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1
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[Meredith] The game:
2
00:00:05,295 --> 00:00:07,964
they say a person either
has what it takes to play
3
00:00:08,089 --> 00:00:09,174
or they don't.
4
00:00:09,632 --> 00:00:12,427
My mother was one of the greats.
5
00:00:13,303 --> 00:00:14,888
Me, on the other hand...
6
00:00:15,054 --> 00:00:17,015
I'm kind of screwed.
7
00:00:29,486 --> 00:00:30,361
[grunts]
8
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[man] This is, uh...
9
00:00:39,078 --> 00:00:41,164
Humiliating on so many levels.
10
00:00:41,247 --> 00:00:42,165
You have to go.
11
00:00:42,665 --> 00:00:44,000
Why don't you come back down here,
12
00:00:44,083 --> 00:00:45,585
and we'll pick up where we left off?
13
00:00:45,668 --> 00:00:47,462
No, seriously. You have to go. I'm late.
14
00:00:47,545 --> 00:00:50,340
Which isn't what you want to be
on your first day of work, so...
15
00:00:50,423 --> 00:00:52,842
So, uh, you actually live here.
16
00:00:53,218 --> 00:00:54,803
- No.
- Oh.
17
00:00:55,011 --> 00:00:58,181
- Yes. Kind of.
- Oh.
18
00:01:00,141 --> 00:01:01,976
It's nice. A little dusty,
19
00:01:02,435 --> 00:01:03,895
odd, but it's nice. [laughs]
20
00:01:05,063 --> 00:01:06,397
So, how do you kind of live here?
21
00:01:07,023 --> 00:01:08,650
I moved two weeks ago from Boston.
22
00:01:08,775 --> 00:01:10,610
It was my mother's house. I'm selling it.
23
00:01:10,693 --> 00:01:11,569
Oh, I'm sorry.
24
00:01:12,320 --> 00:01:13,154
For what?
25
00:01:13,404 --> 00:01:14,364
You said "was."
26
00:01:14,572 --> 00:01:16,407
Oh, my mother's not dead.
27
00:01:16,533 --> 00:01:19,160
She's... You know what?
We don't have to do the thing.
28
00:01:19,327 --> 00:01:21,496
Oh, we can do anything you want.
29
00:01:21,704 --> 00:01:24,415
No, the thing: exchange
the details, pretend we care.
30
00:01:24,666 --> 00:01:26,376
I'm gonna go upstairs and take a shower,
31
00:01:26,501 --> 00:01:31,005
and when I get back down here,
you won't be here, so, um...
32
00:01:31,714 --> 00:01:34,676
Goodbye, um...
33
00:01:37,220 --> 00:01:38,805
- Derek.
- Derek.
34
00:01:39,222 --> 00:01:40,765
- Right. Meredith.
- Meredith.
35
00:01:40,849 --> 00:01:43,935
- Yeah. Mm-hmm.
- Nice meeting you.
36
00:01:44,060 --> 00:01:45,228
Bye, Derek.
37
00:01:45,854 --> 00:01:48,398
[Rilo Kiley's
"Portions For Foxes" playing]
38
00:02:05,290 --> 00:02:07,584
[Richard] Each of youcomes here today hopeful,
39
00:02:07,750 --> 00:02:09,419
wanting in on the game.
40
00:02:09,711 --> 00:02:12,881
A month ago, you were in med
school being taught by doctors.
41
00:02:14,174 --> 00:02:15,008
Today...
42
00:02:15,967 --> 00:02:17,886
you are the doctors.
43
00:02:20,180 --> 00:02:22,682
The seven years you spend here
as a surgical resident
44
00:02:22,765 --> 00:02:24,559
will be the best and worst of your life.
45
00:02:24,642 --> 00:02:26,644
You will be pushed to the breaking point.
46
00:02:27,353 --> 00:02:30,315
Look around you.
Say hello to your competition.
47
00:02:31,149 --> 00:02:33,776
Eight of you will switch
to an easier specialty.
48
00:02:33,902 --> 00:02:35,612
Five of you will crack under the pressure.
49
00:02:35,695 --> 00:02:37,488
Two of you will be asked to leave.
50
00:02:38,031 --> 00:02:41,534
This is your starting line.
This is your arena.
51
00:02:42,201 --> 00:02:43,453
How well you play,
52
00:02:45,413 --> 00:02:46,289
that's up to you.
53
00:02:47,624 --> 00:02:49,042
[Meredith] Like I said...
54
00:02:50,251 --> 00:02:51,461
I'm screwed.
55
00:03:06,614 --> 00:03:10,701
OK, Martin, Robinson, Bond, Hawkins.
56
00:03:14,497 --> 00:03:16,040
Only six women out of 20.
57
00:03:16,165 --> 00:03:18,375
Yeah. I hear one of them's a model.
58
00:03:18,709 --> 00:03:21,295
Seriously, that's gonna help
with the respect thing?
59
00:03:22,296 --> 00:03:25,466
- You're Cristina, right?
- [man] Patton, Monroe...
60
00:03:26,383 --> 00:03:28,260
Which resident are you assigned to?
I got Bailey.
61
00:03:28,511 --> 00:03:31,764
- The Nazi? Me too.
- You got the Nazi? So did I.
62
00:03:31,931 --> 00:03:33,974
At least we'll be tortured
together, right?
63
00:03:34,391 --> 00:03:36,852
I'm George O'Malley.
64
00:03:36,936 --> 00:03:39,688
Uh, we met at the, uh, mixer.
65
00:03:39,814 --> 00:03:40,773
You had on a black dress
66
00:03:40,856 --> 00:03:43,609
with a slit up the side,
strappy sandals and...
67
00:03:45,986 --> 00:03:47,363
Now you think I'm gay.
68
00:03:47,571 --> 00:03:48,489
- No, I'm not gay.
- [Cristina] Uh-huh.
69
00:03:48,572 --> 00:03:51,575
It's, uh... it's just that, uh,
you know, you were...
70
00:03:51,700 --> 00:03:53,869
You were very unforgettable.
71
00:03:53,953 --> 00:03:56,622
[man] O'Malley, Yang, Grey, Stevens.
72
00:03:57,498 --> 00:03:59,083
And I'm totally forgettable.
73
00:04:00,209 --> 00:04:01,794
- Bailey?
- [man] End of the hall.
74
00:04:03,504 --> 00:04:04,755
That's the Nazi?
75
00:04:05,214 --> 00:04:07,007
[George] I thought
the Nazi would be a guy.
76
00:04:07,216 --> 00:04:10,136
I thought the Nazi would be a Nazi.
77
00:04:10,636 --> 00:04:13,222
Maybe it's professional jealousy.
Maybe she's brilliant
78
00:04:13,305 --> 00:04:15,266
and they call her a Nazi
because they're jealous.
79
00:04:15,516 --> 00:04:18,018
- Maybe she's nice.
- Let me guess. You're the model.
80
00:04:19,270 --> 00:04:21,897
Hi, I'm Isobel Stevens,
but everyone calls me Izzie.
81
00:04:23,899 --> 00:04:26,068
I have five rules. Memorize them.
82
00:04:26,193 --> 00:04:27,862
Rule number one: Don't bother sucking up.
83
00:04:27,945 --> 00:04:29,822
I already hate you.
That's not gonna change.
84
00:04:30,030 --> 00:04:32,575
Trauma protocol, phone list, pagers,
85
00:04:32,700 --> 00:04:34,451
nurses will page you.
86
00:04:34,535 --> 00:04:37,163
You will answer every page at a run.
A run!
87
00:04:37,246 --> 00:04:38,789
That's rule number two.
88
00:04:39,081 --> 00:04:42,585
Your first shift starts now
and lasts 48 hours.
89
00:04:42,751 --> 00:04:44,920
You're interns, grunts, nobodies,
90
00:04:45,004 --> 00:04:46,922
bottom of the surgical food chain.
91
00:04:47,047 --> 00:04:49,633
You run labs, write orders,
work every second night
92
00:04:49,717 --> 00:04:51,260
until you drop, and don't complain.
93
00:04:51,385 --> 00:04:53,846
On-call rooms. Attendings hog them.
94
00:04:53,971 --> 00:04:55,639
Sleep when you can where you can,
95
00:04:55,764 --> 00:04:57,016
which brings me to rule number three.
96
00:04:57,099 --> 00:04:58,934
If I'm sleeping, don't wake me
97
00:04:59,101 --> 00:05:01,020
unless your patient is actually dying.
98
00:05:01,145 --> 00:05:03,939
Rule number four: The dying patient
better not be dead when I get there.
99
00:05:04,023 --> 00:05:07,735
Not only will you have killed someone,
you woke me for no reason. We clear?
100
00:05:08,235 --> 00:05:09,069
[Miranda] Yes?
101
00:05:09,195 --> 00:05:11,572
You said five rules. That was only four.
102
00:05:12,031 --> 00:05:12,907
[pager beeping]
103
00:05:12,990 --> 00:05:15,451
Rule number five: When I move, you move.
