Grey's Anatomy (2005–…): Season 6, Episode 19 - Sympathy for the Parents - full transcript
Alex' brother Aaron comes to Seattle with a hernia and needs a pro bono operation. Having children is on everyone's minds and tensions are high because of it.
Psychologists believe
that every aspect of our lives,
all our thought processes and behavior patterns,
are the direct result of our relationship to our parents.
Well, you're looking all thoughtful.
I was just thinking how pretty you are.
And also how pretty our children would be.
Children?
Like multiple?
Child.
Let's just start with one and see how it goes.
You wanna start?
I'm just saying you're pretty.
That's all I'm saying.
That every relationship that we have
is really just another version
of that first relationship.
Did you talk to Dr. Wyatt?
Christina...
When was the last time...
It's just us trying over and over again,
to get it right.
- Alex.
- Mer?
Okay, so Izzie's not here, and
Cristina's not answering her phone,
and I have a thing,
so I need you to be a girl for me.
What'd he do?
Want me to kick his ass?
He wants me to have a baby.
So you do want me to kick his ass.
Alex.
Do you want to have a baby?
A baby doesn't want me.
I had the worst mother in the world.
I would be the worst mother in the world.
Izzie wants a divorce.
She sent the papers.
The official papers.
Want me to kick her ass?
Hey, Alex.
- Hey.
- He's being a girl for me.
Dude, it's true.
Right.
Well, there's a guy downstairs
says he's your brother.
You want me to send him
up here to the bathroom
since this seems to be where
you receive your visitors?
Uh, tell him to wait.
Right.
- You have a brother?
- Yeah.
- Do you want me to go get rid of him?
- Crap.
What's he doing here?
Alex is the oldest, then
me, and then Amber.
Amber's graduating from St. Savior's in May.
She's smart, like Alex.
She could go to college if
she wanted to, but she's like,
"what's the point?" you know?
And I don't know what to tell her.
Alex is the doctor in the family.
I just move people for a living.
Hey.
What are you doing here?
Man, you got old.
- Hey.
- Dude.
Uh, what are you doing here?
I had to drive to Portland on a job,
and since I was the neighborhood...
Well, Portland's not in the neighborhood.
It's three hours.
I do three hours in my sleep.
Alex, he's your brother.
He's allowed to come say hi.
You're gonna be late for pre-rounds.
Okay. Well, it...it was
very nice to meet you.
I'm Lexie, by the way.
I'm overdue for a visit,
it's been seven years.
No, it has not.
Since you've been home.
Seven years.
You haven't been home in seven years?
Derek.
I have this.
Hey, I'm Derek. Nice meeting you.
- Aaron.
- Take care.
- I'll see you.
- Meredith, by the way.
- Hello.
- Nice to meet you.
Has it been seven years?
Amber was 10 the last time we saw you.
Aaron, what's going on?
What do you want?
I do miss you, okay, and I...I did want to say hi,
but since you're a doctor,
I thought I'd ask.
Should I be worried about this?
- Thank you.
- Cappuccino?
- Cappuccino.
- So, how'd the date go with Teddy?
I don't know if I'd call it a date.
Doesn't going on a date imply
actually going somewhere?
Oh, shut up.
You had sex?
- Hey, guys.
- Hey.
Oh, pound cake.
I love pound cake.
- Thank you.
- Rich, buttery pound cake.
Yum. Pound cake.
- Pound cake?
- Oh, I'm good. Thanks.
So what exactly
constitutes a pound cake?
- It's a yellow cake...
- There you go.
- Kinda heavy.
- Come on.
Code for something dirty, right?
Like, you eat her pound cake,
she eats your pound cake?
No.
Oh please, tell me it's
dirty, because otherwise,
that was the most boring conversation
I've ever been a part of.
We are talking about pound
cake because I want a kid
and she doesn't, and
we're not talking about that.
How long are you two not
gonna have that conversation?
A year? Two years? Five?
Wow. So...
you and Teddy ate pound cake together?
You're changing the subject.
You like how I did that?
So how was it?
- Mind-blowing.
- Yeah?
I pounded her cake, she pounded mine.
- Good.
- Excellent pound caking.
"Pound caking" is not a thing.
Whatever. I blew her mind.
- Life changing?
- Life changing. Earth shattering.
The point is he's a
legend for a reason.
I mean he has skills I
never even knew existed.
It's like there was a party going on.
A party in your panties.
Oh.
- Morning.
- Good morning.
- Okay. Bye.
- Bye.
- See ya.
He's always so grumpy.
He's going through something, and
Cristina doesn't get it.
She can't, which isn't her fault,
but I do get it, and...and I
can't be there for him.
And, that's really hard.
But you're seeing Mark.
But I'm seeing Mark.
So then a couple days ago, we're
at the grocery store, Gary and I,
and the next thing I know, I'm flat on
my back in the frozen foods section.
She fainted.
And I've never fainted.
I've never seen anyone faint.
I don't believe in fainting.
Did you hit your head?
I would've if this one hadn't caught me.
Mrs. Clark is anemic and guaiac-positive,
so there's definitely
some internal bleeding,
which looks like it's coming from a...
Friable tumor near the ampulla of Vater.
Yes, thank you for that, Dr. Kepner.
Dr. Swender told us the biopsy
showed the cancer was back.
But she said you might
be able to take it out.
There's a chance I won't be able
to go in as deeply as I'll need to,
but I promise to do everything I can.
Anything you could do.
We appreciate it, Dr. Webber.
Thank you.
Thank you.
I honestly don't think I need surgery.
You do.
It doesn't even hurt that bad.
You have an umbilical hernia.
You need surgery, so shut up
and fill out the paperwork.
I think surgery's just
gonna make it hurt worse.
You remember when Dad
had his gall bladder out?
- Stop talking and write.
- Write what?
I don't have insurance.
Okay, what am I suppose to write?
- Ask Bailey to do it pro bono.
- I can't ask her to do that.
Alex, he's your brother.
Evilspawn has a brother?
Aaron, Cristina Yang.
Nice to meet you, Dr.
Yang. I'm Aaron Karev.
Oh my god. You're so nice.
He's so nice.
Why can't you be nice like your brother?
Angelspawn?
- Why can't you?
- Fair enough.
- Uh, Mer, what's up? You called?
- Ten times.
Owen's still in his dark
place, and he's still not talking,
so I turned off my cell in case he
would say something, which he didn't.
I hate men. They're stupid.
Derek asked me to have a
baby with him this morning.
Really stupid.
Oh great!
The pit, with Owen and his dark place.
- What have we got?
- Cop with multiple GSW's.
- How many cops did you say?
- Just one.
Officer Gina Thompson, 34,
GSW's to the hip and chest.
Vitals 100 over 70, pulse
118, respiration's 28.
That's quite a police escort
there, Officer Thompson.
I told those guys I was gonna be fine.
Well yeah, I wonder why
they didn't believe you.
I been in worse shape.
- Seriously?
- Oh, yeah.
You should see the other guys.
You took down three guys by yourself?
Hey, a girl's gotta do
what a girl's gotta do.
Am I right, ladies?
Let's go.
- How many bullet wounds?
- Four, but I'm wondering if...
- Went through the right leg.
- Probably busted the femur.
- And trajectory seems...
- Seems to have gone upwards.
- Breath sounds are...
- All right, three chest wounds can't be transthoracic.
