Grey's Anatomy (2005–…): Season 6, Episode 11 - Blink - full transcript

Previously
on "grey's anatomy"...

(mark) I have
an 18-year-old daughter.

I'm having a baby, and, um, I
don't have anywhere else to go.

Dr. Bailey,
have you seen the chief?

There's something wrong with
his emergency chole patient.
(miranda) u may have

Accidentally clipped
the common bile duct.

That's one of
the most serious mistakes

A general surgeon can make.

(richard) have you told anyone
what you saw?

Have you told derek? Um...

No.



I have loved you forever.

(owen) I'm in love
with cristina.

(meredith) we assume the really
serious changes in our lives

Happen slowly...

Over time.

But it's not true.

The big stuff happens
in an instant.

(water running)

(object clatters)

You're up early.

Yeah, I want to, uh,
get some stuff done

So that I can meet the chief
this afternoon.

He's gonna show me
another old surgery tape.
Again? Every night
this week.

I thought last night
was the last time.



He got held up.
He couldn't make it.

Yeah, I went by his office
on my way out.

He was sound asleep
on his couch.

Uh, which is why
he couldn't make it.

I think maybe he just
doesn't sleep well at home

With adele gone.

Mm.

(keys jangle)

(woman) ? ...To ?

? and I want
another person who... ?

(giggles)

I need something
from you.

Mm.

Well... That, too.

Yeah?

I need you to give sloan
an ultrasound today.

It's been
almost three weeks.

Can't someone from o.B.
Do it?

Well, yeah,

But...

She likes you.

All the sloans do.

(laughs)

Hey, do we have any more--
oh! Ew!

Whoa.
Sloan!

Whoa.
Becoming an adult,

Becoming a parent,
becoming a doctor--

One minute you're not,
and the next...

Sloan.

You are.

Sorry about that.

Whatever.
There's no more cereal.
Why are you sorry?

She's the one who didn't knock
before she came in.

I'll get some cereal
this afternoon.

How about some juice?

Uh, lexie's gonna give you
an ultrasound today.

Why don't you pick up
some breakfast at the hospital?

It's gonna be more.
You need some
for lunch, too?

Yeah, yeah.

I'm gonna shower.
Oh, can you
hold on a minute?

I'm probably
gonna have to hurl this.

(water running)

Sloan sloan monopolizing
your bathroom again?

Yeah. Yours?

Owen'smine.

(sighs)

(shower running)
oh!

Oh, god.

They're in there.

Yeah, you should
knock first.
I'm late.
Okay? My hair is dirty.

And he just gave her 80 bucks
for a muffin and a sandwich.

That's quite a sandwich.
She's just gonna
end up spending it

On a pair of jeans
that show off her butt crack,

And then she's gonna ask me
for half of my pasta salad.
You sound like my mother.

Um, knock much?
I'm sorry. I'm so sorry.

Oh, there's no more
hot water.

(liquid pours)

(wmpers)

Ask any doctor,
and they can point

To the one moment
they became physician.

It usually isn't med school
graduation day.

Yang...
You're going solo today.

Uh, been there.
Cardio solo.

Whatever it is...
Valve replacement.

Nobody forgets it.
Uh, porcine or...

Mechanical.
So I can try out
the subannular stitches.

Well, I didn't teach it to you
so you could crochet.

Okay, thank you.

Oh, my god.

(laughs)
(owen) what? What?

Uh...
Altman's letting her
go solo on a valve.

Wow. Uh, you feel ready?

She's ready.
She just needs to breathe.

I am breathing.

I am a living, breathing
cardiothoracic surgeon

As of right now.

I have to go prep.
(laughs)

Sometimes you don't even know
anything's changed.

You think you're still you

And your life
is still your life,

But you wake up day
and look around,

And you don't recognize
anything...

Not anything at all.

Captioned by
closed captioning services, inc.

Hey, um,
do you have any cash?

I lost the headset
to my phone.
How about you hold the phone
up to your ear?

You were the one that was
bitching at me last night

For being on the phone
so late.

Maybe if I had a headset,

I wouldn't have to talk
so loud.
Maybe if you had
your own apartment,

You could talk
whenever you want,

But we're all making
compromises.

Okay, here's the head.
(chuckles) it looks like
alien.

Well, it's gonna be
a very cute alien.

A boy alien or girl?

Dude, does it have a thing
or not?

No, I'not looking
at the sex.

Um, I don't...

You... I--I'm new at this.
I'm--I'm not very good.

So, um, why don't we go
upstairs to--

There's a better machine
upstairs.