104
00:05:16,911 --> 00:05:18,412
Get out of my way!
105
00:05:19,830 --> 00:05:22,208
♪ Hey, hey, hey ♪
106
00:05:22,291 --> 00:05:25,502
♪ Hey, hey, hey, hey ♪
107
00:05:33,177 --> 00:05:34,136
What do we got?
108
00:05:34,261 --> 00:05:37,056
[man] Katie Bryce, 15-year-old female,
new onset seizures,
109
00:05:37,181 --> 00:05:38,724
intermittent for the past week.
110
00:05:39,141 --> 00:05:40,392
IV lost en route,
111
00:05:40,601 --> 00:05:42,895
started grand mal seizing as we descended.
112
00:05:43,062 --> 00:05:44,855
[Miranda] All right, get her on her side.
113
00:05:45,105 --> 00:05:47,399
Izzie, 10 milligrams Diazepam IM.
114
00:05:48,317 --> 00:05:50,444
[Miranda] No, no.
The white lead is on the right.
115
00:05:50,569 --> 00:05:52,529
Righty, whitey, smoke over fire.
116
00:05:52,780 --> 00:05:55,783
A large-bore IV.
Don't let the blood hemolyze. Let's go!
117
00:05:57,493 --> 00:06:00,204
[beeping]
118
00:06:01,497 --> 00:06:03,207
[man] What do we have?
A wet fish on dry land.
119
00:06:03,290 --> 00:06:04,667
Absolutely, Dr. Burke.
120
00:06:06,293 --> 00:06:08,295
Dr. Bailey, let's shotgun her.
121
00:06:08,545 --> 00:06:10,172
That means every test in the book:
122
00:06:10,255 --> 00:06:12,716
CT, CBC, chem-7, tox screen.
123
00:06:12,841 --> 00:06:15,719
Cristina, you're on labs.
George, patient work-ups.
124
00:06:15,970 --> 00:06:17,721
Meredith, get Katie for a CT.
125
00:06:17,930 --> 00:06:19,932
She's your responsibility now.
126
00:06:20,265 --> 00:06:21,433
Wait. What about me?
127
00:06:23,268 --> 00:06:25,229
Honey, you get to do rectal exams.
128
00:06:25,771 --> 00:06:28,107
[Jem's "They" playing]
129
00:06:41,495 --> 00:06:42,705
What are you doing here?
130
00:06:43,455 --> 00:06:45,290
Um, Katie Bryce's labs came out clear.
131
00:06:45,374 --> 00:06:47,126
There's nothing in the results
that explain her seizures.
132
00:06:47,209 --> 00:06:48,252
I just thought you would want to know.
133
00:06:48,377 --> 00:06:49,211
OK.
134
00:06:50,087 --> 00:06:52,297
Uh, I heard every year,
the attending on-call
135
00:06:52,381 --> 00:06:53,966
picks the best intern and lets them
136
00:06:54,049 --> 00:06:56,051
perform a procedure
during the first shift.
137
00:06:59,054 --> 00:07:02,433
- I'm just saying it's what I heard.
- Go away... now.
138
00:07:04,226 --> 00:07:07,354
- Yeah, sounds good.
- He'll be fine? You'll be fine.
139
00:07:07,563 --> 00:07:10,566
If you don't count the fact
that my bacon days are over, sure.
140
00:07:10,816 --> 00:07:13,694
So bypass surgery tomorrow with Dr. Burke.
I hear he's good.
141
00:07:13,861 --> 00:07:15,404
And, after that, you can have
142
00:07:15,487 --> 00:07:17,489
all the bacon-flavored
soy product you can eat.
143
00:07:17,698 --> 00:07:19,116
Mmm. Kill me now.
144
00:07:19,283 --> 00:07:22,036
I wish I could, but I'm a healer.
145
00:07:25,205 --> 00:07:26,415
[Katie] You're lost.
146
00:07:27,499 --> 00:07:29,835
I'm not lost. How are you feeling?
147
00:07:29,960 --> 00:07:31,587
How do you think I'm feeling?
148
00:07:31,670 --> 00:07:34,340
- I'm missing my pageant.
- You're missing your pageant?
149
00:07:34,423 --> 00:07:35,883
The Spokane Teen Miss.
150
00:07:36,133 --> 00:07:38,677
I was in the top ten
after the first two rounds.
151
00:07:38,844 --> 00:07:41,221
This is my year. I could have won.
152
00:07:41,930 --> 00:07:42,765
Hello.
153
00:07:43,724 --> 00:07:46,018
You're so lost. What are you, like, new?
154
00:07:48,062 --> 00:07:50,939
OK, so I'm just gonna insert my fingers
155
00:07:51,231 --> 00:07:52,608
into your rectum.
156
00:07:55,444 --> 00:07:57,196
[inhales sharply]
157
00:07:59,948 --> 00:08:00,991
No.
158
00:08:03,952 --> 00:08:06,330
Out. Out.
159
00:08:08,248 --> 00:08:10,292
Bet you missed a lot
when you first started out.
160
00:08:11,835 --> 00:08:12,669
[scoffs]
161
00:08:13,754 --> 00:08:15,798
I twisted my ankle in talent rehearsal.
162
00:08:15,881 --> 00:08:18,926
I do rhythmic gymnastics,
which is, like, really cool.
163
00:08:19,009 --> 00:08:20,052
Nobody else does it.
164
00:08:20,427 --> 00:08:21,637
And I tripped over my ribbon.
165
00:08:21,720 --> 00:08:24,431
And I didn't get stuck
with someone this clueless,
166
00:08:24,973 --> 00:08:27,101
and that was, like, a nurse.
167
00:08:27,434 --> 00:08:29,770
You and I are gonna
have so much fun together.
168
00:08:33,148 --> 00:08:34,608
[chattering]
169
00:08:37,820 --> 00:08:39,446
This shift is a marathon, not a sprint.
170
00:08:39,530 --> 00:08:40,823
- Eat.
- I can't.
171
00:08:40,906 --> 00:08:41,907
You should eat something.
172
00:08:42,408 --> 00:08:46,328
You try eating after performing
17 rectal exams. The Nazi hates me.
173
00:08:46,495 --> 00:08:49,164
The Nazi's a resident.
I have attendings hating me.
174
00:08:49,498 --> 00:08:50,958
You know Meredith is inbred?
175
00:08:51,083 --> 00:08:53,502
Like it's uncommon here
to be a doctors' parents...
176
00:08:53,710 --> 00:08:55,462
Royally inbred. Her mother is Ellis Grey.
177
00:08:55,587 --> 00:08:56,797
Shut up. The Ellis Grey?
178
00:08:57,256 --> 00:08:59,925
- Who's Ellis Grey?
- The Grey Method.
179
00:09:00,134 --> 00:09:01,427
Where'd you go to med school, Mexico?
180
00:09:01,510 --> 00:09:02,970
She was one of
the first big chick surgeons.
181
00:09:03,053 --> 00:09:04,138
She practically invented the...
182
00:09:04,221 --> 00:09:07,099
She's a living legend. Yeah,
she won the Harper Avery twice.
183
00:09:07,182 --> 00:09:08,517
So I didn't know one thing.
184
00:09:08,684 --> 00:09:10,227
Talk about parental pressure.
185
00:09:10,310 --> 00:09:12,020
I'd kill to have Ellis Grey as a mother.
186
00:09:12,354 --> 00:09:13,772
[Cristina] I'd kill to be Ellis Grey.
187
00:09:14,148 --> 00:09:15,566
All I need is one good case.
188
00:09:15,649 --> 00:09:17,025
[mumbling]
189
00:09:17,609 --> 00:09:19,653
Katie Bryce is a pain in the ass.
190
00:09:19,820 --> 00:09:21,447
If I hadn't taken the Hippocratic Oath,
191
00:09:21,530 --> 00:09:23,282
I'd Kevorkian her with my bare hands.
192
00:09:24,992 --> 00:09:25,826
What?
193
00:09:26,827 --> 00:09:28,662
[Preston] Good afternoon, interns.
194
00:09:30,122 --> 00:09:33,417
It's posted, but I thought I'd
share the good news personally.
195
00:09:33,709 --> 00:09:36,837
As you know, the honor
of performing the first surgery
196
00:09:36,920 --> 00:09:40,132
is reserved for the intern
that shows the most promise.
197
00:09:40,591 --> 00:09:42,176
As I'm running the OR today,
198
00:09:42,468 --> 00:09:43,844
I get to make that choice.
199
00:09:46,388 --> 00:09:48,223
- George O'Malley.
- Me?
200
00:09:48,390 --> 00:09:52,561
You'll scrub in for an appendectomy
this afternoon. Congratulations. Enjoy.
201
00:09:59,651 --> 00:10:00,611
Did he say me?
202
00:10:00,986 --> 00:10:02,446
[Miranda] I've seen his file.
203
00:10:02,529 --> 00:10:04,990
George O'Malley barely made
the cut to get in this program.
204
00:10:05,073 --> 00:10:07,284
- He's not your guy.
- He's my guy, all right.
