Grey's Anatomy (2005–…): Season 1, Episode 7 - The Self-Destruct Button - full transcript
Izzie and George find out about Meredith and Derek, while Cristina makes a discovery of her own. George thinks an anesthesiologist is drinking on the job, and Meredith deals with a young girl who has had illegal surgery.
- Previously on Grey's Anatomy:
- l've had this thing for my roommate,
and l just... l can't tell her.
Wouldn't it be easier
to just ask her out?
Are you really as shallow
and callous as you seem?
Oh, you want to go out
for a drink later
and hear about
my secret pain?
l can't. l'm seeing someone.
Save yourself the misery.
- She's off the market.
- What? But she's not.
l live with her,
l would know it.
[Bailey] And the longer
this little fling goes on,
the more favors
you get over the others,
who are fighting tooth and nail
just to make it through this program.
When those people start
finding out what's going on...
What is this
that we're doing here?
You need a definition?
The next time l see you
favoring Meredith Grey in any way,
l'll make sure she doesn't see
an OR for a month.
[alarm beeping]
[Meredith] OK, anyone who says
you can sleep when you die,
tell them to come talk to me
after a few months
as an intern.
Of course,
it's not just the job
that keeps us up all night.
You have to get up now.
What? My God, what time is it?
lt's 5:20, and l have pre-rounds.
[Derek sighs]
And you have to leave
before they see you.
Oh, come on, now. Why don't
you just let them see?
- [laughing] No!
- Please!
You get any sleep?
Oh, she could oil
the bedsprings as a courtesy
or at least buy
a padded headboard.
- [sighs]
- So who's the guy?
You think it was just
one guy doing all that work?
Do you mind if
l don't think about that?
Oh, jealous?
l'm not jealous.
l am. But at least l know
she'll be having a long day at work.
[door opens]
[? Jem: Wish I]
Well, at least we know
brain surgery isn't his only skill.
They can't be...
He's her boss.
We're late.
He's all of our boss.
[sighing]
She has been scrubbing in a lot
lately on his surgeries.
No, Meredith wouldn't sleep
with him just to... No.
lf she's not ashamed,
why is it a secret?
Maybe she didn't.
Maybe it just happened.
You know, spontaneously,
last night.
- Hi. Good morning.
- Morning.
lt sounded like you were having
pretty radical sex last night,
all night long.
Who was the guy?
No one you know.
[chuckling]
We're late. Let's go.
[Meredith] If life's so hard already,
why do we bring more trouble
down on ourselves?
What's up with the need to hit
the self-destruct button?
Yikes, wouldn't want to
meet you in a dark alley.
Right back at you.
[lzzie] A run? You run?
Every day, babe,
every day.
Not suffering enough?
What doesn't kill you,
makes you stronger.
Don't go acting
all indefatigable.
You're dragging
like the rest of us.
Oh, what is that,
professional weakness, Dr. Yang?
- lt's called the flu.
- Yeah.
l need a major rush to
make it through this day.
l need a kick-ass surgery.
Ooh, you a bad boy
last night, George?
That would be Meredith.
You a bad boy, Meredith?
Do tell.
Nothing to tell.
That says it all, huh?
Sorry, l have a sex life.
Don't apologize.
Embrace it.
Share it.
Count me in.
Next time, just let me know
if l need to go to a hotel
so l can get some sleep.
[woman over PA] IV nurse, ICU.
Am l missing something?
You were just a little loud.
Do they know it's McDreamy
keeping them up all night?
l hope not.
l already have Bailey
riding me.
l don't need my roommates thinking
l'm getting special treatment.
[yawning]
O'Malley, Yang, Karev,
go on to clinic.
O'Malley,
patients are waiting.
You two come with me.
[Bailey] lzzie, you're
hanging with me today.
Good morning, Dr. Shepherd.
Dr. Bailey.
Late night, Grey?
No, caffeine just
hasn't kicked in yet.
lf you're at all religious, you
want to start praying it kicks in soon.
There's a consult in the pit.
Girl with a fever
and abdominal pain.
After that, Nicholas
in 331 1 needs his meds.
Mr. Moeller's lV fell out,
and he's a hard stick.
Postops in 1 337, 3342,
3363 and 2381 .
Three-eighty-one.
Thirty-three-forty-two, 3363
and 23...
Why are you still standing
in front of me?
You look more like me
than you right now.
- What's the matter?
- Nothing.
[woman] Help!
l need immediate help.
What's the problem?
My damn boyfriend
swallowed my keys.
[wheezing] l didn't
want her to leave.
Locate the lady's keys.
l think she got some bug on her trip
to Mexico with her friends.
l told her not to go
to a Third-World country,
but does she ever listen?
[man] She's been weak ever since,
and she's lost weight.
Barely.
And this morning,
she passed out in the shower.
When was the trip?
A couple weeks ago.
l'm really fine.
l just have a fever.
OK, well, will you lie back
for an exam for me?
No, please,
l don't need an exam.
Just give me some antibiotics
and send me home.
Well, maybe it is
just a fever,
but they called down
for a surgeon,
so l have to give
the OK to let you go.
So just let me do the exam.
Do the exam.
No.
[sighing]
This is crazy. l'm fine.
For God's sake, Claire, l don't want
to spend my entire day here.
You know, actually,
Mrs. Rice,
this might be easier
if we had some privacy.
So would you two mind
leaving the room?
[Mr. Rice] That's fine.
Digby. Digby Owens.
l have an appointment.
Excuse me, sir, uh,
you're bleeding. You mind if l...
Sure, sure.
Have a look.
- That's a gunshot.
- Yeah.
We got a gunshot wound.
We got to get him down to the pit.
Sit, Mr...
Uh... Digby.
All right, but it isn't
an emergency.
- l scheduled it.
- What, the gunshot?
Yeah. My buddy shot me.
- Buddy?
- Yeah, just as a favor.
- On purpose?
- Hell, yeah.
He wasn't trying to hurt me,
but you know...
- But why?
- l like the scars.
[? Psapp: Nobody Knows]
Look, everyone in town
has tats,
but my art
is about commitment.
So, this your art, huh?
[Digby] Damn straight.
Damn stupid. The bullet
went all the way through.
Bounced off my ribs.
l have another one
still in my shoulder.
Nice, huh?
You could hang it
in the Louvre.
l have an ethos.
Why do anything unless
you're willing
to go one step further
than anybody else?
What doesn't kill you
makes you stronger.
Exactly. And pain
is the great divide.
My coach used to say,
it's all about how we process pain.
Football?
Wrestling, lowa State.
lowa, 1 41 .
One-fifty-seven.
You got to be more
than 1 80 now.
l'd like to see you
get back under 1 45.
Excuse me, but thinking
of you men in tights
makes me want to... puke.
There's a flu going
around the hospital.
Somewhat ironic.
[Claire] Ow.
Don't push so hard.
Can you lift your shirt
so l can examine your stomach?
Where did you get these?
Claire...
you've had surgery recently.
These scars are still pink.
Don't tell my parents.
You did this in Mexico
so your parents wouldn't know?
What did you have done?
[George] Ahh.
And you noticed her foot
twitching?
- Come on, Jamie.
- My foot.
Oh, yeah.
About three months ago?
Just a little.
We took her to County Hospital,
and she got the CT scan,
which showed her...
Brain abnormality.
Here, you can put it...
- And the twitching has gotten worse?
- A lot worse.
They don't have the proper equipment
back home to figure out what's wrong.
- You did a... you did a good thing.
- Show Mommy.
- Yes, your mommy.
- Show Mommy and Daddy.
You did a good thing
by coming all this way,
Mr. and Mrs. Hayes.
You sit tight, Jamie, OK?
l'm gonna bring
Dr. Shepherd to see you.
OK? Dr. Shepherd. OK?
He's the brain specialist.
[Jamie] Mommy and Daddy.
