1 00:00:03,770 --> 00:00:05,635 [Woman] The game: 2 00:00:05,705 --> 00:00:08,435 They say a person either has what it takes to play 3 00:00:08,508 --> 00:00:10,305 or they don't. 4 00:00:10,377 --> 00:00:13,676 My mother was one of the greats. 5 00:00:13,747 --> 00:00:17,649 Me, on the other hand... I'm kind of screwed. 6 00:00:30,430 --> 00:00:32,591 [Grunts] 7 00:00:36,870 --> 00:00:39,100 [Man] This is, uh... 8 00:00:39,172 --> 00:00:41,538 Humiliating on so many levels. 9 00:00:41,608 --> 00:00:42,802 You have to go. 10 00:00:42,876 --> 00:00:45,970 Why don't you come back here, and we'll pick up where we left off? 11 00:00:46,046 --> 00:00:48,105 No, seriously. You have to go. I'm late. 12 00:00:48,181 --> 00:00:51,810 Which isn't what you want to be on your first day of work, so... 13 00:00:51,885 --> 00:00:53,512 So, uh, you actually live here. 14 00:00:53,586 --> 00:00:55,417 - No. - Oh. 15 00:00:55,488 --> 00:00:58,889 - Yes. Kind of. - Oh. 16 00:01:00,293 --> 00:01:02,693 It's nice. A little dusty, 17 00:01:02,762 --> 00:01:04,559 odd, but it's nice. [laughs] 18 00:01:04,631 --> 00:01:06,599 So, how do you kind of live here? 19 00:01:06,666 --> 00:01:10,124 I moved two weeks ago from Boston. It was my mother's house. 20 00:01:10,203 --> 00:01:12,330 - I'm selling it. - Oh, I'm sorry. 21 00:01:12,405 --> 00:01:13,838 For what? 22 00:01:13,907 --> 00:01:14,999 You said "was." 23 00:01:15,075 --> 00:01:17,043 Oh, my mother's not dead. 24 00:01:17,110 --> 00:01:19,874 She's... You know what? We don't have to do the thing. 25 00:01:19,946 --> 00:01:22,107 Oh, we can do anything you want. 26 00:01:22,182 --> 00:01:25,083 No, the thing: Exchange the details, pretend we care. 27 00:01:25,151 --> 00:01:27,051 I'm gonna go take a shower, 28 00:01:27,120 --> 00:01:31,716 and when I get back down here, you won't be here, so, um... 29 00:01:31,791 --> 00:01:35,420 Goodbye, um... 30 00:01:37,430 --> 00:01:39,523 - Derek. - Derek. 31 00:01:39,599 --> 00:01:41,464 - Right. Meredith. - Meredith. 32 00:01:41,534 --> 00:01:44,059 - Yeah. Mm-hmm. - Nice meeting you. 33 00:01:44,137 --> 00:01:47,538 Bye, Derek. 34 00:01:47,607 --> 00:01:50,633 [Rilo Kiley: Portions For Foxes] 35 00:02:05,358 --> 00:02:08,555 [Man] Each of you comes here today hopeful, 36 00:02:08,628 --> 00:02:09,993 wanting in on the game. 37 00:02:10,063 --> 00:02:13,897 A month ago, you were in med school being taught by doctors. 38 00:02:13,967 --> 00:02:15,730 Today... 39 00:02:15,802 --> 00:02:18,464 ...you are the doctors. 40 00:02:20,707 --> 00:02:23,267 The seven years you spend here as a surgical resident 41 00:02:23,343 --> 00:02:25,470 will be the best and worst of your life. 42 00:02:25,545 --> 00:02:27,672 You will be pushed to the breaking point. 43 00:02:27,747 --> 00:02:31,683 Look around you. Say hello to your competition. 44 00:02:31,751 --> 00:02:34,345 Eight of you will switch to an easier specialty. 45 00:02:34,420 --> 00:02:36,320 Five will crack under the pressure. 46 00:02:36,389 --> 00:02:38,789 Two of you will be asked to leave. 47 00:02:38,858 --> 00:02:42,419 This is your starting line. This is your arena. 48 00:02:42,495 --> 00:02:45,692 How well you play, 49 00:02:45,765 --> 00:02:46,993 that's up to you. 50 00:02:48,134 --> 00:02:50,762 [Thinking] Like I said... 51 00:02:50,837 --> 00:02:52,634 ...I'm screwed. 52 00:03:03,049 --> 00:03:07,281 OK, Martin, Robinson, Bond, Hawkins. 53 00:03:11,157 --> 00:03:12,624 Only six women out of 20. 54 00:03:12,692 --> 00:03:15,718 Yeah. I hear one of them's a model. 55 00:03:15,795 --> 00:03:19,162 Seriously, that's gonna help with the respect thing? 56 00:03:19,232 --> 00:03:22,326 - You're Cristina, right? - [Man] Patton, Monroe... 57 00:03:22,402 --> 00:03:24,893 Which resident are you assigned to? I got Bailey. 58 00:03:24,971 --> 00:03:28,634 - The Nazi? Me too. - You got the Nazi? So did I. 59 00:03:28,708 --> 00:03:30,869 At least we'll be tortured together, right? 60 00:03:30,944 --> 00:03:33,378 I'm George O'Malley. 61 00:03:33,446 --> 00:03:36,244 Uh, we met at the, uh, mixer. 