00 :00 :03 You know how when you were a little kid and you believed in fairy tales? 00 :00 :11 That fantasy of what your life would be -- 00 :00 :14 white dress, prince charming, who'd carry you away to a castle on a hill. 00 :00 :21 You'd lie in bed at night and close your eyes, 00 :00 :23 and you had complete and utter faith. 00 :00 :29 8 hours, 16 ounces of chocolate, and 32 cupcakes, 00 :00 :32 and they still don't taste right. 00 :00 :34 No, these are good. 00 :00 :36 Martha Stewart would be proud. 00 :00 :38 Yeah, look where it got her. 00 :00 :39 Santa Claus, the tooth fairy, prince charming -- 00 :00 :43 they were so close, you could taste them. 00 :00 :46 There's something missing -- some specific ingredient. 00 :00 :48 Why can't I remember? 00 :00 :50 But eventually you grow up. 00 :00 :52 One day you open your eyes, 00 :00 :54 and the fairy tale disappears. 00 :00 :56 Look, just call her. 00 :00 :57 Call your mother and ask. 00 :00 :58 Most people turn to the things and people they can trust. 00 :01 :02 I don't want to call my mother. 00 :01 :07 So, let's go sleep at your house tonight. 00 :01 :09 What? 00 :01 :10 Why are we always sleeping at my house? 00 :01 :12 Do you even have one? 00 :01 :14 One what? 00 :01 :14 A house. 00 :01 :15 With a closet. 00 :01 :17 With your stuff in it. 00 :01 :19 Your personal stuff. 00 :01 :21 Do you even have one of those? 00 :01 :26 Good morning. 00 :01 :27 Hey. You guys want a cupcake? 00 :01 :29 Izzie made 'em. 00 :01 :31 You know, I like it here. 00 :01 :33 Hey, you said so yourself -- you liked having your things around, 00 :01 :35 sleeping in your own bed. 00 :01 :37 You're like a health nut, aren't you? 00 :01 :40 You eat muesli every morning. 00 :01 :44 No, I don't. 00 :01 :45 Okay, the muesli thing -- you do. 00 :01 :48 - The last 7 days, at least.- Oh, come on. 00 :01 :51 I haven't been here for a whole week... 00 :01 :55 Have I? 00 :01 :56 See? 00 :01 :58 Even they think it's weird. 00 :01 :59 But the thing is, it's hard to let go of that fairy tale entirely. 00 :02 :05 Almost everyone still has that smallest bit of hope -- of faith -- 00 :02 :10 that one day they'll open their eyes 00 :02 :13 and it will all come true. 00 :02 :25 So, I've checked the schedule. 00 :02 :26 I start E.N.T. on the 9th. 00 :02 :28 It's a light rotation. Can you get me in then? 00 :02 :30 Oh, I'm afraid not. 00 :02 :33 We have openings on the 16th. 00 :02 :37 There are other options besides termination, you know? 00 :02 :40 Adoption... 00 :02 :42 keeping the baby. 00 :02 :45 - You think it over. Call me back.- Put me down for the 16th. 00 :02 :49 I'll confirm after I rearrange my schedule. 00 :02 :52 - I know this is a difficult decision.- Okay, you know the talking part? 00 :02 :56 I'm not interested. 00 :03 :00 So, Devo, you just had a root canal, correct? 00 :03 :03 Yeah. 00 :03 :04 I couldn't stop bleeding after -- literally. 00 :03 :06 Now I'm stuck with you guys. 00 :03 :09 Give me the bullet. 00 :03 :10 17-year-old female hospitalized for excessive bleeding, status post root canal. 00 :03 :14 Also had a significant new heart murmur associated with fever. 00 :03 :17 Now afebrile on antibiotics. 00 :03 :20 If I'm gonna die, can you page my mom and dad? 00 :03 :22 You're not dying. 00 :03 :23 Where are your parents? 00 :03 :24 In the cafeteria. 00 :03 :25 My freak father likes hospital food. 00 :03 :27 You're in excellent hands here. Dr. Karev is gonna run some labs. 00 :03 :31 And I'll see you with your parents in a little while. 00 :03 :35 Add a bleeding time to the coags. 00 :03 :38 So, what kind of name is "Devo," anyway? 00 :03 :42 '80s rocker. 00 :03 :43 My parents did too much blow. 00 :03 :46 I call myself "Esther." 00 :03 :48 Nice skirt, Esther. What are you, amish? 00 :03 :50 Haven't you ever seen an orthodox jew? 00 :03 :57 This guy belongs in psych. What are you doing turfing him here? 00 :04 :00 He's my gift to you. Had a seizure two days ago and another one this morning. 00 :04 :03 What are you talking about? It says right here, 00 :04 :06 "he talks to dead people, his family thinks he's dangerous, and they had him committed." 00 :04 :10 That's psych, not neuro. 00 :04 :12 Didn't you go to med school? 