00 :00 :00 Previously on "Grey's Anatomy"... 00 :00 :02 I've had this thing for my roommate since day one, 00 :00 :04 and I can't tell her. 00 :00 :07 Wouldn't it be easier to just ask her out? 00 :00 :09 Are really as shallow and callous as you seem? 00 :00 :12 Oh, you want to go out for a drink later and 00 :00 :15 hear about my secret pain? 00 :00 :17 I can't. I'm seeing someone. 00 :00 :18 Save yourself the misery, man. 00 :00 :20 She's off the market. 00 :00 :21 What? But she's not. I mean, if she was... 00 :00 :23 I live with her -- I would know it. 00 :00 :25 And the longer this little fling goes on, 00 :00 :27 the more favors you get over the others -- 00 :00 :30 who are fighting tooth and nail just to make it through this program -- 00 :00 :33 when those people start finding out what's going on... 00 :00 :36 What is this that we're doing here? 00 :00 :39 You need a definition? 00 :00 :40 The next time I see you favoring Meredith Grey in any way, 00 :00 :43 I'll make sure she doesn't see the inside of an O.R. for a month. 00 :00 :51 Okay, anyone who says you can sleep when you die, 00 :00 :55 tell them to come talk to me after a few months as an intern. 00 :00 :59 Of course, it's not just the job that keeps us up all night. 00 :01 :04 You have to get up now. 00 :01 :07 What? 00 :01 :08 Oh, my god, what time is it? 00 :01 :11 It's 5:20, 00 :01 :13 and I have prerounds. 00 :01 :17 And you have to leave before they see you. 00 :01 :19 Oh, come on, now. 00 :01 :21 Why don't you just let them see? 00 :01 :22 No! 00 :01 :23 - Please! - No. No. 00 :01 :26 You get any sleep? 00 :01 :27 Oh, she could oil the bedsprings as a courtesy or at least buy a padded headboard. 00 :01 :35 So, who's the guy? 00 :01 :36 You think it was just one guy doing all that work? 00 :01 :38 Do you mind if I don't think about that? 00 :01 :40 Oh, jealous? 00 :01 :42 I'm not jealous. 00 :01 :43 I am. 00 :01 :44 But at least I know she'll be having a long day at work. 00 :02 :01 Well, at least we know brain surgery isn't his only skill. 00 :02 :04 They can't be -- he's her boss. 00 :02 :06 We're late. 00 :02 :07 He's all of our boss. 00 :02 :10 She has been scrubbing in a lot lately on his surgeries. 00 :02 :13 No, Meredith wouldn't sleep with him just to -- no. 00 :02 :15 If she's not ashamed of it, why is she keeping it a secret? 00 :02 :18 Maybe she didn't. 00 :02 :19 Maybe it just happened -- 00 :02 :22 you know, spontaneously, last night. 00 :02 :25 - Hi. Good morning. - Morning. 00 :02 :29 It sounded like you were having pretty radical sex last night, all night long. 00 :02 :33 Who was the guy? 00 :02 :34 No one you know. 00 :02 :37 We're late. Let's go. 00 :02 :38 I mean, if life's so hard already, 00 :02 :41 why do we bring more trouble down on ourselves? 00 :02 :43 What's up with the need to hit the self-destruct button? 00 :02 :46 Yikes, wouldn't want to meet you in a dark alley. 00 :02 :49 Right back at you. 00 :02 :50 A run? You run? 00 :02 :51 Every day, babe, every day. 00 :02 :53 Not suffering enough? 00 :02 :55 What doesn't kill you, makes you stronger. 00 :02 :57 Don't go acting all indefatigable. 00 :02 :59 You're dragging like the rest of us. 00 :03 :01 Oh, what is that -- professional weakness, Dr. Yang? 00 :03 :04 - It's called the flu. - Yeah. 00 :03 :07 I need a major rush to make it through this day. 00 :03 :10 I need a kick-ass surgery. 00 :03 :12 Ooh, you a bad boy last night, George? 00 :03 :14 That would be Meredith. 00 :03 :16 You a bad boy, Meredith? 00 :03 :18 Do tell. 00 :03 :19 Nothing to tell. 00 :03 :21 That says it all, huh? 00 :03 :23 Sorry, I have a sex life. 00 :03 :25 Don't apologize. 00 :03 :27 Embrace it. 00 :03 :28 Share it. 00 :03 :29 Count me in. 00 :03 :31 Yeah. Next time, just let me know if I need to go to a hotel so I can get some sleep. 00 :03 :38 - Am I missing something? - You were just a little loud. 00 :03 :43 Do they know it's Mcdreamy keeping them up all night? 00 :03 :47 I hope not. 00 :03 :48 I already have Bailey riding me. 00 :03 :50 I don't need my roommates thinking I'm getting special treatment. 00 :03 :56 O'malley, Yang, Karev -- go on to clinic. 00 :04 :01 O'malley, patients are waiting. 00 :04 :04 You two come with me. 00 :04 :05 Izzie, you're hanging with me today. 00 :04 :08 Good morning, Dr. Shepherd. 00 :04 :09 Dr. Bailey. 00 :04 :14 Late night, Grey? 00 :04 :16 No, caffeine just hasn't kicked in yet. 00 :04 :19 If you were at all religious, you would want to start praying it kicks in soon. 00 :04 :22 There's a consult in the pit. 00 :04 :24 Girl with a fever and abdominal pain. 00 :04 :26 After that, nicholas in 3311 needs his meds. 00 :04 :29 Mr. Moeller's I.V. fell out, and he's a hard stick. 00 :04 :32 Post-ops in 1337, 3342, 3363, and 2381. 00 :04 :36 ...381. 00 :04 :39 3342, 3363, 00 :04 :43 and 23... 