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Original subtitles

Previously on Grey's Anatomy...

I have sex last night with the wrong person.

This is our secret, okay?

Go 60 days with no sex, no other women.

If I'm not having sex, neither are you.

- Chief resident? - The one fifth year resident

that rules all residents.

I went to the board this morning and told 'em I was retiring.

I came out here to be chief,

- and Meredith complicates that. - So I just have to pick one?

If you don't pick one,

this is gonna be your face the rest of your life.

My name is not Ava!

You made it up! It's not me!

What percentage of americans will get an acute appy?

As interns, we know what we want...

to become surgeons...

And we'll do anything to get there. 7.

What are the signs of residual eye infections?

Uh, pus, uh, redness and, uh, fever.

Suffer through killer exams, endure 100-hour weeks,

stand for hours on end in operating rooms...

- You name it, we'll do it. - What's conn's syndrome?

- Uh, w-wait, wait, I know this. - Oh, tick tock, dude.

Cracking under the pressure.

No. Um... Hypercortolis... Cortisolism!

Unh-unh. Unh-unh. Uh, primary hyperaldosteronism.

Yes! Out of the seat. My turn.

- No, it's my turn. - No, it is not.

- Um, try this one. - You know, I...

White sponge with vanilla buttercream.

Yeah, I'm trying to study for the most important test of my intern career.

- I don't have time for wedding cake. - Well, just try it.

Go! Go!

Uh, what is the strongest layer of the small bowel?

Fine. Yummy. Go.

Damn it, damn it, damn it.

It is not snot.

- Submucosa! - Yes.

Wait, wait, wait. How do you know that?

- Are you studying with the wife's cards - What cards?

Callie was ranked number one in her year after this test.

She has legendary flash cards.

We don't need the flash cards. We are independently brilliant.

- Dream team. - Yeah, I'm gonna hurl. Outta the seat.

No, my turn. I'm gonna kick all your asses.

This is the lemon. Might be a little tart.

What is actinic keratosis?

Uh... actinic keratosis is, uh, a premalignant lesion.

- In old people. - In anyone.

Too tart?

I don't care. I mean, is Alex right or am I?

Learn to care, or I'll get another bride.

I love it. I love all cakes. Now break the tie.

Karev's right.

The tough part, though, is reconciling

this huge thing we want:

to be surgeons...

with everything else we want.

I haven't seen you in a few days.

- I left messages. - Yeah, I know.

- I was just trying to-- - I know I told you to stop hovering

and you did, and I appreciate that.

But now stop with the stopping.

No, you're right. It's ridiculous for me to worry about you all the time.

It's sweet that you worry.

It is. I should communicate more.

- Right. - You don't think I can do it.

- I can do it - Really?

In a few seconds, I'll be getting on that elevator.

And then I'll be going on rounds.

See, uh, I'm, uh, getting on the elevator.

Communicating.

28 more days and...

Then it's you and me in a locked room

for a record-breaking, earth-shattering,

- mind-blowing... - Okay! I get it.

- Thank you. - That was less than enthusiastic.

I'm gonna be more enthusiastic when we...

cross the finish line.

Okay.

Just making sure you haven't lost interest in the project.

Not at all.

Good.

What are you doing?

The bakery wants me to make a decision by tomorrow.

So if you can tell me your favorite by then,

that would be great.

Cakes and little place cards? Okay, he's turning into a girl.

I think it's sweet. He obviously cares about this stuff.

This white one taste's pretty good.

I should bring a piece to Derek, right?

That's what good girlfriend's do,

bring their boyfriend's cake and communicate?

No. The best ones just keep all that stuff to themselves.

- Did you bring Callie's cards? - Uh, no.

- Oh, well, no cake for you. - Dr. Bailey,

I saw a hemiglossectomy on the board. Can I scrub in?

No, no. You're not doing surgeries today.

- What? - Your intern exams are in two weeks.