Uh, maybe we'll have
someone else take a look.

Adamson, you're with me.

Meredith, you're with bailey.
Karev, you're with torres.

Tom kates
is in this ambulance.

The quarterback?
Yeah.

If you see photographers,
call security.
Tell your interns
no autographs, no pictures.

I see anyone pull out
a camera phone,

It's going in the toilet.
So there are three of us
on one patient?

Oh, come on.
He's a high-profile patient.
He gets a lot of attention.

I thought we agreed
to stop meeting like this?
Hey, what can I say, man?
I missed your smiling face.

Good to see you.
Head trauma, but g.C.S. 15
since regaining consciousness.

He got high/lowed by a couple
of their linebackers.

Dropped like a rock.

Okay, get x-ray in here
for a trauma series.

(meredith) tenderness in
the upper left quadrant.
I'm gonna need a c.T.

Got it.
Oh, there's pain
and crepitance in the knee.

Uh, get an x-ray of the left
knee with the trauma series.

(reed) yeah.

I saw that hit.
That was a bad hit.

I-I knew it
the minute I saw it.

I knew before you even
hit the ground, that was bad.
Hey, hi, sweetheart.

Oh, and that's my boy.
Oh, he's very cute.

Dr. Shepherd--
he's gonna be fine.
He's gonna be fine.

Now I can't have you in here
with the baby, okay?

Okay, um, littlest high-five
in the world.

(miranda) hey,
we'll come and find you

The second we know
what's going on.
I love you, babe.

Don't give him too much
morphine. It makes him goofy.
Won't, I won't.

How great is that kid, huh?
He's pretty great.

Did you tell sloan
to move out?

No. Not that
it's a bad idea, but--

You're making her
feel like crap.

She said you wouldn't even
be alone in a room with her.
No, that--that's not--

Then why do I have to
chaperone the ultrasound?

Because there's something wrong
with the baby.

(lexie) see right there
on the left thigh.

Yeah. On his other
ankle, too.
Wait. It's a boy?

I hadn't gotten
that far.

Oh! Oh, sorry.
Congratulations.

Uh, there's a lot of swelling
on the right foot.

It's--it's very constricted.
What the hell
are you talking about?

Well, the baby's got strands

Of amniotic tissue
wrapped around his legs.

They're called amniotic bands.
So what? One of his legsthem
is gonna, like, fall off?Limbs.

That's
the worst-case scenario.

He's gonna have stumps?
We don't know
what we're dealing with yet.

Whatever it is,
we're gonna take care of it.

I can't have a stumpy baby.
Can't you fix it?

Um, I don't know.
You know, I have an idea.

How about we don't answer
any patient questions

With thehrase,
"um, I don't know"?

We're gonna fix it. Uh,
let's, uh, get a fetal m.R.I.

You know, I'm not sure
that I would recommend--
I wasn't talking to you.
You're done.

I'll be right back.

Get me addison montgomery.

(elevator bell dings)

I adore you.

I was in the middle
of breakfast.

Uh, she had an m.R.I.
Right's worse than the lef

I just need to say it once.
Go ahead.

Grandpa. (laughs)
grandpa, grandpa, grandpa.

Oh, okay.
That was four times.

Is it out of your system?
I don't know.

Look at that. He thinks he's got
an opening behind martin,

And then--
ooh! Ouch.

Back that up again.
Okay, I would never ask
for an autograph,

But if he signed
a consent form

And there was a copy laying
around--what? Big fan.
Torres.

What?
Oh, hey!
Look who's here.

Hi. (laughs)
did you get lost
on the freeway?

(derek) good to see you.
Good to see you. Um--

(miranda) what are you
doing here?
Sloan's got a little something
going on with the baby.

Oh, is she okay?
We'll figure it out.

I'm gonna go see
if they're ready.
Okay.

You know how long
I've been waiting for that?

What, you pull out
his blood with leeches?
Ooh.

Uh, she's perkier than usual.
(laughs)
(laughs) well, divorce
will do that to you.

Ah, sad.
No, she'll move on
and be happy.

Yeah.
She just needs somebody
to move on to.

Well, that can't be so hard.
(chuckles)

Hey, wait. What about you?
Can't you find her someone?

That guy from oncology, the cute
one--isn't he still here?
This is not my area.

He used to play basketball
with him. Dave. Dave--
torres should do it.
They're friends.

Oh, she thinks I'm loopy.
You are loopy.

Okay, come on. (lowered voice)
it's bailey. She's lonely.
I--

Hey.
Yeah.

He needs a transfusion.