00 :04 :46 Why are you still standing in front of me? 00 :04 :50 You look more like me than you right now. What's the matter? 00 :04 :53 Nothing. 00 :04 :54 Help! I need immediate help. 00 :04 :56 What's the problem? 00 :04 :57 My damn boyfriend swallowed my keys. 00 :04 :59 I didn't want her to leave. 00 :05 :03 Locate the lady's keys. 00 :05 :05 I think she got some bug on her trip to Mexico with her friends. 00 :05 :09 I told her not to go to a third world country, but does she ever listen? 00 :05 :13 She's been weak ever since, and she's lost weight. 00 :05 :16 Apparently. 00 :05 :17 And this morning, she passed out in the shower. 00 :05 :20 When was the trip? 00 :05 :23 A couple weeks ago. 00 :05 :24 I'm really fine. I just have a fever. 00 :05 :27 Okay, well, will you lie back for an exam for me? 00 :05 :31 No, please, I don't need an exam. 00 :05 :34 Just give me some antibiotics, send me home. 00 :05 :37 Well, maybe it is just a fever, 00 :05 :39 but they called down for a surgeon, so I have to give the okay to let you go. 00 :05 :43 So just let me do the exam. 00 :05 :49 Do the exam. 00 :05 :50 No. 00 :05 :53 This is crazy. I'm fine. 00 :05 :55 For god's sake, Claire, I don't want to spend my entire day here. 00 :06 :00 You know, actually, Mrs. Rice, this might be easier if we had some privacy, 00 :06 :06 so would you two mind leaving the room? 00 :06 :08 That's fine. 00 :06 :14 Digby -- Digby Owens. I have an appointment. 00 :06 :19 Excuse me, sir -- uh, you're bleeding. 00 :06 :21 You mind if I -- 00 :06 :22 Sure, sure. Have a look. 00 :06 :25 - That's a gunshot. - Yeah. 00 :06 :27 We got a gunshot wound. We got to get him down to the pit. 00 :06 :30 Sit. Mr., Uh -- 00 :06 :32 Digby. All right, but it isn't an emergency. I scheduled it. 00 :06 :36 - What, the gunshot? - Yeah. My buddy shot me. 00 :06 :38 - Buddy? - Yeah, just as a favor. 00 :06 :40 - On purpose? - Hell, yeah. 00 :06 :41 He wasn't trying to hurt me or nothing, but you know... 00 :06 :44 But why? 00 :06 :45 I like the scars. 00 :06 :48 Look, everyone in town has tats, but my art is about commitment. 00 :06 :50 So, this your art, huh? 00 :06 :52 Damn straight. 00 :06 :54 Damn stupid. The bullet went all the way through. 00 :06 :56 Bounced off my ribs. 00 :06 :58 I have another one still in my shoulder. 00 :07 :01 Nice, huh? 00 :07 :03 You could hang it in the Louvre. 00 :07 :05 I have an ethos. 00 :07 :07 Why do anything unless you're willing to go one step further than anybody else? 00 :07 :11 What doesn't kill you, makes you stronger. 00 :07 :13 Exactly. 00 :07 :14 And pain is the great divide. 00 :07 :16 My coach used to say, it's all about how we process pain. 00 :07 :19 Football? 00 :07 :20 Wrestling, Iowa state. 00 :07 :22 Iowa? 141. 00 :07 :23 157. 00 :07 :25 You got to be more than 180 now. 00 :07 :27 I'd like to see you get back under 145. 00 :07 :29 Excuse me, but thinking of you men in tights makes me want to... 00 :07 :34 puke. 00 :07 :35 There's a flu going around the hospital. 00 :07 :37 Somewhat ironic. 00 :07 :42 Ow. 00 :07 :44 Don't push so hard. 00 :07 :48 Can you lift your shirt so I can examine your stomach? 00 :08 :13 Where did you get these? 00 :08 :20 Claire... you've had surgery recently. 00 :08 :23 These scars are still pink. 00 :08 :26 Don't tell my parents. 00 :08 :29 You did this in Mexico so your parents wouldn't know? 00 :08 :34 What did you have done? 00 :08 :42 And you noticed her foot twitching? 00 :08 :45 Come on, Jamie. 00 :08 :46 - My foot. - Oh, yeah. 00 :08 :48 About three months ago? 00 :08 :49 Just a little. 00 :08 :50 We took her to county hospital, and she got the C.T. scan, which showed her -- 00 :08 :55 Brain abnormality. Here, you can put it. 00 :08 :57 And the twitching has gotten worse? 00 :08 :59 A lot worse. They don't have the proper equipment back home to figure out what's wrong. 00 :09 :03 You did a -- you did a good thing. 00 :09 :06 - Yes, your mommy. - Show mommy and daddy. 00 :09 :09 Okay. You did a good thing by coming all this way, Mr. and Mrs. Hayes. 00 :09 :13 You sit tight, Jamie, okay? 00 :09 :15 I'm going to bring in Dr. Shepherd to see you. 00 :09 :17 Okay? Dr. Shepherd. 00 :09 :20 He's the brain specialist. 00 :09 :22 My mommy and daddy. 00 :09 :24 Doctor? Is he good, this Dr. Shepherd? 00 :09 :28 At just about everything. 00 :09 :32 I assume the lady needs her keys to leave this guy's sorry ass behind. 00 :09 :37 Yeah. 00 :09 :38 Well, help her out. 00 :09 :39 He needs a bronchoscopy. 00 :09 :41 See one, do one, teach one. 00 :09 :43 You've seen one. It's time to do one. 00 :09 :45 Alone? 00 :09 :46 Seriously? 00 :09 :47 Thanks. I mean, the vote of confidence in my skills and all -- 00 :09 :50 I didn't think anyone was noticing how hard -- 00 :09 :52 - Izzie? Go. - Yeah. 00 :09 :54 - You paged? - Where are we? 00 :09 :56 I did the consult, did the I.V., the meds, the post-ops, everything. 