Oh god, Gina. Baby.
Take a look at you.
I'm okay, baby. They're taking
really good care of me.
This is my husband Jamie.
That's Lieutenant Moore.
So, what'd you find out at the scene?
You were told to wait for backup.
Well, I was first on the scene. I heard a shot. I went in.
You disobeyed a direct order.
You endangered your own life
and everybody in the building.
I took down three men by myself.
And you got yourself suspended for it.
What?
It's going to the Review
Board this afternoon.
You'll be lucky to have a
job by the end of the day.
- Well, I gotta get out of here. I gotta go defend myself.
- I need you to take a deep breath.
- She's bleeding into her chest.
- All right, throw in the chest tube now!
Get them outta here now!
No, I gotta go. Please!
All right, Gina, just lie back.
Take a deep breath.
All you have to do is breathe.
Dr. Webber, did you consider
doing a Whipple on Mrs. Clark?
I did. But since the cancer came back,
I think I can do a local resection
and get the entire visible tumor.
- Dr. Kepner, are we boring you?
- No. sir
I just...I wasn't expecting
Chief Shepherd
to be up in the gallery during
a general surgery.
But I guess that's the chief's
job, right? Evaluating, observing?
Dr. Kepner, you're in my OR,
and the only one observing and
evaluating you right now is me.
Yes, sir. I'm sorry, sir.
...with the orange and red.
How's that? Orange and red.
You think it's gonna work?
- Dr. Bailey, you got a second?
- I do. I have a second,
which is why I'm
spending it with my child.
Here, look. Say "Bye-bye Dr.
Karev". See him? Bye-bye.
Dr. Bailey...
my little brother is here, with what
looks like a, uh, umbilical hernia.
I didn't know Dr. Karev
had a little brother.
Did you know Dr. Karev
had a little brother?
He has no money.
He doesn't have insurance, so...
Ah, Mommy sees where this is going.
He...he'd have to have
you perform the surgery pro bono.
Did you hear that funny word?
Pro bono?
Mommy's got a mountain of
surgeries to schedule.
Does she have time to do free surgeries?
And I'll schedule your surgeries...
for the next...week if you want.
Do you think Mommy should fix up Dr.
Karev's brother
and make him feel all better?
Two weeks.
A month.
Well, all right.
I will meet Dr.
Karev's brother in, what, half an hour?
Say "Bye-bye, Dr. Karev." Bye-bye.
I woulda done it anyway, but he
just kept talking, didn't he?
You're so good.
Mr. Clark.
How is she?
She did great in there.
She was a total trooper.
The surgery went great.
We got the tumor, all
of i,t with good margins.
Oh, thank god. Oh.
Dr. Grey, thank you. Thank you so much.
My wife keeps telling me
I need to be more manly about all this.
I mean, after all, she's
the one with the cancer.
She's afraid I'm the
one who won't make it.
I think you're doing just fine.
You both are. Would you like to see her?
- Can I?
- She should be waking up any minute.
How is it your brother is a surgeon and
you waited months to take care of this?
I don't know.
Karevs are tough.
I guess five years in foster
care will do that to you.
Foster care?
You're all foster children?
Well, me and Amber were in and
out, but Alex, he had like
17 different foster homes in 5 years.
So Alex was a foster child?
Yeah, because my mom was, you know,
it was before they had all
the meds that they have today,
and she was...I guess she was
doing her best, but my dad, he...
wasn't a good guy, and he was,
you know...
whatever. And so, Alex, he
got shipped around a lot.
And...
he was a pretty rough kid
if you didn't know him,
so people didn't like to keep him.
Then he ended up in Juvie.
J-j-juvenile detention?
Yeah, 'cause my mom, she...
sometimes she'd forget to buy food, so...
He was good, though.
People wouldn't have even
known he was stealing anything
if it hadn't been for the video cameras.
How old was he?
Mm, 11, maybe 12.
Hey, what are we doing with 28-07?
- Dude, are you talking crap in here?
- No.
Dude, I work here.
So go to work.
Uh, check the chest tube in 28-07.
- Go.
- Shut it, Aaron.
So what happened after Juvie?
- Dr. Bailey, I don't think that Alex...
- Mind your business.
Aaron, after Juvie?
You couldn't expect me to just
sit there with a 10-71 in progress.
I had good, solid information the
- perps were threatening a 2-1-7.
- Baby. Baby, your doctors are here.
Uh, we need to take you to surgery.
Kenny, did you get that? It was a 10-71.
Baby, he got that, okay?
But you gotta go with them.
Wait! Look, this is important, okay?
They're gonna need a statement.
- Baby, that's what's important, trying to save your job?
- Jimmy.
Listen, every year you promise
me that once you make detective,
we're gonna buy a house,
have a kid, and settle down.
But...
baby, it's been seven years.
And every time you get
close to a promotion,
you go do something stupid.
- Baby
- And now these people are trying to save your life,
and you want 'em to wait.
I'm not gonna stand
here and watch you die.
I want a life with you, baby.
I want a long...
happy, boring life.
Tell me everything you did.
I was trying to wean
her off the ventilator,
but then I realized that she
wasn't breathing on her own,
so I put her back on her
previous vent settings.
What...Dr. Webber,
what's happening to her?
She may have stroked out.
Get a CT and get the scans to Shepherd.
And also run an EEG.
We need to find out right away
if there's any brain activity.
If there's not, then we need...
She...she looks great. Oh, thank god.
Dr. Grey told me you got the tumor.
Thank you so much, Dr. Webber.
Can I wake her?
Sweetheart?
You still sleeping?
The doctors said you
did great in there.
Honey?
You awake?
Alison?
Alison?
Oh, the patient had a
massive hemorrhage.
Look, you see here?
The left temporal lobe?
The hemorrhage, it looks like it...
Wow! That bleed is huge.
- What?
- You look even prettier in your scrubs.
What are you going to do
about your giant stroke?
Nothing.
Nothing?
Yeah, Mrs. Clark has a left
temporal lobe hemorrhage
that's extended into the
ventricular system.
There's nothing we can do.
Want to get a cup of coffee?
Only if you keep telling
me how pretty I am.
I've got three bowel injuries here.
You got anything, Avery?
I found what did the damage.
- What, you see the bullet?
- Lodged near the liver.
Teddy, I'm looking at a devastator.
What? What does that mean?
It means be careful.
They're sharp like shrapnel
and they explode on impact.
Can you imagine going
to work every day knowing
you're gonna end up on
the wrong side of a gun?
I know. She is awesome.
And now her husband wants
her to give it all up?
He's all like,"Let's start popping
out babies or I'm leaving you".
Why does it have to
be one or the other?
Because you don't have kids if
you're facing mortar fire every day.
- It screws with your head.
- Is that why you don't have 'em? Iraq?
Well, first it was residency,
and then it was Iraq,
and now it's, I don't
know, waiting for the right guy?
You want to have kids?
Wait. you don't?
Have you met me? No.
Okay, we're done here.
- I think I feel it.
- Feel what?
The bullet. It's right next to the heart.
There's still some bleeding.
Don't worry, I got it.
No, no, no. Don't!
- Oh, god! Damn it, Cristina.
- What...what happened? What just happened?
You essentially fired a bullet into
that patient's chest is what you did.
That's my intestine?
Yeah, and that part right there is supposed
to be on the inside of the membrane,
not the outside.
Dude, that is sick.
