Grey's Anatomy (2005–…): Season 6, Episode 17 - Push - full transcript

Surgeons aren't
complacent people.

- Fifty!
- We don't put our feet up.

We don't sit still.

Whatever the game is...

...we like to win.

And once we win, we get a new game.

Today... feels like the day to me.

I think, by the close of business today,
I've got cartilage in a bottle.

- What's with you?
- You,

Derek, you're all, "Don't screw
the nurses and the drug reps."

You did a psych rotation,
you know what happens when



you tell someone not
to think about an elephant.

You spend a lot of time thinking...

I walk around the hospital trying
not to make eye contact with women.

I'm... lonely.

And unhappy.
I don't see how this is a solution.

Find a grown-up
who wants what you want and date.

- Like a grown-up.
- I don't know what that means.

Oncology's kept you busy.
Two rounds of chemo, brachytherapy,

two rounds of external radiation.

Not to mention coenzymes,
shark cartilage, milk thistle.

- I'm open to pretty much anything.
- Except surgery.

That's because surgery's not gonna work.

We'd like to hear all the options.

Well, your scans
will be back any moment.



Let me tell you
what you'll see.

- My tumor's the size of a football.
- Audrey.

It's wrapped around my organs. And
if you try to cut it out, it'll kill me.

That's what you'll see.

We push ourselves.
Residents, attendings.

It doesn't matter how much we achieve.

If you're a climber,
there's always another mountain.

Dr. Hunt!
These are your scans.

I was just looking around.

- That's quite a tumor.
- Huge.

- Probably nothing to be done.
- Mind if I take a stab at it?

Well, it sounds strange to you,
I'm sure, but...

I only have a few years left
in the game,

and there may not be
so many big tumors left for me.

- Of course. You're welcome to it.
- What are you doing?

Thanks, Hunt.
You're a good egg.

What are you doing?

I'm sure you've got work to do,
Dr. Yang.

Mmm-hmm!

- Chart?
- Oh!

Oh!

- What are you doing?
- What?

This is a monster case,
and he just stole it from you

with some crap
about mortality and old men.

- He's playing you. What are you doing?!
- All right.

Dr. Webber?

Dr. Webber, I'd like to keep
Audrey Taylor. She was my case.

- You gave it to me.
- You swiped it.

- Cristina.
- Got Harper Avery written all over it.

When Dr. Avery was here,
he did mention that I needed

to dive back into my research.
This case would be perfect...

This thing is a monster.
At best, it's damage control.

I'll be operating
by the seat of my pants.

On the contrary, a tumor like this
calls for a methodical analysis

- of the scans, a careful plan.
- Right. Old school.

Old?

Wow. I didn't see that coming.

I did not mean your age. I meant
approach. Let's not make this personal.

You just did, Ginger. And you're right.

I've been resecting tumors
since you were in diapers.

In my experience, they demand something
a little more elegant

- than "by seat of your pants."
- This is my patient.

Good morning.
Why are we arguing?

- Wow. Big.
- Whose patient is this?

Mine.

- Work on it together.
- Harper Avery is an individual award.

- Ah! I see where this is going.
- A case like this

- needs an aggressive approach...
- Sloppy.

- It requires methodical analysis...
- Some would say outmoded.

- Outmoded?
- All right.

Nothing wrong with
friendly professional competition.

Come up with plans, I will choose.
Dr. Yang, Dr. Grey will assist.

- Yes!
- I'm with Webber!

What? He's got it in the bag.

"I'm with Webber?" Why'd you push me
to do it in the first place?

Now you'll know what your plan is
and what his plan is.

Wait. You're gonna spy on him?

- That's... That's cheating.
- You're adorable when you're slow.

You have a dark, dark mind.

- Here.
- Thanks.

- Hey. You working tonight?
- Uh... No.

I'm going to a yoga class.

Nothing about that statement
makes sense.

Tuck's with his father,
and the fascist vegan next door

- gave me a yoga class for Christmas.
- No, you're having dinner with me.

The fascist vegan thinks that yoga's
going to make me a better person,

which is unlikely, but if I don't go,
I'll have to hear about it every day.

"My back kinda hurts,
but the breathing...

I've never breathed
like that before in my life!"

That's what people say
after their first yoga class.

Tell her that, have dinner with me.
Come on.

Try it. "My back kinda hurts,
but the breathing...

- I've..."
- "Never breathed like that in my life."