00 :09 :59 How is your pit patient? 00 :10 :00 She's febrile and has peritoneal signs. 00 :10 :02 You all right, Dr. Yang? 00 :10 :04 Fine. 00 :10 :05 On my way back to clinic. 00 :10 :07 I think she had some sort of illegal surgery done in Mexico. 00 :10 :10 Botched abortion? 00 :10 :11 No, she has four laparoscopic scars on her abdomen 00 :10 :14 and won't say what they're from. The parents are clueless. 00 :10 :16 - Oh, she's a minor. - 17. Freshman in college. 00 :10 :19 - You order up for a C.T.? - Yes. 00 :10 :21 So, while she's there, the nurses couldn't get a foley on Mr. Gry. 00 :10 :24 He may need a coud?cath if you can't get a normal one in there. 00 :10 :27 Write up post-op notes on all surgical-floor patients that had surgery within the last 24 hours. 00 :10 :32 Be sure to document their EKGs and x-rays. 00 :10 :35 Hunt them down if you can't find them. 00 :10 :37 Right away. 00 :10 :39 Hey. 00 :10 :43 Whoa. 00 :10 :44 Got the flu? 00 :10 :45 Yeah, and thanks for it. 00 :10 :46 It's making my life so much easier. 00 :10 :48 I didn't give it to you. It's all over the hospital. 00 :10 :51 You should be in bed. 00 :10 :53 Disease, diagnosis, and prescription from one man. 00 :10 :56 Seriously, I'll give you a ride home. 00 :10 :58 This is not gonna make me go home. 00 :11 :00 You go home. 00 :11 :02 But I feel fine. 00 :11 :11 Hey, hey, hey -- have you seen Shepherd? 00 :11 :13 Not as up close as Meredith has. 00 :11 :15 What? Are you trying to get her in trouble? She's our friend. 00 :11 :17 George, this program will make or break our careers, okay? 00 :11 :20 Some of us will make it through, and some of us won't. 00 :11 :22 And that decision depends entirely on recommendations from doctors like Shepherd. 00 :11 :27 There is a reason we don't sleep with the attendings. 00 :11 :29 It's not her fault, it's Shepherd's. 00 :11 :31 He's the attending. He should know better. 00 :11 :32 He's taking advantage of her. 00 :11 :34 It didn't exactly sound like anything was happening against her will last night. 00 :11 :41 Okay, we're in good shape here. 00 :11 :44 I think so, Dr. Shepherd. 00 :11 :46 Looks good. 00 :11 :56 Here you go, doc. 00 :11 :57 The kid's C.T.s just arrived from Kennedy. 00 :11 :59 - Thanks. - Excuse me. 00 :12 :00 Sorry, Dr. Taylor. 00 :12 :03 That would be bourbon. 00 :12 :05 What? 00 :12 :06 I smelled it, too. 00 :12 :08 And he's the best anesthesiologist on the staff. 00 :12 :11 I'll worry when he's too juiced to do his crossword puzzle. 00 :12 :22 Will you close up for me? 00 :12 :23 Thank you, everyone. 00 :12 :27 - Dr. Shepherd... - I got to get some coffee. 00 :12 :30 Jamie Hayes has been admitted -- the little girl with the brain abnormality. 00 :12 :33 How's she presenting? 00 :12 :34 She has what looks like continuous seizure activity in her left foot. 00 :12 :38 Her balance is off. Her parents have come a long way to try to find out what's wrong. 00 :12 :42 How old are these? 00 :12 :43 Three months old. 00 :12 :44 I need new ones. Her brain could look dramatically different today. 00 :12 :48 Okay, I'll order them... 00 :12 :50 Thank you. 00 :12 :53 Doc. 00 :12 :56 And that -- that's a bullet from a previous gunshot. 00 :13 :00 Previous gunshot? Okay. 00 :13 :02 No reason to take it out. 00 :13 :03 No, the guy likes pain. 00 :13 :04 It's his ethos. 00 :13 :05 Pain as an ethos? 00 :13 :07 Wait, I think I know this guy. 00 :13 :12 You remember this guy? 00 :13 :13 Hey, the tattooed masochist. 00 :13 :16 Had himself shot again. 00 :13 :17 Glad to see he's still stupid. 00 :13 :19 It's his ethos. 00 :13 :20 Let's go tell him what he gets to do today. 00 :13 :22 Dr. Bailey? 00 :13 :23 Claire rice's abdominal C.T.s. 00 :13 :26 Is this girl fat? 00 :13 :28 Not at all. She's a normal college kid. 00 :13 :30 So what do you see? 00 :13 :32 Her stomach's stapled. 00 :13 :34 She's had a gastric bypass. 00 :13 :36 And a bad one, at that. 00 :13 :39 Gastric bypass is a procedure normally done on obese patients 00 :13 :43 to help them lose weight. 00 :13 :45 Claire? 00 :13 :47 She doesn't need to lose weight. 00 :13 :48 Are you kidding? 00 :13 :50 This means the world to her. 00 :13 :52 But it is so typical of this girl to take the easy way out. 00 :13 :55 She's done it with everything since she was a little kid. 00 :13 :57 Mrs. Rice, nothing about this is gonna be easy. 00 :14 :00 She's gonna face a lifelong struggle with malnutrition 00 :14 :02 unless she has surgery to reverse the procedure. 00 :14 :05 Do the surgery. 00 :14 :07 I told her to watch the freshman 15 -- 00 :14 :10 don't eat junk, exercise. 00 :14 :11 But when she came home Christmas, who had to take her out and buy her 00 :14 :14 a brand-new pair of size-6 jeans because she couldn't get in the ones I got her last summer? 