Grey's Anatomy (2005–…): Season 5, Episode 3 - Here Comes the Flood - full transcript
Determined to reverse Seattle Grace's slide into mediocrity, the chief lays down some new rules for interns and residents with which no one's happy. Derek asks Meredith for further changes in her living arrangements. Lexie challenges Cristina's diagnosis for a patient with a persistent headache, and the chief's preoccupation with reputation blinds him to problems with the physical plant.
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Previously on Grey's Anatomy:
Surgical training protocol
is officially changing, people.
Thought you'd defend your boyfriend
to me and I'd take it?
He's not my boyfriend.
- Hi.
- Hi.
You and Derek will not work.
Why do you care what I think?
If I'm gonna do this with him,
I need you to cheer me on.
As surgeons, we are trained
to fix what's broken.
I'm in a hurry. I can't stay.
Chief's having a big meeting,
but I wanted to tell you
that I'm finished with therapy.
The breaking point
is our starting line at work.
Meredith, you are not finished.
You have worked incredibly hard.
Look how far you've come.
- You're scratching the surface.
- Derek's moved in
- and we've taken it to the next level.
- It's not about Derek.
- I'm happy.
- You're not done.
I am happy. Isn't that the point?
No.
But in our lives, the breaking point
is a sign of weakness.
- I need you to stay. I know.
- The meeting, the Chief.
Thank you, Dr Wyatt.
Thanks for everything.
And we'll do everything we can
to avoid it.
- Sorry.
- What are you doing in here?
Thinking about making this my office
when you move out.
When I move out?
When am I moving out?
Soon?
You know Meredith was planning
on making us move out?
- I'm busy here.
- Join us if you want.
No!
When were you planning
on telling us we had to move?
When did you plan to tell them
they had to move?
- Why do they have to move?
- I made this for you.
It's a zoo, a frathouse.
Alex and his parade of women.
- His parade of skanks.
- Am I apartment hunting?
I don't know. I have to think about it.
Just eat the muffin, Mer.
Taste the muffin.
Remember the muffin.
- I like my roommates.
- I like them too.
That was your life. This is our life,
and I'm excited about
building our life together.
Come on. It's gonna be great.
So Derek wants Alex and lzzie
to move out.
Since when does he say "jump"
and you jump?
Well, I'm happy.
They'll be pissed off.
But do whatever you want.
Hey, you hear anything about
what the new rules are?
Last I heard you were at
hand-holding, foot rubs,
and lots of late-night gab sessions.
- Excuse me?
- Listen up, everyone.
You're talking about
the Chief's new rules.
- Thought it was you and Torres.
- Listen up!
I've been wrong before.
We're busy people,
I'm gonna try and be brief.
I am implementing a new teaching
protocol here at Seattle Grace.
Some of these rules are new,
and some are old and are
going to be newly enforced.
Jack O'Brien, 47.
Scheduled for an abdominal
aortic aneurysm repair.
His last CT showed calcification.
So I ordered a CT angio
to determine if it had worsened
or remained stable.
Nice catch, Yang. You can
take him down after rounds.
Dr Karev will take over. Dr Yang,
you're done here. Thank you.
First, second and third-year residents
will no longer be allowed
to de facto specialise.
The practise interferes
with the development
of a fully-rounded surgical education.
No more.
Barry Patmore, 63.
Has been experiencing chronic
headaches for the past seven years.
Has been treated with narcotics,
anti-seizure medications,
antidepressants, and anti-psychotic
medications with no success.
How severe is the pain today,
Mr Patmore, scale of one to ten?
Eight. It's always an eight.
Which is why Mr Patmore's last consult
suggested a bilateral cingulotomy.
- A frontal lobotomy for a headache?
- Too loud. Please.
And could you do something
about the buzzing?
Do we need all these machines?
Mr Patmore has been experiencing
intense pain all day every day
for seven years.
But a cingulotomy could cause seizures,
cognitive defects, behavioural changes.
Which is why we are going to explore
every possible option
before resorting to such
a radical surgery.
- More tests?
- Yes.
Dr Yang, you'll be assisting
Dr Shepherd today.
Personal relationships,
personal loyalties
and personal favourites will no longer
be a factor in our training programme.
Attendings, you will spread
your wealth of knowledge equally
among all of the residents.
In addition,
we'll refocus our attention
on patient communication
and bedside manner. For some of us,
this means learning the lost art
of humanity and compassion.
For others, this means
learning how to treat patients
without becoming
emotionally involved with them.
Shelley Boden, 30, stage four
colon cancer with liver mets.
Shelley has been through
extensive chemo and radiation.
According to the CT,
a liver resection could be curative.
Will be curative. Will.
Do you have any other questions for us?
What happens if you find
more cancer than you expect?
No, Jen. A, that's not gonna happen.
And B, lzzie's already answered
all of your questions three times.
- Izzie's not the main surgeon.
- Izzie's awesome. We love lzzie.
This is Dr Grey.
She'll prep you for surgery
and answer any questions you have.
- Izzie's not staying?
- This is a surgical programme.
Psychiatry is on the fifth floor.
Let's not confuse the two.
In addition, residents,
your interns reflect on you.
If they fail, you fail.
If they succeed, you succeed.
Attendings, that goes
for residents as well.
Teach with enthusiasm.
Learn with enthusiasm.
We are surgeons.
We cut out malignancies.
Let's start at home.
O'Malley? This is Dr Bennett Epstein.
He'll be your proctor
for the exam today.
- You're about ready, O'Malley?
- Yes, sir.
You have three hours from
the moment you open the test.
Once you break this seal,
you may not leave the room
until you have completed
the entire exam.
- Good luck, O'Malley.
- Thank you, sir.
I can do this.
I'm not married and cheating on my wife
with my best friend.
Everything's just as it should be.
Damn chair.
Hang on.
Looks like the wheel's broken.
That's how things work around me.
My toaster broke last month.
Then my cat ran away
and my back porch collapsed.
Also, my TV only shows the colour green.
I'll get another chair.
Don't bother. I'll walk. Probably safer.
No. Mr O'Brien,
you need to stay in the chair.
- It's hospital policy.
- I had three car accidents...
Mr O'Brien.
Somebody get me a gurney over here!
- Sir, I am very sorry.
- I hit my head.
I am very, very sorry.
Get him a CT. I want hourly updates
on his condition.
- Yes, sir.
- You're gonna be OK.
Mike, my ceiling's raining here.
Looks like a pipe burst.
Gotta turn off the water...
