Original subtitles

["Sunny Day" by Joy Williams playing]

[Meredith] Doctors live in a world of constant progress...

and forward motion.

Stand still for a second...

and you'll be left behind.

But as hard as we try to move forward,

as tempting as it is to never look back...

the past always comes back to bite us in the ass.

Meredith! Hey.

- Thanks for meeting me down here. - Are you OK? Where have you been?

I'm fine. I've been in Chehalis with my mom.

This is not Chehalis. Where the hell are we?

We're in Seattle, Dr. Singer.

This is Dr. Grey, my friend.

This is Dr. Singer. He was my high school science teacher.

A brilliant man. He really fought for me.

And he's the reason I became a surgeon.

I appreciate your taking the time to see us, Dr. Grey,

but I promised Isobel's Algebra II teacher

that I'd have her back in time for fifth period.

I'm confused.

So is he. The nursing home diagnosed him with Alzheimer's,

but he's been falling a lot lately,

and I think he could have a bleed.

Well, he's wearing pajamas and an overcoat.

What'd you do, sneak him out in the night?

- No. - Early this morning.

You kidnapped him?

Can you please just... can you sneak him in to see Derek?

Put him on the schedule? Please?

Izzie, you've been in Chehalis this whole time and the only reason

you came back is to bring a confused,

sickly man for Derek to look at?

Yes.

- Ow! Ow! Stop hitting me! - We were worried about you!

I was worried about you!

Look, please, can you get him in to see Derek?

I'll be back later. I'll be back, OK?

- No. You cannot leave him here. - I'm not going in there.

- You need to let Alex know you're OK. - I am not going in there.

Oh, yes, you're going in. So he got you pregnant, so what?

- You're pregnant? - No. He thinks I'm 15 years old.

Right. Right.

So you're gonna go into that school and show those cheerleaders

that you have nothing to be ashamed of.

Those little bitches are poisonous.

[Meredith] And as history shows us again and again,

those who forget the past are doomed to repeat it.

Cristina.

- Dr. Yang. - Dr. Avery.

- Look, OK, about the kiss... - Kiss? What kiss?

There was no kiss.

I don't know what you're talking about.

- So do you have a boyfriend or...? - Never gonna happen.

Got it. Thanks.

- Hey. You paged us? - Oh, I paged you. One second, Dr. Avery.

Uh, I know you think I don't understand you.

- So I got you a present. - [monitor beeping rapidly]

[Teddy] Come on. Come on. I don't want to lose him! All right. What do we got?

Fine, V-fib, paddles!

- You got me a cardiac trauma! - [Owen] I didn't just get you a trauma.

I got you a Cardio God.

- Uh, uh, or Goddess. - Saline! Lock and load to 50!

Clear!

[machine beeps, thumps]

Nothing! Come on. Come on!

Nice to meet you. Jackson Avery.

- Teddy Altman. - Teddy Altman?

I... I've never heard of you.

Cristina Yang? I... I've never heard of you either. So I guess that makes us even.

Teddy and I, we served in Iraq together,

and she's gonna be joining us for a little while.

OK. Come on, I'll introduce you to the Chief.

- [Teddy] Oh, great. You look good. - [Owen] Oh, thanks.

- You know, you've put on a little weight. - [Owen] I have not.

Have, too! [laughing]

Who the hell is she?

Go to the PACU and write the post-op note on Mrs. Murdoch. Hey, thanks.

Do you want me to page you if there are any complications?

Yes.

- Miranda, there you are! - Adele?

Uh, you all right? Is everything OK?

Richard didn't come home last night, and he didn't call.

Tell me he's not lying somewhere in a ditch, dead.

OK, uh, the last time I saw him was, um, last night, in his office.

He was working on the budget.

So, why didn't he answer his pager or his cell phone?

OK, well, hold on, hold on.

And why doesn't anybody in this hospital know where the chief of surgery is?

Dr. Bailey, have you seen the Chief?

One of his patients needs an emergency chole.

OK, I'm on it.