Can I get a copy of one of these? I wanna hang it from my fridge.
Uh, hey, are we doing consults
at the desk nowadays?
'Cause I kinda need to use the computer.
Oh, this is Alex's brother.
Aaron, this is Arizona Robbins.
Oh, nice to meet you.
How come I didn't meet
you at the wedding?
- Actually Dr. Robbins...
- Oh, that's right, that's right.
No one's family came.
Last-minute switcheroo and all that.
What wedding?
- Uh, Alex and Izzie's.
- No one's.
Alex got married?
I'm just gonna go use
the computer over there.
Bye.
He got married and he
didn't even call us?
No, it-it-it sounds weird,
but it was totally a
spur-of-the-moment thing,
- you know, because his cancer.
- Alex has cancer?
- Lexie.
- No, Izzie has cancer.
- Who's Izzie?
- Alex's wife.
But...she's not really his wife anymore.
It's-- you know, I-I really, I
wouldn't worry about it.
They got divorced?
No, but they a-- well, s-she left.
And then, you know, she came back.
But he didn't really think
it was the right thing and...
Lexie. Stop talking.
You guys all right up there?
There's schrapnel everywhere.
I was going for the bleeder.
I never...I didn't even touch the bullet, I swear.
I don't know what happened.
When your commanding officer tells
you to stand down, you stand down.
Give me that.
I'm not in the army, and you're
not my commanding officer.
Dr. Altman and I are your attending,
and you are our subordinate.
You do exactly as we say
even if you do not agree.
Do you know why?
Because we know more than you do.
For example, we know that devastator
bullets have chemicals in them,
and sometimes they do
not detonate on impact.
Sometimes the heat from that bovie
is enough to make them explode.
Do you understand?
Dr. Yang, do you understand?
For whatever it's worth, Dr. Hunt, I would've
done the same thing Yang did.
Anybody would. If it's a bleeder...
The damage is already done.
There's no point in arguing about it.
Let's just fix it.
Yang, I need your hands
right now. Right here.
- Okay, you see this? Hold it.
- Yes.
Hey, dude. How could you not have
told me you got married?
- You told him?
- No, no. It wasn't me.
- W-well, some of it was, but...
- It was Arizona Robbins, and it was an accident.
Yeah, she figured your own brother would
already know that you married somebody,
- but, hey.
- See, this is why I didn't want to tell you,
because I knew you'd make
a big deal out of it.
It is a big deal. You get married on
the spur of the moment,
- you walk out on your wife.
- I did not walk out on my wife.
She walked out on me. She walked out.
You have any idea what Mom's
gonna do when she finds out?
She's gonna go off her meds.
She's not gonna do anything because
you're not gonna tell her, all right?
You're gonna get your free surgery, you're
gonna get back in your truck,
and you're gonna get
the hell outta here.
Fine.
You know what?
I don't need your free surgery.
I'll see ya.
- Aaron, stop.
- You're not going anywhere.
I don't need your crap!
You walk out on us.
You walk out on your wife.
- Like father, like son.
- Take that back.
Take it back.
Alex!
Get off me, man!
- What are you two fools...
- Oh, no, this is not hap--Alex!
- Get off!
- Karev!
- What the hell is your problem?
- You are.
What, you hitting people now, too?
You really did turn into Dad.
Walk away. Alex, walk away. Just walk away.
- Give him some room, okay? Don't follow him.
- Okay.
Hey, uh, I need a gurney.
- Run, honey.
- Right away.
She could wake up, right?
I mean, people wake up
from comas all the time.
I'm sorry.
Your wife's coma is irreversible.
Dr. Grey, would you
explain it, please?
Mrs. Clark's scans showed a
massive hemorrhage in her brain.
And the EEG showed
minimal brain activity.
But that means there's hope, right?
Because, at least there's activity.
And...and her heart
is still beating.
Only because the mechanical
ventilator is breathing for her.
When we turn the machine off,
the heart won't get the oxygen
it needs, and it will stop.
Why would you turn it off?
People can live for
years on these machines.
Mr. Clark, the advanced
directive your wife signed
specifically requested
no mechanical ventilation.
She filled that form
out three years ago
when the cancer was first diagnosed.
The doctor told her she
had six months to live,
and she held on for another three years.
She'll come back from
this, too. You'll see.
You can't unplug her.
Legally, we don't have a choice, sir.
She's my wife.
It's my choice.
It's your wife's choice,
and she made it three years ago.
You said the surgery went fine.
That's what you said.
- It did, but...
- No, no. You're not a doctor.
You're a child!
And you're useless.
I'm done talking with you.
I'm done talking with all of you.
Who's in charge here?
He protected me my
whole life, you know?
Kicked my dad's ass so hard, the
son of a bitch never came back.
I always thought he did that for me,
but maybe he just
likes throwing punches.
Aaron, I like you.
I do, but you can't talk
about my friend that way, okay?
I need you to count backwards
from ten for me, okay?
Okay.
Ten.
Nine.
Eight.
That's it.
A junkie dad, a crackpot mom, and
somehow Karev still became a doctor.
I'm not easily
impressed, but I'm impressed.
Uh, prep him. We'll go scrub.
Yes, doctor.
Dr. Grey.
We're meeting Gary Clark
in Shepherd's office.
Five minutes.
I told a patient's husband that
she was fine, that her
surgery went perfectly.
And the next thing we
know, she has a stroke,
and we are supposed to just unplug her.
And I know...I know that I
am supposed to toughen up.
I know that I am supposed to not care,
but how...how do you not care?
It's the hardest part of the job.
The very hardest part.
How did you do it?
How did you learn?
I'm still learning.
Why's her BP still low?
Is she still bleeding up there?
No, I got it under control.
We've had LR and blood
hanging since we got here,
but we can't seem to catch up.
Is her liver still bleeding?
No, I think we got it.
No, Dr. Hunt, Dr. Torres is right.
There's still bleeding
in the retroperitoneum.
We need a retractor in here.
That's a lot of blood.
Avery, get in there with the suction.
I can't see past the clots. Avery?
Suction's clogging now.
Let's use our hands and scoop.
- Come on. Let's get in there.
- Did you check the uterine artery?
That could be the source.
Down to 64 over 32.
We gotta stop this thing
or we're gonna lose her.
If we hadn't been distracted
by artillery in the OR,
we might have found this bleed earlier.
Hunt, not now.
That was, um, that was our fault in there..
We were speaking in shorthand.
We forget sometimes that
you guys are civilians
and that you don't
know about ballistics.
No, it's not just that. It was...
It's not the first time.
He's been...
It's been...
He has been through so much.
It's not like he talks about it.
He can't.
I can't talk about it either most days,
but Owen had it worse than me.
He has it worse.
He's triggered. Right now,
he's triggered, and his
triggers might never go away.
I mean, they'll get better over time,
if you give him time, which you
should, because he is in love with you.
He just needs time.
He needs therapy.
I keep telling him to go to Dr. Wyatt.
No, don't...don't...don't do that.
He won't go if you tell him to.
He's...
He's very...He's a guy that way. A man.
Don't ever tell him what to do.
Just...just tell him how you feel.
When's the best time to have kids?
The best time to have kids...
is never.
Well, you asked.
- Well, yeah, but...
- They cry all the time, nonstop.
They never sleep.
They're terrible conversationalists.
And they take everything you've got.
