Grey's Anatomy (2005–…): Season 2, Episode 7 - Something to Talk About - full transcript
Derek reluctantly attends marriage counseling with Addison, while Meredith, Izzie and Cristina steal a patient with an unusual problem. Alex helps a young patient gain her independence, and Cristina thinks Bailey knows about her and Burke.
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Previously on
"Grey's Anatomy"...
I'm touchin' the aorta.
O'Malley?
Yes, sir?
You just flew solo.
O'Malley plugs a hole
with his finger,
and everyone walks around
like he's some kind of hero.
- I have one off day.
- You chickened out.
- I hesitated briefly.
- Why didn't you kiss Izzie?
Cristina.
- It's my first day back.
- I'm not waiting forever.
Okay, we're a couple.
Whatever. Don't make
a big deal about it.
So pick me.
Choose me. Love me.
Derek, have you ever thought that even
if I am Satan and an adulteress bitch
that I still might be
the love of your life?
You're staying with her.
Yeah, she's my wife.
Communication--
it's the first thing we
really learn in life...
She didn't even know
he was married.
I mean,
his wife just shows up and he dumps her.
I heard she flipped out.
What does she expect?
She got what she deserved,
dating an attending.
Dating McDreamy.
Have you seen his hair?
No guy's that perfect.
I think it's kind of sad.
She has to work here--
with him, with them--
everyone knows.
Funny thing is, once we grow up, learn
our words and really start talking,
the harder it becomes to know what to
say or how to ask for what we really need.
What do you need to,um,
make this marriage work?
I need her to move to Seattle.
- That's just--
- Addison...
What do you need?
I need him to stop
talking to Meredith.
But I work with her.
You want me to pick up my entire
practice and move here, fine.
I want you to give
up your girlfriend.
I did give up my
girlfriend. Okay?
You wanted me to take you back,
I took you back here in Seattle.
- See? Once again, it's all about what he wants.
- She's not listening to me.
I'm not gonna move
back to Manhattan.
- I am not the same person.
- I know.
- You're a flannel wearing, wood chopping fisherman.
- Oh that's it.
- I'm not gonna talk to her anymore if she's gonna behave like this.
- Fine.
Sorry, guys. Time's up.
Good progress.
Well, we have to do something.
Meredith's become, like,
an exhibit like the--hey--
like a zoo animal, like that rare
panda that everyone stares at.
Please don't say
that to her face.
I think that panda died alone.
This could just as easily be you
if people knew about you and...
You take that back.
No. I'm just sayin' we should
do somethin' to cheer her up.
Don't worry about it.
It's under control.
What--what do you
guys have goin' on?
- Nothing.
- What?
Where's Karev?
Probably off somewhere
not kissing somebody.
Let's go O'Malley.
Hey, so, um, after rounds,
we have something to show you.
- Mere? Meredith, can you hear us?
- She's not deaf.
- Well, she looks weird.
- What do you expect?
Derek didn't pick her.
She's gone mental.
Meredith, have you gone mental?
- I have not gone mental.
- See? Okay, she's fine.
We have something to show you.
So whatever you do, do not get
assigned to a surgery this morning.
It's really good.
- Give it a chance, Derek.
- I gave it a chance. He's a moron.
Yeah, mind your own business.
Mrs. Kimberly Griswold.
A history of heart disease
and multiple surgeries.
In for a beating heart
quadruple C.A.B.G.
You're late.
Yes, Karev,
nice of you to join us.
Why keep the heart beating,
Doctor Yang?
I don't know.
- What?
- What?
I have no idea.
Oh, I don't know, either.
I just don't.
Because of...ow.
Anyone else?
- Stress reduction because of the previous surgeries--
- O'Malley.
- I know--I know the answer.
- I'm asking O'Malley.
Scar tissue's too deep.
The heart's too weak
to start up again,
so you only immobilize the portion you're working on
and you leave the rest of the heart on its own.
- Welcome to the case.
- Thank you.
What is that?
P.J.'s.
That isn't fair,
and you know it.
He's punishing me
for the elevator.
He's punishing you because
you were late for rounds.
You wanna tell me
why you were late?
Dr. Shepherd needs somebody
on his nerve case today. Go.
And you three--
brush up on how not to embarrass
me in front of the attendings
or I'll see to it that your
hearts stop beating. You clear?
Sorry, Dr. Bailey.
We really apologize.
What is going on?
We found a case.
- You stole a case.
- Borrowed from psych.
Okay, the prelims--okay,
this thing is totally unprecedented.
And we found it.
- Stole it.
- Okay, found, stole, hijacked, whatever.
Okay, Meredith, behind this door is the
coolest medical mystery I have ever seen.
Now you can either walk away,
you know, guilt free...
Or walk through this door,
risk your place in the program,
which could possibly lead to spending the rest
of your life serving fries in bad clothing.
So are you in?
Hell, yeah.
- Mr. Herman.
- Oh, no.
Please call me Shane.
I gotta hit the can--again.
Seems like I gotta go every
30 seconds these days.
- Just a guy.
- Wait for it.
I sure am glad to be
off that psych floor.
- What's so special?
- Wait for it.
I'm not nuts.
I'm just pregnant.
I was fine, and then last month, unh.
Huge belly.
My doctor just kept tellin' me I
was gainin' weight with my wife.
She's due on the 30th.
- It's our first.
- Congratulations.
The admitting intern
shipped him off to psych.
Barely did a physical.
Hear that?
It's not fluid.
There's somethin' in there.
Oh, yeah, no joke.
There's somethin' in there.
I've been able to feel it gettin'
bigger and bigger growin' in my...
you know... my womb.
Yeah, I know I sound crazy.
I do. But I can prove it.
This room is supposed
to be unoccupied.
- Whose patient is this?
- Hers.
Who transferred him?
I don't have any paperwork.
- Any transfer documents.
- Gimme a break.
We shuffle rooms all the time.
You know, if we need a bed pan changed,
um, we'll let you know.
Okay, Doctor, you do that.
Okay, where's his chart?
Don't tell me you
don't have his chart.
- You steal a patient--
- That was your job.
Yeah, I was on lookout.
How you doin'?
You good?
You look good.
Come on. We're friends.
What's my name?
Um...all right.
So I don't know your name.
It's not like we can't talk.
You don't have to be a surgeon
for me to talk to you, you know.
- Really?
- Really.
Because I thought you
only talk to attendings.
Uh, Nicole, you've been having
problems with spasticity?
Mom?
She says the spasms
make her legs dance.
We just wanted to make things
a little easier for her.
She starts college this fall.
Seattle community.
Right down the street from us.
Not that she wouldn't have her
pick of schools out of state.
But she's not
ready for that yet.
What, not because
she's in a wheelchair?
Has Dr. Ostfeld mentioned
something called a cystoplasty?
No? It's an operation to
enlarge Nicole's bladder.
It creates an opening
called a stoma.
It's improved the quality of life
in a lot of my paralysis patients.
