:40,185 --> 00:09:42,729 Dr. Bailey, a gastric perforation just came in. 222 00:09:42,812 --> 00:09:45,023 Damn. Uh, all right. 223 00:09:45,106 --> 00:09:48,068 - Take Mrs. Shelton back to her room. - Seriously? 224 00:09:48,193 --> 00:09:49,486 Do I look like I'm kidding? 225 00:09:49,569 --> 00:09:51,154 Tell her we'll get to her this afternoon. 226 00:09:51,237 --> 00:09:54,157 Grey, call the E.R. Tell them to send him up, and then scrub in. 227 00:09:57,410 --> 00:10:01,664 Alex Karev, um, failed his boards, and he's retaking them tomorrow. 228 00:10:01,748 --> 00:10:05,335 He can't study for a practical by himself. If he fails again, he's out. 229 00:10:06,294 --> 00:10:07,337 OK, go. 230 00:10:08,296 --> 00:10:09,172 O'Malley. 231 00:10:09,297 --> 00:10:10,131 Yeah? 232 00:10:10,215 --> 00:10:12,300 After you drop her off, get back here and scrub in. 233 00:10:12,634 --> 00:10:13,468 All right. 234 00:10:14,052 --> 00:10:15,387 - OK. - [woman] OK, Justin... 235 00:10:15,470 --> 00:10:16,304 I told you, 236 00:10:16,388 --> 00:10:18,139 I don't want the heart. Why are you doing this? 237 00:10:18,306 --> 00:10:22,811 'Cause you need it, and until you're 18, your mother calls all the shots. 238 00:10:23,144 --> 00:10:26,648 My mother's a liar. You heard her. She said the heart came from Santa Claus. 239 00:10:26,773 --> 00:10:28,441 She shouldn't get to decide anything. 240 00:10:28,858 --> 00:10:32,070 Yeah, well, you could make a run for it, 241 00:10:32,278 --> 00:10:34,531 but the heart you have won't get you very far. 242 00:10:35,115 --> 00:10:36,491 - Are we ready? - Just about. 243 00:10:39,119 --> 00:10:41,371 - How about you, buddy? - Are you ready? 244 00:10:42,122 --> 00:10:45,959 If I die in the surgery, can you give this heart to some other kid? 245 00:10:46,459 --> 00:10:49,254 Not gonna happen, Justin, not on my watch. 246 00:10:51,339 --> 00:10:52,507 Here we go. 247 00:10:55,343 --> 00:10:58,471 - And it was only one day of oil. - And then what happened? 248 00:10:58,596 --> 00:11:02,142 - It lasted eight whole days and nights. - And it was a miracle. 249 00:11:02,225 --> 00:11:03,977 I wanted to say that part. 250 00:11:04,060 --> 00:11:05,603 [Izzie] Mr. Epstein, I'm sorry to interrupt. 251 00:11:05,687 --> 00:11:06,896 You remember Dr. Shepherd? 252 00:11:07,856 --> 00:11:09,524 [Derek] Um, should we talk more privately? 253 00:11:10,233 --> 00:11:13,069 No, just tell us. Is it bad? 254 00:11:13,153 --> 00:11:15,071 The fall has caused a subdural hematoma. 255 00:11:15,280 --> 00:11:17,073 I don't even know what that means. 256 00:11:17,282 --> 00:11:20,201 That means your dad... his brain is bleeding. 257 00:11:21,411 --> 00:11:22,287 Great. 258 00:11:23,371 --> 00:11:25,039 Look, there are some risks to this surgery. 259 00:11:25,165 --> 00:11:27,709 It has to happen before the bleeding gets worse. 260 00:11:27,876 --> 00:11:29,419 What kind of risks? 261 00:11:29,586 --> 00:11:31,379 See, the bleed is, uh, in an area of the brain 262 00:11:31,462 --> 00:11:34,716 that controls the speech and the motor control. 263 00:11:34,966 --> 00:11:37,260 We don't need an operation, OK? 264 00:11:37,552 --> 00:11:39,429 [Tim] you know, Jake, I think we do. 265 00:11:39,512 --> 00:11:42,348 Hey, honey, you know something else? 266 00:11:42,432 --> 00:11:43,266 What? 267 00:11:43,808 --> 00:11:46,519 We have a doctor named Shepherd. 268 00:11:47,270 --> 00:11:50,565 Shepherd. Is that a sign from God or what? 269 00:11:59,449 --> 00:12:00,366 Look at that. 270 00:12:02,994 --> 00:12:03,953 Beautiful fit. 271 00:12:04,787 --> 00:12:06,998 Now all we have to do is figure out why he's so angry. 272 00:12:07,081 --> 00:12:08,917 If I had that mother, I'd be angry, too. 273 00:12:09,626 --> 00:12:11,336 Actually, I do have that mother. 274 00:12:12,295 --> 00:12:14,005 Well, his mother is not the problem here. 275 00:12:14,589 --> 00:12:15,965 She loves him. She never leaves. 276 00:12:16,174 --> 00:12:18,927 She also never listens. She doesn't know him. 277 00:12:19,010 --> 00:12:20,470 [Preston] Justin is depressed. You heard him. 278 00:12:21,137 --> 00:12:22,222 He doesn't wanna live. 279 00:12:22,972 --> 00:12:25,183 I just hope he changes his mind before it's too late. 280 00:12:25,850 --> 00:12:27,018 Wait, what do you mean, too late? 281 00:12:27,685 --> 00:12:29,938 With all medical realities being equal, 282 00:12:30,563 --> 00:12:33,650 why does one patient live and another dies? 283 00:12:35,735 --> 00:12:37,695 I believe there's a mind/body/spirit connection. 284 00:12:39,322 --> 00:12:41,115 And if Justin really doesn't want this heart, 285 00:12:41,991 --> 00:12:43,701 his body will reject it. 286 00:12:44,535 --> 00:12:46,871 OK, let me get this straight. 287 00:12:47,497 --> 00:12:49,540 You don't just celebrate Christmas... 288 00:12:49,666 --> 00:12:51,584 You actually believe in Santa Claus? 289 00:12:58,049 --> 00:13:02,512 Dr. Yang, go and schedule a psychiatric consult for our patient. 290 00:13:02,679 --> 00:13:03,930 We're... we're not done here. 291 00:13:04,013 --> 00:13:04,889 You are. 292 00:13:18,540 --> 00:13:21,877 [Meredith] I don't know. It hurts here and here and back here. 293 00:13:22,461 --> 00:13:24,546 [Alex] Any chance you got hit by a truck and forgot about it? 294 00:13:25,255 --> 00:13:28,008 You're judged on bedside manner, Alex. I wouldn't be surprised 295 00:13:28,133 --> 00:13:29,551 if that's why you failed the last time. 296 00:13:29,635 --> 00:13:31,178 Could you be any more patronizing? 