00 :14 :18 Tina, you know, she tries so hard. 00 :14 :21 She does. She gets good grades. She gets "A"s. 00 :14 :25 She has illegal surgery in Mexico. 00 :14 :28 Unfortunately, there were complications with the bypass. 00 :14 :33 What do you mean? 00 :14 :34 She has what looks like an abscess under her diaphragm -- 00 :14 :38 an edema, which is a swelling of the bowel wall. 00 :14 :41 I can't say for certain she'll recover completely. 00 :14 :45 Just... do whatever you have to do to make her well, okay? 00 :14 :52 You look like a princess. 00 :14 :53 Do you know you're a princess? 00 :14 :55 It's not lipstick. 00 :14 :57 It's not lipstick? No, it's not lipstick. 00 :14 :59 Want to do my shoulder? 00 :15 :01 - Oh, good. - And nose? 00 :15 :03 Now, we're gonna find out what's causing these seizures. 00 :15 :05 Does MRI know we're coming down? 00 :15 :07 You said C.T. 00 :15 :09 Now I'm saying MRI. 00 :15 :11 It's available. 00 :15 :13 Good. 00 :15 :14 Doctor, is she gonna need surgery? 00 :15 :16 I don't know yet. 00 :15 :16 Well, it's just that my wife and I, we both work. 00 :15 :18 - And I don't know if our insurance -- - We know it can be very expensive. 00 :15 :21 I don't want you to worry about that. 00 :15 :25 It's a focal, left-size seizure. Let's get that diazepam running right now, please. 00 :15 :28 - A tourniquet, please. - Tourniquet. 00 :15 :30 Hey, Jamie, here's what we're gonna do. 00 :15 :32 We're gonna put this on your arm, okay? 00 :15 :34 Isn't that fun? 00 :15 :35 Here, we're gonna put that onto you, like that. 00 :15 :37 And this is gonna feel cold. 00 :15 :39 This is a butterfly. 00 :15 :41 Butterfly lands right there. 00 :15 :44 Mmm, there we go. Blanket for the butterfly -- good. Nicely done. 00 :15 :49 It's amazing stuff, isn't it? 00 :15 :54 - Hey, you like spaceships? - Yeah. 00 :15 :56 You do? Okay, should we take captain O'malley, my first lieutenant, 00 :16 :00 to the spaceship MRI? 00 :16 :02 Let's go. 00 :16 :04 It'll be safer to wait until your lunch digests before we do the procedure. 00 :16 :08 Perfect -- this is just perfect. 00 :16 :11 I was hoping to be in portland right now. 00 :16 :13 You're gonna be under conscious sedation, which means you'll be awake, but groggy. 00 :16 :16 Wait, wait. Is this gonna hurt? 00 :16 :19 We'll give you something for pain. 00 :16 :21 Do you know how stupid you make me look? 00 :16 :24 I thought you would think this is funny. 00 :16 :26 Funny? 00 :16 :27 Romantic? 00 :16 :28 Like the therapist thing was funny and romantic? 00 :16 :30 - That was funny. - No, that was sad. 00 :16 :32 He called my therapist, pretending to be his therapist, 00 :16 :36 to find out what I'd said about him. 00 :16 :37 A little passive-aggressive, isn't it, J.P.? 00 :16 :39 He is the king of passive-aggressive. 00 :16 :41 And he's manipulative... 00 :16 :43 And needy. 00 :16 :45 Well, that's the trifecta. 00 :16 :46 What do I win? 00 :16 :51 What? 00 :16 :53 Doc! 00 :16 :57 I prefer we stop meeting like this, Mr. Owens. 00 :16 :59 Digby. 00 :17 :01 So, how's the trumpet playing? 00 :17 :02 Very safe, compared to your hobby. 00 :17 :06 Getting shot is a little more risky. 00 :17 :08 That's kind of the point. 00 :17 :10 He's running a fever. 00 :17 :11 Due to the extra stress on his body from the gunshot. 00 :17 :14 Digby... 00 :17 :16 the impact of the bullet on your chest 00 :17 :18 fractured a rib and caused a hemopneumothorax. 00 :17 :21 That sucks, I guess. 00 :17 :23 There's blood in your collapsed lung. 00 :17 :25 The price of body art went up since your last gunshot. 00 :17 :27 Ah, no pain, no gain, right? 00 :17 :29 That's one way to look at it. 00 :17 :31 We have that in common, you docs and me. 00 :17 :33 Do we? 00 :17 :34 Yeah, the way you guys push, push, push. 00 :17 :37 When I was wrestling, 00 :17 :39 if you wanted to pin me, you was gonna have to kill me. 00 :17 :42 - Iowa style. - Iowa state style. 00 :17 :45 Back home, we were sworn enemies. 00 :17 :47 But in seattle, man, we're brothers. 00 :17 :52 So, what are we gonna do about this, um... hemopneumo-durasis? 00 :17 :57 We're gonna insert a chest tube to drain the blood, then reinflate your lung. 00 :18 :01 Oh, please... 00 :18 :03 tell me I get to watch. 00 :18 :11 Oh, man -- Iowa style. 00 :18 :16 Before you guys start, I know you're mad. 00 :18 :18 Disbelief, Claire -- just... disbelief. 00 :18 :22 I'm just concerned. 00 :18 :23 Where did you get the idea to do this? 00 :18 :26 The internet. 00 :18 :28 Honey, there is a healthy way to lose weight. 00 :18 :32 Yeah, I tried that, but... 00 :18 :36 it doesn't work for me like it does for you. 00 :18 :39 Hey, you don't need to lose weight. 00 :18 :42 What are you eating? 00 :18 :43 And how much have you been working out? 00 :18 :46 Most of the time, when people hit their target weight, they have to work to stay there. 