- More conviction.
- "I've never breathed like that

- in my life."
- There you go.

- What?
- This, um...

This patient,
I can't find the heartbeat.

- So call the morgue, 40-watt.
- He's not dead.

- He's sitting up, he's talking.
- You're lucky you have a famous name.

Take a deep breath, sir.

Having... trouble doing that.

Oh, grow up, Todd.

When he was nine,
they removed his right lung.

Now the other one's crapping out on me.

Maybe you're having an anxiety attack
because I asked you to move in with me.

- I can't find his heart.
- Oh, yeah? Me neither.

- No, I really can't.
- Who's the 40-watt now?

I can't... I can't...

Get a stat chest x-ray
and page cardio!

- There she is. By your kidney.
- My heart is by my kidney?

That's why it was hard
to hear your heartbeat.

And without a second lung in your chest
cavity, your heart sort of drifted.

It's called postpneumonectomy syndrome.

The shifting caused
bronchial compression.

That's why you weren't able to breathe.

- I'm the biggest bitch in the world.
- Can you put it back where it goes?

Yes. We're gonna use saline implants
in your chest to keep it in place.

- Implants? Like what they use for...
- Fake boobs.

You wanna put? I can't have...
No. I'm a guy. OK? I'm a guy's guy.

- You won't actually see them.
- Yeah, but still.

Come on, you know what I'm saying.
I mean, how am I supposed to,

- you know...
- What, pick up women?

How do you explain your boobs to the
next chick dumb enough to date you?

Molly.

Molly.

- Do I have a choice?
- Do you like to breathe?

So, yes, there is
a surgical option...

We're still figuring out
the best approach.

The risks with this surgery
are very high.

The tumor has compromised
the organs to the point

- where anything we do to remove it...
- Will kill me.

Audrey, you're
not even listening to them.

It doesn't make sense.
I just want one more month.

I'm not gonna risk dying before that.

One more month?

Our daughter is getting married,
in a month.

And I would like to see her do that.

I would... I would like to see her
on the happiest day of her life.

Mrs. Taylor, if we don't try surgery,
you might not make it through the month.

Then...

...I look forward to hearing...

...what you come up with.

- Hi, I'm Dr. Grey.
- Hi.

He's really hot
and his stomach hurts so much.

He was fine. We were playing
at the zoo one minute,

- and he was fine. Please.
- OK.

- Noah, does it hurt over here?
- Ow!

- It's OK, baby.
- Page Dr. Robbins, stat.

Right away, doctor.

Hey. Do you have a minute?
I got a question.

- Sure.
- I want to talk about breast implants.

Really? Good for you.

You know, it crossed my mind
the first time I saw you,

but I didn't think you
were the type to go for it.

No! Not for me.

- For my patient.
- Oh...

Oh!

- Of course.
- Hey!

Can I steal him for a quick consult?

Yeah. He's all yours.

Yeah, I was just...
She's what you're looking for.

She's age appropriate,
probably wants kids.

- Ask her out.
- I'm not sure that's gonna work.

Great, thanks. As you were.

Teddy, sorry about that.
Your breasts are fantastic.

I wouldn't change a thing.

- The patient.
- Um... He... Uh...

He's got postpneumonectomy syndrome.

I wanted to use the implants
to stabilize his heart.

Of course. Let me take a look.

So asking you out tonight
is probably a bad idea?

You think?

- What?
- Mark Sloan just asked me out.

Huh?

- Cool.
- No. No, not cool.

Mark Sloan.

Exactly. Why not have a little fun?
Mark is like...

...candy. Eat it and forget about it.

Right? Come on. Know what? This
might be the best idea I've had.

Will you have to resect
part of the diaphragm?

Most likely.

Or I might let you do the resection.

- Really?
- Yup.

That, or kick you off the case.

Depends on how much
you leak to Dr. Hunt.

I've been doing this a long time, Dr
Yang. You're working for the other side.

Now, there is another option,

if you would like to
realign your allegiances.

Like be a double agent?

We can keep looking for more
resections for you to perform.

So think about it.

Take your time.

It's a big tumor.

- You rang?
- Yeah.

I'm this close
to making headway on my cartilage,

but I keep getting
42 intern questions an hour.

Can they rotate through
your service for today?

- Sure!
- Thanks.

- What is with you?
- Nothing.

Is it the guy?
It's the guy!

