All language subtitles for Greys.Anatomy.S06E21.WEBRip.x264-ION10.en

[Meredith] The skin is the largest organ
in the body.

It protects us, holds us together...

Literally lets us know
what we are feeling.

Reaction, observation, communication...

Any questions so far?

[residents speak indistinctly]

[sighs] We are doing this because,

Chief Shepherd suggests we brush up
on our patient sensitivity skills,

that's why.

And it just so happens,
this morning was a very good time.

Besides, half of you
were raised by wolves.

Reaction.

"Keep your face impassive.

Whether prompted by a patient's
appearance or lab results,

facial expressions of surprise,
concern, disgust, et cetera

can be counterproductive."

Uh, la, la, la, la.

Jokes.

Don't make jokes about patients.

Not in front of them, not even in private.

- Well...
- Yang?

- What if the joke is really funny?
- [Bailey] It's not.

- [residents laugh]
- Neither was that one. Moving on.

We assess quickly in the ER
and go to radiology.

What if he has to be admitted?

- Can we get to the surgical elevator?
- What about the freight elevator?

Richard, are we set up for this?

I mean, our tables... Do we have enough?

I don't know. Is our equipment
gonna be strong enough?

Well, they're five minutes out.
We'll have to figure it out as we go.

[Meredith] The skin can be
soft and vulnerable...

Highly sensitive... Easy to break.

Is that Gary Clark?

He's filed a wrongful death suit in his
wife's case. I'm being deposed today.

- Chief Shepherd. Hi.
- Yeah, hi. Whatever you're selling,

just leave the samples in my office.
Thank you.

I'm not a drug rep.
I'm your lawyer. Lauren Turner.

Go. Don't worry. I got this.

OK.

Thank you. Dr. Shepherd, Lauren.
Let's... follow me, please.

Observation.

- [pager beeps]
- Yeah.

[scoffs]

OK, "Use reflective listening,

repeat the patient's feelings
back to them."

Um, I hear that you're concerned
about the surgery.

Let me explain the risks.

"I can see you like vegetables.

- After surgery, you might become one."
- [laughing]

Communication.

"Don't use jargon.

Use language that the patient
can understand.

- Be creative In using metaphors."
- [Charles] I'm terrible with metaphors.

I can never come up with 'em.

Why, 'cause you're dumb
as a box of hammers?

You see, that's a good one.

- You're an ass. But that was a good one.
- "Be clear and comprehensive.

Explain all risks
and all probable outcomes,

leaving nothing out." Question... Adamson?

Why are you going so fast?

It just so happens that we have
an emergent patient arriving,

who will need a little extra sensitivity.

[Bailey] So remember to employ your...

R- O-C,

And you will... Rock your patient's world.

- [residents groan and laugh]
- [Bailey] OK, that's enough of that.

Follow me to the pit.

Hustle!

[Meredith] The skin doesn't matter
to a surgeon.

We'll cut right through it. Go inside...

Find out the secrets underneath.

So did you get Izzie's message?

Did you sign the divorce papers?

Yeah, I gotta find 'em
and then I'll send 'em.

Izzie sent you divorce papers?

- Yeah. So?
- [siren wailing]

Nothing. Just, congratulations.
Or... something. Excuse me.

[Meredith] It takes delicacy
and sensitivity.

- What's her problem?
- She cares. That's her problem.

- She cares about you.
- She doesn't. It's not like we're a thing.

Well, you should make it a thing
or put a stop to it.

[siren whoops]

[horn honks]

All right, people, remember
what you've been taught.

Use it throughout the day.

There'll be consequences if you don't.

[brakes squeal]

- What the hell is it?
- [man] All right. Let's go.

[men speaking indistinctly]

[Reed] What, did the circus come to town?

[whirring]

No. Just the elephant.

Avery, you're off the case. Go.

Damn it.

Consequences

[radio chatter]

We're gonna need a bigger hospital.

- [laughs]
- [gurney clatters]

Coming through.

[man] All right, on three. One, two...

Go! Oh!

