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1
00:00:01,401 --> 00:00:03,369
[Cristina] Previouslyon Grey's Anatomy:
2
00:00:03,403 --> 00:00:06,770
[Derek] The Chief's under the spell
of some insane man in camouflage.
3
00:00:06,806 --> 00:00:08,933
[man] Major Owen Hunt.
I'm a trauma surgeon.
4
00:00:10,043 --> 00:00:11,772
You're reading your mom's diary?
5
00:00:11,811 --> 00:00:13,642
I'm not half the surgeon my mother was.
6
00:00:13,680 --> 00:00:15,614
[Cristina] Chief wants us
to give George one of our interns?
7
00:00:15,648 --> 00:00:20,415
You didn't even think to ask for me?
Screw you, Dr. O'Malley.
8
00:00:21,788 --> 00:00:25,485
We can take it slow.
Maybe just... first base.
9
00:00:27,494 --> 00:00:30,554
[# Vampire Weekend: Walcott]
10
00:00:34,401 --> 00:00:36,494
- Meredith.
- [both giggling]
11
00:00:36,536 --> 00:00:39,528
- I'm only opening one box.
- Plan was not to open any.
12
00:00:39,572 --> 00:00:41,699
The plan was to take
the boxes to the attic.
13
00:00:41,741 --> 00:00:44,437
[gasps] Look, it's Anatomy Jane.
14
00:00:44,477 --> 00:00:47,241
[Meredith] For a surgeon,every patient is a battlefield.
15
00:00:47,280 --> 00:00:50,408
- I'll never have my own office.
- [Meredith] They're our terrain,
16
00:00:50,450 --> 00:00:54,716
where we advance, retreat,try to remove all the landmines.
17
00:00:54,754 --> 00:00:57,780
- And she still has her little twosh.
- Her what?
18
00:00:57,824 --> 00:00:59,985
Anatomy Jane had detachable organs.
19
00:01:00,026 --> 00:01:03,086
I could never remember the real names,
so I made up names.
20
00:01:03,129 --> 00:01:06,064
Like the twosh was next to the chubbel.
21
00:01:06,099 --> 00:01:09,000
And that was connected to the slivvy.
22
00:01:09,636 --> 00:01:13,163
- Oh, and look, it's the jelly pouch.
- Jelly pouch, my favorite.
23
00:01:13,206 --> 00:01:15,504
Still can't get enough
of the jelly pouch.
24
00:01:15,542 --> 00:01:19,535
[Meredith] Just when you think you wonthe battle, made the world safe again...
25
00:01:20,713 --> 00:01:22,613
...along comes another landmine.
26
00:01:22,649 --> 00:01:26,210
- Are we screwing other people or not?
- What?
27
00:01:26,252 --> 00:01:29,881
I want to know if you're gonna go
screw O'Malley or some other loser.
28
00:01:29,923 --> 00:01:32,824
Then I don't cancel my plans
with the chick from Peds.
29
00:01:35,195 --> 00:01:38,494
[sighing] You're an ass.
30
00:01:39,265 --> 00:01:40,493
What?
31
00:01:40,533 --> 00:01:42,160
[both gasping, chuckling]
32
00:01:43,069 --> 00:01:45,799
- That was amazing.
- Yay.
33
00:01:46,739 --> 00:01:48,070
It was for me, too.
34
00:01:49,542 --> 00:01:53,308
- I mean, that was amazing.
- For me too!
35
00:01:53,513 --> 00:01:54,673
[both chuckling]
36
00:01:56,483 --> 00:02:02,444
My whole life, my whole adult life,
I have been with men,
37
00:02:02,489 --> 00:02:07,017
and it always felt,
you know, fine, good.
38
00:02:07,060 --> 00:02:09,460
But I never...
39
00:02:10,763 --> 00:02:13,493
I mean, I did, but not...
40
00:02:13,533 --> 00:02:15,558
Not like this.
41
00:02:17,770 --> 00:02:20,568
This is like... needing glasses.
42
00:02:21,708 --> 00:02:25,769
- I blinded you?
- No. When I was a kid,
43
00:02:25,812 --> 00:02:29,248
I would get these headaches
and I went to the doctor,
44
00:02:29,282 --> 00:02:31,375
and they said that I needed glasses.
45
00:02:31,417 --> 00:02:34,284
I didn't understand that.
It didn't make sense to me
46
00:02:34,320 --> 00:02:37,619
because I could see fine,
and then I get the glasses
47
00:02:37,657 --> 00:02:41,218
and I put them on and I'm in the car
on the way home,
48
00:02:41,261 --> 00:02:44,094
and, suddenly, I yell...
49
00:02:46,266 --> 00:02:50,566
...because the big green blobs
I'd been staring at my whole life,
50
00:02:50,603 --> 00:02:53,299
they weren't big green blobs!
51
00:02:53,339 --> 00:02:57,366
They were leaves... on trees.
52
00:02:58,077 --> 00:03:00,238
I could see the leaves.
53
00:03:01,447 --> 00:03:04,007
And I didn't even know
I was missing the leaves,
54
00:03:04,050 --> 00:03:08,453
I didn't even know that leaves existed,
and then... leaves.
55
00:03:11,057 --> 00:03:13,389
You are glasses.
56
00:03:15,461 --> 00:03:17,861
I am so gay.
57
00:03:17,897 --> 00:03:20,866
I am so, so, so gay.
58
00:03:20,900 --> 00:03:23,095
I am extremely gay.
59
00:03:23,136 --> 00:03:27,232
- [Erica chuckling]
- [stammering] Um...
60
00:03:29,642 --> 00:03:31,132
I have to go.
61
00:03:41,454 --> 00:03:45,254
Gentlemen, I want you to meet the new
head of trauma at Seattle Grace,
62
00:03:45,291 --> 00:03:48,454
Major Owen Hunt. You remember
Derek Shepherd, Mark Sloan?
63
00:03:48,494 --> 00:03:50,462
- He stole my patient.
- Mine too.
64
00:03:50,496 --> 00:03:53,659
- Now you'll get a chance to steal mine.
- Looking forward to it.
65
00:03:53,700 --> 00:03:55,691
[Richard] I talked to a friend
of mine at the DOH.
66
00:03:55,735 --> 00:03:58,568
Now that we have Owen,
we are being reclassified
67
00:03:58,605 --> 00:04:01,836
as a level-one trauma unit
by the end of the month.
68
00:04:01,874 --> 00:04:03,307
[Derek] That explains it.
69
00:04:03,343 --> 00:04:05,334
My mom bought it for me when I was five,
70
00:04:05,378 --> 00:04:08,905
which was a super creepy gift
for a five-year-old, but I liked it.
71
00:04:08,948 --> 00:04:10,040
Run!
72
00:04:18,925 --> 00:04:23,658
- OK, what was that all about?
- I just saw Owen. Major Owen Hunt.
73
00:04:23,696 --> 00:04:26,028
The guy who pulled
the icicle from my chest.
74
00:04:26,065 --> 00:04:29,159
- I thought he was in Iraq.
- Now he's here, in my hospital.
75
00:04:29,202 --> 00:04:32,933
- OK, so?
- So... So we kissed.
76
00:04:32,972 --> 00:04:36,499
He kissed me. It was stupid,
it was nothing. Stupid nothing.
77
00:04:36,542 --> 00:04:39,477
But you don't think he thinks
it was a stupid nothing.
78
00:04:39,512 --> 00:04:41,912
He obviously likes me, he's back.
What's he doing?
79
00:04:41,948 --> 00:04:45,611
Don't think he quit the military
for you? That'd be severely stalkery,
80
00:04:45,652 --> 00:04:46,710
but very romantic.
81
00:04:46,753 --> 00:04:49,654
I'm not getting involved
with another attending.
82
00:04:49,689 --> 00:04:52,214
[exhales] Coast clear?
83
00:05:00,667 --> 00:05:03,158
- You paged me, chief?
- Yes, I did.
84
00:05:03,202 --> 00:05:07,571
'Cause generally, when I'm paged to
the helipad, there's something landing.
85
00:05:07,607 --> 00:05:11,543
Yeah. You pulled off a 12-person
domino surgery last week.
86
00:05:11,577 --> 00:05:13,909
That's the kind of thing
we need every week.
87
00:05:13,946 --> 00:05:17,882
It's the kind of thing that shows me
you'll be a great surgeon someday.
88
00:05:17,917 --> 00:05:20,477
- Well, thank you, sir.
- It's not enough.
89
00:05:20,520 --> 00:05:23,683
I don't want you to be just great.
I want you to be the best.
90
00:05:23,723 --> 00:05:27,454
If you're gonna succeed me as the
best general surgeon in this hospital,
91
00:05:27,493 --> 00:05:30,656
you need to start now, today,
which means you need to be me.
