Grey's Anatomy (2005–…): Season 4, Episode 3 - Let the Truth Sting - full transcript
Callie hides in her office, frustrating Bailey who's itching to teach someone. Elsewhere, age becomes the theme as Izzie tries to convince 'Really Old Guy' he shouldn't die, Webber and ...
Previously on Grey's Anatomy...
- So, hey, you're an intern... again.
- Yeah.
- I won't tell anybody.
- Izzie, meet Really Old Guy.
This is the best breakup ever.
Why we didn't break up
a long time ago?
- He's gone.
- You're my sister, you're my family.
- You're all I've got.
- We have the same dad.
We don't have the same dad, Lexie.
- I think my husband's having an affair.
- I'm going to tell her.
Doctors give patients
a number of things.
We give them medicine,
we give them advice.
And most of the time,
we give them
our undivided attention.
I heard he saved a guy who
coded yesterday, by himself.
He just knows things...
Never messes up in rounds,
always has the answer.
And he's so calm.
I'm always terrified,
but he's, like, steady.
Best intern ever.
- Who are they talking about?
- George O'Malley.
Seriously?
Don't they know that he...
But by far the hardest thing
you can give a patient is the truth.
You know O'Malley's got
these morons snowed?
- They don't even know he's a repeater.
- Yeah, whatever.
How are you today?
- Good.
- Great.
The truth is hard.
The truth... is awkward.
And very often...
The truth hurts.
- Damn it.
- Bye.
Bye.
She's doing McDreamy.
She's doing McDreamy
and lying about it.
- That's great.
- She thinks I'm weak,
that I'm fragile. Like I can't
handle it 'cause of Burke.
- Poor Cristina. All alone.
- Damn right. Poor Cristina.
George, what happened?
I mean, people say
they want the truth.
But do they really?
Do I have sex hair?
- If I did my job right.
- You go ahead.
- What?
- You go ahead. I'll wait a minute.
So this isn't just breakup sex.
This is secret breakup sex. It's about
Cristina, this morning in the elevator?
I don't know what to do, you know?
We don't talk about it,
the whole Burke thing.
I want to be a good friend.
I want to take care of her.
But you don't take care
of Cristina.
So by being with me,
you're cheating on Cristina?
- If she knew about you and me...
- You'd have to talk about it.
You'd have to talk about you and me,
it'd be a long conversation,
there'd be no time left
over to talk about her.
I told you, we don't talk about it.
Pierce, you're in the pit.
James, need you in peds.
- Laura, you're on scut.
- I was on scut yesterday.
And just for that,
you're on scut tomorrow.
Get lost.
Dr. Karev, this is Dr. Norman Shales.
A strong handshake.
That's a good sign.
Norman is transferring in from UCLA.
I want him to work with you.
Are you the new O.b.-G.Y.N. guy?
- I don't have a specialty yet.
- Norman is an intern.
You'll be his resident.
He's my intern?
Don't worry, son. This tugboat's
ready to pull his own weight.
- Age is just a number, right, Norman?
- Absolutely.
Pretty important number.
You okay?
I don't know.
I think it's all just hitting me...
Stupid Burke dumping me
and then stupid Mama
coming to reclaim her...
magic necklace.
- Do you want to talk about it?
- No, not really,
not... Yet.
- If there's anything I can do...
- I just wish I had a...
good, bloody surgery.
You know, bloody surgeries
make me feel better.
One, two, three, four...
Follow me.
Joanne, this is why you and
I need to get sick, these doctors.
One's more handsome than the next.
And here comes the handsomest
one of them all.
- Hi, Dr. Webber.
- Connie.
He took my appendix out
3 years ago.
Barely left a scar.
How's Adele?
She's good, good.
Marriage is hard.
But we're dating again.
And she agreed
to date me tonight.
But... More importantly,
How are you doing?
Oh, I just had a little bump
on my tongue removed is all.
Couple of taste buds. Turns out
it was a little touch of cancer.
So I'm here to have
the rest out.
You know, the cancer,
not the taste buds.
I don't know exactly
how bad it is
because Dr. Sloan over there
has been awfully quiet.
'Cause you don't let him
get a word in edgewise is why.
How is she, Dr. Sloan?
We just got back
The pathology report. Connie...
unfortunately, the cancer is a bit
more widespread than we'd hoped.
It's over 60% of your tongue.
Well, what...
What does she do, chemo?
I think the best bet
is a microvascular free flap.
Dr. Grey?
He'll remove the cancerous
part of the tongue,
and then reconstruct it with
a strip of flesh from your legs.
George?
The extra flesh
will provide the bulk
your tongue needs to breathe
properly, chew, swallow.
And talk?
Dr. Sloan...
- I'll be able to talk, won't I?
- You will be able to talk, connie.
I just don't know how well
you'll be understood.
It'll be okay.
What are you doing
in my clinic, Karev?
I thought you didn't work
in the clinic anymore.
I don't,
but I thought I could get
my new intern Norman here
settled in with you.
Bailey's the best.
You'll really learn from her.
- Pleased to meet you.
- You wanna leave Norman with me.
while you troll for surgeries.
The dude's got a bum hip,
and he smells like arthritis cream.
He can't keep up.
Come on.
Do me a favor,
and I'll do you a favor.
I'm calling in my favor now.
Curtain five.
You can take your intern
and show him how we do an H&P.
- Nice to meet you, Norman.
- Thank you.
Hunter, uh, I'm Dr. Karev.
This is Dr. Shales.
What's going on?
- My son is on drugs.
- I'm not on drugs, mom.
I wasn't born yesterday.
I know the signs.
He's lethargic, irritable,
and the last two months,
- his schoolwork's gone down the drain.
- I'm not on drugs.
Okay, there are a host of reasons
why your son
could be exhibiting those symptoms.
We should run some tests,
see if there...
But first a drug test, Dr. Shales.
I'm right to want a drug test.
- I just said...
- Mrs. Chapman, you are not wrong.
My mary Beth, god rest her soul,
was just like you.
When one of our kids started
heading down that slippery slope,
she just knew it.
You have a mother's instinct.
Right, Dr. Karev?
Yeah, right.
What happened?
George, it's Really Old Guy.
We could bring a marching band here,
he wouldn't know the difference.
What happened?
What happened?
- I thought you were gonna tell her.
- I tried, but she would not let me.
She... She wouldn't let me.
I wanted to kill her,
but then I couldn't kill her
because she did help me
through a lot of stuff.
And it was a lot of stuff and, you know,
she did help me through it.
But I wanted to kill her again,
'cause who marries someone
who just buried their father.
And then I went to bed.
So what does this mean?
What do you want? I told you
I needed a minute before rounds.
- We heard you saved a guy yesterday.
- What?
- Rounds.
- Excuse me.
We'll start in here.
Graciella, what can you tell us
about Really Old Guy?
- He has a name.
- I know he has a name.
We call him Really Old Guy. Catch up.
82-year-old, semicomatose male,
came in a year ago,
status post fall
- and is post-op day 352 from...
- Which basically means that
he hasn't woken up for a year.
So what's the treatment plan?
It's really very simple. Daily labs
and dialysis three times a week.
Don't bother
with any more dialysis.
I plan to die today,
So it won't be necessary.
Nice to meet you.
And while I think
Really Old Guy is charming,
in a "neglected patient"
kind of way,
my name is Charlie.
Charlie Yost.
Hey, I just heard.
- Welcome back.
- Is it true? Really Old Guy woke up?
He has a name.
This time tomorrow,
you can call me really dead guy.