No. This is a surgical floor.
Water's required to scrub and clean
equipment to keep people alive.
- Fix this with the water on.
- I can try.
Keep me posted.
Chief, there is some kind of leak
in the conference room.
You don't say.
I was wondering if there was
anywhere else I could take the exam.
I will find a different room on my own.
Thank you, sir.
We have a problem.
Mark Sloan has found us out.
Mark's known from the beginning.
I told him.
He's Mark Sloan.
You don't have a person
you talk to about things?
You are the person
I talk to about things.
I like to keep my private life private
from everyone, but
most definitely from Mark...
...Sloan.
- How long will the operation be?
- At least a couple of hours.
Think it could be longer?
If there are complications
or the mets are more extensive.
They won't be, Jen.
Jen, please, stop. Call Mom
and Dad, tell them two hours.
Since I got cancer, my sister's
only capable of talking about cancer,
which is so much worse than the cancer.
So I know I don't know you, but spill.
- Spill what?
- Anything.
I'm begging you,
before she comes back and asks you
to describe my liver cell by cell.
Please.
OK.
Do you want to hear about
my stupid boss or stupid boyfriend?
Boyfriend! Definitely the boyfriend.
Mr Patmore, I'm gonna give you
a variety of different stimuli
so we can take a look
at the wave patterns generated.
I need you to remove your hand
from your eyes now.
OK. Are we still at an eight?
- It's still at eight.
- OK.
Starting visual stimuli.
If you were me you'd want them out.
The roommates.
- I'm not being unreasonable.
- Pulse is coming down.
But you have to admit,
you'd want them out.
If you were me, you would want them out.
If we have to operate,
I'll let you drill the burr holes
by yourself.
Fine. I'd want them out. Whatever.
I knew it.
OK, Mr Patmore.
OK, we're gonna change your position.
- Dr Yang, I think I have an idea...
- No, don't think. Know.
Run to the lab for his test results.
But lzzie bakes and Alex fixes things.
OK, when I am no longer Cancer Girl
and I can go out and meet a hot doctor
who rocks my world
and wants to move in with me, I might
forego the baked goods and repair work.
Heads up. Twelve o'clock.
Just so you know, Cristina thinks
you should move them out. Talk to her.
Dude, you failed to mention the hair.
Yeah, yeah, the hair.
It's one of the many things
that makes me happy.
Dr Sloan, I'm working with Shepherd
today on a pain patient,
and I read this article
while I helping George study...
Pathetic.
Yes. I know, I'm pathetic.
I did read this article.
I do have a photographic memory.
Chief's on his new thing
with the interns to be heard...
- Use fewer words, Grey.
- I think he needs an ENT.
You're an ENT, right?
How are you doing in there,
Mr O'Brien?
Could be worse. Could have brain
leaking from my ears.
That's the spirit. It'll only take
a couple more minutes. Hang on.
Guess what I found. An apartment.
A beautiful apartment.
With hardwood floors
and an honest-to-God fireplace
that you can build
honest-to-God fires in...
...and I can't afford it by myself.
So... I thought if you could get over
yourself we could live together.
No, thanks.
I mention the hardwood floors,
the honest-to-God fireplace?
I'd rather live in my honest-to-God car.
Right.
How's he doing?
Think we're looking at a lawsuit?
No, we don't have a picture yet,
but... no.
This guy doesn't seem like
the lawsuit type.
Let's hope you're right.
Hello?
Hello?
I cannot apologise enough.
Treat him like a king.
Hear that, Mr O'Brien?
Dr Karev is going to take
great care of you.
You are our number one priority today.
- Are you OK?
- God hates me.
- Mr O'Brien...
- My wife left me.
My accountant stole from me.
The store I worked at burned down.
I was diagnosed with an aneurysm
for which I'd require surgery
in a hospital that seems to be
crumbling around me.
God hates me.
You can see the remaining tumours
easily identified here.
Her liver looks so healthy.
That's the beauty of general surgery.
See badness surrounded by goodness.
Cut out the badness,
all's right with the world.
It's just you and your scalpel,
one on one, mano a mano.
OK, this is me teaching with enthusiasm.
Oh, no.
- O'Malley.
- What?!
If you're finished with your test...
Look, the hospital's flooding.
The CT's on the fritz,
my post-op and pre-op patients
are backed up for days,
I gotta get a handle on this thing
before the patients find out and
our ranking drops way past 12.
I found a nice, quiet room in Psych
for you to take your exam.
Oh, I see.
No, you go ahead.
Chief!
I am your intern
at least for one more day.
I can help.
- Dr Shepherd, a word.
- Excuse me. Yes?
You mind if I run a quick test
on your patient?
He's in a lot of pain. I don't think
he needs a tummy tuck.
That's funny. No, Dr Grey
came to me with an interesting idea.
Unlike you, I'm taking the Chief's
new teaching protocol seriously
so I listened.
I read a thing about swelling and
compression of the ethmoid nerve.
I believe if we were to stick
a cottle elevator up his nose...
I'm sorry, up his nose?
If Dr Grey is on the right track,
the patient will let us know.
OK.
Mr Patmore, I'm Dr Sloan,
head of plastic surgery and
an ear, nose and throat specialist.
I'd like to run a test
with your permission.
I've seen 16 ENT's.
Not one could help me.
Now breathe normally.
I'm gonna angle this into here.
Let me know when you feel
any... pain or anything.
That's it. That's the pain!
That's what's causing the pain.
Oh, my God! Oh, my God.
Anterior ethmoid neurovascular complex.
A simple middle turbinectomy
will fix it.
Unless you still want to chop out
the front of his brain.
Nicely done.
Hi.
How'd it go?
Hi, Shelley.
We found that the mets were much
more extensive than the CT detected,
and the main tumour
actually extended in and around
the major blood vessel behind the liver.
We're gonna start a
new round of chemo, that's all.
I already have a call in
to your oncologist.
That's him. I'll be right back.
We can manage your pain.
I'm sorry we don't have better news.
So did you decide what to do
about your roommates?
I'm so sorry, Shelley.
Come on.
So how good is the hot boyfriend in bed?
Look, we don't even know
what we are yet.
So how does Mark Sloan know?
Why are you talking to him
instead of me?
Ladies.
Am I interrupting?
- Your timing is perfect.
- Really?
Were you about to feel her up?
- Stop. You have to stop.
- I can't.
- Seriously, she hates it.
- That's why I can't.
- Don't... You want a spanking? I...
- OK?
