Grey's Anatomy (2005–…): Season 5, Episode 24 - Now or Never - full transcript

Izzie's memory problems panic Alex, the team takes care of a John Doe who was hit by a bus, Bailey rethinks her pediatrics fellowship, and the hospital endures losses.

(meredith)
doctors spend a lot of time

focused on the future...

planning it...

working toward it.

(beeping continues)

but at some point,
you start to realize,

your life is happening now...

Any changes overnight?

No.

not after med school,
not after residency,

right now.



this is it. it's here.

blink and you'll miss it.

(pager beeps)

Oh, it's the chief. somebody
better make a coffee run.

You all look like hell.

(groans) i gotta be
in surgery in ten minutes.

Um, mer,
will you let me know?

Yeah.

We should go, too.
it's probably gonna be a while.

Shepherd said she'd wake up
in the morning.

What did he tell you?
was that all crap?

What did he say?

He said it may be a while.

She's gonna wake up.



(speaking inaudibly)

Stevens still isn't awake.

And i'm having something
of a day even aside from that.

So... don't take
my face personally.

It's just my face today.
did you tell her?

Uh, you should tell her,

And don't take her face
personally.
okay, well...

On behalf of the department
of pediatric surgery,

I'd like to welcome you
to the fellowship program.

You're in! we're gonna get you
a pair of wheelie sneaks.

(richard) congratulations.

All right.

I know i didn't support you
during this process.

In any event,
i am behind you now.

I'm trying to be
a big person here.

How about
you meet me halfway?

(sighs)

(whispering)
wake up. wake up.

Wake up. wake up.

Wake up. wake up.

I have a headache.

(normal voice) you're up?

You're up
and you're talking.

You talked, right?

Talk!

Ow. i said i have
a headache. stop yelling.

Page shepherd!

Ow.
i'm sorry.

Captioned by
closed captioning services, inc.

Hey, what's with
hugging o'malley?

I slept, cristina.

Last night, i slept
for the first time in...

(exhales deeply)
i slept.

And, uh, i don't know,

Hugging o'malley
because you slept?

No, i hugged o'malley
'cause he's got great news,

Which i'll let him tell you,
but, yeah, i... i guess,

Yeah, maybe i hugged him
because i slept.

And that's because of you,

Because you came with me
to see my mom,

And then i slept,
and i slept without nightmares.

That's not a small thing,
cristina.

(whispers)
that... that is everything.

(normal voice)
i can be a better man.

I can be a better man
for you, and if...

I hope, you know,
if you'll let me,

I can be a better man
with you.

No, don't say anything.

Just... just think about it,
okay? okay?

What--

Mm.

Dr. bailey, i need
to tell you something.
oh, not now, o'malley.

I know. it'll be quick
'cause i gotta

Get to the o.r.
to scrub in with the chief.

Now i think you're gonna
be mad at first,

But i'm about to
do something important,

And i'm very sure
about this decision,

And i-i think eventually,
you're gonna be proud.

But, you know, before that,

You're probably
gonna be like...

(imitates miranda)
"what did you do?!"

(normal voice) i'm...
i don't mean to imitate you--
you call that quick?

I joined the army
to be a trauma surgeon.

I report for duty tomorrow.

You did what?!

Yeah, that's where
i thought we'd start.

You know, something's
going on with george.
what?

Owen hugged him.
they were happy.

Well, we don't hug
when we're happy.

Are you better?

What?

You know, with your therapy.
uh, whatever.

You said you got well.
well, are you... better?

Or are you just, you know,
fake better?
what do you mean?

I'm asking you if people,
you know...

I mean, are you
actually different?

I mean,
do you feel different?

I'm getting married today.
mm-hmm. city hall.

No muss, no fuss.
just quick and dirty.

Well, uh...
do you want me to come?

No, no.
just letting you know.

Oh, no, wait. uh, uh...

Okay,
this is my grocery list.

It's old.
uh, this--this is new.

Um, this is my favorite pen,
so i want it back. borrowed.

And all of it's blue,
so you're covered.

Now see, if we were
george and owen,

We would hug right now.

(siren wailing)

Dude.

Unidentified male,
dragged by a bus.

He's clamped down,
so we couldn't intubate.

Didn't they stop
when they hit him?
bus driver
didn't know he was there

Until he got
halfway down the block.
oh, is he gonna be okay?