You need to spend every available minute studying for them.

Oh, believe me,

when you won't have to repeat your year as interns,

you'll be thanking me for this opportunity.

So, Grey and Yang, you're... doing scut.

O'Malley, Stevens, you'll be joing me

in the clinic. Karev, you're with Ava.

Um, I don't always have to be on her case.

Someone else can have her.

Or not.

So...

Last night we studied together.

Today we're, uh, treating patients together.

And we're fine.

We're not tortured, it's not weird.

We made a mistake and we've moved on.

If anything, I think it brings us closer together as friends.

- We're very impressive. - I think we are.

Larry Jennings just checked in to the hospital.

- What's the matter with him? - I have no idea.

His assistant said it was a matter of the utmost discretion.

Oh, that's never good.

Yeah, whatever it is, it was important enough

for him to cut short his vacation and fly home.

I want you on point on this one.

- No clinic today. - Oh, I can do both.

Miranda, we are talking

the chairman of the board of Seattle Grace hospital.

The clinic will survive without you for a day.

- Learn to delegate. - Who am I supposed to delegate to?

Chief Webber, you paged me?

Sydney Heron reporting for duty.

I was wondering if I was gonna see you today.

- Where you been? - Just getting my assignments.

Yeah, anything good?

Anything as good as a crazily hormonal pregnant amnesiac

with a tendency to yell at the wrong people?

Your blood pressure's higher than it should be.

So what, we're not friends anymore?

Fine.

Then I won't tell you about Dr. Montgomery's sex bet...

with the overly hot Dr. Sloan. Yeah.

If he can go 60 days without sex, they're getting back together.

Apparently they used to be a thing

back when she was married to Dr. Mcdreamy.

The question is, how do you know all that?

I'm on bed rest 5 feet from the nurses' station,

and I have excellent hearing. I know everything.

It's like... It's like watching a soap.

Do you know how many doctors in this hospital nurse Olivia has slept with?

Wait. Who am I talking to? You're one of 'em.

Anyway, I'd strongly advise you to move on Dr. Montgomery

before you lose your shot, or I would if we were friends.

- So if she wants to be with Sloan... - Dude...

if she wanted to be with Sloan, she'd be with Sloan.

The other board members have a say in who gets to be chief,

but Larry... he's the one who really decides, okay?

He knows it, and they know it.

So if the attendings find out he's here...

The man won't get a moment's peace.

You have to leave now. I want you all out of here, okay?

Look, go, go, go. Out.

All right. But you know where to find me.

Celeste. Larry's assistant.

- He's in here. - Okay.

- Go away. - But we can help.

- We can help? - What is that supposed to mean?

He doesn't have any woman parts.

It's not like we don't know where he is.

- Right. We'd just come back anyway. - Right.

Richard. Finally.

Oh, for God Sake. What are the four musketeers doing here?

What happened to "I'll be discreet"?

Larry, they're here for the same reason I am,

to see if they can help.

Right.

Bunch of ghouls.

All right, one of you wants to be the new chief...

Fix this...

and you got my vote.

And, no, those are not grapefruits.

Well... looks as though you won't be needing my services after all.

And suprapubic tenderness.

That's because I haven't taken a leak in three days.

- Three days. - Could be a hernia.

A hernia wouldn't do that.

Was there trauma?

Testicular torsion, uh, you know...

- twisting? - Twisting.

You'd have to tie him in a triple knot

to get that kind of fluid buildup.

Am I wrong?

I was taking a 2-week raft ride down the Amazon.

Maybe it's a tropical disease.

Schistosomiasis? Filariasis?

Well, now they're just guessing. Richard!

Dr. Bailey, call Dr. Fischer in urology

to do a suprapubic cath

an order an ultrasound and K.U.B.

Larry, have you called Nancy?

I don't want to worry my wife unless I have to.

She wasn't on the trip with you?

White chocolate with... hmmm, buttercream.

Dr. Montgomery.