Uh, you go ahead and prep the patient. You get yourself a cup of coffee. Decaf.

I will find the Chief.

- So you're an evolutionary biologist? - Mmm, I was.

- I was part of a research team... - Mm-hmm.

...on my way to the Galapagos Islands,

and, suddenly, my father died.

- And, uh, of course, I had to go home. - Mm-hmm.

Next thing I know, I'm back in Chehalis,

marrying my high school sweetheart

and teaching biology to kids who would

- rather be anywhere else. - [Derek laughs]

I hear you're an excellent teacher.

Isobel's an excellent student.

She's gonna be a doctor herself some day.

If she doesn't get too distracted.

Hmm.

[Derek] Well, everything looks good, Dr. Singer.

- What we're gonna do is take some blood... - Ouch.

...and run some tests. OK?

- OK. - [Derek] All right. Stevens?

How long has he been like this?

Um, I talked to him at Christmas and he was fine.

He was still teaching. The school only let him go six months ago.

- Is he on any medication? - He's on every medication.

Alzheimer's meds, Parkinson's meds, anti-depressants.

- What was his diagnosis? - Dementia. The guy was useless.

- He might as well have said old age. - It's possible.

He's 67, and if he fell and hit his head,

he could have an intracranial bleed, and no one would know about it.

- Hmm. - His wife is dead, he has no kids...

Where the hell have you been? You missed your IL-2 appointment.

You told Cristina I was here?

Mer, who else did you tell?

Well, well, well. look who's back.

This guy? You told the guy that got me fired?

I didn't tell him. I don't know him. It's my first day back.

Dr. Percy is on my service today.

[Izzie] Oh!

And I didn't get you fired. You did that all by yourself.

Dr. Percy, Dr. Singer needs a full dementia work up.

Dr. Stevens will give you the details.

Hmm.

I wish Dr. Stevens would give me the details,

but I'm just the person who saved her life.

OK.

Do you know if you miss another IL-2 treatment...

I got my IL-2 treatment at Seattle Pres.

I may not be a doctor here anymore but I'm not a complete idiot.

Iz...

- You heard from Casella? - Yeah, I heard he took another tour.

I'm sorry, where were you before, Dr. Altman?

- In Baghdad with Dr. Hunt. - Oh, no. I mean before that.

- Where'd you do your fellowship? - [Teddy] At Mayo.

- [Cristina] Oh, with Paul Moak? - No, Moak is in Rochester.

I worked primarily with Joshua Moore.

Oh. You went to Mayo in Florida.

Moore wrote that paper on retrograde coronary sinus perfusion, right?

Yeah. I actually worked on that with him.

- Yeah. I almost considered Mayo... - Where'd you go to med school?

Dr. Yang is, uh, a little thorough.

UT Southwestern, and then I did my residency at GW...

[Cristina] Well, I mean, have you published? 'Cause...

- [thunderclap] - ...according to Google, you don't exist.

Oh, my God. It's raining!

- Yeah, it's Seattle. It rains a lot. - Whoo! Hunt! How awesome is this?

She's been living in the desert for a long time.

- That is not a Cardio God. - She is an incredible surgeon.

This is great!

So what's your story with her?

There's no story. We're friends.

[Cristina] How long is she here for?

[Owen] Well, the Chief offered her a limited contract to test the waters.

Look, I really appreciate the gift, really I do,

but you need to take it back.

Cristina...

You need to take it back, and exchange it for a real Cardio God.

Just give her a chance.

I promise, she's gonna surprise you.

[paramedic] Grab this one.

I guess you do have a boyfriend.

Are those his test results? Let me see them.

If you were a doctor here, I could.

They're normal.

All of them. Blood work, CT, all normal.

[Izzie] We need to do a spinal tap.

He could have a subarachnoid hemorrhage.

What, did you think if you made some great neuro save,

Shepherd would give you your job back?

I'm not here to get my job back.

- [Singer] Hello! Hello? Hello? - Good, 'cause it's not gonna happen.

Can someone...

Dr. Singer, I'm here. I'm here.

What's happening? What's happening?