All your time, all your
focus, all your patience,
all your sleep, everything till
you got nothing left for you.
Wow.
But this morning...
Little Tuck woke me up
by putting his nose up against mine.
His cold, little nose.
And he goes, "wake up",
and he got the "K " sound in "wake". "Wake up".
See, up until today, he'd
say "D" instead of "K". "Wade up".
Girl, him nailing that "K" sound...
It's the pride I felt,
the irrational, unbridled, joy...
Well, it's at least as
good as any Whipple.
Look, if you're waiting for
the perfect time to have kids,
you're never going to have kids.
Hey.
Aaron's surgery went well.
His hernia defect was fairly large,
but Bailey was able to
use mesh to bridge it.
So...
He'll be waking up in a few
minutes if you want to stop by.
Mr. Clark, I'm deeply sorry
for your...for your loss.
No, don't...don't speak about
my wife as if she's dead.
She's still here. She could wake up.
She's not gonna wake up, Mr. Clark.
Not with the brain damage she suffered.
You don't know that.
Mr. Clark, if we don't obey
your wife's directive,
if we ignore her wishes...
- She signed that form three years ago.
- Her health will deteriorate.
She'll lose body mass.
She'll have no immune system.
She'll require around-the-clock care,
and that can become very
expensive very quickly.
I don't care about that.
It'll be no life for either of you.
And that's why your wife
signed the advanced directive.
She didn't want to have
to live her life this way.
And she didn't want you to
live your life this way either.
Don't you speak for my wife.
Don't you dare speak for my wife.
I'm sorry Mr. Clark, but the Ethics
Committee has reviewed your case.
We are bound by law to obey her wishes.
If you unplug my wife,
you'll be killing her.
I'm sorry.
You should, uh,
take all the time you need
to call your family...
to say good-bye.
There's no one to call.
We didn't have any family.
It was just us.
We didn't have any kids.
It's just me.
He's my sister's husband.
Excuse me?
Don't play stupid.
I'm not playing stupid.
I am stupid.
I'm stupid and I'm humiliated, and...
I'm sorry.
I just...I've never felt anything...
I've never felt like this before.
So I...if you could just
please forget what you saw,
because I promise, you
will never see it again,
and...and we...we can just
go back to being doctors.
Please.
This day sucks. I hate this day.
Oh, God.
You don't have to be here.
You can go.
Well, I'm just making sure you don't
croak, and then I'm outta here.
You saved my ass every
day when were kids. You...
You were a better parent
than Mom and Dad put together.
And every day, I feel bad for Amber
that she has just me, instead of you.
What happened to you, man?
I send you money every month.
I send Mom her meds.
You want that to stop?
I am this close to being a real surgeon.
I can't..I can't be in that and do this.
I can't.
Amber's a good kid.
She turned out okay. You'd like her.
You turned out okay too, Aaron.
I'm sorry your wife left you,
or got cancer or whatever.
Thanks.
We repaired the damage to
your liver and intestine,
cleaned out the fractured
hip and fixed your lung.
There was a bullet and some
shrapnel near your heart.
- Oh, my god.
- But Dr. Altman was able to repair all the damage.
Thank you.
Thank you all so much.
Honestly, I...I don't
even know what to say.
There...there was, uh, there
were complications, Gina.
There was a lot of
bleeding in the abdomen.
The uterine artery was involved.
We were able to stop the bleed, but...
in order to do that, we had to
remove your uterus.
What?
We had to perform a hysterectomy.
I'm sorry.
She...she can't...we can't have kids?
I'm so sorry.
We can never have kids?
- Oh, god.
- Baby, it's okay.
It's all right, baby.
It's okay, baby. Baby, it's okay.
How long has he been there?
About three hours.
It's time.
See it through.
Mr. Clark.
No, please.
I'm sorry.
I keep telling myself there's
a chance she'll wake up.
Once you turn off the respirator,
there is a chance...
even...even if it's just...
less than 1% chance,
that she'll start breathing again, right?
Miracles do happen.
That's what...that's
what she always says.
Please.
Please, darling, wake up.
P...please.
I am so sorry.
Please. Please.
Please, please wake up.
Please wake up.
Pl...please wake up.
Please wake up.
Were you checking up on
me in that surgery today?
No, I wasn't checking up
on you. I was observing.
You know that's the closest
I get to an OR these days?
I'm gonna choose to believe you on that.
They were married 32 years.
There was nothing you could've done.
I'm going home to my wife.
You should do the same thing.
Looking good, Gina.
You're gonna be back
on the beat in no time.
That's what they call
it, right, the beat?
Yes, they do, and no, she won't.
Jimmy and I talked
about it. I'm quitting.
- What?
- Why?
Well, 'cause Jimmy's right.
I mean, it's a job you
know, and I love it.
But I love my husband, too.
And what, we're gonna adopt ten
Haitian orphans or something?
Eight.
- Well, congratulations.
- Thank you.
Gina.
I want you to know, I did the best
I could with the Review Board.
- Josh, it's okay.
- And they want you back on the job.
Are you kidding me?
Welcome back, Officer Thompson.
- Oh, my god.
- Hey, look out now. Watch out.
Oh, my god. Oh, my god.
Thank you so much.
Where's Aaron?
He went back to Iowa.
You let him drive after surgery?
I'm not his dad.
He's got my number.
You know you're nothing
like your father, right?
You're nothing like your mother.
You're good.
So you'd be good.
You'd be a good mom.
It's the most important job in the world.
You probably should
need a license to do it.
But then most of us wouldn't
even pass the written exam.
You ever wonder if
moisturizer really works?
I mean, what's in the stuff?
I'm a doctor, and I haven't
even heard of half of it.
Uh, dimethicone.
No idea.
Distearyldim...dimo...hmm.
Yeah, I can't even pronounce that.
So...
- Disteary...
- I want to have a baby.
And I...I can't talk about lotion
or pound cake or anything else,
because you don't want
to have a baby, and I do.
So...
We're gonna talk about it.
Yeah.
We are gonna talk about it.
Some people are naturals.
They were born to do it.
Some have other gifts.
Oh, you're making dinner.
It's just pasta.
It smells good.
Are you baking bread?
So, uh...
You said you don't want to have kids.
What?
Oh, your sausages are burning.
No, they're fine.
No, they're burning.
Cristina, listen, they're fine.
Damn it!
I am sorry.
Are you scared of me?
I don't want to be.
I have to go back to Dr. Wyatt.
It's okay. It's okay. It's okay.
But the good news is, biology dictates
you don't have to do it alone.
Hey.
Hey.
I don't want you to be alone.
If anything should happen to me,
I don't want you...just be you.
Well, we would make pretty babies.
So you're thinking about it?
Oh, I'm thinking about it.
You can waste your whole
life wondering,
but the only way to find out
what kind of parent you'd be,
is to finally
stop talking about it...
But we're not making babies right now.
We're practicing.
It's very important to practice.
and just do it.
Oh, you taste good.
You have no idea how good you taste.
Oh, Mark, I...Oh, I'm
really, really,
enjoying myself with you.
I..I am, but I need to, um,
I need to be honest about something.
No you don't,
if you're honestly enjoying yourself.
I...I am.
I am.
Then right now, that's as
honest as you have to be.
Okay.
Now turn over.
I want to try a little milk
chocolate on your belly button.
Ignore 'em. They'll go away.
I'll get rid of 'em.