We toyed with the
idea a few years ago.
It's not for us.
Well, maybe we
should revisit it.
Revisit an invasive, risky procedure
that's got a 20% failure rate, I don't think so?
Nicole, it's something
worth considering.
It means you wouldn't have to
wear the catheter all the time.
Not to mention the medical benefits.
It would, uh...
improve your quality of life.
You know?
You'd be like girls your own age.
You'd be in control of your own bladder.
No messy bags.
You could have a more
normal sex life.
Well, you know,
when that becomes an issue, of course.
We're here for the pain procedure.
That's it.
That girl and her mom
share the same brain.
She's not gettin' that surgery.
I want you to take Nicole with
you everywhere you go today.
Take her to labs, take her to coffee,
take her anywhere.
Just get her away
from her parents.
You want me to babysit
the wheelchair chick?
Nicole.
She thinks you're cute.
She's a teenager, which means
she might even listen to you.
You want me to convince
her to get that surgery.
I want you to convince her to
make the decision for herself.
And how am I
supposed to do that?
Dr. Karev, you're creative.
You'll think of something.
Thank you.
This will be an extensive operation even
for an open heart veteran like yourself.
My room was bigger last time.
It was brighter--more sun.
Alan, this water is warm.
I need more ice.
I'm sending you in
for a nuclear scan.
Then we'll get you into the O.R.
this afternoon.
You do understand
all of the risks?
I've been through it too many
times to not understand the risks.
Get the blinds.
Open the blinds.
This room is depressing.
I'll check back a little later.
Take her for the thallium scan
and pick up her x-rays on the way.
Dr. Burke, thank you for
choosing me to assist you today.
Well, you're my guy, O'Malley.
- I am? I mean, yeah.
- Hand me the tissues.
No, no, wait.
Hospitals have germs.
Get my hand sanitizer
out of my case.
Why would you be with someone
who makes you that unhappy?
Excuse me?
I mean, like, well, like,
you're happy with Cristina.
And she's happy--well, happier.
You know, Cristina happy.
Which is not normal
people's happy, but...
Well, you know,
happy since you guys started, uh...
Scans. I'm on it.
I'm your guy...
and I'm an idiot.
Hi. Hello. Hi. Meredith.
Maybe we could,
you know, uh, talk.
- No.
- No.
Okay.
Beep, beep.
- What'd you do to get stuck with me?
- Nothing.
Come on, I know you're not just
wheeling me around for kicks.
Well, I was late for rounds.
Why?
Oh, 'cause I had things to do.
Hey, Izzie!
Izzie!
Hey, doll face.
I was gonna ask you a favor,
you know?
I thought since, you know, maybe
you're better with people than I am,
-I thought maybe you could--
-No.
-Uh, you haven't even heard--
-No, no.
You're like a
broken record. God.
You're only ever nice or friendly or
anything when it's convenient for you.
So no to your favor.
No to you. No.
What's up with you?
I put on a dress.
I did my hair.
I had one night off in two
weeks and I used it on you.
And what do I get?
Nothing.
No respect, no apology...
you couldn't even be bothered
to kiss me good night.
You know what?
You're a coward,
and you're just as shallow as you seem.
So I am done trying to be
your friend or whatever.
I'm over it.
She's really mad at you.
This urine sample is the last
thing we need, Mr. Herman.
Uh...
- Meet Shane's wife Tina.
- Hey.
She's also pregnant.
Can you tell us what precipitated the psychotic
episode that got you admitted to the hospital?
It wasn't an episode, okay?
And I'm not psychotic.
I am pregnant.
I mean,
wouldn't you freak out if you were me?
Honey, did you bring it?
- Yeah, yeah.
- Oh, good.
I can prove to everyone
that I'm not crazy.
That is my patient!
Yeah, well, he's ours now, and if you
wanna fight me for it, I guarantee you I'll win.
- What is going on in here?
- Dr. Bailey, just one moment. Here.
Please look at his abdomen.
It's a male
hysterical pregnancy.
It's a psych case,
and it's mine.
It's not hysterical.
I am pregnant.
See? Psych.
No, his belly is distended.
There's no signs of ascites, and I
clearly feel a mass with deep palpation--
- Surgical.
- Guys.
I told you I could prove it.
- Psych.
- Surgical.
Come on, you're doctors,
act like it.
Guys.
- Psych.
- Surgical.
Guys!
Shane took a pregnancy test...
and it's positive.
Well, he's definitely
a surgical patient now.
Do not think for a moment I
condone stealing patients.
That said, way to go.
The first pregnancy
test I took...
was a joke to make Tina laugh.
Well, we didn't think it would lead to,
you know, this.
Mr. Herman, I can assure you,
you are in no way pregnant.
That's a relief--to hear it, you know,
officially, but, hey, why was that stick blue?
Well, that's what
we're gonna find out.
Uh, Stevens, do a shotgun
workup including tumor markers
and get C.T.
to make some room for us in line.
What's this for again?
Uh, medical journals,
monthly case reports.
Annual banquet highlight reels.
Hey, whose pager is that?
Um, mine, but I found him.
So can someone else go?
No, we don't ignore
pages, Yang.
Would you excuse me?
We just need to get to the top.
We'll be finished soon,
right, Dr. Bailey?
We, um...
Good.
Okay.
Patient in 4243 needs a rectal.
Then I've got two infected wounds, a
foley, a groin abscess, four debridements, and, uh...
a case of explosive diarrhea.
You're kidding me, right?
I'm not known for my humor.
Uh, why did you page me about--
none of these are my patients.
You're Bailey's intern, right?
Then these are your patients.
Debbie here.
A portion of the intestine is
used to enlarge the bladder
and then we construct a pathway
to a hole in the belly button.
It's a very tiny hole.
It's virtually invisible.
She could wear a bikini.
No one would ever know.
Why would she need a bikini?
She doesn't know how to swim.
She could go to the beach, lie in
the sun, hang out with her friends.
Oh, my god.
She's so self-conscious now.
Nicole could have friends
her own age, Elaine.
When did you say
Nicole would be back?
After her labs.
Now just think about her future.
Nicole could be independent.
She could go to college anywhere.
She could have a job, have her
own apartment, date, get married.
These labs are
takin' a long time.
She can spend more than 20
minutes away from us, Elaine.
I'm asking about my only child.
She's not a child anymore.
She's my child.
She'll always be my child.
Alan, watch your step.
- You're hitting my chair.
- I'm sorry.
- And hold onto my bag.
- I got it.
- And don't rummage through it.
- I won't.
"Please" and "thank yous"
were never her strong suit.
You're a very patient person.
Years of practice. Oops.
Oh, she won't see that.
I just try to keep her calm.
You know, they didn't think she was gonna survive
the first surgery, let alone three more.
But here it is ten years later,
she's still here.
Yeah, it's, uh,
it's a miracle that she's still alive.
That's what everyone says.
What do you say?
Uh, it's right
there in the vows.