I can't decide.

Triple berry at least has fruit, so I could pretend it's healthy.

Yeah, Ava's B.P. is 171 over 118.

- She's preeclamptic. - I ordered blood tests

and a biophysical profile on the baby.

It was fine, but, uh, Ava's got edema.

- Get her on mag and hydralazine. - What about an epidural,

to get her blood pressure down?

- I mean, am I going overboard or... - Believe me,

I wish I had someone

who cared that much about my blood pressure.

Yeah, well, from what I hear, in 28 days you will.

I've had a cold, like forever.

And I've been here three times,

and they keep telling me it's gonna go away,

but my nose just won't stop running.

I'm like the most disgusting fountain in the world.

Sometimes these things just drag on.

- You might have to wait it out. - No, I can't wait anymore.

See, there's, uh, there's a girl, and...

we've been out a few times, and now it's gotten to the point

where we're supposed to, you know, seal the deal.

But the nose thing is so gross, I can't get anywhere near her.

Well, I'm sure if she's really into you, she'll hang in there.

No, no, no. You don't understand.

Have you ever met someone where the attraction was so intense,

you thought it may just kill you?

Like you're in the same room, and your skin is on fire.

You want to touch 'em so bad...

Yeah, okay, we get it. We're...

- on the case. - Yes, I will do an E.N.T.,

and you will listen to his, uh...

- Chest. - Yes.

I'm on it.

Which fluid resuscitation technique

is used in acute burns?

The parkland formula. Come on, Mer. Step it up.

What is virchow's triad?

Oh, I hate George. He married into the cards.

You think he knew? You think that's why he married her?

Yeah, that's why he married her.

We need those cards.

We don't need the cards.

- What is virchow's triad? - Dr. Torres.

Um, Dr. Burke and I are trying to choose a wedding cake,

and there are some samples in the conference room.

If you have a moment, I would really love your opinion,

because, you've got such great taste.

You're not getting my cards, Yang.

Dr. Bailey... need an intern?

Uh, yeah. How's it going in the clinic, O'Malley?

How's Sydney doing?

Oh, that's w-why you wanted to see me,

to find out how things were going? I...

- Dr. Bailey, um can I... - Well...

- talk to you for a second? - Oh, of course, Ms. Newman.

What can I do for you?

This is embarrassing.

Um, mortifying, actually...

I think I need to be tested.

Larry and I... Whatever Larry has,

I probably have it as well.

Uh, O'Malley.

- Yeah. - Page Dr. Montgomery.

How's it going, buddy bud?

I'm getting a strep culture on bed 9 and discharging Mr. Benton.

The gentleman with the sinus issues?

It's a runny nose, and I have a test to study for,

- and Bailey doesn't like us... - Bailey's not here today, okay? I am.

And it's all well and good to open a clinic

as some kind of power play for chief resident,

but chief resident isn't really about big think.

It's about patient care, okay?

So let's see what we can do to improve

Mr. Benton's experience.

It's just a cold.

Nasal lavage.

- Because we care. - Nasal lavage?

Get yourself a bulb syringe, squeeze an isotonic solution

into one of Mr. Benton's nostrils.

It'll squirt right out the other side. Incredibly restorative.

Rinse and repeat. Rinse and repeat.

It's not what you think.

I-I mean, it is. It's, uh... It's just not an affair.

Though, I guess technically it is.

But we're in love.

The, uh, the kind of love you think you're never gonna find,

and then you do and... the fact that he's married

seems a small price to pay for being happy, you know?

At least, most of the time. But then five years go by,

and he still hasn't left his wife, and...

you must think I'm a terrible person.

- No, no. No judgment whatsoever. - I mean,

I know I should leave him, it's just...

Do you have any idea how rare it is

to find someone you can work and play with?

And we love each other.

How wrong can it be?

Richard, this thing still hurts like hell,

and my boys here are not getting any smaller.

I want to know what you're doing about it.

