Grey's Anatomy (2005–…): Season 6, Episode 14 - Valentine's Day Massacre - full transcript
It's Valentine's Day and the doctors must treat dozens of injured people after the roof collapses at a popular romantic restaurant; Derek tries to manage his busy schedule as Chief of ...
[Meredith] The surgical scalpel
is made of sterilized,
carbonized stainless steel.
This is a vast improvement
over the first scalpel,
which was pretty much a sharp stick.
Medicine is constantly
reinventing itself.
That means surgeons have
to keep reinventing themselves, too.
- l can't believe we're doing this.
- [Derek, Owen] lt's Valentine's Day.
[Meredith, Cristina]
We don't do Valentine's Day.
- More to life than the hospital.
- No, there isn't.
- lt's romantic.
- No, it isn't.
[Meredith] There's constant pressure
to adapt to changes.
[siren wailing]
- Ambulance!
- It can be a painful process.
- Eyes front, ladies.
- But without it...
[sirens wailing, horn honking]
- OK, that seemed big.
- lf it's big, they'll page us.
[pagers beeping]
- lt's big.
- Yes!
[Meredith]...you'll find yourself
moving backwards, instead of forwards.
- What's going on?
- Grandinetti's roof collapsed.
We'll be getting more than a dozen.
All scheduled procedures are pushed.
On Valentine's Day?
Grandinetti's must have been packed.
Well, tonight's out.
l told you this would happen.
That's why we went to dinner at four,
and exchanged gifts.
[giggling]
Just special. Original.
Magical. Squeals of joy.
- Wow, Scrooge!
- [Bailey] Scrooge is Christmas.
- That's a holiday.
- [Dr. Warren] Dr. Bailey.
My hemicolectomy is pushed.
lt's a shame.
l was really looking forward to that.
Well, that's... You know...
Maybe we could make up for it.
Dinner tomorrow?
No! [stammering] l...
Just... l'm busy.
l have surgeries most nights.
l always have surgery.
Right. Well, um...
Maybe see you in the OR, then.
[elevator dings]
[Arizona laughs]
[laughing] Oh, my God. She likes him.
Oh! [giggles]
- You like him?
- You should totally go out with him.
- You have to say yes!
- lt's Valentine's Day! You have to!
OK, see? This, right here,
what's happening,
with the giggling, the girl talk,
the OMGs...
- OK, it has to stop. l am busy.
- [laughing]
- [laughing]
- [elevator dings]
[Mark] Hey, Torres.
Do you know anything
about putting together cribs?
- You bought a crib?
- Sloan's coming home tonight.
And l got it put together,
but it wobbles. lt can't wobble.
Will you take a look at it?
[laughs] You're like a sweet, nerdy dad,
now. l don't even recognize you.
- Who's the blonde?
- l don't know.
l may be a dad, but l am a single dad.
- Excuse me.
- [laughs]
OK, now l recognize you.
lt must, uh, suck to work
on Valentine's Day.
l don't believe we've met.
Aah!
- What did you do to your hair?!
- l changed it.
l colored it. l just... [sighs]
Wait, you thought l was someone else.
You didn't know it was me,
and you were hitting on me?
No, l pretty much
thought you were some blonde.
You are pathetic.
And hypocritical.
- And slutty.
- And you are no blonde.
You can't pull that off.
Blondes are either bad-ass or fun.
And you're... you're a brunette.
- Damn!
- Shut up!
Quit staring. l'm probably
gonna change it back anyway.
No, l get it.
You get dumped by your boyfriend,
and you go for the extreme makeover.
Chicks always do that.
l didn't get dumped.
l did not do this for Mark.
l just... lt's Valentine's Day,
and l wanted to change something,
and l could change...
l wanted to do something for me.
OK? This was for me.
How is that different
than what l just said?
l'm changing it back.
- [man 1] Watch that rock, please.
- [man 2] This is medic 1 6...
Restaurant roof collapse.
So far a penetrating abdominal injury,
a sucking chest wound
- and a massive head wound.
- [Owen] To the left!
- There's an open fracture on the way.
- You're still here.
lf you're here, l'm here. An OSHA
investigator is waiting in the lobby
and also two TV crews
are asking for a statement.
- l told them to wait for you.
- We cleared the OR board.
Also, l paged Bailey,
Nelson, Altman, Hagan and Sloan.
- l'll get...
- Stop! Who do l see first?
- Skull fracture, trauma one.
- The OSHA guy.
- Chart, please.
- [Owen] Get as many people as possible
off the backboard, clear C-spines
clinically but if you're not sure,
wait for X-ray,
no matter how backed up they are.
- Hold the elevator!
- [woman] l got it!
[Derek] Trauma four is open.
- Bring the chart, please.
- [woman] Right away.
- Where are they taking my husband?
- He's going into surgery.
His doctors will let us know more soon.
Take a deep breath for me?
- What do we have, Grey?
- Decreased breath sounds on the left,
- possibly a pneumothorax.
- Put in a chest tube if you need to.
- Evaluate and page me if it's surgical.
- [both grunt]
- Sorry.
- l'm sorry.
[Owen] OK, let me see the chart.
Looks like a pretty bad break.
You're gonna have to have that reset.
l wonder if there's any chance
you could put me
in a bed next to that lady.
[scoffs] Yeah, sorry,
it doesn't work like that.
Of course. Forgive me.
l've been a head waiter for 25 years.
l know how it works.
l'll see what l can do.
[Derek] Depressed skull fracture
with a subdural hematoma.
All right? Book an OR.
- Chief.
- Yeah.
Reassign some anesthesiologists.
You're being cupid for Bailey.
l don't do that.
l did that once, she yelled at me.
l'll be cupid. You just be the chief.
- l am not cupid.
- Sign.
Dr. Shepherd, the reporters
are waiting for a statement.
- l have surgery.
- Actually, Dr. Nelson said
he can take your skull fracture.
You've got the trustees' breakfast
in the morning, and when the trustees
turn on the 1 1 :00 news,
it's your face they'll want to see.
[Derek sighs]
- [woman] Clear the hallway!
- [woman 2] Will do.
- Watch it, coming through!
- [man] l've got the arm.
[Owen] What do you got?
[woman] Traumatic amputation
through the left distal humerus,
bleeding controlled with pressure.
Got ten of morphine
- and vital signs are stable.
- Get him in Trauma Three.
Put him on a monitor, push two of O neg!
- Grey, Avery, you're with me.
- [April] Chief Shepherd?
[reporter] Shepherd!
[reporter 2] What about
the fact that this...?
Can she have some water, please?
l'm afraid she can't.
Emile, stop.
My husband and l have been going
to Grandinetti's
for 1 5 years.
Every Friday night.
And sometimes Tuesdays.
Emile always takes very good care of us.
But now it's time
to look after yourself.
l just thought
you'd want someone with you,
until you find out
that Mr. Banks was OK.
Thank you.
My patient's stalking your patient.
He's being a good waiter.
And apparently, we're his busboys.
Dude gave me 50 bucks to put him next
to her. He's got the hots for her.
Her husband is in surgery.
She's married.
You're saying that
'cause you think you're married.