00 :18 :50 Everyone gains weight in college, mom. 00 :18 :54 It's... stressful. 00 :18 :57 There's -- there's not enough time for exercise. 00 :19 :04 I just thought if I wasn't worried about my diet, then... 00 :19 :08 I could focus more on my studies. 00 :19 :11 So you took yet another shortcut? 00 :19 :13 Life doesn't work that way, Claire. 00 :19 :15 Tina! 00 :19 :16 What? You want to argue this? 00 :19 :19 She has so much potential. If she would just apply herself... 00 :19 :22 Okay, I think we should focus on taking care of your daughter. 00 :19 :28 And, Claire, your parents agree -- 00 :19 :31 the best thing to do is to reverse the bypass. 00 :19 :34 No! 00 :19 :36 No, it's my body. 00 :19 :38 I do not want surgery again. Please? 00 :19 :41 There are serious complications. 00 :19 :44 And this is about your health. 00 :19 :46 But I'd rather be thin. 00 :19 :48 Well, I'm afraid the choice isn't up to you. 00 :20 :03 It's called rasmussin's encephalitis. 00 :20 :06 What it amounts to is that this side of her brain -- 00 :20 :09 this part's all healthy, it's working perfectly. 00 :20 :11 This black part of the brain, this -- all of that is dead, or dying. 00 :20 :15 The condition has gotten radically worse since her C.T. scans three months ago. 00 :20 :20 Left untreated, the disease is gonna kill her. 00 :20 :24 How soon? 00 :20 :25 Too soon. 00 :20 :28 So, is there a cure? 00 :20 :30 The treatment requires the diseased portion of her brain be removed and sealed off. 00 :20 :34 See, eventually, the spinal fluid will fill the cavity. 00 :20 :38 Remove? But, I mean, that's -- 00 :20 :40 Half her brain, yes. 00 :20 :49 Half her brain -- that... seems impossible. 00 :20 :53 Her age makes it possible. 00 :20 :55 Her brain's not fully developed, 00 :20 :56 so the remaining neurons will compensate for the loss. 00 :21 :00 But will she be normal? 00 :21 :02 There are risks to any surgery, and this is, you know, a major one. 00 :21 :06 But if, you know, we're successful, 00 :21 :08 Jamie could walk out of this hospital in a couple weeks, go on to live a relatively normal life. 00 :21 :12 Look, I know this is a lot to digest. 00 :21 :13 The important thing to remember is that we can save her life. 00 :21 :16 Thank you. 00 :21 :17 Dr. O'malley? 00 :21 :18 Yes? What? 00 :21 :19 I'm sorry to bother you. 00 :21 :21 But if the parents consent, I thought you'd like to scrub in on the hemispherectomy. 00 :21 :25 Are you in, or not? 00 :21 :26 Uh, in. 00 :21 :28 Good. 00 :21 :37 Yang. 00 :21 :38 I'm scrubbing in on a hemispherectomy with Shepherd. 00 :21 :42 Get out! I would kill for that. 00 :21 :43 We're gonna cut out half a girl's brain and it's going to work. 00 :21 :47 It's outrageous. 00 :21 :49 Almost makes it hard to hate him. 00 :21 :51 Why do you hate him? 00 :21 :53 Oh, no reason. 00 :21 :54 You know about him and Meredith? 00 :21 :57 You know? 00 :21 :58 When are you gonna figure out that I know everything? 00 :22 :00 She knows. 00 :22 :01 What, about doctor-cest? 00 :22 :03 It's been going on for, like, ever. 00 :22 :04 And you didn't tell us? 00 :22 :06 Ooh, you're a gossip, huh? 00 :22 :07 - I am not! - I am. 00 :22 :10 He's about to go into major brain surgery on no sleep? 00 :22 :12 Not very responsible. 00 :22 :14 Jealous much? 00 :22 :15 Sex all night isn't about being responsible. 00 :22 :17 No, it's about sex all night. 00 :22 :18 I can't believe you're not more pissed off about this. 00 :22 :21 Well, she works hard all day. She's got a hard job. 00 :22 :23 Why should you care how she unwinds? 00 :22 :25 I mean, you like to bake all night. Some people like to drink. 00 :22 :27 Others like an occasional screaming orgasm. 00 :22 :29 Yeah, we do. 00 :22 :32 Forget I said that. 00 :22 :34 Pretend like I'm not here. 00 :22 :35 Continue. 00 :22 :38 You look like you need to be spoon-fed. 00 :22 :41 You look like Alex. 00 :22 :42 Yeah, about drinking -- Dr. Taylor, the anesthesiologist -- 00 :22 :46 do you think he drinks? 00 :22 :48 Whatever gets you through the day. 00 :22 :49 I mean here, at work. Earlier, I thought I smelled -- 00 :22 :53 Do you think -- I mean, his patients trust that -- 00 :22 :58 So I should say something, right? 00 :23 :01 It's a can of worms, George. 00 :23 :03 Weren't we talking about sex, anyway? 00 :23 :07 - Doofus. - Ew. 00 :23 :12 This is gonna leave a pretty sexy scar, huh? 00 :23 :15 Don't get any more crazy ideas. 00 :23 :18 You really think my ideas are crazy? 00 :23 :20 I'm leaning that way. 00 :23 :22 We wrestle, he plays trumpet. 00 :23 :25 Hey, I feel pretty dizzy. 00 :23 :27 You've lost some blood. 00 :23 :30 This, too, shall pass. 00 :23 :32 Hey... 00 :23 :35 how come I don't see you down at the mat in belltown? 00 :23 :37 Oh, man, no time. 00 :23 :39 Bro, make time. 00 :23 :41 I'll be expecting you. 00 :23 :43 I'm there. 