[Owen] Easy. That's it.

Let's get him a chem panel, CBC and LFTs.

[Reed] got it.

[Richard] And type and cross
for two units.

Now does that hurt?

Sweetheart, I can't even feel that.

- I'm having trouble finding a vein here.
- Or anywhere.

I'm using up all your doctors here.

There's probably somebody
dying somewhere, right?

X- ray.

[whirring]

[lowered voice] Now I understand
the sensitivity training.

Yeah. No fat jokes.

- Yang, You're off the case.
- I said no fat...

- Good-bye.
- Are you kidding...

[machine clicks and whirs]

Clear.

OK.

Um, sir, when did the stomach pains
become more acute?

[sighs] Last couple days, I guess.

It's hard to keep track.
I'm a real busy guy.

[woman] I'm here. I'm here.

- [Owen] Let's roll him.
- Bobby, are you OK?

- [Bobby grunts]
- I'm sorry. And you are?

I'm his wife.

[Bobby sighs]

[whispers] Facial expressions.

[Bobby] Hon, I'm fine.

Melissa worries.

She likes to mountains out of molehills,

- and I'm already a mountain.
- [Bobby and Melissa laugh]

[continues laughing]

Man... Tough crowd.

Mr. Corso, we're gonna need
to turn you over again.

[sighs]

[grunts]

Dr. Webber.

Look at that.

[monitor beeping]

[Melissa sighs]

You poppin' the hood down there?

[laughs]

[monitor beeping]

[whispers] Facial expressions.

- [Jackson] Dr. Altman.
- Dibs.

- Do you need any help today?
- I'm free.

Aren't you both on Webber's
big emergent patient?

- Yeah he got kicked off for making a joke.
- She got kicked off, too, so...

For not making a joke, so dibs.

All right, both of you.
I've got a consult in the pit.

[door opens]

[Callie] Jamie Anders? Hi.

- Hi.
- Dr. Torres.

[laughs] Oh, wow. What the hell
did you do to your knee?

Some jackass mowed me down
on my bike and then took off.

[sighs] Hit- and-run? That sucks.

OK, well, this is probably
gonna hurt a little,

But... I need to get in there
and see what's going on, OK?

Go for it.

[screams] No. Don't go for it.

- Sorry. You OK?
- This really blows.

Yeah, that's one messed up patella.

- Plus, I'm out 20 bucks.
- What do you mean?

My friend said there's always
an upside to an injury,

and I said she was on crack.

And she said,
"Watch, the doctor will be hot."

I said, "The doctor
will be old and gnarly."

[chuckles]

And now you show up,
which means I owe her 20 bucks.

[elevator bell dings]

[chuckles]

[monitor beeps]

Nancy temple, 39, complaining
of nausea and dizziness

since waking today.

Then she threw up, twice.

And Kelly said I had to go
to the doctor, so... [laughs]

- At school, you have to if you vomit.
- Good call, Kelly. Let's have a listen.

[machine whirring]

How's her EKG Look?

It's coming up right now.

Are you having any chest pains,

or numbness in your arms or fingers?

No, not at all.

Why?

Well, Nancy, heart attack symptoms
show up completely differently

in women than in men.
They're often missed.

Sometimes they just look
like stomach problems.

[Nancy] Are you saying that

You're having a heart attack right now.

- Let's hang a nitro drip and...
- Oh, my God.

- ...call the cath lab.
- Mommy.

What about my daughter? We're here alone.

We're flying back to Miami tonight
and my husband needs to...

We'll call your husband
and let him know what's going on,

and Dr. Yang will take care of
Kelly until your tests are done.

No. I mean...

- I should...
- [Teddy] It's patient sensitivity day.

- Right, Dr. Yang?
- It's not a day.

Take care of Kelly,
and Avery will page you when we're ready.

- Mommy!
- It's all right, sweetheart.

- I want to go with her.
- Yeah, I know. I know.

So do I.

Now how long has he had that infection?

I've never seen it before.
Nothing like that.

- What... what is it?
- [Richard] We don't know yet.