In sickness and
in health, right?
Thanks.
A pregnant guy?
You had a pregnant guy,
and you didn't tell me?
Well, we can get you floor
space in the O.R. for 50 bucks.
You're selling tickets, and we don't
even know what's wrong with him.
Whatever he's got inside
has got to come out.
We're just brokering
a few deals.
Sort of like backstage passes.
- You want in on the cash?
- No.
I didn't get a pregnant guy.
I was Burke's new go-to guy,
but that's over thanks to you.
- He didn't know that I knew about you two.
- Stop talking.
What on earth?
Hi.
I'm Alex's charity case.
Yeah, I like her already.
- Are you volunteering?
- Don't ask.
Why? It's not like we
can read your mind.
It's not like we have any idea what's
going on in your tiny, tiny, tiny little brain.
She has a point.
Oh! I am hungry!
So this is cool.
A real live lunchtime in a real
cafeteria with trays and--
and friends.
We're not his friends.
Don't you have a
cafeteria at your school?
I'm homeschooled by my parents.
That explains a lot.
So are you guys the cool kids
around here or something?
What would make you think that?
It seems like everyone's
talking about you.
The guys and I were takin' bets
on who'd get to scan this dude.
Beers are on me tonight.
Next up,
the wager on what this thing is.
You're taking bets?
On what's inside his belly.
You want in? 10 bucks.
Well, I know it's not fat,
food or a fetus, so...
Jeez.
Are those teeth?
Cristina's gonna be so
mad she missed this.
I was told to page you and only
you if somethin' like this came up.
Who told you, Bailey?
- No.
- Oh, yes,
and all I can say is you must've
made one serious faux pas.
I hate vomit.
You're gonna need this.
Bailey knows.
- Knows what?
- She knows.
O'Malley knows.
- Why not Bailey?
- So you didn't tell her?
- Why would I do that?
- This is bad.
We have to manage the damage ourselves
before this thing spins too far out of control,
- and that means coming clean to the chief.
- What?
If we come out in the open,
- then no one has anything to say.
- No. No. No way. No way.
- That's the only way.
- Good morning.
- Morning, chief.
- Thank you, Dr. Burke.
You're welcome. Ahem.
Great board, chief.
Would you make sure that they get the breathing tube
out of my throat right after surgery this time?
Are you trying to cut
off my circulation?
He's just doin' his job.
What did you say?
I said,
"he's just doin' his job."
Well, I don't really care
whose job he's doing.
He's squeezing my arm off.
Are you just gonna sit there?
Shut up, Kim.
Just...
shut up, huh?
You complain to me, about me...
around me all day...
every day.
A little silence would be nice.
A few measly minutes of quiet.
- Can't you for once...
- Mr. Griswold.
In your life...
just shut up?!
What do we got?
She had a levine sign and her E.K.G.
shows S.T. elevations in ******
She's havin' a heart attack.
Give her 4 migs of morphine.
Run nitro 10 mics per minute.
Let's do this fast so we can
get into surgery, people.
Oh, I did this.
I did this to her.
Look, mesenteric
teratoma, chief.
In an adult male.
Is this possible?
It is now.
Large bilobed cystic lesion...
with a solid
calcified structure.
A deformed mandible.
Labs show elevated
H.C.G. levels.
That explains the false
positive on the pregnancy test.
- Which also means...
- It's probably malignant.
You okay?
You look a little green.
I think he needs
some air, chief.
Deep breaths, Mr. Herman.
Just--most of this medical
speak goes right over my head.
You have what's called a teratoma,
and it's really very rare in adults.
Which is why you're so popular.
It's just a mass of cells that's
probably been there your whole life,
- only now--
- Now it's growing.
Yeah, growing jawbones and toenails and,
uh, clumps of hair.
Yeah, I've been listenin'.
It's just no one's
really talking to us.
Just about you.
I know what that's like.
Um, hi. What'd I miss?
Ew, is that...
is that rectal jelly
on your scrubs?
Dr. Bailey, all the attention,
all the people are making them panic.
You know, when you said you
found a lunch spot with a view,
I knew I should have
taken you literally.
I found it in my "best
of Seattle" guide.
It's hardly brown bagging it on the top
of the Empire State Building, but...
they did have these cute
little viewfinders.
You always find something
to complain about.
Okay, is there anything that
you like about me anymore?
Because if there is,
I really need to know now.
Well, I like that you like cute little
viewfinders in every city you live in.
I don't live here yet.
Are you going to stop
talking to Meredith?
- I will.
- When...
Today, tomorrow, next week?
Maybe I'm not ready yet.
Are you ever gonna
be ready, Derek?
What if I say no?
Then I'm not moving here.
Then I guess we're
at an impasse then.
Dr. Yang...
we never finished
our conversation.
Yes, we did.
We decided we're not gonna
tell you know who about us.
Oh, we decided?
If you're worried about your
career and your reputation,
they're in much more danger if he
hears about us through the grapevine.
- He doesn't have to hear about us at all.
- Only he will. It's just a matter of time.
Unless you're hesitating
because of some--
some different reason.
Okay, you are not
thinking this through.
Like you not wanting to admit
to this relationship at all?
We are a couple.
- Fine.
- Burke.
I said, "fine."
So what's up with you not
wanting to get this procedure?
I'm fine the way I am.
Good point. Your choice.
So you're not gonna try
and talk me into it?
Right now, I'm gonna study.
"Nuclear something
fancy name-ology."
- Is that why you were late--you were studying?
- No.
- Is that girl Izzie your girlfriend?
- No.
Do you want her to
be your girlfriend?
Look, I got stuck with you
because I was late for rounds.
So if you don't mind,
kid, I'm kinda busy.
I'm 18, you know.
What?
I'm not a kid. I'm 18, and...
and I don't have to stay
down here with you.
- I could go back to my room.
- So go.
Izzie's right.
You're an ass.
I'm not an ass.
Okay, I am an ass...
But I'm a cute ass, right?
How come you didn't kiss her?
I thought you were leaving.
If I had a chance to kiss someone
I liked, I wouldn't hesitate.
If I had the chance to lose the urine
bag around my ankle, I wouldn't hesitate, either.
But then again, I don't let my
mommy do all my talking for me.
I don't like you.
Yes, you do.
- Jerk.
- Motormouth.
- Babysitter.
- 2-wheeler.
Now that's just
politically incorrect.
Looks like
Mrs. Griswold is doin' well.
Wait a minute...
just a little suction.
We'll fix the mechanical
stabilizer later.
Right now I'm just gonna hit a
few--a few of these little bleeders.
Look at that.
A perfectly exposed,
partially-numb beating heart.
It's a beautiful thing.
Code red!
Oh my god.
I think it just
burst into flames.
Her heart--it's on fire.
We have to save Mrs. Griswold.
- Begin fire protocol.
- I'm on it.
Code red! Begin fire protocol!
- Move, people!
- We need wet towels.