00 :23 :49 Handle with care. 00 :23 :51 This thing's full of gunk. I know. 00 :23 :53 We need to free the bowel from the adhesions caused from the abscess. 00 :23 :58 This poor girl... 00 :24 :01 What was she thinking? 00 :24 :02 She wants her mother's approval. 00 :24 :04 She wanted to please her. 00 :24 :05 And this damage is the result? 00 :24 :08 Here, resect that. 00 :24 :10 Needle-tip over here, please. 00 :24 :12 When you're done here, you have post-ops waiting. 00 :24 :15 I know, Dr. Bailey. 00 :24 :17 Cristina's got the flu, so you need to pick up the slack in the clinic. 00 :24 :20 Look, I'll mop the floors, okay? 00 :24 :24 Sorry, that was inappropriate. 00 :24 :25 It's not the only thing that's inappropriate. 00 :24 :30 You care to tell me what you think you're doing? 00 :24 :33 I'll jump through hoops if you want me to. 00 :24 :35 But what I do what I leave this hospital is my business. 00 :24 :38 Half this hospital knows your business. 00 :24 :40 Flu isn't the only virus spreading around here. 00 :24 :43 I made a choice, and I know you don't respect me for that choice. 00 :24 :47 But I'll live with the consequences. 00 :24 :49 Then I'll have lots of hoops for you to jump through. 00 :24 :52 I've done everything you've asked me to do. 00 :24 :54 I may not do it your way, but it gets done. 00 :24 :57 So whatever else you got, bring it on. 00 :25 :04 Okay, Dr. Grey, now that you've drained the organ, 00 :25 :09 we can attempt to repair it. 00 :25 :11 Now my day is perfect. 00 :25 :18 I appreciate this. 00 :25 :20 The chance to scrub in on this kind of procedure is, well -- 00 :25 :24 yeah, I appreciate it. 00 :25 :27 Here you go. Triple espresso, not too hot. 00 :25 :29 Oh, I love you, seriously. 00 :25 :31 Ah, coffee -- where would medicine be without it, huh? 00 :25 :34 I hope you have a new crossword, Taylor. 00 :25 :37 We're gonna be here awhile. 00 :25 :38 Never go without. 00 :25 :39 Big day for you, kid -- congrats. 00 :25 :42 Thanks. 00 :25 :43 Hey, princess. 00 :25 :44 You ready to take a nap? 00 :25 :46 Hey, look what I got. Blow bubbles -- that's it. 00 :25 :48 You just breathe in. Oh, that's it. 00 :25 :50 What? 00 :25 :51 - Do you smell... - Smell what? 00 :25 :53 I have a mask. 00 :26 :00 I'm sorry, Dr. Taylor, but did you just... 00 :26 :06 Have you been drinking? 00 :26 :08 I beg your pardon? 00 :26 :10 What? 00 :26 :11 Do you smell -- I-I smell alcohol. 00 :26 :14 Where the hell do you get off accusing me of something like that? 00 :26 :19 George, you're out of line. 00 :26 :21 There are rules. 00 :26 :22 You know, there are rules for a reason. You ju-- 00 :26 :28 There is a 2-year-old girl on this table. 00 :26 :32 You shouldn't take advantage of someone else's vulnerability. 00 :26 :35 I don't need some punk intern telling me what's at stake here. 00 :26 :38 Get him out of here, Shep. 00 :26 :43 Shep? 00 :26 :45 You're out, George. 00 :26 :56 You damned well better be ready, Taylor. 00 :26 :58 I wouldn't be here if I wasn't. 00 :27 :03 Do you really, seriously want to know why I'm leaving?! Seriously? 00 :27 :07 How about when you started insisting that I quit my job, 00 :27 :10 right when I started to make more money than you? 00 :27 :12 That should have been the last straw. 00 :27 :14 No, the last straw should have been when I found out that those mysterious phone calls 00 :27 :18 that you've been getting that you kept denying were from other women -- 00 :27 :20 were really coming from your mother! 00 :27 :23 This isn't healthy. 00 :27 :24 - Just hold still, please. - Don't you dare try to patch this up! 00 :27 :27 Okay, could the both of you just please stop? 00 :27 :28 You don't love me, J.P. You love to smother me. 00 :27 :31 And if I could get you to just admit that, 00 :27 :34 then I could leave you with an ounce of respect. 00 :27 :36 Athena, I let you stay in here to keep him calm. 00 :27 :39 - So if you're just gonna keep arguing -- - Check that -- 00 :27 :40 I can't respect a man desperate enough to swallow my exit strategy. 00 :27 :45 That is the last straw! 00 :27 :47 Michelle, can you get her out of here? 00 :27 :49 Ma'am? 00 :27 :51 Fine! 00 :27 :53 - Come on. - What? 00 :27 :57 What's happening? 00 :27 :58 The keys moved farther down. 00 :28 :00 Oh, my god, what does that mean? 00 :28 :02 What did you do? Don't you dare die, J.P.! 00 :28 :05 Please! Please, just shut up! 00 :28 :07 Breathe, J.P. Just breathe. 00 :28 :12 Got it. 00 :28 :20 Very impressive, J.P. 00 :28 :23 Is he okay? Is he gonna be okay? 00 :28 :25 Yeah, he'll be fine. 00 :28 :33 You lit-- you did that on purpose, didn't you? 00 :28 :38 Can I offer you some advice? 00 :28 :40 Get in your car and go, 00 :28 :43 for all of our sakes. 00 :28 :46 You'll never know where I parked it. 00 :28 :54 - I need a shower. - I need a shower. 