92
00:05:30,697 --> 00:05:33,222
You want to take point
on a surgery, take point.
93
00:05:33,266 --> 00:05:36,258
Problem comes up, solve it.
Don't talk to me, just do it.
94
00:05:36,302 --> 00:05:38,236
- Be me.
- Be you?
95
00:05:38,271 --> 00:05:39,363
Be me.
96
00:05:40,506 --> 00:05:41,939
I can do that.
97
00:05:42,608 --> 00:05:45,736
I don't know why you had to bring me
all the way up here to...
98
00:05:45,778 --> 00:05:49,407
That's why. Lake Washington Med
is sending over a 10-year-old girl
99
00:05:49,449 --> 00:05:52,418
with an abdominal leiomyosarcoma.
It's inoperable.
100
00:05:52,452 --> 00:05:56,821
You're gonna have to put together a team
and come up with a plan to save her.
101
00:05:57,857 --> 00:06:02,885
- Save a girl with an inoperable tumor?
- [Richard] It isn't easy being me.
102
00:06:02,929 --> 00:06:04,863
- [lzzie sighs]
- What's wrong with you?
103
00:06:04,897 --> 00:06:06,125
What's wrong with me?
104
00:06:06,165 --> 00:06:09,566
We've been sleeping together
for a week and already you're bored.
105
00:06:09,602 --> 00:06:12,298
I'm hot and great in bed,
so what's wrong with you?
106
00:06:12,338 --> 00:06:16,274
I didn't say I was bored. I asked if
I should keep sleeping with Michelle.
107
00:06:16,309 --> 00:06:19,107
I'm asking if you're all in.
What's wrong with that?
108
00:06:19,145 --> 00:06:23,980
You're a barbarian. How can I be
all in with an actual barbarian?
109
00:06:24,016 --> 00:06:28,112
Fine. Claudia in Radiology thinks
I have a hot ass. I'll tap that next.
110
00:06:28,154 --> 00:06:29,382
You do that.
111
00:06:29,422 --> 00:06:32,550
Would you mind picking up...
Lexie, I'm your roommate.
112
00:06:32,592 --> 00:06:34,787
- You'll eventually have to talk to me.
- I reject that supposition.
113
00:06:34,827 --> 00:06:38,126
- I reject your rejection.
- I ignore your rejection of rejection.
114
00:06:38,164 --> 00:06:40,894
- I don't reject you, George.
- [George] Thank you.
115
00:06:41,200 --> 00:06:45,330
OK, two things. You all have
a skills lab this morning.
116
00:06:45,371 --> 00:06:48,238
It is mandatory. Don't think
about trying to get out.
117
00:06:48,274 --> 00:06:51,334
Second, one of you will not
have to go to the mandatory lab
118
00:06:51,377 --> 00:06:53,402
because you will be assisting me
119
00:06:53,446 --> 00:06:56,847
in my efforts to remove an inoperable
tumor from a 10-year-old girl.
120
00:06:56,883 --> 00:06:58,373
- I'll do it.
- [Bailey] You won't.
121
00:06:58,418 --> 00:07:02,855
You have a hundred delinquent charts.
You will do those after the lab.
122
00:07:02,889 --> 00:07:03,947
Slacker.
123
00:07:03,990 --> 00:07:05,855
How can you operate
on an inoperable tumor?
124
00:07:05,892 --> 00:07:09,123
- Karev is also out. You doubted me.
- [Alex] What did I say?
125
00:07:09,162 --> 00:07:11,653
- I don't doubt you.
- Yang is out too.
126
00:07:11,697 --> 00:07:14,097
You weren't supportive
of a fellow resident
127
00:07:14,133 --> 00:07:16,499
who couldn't get his paperwork
under control.
128
00:07:16,536 --> 00:07:18,731
What is that?
Grey, is that Anatomy Jane?
129
00:07:19,672 --> 00:07:21,697
- Yes.
- With the 24 removable organs
130
00:07:21,741 --> 00:07:24,301
and the optional parts
to simulate pregnancy?
131
00:07:24,343 --> 00:07:27,642
- Yes. Does that mean I'm out too?
- No, that means you're in.
132
00:07:27,680 --> 00:07:28,704
- Yes!
- Not fair.
133
00:07:28,748 --> 00:07:31,239
Next time you'll know
to bring in an ugly doll.
134
00:07:34,554 --> 00:07:37,682
Dr. Yang, what exactly happens
in a skills lab?
135
00:07:37,723 --> 00:07:40,988
- Who are you?
- I'm your new intern. Ryan Spalding.
136
00:07:41,027 --> 00:07:44,588
I'm never gonna remember that.
You're... 4.2.
137
00:07:48,434 --> 00:07:49,799
Three, Three.
138
00:07:49,836 --> 00:07:52,100
- Is everything OK?
- Shut up. Don't move.
139
00:07:52,905 --> 00:07:54,930
I'm Dr. Hunt. Over the next few months
140
00:07:54,974 --> 00:07:58,000
I'll be teaching you how to work
quickly and efficiently
141
00:07:58,044 --> 00:08:00,137
to keep someone alive
in the circumstances
142
00:08:00,179 --> 00:08:03,012
where the safe bet is they're dead
by the end of the hour.
143
00:08:03,049 --> 00:08:05,609
Anyone have a problem
working with live tissue?
144
00:08:05,651 --> 00:08:06,913
- Live tissue?
- Anyone?
145
00:08:06,953 --> 00:08:09,513
Speak now. In fact, leave now.
146
00:08:09,555 --> 00:08:11,682
If not, I own you
for the rest of the day.
147
00:08:12,692 --> 00:08:14,557
Good. Here we go.
148
00:08:17,430 --> 00:08:19,660
[indistinct murmuring]
149
00:08:23,636 --> 00:08:26,366
Each resident gets a pig,
interns assist.
150
00:08:26,405 --> 00:08:27,463
[0wen] Hang on.
151
00:08:29,809 --> 00:08:32,073
- [stabbing noises]
- [all gasping]
152
00:08:32,545 --> 00:08:34,979
- [stabbing continues]
- [gasping continues]
153
00:08:40,119 --> 00:08:41,950
Go ahead.
154
00:08:41,988 --> 00:08:43,387
Save their lives.
155
00:08:57,003 --> 00:08:58,163
You're a monster.
156
00:08:59,205 --> 00:09:01,571
They're under,
they didn't feel any pain.
157
00:09:01,607 --> 00:09:04,337
- You stabbed them!
- Yeah, so we can save them.
158
00:09:04,377 --> 00:09:08,245
We can practice on surgical mannequins.
We can learn to do the same stuff.
159
00:09:08,281 --> 00:09:10,841
- Does that mean you're out?
- Yeah, I'm out!
160
00:09:10,883 --> 00:09:14,080
In that case, who wants two pigs?
161
00:09:17,890 --> 00:09:23,453
Tori Begler, age 10.
Tori has an abdominal leiomyosarcoma.
162
00:09:23,496 --> 00:09:27,364
The tumor is wrapped around
her celiac artery, her splenic artery
163
00:09:27,400 --> 00:09:30,927
and her left gastric artery.
It is considered unresectable.
164
00:09:30,970 --> 00:09:33,200
Did you understand a word of that, Tori?
165
00:09:33,239 --> 00:09:34,866
Not really.
166
00:09:35,708 --> 00:09:36,732
Grey.
167
00:09:39,011 --> 00:09:41,445
This is Anatomy Jane.
168
00:09:42,381 --> 00:09:47,409
- [Tori] She's kinda funny-looking.
- She is funny-looking, but helpful.
169
00:09:48,254 --> 00:09:52,452
So the tumor...
is way down here in your belly.
170
00:09:52,491 --> 00:09:55,756
Hard to get at because
it's underneath all these organs.
171
00:09:55,795 --> 00:09:59,959
- Hard but not impossible, right?
- We're gonna try everything we can.
172
00:09:59,999 --> 00:10:03,127
Everything you can should include
your cardiothoracic gal.
173
00:10:03,169 --> 00:10:06,730
Dr. Stewart at Seattle Pres said
the vasculature is the problem,
174
00:10:06,772 --> 00:10:10,173
and you stole the best cardiovascular
surgeon he's ever had.
175
00:10:10,810 --> 00:10:14,439
If she's not on Tori's team
we're leaving, going to San Francisco.
176
00:10:17,016 --> 00:10:18,916
Fudge? It's homemade.
177
00:10:19,051 --> 00:10:20,609
[clears throat]
178
00:10:21,954 --> 00:10:24,980
- I love this hospital.
- Yeah, no small talk. Come on.
179
00:10:25,024 --> 00:10:27,458
- More lessons?