- O'Malley, disconnect the electrical leads.
- I got it.
Let's go, rookie.
Any unnecessary personnel in this room,
evacuate now.
Shut down the o2.
Already on it.
Start manual respiration.
I've got the ambu bag.
Starting manual respiration.
We've got to control
this bleeding.
Her vitals are stabilizing.
We might just have
a chance here.
She was on fire.
I have never seen anything like that.
What was that?
It was a freak accident.
- But she was on fire.
- All right. You already said that.
I know, but she was... on fire.
George, you okay?
She was on fire.
That was intense.
Are you okay, or...
I'm fine. O'Malley, let's go.
I'm so over this.
Hey, I heard a heart
caught on fire in the O.R.
I am the best intern you've got, and you
are wasting me on puke and boils, and I get it. I--
I even deserve it, but please, you
can't keep me away from this surgery.
I earned this surgery.
I stole the surgery.
What are you
talkin' about, yang?
You, punishing me.
You have no idea what I'm talking about,
do you?
Well, then, like,
who has been paging me all day?
The nurses have
been on me nonstop.
A little bit of respect, and you
could've saved yourself a very long day, Dr. Yang.
Pissing off the nurses.
Stupid.
Well, I can still
scrub in, right?
He wants me to move
here, Richard--
to pick up everything and move.
Don't stay for him, Addison.
Stay for me.
Stay for yourself.
- Richard, I--
- Look, in Seattle, you could be front page news.
With your reputation and the
money I'll put into promoting you,
Seattle Grace will become one of the
foremost neonatal hospitals west of Manhattan.
You're serious.
I'm ready to put my
money where my mouth is.
- Turn around. Walk away.
- From who?
From my intern.
Well, I wasn't.
Yeah--yeah. Yes, you were.
Come on, look--look,
you can't do this.
You don't have the right.
Not anymore.
I just wanna find
out if she's okay.
No, she's not.
She's a human traffic accident, and
everybody's slowin' down to look at the wreckage.
She's doin' the best she
can with what she has left.
Look, I know you can't see this because
you're in it, but you can't help her now.
You'll only make it worse.
Walk away. Leave her to mend.
Go on.
It's not that I don't want
the operation. I do, you know.
I want things.
It's just...
what if I'm not ready?
Ready for what?
For everything--
for taking care of myself,
for being on my own, for sex.
For love.
I've never had a boyfriend.
I've never even been kissed.
I'm, like, the oldest living prospective
college freshman not to go to first base.
It's mortifying.
There are way older losers than you.
Trust me.
Alex...
would you kiss me?
Wh--what?
I know you're a doctor, I'm your
patient and it's against the rules,
but I would never tell anyone.
For a kiss to be really good,
you want it to mean something.
You want it to be with someone
you can't get out of your head,
so that when your lips finally touch,
you feel it everywhere.
A kiss so hot and so deep,
you never wanna come up for air.
You can't cheat your
first kiss, Nicole.
Trust me, you don't want to, 'cause when
you find that right person, the first kiss...
it's everything.
- Her heart--
- Caught on fire. Yes.
There will, of course, be an
investigation, but you should know,
this is not as
unusual as it sounds.
Your wife is going to be fine.
She's well.
Um, we completed the operation and I
expect that she will make a full recovery.
Mr. Griswold?
So that's it, isn't it?
Her heart caught on fire in the middle
of her fifth open heart operation and she survived?
Whoa. Well...
she's like some, uh...
some mythical monster.
She's never gonna die!
Uh, Mr. Griswold...
Mr. Griswold.
I know this is an
emotional time for you.
Um, if you'd like to wait...
Wait? No, no.
I'm not waiting any longer.
You tell her...
tell her...hell.
Tell her she'll
survive without me.
We can add two more,
standing room only.
Hey, hands off.
What is going on in here?
Everybody out!
- We already have--
- Out!
Mr. Herman is a patient--
a surgical patient who's sick and
embarrassed and tired of being stared at.
You two--this isn't a zoo!
Out! Out!
Out! You know what?
If all of you want to point and whisper
and stare at me, knock yourselves out.
"Look at Meredith.
"Isn't she sad and
pathetic and heartbroken?
"Maybe she's gone mental."
Maybe I have, but leave Mr.
Herman alone.
You should be
ashamed of yourself.
And what are you looking at?
So--so do you tell
his wife or should I?
Heh heh. This is--
I...
I want to thank you...
for helpin' me out in the
surgery today, O'Malley.
It was a-a high pressure situation
today, and you were on top of it.
Well, thank you, Dr. Burke.
And, hey,
I'm sorry about before.
About, you know, bringin' up,
you know, you and Cristina.
That...
it's just like...
You're still my guy, O'Malley.
You're still my guy.
I always thought I'd hold your
hand in the delivery room.
I'll let you know when
the surgery's over, okay?
Okay. This is as far as I go.
Dr. Grey, don't let 'em show it off,
you know...
put it in a jar or pass
it around or nothin'.
Your teratoma?
Yeah.
I feel weird about havin' my
insides on display like that.
- You promise?
- I promise.
At the end of the day, there are some
things you just can't help but talk about.
You really wanna be the one
to dispose of this, Grey?
I made a promise.
I am worried about my career--
I'm worried about my
reputation and my--
I will not be Meredith Grey.
I busted my ass to get here,
and people won't make allowances for me.
This is not about making allowances,
and you know that.
- Everyone will know.
- That's the point.
I don't want to tell
the chief, okay?
I just...
don't.
Some things we just
don't want to hear...
and some things we say because
we can't be silent any longer.
I'm getting the operation.
- She's clearly not considering--
- She is considering.
I'm getting the operation.
You two talk and talk, but have you
noticed how you never ask me anything?
Part of it's my fault.
I let you do it,
but I'm not cheating anymore.
I'm not sitting back and
giving over control because...
I am ready to handle
things for myself.
Some things are more
than what you say...
they're what you do.
I appreciate your
candor, Preston.
I can take whatever
you threw at Shepherd.
I don't need any
special treatment here.
And you're not gonna get any.
You're not married.
You're not hiding.
You came to me.
You clearly value
your relationship.
What you two have together...
I understand that, Preston,
and it does matter.
Some things you say because
there's no other choice.
I've given it a lot of consideration,
and I've decided to move to Seattle.
Mm, and, um, well,
Meredith won't be an issue anymore.
She's out of my life. It's--
well, it's taken care of.
Well, I must say, this is,
um, remarkable progress.
I applaud both of you.
You've, um,
taken a very significant leap.
That's what marriage is
about...compromise, right?
Yeah, it's, uh, well,
it's about, um, give and take.
Some things you
keep to yourself.
She yelled at you?
Oh, we probably deserved it.
We sold...
$485 worth of tickets
to the surgery.
Yeah.
Did you sell more?
Oh, yeah.
Out of control.
Hey, Joe.
Hey.
So you guys really don't have
anything else to talk about.
No.