Okay, i'll take over c.p.r.

(owen) push 20 etomidate
and 100 of sux.

(monitor beeping erratically)

He saved my life.

The bus was gonna hit me.
he threw me out of the way.

Grey, get her out of here.
it was supposed to be me
under the bus. he's all alone.

They don't even know
who he is. please.
all right, stand over there
and just don't move.

He's back.
(callie) okay, let's get
a trauma series,

Trauma labs
and o-neg blood in here.

Severe avulsion injury
to the left forearm.

Whoa.
okay,
his skull is bashed in.

Page shepherd.
and sloan.

Start antibiotics and start
cleaning out those wounds.
(vomits)

(callie) uh...
(groans)

Now can you get her
out of here?

Did you get the whole thing?

Did you get
the whole tumor out?

Just let me finish
my exam.

Can you tell me
your name?

My name is isobel stevens.
it's 2009.

And i'm in the... neuro i.c.u.
at seattle grace hospital.

Did you get
the damn thing out?
got the whole damn thing.

You got it?
yeah.

Oh, god. you got
the whole thing.

And i can talk
and i know my name

And i'm not a turnip.
nope.

No offense.
oh, no.

You are a great surgeon,
but i really thought

I was gonna be a turnip.

This is so unbelievably great.

Your, uh, kidneys
are a little sluggish,

So we're just gonna keep
an eye on your electrolytes

For a few hours.

Your post-op crit was--
was fine.
okay, good. good.

Good.

How did the surgery go?

Did you get the brain tumor?
did you get it out?

Iz, you just
asked him that.

We just talked about it.

No, no, it's okay. she's gonna
be foggy for a while.

The tumor's out.

There was a little bleeding
during the post--

You got it?
yeah.

All of it?
mm-hmm.

That's amazing.

Derek shepherd,
you... are a hero.

And i know that
that's derek shepherd.

And you're alex.
and you should kiss me.

Alex...

I don't have a brain tumor.

I'm tumor-free.

(alex) yes, you are.

What's wrong?
why do you look weird?

No, nothing. nothing.

Uh, your kidneys
are a little slow.

We're just gonna watch them.

Okay. so you'll just recheck
my electrolytes in an hour?
mm-hmm.

Okay.

How did the surgery go?

Did you get the tumor?

We did.

The tumor's gone.

There was a little bit
of bleeding,

And we took care of that.

You got it?
mm-hmm.

Oh, my god.

And i can talk,
and you didn't kill me.

What's wrong with you people?
we should be celebrating.

(cristina) we will.

She's like the woman

Who couldn't remember
her husband was dead.

We had to keep telling her
every five minutes.
could be a perfectly normal
post-operative haze.

Or the bleeding
during the procedure

Blitzed
her short-term retention.

Did you screw up her brain?
karev--

(pager beeps)
i'll be back.
try and stay calm.

Freaking her out
is not gonna help.

(sighs)

Wake up.

(siren wailing)
whoa.

Man versus bus.
the bus won.

Check out the left arm.

(monitor beeping erratically)
he's crashing again!

What do we got?
we got roadkill.

You mind? he stepped out
in front of a moving bus

So he could pull a woman
out of the way. he's a hero.
(callie) can you fix the arm?

Fingers are already blue.
if it's gonna happen,

It's gotta be
in the next few hours.
pupil's blown. stop c.p.r.

Okay, give me
a cranial drill, please.

Grey, want to practice
your, uh, burr holes?
(razor buzzes)

(derek) stabilize his neck,
please, nurse.

(monitor continues
beeping erratically)

Okay, hand her the drill.

Okay, go in slowly.
when you feel it grab, stop,

'cause otherwise you're gonna
be hitting the brain.

(drill whirring)
okay, let's go. quickly.

(beeping continues)

(whirring continues)

(drill tone deepens)
right there!

(owen) pull back, pull back!
that's it.
(mark) that's enough!

(beeping slows
and returns to normal rhythm)

Nice work, dr. grey.

I'm gonna go get
some bacitracin for that face.

All right. let's get
his head rotated. easy.

Watch--watch his neck.
welcome back, sir. you had us
worried there for a minute.

(indistinct conversations)

You think
he's gonna make it?

I hope so.

He really has to make it.

Oh.

Dr. sloan.

There's gonna be
too much tension.

Start over
and do a layered closure.

Um, c--uh, c-can i ask
a question about that?