- No, no. - One minute, I'm in class,

and then... And then the next minute, I'm...

You're here at Seattle Grace Hospital, remember?

I am not!

- Yes. No, I brought you here, remember? - No! it's not possible!

- No, no, no, Dr. Singer, please... - I have a class! It's late.

- What time is it? - Please come back to bed.

- No, no! Let me go! - Please come back to bed. Dr. Singer!

Oh, my God. Dr. Singer?

What's happening to me?

[snoring]

- [Bailey] Chief! - [groans]

- What we got? - An emergency chole.

A new cardio attending and your wife is here to see you.

- What? - You in trouble. Drink your latte.

He needs a spinal tap. He's fallen and could've burst an aneurysm.

And some bleeds show up on a spinal tap that don't on a CT.

And some doctors enjoy torturing patients because they've messed up

and don't know what they're gonna do with the rest of their lives.

You are the one that got me fired.

You owe me this, you little bitch!

Unless you want me to find that snotty reed, what's her name?

And tell her how much you love her?

'Cause I will.

Sick sinus syndrome.

[Cristina] She needs a temporary transvenous pacemaker now.

Dr. Yang, do you want to take this one? I haven't done one of these in ten years.

- Excuse me? - I do.

Great. It's all yours.

Wait. Uh, you don't remember how to or...

I've been working primarily on soldiers, Dr. Yang,

most of whom are well under the age of 70.

[Owen] Use the right IJ, Dr. Avery.

It'll give you the most direct approach.

[mouthing]

[Cristina] Dr. Altman, will you excuse me just for a moment?

I... I just need to talk to the Chief about something.

[mouthing]

She has been staying with her mom in Chehalis.

I don't know how long she's staying, if she's staying.

She has been keeping up with her IL-2.

That much I do know.

That's all I know.

[woman, indistinct announcement over P.A.]

I was up till all hours, working on the budget.

And by the time you realized what time it was,

it was too late to call and let Adele know you were going to sleep here,

which is what I will tell her while you're in surgery.

- Ah, thank you, Bailey. - Chief?

Now is not the time, Yang.

Chief has emergency surgery.

The Chief has an emergency cardio situation.

The new attending doesn't even know how to put in a temporary pacemaker.

- Yang... - Ah... Do not engage.

Did you or did you not ask this man for a new Cardio attending?

Yes.

And did he or did he not bring in attending after attending,

none of whom seemed to please you, and all of whom you ran off?

That is not a fair assessment.

Dr. Yang, has it occurred to you that you might be the problem?

Yeah, r... right. Leave this man alone, go torture the new attending.

- Sir... - Yang, do as Bailey says.

[Bailey] And you are due in surgery.

- Bailey, what would I do without you? - Let's hope you never have to find out.

Hey, is your trauma patient stable for skin grafting?

- The one with the pancreatic duct rupture? - [Adele] Miranda?

Oh, Adele! Oh, I'm so sorry.

I... I sent the Chief into surgery. Do you want me to...?

What I want is for you to tell me the truth.

Are you having an affair with my husband?

I...

I am not having an affair with your husband!

I saw the way you handled him just now.

I did not handle him! I j...

There was no handle...

We work together!

You spend every waking moment together.

You finish each other's sentences.

You read each other's minds.

You're more married to that man than I am.

Yeah, but that's just because they're husband and work-wife.

- Excuse me? - [Callie] The Chief is your work-husband

an you're his work-wife.

Uh...

You look out for each other. You take care of each other.

There's nothing wrong with it, it's like me and Sloan.

- Excuse me? - Nobody's talking to you.

He's my work-husband, but he has a girlfriend.

I have a girlfriend.

- But nothing going on between us. - I mean, there was at one point...

- You're not helping. - Neither one of you are helping.

Adele, I promise you, there is nothing going on.

Something is going on because he hasn't been in his bed all week.

- What? - Really?

The last time he acted like this, disappearing,

sleeping at the hospital every night,

he was with Ellis Grey.

He may not be having an affair with you...

He's not. I promise you. I promise you he's not.