00 :04 :13 Yes, unlike the correspondence school you attended. 00 :04 :16 Oh, that would be stanford, right? 00 :04 :18 I learned not to jump to conclusions. 00 :04 :20 Sorry, ladies. We can't take him back until he's cleared. 00 :04 :23 You're dumping him on us? 00 :04 :24 He thinks his seizures are visions. 00 :04 :26 Hello! They're not seizures. I'm psychic. 00 :04 :29 Of course you are, and I'm a chicken. 00 :04 :31 Hey, genius. 00 :04 :35 Okay, Mr. Duff. We're gonna start our work-up now. 00 :04 :38 Work me up, work me down. I'm telling you, it's a waste of time. 00 :04 :41 Can you grip my fingers, please? 00 :04 :51 Cristina... 00 :04 :53 Mr. Duff? 00 :04 :54 Mr. Duff, are you okay? 00 :04 :59 Someone... 00 :05 :01 Someone what? 00 :05 :03 Someone's gonna check out. 00 :05 :06 Bye-bye. 00 :05 :07 The man -- he's nuts. 00 :05 :08 I'm dizzy, not deaf, lady. Someone on the fourth floor is gonna die. 00 :05 :12 Code blue, fourth floor. 00 :05 :13 Code blue, fourth floor. 00 :05 :16 Got a code. 00 :05 :17 Right away. 00 :05 :18 Get it. 00 :06 :04 Fourth floor, dead guy. The psychic predicted the fourth-floor dead guy. 00 :06 :09 I need someone to cover me on the 16th. You in? 00 :06 :12 I'm thinking about letting my hair grow. 00 :06 :14 And maybe I won't shave -- go for the stubble effect. 00 :06 :18 What do you think? 00 :06 :19 The 16th, George. Can you cover me or not? 00 :06 :22 Uh, yeah. I guess. Why? 00 :06 :25 It's none of your business. 00 :06 :28 A "thank you" would be nice. 00 :06 :30 It's just that I hardly know anything about you. 00 :06 :33 I'm from New York. I like ferry boats. 00 :06 :35 Enough with the ferry boats. What about your friends? 00 :06 :38 I'm a surgeon. I don't have friends. 00 :06 :39 Everybody has friends. 00 :06 :41 I mean, who do you hang out with? 00 :06 :43 What do you do on your days off? 00 :06 :45 - These are important questions.- Ah, important for who? 00 :06 :48 We're having sex every night. I think I deserve details. 00 :06 :51 - You have more details than most.- This is going somewhere weird. 00 :06 :54 I want facts, and until I get them, my pants are staying on. 00 :06 :58 Or you could just roll with it. 00 :07 :00 Be flexible. See what happens. 00 :07 :02 I'm not flexible. 00 :07 :04 There I disagree. 00 :07 :06 Hmm. I got to go. 00 :07 :12 We'll find these things out. 00 :07 :13 That's the fun part, you know? 00 :07 :14 That's the gravy. 00 :07 :16 That is what I'm talking about. 00 :07 :17 I don't want to be your gravy. 00 :07 :24 Your daughter needs a valve replacement. 00 :07 :26 Tests are indicative of von willebrand's disease, 00 :07 :28 which explains the excessive bleeding after the root canal. 00 :07 :31 And that means? 00 :07 :32 Devo can't take the blood thinners necessary to maintain a mechanical heart valve. 00 :07 :36 We're suggesting a porcine valve instead. 00 :07 :39 Porcine? 00 :07 :40 As in pig? 00 :07 :41 It's the standard of care for someone in this situation. 00 :07 :45 Pig, huh? 00 :07 :47 It's the other white meat. 00 :07 :49 I don't care what you do. Save my daughter's life. 00 :07 :58 I'm removing the lump now. 00 :08 :02 Someone said you guys have a psychic running around here. Is that true? 00 :08 :06 I did not even hear you say that. 00 :08 :08 Predicted someone would die on the fourth floor. 00 :08 :10 I.C.U.'s on the fourth floor. People die all the time. 00 :08 :12 Okay. We're finishing up here, Mrs. Glass. 00 :08 :16 We'll take this down to path and get the results of the frozen-section biopsy 00 :08 :20 and see you in a few hours. 00 :08 :23 Seriously, the guy is just playing mind games. 00 :08 :25 I can see further into the future than he can. 00 :08 :27 Why do you even care about this, Stevens? 00 :08 :29 I don't. 00 :08 :33 Okay, Mr. Walker. Does that hurt? 00 :08 :36 I can't feel anything until you get to my thigh. 00 :08 :39 Try wiggling your toes. 00 :08 :43 Are they moving? 00 :08 :45 - No.- Damn. 00 :08 :47 I could about 10 minutes ago. 00 :08 :50 Well, your spine x-rays look clear. 00 :08 :52 You fell rock-climbing? 00 :08 :53 In snohomish. Just a small drop. I was belayed. 00 :08 :57 My wife and boys are on the way. 00 :08 :59 What's wrong with me, anyway? 00 :09 :01 Hold your legs up. 00 :09 :06 - Should I be scared now?