Okay. you brought up
moving in together

And marriage,
and i put it off.

And now you're embarrassed

And you won't make
eye contact with me because

You feel that i have all
the power in the relationship,

But i don't want all the power
in the relationship.

I--i'm happy to share it.
can we just skip this part?

Get some 4-0 vicryl so you can
redo your patient's sutures.

(sighs)

(glove snaps)

I'll totally pretend
i didn't hear any of that.

Women do this to me.
i don't do this.

"let's get a house together."
sucks being the girl, huh?

I'm not the girl.
(glove snaps)

What do girls do?

Well, uh, we start
with the cold shoulder,

So you're right on track.

And we go to our girlfriends
and we bitch,

And our girlfriends say,
"you want to build a future,

"build it yourself.

"you don't need a man
to give you that.

"so you want to buy a house?

Buy a house."

Huh.

You're good at this.

(chuckles) i ought to help
someone get a love life.

I suck at my own.

He jumped in front of a bus...
for me.

(indistinct conversations)

What did you do to o'malley?
excuse me?

Uh, somebody else around here
likely to convince someone

To join the army and be
a trauma surgeon in iraq?

(callie) what?!
the army?!

What?
(monitor beeping erratically)

(meredith) v-fib.
charge the paddles to 360.

Just call who you have to call
and undo this.
dr. bailey,
little busy here.

Clear.
george?
george o'malley?

It wasn't my idea.
no change.

Charge again.
clear.

I did what i could to give him
a decent education in trauma.

I didn't know
he was gonna go and enlist.

He keeps coding.
here's why--
open-book pelvic fracture.

There's too much bleeding.

We take him to an o.r. now,
he'll die on the table.

He needs to go to angio
if we're gonna stop

The pelvic arterial bleeding.
sinus tach.
we have a rhythm.

It's barely there,
but it's there.
(owen)
let's stabilize the pelvis.

I know what goes on
in this hospital.

I know you're messed up
from that war,

And not in a small way.
get him out of it.

Page me if you need me.
i've got other patients.

(monitor beeping rhythmically)

How'd you piss off
all the women?

(exhales deeply) um,
let's get our guy to angio.

Angio?
he's barely got a pulse.
it's now or never if we
want him to live. let's move.

Sir, i know it's tough,

But i'd personally
be very grateful

If you'd try and stay alive
for the next few minutes.

Maybe we're bouncier in peds
than in general surgery,

But i thought that
there would be a "yay"

Or some jumping around.

'cause you look pretty dour
for someone

Who's about to start
a highly prized fellowship.

you are about to start a highly
prized fellowship, right?

Hey, i've got a plan
to stop george. are you in?
stop george from what?

He joined the army.
yes, i'm in.

Bailey,
i'm talking to you.

(sighs) why are you
trying to stop him?

Because he joined the army.
and?

And because he's
my ex-husband,

And i know his mom
and i love his mom,

And normally izzie would
talk sense into him,

But she's got cancer and kind of
a bad mental deficit,

So it's on me to stop him.
but why would you want
to stop him?

Because he joined the army.

Don't you think
that's a problem?
i think that's awesome.

Awesome?

(indistinct conversations)

You gonna chew?
(mouth full) mm.

My dragged-under-a-bus guy's
in angio,

And they're gonna
page me any minute.

How's izzie?
is she retaining anything?
no.

Okay, uh, at 6:00 p.m.,

Your idiotic colleague
george o'malley

Will finish his surgery
with the chief.
and at 6:00 p.m.,

You will be standing beside us
in the o.r. hallway,

Prepared to join
in an intervention.
what polite company
might call an intervention,

Though i'm not sure
interventions

Involve whooping people
on the behind with a belt.

What, he's got
a drinking problem now?
he joined the army.

What?!
007? he can't go to army.

He's the guy
that gets killed.
he's that guy who gets killed
cleaning his own gun.

Grey is going to coax him back
as a loving friend.

You are going to use logic
and reason

To point out the idiocy
of his ways.

Stevens will make
sad cancer eyes.

And if all of that doesn't work,
karev, you're gonna pull out

Your "i was raised out back
with the trash cans" roots

And just beat the crap
out of him.
6:00.

6:00.

(pager beeps)

Hey there.

I know this must be scary,
but if it's any consolation,

You're a hard-core hero.

You saved that woman's life.