His 50 bucks says he makes a move.
You in or out?
l'm in. And l am married.
- [April] Mrs. Shepherd?
- Huh?
- l'm not Mrs. Shepherd.
- You're not?
- l'm Dr. Grey.
- Right. Right.
Um, Chief Shepherd wanted me to ask you
about the trustees' breakfast.
You Shepherd's flunky?
ls that why he hired you back?
l'm on his service this week.
And during this transition,
he needed a little more help
on the administrative side.
l'm not his flunky.
So will you be going with him to the
breakfast or meeting him there?
l, um... am not sure l'm going.
- Well...
- [both laugh]
You have to. You're his wife.
Sloan? When did you get in?
- Does Mark know you're here?
- No. My flight got in a little early.
And l took a cab over.
l didn't want to bug him.
Somebody said
that you guys have a free clinic.
- Do you know where that is?
- ls everything OK?
Yeah, l just want someone to check me
out after the surgery and everything.
- Maybe give me an ultrasound.
- The clinic closed an hour ago.
Come on, l have a second.
l'll take a peek for you.
l need another four-by-four.
Dress him, l'm gonna take
another look at the arm.
His wound's completely macerated
and contaminated.
Why wasn't this guy brought in first?
He was lying in dirty dishwater
for a while before they found him.
- They forgot l was back there.
- No.
lt's all right.
l'm not...
l'm not too big on talking to people.
And nobody talks to me much back there.
They just, you know,
bring me the dishes.
l lost my arm.
l don't wanna have one arm.
l don't want to be a freak.
l don't like people staring at me.
- We're gonna do everything we can.
- Please.
OK, Frankie, l'm gonna take you
up to surgery now.
We're gonna try and reattach the arm,
OK?
Do we have an open OR?
l'll prep him. Work on the stump.
You debride the arm, tag the vessels,
get it up to me as soon as you can.
[Lexie sighs]
Wow. Trauma Room Barbie.
[Bailey] lrrigation here
and suction, please?
[Arizona] So Grandinetti's is gone.
A Seattle institution.
- Dr. Warren, you ever been there?
- Couple times. Good scampi.
Yeah, place is so romantic.
Perfectly lit, intimate.
Those cozy little booths in back.
[Bailey] Three-oh silk tie, please.
[Arizona] A little too intense
for a first date, though.
Bailey, where would you go
on a first date?
- lsn't there a dying child somewhere?
- Nope. l had some time.
And l wanted to observe one...
- ...one of these.
- [scoffs]
[Callie] Aw!
- Baby looks perfect.
- Awesome.
- Um, can l, like, get that in writing?
- Oh.
Even better.
- Here is a souvenir.
- Oh... Um...
Don't you have some
kind of official form or...
...a hospital document you can give me?
- Why do you need an official form?
- Well, it's none of your business.
lf you want your official form,
it is, Sloan.
What's going on?
lt's for the adoption attorney, OK?
They need, like, a clean bill
of health from me or something.
There's this great couple
in San Francisco.
- And they have these two big dogs.
- An adoption attorney?
Yeah, l'm not ready to be a mom.
l'm just not ready yet.
- Have you told Mark?
- No.
And you're my doctor, right?
l mean, don't you guys have some kind of
rule that says you can't say anything?
l'm not gonna tell him.
And neither are you.
[beeping]
Do you think she needs an extra blanket?
She gets chilled easily.
She must be one hell of a tipper.
- Sorry?
- l see why she comes in every week.
l bet you take better care of her
than her own husband.
[Emile chuckles]
[Emile] When she first
started coming in,
before they met, we had a little game.
She would try anything we served.
She was adventurous. Fearless.
When she'd gone through the menu,
l would challenge the chefs
to come up with something new.
[chuckles]
lt became, she became,
my favorite part of the week.
Then one night, she came in with him.
She felt like this
was a safe place for a first date.
[chuckles]
That ring on her finger...
The night he proposed to her,
l placed it in the creme brul?e
for her to find.
l watched her say yes
from the kitchen window.
And they never stopped coming in.
But now he orders for her,
same thing every time.
For 1 5 years, l've watched their
conversations grow shorter
and shorter.
Until now, all they do is eat.
She has no children.
lf he dies,
she'll be...
She'll be all alone.
She's so afraid, l can see.
And all l want to do
is take her hand in mine and tell her
she'll be all right.
She'll never have to be alone,
if she doesn't want to be.
You'll let me know when you have
good news about Mr. Banks, yes?
Yeah, right. Of course.
- You can't leave without telling him.
- Yes, l can. l can do whatever...
- Sloan!
- Crap.
When did you get here?
l thought you were gonna call first.
Look!
Oh, my God. Would you look at that?
That's the Sloan nose.
Can you see it?
Can you see it?
lt's my dad's. He has my dad's nose.
That's the Sloan nose.
[pager beeping]
Damn it. Will you wait for me?
l wanna take you home.
l got a surprise for you.
Could l see this again?
The Sloan nose.
You win. He's been staring at her
from his kitchen for 1 5 years.
- He's not gonna tell her now.
- He just did.
She was awake the whole time. She heard
everything. She has to say something.
- She's not. Her husband's in surgery.
- So? They're clearly miserable.
Did you hear
the whole creme brul?e thing?
Fifty bucks says she
tells him she loves him, too.
- You're on.
- Hi.
- l've got your keys.
- What?
Dr. Shepherd told me you might
not make it home before the breakfast,
so l should ask you what you need from
your closet and l'll grab it for you.
You are not going in my closet.
Aren't you supposed to be a surgeon?
He really needs you
by his side at that breakfast.
l am a surgeon. You tell the chief
that l will be in surgery.
[stammers] So l'll just
pick something out for you.
[Avery] So Yang's with Hunt.
Grey's with Shepherd.
Torres is with Robbins.
And you were with Sloan,
until he dumped you.
lt's a wonder you guys
got any work done.
He didn't dump me.
He forgot about me.
He decided that we
were going to start a family,
and didn't ask me.
He forgot l was even there.
He just left me
lying in dirty dishwater.
What?
Nothing.
l'm pretty.
- What?
- ln my family. l'm the pretty one.
You know, um, my eyes and...
...my smile and my body.
You should see me without a shirt on.
lt's kind of ridiculous.
But my family is smart, driven,
crazy overachievers.
And they look like they're smart.
They don't look like me.
Which has its perks,
except that my family
treated me like l'm pretty.
They expected nothing from me.
Ever. They never pushed me.
Never thought to.
So l had to push myself. Hard.
l didn't even tell them l was taking
the MCATs till after l'd aced them.
My point is that
you can't just change your hair.
You want to be unforgettable,
you want to not be mousy?
You can't just change your hair.
You have to actually change.
Just saying.
[Bailey] OK. l'm removing the glass
very slowly...
OK, take this. Bovie.
[Arizona] Nice work, Dr. Bailey.
Dr. Warren, can you believe Dr. Bailey
almost left general surgery
for Peds surgery? Did you know that?
- [Warren] l did not.
- [Arizona] She almost said no
to general surgery.
But then she thought about it,
and she changed her mind.
She wasn't afraid
to rethink her decision.