205
00:10:07,367 --> 00:10:08,994
Every year, you pick your guy,
206
00:10:09,077 --> 00:10:11,413
and every year, your guy suffers
more than any other intern.
207
00:10:11,497 --> 00:10:13,540
Terrorize one, and the rest fall in line.
208
00:10:13,707 --> 00:10:17,544
I get it, I respect it,
but George O'Malley's a puppy.
209
00:10:17,628 --> 00:10:19,087
Katie Bryce, 3604?
210
00:10:19,171 --> 00:10:20,339
- Right there.
- Thank you.
211
00:10:20,631 --> 00:10:22,674
Katie, honey, Mom and Dad are here.
212
00:10:23,008 --> 00:10:24,968
They gave her a sedative for the CT scan,
213
00:10:25,052 --> 00:10:26,470
so she's a little groggy.
214
00:10:26,595 --> 00:10:27,763
[mother] Will she be all right?
215
00:10:27,971 --> 00:10:30,849
Our doctor at home said
that she might need an operation.
216
00:10:30,933 --> 00:10:31,808
Is that true?
217
00:10:32,267 --> 00:10:33,393
[mother] What kind of operation?
218
00:10:33,477 --> 00:10:35,854
She's, um... Well...
219
00:10:36,772 --> 00:10:38,690
You know what? I'm not the doctor.
220
00:10:38,857 --> 00:10:40,442
Um, I'm a doctor,
221
00:10:40,526 --> 00:10:43,946
but I'm not Katie's doctor,
so I'll go get him for you.
222
00:10:48,116 --> 00:10:50,077
- What?
- Katie's parents have questions.
223
00:10:50,160 --> 00:10:52,037
Do you talk to them, or do I ask Burke?
224
00:10:52,120 --> 00:10:53,455
No, Burke's off the case.
225
00:10:53,539 --> 00:10:56,959
Katie belongs to the new attending now,
Dr. Shepherd. He's over there.
226
00:11:16,778 --> 00:11:19,072
Meredith, can I talk to you for a second?
227
00:11:19,155 --> 00:11:20,198
Actually, I was...
228
00:11:22,701 --> 00:11:23,785
Dr. Shepherd.
229
00:11:23,868 --> 00:11:26,746
Dr. Shepherd? This morning, it was Derek.
230
00:11:27,372 --> 00:11:28,707
Now it's Dr. Shepherd.
231
00:11:29,124 --> 00:11:31,084
Dr. Shepherd, we should
pretend it never happened.
232
00:11:31,167 --> 00:11:33,503
What never happened?
You sleeping with me last night,
233
00:11:33,586 --> 00:11:35,130
or you throwing me out this morning?
234
00:11:35,255 --> 00:11:37,132
Both are fond memories
I'd like to hold onto.
235
00:11:37,298 --> 00:11:39,718
No, there will be no memories.
236
00:11:40,135 --> 00:11:42,429
I'm not the girl in the bar anymore,
and you're not the guy.
237
00:11:43,096 --> 00:11:45,390
This can't exist. You get that, right?
238
00:11:45,849 --> 00:11:48,018
You took advantage of me,
and you wanna forget it.
239
00:11:48,101 --> 00:11:50,603
I was drunk, vulnerable and good-looking.
You took advantage.
240
00:11:50,854 --> 00:11:52,272
OK, I was the one who was drunk,
241
00:11:52,355 --> 00:11:53,982
and you are not that good-looking.
242
00:11:54,107 --> 00:11:55,191
Maybe not today.
243
00:11:55,316 --> 00:11:56,818
Last night, I was very good-looking.
244
00:11:56,901 --> 00:11:57,861
Had my red shirt on.
245
00:11:57,944 --> 00:11:58,945
You took advantage.
246
00:11:59,112 --> 00:11:59,946
I did not take advantage.
247
00:12:00,030 --> 00:12:02,365
Want to take advantage again?
Say, Friday night?
248
00:12:04,284 --> 00:12:05,118
No.
249
00:12:06,453 --> 00:12:08,788
You're an attending and I'm your intern.
250
00:12:09,789 --> 00:12:12,417
- Stop looking at me like that.
- Like what?
251
00:12:12,500 --> 00:12:13,626
Like you've seen me naked.
252
00:12:15,253 --> 00:12:18,548
Dr. Shepherd, this is inappropriate.
253
00:12:19,591 --> 00:12:21,134
Has that ever occurred to you?
254
00:12:22,427 --> 00:12:23,511
[sighs]
255
00:12:26,097 --> 00:12:29,142
Open, identify, ligate,
remove, irrigate, close.
256
00:12:29,350 --> 00:12:31,895
Open, identify, ligate,
remove, irrigate, close.
257
00:12:32,187 --> 00:12:33,521
He's gonna faint. He's a fainter.
258
00:12:33,688 --> 00:12:35,565
No, code brown, right in his pants.
259
00:12:35,690 --> 00:12:37,233
He's all about the flop sweat.
260
00:12:37,358 --> 00:12:38,443
He's gonna sweat himself unsterile.
261
00:12:38,526 --> 00:12:39,652
Ten bucks says he messes up the McBurney.
262
00:12:39,736 --> 00:12:40,820
Fifteen says he cries.
263
00:12:40,904 --> 00:12:42,238
I'll put 20 on a total meltdown.
264
00:12:42,363 --> 00:12:44,532
Fifty says he pulls the whole thing off.
265
00:12:46,743 --> 00:12:48,453
That's one of us down there,
266
00:12:48,953 --> 00:12:50,413
the first one of us.
267
00:12:50,622 --> 00:12:51,873
Where's your loyalty?
268
00:12:54,626 --> 00:12:56,336
Seventy five says
he can't even ID the appendix.
269
00:12:56,419 --> 00:12:57,629
I'll take that action.
270
00:12:58,088 --> 00:13:00,006
OK, O'Malley, let's see what you can do.
271
00:13:01,341 --> 00:13:02,425
Here it comes.
272
00:13:03,343 --> 00:13:05,261
[O.A.O.T.S. "Dance" playing]
273
00:13:06,554 --> 00:13:08,348
- [George] Scalpel.
- Scalpel.
274
00:13:08,473 --> 00:13:12,352
[cheers, applause]
275
00:13:13,103 --> 00:13:15,021
That Burke is trouble.
276
00:13:19,984 --> 00:13:21,152
More pressure.
277
00:13:21,277 --> 00:13:23,488
The human flesh is a tough shell. Dig in.
278
00:13:27,492 --> 00:13:29,619
- [George] Pickups.
- Pickups.
279
00:13:32,622 --> 00:13:34,916
- [George] Clamp.
- Clamp.
280
00:13:39,838 --> 00:13:41,172
[George mutters indistinct]
281
00:13:44,217 --> 00:13:45,135
[George] I'm there.
282
00:13:45,218 --> 00:13:47,137
Damn, he got the peritoneum open. I'm out.
283
00:13:47,220 --> 00:13:49,139
I told you. He's gonna pull it off.
284
00:13:50,056 --> 00:13:51,391
♪ We got to go now ♪
285
00:13:52,058 --> 00:13:54,435
♪ Because I can't see your face ♪
286
00:13:55,311 --> 00:13:58,022
♪ I don't know why
I'm gonna sit and wait ♪
287
00:13:58,106 --> 00:14:00,525
- Scalpel.
- Scalpel.
288
00:14:01,985 --> 00:14:03,695
[cheers, applause]
289
00:14:03,778 --> 00:14:04,612
Appendix is out.
290
00:14:06,656 --> 00:14:08,658
- [Preston] Not bad.
- Thank you.
291
00:14:09,117 --> 00:14:10,618
Now all you have to do
292
00:14:10,994 --> 00:14:13,246
is invert the stump into the cecum
293
00:14:14,330 --> 00:14:17,959
and simultaneously pull up
on the purse strings,
294
00:14:18,084 --> 00:14:20,003
but be careful not to...
295
00:14:21,045 --> 00:14:22,046
break them.
296
00:14:23,506 --> 00:14:26,134
You ripped the cecum.
You've got a bleeder.
297
00:14:26,217 --> 00:14:28,052
You're filling with stool. What do you do?
298
00:14:28,219 --> 00:14:29,179
Uh...
299
00:14:30,430 --> 00:14:31,264
Think.
300
00:14:31,473 --> 00:14:33,266
You start the suction
and you start digging
301
00:14:33,391 --> 00:14:35,268
for those purse strings
before she bleeds to death.
302
00:14:36,144 --> 00:14:37,228
Give him a clamp.
303
00:14:37,395 --> 00:14:38,605
BP's dropping.
304
00:14:38,980 --> 00:14:39,856
He's choking.
305
00:14:39,939 --> 00:14:41,024
Come on, George.
306
00:14:41,191 --> 00:14:43,485
Today. Pull your balls
out of your back pocket.
307
00:14:43,568 --> 00:14:46,070
Let's go. What are you waiting for?
Suction.
308
00:14:46,488 --> 00:14:48,156
- [beeping]
- [sighs]
309
00:14:48,406 --> 00:14:49,657
Getting too low, folks.