It could be superficial or it might be
something worse going on internally.

I'm gonna be fine, baby.

- OK.
- Don't worry. [laughs]

[groans]

- Karev!
- Crap. I thought we'd clear it.

Let's take the sides off.

You should put a "wide load"
banner on this thing.

- [both laughs]
- Oh, God!

We have a gurney right here.
Can we move him onto this?

- No, I don't want to have him out...
- Yeah. I can do this.

- No.
- [Bailey] No, Sir.

- Let us move you.
- No, Mr. Corso...

- Come on. It's only two steps.
- Oh, my...

It's either that or you gotta
grease me up like a stuck pig.

- Nobody wants that job.
- He hasn't walked in a year. Bobby...

[Bobby panting]

[Richard panting] OK. Easy.

- Come on, sir.
- OK.

[laughs]

I didn't think I could do this.
[continues laughing]

Oh, my God. Baby, you're standing!

[laughs] you know what this reminds me of?

Our wedding.

- [bones cracking]
- [screaming]

[thud]

[Melissa screams]

[Bobby groans]

Bimalleolar ankle fractures.

To weak to support his weight.
He can go to CT now.

He's not Going in that CT.

Look, I think if we can position him...

It's rated for half his weight.

If it breaks, he gets hurt again
and it's not available

for the 50 other patients
who need it today.

[Charles] What about the zoo?

They gotta have a CT
for, like, Rhinos, right?

- Percy, you're off the case. Good-bye.
- No, that wasn't a joke.

- That was an actual suggestion.
- Go.

- [elevator bell dings]
- It's a pretty good idea, actually.

It's a terrible idea.

[Richard] We will spare this man
the indignity of

treating him like a zoo animal.

If we can't get an image, then we'll go
with clinical labs and tests.

I could do a nuclear stress test
on his heart.

I just wish that I could
get him on a treadmill.

[chuckles] Well, that's not gonna happen.

All right. I have a lawyer
waiting for me. I have to go.

But I want to have a meeting with
all of you when his studies come back,

before we go any further
down this road, OK?

Let's work him up.

[woman speaking indistinctly over P.A.]

So just a couple more questions.

His diabetes.

Did he have it before
He... he was immobilized?

No, that's since He put on the weight.

And that's been... Uh...

[stuttering] How long has...

- [Melissa] How long has he been like this?
- Yeah.

Five years ago, his company
laid off 300 employees.

[Melissa] He tried to find work
for two years. No one was hiring.

And then he stopped trying.

It was real hard on him and food...

Well, food made him feel better, so...

I think he's been in pain for a while.

He'd tell me it's indigestion,
but I couldn't ignore it.

[chuckles] After the news,
I just had to call.

The news?

Well, we're gonna
have a baby. I'm pregnant.

[laughs] How?

[stammers]

I mean, wow, congratulations.

That is... That's joyous news.

- [mouths words]
- [sighs]

[clears throat]

[elevator bell dings]

- Hey.
- Hey.

Your deposition's today.

Yeah. Hey, let me ask you something.

Teddy and Owen, can they work together?

Uh, what do you mean?

Nothing. I was just surprised that

he didn't go to bat
for her getting the job.

It was like he wanted her to go.

Really?

- Yeah, I gotta go.
- I... Good luck.

Hey, what are you doing?

- Uh, Bobby Corso's labs.
- You're still on fatty fatty 2x4? [scoffs]

- Not fair.
- Name-calling.

- Who's this?
- My patient's kid.

Social Worker won't return my page.

- Well, that's not very social.
- [Cristina] Where's Callie?

She's been whining for a kid.

Cristina.

What?

Uh...

Never mind.

[woman speaking indistinctly over P.A.]

They have no case.

Gary Clark is grieving.

You can do me one favor in there.

Try not to refer to her
as "Mrs. Clark" or "She."

Don't use pronouns.
Just stick to "the patient."

It keeps it less emotional.

OK.

[inhales deeply]

So why is he here?

Sorry?

Gary Clark.

He shouldn't be here for this.
He doesn't need to hear this.