She just needed to be asked again.
[Warren] l see. Clearly.
- You have my report thing?
- No.
He took you in.
He's given you money,
he flew you to LA.
He deserves to know. So if you're
not gonna tell him, l will.
You paged me?
- What's going on?
- You paged him?
- What's the matter?
- [Callie sighs]
- Mark, she's...
- l'm giving the baby up for adoption.
l'm not a mom. l'm not ready.
And l want him to have good parents
and a good home.
No, don't. Don't do this.
Don't give this baby away.
They'll love him.
They'll love him more than l will.
Give him to me.
l'll take him.
l'll adopt him.
l understand. l understand
you're not ready, but l am.
And l know l don't have
the best track record.
And l should have been there for you,
and l wasn't.
But l will be there
for this baby. Please.
l want him to have a family and...
You've been really nice to me
the past couple of months,
but you're not a family.
You're just a guy.
- Sloan, please.
- l'll help.
Uh... [laughs]
l'm right across the hall.
And we're a family, sort of.
And we're doctors.
And we're best friends.
And... And we're good people.
We'll... We'll take care of the baby.
Together.
We'll love him.
Really will.
[Mark] Just think about it.
Go home, we'll talk about it.
Can we talk about it?
Yes. Yes, we can.
We can talk about it.
[Callie laughs]
- Thank God. Where'd you get those?
- Patient room.
Guy's in a coma, he's not gonna
miss them. Anything happen?
He's still asleep.
She wants to say something.
Oh! Oh, my God, l'm starving!
- Ooh. These are all half-eaten.
- So you can see what they are.
What are we doing?
[Alex] Her boring
husband's in surgery.
This dude's been in love with her
for 1 5 years.
[Meredith] She just found out. We're
waiting to see if she says something.
- Or if her husband croaks.
- lt's OK if he does
because they're miserable. l mean,
is this what marriage turns into?
Running out of things to say
and changing who you are?
- Probably.
- Yeah.
Well, l didn't marry Derek to be
the chief's arm candy. l'm a surgeon.
Yeah, you married him
for the great surgeries.
[laughs] l didn't do that either.
- Right.
- You should have.
Shh! She's gonna say something.
She's gonna wake him up.
Oh! What's she saying?
[inaudible]
[rapid beeping]
She can't breathe! Get a crash cart!
[rapid beeping continues]
She's got a big air leak
in her chest tube.
- What's happening?
- Keep her on 1 00 percent O2.
Get a bronchoscopy. Grey,
see if an OR's available just in case.
She's having trouble breathing. We'll
let you know more as soon as we do.
We saved the arm. We saved it.
We're ready.
- lt's gonna have to be an amputation.
- [Lexie] What?
There's too much devascularized tissue,
too much contamination.
We could push antibiotics and let
the stump heal, but by that time...
[Owen] The arm will be dead.
Page me when he's awake.
l'll tell him.
They... They can't just leave it behind.
We could move it somewhere else.
Attach it to a healthy zone.
Don't tell me, mouse.
l'm just saying they could...
Temporary ectopic replantation!
You have to keep the arm alive
until the stump heals.
Yes, but in cases involving the elbow...
lt's extreme. He'll lose
range of motion, grip failure.
He'll keep his arm!
He deserves extreme measures!
lf the arm is still viable,
you can't just let it die.
Has it ever been done before,
above the elbow?
l don't know. lt could be done.
You could implant it onto the epigastric
and the venae commitante.
Give you a few days
for the stump to heal.
- [Owen] l've never done one.
- Neither have l.
So? After today,
you can't say that anymore.
Come on! l told him that we
would do everything we could,
do everything that we can!
l'll call Shepherd and let him know.
Grey, Avery,
get ready to scrub in.
We're gonna be a while.
OK, that?
Not mousy.
You're going into surgery now?
- There's this breakfast.
- l know. l know about the breakfast.
Because there's some
resident l don't know
- rooting through my closet right now.
- Sorry. She's over-eager.
l have surgery.
l can't really give up the surgery.
- No, l wouldn't want you to.
- Just to smile
and stand at a podium
for the suits? lt's...
No, you shouldn't come.
You know, my patient,
she's somebody's wife, too.
And l'm her doctor, and...
- OK?
- OK.
OK.
[water running]
- Hey.
- Hey.
l got a tracheobronchial tear.
Transitory ectopic implantation.
Wow. Nice.
l rented a house. lt's amazing.
lt's right on the water,
a little cottage. And there are deer.
Like Bambi deer and singing birds,
it's incredible.
l found this little secret coffee place
down the street from here.
And, uh, oh,
l was thinking of getting a puppy.
But, you know,
you have to be home with a puppy
and l'm always here.
So l went down to the pound,
'cause l... l wanted
to get it out of my system.
You know, the puppy love.
And l held all of
these incredibly sweet dogs,
and you would have been really...
...really proud of me, Owen.
l didn't take one home.
l went out and got a fish instead.
Let me see. What else? Oh, l got
a bikini wax. Yeah, an actual wax.
l haven't had one those since,
remember l tried to wax myself...
- What is your point?!
- You were my best friend!
My best friend
who l could tell everything to.
And now you won't even look at me.
'Cause you said you loved me.
You said you loved me, too.
And then...
- And then you chose Yang.
- You chose her, too.
You chose her, too.
l feel like l'm cheating on her.
When l talk to you, l feel like
l'm cheating on her. So l'm sorry.
l miss my best friend, too.
[thunder rumbles]
Don't you have something else to do?
This is the closest l've been
to the inside of an OR in a week.
[Mark sighs]
[Derek] Last week,
l would have been paged in to help.
Now, l'm paged
about fundraising brunches.
l'm adopting Sloan's baby.
lt's the right thing to do.
- l think l can.
- Mm-hmm.
l certainly want to.
Callie said she'd help.
- l'm having a baby.
- Congratulations.
- l'm happy for you.
- l'm happy for you, too, chief.
lt's what you always wanted, right?
Yep.
lt's what l've always wanted.
[Arizona] How is he, Dr. Bailey?
lt looks like you're nearly done.
And it's just in time for dinner.
And maybe even some dancing.
- lf the patient looks good...
- [Bailey] He'll be just fine.
He won't be dancing anytime soon,
but when the time comes
and he wants to go out dancing,
he will be perfectly capable
of making that determination himself,
without any help from anyone.
And l don't need any help here,
so if you are through helping me,
you can go.
- l just...
- Now.
- She's nice. Chatty.
- Stop talking.
To be fair, l never said
a word about dancing, although...
- Shh! What is all this bleeding?
- [liquid sucking]
Ah! Splenic artery's torn.
- He's gonna lose this spleen.
- [rapid beeping]
Lap pads!
Where's my patient?
[nurse] No idea. He must have left.
[gagging]
l need help in here!
[Derek groans, sighs]
There you are. l've got your
wife's clothes for the breakfast
and l made note cards
for your speech for this morning.
- Good. Go home.
- lf you're here, l'm here.
- Honestly, l'm happy to help with this.
- You wanna be an executive assistant?
You should want to do surgery.