310
00:14:51,326 --> 00:14:52,202
[woman] Dr. Burke.
311
00:14:52,410 --> 00:14:55,455
Get out of the way. Pansy-ass idiot.
312
00:14:55,580 --> 00:14:56,789
Get him out of here.
313
00:14:57,040 --> 00:14:58,833
Suction. Clamp.
314
00:15:01,419 --> 00:15:02,587
He's 007.
315
00:15:02,795 --> 00:15:05,215
- [man 1] 007, yep.
- [man 2] A total 007.
316
00:15:05,298 --> 00:15:07,967
- What's "007" mean?
- License to kill.
317
00:15:08,218 --> 00:15:09,052
♪ Now ♪
318
00:15:10,094 --> 00:15:10,929
♪ Now ♪
319
00:15:12,847 --> 00:15:14,098
♪ Now ♪
320
00:15:15,225 --> 00:15:16,684
♪ Now ♪
321
00:15:17,810 --> 00:15:18,811
007.
322
00:15:18,978 --> 00:15:20,897
They're calling me 007, aren't they?
323
00:15:21,147 --> 00:15:22,857
[both] No one's calling you 007.
324
00:15:22,941 --> 00:15:24,776
I was on the elevator,
Murphy whispered, "007."
325
00:15:25,068 --> 00:15:26,861
How many times do we
have to go through this George?
326
00:15:26,945 --> 00:15:29,364
Five? Ten? Give me a number,
or else I'm gonna hit you.
327
00:15:29,447 --> 00:15:31,449
Murphy whispered "007,"
and everyone laughed.
328
00:15:31,574 --> 00:15:33,743
- He wasn't talking about you.
- Are you sure?
329
00:15:33,868 --> 00:15:36,162
- [Meredith] Would we lie to you?
- Yes.
330
00:15:36,329 --> 00:15:38,081
007 is a state of mind.
331
00:15:38,164 --> 00:15:41,042
Says the girl who finished
first in her class at Stanford.
332
00:15:41,376 --> 00:15:43,336
[pager beeping]
333
00:15:44,879 --> 00:15:47,632
Oh, man. It's 911 for Katie Bryce.
334
00:15:49,551 --> 00:15:50,510
I got to go.
335
00:15:57,225 --> 00:15:59,185
Maybe I should have gone into geriatrics.
336
00:15:59,561 --> 00:16:01,813
No one minds when you kill an old person.
337
00:16:01,896 --> 00:16:04,107
Surgery is hot. It's the Marines.
338
00:16:04,190 --> 00:16:06,901
It's macho. It's hostile. It's hardcore.
339
00:16:07,443 --> 00:16:11,197
Geriatrics is for freaks who live with
their mothers and never have sex.
340
00:16:13,866 --> 00:16:15,868
I've got to get my own place.
341
00:16:16,119 --> 00:16:17,328
[chuckles]
342
00:16:22,834 --> 00:16:24,294
Excuse me! Excuse me!
343
00:16:27,297 --> 00:16:28,339
Took you long enough.
344
00:16:28,923 --> 00:16:30,592
You're OK? The nurse paged me 911.
345
00:16:30,675 --> 00:16:33,886
I had to go all Exorcist to get her to
even pick up the phone.
346
00:16:36,139 --> 00:16:38,182
[panting] Wait.
There's nothing wrong with you?
347
00:16:38,433 --> 00:16:39,267
I'm bored.
348
00:16:41,477 --> 00:16:42,604
You little...
349
00:16:43,229 --> 00:16:44,522
I'm not a cruise director.
350
00:16:44,606 --> 00:16:45,857
You don't have to wig out.
351
00:16:46,316 --> 00:16:47,859
The pageant's supposed to be on cable,
352
00:16:47,942 --> 00:16:50,111
but this crappy hospital
doesn't get the channel.
353
00:16:50,278 --> 00:16:53,823
If that cow Kylie Wood is gonna walk off
with my crown, I have to see it.
354
00:16:54,407 --> 00:16:55,450
Can you call someone?
355
00:16:56,618 --> 00:17:00,622
OK. This is an actual hospital.
356
00:17:01,039 --> 00:17:02,457
There are sick people here.
357
00:17:02,874 --> 00:17:05,418
Go to sleep and stop wasting my time.
358
00:17:05,752 --> 00:17:07,879
But I can't sleep. My head's all full.
359
00:17:08,254 --> 00:17:10,214
That's called "thinking." Go with it.
360
00:17:16,929 --> 00:17:20,850
[woman on PA] Pain Management to 209.Pain Management to 209.
361
00:17:23,770 --> 00:17:24,979
What do you need?
362
00:17:26,356 --> 00:17:29,025
[sighs] Mr. Jones has junky veins,
and he really needs antibiotics.
363
00:17:29,108 --> 00:17:30,693
I should start a central line.
364
00:17:30,902 --> 00:17:31,903
So start one.
365
00:17:32,945 --> 00:17:33,988
You don't know how.
366
00:17:34,656 --> 00:17:35,782
I've never done one.
367
00:17:37,241 --> 00:17:38,743
Well, you know what that means.
368
00:17:40,870 --> 00:17:42,622
Can't we just page someone else?
369
00:17:42,705 --> 00:17:43,998
She's the on-call resident.
370
00:17:45,583 --> 00:17:46,417
OK.
371
00:17:47,377 --> 00:17:48,920
OK, I'll just... I'll wake her.
372
00:17:56,052 --> 00:17:57,720
Dr. Bailey, I don't mean to bother you.
373
00:17:57,804 --> 00:17:59,514
- Then don't.
- It's Mr. Jones.
374
00:17:59,597 --> 00:18:01,641
- Is he dying?
- No.
375
00:18:01,808 --> 00:18:03,559
Then stop talking to me.
376
00:18:10,942 --> 00:18:11,776
[clears throat]
377
00:18:13,152 --> 00:18:15,697
[sighs] What is it?
378
00:18:19,534 --> 00:18:21,035
Next time you wake me,
379
00:18:21,119 --> 00:18:24,288
he better be so close to dead
there's a tag on his toe.
380
00:18:33,798 --> 00:18:35,299
Here. Take these to the lab.
381
00:18:41,180 --> 00:18:43,266
[Alex] 4-B's got post-op pneumonia.
382
00:18:43,349 --> 00:18:44,392
Let's start antibiotics.
383
00:18:44,475 --> 00:18:46,811
Are you sure that's the right diagnosis?
384
00:18:46,978 --> 00:18:48,646
Well, I don't know. I'm only an intern.
385
00:18:48,813 --> 00:18:51,149
Here's an idea, why don't you go spend
four years in med school
386
00:18:51,232 --> 00:18:53,526
and then let me know
if it's the right diagnosis?
387
00:18:53,985 --> 00:18:55,737
She's short of breath. She's got fever.
388
00:18:55,862 --> 00:18:58,030
She's post-op. Start the antibiotics.
389
00:18:59,782 --> 00:19:01,117
God, I hate nurses.
390
00:19:03,286 --> 00:19:04,120
I'm Alex.
391
00:19:05,872 --> 00:19:08,166
I'm with Jeremy.
You're with the Nazi, right?
392
00:19:08,291 --> 00:19:09,792
She may not have pneumonia, you know.
393
00:19:09,876 --> 00:19:11,836
She could be splinting, or have a P.E.
394
00:19:12,086 --> 00:19:14,005
Like I said, I hate nurses.
395
00:19:15,214 --> 00:19:16,591
What did you just say?
396
00:19:17,842 --> 00:19:19,427
Did you just call me a nurse?
397
00:19:19,552 --> 00:19:21,095
Well, if the white cap fits.
398
00:19:21,429 --> 00:19:23,097
[pager beeping]
399
00:19:24,599 --> 00:19:25,975
Damn it, Katie.
400
00:19:27,226 --> 00:19:28,519
Is she seeing anybody?
401
00:19:28,895 --> 00:19:29,729
I don't know.
402
00:19:29,812 --> 00:19:31,022
[whistles] She's hot.
403
00:19:31,355 --> 00:19:32,356
I'm friends with her.
404
00:19:32,690 --> 00:19:33,566
I mean, kind of friends...
405
00:19:33,649 --> 00:19:36,194
Not actually friends exactly,
406
00:19:36,277 --> 00:19:38,446
but we're tight, and we hang out.
407
00:19:38,863 --> 00:19:42,408
- Really, only just today...
- Dude. Dude, stop talking.
408
00:19:50,583 --> 00:19:54,212
[clamoring]
409
00:19:56,964 --> 00:19:58,049
What took you so long?
410
00:19:59,133 --> 00:20:01,677
[man] She's having
multiple grand mal seizures.
411
00:20:02,094 --> 00:20:03,721
Now, how do you want to proceed?
412
00:20:04,180 --> 00:20:06,265
Dr. Grey, are you listening to me?
413
00:20:07,225 --> 00:20:09,560
She's got Diazepam.
Two milligrams Lorazepam.
414
00:20:09,644 --> 00:20:11,312
I just gave the second dose.