OK.

But wife-wife to work-wife,

someone in this hospital

is sleeping with our husband.

[Teddy] How are you doing, Dr. Yang?

Gary Clark, 57. ST elevation in leads one through four.

- Which would indicate? - Anterior heart attack.

Probably blockage in the LAD.

He's ready for an angioplasty.

All right. Talk me through the procedure.

Because you don't remember how?

No, that was actually a teaching moment.

Access the femoral artery, thread the catheter to the heart,

and inject dye, then open up the blockage.

Good! Make sure you use the pigtail catheter to get a good...

Like this one?

Huh.

Look at that. Dr. Avery, what can we infer from this?

- He's got wall motion abnormalities. - Yes, in the left ventricular wall.

OK. Let's get into the left coronary tree.

Already there.

Oh. OK. Um...

Well, you want to make sure that you get images in many planes

so you have to shift the fluoro...

Oh, we use rotational angiography.

- It does that on its own. - Huh. look at that.

I guess I'm the one who learned something today.

Yeah. look at that.

- Chief? - Uh-huh.

OK, uh, I understand, you're under

a tremendous amount of pressure right now,

and that you haven't been able to spend time at home,

and that a man, in your position, has certain...

needs,

and that, uh, when a man is as powerful

and as attractive as you are,

those needs might easily be met by...

- Dr. Bailey. - Yes, sir?

Are you hitting on me?

Your wife just showed up here

asking me if you and I were having an affair.

No, no. I don't want to know anything about anything.

What you do with your business is your business.

And I was not hitting on you.

- Understood. - Mm-hmm.

Dr. Percy is almost done getting the spinal fluid sample he needs.

Yeah. Not that I had any choice.

That makes two of us.

[Izzie] You're doing great. He's almost done.

What's going on with you and Karev? Have you even talked to him?

How is that any of your business?

It's everybody's business.

It's all anybody talks about around here, Stevens and Karev.

Have they talked? Are they talking?

So are you?

That's it. You're all done. I just need you to lie flat for a while, OK?

See? That wasn't so bad, was it?

So this Karev...

he's the boy? The one who got you in trouble?

Well, he didn't help matters much.

Did he propose?

Well, whatever you do, don't marry him.

Because if you do and you have this child, you'll never become a surgeon.

You'll probably never even make it out of Chehalis.

What you will do, though, is end up angry and frustrated and, uh...

[exhales]

Alone.

You gotta do what's good for you.

And if this boy really cares for you, he'll understand.

- How'd you find me here? - The nurses love me.

They're my spies.

And they're pissed that you're desterilizing all their equipment.

What else was I supposed to do?

I haven't been able to get on a surgery all day.

Before I left, there were five people to compete with, and now there are 25.

You'll get in the OR soon enough.

You know, there was a moment, for like five seconds,

when hit-by-a-bus guy wasn't George, and...

Izzie had just come through surgery,

and you and I had just done our Post-it.

[Derek] Mm-hmm.

[Meredith] It was, like, five seconds, when everybody was happy.

I keep closing my eyes, trying to get back to that.

Here. Turn around.

Close your eyes.

One.

Two.

Three.

Four.

Five.

- How was that? - Almost perfect.

Five almost perfect seconds.

Call me when you want five more, OK?

Stevens?

Results of the spinal tap.

They're normal. Damn it.

I'm sorry for wasting your time.

Dr. Singer?

Isobel?

Isobel Stevens?

Oh, my God!

Look at you, all grown up.

I am?

Uh.

What am I doing here?

Why am I in my pajamas? Is something...?

Is there something wrong with me, Isobel?

He's lucid.

Go page Shepherd.

Dr. Bailey? Dr. Bailey. Do you mind if I scrub in on the Chief's ileostomy?

Yes, I do mind. That man is old enough to be your father.

- Dr. Bailey, have you seen the Chief? - No! Uh-uh...

You don't need to be seeing the Chief,

either one of you.

OK. But there's something wrong with his emergency chole patient.

OK. So you tell me, and I'll tell the Chief.