That's all l want to do.
l'm not sure l can.
l... Look, l'm grateful
that you hired me back.
lt's just been easier
to help out with this stuff.
lt's easier coming back as that,
rather than coming back as the doctor
who made a mistake and killed someone.
Killed someone's mom.
And l'm not sure l can be that person.
So if you're not sure you need me,
then maybe l shouldn't be here.
Dr. Shepherd?
l have a patient with an epidural bleed.
Come with me.
- You couldn't do it?
- Actually, we could. Um...
You need to prepare yourself. We needed
to take some extraordinary measures.
Your arm needed a blood supply to keep
it alive until we could reattach it.
So we had to relocate it
to where we could get one.
[gasping]
ls that my arm?!
What did you do?
Why would you do this to me?
- What did you do to me?!
- lt's only temporary.
OK, just for a few days.
Frankie, this is what you wanted.
- You wanted your arm.
- [Frankie] ln the right place!
l said l didn't want to be a freak!
You should have left me like l was!
Oh, come on.
Did you even tell him you're leaving?
Look, l just wanted a place to stay.
And some money. l didn't know
he was gonna care this much.
He bought a crib.
He's a good man.
And he'll be very good to your baby.
You could know the baby, if Mark raised
him. You could come back and visit.
l don't want to know
where to come back to.
lf l give him to you guys,
it's still my baby.
And l need him to be somebody else's.
l mean, my dad got
a clean break from me.
And look at him now.
Don't l deserve that?
[Callie clears throat]
Prenatal vitamins are not a joke.
Take them.
And do not skip
any doctor's appointments.
And if you get into any trouble,
or you have a problem with anything...
...call us.
Just... take care of yourself.
Thanks.
- Mrs. Banks?
- How is my husband?
There's been some complications,
but Dr. Bailey's working very hard.
And l'll let you know more
as soon as l do.
ls... ls Emile still here?
Emile is in surgery.
There's been some bleeding in his brain.
Oh, my God.
Oh, God.
He never said a word.
For 1 5 years.
- Did you know?
- [chuckles]
Why do you think
l kept going back there?
But then l met Bob,
and Emile never...
l made a choice.
- But you kept going back.
- l did.
Because Bob liked it.
And l love Bob.
lt became our place.
And, yes, he orders for me.
Because he knows what l like.
And it may seem like
we have nothing left to talk about,
but sometimes it's nice
not to have to talk.
Fifteen years ago, l made a choice.
And l keep making it every day.
That's what marriage is.
That's a lot of damage to his pancreas.
l can't get this bleeding under control.
- [rapid beeping]
- OK. More suction! More!
[Derek] The middle meningeal artery's
completely severed.
[Alex] What did l miss? l've been
literally watching this guy all night.
- How could l miss...?
- [Derek] You didn't miss anything.
First CT was negative,
there were no neurological symptoms.
The kind of bleed you never know about
until it's too late.
- [April] ls it too late?
- [Derek] l don't know yet. Bipolars.
- BP's 80 over 60, falling!
- [Bailey] Push another atropine!
Damn it. Come on!
[Derek] Damn it, come on!
Stay with me! Come on!
Stay with me!
Come on! Stay with me!
Stay with me. Come on.
Come on.
[water running]
The dude waited on tables and
watched his life happen without him.
He's probably better off.
[sobbing]
l can't... l can't do this.
l can't just...
l can't just watch people die!
l... l shouldn't have come back.
[Derek] Listen.
l made a mistake last year.
l almost walked away.
lf you don't feel the losses...
...if they don't hurt you
and humble you,
that's when you know you're not
cut out for this kind of work.
You can be a good surgeon, Kepner.
lt's why l brought you back.
Congratulations.
l thought we'd lost him,
- but you managed to...
- l can't talk to you.
Right. Um... Look, l'm sorry.
- l thought you and l might...
- l can't talk to you.
You make me nervous.
l forget what l...
And l say things l don't want to say.
And l can't...
l just go stupid.
l... l like you. That's all. There.
- All right.
- And so if you want to go to dinner,
fine. We'll show up and try to talk.
- How's tomorrow night?
- Fine. l might have surgery.
l might join you. [laughs]
You can tell your patient
her husband's gonna be OK.
- What about Emile?
- Shepherd said there was no way
to know it was detectable
until it was too late. Here.
- l think this means you win.
- l know. l don't want it.
l don't want it either.
You would have won anyway.
- You think?
- Of course.
- That's her husband.
- Grey, you ready to scrub in?
l have a valve replacement.
You know, l...
Yang is still here. Can she do it?
[Meredith] We have to keep
reinventing ourselves,
almost every minute.
Because the world can change
in an instant.
[Alex] Hello, Mrs. Banks.
How's Emile doing?
l'm sorry.
We did everything we could, but the
bleeding in his brain was too severe.
l'm very sorry.
Thank you.
[sobbing]
[Meredith] And there's
no time for looking back.
All those people out there.
They just want to stare at me.
They do.
The doctors want to see you,
they want to ask you questions.
Because you're very rare.
And special.
There might be press.
And there's a personal injury lawyer
floating around somewhere
that thinks that restaurant
might owe you a lot of money.
How much money?
Sometimes, change is good, right?
[Mark] l don't believe you.
You don't have to do that.
l wanted to before you got home.
And you don't have to do
what you offered to do.
l'm not gonna hold you to that.
- Mark...
- But thank you so much for offering.
And, uh...
...it could be kind of great, right?
[Meredith] Sometimes,
the changes are forced on us.
What are you doing?
Sit down.
[Meredith] Sometimes,
they happen by accident.
Oh, get used to it. l'm keeping it.
You should. You're moving on.
l didn't mean that was a bad thing.
lt's what you should do.
- l hate Valentine's Day.
- Me, too.
[Meredith] And we make the most of them.
[Teddy] Hey, Owen. Hey.
- Hi. Do you have a minute?
- l'll wait in the car.
No, stay. lt's fine if you stay.
l said that l love you
and it's out there
and l know that l can't
un-ring the bell,
but l'm un-ringing the bell.
l take it back.
- [Cristina] l'm gonna go...
- No, stay.
l miss my friend, Owen.
More than anything,
l miss my friend.
The rest l can deal with.
l can deal with it. lt's...
l have a job that l love,
and an amazing student to teach,
and l've got a cottage with deer,
and a fish
and various waxed body parts.
l'm gonna be fine!
You and l are gonna be friends.
And you're doing
a valve replacement with me in ten.
- [Cristina] Really?
- Go prep 221 9.
OK.
l'll see you at home.
[Meredith] We have to constantly come up
with new ways to fix ourselves.
You can't un-ring the bell.
l know.
But l am gonna try like hell.
[Meredith] So we change.
We adapt.
[man] Congratulations.
- [man 2] Good to see you, chief.
- Good to see you, too.
- Hey!
- Hi.
- You didn't have to come.
- l know l didn't. l chose to.
[Meredith laughs]
- Shall we go in?
- Yes.
[Meredith] We create
new versions of ourselves.
- [Meredith] Mrs. Shepherd?!
- [Derek] l know.
- Mrs. Shepherd?
- l know.
l don't do brunches.
l don't miss surgeries.
- And l don't do Valentine's Day.