415
00:20:11,562 --> 00:20:14,148
Dr. Grey, you need to tell us
what you want to do.
416
00:20:15,066 --> 00:20:15,900
Dr. Grey!
417
00:20:22,322 --> 00:20:24,449
[beeping]
418
00:20:25,926 --> 00:20:27,595
OK, she's full on Lorazepam?
419
00:20:27,678 --> 00:20:30,723
- She's had four milligrams.
- You paged Dr. Bailey and Dr. Shepherd?
420
00:20:30,973 --> 00:20:32,016
Lorazepam's not working.
421
00:20:32,099 --> 00:20:34,393
Phenobarbital.
Load her with phenobarbital.
422
00:20:36,812 --> 00:20:38,564
- [man] Pheno's in.
- [woman] No change.
423
00:20:38,773 --> 00:20:40,816
- You paged Dr. Shepherd.
- I just told you.
424
00:20:41,901 --> 00:20:44,612
- Well, page him again, stat.
- [nurse] What do you want to do?
425
00:20:45,154 --> 00:20:47,323
Dr. Grey, you need to tell us
what you want to do.
426
00:20:47,823 --> 00:20:49,116
[flatline tone]
427
00:20:49,200 --> 00:20:51,285
- [man] Heart stopped.
- [woman] Code blue!
428
00:20:52,453 --> 00:20:53,829
Code blue! Code blue!
429
00:20:54,372 --> 00:20:56,832
- Get the crash cart.
- I'll get it, right away.
430
00:20:59,543 --> 00:21:00,378
Wait.
431
00:21:01,837 --> 00:21:03,130
Charge the pads to 200.
432
00:21:03,255 --> 00:21:05,049
Charge. Clear.
433
00:21:07,510 --> 00:21:08,969
[man] Still v-fib. Nothing.
434
00:21:09,303 --> 00:21:11,013
- Charging.
- Nineteen seconds.
435
00:21:11,138 --> 00:21:12,348
Charge them to 300.
436
00:21:12,723 --> 00:21:14,183
300. Anything?
437
00:21:14,308 --> 00:21:15,518
Twenty seven seconds.
438
00:21:15,810 --> 00:21:16,811
Charge to 360.
439
00:21:18,312 --> 00:21:19,271
Come on, Katie.
440
00:21:19,355 --> 00:21:20,648
[woman] Forty nine seconds.
441
00:21:20,731 --> 00:21:22,316
At 60 seconds, you're supposed
to admin another drug.
442
00:21:22,400 --> 00:21:23,359
Charge again!
443
00:21:25,152 --> 00:21:26,362
Charge again.
444
00:21:28,072 --> 00:21:29,156
Charge.
445
00:21:29,949 --> 00:21:31,283
[beeping]
446
00:21:31,367 --> 00:21:32,201
[Meredith] Anything?
447
00:21:32,368 --> 00:21:33,744
I see sinus rhythm.
448
00:21:34,161 --> 00:21:36,455
- Blood pressure's coming up.
- All right.
449
00:21:37,415 --> 00:21:39,834
Pressure's returning. Rate's coming back.
450
00:21:40,292 --> 00:21:41,377
What the hell happened?
451
00:21:41,627 --> 00:21:43,587
She had a seizure and her heart stopped.
452
00:21:43,671 --> 00:21:46,173
- You're supposed to be monitoring.
- I checked on her.
453
00:21:46,257 --> 00:21:47,758
I got her. Just... just go.
454
00:21:51,387 --> 00:21:52,513
Somebody give me her...
455
00:21:53,180 --> 00:21:54,473
Give me her chart, please.
456
00:21:54,849 --> 00:21:57,226
You get a 911, you page me immediately.
457
00:21:57,309 --> 00:22:00,271
Not in the five minutes it takes you to
get to the emergency. Immediately.
458
00:22:00,354 --> 00:22:03,482
You're on my team and if somebody dies,
it's my ass. Grey?
459
00:22:05,943 --> 00:22:06,902
Meredith?
460
00:22:07,486 --> 00:22:09,530
[Vaughan Penn's "Ready To Rise" playing]
461
00:22:11,699 --> 00:22:14,827
♪ Rise up off the ground
Where you lay ♪
462
00:22:15,035 --> 00:22:17,580
♪ You've been
Laying there so long ♪
463
00:22:17,663 --> 00:22:22,710
♪ You just about have forgotten
How to live your life ♪
464
00:22:22,877 --> 00:22:25,671
♪ Well, you can't find where you belong ♪
465
00:22:25,880 --> 00:22:28,841
♪ No, you can't find where you fit in ♪
466
00:22:29,508 --> 00:22:30,885
If you tell anyone, ever...
467
00:22:31,468 --> 00:22:34,388
♪ Give your life a chance again ♪
468
00:22:36,557 --> 00:22:38,684
♪ You're ready to rise ♪
469
00:22:39,476 --> 00:22:41,854
♪ You're ready to rise ♪
470
00:22:42,438 --> 00:22:44,857
[Mr. Bryce]
You said it was a seizure disorder.
471
00:22:45,065 --> 00:22:47,526
- Now you're saying it isn't?
- I'm saying that I don't know.
472
00:22:47,610 --> 00:22:49,653
- What do you think it could be?
- I don't know.
473
00:22:49,778 --> 00:22:52,114
- When will you know?
- I don't have an answer for you.
474
00:22:52,198 --> 00:22:56,368
- For now, Katie is stable, and...
- Wait one damn minute.
475
00:22:56,619 --> 00:22:58,412
We came here because this hospital
476
00:22:58,495 --> 00:23:00,915
is supposed to be the best in Washington.
477
00:23:01,707 --> 00:23:04,376
That's my kid in there. My kid.
478
00:23:04,752 --> 00:23:07,004
And you have the audacity to stand here
and tell me, "I don't know."
479
00:23:07,171 --> 00:23:08,005
Mr. Bryce...
480
00:23:08,088 --> 00:23:11,342
No, I want someone else,
a doctor who knows what they're doing.
481
00:23:11,425 --> 00:23:13,969
You get me someone else,
someone better than you.
482
00:23:14,053 --> 00:23:16,055
Mr. Bryce, I assure you.
I am working hard on Katie's case.
483
00:23:16,138 --> 00:23:19,350
No, you're not. If you were, you'd be able
to give me some answers.
484
00:23:20,226 --> 00:23:23,354
I put you on a bypass machine,
which pumps blood for your heart.
485
00:23:23,646 --> 00:23:27,191
Fix your ticker, take you off the machine.
I'm done. Simple procedure.
486
00:23:28,275 --> 00:23:29,818
So I shouldn't worry?
487
00:23:30,444 --> 00:23:31,987
I'm very good at what I do.
488
00:23:32,404 --> 00:23:33,405
It still is surgery.
489
00:23:33,656 --> 00:23:34,740
There are some risks.
490
00:23:35,157 --> 00:23:37,034
I'll see you in the OR
this afternoon, Mr. Savitch.
491
00:23:40,246 --> 00:23:42,915
You're not gonna leave me
alone with that guy, are you?
492
00:23:44,541 --> 00:23:46,585
Oh, I'll be outside the OR the whole time.
493
00:23:47,086 --> 00:23:49,380
No, Dr. Burke is very good.
494
00:23:49,797 --> 00:23:50,965
Don't worry.
495
00:23:51,507 --> 00:23:52,466
I'll see you after.
496
00:23:52,716 --> 00:23:54,051
He'll be fine, right?
497
00:23:54,176 --> 00:23:55,594
Tony's gonna sail through it.
498
00:23:58,472 --> 00:24:01,100
You have nothing to worry about.
I promise.
499
00:24:03,227 --> 00:24:04,228
Gotta go.
500
00:24:04,979 --> 00:24:07,564
- [Meredith] What are you doing?
- I'm suturing a banana
501
00:24:07,690 --> 00:24:09,817
with the vain hope
that it wakes up my brain.
502
00:24:09,942 --> 00:24:11,026
[laughing]
503
00:24:11,151 --> 00:24:12,945
What are you smiling at, 007?
504
00:24:14,029 --> 00:24:15,906
I'm sorry. I get mean when I'm tired.
505
00:24:16,031 --> 00:24:18,492
You know what? I don't care.
506
00:24:19,368 --> 00:24:22,246
I comforted a family,
and I got to hang out in the OR today.
507
00:24:22,663 --> 00:24:23,497
All is well.
508
00:24:23,580 --> 00:24:24,957
Anybody know why we're here?
509
00:24:25,582 --> 00:24:26,667
Good morning.
510
00:24:27,293 --> 00:24:28,252
- Morning.
- Morning.
511
00:24:28,335 --> 00:24:30,462
I'm gonna do something
pretty rare for a surgeon.
512
00:24:30,754 --> 00:24:32,423
I'm gonna ask interns for help.
513
00:24:33,173 --> 00:24:34,758
I've got this kid, Katie Bryce.
514
00:24:34,925 --> 00:24:36,760
Right now, she's a mystery.