Well, the urologist just drained your bladder.

Next step is an ultrasound and an X-ray.

The interns will be taking you up quickly.

No, no, I mean, what are you doing for me?

Getting some of the best surgeons in the world to help you.

I came here for you.

You.

You're the best surgeon in this place,

at least you used to be.

What's the problem, Larry?

Am I not taking good enough care of you?

How does a man lose his...

desire at 53, 54,

however old you are? How does that happen?

I haven't, okay? There are other things in life.

Like what,

Adele leaving you? Even more reason to keep the job.

You're a surgeon, man.

I have to go skinny-dipping in the Amazon to get that kind of a thrill.

I'm not gonna let you browbeat me into keeping this job.

Like I'd even want to at this point.

When I appointed you chief of surgery,

you were hungry, you were the man.

Now you're a politician,

giving me excuses, handing things off.

I hate to think that's the kind of doctor that you've become,

but if it is...

maybe it is best that you're stepping down.

I know I said you could use the day to study,

but we've got an all-hands-on-deck situation.

- A bad car accident? - Multiple gunshot wounds?

A penis. The chairman of the board's penis.

What's wrong with it?

His testicles have swollen,

which is the understatement of the year.

Fantastic. How much?

No, you know, don't tell me. Let it be a surprise.

Look, you and Grey can take him for his ultrasound

- and his X-ray. - The V.I. penis.

Just go.

Elephantiasis?

No way Jennings has that. Did you check for brucellosis?

It could be Fournier's gangrene.

I don't know.

I'd go to gonorrhea before I went there.

Then again, I'll be there at the finish line

to make him pretty, which is what he'll remember.

Oh, uh, Derek.

Grey wanted me to tell you

that she's still working on Jennings' X-ray,

and that she'll be in the, uh, X-ray viewing room.

Good to know.

She's communicating.

Just when I need time to think, she suddenly starts communicating.

Time to think about what?

All of it... the relationship, the chief thing...

how to juggle both without getting distracted.

With Cristina, I have to be explicit.

There would be no wedding if I wasn't.

- Oh, it's that easy, huh? - Oh, no.

I never said it was easy.

Right.

- Hey - Hey. How's it going?

I, uh...

caught George in a lie the other day.

He said he spent the day in the clinic

when he spent it doing god knows what with Izzie Stevens.

- It's probably nothing, right? - Right.

Right.

So how's your man-whore?

Miraculously reformed?

For now.

That's never gonna turn him into...

- what I want. - Which is?

The whole thing.

I want someone stable who barbecues

and teaches little kids how to play catch.

That's not Mark Sloan.

Which doesn't explain why I spent the entire day

looking at Alex Karev like a puppy at a chew toy.

Why don't you just go there already?

Because he doesn't barbecue either.

Plus, he's like 12 years old.

Could fit all of his belongings in a milk crate.

I don't know. Guys like Karev...

Look, at least you know he'll never lie to you.

Guys like him, they...

They mess around in their 20s, but, then they, you know...

pack it in and...

and teach their kids to play catch.

Maybe.

I need to stop thinking about both of them.

And I have to stop thinking about Izzie Stevens.

Hey, Callie...

Here's the thing,

when you're obsessing about something like that,

there's generally a reason.

What the hell are you doing?

Nasal lavage.

Why?

Because she's trying to kill me.

Sydney.

Dr. Bailey, we've really turned this place around today.

- Nasal lavage? - Four visits in one month?

Oh, are you questioning my patient care?

Miranda, I get it, okay? You're protecting your turf.

Very mama bear. Very chief resident.

But this is not about hospital politics, okay?

This is about the patient.

The patient can go home. Get that stuff out of his nose.

No, I'm not comfortable discharging him

until we've addressed his problem.

The 16 patients in the waiting room

aren't comfortable either.

Sir, I...

I-I don't think there's anything else we can do.

You know, colds drag on.