Sloan.
The baby's coming.
The baby's coming right now!
Oh, the baby's coming!
Oh, the baby's coming!
that every aspect of our lives,
all our thought processes and behavior patterns,
are the direct result of our relationship to our parents.
Well, you're looking all thoughtful.
I was just thinking how pretty you are.
And also how pretty our children would be.
Children?
Like multiple?
Child.
Let's just start with one and see how it goes.
You wanna start?
I'm just saying you're pretty.
That's all I'm saying.
That every relationship that we have
is really just another version
of that first relationship.
Did you talk to Dr. Wyatt?
Christina...
When was the last time...
It's just us trying over and over again,
to get it right.
- Alex.
- Mer?
Okay, so Izzie's not here, and
Cristina's not answering her phone,
and I have a thing,
so I need you to be a girl for me.
What'd he do?
Want me to kick his ass?
He wants me to have a baby.
So you do want me to kick his ass.
Alex.
Do you want to have a baby?
A baby doesn't want me.
I had the worst mother in the world.
I would be the worst mother in the world.
Izzie wants a divorce.
She sent the papers.
The official papers.
Want me to kick her ass?
Hey, Alex.
- Hey.
- He's being a girl for me.
Dude, it's true.
Right.
Well, there's a guy downstairs
says he's your brother.
You want me to send him
up here to the bathroom
since this seems to be where
you receive your visitors?
Uh, tell him to wait.
Right.
- You have a brother?
- Yeah.
- Do you want me to go get rid of him?
- Crap.
What's he doing here?
Alex is the oldest, then
me, and then Amber.
Amber's graduating from St. Savior's in May.
She's smart, like Alex.
She could go to college if
she wanted to, but she's like,
"what's the point?" you know?
And I don't know what to tell her.
Alex is the doctor in the family.
I just move people for a living.
Hey.
What are you doing here?
Man, you got old.
- Hey.
- Dude.
Uh, what are you doing here?
I had to drive to Portland on a job,
and since I was the neighborhood...
Well, Portland's not in the neighborhood.
It's three hours.
I do three hours in my sleep.
Alex, he's your brother.
He's allowed to come say hi.
You're gonna be late for pre-rounds.
Okay. Well, it...it was
very nice to meet you.
I'm Lexie, by the way.
I'm overdue for a visit,
it's been seven years.
No, it has not.
Since you've been home.
Seven years.
You haven't been home in seven years?
Derek.
I have this.
Hey, I'm Derek. Nice meeting you.
- Aaron.
- Take care.
- I'll see you.
- Meredith, by the way.
- Hello.
- Nice to meet you.
Has it been seven years?
Amber was 10 the last time we saw you.
Aaron, what's going on?
What do you want?
I do miss you, okay, and I...I did want to say hi,
but since you're a doctor,
I thought I'd ask.
Should I be worried about this?
- Thank you.
- Cappuccino?
- Cappuccino.
- So, how'd the date go with Teddy?
I don't know if I'd call it a date.
Doesn't going on a date imply
actually going somewhere?
Oh, shut up.
You had sex?
- Hey, guys.
- Hey.
Oh, pound cake.
I love pound cake.
- Thank you.
- Rich, buttery pound cake.
Yum. Pound cake.
- Pound cake?
- Oh, I'm good. Thanks.
So what exactly
constitutes a pound cake?
- It's a yellow cake...
- There you go.
- Kinda heavy.
- Come on.
Code for something dirty, right?
Like, you eat her pound cake,
she eats your pound cake?
No.
Oh please, tell me it's
dirty, because otherwise,
that was the most boring conversation
I've ever been a part of.
We are talking about pound
cake because I want a kid
and she doesn't, and
we're not talking about that.
How long are you two not
gonna have that conversation?
A year? Two years? Five?
Wow. So...
you and Teddy ate pound cake together?
You're changing the subject.
You like how I did that?
So how was it?
- Mind-blowing.
- Yeah?
I pounded her cake, she pounded mine.
- Good.
- Excellent pound caking.
"Pound caking" is not a thing.
Whatever. I blew her mind.
- Life changing?
- Life changing. Earth shattering.
The point is he's a
legend for a reason.
I mean he has skills I
never even knew existed.
It's like there was a party going on.
A party in your panties.
Oh.
- Morning.
- Good morning.
- Okay. Bye.
- Bye.
- See ya.
He's always so grumpy.
He's going through something, and
Cristina doesn't get it.
She can't, which isn't her fault,
but I do get it, and...and I
can't be there for him.
And, that's really hard.
But you're seeing Mark.
But I'm seeing Mark.
So then a couple days ago, we're
at the grocery store, Gary and I,
and the next thing I know, I'm flat on
my back in the frozen foods section.
She fainted.
And I've never fainted.
I've never seen anyone faint.
I don't believe in fainting.
Did you hit your head?
I would've if this one hadn't caught me.
Mrs. Clark is anemic and guaiac-positive,
so there's definitely
some internal bleeding,
which looks like it's coming from a...
Friable tumor near the ampulla of Vater.
Yes, thank you for that, Dr. Kepner.
Dr. Swender told us the biopsy
showed the cancer was back.
But she said you might
be able to take it out.
There's a chance I won't be able
to go in as deeply as I'll need to,
but I promise to do everything I can.
Anything you could do.
We appreciate it, Dr. Webber.
Thank you.
Thank you.
I honestly don't think I need surgery.
You do.
It doesn't even hurt that bad.
You have an umbilical hernia.
You need surgery, so shut up
and fill out the paperwork.
I think surgery's just
gonna make it hurt worse.
You remember when Dad
had his gall bladder out?
- Stop talking and write.
- Write what?
I don't have insurance.
Okay, what am I suppose to write?
- Ask Bailey to do it pro bono.
- I can't ask her to do that.
Alex, he's your brother.
Evilspawn has a brother?
Aaron, Cristina Yang.
Nice to meet you, Dr.
Yang. I'm Aaron Karev.
Oh my god. You're so nice.
He's so nice.
Why can't you be nice like your brother?
Angelspawn?
- Why can't you?
- Fair enough.
- Uh, Mer, what's up? You called?
- Ten times.
Owen's still in his dark
place, and he's still not talking,
so I turned off my cell in case he
would say something, which he didn't.
I hate men. They're stupid.
Derek asked me to have a
baby with him this morning.
Really stupid.
Oh great!
The pit, with Owen and his dark place.
- What have we got?
- Cop with multiple GSW's.
- How many cops did you say?
- Just one.
Officer Gina Thompson, 34,
GSW's to the hip and chest.
Vitals 100 over 70, pulse
118, respiration's 28.
That's quite a police escort
there, Officer Thompson.
I told those guys I was gonna be fine.
Well yeah, I wonder why
they didn't believe you.
I been in worse shape.
- Seriously?
- Oh, yeah.
You should see the other guys.
You took down three guys by yourself?
Hey, a girl's gotta do
what a girl's gotta do.
Am I right, ladies?
Let's go.
- How many bullet wounds?
- Four, but I'm wondering if...
- Went through the right leg.
- Probably busted the femur.
- And trajectory seems...
- Seems to have gone upwards.
- Breath sounds are...
- All right, three chest wounds can't be transthoracic.
Oh god, Gina. Baby.
Take a look at you.
I'm okay, baby. They're taking
really good care of me.
This is my husband Jamie.