515
00:24:37,970 --> 00:24:39,513
She doesn't respond to our meds.
516
00:24:39,638 --> 00:24:41,432
Labs are clean, scans are pure,
517
00:24:41,932 --> 00:24:45,227
but she's having seizures,
grand mal seizures with no visible cause.
518
00:24:46,103 --> 00:24:47,396
She's a ticking clock.
519
00:24:47,646 --> 00:24:50,607
She's gonna die if I don't make
a diagnosis, which is where you come in.
520
00:24:51,692 --> 00:24:52,693
I can't do it alone.
521
00:24:53,360 --> 00:24:55,654
I need your extra minds, extra eyes.
522
00:24:55,863 --> 00:24:59,033
I need you to play detective. I need you
to find out why Katie's having seizures.
523
00:25:00,117 --> 00:25:03,162
I know you're tired. You got more work
than you could possibly handle.
524
00:25:03,704 --> 00:25:06,874
I understand. So I'm gonna
give you an incentive.
525
00:25:07,166 --> 00:25:09,585
Whoever finds the answer rides with me.
526
00:25:10,085 --> 00:25:11,420
Katie needs surgery.
527
00:25:12,171 --> 00:25:13,714
You get to do what no interns get to do:
528
00:25:13,797 --> 00:25:16,175
Scrub in to assist on
an advanced procedure.
529
00:25:16,842 --> 00:25:18,552
Dr. Bailey's gonna hand you Katie's chart.
530
00:25:18,677 --> 00:25:20,095
The clock is ticking fast, people.
531
00:25:20,679 --> 00:25:22,556
If we're gonna save Katie's life,
we have to do it soon.
532
00:25:33,699 --> 00:25:34,700
[Alex] Did you just page me?
533
00:25:34,784 --> 00:25:36,869
[nurse] Yes. 4-B's still short of breath.
534
00:25:36,953 --> 00:25:38,621
[sighs] Give the antibiotics time to work.
535
00:25:38,830 --> 00:25:40,832
The antibiotics should have worked by now.
536
00:25:41,040 --> 00:25:42,708
She's old. She's freaking ancient.
537
00:25:42,834 --> 00:25:44,710
She's lucky she's still breathing.
538
00:25:45,211 --> 00:25:46,963
I got a shot to scrub in downstairs
539
00:25:47,046 --> 00:25:49,215
on a patient who wasn't alive
during the Civil War.
540
00:25:49,424 --> 00:25:50,883
Don't page me again.
541
00:25:51,426 --> 00:25:55,805
[woman on PA] Pain Management to 209.Pain Management to 209.
542
00:25:56,013 --> 00:25:57,849
Hey, I want in on Shepherd's surgery.
543
00:25:57,932 --> 00:26:00,726
You've been the intern on Katie since
the start. You want to work together?
544
00:26:00,893 --> 00:26:03,271
If we find the answer, we have
a 50-50 chance of scrubbing in.
545
00:26:03,396 --> 00:26:05,398
I'll work with you, but I don't want
in on the surgery.
546
00:26:05,481 --> 00:26:06,941
- You can have it.
- You kidding?
547
00:26:07,024 --> 00:26:08,818
It's the biggest opportunity
any intern will ever get.
548
00:26:08,901 --> 00:26:11,028
I don't want to spend
more time with Shepherd than I have to.
549
00:26:11,112 --> 00:26:12,280
What do you have against Shepherd?
550
00:26:12,405 --> 00:26:14,157
If we find the answer,
the surgery's yours.
551
00:26:14,240 --> 00:26:17,160
- Do you want to work together or not?
- Deal.
552
00:26:17,243 --> 00:26:20,538
[Cristina] So she doesn't have anoxia,
chronic renal failure or acidosis.
553
00:26:20,621 --> 00:26:22,748
It's not a tumor, because her CT's clean.
554
00:26:23,583 --> 00:26:25,918
You're not gonna tell me why
you won't work with Shepherd?
555
00:26:26,002 --> 00:26:27,712
No. What about infection?
556
00:26:27,837 --> 00:26:29,338
No, there's no white count.
557
00:26:29,422 --> 00:26:31,466
She has no CT lesions, no fevers,
558
00:26:31,674 --> 00:26:32,967
nothing in her spinal tap.
559
00:26:33,050 --> 00:26:34,010
Just tell me.
560
00:26:35,928 --> 00:26:39,140
You can't comment, make a face
or react in any way.
561
00:26:41,184 --> 00:26:42,185
We had sex.
562
00:26:46,147 --> 00:26:47,565
What about an aneurysm?
563
00:26:47,982 --> 00:26:49,859
No blood on the CT and no headaches.
564
00:26:49,942 --> 00:26:54,238
OK. There's no drug use,
no pregnancy, no trauma.
565
00:26:56,866 --> 00:26:57,992
Was he good?
566
00:26:58,326 --> 00:27:00,786
I mean, he looks like he'd be good.
Was it any good?
567
00:27:03,289 --> 00:27:04,415
We're out of answers.
568
00:27:06,542 --> 00:27:07,960
What if no one comes up with anything?
569
00:27:08,044 --> 00:27:09,378
You mean, what if she dies?
570
00:27:09,504 --> 00:27:10,338
Yeah.
571
00:27:11,964 --> 00:27:13,257
This is gonna sound really bad,
572
00:27:13,341 --> 00:27:15,259
but I really wanted that surgery.
573
00:27:17,261 --> 00:27:19,889
She's never gonna get the chance
to turn into a person.
574
00:27:20,097 --> 00:27:24,393
The sum total of her existence will be
almost winning Miss Teen whatever.
575
00:27:26,896 --> 00:27:28,648
You know what her pageant talent is?
576
00:27:28,814 --> 00:27:29,774
They have talent?
577
00:27:30,566 --> 00:27:32,235
Rhythmic gymnastics.
578
00:27:32,485 --> 00:27:34,320
[laughing] Oh, come on.
579
00:27:34,946 --> 00:27:36,614
What is rhythmic gymnastics?
580
00:27:36,697 --> 00:27:39,200
I can't even say it.
I don't know what it is.
581
00:27:39,283 --> 00:27:40,952
[laughing]
582
00:27:42,245 --> 00:27:45,164
I think it's something
with a ball and a...
583
00:27:46,666 --> 00:27:47,500
What?
584
00:27:48,709 --> 00:27:49,752
Meredith, what?
585
00:27:50,253 --> 00:27:51,462
Get up. Come on.
586
00:27:53,673 --> 00:27:56,175
The only thing that she would
possibly need is an angiogram.
587
00:27:56,259 --> 00:27:58,344
Oh. Oh, Dr. Shepherd, just one moment.
588
00:27:59,053 --> 00:28:00,471
Katie competes in beauty pageants.
589
00:28:00,555 --> 00:28:02,390
I know that, but we have
to save her life anyway.
590
00:28:02,557 --> 00:28:05,726
OK. She has no headaches,
no neck pain, her CT is clean.
591
00:28:05,810 --> 00:28:10,106
There's no medical proof of an aneurysm,
but what if she has an aneurysm anyway?
592
00:28:10,273 --> 00:28:11,566
There are no indicators.
593
00:28:11,649 --> 00:28:14,110
She twisted her ankle practicing
for the pageant.
594
00:28:14,277 --> 00:28:15,695
- Look, I appreciate you trying to help...
- She fell.
595
00:28:15,820 --> 00:28:17,905
When she twisted her ankle, she fell.
596
00:28:18,531 --> 00:28:20,616
It was no big deal,
not even a bump on the head.
597
00:28:20,700 --> 00:28:23,160
She got up, iced her ankle,
and everything was fine.
598
00:28:23,327 --> 00:28:25,705
It was a fall so minor, her doctor
didn't even think to mention it
599
00:28:25,788 --> 00:28:29,000
when I was taking her history,
but she did fall.
600
00:28:29,250 --> 00:28:31,335
You know what the chance is that
a minor fall could burst an aneurysm?
601
00:28:31,419 --> 00:28:32,878
One in a million, literally.
602
00:28:34,589 --> 00:28:36,882
[woman over P.A.] Surgicalscheduling is now posted.
603
00:28:36,966 --> 00:28:37,883
[bell dings]
604
00:28:41,304 --> 00:28:42,847
- Let's go.
- [Meredith] Where?
605
00:28:42,930 --> 00:28:44,849
To find out if Katie's one in a million.
606
00:28:48,853 --> 00:28:49,812
[sighs]
607
00:29:02,700 --> 00:29:03,659
I'll be damned.
608
00:29:04,619 --> 00:29:05,578
There it is.
609
00:29:08,164 --> 00:29:09,665
It's minute, but it's there.
610
00:29:11,292 --> 00:29:13,002
It's a subarachnoid hemorrhage.
611
00:29:14,170 --> 00:29:16,088
[Derek] She's bleeding into her brain.
612
00:29:21,344 --> 00:29:24,263
She could have gone through her entire
life without it ever being a problem.
613
00:29:24,513 --> 00:29:26,098
- One tap in the right spot...
- [Cristina] It exploded.