62 00:03:36,316 --> 00:03:37,578 You had on a black dress 63 00:03:37,650 --> 00:03:40,483 with a slit up the side, strappy sandals and... 64 00:03:42,121 --> 00:03:44,316 Now you think I'm gay. 65 00:03:44,390 --> 00:03:45,789 No, I'm not gay. 66 00:03:45,858 --> 00:03:48,383 It's... it's just that, uh, you were... 67 00:03:48,461 --> 00:03:50,691 You were very unforgettable. 68 00:03:50,763 --> 00:03:54,062 [Man] O'Malley, Yang, Grey, Stevens. 69 00:03:54,133 --> 00:03:55,930 And I'm totally forgettable. 70 00:03:57,036 --> 00:03:59,436 - Bailey? - [Man] End of the hall. 71 00:03:59,505 --> 00:04:01,598 That's the Nazi? 72 00:04:01,674 --> 00:04:03,767 [George] I thought the Nazi would be a guy. 73 00:04:03,843 --> 00:04:06,778 I thought the Nazi would be a Nazi. 74 00:04:06,846 --> 00:04:09,542 Maybe it's professional jealousy. She's brilliant 75 00:04:09,616 --> 00:04:12,016 and they call her a Nazi because they're jealous. 76 00:04:12,085 --> 00:04:15,213 - Maybe she's nice. - Let me guess. You're the model. 77 00:04:15,822 --> 00:04:18,757 Hi, I'm Isobel Stevens, but everyone calls me lzzie. 78 00:04:20,493 --> 00:04:22,518 I have five rules. Memorize them. 79 00:04:22,595 --> 00:04:24,688 Rule number one: Don't bother sucking up. 80 00:04:24,764 --> 00:04:26,891 I hate you. That's not gonna change. 81 00:04:26,966 --> 00:04:29,491 Trauma protocol, phone list, pagers, 82 00:04:29,569 --> 00:04:31,059 nurses will page you. 83 00:04:31,137 --> 00:04:34,072 You will answer every page at a run. A run! 84 00:04:34,140 --> 00:04:36,108 That's rule number two. 85 00:04:36,175 --> 00:04:39,440 Your first shift starts now and lasts 48 hours. 86 00:04:39,512 --> 00:04:41,377 You're interns, grunts, nobodies, 87 00:04:41,447 --> 00:04:43,347 bottom of the surgical food chain. 88 00:04:43,416 --> 00:04:46,044 You run labs, write orders, work every second night 89 00:04:46,119 --> 00:04:48,053 until you drop, and don't complain. 90 00:04:48,121 --> 00:04:50,351 On-call rooms. Attendings hog them. 91 00:04:50,423 --> 00:04:53,915 Sleep when you can where you can, which brings me to rule number three. 92 00:04:53,993 --> 00:04:57,326 If I'm sleeping, don't wake me unless your patient is dying. 93 00:04:57,397 --> 00:05:00,560 Rule four: The dying patient better not be dead when I get there. 94 00:05:00,633 --> 00:05:04,899 Not only will you have killed someone, you woke me for no reason. We clear? 95 00:05:04,971 --> 00:05:06,233 [Bailey] Yes? 96 00:05:06,306 --> 00:05:08,706 You said five rules. That was only four. 97 00:05:08,775 --> 00:05:10,265 [Pager beeping] 98 00:05:10,343 --> 00:05:12,573 Rule number five: When I move, you move. 99 00:05:13,680 --> 00:05:16,114 Get out of my way! 100 00:05:29,529 --> 00:05:30,962 What do we got? 101 00:05:31,030 --> 00:05:33,692 [Man] Katie Bryce, 15-year-old, new onset seizures, 102 00:05:33,766 --> 00:05:35,495 intermittent for the past week. 103 00:05:35,568 --> 00:05:37,126 IV lost en route, 104 00:05:37,203 --> 00:05:39,603 started grand mal seizing as we descended. 105 00:05:39,672 --> 00:05:41,640 [Bailey] All right, get her on her side. 106 00:05:41,708 --> 00:05:44,268 Izzie, 10 milligrams Diazepam IM. 107 00:05:44,344 --> 00:05:47,279 No, no. The white lead is on the right. 108 00:05:47,347 --> 00:05:49,338 Righty, whitey, smoke over fire. 109 00:05:49,415 --> 00:05:52,646 A large-bore IV. Don't let the blood hemolyze. Let's go! 110 00:05:55,355 --> 00:05:58,051 [Beeping] 111 00:05:58,124 --> 00:06:02,151 - [Man] A wet fish on dry land? - Absolutely, Dr. Burke. 112 00:06:02,829 --> 00:06:05,093 Dr. Bailey, let's shotgun her. 113 00:06:05,164 --> 00:06:06,825 That means every test in the book: 114 00:06:06,899 --> 00:06:09,527 CT, CBC, chem-7, tox screen. 115 00:06:09,602 --> 00:06:12,628 Cristina, you're on labs. George, patient work-ups. 116 00:06:12,705 --> 00:06:14,536 Meredith, get Katie for a CT. 117 00:06:14,607 --> 00:06:16,802 She's your responsibility now. 118 00:06:16,876 --> 00:06:18,366 Wait. What about me? 119 00:06:19,779 --> 00:06:22,145 Honey, you get to do rectal exams. 