- No lessons, just sex.
180
00:10:27,493 --> 00:10:31,122
Nothing fancy, just plain
missionary, boy/girl, penis/vagina sex.
181
00:10:31,564 --> 00:10:36,126
I mean it. No dirty talk, no Erica talk.
No talk. Just grunting and grinding.
182
00:10:36,168 --> 00:10:38,602
- Now who's talking dirty?
- Shut up!
183
00:10:38,638 --> 00:10:41,402
- What's this about?
- [sighs] I'm testing a theory.
184
00:10:41,440 --> 00:10:43,067
[grunting]
185
00:10:46,178 --> 00:10:47,975
Good. That looks good.
186
00:10:49,515 --> 00:10:51,073
Are you petting the pig?
187
00:10:52,051 --> 00:10:54,019
Stop petting the pig.
188
00:10:55,855 --> 00:10:59,552
Spending a lot of time on that
anastomosis. What's your name again?
189
00:10:59,992 --> 00:11:01,425
Yang. Cristina Yang.
190
00:11:01,460 --> 00:11:03,758
Right. Come take a look
at this guy's pig.
191
00:11:04,597 --> 00:11:06,326
- O'Malley?
- This is gonna be good.
192
00:11:06,365 --> 00:11:08,993
- Make way for Dr. Yang.
- See what he did?
193
00:11:09,035 --> 00:11:12,402
He stopped the bleeding, then
moved on to his liver laceration.
194
00:11:12,438 --> 00:11:14,872
But sloppy work
can lead to complications.
195
00:11:14,907 --> 00:11:17,569
Two days from now when this pig
starts vomiting blood
196
00:11:17,610 --> 00:11:19,339
O'Malley'll wish he'd been thorough.
197
00:11:19,378 --> 00:11:22,541
He can come back later, make things
pretty when his pig is stable.
198
00:11:22,581 --> 00:11:25,448
Meanwhile your pig is getting
acidotic and hypothermic.
199
00:11:25,484 --> 00:11:28,078
If this was a scrawny kid
he'd be dead by now.
200
00:11:28,120 --> 00:11:32,489
- Quick and dirty, Cristine.
- "A." Cristina.
201
00:11:32,525 --> 00:11:35,085
[Bailey] Let's guide the catheter
into the celiac axis.
202
00:11:35,127 --> 00:11:36,685
Turning on the fluoro.
203
00:11:37,463 --> 00:11:40,057
What? Excuse me a sec.
204
00:11:42,601 --> 00:11:44,159
Hello, you can't be in here.
205
00:11:44,203 --> 00:11:46,103
[Tori] That's my Uncle Pat
and Aunt Jean.
206
00:11:46,138 --> 00:11:49,130
They like to make sure
I don't get lonely.
207
00:11:49,842 --> 00:11:53,300
She's not lonely. Dr. Grey and I
are very entertaining.
208
00:11:53,345 --> 00:11:54,403
[weak cough]
209
00:11:56,615 --> 00:12:01,552
OK, fine. They have to stay in there.
There's radiation in here.
210
00:12:03,255 --> 00:12:05,746
All right, let's inject dye.
211
00:12:14,834 --> 00:12:16,961
[Tori] Is everything OK?
212
00:12:17,636 --> 00:12:20,161
Uh... It's fine.
213
00:12:26,846 --> 00:12:30,043
Owen Hunt is a murdering,
sadistic bastard.
214
00:12:30,082 --> 00:12:34,576
- Let me guess, your first wet lab?
- He's stabbing pigs, defenseless pigs,
215
00:12:34,620 --> 00:12:36,986
or as he likes to call them,
"live tissue,"
216
00:12:37,022 --> 00:12:39,547
God forbid you should call them animals.
217
00:12:39,592 --> 00:12:41,651
He is the new head of trauma, Stevens.
218
00:12:41,694 --> 00:12:44,390
May not be ideal, but if that's
how he does things, roll with it.
219
00:12:44,430 --> 00:12:47,593
We don't need live subjects.
What happened to "first do no harm"?
220
00:12:47,633 --> 00:12:49,191
That's about all living things.
221
00:12:49,235 --> 00:12:52,136
Actually, I think
it's just about humans.
222
00:12:53,105 --> 00:12:55,630
I'm saying this to you as my roommate
and not my attending.
223
00:12:55,674 --> 00:12:57,335
Uh-huh.
224
00:12:57,376 --> 00:12:59,071
You disgust me.
225
00:13:01,413 --> 00:13:03,973
- Damn it! [sighing]
- What, it wasn't good for you?
226
00:13:04,016 --> 00:13:07,179
- Impossible.
- It's not that it wasn't good.
227
00:13:07,219 --> 00:13:09,517
[sighs] It's that it was.
228
00:13:12,992 --> 00:13:16,587
- A "thank you" would've been nice.
- You paged me?
229
00:13:16,629 --> 00:13:19,792
Got a 10-year-old girl with a tumor
wrapped around her aorta.
230
00:13:19,832 --> 00:13:22,494
- I'm putting together a team.
- This is her angio?
231
00:13:22,535 --> 00:13:25,003
Thing is wrapped around
five major arteries.
232
00:13:25,037 --> 00:13:28,837
- It's bad, but I've got ideas.
- Try them on someone who might live.
233
00:13:28,874 --> 00:13:31,502
I admit it doesn't look great,
234
00:13:31,544 --> 00:13:36,379
- but her family mentioned you by name.
- That's nice, but I really don't care.
235
00:13:36,415 --> 00:13:38,440
Well, I do.
236
00:13:38,484 --> 00:13:42,284
Don't get emotional, Bailey.
No one likes a girl who gets emotional.
237
00:13:44,089 --> 00:13:48,082
Still, I'd like you on my team.
238
00:13:52,198 --> 00:13:55,258
I'm sorry about this, little guy.
It must've been awful.
239
00:13:55,301 --> 00:13:58,464
One day you're at some beautiful farm
out in the country,
240
00:13:58,504 --> 00:14:02,065
breathing in the fresh air,
lounging in the mud with your friends.
241
00:14:02,107 --> 00:14:03,972
Next thing you know you're sedated
242
00:14:04,009 --> 00:14:06,534
- and stabbed in some skills lab.
- Get it together.
243
00:14:06,579 --> 00:14:08,240
- [pager beeping]
- Heads up.
244
00:14:08,280 --> 00:14:10,714
Take your interns down to ER.
I'll meet you.
245
00:14:10,749 --> 00:14:14,617
Multiple MVC. Six incoming.
You, lab's over. Do your charts.
246
00:14:14,653 --> 00:14:16,484
- What about my pig?
- She's got it.
247
00:14:16,522 --> 00:14:18,149
- What?
- You're staying here.
248
00:14:18,190 --> 00:14:20,624
With a half dozen crash victims
into the pit?
249
00:14:20,659 --> 00:14:23,822
You have four struggling victims here.
Keep them alive.
250
00:14:23,863 --> 00:14:26,832
Karev gets to work on people
and I have 300 pounds of bacon?
251
00:14:26,866 --> 00:14:29,528
Live bacon. They better be
that way when I get back.
252
00:14:34,506 --> 00:14:38,704
Thirty-five-year-old backseat passenger,
forehead versus window, the window won.
253
00:14:38,744 --> 00:14:41,577
Second-degree burns on the left side.
Vitals stable en route.
254
00:14:41,614 --> 00:14:43,047
Trauma one. What do you got?
255
00:14:43,082 --> 00:14:46,882
Charles Hiott, 46. Positive ecchymosis
over abdomen. Last BP 96 over 68.
256
00:14:46,919 --> 00:14:48,318
Know how to do a trauma ultrasound?
257
00:14:48,354 --> 00:14:50,049
- Yes.
- In that case he's yours.
258
00:14:50,089 --> 00:14:52,557
- Can I help you?
- Dr. Karev paged us.
259
00:14:52,591 --> 00:14:53,888
Got it covered.
260
00:14:53,926 --> 00:14:56,326
A head injury and burns.
Don't think you have it covered.
261
00:14:56,362 --> 00:14:58,330
- Karev, are you a doctor?
- Yes, sir.
262
00:14:58,364 --> 00:15:00,924
Capable of assessing
a patient's injuries?
263
00:15:00,966 --> 00:15:02,661
- Yep.
- Like I said, got it covered.
264
00:15:02,701 --> 00:15:04,362
- Let us dive in.
- Appreciate it,
265
00:15:04,403 --> 00:15:06,496
but I want my residents
to learn to deal with trauma.
266
00:15:06,538 --> 00:15:08,563
They won't learn as much or as fast
267
00:15:08,607 --> 00:15:12,634
if they watch attendings do it
unless that attending is me.