He's the plaintiff. It's his prerogative.

- Don't let it bother you.
- I'm more worried it's gonna bother him.

[pager beeps]

Sorry. I have to go.

Hey. Is the meeting with Shepherd
in the conference room?

Mmm-hmm.

Thank you.

My contract came in, and...

Cristina told me that you
put in a good word, so...

Thanks.

Of course.

What?

Nothing.

- [Derek] What are we looking at?
- [Mark] Patient's got,

a severe deep tissue infection
under his belly.

There's a pretty significant abscess.

Hunt and I need to
get in there and debride,

- clear out the infected fat.
- That much sudden fat loss is dangerous.

It's preferable to him
dying of an infection.

But it's a risky surgery, yes.

[Mark] But we'll have Bailey
and Webber on standby,

- in case he goes south.
- What is the surgical risk calculation

on a patient like this?

Almost too high to calculate.

Five times the risk of heart attack,

respiratory failure, airway complications.

[Owen] He's diabetic, so there's
a risk of Ketoacidotic coma.

- High risk of pulmonary embolism.
- [Richard] And believe it or not,

he's malnourished,
which leads to slow healing,

- renal failure...
- [Mark] Nerve damage...

- Post-op infection.
- I'm saying no. The risk is too high.

That's all. Thank you very much,
but that's it.

So you're saying
we're gonna send him away to die?

I'm saying we send him to
a Bariatric center

that's prepared for
a type of patient like this.

Instead of us spending
our time and resources,

caring for someone who obviously
does not care for himself.

[scoffs]

[Richard] Derek, he's me,

just swap out the booze for the food.

You don't think I care about myself?

He has an illness that he cannot control.

- He needs help.
- I'm sorry. I...

That wasn't you in there.

And that wasn't about Bobby Corso.

It was about Gary Clark.

You are seeing potential lawsuits,
where you used to see patients.

It's the job, Derek.
The job can change your priorities.

Excuse me. Shepherd?

Derek, don't let it.

Tell Sloan to go ahead, open him up.

Yes, Hunt.

That conversation we had about Altman,
did you share that with anyone?

I...

Did you share that with your wife?

Did Meredith say something?

When I make a professional recommendation
about a fellow attending,

I expect it t be kept in confidence.

I do not expect to hear about it
from one of my residents.

- I thought I could assume that much.
- [exhales deeply]

How's your day going?

[Callie] Dr. Grey.

Yeah. Jamie, we are
going to open up your knee,

and we're gonna wire all the pieces
of your patella back together.

- [Jamie] Are you gonna do the operation?
- Yep.

[patient] You'll hold my hand
through the whole thing?

[laughs] I think it's better
if I'm holding the scalpel.

But I can hold your hand right now.

Fine.

[laughs] OK.

[Callie] Do you have any other questions?

I can't think of anything, But...

I don't want the hand-holding part to end.
[chuckles]

So... Can we sit here a minute?

[Callie laughs] You are so bad.

- [chuckles]
- I will see you in the OR.

[laughs]

[clears throat]

[indistinct conversations]

Should we have left you two alone?

[Callie] What?

Getting a little steamy in there.

[laughs] Give me a break.
I'm in a committed relationship.

- That was chitchat.
- Yeah, there was steam.

- It was steamy chitchat.
- With hand-holding.

Yeah, physical contact's an important part
of establishing a patient's trust.

Bailey did patient sensitivity
this morning.

Did she teach you nothing?

So there was no flirting going on.
I was just imagining that.

Yeah, sure. She was kinda
flirty, and I was flirty back,

because I'm trying to put her at ease.

Talking to the patient the way
the patient talks to you,

makes 'em feel understood and safe and...

You're morons.

[elevator bell dings]

And a little pervy. Jeez.

[chuckles]

[dings]

Put me down for 715.

Got it.

What happens at 7:15?

715 is her bet.

I'm making a pool
on Bobby Corso's actual weight.

20 bucks, closest without
going over wins the pot.

You want in?

How are you still on that case?