You told Derek you think
I should kick them out?
No. No, I...
I told him I would want them out.
Me, not you.
I only said it because
he wouldn't stop talking.
You don't think I should? I think I'm
going to. It's the adult thing to do.
- What does your shrink say?
- I quit my shrink.
- I'm happy. We're happy.
- Can I sit here?
George... George, how did it go?
There's a water problem.
I'm just trying to help the Chief.
Now the medical facts
are falling out of my ear.
Eat this, it's brain food.
My dude with the aneurysm?
Fell in the water, smacked his head,
got stuck in the CT.
My patient's dying. I hate it
when I like them and they're dying.
Our guy's been living in pain at
a constant eight the last seven years
because of an inflamed nerve
in his nose.
I wish I had an inflamed nerve.
There is no way that guy's been
living at an eight. He's a wimp.
His eight? My three. I can take pain.
You can't talk to my boyfriend
for ten minutes.
There's pain and then there's torture.
I can take pain. Test me.
- Nothing.
- Impressive.
Shut up! You barely touched her.
No! No!
- Knock it off! Stop it!
- How did you diagnose that nerve?
Because I've never heard
of that condition.
I remembered an article
from the British journal of ENT.
It was issue 47, page 19, from 1964.
A photographic memory.
Dude. Lexipedia.
- Oh, I hate you.
- Don't hate me. I can help you.
Chief, what's going on with the flood?
It's not a flood, Bailey.
It's a pipe that...
It's minor, OK? Not to worry.
Aren't you headed to surgery?
Yes, sir.
Chief, a few months ago
little Tuck flushed one of his
action figures down the toilet.
I thought it was no big deal. Minor.
But then I came home to a kitchen
filled with several inches
of poop water.
- Poop water?
- In my kitchen, sir.
Thank you, Dr Bailey,
but I have this under control.
Yes, sir.
Poop water.
Hey. Hey. So apparently
there's some kind of leak.
Chief wants me to move
the pre-op patients to the clinic.
Who's free to help me?
- What the hell?
- Not a high pain threshold?
You know what? Throw him out.
Not me, just him.
- She likes me more.
- I bake for everyone and I clean.
The only thing you bring to the house
is filth. What would you prefer,
chocolate cake or an STD?
Water!
- Get out, get out.
- Where is this coming from?
- Get the Chief.
- Let's keep going.
Post-ops to rooms 2415.
Pre-ops to rooms 2233, 4 and 5.
- The overflow goes into the clinic.
- OK.
Chief!
I got everything under control up here.
I need you to oversee Stevens
with the pre-ops in the clinic.
Sir, maybe we need to shut down.
Just send the patients
to Mercy West, Seattle Pres.
They can repair the pipe.
We'll be up and running in no time.
I am sending our patients to dry ground.
I closed all but two ORs.
Maintenance has isolated the broken
pipe, so thank you, Dr Bailey.
When I say I've got it under control
that's what I mean.
Sir, they may have isolated it,
but a lot of water got out.
- I'm just saying...
- Dr Bailey, clinic now!
Yes, sir. On my way.
Slow down!
OK, what next?
Wait. Are you sure
you have time for this?
I want you to get to take your test.
- Thank you.
- Grey.
Despite your unfortunate taste in men,
turns out you're not entirely useless.
Mr Patmore's condition
is extremely rare...
...and you nailed it.
You can scrub in.
Now? You're doing the surgery now,
with the flood?
Flood's contained. Our man's
been in pain for seven years.
See you in surgery.
I can't. I'm sorry.
But I'm really busy helping the Chief...
the Chief's intern.
I... Thank you, but maybe next time?
No, Lassie, there won't be a next time.
Pathetic.
Mr Patmore, I'm gonna draw some blood
and place a topical decongestant
before I take you to surgery.
Absolutely, of course.
How's your pain level now?
Eight.
It's always at eight.
Oh. It looked like you had some relief.
I've spent seven years.
I've seen 39 doctors.
I've tried every kind of painkiller
and nothing helps.
I've had doctors tell me
it's my imagination...
...that I'm crazy.
Called me a drug addict.
My wife died last year.
After spending years carting me around
to doctor after doctor, test after test,
she died.
She was my best friend.
She was my favourite person in the...
And she died.
But I couldn't feel it.
I couldn't feel that pain
because I was so completely
occupied with this one.
And now I finally know what's wrong
and Dr Sloan is gonna fix it
so you're right, you're right,
that I'm feeling some relief.
OK, let's get your blood drawn.
I'm not gonna do it.
I'm not gonna have surgery.
It's just gonna hurt.
She's gonna slice me in half
and probably kill me.
If she doesn't kill me,
it'll just hurt like hell.
Probably get infected and hurt worse.
I'm not gonna do it.
I get that you're scared, but if you
want to live you need the surgery.
If I want to live? Have you been
paying any attention?
My girlfriend had a hysterical
pregnancy and went nuts,
cut her wrists while I was in the
next room, had to be committed.
Now my roommate's planning
to make me move.
I have no money for a deposit.
Chances are next week I'm homeless.
You're making stuff up
to make me feel better?
You must have something to live for.
Or even just the possibility
of something.
This girl at the grocery store.
I keep meaning to say hello.
Instead I... just keep asking her
about the produce.
All right. So you get the surgery.
'Cause chances are
your luck's gonna turn around.
It's science. It's the law of averages.
It's gonna turn around.
And when it does, you say hello.
I say hello.
Chips?
Chocolate?
Thanks.
- What?
- You're not a terrible person.
- OK.
- I know we don't see eye to eye, but...
I found this really great apartment.
It's right across the street from
the hospital, has great light.
I know you can afford it
and it's Burke-free.
It must be kind of awful
living in his old place.
Think about it.
You can open that retractor up more
if you want to get a better look.
Just make sure you keep
the small bowel inside.
I want to avoid a post-op ileus.
We better. He thinks there's
a dark cloud following him around.
That sounds overly dramatic.
What's that?
- What's?
- What the hell?
Hey, hey. Hey, move! Move!
- Move the patient!
- What?
Move the patient!
Move the patient!
Move the patient!
Is everyone OK? How's our patient?
- Vitals holding stable.
- Irrigation, please.
- How can I help?
- Find Chief, tell him what happened.
God, we need a new OR.
Shut down the other ORs except
for this one and Dr Sloan's.
Karev, go to Sloan. He just got started,
maybe he can close.
I need everybody's help.
Get ready to move Mr O'Brien.
- What do I tell Sloan?