268
00:15:14,113 --> 00:15:17,207
[Erica] Three other hospitals
have already sent them away.
269
00:15:17,249 --> 00:15:19,774
And if we were smart,
we would do the same thing.
270
00:15:19,818 --> 00:15:21,809
What is the matter with you?
271
00:15:23,122 --> 00:15:25,352
We can try and cut around the stomach.
272
00:15:25,391 --> 00:15:27,655
No. The only way to do that
is to take it out.
273
00:15:27,693 --> 00:15:31,424
- They've done ex-vivo autotransplants.
- With livers and kidneys.
274
00:15:31,463 --> 00:15:33,931
Why don't we take out
the stomach and kidneys?
275
00:15:33,966 --> 00:15:36,127
[Erica] That'd be great,
if you wanted to kill her.
276
00:15:36,168 --> 00:15:39,501
We're talking about two completely
different blood supplies here.
277
00:15:39,538 --> 00:15:41,768
So no, not a good idea, Grey.
278
00:15:44,343 --> 00:15:45,674
Who are those people?
279
00:15:46,245 --> 00:15:50,705
Uh, that's Tori's dad, Randy,
and his brother, Pat,
280
00:15:50,749 --> 00:15:53,877
and Pat's wife, Jean,
and Tori's brother David...
281
00:15:53,919 --> 00:15:56,717
- Why are they staring at us?
- I don't think they're staring.
282
00:15:56,822 --> 00:15:59,086
- I think they're just waiting...
- [pager beeping]
283
00:15:59,124 --> 00:16:01,149
...seeing if we have any news.
284
00:16:01,193 --> 00:16:04,128
Try and come up with something
before I get back.
285
00:16:05,798 --> 00:16:08,266
- Close the blinds, Grey.
- [door closing]
286
00:16:08,334 --> 00:16:09,392
[sighs]
287
00:16:11,704 --> 00:16:14,605
- You paged me?
- Rambo's completely out of control.
288
00:16:14,640 --> 00:16:17,438
- Excuse me?
- Hunt. He kicked me out of my own ER.
289
00:16:17,476 --> 00:16:19,239
- Did he kill somebody?
- Not yet.
290
00:16:19,278 --> 00:16:21,838
Call me when he does.
I don't have time for it.
291
00:16:21,880 --> 00:16:23,745
I have a dying 10-year-old and doctors
292
00:16:23,782 --> 00:16:26,410
who can't stop bickering
long enough to solve a problem,
293
00:16:26,452 --> 00:16:30,513
except for your girlfriend who's more
interested in playing with a doll.
294
00:16:30,556 --> 00:16:33,582
She dragged that thing all around
the hospital when she was five,
295
00:16:33,625 --> 00:16:36,150
and let me tell you,
it was cuter in a child.
296
00:16:40,065 --> 00:16:41,965
- Any luck?
- [Erica] What do you think?
297
00:16:42,001 --> 00:16:43,730
I know you want to be number one,
298
00:16:43,769 --> 00:16:47,102
but we can't take in
every charity case that comes along.
299
00:16:47,139 --> 00:16:49,699
It is a huge waste of resources.
300
00:16:51,210 --> 00:16:52,837
It's your call, Dr. Bailey.
301
00:16:53,846 --> 00:16:56,178
Grey, put that away.
This isn't playtime.
302
00:16:56,215 --> 00:17:00,208
I'm not playing, I'm thinking.
What if we took out each of the organs
303
00:17:00,252 --> 00:17:03,016
where the tumor interferes
with the blood supply?
304
00:17:03,055 --> 00:17:06,821
By the time you clamp off the aorta
you risk damaging the other organs.
305
00:17:06,859 --> 00:17:09,657
- Even if you take them out one by one?
- You don't have the time.
306
00:17:09,695 --> 00:17:13,153
What about if we made the time?
307
00:17:15,200 --> 00:17:19,136
Dr. Bailey, let's throw
some stuff up on the board.
308
00:17:22,541 --> 00:17:25,237
CT showed a subdural hematoma.
Should I book an OR?
309
00:17:25,277 --> 00:17:28,246
First thing's first. The scalp
is bleeding. What do you do?
310
00:17:28,280 --> 00:17:30,942
- Normally I page Shepherd.
- Shepherd's not here.
311
00:17:30,983 --> 00:17:34,009
- What do you do to stop the bleeding?
- Suture laceration, tie off bleeders.
312
00:17:34,053 --> 00:17:38,046
That'll take two hours. What would you
use in this room to take care of this?
313
00:17:38,090 --> 00:17:39,819
- Staples?
- It's his forehead.
314
00:17:39,858 --> 00:17:43,089
Want this guy to look like
Frankenstein the rest of his life?
315
00:17:43,128 --> 00:17:44,561
- Skin glue.
- Excellent.
316
00:17:44,596 --> 00:17:47,531
Clean it, close it,
stick a pressure dressing over it.
317
00:17:47,566 --> 00:17:50,501
- How are you feeling, Mr. Hiott?
- Not too good.
318
00:17:50,536 --> 00:17:52,527
How'll we make Mr. Hiott feel better?
319
00:17:52,571 --> 00:17:55,563
Ultrasound showed free fluid.
We'll get him to a CT to confirm.
320
00:17:55,607 --> 00:17:58,576
- Pretty much OR bound.
- Excellent. Is that tetanus?
321
00:17:58,610 --> 00:18:01,977
Know who we have to thank for
the invention of the tetanus shot?
322
00:18:02,014 --> 00:18:05,415
Horses. First experiments
were done on horses.
323
00:18:09,421 --> 00:18:11,389
Want to take out
her abdominal organs?
324
00:18:11,423 --> 00:18:14,654
- Intestines, stomach, everything?
- [man] All at once?
325
00:18:14,693 --> 00:18:15,785
That's right.
326
00:18:15,828 --> 00:18:19,127
We'll put the organs on ice
while we dissect out the tumor,
327
00:18:19,164 --> 00:18:21,598
then reconnect the vessels
using synthetic grafts
328
00:18:21,633 --> 00:18:23,123
and put the organs back in.
329
00:18:23,168 --> 00:18:26,604
Why didn't Graham or Fleisher over
at Lake Washington suggest this?
330
00:18:26,638 --> 00:18:28,230
They're a couple of smarties.
331
00:18:28,273 --> 00:18:30,935
Probably because
it's never been done before.
332
00:18:32,177 --> 00:18:36,136
It is extremely risky. There are any
number of things that could go wrong.
333
00:18:37,850 --> 00:18:40,910
I don't know, Randy.
Maybe we should try more chemo.
334
00:18:40,953 --> 00:18:44,889
With all due respect, Mrs. Begler,
I don't think there's time for that.
335
00:18:46,125 --> 00:18:48,423
Is it going to save her life?
336
00:18:48,460 --> 00:18:51,952
It's your best shot. Your only shot.
337
00:18:56,301 --> 00:18:59,964
- Then do it.
- [Richard] OK.
338
00:19:02,608 --> 00:19:05,099
Dr. Bailey, I'm not a vet,
339
00:19:05,144 --> 00:19:09,376
and while I can appreciate the value
of practicing technique on live tissue,
340
00:19:09,414 --> 00:19:11,177
there's a multiple MVC in the pit
341
00:19:11,216 --> 00:19:14,777
and my education will be far
better served practicing on humans.
342
00:19:14,820 --> 00:19:17,618
- Who's babysitting the pigs now?
- My interns.
343
00:19:17,656 --> 00:19:20,853
Major Hunt order the interns
to baby-sit the pigs or you?
344
00:19:20,893 --> 00:19:22,793
- Not the point.
- Make it the point.
345
00:19:22,828 --> 00:19:25,023
I don't have time. I'm taking
six organs out of a person.
346
00:19:25,063 --> 00:19:27,793
See, that's not fair.
I'm not Dr. Doolittle.
347
00:19:27,833 --> 00:19:31,234
The zebras and the elephants
are thanking their lucky stars for that.
348
00:19:34,239 --> 00:19:35,934
I have a question.
349
00:19:36,675 --> 00:19:40,236
Why aren't we taking out the kidney
since the left renal artery is involved?
350
00:19:40,279 --> 00:19:43,976
We can remove the tumor
without doing that, so why bother?
351
00:19:46,151 --> 00:19:48,813
- I have another question.
- Yes?
352
00:19:48,854 --> 00:19:50,879
Why can't you look at me?
353
00:19:52,925 --> 00:19:55,826
- What?
- You can't look at me.
354
00:19:55,861 --> 00:19:58,489
You haven't been able
to look at me all day.
355
00:19:58,530 --> 00:20:00,395
I think you're imagining things.
356
00:20:00,899 --> 00:20:05,893
Oh, I don't think I am.
But, hey, if you say so.