- What's wrong with him? - He's yellow.

Oh.

This is the yellowest man that I've ever seen.

- Right? He's like lemon-yellow. - [Reed] Like, mustard-yellow.

Hey, hey, we get it. He's yellow! I'm trying to find out why.

Ultrasound shows dilated ducts.

[Reed] Which means obstructive jaundice,

but the Chief only took out the gallbladder.

And we never saw any signs of liver disease or cancers, but...

Could that mean?

That the Chief accidentally clipped the common bile duct?

Oh, my God!

OK, OK, stop. Right now. Both of you.

Now did you actually see the Chief clip the common bile duct?

- No, of course not. But... - But nothing.

That's one of the most serious mistakes a general surgeon can make.

So let's not make this accusation lightly.

- It wasn't an accusation. - Uh. Stop talking.

Just get an ERCP to find the exact cause of this man's...

discoloration.

And doctors? If I find out that either of you has said a word about this

to anyone, I will make sure that you are the ones who require emergency surgery.

You have a condition called NPH, normal pressure hydrocephalus.

It's a buildup of cerebrospinal fluid in your brain, very hard to, uh, diagnose.

But thanks to Dr. Percy here...

The spinal tap removed some of the fluid, relieving pressure in your brain,

resolving your symptoms,

which is how we came to your diagnosis.

- Hmm. - Hmm.

Dr. Shepherd wants to put in a permanent shunt.

It'll drain the excess fluid to your abdomen.

- Oh, that... that sounds like major surgery. - No.

It's 45 minutes. It's a very common procedure.

- I do it all the time. - Hmm.

I don't think I could afford it.

My savings, my retirement, uh...

It all went to my late wife's medical care.

So, uh...

What do I do?

- Dr. Shepherd. - Stevens?

I hate to even ask this of you after everything you've done for me but...

is there any way Dr. Singer's surgery could be pro bono?

Look, if you get the Chief to sign off this,

I'd be happy to donate my time.

["Vertical Rhythm" by Gossip playing]

- You don't think it's Bailey? - No!

Really? I kinda like them together.

- It's not Yang is it? - What are you guys talking about?

Oh, you haven't heard. The Chief's having an...

Mark, you are a terrible gossip.

- I'm an excellent gossip. - Hey, mind if we join you?

- No. Have a seat. - Mnh-mnh. Not at all.

How's your first day going? You ready to go back to Baghdad yet?

[Teddy] I'm actually really impressed.

The facility, the equipment, caliber of the residents.

Have you met Cristina Yang yet?

Mmm. Cristina Yang may, in fact, be the best resident I've ever seen.

- You think? - Yeah. I do.

I don't think she likes me, but yeah.

- Ooh. She doesn't like you? - Mark.

No, you're probably right.

Just because Yang drove off the last three Cardio attendings doesn't...

- [Owen] She did not. - Burke.

- Come on, that was... - [Mark] Hahn.

She had nothing to do with Hahn leaving.

No, that was me.

[Mark] Dixon.

Cristina just needs a strong Cardio attending.

And she deserves a strong Cardio attending.

Cristina? Huh. Wow.

So... so you and Yang?

- [Teddy] What happened to you and Beth? - [Mark] Oh, he didn't tell you?

Beth showed up at the hospital one day. She didn't even know he was...

Ow!

- Did you just kick me? - That was me.

[Teddy] So... wait, wait.

When you called me up and told me about this great job at this great hospital,

you... you were just bringing me out here

as... as a present for your new girlfriend?

[chuckles nervously] It is a great job with great people,

one of whom just happens to be...

Yeah. Yeah.

That's OK. I'm not mad.

I'm just gonna enjoy all the ways you're gonna have to make it up to me.

OK.

[Meredith] So how do you like your present?

Who, Private Benjamin over there?

Owen said she would surprise me.

Well, guess what? Surprise!

She doesn't know how to do surgery.

Leave her alone, it's her first day.

Why are you defending her?

- She went to a state school. - So did I.

- Well, she's skinny and blond. - So is Mer.