- [Meredith] We just need to be sure
that this one is an improvement
over the last.
You're gonna have to make this up to me
with a lot of sex.
Yes, dear.
is made of sterilized,
carbonized stainless steel.
This is a vast improvement
over the first scalpel,
which was pretty much a sharp stick.
Medicine is constantly
reinventing itself.
That means surgeons have
to keep reinventing themselves, too.
- l can't believe we're doing this.
- [Derek, Owen] lt's Valentine's Day.
[Meredith, Cristina]
We don't do Valentine's Day.
- More to life than the hospital.
- No, there isn't.
- lt's romantic.
- No, it isn't.
[Meredith] There's constant pressure
to adapt to changes.
[siren wailing]
- Ambulance!
- It can be a painful process.
- Eyes front, ladies.
- But without it...
[sirens wailing, horn honking]
- OK, that seemed big.
- lf it's big, they'll page us.
[pagers beeping]
- lt's big.
- Yes!
[Meredith]...you'll find yourself
moving backwards, instead of forwards.
- What's going on?
- Grandinetti's roof collapsed.
We'll be getting more than a dozen.
All scheduled procedures are pushed.
On Valentine's Day?
Grandinetti's must have been packed.
Well, tonight's out.
l told you this would happen.
That's why we went to dinner at four,
and exchanged gifts.
[giggling]
Just special. Original.
Magical. Squeals of joy.
- Wow, Scrooge!
- [Bailey] Scrooge is Christmas.
- That's a holiday.
- [Dr. Warren] Dr. Bailey.
My hemicolectomy is pushed.
lt's a shame.
l was really looking forward to that.
Well, that's... You know...
Maybe we could make up for it.
Dinner tomorrow?
No! [stammering] l...
Just... l'm busy.
l have surgeries most nights.
l always have surgery.
Right. Well, um...
Maybe see you in the OR, then.
[elevator dings]
[Arizona laughs]
[laughing] Oh, my God. She likes him.
Oh! [giggles]
- You like him?
- You should totally go out with him.
- You have to say yes!
- lt's Valentine's Day! You have to!
OK, see? This, right here,
what's happening,
with the giggling, the girl talk,
the OMGs...
- OK, it has to stop. l am busy.
- [laughing]
- [laughing]
- [elevator dings]
[Mark] Hey, Torres.
Do you know anything
about putting together cribs?
- You bought a crib?
- Sloan's coming home tonight.
And l got it put together,
but it wobbles. lt can't wobble.
Will you take a look at it?
[laughs] You're like a sweet, nerdy dad,
now. l don't even recognize you.
- Who's the blonde?
- l don't know.
l may be a dad, but l am a single dad.
- Excuse me.
- [laughs]
OK, now l recognize you.
lt must, uh, suck to work
on Valentine's Day.
l don't believe we've met.
Aah!
- What did you do to your hair?!
- l changed it.
l colored it. l just... [sighs]
Wait, you thought l was someone else.
You didn't know it was me,
and you were hitting on me?
No, l pretty much
thought you were some blonde.
You are pathetic.
And hypocritical.
- And slutty.
- And you are no blonde.
You can't pull that off.
Blondes are either bad-ass or fun.
And you're... you're a brunette.
- Damn!
- Shut up!
Quit staring. l'm probably
gonna change it back anyway.
No, l get it.
You get dumped by your boyfriend,
and you go for the extreme makeover.
Chicks always do that.
l didn't get dumped.
l did not do this for Mark.
l just... lt's Valentine's Day,
and l wanted to change something,
and l could change...
l wanted to do something for me.
OK? This was for me.
How is that different
than what l just said?
l'm changing it back.
- [man 1] Watch that rock, please.
- [man 2] This is medic 1 6...
Restaurant roof collapse.
So far a penetrating abdominal injury,
a sucking chest wound
- and a massive head wound.
- [Owen] To the left!
- There's an open fracture on the way.
- You're still here.
lf you're here, l'm here. An OSHA
investigator is waiting in the lobby
and also two TV crews
are asking for a statement.
- l told them to wait for you.
- We cleared the OR board.
Also, l paged Bailey,
Nelson, Altman, Hagan and Sloan.
- l'll get...
- Stop! Who do l see first?
- Skull fracture, trauma one.
- The OSHA guy.
- Chart, please.
- [Owen] Get as many people as possible
off the backboard, clear C-spines
clinically but if you're not sure,
wait for X-ray,
no matter how backed up they are.
- Hold the elevator!
- [woman] l got it!
[Derek] Trauma four is open.
- Bring the chart, please.
- [woman] Right away.
- Where are they taking my husband?
- He's going into surgery.
His doctors will let us know more soon.
Take a deep breath for me?
- What do we have, Grey?
- Decreased breath sounds on the left,
- possibly a pneumothorax.
- Put in a chest tube if you need to.
- Evaluate and page me if it's surgical.
- [both grunt]
- Sorry.
- l'm sorry.
[Owen] OK, let me see the chart.
Looks like a pretty bad break.
You're gonna have to have that reset.
l wonder if there's any chance
you could put me
in a bed next to that lady.
[scoffs] Yeah, sorry,
it doesn't work like that.
Of course. Forgive me.
l've been a head waiter for 25 years.
l know how it works.
l'll see what l can do.
[Derek] Depressed skull fracture
with a subdural hematoma.
All right? Book an OR.
- Chief.
- Yeah.
Reassign some anesthesiologists.
You're being cupid for Bailey.
l don't do that.
l did that once, she yelled at me.
l'll be cupid. You just be the chief.
- l am not cupid.
- Sign.
Dr. Shepherd, the reporters
are waiting for a statement.
- l have surgery.
- Actually, Dr. Nelson said
he can take your skull fracture.
You've got the trustees' breakfast
in the morning, and when the trustees
turn on the 1 1 :00 news,
it's your face they'll want to see.
[Derek sighs]
- [woman] Clear the hallway!
- [woman 2] Will do.
- Watch it, coming through!
- [man] l've got the arm.
[Owen] What do you got?
[woman] Traumatic amputation
through the left distal humerus,
bleeding controlled with pressure.
Got ten of morphine
- and vital signs are stable.
- Get him in Trauma Three.
Put him on a monitor, push two of O neg!
- Grey, Avery, you're with me.
- [April] Chief Shepherd?
[reporter] Shepherd!
[reporter 2] What about
the fact that this...?
Can she have some water, please?
l'm afraid she can't.
Emile, stop.
My husband and l have been going
to Grandinetti's
for 1 5 years.
Every Friday night.
And sometimes Tuesdays.
Emile always takes very good care of us.
But now it's time
to look after yourself.
l just thought
you'd want someone with you,
until you find out
that Mr. Banks was OK.
Thank you.
My patient's stalking your patient.
He's being a good waiter.
And apparently, we're his busboys.
Dude gave me 50 bucks to put him next
to her. He's got the hots for her.
Her husband is in surgery.
She's married.
You're saying that
'cause you think you're married.
His 50 bucks says he makes a move.
You in or out?
l'm in. And l am married.
- [April] Mrs. Shepherd?
- Huh?
- l'm not Mrs. Shepherd.