And not too often...
but every now and then...
What?
What?
Some things simply
speak for themselves.
Good night.
Seriously.
Transcript : RaceMan
Synchro : Raekwon
---
Previously on
"Grey's Anatomy"...
I'm touchin' the aorta.
O'Malley?
Yes, sir?
You just flew solo.
O'Malley plugs a hole
with his finger,
and everyone walks around
like he's some kind of hero.
- I have one off day.
- You chickened out.
- I hesitated briefly.
- Why didn't you kiss Izzie?
Cristina.
- It's my first day back.
- I'm not waiting forever.
Okay, we're a couple.
Whatever. Don't make
a big deal about it.
So pick me.
Choose me. Love me.
Derek, have you ever thought that even
if I am Satan and an adulteress bitch
that I still might be
the love of your life?
You're staying with her.
Yeah, she's my wife.
Communication--
it's the first thing we
really learn in life...
She didn't even know
he was married.
I mean,
his wife just shows up and he dumps her.
I heard she flipped out.
What does she expect?
She got what she deserved,
dating an attending.
Dating McDreamy.
Have you seen his hair?
No guy's that perfect.
I think it's kind of sad.
She has to work here--
with him, with them--
everyone knows.
Funny thing is, once we grow up, learn
our words and really start talking,
the harder it becomes to know what to
say or how to ask for what we really need.
What do you need to,um,
make this marriage work?
I need her to move to Seattle.
- That's just--
- Addison...
What do you need?
I need him to stop
talking to Meredith.
But I work with her.
You want me to pick up my entire
practice and move here, fine.
I want you to give
up your girlfriend.
I did give up my
girlfriend. Okay?
You wanted me to take you back,
I took you back here in Seattle.
- See? Once again, it's all about what he wants.
- She's not listening to me.
I'm not gonna move
back to Manhattan.
- I am not the same person.
- I know.
- You're a flannel wearing, wood chopping fisherman.
- Oh that's it.
- I'm not gonna talk to her anymore if she's gonna behave like this.
- Fine.
Sorry, guys. Time's up.
Good progress.
Well, we have to do something.
Meredith's become, like,
an exhibit like the--hey--
like a zoo animal, like that rare
panda that everyone stares at.
Please don't say
that to her face.
I think that panda died alone.
This could just as easily be you
if people knew about you and...
You take that back.
No. I'm just sayin' we should
do somethin' to cheer her up.
Don't worry about it.
It's under control.
What--what do you
guys have goin' on?
- Nothing.
- What?
Where's Karev?
Probably off somewhere
not kissing somebody.
Let's go O'Malley.
Hey, so, um, after rounds,
we have something to show you.
- Mere? Meredith, can you hear us?
- She's not deaf.
- Well, she looks weird.
- What do you expect?
Derek didn't pick her.
She's gone mental.
Meredith, have you gone mental?
- I have not gone mental.
- See? Okay, she's fine.
We have something to show you.
So whatever you do, do not get
assigned to a surgery this morning.
It's really good.
- Give it a chance, Derek.
- I gave it a chance. He's a moron.
Yeah, mind your own business.
Mrs. Kimberly Griswold.
A history of heart disease
and multiple surgeries.
In for a beating heart
quadruple C.A.B.G.
You're late.
Yes, Karev,
nice of you to join us.
Why keep the heart beating,
Doctor Yang?
I don't know.
- What?
- What?
I have no idea.
Oh, I don't know, either.
I just don't.
Because of...ow.
Anyone else?
- Stress reduction because of the previous surgeries--
- O'Malley.
- I know--I know the answer.
- I'm asking O'Malley.
Scar tissue's too deep.
The heart's too weak
to start up again,
so you only immobilize the portion you're working on
and you leave the rest of the heart on its own.
- Welcome to the case.
- Thank you.
What is that?
P.J.'s.
That isn't fair,
and you know it.
He's punishing me
for the elevator.
He's punishing you because
you were late for rounds.
You wanna tell me
why you were late?
Dr. Shepherd needs somebody
on his nerve case today. Go.
And you three--
brush up on how not to embarrass
me in front of the attendings
or I'll see to it that your
hearts stop beating. You clear?
Sorry, Dr. Bailey.
We really apologize.
What is going on?
We found a case.
- You stole a case.
- Borrowed from psych.
Okay, the prelims--okay,
this thing is totally unprecedented.
And we found it.
- Stole it.
- Okay, found, stole, hijacked, whatever.
Okay, Meredith, behind this door is the
coolest medical mystery I have ever seen.
Now you can either walk away,
you know, guilt free...
Or walk through this door,
risk your place in the program,
which could possibly lead to spending the rest
of your life serving fries in bad clothing.
So are you in?
Hell, yeah.
- Mr. Herman.
- Oh, no.
Please call me Shane.
I gotta hit the can--again.
Seems like I gotta go every
30 seconds these days.
- Just a guy.
- Wait for it.
I sure am glad to be
off that psych floor.
- What's so special?
- Wait for it.
I'm not nuts.
I'm just pregnant.
I was fine, and then last month, unh.
Huge belly.
My doctor just kept tellin' me I
was gainin' weight with my wife.
She's due on the 30th.
- It's our first.
- Congratulations.
The admitting intern
shipped him off to psych.
Barely did a physical.
Hear that?
It's not fluid.
There's somethin' in there.
Oh, yeah, no joke.
There's somethin' in there.
I've been able to feel it gettin'
bigger and bigger growin' in my...
you know... my womb.
Yeah, I know I sound crazy.
I do. But I can prove it.
This room is supposed
to be unoccupied.
- Whose patient is this?
- Hers.
Who transferred him?
I don't have any paperwork.
- Any transfer documents.
- Gimme a break.
We shuffle rooms all the time.
You know, if we need a bed pan changed,
um, we'll let you know.
Okay, Doctor, you do that.
Okay, where's his chart?
Don't tell me you
don't have his chart.
- You steal a patient--
- That was your job.
Yeah, I was on lookout.
How you doin'?
You good?
You look good.
Come on. We're friends.
What's my name?
Um...all right.
So I don't know your name.
It's not like we can't talk.
You don't have to be a surgeon
for me to talk to you, you know.
- Really?
- Really.
Because I thought you
only talk to attendings.
Uh, Nicole, you've been having
problems with spasticity?
Mom?
She says the spasms
make her legs dance.
We just wanted to make things
a little easier for her.
She starts college this fall.
Seattle community.
Right down the street from us.
Not that she wouldn't have her
pick of schools out of state.
But she's not
ready for that yet.
What, not because
she's in a wheelchair?
Has Dr. Ostfeld mentioned
something called a cystoplasty?
No? It's an operation to
enlarge Nicole's bladder.
It creates an opening
called a stoma.
It's improved the quality of life
in a lot of my paralysis patients.
We toyed with the
idea a few years ago.
It's not for us.
Well, maybe we
should revisit it.
Revisit an invasive, risky procedure
that's got a 20% failure rate, I don't think so?