That's Lieutenant Moore.
So, what'd you find out at the scene?
You were told to wait for backup.
Well, I was first on the scene. I heard a shot. I went in.
You disobeyed a direct order.
You endangered your own life
and everybody in the building.
I took down three men by myself.
And you got yourself suspended for it.
What?
It's going to the Review
Board this afternoon.
You'll be lucky to have a
job by the end of the day.
- Well, I gotta get out of here. I gotta go defend myself.
- I need you to take a deep breath.
- She's bleeding into her chest.
- All right, throw in the chest tube now!
Get them outta here now!
No, I gotta go. Please!
All right, Gina, just lie back.
Take a deep breath.
All you have to do is breathe.
Dr. Webber, did you consider
doing a Whipple on Mrs. Clark?
I did. But since the cancer came back,
I think I can do a local resection
and get the entire visible tumor.
- Dr. Kepner, are we boring you?
- No. sir
I just...I wasn't expecting
Chief Shepherd
to be up in the gallery during
a general surgery.
But I guess that's the chief's
job, right? Evaluating, observing?
Dr. Kepner, you're in my OR,
and the only one observing and
evaluating you right now is me.
Yes, sir. I'm sorry, sir.
...with the orange and red.
How's that? Orange and red.
You think it's gonna work?
- Dr. Bailey, you got a second?
- I do. I have a second,
which is why I'm
spending it with my child.
Here, look. Say "Bye-bye Dr.
Karev". See him? Bye-bye.
Dr. Bailey...
my little brother is here, with what
looks like a, uh, umbilical hernia.
I didn't know Dr. Karev
had a little brother.
Did you know Dr. Karev
had a little brother?
He has no money.
He doesn't have insurance, so...
Ah, Mommy sees where this is going.
He...he'd have to have
you perform the surgery pro bono.
Did you hear that funny word?
Pro bono?
Mommy's got a mountain of
surgeries to schedule.
Does she have time to do free surgeries?
And I'll schedule your surgeries...
for the next...week if you want.
Do you think Mommy should fix up Dr.
Karev's brother
and make him feel all better?
Two weeks.
A month.
Well, all right.
I will meet Dr.
Karev's brother in, what, half an hour?
Say "Bye-bye, Dr. Karev." Bye-bye.
I woulda done it anyway, but he
just kept talking, didn't he?
You're so good.
Mr. Clark.
How is she?
She did great in there.
She was a total trooper.
The surgery went great.
We got the tumor, all
of i,t with good margins.
Oh, thank god. Oh.
Dr. Grey, thank you. Thank you so much.
My wife keeps telling me
I need to be more manly about all this.
I mean, after all, she's
the one with the cancer.
She's afraid I'm the
one who won't make it.
I think you're doing just fine.
You both are. Would you like to see her?
- Can I?
- She should be waking up any minute.
How is it your brother is a surgeon and
you waited months to take care of this?
I don't know.
Karevs are tough.
I guess five years in foster
care will do that to you.
Foster care?
You're all foster children?
Well, me and Amber were in and
out, but Alex, he had like
17 different foster homes in 5 years.
So Alex was a foster child?
Yeah, because my mom was, you know,
it was before they had all
the meds that they have today,
and she was...I guess she was
doing her best, but my dad, he...
wasn't a good guy, and he was,
you know...
whatever. And so, Alex, he
got shipped around a lot.
And...
he was a pretty rough kid
if you didn't know him,
so people didn't like to keep him.
Then he ended up in Juvie.
J-j-juvenile detention?
Yeah, 'cause my mom, she...
sometimes she'd forget to buy food, so...
He was good, though.
People wouldn't have even
known he was stealing anything
if it hadn't been for the video cameras.
How old was he?
Mm, 11, maybe 12.
Hey, what are we doing with 28-07?
- Dude, are you talking crap in here?
- No.
Dude, I work here.
So go to work.
Uh, check the chest tube in 28-07.
- Go.
- Shut it, Aaron.
So what happened after Juvie?
- Dr. Bailey, I don't think that Alex...
- Mind your business.
Aaron, after Juvie?
You couldn't expect me to just
sit there with a 10-71 in progress.
I had good, solid information the
- perps were threatening a 2-1-7.
- Baby. Baby, your doctors are here.
Uh, we need to take you to surgery.
Kenny, did you get that? It was a 10-71.
Baby, he got that, okay?
But you gotta go with them.
Wait! Look, this is important, okay?
They're gonna need a statement.
- Baby, that's what's important, trying to save your job?
- Jimmy.
Listen, every year you promise
me that once you make detective,
we're gonna buy a house,
have a kid, and settle down.
But...
baby, it's been seven years.
And every time you get
close to a promotion,
you go do something stupid.
- Baby
- And now these people are trying to save your life,
and you want 'em to wait.
I'm not gonna stand
here and watch you die.
I want a life with you, baby.
I want a long...
happy, boring life.
Tell me everything you did.
I was trying to wean
her off the ventilator,
but then I realized that she
wasn't breathing on her own,
so I put her back on her
previous vent settings.
What...Dr. Webber,
what's happening to her?
She may have stroked out.
Get a CT and get the scans to Shepherd.
And also run an EEG.
We need to find out right away
if there's any brain activity.
If there's not, then we need...
She...she looks great. Oh, thank god.
Dr. Grey told me you got the tumor.
Thank you so much, Dr. Webber.
Can I wake her?
Sweetheart?
You still sleeping?
The doctors said you
did great in there.
Honey?
You awake?
Alison?
Alison?
Oh, the patient had a
massive hemorrhage.
Look, you see here?
The left temporal lobe?
The hemorrhage, it looks like it...
Wow! That bleed is huge.
- What?
- You look even prettier in your scrubs.
What are you going to do
about your giant stroke?
Nothing.
Nothing?
Yeah, Mrs. Clark has a left
temporal lobe hemorrhage
that's extended into the
ventricular system.
There's nothing we can do.
Want to get a cup of coffee?
Only if you keep telling
me how pretty I am.
I've got three bowel injuries here.
You got anything, Avery?
I found what did the damage.
- What, you see the bullet?
- Lodged near the liver.
Teddy, I'm looking at a devastator.
What? What does that mean?
It means be careful.
They're sharp like shrapnel
and they explode on impact.
Can you imagine going
to work every day knowing
you're gonna end up on
the wrong side of a gun?
I know. She is awesome.
And now her husband wants
her to give it all up?
He's all like,"Let's start popping
out babies or I'm leaving you".
Why does it have to
be one or the other?
Because you don't have kids if
you're facing mortar fire every day.
- It screws with your head.
- Is that why you don't have 'em? Iraq?
Well, first it was residency,
and then it was Iraq,
and now it's, I don't
know, waiting for the right guy?
You want to have kids?
Wait. you don't?
Have you met me? No.
Okay, we're done here.
- I think I feel it.
- Feel what?
The bullet. It's right next to the heart.
There's still some bleeding.
Don't worry, I got it.
No, no, no. Don't!
- Oh, god! Damn it, Cristina.
- What...what happened? What just happened?
You essentially fired a bullet into
that patient's chest is what you did.
That's my intestine?
Yeah, and that part right there is supposed
to be on the inside of the membrane,
not the outside.
Dude, that is sick.
Can I get a copy of one of these? I wanna hang it from my fridge.
Uh, hey, are we doing consults
at the desk nowadays?