That splenic lac is bleeding
more than I thought.
All right. We'll take
a look at the c.T.S

And come up with a, uh,
game plan.

(clears throat) all set.

Ah. Okay.
I'm coming with you.

S--

(chuckles) you know dave
from oncology?

Single.

You wouldn't be starting
a conversation

About my personal life,
would you?
Bad idea? He's handsome.

Bad idea.

Okay. I tried.

Hi, ruthie.
This is dr. Yang.

She'll be performing
your surgery today.

She is the best of the best.
You're gonna like her.

Um, I have a couple thingsd
I want to discuss.
Oh.

Is that--can I...
Of course, of course.

Um, I have allergies.
Mm-hmm.

I-I know they write them
in the chart,

But I find that
if you don't tell everyone,

You know, it kind of
gets lots in the shuffle.

(mutters)
yeah.

Aspirin, ibuprofen,
bananas, zucchini,

Alforms of squash.

And pumpkin is a squash,
right?

Mm-hmm.
People forget that.
Latex, dust mites.

Y--
uh, I asked the nurse
with the red hair

For a new pillow,

And, um... (whispers) I would
also love to get a new nurse.

(normal voice)
because I think the redhead

Just brought back the old pillow
with a new case, and it's,

You know... (clears throat)
it's making me sneezy.

And I'm supposed to get
a mechanical valve.
Mm-hmm.

But I've been thinking about
the clicking noise

They say the mechanical valve
makes... (makes clicking sound)

I mean, that--that would be
irritating, right?

Don't you think that might
just make you nuts?
I'm sorry, but, uh,
a different valve

Is a whole different
procedure.

Yes, but I-I think the pig
is a better idea--the pig valve.

You know, it's organic, right?
And they say they're very clean.

You know,
all that business about,

"oh, you're such a pig, "right?
That's just bad marketing.

Oh, and this, uh, blanke..
(sniffs) this has a smell.

(sniffing) yeah, it does.
It does smell.

Like, a-a--I'm not saying it's
not clean. It's like a--

A chemical of some kind, it's
chaffing. Can you see my rash?

Yas the legs continue to grow,
?ve mi alergia?

The bands will cut off
his circulation.

If we wait, we risk
severe damage to the left leg,

Possible loss
of the right entirely.

But if we operate--22 weeks,
it's--it's still risky.

But if you don't operate,
you're not gonna kill the baby.

We can rehabilitate
the remaining part of his leg

After he's born, and we can
fit him with a prosthesis.

It's entirely possible
that he'll walk.
Oh, my god.

Honey,
we've got options here.

If we operate, dr.Ontgomery
can remove the bands,

He'll be just fine.

Or we can wait a few weeks
till he's bigger and stronger,

And we know the surgery
is less risky.

Well, which one of you
did he sleep with?

Oh, not me.

You told her?
She's my kid.
We were bonding.

That is not how you bond
with children.

I'm still
getting the hang of it.
So you're re that he didn't,
like, knock you up

And leave you with a child to
raise on your own or something?
Wh--

You're not just,
like, really pissed

And you're trying
to get revenge?
No. (chuckles) no.

It--it was a long time ago,
okay?

The fact is, mark--

Your father--
is--is a good guy,

And I think you're
a good kid, and I'm gonna do

Everything I can
to help you with your baby.

Okay, well, let's just get
these things off his legs

Right now.
I'll book an o.R.

Stupid quarterback
only has a concussion.

Tragic.
I know.

I'm on his ortho stuff.

There's bound to be
a surgery in there.

You want to share?
(scoffs) why would I do that?

'cause you like me.
Not that much.

Oh, sure you do. Come on.

Let me scrub in,

And I will take you out
for drinks afterwards

And, you know...

(elevator bell dings)

Really?

Okay.

(indistinct conversations)

What?

Let me take you out for drinks
and, you know?

What's "you know"?

Whatever.
It's sex.

Charlie, get over it.

You're trading sex for surgery
that's prostitution.

Is that the part
I'm supposed to get over?

Are you calling me a whore?
Explain what "you know" means.

I'm messing with him.
Karev knows it, and I know it.

He's gonna want to collect.

Charlie... (whispers) go find
something else to rry about.

(indistinct conversations)

Dr. Bailey...

This is, uh, dr. Stanton
from radiology.

Rob, miranda. Rob was looking
over tom's c.T.,

And I thought
he should talk to you.
Oh, okay.

Rob's new here, so I thought
you might give him

A tour of the hospital
while you discuss the c.T.

(elevator bell dings)

(sighs) excuse me.