120 00:06:22,215 --> 00:06:25,048 [Jem: They] 121 00:06:37,730 --> 00:06:39,891 What are you doing here? 122 00:06:39,966 --> 00:06:41,797 Katie Bryce's labs came out clear. 123 00:06:41,868 --> 00:06:44,735 There's nothing in the results that explain her seizures. 124 00:06:44,804 --> 00:06:46,738 OK. 125 00:06:46,806 --> 00:06:50,173 Uh, I heard every year, the attending on-call picks the best intern 126 00:06:50,243 --> 00:06:53,303 and lets them perform a procedure during the first shift. 127 00:06:55,581 --> 00:06:57,412 I'm just saying it's what I heard. 128 00:06:57,483 --> 00:06:59,246 Go away... now. 129 00:07:00,953 --> 00:07:04,013 - Yeah, sounds good. - He'll be fine? You'll be fine. 130 00:07:04,090 --> 00:07:07,184 If you don't count the fact that my bacon days are over, sure. 131 00:07:07,260 --> 00:07:10,491 So bypass surgery tomorrow with Dr. Burke. I hear he's good. 132 00:07:10,563 --> 00:07:14,397 And, after that, you can have all the bacon-flavored soy product you can eat. 133 00:07:14,467 --> 00:07:16,435 Mmm. Kill me now. 134 00:07:16,502 --> 00:07:18,993 I wish I could, but I'm a healer. 135 00:07:21,674 --> 00:07:23,733 [Katie] You're lost. 136 00:07:23,810 --> 00:07:26,677 I'm not lost. How are you feeling? 137 00:07:26,746 --> 00:07:28,543 How do you think I'm feeling? 138 00:07:28,614 --> 00:07:31,549 - I'm missing my pageant. - You're missing your pageant? 139 00:07:31,617 --> 00:07:32,914 The Spokane Teen Miss. 140 00:07:32,985 --> 00:07:35,510 I was in the top ten after the first two rounds. 141 00:07:35,588 --> 00:07:38,580 This is my year. I could have won. 142 00:07:38,658 --> 00:07:39,784 Hello. 143 00:07:39,859 --> 00:07:43,192 You're so lost. What are you, like, new? 144 00:07:44,597 --> 00:07:47,691 OK, so I'm just gonna insert my fingers 145 00:07:47,767 --> 00:07:49,735 into your rectum. 146 00:07:51,204 --> 00:07:53,468 [Inhales sharply] 147 00:07:56,742 --> 00:07:58,107 No. 148 00:08:00,513 --> 00:08:03,175 Out. Out. 149 00:08:05,051 --> 00:08:07,519 Bet you missed a lot when you first started out. 150 00:08:08,221 --> 00:08:09,449 [Scoffs] 151 00:08:10,389 --> 00:08:12,516 I twisted my ankle in talent rehearsal. 152 00:08:12,592 --> 00:08:15,755 I do rhythmic gymnastics, which is, like, really cool. 153 00:08:15,828 --> 00:08:16,852 Nobody else does it. 154 00:08:16,929 --> 00:08:18,487 And I tripped over my ribbon. 155 00:08:18,564 --> 00:08:22,056 And I didn't get stuck with someone this clueless, 156 00:08:22,134 --> 00:08:24,034 and that was, like, a nurse. 157 00:08:24,103 --> 00:08:26,594 You and I are gonna have so much fun together. 158 00:08:29,575 --> 00:08:31,475 [Chattering] 159 00:08:34,146 --> 00:08:36,137 This shift is a marathon, not a sprint. 160 00:08:36,215 --> 00:08:37,648 - Eat. - I can't. 161 00:08:37,717 --> 00:08:39,207 You should eat something. 162 00:08:39,285 --> 00:08:43,221 You try eating after performing 17 rectal exams. The Nazi hates me. 163 00:08:43,289 --> 00:08:46,019 The Nazi's a resident. I have attendings hating me. 164 00:08:46,092 --> 00:08:47,787 You know Meredith is inbred? 165 00:08:47,860 --> 00:08:50,294 Like it's uncommon to be a doctors' parents... 166 00:08:50,363 --> 00:08:52,297 Royally. Her mother is Ellis Grey. 167 00:08:52,365 --> 00:08:53,662 Shut up. The Ellis Grey? 168 00:08:53,733 --> 00:08:56,327 - Who's Ellis Grey? - The Grey Method. 169 00:08:56,402 --> 00:08:58,302 Where'd you go to med school, Mexico? 170 00:08:58,371 --> 00:09:00,566 She was one of the first big chick surgeons. 171 00:09:00,640 --> 00:09:03,803 She's a living legend. Yeah, she won the Harper Avery twice. 172 00:09:03,876 --> 00:09:05,309 So I didn't know one thing. 173 00:09:05,378 --> 00:09:07,039 Talk about parental pressure. 174 00:09:07,113 --> 00:09:10,549 I'd kill to have Ellis Grey as a mother. I'd kill to be Ellis Grey. 175 00:09:10,616 --> 00:09:12,345 All I need is one good case. 176 00:09:12,418 --> 00:09:13,885 [Mumbling] 177 00:09:13,953 --> 00:09:16,114 Katie Bryce is a pain in the ass. 178 00:09:16,188 --> 00:09:20,124 If I hadn't taken the Hippocratic Oath, I'd Kevorkian her with my bare hands. 