- He bought you coffee?
- No.

Think I smile like this for coffee?
He's making me dinner.

He's cooking? Wow. You ready?

What, for food? I think I can handle it.

- No, for sex.
- What?

- No! Grow up.
- Give me a break.

- How many dates have you had?
- This'll be three.

Oh, yeah. Third date is the sex date.

And he's cooking for you. At his home.

Where he keeps his bed.

I barely know the man.

You're gonna know him
a lot better tomorrow.

There's nothing magic
about a third date.

It is possible to eat and go home
and not lose your pants in the process.

Oh, OK.

But if it does go that way,
am I supposed to sleep over?

Oh, no. No, sex on the couch.

Walk of shame to the car
under cover of darkness.

- Do I wear a dress?
- Uh-uh. Casual.

Like you don't expect it's gonna happen,
but you're ready for it.

How ready?

Like... you've prepped
the surgical field.

The su...

- Oh! Torres!
- There is a Ukrainian woman

who works at the manicure place
across the street.

- She will take care of you.
- You!

- Mm-hmm.
- Oh!

It's OK to give him this much medicine
when we don't know what's wrong?

- It's not gonna hurt him.
- He needed a painkiller, Jim.

I'm telling you, he needed it.

Upright chest and KUB are negative.

Go get him set up
for a CT with contrast.

How could this have happened?

- Say it. You think I missed something.
- Honey, I don't.

Yes, you do. Just admit it.

OK, fine. Fine!
How do you miss a fever this high?

Guys, this isn't gonna help.

- Kids get sick. It's no one's fault.
- Yes, it is. It's my fault.

- Kelly, don't.
- If you'd been with him,

I'd blame you. I would kill you
if you had him and this happened.

OK, I need to get him this CT.

I've also added an IV antibiotic
because he's septic

and I want to make sure
we've covered everything.

Maybe he ate something off the ground.

I was watching him!

- Audrey Taylor's latest LFTs.
- Thank you.

Dr. Altman, I set aside
some saline implants

for your postpneumonectomy patient.
Have a couple on hand.

Size-wise, you won't really know
what you need until you're in there.

- Can you scrub in, place them for me?
- Sure.

You know, I was...

Well, I may actually
be free tonight after work.

- Really?
- Yeah.

That's fantastic. There's a new Italian
restaurant I've been meaning to try.

- You and I can...
- Joe's is probably fine.

- For dinner?
- No!

I mean... Well, you know...

- For a drink, and then...
- I was asking you to dinner.

So that we could talk.

Get to know each other.
That sort of thing.

Oh, that's... that's not...
I thought that...

You know, I'm not available for dinner.

I'm... I'm sorry.

Sloan? Sloan, what are you doing?

- Apparently, nothing.
- Teddy...

Teddy's not one of these
women that you...

- You can't just treat her like...
- This may come as a shock to you,

but it looks like I'm the respectful
adult in this particular situation.

So how about you talk to her
about how she treats people?

How genius is this?
Mark Sloan and Teddy.

Are you serious? I just said that.

Shut up! Are we so well matched
that we have all the same thoughts?

Kinda creepy, but it's kinda great.

I'm just saying.

Teddy needs someone
to come in and clear out the cobwebs,

and put a little spring
in her step.

- Yeah, and father her children.
- Yeah.

- What? No, Mark?
- Yeah, he wants a wife and kids.

- Well, I told her he was a candy bar.
- What?

I didn't know!

First she said no, then she said yes.

- That's good.
- And then she said no again.

Because she doesn't want to have
a meal with me. She just wanted sex.

Who treats people like that?
Like an object. A piece of ass.

- I think you do.
- I've changed.

Dr. Sloan, Altman says if you're
scrubbing in, it's at two.

Thanks, Karev. You're a good man.

- Hey.
- Not here.

Sloan's going all psycho killer on me.
Smiles, crazy eyes.

I don't know what the hell
he's gonna do.

What, I'm still his property?
I'll talk to him.

Don't. I gotta operate with the guy.

You mess with him,
he might stab me with a scalpel.

- Mark's trying to kill Alex.
- What?

I mentioned sleeping
with Alex was a bad idea.

No, it's not a bad idea.
It's happy and easy.

You know how much
mental energy Mark took up?

I'm telling you, ending it is the best
thing that could have happened to me.

And for him! You know how much happier
he'd be if he could just move on?