Nicole, it's something
worth considering.
It means you wouldn't have to
wear the catheter all the time.
Not to mention the medical benefits.
It would, uh...
improve your quality of life.
You know?
You'd be like girls your own age.
You'd be in control of your own bladder.
No messy bags.
You could have a more
normal sex life.
Well, you know,
when that becomes an issue, of course.
We're here for the pain procedure.
That's it.
That girl and her mom
share the same brain.
She's not gettin' that surgery.
I want you to take Nicole with
you everywhere you go today.
Take her to labs, take her to coffee,
take her anywhere.
Just get her away
from her parents.
You want me to babysit
the wheelchair chick?
Nicole.
She thinks you're cute.
She's a teenager, which means
she might even listen to you.
You want me to convince
her to get that surgery.
I want you to convince her to
make the decision for herself.
And how am I
supposed to do that?
Dr. Karev, you're creative.
You'll think of something.
Thank you.
This will be an extensive operation even
for an open heart veteran like yourself.
My room was bigger last time.
It was brighter--more sun.
Alan, this water is warm.
I need more ice.
I'm sending you in
for a nuclear scan.
Then we'll get you into the O.R.
this afternoon.
You do understand
all of the risks?
I've been through it too many
times to not understand the risks.
Get the blinds.
Open the blinds.
This room is depressing.
I'll check back a little later.
Take her for the thallium scan
and pick up her x-rays on the way.
Dr. Burke, thank you for
choosing me to assist you today.
Well, you're my guy, O'Malley.
- I am? I mean, yeah.
- Hand me the tissues.
No, no, wait.
Hospitals have germs.
Get my hand sanitizer
out of my case.
Why would you be with someone
who makes you that unhappy?
Excuse me?
I mean, like, well, like,
you're happy with Cristina.
And she's happy--well, happier.
You know, Cristina happy.
Which is not normal
people's happy, but...
Well, you know,
happy since you guys started, uh...
Scans. I'm on it.
I'm your guy...
and I'm an idiot.
Hi. Hello. Hi. Meredith.
Maybe we could,
you know, uh, talk.
- No.
- No.
Okay.
Beep, beep.
- What'd you do to get stuck with me?
- Nothing.
Come on, I know you're not just
wheeling me around for kicks.
Well, I was late for rounds.
Why?
Oh, 'cause I had things to do.
Hey, Izzie!
Izzie!
Hey, doll face.
I was gonna ask you a favor,
you know?
I thought since, you know, maybe
you're better with people than I am,
-I thought maybe you could--
-No.
-Uh, you haven't even heard--
-No, no.
You're like a
broken record. God.
You're only ever nice or friendly or
anything when it's convenient for you.
So no to your favor.
No to you. No.
What's up with you?
I put on a dress.
I did my hair.
I had one night off in two
weeks and I used it on you.
And what do I get?
Nothing.
No respect, no apology...
you couldn't even be bothered
to kiss me good night.
You know what?
You're a coward,
and you're just as shallow as you seem.
So I am done trying to be
your friend or whatever.
I'm over it.
She's really mad at you.
This urine sample is the last
thing we need, Mr. Herman.
Uh...
- Meet Shane's wife Tina.
- Hey.
She's also pregnant.
Can you tell us what precipitated the psychotic
episode that got you admitted to the hospital?
It wasn't an episode, okay?
And I'm not psychotic.
I am pregnant.
I mean,
wouldn't you freak out if you were me?
Honey, did you bring it?
- Yeah, yeah.
- Oh, good.
I can prove to everyone
that I'm not crazy.
That is my patient!
Yeah, well, he's ours now, and if you
wanna fight me for it, I guarantee you I'll win.
- What is going on in here?
- Dr. Bailey, just one moment. Here.
Please look at his abdomen.
It's a male
hysterical pregnancy.
It's a psych case,
and it's mine.
It's not hysterical.
I am pregnant.
See? Psych.
No, his belly is distended.
There's no signs of ascites, and I
clearly feel a mass with deep palpation--
- Surgical.
- Guys.
I told you I could prove it.
- Psych.
- Surgical.
Come on, you're doctors,
act like it.
Guys.
- Psych.
- Surgical.
Guys!
Shane took a pregnancy test...
and it's positive.
Well, he's definitely
a surgical patient now.
Do not think for a moment I
condone stealing patients.
That said, way to go.
The first pregnancy
test I took...
was a joke to make Tina laugh.
Well, we didn't think it would lead to,
you know, this.
Mr. Herman, I can assure you,
you are in no way pregnant.
That's a relief--to hear it, you know,
officially, but, hey, why was that stick blue?
Well, that's what
we're gonna find out.
Uh, Stevens, do a shotgun
workup including tumor markers
and get C.T.
to make some room for us in line.
What's this for again?
Uh, medical journals,
monthly case reports.
Annual banquet highlight reels.
Hey, whose pager is that?
Um, mine, but I found him.
So can someone else go?
No, we don't ignore
pages, Yang.
Would you excuse me?
We just need to get to the top.
We'll be finished soon,
right, Dr. Bailey?
We, um...
Good.
Okay.
Patient in 4243 needs a rectal.
Then I've got two infected wounds, a
foley, a groin abscess, four debridements, and, uh...
a case of explosive diarrhea.
You're kidding me, right?
I'm not known for my humor.
Uh, why did you page me about--
none of these are my patients.
You're Bailey's intern, right?
Then these are your patients.
Debbie here.
A portion of the intestine is
used to enlarge the bladder
and then we construct a pathway
to a hole in the belly button.
It's a very tiny hole.
It's virtually invisible.
She could wear a bikini.
No one would ever know.
Why would she need a bikini?
She doesn't know how to swim.
She could go to the beach, lie in
the sun, hang out with her friends.
Oh, my god.
She's so self-conscious now.
Nicole could have friends
her own age, Elaine.
When did you say
Nicole would be back?
After her labs.
Now just think about her future.
Nicole could be independent.
She could go to college anywhere.
She could have a job, have her
own apartment, date, get married.
These labs are
takin' a long time.
She can spend more than 20
minutes away from us, Elaine.
I'm asking about my only child.
She's not a child anymore.
She's my child.
She'll always be my child.
Alan, watch your step.
- You're hitting my chair.
- I'm sorry.
- And hold onto my bag.
- I got it.
- And don't rummage through it.
- I won't.
"Please" and "thank yous"
were never her strong suit.
You're a very patient person.
Years of practice. Oops.
Oh, she won't see that.
I just try to keep her calm.
You know, they didn't think she was gonna survive
the first surgery, let alone three more.
But here it is ten years later,
she's still here.
Yeah, it's, uh,
it's a miracle that she's still alive.
That's what everyone says.
What do you say?
Uh, it's right
there in the vows.
In sickness and
in health, right?
Thanks.
A pregnant guy?
You had a pregnant guy,
and you didn't tell me?