- Just try and relax. 00 :09 :09 Nurse, I need a stat M.R.I. 00 :09 :12 Send an intern with him. 00 :09 :14 Make it Meredith Grey. 00 :09 :17 Ew -- thick, short neck. That isn't good. 00 :09 :21 It's hard to intubate. You want me to do that? 00 :09 :22 He's my patient. I'm fine. 00 :09 :24 I just can't see anything. Add suction. 00 :09 :30 Don't break any teeth. 00 :09 :31 Don't you think I know that? 00 :09 :36 Pulse ox down 87%. 00 :09 :38 Bag him. 00 :09 :41 Are you sure you don't want me to do that? 00 :09 :42 No, damn it! Tube. 00 :09 :50 There. 00 :09 :51 Huh. Got it. 00 :09 :57 It's in the esophagus. 00 :09 :58 Don't you know an esophagus from a trachea? 00 :10 :00 Damn it! Anatomy is all messed up in here. 00 :10 :03 Are you trying to kill this patient, O'Malley? 00 :10 :06 Maybe we can send you back to practice on mannequins. 00 :10 :09 No, it's just I haven't done that much -- 00 :10 :12 but when I have, it's -- it's been good. 00 :10 :17 It's just I-I haven't -- 00 :10 :19 Let's review the concepts. 00 :10 :21 Never take your eyes away. 00 :10 :24 Always -- always -- know you can follow through. 00 :10 :27 Don't ever follow through on one of my patients, O'Malley. 00 :10 :43 Botox would do wonders for all those frown lines. 00 :10 :46 Okay. Shut up. 00 :10 :48 Are you allowed to talk to me like that? 00 :10 :51 God, you're hot... in a Mrs. Livingston kind of way. 00 :10 :54 See here? 00 :10 :57 These are spikes in your temporal lobe. 00 :10 :59 It means you have epilepsy. Not visions. Seizures. 00 :11 :02 You think I'm epileptic? 00 :11 :03 That is so not right. 00 :11 :05 I'm gonna order an M.R.I. so I can take a closer look at your brain. 00 :11 :08 Yeah, there's no way -- 00 :11 :14 Mr. Duff? 00 :11 :16 Mr. Duff, can you see me? Can you hear me? 00 :11 :19 Stay with me. 00 :11 :20 I wouldn't have picked you for the mommy track, nurse Betty. 00 :11 :28 See? 00 :11 :32 I told you I know things. 00 :11 :34 This pregnancy thing -- you can't run away from it. 00 :11 :46 Dr. Bailey, I want off the psychic case. I'll take whatever you got. 00 :11 :49 Can I switch? 00 :11 :49 Ask nicely. 00 :11 :51 Uh, well, this is me doing nicely. 00 :11 :55 Look, I know the type. 00 :11 :56 These guys want everybody to think they're a sideshow. Let me take him. 00 :11 :59 I don't do switches. 00 :12 :00 I'll do your post-op notes for a month. 00 :12 :04 Fine. I can accept that. 00 :12 :06 Izzie, you get psych guy. 00 :12 :08 Yay. This is your lucky day. 00 :12 :10 You get to be with me on the breast cancer. 00 :12 :12 There's spotting. You'll need to do a pelvic. She's pregnant. 00 :12 :27 See? This. The guy's films are clear. 00 :12 :31 There's no reason I can see for his creeping paralysis. 00 :12 :34 It's just so surprising. 00 :12 :36 I expected an intrusion into the spinal space or a bony spur in the nucleus pulposus. 00 :12 :40 Well, you were wrong. 00 :12 :41 You don't always get what you expect, do you? 00 :12 :46 What is your problem? 00 :12 :48 Give me something to go on. 00 :12 :49 Anything. 00 :12 :51 What are your grandparents' names? 00 :12 :52 I don't have grandparents. 00 :12 :53 Where'd you grow up? 00 :12 :54 What's your favorite flavor of ice cream? 00 :12 :56 Where'd you spend your summer vacations? 00 :12 :58 Lighten up -- it'll be good for your blood pressure. 00 :13 :00 Oh, don't you tell me to lighten up. 00 :13 :03 I'll lighten up when I... feel light. 00 :13 :09 Don't we have treatment options? 00 :13 :11 I-I mean, aren't there always alternatives? 00 :13 :13 With this stage of invasive carcinoma, 00 :13 :16 surgery, chemo, radiation, and drug therapy are your only options. 00 :13 :19 Can I wait until the end of my pregnancy? 00 :13 :21 The pregnancy hormones will likely speed the growth of the cancer. 00 :13 :25 And the baby? 00 :13 :26 None of these courses of treatment will allow the baby to survive. 00 :13 :31 Mr. and Mrs. Glass, I understand how difficult this is. 00 :13 :35 No disrespect, but like hell you do. 00 :13 :39 You're going to have to make a decision as to how you want to proceed. 00 :13 :43 You mean my baby's life or my own? 00 :13 :47 Yes. 00 :13 :55 We'll have to evacuate the fetus. 00 :14 :04 Any changes, Mr. Walker? 