179 00:09:21,561 --> 00:09:22,585 What? 180 00:09:23,329 --> 00:09:25,490 [Burke] Good afternoon, interns. 181 00:09:26,766 --> 00:09:30,224 It's posted, but I thought I'd share the good news personally. 182 00:09:30,303 --> 00:09:33,670 As you know, the honor of performing the first surgery 183 00:09:33,739 --> 00:09:37,004 is reserved for the intern that shows the most promise. 184 00:09:37,076 --> 00:09:40,705 As I'm running the OR today, I get to make that choice. 185 00:09:42,448 --> 00:09:45,076 - George O'Malley. - Me? 186 00:09:45,151 --> 00:09:49,485 You'll scrub in for an appendectomy this afternoon. Congratulations. Enjoy. 187 00:09:56,162 --> 00:09:57,288 Did he say me? 188 00:09:57,363 --> 00:09:59,194 [Bailey] I've seen his file. 189 00:09:59,265 --> 00:10:02,234 George O'Malley barely made the cut to get in this program. 190 00:10:02,301 --> 00:10:04,496 - He's not your guy. - He's my guy, all right. 191 00:10:04,570 --> 00:10:06,094 Every year, you pick your guy, 192 00:10:06,172 --> 00:10:08,732 and your guy suffers more than any other intern. 193 00:10:08,808 --> 00:10:10,969 Terrorize one, and the rest fall in line. 194 00:10:11,043 --> 00:10:14,444 I get it, I respect it, but George O'Malley's a puppy. 195 00:10:14,513 --> 00:10:15,775 Katie Bryce, 3604? 196 00:10:15,848 --> 00:10:17,406 - Right there. - Thank you. 197 00:10:17,483 --> 00:10:19,542 Katie, honey, Mom and Dad are here. 198 00:10:19,619 --> 00:10:23,282 They gave her a sedative for the CT scan, so she's a little groggy. 199 00:10:23,356 --> 00:10:24,880 [Mother] Will she be all right? 200 00:10:24,957 --> 00:10:27,425 Our doctor said that she might need an operation. 201 00:10:27,493 --> 00:10:28,619 Is that true? 202 00:10:28,694 --> 00:10:30,685 [Mother] What kind of operation? 203 00:10:30,763 --> 00:10:33,789 She's, um... Well... You know what? 204 00:10:33,866 --> 00:10:35,561 I'm not the doctor. 205 00:10:35,635 --> 00:10:38,798 Um, I'm a doctor, but I'm not Katie's doctor, 206 00:10:38,871 --> 00:10:40,930 so I'll go get him for you. 207 00:10:44,543 --> 00:10:47,307 - What? - Katie's parents have questions. 208 00:10:47,380 --> 00:10:49,314 Do you talk to them, or do I ask Burke? 209 00:10:49,382 --> 00:10:50,679 No, Burke's off the case. 210 00:10:50,750 --> 00:10:54,311 Katie belongs to the new attending now, Dr. Shepherd. He's over there. 211 00:11:09,268 --> 00:11:11,964 Meredith, can I talk to you for a second? 212 00:11:12,038 --> 00:11:13,300 Actually, I was... 213 00:11:15,307 --> 00:11:16,331 Dr. Shepherd. 214 00:11:16,409 --> 00:11:20,004 Dr. Shepherd? This morning, it was Derek. 215 00:11:20,079 --> 00:11:21,307 Now it's Dr. Shepherd. 216 00:11:21,380 --> 00:11:23,780 We should pretend it never happened. 217 00:11:23,849 --> 00:11:26,340 What never happened? You sleeping with me, 218 00:11:26,419 --> 00:11:28,284 or you throwing me out this morning? 219 00:11:28,354 --> 00:11:30,288 Both are memories I'd like to hold onto. 220 00:11:30,356 --> 00:11:32,517 No, there will be no memories. 221 00:11:32,591 --> 00:11:35,526 I'm not the girl in the bar anymore, and you're not the guy. 222 00:11:35,594 --> 00:11:38,495 This can't exist. You get that, right? 223 00:11:38,564 --> 00:11:40,828 You took advantage of me, and you wanna forget. 224 00:11:40,900 --> 00:11:43,698 I was drunk and good-looking. You took advantage. 225 00:11:43,769 --> 00:11:47,170 OK, I was the one who was drunk, and you are not that good-looking. 226 00:11:47,239 --> 00:11:48,228 Maybe not today. 227 00:11:48,307 --> 00:11:50,969 Last night, I was good-looking. Had my red shirt on. 228 00:11:51,043 --> 00:11:53,637 - You took advantage. - I did not take advantage. 229 00:11:53,713 --> 00:11:55,977 Want to take advantage again? Friday night? 230 00:11:57,083 --> 00:11:58,072 No. 231 00:11:59,318 --> 00:12:01,912 You're an attending and I'm your intern. 232 00:12:02,555 --> 00:12:05,524 - Stop looking at me like that. - Like what? 233 00:12:05,591 --> 00:12:08,151 Like you've seen me naked. 