Doctor? ls he good,
this Dr. Shepherd?
At just about everything.
[Bailey] l assume
the lady needs her keys
to leave this guy's
sorry ass behind.
- Yeah.
- Well, help her out.
He needs a bronchoscopy.
See one, do one, teach one.
You've seen one.
lt's time to do one.
Alone? Seriously? Thanks.
l mean, the vote of confidence
in my skills and all.
l didn't think anyone
was noticing how hard...
- lzzie? Go.
- Yeah.
- You paged?
- Where are we?
l did the consult, did the lV,
the meds, the postops, everything.
How is your pit patient?
She's febrile
and has peritoneal signs.
You all right, Dr. Yang?
Fine.
On my way back to clinic.
l think she had some sort
of illegal surgery done in Mexico.
Botched abortion?
She has four laparoscopic scars
on her abdomen
and won't say what they're from,
the parents are clueless.
- She's a minor.
- Seventeen. Freshman in college.
- You order up for a CT?
- Yes.
So while she's there,
the nurses couldn't get
a Foley on Mr. Garay.
He may need a Coude cath
if you can't get a normal one in there.
Write up postop notes on
all surgical-floor patients
that had surgery
within the last 24 hours.
Be sure to document
their EKGs and x-rays.
Hunt them down
if you can't find them.
Right away.
Hey.
Whoa. Got the flu?
Yeah, and thanks for it.
lt's making my life
so much easier.
l didn't give it to you.
lt's all over the hospital.
- You should be in bed.
- [scoffs]
Disease, diagnosis
and prescription from one man.
Seriously, l'll give you
a ride home.
This is not gonna
make me go home.
You go home.
But l feel fine.
Hey, hey, hey.
Have you seen Shepherd?
Not as up close
as Meredith has.
What? Are you trying
to get her in trouble?
This program will make
or break our careers.
Some of us will make it through,
and some of us won't.
And that decision depends
entirely on recommendations
from doctors like Shepherd.
There is a reason we don't
sleep with the attendings.
lt's not her fault,
it's Shepherd's.
He's taking advantage
of her.
lt didn't sound like anything was
happening against her will last night.
OK, we're in
good shape here.
[nurse] l think so,
Dr. Shepherd.
[Derek] Looks good.
[monitor beeping]
Here you go, doc.
The kid's CTs just
arrived from County.
- Thanks.
- Excuse me.
- Sorry, Dr. Taylor.
- [door closes]
That would be bourbon.
- What?
- l smelled it too.
And he's the best
anesthesiologist on the staff.
l'll worry when he's too juiced
to do his crossword puzzle.
[Derek] Will you close up for me?
Thank you, everyone.
- Dr. Shepherd...
- l got to get some coffee.
Jamie Hayes
has been admitted.
The little girl with
the brain abnormality.
How's she presenting?
She has what looks like continuous
seizure activity in her left foot.
- Her balance is off.
- How old are these?
- Three months old.
- l need new ones.
Her brain could look
dramatically different today.
OK, l'll order them...
Thank you.
...doc.
[Burke] And that?
That's a bullet
from a previous gunshot.
Previous gunshot? OK.
No reason to take it out.
No, the guy likes pain.
lt's his ethos.
Pain as an ethos?
Wait, l think l know this guy.
You remember this guy?
Hey, the tattooed masochist.
Had himself shot again.
Glad to see he's still stupid.
lt's his ethos.
Let's go tell him
what he gets to do today.
Dr. Bailey?
Claire Rice's abdominal CTs.
ls this girl fat?
Not at all.
She's a normal college kid.
So, what do you see?
Her stomach's stapled.
[Meredith] She's had
a gastric bypass.
And a bad one, at that.
Gastric bypass is a procedure
normally done on obese patients
to help them lose weight.
Claire? She doesn't need
to lose weight.
Are you kidding?
This means the world to her.
But it is so typical of this girl
to take the easy way out.
She's done it with everything
since she was a little kid.
Nothing about this
is gonna be easy.
She's gonna face
a lifelong struggle with malnutrition
unless she has surgery
to reverse the procedure.
Do the surgery.
l told her to watch
the freshman 1 5.
Don't eat junk, exercise.
But when she came home Christmas,
who had to buy her a pair
of size-6 jeans because she couldn't
get in the ones l got her?
Tina, you know,
she tries so hard.
- [sighs]
- She does.
She gets good grades.
She gets A's.
She has illegal surgery
in Mexico.
Unfortunately, there were
complications with the bypass.
What do you mean?
She has what looks like
an abscess under her diaphragm,
an edema, which is a swelling
of the bowel wall.
l can't say for certain
she'll recover completely.
[sighs] Just do whatever you have
to do to make her well, OK?
You look like a princess.
[Jamie] lt's not lipstick.
[Derek] lt's not lipstick?
No, it's not lipstick.
Want to do my shoulder?
Oh, good.
[Jamie] And nose?
We're gonna find out
what's causing these seizures.
- Does MRl know we're coming down?
- You said CT.
Now l'm saying MRl.
lt's available.
Good.
Doctor, is she gonna
need surgery?
l don't know yet.
l don't know if our insurance...
We know it can be
very expensive.
l don't want you
to worry about that.
lt's a focal, left-size seizure. Let's
get that diazepam running now, please.
[Derek] Jamie, here's
what we're gonna do.
We're gonna put this
on your arm.
lsn't that fun? Here, we're gonna
put that onto you, like that.
And this is gonna feel cold.
This is a butterfly. [fluttering]
Butterfly lands right there.
Mmm, there we go.
Blanket for the butterfly.
Good, nicely done.
lt's amazing stuff, isn't it?
[sighs] Uh-huh.
- Hey, you like spaceships?
- Yeah.
OK, should we take
Captain O'Malley,
my first lieutenant,
to the spaceship MRl?
Let's go.
lt'll be safer to wait
until your lunch digests
before we do the procedure.
Perfect,
this is just perfect.
l was hoping to be
in Portland right now.
You'll be under
conscious sedation,
which means you'll be
awake, but groggy.
[wheezing] Wait, wait.
ls this gonna hurt?
We'll give you something
for pain.
Do you know how stupid
you make me look?
l thought you would think
this is funny.
Funny?
Romantic?
[woman] The therapist
thing was funny and romantic?
- [man] That was funny.
- No, that was sad.
He called my therapist,
pretending to be his therapist,
- to find out what l'd said.
- Passive-aggressive, JP?
He is the king
of passive-aggressive.
And he's manipulative...
- [JP grunts]
- ...and needy.
Well, that's the trifecta.
What do l win?
[wheezing]
What?
Doc!
l prefer we stop meeting
like this, Mr. Owens.
Digby.
So how's the trumpet playing?
Very safe,
compared to your hobby.
Getting shot
is a little more risky.
That's kind of the point.
He's running a fever.
Due to the extra stress on
his body from the gunshot.
Digby,
the impact of the bullet
on your chest
fractured a rib and caused
a hemopneumothorax.
That sucks, l guess.
There's blood
in your collapsed lung.
The price of body art went up.
Ah, no pain, no gain, right?
[Burke] That's one way
to look at it.
We have that in common,
you docs and me.
[Burke] Do we?
Yeah, the way you guys
push, push and push.
When l was wrestling,
if you wanted to pin me,
you was gonna have
to kill me.
[chuckles] lowa-style.
[Digby] lowa-State-style.
Back home,
we were sworn enemies.
But in Seattle, man,
we're brothers.
[chuckles]
[coughs]
So, what are we gonna do
about this, um...
hemopneumo-Jurassics?
lnsert a chest tube to drain
the blood, then re-inflate your lung.
Oh, please...
tell me l get to watch.
Oh, man, lowa-style.
Before you guys start,
l know you're mad.
Disbelief, Claire, just disbelief.
[Mr. Rice] l'm just concerned.
Where did you get the idea
to do this?
The lnternet.