- You're not?
- l'm Dr. Grey.
- Right. Right.
Um, Chief Shepherd wanted me to ask you
about the trustees' breakfast.
You Shepherd's flunky?
ls that why he hired you back?
l'm on his service this week.
And during this transition,
he needed a little more help
on the administrative side.
l'm not his flunky.
So will you be going with him to the
breakfast or meeting him there?
l, um... am not sure l'm going.
- Well...
- [both laugh]
You have to. You're his wife.
Sloan? When did you get in?
- Does Mark know you're here?
- No. My flight got in a little early.
And l took a cab over.
l didn't want to bug him.
Somebody said
that you guys have a free clinic.
- Do you know where that is?
- ls everything OK?
Yeah, l just want someone to check me
out after the surgery and everything.
- Maybe give me an ultrasound.
- The clinic closed an hour ago.
Come on, l have a second.
l'll take a peek for you.
l need another four-by-four.
Dress him, l'm gonna take
another look at the arm.
His wound's completely macerated
and contaminated.
Why wasn't this guy brought in first?
He was lying in dirty dishwater
for a while before they found him.
- They forgot l was back there.
- No.
lt's all right.
l'm not...
l'm not too big on talking to people.
And nobody talks to me much back there.
They just, you know,
bring me the dishes.
l lost my arm.
l don't wanna have one arm.
l don't want to be a freak.
l don't like people staring at me.
- We're gonna do everything we can.
- Please.
OK, Frankie, l'm gonna take you
up to surgery now.
We're gonna try and reattach the arm,
OK?
Do we have an open OR?
l'll prep him. Work on the stump.
You debride the arm, tag the vessels,
get it up to me as soon as you can.
[Lexie sighs]
Wow. Trauma Room Barbie.
[Bailey] lrrigation here
and suction, please?
[Arizona] So Grandinetti's is gone.
A Seattle institution.
- Dr. Warren, you ever been there?
- Couple times. Good scampi.
Yeah, place is so romantic.
Perfectly lit, intimate.
Those cozy little booths in back.
[Bailey] Three-oh silk tie, please.
[Arizona] A little too intense
for a first date, though.
Bailey, where would you go
on a first date?
- lsn't there a dying child somewhere?
- Nope. l had some time.
And l wanted to observe one...
- ...one of these.
- [scoffs]
[Callie] Aw!
- Baby looks perfect.
- Awesome.
- Um, can l, like, get that in writing?
- Oh.
Even better.
- Here is a souvenir.
- Oh... Um...
Don't you have some
kind of official form or...
...a hospital document you can give me?
- Why do you need an official form?
- Well, it's none of your business.
lf you want your official form,
it is, Sloan.
What's going on?
lt's for the adoption attorney, OK?
They need, like, a clean bill
of health from me or something.
There's this great couple
in San Francisco.
- And they have these two big dogs.
- An adoption attorney?
Yeah, l'm not ready to be a mom.
l'm just not ready yet.
- Have you told Mark?
- No.
And you're my doctor, right?
l mean, don't you guys have some kind of
rule that says you can't say anything?
l'm not gonna tell him.
And neither are you.
[beeping]
Do you think she needs an extra blanket?
She gets chilled easily.
She must be one hell of a tipper.
- Sorry?
- l see why she comes in every week.
l bet you take better care of her
than her own husband.
[Emile chuckles]
[Emile] When she first
started coming in,
before they met, we had a little game.
She would try anything we served.
She was adventurous. Fearless.
When she'd gone through the menu,
l would challenge the chefs
to come up with something new.
[chuckles]
lt became, she became,
my favorite part of the week.
Then one night, she came in with him.
She felt like this
was a safe place for a first date.
[chuckles]
That ring on her finger...
The night he proposed to her,
l placed it in the creme brul?e
for her to find.
l watched her say yes
from the kitchen window.
And they never stopped coming in.
But now he orders for her,
same thing every time.
For 1 5 years, l've watched their
conversations grow shorter
and shorter.
Until now, all they do is eat.
She has no children.
lf he dies,
she'll be...
She'll be all alone.
She's so afraid, l can see.
And all l want to do
is take her hand in mine and tell her
she'll be all right.
She'll never have to be alone,
if she doesn't want to be.
You'll let me know when you have
good news about Mr. Banks, yes?
Yeah, right. Of course.
- You can't leave without telling him.
- Yes, l can. l can do whatever...
- Sloan!
- Crap.
When did you get here?
l thought you were gonna call first.
Look!
Oh, my God. Would you look at that?
That's the Sloan nose.
Can you see it?
Can you see it?
lt's my dad's. He has my dad's nose.
That's the Sloan nose.
[pager beeping]
Damn it. Will you wait for me?
l wanna take you home.
l got a surprise for you.
Could l see this again?
The Sloan nose.
You win. He's been staring at her
from his kitchen for 1 5 years.
- He's not gonna tell her now.
- He just did.
She was awake the whole time. She heard
everything. She has to say something.
- She's not. Her husband's in surgery.
- So? They're clearly miserable.
Did you hear
the whole creme brul?e thing?
Fifty bucks says she
tells him she loves him, too.
- You're on.
- Hi.
- l've got your keys.
- What?
Dr. Shepherd told me you might
not make it home before the breakfast,
so l should ask you what you need from
your closet and l'll grab it for you.
You are not going in my closet.
Aren't you supposed to be a surgeon?
He really needs you
by his side at that breakfast.
l am a surgeon. You tell the chief
that l will be in surgery.
[stammers] So l'll just
pick something out for you.
[Avery] So Yang's with Hunt.
Grey's with Shepherd.
Torres is with Robbins.
And you were with Sloan,
until he dumped you.
lt's a wonder you guys
got any work done.
He didn't dump me.
He forgot about me.
He decided that we
were going to start a family,
and didn't ask me.
He forgot l was even there.
He just left me
lying in dirty dishwater.
What?
Nothing.
l'm pretty.
- What?
- ln my family. l'm the pretty one.
You know, um, my eyes and...
...my smile and my body.
You should see me without a shirt on.
lt's kind of ridiculous.
But my family is smart, driven,
crazy overachievers.
And they look like they're smart.
They don't look like me.
Which has its perks,
except that my family
treated me like l'm pretty.
They expected nothing from me.
Ever. They never pushed me.
Never thought to.
So l had to push myself. Hard.
l didn't even tell them l was taking
the MCATs till after l'd aced them.
My point is that
you can't just change your hair.
You want to be unforgettable,
you want to not be mousy?
You can't just change your hair.
You have to actually change.
Just saying.
[Bailey] OK. l'm removing the glass
very slowly...
OK, take this. Bovie.
[Arizona] Nice work, Dr. Bailey.
Dr. Warren, can you believe Dr. Bailey
almost left general surgery
for Peds surgery? Did you know that?
- [Warren] l did not.
- [Arizona] She almost said no
to general surgery.
But then she thought about it,
and she changed her mind.
She wasn't afraid
to rethink her decision.
She just needed to be asked again.
[Warren] l see. Clearly.
- You have my report thing?
- No.
He took you in.
He's given you money,
he flew you to LA.