- Well, she's annoying. - So are you.

Where is your wife, by the way?

Uh.

- What did you say to Owen? - [Cristina] Oh, that she's gotta go.

I mean, he knows how important this is to me.

I need someone who's gonna take me to the next level,

and he brings me, like, this Desert Storm Barbie

who hasn't seen the inside of an OR in like, ten years?

I mean, if this is what he thinks of my talent,

then I'm... I... I gotta break up with him.

Have you even talked to Izzie yet? I mean, has anyone talked to her?

You know what? No one's allowed to talk about Izzie while I eat.

Am I the only one who's concerned here?

[bangs table]

- What? - It's my first day back.

I just wanted to have a nice, normal lunch together.

Oh, yeah. Take a look around.

Nothing's normal.

It's a 45 minute surgery.

It's a $10,000 surgery.

And this hospital has a pro bono budget.

You are no longer a doctor here, Stevens.

And you have no right to come in here and commandeer a clinic,

a neurosurgeon and a resident.

I gave you eight million dollars

to build that clinic that you happily accepted at the time.

So I have no problem going to the board or the press if I have to

to get Dr. Singer the surgery he needs.

[Arizona] Where did you work with Jordan Hamlin?

God. She's been at Stanford forever.

Yeah, Jordan Hamlin and I were bunkmates at Camp Taka-toka when we were 11.

That girl can make a mean lanyard.

- You guys paged me? What's going on? - Uh, this is Casey, age eight, asthmatic.

Nebs at home haven't been working.

We added steroids, but he's having trouble breathing.

Casey, I'm Dr. Robbins.

I'm gonna take a look at X-rays. You mind?

[Cristina] No, go ahead.

Hey, Casey. Just gonna take a listen.

[labored breathing]

- Dr. Altman, are you...? - Trying to concentrate, Dr. Yang.

Has Casey had any other medical issues?

[Cristina] A febrile seizure at three months.

OK. Can you sit up for me?

[labored breathing continues]

And did he scream a lot when you brought him home from the hospital?

Yes.

And has his asthma gotten better or worse as he's gotten older?

Worse.

OK. Thanks.

- Book an OR. - What? Why?

- Because I said so. - But he has asthma.

- Cardiac asthma, Dr. Yang. - And you know that because...

Because that seizure he had?

It wasn't from a fever.

He had a heart attack then, and he's having one now.

So you're gonna book an OR. Because I'm your attending,

and when I tell you to book an OR,

book an OR!

I like her.

I'm going to say a name.

And then you are going to tell me you are not having an affair with her.

- Izzie Stevens. - What?

What? That's why you ignored the DNR.

That's why you fired her.

That's why the two of you were in your office

screaming at each other just...

It is not funny, Chief!

That girl has cancer and a husband and...

OK, yeah, I know it's none of my business, but it's now affecting people's lives.

Patients' lives.

What's this?

It's the ERCP results of your emergency chole this morning.

It seems that you may have accidentally clipped the common bile duct.

How's the patient?

Stable, for now.

I told Grey and Adamson to prep him for a repair.

Which I'm happy to do, if you don't feel...

We caught it early enough that,

if we can repair the duct, there should be no long-term damage.

Good.

No one knows about this, sir.

And no one's going to know.

But whatever it is that's distracting you,

whoever or whatever it is,

I just hope you get a handle on it soon.

- The birds on your scrub cap are cute. - Thank you.

- Is he on full bypass? - Yes.

[Arizona] See the anatomy here?

[Cristina] The coronary artery is attached to the pulmonary artery, not the aorta.

It presented as asthma, but it's ALCAPA.

[Jackson] How did you know?

You only listened to him and asked his mom a couple questions.

[Teddy] I saw some cardiomegaly on his X-rays,

and heard a holosystolic murmur through wheezing.

You'll know for next time.

And after today, Dr. Yang,

you'll know how to fix it.

Me? I...

I thought you and Dr. Robbins were...

Dr. Robbins, do you mind if Dr. Yang first-assists?

Not at all.

Uh.