Honey, there is a healthy
way to lose weight.
[Claire sighs]
Yeah, l tried that, but...
lt doesn't work for me
like it does for you.
[Mr. Rice] Hey, you don't
need to lose weight.
What are you eating?
And how much have
you been working out?
Most of the time, when people
hit their target weight,
they have to work
to stay there.
Everyone gains weight
in college, Mom.
lt's... it's stressful.
There's... there's not
enough time for exercise.
l just thought if l wasn't worried
about my diet, then...
l could focus more
on my studies.
So you took yet another shortcut?
Life doesn't work that way, Claire.
[Mr. Rice] Tina!
What? You want to argue this?
She has so much potential.
lf she would just
apply herself...
OK, l think we should focus on
taking care of your daughter.
And, Claire,
your parents agree,
the best thing to do
is to reverse the bypass.
No!
No, it's my body.
l do not want surgery
again. Please?
There are serious complications.
And this is about your health.
But l'd rather be thin.
Well, l'm afraid the choice
isn't up to you.
lt's called
Rasmussen's encephalitis.
What it amounts to is that
this side of her brain...
This part's healthy,
working perfectly.
This black part of the brain, this...
all of that is dead, or dying.
The condition has gotten
radically worse
since her CT scans
three months ago.
Left untreated,
the disease is gonna kill her.
How soon?
[Derek] Too soon.
[Mr. Hayes]
So is there a cure?
The treatment requires
the diseased portion of her brain
be removed and sealed off.
[Derek] See, eventually,
the spinal fluid
will fill the cavity.
R-Remove?
But, l mean, that's...
Half her brain, yes.
Half her brain. That...
seems impossible.
[Derek] Her age
makes it possible.
Her brain's not fully developed, so
the remaining neurons will compensate.
But will she be normal?
There are risks to any surgery,
and this is, you know, a major one.
But if we're successful,
Jamie could walk out of this
hospital in a couple weeks,
go on to live
a relatively normal life.
Look, l know this is a lot to digest.
The important thing
is we can save her life.
Thank you.
- Dr. O'Malley?
- Yes? What?
lf the parents consent,
l thought you'd like to scrub in
on the hemispherectomy.
Are you in, or not?
Uh, in.
Good.
[elevator dings]
[George] Yay.
l'm scrubbing in
on a hemispherectomy with Shepherd.
Get out! l would kill for that.
We're gonna cut out
half a girl's brain,
and it's going to work.
lt's outrageous.
Almost makes it hard
to hate him.
- Why do you hate him?
- Oh, no reason.
You know about
him and Meredith?
You know?
When are you gonna figure out
that l know everything?
She knows.
- [lzzie] What, about doctor-cest?
- lt's been going on for, like, ever.
- And you didn't tell us?
- Ooh, you're a gossip, huh?
- l am not!
- l am.
He's about to go into major
brain surgery on no sleep?
Not very responsible.
Jealous? Sex all night
isn't about being responsible.
No, it's about sex
all night.
l can't believe you're not
more pissed off.
Well, she works hard all day.
She's good at her job.
Why should you care
how she unwinds?
You like to bake all night.
Some people like to drink.
Others like
a screaming orgasm.
[Alex] Yeah, we do.
Forget l said that.
Pretend like l'm not here.
[Alex] Continue.
You look like
you need to be spoon-fed.
You look like Alex.
Yeah, about drinking,
Dr. Taylor, the anesthesiologist...
- Do you think he drinks?
- Whatever gets you through the day.
l mean here, at work.
Earlier, l thought l smelled...
Do you think...?
l mean, his patients trust that...
[sighs]
So l should say something, right?
lt's a can of worms, George.
Weren't we talking
about sex, anyway?
- Doofus.
- Ew.
This is gonna leave
a pretty sexy scar, huh?
Don't get any more crazy ideas.
[Digby] You really think
my ideas are crazy?
l'm leaning that way.
We wrestle, he plays trumpet.
Hey, l feel pretty dizzy.
You've lost some blood.
[Digby] This, too, shall pass.
Hey...
How come l don't see you down
at the Mat in Belltown?
Oh, man, no time.
Bro, make time.
[chuckles]
l'll be expecting you.
l'm there.
[whimpers]
Handle with care. This thing's...
Full of gunk. l know.
We need to free the bowel
from the adhesions
caused from the abscess.
This poor girl.
What was she thinking?
She wants her mother's approval.
She wanted to please her.
And this damage
is the result?
Here, resect that.
Needle-tip Bovie, please.
When you're done here,
you have postops waiting.
l know, Dr. Bailey.
Cristina's got the flu.
You need to pick up the slack.
Look, l'll mop the floors, OK?
Sorry, that was inappropriate.
lt's not the only thing
that's inappropriate.
You care to tell me what
you think you're doing?
l'll jump through hoops
if you want me to.
But what l do when l leave
this hospital is my business.
Half this hospital knows.
Flu isn't the only virus
spreading around here.
l made a choice, and l know you
don't respect me for that choice.
But l'll live
with the consequences.
Then l'll have lots of hoops
for you to jump through.
l've done everything
you've asked me to do.
l may not do it your way,
but it gets done.
So whatever else you got,
bring it on.
- Ew!
- [laughter]
OK, Dr. Grey,
now that you've
drained the organ,
we can attempt
to repair it.
Now my day is perfect.
OK, bye.
l appreciate this.
The chance to scrub in on this
kind of procedure is, well...
Yeah, l appreciate it.
Here you go.
Triple espresso, not too hot.
Oh, l love you, seriously.
Ah, coffee, where would
medicine be without it, huh?
l hope you have
a new crossword, Taylor.
We're gonna be here a while.
Never go without.
Big day for you, kid. Congrats.
Thanks.
Hey, princess.
You ready to take a nap?
- Hey, look what l got.
- Blow bubbles, that's it.
[Derek] Just breathe in.
Oh, that's it.
- What?
- Do you smell...?
Smell what?
l have a mask.
Uh...
l'm sorry, Dr. Taylor,
but did you just...?
Have you been drinking?
l beg your pardon?
- [Derek] What?
- [George] Do you smell...
l... l smell alcohol.
[Taylor] Where do you get off
accusing me of something like that?
George, you're out of line.
There are rules. You know,
there are rules for a reason.
You ju...
There is a 2-year-old
girl on this table.
You shouldn't take advantage
of someone else's vulnerability.
l don't need some punk intern
telling me what's at stake here.
Get him out of here, Shep.
[Taylor] Shep?
You're out, George.
You damn well
better be ready, Taylor.
l wouldn't be here
if l wasn't.
[monitor beeping]
[woman] Do you really, seriously
want to know why l'm leaving?!
How about when you started
insisting that l quit my job,
when l made more money
than you?
That should have been
the last straw.
The last straw should have been
when l found out those phone calls
that you kept denying
were from other women
were really coming
from your mother!
This isn't healthy.
- Hold still, please.
- Don't you dare try to patch this up!
Could the both of you
please stop?
You don't love me, JP.
You love to smother me.
And if l could just get you
to admit that,
then l could leave you
with an ounce of respect.
Athena, l let you stay
in here to keep him calm.
lf you're gonna keep...
Check that. l can't respect
a man desperate enough
to swallow my exit strategy.
That is the last straw!
Michelle, can you get her
out of here?
[Michelle] Ma'am?
- Fine!
- [choking]
- Come on.
- What?
What's happening?
The keys moved
farther down.
Oh, my God,
what does that mean?
What did you do?
Don't you dare die, JP!
Please! Please, just shut up!
Breathe, JP. Just breathe.
[grunting]
[lzzie] Got it.
[choking]
[gagging]
[coughing]
Very impressive, JP.
[sighs]
ls he OK?
ls he gonna be OK?
Yeah, he'll be fine.
[panting]
[JP chuckling]
You lit... You did that
on purpose, didn't you?
[sighs] Can l offer you some advice?