What are you doing?

You spent christmas with me
and meredith.

That can't be what you want.
True, but I do have
a patient

That I have to do
a follow-up on right now.

So I don't have time
to take anybody--
I can do that. Follow-up's easy.
I can do that.

Have fun. Take care.
I--

Okay, have a good tour.
You want to show me
the scan?

Um, how about we, uh,
look at it over lunch?

I'm in the middle
of a divorce.

People call me the nazi,

And it's not because of
my ice blue eyes.

I spend 12 hours a day carving
people up, and I like it.

I have a child, and I have
no room for casual anything.

I'm angry all of the time
and deeply confused

Because a lot of people in my
life have let me down recently.

One of them was me.

It's devastating,
but not completely,

Because it turns out I like
sleeping crosswise in the bed

And not having to shave
my legs.

My 3 year old used to be
potty trained, and now he isn't

Because his father
no longer lives with us

And his world
no longer makes sense,

And the only thing he thinks
he can control is his bladder.

So he urinates

In a lot of places
you wish he wouldn't urinate.

You want lunch or you want
to show me the scan?

(clears throat)

Mr. Morris. Dr. Shepherd.

I'll be filling in
for dr. Bailey today.

So you're here
for a follow-up?
Uh, yeah, yeah.

I had my gall bladder out
a couple months ago.
Months? And you're still
getting follow-ups?

I am, once a week.
Once a week?

(laughs) yeah. Dr. Bailey says
she just wants to make sure

I'm in tip-top shape.
Dr. Webber did your surgery?

Yeah. Chief of surgery.
Fancy, huh?
Yeah. Mm-hmm.

You guys are the best.

People say a lot of crap
about health care,

But they've never been here.

You take care of people.

We certainly do.
Yeah.

Mm.
Dr. Bailey wll worried

'cause I turned yellow
after my first surgery.

Mm-hmm.
Oh, see?

Here.

But it went away.
(laughs)

I'm fine now. You want
to look at my scar

Or wait till after
I pee in the cup?

Oh, dr. Altman, uh, the patient
is no longer interested

He mechanical valve.

Well, I couldn't give you

A total unadulterated
dream case.

People would talk.

Uh, I just spent hours
prepping for the mechanical.

A-a pig valve
is a whole different surgery.
Two for the price of one.

Just think about
how much you're learning.

You want me to get
someone else?

No.

(elevator bell dings)

It's a concussion. It's no worse
than you've seen before.

Nothing we need
to go in and fix.

Initially we thought

The injury to your spleen
would resolve itself,

But it's bleeding too much.
Dr. Bailey needs to go in

And remove it
as soon as possible.
The surgery is gonna have
you out for a couple of weeks,

But you'll be back in the game
for next season.

(monitor beeping erratically)

(gasping)

Tom? You all right?
Oh, I can't--I can't--
I can't breathe.

I can't breathe.
Let's get some oxygen.
Get a crash cart. Tom?

Let's get some oxygen,
all right?
I can't breathe.

(speaks indistinctly)

Let's get an e.K.G.
Just in case.

Tom, have you ever had
a panic attack before?
I'm fine.

It's just, uh...

It's nothing.

(singsong voice)
there's daddy.

Hey, how's my guy?
(normal voice) he's fine.

How's my guy?
(derek) well, he was, um--

The, um, brain's okay.

(baby coos)

But they gotta
cut my belly open.

I can't play
till next season.

Honey...

Don't worry.

Next season will
be here before you know it.

What's the deal
with you and reed?

Nothing.
You're not trading her surgery
for sex, are you?

Give me a break,
because if you are,
it's gross.

Look, if I sleep with her,
it's 'cause I want to.

You gonna
look me in the eye

And tell me derek never
threw a craniotomy your way

After the two of you s
an hour in the on-call room?

Please.
I know it may not feel like it,
but you are still married,

And izzie is coming--
you know what? I'm done
worrying about izzie

'cause she sure as hell
ain't worried about me.

This is the old alex--

Sleeping with
some random person

Because you're angry and hurt.
That's what you always did.

And then we grew up
and got married.

Yeah, well, it turns out
your stupid post-it

Is ten times the marriage
my church wedding ever got me.

I'm moving on.

(woman speaking indistinctly
over p.A.)

Hey, tom kates
is having panic attacks?
Yeah. I don't know why.
He's not talking.

I took care of your, uh,
chole patient. It's all good.

Uh, thanks.
Yeah, he's getting
some high-class care.

Six visits with a surgeon?

A nurse practitioner
could do this.

No, I likeo do, uh,
aftercare myself.