He deserves to know. So if you're
not gonna tell him, l will.
You paged me?
- What's going on?
- You paged him?
- What's the matter?
- [Callie sighs]
- Mark, she's...
- l'm giving the baby up for adoption.
l'm not a mom. l'm not ready.
And l want him to have good parents
and a good home.
No, don't. Don't do this.
Don't give this baby away.
They'll love him.
They'll love him more than l will.
Give him to me.
l'll take him.
l'll adopt him.
l understand. l understand
you're not ready, but l am.
And l know l don't have
the best track record.
And l should have been there for you,
and l wasn't.
But l will be there
for this baby. Please.
l want him to have a family and...
You've been really nice to me
the past couple of months,
but you're not a family.
You're just a guy.
- Sloan, please.
- l'll help.
Uh... [laughs]
l'm right across the hall.
And we're a family, sort of.
And we're doctors.
And we're best friends.
And... And we're good people.
We'll... We'll take care of the baby.
Together.
We'll love him.
Really will.
[Mark] Just think about it.
Go home, we'll talk about it.
Can we talk about it?
Yes. Yes, we can.
We can talk about it.
[Callie laughs]
- Thank God. Where'd you get those?
- Patient room.
Guy's in a coma, he's not gonna
miss them. Anything happen?
He's still asleep.
She wants to say something.
Oh! Oh, my God, l'm starving!
- Ooh. These are all half-eaten.
- So you can see what they are.
What are we doing?
[Alex] Her boring
husband's in surgery.
This dude's been in love with her
for 1 5 years.
[Meredith] She just found out. We're
waiting to see if she says something.
- Or if her husband croaks.
- lt's OK if he does
because they're miserable. l mean,
is this what marriage turns into?
Running out of things to say
and changing who you are?
- Probably.
- Yeah.
Well, l didn't marry Derek to be
the chief's arm candy. l'm a surgeon.
Yeah, you married him
for the great surgeries.
[laughs] l didn't do that either.
- Right.
- You should have.
Shh! She's gonna say something.
She's gonna wake him up.
Oh! What's she saying?
[inaudible]
[rapid beeping]
She can't breathe! Get a crash cart!
[rapid beeping continues]
She's got a big air leak
in her chest tube.
- What's happening?
- Keep her on 1 00 percent O2.
Get a bronchoscopy. Grey,
see if an OR's available just in case.
She's having trouble breathing. We'll
let you know more as soon as we do.
We saved the arm. We saved it.
We're ready.
- lt's gonna have to be an amputation.
- [Lexie] What?
There's too much devascularized tissue,
too much contamination.
We could push antibiotics and let
the stump heal, but by that time...
[Owen] The arm will be dead.
Page me when he's awake.
l'll tell him.
They... They can't just leave it behind.
We could move it somewhere else.
Attach it to a healthy zone.
Don't tell me, mouse.
l'm just saying they could...
Temporary ectopic replantation!
You have to keep the arm alive
until the stump heals.
Yes, but in cases involving the elbow...
lt's extreme. He'll lose
range of motion, grip failure.
He'll keep his arm!
He deserves extreme measures!
lf the arm is still viable,
you can't just let it die.
Has it ever been done before,
above the elbow?
l don't know. lt could be done.
You could implant it onto the epigastric
and the venae commitante.
Give you a few days
for the stump to heal.
- [Owen] l've never done one.
- Neither have l.
So? After today,
you can't say that anymore.
Come on! l told him that we
would do everything we could,
do everything that we can!
l'll call Shepherd and let him know.
Grey, Avery,
get ready to scrub in.
We're gonna be a while.
OK, that?
Not mousy.
You're going into surgery now?
- There's this breakfast.
- l know. l know about the breakfast.
Because there's some
resident l don't know
- rooting through my closet right now.
- Sorry. She's over-eager.
l have surgery.
l can't really give up the surgery.
- No, l wouldn't want you to.
- Just to smile
and stand at a podium
for the suits? lt's...
No, you shouldn't come.
You know, my patient,
she's somebody's wife, too.
And l'm her doctor, and...
- OK?
- OK.
OK.
[water running]
- Hey.
- Hey.
l got a tracheobronchial tear.
Transitory ectopic implantation.
Wow. Nice.
l rented a house. lt's amazing.
lt's right on the water,
a little cottage. And there are deer.
Like Bambi deer and singing birds,
it's incredible.
l found this little secret coffee place
down the street from here.
And, uh, oh,
l was thinking of getting a puppy.
But, you know,
you have to be home with a puppy
and l'm always here.
So l went down to the pound,
'cause l... l wanted
to get it out of my system.
You know, the puppy love.
And l held all of
these incredibly sweet dogs,
and you would have been really...
...really proud of me, Owen.
l didn't take one home.
l went out and got a fish instead.
Let me see. What else? Oh, l got
a bikini wax. Yeah, an actual wax.
l haven't had one those since,
remember l tried to wax myself...
- What is your point?!
- You were my best friend!
My best friend
who l could tell everything to.
And now you won't even look at me.
'Cause you said you loved me.
You said you loved me, too.
And then...
- And then you chose Yang.
- You chose her, too.
You chose her, too.
l feel like l'm cheating on her.
When l talk to you, l feel like
l'm cheating on her. So l'm sorry.
l miss my best friend, too.
[thunder rumbles]
Don't you have something else to do?
This is the closest l've been
to the inside of an OR in a week.
[Mark sighs]
[Derek] Last week,
l would have been paged in to help.
Now, l'm paged
about fundraising brunches.
l'm adopting Sloan's baby.
lt's the right thing to do.
- l think l can.
- Mm-hmm.
l certainly want to.
Callie said she'd help.
- l'm having a baby.
- Congratulations.
- l'm happy for you.
- l'm happy for you, too, chief.
lt's what you always wanted, right?
Yep.
lt's what l've always wanted.
[Arizona] How is he, Dr. Bailey?
lt looks like you're nearly done.
And it's just in time for dinner.
And maybe even some dancing.
- lf the patient looks good...
- [Bailey] He'll be just fine.
He won't be dancing anytime soon,
but when the time comes
and he wants to go out dancing,
he will be perfectly capable
of making that determination himself,
without any help from anyone.
And l don't need any help here,
so if you are through helping me,
you can go.
- l just...
- Now.
- She's nice. Chatty.
- Stop talking.
To be fair, l never said
a word about dancing, although...
- Shh! What is all this bleeding?
- [liquid sucking]
Ah! Splenic artery's torn.
- He's gonna lose this spleen.
- [rapid beeping]
Lap pads!
Where's my patient?
[nurse] No idea. He must have left.
[gagging]
l need help in here!
[Derek groans, sighs]
There you are. l've got your
wife's clothes for the breakfast
and l made note cards
for your speech for this morning.
- Good. Go home.
- lf you're here, l'm here.
- Honestly, l'm happy to help with this.
- You wanna be an executive assistant?
You should want to do surgery.
That's all l want to do.
l'm not sure l can.
l... Look, l'm grateful
that you hired me back.
lt's just been easier
to help out with this stuff.
lt's easier coming back as that,
rather than coming back as the doctor
who made a mistake and killed someone.