I don't think Mr. Yost
knows who you are.
Sure I do.
That's Meredith.
She and the brain doctor
are always running hot and cold.
And you're, uh, Alex.
You still got a thing for
that old patient of yours?
I was semicomatose, blondie.
I could still hear you guys.
Get a C.T., a C.B.C.
and chemistries.
Your kidneys may be working again,
which may be why you woke up.
- That's good news.
- It just means
now I got two things
to do today,
take a pee and die.
Nobody's dying. Ahh.
Functional muscle transfer.
- What?
- For Connie Willis.
I was reading up on glossectomies
and saw the procedure.
We could microsurgically reinnervate
her hypoglossal nerve.
A nerve graft?
It's too risky.
A free flap's
still your best bet.
Even if that goes well, you and I both
know she'll never speak the same.
She loves to talk
more than anyone I know.
What's a functional muscle transfer?
You won't find it in the books,
O'Malley. It's cutting-edge.
You connect the nerves from the leg
with the nerves from the tongue.
- Gives her a shot at really speaking.
- If it works.
- They've only done half a dozen of 'em.
- Better than none.
Sometimes you gotta
push the envelope.
Why? Why is it better to do a surgery
that neither of you have done
than to do a surgery
that you know at least gives her
a chance to he a normal life?
You know how to do this procedure?
Are you saying that we're too
old to learn new ways, O'Malley?
Are you saying we're old
dogs who can't learn new tricks?
No, I just...
- We're not old dogs.
- We still got it.
I did do a functional muscle transfer
to restore elbow function once.
Elbow, tongue...
That's pretty close.
Come on. What do you say?
Let's light this candle.
Yes, sir.
- Age is just a number, O'Malley.
- Yes, sir.
I got Karev down
in the clinic all day.
- Hope that's not a problem.
- Nope.
I know how you like
to be told these things,
- so I'm telling you.
- Thank you.
Oh, he tried to dump
a new intern on me... Karev.
Clearly he's not interested
in teaching.
Thank you for letting me know.
Do you ever feel old?
I'm young. I'm a fetus.
Nah, I mean you ever feel
like there's gonna be a time
when new techniques pass you by?
I'm a genius and a scholar.
Shut up.
Meredith isn't telling
Cristina about us.
And, well,
she tells Cristina everything.
- I thought you broke that off.
- I meant to.
You think she's gonna want
to get back together.
You think she's gonna
grow up and get all whole
and... want a relationship.
I do not.
You're a bad liar.
- You're old.
- I'm just gettin' started, my friend.
- You feeling any better?
- I heard you're on that
- hemiglossectomy.
- The tongue surgery? Yeah.
Here I am stuck in the pit
with those know-nothing interns.
You'd think eventually
I'd catch a break.
Are we ever gonna talk about this,
the Burke thing?
I'm not Izzie. I'm not gonna lie
on the bathroom floor all day.
I'm gonna lie here
on the counter.
I'll trade you the hemiglossectomy.
- What?
- You take the hemiglossectomy,
and I will take the ER
And your interns.
Are you sure?
Take the surgery
if it makes you feel better.
You're starting to freak me out.
I saw the whole thing, Yang.
You can stop pretending.
I'm not pretending.
I'm sad. I'm very sad.
Me so sad.
Maybe I should try it, see if I can
get Grey to take my new intern.
No. Forget it. Sad is mine.
Go find your own pretend emotion.
Blondie!
Hey, blondie.
Charlie...
I have a million charts to update.
I'm busy.
- I want lobster.
- What?
For my last meal.
It's traditional.
The dying man gets to choose
what he wants to eat. I want lobster.
I'm not getting you lobster 'cause
you're not dying. I won't allow it.
A man can only hang on
for so long, blondie.
After a while,
it's just not worth it.
Don't you have any friends,
family, anyone?
They're all dead
or on their way to dead.
You'll understand someday
when you're older, less naive.
I'm not naive.
You and what's his face,
that's not naive?
I don't know what you're... We're not...
You know about what's his face?
I know you're crazy if you
think he's leaving his wife.
- Guys always say that.
- Not that it's any of your business,
- but this is completely different.
- I'm sure it's true love.
I'm sure he's told his wife.
I'm sure he's moved out.
And I'm sure
all your friends know, right?
By the way, I want real lobster,
not that fake whitefish crap.
I'm filling in for Cristina.
So how's it going?
I pulled a splinter
out of a guy's toe,
and now I'm writing about it.
Okay. Well, if you have
any questions...
I have a lot of questions,
just not about a splinter.
40-year-old unrestrained driver
in a rollover M.V.C.
Lost vitals on the scene,
we were unable to intubate.
Lexie, let's go.
Open the intubation tray.
- How long he been down?
- Took 10 minutes to load him,
- 14 to get here, so 24.
- Push another epi.
- You know how to intubate?
- I've never done it.
- You've seen it done?
- A couple of times.
- Come do one now.
- Are you sure?
Visualize the cords,
pull straight up,
watch the tube
go through the cords.
I can't see the cords.
You should do this.
You can do it. Just don't
rock up against the teeth.
- Just pull straight up.
- Pulse ox is down to 86.
It wasn't bad.
- What?
- That wasn't bad
for your first intubation.
Is that some kind of joke?
- The guy is dead. He died.
- He was dead when he came in here.
He was dead on the scene.
He was dead for 15 minutes
in the ambulance.
He was dead before
I asked you to intubate.
You're pretty cavalier,
don't you think?
I mean, they brought him
here for help.
They brought him here because
they're legally required to.
And I had you intubate because
I'm required to teach you,
and that is how you learn.
No. No, you should have done
everything that you could.
That was everything I could.
- What kind of doctor are you?
- What is this about?
If you don't want to learn
from me, that's fine.
But I have to
cover the pit today.
So why don't you do both of us a favor
and go help Bailey in the clinic?
- Fine.
- Fine.
Pretend I'm not here.
Pretend I'm not busting in
on you and pictures of...
really disturbing tongues.
But Really Old Guy
is giving me a hard time.
I liked him better when he was sleeping,
which he's not.
He's awake.
You've probably already heard.
But my point is,
is that he's stubborn.
He's stubborn and really old,
and he's telling me I'm an idiot
for thinking you're gonna leave Callie.
Seriously?
We're in this together.
You're gonna tell her tonight, right?
I have to get this research done.
You're not gonna tell her.
Wasn't it just yesterday when you said
you didn't want me to tell her?
Fine! Forget it.
Just play with your
stupid pictures of tongues.
We got the tox screen back,
Mrs. Chapman.
- Your son's not on drugs.
- You're sure?
There's no drugs in his system?
No, came back clean.
- Your son is fine.
- This is not my son, Dr. Shales.
It's... not.
Maybe we should order
some more tests.
You know, he's a teenager.
I've raised four of 'em myself.
Teenagers don't like
to do their homework,
they talk back to their parents,
and they never come out of their rooms.
You have apple hair.
I threw a pancake in the river,
a pancake!
Do you know what you just said?
- I'm... I'm not sure.
- Did you mean to say it?
No, I was trying to say
that I wanted to go home.
We need to do a full neuro exam.
Order a head C.T. and labs, now.
It's gonna be okay, you know?
It is. It's gonna be okay.
Do you think so?
Dr. Sloan's gonna do
this fancy new surgery.
Maybe you'll make it
into the medical journals.
Maybe be famous.
What if the surgery
doesn't work?
What if this is
my last chance to talk?
I still...
have so much to say.
Say it now, Connie.
Don't be so morbid.