He wasn't even your patient.
He was the chief's.

There was an error.
He's fine.

So why all the--
I have a thing for him, okay?

Sheldon morris?

He caught my eye.

(elevator bell dings)

Sheldon has a quality
that I'm...

Drawn to.

I... I can't put my finger
on what it is exactly.

Sure. Sure.

Want to keep his picture?

(chuckles)

Do you know what my sister
had for lunch today?

Pork chops.
I watched her eat.

I didn't feel any kinship...

With the pig.

I think the pig valve, you know,
may be the wrong choice.

Uh, you feel more kinship
with cows?

I don't know.

Mrs. Carlin, um, we've prepared
the porcine valve replacement.

Uh, a bovine replacement
is a whole different surgery,

Like the mechanical valve
was a whole different surgery.
Do you think it's possible
that I could see the valves--

Right, the pig and the cow?
Cause maybe then I could--

I could recognize one
as more familiar.
Well, we don't do that.

We don't March the parts
around the hospital.
Maybe we should
call this off.

Can I do that?
If you're not comfortable,
we can postpone it.

Uh, no, no, no, no. I mean,
I-I can get the valves...

And I'll bring them here.

Oh!
Okay?

You're so wonderful.

You really are. You're...
Okay. Great.

Great.

(laughs) oh.

(whispers)
she's so wonderful.

(whispers) she is.
(normal voice) oh!

Richard... Tom kates
needs a splenectomy.

Any chance I can get you
to do the procedure?

Oh, well, I've, uh, asked bailey
take over my service,

You know, with--
with the merger and all.
It's a high-profile patient.

I thought you could make
an exception.

Sure.

(cristina) you must have extras
lying around.

We don't.
What, you--you never
drop one?

Open up box ane

That the pig
has a cholesterol problem?

Let me check in the back.
Okay.

She thinks maybe one of them
will speak to her.
It's ringing.

I mean, I am prepping

For three different surgeries
in one day,

Chasing animal parts
all over the hospital.

Teddy thinks it's hysterical,
but this may actually kill me.

Maybe one of them
will speak to her.

There are pros and cons
for each.

At the end of the day,
it's a gut thing--pig or cow?
It's not a gut thing.

It's a decision
based on fact and reason.

Hey! Where are my parts?
Izzie, it's me.

Um, I know you want space,
but you can't have space.

Because alex
might be moving on.
Come back and work
in the clinic,

'cause you're throwing
your career away.
Cristina.

She got fired from surgery,
not all medicine.

Ignore her. Just call me back.
Okay, bye.

(cell phone beeps)

There. That wasn't
so difficult, was it?

Okay.
Got the first band.

Let's move down so I can
take a look at the second.

(lexie) like that?

Good.

Why can't I grab his leg?

Problem?

No, it's just one of the bands
is holding the leg in place,

Making it a little difficult
to get around.

Can you move the ultrasound
up here?

Oh, come on.
What's the matter?

Her uterine arteries
are engorged.

But the only way in
is in between them.

Okay, I'm gonna need
another trocar.

You want to hold this?
Are you sure you have
enough room?

Those arteries are huge.
That's why I'm gonna be
very, very careful. Scalpel.

What happens if you nick them?
Dr. Grey?

She could bleed out.
They both could.

I don't like it.
It's too dangerous.
Mark, I have assessed
the risk factors.

I'm 95% confident I can
get around the arteries.

I'm choosing to continue
my surgery.

And I don't like
the other 5%.

You hit any one of those,

She bleeds out
right on this table.

Look, you're nervous.
I get that.

I'm a surgeon, and I'm looking
at a time bomb in a uterus.

Shut it down. Now, addison.

Let's close her up.

(woman) I've got six so far.
(woman) forceps?

You good to go?
(miranda) yeah.
What, are you babysitting?

'cause I'm new at this.
Where's the chief?

I don't know.
Check his office.

He said he was gonna do
the surgery.
And then he told me
he didn't have time

And asked me
if I would do it,

Which I was planning on doing in
the first place, so I said yes.

Uh, he said something
about a budget meeting.

I think he's pretty swamped.
If he's got time to watch

Old surgical films with you,
he's not swamped.

(lowered voice)
what the hell is going on?

The chole patient,
your boyfriend?

That was the chief's mistake.

And he hasn't touched
a patient since then.

He's been busy
with the merger.

Yeah, I've heard
that story before.

What is going on?

(monitor beeping rhythmically)

It is not my job to get
involved in his personal life

Just like it's not your job
to get involved in mine.

10-blade.