Killed someone's mom.
And l'm not sure l can be that person.
So if you're not sure you need me,
then maybe l shouldn't be here.
Dr. Shepherd?
l have a patient with an epidural bleed.
Come with me.
- You couldn't do it?
- Actually, we could. Um...
You need to prepare yourself. We needed
to take some extraordinary measures.
Your arm needed a blood supply to keep
it alive until we could reattach it.
So we had to relocate it
to where we could get one.
[gasping]
ls that my arm?!
What did you do?
Why would you do this to me?
- What did you do to me?!
- lt's only temporary.
OK, just for a few days.
Frankie, this is what you wanted.
- You wanted your arm.
- [Frankie] ln the right place!
l said l didn't want to be a freak!
You should have left me like l was!
Oh, come on.
Did you even tell him you're leaving?
Look, l just wanted a place to stay.
And some money. l didn't know
he was gonna care this much.
He bought a crib.
He's a good man.
And he'll be very good to your baby.
You could know the baby, if Mark raised
him. You could come back and visit.
l don't want to know
where to come back to.
lf l give him to you guys,
it's still my baby.
And l need him to be somebody else's.
l mean, my dad got
a clean break from me.
And look at him now.
Don't l deserve that?
[Callie clears throat]
Prenatal vitamins are not a joke.
Take them.
And do not skip
any doctor's appointments.
And if you get into any trouble,
or you have a problem with anything...
...call us.
Just... take care of yourself.
Thanks.
- Mrs. Banks?
- How is my husband?
There's been some complications,
but Dr. Bailey's working very hard.
And l'll let you know more
as soon as l do.
ls... ls Emile still here?
Emile is in surgery.
There's been some bleeding in his brain.
Oh, my God.
Oh, God.
He never said a word.
For 1 5 years.
- Did you know?
- [chuckles]
Why do you think
l kept going back there?
But then l met Bob,
and Emile never...
l made a choice.
- But you kept going back.
- l did.
Because Bob liked it.
And l love Bob.
lt became our place.
And, yes, he orders for me.
Because he knows what l like.
And it may seem like
we have nothing left to talk about,
but sometimes it's nice
not to have to talk.
Fifteen years ago, l made a choice.
And l keep making it every day.
That's what marriage is.
That's a lot of damage to his pancreas.
l can't get this bleeding under control.
- [rapid beeping]
- OK. More suction! More!
[Derek] The middle meningeal artery's
completely severed.
[Alex] What did l miss? l've been
literally watching this guy all night.
- How could l miss...?
- [Derek] You didn't miss anything.
First CT was negative,
there were no neurological symptoms.
The kind of bleed you never know about
until it's too late.
- [April] ls it too late?
- [Derek] l don't know yet. Bipolars.
- BP's 80 over 60, falling!
- [Bailey] Push another atropine!
Damn it. Come on!
[Derek] Damn it, come on!
Stay with me! Come on!
Stay with me!
Come on! Stay with me!
Stay with me. Come on.
Come on.
[water running]
The dude waited on tables and
watched his life happen without him.
He's probably better off.
[sobbing]
l can't... l can't do this.
l can't just...
l can't just watch people die!
l... l shouldn't have come back.
[Derek] Listen.
l made a mistake last year.
l almost walked away.
lf you don't feel the losses...
...if they don't hurt you
and humble you,
that's when you know you're not
cut out for this kind of work.
You can be a good surgeon, Kepner.
lt's why l brought you back.
Congratulations.
l thought we'd lost him,
- but you managed to...
- l can't talk to you.
Right. Um... Look, l'm sorry.
- l thought you and l might...
- l can't talk to you.
You make me nervous.
l forget what l...
And l say things l don't want to say.
And l can't...
l just go stupid.
l... l like you. That's all. There.
- All right.
- And so if you want to go to dinner,
fine. We'll show up and try to talk.
- How's tomorrow night?
- Fine. l might have surgery.
l might join you. [laughs]
You can tell your patient
her husband's gonna be OK.
- What about Emile?
- Shepherd said there was no way
to know it was detectable
until it was too late. Here.
- l think this means you win.
- l know. l don't want it.
l don't want it either.
You would have won anyway.
- You think?
- Of course.
- That's her husband.
- Grey, you ready to scrub in?
l have a valve replacement.
You know, l...
Yang is still here. Can she do it?
[Meredith] We have to keep
reinventing ourselves,
almost every minute.
Because the world can change
in an instant.
[Alex] Hello, Mrs. Banks.
How's Emile doing?
l'm sorry.
We did everything we could, but the
bleeding in his brain was too severe.
l'm very sorry.
Thank you.
[sobbing]
[Meredith] And there's
no time for looking back.
All those people out there.
They just want to stare at me.
They do.
The doctors want to see you,
they want to ask you questions.
Because you're very rare.
And special.
There might be press.
And there's a personal injury lawyer
floating around somewhere
that thinks that restaurant
might owe you a lot of money.
How much money?
Sometimes, change is good, right?
[Mark] l don't believe you.
You don't have to do that.
l wanted to before you got home.
And you don't have to do
what you offered to do.
l'm not gonna hold you to that.
- Mark...
- But thank you so much for offering.
And, uh...
...it could be kind of great, right?
[Meredith] Sometimes,
the changes are forced on us.
What are you doing?
Sit down.
[Meredith] Sometimes,
they happen by accident.
Oh, get used to it. l'm keeping it.
You should. You're moving on.
l didn't mean that was a bad thing.
lt's what you should do.
- l hate Valentine's Day.
- Me, too.
[Meredith] And we make the most of them.
[Teddy] Hey, Owen. Hey.
- Hi. Do you have a minute?
- l'll wait in the car.
No, stay. lt's fine if you stay.
l said that l love you
and it's out there
and l know that l can't
un-ring the bell,
but l'm un-ringing the bell.
l take it back.
- [Cristina] l'm gonna go...
- No, stay.
l miss my friend, Owen.
More than anything,
l miss my friend.
The rest l can deal with.
l can deal with it. lt's...
l have a job that l love,
and an amazing student to teach,
and l've got a cottage with deer,
and a fish
and various waxed body parts.
l'm gonna be fine!
You and l are gonna be friends.
And you're doing
a valve replacement with me in ten.
- [Cristina] Really?
- Go prep 221 9.
OK.
l'll see you at home.
[Meredith] We have to constantly come up
with new ways to fix ourselves.
You can't un-ring the bell.
l know.
But l am gonna try like hell.
[Meredith] So we change.
We adapt.
[man] Congratulations.
- [man 2] Good to see you, chief.
- Good to see you, too.
- Hey!
- Hi.
- You didn't have to come.
- l know l didn't. l chose to.
[Meredith laughs]
- Shall we go in?
- Yes.
[Meredith] We create
new versions of ourselves.
- [Meredith] Mrs. Shepherd?!
- [Derek] l know.
- Mrs. Shepherd?
- l know.
l don't do brunches.
l don't miss surgeries.
- And l don't do Valentine's Day.
- [Meredith] We just need to be sure
that this one is an improvement
over the last.
You're gonna have to make this up to me
with a lot of sex.
Yes, dear.