Yeah. Yeah, I hear you.

- Oh, hell. - What?

That come out of his nose?

See? This is why I'm never gonna have sex again.

Uh, wait right here.

Um, order a head C.T.

Why? It's not a cold?

No, Dr. Stevens. It's definitely not a cold.

Hey, just so you know,

I'll be over here while you're over there, okay?

Cute.

Easy to locate, right?

Girlfriend comes with a G.P.S.

Looks like some kind of foreign object.

- Ouch. - That almost looks like...

A skeleton. It's skeleton-like.

Definitely skeletony.

- Are those barbs? - No.

- Can't be. - Well, it could be.

It looks like a teeny, tiny catfish.

That's close.

You see there?

Those are spines.

This is a candiru fish.

The penis fish?

This guy has the penis fish...

In his... in his...

What the hell did you do to me?

You know, most pregnant laboring women

- love their epidurals. - I'm not in labor.

I'm trying to keep it that way.

By paralyzing me from the waist down?

I can't even sit up in the bed.

I'm missing the show... the Seattle Grace show.

I can help with that.

So I guess you're talking to me again.

Well, I can't stay mad at you.

I tried. But I couldn't do it.

You make your move on the redhead?

I thought you already knew everything that went on in this hospital.

As a matter of fact, I have an update.

I saw her talking to the ortho resident.

Yeah, and?

She's seizing. She's seizing!

Somebody page Dr. Montgomery!

Somebody page...

It's the candiru.

It's a freshwater fish that lives in the Amazon.

It's a parasite.

I'm not an idiot. I didn't drink from the Amazon.

- Did you urinate in it? - No, I... What?

The candiru is attracted to blood and urine.

It's been known to swim up the stream of urine

and lodge itself in a man's urethra.

You mean a fish swam up...

It's rare, but there are documented cases.

One man actually saw it go in and tried to grab it.

- It was too slippery. - Yang.

- It's in the literature. - So this thing is in my...

Is now in your bladder.

Well, right next to it.

It's stuck in your, uh, prostatic urethra,

which is causing the obstruction.

We need to get it quickly before it causes sepsis.

Sepsis?

You mean I could die?

B.P. shot up to 202 over 134.

There's fetal distress. The epidural didn't help.

- It'll help during delivery. - What's going on? Alex?

Your blood pressure spiked. You had a seizure.

The only way we can reduce your blood pressure

and the swelling in your brain is if we deliver the baby right now.

No. She's only 30 weeks. I'm not in labor.

We're gonna do a c-section. Don't worry.

The survival rate for preemies at 30 weeks is extremely high.

Alex, tell her no.

- I'm not ready. - You're ready.

But I can't do this by myself.

Then it's a good thing you're not by yourself.

I was on a consult

on the chairman of the board. This better be good.

- What do we have? - We had a patient in the clinic...

Chronic runny nose, a halo sign on the pillow.

The fluids are still in the lab, but as far as I can tell...

He's leaking spinal fluid through his nose.

Thought you might like this one.

Oh, okay. Look at that.

It's a brain herniation.

His brain is literally sinking into his skull base.

And all along, I thought it was a cold.

- Book an O.R. - Dr. Bailey?

You're still studying. You can watch from the gallery.

- I'll scrub in with you. - Thought you're doing Jennings.

No, um, I'll do both. I sent this guy home three times.

I can't not scrub in.

Your daughter is beautiful, Ava.

- She is? - She is.

- Get her over to the warmer right away. - I'll work on her.

Hand her off to peds. I need an extra set of hands.

- We need to hang some blood. - Why?

Why do we need blood?

Want me to get the uterine arteries?

- Yeah. - Clamp.

Uh, Alex, what's going on?

- Alex. - If the bleeding vessels are deep...

- You what? - Ligate around the hemostats.

- Got it. - Oh my god.

I'm gonna die.

Oh, my god. I'm gonna die.

- Can I? - Go ahead.