00 :28 :57 You need to go tell that girl's parents what kind of kid they're getting back. 00 :29 :00 You're not gonna let me shower first? 00 :29 :02 That would be a hoop, would it not? 00 :29 :04 It would qualify. 00 :29 :07 Shower first, then. 00 :29 :12 Ew, what smells? 00 :29 :14 That would be me -- or more specifically, my patient's insides all over me. 00 :29 :19 That makes me strangely happy. 00 :29 :21 Oh, god. Oh, Meredith, you smell like... 00 :29 :25 Karma. 00 :29 :26 - What? - Nothing. 00 :29 :28 Something vile's stuck in your hair. 00 :29 :30 You know, just go stand over there, please. 00 :29 :36 Ugh, how much do I love being a surgeon right now? 00 :29 :40 Karma. 00 :29 :41 What does karma have to do with anything? 00 :29 :44 I'm just saying, you've been given all the best surgeries. 00 :29 :46 And now you smell like putrid goo and you're giving off a stench. 00 :29 :51 Karma's a bitch. 00 :29 :54 Dr. Shepherd needs an intern in surgery. 00 :29 :56 Which one of you is clear to go? 00 :29 :57 Okay, Dr. Bailey, where do you want me? 00 :29 :58 You need to lie down somewhere. 00 :30 :00 I'm fine. I'm completely healthy. 00 :30 :02 Grey? 00 :30 :03 Of course. 00 :30 :04 What is your problem? 00 :30 :06 Um, you! 00 :30 :07 'Cause apparently, you can help Dr. Mcdreamy in ways the rest of us can't. 00 :30 :13 - You did not just s-- - Yes, I did! 00 :30 :16 Hey! 00 :30 :17 Hemispherectomy in O.R. one with Dr. Shepherd -- go. 00 :30 :30 Apparently... 00 :30 :32 I'm not the only one with hoops. 00 :30 :41 Doctor... 00 :30 :43 Digby's post-op CBC shows a severe spike in the white blood cell count. 00 :30 :47 What is it? 00 :30 :48 It's 27, with 16% bands. 00 :30 :50 Something else is wrong. 00 :30 :52 That's a little high for simple stress. 00 :30 :54 Check for any other possible sources of infection or recent illness. 00 :30 :59 We're gonna start the procedure with the left temporal lobectomy. 00 :31 :04 Thanks for joining us, Dr. Yang. 00 :31 :06 After the temporal, we'll do the frontal, 00 :31 :09 and then the occipital. 00 :31 :24 We were able to reverse the gastric bypass, 00 :31 :26 but we did lose a significant portion of her bowel. 00 :31 :28 And because of the short gut syndrome, Claire will never eat normally again. 00 :31 :33 Okay, wait, do -- how do we help her here? 00 :31 :37 Well, getting proper nutrition will be a lifelong problem for Claire. 00 :31 :40 Great -- as if we already don't have our hands full with her. 00 :31 :44 She gets good grades. 00 :31 :46 She stays out of trouble. 00 :31 :48 She's smart. 00 :31 :50 I just think she feels like nothing she does is good enough for you. 00 :31 :53 If you somehow think that I'm responsible for this -- 00 :31 :56 I think Claire is killing herself... 00 :31 :59 to please you. 00 :32 :00 Please. 00 :32 :04 You have no idea what's going on in that girl's mind. 00 :32 :07 You're her mother. 00 :32 :09 She worships the ground you walk on. 00 :32 :13 She didn't do this for herself. 00 :32 :19 - I think that this situation is completely ridiculous. - Tina... shut up. 00 :32 :32 What is it? 00 :32 :33 I'm freezing, doc. I-I-I can't stop shaking. 00 :32 :36 His temp's way up and B.P.'s dropping, doctor. 00 :32 :39 All right, Digby, have you had any recent illnesses, new piercings, tattoos, wounds? 00 :32 :43 New tat on my calf. 00 :32 :53 Oh, my god. 00 :32 :55 It was nowhere near that nasty this morning. 00 :32 :57 But it was infected? 00 :32 :58 Why didn't you say anything? 00 :32 :59 Ah, it was nothing. 00 :33 :01 I'm not here to complain about a little pain. 00 :33 :04 Well, the infection's been exacerbated by the stress on your body from the gunshot. 00 :33 :08 Get him to ICU. 00 :33 :10 We'll get you started on some antibiotics. 00 :33 :18 From the frontal lobectomy, I'm going to encounter a, uh... 00 :33 :22 We'll encounter the anterior cerebral artery. 00 :33 :25 Yes, so we're gonna need to, uh... 00 :33 :29 The branches of the artery need to be coagulated and divided. 00 :33 :32 You know, Taylor, her anesthesia's awful light. 00 :33 :38 Come on, Taylor, she's waking up. 00 :33 :43 Dr. Taylor? 00 :33 :45 Uh, he's asleep! 00 :33 :48 Taylor! 00 :33 :57 Dr. Taylor! 00 :33 :59 Oh, god, sorry. Sorry, I'm on it. 00 :34 :04 My bad, Shep. 00 :34 :07 He was right, wasn't he? 00 :34 :09 Aw, I nodded off. Come on. 00 :34 :10 Whatever you got to do to get through the day, right? 00 :34 :12 Steph, get me some coffee. 00 :34 :13 Yes, doctor. 00 :34 :15 I'll be fine. It won't happen again. 00 :34 :16 Yeah, not in here, it won't. 00 :34 :18 Uh, Steph, call Dr. Pennington. 00 :34 :20 Hopkins, take over until she gets here. 00 :34 :22 Get out of here and get it together. 00 :34 :31 What happened? 00 :34 :32 He went into multisymptom organ failure, secondary to overwhelming sepsis. 