I made a judgment call.
You didn't like it.

I'm sorry.

You threw me on a plane in
the middle of my morning coffee

Because you wanted
my judgment.

It was risky.

That is not your call to make
in my o.R.

You acted like a father.

Why do you think we don't
let parents in the room

During an operation?
I'm not her father, addison.

Biologically, yes,
but... I just met the kid.

I'm helping out.

You reacted like a parent.

Now I don't know when,
I don't know how,

But at some point, you became
a dad to that little urchin,

Because you just lost it
in my o.R.,

And mark sloan never loses it
in the o.R.

Not ever.

Yes, it was risky,

And, yes, most surgeons
would've jumped ship

At the sight
of the engorged arteries.

But I am not most surgeons,
and neither are you.

Look, we can try this again...

With you in the waiting room.

It's too risky.
She's just a kid.

Well, uh, have morrison

Monitor the bands
as the baby grows.

It might be okay.

I gotta go.
Patients at home.

Congratulations.

You're a parent.

(sighs)

Neither one
is speaking to me.
Oh, for god sake.

Are they speaking to you?
They aren't.

Ruthie, if I put your own valve
in front of you,

It wouldn't
speak to you either.
I have a cousin.
His wife is a cardiologist.

I should call her.
No, no, no, okay? No.

No more calls. This is about
you and your heart.

And you need to use your
instinct and make a decision.

Right now--
pig or cow?

But I--
pig or cow?

Pig or cow? Don't think.
Just--pig or cow? Go.

Now! Now!
Pig. (groans) no. Cow.

Pig! Pig! Pig. Pig.

Pig.

(sighs)

The procedure went well.

You're gonna be back
on your feet in no time.

Great.

Great.

You're scared to play.

You thought you were done.

And when I said you'd be
back in the game next season,

You panicked.

Um... I used to be able
to block out the fear.

But ever since des was born,

I'm--I'm on that field,
and my heart starts racing,

And I can't catch my breath.

You know, I look at guys
who played their whole careers.

They're hit so many times,

They can barely remember
their own names.

And I'm scared he's gonna
grow up without a dad.

I'm scared all the time.

It's a natural reaction.
You're a father.

Why don't you retire?

Oh, come on. Two years
into a pro career?

I mean, I can't.

I mean, I know I'm not
a soldier in iraq

Or--or a rocket scientist
or any kind of real hero.

I know I'm just some big,
dumb jock.

But I'm a big, dumb jock
the entire city... Roots for.

Kids, guys on the street--

I can't let them down.

This is the trade off.
I get hit.

Mm.
Some guys can't even
feed their families, you know?

And some guys
are soldiers in iraq,

And they get shot at.

So--so I'm not complaining.

I'm just...

I'm scared of the hits.

I want to be able to remember
who my kid is.

Okay, no more bubbles.

Okay, pressures are good.
Let's come off.

Decannulating.

(alex) I told torres
she had to let you scrub in

If she was cutting.
Cool.

Book an on-call room.

What--what happened
to drinks first?

Ah, it's kind of
a waste of time, right?

Cut to the chase.
(chuckles)

Hey, reed.

Do you know izzie stevens?
Grey.

Yes. I met
before she got fired.

You know she's alex's wife.

And she's not here right now,
but they're still married.

Meredith, shut up.

No. Some people think
you're divorced, and you're not.

Uh, you know, w about
you just shut up

Long enough to watch
your friend tank her valve?
Howwhat?

(steve) she's tachycardic.
(cristina) suction.

(monitor beeping erratically)
take this.
Laps. I need more laps.

Someone get me
a sponge stick, please.

Um...

I'm having difficulty
locating the bleeder.

Dr. Altman?
Keep looking.

(steve) b.P.'s dropping.

Well, how come altman's
not doing anything?

(beeping continues)
suction. More suction.

Yeah,
knee looks like crap.

Buthat's been true
for a long time.

He should be able
to play through the pain.
What if he can't?

What about a knee replacement,
right now?

He needs to stop.

How about we make it
so it's not his idea?

(monitor beeping erratically)
systolic's down to 80.

I could suture directly
or clamp.

I don't know which one to do.
I don't know either.

Well, my guess is, is if you
came and looked at it,

You'd have a better idea.
I'm sure that's true,
but I'm not the one operating.

This is a lot of blood.
She's crashing!

You're overthinking it.
Dr. Yang--

Look at the aorta.
What does it tell you?
That I have two options, and I
don't know which one to do.

(reed) this is crazy.
Why isn't she helping her?