00 :14 :06 I can't move my legs at all now. 00 :14 :08 He was moving his legs when he came in. 00 :14 :10 What's wrong with him? 00 :14 :11 I don't know. 00 :14 :13 The paralysis is moving quickly, and there was nothing in the M.R.I. to explain it. 00 :14 :17 Has tommy been under any stress lately? 00 :14 :19 You know what's making me stressed? Being in here and not being able to move. 00 :14 :23 Dr. Grey... 00 :14 :26 Emotional trauma can be converted into something physical, right? 00 :14 :28 - This is possible.- Okay. 00 :14 :30 Like hysterical numbness or paralysis. 00 :14 :32 Maybe there is no physiological reason, 00 :14 :34 and he's just having a conversion reaction. 00 :14 :35 It's psychosomatic? 00 :14 :37 It is not in your head, man. 00 :14 :39 - I believe you.- Mr. Duff, please. 00 :14 :43 Who was that? 00 :14 :45 Psych sent him down. He has visions. 00 :14 :47 Is that it? 00 :14 :48 Am I crazy? 00 :14 :50 No. No. 00 :14 :52 I'm gonna order a higher-level M.R.I. 00 :14 :55 We're gonna figure this out. 00 :15 :02 You know how important this is to me! 00 :15 :03 This is about saving your life. 00 :15 :05 You're not respecting it -- or me. 00 :15 :08 You're letting them put a pig -- a freaking nonkosher, traif mammal -- 00 :15 :12 into my chest -- into my heart -- 00 :15 :14 the very essence of my being! 00 :15 :16 It's a porcine valve, actually. 00 :15 :18 I don't care what the hell it is. 00 :15 :20 If you give me a pig part, I might as well be dead. 00 :15 :22 This orthodox thing was a mistake. 00 :15 :24 What was wrong with being reform like everyone else? 00 :15 :27 You guys don't even light candles friday nights. 00 :15 :30 You don't even know all the passover plagues. 00 :15 :32 Boils, vermin, pestilence. Even I know that. 00 :15 :37 Miss Friedman... I appreciate your extreme religious convictions. 00 :15 :41 - Fire, hail...- Simply put, without this procedure, you will die. 00 :15 :47 You're hotshot doctors. You'll come up with something else. 00 :15 :51 As long as it doesn't answer to wilbur and say "oink," 00 :15 :54 I don't care what it is. 00 :16 :06 Your nostrils are flaring. 00 :16 :07 They are not. 00 :16 :08 You're into me. I can tell. 00 :16 :10 Dr. Small-and-angry was a hot appetizer, but you, doc, are a smorgasbord of lust. 00 :16 :15 Mr. Duff, you're pressing your luck. 00 :16 :17 Would you press it for me? 00 :16 :19 I hope you're not claustrophobic. 00 :16 :24 You're staring at me. Stop it. 00 :16 :26 I'm looking at you, but it's the strangest thing. 00 :16 :29 I'm hungry for a chocolate cupcake. 00 :16 :31 What did you say? 00 :16 :32 A chocolate cupcake. 00 :16 :34 Maybe one of those fudgey things with the white squiggle on the frosting. 00 :16 :37 Could you oblige? 00 :16 :40 What, do I still have some chocolate on my face or in my hair or something? 00 :16 :45 What are you talking about? 00 :16 :46 You. I know the drill, so keep it up. 00 :16 :49 Next you'll be reading my cards, telling me my dead uncle is in the room. 00 :16 :53 Is he? 00 :16 :55 I don't have a dead uncle. 00 :16 :57 I'm watching you. 00 :17 :13 - If that's turkey, can I have some?- It's soggy. 00 :17 :15 Maybe it'll kill you, solve everything. 00 :17 :16 I could have gotten that intubation. I am good at intubations. 00 :17 :20 Why does everything in a hospital smell like a hospital? 00 :17 :23 Don't be so hard on yourself, George. Everybody makes mistakes. 00 :17 :25 I'm good at a lot of things. 00 :17 :27 You know what? I'm gonna tell you something. 00 :17 :28 Hey, George. You need to get laid. 00 :17 :30 See that nurse over there? 00 :17 :31 She's single. She's got red hair. Go ask her out. 00 :17 :35 - I intubated an esophagus.- Dude, you're tweaking. 00 :17 :38 Maybe you should go see that psychic. 00 :17 :40 Mr. Duff is not a psychic! 00 :17 :42 I am trying to help you. 00 :17 :44 Go buy her a latte and freshen up your gonad, please. 00 :17 :53 Shut up. 00 :17 :56 It's not too late to call her. 00 :17 :58 Moms like that -- surprises on their birthdays. 00 :18 :01 You know, it's very hallmark. 