- Tell him the damn sky is falling!
Nasal speculum and lidocaine.
Larger speculum, another lidocaine.
- You're just watching?
- I'm a pain specialist
and I would've missed this thing.
So yes, I'm just gonna watch.
Don't ever use me again
to try and influence her.
You and I are not Team Meredith.
We need the OR.
We need the OR!
On a patient?
- Yes, sir.
- Collapsed?
Your staff wasn't hurt,
but the patient's abdomen was open.
He's stable, as far as I know.
Dr Bailey, spread the word.
We are closing the surgical floor
and shipping patients to Mercy West
- and Seattle Presbyterian.
- Yes, sir.
And Dr Bailey...
- Try not to gloat on the way out.
- No gloating, sir.
Anybody see any more damage?
Any bleeding?
No bleeding. I cleared
the lower left quadrant.
Give me the pulse irrigator.
Dr Hahn, take a look at this
right here.
The pancreas.
Is that damage from the debris?
No, no.
That's a tumour.
Oh, son of a bitch.
- You're the shrink, right?
- Yeah.
Well, you can't let her quit.
Let me guess. Cristina.
She talks?
Whatever.
You can't let her quit
because I'm no longer allowed
an opinion. I'm being supportive.
So you're my last hope.
It's your job to have an opinion, right?
You're paid to have an opinion?
That's right.
OK. So...
She lives her life on an eight.
Her pain. On any given day,
she lives at an eight
and he doesn't get that.
I mean, he moves in and expects her
to move her roommates out?
Which goes to show you
how completely he doesn't get her
because she needs them. So you need
to tell her not to move them out.
It's not gonna work out in the long run.
She thinks that she's happy, she's not.
It is your job to tell her.
It must be incredibly painful for you,
the idea of losing Meredith to Derek.
You're a terrible shrink.
- Just talk to the oncologist.
- No.
There's a clinical trial
using chemo plus Avastin,
- and there's...
- You're not a doctor.
Please stop talking
like you're a doctor.
Hello?
- Did you have me paged?
- Yes, because I'm dying
and you can't let me die
without knowing what you decided.
No, they found mets
underneath her liver.
You look very serious.
Oh, my God, are you gonna
break up with him?
No fair!
I'm dying and you're casting
all that hotness in the wind.
No fair.
No fair.
No fair.
It's no fair.
It's no fair.
No fair. No fair.
I...
I'm alive.
Dr Hahn's gonna come in and
talk to you in a couple of minutes.
How'd it go?
OK?
Actually, not so OK.
The flood weakened the ceiling
in the OR.
The ceiling collapsed and several
fragments landed inside your incision.
'Cause of the ceiling thing
we had to explore your abdomen
more thoroughly than we normally
would have.
As a result we found
a malignant tumour on your pancreas.
Cancer?
You found cancer?
Whoa, wait. Listen. Listen, man,
'cause here's the thing.
We took it out, sent it to pathology.
It was only stage one.
Only stage one.
We never find
pancreatic tumours so early.
They're almost always a death sentence
by the time they're diagnosed.
But not for you.
We took the tumour, the whole thing.
We took it out.
You won't even need chemo.
That ceiling collapse,
it saved your life.
Your luck has turned, man.
It's turned.
I'm gonna go say hello...
...to that girl.
I'm gonna say hello.
Chief.
Chief?
I've downloaded all our patients' labs
and radiology onto DVDs
and attached them to their charts.
Is there anything else I can do to help?
How'd it go?
I know. I'm pathetic.
And George doesn't know I exist,
I missed my surgery.
- Could you tell me how it went?
- We didn't get to do the surgery.
Mr Patmore's been shipped off
to another hospital.
And he will be out of pain
by this time tomorrow.
Photographic memory, huh?
- Yeah.
- Periodic table. Go.
Hydrogen, helium, lithium, beryllium,
boron, carbon, nitrogen, oxygen
fluorine, neon, sodium, magnesium,
aluminium, silicon, phosphorus, sulphur.
I can keep going.
- We can burn actual wood?
- That's my favourite part.
- You can't find that anymore.
- It's gorgeous.
- What do you think?
- This is a fantastic apartment.
- We love it.
- I love it.
It was really great of you. Thank you.
You're kidding, right?
You're kidding, right?
Cristina, are you kidding me?
I am getting kicked out of my house.
Think I pulled this
off the board for you?
I was asking you to live there with me.
I'm sorry. I'm... That's hilarious.
- I'm sorry.
- I'm walking to the bar.
You are just...
Give me the flier.
I already put a deposit down. I'm sorry.
You should've been more clear.
Fine. You know what? It's fine.
Keep it, that's totally fine.
Enjoy it. That's fine!
Thank you.
I get that you're a private person,
but I am not.
I process my stuff out loud.
I gave up too much of myself
in my marriage.
I can't give up pieces of myself again.
And Mark is my friend.
I think I just hate him
because he's seen you naked.
What was the point?
All those hours and all that money?
What's the point?
The world is a horrible place.
Young people die of diseases.
It makes absolutely no sense
to try to be happy
in a world that's such a horrible place.
Yes.
- What?
- Yes, horrible things do happen.
Happiness, in the face of all of that,
that's not the goal.
Feeling the horrible,
and knowing that you're not gonna die
from those feelings, that's the point.
And you're not done.
You've made progress
because you're feeling
and you're telling me about it.
Six months ago it would've been
just you and a bottle of tequila.
My door's always open.
Bones break.
Organs burst.
Flesh tears.
Hey. Are you OK?
You know, I'm happy for you.
I am. I'm really happy
for you and Derek
and that you guys are moving forward.
I don't know how it happened
that I don't have anyone
but... I don't have anyone.
That's not true, lz.
That's not true.
Hello.
We can sew the flesh.
Repair the damage.
Ease the pain.
I found your mom's vintage martini set.
They're my family.
You can't just assume
I'm gonna kick my family out,
and you don't get to announce it
to them and ambush me.
And you definitely don't get
to try to get Cristina on your side.
They're my family, they're who I have.
You and them.
OK.
- OK?
- I'd like to talk about it again,
when you're ready.
But for now, OK.
So you still love me?
But when life breaks down...
- Meredith...
- ... when we break down...
...yes.
... there's no science,
no hard and fast rules.
We just have to feel our way through.
And, to a surgeon, there's nothing worse
and there's nothing better.
Are you sure about this, sir?
You've had a long day.
It's one thing to stand on a stage
and give a speech.
But if I want our teaching programme
to be the best, and I do,
it starts here.