Looked to me like he
was trying to pick up Teddy.

Sure, he'll sleep with her.
He slept with Addison.

He'll screw anything that moves, but
I'm supposed to check into a convent?

Why is he hanging on like this?

You're just that good, Little Grey.

There's no getting over you.

Oh!

You clear the room every time.
You clear the room.

Grey, Audrey Taylor's
getting a new set of scans.

Have a look and see if there's anything
we need to include for the presentation.

- How's the plan coming?
- Good. I think if I clamp the aorta

and vena cava above and below
the liver and porta hepatis,

I should be able to carve out the tumor.

Interesting.

- What's the word from the other side?
- From Dr. Webber?

Uh... Not much. He...

- He's still kind of flailing.
- Flailing? Really?

Yeah. It's sad.

You know, old guy. End of the road.

Mmm-hmm. Webber doesn't flail.

I'm gonna go and see if I can
help him come up with something.

- He flipped her.
- We have to get those scans

- before she does.
- Yeah. Let's go.

Dr. Bailey, I'm about to consult.
Would you like to join me?

- Lunchtime.
- Yes.

But in all the years I've known you,
I've never seen you eat.

- I do things at lunchtime.
- What things?

Errands! To the dentist, get a haircut.

No, not a haircut. I'm going out!
Does that require interrogations?

Is that the kind of chief you want
to be, the kind of man you want to be?

- No.
- I didn't think so!

Take a deep breath.

Hey, doc, my parents
got married really young.

They hated each other
by the time I was born.

Sorry to hear that.

Molly thinks shacking up's all cute,

but I don't think you play around with
something like that. People get hurt.

- You really don't need to explain.
- You think I'm a turd.

And you're getting ready
to slice me open with a knife.

I'm sure you're not a turd.

I think we found our problem.

Noah had a cyst on his liver
and it ruptured,

- and that's what's causing pain.
- Why would he have cysts?

They can be congenital or infectious.
They're usually benign,

- but they can rupture with pressure.
- Pressure?

What kind of pressure?
You mean like a fall?

- Did Noah take a fall today?
- No.

The truth is it doesn't matter
what caused the rupture.

- What matters is we operate right away.
- Oh, my God.

Oh, my God!
We were doing bear hugs.

We were... I... I hugged him.
I hugged him hard.

That's when... That's what did this?

- Noah? What's happening?
- Grey, get an OR. We're going now.

I've done this 300 times,
and it's still not working.

I went to Eugenia.

Hmm?

She held up two postage stamps
and asked me

if I was looking
for the 44 cent or the three.

You don't have to tell me
which you picked.

I left! Let me tell you something
about my surgical field.

I prep my surgical field
with soap and water.

I keep my surgical field
the way God made it.

I don't need a member of the
Ukrainian KGB waxing it smooth

so it can be mistaken for the
surgical field of a five-year-old girl.

I am a woman. And a woman
was meant to have something

on her surgical field.

If a man can't deal with a little
something on the surgical field,

a little nature, a little God,

then that man has no business
getting near my surgical field.

Fine! I'm not putting a gun
to your head. Let freedom ring.

Damn it!
This is not supposed to be liquid.

What if I'm not cut out for this?

What if I'm no longer patient enough

or stupid enough to deal with this crap?

Come here. Come here. Come here.

You can do this.
You can do this. You can.

This cyst was massive.

We have to do a cholie
'cause of the intrabiliary pressure.

Should I update his parents? It's
gonna take a lot longer than we said.

Yeah, sure. Good idea.

- What do I tell them?
- Doesn't matter.

- I'm sorry?
- Until you can say he's awake

and he's fine, they won't hear a word.

They'll just hear white noise
and see your mouth moving. But go.

It's good for them to see you.
Try to keep your face happy.

- Jackson Avery. Put him on our team.
- Are you stacking the deck again?

You're a spy. Don't think I don't know.

Who started that boulder
rolling down the hill?

OK, I'm Switzerland in this moment.
All I'm saying is

that whoever gets the surgery
should use him.

- Use me for what?
- He's a liability.

Avery is not gonna give the award
to his own grandson.

He won't be named a contributor.
It'll just get mentioned

- over Thanksgiving that he worked...
- No, I won't.

...on a tumor the size of a possum!
- What's going on?

They're fighting over me.
Or more, the idea of me. I don't...

- He's Harper Avery bait.
- Derek's waiting for us.