357
00:20:05,938 --> 00:20:11,001
I do. I say so. Instead of worrying
about whether or not I'm looking at you,
358
00:20:11,043 --> 00:20:15,844
concentrate on saving a 10-year-old
girl that we're about to eviscerate.
359
00:20:25,357 --> 00:20:28,224
[Bailey] Dr. Grey, why do we
dissect down in quadrants?
360
00:20:28,260 --> 00:20:32,253
[Meredith] So we can look at the vessels
to make sure we have reconstruction.
361
00:20:32,297 --> 00:20:35,164
- [Bailey] Very good.
- [Richard] Suction in here, please.
362
00:20:35,200 --> 00:20:37,862
Tori's dad is on the phone.
OR desk wants to know
363
00:20:37,903 --> 00:20:39,734
- if they can put him through.
- [Richard] No.
364
00:20:39,771 --> 00:20:42,103
- [woman] He's insistent.
- [Richard] I'm busy.
365
00:20:42,140 --> 00:20:45,268
[Bailey] I think... Hold this up
a little bit higher, Dr. Grey.
366
00:20:45,711 --> 00:20:48,339
I want to make sure to avoid... that!
367
00:20:48,380 --> 00:20:49,540
[machines beeping]
368
00:20:49,615 --> 00:20:53,142
- [Richard] Let's get some clamps.
- [Bailey] Another clamp, please.
369
00:20:53,185 --> 00:20:55,813
- [Richard] Right there.
- Let's hang another bag of blood.
370
00:20:55,854 --> 00:20:58,152
Better hope the aorta's
not that friable.
371
00:20:58,190 --> 00:21:01,489
Otherwise all the blood in the world
won't save this girl.
372
00:21:04,830 --> 00:21:07,594
- Ryan, what's Reggie's pulse?
- Sixty-nine.
373
00:21:07,633 --> 00:21:11,364
Really? 'Cause Wilbur's at 102.
I'm pretty sure that's bad.
374
00:21:11,403 --> 00:21:14,497
- Babe's like an ox. Hers is 52.
- Hey, no cute names!
375
00:21:14,539 --> 00:21:16,734
They're not pets, they're subjects.
376
00:21:16,775 --> 00:21:20,768
It's not our job to get affectionate.
It's our job to keep them alive,
377
00:21:21,413 --> 00:21:25,679
so the attending who thinks we're
incapable can choke on his words.
378
00:21:25,717 --> 00:21:28,914
So I don't want to hear Wilbur or Babe.
379
00:21:28,954 --> 00:21:33,323
You want to call them something,
call them sausage or prosciutto.
380
00:21:33,358 --> 00:21:35,588
- [machines beeping]
- Wilbur's crashing.
381
00:21:35,627 --> 00:21:39,256
- What? What did you do?
- I don't... I don't...
382
00:21:40,299 --> 00:21:43,632
[Cristina] I gotta re-open that
thoracotomy. Pull that chest tray back.
383
00:21:46,471 --> 00:21:49,565
- Dr. Bailey?
- Removing the organs on three.
384
00:21:49,841 --> 00:21:53,106
Ready? One... two...
385
00:21:53,145 --> 00:21:56,672
- ...three.
- [indistinct murmuring]
386
00:22:00,452 --> 00:22:02,477
[Richard] Let me have it.
387
00:22:07,559 --> 00:22:08,924
[Bailey] Wow.
388
00:22:08,960 --> 00:22:13,761
[Richard] I'll need medium and large
vessel loops to dissect out the tumor.
389
00:22:13,799 --> 00:22:17,064
[nurse] Mr. Begler again. He wants
to talk to you about his daughter.
390
00:22:17,102 --> 00:22:19,832
- I'm pretty busy.
- I already told him that.
391
00:22:19,871 --> 00:22:22,032
- Tell him again.
- I've told him 18 times.
392
00:22:22,074 --> 00:22:24,372
[Bailey] Chief,
you need to go talk to them.
393
00:22:25,777 --> 00:22:27,768
Hey, you did put me in charge.
394
00:22:29,381 --> 00:22:32,179
[sighing] I'll be back.
395
00:22:33,452 --> 00:22:36,114
[Derek] What the hell?
Look at this crap.
396
00:22:36,154 --> 00:22:39,123
Is that glue? You used skin glue?
397
00:22:39,858 --> 00:22:42,656
Dr. Hunt wanted to get him
out of there pretty quick.
398
00:22:42,694 --> 00:22:45,424
Because Dr. Hunt didn't
have you revise the wound,
399
00:22:45,464 --> 00:22:47,329
he could lose half his face.
400
00:22:47,366 --> 00:22:49,630
You can't rotate a flap,
you call someone who can.
401
00:22:49,668 --> 00:22:52,296
He says the ER's like being
in the field. Use what's available.
402
00:22:52,337 --> 00:22:56,467
What qualifies us as a war zone, Karev?
Our undermanned gift shop?
403
00:22:56,508 --> 00:22:58,976
The lukewarm drinks
from the coffee cart?
404
00:22:59,010 --> 00:23:00,773
Guy's a meatballer. What do you expect?
405
00:23:00,812 --> 00:23:03,178
- Meatballer?
- Trauma guys slap it together.
406
00:23:06,485 --> 00:23:09,215
- Dr. Webber, how's Tori?
- Stable.
407
00:23:09,254 --> 00:23:12,485
We're removing the tumor.
I should be in there to help,
408
00:23:12,524 --> 00:23:15,152
- but I'm out here instead.
- I just needed an update.
409
00:23:15,193 --> 00:23:17,627
Not important you get
an update right now.
410
00:23:17,662 --> 00:23:20,597
The best doctors we have
are focused on your daughter.
411
00:23:20,632 --> 00:23:23,863
Calls and interruptions
don't help us focus.
412
00:23:23,902 --> 00:23:27,531
I'm sorry. I know we have been
underfoot sometimes,
413
00:23:27,572 --> 00:23:29,665
but we have been to a lot of hospitals,
414
00:23:29,708 --> 00:23:32,677
and hospitals are not easy places
to get information.
415
00:23:32,711 --> 00:23:35,908
A lot of times it's impossible
to get a doctor to talk to you
416
00:23:35,947 --> 00:23:38,211
or to get the doctors
to talk to each other.
417
00:23:38,250 --> 00:23:41,879
And I don't know if it's neglect
or their egos getting in the way,
418
00:23:41,920 --> 00:23:45,412
I don't care. We're just trying
to take care of our little girl.
419
00:23:45,457 --> 00:23:48,824
She's 10, she's scared and she's sick.
420
00:23:49,428 --> 00:23:52,022
We're doing whatever we can.
421
00:23:55,534 --> 00:23:58,094
Don't ever stop
taking care of her like that.
422
00:23:58,136 --> 00:24:00,161
[# Greg Laswell: Days Go On]
423
00:24:02,407 --> 00:24:05,035
Stevens, have you ever used
a GIA stapler?
424
00:24:05,076 --> 00:24:07,374
No, but I'm ready, I can handle it.
425
00:24:07,412 --> 00:24:09,846
Answer me three questions
and I'll let you.
426
00:24:09,881 --> 00:24:12,042
- OK.
- Question one:
427
00:24:12,083 --> 00:24:15,382
The polio vaccine, which animal
do we have to thank for that?
428
00:24:15,420 --> 00:24:18,651
- This really necessary?
- Only if you want to use that stapler.
429
00:24:18,690 --> 00:24:20,920
- [sighs] Flipper babies.
- What?
430
00:24:20,959 --> 00:24:24,520
Flipper babies. Ten thousand babies
were born with birth defects
431
00:24:24,563 --> 00:24:27,498
in the 1950s because their pregnant
mothers took Thalidomide.
432
00:24:27,532 --> 00:24:30,865
First developed on guinea pigs.
Guinea pigs didn't have side effects.
433
00:24:30,902 --> 00:24:31,926
And your point?
434
00:24:31,970 --> 00:24:35,462
My point is that humans and animals
have different physiologies,
435
00:24:35,507 --> 00:24:38,442
- different reactions.
- They can have different reactions.
436
00:24:38,477 --> 00:24:41,844
- Doesn't mean they will.
- Tell that to those babies and moms.
437
00:24:42,414 --> 00:24:45,713
So the polio vaccine,
developed using mice and monkeys.
438
00:24:45,750 --> 00:24:49,015
You can keep your stapler.
It's not worth it.
439
00:24:50,622 --> 00:24:52,681
Give me the status on Reggie and Paddy.
440
00:24:52,724 --> 00:24:55,056
Reggie's fine.
Paddy's pulse ox is low but stable.
441
00:24:55,093 --> 00:24:56,424
- Babe?
- Holding steady.