The surgery will work.
You'll be fine.
She should say it all now,
Jo, just in case.
She shouldn't have any more regrets.
You can tell us anything, Connie.
We're your best friends.
You should tell them.
I'm sorry.
I don't mean to pry. But...
if you want to say something,
you should say it.
I've been here a while.
I've been here long enough
to know that things don't always go
the way that you want them to,
and if there's something you
want to say, you should say it.
Joanne, you've gotta stop
wearing those pants.
Those pants make your ass
look like two puppies
are struggling to get out.
As a matter of fact,
all of your pants are too tight.
You have to buy some new pants.
- And Elaine, your breath is god-awful.
- My breath?
You need to see
a doctor or something
because I know you have
good hygiene,
but sweet god,
your breath is bad.
And you've got to get
a new hairdo.
The '80s are over, honey.
What now?
He keeps pulling off his monitor lead.
Told him he can pull 'em off all day,
- he's still not gonna die.
- I'm sick and tired of waiting.
I'm sick and tired of coming
to your room very 5 minutes.
Sorry, blondie. It's time I took
things into my own hands.
You know what?
You want to die? Fine.
Here. Let me help you.
You missed this one.
Damn. You're still with us.
Wait. This looks promising.
A nice, thick wire.
How's that? Any luck? No?
No wonder. That's why.
It's attached to this lamp.
Okay. Well,
let's see what else we got.
- Dr. Stevens.
- What?
- Dr. Stevens, he's not breathing.
- What?
He doesn't have a pulse.
He's in cardiac arrest.
I swear to god,
I didn't do anything.
Code blue, fourth floor.
Code blue, fourth floor.
Are the epi and atropine in?
Epi's in.
I'm pushing atropine now.
- Hold C.P.R. Let's see what happens.
- Looks like V-fib.
Charge the paddles, 300.
Clear.
- No change.
- Charge again.
Clear.
I've got a pulse.
Stop saving my life.
I can't believe I said all that.
Do you believe I said all that?
- Not really, no.
- You think I hurt their feelings?
I mean, real bad
hurt their feelings?
You think they'll forgive me?
You told me.
You told me to tell them.
You told me to say everything.
You said it would be okay.
I'm really sorry.
Dr. Bailey, Dr. Grey sent me
down here to work with you.
Oh, she did, did she?
And why is that?
Truthfully? She didn't want
to work with me anymore.
She kicked me out.
You can go and tell Dr. Grey
that the clinic is not
a dumping ground for strays.
We are not the island
of broken interns.
Please go tell her that.
Please don't make me do that.
I-I can't work with her,
with Meredith Grey.
I can't work with her
because I can't look at her.
'Cause she hates me,
hates my dad,
she obviously hated my mother,
and I am...
Please just let me
work down here today.
Please, Dr. Bailey.
Kid in curtain three
needs stitches. Go.
- What do you got?
- A teenager came in the clinic
this morning,
he was lethargic, irritable,
- dysphasic.
- Right.
- I'm sorry. I don't know you.
- Norman Shales, up from UCLA.
Are you neuro? I thought I knew
all the neuro guys down there.
Norman's an intern, Dr. Shepherd.
- My intern.
- Welcome to the program.
- Thank you.
- Good. What do we got?
Look at this.
Kid's got hydrocephalus.
It's pushing up against
his broca's area.
Which explains the screwed up speech.
I was sure it was drugs.
Well, that's what happens when
you're a pharmacist for 30 years.
You're sure everybody's
hooked on pills or reefer.
I won't make that mistake again.
No, sirree.
Right. Okay.
- And we need to put in a shunt.
- Yeah, schedule an O.R.,
- we'll go talk to Hunter and his mom.
- Will do, Captain.
Guy doesn't know when to shut up.
- He does it with the patients, too.
- You're his resident.
I know, I know, but it'd be like
yelling at my grandfather.
I heard about Really Old Guy.
What's the matter?
Couldn't find his Lvad wire?
It was a coincidence,
and he's still alive.
Have fun with Really Old Guy.
I'm off to do
Meredith's hemiglossectomy.
- Has George said anything to you...
- She's faking.
She's faking sadness, pretending
to be sad to steal my surgeries.
I have a Really Old Guy trying
to kill himself and problems of my own.
So I don't have time for the two of you
and your fake drama.
A person wants to die,
you let them.
It's polite.
Not in a hospital, it's not.
In a hospital, it's a lawsuit.
I don't like you.
Really? 'Cause I thought we were BFS.
You know what?
Just for that,
I'm dying right now.
That might make you poop your pants,
but it's not gonna make you die.
Damn it.
You really think
he's not gonna leave his wife?
I think if a person wants
to do something,
like die, they do it.
Maybe I'm wrong.
Maybe there's hope.
Maybe he'll tell her,
and you two will get together
and end up happy.
- You think?
- Not that I'll be alive to see it.
You're not dying, Charlie.
Not on my watch.
Dead man walking.
I don't see much walking, Charlie.
You know Yang and Grey are playing
musical chairs with their interns?
I mean, I just thought that might
interest you, seeing as how
one of Yang's interns
is actually one of Grey's relatives...
And the two Greys are having
some kind of family feud.
I'm just saying,
it would probably be best
if the residents stuck
with their own interns
- in the future.
- I got it. Thanks.
You plan to hide out in here
all day long,
or you plan to emerge at some point
and do your job?
Why would I come out there to do my job
when you clearly do it so much better?
I'm doing paperwork, because
I don't have any more fight in me.
I don't want to fight you.
I don't fight my...
I don't want to fight today.
So...
I'm doing paperwork. Okay?
The graft's a perfect fit.
It's got good vascularization.
At this rate, you may actually
get to go on that date with Adele.
I better. Can't very well have her
take me back if I cancel our first date.
Where you taking her chief?
There's a nice little chinese restaurant
we like to go to.
What happens next?
- Dr. Sloan, I don't...
- I know.
Is everything okay?
We're not sure.
What does that mean?
It means we've never done this before.
What about if we coapt
the lingual nerve underneath here?
No, we'd end up
losing the vascular supply.
The graft might not work at all.
She likes to talk, Sloan.
She likes to talk a lot.
We need an extra set of hands.
Someone who knows nerves.
- O'Malley, get Dr. Shepherd.
- Yes, sir.
A functional muscle transfer
of the tongue?
It was looking good
for a while, but...
I'll be right there.
- Izzie
- What?
What is there to say, George?
I'm a blondie. I'm...
the other woman.
I'm a bad '50s clich?.
No, no, no.
We're not in this together.
Great. Well, thank you
for letting me know.
- No. You don't get to be mad here.
- Seriously?
- We said...
- No, no. There is no "We."
It's just me.
I'm the one who has to tell Callie.
I'm the one who has to destroy her.
This is not about you and me.
This is about her and me.
I'm ending a marriage
to a wonderful woman.
Me. I'm the one.
It's not you.
It's not something you just blurt out.
It's not.
I'll do it.
I will do it.
You have to back off and let me do it.
I'm sorry.
You traded...
a hemiglossectomy for the pit?
It's a long story.
A long story that ends with you
pawning off Lexie Grey on me?
I had her do an intubation
on a dead guy.
It's something you used
to have us do all the time.
I was trying to teach her.
- Whatever she told you...
- She told me you hate her.
- I don't...
- And that you hated her mother...
- I didn't say that.
- Her mother, who came to you
with a case of hiccups
and died in our hospital.
You see where I'm going with this?
- She's not my intern.
- No, she's your sister,
and you haven't had a kind word
to say to her since she got here.