614
00:29:26,182 --> 00:29:27,767
Exactly. Now I can fix it.
615
00:29:28,225 --> 00:29:29,936
You two did great work.
616
00:29:30,102 --> 00:29:33,147
Love to stay, kiss your ass but I got to
tell Katie's parents she's having surgery.
617
00:29:33,230 --> 00:29:35,274
- Katie Bryce's chart, please.
- Here you go.
618
00:29:36,901 --> 00:29:40,821
Dr. Shepherd, you'd said that you'd pick
someone to scrub in if we helped?
619
00:29:40,988 --> 00:29:42,657
Oh, yes, right. Um...
620
00:29:42,782 --> 00:29:45,201
I'm sorry I can't take you both.
It's gonna be a full house.
621
00:29:45,493 --> 00:29:46,911
Meredith, I'll see you in OR.
622
00:29:55,127 --> 00:29:56,045
Good. Thank you.
623
00:30:05,096 --> 00:30:06,222
Cristina...
624
00:30:06,305 --> 00:30:07,473
[Butterfly Boucher's
"Life is Short" playing]
625
00:30:07,556 --> 00:30:09,225
♪ When it doesn't rain It snows ♪
626
00:30:10,226 --> 00:30:14,063
♪ Yeah, the cookie crumbles
But in whose hand? ♪
627
00:30:14,313 --> 00:30:18,359
♪ All things said and all things done ♪
628
00:30:18,693 --> 00:30:20,611
♪ Life is short ♪
629
00:30:22,989 --> 00:30:24,573
♪ Oh, I am young ♪
630
00:30:24,740 --> 00:30:27,284
♪ But I have aged ♪
631
00:30:27,535 --> 00:30:31,664
♪ Waited long to seize the day ♪
632
00:30:32,039 --> 00:30:36,085
♪ All things said and plenty done ♪
633
00:30:36,377 --> 00:30:38,170
♪ Life's too short ♪
634
00:30:38,379 --> 00:30:40,214
♪ Oh-oh ♪
635
00:30:40,881 --> 00:30:42,299
♪ Could this be? ♪
636
00:30:42,758 --> 00:30:44,593
♪ Oh-oh ♪
637
00:30:45,136 --> 00:30:51,058
♪ Could this be the day
I've waited for? ♪
638
00:30:53,853 --> 00:30:58,149
♪ Another door to peek in through ♪
639
00:30:58,232 --> 00:31:00,359
♪ The floor is filthy ♪
640
00:31:00,443 --> 00:31:02,737
♪ But the couch is clean ♪
641
00:31:02,862 --> 00:31:04,697
♪ At the end of the day ♪
642
00:31:04,780 --> 00:31:07,033
♪ That's another day gone ♪
643
00:31:07,116 --> 00:31:08,367
♪ Life is short ♪
644
00:31:08,701 --> 00:31:09,744
Wow, that was quick.
645
00:31:09,827 --> 00:31:12,079
[Preston] His heart had
too much damage for a bypass.
646
00:31:13,497 --> 00:31:14,623
I had to let him go.
647
00:31:15,791 --> 00:31:18,502
It happens, rarely, but it does happen.
648
00:31:18,794 --> 00:31:20,212
The worst part of the game.
649
00:31:22,381 --> 00:31:24,550
But I told his wife...
650
00:31:24,800 --> 00:31:26,927
I told Gloria that he would be fine.
651
00:31:28,846 --> 00:31:30,723
- I promised her that...
- You what?
652
00:31:31,015 --> 00:31:32,892
- They have four little girls.
- I don't want you to promise anything.
653
00:31:32,975 --> 00:31:35,436
This is my case. Did you hear me promise?
654
00:31:36,812 --> 00:31:38,814
The only one that can keep
a promise like that is God,
655
00:31:38,898 --> 00:31:40,983
and I haven't seen him
holding a scalpel lately.
656
00:31:41,067 --> 00:31:43,652
You never promise
a patient's family a good outcome!
657
00:31:45,196 --> 00:31:46,405
I thought...
658
00:31:46,739 --> 00:31:49,075
You important enough
to promises to Mrs. Savitch?
659
00:31:49,283 --> 00:31:51,327
You get to be the one
to tell her that she's a widow.
660
00:31:51,744 --> 00:31:55,790
♪ Waited long to seize the day ♪
661
00:31:55,915 --> 00:32:00,127
♪ All things said
And plenty done ♪
662
00:32:00,252 --> 00:32:01,837
♪ Life is short ♪
663
00:32:03,756 --> 00:32:04,590
Izzie.
664
00:32:08,010 --> 00:32:09,720
- Maybe Meredith couldn't...
- Izzie.
665
00:32:14,517 --> 00:32:16,143
I'll tell him I changed my mind.
666
00:32:16,227 --> 00:32:18,771
Don't do me any favors. It's fine.
667
00:32:19,605 --> 00:32:20,439
Cristina...
668
00:32:20,523 --> 00:32:22,483
You did a cutthroat thing. Deal with it.
669
00:32:22,566 --> 00:32:25,236
Don't come to me for absolution.
You want to be a shark, be a shark.
670
00:32:25,903 --> 00:32:27,696
- I'm not...
- Oh, yes you are.
671
00:32:28,114 --> 00:32:30,616
Only it makes you feel all bad
in your warm, gooey places.
672
00:32:31,283 --> 00:32:33,494
No, screw you.
I don't get picked for surgeries
673
00:32:33,619 --> 00:32:34,745
'cause I slept with my boss,
674
00:32:34,870 --> 00:32:36,914
and I didn't get into med school
'cause I have a famous mother.
675
00:32:36,997 --> 00:32:38,916
Some of us have to earn what we get.
676
00:32:45,965 --> 00:32:51,011
[woman over PA] Dr. Mayes to ICU.Dr. Mayes, report to ICU.
677
00:32:51,512 --> 00:32:54,682
Gloria, there were
complications in the surgery.
678
00:32:56,517 --> 00:32:59,228
Tony's heart had a lot of damage.
679
00:33:00,062 --> 00:33:04,066
We tried to take him off bypass, but...
680
00:33:06,360 --> 00:33:08,320
there wasn't anything
we could have done.
681
00:33:11,282 --> 00:33:12,783
What are you talking about?
682
00:33:13,868 --> 00:33:15,035
He...
683
00:33:17,079 --> 00:33:18,038
Tony died.
684
00:33:18,622 --> 00:33:19,582
He's dead.
685
00:33:21,667 --> 00:33:22,668
Gloria...
686
00:33:23,294 --> 00:33:25,087
- ...I am so sorry.
- Thank you.
687
00:33:30,509 --> 00:33:31,510
Please...
688
00:33:33,679 --> 00:33:34,722
go away.
689
00:33:46,400 --> 00:33:48,152
[Gloria sobbing]
690
00:34:08,647 --> 00:34:10,106
[Derek] I promised I'd make her look cool.
691
00:34:10,690 --> 00:34:12,651
Apparently, being a bald beauty
queen is the worst thing
692
00:34:12,734 --> 00:34:14,444
that happened in the history of the world.
693
00:34:16,738 --> 00:34:19,574
Did you choose me for the surgery
because I slept with you?
694
00:34:20,450 --> 00:34:21,284
Yes.
695
00:34:24,204 --> 00:34:25,080
I'm kidding.
696
00:34:26,289 --> 00:34:28,124
I'm not gonna scrub in for surgery.
697
00:34:28,250 --> 00:34:29,918
You should ask Cristina.
She really wants it.
698
00:34:30,001 --> 00:34:31,294
You're Katie's doctor.
699
00:34:31,670 --> 00:34:32,879
And on your first day,
700
00:34:32,963 --> 00:34:35,006
with very little training,
you helped save her life.
701
00:34:35,298 --> 00:34:38,510
You earned the right to follow
her case through to the finish.
702
00:34:40,387 --> 00:34:41,930
You shouldn't let the fact that we had sex
703
00:34:42,055 --> 00:34:43,723
get in the way of you taking your shot.
704
00:34:58,071 --> 00:34:59,823
I wish I wanted to be a chef
705
00:35:00,448 --> 00:35:03,576
or a ski instructor
or a kindergarten teacher.
706
00:35:04,661 --> 00:35:07,330
You know, I would have been
a really good postal worker.
707
00:35:08,415 --> 00:35:09,374
I'm dependable.
708
00:35:09,791 --> 00:35:10,709
[chuckles]
709
00:35:11,668 --> 00:35:13,795
You know, my parents
tell everyone they meet
710
00:35:13,962 --> 00:35:15,338
that their son's a surgeon,
711
00:35:15,672 --> 00:35:17,549
as if it's a big accomplishment.
712
00:35:18,591 --> 00:35:20,343
Superhero or something.
713
00:35:22,971 --> 00:35:24,556
If they could see me now.
714
00:35:27,684 --> 00:35:30,395
When I told my mother I wanted
to go to medical school,
715
00:35:31,313 --> 00:35:32,814
she tried to talk me out of it.