New artificial insemination. It had to be.

Wait. What are we talking about?

[Meredith] Bobby Corso.

How did they make a baby?

[Cristina] He hasn't left the house
in five years.

It took a truck to get him here.

How is he supposed to go
to a fertility clinic to fill up a cup?

How does he find it to fill up a cup?

- [laughs]
- You know, they can still do it,

- [Meredith] What?
- The regular way.

- Right?
- [Alex] Have you seen the guy move?

'Cause he can't, really, at all.

Well, maybe he doesn't have to.
Maybe she does all the work.

But how? I mean...

I'm finished.

[stammers]

Get yourself some ice cream.

But I'm not allowed
to have that much sugar.

- [laughs]
- Well, get some roast beef then.

[Meredith] She can sit.

No, she can't. We're talking about s-e-x.

I'm 9, and you just spelled "Sex."

[laughs] That's good.

OK, you know what? Let's say...

This is the wife.

- No. Don't do that.
- And this...

- is... him.
- [Lexie and Meredith laugh]

- Guess I won't be eating that now.
- OK, well, she's gotta be on top.

- She might get altitude sickness.
- [all laugh]

Guys. [clears throat]

[all stop laughing]

[cash register dings]

[Cristina] Sorry.

It's all right. I get it.

You're... you're trying to figure out

how my husband and I managed
to get a baby in here.

There are some logistics involved.
You want me to tell you?

But first, how about you tell me
how you like to do it with your husband?

Or your girlfriend?
Any favorite positions?

Or kinks...

Let's talk about that, because...

I know you all must have a freak show
of your own going on.

Who wants to go first?

No? Nobody?

OK.

Well, it's probably
none of my damn business anyway.

[chewing crisps]

The fat under your skin
has become necrotic...

Has... has died,

And the infection
is eating through your skin.

[chuckles]

Well, I suppose it had to come to that.

I've eaten everything else.

[Richard] The operation
is extremely risky.

You have a higher than normal chance
that a surgical complication can kill you.

[Bobby] If I don't have the surgery,

I die?

How long will I have, do you think?

[Richard] Mr. Corso,

you want the surgery.

- You want to try...
- I've tried...

everything.

High protein, the low carbs,

drugs, pills, hypnosis.

I have tried everything.

You have a baby on the way.
think about that.

[Bobby] Who do you think
I'm thinking about?

You...

You dream of having a kid.

You picture yourself
playing ball with him.

You picture her standing on your feet...

while you dance around with her, you know?

You don't picture them
bringing you food and...

Cleaning you up.

I can't walk four steps
to go to the bathroom.

You tell me...

Who deserves that guy as a father?

No...

I just...

Want to be gone before the kid
has a chance to know who I am.

Don't tell my wife about this, OK?

Let's just tell her it's too risky.

Let me go home.

Hey, peanut.

What's going on?

Can we see my mom now?

- I'm trying to find out.
- Is she gonna be OK?

- You want an honest answer?
- Yes.

- I don't know.
- Do you know anything?

I hear that you're scared.

It's scary, uh,
when your mom or dad gets hurt

and you feel alone.

How do you know?

'Cause when I was your age,

my dad and I were in a car accident,
and he was hurt and I was really scared.

So I know.

Was your dad OK?

Yep. He was fine.
Now let's go see about your mom.

- [man] Coming through!
- Hey, get back, get back.

What... what happened?

Echo shows a ventricular wall rupture.

OR Two is ready. They're waiting.

- [Teddy] Yang, are you coming?
- Yeah.

- What about the kid?
- I'll take her.

[breathing heavily] Mommy?

Mommy!

- [Cristina] Do you need me?
- What?

You have Avery. Do you need me?

Yang, in or out, let's go.

[pants]

[exhales]

You wanted me to sign discharge papers?

Mrs. Corso, I...

I'm sorry about the thing
in the... the cafeteria.

It's easy to make jokes about him.

You didn't know him before.

You don't know that inside all that
is the same man I've always known,

who can make me laugh
till I can't breathe.