And you were her mother's doctor.
Now what is she supposed to think?
Look, whether you like it or not,
your job is to help that girl
be a better doctor.
So help her.
- You paged me?
- Really Old Guy...
He's checked out AMA.
He's leaving the hospital.
What? He can't leave.
He's sick.
He can barely walk,
and I got him lobster.
- I got a 911. What happened?
- He collapsed.
He started talking that nonsense...
His pupil's blown.
His brain's starting to herniate.
Page Shepherd. Take over the bag.
We gotta get him up on the bed.
- What's happening?
- On 3. One, two, three.
What's happening to my son?
Spinal fluid's backing up.
Putting pressure on his brain.
- Shepherd's not answering his page.
- Try it again.
What do I do?
Hyperventilation...
Mannitol...
I don't know everything.
Go. Get Shepherd. Go.
I'm a little busy now
making medical history.
Hunter Chapman's brain is herniating.
His right pupil just blew.
You need to do exactly what I say,
or that kid's dead in 10 minutes.
Can you do that?
- Yes, sir.
- Get the biggest needle you can find.
- Dr. Karev, what's going on?
- Where's Shepherd?
- I think it might help Mrs. Chapman...
- What are you doing?
- Get her out of here.
- She is the boy's mom.
Get her out of here.
Get her out!
What are you doing?
- He's trying to help.
- What are you doing?
- What are you doing?
- Hold his head.
Shepherd told me what to do.
Charlie...
You can't go.
I know you think your life is over.
I know you feel
like you don't have anybody. But...
your life's not over and...
And you have me.
You have me. I need you.
I need somebody to talk to.
I think you may have been right before.
I don't think George
is gonna leave his wife.
I need you to tell me what to do.
I need some...
You can't go, Charlie.
Crap.
All this time, he was telling me
the truth.
Once we get the shunt in, any excess
spinal fluid will drain to his abdomen.
He's gonna be okay.
Excuse me.
I'm sorry I unloaded on you, Norman.
You know how it is?
Heat of the moment.
- Don't apologize to him.
- What?
- Dr. Bailey's right. It...
- Shut up. I'm not talking to you.
He got in your way.
He's been doing it all day,
and when that happens
when an intern gets
in the way of a resident
you're not doing
what's best for your patient.
Now you almost missed
diagnosing that kid today
because Norman here
thought it was drugs.
So don't apologize.
He should be yelled at.
- He's as old as the hills.
- I don't care how old he is, Dr. Karev.
He's still an intern,
and interns are basically teenagers.
We are not hard on them
because it's fun.
We're hard on them because
this is a life-and-death job.
They need to learn that.
There is a reason why we have
a pecking order in a hospital.
It saves lives.
I think that woman's gonna be able
to talk for the rest of her life
thanks to us.
- I think I still got it.
- I think you do, too.
We just gotta figure out
what you're gonna tell Adele.
- I forgot about that.
- Yeah.
First off, don't tell her
you wanna move back in.
- No?
- Reeks of desperation.
- It's a deal breaker. Trust me.
- I can't take this anymore.
You guys are kidding yourselves.
You know how close you idiots came
to that woman losing her tongue,
to her never speaking again?
Oh, yeah, you were
a couple of cowboys in there,
telling yourselves you can do this,
acting like the big boys.
You had no business doing that surgery.
No business.
Lucky I came in when I did.
Shame on you.
And shame on you.
As for Adele,
you can't imagine your life without her.
Tell her for the last
months you been walking in
this hospital just thinking about her.
Tell her the truth.
Sorry I called you an idiot.
So I've been thinking
about how you're sad,
- and what I can do to help.
- You have another surgery?
No, that's not what you need.
- Well, it kind of is.
- No, what you need is me
and my time.
So I thought we could go back
to my house and get into our pajamas,
just sit and talk
about this whole Burke thing,
really get to the root of your feelings.
Just talk all night long if we have to.
- Talk.
- Talk...
and cry.
Cry.
You know.
You're damn right I know,
surgery stealer.
So, person-who-is-sleeping-with-Derek?
How'd you know that?
You think I'm too fragile
to handle your sex life?
Well, he did leave you at the altar.
- And I'm your person.
- How?
By "protecting me"?
That's now how to be my person.
That's not what we do.
You know that.
I'm dealing. Okay?
The best I can. So if you need
to take care of someone,
you're gonna need to take care
of someone else. okay?
Fine.
But you owe me a surgery.
Yeah, well, you owe me sex details.
Are we doing this or not?
What are we supposed to say?
We didn't even know the guy.
We ate lunch in here for a year.
The least we can do is say
a few kind words about him.
He...
didn't snore too loud...
ly.
He...
never complained.
And he always took his meds.
- Hardly ever farted.
- Alex.
Fine. He had 12 surgeries this year,
and he....
He lived through them.
- That's impressive.
- Thank you, Alex.
I got to practice stuff on him...
central lines and IV's...
It was good practice.
Charlie, the truth is...
You were a bastard.
You were. You were mean
and stubborn and just...
a bastard.
But you were a bastard
who knew what you wanted.
And you stuck to your guns
and proved that
if you want something badly enough,
if you're...
determined enough and patient enough,
eventually it will happen.
It will.
And that gives me hope, so...
Thanks for that.
Bye-bye, Charlie.
The truth is painful...
It went really well.
Your friends...
I am so sorry.
I haven't seen them.
How'd she do?
Great. She did great.
- She's gonna talk again?
- Yeah, the chances are very good.
In that case, we have a few things
we'd like to say.
Your first husband,
he put his hand on my ass
every chance he got.
And your second husband,
he spat when he talked, and...
plus, he was ugly.
We know you thought he was handsome,
but the man was a troll.
And that guy you dated last year,
Comb-over guy.
Deep down,
nobody wants to hear it,
especially
when it hits close to home.
What?
I have your mother's death note here.
Everything that happened
on the day she died is in here.
And I know because I wrote it.
So I'd like to go over it
with you if that's okay.
First of all, let me just say that
everything that happened that day
every setback...
There was a 1% chance
of each of those things happening.
1%.
And your mother was the 1%.
She came in complaining
of persistent hiccups.
We did an endoscopic fundoplication.
- You did it endoscopically?
- So it'd be an outpatient procedure.
We wanted to avoid major surgery.
For what it's worth,
I was very fond of your mother.
She was...
I was very fond of her.
She got bacterial endocarditis...
Sometimes we tell the truth...
because the truth is
all we have to give.
I've been having trouble
with this whole pecking order of things.
It's... I've been having trouble.
'Cause I'm used to being number one.
but I'm not number one,
not anymore. So...
The best that I can come up with
is to be number two...
the best damn number two
this hospital has ever seen, but...
your number two.
I will...
I will help you.
We'll be like a team.
Because...
Girl, you just seem
to be having a hard time.
I know I'm having a hard time, but...
together, we could...
do this.
I just think we can do this together.
Sometimes,
we tell the truth because...
we need to say it out loud
to really hear it for ourselves.
You got to reattach a woman's tongue.
I was there,
I didn't actually do the reattaching.
Yeah, still... You are the intern
they wanted on that case.
He's a repeater.
- What?
- Your big hero, here...
He was a intern last year.
That's why he got to know
some of the stuff.
He's already been through it.
But if you wanna learn
from someone...
really, really learn...
Go to a resident.
Not this dude.
Yeah, he's right, if you want to
emulate someone, it's definitely
not me..
I'm not that guy.
And sometimes,
we tell the truth...
because we just can't help ourselves.