'Cause I kinda need to use the computer.
Oh, this is Alex's brother.
Aaron, this is Arizona Robbins.
Oh, nice to meet you.
How come I didn't meet
you at the wedding?
- Actually Dr. Robbins...
- Oh, that's right, that's right.
No one's family came.
Last-minute switcheroo and all that.
What wedding?
- Uh, Alex and Izzie's.
- No one's.
Alex got married?
I'm just gonna go use
the computer over there.
Bye.
He got married and he
didn't even call us?
No, it-it-it sounds weird,
but it was totally a
spur-of-the-moment thing,
- you know, because his cancer.
- Alex has cancer?
- Lexie.
- No, Izzie has cancer.
- Who's Izzie?
- Alex's wife.
But...she's not really his wife anymore.
It's-- you know, I-I really, I
wouldn't worry about it.
They got divorced?
No, but they a-- well, s-she left.
And then, you know, she came back.
But he didn't really think
it was the right thing and...
Lexie. Stop talking.
You guys all right up there?
There's schrapnel everywhere.
I was going for the bleeder.
I never...I didn't even touch the bullet, I swear.
I don't know what happened.
When your commanding officer tells
you to stand down, you stand down.
Give me that.
I'm not in the army, and you're
not my commanding officer.
Dr. Altman and I are your attending,
and you are our subordinate.
You do exactly as we say
even if you do not agree.
Do you know why?
Because we know more than you do.
For example, we know that devastator
bullets have chemicals in them,
and sometimes they do
not detonate on impact.
Sometimes the heat from that bovie
is enough to make them explode.
Do you understand?
Dr. Yang, do you understand?
For whatever it's worth, Dr. Hunt, I would've
done the same thing Yang did.
Anybody would. If it's a bleeder...
The damage is already done.
There's no point in arguing about it.
Let's just fix it.
Yang, I need your hands
right now. Right here.
- Okay, you see this? Hold it.
- Yes.
Hey, dude. How could you not have
told me you got married?
- You told him?
- No, no. It wasn't me.
- W-well, some of it was, but...
- It was Arizona Robbins, and it was an accident.
Yeah, she figured your own brother would
already know that you married somebody,
- but, hey.
- See, this is why I didn't want to tell you,
because I knew you'd make
a big deal out of it.
It is a big deal. You get married on
the spur of the moment,
- you walk out on your wife.
- I did not walk out on my wife.
She walked out on me. She walked out.
You have any idea what Mom's
gonna do when she finds out?
She's gonna go off her meds.
She's not gonna do anything because
you're not gonna tell her, all right?
You're gonna get your free surgery, you're
gonna get back in your truck,
and you're gonna get
the hell outta here.
Fine.
You know what?
I don't need your free surgery.
I'll see ya.
- Aaron, stop.
- You're not going anywhere.
I don't need your crap!
You walk out on us.
You walk out on your wife.
- Like father, like son.
- Take that back.
Take it back.
Alex!
Get off me, man!
- What are you two fools...
- Oh, no, this is not hap--Alex!
- Get off!
- Karev!
- What the hell is your problem?
- You are.
What, you hitting people now, too?
You really did turn into Dad.
Walk away. Alex, walk away. Just walk away.
- Give him some room, okay? Don't follow him.
- Okay.
Hey, uh, I need a gurney.
- Run, honey.
- Right away.
She could wake up, right?
I mean, people wake up
from comas all the time.
I'm sorry.
Your wife's coma is irreversible.
Dr. Grey, would you
explain it, please?
Mrs. Clark's scans showed a
massive hemorrhage in her brain.
And the EEG showed
minimal brain activity.
But that means there's hope, right?
Because, at least there's activity.
And...and her heart
is still beating.
Only because the mechanical
ventilator is breathing for her.
When we turn the machine off,
the heart won't get the oxygen
it needs, and it will stop.
Why would you turn it off?
People can live for
years on these machines.
Mr. Clark, the advanced
directive your wife signed
specifically requested
no mechanical ventilation.
She filled that form
out three years ago
when the cancer was first diagnosed.
The doctor told her she
had six months to live,
and she held on for another three years.
She'll come back from
this, too. You'll see.
You can't unplug her.
Legally, we don't have a choice, sir.
She's my wife.
It's my choice.
It's your wife's choice,
and she made it three years ago.
You said the surgery went fine.
That's what you said.
- It did, but...
- No, no. You're not a doctor.
You're a child!
And you're useless.
I'm done talking with you.
I'm done talking with all of you.
Who's in charge here?
He protected me my
whole life, you know?
Kicked my dad's ass so hard, the
son of a bitch never came back.
I always thought he did that for me,
but maybe he just
likes throwing punches.
Aaron, I like you.
I do, but you can't talk
about my friend that way, okay?
I need you to count backwards
from ten for me, okay?
Okay.
Ten.
Nine.
Eight.
That's it.
A junkie dad, a crackpot mom, and
somehow Karev still became a doctor.
I'm not easily
impressed, but I'm impressed.
Uh, prep him. We'll go scrub.
Yes, doctor.
Dr. Grey.
We're meeting Gary Clark
in Shepherd's office.
Five minutes.
I told a patient's husband that
she was fine, that her
surgery went perfectly.
And the next thing we
know, she has a stroke,
and we are supposed to just unplug her.
And I know...I know that I
am supposed to toughen up.
I know that I am supposed to not care,
but how...how do you not care?
It's the hardest part of the job.
The very hardest part.
How did you do it?
How did you learn?
I'm still learning.
Why's her BP still low?
Is she still bleeding up there?
No, I got it under control.
We've had LR and blood
hanging since we got here,
but we can't seem to catch up.
Is her liver still bleeding?
No, I think we got it.
No, Dr. Hunt, Dr. Torres is right.
There's still bleeding
in the retroperitoneum.
We need a retractor in here.
That's a lot of blood.
Avery, get in there with the suction.
I can't see past the clots. Avery?
Suction's clogging now.
Let's use our hands and scoop.
- Come on. Let's get in there.
- Did you check the uterine artery?
That could be the source.
Down to 64 over 32.
We gotta stop this thing
or we're gonna lose her.
If we hadn't been distracted
by artillery in the OR,
we might have found this bleed earlier.
Hunt, not now.
That was, um, that was our fault in there..
We were speaking in shorthand.
We forget sometimes that
you guys are civilians
and that you don't
know about ballistics.
No, it's not just that. It was...
It's not the first time.
He's been...
It's been...
He has been through so much.
It's not like he talks about it.
He can't.
I can't talk about it either most days,
but Owen had it worse than me.
He has it worse.
He's triggered. Right now,
he's triggered, and his
triggers might never go away.
I mean, they'll get better over time,
if you give him time, which you
should, because he is in love with you.
He just needs time.
He needs therapy.
I keep telling him to go to Dr. Wyatt.
No, don't...don't...don't do that.
He won't go if you tell him to.
He's...
He's very...He's a guy that way. A man.
Don't ever tell him what to do.
Just...just tell him how you feel.
When's the best time to have kids?
The best time to have kids...
is never.
Well, you asked.
- Well, yeah, but...
- They cry all the time, nonstop.
They never sleep.
They're terrible conversationalists.
And they take everything you've got.
All your time, all your
focus, all your patience,
all your sleep, everything till
you got nothing left for you.
Wow.
But this morning...