297 00:13:31,261 --> 00:13:34,932 - I didn't ask for your help. - Enough with the ego, you big baby. 298 00:13:35,057 --> 00:13:36,600 I gave up a surgery for this. 299 00:13:36,767 --> 00:13:39,019 Now like I said, 300 00:13:39,436 --> 00:13:41,939 it hurts here and here and back here. 301 00:13:42,106 --> 00:13:43,565 Oh, and this morning, 302 00:13:43,816 --> 00:13:46,026 I noticed my poop was a funny grayish color. 303 00:13:47,361 --> 00:13:49,488 [George] Wow. That's all you can save of his stomach? 304 00:13:49,571 --> 00:13:52,491 Yep. If eating is what this man lives for, 305 00:13:52,699 --> 00:13:54,535 we should put him out of his misery. 306 00:13:54,701 --> 00:13:56,120 Paging Dr. Karevian. [laughter] 307 00:13:56,912 --> 00:13:58,205 What did you just say? 308 00:13:58,997 --> 00:14:00,624 Just... It's a joke. 309 00:14:01,208 --> 00:14:04,420 Kevorkian, Karevian? Alex Karev? 310 00:14:04,586 --> 00:14:07,089 I get the joke. I just don't think it's funny. 311 00:14:08,173 --> 00:14:09,425 You see this, O'Malley? 312 00:14:09,633 --> 00:14:13,220 I make one mistake with this scalpel, and this man's dead. 313 00:14:13,512 --> 00:14:16,598 My husband... he makes mistakes at his job all the time. 314 00:14:16,682 --> 00:14:18,392 As far as I know, he's never killed anyone, 315 00:14:18,475 --> 00:14:22,062 but I have, and you will, and Alex did. 316 00:14:23,313 --> 00:14:26,191 He made a math mistake, and a man died for it. 317 00:14:26,984 --> 00:14:28,527 You run that past your accountant, 318 00:14:28,694 --> 00:14:31,238 see how he'd feel if every mistake he made, 319 00:14:31,321 --> 00:14:32,322 someone ended up dead. 320 00:14:34,700 --> 00:14:36,452 But you don't have to like Alex. 321 00:14:36,577 --> 00:14:39,997 You don't have to care about him. But you damn well have to be on his side. 322 00:14:43,375 --> 00:14:44,334 Hold that. 323 00:14:44,835 --> 00:14:46,253 [whirring] 324 00:14:46,336 --> 00:14:49,548 [Izzie] What a great family. Hannumas. Chrismukkah. 325 00:14:49,882 --> 00:14:51,341 And how cute are those kids? 326 00:14:51,592 --> 00:14:54,136 Really, Dr. Stevens? Chrismukkah? 327 00:14:56,805 --> 00:14:58,265 I think it's sweet. 328 00:15:00,434 --> 00:15:01,643 Do you happen to know what time of year 329 00:15:01,727 --> 00:15:03,395 Neurosurgeons are the busiest, Dr. Stevens? 330 00:15:03,604 --> 00:15:07,065 - No, there's a time of year? - Well, there's no hard or fast rule, 331 00:15:07,483 --> 00:15:10,068 but brain injuries tend to pile up around the holidays. 332 00:15:10,319 --> 00:15:11,445 Like our friend here. 333 00:15:12,738 --> 00:15:15,073 Folks fall off their roofs while they string up lights, 334 00:15:15,783 --> 00:15:17,618 or they go skating for the first time in a decade 335 00:15:18,118 --> 00:15:19,161 and break their heads open. 336 00:15:19,453 --> 00:15:22,372 And every year, people drive through blizzards 337 00:15:22,456 --> 00:15:25,334 to get to parties where they kiss germ-infected strangers 338 00:15:25,417 --> 00:15:26,960 under poisonous mistletoe, 339 00:15:27,252 --> 00:15:29,838 and then they get so drunk that they smash their heads 340 00:15:29,922 --> 00:15:31,632 through their windshield on their way home. 341 00:15:32,508 --> 00:15:33,425 Like I said, 342 00:15:34,092 --> 00:15:35,803 there's no hard or fast rule. 343 00:15:38,013 --> 00:15:39,056 Does this hurt, Mrs. Grey? 344 00:15:39,139 --> 00:15:40,098 [Meredith] Yes, doctor. 345 00:15:41,183 --> 00:15:43,018 How about here? Does it hurt here? 346 00:15:43,101 --> 00:15:44,353 Yes, it does. 347 00:15:44,978 --> 00:15:48,607 OK, seriously, if you're that lonely, there are excellent vibrators. 348 00:15:48,690 --> 00:15:49,525 I can give you a catalog. 349 00:15:49,608 --> 00:15:51,401 He failed his boards. I'm helping him study. 350 00:15:51,568 --> 00:15:52,569 You failed your practical? 351 00:15:52,736 --> 00:15:53,904 Glad to know you keep a secret, Grey. 352 00:15:53,987 --> 00:15:56,156 I kept your secret. It didn't do you any good. 353 00:15:56,240 --> 00:15:58,158 - He needs our help. - Oh, you're not serious. 354 00:15:58,492 --> 00:15:59,993 - What if that were you? - [pager beeps] 355 00:16:00,077 --> 00:16:01,537 It wouldn't be. Well, what if it were? 356 00:16:02,037 --> 00:16:04,289 - It wouldn't be. - I have to go. 357 00:16:04,456 --> 00:16:06,959 - Be a patient. Do it for me. - Fine, but when tiny Tim 358 00:16:07,042 --> 00:16:08,961 goes all Norman bates on us, I'm blaming you. 359 00:16:09,127 --> 00:16:10,587 - Diagnosis? - Gallstones. 360 00:16:10,754 --> 00:16:11,588 Yes. 361 00:16:14,299 --> 00:16:18,053 [sighs] I'm a 55-year-old man. I'm nauseous and I can't stop throwing up. 362 00:16:18,303 --> 00:16:20,138 Forget it, all right? I didn't ask for anybody's help. 363 00:16:20,222 --> 00:16:22,349 OK, evil spawn, you can nurse your pride, 364 00:16:22,724 --> 00:16:25,561 like you were being a nurse, or you can pass your test 365 00:16:25,727 --> 00:16:27,396 and be a doctor. Up to you. 366 00:16:32,067 --> 00:16:33,151 Any abdominal pain? 367 00:16:33,902 --> 00:16:36,655 Yes, from my giant, fat belly all the way to my back. 368 00:16:36,989 --> 00:16:39,283 Oh, and I'm drunk. Hiccup, hiccup. 369 00:16:39,741 --> 00:16:41,034 I got another one for you. 370 00:16:43,078 --> 00:16:46,039 He tried to gift wrap a 70-inch TV for his wife? 371 00:16:46,331 --> 00:16:47,249 Hernia? 