Get in your car and go,
for all of our sakes.
You're never gonna find
where l parked it.
[Meredith] l need a shower.
l need a shower.
You need to go tell
that girl's parents
what kind of kid
they're getting back.
You're not gonna let me
shower first?
That would be a hoop,
would it not?
lt would qualify.
Shower first, then.
Ew, what smells?
That would be me,
or more specifically,
my patient's insides
all over me.
That makes me
strangely happy.
Oh, God. Oh, Meredith,
you smell like...
Karma.
- What?
- Nothing.
Something vile's
stuck in your hair.
You know, just go stand
over there, please.
Ugh, how much do l love
being a surgeon right now?
Karma.
What does karma have to do
with anything?
l'm just saying, you've been
given all the best surgeries.
And now you smell like putrid goo.
And you're giving off a stench.
Karma's a bitch.
[Bailey] Dr. Shepherd
needs an intern.
- Which one of you is clear?
- Where do you want me?
- You need to lie down somewhere.
- l'm completely healthy.
Grey?
- [sighs] Of course.
- What is your problem?
Um, you!
'Cause apparently,
you can help Dr. McDreamy
in ways
the rest of us can't.
- You did not just s...
- Yes, l did!
[Bailey] Hey!
Hemispherectomy in OR 1
with Dr. Shepherd. Go.
Apparently,
l'm not the only one
with hoops.
[? Tegan and Sara: Downtown]
- Doctor.
- [Burke sighs]
Digby's postop CBC shows a severe
spike in the white blood cell count.
What is it?
lt's 27, with 1 6 percent bands.
Something else is wrong.
That's a little high for simple stress.
Check for any other possible
sources of infection
or recent illness.
[Derek] We're gonna
start the procedure
with the left
temporal lobectomy.
Thanks for joining us,
Dr. Yang.
After the temporal,
we'll do the frontal,
and then the occipital.
We were able to reverse
the gastric bypass,
but we did lose a significant
portion of her bowel.
And because of
the short gut syndrome,
Claire will never eat
normally again.
OK, wait, do...?
How do we help her here?
Well, getting proper nutrition
will be a lifelong problem for Claire.
Great, as if we already
don't have our hands full with her.
She gets good grades.
She stays out of trouble.
She's smart.
l just think she feels like nothing
she does is good enough for you.
lf you think that
l'm responsible for this...
l think Claire is killing
herself to please you.
[scoffs] Oh, please.
You have no idea what's
going on in that girl's mind.
You're her mother.
She worships the ground
you walk on.
She didn't do this for herself.
[clearing throat]
l think that this situation...
Tina... Shut up.
What is it?
l'm freezing, doc.
l-l can't stop shaking.
His temp's way up,
and BP's dropping, doctor.
Digby, have you had any
recent illnesses, new piercings,
tattoos, wounds?
New tat on my calf.
[panting]
Ew.
Oh, my God.
lt was nowhere near
that nasty this morning.
lt was infected?
Why didn't you say anything?
Ah, it was nothing.
l'm not here to complain
about a little pain.
[Alex] The infection's been exacerbated
by the stress from the gunshot.
Get him to lCU.
We'll get you started
on some antibiotics.
From the frontal lobectomy,
l'm going to encounter a, uh...
[Cristina] We'll encounter
the anterior cerebral artery.
Yes, so we're gonna
need to, uh...
[sighing]
The branches of the artery
need to be coagulated and divided.
You know, Taylor,
her anesthesia's awful light.
Come on, Taylor,
s-she's waking up.
Dr. Taylor?
Uh, he's asleep!
Taylor!
Dr. Taylor!
Huh? Oh, God, sorry.
Sorry, l'm on it.
[sighs]
[Taylor] My bad, Shep.
He was right, wasn't he?
Aw, l nodded off. Come on.
Whatever you got to do
to get through the day.
Steph, get me some coffee.
[Steph] Yes, doctor.
l'll be fine.
lt won't happen again.
Yeah, not in here, it won't.
Uh, Steph, call Dr. Pennington.
Hopkins, take over
until she gets here. Get out of here.
What happened?
Multisymptom organ failure,
secondary to overwhelming sepsis.
Now he's all...
Fix his BP, that should
help his mental status.
He's maxed out.
We got V-tach.
[Burke] He's looking bad.
Put the defib pads on him
and give him 1 50.
[flatlining]
l lost his pulse.
Defib! Get the pads!
Get the pads!
Clear.
Again at 300. Clear.
[? Joe Purdy: Suitcase]
Come on.
This packing, we hope,
will prevent hemorrhaging.
Dr. Yang, do you want to
add something to that?
lt will allow the cerebral spinal fluid
to eventually fill the cavity.
Hmm, very nice.
- You two, you wanna close up?
- [woman] Yes, doctor.
l'm gonna go to bed. [sighs]
That was unreal.
l mean, that's...
that's all there is.
l... l was feeling sick
until l came here.
l was tired.
Now l'm tired again.
lt's back to reality.
- Let me explain.
- lt's fine.
There is a code among doctors.
We're not supposed to
ask each other questions
within the walls of this hospital.
OK, l was out of line.
No, you weren't. l was.
l was out of line.
Somebody should have
taken responsibility.
lt should have been
the guy doing the cutting.
lt should have been me.
You didn't deserve
what happened to you today.
You did the right thing,
code or no code.
[scoffing]
You saw me leave the house
this morning, didn't you?
Oh, was that you?
Hmm.
l'm not using her.
And l don't favor her.
She's pretty great, you know.
Mm-hmm.
So let's go tell Jamie's
parents she's gonna be fine,
barring any complications.
[George clears throat]
Did you fix me?
No, not completely.
So l won't get fat?
No.
Oh. That's awesome.
Claire, l've asked social services
to contact your parents.
Why?
[Meredith] They can help you.
With what?
[sighing]
You don't know this yet,
but life isn't supposed
to be like this.
lt's not supposed to be
this hard.
[sighs]
Time of death, 20:49.
The first guy l ever met
out here from back home.
l thought you'd be asleep
by now.
Yeah, well, l'm not.
lf you wait a few minutes,
you can have a piece of cake.
Baked it chock-full of love.
Actually, chock-full
of unrelenting, all-consuming rage
and hostility, but it's still tasty.
- So you know?
- l know.
Well, do you want
the long, sordid version,
or the short version, where
l started sleeping with a guy
who turned out to be my boss?
Neither.
lzzie, cut me some slack here.
No. You went to Dartmouth.
Your mother is Ellis Grey.
You grew up...
Look at this house!
You know,
you walk into the OR,
and there isn't anyone who
doubts that you should be there.
l grew up in a trailer park.
l went to state school.
l put myself through med school
by posing in my underwear.
You know, l walk into the OR,
and everyone hopes l'm the nurse.
Y-you have their respect
without even trying,
and you're throwing it away
for... what?
A few good surgeries?
No.
lt's not about the surgeries.
lt's not about getting ahead.
[lzzie] Then what?
A little hot sex?
You're willing to ruin
your credibility over that?
l mean, Meredith,
what the hell are you doing?
Oh, my God.
You're falling for him.
l am not.
Oh, you so are.
No, l'm not.
You so are.
Damn it, you poor girl.
You know, it's just that
he's just so...
And l'm just...
l'm having a hard time.
Wow, you're all, uh,
mushy and...
warm and...
full of secret feelings.
l hate you!
And your cake.
My cake is good.
So, um, how hot is the sex?
lzzie.
What? Come on,
l'm not getting any.
Help a girl out
with a few details.
[rowing machine whirring]
[bangs]
[Meredith] Maybe we like the pain.
Pooh.
How's she doing?
- Good.
- Good.
[Meredith] Maybe we're wired that way.
Cristina?
Because without it,
I don't know...
...maybe we just
wouldn't feel real.
You know, we could just...
Sleep?
We could, yeah,
if... if you want to.