What the hell are you looking at?
Interns...
And sometimes...
we tell them...
because we owe them.
At least, that much.
Just say it.
I slept with Izzie.
? www.seriessub.com
- So, hey, you're an intern... again.
- Yeah.
- I won't tell anybody.
- Izzie, meet Really Old Guy.
This is the best breakup ever.
Why we didn't break up
a long time ago?
- He's gone.
- You're my sister, you're my family.
- You're all I've got.
- We have the same dad.
We don't have the same dad, Lexie.
- I think my husband's having an affair.
- I'm going to tell her.
Doctors give patients
a number of things.
We give them medicine,
we give them advice.
And most of the time,
we give them
our undivided attention.
I heard he saved a guy who
coded yesterday, by himself.
He just knows things...
Never messes up in rounds,
always has the answer.
And he's so calm.
I'm always terrified,
but he's, like, steady.
Best intern ever.
- Who are they talking about?
- George O'Malley.
Seriously?
Don't they know that he...
But by far the hardest thing
you can give a patient is the truth.
You know O'Malley's got
these morons snowed?
- They don't even know he's a repeater.
- Yeah, whatever.
How are you today?
- Good.
- Great.
The truth is hard.
The truth... is awkward.
And very often...
The truth hurts.
- Damn it.
- Bye.
Bye.
She's doing McDreamy.
She's doing McDreamy
and lying about it.
- That's great.
- She thinks I'm weak,
that I'm fragile. Like I can't
handle it 'cause of Burke.
- Poor Cristina. All alone.
- Damn right. Poor Cristina.
George, what happened?
I mean, people say
they want the truth.
But do they really?
Do I have sex hair?
- If I did my job right.
- You go ahead.
- What?
- You go ahead. I'll wait a minute.
So this isn't just breakup sex.
This is secret breakup sex. It's about
Cristina, this morning in the elevator?
I don't know what to do, you know?
We don't talk about it,
the whole Burke thing.
I want to be a good friend.
I want to take care of her.
But you don't take care
of Cristina.
So by being with me,
you're cheating on Cristina?
- If she knew about you and me...
- You'd have to talk about it.
You'd have to talk about you and me,
it'd be a long conversation,
there'd be no time left
over to talk about her.
I told you, we don't talk about it.
Pierce, you're in the pit.
James, need you in peds.
- Laura, you're on scut.
- I was on scut yesterday.
And just for that,
you're on scut tomorrow.
Get lost.
Dr. Karev, this is Dr. Norman Shales.
A strong handshake.
That's a good sign.
Norman is transferring in from UCLA.
I want him to work with you.
Are you the new O.b.-G.Y.N. guy?
- I don't have a specialty yet.
- Norman is an intern.
You'll be his resident.
He's my intern?
Don't worry, son. This tugboat's
ready to pull his own weight.
- Age is just a number, right, Norman?
- Absolutely.
Pretty important number.
You okay?
I don't know.
I think it's all just hitting me...
Stupid Burke dumping me
and then stupid Mama
coming to reclaim her...
magic necklace.
- Do you want to talk about it?
- No, not really,
not... Yet.
- If there's anything I can do...
- I just wish I had a...
good, bloody surgery.
You know, bloody surgeries
make me feel better.
One, two, three, four...
Follow me.
Joanne, this is why you and
I need to get sick, these doctors.
One's more handsome than the next.
And here comes the handsomest
one of them all.
- Hi, Dr. Webber.
- Connie.
He took my appendix out
3 years ago.
Barely left a scar.
How's Adele?
She's good, good.
Marriage is hard.
But we're dating again.
And she agreed
to date me tonight.
But... More importantly,
How are you doing?
Oh, I just had a little bump
on my tongue removed is all.
Couple of taste buds. Turns out
it was a little touch of cancer.
So I'm here to have
the rest out.
You know, the cancer,
not the taste buds.
I don't know exactly
how bad it is
because Dr. Sloan over there
has been awfully quiet.
'Cause you don't let him
get a word in edgewise is why.
How is she, Dr. Sloan?
We just got back
The pathology report. Connie...
unfortunately, the cancer is a bit
more widespread than we'd hoped.
It's over 60% of your tongue.
Well, what...
What does she do, chemo?
I think the best bet
is a microvascular free flap.
Dr. Grey?
He'll remove the cancerous
part of the tongue,
and then reconstruct it with
a strip of flesh from your legs.
George?
The extra flesh
will provide the bulk
your tongue needs to breathe
properly, chew, swallow.
And talk?
Dr. Sloan...
- I'll be able to talk, won't I?
- You will be able to talk, connie.
I just don't know how well
you'll be understood.
It'll be okay.
What are you doing
in my clinic, Karev?
I thought you didn't work
in the clinic anymore.
I don't,
but I thought I could get
my new intern Norman here
settled in with you.
Bailey's the best.
You'll really learn from her.
- Pleased to meet you.
- You wanna leave Norman with me.
while you troll for surgeries.
The dude's got a bum hip,
and he smells like arthritis cream.
He can't keep up.
Come on.
Do me a favor,
and I'll do you a favor.
I'm calling in my favor now.
Curtain five.
You can take your intern
and show him how we do an H&P.
- Nice to meet you, Norman.
- Thank you.
Hunter, uh, I'm Dr. Karev.
This is Dr. Shales.
What's going on?
- My son is on drugs.
- I'm not on drugs, mom.
I wasn't born yesterday.
I know the signs.
He's lethargic, irritable,
and the last two months,
- his schoolwork's gone down the drain.
- I'm not on drugs.
Okay, there are a host of reasons
why your son
could be exhibiting those symptoms.
We should run some tests,
see if there...
But first a drug test, Dr. Shales.
I'm right to want a drug test.
- I just said...
- Mrs. Chapman, you are not wrong.
My mary Beth, god rest her soul,
was just like you.
When one of our kids started
heading down that slippery slope,
she just knew it.
You have a mother's instinct.
Right, Dr. Karev?
Yeah, right.
What happened?
George, it's Really Old Guy.
We could bring a marching band here,
he wouldn't know the difference.
What happened?
What happened?
- I thought you were gonna tell her.
- I tried, but she would not let me.
She... She wouldn't let me.
I wanted to kill her,
but then I couldn't kill her
because she did help me
through a lot of stuff.
And it was a lot of stuff and, you know,
she did help me through it.
But I wanted to kill her again,
'cause who marries someone
who just buried their father.
And then I went to bed.
So what does this mean?
What do you want? I told you
I needed a minute before rounds.
- We heard you saved a guy yesterday.
- What?
- Rounds.
- Excuse me.
We'll start in here.
Graciella, what can you tell us
about Really Old Guy?
- He has a name.
- I know he has a name.
We call him Really Old Guy. Catch up.
82-year-old, semicomatose male,
came in a year ago,
status post fall
- and is post-op day 352 from...
- Which basically means that
he hasn't woken up for a year.
So what's the treatment plan?
It's really very simple. Daily labs
and dialysis three times a week.
Don't bother
with any more dialysis.
I plan to die today,
So it won't be necessary.
Nice to meet you.
And while I think
Really Old Guy is charming,
in a "neglected patient"
kind of way,
my name is Charlie.
Charlie Yost.
Hey, I just heard.
- Welcome back.
- Is it true? Really Old Guy woke up?
He has a name.
This time tomorrow,
you can call me really dead guy.
I don't think Mr. Yost
knows who you are.
Sure I do.
That's Meredith.
She and the brain doctor
are always running hot and cold.
And you're, uh, Alex.