372 00:16:47,332 --> 00:16:48,876 Strangulated. Pretty ugly. 373 00:16:49,001 --> 00:16:50,878 Well, you just know the wife hates TV. 374 00:16:51,336 --> 00:16:53,714 - Grey, is that other project covered? - I think so. 375 00:16:53,922 --> 00:16:54,965 Then scrub in. 376 00:16:55,257 --> 00:16:59,511 O'Malley, go tell Nadia Shelton she's off the schedule till tomorrow. 377 00:17:01,179 --> 00:17:03,891 - Till tomorrow? - Another day's not gonna kill me, Jimmy. 378 00:17:03,974 --> 00:17:06,476 - I promise tomorrow for sure. - Today was for sure. 379 00:17:06,602 --> 00:17:07,603 What's he saying? 380 00:17:07,769 --> 00:17:10,689 He's saying they can't operate till tomorrow! 381 00:17:10,814 --> 00:17:11,690 Outrageous! 382 00:17:11,940 --> 00:17:14,151 - [woman] I cannot believe this! - Ow. 383 00:17:14,318 --> 00:17:16,361 Can you please... could you please turn that down? 384 00:17:16,445 --> 00:17:18,906 - Your mother needs to rest. - Who are you, my dad? 385 00:17:19,072 --> 00:17:22,075 - Sir, could you please tell your son... - Don't talk to me about my son. 386 00:17:22,159 --> 00:17:23,952 Who the hell do you think you are? 387 00:17:24,036 --> 00:17:27,289 I'm really sorry. I think that your wife should rest. 388 00:17:27,372 --> 00:17:28,206 I'm listening here! 389 00:17:28,290 --> 00:17:29,541 I can't go Christmas shopping with my daughter. 390 00:17:30,584 --> 00:17:32,169 You people have ruined everything. 391 00:17:33,211 --> 00:17:34,296 I hope you're happy. 392 00:17:34,755 --> 00:17:37,591 - [sobbing] - I'm very sorry. 393 00:17:37,758 --> 00:17:39,009 Yeah. Yeah. 394 00:17:39,092 --> 00:17:42,679 "I'm very sorry." That cuts it here, Doc. Thanks a lot. 395 00:17:42,763 --> 00:17:44,640 [sobbing loudly] 396 00:17:46,767 --> 00:17:49,645 Yeah, OK, you're really grabbing me now. That's assault. 397 00:17:50,145 --> 00:17:52,064 This... 398 00:17:52,439 --> 00:17:55,025 is an exam pat. 399 00:17:55,567 --> 00:17:56,401 What... 400 00:17:56,568 --> 00:17:58,695 What the hell? Does Izzie know? 401 00:17:58,779 --> 00:18:00,113 Does Burke know about this? 402 00:18:00,364 --> 00:18:03,408 Unbunch your panties, George. We're helping Alex study. Do it. 403 00:18:04,576 --> 00:18:07,079 I can't hear you when his hand is on your boob. 404 00:18:07,537 --> 00:18:09,122 Take your hand off my boob, Alex. 405 00:18:10,540 --> 00:18:11,375 Thank you. 406 00:18:12,000 --> 00:18:13,085 Study for what? 407 00:18:13,168 --> 00:18:15,128 - Shut it, Yang. - Alex failed his boards. 408 00:18:15,212 --> 00:18:16,046 Seriously? 409 00:18:16,129 --> 00:18:17,965 I failed one part of one board. That's it. 410 00:18:18,048 --> 00:18:20,133 Still, that's pretty embarrassing. 411 00:18:20,342 --> 00:18:21,635 [pager beeps] 412 00:18:21,927 --> 00:18:24,680 Eh! He's all yours, Georgie. Do your worst. 413 00:18:29,351 --> 00:18:33,021 You're not giving me a rectal. Do not ask me to cough. 414 00:18:33,313 --> 00:18:36,191 [woman over p.a.] Dr. Cohen to radiology. Dr. Cohen to radiology. 415 00:18:36,274 --> 00:18:37,234 You page me? 416 00:18:39,736 --> 00:18:42,030 I didn't see a psych consult scheduled here. 417 00:18:42,114 --> 00:18:42,948 I couldn't get one. 418 00:18:43,031 --> 00:18:45,659 I tried to, but they told me to come back in January. 419 00:18:48,453 --> 00:18:49,746 You disrespected me. 420 00:18:50,288 --> 00:18:53,000 You mocked me in my O.R. That can't happen. 421 00:18:53,083 --> 00:18:54,167 I... 422 00:18:55,293 --> 00:18:56,169 It won't happen again. 423 00:18:56,253 --> 00:18:59,297 You equated my spirituality with a belief in Santa Claus. 424 00:18:59,381 --> 00:19:04,469 Burke, science is the one thing, you know? It's the one thing we have in common. 425 00:19:04,761 --> 00:19:06,179 I'm an intern. You're not. 426 00:19:06,596 --> 00:19:07,889 I'm a slob, and you're not. 427 00:19:09,474 --> 00:19:11,977 I say I wanna keep our relationship private, 428 00:19:12,102 --> 00:19:15,897 and you go and tell the Chief of surgery and you ask me to move in with you, 429 00:19:15,981 --> 00:19:19,401 - and now you're religious. - Spiritual. There's a difference. 430 00:19:19,776 --> 00:19:20,861 Well, not to me. 431 00:19:23,655 --> 00:19:25,073 I don't know what we're doing. 432 00:19:29,536 --> 00:19:31,621 Well, right now we're working. 433 00:19:32,873 --> 00:19:34,499 Page me if he spikes a fever. 434 00:19:34,916 --> 00:19:37,502 Tell Mrs. Davison to hire a private therapist or a priest, 435 00:19:37,586 --> 00:19:39,337 anyone Justin would talk to. 436 00:19:51,433 --> 00:19:52,267 [Izzie] Mrs. Epstein? 437 00:19:52,350 --> 00:19:53,185 Oh. 438 00:19:54,728 --> 00:19:55,604 How is he? 439 00:19:55,687 --> 00:19:57,814 He's gonna be fine. He's still a little groggy, but... 440 00:19:57,898 --> 00:19:59,399 My dad wants to see me now, OK? 441 00:19:59,483 --> 00:20:00,901 - OK. Come on in. - OK. 442 00:20:01,485 --> 00:20:03,570 We have to run, run, run fast. 443 00:20:03,695 --> 00:20:07,574 [whispering] Yeah, let's run, run, run. Let's run and see daddy. It's OK, guys. 444 00:20:07,657 --> 00:20:08,950 Daddy's OK. 445 00:20:10,827 --> 00:20:12,079 Daddy! Daddy! 446 00:20:12,204 --> 00:20:14,206 I could kiss it better, daddy. 447 00:20:14,414 --> 00:20:16,875 Jillian, I have a headache. 448 00:20:17,709 --> 00:20:19,086 - I'll sing for you, daddy. - No. 449 00:20:19,169 --> 00:20:20,879 ♪ Dashing through the snow on a one-horse open sleigh ♪ 450 00:20:20,962 --> 00:20:21,797 No, Leah. 451 00:20:22,506 --> 00:20:26,802 Damn it, Leah, shut up! I can't stand that insipid song! 452 00:20:27,094 --> 00:20:27,928 Tim! 453 00:20:28,136 --> 00:20:32,099 Just get out! Get out! Get the hell out of here, all of you! 454 00:20:33,934 --> 00:20:38,063 You stupid Shepherd! You broke my dad's brain! 