Little Tuck woke me up
by putting his nose up against mine.
His cold, little nose.
And he goes, "wake up",
and he got the "K " sound in "wake". "Wake up".
See, up until today, he'd
say "D" instead of "K". "Wade up".
Girl, him nailing that "K" sound...
It's the pride I felt,
the irrational, unbridled, joy...
Well, it's at least as
good as any Whipple.
Look, if you're waiting for
the perfect time to have kids,
you're never going to have kids.
Hey.
Aaron's surgery went well.
His hernia defect was fairly large,
but Bailey was able to
use mesh to bridge it.
So...
He'll be waking up in a few
minutes if you want to stop by.
Mr. Clark, I'm deeply sorry
for your...for your loss.
No, don't...don't speak about
my wife as if she's dead.
She's still here. She could wake up.
She's not gonna wake up, Mr. Clark.
Not with the brain damage she suffered.
You don't know that.
Mr. Clark, if we don't obey
your wife's directive,
if we ignore her wishes...
- She signed that form three years ago.
- Her health will deteriorate.
She'll lose body mass.
She'll have no immune system.
She'll require around-the-clock care,
and that can become very
expensive very quickly.
I don't care about that.
It'll be no life for either of you.
And that's why your wife
signed the advanced directive.
She didn't want to have
to live her life this way.
And she didn't want you to
live your life this way either.
Don't you speak for my wife.
Don't you dare speak for my wife.
I'm sorry Mr. Clark, but the Ethics
Committee has reviewed your case.
We are bound by law to obey her wishes.
If you unplug my wife,
you'll be killing her.
I'm sorry.
You should, uh,
take all the time you need
to call your family...
to say good-bye.
There's no one to call.
We didn't have any family.
It was just us.
We didn't have any kids.
It's just me.
He's my sister's husband.
Excuse me?
Don't play stupid.
I'm not playing stupid.
I am stupid.
I'm stupid and I'm humiliated, and...
I'm sorry.
I just...I've never felt anything...
I've never felt like this before.
So I...if you could just
please forget what you saw,
because I promise, you
will never see it again,
and...and we...we can just
go back to being doctors.
Please.
This day sucks. I hate this day.
Oh, God.
You don't have to be here.
You can go.
Well, I'm just making sure you don't
croak, and then I'm outta here.
You saved my ass every
day when were kids. You...
You were a better parent
than Mom and Dad put together.
And every day, I feel bad for Amber
that she has just me, instead of you.
What happened to you, man?
I send you money every month.
I send Mom her meds.
You want that to stop?
I am this close to being a real surgeon.
I can't..I can't be in that and do this.
I can't.
Amber's a good kid.
She turned out okay. You'd like her.
You turned out okay too, Aaron.
I'm sorry your wife left you,
or got cancer or whatever.
Thanks.
We repaired the damage to
your liver and intestine,
cleaned out the fractured
hip and fixed your lung.
There was a bullet and some
shrapnel near your heart.
- Oh, my god.
- But Dr. Altman was able to repair all the damage.
Thank you.
Thank you all so much.
Honestly, I...I don't
even know what to say.
There...there was, uh, there
were complications, Gina.
There was a lot of
bleeding in the abdomen.
The uterine artery was involved.
We were able to stop the bleed, but...
in order to do that, we had to
remove your uterus.
What?
We had to perform a hysterectomy.
I'm sorry.
She...she can't...we can't have kids?
I'm so sorry.
We can never have kids?
- Oh, god.
- Baby, it's okay.
It's all right, baby.
It's okay, baby. Baby, it's okay.
How long has he been there?
About three hours.
It's time.
See it through.
Mr. Clark.
No, please.
I'm sorry.
I keep telling myself there's
a chance she'll wake up.
Once you turn off the respirator,
there is a chance...
even...even if it's just...
less than 1% chance,
that she'll start breathing again, right?
Miracles do happen.
That's what...that's
what she always says.
Please.
Please, darling, wake up.
P...please.
I am so sorry.
Please. Please.
Please, please wake up.
Please wake up.
Pl...please wake up.
Please wake up.
Were you checking up on
me in that surgery today?
No, I wasn't checking up
on you. I was observing.
You know that's the closest
I get to an OR these days?
I'm gonna choose to believe you on that.
They were married 32 years.
There was nothing you could've done.
I'm going home to my wife.
You should do the same thing.
Looking good, Gina.
You're gonna be back
on the beat in no time.
That's what they call
it, right, the beat?
Yes, they do, and no, she won't.
Jimmy and I talked
about it. I'm quitting.
- What?
- Why?
Well, 'cause Jimmy's right.
I mean, it's a job you
know, and I love it.
But I love my husband, too.
And what, we're gonna adopt ten
Haitian orphans or something?
Eight.
- Well, congratulations.
- Thank you.
Gina.
I want you to know, I did the best
I could with the Review Board.
- Josh, it's okay.
- And they want you back on the job.
Are you kidding me?
Welcome back, Officer Thompson.
- Oh, my god.
- Hey, look out now. Watch out.
Oh, my god. Oh, my god.
Thank you so much.
Where's Aaron?
He went back to Iowa.
You let him drive after surgery?
I'm not his dad.
He's got my number.
You know you're nothing
like your father, right?
You're nothing like your mother.
You're good.
So you'd be good.
You'd be a good mom.
It's the most important job in the world.
You probably should
need a license to do it.
But then most of us wouldn't
even pass the written exam.
You ever wonder if
moisturizer really works?
I mean, what's in the stuff?
I'm a doctor, and I haven't
even heard of half of it.
Uh, dimethicone.
No idea.
Distearyldim...dimo...hmm.
Yeah, I can't even pronounce that.
So...
- Disteary...
- I want to have a baby.
And I...I can't talk about lotion
or pound cake or anything else,
because you don't want
to have a baby, and I do.
So...
We're gonna talk about it.
Yeah.
We are gonna talk about it.
Some people are naturals.
They were born to do it.
Some have other gifts.
Oh, you're making dinner.
It's just pasta.
It smells good.
Are you baking bread?
So, uh...
You said you don't want to have kids.
What?
Oh, your sausages are burning.
No, they're fine.
No, they're burning.
Cristina, listen, they're fine.
Damn it!
I am sorry.
Are you scared of me?
I don't want to be.
I have to go back to Dr. Wyatt.
It's okay. It's okay. It's okay.
But the good news is, biology dictates
you don't have to do it alone.
Hey.
Hey.
I don't want you to be alone.
If anything should happen to me,
I don't want you...just be you.
Well, we would make pretty babies.
So you're thinking about it?
Oh, I'm thinking about it.
You can waste your whole
life wondering,
but the only way to find out
what kind of parent you'd be,
is to finally
stop talking about it...
But we're not making babies right now.
We're practicing.
It's very important to practice.
and just do it.
Oh, you taste good.
You have no idea how good you taste.
Oh, Mark, I...Oh, I'm
really, really,
enjoying myself with you.
I..I am, but I need to, um,
I need to be honest about something.
No you don't,
if you're honestly enjoying yourself.
I...I am.
I am.
Then right now, that's as
honest as you have to be.
Okay.
Now turn over.
I want to try a little milk
chocolate on your belly button.
Ignore 'em. They'll go away.
I'll get rid of 'em.
Sloan.
The baby's coming.
The baby's coming right now!
Oh, the baby's coming!
Oh, the baby's coming!