234 00:12:08,227 --> 00:12:11,492 Dr. Shepherd, this is inappropriate. 235 00:12:12,465 --> 00:12:14,330 Has that ever occurred to you? 236 00:12:15,301 --> 00:12:16,290 [Sighs] 237 00:12:19,171 --> 00:12:22,265 Open, identify, ligate, remove, irrigate, close. 238 00:12:22,341 --> 00:12:24,571 Open, identify, ligate, remove, irrigate, close. 239 00:12:24,643 --> 00:12:27,976 - He's gonna faint. A fainter. - No, code brown, right in his pants. 240 00:12:28,047 --> 00:12:31,210 He's about the flop sweat. He's gonna sweat himself unsterile. 241 00:12:31,283 --> 00:12:33,148 Ten bucks, he messes up the McBurney. 242 00:12:33,219 --> 00:12:35,779 - Fifteen, he cries. - I'll put 20 on a total meltdown. 243 00:12:35,855 --> 00:12:38,016 Fifty says he pulls the whole thing off. 244 00:12:39,358 --> 00:12:43,294 That's one of us down there, the first one of us. 245 00:12:43,362 --> 00:12:45,091 Where's your loyalty? 246 00:12:47,433 --> 00:12:49,458 75 says he can't even ID the appendix. 247 00:12:49,535 --> 00:12:51,093 I'll take that action. 248 00:12:51,170 --> 00:12:53,138 OK, O'Malley, let's see what you can do. 249 00:12:54,240 --> 00:12:55,639 Here it comes. 250 00:12:55,708 --> 00:12:58,040 [O.A.O.T. S: Dance] 251 00:12:59,612 --> 00:13:01,443 - Scalpel. - Scalpel. 252 00:13:01,514 --> 00:13:04,039 [Cheers, applause] 253 00:13:05,785 --> 00:13:08,982 That Burke is trouble. 254 00:13:12,792 --> 00:13:14,054 More pressure. 255 00:13:14,126 --> 00:13:16,560 The human flesh is a tough shell. Dig in. 256 00:13:20,366 --> 00:13:22,857 - Pickups. - Pickups. 257 00:13:25,738 --> 00:13:28,104 - Clamp. - Clamp. 258 00:13:32,745 --> 00:13:34,212 [George mutters indistinct] 259 00:13:36,649 --> 00:13:38,048 I'm there. 260 00:13:38,117 --> 00:13:40,312 Damn, he got the peritoneum open. I'm out. 261 00:13:40,386 --> 00:13:42,320 I told you. He's gonna pull it off. 262 00:13:51,230 --> 00:13:52,788 - Scalpel. - Scalpel. 263 00:13:54,433 --> 00:13:56,264 [Cheers, applause] 264 00:13:56,335 --> 00:13:57,768 Appendix is out. 265 00:13:59,738 --> 00:14:01,763 - [Burke] Not bad. - Thank you. 266 00:14:01,841 --> 00:14:03,604 Now all you have to do 267 00:14:03,676 --> 00:14:06,372 is invert the stump into the cecum 268 00:14:06,445 --> 00:14:11,041 and simultaneously pull up on the purse strings, 269 00:14:11,116 --> 00:14:14,051 but be careful not to... 270 00:14:14,119 --> 00:14:15,882 ...break them. 271 00:14:15,955 --> 00:14:19,220 You ripped the cecum. You've got a bleeder. 272 00:14:19,291 --> 00:14:21,452 You're filling with stool. What do you do? 273 00:14:21,527 --> 00:14:23,256 Uh... 274 00:14:23,329 --> 00:14:24,318 Think. 275 00:14:24,396 --> 00:14:26,864 You start the suction and you start digging 276 00:14:26,932 --> 00:14:29,332 for those strings before she bleeds to death. 277 00:14:29,401 --> 00:14:31,801 - Give him a clamp. - BP's dropping. 278 00:14:31,871 --> 00:14:34,203 - He's choking. - Come on, George. 279 00:14:34,273 --> 00:14:36,673 Today. Pull your balls out of your back pocket. 280 00:14:36,742 --> 00:14:39,404 Let's go. What are you waiting for? Suction. 281 00:14:39,478 --> 00:14:41,412 - [Beeping] - [Sighs] 282 00:14:41,480 --> 00:14:42,742 Getting too low, folks. 283 00:14:44,383 --> 00:14:45,816 [Woman] Dr. Burke. 284 00:14:45,885 --> 00:14:48,547 Get out of the way. Pansy-ass idiot. 285 00:14:48,621 --> 00:14:50,054 Get him out of here. 286 00:14:50,122 --> 00:14:52,181 Suction. Clamp. 287 00:14:54,260 --> 00:14:55,420 He's 007. 288 00:14:55,494 --> 00:14:58,224 - [Man 1] 007, yep. - [Man 2] A total 007. 289 00:14:58,297 --> 00:15:01,198 - What's "007" mean? - License to kill. 290 00:15:10,643 --> 00:15:12,042 007. 291 00:15:12,111 --> 00:15:14,079 They're calling me 007, aren't they? 292 00:15:14,146 --> 00:15:17,775 - [Both] No one's calling you 007. - Murphy whispered, "007." 293 00:15:17,850 --> 00:15:19,943 How many times do we have to go through this? 294 00:15:20,019 --> 00:15:22,351 Five? Ten? Give me a number, or I'm gonna hit you. 295 00:15:22,421 --> 00:15:24,548 Murphy whispered, everyone laughed. 