00 :18 :12 I'm 47, you know? I'm 47 and having a baby, 00 :18 :15 which is kind of a miracle, and it kind of sucks, if you see what I mean. 00 :18 :21 We'd given up on the kid thing about a year ago. 00 :18 :24 You know, fertility treatments, acupuncture needles in my eyes. 00 :18 :28 Well, not really, but it felt like it. 00 :18 :31 It was like, "screw this. I want my life back." 00 :18 :36 Then one awesome night on the beach with a bottle of merlot -- 00 :18 :40 I should have these labs back in a couple hours. 00 :18 :42 You get it, right? 00 :18 :44 My hesitation? 00 :18 :46 This isn't an easy decision, I mean. 00 :18 :48 I'm having a baby. 00 :18 :51 You have advanced-stage carcinoma. 00 :18 :53 You're 47 years old. 00 :18 :55 Statistically you have a good probability of survival. 00 :18 :58 If you forego treatment, chances are you won't see your baby go to kindergarten, 00 :19 :01 so whose life are you interested in saving? 00 :19 :11 Excuse me. 00 :19 :18 First my legs, then my stomach. God. 00 :19 :21 Doc! Doc, my hands can't move. 00 :19 :25 Squeeze my fingers. 00 :19 :26 I can't. 00 :19 :28 Right here. No? 00 :19 :30 Let me know if you feel this. 00 :19 :32 How about that? Here? 00 :19 :36 Anything here? Up here? Okay. 00 :19 :38 Nothing on this side? All right. I'll be right back. 00 :19 :41 Nurse, cancel the second M.R.I. Call down and prep O.R. stat. 00 :19 :45 You're operating? 00 :19 :47 On what? 00 :19 :48 If there was something to fix, wouldn't we have seen it? 00 :19 :50 I think the M.R.I. missed a clot in his upper spine. 00 :19 :52 I'm gonna cut him open. I'm going in. 00 :19 :54 What if you're wrong? 00 :19 :55 Couldn't unnecessary spinal surgery do more damage? 00 :19 :58 If we wait any longer, we have a paralyzed man who can't breathe. 00 :20 :02 I'm trusting my instincts. 00 :20 :04 Sometimes you got to take a chance to save a life. 00 :20 :16 Your mitral regurge is getting worse. 00 :20 :19 The valves are leakier than ever. 00 :20 :26 Are you hitting on me? 00 :20 :27 If you want me to. 00 :20 :29 I hear they call you Dr. Evilspawn. 00 :20 :31 Well, only the people that like me. 00 :20 :33 I guess that explains the lack-of-faith thing. 00 :20 :36 You know, I kind of think of myself as a pagan, but, 00 :20 :39 hey, that's just me. 00 :20 :44 You know what it's like being a teenager these days? 00 :20 :48 My friends spend most of their time screwing around and getting wasted. 00 :20 :52 At least I have god. 00 :20 :55 Well, so, god wants you to die, huh? 00 :20 :58 He wants me to be passionate about what I believe in. 00 :21 :02 You don't believe in anything. 00 :21 :04 My mother used to pray to Saint Jude for me. 00 :21 :07 How appropriate -- 00 :21 :09 patron saint of lost causes. 00 :21 :19 I did an angio on my psych case. 00 :21 :22 The M.R.I. came out clean, but I saw a ditzel. There's something here. 00 :21 :26 Yep, you're right. There's an A.V.M. on his left temporal lobe. 00 :21 :30 I'll schedule the O.R. for tonight, then. 00 :21 :31 Oh, back up, girl. 00 :21 :33 There's high risk of spontaneous hemorrhage. 00 :21 :35 The attending has to see the films. We need consent forms. 00 :21 :37 Believe it or not, Stevens, we have to follow protocol. 00 :21 :40 But if the A.V.M. looks like it's gonna blow, we fix it, right? 00 :21 :43 If the man needs to be fixed, we'll fix him. 00 :21 :45 Why are you moving so quickly? 00 :21 :48 You get too involved with your patients, Izzie. 00 :21 :51 Why do you make everything so personal? 00 :21 :54 It's not personal. 00 :21 :57 It's not. 00 :22 :02 Pulse ox -- 98. 00 :22 :03 We've got to save this cord. 00 :22 :05 This guy's built like the rock of gibraltar. 00 :22 :08 You want me to start? 00 :22 :10 I'm gonna cut here from the base of the neck to the rib cage. 00 :22 :14 I want you to hit the bleeders. 00 :22 :16 I still don't think we should be doing this. 00 :22 :20 - This guy has a spinal hematoma...- We don't know that. 00 :22 :23 Which left untreated are almost always fatal. 00 :22 :25 You're cutting blind. 00 :22 :26 Whatever happened to being practical? 00 :22 :28 I need to see more here. retractor. 00 :22 :32 Wow. 00 :22 :35 The spine. 00 :22 :36 There's no "wow" in "practical." 00 :22 :47 We have decided to go ahead with the evacuation. 00 :22 :50 What the hell, right? 00 :22 :52 Maybe this is how it's supposed to be. 00 :22 :55 We need to start chemo right away, then. 00 :22 :57 We'll get everything ready. 