455 00:20:50,371 --> 00:20:53,416 How did that happen? I mean, his personality... 456 00:20:53,499 --> 00:20:55,293 you didn't go anywhere near the frontal lobe. 457 00:20:55,376 --> 00:20:56,669 Well, the C.T. might have missed something, 458 00:20:57,754 --> 00:20:59,422 or the personality change could be a reaction 459 00:20:59,547 --> 00:21:01,049 from the anesthesia wearing off. 460 00:21:01,257 --> 00:21:02,175 It could be the pain. 461 00:21:02,258 --> 00:21:04,844 - He was in pain before the surgery. - Watch him for a couple hours. 462 00:21:04,928 --> 00:21:07,472 - If he doesn't improve, get a new C.T. - OK. 463 00:21:09,182 --> 00:21:10,016 Dr. Stevens? 464 00:21:11,434 --> 00:21:14,020 You had his brain open, literally open. 465 00:21:14,103 --> 00:21:16,648 He was laying there unconscious and vulnerable... 466 00:21:17,023 --> 00:21:19,192 And you think I poisoned him with my anti-holiday venom? 467 00:21:19,359 --> 00:21:20,735 Well, you're the one that's always saying 468 00:21:20,818 --> 00:21:22,070 there's a lot about the brain that we don't know. 469 00:21:22,153 --> 00:21:24,322 How do you know that your words didn't speak to him 470 00:21:24,447 --> 00:21:28,284 on some unconscious level? I mean, he trusted you to be his shepherd. 471 00:21:30,912 --> 00:21:33,623 Dr. Stevens, you should be a little embarrassed. 472 00:21:33,831 --> 00:21:35,500 - I am. - Good. 473 00:21:43,675 --> 00:21:45,259 Oh, this is the C.C.U. 474 00:21:45,343 --> 00:21:47,095 There are no trees allowed in the C.C.U. 475 00:21:47,345 --> 00:21:49,889 I know, but it's never really been enforced, so... 476 00:21:50,056 --> 00:21:51,140 How's he doing? 477 00:21:51,599 --> 00:21:54,602 Uh, surgery went smoothly, but it's too soon to tell. 478 00:21:57,146 --> 00:21:58,564 He's really a good boy, you know? 479 00:21:58,773 --> 00:22:02,777 You just met him at a difficult time. He's been down. I don't know why, 480 00:22:03,361 --> 00:22:05,196 But father Michael will be able to talk to him. 481 00:22:07,657 --> 00:22:08,491 No offense, 482 00:22:08,574 --> 00:22:12,120 but your son doesn't seem to be a fan of the holidays. 483 00:22:12,578 --> 00:22:14,122 He doesn't believe in Santa. 484 00:22:15,623 --> 00:22:20,378 Yes, well, a mother's job is to protect her child's innocence, 485 00:22:21,713 --> 00:22:23,923 and this Christmas could be his last time, so... 486 00:22:24,924 --> 00:22:28,928 That's what you said last year and the year before that. 487 00:22:30,596 --> 00:22:32,557 Baby, you're awake! 488 00:22:33,141 --> 00:22:34,475 You look great! 489 00:22:35,435 --> 00:22:39,647 My big, strong boy. Santa brought you back to me. 490 00:22:43,401 --> 00:22:44,277 What are you doing? 491 00:22:44,610 --> 00:22:46,571 Sorry, C.C.U. regulations. 492 00:22:50,408 --> 00:22:51,576 [Meredith] Are we using mesh? 493 00:22:51,659 --> 00:22:53,995 Yes, the conjoined tendon is... 494 00:22:56,247 --> 00:22:57,749 [groaning] 495 00:22:58,583 --> 00:22:59,625 Dr. Bailey? 496 00:23:01,127 --> 00:23:03,629 Just wouldn't want to throw up in the body cavity. 497 00:23:04,088 --> 00:23:05,757 [Meredith] Dr. Bailey, are you all right? 498 00:23:06,215 --> 00:23:07,175 Do you need... 499 00:23:07,383 --> 00:23:09,802 I just... I need a minute, Grey. 500 00:23:10,428 --> 00:23:14,891 Oh, when you operate, the rest of the world goes away... 501 00:23:14,974 --> 00:23:16,893 hunger, thirst, pain. 502 00:23:17,560 --> 00:23:19,479 You don't feel it in the O.R., 503 00:23:20,229 --> 00:23:21,898 But it's not that way 504 00:23:22,857 --> 00:23:25,318 when you're sharing your body with another person. 505 00:23:26,319 --> 00:23:27,236 OK. 506 00:23:29,947 --> 00:23:31,115 [Miranda] Deaver retractor. 507 00:23:31,449 --> 00:23:34,535 [Meredith] Are you sure you don't want me to go find someone to take over for you? 508 00:23:34,619 --> 00:23:37,705 What I want you to find me is a strawberry milkshake, 509 00:23:37,914 --> 00:23:39,040 extra thick. 510 00:23:41,042 --> 00:23:42,126 Seriously? 511 00:23:42,210 --> 00:23:44,962 Yeah, nausea comes with the hunger, Grey. 512 00:23:45,254 --> 00:23:46,088 Go. 513 00:23:48,674 --> 00:23:52,011 My throat... it's, like, wicked sore, yo! 514 00:23:52,094 --> 00:23:55,348 Plus, I got all these sick breakouts, right? 515 00:23:57,141 --> 00:23:58,559 Dude, seriously... 516 00:24:02,438 --> 00:24:04,357 All right, all right, sit down, sit down. 517 00:24:05,900 --> 00:24:08,778 Open up your mouth. I'd like to inspect your tonsils. 518 00:24:12,323 --> 00:24:13,157 Aah! 519 00:24:14,992 --> 00:24:16,494 What's wrong with you? Are you sick? 520 00:24:17,620 --> 00:24:18,454 Fix it. 521 00:24:20,998 --> 00:24:23,125 I failed my practical board exam. 522 00:24:23,209 --> 00:24:24,502 O'Malley's helping me study. 523 00:24:24,961 --> 00:24:27,463 You failed your... you're helping him? 524 00:24:27,547 --> 00:24:29,715 - Just to study, nothing else! - Izzie... 525 00:24:29,799 --> 00:24:32,927 No, you don't get to say my name, and you are unbelievable! 526 00:24:34,637 --> 00:24:36,639 I was doing mono, the whole fever and glands thing. 527 00:24:36,722 --> 00:24:38,933 The acne was just part of the whole teenager thing. 528 00:24:39,016 --> 00:24:40,268 [George] Izzie, would you wait? 529 00:24:40,351 --> 00:24:43,062 I say I like the guy, and you can't stop hating him. 530 00:24:43,187 --> 00:24:45,314 - Izzie, you... - and as soon as he screws me over... 531 00:24:45,398 --> 00:24:46,774 - Izzie... - you're his new best friend. 