You still got a thing for
that old patient of yours?
I was semicomatose, blondie.
I could still hear you guys.
Get a C.T., a C.B.C.
and chemistries.
Your kidneys may be working again,
which may be why you woke up.
- That's good news.
- It just means
now I got two things
to do today,
take a pee and die.
Nobody's dying. Ahh.
Functional muscle transfer.
- What?
- For Connie Willis.
I was reading up on glossectomies
and saw the procedure.
We could microsurgically reinnervate
her hypoglossal nerve.
A nerve graft?
It's too risky.
A free flap's
still your best bet.
Even if that goes well, you and I both
know she'll never speak the same.
She loves to talk
more than anyone I know.
What's a functional muscle transfer?
You won't find it in the books,
O'Malley. It's cutting-edge.
You connect the nerves from the leg
with the nerves from the tongue.
- Gives her a shot at really speaking.
- If it works.
- They've only done half a dozen of 'em.
- Better than none.
Sometimes you gotta
push the envelope.
Why? Why is it better to do a surgery
that neither of you have done
than to do a surgery
that you know at least gives her
a chance to he a normal life?
You know how to do this procedure?
Are you saying that we're too
old to learn new ways, O'Malley?
Are you saying we're old
dogs who can't learn new tricks?
No, I just...
- We're not old dogs.
- We still got it.
I did do a functional muscle transfer
to restore elbow function once.
Elbow, tongue...
That's pretty close.
Come on. What do you say?
Let's light this candle.
Yes, sir.
- Age is just a number, O'Malley.
- Yes, sir.
I got Karev down
in the clinic all day.
- Hope that's not a problem.
- Nope.
I know how you like
to be told these things,
- so I'm telling you.
- Thank you.
Oh, he tried to dump
a new intern on me... Karev.
Clearly he's not interested
in teaching.
Thank you for letting me know.
Do you ever feel old?
I'm young. I'm a fetus.
Nah, I mean you ever feel
like there's gonna be a time
when new techniques pass you by?
I'm a genius and a scholar.
Shut up.
Meredith isn't telling
Cristina about us.
And, well,
she tells Cristina everything.
- I thought you broke that off.
- I meant to.
You think she's gonna want
to get back together.
You think she's gonna
grow up and get all whole
and... want a relationship.
I do not.
You're a bad liar.
- You're old.
- I'm just gettin' started, my friend.
- You feeling any better?
- I heard you're on that
- hemiglossectomy.
- The tongue surgery? Yeah.
Here I am stuck in the pit
with those know-nothing interns.
You'd think eventually
I'd catch a break.
Are we ever gonna talk about this,
the Burke thing?
I'm not Izzie. I'm not gonna lie
on the bathroom floor all day.
I'm gonna lie here
on the counter.
I'll trade you the hemiglossectomy.
- What?
- You take the hemiglossectomy,
and I will take the ER
And your interns.
Are you sure?
Take the surgery
if it makes you feel better.
You're starting to freak me out.
I saw the whole thing, Yang.
You can stop pretending.
I'm not pretending.
I'm sad. I'm very sad.
Me so sad.
Maybe I should try it, see if I can
get Grey to take my new intern.
No. Forget it. Sad is mine.
Go find your own pretend emotion.
Blondie!
Hey, blondie.
Charlie...
I have a million charts to update.
I'm busy.
- I want lobster.
- What?
For my last meal.
It's traditional.
The dying man gets to choose
what he wants to eat. I want lobster.
I'm not getting you lobster 'cause
you're not dying. I won't allow it.
A man can only hang on
for so long, blondie.
After a while,
it's just not worth it.
Don't you have any friends,
family, anyone?
They're all dead
or on their way to dead.
You'll understand someday
when you're older, less naive.
I'm not naive.
You and what's his face,
that's not naive?
I don't know what you're... We're not...
You know about what's his face?
I know you're crazy if you
think he's leaving his wife.
- Guys always say that.
- Not that it's any of your business,
- but this is completely different.
- I'm sure it's true love.
I'm sure he's told his wife.
I'm sure he's moved out.
And I'm sure
all your friends know, right?
By the way, I want real lobster,
not that fake whitefish crap.
I'm filling in for Cristina.
So how's it going?
I pulled a splinter
out of a guy's toe,
and now I'm writing about it.
Okay. Well, if you have
any questions...
I have a lot of questions,
just not about a splinter.
40-year-old unrestrained driver
in a rollover M.V.C.
Lost vitals on the scene,
we were unable to intubate.
Lexie, let's go.
Open the intubation tray.
- How long he been down?
- Took 10 minutes to load him,
- 14 to get here, so 24.
- Push another epi.
- You know how to intubate?
- I've never done it.
- You've seen it done?
- A couple of times.
- Come do one now.
- Are you sure?
Visualize the cords,
pull straight up,
watch the tube
go through the cords.
I can't see the cords.
You should do this.
You can do it. Just don't
rock up against the teeth.
- Just pull straight up.
- Pulse ox is down to 86.
It wasn't bad.
- What?
- That wasn't bad
for your first intubation.
Is that some kind of joke?
- The guy is dead. He died.
- He was dead when he came in here.
He was dead on the scene.
He was dead for 15 minutes
in the ambulance.
He was dead before
I asked you to intubate.
You're pretty cavalier,
don't you think?
I mean, they brought him
here for help.
They brought him here because
they're legally required to.
And I had you intubate because
I'm required to teach you,
and that is how you learn.
No. No, you should have done
everything that you could.
That was everything I could.
- What kind of doctor are you?
- What is this about?
If you don't want to learn
from me, that's fine.
But I have to
cover the pit today.
So why don't you do both of us a favor
and go help Bailey in the clinic?
- Fine.
- Fine.
Pretend I'm not here.
Pretend I'm not busting in
on you and pictures of...
really disturbing tongues.
But Really Old Guy
is giving me a hard time.
I liked him better when he was sleeping,
which he's not.
He's awake.
You've probably already heard.
But my point is,
is that he's stubborn.
He's stubborn and really old,
and he's telling me I'm an idiot
for thinking you're gonna leave Callie.
Seriously?
We're in this together.
You're gonna tell her tonight, right?
I have to get this research done.
You're not gonna tell her.
Wasn't it just yesterday when you said
you didn't want me to tell her?
Fine! Forget it.
Just play with your
stupid pictures of tongues.
We got the tox screen back,
Mrs. Chapman.
- Your son's not on drugs.
- You're sure?
There's no drugs in his system?
No, came back clean.
- Your son is fine.
- This is not my son, Dr. Shales.
It's... not.
Maybe we should order
some more tests.
You know, he's a teenager.
I've raised four of 'em myself.
Teenagers don't like
to do their homework,
they talk back to their parents,
and they never come out of their rooms.
You have apple hair.
I threw a pancake in the river,
a pancake!
Do you know what you just said?
- I'm... I'm not sure.
- Did you mean to say it?
No, I was trying to say
that I wanted to go home.
We need to do a full neuro exam.
Order a head C.T. and labs, now.
It's gonna be okay, you know?
It is. It's gonna be okay.
Do you think so?
Dr. Sloan's gonna do
this fancy new surgery.
Maybe you'll make it
into the medical journals.
Maybe be famous.
What if the surgery
doesn't work?
What if this is
my last chance to talk?
I still...
have so much to say.
Say it now, Connie.
Don't be so morbid.
The surgery will work.
You'll be fine.
She should say it all now,
Jo, just in case.
She shouldn't have any more regrets.
You can tell us anything, Connie.