Yeah?
[Meredith] What's that saying?
''Why do I keep hitting myself
with a hammer?''
Oh, thank God.
''Because it feels
so good when I stop. ''
- l've had this thing for my roommate,
and l just... l can't tell her.
Wouldn't it be easier
to just ask her out?
Are you really as shallow
and callous as you seem?
Oh, you want to go out
for a drink later
and hear about
my secret pain?
l can't. l'm seeing someone.
Save yourself the misery.
- She's off the market.
- What? But she's not.
l live with her,
l would know it.
[Bailey] And the longer
this little fling goes on,
the more favors
you get over the others,
who are fighting tooth and nail
just to make it through this program.
When those people start
finding out what's going on...
What is this
that we're doing here?
You need a definition?
The next time l see you
favoring Meredith Grey in any way,
l'll make sure she doesn't see
an OR for a month.
[alarm beeping]
[Meredith] OK, anyone who says
you can sleep when you die,
tell them to come talk to me
after a few months
as an intern.
Of course,
it's not just the job
that keeps us up all night.
You have to get up now.
What? My God, what time is it?
lt's 5:20, and l have pre-rounds.
[Derek sighs]
And you have to leave
before they see you.
Oh, come on, now. Why don't
you just let them see?
- [laughing] No!
- Please!
You get any sleep?
Oh, she could oil
the bedsprings as a courtesy
or at least buy
a padded headboard.
- [sighs]
- So who's the guy?
You think it was just
one guy doing all that work?
Do you mind if
l don't think about that?
Oh, jealous?
l'm not jealous.
l am. But at least l know
she'll be having a long day at work.
[door opens]
[? Jem: Wish I]
Well, at least we know
brain surgery isn't his only skill.
They can't be...
He's her boss.
We're late.
He's all of our boss.
[sighing]
She has been scrubbing in a lot
lately on his surgeries.
No, Meredith wouldn't sleep
with him just to... No.
lf she's not ashamed,
why is it a secret?
Maybe she didn't.
Maybe it just happened.
You know, spontaneously,
last night.
- Hi. Good morning.
- Morning.
lt sounded like you were having
pretty radical sex last night,
all night long.
Who was the guy?
No one you know.
[chuckling]
We're late. Let's go.
[Meredith] If life's so hard already,
why do we bring more trouble
down on ourselves?
What's up with the need to hit
the self-destruct button?
Yikes, wouldn't want to
meet you in a dark alley.
Right back at you.
[lzzie] A run? You run?
Every day, babe,
every day.
Not suffering enough?
What doesn't kill you,
makes you stronger.
Don't go acting
all indefatigable.
You're dragging
like the rest of us.
Oh, what is that,
professional weakness, Dr. Yang?
- lt's called the flu.
- Yeah.
l need a major rush to
make it through this day.
l need a kick-ass surgery.
Ooh, you a bad boy
last night, George?
That would be Meredith.
You a bad boy, Meredith?
Do tell.
Nothing to tell.
That says it all, huh?
Sorry, l have a sex life.
Don't apologize.
Embrace it.
Share it.
Count me in.
Next time, just let me know
if l need to go to a hotel
so l can get some sleep.
[woman over PA] IV nurse, ICU.
Am l missing something?
You were just a little loud.
Do they know it's McDreamy
keeping them up all night?
l hope not.
l already have Bailey
riding me.
l don't need my roommates thinking
l'm getting special treatment.
[yawning]
O'Malley, Yang, Karev,
go on to clinic.
O'Malley,
patients are waiting.
You two come with me.
[Bailey] lzzie, you're
hanging with me today.
Good morning, Dr. Shepherd.
Dr. Bailey.
Late night, Grey?
No, caffeine just
hasn't kicked in yet.
lf you're at all religious, you
want to start praying it kicks in soon.
There's a consult in the pit.
Girl with a fever
and abdominal pain.
After that, Nicholas
in 331 1 needs his meds.
Mr. Moeller's lV fell out,
and he's a hard stick.
Postops in 1 337, 3342,
3363 and 2381 .
Three-eighty-one.
Thirty-three-forty-two, 3363
and 23...
Why are you still standing
in front of me?
You look more like me
than you right now.
- What's the matter?
- Nothing.
[woman] Help!
l need immediate help.
What's the problem?
My damn boyfriend
swallowed my keys.
[wheezing] l didn't
want her to leave.
Locate the lady's keys.
l think she got some bug on her trip
to Mexico with her friends.
l told her not to go
to a Third-World country,
but does she ever listen?
[man] She's been weak ever since,
and she's lost weight.
Barely.
And this morning,
she passed out in the shower.
When was the trip?
A couple weeks ago.
l'm really fine.
l just have a fever.
OK, well, will you lie back
for an exam for me?
No, please,
l don't need an exam.
Just give me some antibiotics
and send me home.
Well, maybe it is
just a fever,
but they called down
for a surgeon,
so l have to give
the OK to let you go.
So just let me do the exam.
Do the exam.
No.
[sighing]
This is crazy. l'm fine.
For God's sake, Claire, l don't want
to spend my entire day here.
You know, actually,
Mrs. Rice,
this might be easier
if we had some privacy.
So would you two mind
leaving the room?
[Mr. Rice] That's fine.
Digby. Digby Owens.
l have an appointment.
Excuse me, sir, uh,
you're bleeding. You mind if l...
Sure, sure.
Have a look.
- That's a gunshot.
- Yeah.
We got a gunshot wound.
We got to get him down to the pit.
Sit, Mr...
Uh... Digby.
All right, but it isn't
an emergency.
- l scheduled it.
- What, the gunshot?
Yeah. My buddy shot me.
- Buddy?
- Yeah, just as a favor.
- On purpose?
- Hell, yeah.
He wasn't trying to hurt me,
but you know...
- But why?
- l like the scars.
[? Psapp: Nobody Knows]
Look, everyone in town
has tats,
but my art
is about commitment.
So, this your art, huh?
[Digby] Damn straight.
Damn stupid. The bullet
went all the way through.
Bounced off my ribs.
l have another one
still in my shoulder.
Nice, huh?
You could hang it
in the Louvre.
l have an ethos.
Why do anything unless
you're willing
to go one step further
than anybody else?
What doesn't kill you
makes you stronger.
Exactly. And pain
is the great divide.
My coach used to say,
it's all about how we process pain.
Football?
Wrestling, lowa State.
lowa, 1 41 .
One-fifty-seven.
You got to be more
than 1 80 now.
l'd like to see you
get back under 1 45.
Excuse me, but thinking
of you men in tights
makes me want to... puke.
There's a flu going
around the hospital.
Somewhat ironic.
[Claire] Ow.
Don't push so hard.
Can you lift your shirt
so l can examine your stomach?
Where did you get these?
Claire...
you've had surgery recently.
These scars are still pink.
Don't tell my parents.
You did this in Mexico
so your parents wouldn't know?
What did you have done?
[George] Ahh.
And you noticed her foot
twitching?
- Come on, Jamie.
- My foot.
Oh, yeah.
About three months ago?
Just a little.
We took her to County Hospital,
and she got the CT scan,
which showed her...
Brain abnormality.
Here, you can put it...
- And the twitching has gotten worse?
- A lot worse.
They don't have the proper equipment
back home to figure out what's wrong.
- You did a... you did a good thing.
- Show Mommy.
- Yes, your mommy.
- Show Mommy and Daddy.
You did a good thing
by coming all this way,
Mr. and Mrs. Hayes.
You sit tight, Jamie, OK?
l'm gonna bring
Dr. Shepherd to see you.
OK? Dr. Shepherd. OK?
He's the brain specialist.
[Jamie] Mommy and Daddy.
Doctor? ls he good,
this Dr. Shepherd?
At just about everything.
[Bailey] l assume
the lady needs her keys
to leave this guy's
sorry ass behind.
- Yeah.