296 00:15:24,623 --> 00:15:26,955 - He wasn't talking about you. - Are you sure? 297 00:15:27,026 --> 00:15:28,857 - [Meredith] Would we lie? - Yes. 298 00:15:28,928 --> 00:15:31,123 007 is a state of mind. 299 00:15:31,196 --> 00:15:34,495 Says the girl who finished first in her class at Stanford. 300 00:15:34,566 --> 00:15:36,557 [Pager beeping] 301 00:15:37,703 --> 00:15:40,604 Oh, man. It's 911 for Katie Bryce. 302 00:15:41,740 --> 00:15:43,207 I got to go. 303 00:15:50,049 --> 00:15:52,279 Maybe I should have gone into geriatrics. 304 00:15:52,351 --> 00:15:55,411 No one minds when you kill an old person. 305 00:15:55,487 --> 00:15:57,682 Surgery is hot. It's the Marines. 306 00:15:57,756 --> 00:16:00,384 It's macho. It's hostile. It's hardcore. 307 00:16:00,459 --> 00:16:04,953 Geriatrics is for freaks who live with their mothers and never have sex. 308 00:16:06,966 --> 00:16:09,230 I've got to get my own place. 309 00:16:09,301 --> 00:16:10,598 [Chuckles] 310 00:16:15,507 --> 00:16:17,441 Excuse me! Excuse me! 311 00:16:19,979 --> 00:16:21,446 Took you long enough. 312 00:16:21,513 --> 00:16:24,107 You're OK? The nurse paged me 911. 313 00:16:24,183 --> 00:16:28,176 I had to go all Exorcist to get her to even pick up the phone. 314 00:16:28,253 --> 00:16:31,279 [Panting] Wait. There's nothing wrong with you? 315 00:16:31,357 --> 00:16:33,257 I'm bored. 316 00:16:34,093 --> 00:16:35,924 You little... 317 00:16:36,295 --> 00:16:39,093 - I'm not a cruise director. - You don't have to wig out. 318 00:16:39,164 --> 00:16:40,563 The pageant's on cable, 319 00:16:40,632 --> 00:16:43,192 but this crappy hospital doesn't get the channel. 320 00:16:43,268 --> 00:16:47,068 If that cow Kylie Wood is gonna walk off with my crown, I have to see it. 321 00:16:47,139 --> 00:16:48,572 Can you call someone? 322 00:16:49,475 --> 00:16:53,502 OK. This is an actual hospital. 323 00:16:53,579 --> 00:16:55,513 There are sick people here. 324 00:16:55,581 --> 00:16:58,778 Go to sleep and stop wasting my time. 325 00:16:58,851 --> 00:17:00,978 But I can't sleep. My head's all full. 326 00:17:01,053 --> 00:17:03,317 That's called "thinking." Go with it. 327 00:17:09,828 --> 00:17:13,958 [Woman on PA] Pain Management to 209. Pain Management to 209. 328 00:17:16,902 --> 00:17:18,392 What do you need? 329 00:17:18,470 --> 00:17:21,871 [Sighs] Mr. Jones has junky veins, and he really needs antibiotics. 330 00:17:21,940 --> 00:17:23,874 I should start a central line. 331 00:17:23,942 --> 00:17:25,341 So start one. 332 00:17:25,411 --> 00:17:27,345 You don't know how. 333 00:17:27,413 --> 00:17:29,973 I've never done one. 334 00:17:30,049 --> 00:17:32,574 Well, you know what that means. 335 00:17:33,719 --> 00:17:35,653 Can't we just page someone else? 336 00:17:35,721 --> 00:17:38,349 She's the on-call resident. 337 00:17:38,424 --> 00:17:40,119 OK. 338 00:17:40,192 --> 00:17:42,183 OK, I'll just... I'll wake her. 339 00:17:48,634 --> 00:17:50,499 Dr. Bailey, I don't mean to bother you. 340 00:17:50,569 --> 00:17:52,662 - Then don't. - It's Mr. Jones. 341 00:17:52,738 --> 00:17:54,706 - Is he dying? - No. 342 00:17:54,773 --> 00:17:57,105 Then stop talking to me. 343 00:18:03,749 --> 00:18:05,011 [Clears throat] 344 00:18:05,084 --> 00:18:09,043 [Sighs] What is it?! 345 00:18:12,524 --> 00:18:13,991 Next time you wake me, 346 00:18:14,059 --> 00:18:18,052 he better be so close to dead there's a tag on his toe. 347 00:18:26,872 --> 00:18:28,863 Here. Take these to the lab. 348 00:18:33,545 --> 00:18:37,003 [Man] 4-B's got post-op pneumonia. Let's start antibiotics. 349 00:18:37,082 --> 00:18:39,380 Are you sure that's the right diagnosis? 350 00:18:39,451 --> 00:18:41,715 Well, I don't know. I'm only an intern. 351 00:18:41,787 --> 00:18:44,119 Why don't you go spend four years in med school 352 00:18:44,189 --> 00:18:46,987 and then let me know if it's the right diagnosis? 353 00:18:47,059 --> 00:18:49,289 She's short of breath. She's got fever. 354 00:18:49,361 --> 00:18:51,488 She's post-op. Start the antibiotics. 355 00:18:52,731 --> 00:18:54,062 God, I hate nurses. 