532 00:24:46,858 --> 00:24:49,068 He failed his boards. This is important. 533 00:24:49,151 --> 00:24:50,695 - He cheated on me! - Busted? 534 00:24:50,778 --> 00:24:52,989 - Yeah, I'm busted. - His exam is tomorrow. 535 00:24:53,072 --> 00:24:56,659 You're in on this, too? He cheated on me, God! 536 00:24:56,826 --> 00:24:59,203 - Told you she'd find out. - Oh, of course you're in on this. 537 00:24:59,287 --> 00:25:00,997 - She let him touch her boobs! - Oh! 538 00:25:01,080 --> 00:25:03,541 He cheated on me with George's skanky syph nurse! 539 00:25:03,624 --> 00:25:06,836 - That is just plain rude! - We know he cheated on you. 540 00:25:07,128 --> 00:25:10,464 That's why we let you turn the living room into Santa's freakin' village. 541 00:25:10,548 --> 00:25:12,383 - What? - [Meredith] We're not big on holidays! 542 00:25:12,508 --> 00:25:15,136 You know that, but we're trying to be supportive, 543 00:25:15,219 --> 00:25:16,596 because you're having a hard time. 544 00:25:16,929 --> 00:25:19,390 But right now, Alex, he's having a harder time. 545 00:25:19,515 --> 00:25:22,518 Why does everybody care what kind of time Alex is having? 546 00:25:22,602 --> 00:25:24,312 Because he's dirty uncle Sal. 547 00:25:25,771 --> 00:25:26,772 - You lost me. - Sorry, what? 548 00:25:27,565 --> 00:25:28,941 He's dirty uncle Sal, 549 00:25:29,150 --> 00:25:31,569 the one who embarrasses everyone at family reunions 550 00:25:31,652 --> 00:25:33,988 and who can't be left alone with the teenage girls, 551 00:25:34,071 --> 00:25:36,115 but you invite him to the picnic anyway. 552 00:25:38,034 --> 00:25:39,076 - I'm still lost. - Sorry, what? 553 00:25:39,410 --> 00:25:41,203 I have a mother who doesn't recognize me. 554 00:25:41,287 --> 00:25:44,999 As far as family goes, this hospital, you guys are it. 555 00:25:45,166 --> 00:25:47,376 So I know you're pissed at Alex, 556 00:25:47,585 --> 00:25:49,879 but maybe you could try to help him anyway. 557 00:25:49,962 --> 00:25:54,008 Sort of like in the spirit of this holiday you keep shoving down everybody's throats. 558 00:25:57,678 --> 00:25:58,512 You... 559 00:25:59,347 --> 00:26:00,181 What? 560 00:26:00,598 --> 00:26:01,599 [Cristina] Boob? 561 00:26:02,892 --> 00:26:04,644 [pager beeps] 562 00:26:05,353 --> 00:26:07,104 Somebody get in here! Doctor! 563 00:26:07,188 --> 00:26:08,481 Get in here now! 564 00:26:08,564 --> 00:26:10,983 - Get in here! - Where is he? Do something! 565 00:26:12,068 --> 00:26:13,486 Nasty! Aah! 566 00:26:13,778 --> 00:26:16,489 - Do something, doctor! - I'm taking you to surgery. Prep her now. 567 00:26:22,662 --> 00:26:23,829 It's about time. 568 00:26:23,913 --> 00:26:25,456 Sorry. I got sidetracked. 569 00:26:26,165 --> 00:26:29,418 Nadia Shelton's ulcer perforated. She's vomiting blood by the pint. 570 00:26:31,504 --> 00:26:32,463 Is the chief back? 571 00:26:33,130 --> 00:26:34,465 - Haven't seen him. - No. 572 00:26:35,675 --> 00:26:36,550 All right, uh, 573 00:26:36,717 --> 00:26:37,843 both of you scrub in. 574 00:26:37,927 --> 00:26:39,553 I'm gonna need all the help I can get. 575 00:26:44,600 --> 00:26:45,851 [Derek] well, there it is... 576 00:26:46,310 --> 00:26:47,895 Left side of his frontal lobe. 577 00:26:48,312 --> 00:26:49,480 Now why didn't we see that before? 578 00:26:50,064 --> 00:26:52,274 Intra-cerebral bleeds can have a delayed presentation. 579 00:26:52,566 --> 00:26:54,360 Right. You want to get him out of there? 580 00:26:54,527 --> 00:26:56,779 Uh, just prep an O.R. I'm gonna talk to his wife. 581 00:26:58,114 --> 00:26:59,365 Dr. Stevens. 582 00:27:00,282 --> 00:27:01,200 Nice talking to you. 583 00:27:02,660 --> 00:27:03,953 Think she'll ever talk to me again? 584 00:27:05,997 --> 00:27:08,499 OK, am I invisible? I'm feeling strangely invisible. 585 00:27:09,667 --> 00:27:10,793 Also inaudible. 586 00:27:11,252 --> 00:27:12,086 What? 587 00:27:13,129 --> 00:27:14,046 Another surgery? 588 00:27:14,880 --> 00:27:18,551 - So I guess dinner-shopping is out? - Yeah, it's not gonna happen tonight. 589 00:27:19,135 --> 00:27:20,219 - Sorry. - No, you're not. 590 00:27:20,302 --> 00:27:21,846 I'm just trying to figure out why you're not. 591 00:27:22,805 --> 00:27:24,015 [Addison] It's Christmas, Derek. 592 00:27:24,098 --> 00:27:26,350 Yeah, I know. 593 00:27:26,434 --> 00:27:29,979 It's our season! What's going on? Are you mad? Are you depressed, what? 594 00:27:30,062 --> 00:27:34,567 No. Mr. Epstein here is depressed. He's bleeding from his frontal lobe. 595 00:27:34,942 --> 00:27:35,860 Everything's fine. We're fine, Addie. 596 00:27:35,943 --> 00:27:38,487 You know, just... I'll see you at home, OK? 597 00:27:40,948 --> 00:27:42,783 You need a second surgery, Mr. Epstein. 598 00:27:43,451 --> 00:27:45,036 The frontal lobe is difficult. 599 00:27:45,453 --> 00:27:49,040 We may be able to improve things, but, uh, you should be prepared 600 00:27:49,123 --> 00:27:51,083 for the possibility that things could get worse. 601 00:27:51,917 --> 00:27:54,879 That's great, that's just great. 602 00:27:55,254 --> 00:27:59,800 I am so glad we came to this hospital, so I could be treated by a bunch of quacks 603 00:27:59,884 --> 00:28:03,554 who don't know their asses from the inside of my skull! 604 00:28:08,893 --> 00:28:10,102 This isn't my husband. 605 00:28:10,936 --> 00:28:12,438 This is not my husband. 