- Well, help her out.
He needs a bronchoscopy.
See one, do one, teach one.
You've seen one.
lt's time to do one.
Alone? Seriously? Thanks.
l mean, the vote of confidence
in my skills and all.
l didn't think anyone
was noticing how hard...
- lzzie? Go.
- Yeah.
- You paged?
- Where are we?
l did the consult, did the lV,
the meds, the postops, everything.
How is your pit patient?
She's febrile
and has peritoneal signs.
You all right, Dr. Yang?
Fine.
On my way back to clinic.
l think she had some sort
of illegal surgery done in Mexico.
Botched abortion?
She has four laparoscopic scars
on her abdomen
and won't say what they're from,
the parents are clueless.
- She's a minor.
- Seventeen. Freshman in college.
- You order up for a CT?
- Yes.
So while she's there,
the nurses couldn't get
a Foley on Mr. Garay.
He may need a Coude cath
if you can't get a normal one in there.
Write up postop notes on
all surgical-floor patients
that had surgery
within the last 24 hours.
Be sure to document
their EKGs and x-rays.
Hunt them down
if you can't find them.
Right away.
Hey.
Whoa. Got the flu?
Yeah, and thanks for it.
lt's making my life
so much easier.
l didn't give it to you.
lt's all over the hospital.
- You should be in bed.
- [scoffs]
Disease, diagnosis
and prescription from one man.
Seriously, l'll give you
a ride home.
This is not gonna
make me go home.
You go home.
But l feel fine.
Hey, hey, hey.
Have you seen Shepherd?
Not as up close
as Meredith has.
What? Are you trying
to get her in trouble?
This program will make
or break our careers.
Some of us will make it through,
and some of us won't.
And that decision depends
entirely on recommendations
from doctors like Shepherd.
There is a reason we don't
sleep with the attendings.
lt's not her fault,
it's Shepherd's.
He's taking advantage
of her.
lt didn't sound like anything was
happening against her will last night.
OK, we're in
good shape here.
[nurse] l think so,
Dr. Shepherd.
[Derek] Looks good.
[monitor beeping]
Here you go, doc.
The kid's CTs just
arrived from County.
- Thanks.
- Excuse me.
- Sorry, Dr. Taylor.
- [door closes]
That would be bourbon.
- What?
- l smelled it too.
And he's the best
anesthesiologist on the staff.
l'll worry when he's too juiced
to do his crossword puzzle.
[Derek] Will you close up for me?
Thank you, everyone.
- Dr. Shepherd...
- l got to get some coffee.
Jamie Hayes
has been admitted.
The little girl with
the brain abnormality.
How's she presenting?
She has what looks like continuous
seizure activity in her left foot.
- Her balance is off.
- How old are these?
- Three months old.
- l need new ones.
Her brain could look
dramatically different today.
OK, l'll order them...
Thank you.
...doc.
[Burke] And that?
That's a bullet
from a previous gunshot.
Previous gunshot? OK.
No reason to take it out.
No, the guy likes pain.
lt's his ethos.
Pain as an ethos?
Wait, l think l know this guy.
You remember this guy?
Hey, the tattooed masochist.
Had himself shot again.
Glad to see he's still stupid.
lt's his ethos.
Let's go tell him
what he gets to do today.
Dr. Bailey?
Claire Rice's abdominal CTs.
ls this girl fat?
Not at all.
She's a normal college kid.
So, what do you see?
Her stomach's stapled.
[Meredith] She's had
a gastric bypass.
And a bad one, at that.
Gastric bypass is a procedure
normally done on obese patients
to help them lose weight.
Claire? She doesn't need
to lose weight.
Are you kidding?
This means the world to her.
But it is so typical of this girl
to take the easy way out.
She's done it with everything
since she was a little kid.
Nothing about this
is gonna be easy.
She's gonna face
a lifelong struggle with malnutrition
unless she has surgery
to reverse the procedure.
Do the surgery.
l told her to watch
the freshman 1 5.
Don't eat junk, exercise.
But when she came home Christmas,
who had to buy her a pair
of size-6 jeans because she couldn't
get in the ones l got her?
Tina, you know,
she tries so hard.
- [sighs]
- She does.
She gets good grades.
She gets A's.
She has illegal surgery
in Mexico.
Unfortunately, there were
complications with the bypass.
What do you mean?
She has what looks like
an abscess under her diaphragm,
an edema, which is a swelling
of the bowel wall.
l can't say for certain
she'll recover completely.
[sighs] Just do whatever you have
to do to make her well, OK?
You look like a princess.
[Jamie] lt's not lipstick.
[Derek] lt's not lipstick?
No, it's not lipstick.
Want to do my shoulder?
Oh, good.
[Jamie] And nose?
We're gonna find out
what's causing these seizures.
- Does MRl know we're coming down?
- You said CT.
Now l'm saying MRl.
lt's available.
Good.
Doctor, is she gonna
need surgery?
l don't know yet.
l don't know if our insurance...
We know it can be
very expensive.
l don't want you
to worry about that.
lt's a focal, left-size seizure. Let's
get that diazepam running now, please.
[Derek] Jamie, here's
what we're gonna do.
We're gonna put this
on your arm.
lsn't that fun? Here, we're gonna
put that onto you, like that.
And this is gonna feel cold.
This is a butterfly. [fluttering]
Butterfly lands right there.
Mmm, there we go.
Blanket for the butterfly.
Good, nicely done.
lt's amazing stuff, isn't it?
[sighs] Uh-huh.
- Hey, you like spaceships?
- Yeah.
OK, should we take
Captain O'Malley,
my first lieutenant,
to the spaceship MRl?
Let's go.
lt'll be safer to wait
until your lunch digests
before we do the procedure.
Perfect,
this is just perfect.
l was hoping to be
in Portland right now.
You'll be under
conscious sedation,
which means you'll be
awake, but groggy.
[wheezing] Wait, wait.
ls this gonna hurt?
We'll give you something
for pain.
Do you know how stupid
you make me look?
l thought you would think
this is funny.
Funny?
Romantic?
[woman] The therapist
thing was funny and romantic?
- [man] That was funny.
- No, that was sad.
He called my therapist,
pretending to be his therapist,
- to find out what l'd said.
- Passive-aggressive, JP?
He is the king
of passive-aggressive.
And he's manipulative...
- [JP grunts]
- ...and needy.
Well, that's the trifecta.
What do l win?
[wheezing]
What?
Doc!
l prefer we stop meeting
like this, Mr. Owens.
Digby.
So how's the trumpet playing?
Very safe,
compared to your hobby.
Getting shot
is a little more risky.
That's kind of the point.
He's running a fever.
Due to the extra stress on
his body from the gunshot.
Digby,
the impact of the bullet
on your chest
fractured a rib and caused
a hemopneumothorax.
That sucks, l guess.
There's blood
in your collapsed lung.
The price of body art went up.
Ah, no pain, no gain, right?
[Burke] That's one way
to look at it.
We have that in common,
you docs and me.
[Burke] Do we?
Yeah, the way you guys
push, push and push.
When l was wrestling,
if you wanted to pin me,
you was gonna have
to kill me.
[chuckles] lowa-style.
[Digby] lowa-State-style.
Back home,
we were sworn enemies.
But in Seattle, man,
we're brothers.
[chuckles]
[coughs]
So, what are we gonna do
about this, um...
hemopneumo-Jurassics?
lnsert a chest tube to drain
the blood, then re-inflate your lung.
Oh, please...
tell me l get to watch.
Oh, man, lowa-style.
Before you guys start,
l know you're mad.
Disbelief, Claire, just disbelief.
[Mr. Rice] l'm just concerned.
Where did you get the idea
to do this?
The lnternet.
Honey, there is a healthy
way to lose weight.
[Claire sighs]
Yeah, l tried that, but...
lt doesn't work for me
like it does for you.
[Mr. Rice] Hey, you don't
need to lose weight.