How's it going?
Yang's killing her patient,

And altman's reading
"the atlantic monthly."

If I suture,
it might not hold,

If I clamp, uh,
it--it could rupture.
Her b.P.'s tanking.

(monitor beeping erratically)
what the hell are you doing?

I'm teaching,
and she's learning.
She needs help. She may be
too proud to say it,

But how about we don't
let this patient die

And give her a hand anyhow?
She asked. She's not
that proud. And I said no.

This patient
is not going to die.

She is going to save
the patient.
Pig or cow?

You are sitting on your hands
because you are angry with me.
Get over yourself.

If that patient--
dr. Hunt, you are blowing
my concentration.

Now get out of my o.R.

(beeping continues)

Pig or cow? Pig or cow?
Pig or cow? Pig or cow?

Pig. Clamp. 3-od pledget.

(beeping continues)

Dr. Torres and I think
your knee needs replacing.

Well, that's been true
since college.

There's just too much
degeneration.

The joint is completely shot.

You need
a unicondylar repair,

Or you may lose
the ability to walk.

But a knee replacement

Will take me
out of the game forever.

Exactly.

(jack savoretti)
? like never before ?

? while the newsmen... ?

Okay, it's--
it's coming up.

Lookright there.

Look at that.

That's the minute we knew
your mother was different.

Oh, and that other hand holding
the retractor? That's garber.

He was the chief of surgery
back then.

No one could believe it.

She walked in that room
a resident

And walked out a legend.

? war's getting old ?

? so let's break free ?

? from all these chains ?

Derek was worried
when you didn't show up

For the, uh,
tom kates surgery.

Yeah, derek worries.

That makes him a good guy. Oh,
look, look, look, look, look.

(sighs)

If dr. Montgomery had hit it
during the procedure...

It's dangerous.

Well, what about that band
that's squeezing his thigh?

He's not even gonna have
a knee?

Sloan, you coulda died.
Well, I can't have
a gimpy kid.

Honey, I know I haven't been
your father for long,

But if you say "gimp" one more
time, I'm gonna smack you.

You don't get it.

(voice breaking)
he needs legs. Okay?

He doesn't have a dad, and he's
got a stupid, slutty mom.

Don't you see?

I've already hurt him enough
by giving him me as a mother.

He needs feet.
Sloan--

Look, I don't know how to
take care of any baby, okay?

I can't have one that's hurt.
I just can't handle it.

My mom doesn't even talk to me.
I'm doing this alone.

Please.

Listen...

You're not stupid.

(sniffles)

And you're not slutty.

The sloans...

Are a...

Passionate people.

You dragged yourself
across the country

So that you could get help
taking care of this baby.

That's not being stupid.

That's being a mom.

I'm not gonna let anything
happen to you or the baby.

?

Go to l.A.

Addison said 95%.
That's not that bad.

Let her do the surgery.

?

Looks like
we're going to l.A.

? taking our souls ?

(clears throat)
you're not gonna do this alone.

Hey.

Stay.

After the baby's born,
live with me and lexie.

Raise the baby with us.

I don't know anything
about being a dad.

You don't know anything
about being a mom.

Maybe we could...

Figure it all out together.

Really?

Yeah.

(laughs) okay.

? ...Break free ?

Drill, please.

Are you sure there's nothing
I can do to help?

Uh, no.

So I'm not gonna get to do
anything in this surgery.

Not worth what you paid
for it?
Shut up.

You guys are all worked up
about how none of you

Get to opete anymore.
But you know what?

At some point, you'll log
enough hours with a scalpel.

At some point,
you'll be surgeons.

And one day...

(tapping instruments together)
you'll look up and realize,

"wow, there's more
in the world than cutting."

Tom kates' career is ending.

That is what's happening
in this room.

So could you for one second

Think about something
other than yourselves?

Bone saw.

God. I can't believe
I'm taking out

The best quarterback
seattle's ever seen.

You're not.

He was out of the game
a long time ago.

(monitor beeping rhythmically)

(indistinct conversations)

I would have stepped in.

I would not have let
that patient get hurt.
I know that.

She needs to be pushed.
She's like a racehorse.

You need to push her, otherwise
she's gonna lose her mind.

I know, teddy.

So nothing else
was going on in that room?

Owen...

(sighs)

Mm.

You ready to p up?

Oh, that was
the lamest assist in history.

It's hardly worth...

Oh, no. A deal's a deal.

(stammers)

Look, okay, there might have
been a little misunderstanding

About what "you know" means.

I-I don't--I don't trade
surgery for sex.

If you want sex...

Ask for it.