606 00:28:12,980 --> 00:28:15,274 He doesn't speak to me this way. He doesn't speak to anyone this way. 607 00:28:15,357 --> 00:28:17,109 I know this is difficult, Mrs. Epstein, 608 00:28:17,193 --> 00:28:19,445 but the important thing right now is that we stop the bleeding. 609 00:28:21,363 --> 00:28:23,032 Look, he's the love of my life. 610 00:28:23,699 --> 00:28:26,243 And I know that you have a lot of other patients and... 611 00:28:26,911 --> 00:28:31,165 you do a lot of other surgeries, but he's the love of my life. 612 00:28:32,249 --> 00:28:34,043 Just... I just need your word 613 00:28:34,126 --> 00:28:37,088 That you'll treat this change in my husband's personality 614 00:28:37,505 --> 00:28:39,882 as seriously as you would fatal cancer, 615 00:28:40,424 --> 00:28:43,052 because that's the way this feels to me and my kids. 616 00:28:43,719 --> 00:28:46,013 And we're happy. We're a happy family. 617 00:28:46,097 --> 00:28:48,307 It just... If you could just fix it... 618 00:28:49,767 --> 00:28:50,810 Just fix it. 619 00:28:52,103 --> 00:28:53,312 Mrs. Epstein, 620 00:28:53,646 --> 00:28:55,564 I'm gonna do everything in my power, all right? 621 00:28:56,399 --> 00:28:57,358 OK? 622 00:28:58,192 --> 00:28:59,610 I didn't want it. 623 00:29:00,403 --> 00:29:01,946 I already got one new heart. 624 00:29:02,655 --> 00:29:04,323 I didn't deserve another one. 625 00:29:04,698 --> 00:29:08,619 Justin, you don't have to feel guilty about having a new heart. 626 00:29:08,828 --> 00:29:11,956 God wants you to live. That's why he sent you the heart. 627 00:29:12,123 --> 00:29:14,375 I'm not stupid, OK? God didn't send me the heart, 628 00:29:14,583 --> 00:29:16,710 - and there's no such thing as God. - Justin! 629 00:29:16,919 --> 00:29:19,004 Marion, Marion. 630 00:29:19,463 --> 00:29:20,339 It's all right. 631 00:29:21,298 --> 00:29:25,344 The heart I have now... my mom told me the heart came from Santa. 632 00:29:26,011 --> 00:29:28,222 I thought elves made it in their factory 633 00:29:28,681 --> 00:29:29,515 or whatever, 634 00:29:30,641 --> 00:29:32,435 but that's not true, is it? 635 00:29:32,768 --> 00:29:33,811 No, it isn't. 636 00:29:34,645 --> 00:29:35,604 Yeah. 637 00:29:35,980 --> 00:29:37,690 I heard the nurses talking. 638 00:29:37,982 --> 00:29:40,276 Where it really came from is some other kid. 639 00:29:40,526 --> 00:29:42,570 Some other kid had to die so I could live. 640 00:29:43,028 --> 00:29:44,238 Justin... 641 00:29:44,613 --> 00:29:45,573 Baby... 642 00:29:46,365 --> 00:29:48,284 And then I outgrew that kid's heart. 643 00:29:48,909 --> 00:29:51,537 So for the last two years my mom has been praying 644 00:29:51,954 --> 00:29:53,873 that another kid would die for me. 645 00:29:55,749 --> 00:29:57,418 That's what you pray for all the time, 646 00:29:58,210 --> 00:29:59,462 Isn't it, mom? 647 00:30:02,965 --> 00:30:05,134 That's what she prays for, father. 648 00:30:06,260 --> 00:30:08,012 How does God feel about that? 649 00:30:09,013 --> 00:30:11,140 Justin, Justin... 650 00:30:11,223 --> 00:30:12,683 - Justin? - [monitor beeping rapidly] 651 00:30:12,892 --> 00:30:14,560 [Marion] Justin, baby? 652 00:30:14,685 --> 00:30:15,853 Wake up, Justin! 653 00:30:16,061 --> 00:30:17,646 - [long, steady beep] - Nurse! 654 00:30:18,522 --> 00:30:20,816 - Move, please! - No, no, no! 655 00:30:20,941 --> 00:30:22,693 Code blue! Please, Justin! 656 00:30:22,776 --> 00:30:23,819 Just stay back. 657 00:30:23,903 --> 00:30:25,946 [woman over p.a.] Code blue, pediatric C.C.U. 658 00:30:26,030 --> 00:30:27,323 Dear God, please! 659 00:30:27,406 --> 00:30:29,200 Justin, baby, I'm right here! 660 00:30:29,283 --> 00:30:31,243 - Justin, I love you, baby! - [Cristina] Please shut her up! 661 00:30:31,327 --> 00:30:33,329 - [crying] - He's in v-fib. 662 00:30:33,829 --> 00:30:35,080 Charge the paddles to 100. 663 00:30:35,331 --> 00:30:36,165 Charge. 664 00:30:36,290 --> 00:30:39,543 - Clear. - [paddles crackle] 665 00:30:41,879 --> 00:30:42,880 [coughs] 666 00:30:45,090 --> 00:30:46,675 [monitor beeps steadily] 667 00:30:47,009 --> 00:30:48,469 [coughs] 668 00:31:09,177 --> 00:31:10,637 Can you get him back on the donor's list? 669 00:31:10,720 --> 00:31:12,388 - I mean, if it's a bad heart. - It's not a bad heart. 670 00:31:12,472 --> 00:31:13,681 Well, can you get him back on the list? 671 00:31:14,223 --> 00:31:16,017 He's waited two years for this heart. 672 00:31:16,100 --> 00:31:16,935 He has to fight for it. 673 00:31:17,018 --> 00:31:20,104 - He has to decide he wants to live. - OK, medically speaking, 674 00:31:20,647 --> 00:31:21,898 is there anything else we haven't talked about? 675 00:31:21,981 --> 00:31:23,149 The way you're feeling right now... 676 00:31:24,317 --> 00:31:26,235 It's why I have to believe in something bigger in me. 677 00:31:27,528 --> 00:31:31,157 Because if I didn't, that powerlessness would eat me alive. 678 00:31:38,623 --> 00:31:39,832 [sighs] 679 00:31:40,249 --> 00:31:41,084 [Derek] Drill, please. 680 00:31:42,752 --> 00:31:44,712 Any danger with two craniotomies in one day? 681 00:31:44,837 --> 00:31:45,922 No more than with one. 682 00:31:46,089 --> 00:31:47,340 [drill buzzes] 683 00:31:49,884 --> 00:31:50,718 [Derek] Is there any music? 684 00:31:51,260 --> 00:31:52,345 Any requests? 685 00:31:53,012 --> 00:31:55,056 Christmas carols or Hanukkah. 686 00:31:55,765 --> 00:31:57,433 Is there such a thing as Hanukkah carols? 687 00:32:00,061 --> 00:32:02,438 The brain is a mysterious thing, Dr. Stevens. 688 00:32:03,022 --> 00:32:05,191 You never know what may penetrate the psyche. 