00 :34 :36 Now he's all... 00 :34 :37 I'll fix his B.P., that should help his mental status. 00 :34 :40 He's maxxed out... 00 :34 :42 We got v-tach. 00 :34 :44 He's looking bad. 00 :34 :45 Put the defib pads on him and give him 150... 00 :34 :49 I lost his pulse. 00 :34 :51 Defib! Get the pads! Get the pads! 00 :35 :24 This packing, we hope, will, uh... prevent hemorrhaging. 00 :35 :27 Dr. Yang, do you want to add something to that? 00 :35 :29 It will allow the cerebral spinal fluid to eventually fill the cavity. 00 :35 :33 Very nice. 00 :35 :34 E.T., you want to close up? 00 :35 :35 Yes, doctor. 00 :35 :36 I'm gonna go to bed. 00 :35 :38 That was... unreal. 00 :35 :40 I mean, that's -- that's all there is. 00 :35 :43 I was feeling sick until I came here. 00 :35 :46 I was tired. 00 :35 :48 Now I'm tired again. 00 :35 :49 It's back to reality. 00 :35 :58 - Let me explain. - It's fine. 00 :36 :00 No, there is a code among doctors. 00 :36 :01 We're not supposed to ask each other questions, not within the walls of this hospital. 00 :36 :05 Okay, I was out of line. 00 :36 :07 No, you weren't. I was. 00 :36 :09 I was out of line. 00 :36 :11 Somebody should have taken responsibility, 00 :36 :13 and it should have been the guy doing the cutting. 00 :36 :15 It should have been me. 00 :36 :17 You didn't deserve what happened to you today. 00 :36 :19 You did the right thing, code or no code. 00 :36 :31 You saw me leave the house this morning, didn't you? 00 :36 :34 Oh, was that you? 00 :36 :39 I'm not using her. 00 :36 :41 And I don't favor her. 00 :36 :45 She's pretty great, you know. 00 :36 :49 So, let's go tell Jamie's parents she's gonna be fine, barring any complications. 00 :36 :57 Did you fix me? 00 :36 :58 No, not completely. 00 :37 :00 So... I won't get fat? 00 :37 :04 No. 00 :37 :06 Oh... that's awesome. 00 :37 :09 Claire, I've asked social services to contact your parents. 00 :37 :14 Why? 00 :37 :15 They can help you. 00 :37 :17 With what? 00 :37 :21 You don't know this yet, 00 :37 :23 but life isn't supposed to be like this. 00 :37 :27 It's not supposed to be this hard. 00 :37 :36 Time of death, 20:49. 00 :37 :42 The first guy I ever met out here from back home. 00 :37 :58 I thought you'd be asleep by now. 00 :38 :00 Yeah, well... I'm not. 00 :38 :04 If you wait a few minutes, you can have a piece of cake. 00 :38 :06 Baked it chock-full of love... 00 :38 :08 Actually, chock-full of unrelenting, all-consuming rage and hostility, but it's still tasty. 00 :38 :14 - So, you know? - I know. 00 :38 :17 Well, do you want the long, sordid version, or the short version, 00 :38 :20 where I started sleeping with a guy who turned out to be my boss? 00 :38 :24 Neither. 00 :38 :25 Izzie, cut me some slack here. 00 :38 :27 No. 00 :38 :28 You went to Dartmouth. 00 :38 :30 Your mother is Ellis Grey. 00 :38 :31 You grew up -- look at this house! 00 :38 :34 You know, you walk into the O.R., 00 :38 :36 and there isn't anyone who doubts that you should be there. 00 :38 :38 I grew up in a trailer park. I went to state school. 00 :38 :42 I put myself through med school by posing in my underwear. 00 :38 :45 You know, I walk into the O.R., and everyone hopes I'm the nurse. 00 :38 :48 You have their respect without even trying, and you're throwing it away for... 00 :38 :52 what, a few good surgeries? 00 :38 :54 No. 00 :38 :56 It's not about the surgeries. 00 :38 :57 It's not about getting ahead. 00 :38 :59 Then what? 00 :39 :01 A little hot sex? 00 :39 :03 You're willing to ruin your credibility over that? 00 :39 :06 I mean, Meredith, what the hell are you doing? 00 :39 :13 Oh, my god... 00 :39 :15 you're falling for him. 00 :39 :17 I am not. 00 :39 :18 Oh, you so are. 00 :39 :20 No, I'm not. 00 :39 :22 You so are. 00 :39 :24 Damn it, you poor girl. 00 :39 :29 You know, it's just that he's just so... 00 :39 :31 and I'm just -- I'm having a hard time. 00 :39 :35 Wow, you're all, uh, mushy and... 00 :39 :38 warm and... 00 :39 :40 full of secret feelings. 00 :39 :47 I hate you! 00 :39 :49 And your cake. 00 :39 :50 My cake is good. 00 :39 :53 So, um, how hot is the sex? 00 :39 :58 Izzie... 00 :39 :59 What? Come on, I'm not getting any. 00 :40 :02 Help a girl out with a few details. 00 :40 :11 Maybe we like the pain. 00 :40 :18 - How's she doing? - Good. 00 :40 :20 Good. 00 :40 :22 Maybe we're wired that way... 00 :40 :27 Christina? 00 :40 :36 ...because without it, 00 :40 :37 I don't know... 00 :40 :42 ...maybe we just wouldn't feel real. 00 :40 :56 - You know, we could just... - Sleep? 00 :40 :59 We could, yeah, if you want to. 00 :41 :02 Yeah? 00 :41 :07 What's that saying? 00 :41 :09 "Why do I keep hitting myself with a hammer?" 00 :41 :12 Oh, thank god. 00 :41 :15 "Because it feels so good when I stop." 00 :41 :20 Transcript: RaceMan - Synchro: Amariss - www.forom.com - ÿ