And it starts with me.
I can't do anything about the flood.
But I can give you your shot, O'Malley.
You earned it.
- You ready?
- Yes, sir.
OK.
You get three hours.
Go.
---
Previously on Grey's Anatomy:
Surgical training protocol
is officially changing, people.
Thought you'd defend your boyfriend
to me and I'd take it?
He's not my boyfriend.
- Hi.
- Hi.
You and Derek will not work.
Why do you care what I think?
If I'm gonna do this with him,
I need you to cheer me on.
As surgeons, we are trained
to fix what's broken.
I'm in a hurry. I can't stay.
Chief's having a big meeting,
but I wanted to tell you
that I'm finished with therapy.
The breaking point
is our starting line at work.
Meredith, you are not finished.
You have worked incredibly hard.
Look how far you've come.
- You're scratching the surface.
- Derek's moved in
- and we've taken it to the next level.
- It's not about Derek.
- I'm happy.
- You're not done.
I am happy. Isn't that the point?
No.
But in our lives, the breaking point
is a sign of weakness.
- I need you to stay. I know.
- The meeting, the Chief.
Thank you, Dr Wyatt.
Thanks for everything.
And we'll do everything we can
to avoid it.
- Sorry.
- What are you doing in here?
Thinking about making this my office
when you move out.
When I move out?
When am I moving out?
Soon?
You know Meredith was planning
on making us move out?
- I'm busy here.
- Join us if you want.
No!
When were you planning
on telling us we had to move?
When did you plan to tell them
they had to move?
- Why do they have to move?
- I made this for you.
It's a zoo, a frathouse.
Alex and his parade of women.
- His parade of skanks.
- Am I apartment hunting?
I don't know. I have to think about it.
Just eat the muffin, Mer.
Taste the muffin.
Remember the muffin.
- I like my roommates.
- I like them too.
That was your life. This is our life,
and I'm excited about
building our life together.
Come on. It's gonna be great.
So Derek wants Alex and lzzie
to move out.
Since when does he say "jump"
and you jump?
Well, I'm happy.
They'll be pissed off.
But do whatever you want.
Hey, you hear anything about
what the new rules are?
Last I heard you were at
hand-holding, foot rubs,
and lots of late-night gab sessions.
- Excuse me?
- Listen up, everyone.
You're talking about
the Chief's new rules.
- Thought it was you and Torres.
- Listen up!
I've been wrong before.
We're busy people,
I'm gonna try and be brief.
I am implementing a new teaching
protocol here at Seattle Grace.
Some of these rules are new,
and some are old and are
going to be newly enforced.
Jack O'Brien, 47.
Scheduled for an abdominal
aortic aneurysm repair.
His last CT showed calcification.
So I ordered a CT angio
to determine if it had worsened
or remained stable.
Nice catch, Yang. You can
take him down after rounds.
Dr Karev will take over. Dr Yang,
you're done here. Thank you.
First, second and third-year residents
will no longer be allowed
to de facto specialise.
The practise interferes
with the development
of a fully-rounded surgical education.
No more.
Barry Patmore, 63.
Has been experiencing chronic
headaches for the past seven years.
Has been treated with narcotics,
anti-seizure medications,
antidepressants, and anti-psychotic
medications with no success.
How severe is the pain today,
Mr Patmore, scale of one to ten?
Eight. It's always an eight.
Which is why Mr Patmore's last consult
suggested a bilateral cingulotomy.
- A frontal lobotomy for a headache?
- Too loud. Please.
And could you do something
about the buzzing?
Do we need all these machines?
Mr Patmore has been experiencing
intense pain all day every day
for seven years.
But a cingulotomy could cause seizures,
cognitive defects, behavioural changes.
Which is why we are going to explore
every possible option
before resorting to such
a radical surgery.
- More tests?
- Yes.
Dr Yang, you'll be assisting
Dr Shepherd today.
Personal relationships,
personal loyalties
and personal favourites will no longer
be a factor in our training programme.
Attendings, you will spread
your wealth of knowledge equally
among all of the residents.
In addition,
we'll refocus our attention
on patient communication
and bedside manner. For some of us,
this means learning the lost art
of humanity and compassion.
For others, this means
learning how to treat patients
without becoming
emotionally involved with them.
Shelley Boden, 30, stage four
colon cancer with liver mets.
Shelley has been through
extensive chemo and radiation.
According to the CT,
a liver resection could be curative.
Will be curative. Will.
Do you have any other questions for us?
What happens if you find
more cancer than you expect?
No, Jen. A, that's not gonna happen.
And B, lzzie's already answered
all of your questions three times.
- Izzie's not the main surgeon.
- Izzie's awesome. We love lzzie.
This is Dr Grey.
She'll prep you for surgery
and answer any questions you have.
- Izzie's not staying?
- This is a surgical programme.
Psychiatry is on the fifth floor.
Let's not confuse the two.
In addition, residents,
your interns reflect on you.
If they fail, you fail.
If they succeed, you succeed.
Attendings, that goes
for residents as well.
Teach with enthusiasm.
Learn with enthusiasm.
We are surgeons.
We cut out malignancies.
Let's start at home.
O'Malley? This is Dr Bennett Epstein.
He'll be your proctor
for the exam today.
- You're about ready, O'Malley?
- Yes, sir.
You have three hours from
the moment you open the test.
Once you break this seal,
you may not leave the room
until you have completed
the entire exam.
- Good luck, O'Malley.
- Thank you, sir.
I can do this.
I'm not married and cheating on my wife
with my best friend.
Everything's just as it should be.
Damn chair.
Hang on.
Looks like the wheel's broken.
That's how things work around me.
My toaster broke last month.
Then my cat ran away
and my back porch collapsed.
Also, my TV only shows the colour green.
I'll get another chair.
Don't bother. I'll walk. Probably safer.
No. Mr O'Brien,
you need to stay in the chair.
- It's hospital policy.
- I had three car accidents...
Mr O'Brien.
Somebody get me a gurney over here!
- Sir, I am very sorry.
- I hit my head.
I am very, very sorry.
Get him a CT. I want hourly updates
on his condition.
- Yes, sir.
- You're gonna be OK.
Mike, my ceiling's raining here.
Looks like a pipe burst.
Gotta turn off the water...
No. This is a surgical floor.
Water's required to scrub and clean
equipment to keep people alive.
- Fix this with the water on.
- I can try.
Keep me posted.
Chief, there is some kind of leak
in the conference room.
You don't say.