I-is he trying
to write something?

Can you hold this?

(pen clatters)

Oh, okay.

You'll be stronger tomorrow.

(owen) call o.r. one.
tell 'em to get ready for him.

Amanda,
you can't be out here.

Would you want to be all alone
at a time like this?

We had 30 seconds
of interaction

Before he saved my life,

And... and i wasn't
even nice.

I was standing on a corner
when this...

Ordinary-looking guy
stands next to me and smiles,

And... and i'm so busy

Scoping for someone hotter
that...

I don't even
give him a second look.

And next thing i know,
he throws me

Out of the way of a bus
i'm about to walk in front of

And almost
gets himself killed.

He literally...
he swept me off my feet.

That is my prince
in that bed.

Okay, you can stay until
they take him to surgery.

Uh, not a good time.
you know what?
you walk away from me again,

I swear i will grab you
by the hair and pull hard.

I grew up
with the name arizona.

I learned how to play dirty
on the playground.

I stuck my neck out for you.
you were my pick.
and i appreciate that,
but it's a big decision.

It's not, frankly.
it's the brass ring.

It's the most exclusive,
it's the most competitive,

And we're as good
as it gets.

Nobody lands this thing
and says no.

My husband
informed me yesterday

That if i accept
the peds fellowship,

If i sign on for another
two years of training

And the hours and the workload
that come with it

When i could be
a general surgery attending

And make it home for dinner,

He will divorce me.

it's a big decision.

(woman speaking indistinctly
over p.a.)

You're gonna have a hard time
saving that arm.

I can get him back
to full function

If i can get there in time.

I'm thinking about
buying a house.
good for you.

Meredith and i are gonna go
to city hall this afternoon.

We're getting married.
really?

Mm-hmm.

That's great news.
i know.

If i could just
save stevens---

You're allowed to be happy.
you're allowed to get married.

You've earned that right.

Congratulations,
you lucky bastard.

Come here.
give me a hug.

Oh.

Why is
everyone hugging today?

Oh, the blushing bride.

All right, here is the plan
for our john doe.

Shepherd, you'll evacuate
the epidural.

Grey and i will correct
the internal injuries.

That'll make room for torres
to place the internal fixator.

Sloan, you should still have
time to work on the arm

If the patient doesn't get
too acidotic or hypothermic.

Do you think he has a shot?
i've seen people
come back from worse.

Hey, i thought
you were in surgery.

I'm on my way.
have you talked to bailey

About this peds
and tucker thing?
no, i talked to bailey about
the army thing and george.

Are you upset with me?

(chuckles)

No, i'm awesome.

Calliope--
no, do not--
do not "calliope" me, okay?

You said it was awesome.

George--sweet, kind george
who can't even kill a fly--

Is joining the army
to go to iraq

In the middle of a war,
and you said "awesome."
it is awesome.

No, it is not awesome.
god! who are you?

**

(derek) how's the arm?
(mark) the nerves
are still intact.

Just have to reattach
the vessels.
you ready for me?

I'm almost done with the major
internal crush injuries.

Pelvis will be all yours
in a minute.

Give me
some more laps, please.
you think you could do it?

Step in front of a bus
for a perfect stranger?
(callie) we'd all like
to think we would, but--

That's more or less
what major hunt's been doing

Every day
for the last couple of years.
oh, no, the guys did.
i just came in behind 'em

With a dustpan and a broom
and swept up.

You sewed up soldiers
under fire.

You didn't sweep up.

How do you think o'malley
is gonna do over there?

You think--you think
he can handle it?
no, i don't.

I think he's gonna
surprise us all.

I think he's coming back
in a body bag.

I think you all
should just shut up.

Just shut the hell up.

Please. shut up.

**

"shepherd got
your whole tumor out."

Oh, my god.

Alex, why didn't you tell me?
oh, my god.

Oh.
but we're working on it.

You remember what time
you woke up this morning?

Um, not exactly.

7:45.

7:45.
"o'malley joined the army"?

What?
yeah, he's gonna be
a trauma surgeon in iraq.

When'd you wake up?

7:45.
he's gonna get killed.
yeah,
we're dealing with it.

Did you know
about this george thing?

Yep. (sighs)
canon fodder.

I'm just gonna take
some more blood.

Last time we checked,
your potassium was 6.3.

When'd you wake up?
um, early.
i can't quite remember. i...