If you want surgery,

Go kiss an attending's ass,
not mine.

?

Hey. Hey. Hey. Whoa.
Whoa, whoa, whoa, whoa.

Hey, this is illegal
and immoral and...

And you two should be
ashamed of yourselves.

Charlie, go hell.

(scoffs)

?

How am I the bad guy here?

(man) ? there's a painting
of a ship ?

(mark)
I should've asked you first,

But I was so excited.

And I was so sure
it was the right thing.

And you know why?
'cause of you.

Since you, I know,
for the first time in my life,

What the right thing is.

I am happy for you.
I really am.

Something happened today.

You became a dad,
a real one.

And sloan, against all odds,
became a mom.

But I didn't.

I was barely ready
to move in with you,

Never mind your daughter
and--and--and grandbaby.

I-I just...
I don't want this.

You wanted to give
your liver to your dad.

This is what you do
for family, right?

I understand
why you're doing it.

I just don't understand
why I'm doing it.

Well, I think
you're doing it for me.

Don't make me out
to be the selfish one.

You don't get
to unilaterally decide

To let a teenager
and her infant

Move into our house.

Well, we'll get a bigger place.
She needs us.

Lexie...

I thought I missed this.

This is a chance for me.

Don't make me choose
between you and her.

Why?

'cause you'll choose her?

?

Yeah.

I'll choose her.

?

(sighs)

I think our relationship
just ended.

? August ?

? to July ?

? August ?

? to July ?

? July ?

Something's going on
with the chief,

And I can't figure it out.

I think he's scared
to operate.

Is that possible?

You don't know
or you're not gonna tell me?

(florence & the machine)
? a falling star ?

? fell from your heart ?

? and landed in my eyes ?

Did you see that?
Oh, I'm holding the heart,

I-I feel it almost starting
to fibrillate in my hand--

I mean, piss-poor aortic tissue,
I mean, possibly irreparable--

And then--bam.

Sutures hold
and it comes back.

Please. I know. I don't
want to see the face.

I-I-I don't want to hear
what you have to say.

I-I was fine.
I was on fire.
I know that.

I was learning. I felt alive
for the first time

In I don't know
how long, owen.

I was--it was like I had
air in my lungs--
she's leaving... Seattle.

? no dawn ?

It's just not gonna work
for her.

? I'm always in this twilight ?

? in the shadow of your heart ?

When I lost my nerve,
the chief helped me.

? I can hear your heartbeat ?

It's... Nothing.

If it's nothing, find a way
to look me in the eye.

? but then ?

? it stopped ?

? and I was in the darkness ?

What are you doing
in here?

Moving in.
No. No, no, no, no.

I'm--I'm sick of living
in that damn trailer.

Go live in izzie's old room.

You go. She's your wife.

? they have all been blown out ?

I thought you were shacking up
with what's his face.

(exhales deeply)

I'm not.

The post-it didn't say
anything about lying

Because I didn't think
it needed it.

I'm not lying.

You don't need to know
every thought in my head.

I have relationships
that don't involve--
meredith, what are you doing?

I'm too young to be
a grandmother. (laughs)

(laughs)

I'm still supposed to be
working like a dog

And--and--and then come home
and do stupid things,

Like bungee jumping
and jell-o shots.

(laughs) I don't even know

What people my own age
do anymore.

(sighs)

I know something stupid
you can do.

? then I heard
your heart beating ?

? you were
in the darkness, too ?

(chuckles)

(chuckles)

(both chuckle)

? ...In the darkness with you ?

? the stars, the moon ?

You never forget the moment
you become a doctor.

(sighs)

? you left me in the dark ?

I don't know.

I-I-I...

I keep telling myself
there's no problem,

But if there's no problem,
then why can't I just say it?

A switch flips...

Suddenly you're not playing
dress up anymore.

? the stars, the moon ?

You own the white coat.

? they have all been blown out ?

Dr. Altman, wait. Wait.

What do you want?
I-I--more money?

'cause I'll talk to the chief.
No, I--no--

You know, they can set up
a new cardio unit with a--

With a research lab or--
or you can work with v
it isn't about that.

Wait. Wait. No one--no one has
ever believed in me like this.

(voice breaking) you believe
in me more than do,

And I need that. I... I'm
gonna die here without that.

Cristina, it's so complicated.
I can't--
you know, it's okay.
Just--fine.

Tell me what you want,
and I will make it happen.
I want owen.

Fine! Done! Take him.

What you may not notice

Is the momt
that being a doctor...

Changes you.

(sighs)

He's drinking again.