442
00:24:56,461 --> 00:24:58,429
Thought we weren't supposed
to give them names.
443
00:24:58,463 --> 00:25:02,126
I could give them numbers but then
I'd tell you Three needs antibiotics
444
00:25:02,167 --> 00:25:04,533
and find you shoving a needle
in Grey's ass.
445
00:25:04,569 --> 00:25:06,628
[sighs] His vitals
are getting worse, damn it.
446
00:25:06,671 --> 00:25:09,697
- Uh, did you check his lung?
- I took out an entire lobe.
447
00:25:09,741 --> 00:25:12,073
- His descending aorta?
- I've tried everything.
448
00:25:12,110 --> 00:25:14,101
- [machines beeping]
- Pulseless.
449
00:25:14,145 --> 00:25:16,272
That's it. We need
to give him more exposure.
450
00:25:16,314 --> 00:25:20,011
- You're opening him up more?
- I need everyone's help, stem to stern.
451
00:25:21,019 --> 00:25:23,487
What if he can't take it?
You could kill him.
452
00:25:23,522 --> 00:25:27,356
Don't get emotional. Get ready to
start massaging his heart. Scalpel.
453
00:25:30,795 --> 00:25:32,990
[Richard] Bailey, can you
dissect any more?
454
00:25:33,031 --> 00:25:36,364
[Bailey] There's nothing to dissect.
There's barely any artery left.
455
00:25:36,401 --> 00:25:38,801
What about if we extend
the Gore-Tex graft?
456
00:25:38,837 --> 00:25:40,805
What's left is too friable.
457
00:25:40,839 --> 00:25:43,307
We can't reconnect the organs
to the vessels?
458
00:25:43,341 --> 00:25:47,437
- Not at this moment. No.
- [Meredith] But if we can't reconnect,
459
00:25:47,479 --> 00:25:49,470
they won't reperfuse and they'll die.
460
00:25:49,514 --> 00:25:52,142
- Yes, they will.
- [Meredith] Too late for a transplant?
461
00:25:52,183 --> 00:25:55,949
Well, we'd have to find six
good organs in about eight hours.
462
00:25:55,987 --> 00:25:59,718
- It's too late for a transplant.
- And a gold star for Grey.
463
00:25:59,758 --> 00:26:00,816
[sighs]
464
00:26:09,768 --> 00:26:12,498
[Bailey] We could
put in more Gore-Tex.
465
00:26:12,537 --> 00:26:14,129
Oh, put even more
synthetic material in?
466
00:26:14,172 --> 00:26:17,733
- What about a saphenous vein graft?
- She's getting acidotic.
467
00:26:17,776 --> 00:26:20,438
- That has to be pre-planned.
- What's your idea?
468
00:26:20,478 --> 00:26:21,502
Excuse me?
469
00:26:21,546 --> 00:26:24,413
You're good at shooting down every idea
we come up with. What's yours?
470
00:26:24,449 --> 00:26:27,680
It was my idea not to do this
in the first place, Dr. Bailey.
471
00:26:27,719 --> 00:26:30,882
Yeah, and you made that very clear
every chance you got.
472
00:26:30,922 --> 00:26:34,050
Shut up! I don't care
who had what idea when.
473
00:26:34,092 --> 00:26:38,153
Get over yourselves.
Shut up and talk to each other.
474
00:26:43,935 --> 00:26:49,305
What about using
human umbilical vein?
475
00:26:49,341 --> 00:26:54,438
- Ready to go, already heparinized.
- OK. I like it.
476
00:26:54,479 --> 00:26:57,141
- Erica, what do you think?
- It could work.
477
00:26:57,182 --> 00:27:00,413
It's Dr. Bailey's call,
if she wants to do it.
478
00:27:00,986 --> 00:27:05,013
- I do.
- OK, in that case, let's do it.
479
00:27:06,358 --> 00:27:08,383
Nice work on the valve.
480
00:27:08,426 --> 00:27:11,623
First developed in pigs, but more
recently in cows. [mooing]
481
00:27:11,663 --> 00:27:15,258
Are you done beating me up for the day
because I'd like to go home.
482
00:27:15,300 --> 00:27:17,791
- I was trying to teach you.
- You want to teach us?
483
00:27:17,836 --> 00:27:21,272
Take us to the Simulab with
the plastic guys who have heart rates
484
00:27:21,306 --> 00:27:24,104
and blood pressure and croak
when you nick an artery.
485
00:27:24,142 --> 00:27:27,737
Until you apply scalpel to skin
you're just going through motions.
486
00:27:27,779 --> 00:27:29,542
That attitude? That's from before.
487
00:27:29,581 --> 00:27:31,981
We have technology.
We don't have to torture creatures.
488
00:27:32,851 --> 00:27:34,785
You don't get to accuse me of torture.
Those animals felt no pain.
489
00:27:34,819 --> 00:27:37,219
You don't know that.
You don't know that.
490
00:27:37,255 --> 00:27:41,089
You don't know what they felt,
you don't know how scared they were.
491
00:27:41,126 --> 00:27:44,095
Animals are sensitive
and intelligent creatures.
492
00:27:44,129 --> 00:27:47,758
And that is not me being emotional,
that is simply the truth.
493
00:27:47,799 --> 00:27:51,701
Want me to learn from your methods?
Want me to learn anything from you?
494
00:27:51,736 --> 00:27:56,139
Then don't stab pigs in front of me
and tell me the sky isn't blue.
495
00:27:56,174 --> 00:27:59,974
You are torturing God's creatures in
an age where we have the technology
496
00:28:00,011 --> 00:28:03,208
that no longer requires us to.
If you want to do that, go ahead,
497
00:28:03,248 --> 00:28:06,183
but don't tell me I'm less
of a doctor for walking away.
498
00:28:08,920 --> 00:28:12,378
- [machines beeping]
- Come on, Wilbur, don't do this.
499
00:28:13,391 --> 00:28:15,689
His heart's not filling. You know...
500
00:28:15,727 --> 00:28:19,026
Massage it with both hands,
like a heart sandwich.
501
00:28:19,064 --> 00:28:21,328
[Cristina] Good. Good.
502
00:28:22,600 --> 00:28:25,034
There! Right there. Stupid.
Look at that.
503
00:28:25,070 --> 00:28:28,301
The knife went through
his diaphragm into his spleen. OK.
504
00:28:28,339 --> 00:28:29,829
Hand me those clamps.
505
00:28:29,874 --> 00:28:32,672
[Richard] We've got blood pooling
the lower left quadrant.
506
00:28:32,711 --> 00:28:37,239
- Anybody see where it's coming from?
- Here. This graft. Satinsky clamps.
507
00:28:37,282 --> 00:28:39,750
- [Bailey] And four-0 Prolene.
- Scissors.
508
00:28:42,520 --> 00:28:44,545
[Richard] Waiting, Dr. Bailey.
509
00:28:44,589 --> 00:28:46,284
[machines beeping]
510
00:28:46,324 --> 00:28:48,554
[Cristina] OK,
this thing's coming out.
511
00:28:49,794 --> 00:28:51,762
We're still waiting, Dr. Bailey.
512
00:28:51,796 --> 00:28:55,197
OK. Suction. Clear it out.
513
00:28:56,801 --> 00:28:58,291
OK, release clamps.
514
00:28:58,336 --> 00:28:59,598
[machines beeping]
515
00:29:01,072 --> 00:29:03,233
[Cristina] Hold on, hold on, hold on.
516
00:29:03,274 --> 00:29:05,970
- Right in here.
- [Lexie] Still nothing.
517
00:29:07,145 --> 00:29:08,806
[Meredith] No pulsation.
518
00:29:12,484 --> 00:29:14,850
[Bailey] Come on, come on.
519
00:29:17,756 --> 00:29:19,883
[Bailey] Reperfusion complete!
520
00:29:20,291 --> 00:29:22,452
[gasping]
The heart's beating on its own.
521
00:29:22,494 --> 00:29:24,428
[all exhaling, laughing]
522
00:29:24,796 --> 00:29:25,820
[man] All right!
523
00:29:28,867 --> 00:29:29,891
All right.
524
00:29:30,969 --> 00:29:34,132
[chuckles] Everyone, hell of a job.
525
00:29:35,373 --> 00:29:36,806
[all sighing]
526
00:29:40,779 --> 00:29:44,875
I've known women to be upset because
they couldn't make it to the big finish.
527
00:29:44,916 --> 00:29:46,884
Never had anything to do with me.
528
00:29:46,918 --> 00:29:49,352
Usually something to do
with their anatomy.
529
00:29:49,387 --> 00:29:52,083
Point is, I've never known
a woman to be upset
530
00:29:52,123 --> 00:29:56,958
because she could take a curtain call.