7:45. 6.3. 7:45.

(sighs)

"o'malley joined the army"?
george?

We're dealing with it.

What's your potassium?

Uh, i...

Iz,
what's your potassium?
you know what?

Why don't we just give her
the chart to read

And try and memorize, okay?

And i can talk to you
about her hyperkalemia.

Look, she just had
brain surgery

And an incredibly aggressive
course of i.l.-2.

She needs rest.
she needs to exercise
whatever memory she's got left

Before it all turns to mush.
well, she's not gonna heal

With you barking orders at her
like a caveman.

Butt out, yang.
no, she's my patient. i don't
care if you're her husband.

Look, she--
you want to see how fast
i can get your visiting hours

Down to zero?
she signed a d.n.r.
she signed a friggin' d.n.r.

And made me promise she'd
come outta this with a life.

Not in a hospital bed,
not with no brain,

I had to promise
she'd have a life.

You want to know
what happens

If she can't make
any new memories?

Forget about being a doctor.

She's gonna need
round-the-clock babysitters.

We get an apartment together,
and she can't ever

Find her way
to the damn toilet.

Tracker on her ankle in case,
god forbid,

She wanders
out the front door!
alex, you can handle this.
she will get better.

Maybe. maybe not.
it's on me.

Her future is on me.

Is he gonna be okay?

We'll know more
in the morning.

Go ahead.

(clicks keyboard keys)

How's she doing?
any better?

No.

(sighs) damn.

(clicks keyboard keys)

Well, i'm going to
city hall

To go do the thing.

Seriously? it doesn't
seem like the day for it.

(speaking inaudibly)
look at alex.

He's in there working
so hard all day,

And she doesn't know.

And if she stays like this,

She may never know
how much he loves her.

And that girl amanda...

She's in there
loving a stranger.

She thinks that's her
prince charming.
mm.

I mean, he's probably
gonna die today, chances are.

So yeah, i'm gonna go
get married.

Because i think it's important
to take the time

To tell the people you love
how much you love them

While they can hear you.

(speaking inaudibly)

I love you,
cristina yang.

You have changed.

Mm. maybe i have.

(elevator bell dings)

What?

I'm gonna hug you.

I don't see things.

So maybe i just don't get

What's going on with you
or why you're so mad,

But i do
think it's awesome.

I think that george
joining the army is awesome.
um, shut up.

Um, no. you asked me
who i was.

I am a person who thinks
that what george is doing

Is dangerous and terrifying
and brave.

He's going to serve
his country.

He's going to risk his life
to save the men and women

Who make it possible
for you and i

To sleep safely
in our beds.

I'm a person who thinks that
that is brave.

And i am a person who stood
in an airplane hanger

And watched them
unload my brother's body

In a coffin...

(voice breaks)
and all we got was a flag.

(normal voice)
my brother died over there

Because there weren't
enough doctors, callie.

So for my money,
george o'malley is a patriot.

He's a hero,

And i am grateful
that he exists.

So yeah, the word i use
is "awesome."

That's who i am.

I'm sorry.

(air hissing)

(metal clanging)

Sorry,
i-i didn't realize--

Oh, no, no, wait.

I... love...

You.

Well,
i-i-i love you, too.

No, just...

I love you.

I said--
i said "i love you."

Me.

Cristina yang.

(mutters)

(exhales deeply)

You traumatized me.

And you know that i am s--
i am so sorry about--

Oh, no, damn it.
not about the choking.

It's... it's like you come here
and then you pull out my icicle

And you make me love you,
and i can't--

I mean, i don't want to--

i-i can't breathe...

Without you.

You can do this.
cristina, we can do this.

All you have to do
is just meet me halfway.

All you have to do
is say yes.

All you have to do
is say yes.

(metal clanks, air hisses)

What's your crit?

Ugh.

(mouth full)
this is disgusting.

I can't believe
we serve it to the patients.

(normal voice)
"you keep asking for lime jell-o

And don't like it."

So stop giving it to me.

You get mad if i don't.

Okay,
now what's your crit?

I don't know.
i'm tired.

What's o'malley doing
tomorrow?

Joining the army.

Yeah.
i need a break.

You don't think i need
a break? suck it up.

What--god.

Back off.

I'm sorry
if this is hard for you,

But you are not the one

With the short-term memory
of a carrot.

(sighs)

(clatters)

Hey. go ahead.
get it off your chest.