He's been trying to make
you guys laugh all day,

but you're too disgusted to even smile.

Or joke with him...

Make him feel like a person.

I brought him here because
I thought you would help him.

[voice breaking] but you're only
making him feel worse.

So unless you want to
tell me the next step

to getting him outta here and home,
I don't need to hear anything from you.

Are you bringing my forklift around?

We thought we'd just
open up the loading dock... [beeps]

- and roll you out.
- [laughs] That's good.

- Right into puget sound.
- [chuckles]

You'll float me home like a barge.

[laughs]

I got a good one.

- Yeah?
- What did they call the guy who was so fat

- that he couldn't get out of the house?
- [laughs] What?

[laughs] Dead... and selfish.

Yeah, 'cause, you left a-a 700-pound mess,

for your wife to clean up.

That's a good one.

Look, I'm sorry that we've been
tiptoeing around you all day

trying not to make jokes.

But you're the one who's gotta stop.

Stop calling yourself the fat guy.

You got a wife who loves you,

you know, who stuck by you
through all this.

I mean, you did something right
to deserve that.

Look, I know what it's like to
have life hand you so much crap,

you just want to sit on the couch and die.

But you gotta look
at what's in front of you.

You can't just walk out on her now.

She deserves better.

Chances are
you're gonna die on that table.

Then you get what you want.

But at least your wife
will think you tried.

She'll tell your kid you tried.

Give 'em that at least.

♪ Your love ♪

♪ Is a true love ♪

♪ But you're never on my side ♪

♪ You like what you see
When you're looking at me ♪

♪ 'Cause you think that I do
What I do for you ♪

♪ Don't you wonder ♪

[whirring]

♪ Every word that I breathe
is a word that I need ♪

♪ And the songs that I sing
Don't mean anything ♪

♪ Don't you wonder ♪

♪ Why? ♪

♪ Why? ♪

How'd you get back on the surgery?

They said they needed big guys.

[Owen] Karev, Percy,
retracting the abdomen.

Adamson, stay there. Kepner, over there.

[Meredith] Where do you want me?

I think we are good.

That's all we need.

[monitor beeps]

[monitor beeps rhythmically]

Did you irrigate the ears
to induce an ocular response?

- No. That was not necessary.
- Why?

The patient had a pupillary response.

[lawyer] So you saw life in her eyes?

There was a pupillary response.

- [lawyer] Yet, you declared her dead.
- No, you misunderstand what I'm saying.

Absence of a pupillary response

is one of the signs of brain death.
Yet, you declared her brain dead.

I never declared her Brain dead.

She had minimal brain activity.

Now I'm sorry. I tried to explain to you
that there was absolutely no...

[lawyer] So she was alive,

until you withdrew care,
until you pulled the plug?

I'm sorry. I'm not being clear. Um...

[breathes deeply]

According to the letter
of her advanced directive,

there was a level of brain activity

- that I judged to be...
- [lawyer] You judged?

- It...
- You decided?

It was my opinion to...

Should we stop now?

[Lauren] Yes, I'm gonna suggest
that we take a break,

get ourselves together, resume later on.

- Does that sound all right?
- [lawyer] Fine.

Do you remember when
I told you they don't have a case?

Yes.

With respect, Dr. Shepherd,
please stop trying to give them one.

Do not apologize.

OK.

[Mark] The infection's really deep.

Underneath all this fat
is just... more fat.

I'm down to the abdominal wall.

- [Richard] How's the fascia?
- [Mark] Not too good.

Want to take a look inside?

It's probably a can of worms, but...

[inhales deeply] Yeah.

[Owen] Let's have a... little peek.

Damn it. Gonna have to go in.

Bailey, Webber, scrub in, fast.

OK.

[monitor beeping erratically]

So there's a hole in the wall?

Right, and the blood is supposed to go
from one room to another,

except it's just...

Rushing outside through the hole.

And it can't get to her brain?

Got it.

Yes. Or to her lungs.

So they're going to sew up the hole.

They'll try to,
but the heart has to be strong,

like, um, like Nylon, like your shoes.