OK. Heart is back where
it came from. Dr. Sloan?

- Two C's.
- You're just gonna eyeball it?

- This is what I do.
- If you say so.

Syringe.

Whoa! What?
Are you afraid I'm gonna stab you?

There's no needle.

- He's hypotensive.
- Your implant's on the vena cava.

- There's too much fluid.
- No, there's not.

I just need to reposition it. Relax.

Thank you.

An abdominal entry
is a shot in the dark.

The tumor has shoved everything
out of place, the anatomy's a mess.

I'm proposing a
thoraco-abdominal approach.

- You want to go in through the chest?
- It's risky, yes,

but not as risky as "I'll open up the
abdomen and take a good look around."

- Snap.
- You may end up seeding

- the tumor in the lungs.
- That is a danger, yes.

Impressive proposal.

It's very... Hmm. I think I feel more
comfortable with Dr. Hunt's plan.

He doesn't have a plan.

- He has an attitude.
- It's more improvisational,

but given our situation,
I think it's our best bet.

Thanks, all of you.

Richard...

I'm sorry. It was a good plan.

Hunt's just makes more sense to me.

Yes, because that's the way you'd do it.
That's your style.

Let me tell you about your new job.

You manage surgeons.

Your job is to help them
do what they do, the way they do it.

Not to get them to do what you would do.

It takes vision, Derek.
And you don't have it.

- BP's still low.
- Dr. Sloan.

When people rush you,
does it usually help?

It would be nice
if we don't let him die.

I feel the same way. And you thought
we had nothing in common.

- Pressure's coming back up.
- lmagine.

Dr. Sloan...

...nice work.
- What, that?

It's just a hobby.

Professionally, I'm more focused
on my work as a male escort.

We will isolate the tumor
from the blood vessels that supply it.

And then try to extract it.

That's the plan? You'll try?
Is that a plan?

I wish I could be more specific, but
until we know what we're dealing with...

No, no, no! That's not a plan!

- That's a death sentence.
- Audrey.

Mrs. Taylor, if this works,
it is not just a month.

- It is a long time.
- It's a gamble!

It's a huge one! You are gambling
away my daughter's wedding!

Then I'll call Kim right now.
She'll get a justice of the peace

and she and Scott can get married
right here in this room

- and we can stop bothering...
- Don!

You don't even like weddings!
The salmon will be too dry.

The flowers will make you sneeze.
Kim will be angry at you

because women get angry
at their mothers at their weddings.

- That's how they handle stress.
- Stop it!

Do you think she cares
about her wedding?

- Her mother is dying!
- Don...

They're trying to offer you a life.
A whole long life.

No, they can't guarantee it.

They're not gonna know what
they're gonna find. And it's a gamble.

But how can you not take that chance
because of a wedding?

There will be grandkids
and... and arguments

and God knows what else.
She'll need you for those.

And I'll need you.

Your husband's right.

And so is Dr. Hunt.

He can't foresee
what he'll find in surgery.

But he'll solve that as it comes.

That's the plan.

And it's a good one.

He did great.

He's just coming out
from under anesthesia,

and he's gonna be
in pain from the surgery,

- but he's gonna be fine.
- Is this gonna happen again?

It's possible that he'll
develop cysts in the future.

- You have to keep an eye out.
- This was... I hugged him.

Do I not hug him? Do we not wrestle?

You don't throw him on the ground.

He's a boy. He likes to wrestle.
It's not like I initiate it.

Of course you hug him.
And you wrestle.

You live your lives. And if he
happens to be in any great pain,

- you know...
- So there isn't any kind

of preventative thing?

- Please let her finish!
- It's OK.

I was done.

Are you ready to see him?

Somebody paged me here.

Condoms.

I'm building cartilage from Jell-O,

- and you paged me for...
- Condoms.

- They have them in the clinic!
- No, no.

Am I supposed to bring them?

Oh!

Right. Yeah. Yeah...
The guy brings the condoms.

Anyhow, I pegged you
for the diaphragm type.

I have a diaphragm.
Diaphragms prevent pregnancy.

They don't protect against the raft
of sexually transmitted diseases.

You are a physician.
Am I explaining this to you?

I got it, I got it. OK, look.
Guy brings the condoms,

but sometimes they fail to provide them
on the third date as a sign of respect.

"I never imagined this would
happen so soon. I wasn't prepared."