...and my baby's gonna be all alone. Oh, my god.

Ava.

Ava, look at me, okay? Look at me.

You're not gonna die. You're doing great.

You're gonna be fine. The baby's gonna be fine.

I just need you to breathe for me, all right?

Nice slow, deep breaths.

That's it.

Just breathe. That's it.

Keep breathing.

Celeste.

Good news. No chances of an S.T.D.

Now Larry's condition...

He's having surgery, but you are fine.

You did hear the part about being fine, right?

That's what I keep telling myself,

that I'm fine with things they way they are, but...

I probably won't be really fine until...

I don't care if he's fine anymore.

Celeste?

I got here as soon as... Is he in surgery yet?

Um, no. They're taking him soon. This is Dr. O'Malley.

Dr. O'Malley... This is Mr. Jennings' wife Nancy.

- Hi. - It's a pleasure. He's just in there.

- They're prepping him for surgery. - Thank you.

I left my car in front in a no parking zone.

Could you move it?

What are you going to do?

Move her car.

- Talk about divine retribution. - What?

He sleeps with his assistant and a carnivorous fish

lodges itself in his penis.

That's instant karma if I've ever seen it.

Well, Derek wasn't struck by lightning,

- and neither were you. - Addison showed up.

I had months of pain and self-loathing,

a crazy, ranting mother and a near drowning

off the side of a dock.

I mean, it's no fish in my hoo-hoo,

but it's certainly not an easy ride.

Well, I've cheated on my boyfriends, and I'm fine.

I mean, am I the only one?

Which cake is your favorite, or have you chosen one yet?

Okay, clearly, you're not getting the point.

I don't have favorite cakes. That's why you're involved.

We gotta go.

If you see my boyfriend,

tell him I had some tuna salad and a yogurt,

and now I'm off to the O.R.

Okay, this is not eating for pleasure.

I really need a choice, so mark down your favorite.

Sorry I froze there for a little bit.

That's okay.

I... I'm not... I'm not... I'm not getting weird.

- You know, it was a weird question. - Shut up and eat some cake.

- Good? - Disgusting.

- Karev. - Hey.

I was just checking up on Ava.

Do I have another Denny Duquette situation on my hands?

What? Are you serious?

I have never seen you so attentive with a patient.

You're always there... Checking her stats,

running tests, doing research.

- That's my job. - No, it's my job.

I'm her doctor. You're my intern.

Which is why I have to know her stats at all times.

Because I'm not about to stand next to you in your O.R.

And be anything less than overprepared.

Okay? There's no way I'm gonna go to work every day

with a surgeon like you and not be at the top of my game.

So if you want to yell at me...

Uh, I know you have to give him the cards

'cause you're married to him. I respect that.

But there is an argument to be made for female surgeons

- sticking together. - You're relentless.

- "Sisterhood" and all that, you know? - Scary, inhuman relentless.

You are like a role model to me or... something.

Okay, you know what? Stop. Okay?

This is just getting sad. I will give the cards to George.

- I am sure he will share. - No, he won't, with me anyway.

He'll just share them with Izzie.

They're like an exclusive little unit. Whatever.

Yang.

Uh... my, uh...

My locker is on the right side,

third one from the door.

The cards are on the top shelf.

- Really? You... - They're all yours.

Oh, god. Um...

- Sorry. - It's okay. Me, too.

- I was, uh... - Yeah, I...

- So we're good? - Yes, good.

Good. Okay, then.

Don't talk.

I know it's not fair, and I know it's not your fault,

I know there's nothing between you and George.

I know that.

Except there is.

You're his best friend.

He loves you.

He gets you. He needs you.

And I'm just... I'm just... I'm his wife.

And I know, I know I get the sex

and the commitment and the life with him...

But I-I want him to get me

and to need me.

And I can't compete with you.

So I'm asking you...

to please stop.

Just stop.

Find another friend.

Or whatever you do, just give me my husband back.