[cards clatter]

Your mom's heart is weak, like paper.

[cards shuffle]

What happens if she dies?

We'll talk about that if that happens.

Gotcha. Mine.

[shuffles cards]

If your mom dies...

You'll feel a lot of things.

[card flicks]

First you'll feel like...

You coulda done more to help her, but...

that's not true.

You did everything you could.

It won't feel that way, but...

Remember me telling you this.

You did everything you could.

[card flicks]

And it'll hurt...

every time you think of her.

But over time, it will hurt less and less.

And eventually...

You'll remember her, and...

It'll only hurt a little.

[card flicks]

OK, so I'm not gonna be here
in the morning when they let you go,

So if it hurts before
your follow-up, give me a call.

OK? And if it's oozing green stuff,
call me.

Can I call you if it's late at night
and I'm kinda drunk.

And I run across an old
John Hughes movie on the tube?

[sighs]

I don't...

- [Jamie] Here.
- I don't think...

Just...

Use that...

As the spirit moves you.

Now...

Get outta here.

I'm on drugs.

OK.

[clears throat]

[suction gurgling]

[Bailey] No. Pull that back more.
I can't see what I'm doing.

- This? Is this good?
- [Bailey] No. More.

I think I found the culprit.

Diverticulitis...

Perforated colon, completely infected.

- [Bailey] how long's he been under?
- Too long.

This abscess will kill him
if we don't get it under control.

[alarm beeping]

- [Bailey] OK, keep it together.
- [Owen] OK let's pick up the pace, people.

[Richard] Laps. Come on.

More.

Pack it in.

[beeping continues]

[suction gurgling]

[beeping continues]

Hey. How's the deposition going?

- Apparently I can't tell you.
- Why?

Why did you tell Hunt what I told you?

I didn't. I told him nothing.

He came to me and said you knew.

No, I told him nothing.
I just looked at him...

You looked at him?
Meredith, when you're pissed,

your face says everything you're thinking.
So now I have a staff that can't trust me.

Well, so what am I supposed to do,
control my face?

Yes, you were. Control your face.

Maybe you shouldn't tell me things
you don't want me to know. Control that.

Then I can't tell you anything.

Then 80% of my day is off-limits
to my wife, and I don't want that.

Well, I don't want that either. I'm sorry.

I know. It's just...

But I have to tell Cristina.

No. Meredith, damn it.
What are we talking about?

Owen lied to her,

And he must have done that
because he still wants Teddy.

- Doesn't matter.
- [Meredith] It doesn't matter to you.

Cristina is still my best friend.

And I get that you're the Chief now,

but she's still the person
that she's always been.

So am I supposed to stand around
and watch her get hurt?

- What am I supposed to do?
- Chief Shepherd.

They're ready.

Nothing. You do nothing.

[siren wails]

Where's the little girl?

Uh, social services came.
We put her to bed in a patient room.

Her dad should be here
by the time she wakes up.

Good. You were great with her today.

Thanks.

So when did your mom die?

She didn't.

Your dad then?

I'm sorry if that's, like, too personal.

It was just really clear from the way
you were talking to her today.

It's been a long day. I just thought
you might want to talk about it.

[Cristina] That's very insightful of you.

You're a... Super... Super sensitive man.

You know what? Let me tell you
what you saw today.

I reflectively listened
to a patient's concerns.

I spoke to her in a language
she could understand,

I clearly stated
the possible complications

and probable outcomes.

That's all you saw today...

Me kicking patient sensitivity ass.

So go be someone else's dishrag.

Hey, what are you doing tonight?

Do you want to drink?
I think we should drink.

Although maybe I shouldn't,
because then I'll talk.

And, you know, I'm not allowed to talk,

- or make facial expressions...
- Can you go away please? Just go away!

What is it?

Cristina, what's wrong?

Owen. Can you get me Owen, please?

And describe what you saw
in Mrs. Clark's scans.

The patient suffered
an acute hemorrhagic stroke

- in the left temporal lobe.
- And based on those scans and the EEG,

you recommended that care be withdrawn?