So you should bring them.
Always bring them. Why trust the guy?

Right, right. All right. All right.

- Torres.
- Hmm?

- Come on.
- I can't.

You can! Walk into the clinic
and take some condoms out of the box.

Don't make me ask you twice.

I'm having trouble
telling liver from tumor.

Yep, you and me both.

Clamp.

Sorry you didn't end up
on the winning team.

Sucks. You made a ballsy play, though.

- Thoraco-abdominal entry?
- I do what I can to keep it fresh.

- Bring in the CUSA.
- Hang another unit of FFP.

More lapse. More, more!

- You need some help?
- Where's Webber?

- You want me to scrub in?
- I need Webber. Where's Webber?

I helped Altman save her patient.
I don't know why I bother.

- She thinks I'm a piece of meat.
- Plenty of women dying to settle down.

You gotta move on to the next one.
Try what's-her-name in Derm.

Dinner and conversation. Can't wait.

- Who said dinner? Lunch.
- No. Lunch is not romantic.

You don't want romantic,
you want daylight and public,

- so you can get to know each other.
- That is the least sexy thing

- I've heard in my life.
- You've had sex.

- You don't want sex, you want a baby.
- No way this works.

Is it really possible that you're this
insecure? You're not just a sex machine.

I mean, don't get me wrong, you've
got skills, but you're a good person.

Why do you think
Little Miss Muffet fell for you?

- Lexie left.
- 'Cause she was too young!

It was about her, not you.

Wow. You really don't believe
any of this, do you?

Listen, you're a good guy.

You're worth getting to know.

In daylight.

It's not gonna work, Dr. Hunt.

The chest isn't
an option anymore,

- this is what we've got.
- I'm not pitching my solution.

I'm saying we should think a minute.

I've isolated the blood supply
and mobilized the liver,

but I can't get enough exposure
to get to the tumor.

What if we lift the liver up,
give you more visibility?

That'd help with the periphery, but
I'd still have to deal with the vessels.

I wish we could just
take the damn thing out.

Well, why not?

Let's take the liver out.
I can clean off the tumor ex vivo,

you can work on the vascular supply
in the cavity.

Will it work?

No one's ever tried that.

She's crashing. If you're
trying something, now's the time.

Hunt?

- OK, extracting the liver.
- More lapse.

Suction, a lot of suction. Hurry.

Surgery went great.
Everything is back where it should be

- and Todd's gonna be fine.
- Oh, my God. Thank you.

- Do you think I should go see him?
- He's still groggy...

I mean, do you think he wants
to see me after I stormed out?

How did he seem?
Did he seem upset or?

I just... I love him.

I was a little crazy. He practically
had a heart attack or whatever.

I acted a little crazy.

When you feel like you love someone
more than he loves you,

it can make you a little crazy.
It can make you a lot crazy.

You know, Webber really came up
with the idea to take out the liver.

Maybe if Owen agreed
to take his name off it...

Will you give it up?

Hunt was more than halfway done
by the time the idea even surfaced.

- There's no Harper Avery.
- Waste.

No, it's not a waste.

It's what my grandfather had in mind
when he came up with the stupid thing.

Find some way
to keep surgeons motivated.

Make them take it to the next level,

even if they're already
at the top of their game.

That's exactly what it did today.

This message was brought to you by
the Harper Avery Foundation of America.

Donations to the Foundation
can be made at www...

- You're kind of a bitch, you know that?
- What? It was inspiring.

Mrs. Taylor's gonna need a post-op note.

I'll do it.

Good work today, Grey.
We're a good team.

You know, we're not a team.

Cristina and I are a team.

I watched you today
watch Teddy and Mark.

She's my friend. And Mark Sloan
is a public health hazard.

You were jealous.

It took a long time to make her happy,
and she's finally happy.

And if you mess with that,
I will turn on you.

That's a team.

Maybe you should leave this
to the bioengineers.

I tried it. They said it won't work.

Maybe that's 'cause it won't work.

They're just not
invested in it like I am.

Holy... It... It's not liquid.

- Arizona, it's not liquid!
- Oh, my God!

Oh, my God! Do you know what you did?

I don't know. I don't know.
I gotta... I gotta do it again.

I'm on fire!
And it's not just this.

Everyone came to me
for relationship advice today.

And I gave them sane and healthy advice.

Whether they take it or not,
I am seen as someone

sane and healthy enough to give advice.