You're a conundrum, Torres.
531
00:29:59,130 --> 00:30:01,155
Erica cried this morning.
532
00:30:01,199 --> 00:30:04,464
In bed. After sex.
533
00:30:04,502 --> 00:30:07,596
That was a compliment, for you.
534
00:30:07,639 --> 00:30:11,632
- The crying was a compliment.
- It wasn't a compliment for me.
535
00:30:11,676 --> 00:30:15,635
She was having a revelation.
She was having...
536
00:30:16,281 --> 00:30:18,374
The sex is awesome with Erica.
537
00:30:19,951 --> 00:30:23,182
We've reached awesome, which is...
538
00:30:23,221 --> 00:30:26,349
- Awesome.
- Yes, but it's also awesome with you.
539
00:30:26,391 --> 00:30:28,655
So, what's the problem?
540
00:30:28,726 --> 00:30:30,125
[sighs]
541
00:30:30,161 --> 00:30:33,130
Guess I thought there should be
a difference...
542
00:30:33,164 --> 00:30:35,598
...between you and Erica.
543
00:30:36,100 --> 00:30:40,002
If I'm... There should be a difference.
544
00:30:42,841 --> 00:30:45,537
The difference between me and Erica
545
00:30:45,577 --> 00:30:49,138
is that I know you had sex
with her 12 hours ago.
546
00:30:49,180 --> 00:30:52,707
She doesn't know you had sex with me,
and that makes you a cheater.
547
00:30:52,750 --> 00:30:56,311
Do you want to be a cheater?
'Cause I'm fine with it.
548
00:30:56,354 --> 00:30:59,016
The question is, are you?
549
00:31:00,091 --> 00:31:01,888
- [door opens]
- [gasping]
550
00:31:01,926 --> 00:31:03,985
Gonna yell at the major general.
Wanna come?
551
00:31:04,028 --> 00:31:07,361
- Hell yeah. Be right there.
- Hey, Torres.
552
00:31:07,398 --> 00:31:08,797
[Callie] Hey.
553
00:31:12,103 --> 00:31:14,196
- Hunt, can I talk to you?
- Sure.
554
00:31:14,239 --> 00:31:16,901
- Karev?
- No, no, he can stay.
555
00:31:16,941 --> 00:31:20,308
Want Karev to hear how you screwed up
the flap of my head trauma, fine.
556
00:31:20,345 --> 00:31:22,142
My job's to keep him alive.
It's what I did.
557
00:31:22,180 --> 00:31:24,045
What you did was almost maim a guy
for the rest of his life.
558
00:31:24,082 --> 00:31:26,983
You're lucky I saved the blood supply.
559
00:31:27,018 --> 00:31:30,181
- What would you have done?
- A man with a deep scalp wound,
560
00:31:30,221 --> 00:31:33,850
and two of the best surgeons in
the country standing ten feet away.
561
00:31:33,892 --> 00:31:37,953
I would've asked those two surgeons
to step in. That's what I would've done.
562
00:31:37,996 --> 00:31:41,898
I mean, medically. What would you
have done medically so I can do better?
563
00:31:41,933 --> 00:31:45,801
I recognize there's different ways
of doing things, even the basics.
564
00:31:45,837 --> 00:31:48,499
Here, someone appears dead,
you go to them first.
565
00:31:48,539 --> 00:31:51,838
In Iraq someone appears dead you don't.
This is day one for me.
566
00:31:51,876 --> 00:31:55,607
You think there's a better way
then tell me, and I'll listen.
567
00:32:00,652 --> 00:32:04,554
- Again, both of you, great job.
- [Erica] Thank you.
568
00:32:05,690 --> 00:32:09,285
- [scoffing]
- Is there a problem, Dr. Bailey?
569
00:32:10,228 --> 00:32:13,823
Just find it hard to believe
you're accepting congratulations,
570
00:32:13,865 --> 00:32:16,834
considering you didn't
want to do this operation.
571
00:32:16,868 --> 00:32:20,201
When you finally did do it,
you fought me every step of the way.
572
00:32:20,238 --> 00:32:25,642
And yet you still had a world-class
heart surgeon by your side.
573
00:32:26,244 --> 00:32:31,648
You may be a fine surgeon,
God knows I know that, but not today.
574
00:32:31,683 --> 00:32:35,915
Today you were a pain in the ass.
575
00:32:35,954 --> 00:32:40,789
A naysaying, bullying,
consistently negative pain in the ass.
576
00:32:40,825 --> 00:32:42,952
At no point did you encourage me
577
00:32:42,994 --> 00:32:46,794
or do anything to make me think this
surgery could be anything but a failure.
578
00:32:46,831 --> 00:32:51,564
And it wasn't just me. You made it as
hard as humanly possible for all of us.
579
00:32:51,602 --> 00:32:56,505
So, yeah, we did do a nice job today.
We did a great job today.
580
00:32:56,541 --> 00:33:00,443
But that wasn't thanks to you,
that was thanks to me and the chief.
581
00:33:00,478 --> 00:33:02,776
And Meredith Grey.
582
00:33:02,814 --> 00:33:04,441
And Anatomy Jane.
583
00:33:07,652 --> 00:33:09,449
Babe is indestructible.
584
00:33:09,487 --> 00:33:12,854
She lost a part of her liver and
small bowel but she's doing fine.
585
00:33:12,890 --> 00:33:16,553
[Cristina] We had to cross-clamp
Wilbur's aorta and massage his heart.
586
00:33:16,594 --> 00:33:18,755
I couldn't locate the source
of his bleeding
587
00:33:18,796 --> 00:33:22,789
until I found a hole in his diaphragm,
realized he had a splenic laceration.
588
00:33:22,834 --> 00:33:24,529
He's a fighter, he's pulling through.
589
00:33:24,569 --> 00:33:26,935
Reggie had some oozing
after his colon resection,
590
00:33:26,971 --> 00:33:29,565
but we packed it and
he's been stable ever since.
591
00:33:29,607 --> 00:33:33,304
Paddy almost bled out because
his carotid was sliced right through.
592
00:33:33,344 --> 00:33:35,676
We put in a graft.
He's been stable ever since.
593
00:33:35,713 --> 00:33:38,181
- He's good as new.
- That's good.
594
00:33:38,216 --> 00:33:40,116
That's great work, all of you.
595
00:33:40,151 --> 00:33:43,780
So put them out and make sure
you write up all your work.
596
00:33:44,689 --> 00:33:47,988
- What do you mean "put them out?"
- Terminate them. Kill 'em.
597
00:34:05,243 --> 00:34:08,940
I'm not killing those pigs. I spent
the day trying to keep them alive.
598
00:34:08,980 --> 00:34:12,211
- Want them dead, do it yourself.
- You resected half of a liver today.
599
00:34:12,250 --> 00:34:15,981
You repaired a diaphragm, did
a splenectomy, grafted a severed artery
600
00:34:16,054 --> 00:34:18,818
and repaired a lacerated bladder,
performed a lobectomy.
601
00:34:18,856 --> 00:34:21,518
And I understand you even
removed a tumor.
602
00:34:22,360 --> 00:34:24,590
On Paddy, his thyroid.
603
00:34:25,430 --> 00:34:28,331
You have any idea
how much you just learned?
604
00:34:29,233 --> 00:34:33,465
They'd be in pain. Those are massive
injuries, months of recovery.
605
00:34:33,504 --> 00:34:36,337
To keep them alive after all that,
it's not humane.
606
00:34:39,310 --> 00:34:41,471
Seriously, you don't remember my name?
607
00:34:41,512 --> 00:34:43,810
I remember your name,
but that was before.
608
00:34:46,584 --> 00:34:48,211
[sighing]
609
00:34:48,920 --> 00:34:51,514
This last tour, I was on
a forward surgical team.
610
00:34:51,556 --> 00:34:55,151
We... treated
combat casualties in the field.
611
00:34:55,193 --> 00:34:57,423
You're mostly looking to do
damage control:
612
00:34:57,462 --> 00:35:00,158
Sedate 'em, ventilate 'em, airlift 'em
to Baghdad, get out of there.
613
00:35:00,198 --> 00:35:03,099
Only this one time
we didn't get out fast enough
614
00:35:03,134 --> 00:35:06,900
'cause we ended up in the middle
of an RPG ambush.
615
00:35:08,873 --> 00:35:12,502
There were 20 people in my unit,
including me, and 19 died.
616
00:35:15,146 --> 00:35:16,613
And then I got discharged.
617
00:35:16,647 --> 00:35:20,606
So... I'm not there anymore,
in the before.
618
00:35:22,653 --> 00:35:24,712
I knew your name in the before.
619
00:35:26,891 --> 00:35:28,722
Now I'm living in the after.
