1 00:00:03,334 --> 00:00:04,419 [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 00:00:36,284 --> 00:00:37,410 [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 you comes 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.] Surgical scheduling 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 one reason 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 when it'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.