When I lived in the basement,
when I married an intern in Vegas,

I wasn't seen that way.

You're amazing.

We're amazing.

We're the stable couple now.
We're the one everyone wants to be.

I can just see us ten years
from now in a big old house

with kids running around,
giving sage, sane advice.

To Mark Sloan, who will still be single.

- I'm in it for all but the kids.
- What?

No kids. And by no, I mean yikes!

No to the kids.

You're joking, right?
You're in pediatrics.

Yeah. Exactly.

This kid Noah comes in today,
he's fine one minute,

then his mom gives him a hug
and he lands in my OR, nearly dead.

- But you saved him.
- Yeah. But his parents?

They're... They're a mess.
They'll never sleep well again.

Mm-mm...

But the big house, I'm in.
And can we have dogs? And chickens!

I have this weird thing for chickens.

I'd love to have dinner sometime.
If you're still up for it.

I'm not taking you to dinner.

Oh.

I will take you to lunch.

Saturday afternoon, in broad daylight.

We'll eat at a public place,

and maybe take a walk
on a crowded street.

We'll get to know each other,

and see if we have an interest
in the same kind of future.

Because I want to build a life,

and a family,

and I'm not wasting my time on someone
who doesn't share that interest.

I'll pick you up at noon.

OK, then.

I used to grill.

You're out in the air, you got a slab
of beef, it's a masculine activity.

- But you ever try to grill in Seattle?
- I haven't.

You're standing around in the rain.
In a raincoat with the hood up.

Let me tell you, there's nothing manly
about a hood and a soggy slab of beef.

OK, here's the thing. I don't do things
because there's a timeline.

I don't do things
because it's the third anything.

I may have been out
of the dating game for a while,

but I don't play by anyone's
rules other than my own.

So whatever expectations
you walked into this evening with...

- Are you lecturing me?
- No, I'm...

No, you are. You lecture people.
I think most people are scared of you.

So nobody's willing to interrupt you
once you get on a roll.

But I'm not scared of you.
So the lecture thing's not gonna work.

We gonna have to have a conversation.

Don't worry. Ask me a question.

Then I'll answer,
then you get another turn.

Go ahead.

Are you under the impression
that we're going to have sex tonight?

- Because if that's the case...
- Ask the question.

Don't answer the question.
I'll answer the question.

No, I'm not assuming
we'll have sex tonight.

You're a grown woman. Neither of us
is looking for something trashy.

So I kinda thought third date
was a little early.

- What do you think?
- Me, too. I...

Can I make a statement
or just questions?

A statement is fine.

I...

Uh...

...have never had sex with anyone
other than my husband.

Former husband.

So it's not something
you get into lightly.

No.

Neither do I.

What else?

When do you think is the right time?

I like to think we'll
know it when we see it.

Probably somewhere
between date eight and date 12.

Oh... No concern
we'll end up just friends?

Is that what you're looking for?

- No.
- Me neither.

Look, um...

...I don't want to be your friend.

I have enough friends.

They take pictures
of mountain climbers

at the top of the mountain.

They're smiling,

ecstatic, triumphant.

Richard, I understand
your patient's doing well.

Hunt's patient.

He says he couldn't have done it
without you.

- I'm sorry I didn't...
- Don't. You were doing your job.

- It isn't easy.
- True.

I'm not necessarily
all that good at it yet.

- No, you're not.
- Really?

You couldn't give me
one kind word? Not one?

They don't take pictures
along the way.

'Cause who wants
to remember the rest of it?

We push ourselves because we have to.

Not because we like it.

Hey. How was Mark? Did he do anything?

He was totally cool.
I think he's into Altman, though.

Teddy? Come on. He's trying
to make me think he's moving on.

No, it looked real.
He wants to take her to lunch.

He's all like, "Let's take it slow
and get to know each other."

I think she went for it.

Hey.

- You OK?
- Yeah.

Mark's moving on.

Like, really.

OK. Well, that's good, isn't it?

Isn't that what you wanted?

No, it's... It's great.

It's... That's... That's perfect.

It's...

It's perfect.

The relentless climb...

Oh...

...the pain and anguish
of taking it to the next level...

...nobody takes pictures of that.

Nobody wants to remember.

We just wanna remember
the view from the top.

The breathtaking moment
at the edge of the world.

That's what keeps us climbing.

And it's worth the pain.

That's the crazy part.

It's worth anything.