620
00:35:44,041 --> 00:35:46,407
- Erica.
- You want to apologize to someone,
621
00:35:46,444 --> 00:35:49,936
apologize to Bailey. Thanks to you,
I made her life a living hell.
622
00:35:49,981 --> 00:35:51,243
I slept with Mark Sloan.
623
00:35:54,852 --> 00:35:58,379
If that's your idea of an apology,
you seriously...
624
00:35:58,422 --> 00:36:00,219
Shut up!
625
00:36:00,258 --> 00:36:04,718
You were crying and seeing leaves.
626
00:36:04,762 --> 00:36:06,627
And I wasn't.
627
00:36:07,465 --> 00:36:09,626
OK? I may never see leaves.
628
00:36:11,002 --> 00:36:13,903
Or maybe I will see leaves,
but I'll also see flowers.
629
00:36:13,938 --> 00:36:16,338
I might be a whole forest girl,
I don't know,
630
00:36:16,374 --> 00:36:18,365
but I do know that I want to be with you
631
00:36:18,409 --> 00:36:21,378
and... to do that I have to
at least tell you the truth,
632
00:36:21,412 --> 00:36:24,074
and the truth is I slept with
Mark Sloan today.
633
00:36:28,619 --> 00:36:29,984
OK.
634
00:36:31,122 --> 00:36:32,714
Twice, actually.
635
00:36:35,626 --> 00:36:37,116
OK.
636
00:36:38,296 --> 00:36:39,524
[exhales]
637
00:36:39,730 --> 00:36:41,061
[door opens]
638
00:36:41,532 --> 00:36:45,127
- You paged?
- Yeah. How's Tori?
639
00:36:45,169 --> 00:36:46,830
She's good, stable.
640
00:36:54,845 --> 00:36:56,870
You weren't imagining things.
641
00:36:56,914 --> 00:37:00,441
You used to run around here
with that doll all the time.
642
00:37:00,484 --> 00:37:04,614
Took her everywhere.
The cafeteria, the old art gallery.
643
00:37:06,190 --> 00:37:09,353
Tori's got a whole army.
You didn't have anyone.
644
00:37:10,661 --> 00:37:12,891
Seeing Anatomy Jane
645
00:37:12,930 --> 00:37:16,024
reminded me of how much
I was to blame for that.
646
00:37:17,935 --> 00:37:20,904
You're a living reminder
of every failure in my life.
647
00:37:21,505 --> 00:37:23,473
That's not your fault.
648
00:37:24,475 --> 00:37:29,174
And if I thought "I'm sorry" would hold
any meaning for you at all, I'd say it.
649
00:37:31,415 --> 00:37:33,315
I'd say it a thousand times a day.
650
00:37:34,452 --> 00:37:36,317
[Meredith]Some wars are never over.
651
00:37:36,354 --> 00:37:39,380
[# El Perro Del Mar:
From The Valley To The Stars]
652
00:37:40,491 --> 00:37:42,652
Some end in an uneasy truce.
653
00:37:47,898 --> 00:37:50,059
I can't do it.
654
00:37:50,101 --> 00:37:52,433
I know I'm supposed to, but...
655
00:37:52,470 --> 00:37:57,271
They'll suffer.
Don't let them suffer.
656
00:37:59,443 --> 00:38:00,671
[sighing]
657
00:38:11,989 --> 00:38:14,822
- So no more on-call room, huh?
- Afraid not.
658
00:38:14,859 --> 00:38:16,622
That's too bad.
659
00:38:17,662 --> 00:38:20,825
Guess I'll, uh, see you around.
660
00:38:23,200 --> 00:38:24,565
[Callie] Hey.
661
00:38:25,136 --> 00:38:26,467
Wanna get a drink?
662
00:38:28,539 --> 00:38:29,836
Really?
663
00:38:29,874 --> 00:38:32,069
Just 'cause we're not sleeping together
664
00:38:32,109 --> 00:38:34,441
doesn't mean we can't hang out,
be friends.
665
00:38:37,214 --> 00:38:39,444
You're good for more than sex, Mark.
666
00:38:40,217 --> 00:38:41,912
I would love to get a drink.
667
00:38:45,556 --> 00:38:48,719
- She's not gonna cry every time, right?
- No. That passes.
668
00:38:52,596 --> 00:38:54,325
[indistinct chatter]
669
00:38:55,599 --> 00:39:01,629
[Meredith] Some wars resultin complete and total victory.
670
00:39:08,713 --> 00:39:09,805
Sit.
671
00:39:14,185 --> 00:39:17,086
Mac and cheese,
from the box, not the freezer.
672
00:39:17,121 --> 00:39:19,681
[Meredith] Some warsend with a peace offering.
673
00:39:24,595 --> 00:39:26,426
I named the pigs today.
674
00:39:29,066 --> 00:39:31,466
I'm sorry, but I don't know
what that means.
675
00:39:32,737 --> 00:39:34,762
I take things personally.
676
00:39:35,272 --> 00:39:36,967
I get too emotional.
677
00:39:37,875 --> 00:39:41,436
There's no place for it at work,
not with the pigs and not with you.
678
00:39:43,414 --> 00:39:44,779
I'm sorry.
679
00:39:52,823 --> 00:39:55,656
This is so much better
than the freezer kind.
680
00:40:00,231 --> 00:40:02,165
- [knocking at door]
- [door opens]
681
00:40:05,102 --> 00:40:08,765
Thought you were sleeping with
Michelle tonight, or was it Jackie?
682
00:40:08,806 --> 00:40:11,297
- Iz.
- I've had a hard day, Alex.
683
00:40:11,342 --> 00:40:13,867
And a sad night.
Please just leave me alone.
684
00:40:13,911 --> 00:40:15,708
- Izzie.
- What?
685
00:40:15,746 --> 00:40:17,680
I'm not good at this, all right?
686
00:40:17,715 --> 00:40:21,276
I'm not good at relationships
or talking about stupid feelings
687
00:40:21,318 --> 00:40:26,017
and you are, so maybe you could
teach me or something, you know?
688
00:40:26,056 --> 00:40:27,819
Tell me what I did wrong.
689
00:40:30,127 --> 00:40:32,891
You don't want us to see other people.
690
00:40:36,066 --> 00:40:40,230
You don't want us to see other people
and that's how you tried to tell me...
691
00:40:41,138 --> 00:40:44,972
...by asking if it was cool
if you screwed Michelle.
692
00:40:45,009 --> 00:40:47,500
- Laughing's not helping.
- I'm sorry.
693
00:40:47,545 --> 00:40:49,035
I'm sorry.
694
00:40:52,883 --> 00:40:55,647
- So you want lessons, huh?
- I want lessons.
695
00:40:55,686 --> 00:40:59,645
OK. You start with, "Isobel Stevens,
696
00:40:59,690 --> 00:41:02,250
- you are staggeringly good in bed.
- [chuckling]
697
00:41:02,293 --> 00:41:05,854
You're amazingly smart,
wonderfully funny,
698
00:41:05,896 --> 00:41:08,763
- and you care about animals."
- That's where I start?
699
00:41:08,799 --> 00:41:11,393
Yeah. And then you say,
700
00:41:11,435 --> 00:41:15,565
- "You want to go steady with me?"
- That's what I'd say if it was 1952.
701
00:41:15,606 --> 00:41:18,769
[# Raining Jane: Prelude]
702
00:41:21,412 --> 00:41:24,540
- [sighing] Alex.
- Yeah?
703
00:41:24,582 --> 00:41:26,880
You want to go steady with me?
704
00:41:28,452 --> 00:41:31,080
If that's what you want.
I mean, yeah, whatever.
705
00:41:31,121 --> 00:41:33,419
- [chuckling]
- [Meredith] And some wars...
706
00:41:33,457 --> 00:41:34,981
...end in hope.
707
00:41:35,025 --> 00:41:36,856
Oh, look!
708
00:41:36,894 --> 00:41:39,692
I wore this every day
to elementary school.
709
00:41:39,730 --> 00:41:42,756
- Nice. Your mom make that for you?
- [laughing]
710
00:41:42,800 --> 00:41:46,634
Yeah, right. She probably got it
at the lost and found at the hospital.
711
00:41:48,005 --> 00:41:50,769
- Mer, you should do this one.
- Is it more ugly hats?
712
00:41:53,944 --> 00:41:56,105
- Another diary?
- More than one.
713
00:41:56,146 --> 00:41:58,011
[Meredith] Butall these wars are nothing...
714
00:41:58,048 --> 00:41:59,845
Oh, my God.
715
00:41:59,884 --> 00:42:02,546
...compared to the mostfrightening war of all.
716
00:42:10,494 --> 00:42:12,655
The one you have yet to fight.
61048
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