Maybe we'll both learn something today.

The guy Izzie brought in has NPH. Derek's operating now.

I snuck her into the gallery so she can watch.

So if you want to go talk to her...

- OK? - Just explain her to me, OK?

Because I don't get it.

I don't get her.

And I do?

I'm like you.

She's all bright and shiny, even after everything she's been through,

I don't get it.

But you're the one who married her,

so you're the one who has to figure it out.

I can't solve everything.

I lost the better part of my liver trying to solve everything.

So if you want an explanation,

you have to go talk to Iz.

OK. Here we go. The moment of truth. Let's see Dr. Yang's handiwork.

- [fast beating] - [machine beeping]

- V-fib on the monitor. - [Cristina] Thank you for that update.

["End of All Time" by Stars of Track and Field playing]

[Arizona] Al right. The bleeding's behind the coronary anastomosis.

[Cristina] My anastomosis. What'd I do?

[Teddy] Right now, it doesn't matter what you did.

What matters is what are you going to do to fix it?

[Cristina] Uh.

Feel free to jump in here at any time.

You can do this. Tell me what you want to do.

- I want to defibrillate. - Then defibrillate.

I'll unclamp.

♪ Turn off the lights And watch you glow! ♪

OK, charge to 20. Clear!

[machine hums, thumps]

[Teddy] Nice.

Now, I want you to keep your eyes on the field and do exactly as I say.

We're gonna try to fix this without rearresting the heart.

You with me?

- Yes. - Good.

[Teddy] All right. You need to apply a suture proximally and distally.

[Cristina] Mm-hmm.

[Teddy] Good. Dr. Avery, are you watching this?

- There will be a quiz afterward. - Believe me, I'm watching.

[Teddy] Good.

♪ Break apart And you're dealt the final blow ♪

♪ Your eyes turn to snow ♪

♪ And now you realize ♪

♪ Its the end of all time ♪

[Alex clears throat]

So are you back or...?

Oh. Did you want me to come back? Because...

You told the Chief you had serious doubts about my abilities to be here.

What?

You went behind my back and told the Chief

I wasn't ready to be here.

He was making cuts. I was protecting you.

You got me fired, Alex.

Is that what you think?

This job was the one thing I had left.

The one thing, and you took that away from me.

You interfered and got me fired.

[sighs]

I have forgiven you for a lot, Alex.

I've had to forgive you for a lot,

but I cannot forgive you for this.

You made an assumption.

You decided I did something.

You didn't ask.

You didn't hang around to talk.

I am your husband, and you didn't give me the benefit of the doubt.

So you know what?

I can't forgive you, either.

♪ Over you ♪

[woman, indistinct announcement over P.A.]

Chief, you all right?

- You did the repair? - Yeah. No complications.

We're hoping for a full recovery.

And, like I said, nobody knows.

I'm not having an affair.

Well, what is it, then?

I- Is it the merger?

Is it Jennings and the board, or you and Shepherd? 'Cause...

Well, your wife is right. There's something going on.

I've decided to take a step back from surgery for a while.

- Now there's no reason to do that. - I've got enough on my plate as chief.

I can't afford another mistake.

I'd like you to take over my surgeries for the time being.

- Chief... - If you don't mind.

["In Spite of Me" by Greg Laswell playing]

♪ Last night I told a stranger All about you ♪

- How's the patient doing? - Mmm. Perfect.

It's like someone just switched the lights on.

Dr. Shepherd said you did great.

So we can get you home to Chehalis, get you out of that nursing home.

I bet you could even go back to teaching if you want.

Are you crazy?

I'm never going back to those sex-crazed, teenage alcoholics.

- No way. - OK.

- What are you gonna do then? - I don't know.

But... thanks to you,

I have, uh, a few more mental faculties to figure it out with.

How about you?

I don't know yet, either.

♪ For the short time that I did ♪

♪ So glad to have been ♪

You're still my best student.

Let's get you home.

♪ So glad to be a part Of your illustrious career ♪

Guess what I did today?