What are you eating?
And how much have
you been working out?
Most of the time, when people
hit their target weight,
they have to work
to stay there.
Everyone gains weight
in college, Mom.
lt's... it's stressful.
There's... there's not
enough time for exercise.
l just thought if l wasn't worried
about my diet, then...
l could focus more
on my studies.
So you took yet another shortcut?
Life doesn't work that way, Claire.
[Mr. Rice] Tina!
What? You want to argue this?
She has so much potential.
lf she would just
apply herself...
OK, l think we should focus on
taking care of your daughter.
And, Claire,
your parents agree,
the best thing to do
is to reverse the bypass.
No!
No, it's my body.
l do not want surgery
again. Please?
There are serious complications.
And this is about your health.
But l'd rather be thin.
Well, l'm afraid the choice
isn't up to you.
lt's called
Rasmussen's encephalitis.
What it amounts to is that
this side of her brain...
This part's healthy,
working perfectly.
This black part of the brain, this...
all of that is dead, or dying.
The condition has gotten
radically worse
since her CT scans
three months ago.
Left untreated,
the disease is gonna kill her.
How soon?
[Derek] Too soon.
[Mr. Hayes]
So is there a cure?
The treatment requires
the diseased portion of her brain
be removed and sealed off.
[Derek] See, eventually,
the spinal fluid
will fill the cavity.
R-Remove?
But, l mean, that's...
Half her brain, yes.
Half her brain. That...
seems impossible.
[Derek] Her age
makes it possible.
Her brain's not fully developed, so
the remaining neurons will compensate.
But will she be normal?
There are risks to any surgery,
and this is, you know, a major one.
But if we're successful,
Jamie could walk out of this
hospital in a couple weeks,
go on to live
a relatively normal life.
Look, l know this is a lot to digest.
The important thing
is we can save her life.
Thank you.
- Dr. O'Malley?
- Yes? What?
lf the parents consent,
l thought you'd like to scrub in
on the hemispherectomy.
Are you in, or not?
Uh, in.
Good.
[elevator dings]
[George] Yay.
l'm scrubbing in
on a hemispherectomy with Shepherd.
Get out! l would kill for that.
We're gonna cut out
half a girl's brain,
and it's going to work.
lt's outrageous.
Almost makes it hard
to hate him.
- Why do you hate him?
- Oh, no reason.
You know about
him and Meredith?
You know?
When are you gonna figure out
that l know everything?
She knows.
- [lzzie] What, about doctor-cest?
- lt's been going on for, like, ever.
- And you didn't tell us?
- Ooh, you're a gossip, huh?
- l am not!
- l am.
He's about to go into major
brain surgery on no sleep?
Not very responsible.
Jealous? Sex all night
isn't about being responsible.
No, it's about sex
all night.
l can't believe you're not
more pissed off.
Well, she works hard all day.
She's good at her job.
Why should you care
how she unwinds?
You like to bake all night.
Some people like to drink.
Others like
a screaming orgasm.
[Alex] Yeah, we do.
Forget l said that.
Pretend like l'm not here.
[Alex] Continue.
You look like
you need to be spoon-fed.
You look like Alex.
Yeah, about drinking,
Dr. Taylor, the anesthesiologist...
- Do you think he drinks?
- Whatever gets you through the day.
l mean here, at work.
Earlier, l thought l smelled...
Do you think...?
l mean, his patients trust that...
[sighs]
So l should say something, right?
lt's a can of worms, George.
Weren't we talking
about sex, anyway?
- Doofus.
- Ew.
This is gonna leave
a pretty sexy scar, huh?
Don't get any more crazy ideas.
[Digby] You really think
my ideas are crazy?
l'm leaning that way.
We wrestle, he plays trumpet.
Hey, l feel pretty dizzy.
You've lost some blood.
[Digby] This, too, shall pass.
Hey...
How come l don't see you down
at the Mat in Belltown?
Oh, man, no time.
Bro, make time.
[chuckles]
l'll be expecting you.
l'm there.
[whimpers]
Handle with care. This thing's...
Full of gunk. l know.
We need to free the bowel
from the adhesions
caused from the abscess.
This poor girl.
What was she thinking?
She wants her mother's approval.
She wanted to please her.
And this damage
is the result?
Here, resect that.
Needle-tip Bovie, please.
When you're done here,
you have postops waiting.
l know, Dr. Bailey.
Cristina's got the flu.
You need to pick up the slack.
Look, l'll mop the floors, OK?
Sorry, that was inappropriate.
lt's not the only thing
that's inappropriate.
You care to tell me what
you think you're doing?
l'll jump through hoops
if you want me to.
But what l do when l leave
this hospital is my business.
Half this hospital knows.
Flu isn't the only virus
spreading around here.
l made a choice, and l know you
don't respect me for that choice.
But l'll live
with the consequences.
Then l'll have lots of hoops
for you to jump through.
l've done everything
you've asked me to do.
l may not do it your way,
but it gets done.
So whatever else you got,
bring it on.
- Ew!
- [laughter]
OK, Dr. Grey,
now that you've
drained the organ,
we can attempt
to repair it.
Now my day is perfect.
OK, bye.
l appreciate this.
The chance to scrub in on this
kind of procedure is, well...
Yeah, l appreciate it.
Here you go.
Triple espresso, not too hot.
Oh, l love you, seriously.
Ah, coffee, where would
medicine be without it, huh?
l hope you have
a new crossword, Taylor.
We're gonna be here a while.
Never go without.
Big day for you, kid. Congrats.
Thanks.
Hey, princess.
You ready to take a nap?
- Hey, look what l got.
- Blow bubbles, that's it.
[Derek] Just breathe in.
Oh, that's it.
- What?
- Do you smell...?
Smell what?
l have a mask.
Uh...
l'm sorry, Dr. Taylor,
but did you just...?
Have you been drinking?
l beg your pardon?
- [Derek] What?
- [George] Do you smell...
l... l smell alcohol.
[Taylor] Where do you get off
accusing me of something like that?
George, you're out of line.
There are rules. You know,
there are rules for a reason.
You ju...
There is a 2-year-old
girl on this table.
You shouldn't take advantage
of someone else's vulnerability.
l don't need some punk intern
telling me what's at stake here.
Get him out of here, Shep.
[Taylor] Shep?
You're out, George.
You damn well
better be ready, Taylor.
l wouldn't be here
if l wasn't.
[monitor beeping]
[woman] Do you really, seriously
want to know why l'm leaving?!
How about when you started
insisting that l quit my job,
when l made more money
than you?
That should have been
the last straw.
The last straw should have been
when l found out those phone calls
that you kept denying
were from other women
were really coming
from your mother!
This isn't healthy.
- Hold still, please.
- Don't you dare try to patch this up!
Could the both of you
please stop?
You don't love me, JP.
You love to smother me.
And if l could just get you
to admit that,
then l could leave you
with an ounce of respect.
Athena, l let you stay
in here to keep him calm.
lf you're gonna keep...
Check that. l can't respect
a man desperate enough
to swallow my exit strategy.
That is the last straw!
Michelle, can you get her
out of here?
[Michelle] Ma'am?
- Fine!
- [choking]
- Come on.
- What?
What's happening?
The keys moved
farther down.
Oh, my God,
what does that mean?
What did you do?
Don't you dare die, JP!
Please! Please, just shut up!
Breathe, JP. Just breathe.
[grunting]
[lzzie] Got it.
[choking]
[gagging]
[coughing]
Very impressive, JP.
[sighs]
ls he OK?
ls he gonna be OK?
Yeah, he'll be fine.
[panting]
[JP chuckling]
You lit... You did that
on purpose, didn't you?
[sighs] Can l offer you some advice?
Get in your car and go,
for all of our sakes.
You're never gonna find
where l parked it.
[Meredith] l need a shower.
l need a shower.