It's not like i'm gonna
remember in five minutes.
okay, i'm not the one
with a carrot for a brain,

But i'm married to it 'cause of
some crock of a wedding

We walked into,
and only because

The two of us thought
you'd be dead within a week.

You made me promise you that
you wouldn't live like this.

So now what the hell
am i supposed to do,

Smother you with a pillow,

Shoot you up with
a-an overdose of morphine?

Not really psyched
about that. leave you?

Not really psyched
about that either.

So i guess
i'm kinda screwed, right?

I mean, not as bad as you,

But not a friggin'
walk in the park, either.

I'm sorry, iz.

No.

I told you to get it
off your chest. you did.

(sighs)

Did you forget yet?

Nope. not yet.

Give me a minute.

Um... j--

If there's still a spot
for me in general surgery,

I'd like to take you up
on that.

I spent months trying to
talk you off peds.

I finally get on board,
and you change your mind?

Tucker gave me
an ultimatum--

The fellowship
or our marriage.

You chose your marriage.

No, i'm leaving him,

Because a marriage that
resorts to ultimatums,

That's not a marriage.

I mean, what kind of husband
does that?

So... i'm going to be
a single mom.

(voice breaking)
it's not the time for...

New specialties.

(breathes erratically)

(crying) damn.

I'm sorry.

It's just the first time
i said it out loud,

So it just kinda
took the wind out of me.

Miranda,
are you sure about this?

I mean,
he might come around.

He... he's just scared.

Well, we're all scared.

I mean, if you're not scared,
you're not paying attention.

O-one of my residents
just signed up to go to war.

That's scary.

Another one just almost
lost her life to melanoma.

Now she doesn't know
what day it is.

That's scary.

What tucker's facing
isn't scary.

He's just weak.

No, a pat on the back
isn't gonna help, sir.

Okay.
um, should i go? uh...

(crying)

Okay. okay.

(whimpers)

Okay.

I'll just stand here
with you

If that's all right.

Yes, sir.

That would be fine.

I thought you were
operating on john doe.

I already did. right now
i'm looking at houses.

One has a stone fireplace,
which i like.

This one has a backyard
the size of montana.

Uh-huh.
you're buying a house?

Yeah.

Right. (chuckles)
okay.

I'm buying a house
right now.

It's a buyer's market,
and i'm buying a house.

The only reason that you're
even talking about a house

Is to make me feel bad.
(scoffs)

You're trying to prove that
you're moving on without me

So then i'll regret my decision
and change my mind.
okay, is this
what women are doing

When they say
they're moving on?
yeah.

They don't usually take out
a home loan to do it, but--

Pathetic. let me be clear.
i'm moving on.

I'm a better woman
than you.

(scoffs)

(pager beeps)
ready to go?

I just got a page. our john doe
needs to go back into surgery.

Yeah. his post-op c.t.
showed a re-bleed.

I'm gonna have nelson
take care of it.
no, really?

Yeah. well, i'd prefer
to do it myself,

But i want to check in
on izzie.

Maybe we can go do that first
and then go get married after?
no, we can't

Because we have the george
intervention after that.
i'll have nelson do it.

You know what?
tell them to prep him.

We'll run to city hall,
we'll come back

And we'll do it then.
meredith--

No, you know, let's go.
we gotta go.

We gotta run to city hall,
we'll come back,

You'll check on izzie,
we'll monitor john doe,

I'll go talk george
out of joining the army--
look, we could do this
another day.

There is no other day.
every day is like this.

Every day there's a crisis.
there's no time.
meredith--

I love you, and i do want
to marry you today,

But there is no time.

(sighs)

**

You have a piece of paper?

For what?

I want to be with you
forever,

And you want
to be with me forever.

And in order to do that,
we need to make vows,

A commitment, a contract.

Give me a piece of paper.

I don't.

I-i-i don't.

I-i have post-its.

**

Okay.

(sighs)

What do we want to promise
each other?

**

(taps post-its)

**

That you'll love me...

Even when you hate me.

To love each other
even when we hate each other.

No running... ever.

Nobody walks out
no matter what happens.

No running.
what else?

That we'll take care
of each other

Even when we're old
and smelly and senile,

And if i get alzheimer's
and forget you...

I will remind you who i am
every day.

To take care when old,
senile... and smelly.

This...

Is forever.

Sign.