Well, we can get you floor
space in the O.R. for 50 bucks.
You're selling tickets, and we don't
even know what's wrong with him.
Whatever he's got inside
has got to come out.
We're just brokering
a few deals.
Sort of like backstage passes.
- You want in on the cash?
- No.
I didn't get a pregnant guy.
I was Burke's new go-to guy,
but that's over thanks to you.
- He didn't know that I knew about you two.
- Stop talking.
What on earth?
Hi.
I'm Alex's charity case.
Yeah, I like her already.
- Are you volunteering?
- Don't ask.
Why? It's not like we
can read your mind.
It's not like we have any idea what's
going on in your tiny, tiny, tiny little brain.
She has a point.
Oh! I am hungry!
So this is cool.
A real live lunchtime in a real
cafeteria with trays and--
and friends.
We're not his friends.
Don't you have a
cafeteria at your school?
I'm homeschooled by my parents.
That explains a lot.
So are you guys the cool kids
around here or something?
What would make you think that?
It seems like everyone's
talking about you.
The guys and I were takin' bets
on who'd get to scan this dude.
Beers are on me tonight.
Next up,
the wager on what this thing is.
You're taking bets?
On what's inside his belly.
You want in? 10 bucks.
Well, I know it's not fat,
food or a fetus, so...
Jeez.
Are those teeth?
Cristina's gonna be so
mad she missed this.
I was told to page you and only
you if somethin' like this came up.
Who told you, Bailey?
- No.
- Oh, yes,
and all I can say is you must've
made one serious faux pas.
I hate vomit.
You're gonna need this.
Bailey knows.
- Knows what?
- She knows.
O'Malley knows.
- Why not Bailey?
- So you didn't tell her?
- Why would I do that?
- This is bad.
We have to manage the damage ourselves
before this thing spins too far out of control,
- and that means coming clean to the chief.
- What?
If we come out in the open,
- then no one has anything to say.
- No. No. No way. No way.
- That's the only way.
- Good morning.
- Morning, chief.
- Thank you, Dr. Burke.
You're welcome. Ahem.
Great board, chief.
Would you make sure that they get the breathing tube
out of my throat right after surgery this time?
Are you trying to cut
off my circulation?
He's just doin' his job.
What did you say?
I said,
"he's just doin' his job."
Well, I don't really care
whose job he's doing.
He's squeezing my arm off.
Are you just gonna sit there?
Shut up, Kim.
Just...
shut up, huh?
You complain to me, about me...
around me all day...
every day.
A little silence would be nice.
A few measly minutes of quiet.
- Can't you for once...
- Mr. Griswold.
In your life...
just shut up?!
What do we got?
She had a levine sign and her E.K.G.
shows S.T. elevations in ******
She's havin' a heart attack.
Give her 4 migs of morphine.
Run nitro 10 mics per minute.
Let's do this fast so we can
get into surgery, people.
Oh, I did this.
I did this to her.
Look, mesenteric
teratoma, chief.
In an adult male.
Is this possible?
It is now.
Large bilobed cystic lesion...
with a solid
calcified structure.
A deformed mandible.
Labs show elevated
H.C.G. levels.
That explains the false
positive on the pregnancy test.
- Which also means...
- It's probably malignant.
You okay?
You look a little green.
I think he needs
some air, chief.
Deep breaths, Mr. Herman.
Just--most of this medical
speak goes right over my head.
You have what's called a teratoma,
and it's really very rare in adults.
Which is why you're so popular.
It's just a mass of cells that's
probably been there your whole life,
- only now--
- Now it's growing.
Yeah, growing jawbones and toenails and,
uh, clumps of hair.
Yeah, I've been listenin'.
It's just no one's
really talking to us.
Just about you.
I know what that's like.
Um, hi. What'd I miss?
Ew, is that...
is that rectal jelly
on your scrubs?
Dr. Bailey, all the attention,
all the people are making them panic.
You know, when you said you
found a lunch spot with a view,
I knew I should have
taken you literally.
I found it in my "best
of Seattle" guide.
It's hardly brown bagging it on the top
of the Empire State Building, but...
they did have these cute
little viewfinders.
You always find something
to complain about.
Okay, is there anything that
you like about me anymore?
Because if there is,
I really need to know now.
Well, I like that you like cute little
viewfinders in every city you live in.
I don't live here yet.
Are you going to stop
talking to Meredith?
- I will.
- When...
Today, tomorrow, next week?
Maybe I'm not ready yet.
Are you ever gonna
be ready, Derek?
What if I say no?
Then I'm not moving here.
Then I guess we're
at an impasse then.
Dr. Yang...
we never finished
our conversation.
Yes, we did.
We decided we're not gonna
tell you know who about us.
Oh, we decided?
If you're worried about your
career and your reputation,
they're in much more danger if he
hears about us through the grapevine.
- He doesn't have to hear about us at all.
- Only he will. It's just a matter of time.
Unless you're hesitating
because of some--
some different reason.
Okay, you are not
thinking this through.
Like you not wanting to admit
to this relationship at all?
We are a couple.
- Fine.
- Burke.
I said, "fine."
So what's up with you not
wanting to get this procedure?
I'm fine the way I am.
Good point. Your choice.
So you're not gonna try
and talk me into it?
Right now, I'm gonna study.
"Nuclear something
fancy name-ology."
- Is that why you were late--you were studying?
- No.
- Is that girl Izzie your girlfriend?
- No.
Do you want her to
be your girlfriend?
Look, I got stuck with you
because I was late for rounds.
So if you don't mind,
kid, I'm kinda busy.
I'm 18, you know.
What?
I'm not a kid. I'm 18, and...
and I don't have to stay
down here with you.
- I could go back to my room.
- So go.
Izzie's right.
You're an ass.
I'm not an ass.
Okay, I am an ass...
But I'm a cute ass, right?
How come you didn't kiss her?
I thought you were leaving.
If I had a chance to kiss someone
I liked, I wouldn't hesitate.
If I had the chance to lose the urine
bag around my ankle, I wouldn't hesitate, either.
But then again, I don't let my
mommy do all my talking for me.
I don't like you.
Yes, you do.
- Jerk.
- Motormouth.
- Babysitter.
- 2-wheeler.
Now that's just
politically incorrect.
Looks like
Mrs. Griswold is doin' well.
Wait a minute...
just a little suction.
We'll fix the mechanical
stabilizer later.
Right now I'm just gonna hit a
few--a few of these little bleeders.
Look at that.
A perfectly exposed,
partially-numb beating heart.
It's a beautiful thing.
Code red!
Oh my god.
I think it just
burst into flames.
Her heart--it's on fire.
We have to save Mrs. Griswold.
- Begin fire protocol.
- I'm on it.
Code red! Begin fire protocol!
- Move, people!
- We need wet towels.
- O'Malley, disconnect the electrical leads.
- I got it.
Let's go, rookie.
Any unnecessary personnel in this room,
evacuate now.
Shut down the o2.