We're your best friends.
You should tell them.
I'm sorry.
I don't mean to pry. But...
if you want to say something,
you should say it.
I've been here a while.
I've been here long enough
to know that things don't always go
the way that you want them to,
and if there's something you
want to say, you should say it.
Joanne, you've gotta stop
wearing those pants.
Those pants make your ass
look like two puppies
are struggling to get out.
As a matter of fact,
all of your pants are too tight.
You have to buy some new pants.
- And Elaine, your breath is god-awful.
- My breath?
You need to see
a doctor or something
because I know you have
good hygiene,
but sweet god,
your breath is bad.
And you've got to get
a new hairdo.
The '80s are over, honey.
What now?
He keeps pulling off his monitor lead.
Told him he can pull 'em off all day,
- he's still not gonna die.
- I'm sick and tired of waiting.
I'm sick and tired of coming
to your room very 5 minutes.
Sorry, blondie. It's time I took
things into my own hands.
You know what?
You want to die? Fine.
Here. Let me help you.
You missed this one.
Damn. You're still with us.
Wait. This looks promising.
A nice, thick wire.
How's that? Any luck? No?
No wonder. That's why.
It's attached to this lamp.
Okay. Well,
let's see what else we got.
- Dr. Stevens.
- What?
- Dr. Stevens, he's not breathing.
- What?
He doesn't have a pulse.
He's in cardiac arrest.
I swear to god,
I didn't do anything.
Code blue, fourth floor.
Code blue, fourth floor.
Are the epi and atropine in?
Epi's in.
I'm pushing atropine now.
- Hold C.P.R. Let's see what happens.
- Looks like V-fib.
Charge the paddles, 300.
Clear.
- No change.
- Charge again.
Clear.
I've got a pulse.
Stop saving my life.
I can't believe I said all that.
Do you believe I said all that?
- Not really, no.
- You think I hurt their feelings?
I mean, real bad
hurt their feelings?
You think they'll forgive me?
You told me.
You told me to tell them.
You told me to say everything.
You said it would be okay.
I'm really sorry.
Dr. Bailey, Dr. Grey sent me
down here to work with you.
Oh, she did, did she?
And why is that?
Truthfully? She didn't want
to work with me anymore.
She kicked me out.
You can go and tell Dr. Grey
that the clinic is not
a dumping ground for strays.
We are not the island
of broken interns.
Please go tell her that.
Please don't make me do that.
I-I can't work with her,
with Meredith Grey.
I can't work with her
because I can't look at her.
'Cause she hates me,
hates my dad,
she obviously hated my mother,
and I am...
Please just let me
work down here today.
Please, Dr. Bailey.
Kid in curtain three
needs stitches. Go.
- What do you got?
- A teenager came in the clinic
this morning,
he was lethargic, irritable,
- dysphasic.
- Right.
- I'm sorry. I don't know you.
- Norman Shales, up from UCLA.
Are you neuro? I thought I knew
all the neuro guys down there.
Norman's an intern, Dr. Shepherd.
- My intern.
- Welcome to the program.
- Thank you.
- Good. What do we got?
Look at this.
Kid's got hydrocephalus.
It's pushing up against
his broca's area.
Which explains the screwed up speech.
I was sure it was drugs.
Well, that's what happens when
you're a pharmacist for 30 years.
You're sure everybody's
hooked on pills or reefer.
I won't make that mistake again.
No, sirree.
Right. Okay.
- And we need to put in a shunt.
- Yeah, schedule an O.R.,
- we'll go talk to Hunter and his mom.
- Will do, Captain.
Guy doesn't know when to shut up.
- He does it with the patients, too.
- You're his resident.
I know, I know, but it'd be like
yelling at my grandfather.
I heard about Really Old Guy.
What's the matter?
Couldn't find his Lvad wire?
It was a coincidence,
and he's still alive.
Have fun with Really Old Guy.
I'm off to do
Meredith's hemiglossectomy.
- Has George said anything to you...
- She's faking.
She's faking sadness, pretending
to be sad to steal my surgeries.
I have a Really Old Guy trying
to kill himself and problems of my own.
So I don't have time for the two of you
and your fake drama.
A person wants to die,
you let them.
It's polite.
Not in a hospital, it's not.
In a hospital, it's a lawsuit.
I don't like you.
Really? 'Cause I thought we were BFS.
You know what?
Just for that,
I'm dying right now.
That might make you poop your pants,
but it's not gonna make you die.
Damn it.
You really think
he's not gonna leave his wife?
I think if a person wants
to do something,
like die, they do it.
Maybe I'm wrong.
Maybe there's hope.
Maybe he'll tell her,
and you two will get together
and end up happy.
- You think?
- Not that I'll be alive to see it.
You're not dying, Charlie.
Not on my watch.
Dead man walking.
I don't see much walking, Charlie.
You know Yang and Grey are playing
musical chairs with their interns?
I mean, I just thought that might
interest you, seeing as how
one of Yang's interns
is actually one of Grey's relatives...
And the two Greys are having
some kind of family feud.
I'm just saying,
it would probably be best
if the residents stuck
with their own interns
- in the future.
- I got it. Thanks.
You plan to hide out in here
all day long,
or you plan to emerge at some point
and do your job?
Why would I come out there to do my job
when you clearly do it so much better?
I'm doing paperwork, because
I don't have any more fight in me.
I don't want to fight you.
I don't fight my...
I don't want to fight today.
So...
I'm doing paperwork. Okay?
The graft's a perfect fit.
It's got good vascularization.
At this rate, you may actually
get to go on that date with Adele.
I better. Can't very well have her
take me back if I cancel our first date.
Where you taking her chief?
There's a nice little chinese restaurant
we like to go to.
What happens next?
- Dr. Sloan, I don't...
- I know.
Is everything okay?
We're not sure.
What does that mean?
It means we've never done this before.
What about if we coapt
the lingual nerve underneath here?
No, we'd end up
losing the vascular supply.
The graft might not work at all.
She likes to talk, Sloan.
She likes to talk a lot.
We need an extra set of hands.
Someone who knows nerves.
- O'Malley, get Dr. Shepherd.
- Yes, sir.
A functional muscle transfer
of the tongue?
It was looking good
for a while, but...
I'll be right there.
- Izzie
- What?
What is there to say, George?
I'm a blondie. I'm...
the other woman.
I'm a bad '50s clich?.
No, no, no.
We're not in this together.
Great. Well, thank you
for letting me know.
- No. You don't get to be mad here.
- Seriously?
- We said...
- No, no. There is no "We."
It's just me.
I'm the one who has to tell Callie.
I'm the one who has to destroy her.
This is not about you and me.
This is about her and me.
I'm ending a marriage
to a wonderful woman.
Me. I'm the one.
It's not you.
It's not something you just blurt out.
It's not.
I'll do it.
I will do it.
You have to back off and let me do it.
I'm sorry.
You traded...
a hemiglossectomy for the pit?
It's a long story.
A long story that ends with you
pawning off Lexie Grey on me?
I had her do an intubation
on a dead guy.
It's something you used
to have us do all the time.
I was trying to teach her.
- Whatever she told you...
- She told me you hate her.
- I don't...
- And that you hated her mother...
- I didn't say that.
- Her mother, who came to you
with a case of hiccups
and died in our hospital.
You see where I'm going with this?
- She's not my intern.
- No, she's your sister,
and you haven't had a kind word
to say to her since she got here.
And you were her mother's doctor.
Now what is she supposed to think?
Look, whether you like it or not,
your job is to help that girl
be a better doctor.