689 00:32:05,608 --> 00:32:09,404 ♪ Hanukkah, I know it's gonna be all right ♪ 690 00:32:09,612 --> 00:32:10,863 [George] Whoa, look at that. 691 00:32:10,947 --> 00:32:14,242 [Meredith] Kissing ulcers. One's perfed. The other one is bleeding. 692 00:32:14,701 --> 00:32:17,328 [George] Two ulcers. I'm not surprised with that family. 693 00:32:18,413 --> 00:32:20,665 I should've thrown them out. Why didn't I throw them out? 694 00:32:21,124 --> 00:32:23,626 That's what I should have done. I don't know why I didn't. 695 00:32:23,835 --> 00:32:25,962 Stop whining, O'Malley. You had your chance. 696 00:32:26,045 --> 00:32:27,672 You didn't take it. Move on. 697 00:32:28,548 --> 00:32:30,133 Right, sorry. 698 00:32:30,967 --> 00:32:32,885 Do not kick me! 699 00:32:33,094 --> 00:32:34,178 Excuse me? 700 00:32:35,221 --> 00:32:37,515 Are you kicking me under the table, O'Malley? 701 00:32:37,890 --> 00:32:38,808 No! 702 00:32:38,975 --> 00:32:41,102 Then clearly I wasn't talking to you. 703 00:32:42,562 --> 00:32:45,815 [groaning] 704 00:32:46,774 --> 00:32:50,445 You cannot kick me while I'm doing my job. 705 00:32:55,533 --> 00:32:56,451 Thank you. 706 00:32:57,994 --> 00:33:01,122 ♪ Your weird uncle's doing the can-can ♪ 707 00:33:01,247 --> 00:33:04,208 ♪ Hanukkah Harry, he's the man ♪ 708 00:33:05,168 --> 00:33:07,545 ♪ Everyone's here, it's Hanukkah ♪ 709 00:33:09,088 --> 00:33:09,922 Wake up! 710 00:33:10,965 --> 00:33:12,425 God, no wonder you failed your boards. 711 00:33:12,508 --> 00:33:14,177 What, do you expect to learn this stuff by osmosis? 712 00:33:14,969 --> 00:33:16,054 What are you doing here? 713 00:33:16,554 --> 00:33:17,722 I'm a farmer, OK? 714 00:33:17,805 --> 00:33:20,224 I've been drooling and puking and crapping my pants. 715 00:33:22,226 --> 00:33:23,644 You came here to help me study? 716 00:33:23,728 --> 00:33:26,355 Well, I'm not actually crapping my pants now, am I? 717 00:33:27,231 --> 00:33:29,358 Well, why would you want to help me after what I did? 718 00:33:32,737 --> 00:33:36,240 Because it's what Jesus would freakin' do! 719 00:33:48,044 --> 00:33:50,755 ♪ Lo ♪ 720 00:33:51,089 --> 00:33:56,344 ♪ How a rose e'er blooming ♪ 721 00:33:57,220 --> 00:34:02,683 ♪ From tender stem hath sprung ♪ 722 00:34:02,767 --> 00:34:04,936 You know, I don't believe in Santa either, Justin, 723 00:34:06,104 --> 00:34:07,313 Or God. 724 00:34:09,357 --> 00:34:10,566 I believe in medicine, 725 00:34:13,027 --> 00:34:15,113 and it's a medical miracle you're alive. 726 00:34:16,864 --> 00:34:17,907 With the heart you had, 727 00:34:17,990 --> 00:34:21,244 you should have... you should have died about two weeks after you were born. 728 00:34:22,453 --> 00:34:26,374 Except some surgeon figured out a way to give you someone else's heart, 729 00:34:26,457 --> 00:34:28,751 which is so much cooler than Santa. 730 00:34:28,835 --> 00:34:32,672 ♪ Amid the cold of winter ♪ 731 00:34:33,589 --> 00:34:34,590 So I'm just saying 732 00:34:38,427 --> 00:34:40,346 I think you should decide to live. 733 00:34:43,224 --> 00:34:45,101 Live so you can become a doctor, 734 00:34:45,309 --> 00:34:47,311 and you can find a way to do heart transplants 735 00:34:47,395 --> 00:34:48,855 without someone having to die. 736 00:34:51,816 --> 00:34:55,945 Or you know, live so you can grow up and have kids and you know what? 737 00:34:56,028 --> 00:35:01,117 Raise them not to believe in Santa. Now that would piss your mom off. 738 00:35:05,413 --> 00:35:06,622 Just decide to live. 739 00:35:09,750 --> 00:35:11,377 Because in your case, 740 00:35:12,587 --> 00:35:14,964 dying really isn't the best revenge. 741 00:35:15,047 --> 00:35:18,134 ♪ When half spent ♪ 742 00:35:18,759 --> 00:35:24,932 ♪ Was the night ♪ 743 00:35:37,882 --> 00:35:39,759 - How is she? - Is she gonna be all right? 744 00:35:39,843 --> 00:35:41,636 She lost a lot of blood, 745 00:35:41,761 --> 00:35:44,389 but we were able to replace it and repair the tear. 746 00:35:44,472 --> 00:35:47,517 She's gonna require several days' observation, 747 00:35:47,601 --> 00:35:50,020 but she should have a full recovery. 748 00:35:50,186 --> 00:35:52,397 - Oh, thank God. - Thank God is right. 749 00:35:52,606 --> 00:35:54,649 'Cause we're certainly not gonna thank you. 750 00:35:54,858 --> 00:35:57,235 We should sue you for all you're worth. 751 00:35:57,694 --> 00:35:59,112 We sat here and sat here 752 00:35:59,195 --> 00:36:02,991 - and sat here and sat here... - You want to help me out? 753 00:36:03,533 --> 00:36:04,909 - And watched you take patient after... - Really? 754 00:36:05,035 --> 00:36:07,746 You got your second chance. Just don't screw it up. 755 00:36:07,829 --> 00:36:09,664 while you made my daughter wait for three whole days 756 00:36:09,748 --> 00:36:10,874 For her operation! 757 00:36:11,249 --> 00:36:13,501 I should sue you and this whole damn hospital! 758 00:36:14,085 --> 00:36:18,340 OK, yeah, you could sue us, or you could just consider the possibility 759 00:36:18,423 --> 00:36:21,134 - of just shutting the hell up. - What did you say to me? 760 00:36:22,010 --> 00:36:23,511 - Did you hear what he said to me? - I heard him! 761 00:36:23,595 --> 00:36:25,680 - You can't talk to an old lady like that. - Where is my daughter? 762 00:36:25,764 --> 00:36:27,432 - I'd like to see her. - [George] Well, you can't. 763 00:36:28,058 --> 00:36:30,352 I'm her doctor. She is my patient, and this is a hospital, 764 00:36:30,518 --> 00:36:33,063 which is the kind of place where people can generally use 765 00:36:33,146 --> 00:36:34,230 a little peace and quiet. 