I was wondering if there was
anywhere else I could take the exam.
I will find a different room on my own.
Thank you, sir.
We have a problem.
Mark Sloan has found us out.
Mark's known from the beginning.
I told him.
He's Mark Sloan.
You don't have a person
you talk to about things?
You are the person
I talk to about things.
I like to keep my private life private
from everyone, but
most definitely from Mark...
...Sloan.
- How long will the operation be?
- At least a couple of hours.
Think it could be longer?
If there are complications
or the mets are more extensive.
They won't be, Jen.
Jen, please, stop. Call Mom
and Dad, tell them two hours.
Since I got cancer, my sister's
only capable of talking about cancer,
which is so much worse than the cancer.
So I know I don't know you, but spill.
- Spill what?
- Anything.
I'm begging you,
before she comes back and asks you
to describe my liver cell by cell.
Please.
OK.
Do you want to hear about
my stupid boss or stupid boyfriend?
Boyfriend! Definitely the boyfriend.
Mr Patmore, I'm gonna give you
a variety of different stimuli
so we can take a look
at the wave patterns generated.
I need you to remove your hand
from your eyes now.
OK. Are we still at an eight?
- It's still at eight.
- OK.
Starting visual stimuli.
If you were me you'd want them out.
The roommates.
- I'm not being unreasonable.
- Pulse is coming down.
But you have to admit,
you'd want them out.
If you were me, you would want them out.
If we have to operate,
I'll let you drill the burr holes
by yourself.
Fine. I'd want them out. Whatever.
I knew it.
OK, Mr Patmore.
OK, we're gonna change your position.
- Dr Yang, I think I have an idea...
- No, don't think. Know.
Run to the lab for his test results.
But lzzie bakes and Alex fixes things.
OK, when I am no longer Cancer Girl
and I can go out and meet a hot doctor
who rocks my world
and wants to move in with me, I might
forego the baked goods and repair work.
Heads up. Twelve o'clock.
Just so you know, Cristina thinks
you should move them out. Talk to her.
Dude, you failed to mention the hair.
Yeah, yeah, the hair.
It's one of the many things
that makes me happy.
Dr Sloan, I'm working with Shepherd
today on a pain patient,
and I read this article
while I helping George study...
Pathetic.
Yes. I know, I'm pathetic.
I did read this article.
I do have a photographic memory.
Chief's on his new thing
with the interns to be heard...
- Use fewer words, Grey.
- I think he needs an ENT.
You're an ENT, right?
How are you doing in there,
Mr O'Brien?
Could be worse. Could have brain
leaking from my ears.
That's the spirit. It'll only take
a couple more minutes. Hang on.
Guess what I found. An apartment.
A beautiful apartment.
With hardwood floors
and an honest-to-God fireplace
that you can build
honest-to-God fires in...
...and I can't afford it by myself.
So... I thought if you could get over
yourself we could live together.
No, thanks.
I mention the hardwood floors,
the honest-to-God fireplace?
I'd rather live in my honest-to-God car.
Right.
How's he doing?
Think we're looking at a lawsuit?
No, we don't have a picture yet,
but... no.
This guy doesn't seem like
the lawsuit type.
Let's hope you're right.
Hello?
Hello?
I cannot apologise enough.
Treat him like a king.
Hear that, Mr O'Brien?
Dr Karev is going to take
great care of you.
You are our number one priority today.
- Are you OK?
- God hates me.
- Mr O'Brien...
- My wife left me.
My accountant stole from me.
The store I worked at burned down.
I was diagnosed with an aneurysm
for which I'd require surgery
in a hospital that seems to be
crumbling around me.
God hates me.
You can see the remaining tumours
easily identified here.
Her liver looks so healthy.
That's the beauty of general surgery.
See badness surrounded by goodness.
Cut out the badness,
all's right with the world.
It's just you and your scalpel,
one on one, mano a mano.
OK, this is me teaching with enthusiasm.
Oh, no.
- O'Malley.
- What?!
If you're finished with your test...
Look, the hospital's flooding.
The CT's on the fritz,
my post-op and pre-op patients
are backed up for days,
I gotta get a handle on this thing
before the patients find out and
our ranking drops way past 12.
I found a nice, quiet room in Psych
for you to take your exam.
Oh, I see.
No, you go ahead.
Chief!
I am your intern
at least for one more day.
I can help.
- Dr Shepherd, a word.
- Excuse me. Yes?
You mind if I run a quick test
on your patient?
He's in a lot of pain. I don't think
he needs a tummy tuck.
That's funny. No, Dr Grey
came to me with an interesting idea.
Unlike you, I'm taking the Chief's
new teaching protocol seriously
so I listened.
I read a thing about swelling and
compression of the ethmoid nerve.
I believe if we were to stick
a cottle elevator up his nose...
I'm sorry, up his nose?
If Dr Grey is on the right track,
the patient will let us know.
OK.
Mr Patmore, I'm Dr Sloan,
head of plastic surgery and
an ear, nose and throat specialist.
I'd like to run a test
with your permission.
I've seen 16 ENT's.
Not one could help me.
Now breathe normally.
I'm gonna angle this into here.
Let me know when you feel
any... pain or anything.
That's it. That's the pain!
That's what's causing the pain.
Oh, my God! Oh, my God.
Anterior ethmoid neurovascular complex.
A simple middle turbinectomy
will fix it.
Unless you still want to chop out
the front of his brain.
Nicely done.
Hi.
How'd it go?
Hi, Shelley.
We found that the mets were much
more extensive than the CT detected,
and the main tumour
actually extended in and around
the major blood vessel behind the liver.
We're gonna start a
new round of chemo, that's all.
I already have a call in
to your oncologist.
That's him. I'll be right back.
We can manage your pain.
I'm sorry we don't have better news.
So did you decide what to do
about your roommates?
I'm so sorry, Shelley.
Come on.
So how good is the hot boyfriend in bed?
Look, we don't even know
what we are yet.
So how does Mark Sloan know?
Why are you talking to him
instead of me?
Ladies.
Am I interrupting?
- Your timing is perfect.
- Really?
Were you about to feel her up?
- Stop. You have to stop.
- I can't.
- Seriously, she hates it.
- That's why I can't.
- Don't... You want a spanking? I...
- OK?
You told Derek you think
I should kick them out?
No. No, I...
I told him I would want them out.
Me, not you.
I only said it because
he wouldn't stop talking.
You don't think I should? I think I'm
going to. It's the adult thing to do.
- What does your shrink say?