Already on it.
Start manual respiration.
I've got the ambu bag.
Starting manual respiration.
We've got to control
this bleeding.
Her vitals are stabilizing.
We might just have
a chance here.
She was on fire.
I have never seen anything like that.
What was that?
It was a freak accident.
- But she was on fire.
- All right. You already said that.
I know, but she was... on fire.
George, you okay?
She was on fire.
That was intense.
Are you okay, or...
I'm fine. O'Malley, let's go.
I'm so over this.
Hey, I heard a heart
caught on fire in the O.R.
I am the best intern you've got, and you
are wasting me on puke and boils, and I get it. I--
I even deserve it, but please, you
can't keep me away from this surgery.
I earned this surgery.
I stole the surgery.
What are you
talkin' about, yang?
You, punishing me.
You have no idea what I'm talking about,
do you?
Well, then, like,
who has been paging me all day?
The nurses have
been on me nonstop.
A little bit of respect, and you
could've saved yourself a very long day, Dr. Yang.
Pissing off the nurses.
Stupid.
Well, I can still
scrub in, right?
He wants me to move
here, Richard--
to pick up everything and move.
Don't stay for him, Addison.
Stay for me.
Stay for yourself.
- Richard, I--
- Look, in Seattle, you could be front page news.
With your reputation and the
money I'll put into promoting you,
Seattle Grace will become one of the
foremost neonatal hospitals west of Manhattan.
You're serious.
I'm ready to put my
money where my mouth is.
- Turn around. Walk away.
- From who?
From my intern.
Well, I wasn't.
Yeah--yeah. Yes, you were.
Come on, look--look,
you can't do this.
You don't have the right.
Not anymore.
I just wanna find
out if she's okay.
No, she's not.
She's a human traffic accident, and
everybody's slowin' down to look at the wreckage.
She's doin' the best she
can with what she has left.
Look, I know you can't see this because
you're in it, but you can't help her now.
You'll only make it worse.
Walk away. Leave her to mend.
Go on.
It's not that I don't want
the operation. I do, you know.
I want things.
It's just...
what if I'm not ready?
Ready for what?
For everything--
for taking care of myself,
for being on my own, for sex.
For love.
I've never had a boyfriend.
I've never even been kissed.
I'm, like, the oldest living prospective
college freshman not to go to first base.
It's mortifying.
There are way older losers than you.
Trust me.
Alex...
would you kiss me?
Wh--what?
I know you're a doctor, I'm your
patient and it's against the rules,
but I would never tell anyone.
For a kiss to be really good,
you want it to mean something.
You want it to be with someone
you can't get out of your head,
so that when your lips finally touch,
you feel it everywhere.
A kiss so hot and so deep,
you never wanna come up for air.
You can't cheat your
first kiss, Nicole.
Trust me, you don't want to, 'cause when
you find that right person, the first kiss...
it's everything.
- Her heart--
- Caught on fire. Yes.
There will, of course, be an
investigation, but you should know,
this is not as
unusual as it sounds.
Your wife is going to be fine.
She's well.
Um, we completed the operation and I
expect that she will make a full recovery.
Mr. Griswold?
So that's it, isn't it?
Her heart caught on fire in the middle
of her fifth open heart operation and she survived?
Whoa. Well...
she's like some, uh...
some mythical monster.
She's never gonna die!
Uh, Mr. Griswold...
Mr. Griswold.
I know this is an
emotional time for you.
Um, if you'd like to wait...
Wait? No, no.
I'm not waiting any longer.
You tell her...
tell her...hell.
Tell her she'll
survive without me.
We can add two more,
standing room only.
Hey, hands off.
What is going on in here?
Everybody out!
- We already have--
- Out!
Mr. Herman is a patient--
a surgical patient who's sick and
embarrassed and tired of being stared at.
You two--this isn't a zoo!
Out! Out!
Out! You know what?
If all of you want to point and whisper
and stare at me, knock yourselves out.
"Look at Meredith.
"Isn't she sad and
pathetic and heartbroken?
"Maybe she's gone mental."
Maybe I have, but leave Mr.
Herman alone.
You should be
ashamed of yourself.
And what are you looking at?
So--so do you tell
his wife or should I?
Heh heh. This is--
I...
I want to thank you...
for helpin' me out in the
surgery today, O'Malley.
It was a-a high pressure situation
today, and you were on top of it.
Well, thank you, Dr. Burke.
And, hey,
I'm sorry about before.
About, you know, bringin' up,
you know, you and Cristina.
That...
it's just like...
You're still my guy, O'Malley.
You're still my guy.
I always thought I'd hold your
hand in the delivery room.
I'll let you know when
the surgery's over, okay?
Okay. This is as far as I go.
Dr. Grey, don't let 'em show it off,
you know...
put it in a jar or pass
it around or nothin'.
Your teratoma?
Yeah.
I feel weird about havin' my
insides on display like that.
- You promise?
- I promise.
At the end of the day, there are some
things you just can't help but talk about.
You really wanna be the one
to dispose of this, Grey?
I made a promise.
I am worried about my career--
I'm worried about my
reputation and my--
I will not be Meredith Grey.
I busted my ass to get here,
and people won't make allowances for me.
This is not about making allowances,
and you know that.
- Everyone will know.
- That's the point.
I don't want to tell
the chief, okay?
I just...
don't.
Some things we just
don't want to hear...
and some things we say because
we can't be silent any longer.
I'm getting the operation.
- She's clearly not considering--
- She is considering.
I'm getting the operation.
You two talk and talk, but have you
noticed how you never ask me anything?
Part of it's my fault.
I let you do it,
but I'm not cheating anymore.
I'm not sitting back and
giving over control because...
I am ready to handle
things for myself.
Some things are more
than what you say...
they're what you do.
I appreciate your
candor, Preston.
I can take whatever
you threw at Shepherd.
I don't need any
special treatment here.
And you're not gonna get any.
You're not married.
You're not hiding.
You came to me.
You clearly value
your relationship.
What you two have together...
I understand that, Preston,
and it does matter.
Some things you say because
there's no other choice.
I've given it a lot of consideration,
and I've decided to move to Seattle.
Mm, and, um, well,
Meredith won't be an issue anymore.
She's out of my life. It's--
well, it's taken care of.
Well, I must say, this is,
um, remarkable progress.
I applaud both of you.
You've, um,
taken a very significant leap.
That's what marriage is
about...compromise, right?
Yeah, it's, uh, well,
it's about, um, give and take.
Some things you
keep to yourself.
She yelled at you?
Oh, we probably deserved it.
We sold...
$485 worth of tickets
to the surgery.
Yeah.
Did you sell more?
Oh, yeah.
Out of control.
Hey, Joe.
Hey.
So you guys really don't have
anything else to talk about.
No.
And not too often...
but every now and then...
What?
What?
Some things simply
speak for themselves.
Good night.
Seriously.
Transcript : RaceMan
Synchro : Raekwon