What about the forked stone grasper?

It can lead to urethral injury.

Well, the forceps aren't working.

At this point, I'm willing to try anything.

All right. Stone grasper.

- Coming in. - Did we miss anything good?

Hello? You okay?

I've had better days.

Where's Dr. Bailey?

Page her.

V-tach.

Does he have a pulse with that?

- Oh, he's going down. - Yes.

He needs 150 of amiodarone.

How much longer you think it'll take?

You worry about getting his arrhythmias down.

We're gonna have to change our game plan.

The scope isn't working. Excuse me, Dr. Fischer.

We're gonna have to open him up.

I don't know how I missed it.

It presented as a cold, Miranda.

This sort of thing, at some point, ou think it's gonna get better.

You don't figure it's something that could ruin your whole life.

- The chief. - The candiru?

- Go ahead. We're almost done here. - Okay.

- Doctor. - Thank you.

You want to quiz me on the G.I. stuff?

No, I'm still trying to get through my cardio notes.

- You okay? - I'm fine.

I should've snuck in to the candiru surgery

- with Mer and Cristina. - You still can...

George, can you maybe stop talking

so I could concentrate?

What's your problem?

My problem... is you.

You're my penis fish.

Your what?

You've crawled in, and latched on,

and now I can't move

or talk or think or even pee without the nagging feeling

that something is eating through my organs.

You don't even have a penis.

- How am I the fish? - It's a metaphor, George.

What happened to us being fine?

I don't know.

Maybe we're not.

A little more suction there, please.

Those barbs won't let go.

Dr. Bailey, glad you could join us.

Oh, this is useless.

We're gonna have to cut it out, Dr. Fischer.

- I'll repair the bladder. - Okay, let's do it.

How's his heart holding up?

Occasional runs of V-tach.

He can't take much more.

Forceps.

Okay. Almost there. Come on, you.

Almost there.

Got it.

Oh, man. Unbelievable.

You see that thing?

Remind me never to pee the Amazon.

What?

What do you say we have a real meeting of the dirty mistresses club?

Like what it should've been from the beginning.

- What are you doing? - Once.

20 minutes in the on call room. Nobody ever finds out.

- Mark. - What you're telling me

everything's great between you and Derek?

What makes you think there is something wrong

between me and Derek?

Something's always wrong between you and Derek.

Enough. What is wrong with you?

Nothing. I'm... I'm...

Addison and I were gonna try and make a go of it.

Things are not gonna work out.

So you make a pass at me? Like that'll help.

She doesn't want me.

Something's gotta help.

Revenge sex is not the answer.

If you're letting her go, let her go.

Be an adult.

Thanks... for the baby

and for me not dying and stuff.

Well, it's always a nice bonus when a patient doesn't die.

You and red make a pretty good team.

Don't tell Sloan.

Oh, she and Sloan aren't happening.

She wants you.

- How do you know that? - I know everything, remember?

I heard her talking to the ortho doc

about how she wants someone who barbecues and plays catch.

She wants someone who's committed.

Yeah. Well, that's not me.

I hate to tell you this, but it is.

You may talk tough, but you're a decent guy, Alex.

Whether you want to admit it or not,

you're actually one of the good ones.

Mrs. Jennings.

Your husband's out of surgery. Everything went very well.

Oh. Oh, thank you.

Thank you. That's... That's wonderful.

Dr. Webber will be down to fill you in soon.

Uh, Dr. O'Malley, um, do me a favor.

Could you go tell Celeste?

She's a basket case, and I just don't have it in me

to take care of my husband's girlfriend right now.

Of course I know.

The wife always knows.

- Dr. O'Malley. - Yes.

Mr. Jennings', uh, personal physician

would like a copy of his medic records.

Um, here's the number.

Mr. Jennings, I've canceled your appointments for next week.

There's just a conference call

that's proving a little bit difficult to reschedule.

But I'm sure Danny can handle it.