766 00:36:34,314 --> 00:36:37,192 So no, right now you can't see her. 767 00:36:37,275 --> 00:36:39,194 And I am not saying this because you just threatened 768 00:36:39,277 --> 00:36:41,571 to sue Dr. Bailey, who spent the last several hours 769 00:36:41,655 --> 00:36:44,240 saving your daughter's life, saving your wife's life. 770 00:36:44,532 --> 00:36:46,409 I am saying this because she is my patient, 771 00:36:46,493 --> 00:36:50,205 and she is in the recovery wing of this hospital trying to recover, 772 00:36:50,288 --> 00:36:53,416 and visiting hours are over, so good night 773 00:36:54,793 --> 00:36:55,877 and merry Christmas. 774 00:37:02,842 --> 00:37:03,885 Interns. 775 00:37:04,594 --> 00:37:05,637 Too emotional. 776 00:37:08,598 --> 00:37:09,724 Apologies. 777 00:37:15,814 --> 00:37:19,317 Um, is the nausea constant or intermittent? 778 00:37:20,443 --> 00:37:21,361 Constant. 779 00:37:24,406 --> 00:37:25,407 When... 780 00:37:27,033 --> 00:37:28,243 When did it first start? 781 00:37:30,662 --> 00:37:32,288 After I worked in the fields all day. 782 00:37:35,166 --> 00:37:37,335 Do you have any allergies you're aware of? 783 00:37:40,839 --> 00:37:41,715 No. 784 00:37:42,298 --> 00:37:43,299 [crying] 785 00:37:54,269 --> 00:37:55,186 Izzie... 786 00:37:59,107 --> 00:38:00,650 I never wanted to hurt you. 787 00:38:02,444 --> 00:38:03,695 You didn't hurt me. 788 00:38:04,571 --> 00:38:06,656 I don't even know you. I'm a farmer. 789 00:38:08,783 --> 00:38:11,119 You... you're still the patient? 790 00:38:11,453 --> 00:38:12,954 What does it look like? 791 00:38:19,127 --> 00:38:21,129 It's organophosphates, 792 00:38:21,921 --> 00:38:23,631 pesticide poisoning. 793 00:38:25,091 --> 00:38:27,177 Crying's a symptom. That's it, right? 794 00:38:29,179 --> 00:38:30,013 Right. 795 00:38:36,311 --> 00:38:40,940 ♪ It came upon a midnight clear ♪ 796 00:38:41,107 --> 00:38:45,278 ♪ The glorious song of old ♪ 797 00:38:45,570 --> 00:38:48,198 ♪ From angels bending near the earth ♪ 798 00:38:48,406 --> 00:38:49,616 Hey. 799 00:38:50,200 --> 00:38:52,285 ♪ To touch their hearts ♪ 800 00:38:52,368 --> 00:38:53,244 Hey. 801 00:38:53,495 --> 00:38:54,496 You OK? 802 00:38:56,706 --> 00:38:57,957 Yeah, yeah. 803 00:38:58,750 --> 00:39:00,168 You know, holidays. 804 00:39:00,251 --> 00:39:01,127 Yeah. 805 00:39:03,046 --> 00:39:03,963 I do know. 806 00:39:04,964 --> 00:39:09,093 ♪ The world in solemn stillness lay ♪ 807 00:39:09,260 --> 00:39:12,305 ♪ To hear the angels sing ♪ 808 00:39:12,722 --> 00:39:13,640 Merry Christmas. 809 00:39:14,057 --> 00:39:14,891 Merry Christmas. 810 00:39:19,604 --> 00:39:21,397 [door bells jingle] 811 00:39:23,107 --> 00:39:24,609 [Derek] Hey. Merry Christmas, Joe. 812 00:39:24,692 --> 00:39:27,904 Merry Christmas. Double scotch, single malt. 813 00:39:28,571 --> 00:39:29,572 You're a good man. 814 00:39:31,032 --> 00:39:32,283 [Addison] Hey, Dr. Shepherd. 815 00:39:34,285 --> 00:39:35,286 Dr. Shepherd. 816 00:39:35,870 --> 00:39:39,999 ♪ O'er all the weary world ♪ 817 00:39:40,208 --> 00:39:41,251 ♪ Above ♪ 818 00:39:41,459 --> 00:39:45,421 So... How's Mr. Epstein's frontal lobe? 819 00:39:45,839 --> 00:39:47,173 He woke up smiling. 820 00:39:47,674 --> 00:39:48,800 Congratulations. 821 00:39:48,883 --> 00:39:49,843 Thank you. 822 00:39:50,885 --> 00:39:52,720 - What are you drinking? - [laughs] 823 00:39:53,680 --> 00:39:56,224 It's hot buttered rum. It's delicious. 824 00:39:56,307 --> 00:39:57,183 It's Dickensian. 825 00:39:57,267 --> 00:39:59,602 Oh, well, yeah, it is Christmas. 826 00:40:00,728 --> 00:40:02,981 Christmas, Derek. We love Christmas. 827 00:40:05,024 --> 00:40:06,025 At least we used to. 828 00:40:08,528 --> 00:40:09,362 Yeah. 829 00:40:10,405 --> 00:40:12,407 Christmas makes you want to be with people you love. 830 00:40:18,663 --> 00:40:20,123 I'm not saying this to hurt you 831 00:40:21,708 --> 00:40:23,751 or because I want to leave you, because I don't. 832 00:40:25,545 --> 00:40:26,754 Meredith wasn't a fling. 833 00:40:29,924 --> 00:40:31,259 She wasn't revenge. 834 00:40:34,596 --> 00:40:35,638 I fell in love with her. 835 00:40:41,019 --> 00:40:43,479 That doesn't go away because I decided to stay with you. 836 00:40:49,277 --> 00:40:53,573 [Meredith]There's an old proverb that says you can't choose your family. 837 00:41:00,872 --> 00:41:02,832 [Meredith] You take what the fates hand you. 838 00:41:13,593 --> 00:41:17,263 [Meredith] And like them or not, Love them or not, 839 00:41:17,722 --> 00:41:19,891 understand them or not... 840 00:41:20,600 --> 00:41:21,935 Justin took a turn. 841 00:41:22,477 --> 00:41:24,812 His fever's down, and his B.P. is up. 842 00:41:28,816 --> 00:41:30,276 I wonder what got through to him. 843 00:41:35,198 --> 00:41:36,240 I don't know. 844 00:41:37,075 --> 00:41:38,242 You cope. 845 00:41:48,461 --> 00:41:49,295 Pretty. 846 00:41:52,465 --> 00:41:53,299 Yeah. 847 00:41:54,550 --> 00:41:56,010 [Meredith] Then there's the school of thought 848 00:41:56,094 --> 00:41:58,262 that says the family you're born into 849 00:41:58,805 --> 00:42:00,515 is simply a starting point. 850 00:42:00,723 --> 00:42:01,891 What are we doing? 851 00:42:02,976 --> 00:42:04,143 Lights. 852 00:42:12,944 --> 00:42:15,154 They feed you and clothe you 853 00:42:15,363 --> 00:42:16,990 and take care of you, 854 00:42:17,824 --> 00:42:20,326 until you're ready to go out into the world... 855 00:42:20,410 --> 00:42:21,494 [barks] 856 00:42:23,538 --> 00:42:25,707 And find your tribe.