- I quit my shrink.
- I'm happy. We're happy.
- Can I sit here?
George... George, how did it go?
There's a water problem.
I'm just trying to help the Chief.
Now the medical facts
are falling out of my ear.
Eat this, it's brain food.
My dude with the aneurysm?
Fell in the water, smacked his head,
got stuck in the CT.
My patient's dying. I hate it
when I like them and they're dying.
Our guy's been living in pain at
a constant eight the last seven years
because of an inflamed nerve
in his nose.
I wish I had an inflamed nerve.
There is no way that guy's been
living at an eight. He's a wimp.
His eight? My three. I can take pain.
You can't talk to my boyfriend
for ten minutes.
There's pain and then there's torture.
I can take pain. Test me.
- Nothing.
- Impressive.
Shut up! You barely touched her.
No! No!
- Knock it off! Stop it!
- How did you diagnose that nerve?
Because I've never heard
of that condition.
I remembered an article
from the British journal of ENT.
It was issue 47, page 19, from 1964.
A photographic memory.
Dude. Lexipedia.
- Oh, I hate you.
- Don't hate me. I can help you.
Chief, what's going on with the flood?
It's not a flood, Bailey.
It's a pipe that...
It's minor, OK? Not to worry.
Aren't you headed to surgery?
Yes, sir.
Chief, a few months ago
little Tuck flushed one of his
action figures down the toilet.
I thought it was no big deal. Minor.
But then I came home to a kitchen
filled with several inches
of poop water.
- Poop water?
- In my kitchen, sir.
Thank you, Dr Bailey,
but I have this under control.
Yes, sir.
Poop water.
Hey. Hey. So apparently
there's some kind of leak.
Chief wants me to move
the pre-op patients to the clinic.
Who's free to help me?
- What the hell?
- Not a high pain threshold?
You know what? Throw him out.
Not me, just him.
- She likes me more.
- I bake for everyone and I clean.
The only thing you bring to the house
is filth. What would you prefer,
chocolate cake or an STD?
Water!
- Get out, get out.
- Where is this coming from?
- Get the Chief.
- Let's keep going.
Post-ops to rooms 2415.
Pre-ops to rooms 2233, 4 and 5.
- The overflow goes into the clinic.
- OK.
Chief!
I got everything under control up here.
I need you to oversee Stevens
with the pre-ops in the clinic.
Sir, maybe we need to shut down.
Just send the patients
to Mercy West, Seattle Pres.
They can repair the pipe.
We'll be up and running in no time.
I am sending our patients to dry ground.
I closed all but two ORs.
Maintenance has isolated the broken
pipe, so thank you, Dr Bailey.
When I say I've got it under control
that's what I mean.
Sir, they may have isolated it,
but a lot of water got out.
- I'm just saying...
- Dr Bailey, clinic now!
Yes, sir. On my way.
Slow down!
OK, what next?
Wait. Are you sure
you have time for this?
I want you to get to take your test.
- Thank you.
- Grey.
Despite your unfortunate taste in men,
turns out you're not entirely useless.
Mr Patmore's condition
is extremely rare...
...and you nailed it.
You can scrub in.
Now? You're doing the surgery now,
with the flood?
Flood's contained. Our man's
been in pain for seven years.
See you in surgery.
I can't. I'm sorry.
But I'm really busy helping the Chief...
the Chief's intern.
I... Thank you, but maybe next time?
No, Lassie, there won't be a next time.
Pathetic.
Mr Patmore, I'm gonna draw some blood
and place a topical decongestant
before I take you to surgery.
Absolutely, of course.
How's your pain level now?
Eight.
It's always at eight.
Oh. It looked like you had some relief.
I've spent seven years.
I've seen 39 doctors.
I've tried every kind of painkiller
and nothing helps.
I've had doctors tell me
it's my imagination...
...that I'm crazy.
Called me a drug addict.
My wife died last year.
After spending years carting me around
to doctor after doctor, test after test,
she died.
She was my best friend.
She was my favourite person in the...
And she died.
But I couldn't feel it.
I couldn't feel that pain
because I was so completely
occupied with this one.
And now I finally know what's wrong
and Dr Sloan is gonna fix it
so you're right, you're right,
that I'm feeling some relief.
OK, let's get your blood drawn.
I'm not gonna do it.
I'm not gonna have surgery.
It's just gonna hurt.
She's gonna slice me in half
and probably kill me.
If she doesn't kill me,
it'll just hurt like hell.
Probably get infected and hurt worse.
I'm not gonna do it.
I get that you're scared, but if you
want to live you need the surgery.
If I want to live? Have you been
paying any attention?
My girlfriend had a hysterical
pregnancy and went nuts,
cut her wrists while I was in the
next room, had to be committed.
Now my roommate's planning
to make me move.
I have no money for a deposit.
Chances are next week I'm homeless.
You're making stuff up
to make me feel better?
You must have something to live for.
Or even just the possibility
of something.
This girl at the grocery store.
I keep meaning to say hello.
Instead I... just keep asking her
about the produce.
All right. So you get the surgery.
'Cause chances are
your luck's gonna turn around.
It's science. It's the law of averages.
It's gonna turn around.
And when it does, you say hello.
I say hello.
Chips?
Chocolate?
Thanks.
- What?
- You're not a terrible person.
- OK.
- I know we don't see eye to eye, but...
I found this really great apartment.
It's right across the street from
the hospital, has great light.
I know you can afford it
and it's Burke-free.
It must be kind of awful
living in his old place.
Think about it.
You can open that retractor up more
if you want to get a better look.
Just make sure you keep
the small bowel inside.
I want to avoid a post-op ileus.
We better. He thinks there's
a dark cloud following him around.
That sounds overly dramatic.
What's that?
- What's?
- What the hell?
Hey, hey. Hey, move! Move!
- Move the patient!
- What?
Move the patient!
Move the patient!
Move the patient!
Is everyone OK? How's our patient?
- Vitals holding stable.
- Irrigation, please.
- How can I help?
- Find Chief, tell him what happened.
God, we need a new OR.
Shut down the other ORs except
for this one and Dr Sloan's.
Karev, go to Sloan. He just got started,
maybe he can close.
I need everybody's help.
Get ready to move Mr O'Brien.
- What do I tell Sloan?
- Tell him the damn sky is falling!
Nasal speculum and lidocaine.
Larger speculum, another lidocaine.
- You're just watching?
- I'm a pain specialist
and I would've missed this thing.
So yes, I'm just gonna watch.