00 :23 :03 Have you ever done a "d" and "c" before? 00 :23 :05 We learned at school. 00 :23 :06 Okay, uh, go ahead. 00 :23 :08 I'll call an O.B. resident down to supervise. 00 :23 :11 If she needs anything, page me. 00 :23 :33 You're using up my oxygen, O'Malley. 00 :23 :35 How does a pompous, cocky jackass like you always have women all over him? 00 :23 :40 Little blue love pills -- lots of them. 00 :23 :43 Come on. 00 :23 :45 Float like a butterfly, sting like a bee. 00 :23 :49 There it is -- a bovine xenograft. 00 :23 :55 O'Malley, you think too much. Can't you see it? 00 :23 :59 You got to dance and jab. Dance and jab. 00 :24 :02 Like me. I am the Ali of this place. 00 :24 :21 Does the wall ever bow back? 00 :24 :33 It's called davening, smartass. 00 :24 :35 This is me communing with god, 00 :24 :37 and you're interrupting. 00 :24 :39 I've found a transplant option. 00 :24 :41 At first I thought maybe a cadaver, but they're really hard to find. 00 :24 :45 And then I realized Dr. Burke can transplant a bovine mitral valve instead of the pig. 00 :24 :51 She can get a cow valve? 00 :24 :53 Dr. Burke, why wasn't this mentioned before? 00 :24 :55 The bovine valve has only been an option the last few years. 00 :24 :59 And it's a much more complicated procedure. 00 :25 :01 But the best part is it's superior to the pig. 00 :25 :04 It lasts longer. 00 :25 :07 What small fraction of your brain were you using in there? 00 :25 :10 Correct me if I'm wrong, but did you not present an alternative procedure 00 :25 :13 without consulting your attending first? 00 :25 :15 - I thought you'd be --- What, impressed? 00 :25 :17 - That's just stupid.- I'm sorry. 00 :25 :19 We're finished here, Karev. You're off this case. 00 :25 :37 You need to sign these consent forms so we can proceed with your surgery. 00 :25 :41 I'm not signing anything unless it's got my name on it followed by a whole bunch of zeros. 00 :25 :46 Look, the A.V.M. is located in this crucial part of the brain. 00 :25 :49 It's a tangle of blood vessels that could burst and affect your speech, among other things. 00 :25 :53 We know your visions are actually seizures. 00 :25 :55 Do you? 00 :25 :56 Do I what? 00 :25 :57 Know they're seizures. 00 :25 :59 You're really good at reading people, aren't you, telling them what they want to hear? 00 :26 :04 There's an unfortunate alignment of saturn in the house of jupiter right now. 00 :26 :09 Okay. 00 :26 :10 I know what you're doing. 00 :26 :11 You watch people -- read their body language. 00 :26 :14 You say "chocolate cupcakes," I lean towards you, 00 :26 :16 so you think you're on the right track. 00 :26 :18 Not only do you know you're having seizures, but you're milking it. 00 :26 :23 Well, we'll just see about that, Cricket. 00 :26 :27 What? 00 :26 :29 What did you just call me? 00 :26 :36 I'm gonna do a quick pelvic exam. 00 :26 :37 The O.B. resident should be down soon. 00 :26 :40 It's a short procedure. Your husband can stay if he likes. 00 :26 :42 We changed our minds. 00 :26 :44 Excuse me? 00 :26 :45 We've decided to keep the baby. 00 :26 :48 You have cancer. 00 :26 :49 Can you tell me I'll survive if I go through with this? 00 :26 :54 Having the procedure does not necessarily improve the treatment outcome. 00 :26 :57 You have quite the bedside manner. You know that, right? 00 :27 :01 My mom died of breast cancer when she was in her 40s. 00 :27 :05 I have that cancer gene. 00 :27 :07 My chances are pretty much lose-lose, whichever way you look at it, 00 :27 :10 except for the baby. 00 :27 :13 We're keeping it. 00 :27 :16 - I'll call down a psych consult.- Don't bother. 00 :27 :18 I am going to get fat and happy instead of skinny and bald. 00 :27 :23 - Look, if you want to live --- Honey, that's what I'm doing. 00 :27 :42 Look, if you think you're gonna get any, think again. 00 :27 :45 I'm not in the mood. 00 :27 :48 - I'm not in the mood either.- Good. 00 :27 :55 What do you want? 00 :27 :57 Nothing. I just haven't seen you all day. 00 :28 :02 So, I'm working. 00 :28 :10 I've never done a bovine replacement before. 00 :28 :13 I don't know what I'm doing. 00 :28 :17 Look it up, research it, and get someone to assist you. 00 :28 :22 It's not that easy. 00 :28 :24 This is a problem that has a solution, Burke. 