356 00:18:56,235 --> 00:19:01,332 I'm Alex. I'm with Jeremy. You're with the Nazi, right? 357 00:19:01,406 --> 00:19:03,203 She may not have pneumonia, you know. 358 00:19:03,275 --> 00:19:05,072 She could be splinting, or have a P.E. 359 00:19:05,144 --> 00:19:07,544 Like I said, I hate nurses. 360 00:19:07,613 --> 00:19:09,638 What did you just say? 361 00:19:10,716 --> 00:19:12,581 Did you just call me a nurse? 362 00:19:12,651 --> 00:19:14,551 Well, if the white cap fits. 363 00:19:14,620 --> 00:19:17,282 [Pager beeping] 364 00:19:17,356 --> 00:19:19,916 Damn it, Katie. 365 00:19:19,992 --> 00:19:22,517 - Is she seeing anybody? - I don't know. 366 00:19:22,594 --> 00:19:24,357 [Whistles] She's hot. 367 00:19:24,429 --> 00:19:25,487 I'm friends with her. 368 00:19:25,564 --> 00:19:27,691 I mean, kind of friends... 369 00:19:27,766 --> 00:19:29,597 Not actually friends exactly, 370 00:19:29,668 --> 00:19:31,966 but we're tight, and we hang out. 371 00:19:32,037 --> 00:19:35,370 - Really, only just today... - Dude. Dude, stop talking. 372 00:19:43,615 --> 00:19:47,142 [Clamoring] 373 00:19:49,922 --> 00:19:51,947 What took you so long? 374 00:19:52,024 --> 00:19:54,686 [Man] She's having multiple grand mal seizures. 375 00:19:54,760 --> 00:19:56,819 Now, how do you want to proceed? 376 00:19:56,895 --> 00:19:59,329 Dr. Grey, are you listening to me?! 377 00:20:00,232 --> 00:20:02,700 She's got Diazepam. Two milligrams Lorazepam. 378 00:20:02,768 --> 00:20:04,702 I just gave the second dose. 379 00:20:04,770 --> 00:20:07,637 Dr. Grey, you need to tell us what you want to do. 380 00:20:07,706 --> 00:20:08,968 Dr. Grey! 381 00:20:12,778 --> 00:20:14,746 [Beeping] 382 00:20:14,813 --> 00:20:16,838 OK, she's full on Lorazepam? 383 00:20:16,915 --> 00:20:19,884 - Four milligrams. - You paged Dr. Bailey and Dr. Shepherd? 384 00:20:19,952 --> 00:20:21,544 Lorazepam's not working. 385 00:20:21,620 --> 00:20:24,248 Phenobarbital. Load her with phenobarbital. 386 00:20:25,857 --> 00:20:28,155 - [Man] Pheno's in. - [Woman] No change. 387 00:20:28,227 --> 00:20:30,422 - You paged Dr. Shepherd. - I just told you. 388 00:20:30,495 --> 00:20:34,158 - Well, page him again, stat. - What do you want to do? 389 00:20:34,233 --> 00:20:36,861 Dr. Grey, you need to tell us what you want to do. 390 00:20:36,935 --> 00:20:38,493 [Flatline tone] 391 00:20:38,570 --> 00:20:41,437 - [Man] Heart stopped. - [Woman] Code blue! 392 00:20:41,506 --> 00:20:43,838 Code blue! Code blue! 393 00:20:43,909 --> 00:20:47,174 - Get the crash cart. - I'll get it, right away. 394 00:20:48,680 --> 00:20:50,079 Wait. 395 00:20:51,316 --> 00:20:54,717 - Charge the pads to 200. - Charge. Clear. 396 00:20:57,089 --> 00:20:58,556 [Man] Still v-fib. Nothing. 397 00:20:58,624 --> 00:21:00,319 - Charging. - Nineteen seconds. 398 00:21:00,392 --> 00:21:01,723 Charge them to 300. 399 00:21:01,793 --> 00:21:04,762 - 300. Anything? - 27 seconds. 400 00:21:04,830 --> 00:21:06,388 Charge to 360. 401 00:21:07,666 --> 00:21:09,827 - Come on, Katie. - [Woman] 49 seconds. 402 00:21:09,901 --> 00:21:12,631 At 60 seconds, you're supposed to admin another drug. 403 00:21:12,704 --> 00:21:13,966 Charge again! 404 00:21:14,039 --> 00:21:16,269 Charge again. 405 00:21:17,309 --> 00:21:19,334 Charge. 406 00:21:19,411 --> 00:21:21,709 - [Beeping] - [Meredith] Anything? 407 00:21:21,780 --> 00:21:23,645 I see sinus rhythm. 408 00:21:23,715 --> 00:21:26,377 - Blood pressure's coming up. - All right. 409 00:21:26,451 --> 00:21:28,715 Pressure's returning. Rate's coming back. 410 00:21:29,721 --> 00:21:30,949 What the hell happened? 411 00:21:31,023 --> 00:21:33,651 She had a seizure and her heart stopped. 412 00:21:33,725 --> 00:21:35,750 - You're monitoring. - I checked. 413 00:21:35,827 --> 00:21:37,624 I got her. Just... just go. 414 00:21:40,799 --> 00:21:44,257 Somebody give me her... Give me her chart, please. 415 00:21:44,336 --> 00:21:46,270 You get a 911, you page me immediately. 416 00:21:46,338 --> 00:21:49,899 Not in the five minutes it takes you to get to the emergency. Immediately. 