Whatever it was, it had to be better than getting all your surgeries

stolen by Mercy West residents.

It was. I did a Takeuchi repair.

- You did not. - Uh, not all by myself.

But Altman did let me do the coronary artery anastomosis.

Wow. Maybe she is a Cardio God.

Yeah, I know.

♪ Late last night I saw you In my living room ♪

♪ You seemed so close but yet so cold ♪

Here are tomorrow's surgeries.

We can go over them in the morning.

♪ You'd be coming back to me ♪

♪ Those kind of thoughts can be so cruel ♪

[Callie] What, uh, what's going on?

Uh, the Chief's taking some time off from surgery for a while.

Because he's having an affair?

Because of the merger. He's not having an affair!

He's exhausted.

Now, I've lost my work-husband and my husband-husband.

So I'll be your work-husband.

You already have Sloan.

Oh, yeah, that's true. Oh, what about Shepherd?

Are you kidding? All that hair?

I can't be looking at that all day.

[thunder]

- [Teddy] Hey. - Hey.

- So... - Mm-hmm.

- Cristina Yang... - Yeah.

I probably should've told you, but I just didn't want to bias you.

You know, I didn't want you to favor her for me. I...

I just wanted her to stand on her own talent.

When did you break up, uh, with Beth?

Um... Well, I...

I don't know, that was a while back.

I thought you would've called me.

Oh, God.

What?

I... I guess it really was all in my head.

Oh, my God.

- What? What was in your head? - Nothing. Nothing! Nothing. I just...

I... I...

I always thought that if you and Beth ever broke up,

that I... I... I just... I thought that you would call me.

- Teddy... - It's OK, Owen.

It's OK. I clearly...

made up this whole story. I mean, it was...

It was a good story.

It was all tortured and...

Bridges of Madison County and I...

It's all right. I, uh...

Now I know, and...

I can, uh...

I can let that story go.

Good night.

Hey!

["Poison & Wine" by The Civil Wars playing]

Mmmm! Thank you for my present.

And I'll try to get over the birds on the scrub cap.

You know, Teddy's best friend, she... she was this bird person.

- She loved birds. - Yeah?

And, uh...

Well, she died in the second tower.

An that's why Teddy gave up her attending position at Columbia

and she joined the Army.

I told you she'd surprise you.

Thank you.

[Meredith] Sometimes, the past is something you just can't let go of.

♪ You think your dreams Are the same as mine ♪

I think she'll be back.

And sometimes the past is something we'll do anything to forget.

♪ Oh, I don't love you but I always will ♪

You want to keep drinking?

♪ Oh, I don't love you but I always will ♪

♪ Oh I don't love you but I always will ♪

Another club soda, Joe?

You're going home after this or back to the hospital?

Another club soda, then home.

I'm gonna need your keys.

♪ The less I give ♪

♪ The more I get back ♪

♪ Oh, your hands can heal ♪

I'll call you a cab when you're ready.

- [Derek] Richard's not talking to me. - [Meredith] What? Why?

[Derek] I don't know. He's just not himself.

You've been drunk a few days. I was drunk for years.

- [Derek] What happened to you? - Excuse me?

There was a time you would have convinced me to do this,

but now your first instinct is no?

What happened to you?

[Richard] For every miscalculation you think you see,

there have been a hundred things I've gotten right, and no one knows.

There is no one who understands and cares more about Seattle Grace than...

I'm still the chief of surgery at this hospital.

Then start acting like it!

[Richard] You have a disease, Thatcher.

When you're in it, you can't stop.

[Derek] That has been the system that has been in place since this merger.

- Your system. - You're fired.

Immediately.

Get the hell out of my hospital.

[Izzie] Please don't do this to me. I don't have anything left.

Please.

[Bailey] It seems that you may have accidentally clipped the common bile duct.

♪ Oh, I don't love you but I always will ♪

♪ I always will ♪

♪ I always will ♪

[Meredith] And sometimes we learn something new about the past...

♪ I always will ♪

that changes everything we know...

♪ I always will ♪

...about the present.

♪ I always will ♪