This is our wedding,
a post-it?

Mm-hmm. if you sign it.

Now what?

Now i kiss the bride.

Married.

Married.

(sighs)

See that?

Plenty of time.

Gotta do an e.k.g.

What, i don't even get
any small talk?

What's your problem?
well, i'll tell you.

I know that
i'm supposed to be grateful

For my "new lease on life,"

But alex marched in here
and basically told me

That being married to me

Was the worst thing
that ever happened to him.

Yeah, and that he was
trying to decide

If smothering me with a pillow
was the best way

To put us both
out of our misery.

Okay, where is it?

Where is what?

Where's the note
that says that?

Did you write that down?
no.

No.

(chuckles)

(speaking inaudibly)

Yes.

Yes.

(chuckles) i've gotta go.
i've gotta find alex.

Go, go.

Oh, i'm sorry. i was just--
i was looking for george.

Bailey, it's after 6:00.

Yes, uh, we scheduled
an intervention

So that we could give o'malley
a piece of our minds

About this idiotic
army business.

Now did he leave already?
he never scrubbed in.

He told me he was enlisting.
i sent him home,

Told him to spend the day
with his mom

Since he was leaving
so soon.

Uh, he took off
this morning.
(sighs)

How's his i.c.p.?

Uh. worse.
o.r. is expecting us.

I thought you were
getting married.
we did.

Oh, congratulations.

You sure you want to start
your honeymoon in an o.r.?
we're sure.

You can't be in here.

I'll come and get you
in the waiting room.

Hold his hand
until you put him under.

It really does
make him feel better.

Okay.

(sniffling)

(meredith) well, you made
a good friend there.

I guess that happens when
you take a bus for somebody.

Okay.

I know this is scary,

But you do have
a great team up there.

You want to try
to write again?

Can you hold the pen?

No.

Okay, "o."

"o."

7?

Double 0...

7.

(gasps)

Oh, god! oh, god.

You paged me.
what do you need?
well, way to go, dipwad.

Telling your wife you're trying
to figure out how to off her?

Oh, mind your own bus--

Wait.
how did you know that?

She told me.

You remember?

Pillow or morphine.
i got the whole thing.

Oh, i'm so sorry.
i didn't mean that.

Of course you didn't.

You love me too much
to shoot me up with morphine

Even if i asked you to.

And my stupid corked brain
is coming back.
oh, my god. i was so scared.

I mean, i would've loved you
no matter what, but...
(laughs)

You're back. you're back.

Iz?
(monitor beeping erratically)

Iz?

Izzie? yang!

(meredith)
it's george! it's george!

It's george!
john doe is george!

(monitor beeping erratically)

Izzie, look at me.
open your eyes!

Page shepherd. page the chief
and bailey right now.

(owen) we have you, o'malley.
you hear me? we have you.

We'll fix this.
just stay with us.
o'malley, it's shepherd.

You're not going anywhere.
you understand me?

B.p.'s dropping.
all right,
let's put him out, now.

What happened?
is it her brain?

No, it's hyperkalemia.
we couldn't control
the arrhythmias.

Her pressure's
dropping off a cliff.
give me an intubation tray.

Alex...

She signed a d.n.r.
shut up, yang.

She knew this might happen.
that's why she signed it.
i don't give a crap
what she signed.

Alex, it's not
what she wants.

(monitor emitting
continuous tone)
get a crash cart!

Karev, if she doesn't--

Look at her!
get a crash cart!

(tone continues)

Screw the d.n.r.
hand me those paddles.

Yang, take over compressions.
karev, back up.
i got it. i got it.

(richard) one, two, three.
and down.

Okay, down.

did you say it?

i love you...

Clear.
(defibrillator whines)

(paddles thunk)

i don't ever want to live
without you...

you changed my life...

did you say it?

(monitor beeping erratically)

make a plan...

set a goal...
(defibrillator whines)

work toward it...
(paddles thunk)

but every now and again,
look around...

drink it in.

'cause this is it.

(owen) we're losing him!

(defibrillator whines,
monitor beeps)

(paddles thunk)

(monitor emits continuous tone,
defibrillator whines)

(monitor beeps,
paddles thunk)

(tone continues)

(richard) come on.

(crying) iz.

(richard) come on.

(tone continues)

(richard) v-fib. clear!

(defibrillator whines,
paddles thunk)

it might all be gone tomorrow.