00 :28 :27 There are a lot of problems that don't. 00 :28 :35 Third thoracic laminae. Nothing. 00 :28 :37 I think I see the dura pulsating here. 00 :28 :40 No, it's not. 00 :28 :41 Keep looking. 00 :28 :42 We have been at this for 4 hours. 00 :28 :44 Maybe he just injured his spinal cord, and there's nothing to fix. 00 :28 :47 Grey, when you read your books, make sure you reference them correctly. 00 :28 :50 Progressive paralysis implies a pressure lesion. 00 :28 :53 My books got me here... 00 :28 :56 Pressure's 180 over 111. 00 :28 :59 The pulse is in the 40s. 00 :29 :00 What is it? 00 :29 :01 I'm pushing 70 milligrams of diazoxide. 00 :29 :03 Okay. 00 :29 :04 Autonomic dysreflexia. 00 :29 :05 Damage to the sympathetic nervous system? 00 :29 :07 B.P. and the heart rate are unstable. 00 :29 :10 We're in trouble, aren't we? 00 :29 :11 We've got to find the clot. 00 :29 :13 I can see the cord below the dura. 00 :29 :15 Focus, Grey. We're gonna find the clot. It's there. 00 :29 :19 - Cleanup, please.- Okay. 00 :29 :20 B.P.'s still up. Heart rate's at 44. 00 :29 :24 Get on those bleeders. 00 :29 :29 Keep looking, Dr. Grey. 00 :29 :37 Dr. O'Malley? Our patient's pulse ox is dropping. 00 :29 :39 She's agonal. She needs to be intubated. 00 :29 :41 Isn't there anyone else who can do this? 00 :29 :43 You're standing here. I could try and find someone. 00 :29 :46 No, that's -- 00 :29 :47 I got it. 00 :29 :55 Okay. 00 :29 :56 - Sats down to 86%.- Crich pressure, please. 00 :30 :02 Okay. I see cords. 00 :30 :03 Tube. Hurry. 00 :30 :17 Check for breath sounds. 00 :30 :25 Clear and equal. 00 :30 :26 C-o-2 detector mellow yellow. 00 :30 :29 Smooth moves, doctor. 00 :30 :31 Kicked ass. 00 :30 :46 Oh, Dr. Karev. 00 :30 :48 How long would it take to get a cow valve? 00 :30 :50 About 60 minutes by messenger. 00 :30 :56 You're scrubbing in. 00 :30 :59 Thank you very much, sir. 00 :31 :00 This doesn't get you any points, Karev. 00 :31 :02 I'm the only one with points around here, okay? 00 :31 :07 Oh, by the way, Devo wants a rabbi to bless her before surgery. 00 :31 :12 Seriously? 00 :31 :13 You came up with the cow, you can find that girl a rabbi. 00 :31 :26 - What is it?- See for yourself -- 00 :31 :29 the second thoracic vertebrae. 00 :31 :34 Oh, my god. 00 :31 :35 I see it. 00 :31 :37 It really is there. 00 :31 :38 Of course it is. 00 :31 :39 Let's suction and pack this baby, shall we? 00 :31 :50 You were right. 00 :31 :52 Is he gonna be okay? 00 :31 :54 I think so. 00 :31 :55 But you don't know that. 00 :31 :56 We stopped the paralysis from advancing. 00 :31 :58 But you don't know if the paralysis he already has will be permanent. 00 :32 :02 No. 00 :32 :03 You keep taking everything on faith. 00 :32 :06 How do you know what's real and what's not? 00 :32 :08 You just do. 00 :32 :12 Some people would call this a relationship. 00 :32 :15 The kind where you exchange keys, leave your toothbrush over. 00 :32 :18 Who? 00 :32 :19 Who would call it that? 00 :32 :21 Me. 00 :32 :24 I would. 00 :32 :27 I'm supposed to believe you? 00 :32 :29 Show me something. 00 :32 :33 Give me a reason to believe. 00 :32 :48 I have your discharge papers. 00 :32 :51 Oh, you're not happy with me, are you? 00 :32 :53 I'm your doctor. It's not my place to be happy. 00 :32 :55 My husband and child are going to be together long after I'm gone. 00 :33 :00 We've talked about it. 00 :33 :01 It's our decision, and that's okay. 00 :33 :04 So, why do you need my approval? 00 :33 :05 I want you to understand. 00 :33 :07 Well, I don't. 00 :33 :23 I brought the consent forms again. 00 :33 :25 You really need to sign them. 00 :33 :27 Your surgeon scheduled the O.R. 00 :33 :29 Mr. Duff, are you all right? 00 :33 :32 Are you having another seizure? 00 :33 :37 Yeah. 00 :33 :38 Yeah. 00 :33 :40 I think maybe I am. 00 :33 :44 What is it? 00 :33 :50 It's me. 00 :33 :54 I think it's about to be over. 00 :33 :58 We know what we're doing, Mr. Duff. 00 :34 :00 You saw the angio results. We're catching the A.V.M. just in time. 00 :34 :03 You don't need to be nervous. You're not gonna die. 00 :34 :07 I'm not talking about dying. 00 :34 :15 My whole life has been about what I see and about believing in myself, whatever people think. 