Don't ever use me again
to try and influence her.
You and I are not Team Meredith.
We need the OR.
We need the OR!
On a patient?
- Yes, sir.
- Collapsed?
Your staff wasn't hurt,
but the patient's abdomen was open.
He's stable, as far as I know.
Dr Bailey, spread the word.
We are closing the surgical floor
and shipping patients to Mercy West
- and Seattle Presbyterian.
- Yes, sir.
And Dr Bailey...
- Try not to gloat on the way out.
- No gloating, sir.
Anybody see any more damage?
Any bleeding?
No bleeding. I cleared
the lower left quadrant.
Give me the pulse irrigator.
Dr Hahn, take a look at this
right here.
The pancreas.
Is that damage from the debris?
No, no.
That's a tumour.
Oh, son of a bitch.
- You're the shrink, right?
- Yeah.
Well, you can't let her quit.
Let me guess. Cristina.
She talks?
Whatever.
You can't let her quit
because I'm no longer allowed
an opinion. I'm being supportive.
So you're my last hope.
It's your job to have an opinion, right?
You're paid to have an opinion?
That's right.
OK. So...
She lives her life on an eight.
Her pain. On any given day,
she lives at an eight
and he doesn't get that.
I mean, he moves in and expects her
to move her roommates out?
Which goes to show you
how completely he doesn't get her
because she needs them. So you need
to tell her not to move them out.
It's not gonna work out in the long run.
She thinks that she's happy, she's not.
It is your job to tell her.
It must be incredibly painful for you,
the idea of losing Meredith to Derek.
You're a terrible shrink.
- Just talk to the oncologist.
- No.
There's a clinical trial
using chemo plus Avastin,
- and there's...
- You're not a doctor.
Please stop talking
like you're a doctor.
Hello?
- Did you have me paged?
- Yes, because I'm dying
and you can't let me die
without knowing what you decided.
No, they found mets
underneath her liver.
You look very serious.
Oh, my God, are you gonna
break up with him?
No fair!
I'm dying and you're casting
all that hotness in the wind.
No fair.
No fair.
No fair.
It's no fair.
It's no fair.
No fair. No fair.
I...
I'm alive.
Dr Hahn's gonna come in and
talk to you in a couple of minutes.
How'd it go?
OK?
Actually, not so OK.
The flood weakened the ceiling
in the OR.
The ceiling collapsed and several
fragments landed inside your incision.
'Cause of the ceiling thing
we had to explore your abdomen
more thoroughly than we normally
would have.
As a result we found
a malignant tumour on your pancreas.
Cancer?
You found cancer?
Whoa, wait. Listen. Listen, man,
'cause here's the thing.
We took it out, sent it to pathology.
It was only stage one.
Only stage one.
We never find
pancreatic tumours so early.
They're almost always a death sentence
by the time they're diagnosed.
But not for you.
We took the tumour, the whole thing.
We took it out.
You won't even need chemo.
That ceiling collapse,
it saved your life.
Your luck has turned, man.
It's turned.
I'm gonna go say hello...
...to that girl.
I'm gonna say hello.
Chief.
Chief?
I've downloaded all our patients' labs
and radiology onto DVDs
and attached them to their charts.
Is there anything else I can do to help?
How'd it go?
I know. I'm pathetic.
And George doesn't know I exist,
I missed my surgery.
- Could you tell me how it went?
- We didn't get to do the surgery.
Mr Patmore's been shipped off
to another hospital.
And he will be out of pain
by this time tomorrow.
Photographic memory, huh?
- Yeah.
- Periodic table. Go.
Hydrogen, helium, lithium, beryllium,
boron, carbon, nitrogen, oxygen
fluorine, neon, sodium, magnesium,
aluminium, silicon, phosphorus, sulphur.
I can keep going.
- We can burn actual wood?
- That's my favourite part.
- You can't find that anymore.
- It's gorgeous.
- What do you think?
- This is a fantastic apartment.
- We love it.
- I love it.
It was really great of you. Thank you.
You're kidding, right?
You're kidding, right?
Cristina, are you kidding me?
I am getting kicked out of my house.
Think I pulled this
off the board for you?
I was asking you to live there with me.
I'm sorry. I'm... That's hilarious.
- I'm sorry.
- I'm walking to the bar.
You are just...
Give me the flier.
I already put a deposit down. I'm sorry.
You should've been more clear.
Fine. You know what? It's fine.
Keep it, that's totally fine.
Enjoy it. That's fine!
Thank you.
I get that you're a private person,
but I am not.
I process my stuff out loud.
I gave up too much of myself
in my marriage.
I can't give up pieces of myself again.
And Mark is my friend.
I think I just hate him
because he's seen you naked.
What was the point?
All those hours and all that money?
What's the point?
The world is a horrible place.
Young people die of diseases.
It makes absolutely no sense
to try to be happy
in a world that's such a horrible place.
Yes.
- What?
- Yes, horrible things do happen.
Happiness, in the face of all of that,
that's not the goal.
Feeling the horrible,
and knowing that you're not gonna die
from those feelings, that's the point.
And you're not done.
You've made progress
because you're feeling
and you're telling me about it.
Six months ago it would've been
just you and a bottle of tequila.
My door's always open.
Bones break.
Organs burst.
Flesh tears.
Hey. Are you OK?
You know, I'm happy for you.
I am. I'm really happy
for you and Derek
and that you guys are moving forward.
I don't know how it happened
that I don't have anyone
but... I don't have anyone.
That's not true, lz.
That's not true.
Hello.
We can sew the flesh.
Repair the damage.
Ease the pain.
I found your mom's vintage martini set.
They're my family.
You can't just assume
I'm gonna kick my family out,
and you don't get to announce it
to them and ambush me.
And you definitely don't get
to try to get Cristina on your side.
They're my family, they're who I have.
You and them.
OK.
- OK?
- I'd like to talk about it again,
when you're ready.
But for now, OK.
So you still love me?
But when life breaks down...
- Meredith...
- ... when we break down...
...yes.
... there's no science,
no hard and fast rules.
We just have to feel our way through.
And, to a surgeon, there's nothing worse
and there's nothing better.
Are you sure about this, sir?
You've had a long day.
It's one thing to stand on a stage
and give a speech.
But if I want our teaching programme
to be the best, and I do,
it starts here.
And it starts with me.
I can't do anything about the flood.
But I can give you your shot, O'Malley.
You earned it.
- You ready?
- Yes, sir.
OK.
You get three hours.
Go.