716
00:35:34,607 --> 00:35:36,651
Said I didn't have
what it takes to be a surgeon,
717
00:35:37,694 --> 00:35:38,987
that I'd never make it.
718
00:35:40,322 --> 00:35:42,615
So the way I see it,
719
00:35:42,699 --> 00:35:44,826
superhero sounds pretty damn good.
720
00:35:49,456 --> 00:35:51,124
We're gonna survive this, right?
721
00:35:58,673 --> 00:35:59,883
She's still short of breath.
722
00:35:59,966 --> 00:36:01,718
Did you get an ABG or a chest film?
723
00:36:01,801 --> 00:36:02,761
Oh, yes, sir, I did.
724
00:36:02,844 --> 00:36:03,970
[Richard] And what did you see?
725
00:36:04,763 --> 00:36:06,973
Oh, well, I had a lot
of patients last night.
726
00:36:07,057 --> 00:36:09,184
Name the common causes of post-op fever.
727
00:36:09,351 --> 00:36:10,602
Uh, yes.
728
00:36:10,685 --> 00:36:12,645
From your head, not from a book.
729
00:36:12,812 --> 00:36:14,856
Don't look it up. Learn it.
It should be in your head.
730
00:36:14,939 --> 00:36:17,067
Name the common causes of post-op fever.
731
00:36:17,233 --> 00:36:20,820
Uh... the common causes of post...
732
00:36:20,904 --> 00:36:24,449
Can anybody name the common
causes of post-op fever?
733
00:36:26,368 --> 00:36:29,996
[Meredith] Wind, water, wound,
walking, wonder drugs.
734
00:36:30,205 --> 00:36:31,247
The five W's.
735
00:36:31,831 --> 00:36:35,126
Most of the time, it's wind,
splinting or pneumonia.
736
00:36:36,378 --> 00:36:37,962
Pneumonia's easy to assume,
737
00:36:38,129 --> 00:36:40,173
especially if you're
too busy to do the tests.
738
00:36:45,929 --> 00:36:47,430
What do you think's wrong with 4-B?
739
00:36:47,972 --> 00:36:49,432
The fourth W, walking.
740
00:36:49,599 --> 00:36:51,976
I think she's a prime candidate
for a pulmonary embolus.
741
00:36:52,227 --> 00:36:53,311
How would you diagnose?
742
00:36:55,939 --> 00:36:58,274
Spiral CT, V/Q scan,
743
00:36:58,441 --> 00:37:01,152
provide O2, dose with heparin
744
00:37:01,277 --> 00:37:03,321
and consult for an IVC filter.
745
00:37:05,031 --> 00:37:06,491
Do exactly as she says,
746
00:37:06,574 --> 00:37:09,285
then tell your resident
that I want you off this case.
747
00:37:11,037 --> 00:37:13,832
I'd know you anywhere.
You're the spitting image of your mother.
748
00:37:14,958 --> 00:37:16,251
Welcome to the game.
749
00:37:16,334 --> 00:37:19,587
[Thirteen Senses' "Into the Fire" playing]
750
00:37:34,144 --> 00:37:37,021
All right, everybody.
It's a beautiful night to save lives.
751
00:37:37,689 --> 00:37:39,107
Let's have some fun.
752
00:37:48,533 --> 00:37:51,703
[Meredith] I can't think of any onereason why I want to be a surgeon...
753
00:37:54,080 --> 00:37:57,000
but I can think of 1,000
reasons why I should quit.
754
00:37:57,083 --> 00:38:01,171
♪ Explain as I turn and meet the power ♪
755
00:38:01,296 --> 00:38:03,840
♪ This time, this time ♪
756
00:38:03,965 --> 00:38:06,676
♪ Turning white and senses dire ♪
757
00:38:06,843 --> 00:38:09,429
♪ Pull up, pull up ♪
758
00:38:09,512 --> 00:38:11,764
♪ From one extreme to another ♪
759
00:38:11,973 --> 00:38:13,892
[Meredith] They make it hard on purpose.
760
00:38:15,101 --> 00:38:17,520
♪ From the mountain to the air ♪
761
00:38:18,563 --> 00:38:20,482
[Meredith] There are lives in our hands.
762
00:38:23,485 --> 00:38:26,362
♪ From Samaritan to sin ♪
763
00:38:26,571 --> 00:38:28,781
♪ And it's waiting on the end ♪
764
00:38:29,824 --> 00:38:32,744
[Meredith] There comes a moment whenit's more than just a game...
765
00:38:33,161 --> 00:38:34,370
[beeping]
766
00:38:44,464 --> 00:38:47,008
And you either take that step forward
767
00:38:47,884 --> 00:38:50,011
or turn around and walk away.
768
00:38:51,054 --> 00:38:53,681
♪ Explain, explain ♪
769
00:38:53,765 --> 00:38:56,351
♪ As I turn and meet the power ♪
770
00:38:56,768 --> 00:38:59,354
♪ This time, this time ♪
771
00:38:59,437 --> 00:39:02,398
♪ Turning white and senses dire ♪
772
00:39:02,649 --> 00:39:04,776
♪ Pull up, pull up ♪
773
00:39:04,859 --> 00:39:07,612
♪ From one extreme to another ♪
774
00:39:07,695 --> 00:39:09,531
♪ From the summer to the spring ♪
775
00:39:09,656 --> 00:39:12,659
[Meredith] I could quit,but here's the thing...
776
00:39:15,912 --> 00:39:17,288
I love the playing field.
777
00:39:18,706 --> 00:39:21,501
♪ Come on, come on ♪
778
00:39:21,584 --> 00:39:24,212
♪ Put your hands into the fire ♪
779
00:39:25,964 --> 00:39:28,007
- It was a good surgery.
- Yeah.
780
00:39:37,475 --> 00:39:41,604
We don't have to do that thing where I say
something and then you say something,
781
00:39:41,896 --> 00:39:44,440
and then somebody cries,
and there's a moment.
782
00:39:44,524 --> 00:39:45,358
Yuck.
783
00:39:46,234 --> 00:39:47,193
Good.
784
00:39:50,863 --> 00:39:53,199
You should get some sleep.
You look like crap.
785
00:39:54,450 --> 00:39:55,910
I look better than you.
786
00:39:56,661 --> 00:39:57,787
That's not possible.
787
00:40:03,918 --> 00:40:05,086
[sighs]
788
00:40:15,388 --> 00:40:16,681
That was amazing.
789
00:40:20,059 --> 00:40:20,977
Mmm.
790
00:40:21,686 --> 00:40:23,313
You practice on cadavers,
791
00:40:25,356 --> 00:40:26,316
you observe
792
00:40:27,442 --> 00:40:29,235
and you think you know
what you're gonna feel like
793
00:40:29,319 --> 00:40:30,987
standing over that table, but...
794
00:40:32,614 --> 00:40:33,906
that was such a high.
795
00:40:38,870 --> 00:40:40,830
I don't know why anybody does drugs.
796
00:40:43,791 --> 00:40:44,626
Yeah.
797
00:40:49,964 --> 00:40:50,840
Yeah.
798
00:40:54,552 --> 00:40:56,471
I should, uh, go do this.
799
00:40:59,015 --> 00:40:59,891
You should.
800
00:41:04,187 --> 00:41:05,396
I'll see you around.
801
00:41:06,814 --> 00:41:07,690
See you around.
802
00:41:09,025 --> 00:41:09,901
See you.
803
00:41:15,031 --> 00:41:15,948
[Meredith] So...
804
00:41:16,616 --> 00:41:18,534
I made it through my first shift.
805
00:41:19,619 --> 00:41:20,912
We all did.
806
00:41:22,497 --> 00:41:24,374
The other interns are all good people.
807
00:41:24,457 --> 00:41:25,541
You'd like them...
808
00:41:26,751 --> 00:41:27,752
I think.
809
00:41:29,420 --> 00:41:31,255
I don't know, maybe.
810
00:41:32,799 --> 00:41:33,966
I like them.
811
00:41:35,468 --> 00:41:38,054
[bell jingles]
812
00:41:39,681 --> 00:41:41,516
Oh, and I changed my mind.
813
00:41:41,724 --> 00:41:45,395
I'm not gonna sell the house.
I'm gonna keep it.
814
00:41:47,146 --> 00:41:49,107
I'll have to get a couple of roommates,
but...
815
00:41:50,066 --> 00:41:51,317
it's home, you know?
816
00:41:55,488 --> 00:41:56,572
Are you the doctor?
817
00:41:57,615 --> 00:41:58,533
No.
818
00:41:59,867 --> 00:42:03,413
I'm not your doctor, but I am a doctor.
819
00:42:09,877 --> 00:42:10,920
What's your name?
820
00:42:14,173 --> 00:42:16,134
It's me, Mom. Meredith.
821
00:42:19,762 --> 00:42:20,805
All right.
822
00:42:27,311 --> 00:42:29,397
I used to be a doctor, I think.
823
00:42:40,658 --> 00:42:42,243
You were a doctor, Mom.
824
00:42:42,869 --> 00:42:44,120
You were a surgeon.
61558
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