00 :34 :21 You're telling me there's a chance that will go away. 00 :34 :25 Look, you're a healthy guy. 00 :34 :28 You're gonna live a long, full life. 00 :34 :31 If your psychic visions are real, you've got to believe you'll have them when you come out. 00 :35 :32 She's good. 00 :35 :34 This is Dr. Chesney from the cleveland clinic. 00 :35 :37 He's an expert on bovine valve replacement surgery. 00 :35 :41 He will be assisting via satellite. 00 :35 :45 Thank you, doctor. 00 :35 :47 After the sternotomy and connection to bypass, 00 :35 :51 we're going to do a transverse left atriotomy 00 :35 :54 to expose the valve. 00 :36 :07 I tried to talk Shepherd out of that clot surgery. 00 :36 :11 What is wrong with me? 00 :36 :13 Basically, you tried to kill the guy. 00 :36 :14 Basically, you're an ass. 00 :36 :16 You know you want it. 00 :36 :17 Come to papa, baby. 00 :36 :20 This, uh, is George. George has a hot date. 00 :36 :26 Oh, that's great, George. 00 :36 :29 Yeah. 00 :36 :31 Left pocket of my lab coat, Georgie. 00 :36 :33 No glove, no love. 00 :36 :47 My psychic had his surgery. 00 :36 :50 Yeah? 00 :36 :52 I wonder what happened with his... gift. 00 :36 :55 Come on. We all know he's crazy. 00 :36 :57 You said you didn't believe in that stuff. 00 :37 :03 I grew up in a trailer park. 00 :37 :04 I waited tables, which was supposed to put me through college, 00 :37 :07 but my mother was always calling these psychics all the time. 00 :37 :14 And the bills started piling up, so I had to use my money to pay them. 00 :37 :18 When I turned 18, I left and never went back. 00 :37 :21 But this guy has been saying things to me -- 00 :37 :23 things he couldn't possibly know anything about. 00 :37 :28 So... I just wonder. 00 :37 :34 Do you have sensation anywhere else? 00 :37 :37 Some feeling in my stomach and feet, I guess. 00 :37 :39 Bladder and bowels? 00 :37 :41 Not so good still. 00 :37 :42 The pressure stockings help relieve clots? 00 :37 :45 They do. 00 :37 :57 I wanted to thank you... for everything. 00 :38 :00 Believing in me, that I wasn't making it up. 00 :38 :04 Well, I'll come back tomorrow, then. 00 :38 :07 I wanted to show you something. 00 :38 :09 I wasn't sure it would last, but now look. 00 :38 :16 I know it's hardly anything, but -- 00 :38 :17 No, it's something. 00 :38 :21 It's something really big. 00 :38 :29 At the end of the day, faith is a funny thing. 00 :38 :35 It turns up when you don't really expect it. 00 :38 :38 Mr. Duff, you're still with us. 00 :38 :44 For your recipe... 00 :38 :48 one tablespoon coconut extract. 00 :38 :53 It's like one day you realize that the fairy tale 00 :38 :57 may be slightly different than you dreamed. 00 :39 :09 Where are we going? 00 :39 :13 Trust me. 00 :39 :20 The castle -- well, it may not be a castle. 00 :39 :42 Does it beat... or moo? 00 :39 :45 And it's not so important that it's happy ever after... 00 :39 :50 just that it's happy right now. 00 :40 :10 Mom. It's me... 00 :40 :12 Cricket. 00 :40 :13 See, once in a while -- once in a blue moon -- people will surprise you. 00 :40 :18 I've been thinking about you a lot, too. 00 :40 :24 Where are we? 00 :40 :25 Shh, shh, shh. I'm gonna tell you. 00 :40 :27 All right. My mother's maiden name -- Maloney. 00 :40 :30 I have 4 sisters. 00 :40 :32 I have, uh, 9 nieces. 00 :40 :35 5 nephews. 00 :40 :37 I like coffee ice cream, 00 :40 :39 single-malt scotch, 00 :40 :40 occasionally a good cigar. I like to fly-fish. 00 :40 :43 I cheat when I do the crossword puzzle on sunday. 00 :40 :46 And I never dance in public. 00 :40 :48 Um, favorite novel -- "the sun also rises." 00 :40 :51 Favorite band -- The Clash. 00 :40 :53 My favorite color is blue. I don't like light blue -- indigo. 00 :40 :56 The scar right here on my forehead -- that's why I don't ride motorcycles anymore. 00 :41 :01 And I live in that trailer. 00 :41 :06 All this land is mine. 00 :41 :08 I have no idea what I'm gonna do with it. 00 :41 :11 So that's it. That's all you've earned for now. 00 :41 :14 The rest you're just -- 00 :41 :17 just gonna have to take on faith. 00 :41 :30 And once in a while... 00 :41 :34 people may even take your breath away. 00 :41 :50 Transcript: RaceMan - Synchro: Amariss- www.forom.com - ÿ