Wait, what's... What's Danny got to do with it?

I've asked him to step in,

temporarily,

until you find someone else.

Now, w-wait, Celeste...

What the hell was that all about?

Well, I think she just left you.

Good-bye, Larry.

What... What the hell's going on here?

I think I'm done here.

Can you be a vault?

I think I need a vault 'cause I've eaten like

a cake and a half, and it's just not cutting it.

- And you don't gossip. - Because...

nobody tells me anything.

I was with a married man.

- It was... - I don't mind

that nobody tells me anything.

It was George.

I was with George.

It should be firm inside, not spongy.

The frosting,

like meringue...

Light and not too sweet.

I always thought chocolate inside,

but, um, well, I'm leaning away from that.

You've thought a lot about this cake.

This cake...

for this day...

with this woman.

The red velvet's your winner, by the way.

What are you doing here?

I wanted you to know where I was,

so I thought I'd come and tell you.

Oh, you're mocking me.

I'm apologizing to you.

You're making light of things.

I'm running my fingers through your hair.

I'm standing in your bedroom,

unbuttoning my shirt.

And now I'm taking off my pants.

And now...

I'm getting in your bed naked.

Mark...

we need to, um...

We should go get a drink, um, and maybe talk.

Do you have some time?

Uh, I mean...

just something's always wrong with you and me...

You don't want to have a drink with me.

I'm not what you're looking for.

What are you talking about?

I slept with someone.

Couldn't hold out.

Once a man-whore, always a man-whore, right?

Miranda, go home.

I'm almost done.

Go home. See your family.

You have to accept there are days where you can't do it all.

- You have to delegate. - I did.

And then you do all the work anyway.

And you're still doing it.

You didn't have better things to do today

than to ride herd on that V.I.P. case?

There was a fish in a man's penis.

There's always gonna be a fish in a man's penis, chief.

You can say you movin' on all you want,

but are you really?

If you don't slow down,

you might end up without a family to go home to.

Good night, Miranda.

Now see, you can't do that.

Do what?

Not look happy after sex. It's bad for the ego.

I'm fine.

- Are we fine? - Sure.

Not so convincing.

I shouldn't have accused you of hovering.

It wasn't nice.

You were just trying to be there for me.

But...

now I'm being available,

communicating and getting naked

and doing all of your favorite things.

Mm. Good things.

Then why are you still staring at the ceiling?

I-I don't know. I just... I...

That day...

You came out of the water...

I spent the scariest hour of my life

trying to breathe for you.

I love you and I want you, but I don't know what to...

You didn't swim.

You didn't swim, and you know how to.

And I don't know if I can...

I don't know if I wanna...

keep trying to breathe for you.

I should go.

I'll go.

Too often, the thing you want most

is the one thing you can't have.

What acid-based finding

do you classically get with significant vomiting?

Hypokalemic hypochloremic metabolic alkalosis.

Unbelievable.

Did you pick a cake?

Uh... I like the red one.

The red velvet?

That's the girl?

Runny nose guy's big love.

I don't know how we do this.

I don't know how we work together

and be friends and act like it's all okay.

I, um...

There's a spot available at Mercy West.

I called them.

You're gonna transfer to Mercy West?

I have to.

Desire leaves us heartbroken...

It wears us out.

Desire can wreck your life.

I was gonna go get a drink. You want to, uh...

head over to Joe's?

Yeah. Well, I'm kinda under it with this test.

You know, um...

I, uh, took that test once upon a time.

We could, um...

go back to my hotel.

I could quiz you.

Look, uh, this...

This isn't, uh...

You're not my girlfriend.

Okay?

What?

I mean, no offense. Today was awesome.

It's just... I'm... I'm really busy.

I have a lot of work to do.

I don't have time for...

No, of course.

Uh... study.

That's what you're here for, right?

but as tough as wanting something can be...

the people who suffer the most...

are those who don't know what they want.

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