So help her.
- You paged me?
- Really Old Guy...
He's checked out AMA.
He's leaving the hospital.
What? He can't leave.
He's sick.
He can barely walk,
and I got him lobster.
- I got a 911. What happened?
- He collapsed.
He started talking that nonsense...
His pupil's blown.
His brain's starting to herniate.
Page Shepherd. Take over the bag.
We gotta get him up on the bed.
- What's happening?
- On 3. One, two, three.
What's happening to my son?
Spinal fluid's backing up.
Putting pressure on his brain.
- Shepherd's not answering his page.
- Try it again.
What do I do?
Hyperventilation...
Mannitol...
I don't know everything.
Go. Get Shepherd. Go.
I'm a little busy now
making medical history.
Hunter Chapman's brain is herniating.
His right pupil just blew.
You need to do exactly what I say,
or that kid's dead in 10 minutes.
Can you do that?
- Yes, sir.
- Get the biggest needle you can find.
- Dr. Karev, what's going on?
- Where's Shepherd?
- I think it might help Mrs. Chapman...
- What are you doing?
- Get her out of here.
- She is the boy's mom.
Get her out of here.
Get her out!
What are you doing?
- He's trying to help.
- What are you doing?
- What are you doing?
- Hold his head.
Shepherd told me what to do.
Charlie...
You can't go.
I know you think your life is over.
I know you feel
like you don't have anybody. But...
your life's not over and...
And you have me.
You have me. I need you.
I need somebody to talk to.
I think you may have been right before.
I don't think George
is gonna leave his wife.
I need you to tell me what to do.
I need some...
You can't go, Charlie.
Crap.
All this time, he was telling me
the truth.
Once we get the shunt in, any excess
spinal fluid will drain to his abdomen.
He's gonna be okay.
Excuse me.
I'm sorry I unloaded on you, Norman.
You know how it is?
Heat of the moment.
- Don't apologize to him.
- What?
- Dr. Bailey's right. It...
- Shut up. I'm not talking to you.
He got in your way.
He's been doing it all day,
and when that happens
when an intern gets
in the way of a resident
you're not doing
what's best for your patient.
Now you almost missed
diagnosing that kid today
because Norman here
thought it was drugs.
So don't apologize.
He should be yelled at.
- He's as old as the hills.
- I don't care how old he is, Dr. Karev.
He's still an intern,
and interns are basically teenagers.
We are not hard on them
because it's fun.
We're hard on them because
this is a life-and-death job.
They need to learn that.
There is a reason why we have
a pecking order in a hospital.
It saves lives.
I think that woman's gonna be able
to talk for the rest of her life
thanks to us.
- I think I still got it.
- I think you do, too.
We just gotta figure out
what you're gonna tell Adele.
- I forgot about that.
- Yeah.
First off, don't tell her
you wanna move back in.
- No?
- Reeks of desperation.
- It's a deal breaker. Trust me.
- I can't take this anymore.
You guys are kidding yourselves.
You know how close you idiots came
to that woman losing her tongue,
to her never speaking again?
Oh, yeah, you were
a couple of cowboys in there,
telling yourselves you can do this,
acting like the big boys.
You had no business doing that surgery.
No business.
Lucky I came in when I did.
Shame on you.
And shame on you.
As for Adele,
you can't imagine your life without her.
Tell her for the last
months you been walking in
this hospital just thinking about her.
Tell her the truth.
Sorry I called you an idiot.
So I've been thinking
about how you're sad,
- and what I can do to help.
- You have another surgery?
No, that's not what you need.
- Well, it kind of is.
- No, what you need is me
and my time.
So I thought we could go back
to my house and get into our pajamas,
just sit and talk
about this whole Burke thing,
really get to the root of your feelings.
Just talk all night long if we have to.
- Talk.
- Talk...
and cry.
Cry.
You know.
You're damn right I know,
surgery stealer.
So, person-who-is-sleeping-with-Derek?
How'd you know that?
You think I'm too fragile
to handle your sex life?
Well, he did leave you at the altar.
- And I'm your person.
- How?
By "protecting me"?
That's now how to be my person.
That's not what we do.
You know that.
I'm dealing. Okay?
The best I can. So if you need
to take care of someone,
you're gonna need to take care
of someone else. okay?
Fine.
But you owe me a surgery.
Yeah, well, you owe me sex details.
Are we doing this or not?
What are we supposed to say?
We didn't even know the guy.
We ate lunch in here for a year.
The least we can do is say
a few kind words about him.
He...
didn't snore too loud...
ly.
He...
never complained.
And he always took his meds.
- Hardly ever farted.
- Alex.
Fine. He had 12 surgeries this year,
and he....
He lived through them.
- That's impressive.
- Thank you, Alex.
I got to practice stuff on him...
central lines and IV's...
It was good practice.
Charlie, the truth is...
You were a bastard.
You were. You were mean
and stubborn and just...
a bastard.
But you were a bastard
who knew what you wanted.
And you stuck to your guns
and proved that
if you want something badly enough,
if you're...
determined enough and patient enough,
eventually it will happen.
It will.
And that gives me hope, so...
Thanks for that.
Bye-bye, Charlie.
The truth is painful...
It went really well.
Your friends...
I am so sorry.
I haven't seen them.
How'd she do?
Great. She did great.
- She's gonna talk again?
- Yeah, the chances are very good.
In that case, we have a few things
we'd like to say.
Your first husband,
he put his hand on my ass
every chance he got.
And your second husband,
he spat when he talked, and...
plus, he was ugly.
We know you thought he was handsome,
but the man was a troll.
And that guy you dated last year,
Comb-over guy.
Deep down,
nobody wants to hear it,
especially
when it hits close to home.
What?
I have your mother's death note here.
Everything that happened
on the day she died is in here.
And I know because I wrote it.
So I'd like to go over it
with you if that's okay.
First of all, let me just say that
everything that happened that day
every setback...
There was a 1% chance
of each of those things happening.
1%.
And your mother was the 1%.
She came in complaining
of persistent hiccups.
We did an endoscopic fundoplication.
- You did it endoscopically?
- So it'd be an outpatient procedure.
We wanted to avoid major surgery.
For what it's worth,
I was very fond of your mother.
She was...
I was very fond of her.
She got bacterial endocarditis...
Sometimes we tell the truth...
because the truth is
all we have to give.
I've been having trouble
with this whole pecking order of things.
It's... I've been having trouble.
'Cause I'm used to being number one.
but I'm not number one,
not anymore. So...
The best that I can come up with
is to be number two...
the best damn number two
this hospital has ever seen, but...
your number two.
I will...
I will help you.
We'll be like a team.
Because...
Girl, you just seem
to be having a hard time.
I know I'm having a hard time, but...
together, we could...
do this.
I just think we can do this together.
Sometimes,
we tell the truth because...
we need to say it out loud
to really hear it for ourselves.
You got to reattach a woman's tongue.
I was there,
I didn't actually do the reattaching.
Yeah, still... You are the intern
they wanted on that case.
He's a repeater.
- What?
- Your big hero, here...
He was a intern last year.
That's why he got to know
some of the stuff.
He's already been through it.
But if you wanna learn
from someone...
really, really learn...
Go to a resident.
Not this dude.
Yeah, he's right, if you want to
emulate someone, it's definitely
not me..
I'm not that guy.
And sometimes,
we tell the truth...
because we just can't help ourselves.
What the hell are you looking at?
Interns...
And sometimes...
we tell them...
because we owe them.
At least, that much.
Just say it.
I slept with Izzie.
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