According to the advanced...

Yes.

[lawyer] How long did that take?

From the time you looked at the scans,

until you decided to end her life.
How much time elapsed?

[Derek] We had to talk to
the patient's family.

Assemble an ethics review committee...

I'm talking about
your assessment, Dr. Shepherd.

How long did it take you to decide
to recommend that she should die?

- Less than a minute.
- Less than a minute?

In my professional opinion,

there was no other option.

[Gary] Thirty-two years.

I... I think
we have everything we need here.

Alison and I were married for 32 years.

I loved her for more than... half my life.

And you decide to kill her
in less than a minute?

Mr. Clark...

- I'm so sorry for your loss.
- I begged you.

And you just kept saying you're sorry.

You just kept saying
legal this and legal that.

- All right. This is no longer productive.
- [lawyer] Yeah, Gary...

I begged you, but you signed
her death sentence,

and you didn't even show up to do the job!

You're a coward, Dr. Shepherd!

- You're a coward and a killer.
- Gary, come on.

Come on.

Come with me. Come on.

Dr. Shepherd, can I have a word?

What?

Nothing.

I'm just keeping you here
till Mr. Clark is gone.

You're a kind man, Dr. Shepherd.
I respect that. I admire that.

But he's grieving and they have no case.

He got to say what he needed to say,

and the kindest thing you can
say to him right now is nothing.

You can't help him
and you won't help your hospital.

It's over.

I know you want to do more, but it's over.

It was a pleasure working with you.

- So you told her?
- I didn't say anything To her.

What? What is it?

What happened?

[inhales sharply]

[sobbing]

I- I miss my dad.

[sobbing]

[sniffles]

[Richard] Bobby, you survived the surgery,

but you're not nearly out of the woods.

We still have to watch you
very closely for post-op infections,

and you're gonna have to make
some serious lifestyle changes.

I know. I need to lose the weight.

You have no choice if you want to survive.

Well...

Then I have no choice.

Right?

[door opens]

How'd it go?

Derek, you can talk to me.

[sighs] I don't want to think about,

what I can and can't say
and who I can and can't say it to.

[sighs]

I can't do it anymore today.

I love you.

You know that, right?

I love you, too.

[sighs]

[Meredith] No matter how thick-skinned
we try to be...

Did you find out Bobby Corso's weight?

678.

So who won your stupid pool?

Bailey.

Bailey?

Wait, she bet in your pool

after all of that?

Are you kidding me?

My God, the hypocrisy.

Th...

[Meredith] There's millions of electrified
nerve endings in there...

You going home?

Yeah.

You want to go together?

Yeah.

[Meredith] Open and exposed...

and feeling way too much.

Hey! We scored.

My cousins said
we can use their time-share.

So Fiji... we can either go
at the end of this month

or we could save up three weeks of time

and rearrange our surgical schedules
and go at the end of next month.

[Meredith] Try as we might
to keep from feeling pain...

What's that? [laughs]

This cute girl's number.

And I can't get it off.

And...

I'm... I'm not gonna use it.
I don't want to use it.

But I... I can't stop wondering
if maybe she wants a baby one day.

[sighs]

[voice breaks] I love you...

[sighs]

Everything about you.

[sighs]

But there's this one thing that I need.

And I can't change it
and I can't ask you to change.

[voice breaks] I don't want you to change.

And I can't be the one
that keeps you from having a baby.

I love you, too.

[sighs]

- And we can keep going...
- But I don't know where we're going.

Come here.

[Meredith] Sometimes,
it's just unavoidable.

Oh, God. What are we gonna do?

Well, I'm gonna get my stuff together.

And what, we'll just...

We'll see each other at work.

[crying] I'm so sorry.

I love you.

[sniffles] Me, too.

[Meredith] Sometimes...

that's the only thing left...

[club smacks ball]

[sighs]

- Thanks. This was a good idea.
- No talking.

[Derek grunts softly]

[Mark] You shanked it.

No talking.

[Meredith] Just feeling.