You need to go tell
that girl's parents
what kind of kid
they're getting back.
You're not gonna let me
shower first?
That would be a hoop,
would it not?
lt would qualify.
Shower first, then.
Ew, what smells?
That would be me,
or more specifically,
my patient's insides
all over me.
That makes me
strangely happy.
Oh, God. Oh, Meredith,
you smell like...
Karma.
- What?
- Nothing.
Something vile's
stuck in your hair.
You know, just go stand
over there, please.
Ugh, how much do l love
being a surgeon right now?
Karma.
What does karma have to do
with anything?
l'm just saying, you've been
given all the best surgeries.
And now you smell like putrid goo.
And you're giving off a stench.
Karma's a bitch.
[Bailey] Dr. Shepherd
needs an intern.
- Which one of you is clear?
- Where do you want me?
- You need to lie down somewhere.
- l'm completely healthy.
Grey?
- [sighs] Of course.
- What is your problem?
Um, you!
'Cause apparently,
you can help Dr. McDreamy
in ways
the rest of us can't.
- You did not just s...
- Yes, l did!
[Bailey] Hey!
Hemispherectomy in OR 1
with Dr. Shepherd. Go.
Apparently,
l'm not the only one
with hoops.
[? Tegan and Sara: Downtown]
- Doctor.
- [Burke sighs]
Digby's postop CBC shows a severe
spike in the white blood cell count.
What is it?
lt's 27, with 1 6 percent bands.
Something else is wrong.
That's a little high for simple stress.
Check for any other possible
sources of infection
or recent illness.
[Derek] We're gonna
start the procedure
with the left
temporal lobectomy.
Thanks for joining us,
Dr. Yang.
After the temporal,
we'll do the frontal,
and then the occipital.
We were able to reverse
the gastric bypass,
but we did lose a significant
portion of her bowel.
And because of
the short gut syndrome,
Claire will never eat
normally again.
OK, wait, do...?
How do we help her here?
Well, getting proper nutrition
will be a lifelong problem for Claire.
Great, as if we already
don't have our hands full with her.
She gets good grades.
She stays out of trouble.
She's smart.
l just think she feels like nothing
she does is good enough for you.
lf you think that
l'm responsible for this...
l think Claire is killing
herself to please you.
[scoffs] Oh, please.
You have no idea what's
going on in that girl's mind.
You're her mother.
She worships the ground
you walk on.
She didn't do this for herself.
[clearing throat]
l think that this situation...
Tina... Shut up.
What is it?
l'm freezing, doc.
l-l can't stop shaking.
His temp's way up,
and BP's dropping, doctor.
Digby, have you had any
recent illnesses, new piercings,
tattoos, wounds?
New tat on my calf.
[panting]
Ew.
Oh, my God.
lt was nowhere near
that nasty this morning.
lt was infected?
Why didn't you say anything?
Ah, it was nothing.
l'm not here to complain
about a little pain.
[Alex] The infection's been exacerbated
by the stress from the gunshot.
Get him to lCU.
We'll get you started
on some antibiotics.
From the frontal lobectomy,
l'm going to encounter a, uh...
[Cristina] We'll encounter
the anterior cerebral artery.
Yes, so we're gonna
need to, uh...
[sighing]
The branches of the artery
need to be coagulated and divided.
You know, Taylor,
her anesthesia's awful light.
Come on, Taylor,
s-she's waking up.
Dr. Taylor?
Uh, he's asleep!
Taylor!
Dr. Taylor!
Huh? Oh, God, sorry.
Sorry, l'm on it.
[sighs]
[Taylor] My bad, Shep.
He was right, wasn't he?
Aw, l nodded off. Come on.
Whatever you got to do
to get through the day.
Steph, get me some coffee.
[Steph] Yes, doctor.
l'll be fine.
lt won't happen again.
Yeah, not in here, it won't.
Uh, Steph, call Dr. Pennington.
Hopkins, take over
until she gets here. Get out of here.
What happened?
Multisymptom organ failure,
secondary to overwhelming sepsis.
Now he's all...
Fix his BP, that should
help his mental status.
He's maxed out.
We got V-tach.
[Burke] He's looking bad.
Put the defib pads on him
and give him 1 50.
[flatlining]
l lost his pulse.
Defib! Get the pads!
Get the pads!
Clear.
Again at 300. Clear.
[? Joe Purdy: Suitcase]
Come on.
This packing, we hope,
will prevent hemorrhaging.
Dr. Yang, do you want to
add something to that?
lt will allow the cerebral spinal fluid
to eventually fill the cavity.
Hmm, very nice.
- You two, you wanna close up?
- [woman] Yes, doctor.
l'm gonna go to bed. [sighs]
That was unreal.
l mean, that's...
that's all there is.
l... l was feeling sick
until l came here.
l was tired.
Now l'm tired again.
lt's back to reality.
- Let me explain.
- lt's fine.
There is a code among doctors.
We're not supposed to
ask each other questions
within the walls of this hospital.
OK, l was out of line.
No, you weren't. l was.
l was out of line.
Somebody should have
taken responsibility.
lt should have been
the guy doing the cutting.
lt should have been me.
You didn't deserve
what happened to you today.
You did the right thing,
code or no code.
[scoffing]
You saw me leave the house
this morning, didn't you?
Oh, was that you?
Hmm.
l'm not using her.
And l don't favor her.
She's pretty great, you know.
Mm-hmm.
So let's go tell Jamie's
parents she's gonna be fine,
barring any complications.
[George clears throat]
Did you fix me?
No, not completely.
So l won't get fat?
No.
Oh. That's awesome.
Claire, l've asked social services
to contact your parents.
Why?
[Meredith] They can help you.
With what?
[sighing]
You don't know this yet,
but life isn't supposed
to be like this.
lt's not supposed to be
this hard.
[sighs]
Time of death, 20:49.
The first guy l ever met
out here from back home.
l thought you'd be asleep
by now.
Yeah, well, l'm not.
lf you wait a few minutes,
you can have a piece of cake.
Baked it chock-full of love.
Actually, chock-full
of unrelenting, all-consuming rage
and hostility, but it's still tasty.
- So you know?
- l know.
Well, do you want
the long, sordid version,
or the short version, where
l started sleeping with a guy
who turned out to be my boss?
Neither.
lzzie, cut me some slack here.
No. You went to Dartmouth.
Your mother is Ellis Grey.
You grew up...
Look at this house!
You know,
you walk into the OR,
and there isn't anyone who
doubts that you should be there.
l grew up in a trailer park.
l went to state school.
l put myself through med school
by posing in my underwear.
You know, l walk into the OR,
and everyone hopes l'm the nurse.
Y-you have their respect
without even trying,
and you're throwing it away
for... what?
A few good surgeries?
No.
lt's not about the surgeries.
lt's not about getting ahead.
[lzzie] Then what?
A little hot sex?
You're willing to ruin
your credibility over that?
l mean, Meredith,
what the hell are you doing?
Oh, my God.
You're falling for him.
l am not.
Oh, you so are.
No, l'm not.
You so are.
Damn it, you poor girl.
You know, it's just that
he's just so...
And l'm just...
l'm having a hard time.
Wow, you're all, uh,
mushy and...
warm and...
full of secret feelings.
l hate you!
And your cake.
My cake is good.
So, um, how hot is the sex?
lzzie.
What? Come on,
l'm not getting any.
Help a girl out
with a few details.
[rowing machine whirring]
[bangs]
[Meredith] Maybe we like the pain.
Pooh.
How's she doing?
- Good.
- Good.
[Meredith] Maybe we're wired that way.
Cristina?
Because without it,
I don't know...
...maybe we just
wouldn't feel real.
You know, we could just...
Sleep?
We could, yeah,
if... if you want to.
Yeah?
[Meredith] What's that saying?
''Why do I keep hitting myself
with a hammer?''
Oh, thank God.
''Because it feels
so good when I stop. ''