417 00:21:49,975 --> 00:21:53,274 You're on my team and if somebody dies, it's my ass. Grey? 418 00:21:55,314 --> 00:21:56,747 Meredith? 419 00:21:56,815 --> 00:21:59,045 [Vaughan Penn: Ready To Rise] 420 00:22:18,937 --> 00:22:20,666 If you tell anyone, ever... 421 00:22:31,650 --> 00:22:34,517 [Mr. Bryce] You said it was a seizure disorder. 422 00:22:34,586 --> 00:22:37,521 - Now you're saying it isn't? - I'm saying that I don't know. 423 00:22:37,589 --> 00:22:39,853 - What do you think it could be? - I don't know. 424 00:22:39,925 --> 00:22:42,120 - When will you? - I don't have an answer. 425 00:22:42,194 --> 00:22:46,130 - For now, Katie is stable, and... - Wait one damn minute. 426 00:22:46,198 --> 00:22:48,132 We came here because this hospital 427 00:22:48,200 --> 00:22:50,760 is supposed to be the best in Washington. 428 00:22:50,836 --> 00:22:53,304 That's my kid in there. My kid. 429 00:22:53,372 --> 00:22:56,569 And you have the audacity to stand here and tell me, "I don't know." 430 00:22:56,641 --> 00:22:58,199 Mr. Bryce... 431 00:22:58,276 --> 00:23:00,744 No, I want a doctor who knows what they're doing. 432 00:23:00,812 --> 00:23:03,178 You get me someone else, better than you. 433 00:23:03,248 --> 00:23:05,182 I am working hard on Katie's case. 434 00:23:05,250 --> 00:23:08,913 No, you're not. If you were, you'd be able to give me some answers. 435 00:23:08,987 --> 00:23:10,921 [Burke] I put you on a bypass machine, 436 00:23:10,989 --> 00:23:13,287 which pumps blood for your heart. 437 00:23:13,358 --> 00:23:18,386 Fix your ticker, take you off the machine. I'm done. Simple procedure. 438 00:23:18,463 --> 00:23:19,657 So I shouldn't worry? 439 00:23:19,731 --> 00:23:21,358 I'm very good at what I do. 440 00:23:21,433 --> 00:23:24,664 It still is surgery. There are some risks. 441 00:23:24,736 --> 00:23:27,728 I'll see you in the OR this afternoon, Mr. Savitch. 442 00:23:29,207 --> 00:23:32,540 You're not gonna leave me alone with that guy, are you? 443 00:23:33,779 --> 00:23:36,612 Oh, I'll be outside the OR the whole time. 444 00:23:36,681 --> 00:23:40,617 No, Dr. Burke is very good. Don't worry. 445 00:23:40,685 --> 00:23:42,118 I'll see you after. 446 00:23:42,187 --> 00:23:43,620 He'll be fine, right? 447 00:23:43,688 --> 00:23:45,553 Tony's gonna sail through it. 448 00:23:47,359 --> 00:23:50,760 You have nothing to worry about. I promise. 449 00:23:52,297 --> 00:23:54,458 Gotta go. 450 00:23:54,533 --> 00:23:57,127 - [Meredith] What are you doing? - Suturing a banana 451 00:23:57,202 --> 00:23:59,397 with the vain hope that it wakes up my brain. 452 00:23:59,471 --> 00:24:00,631 [Laughing] 453 00:24:00,705 --> 00:24:03,265 What are you smiling at, 007? 454 00:24:03,341 --> 00:24:05,536 I'm sorry. I get mean when I 'm tired. 455 00:24:05,610 --> 00:24:07,942 You know what? I don't care. 456 00:24:08,013 --> 00:24:11,676 I comforted a family, and I got to hang out in the OR today. 457 00:24:11,750 --> 00:24:13,047 All is well. 458 00:24:13,118 --> 00:24:14,551 Anybody know why we're here? 459 00:24:14,619 --> 00:24:15,984 Good morning. 460 00:24:16,054 --> 00:24:17,385 - Morning. - Morning. 461 00:24:17,456 --> 00:24:20,050 I'm gonna do something rare for a surgeon. 462 00:24:20,125 --> 00:24:22,059 I'm gonna ask interns for help. 463 00:24:22,127 --> 00:24:24,288 I've got this kid, Katie Bryce. 464 00:24:24,362 --> 00:24:26,762 Right now, she's a mystery. 465 00:24:26,832 --> 00:24:28,766 She doesn't respond to our meds. 466 00:24:28,834 --> 00:24:31,428 Labs are clean, scans are pure, 467 00:24:31,503 --> 00:24:34,802 but she's having grand mal seizures with no visible cause. 468 00:24:34,873 --> 00:24:36,602 She's a ticking clock. 469 00:24:36,675 --> 00:24:40,167 She's gonna die if I don't make a diagnosis, which is where you come in. 470 00:24:40,245 --> 00:24:41,769 I can't do it alone. 471 00:24:42,747 --> 00:24:44,874 I need your extra minds, extra eyes. 472 00:24:44,950 --> 00:24:49,387 I need you to play detective. I need you to find out why Katie's having seizures. 473 00:24:49,454 --> 00:24:52,753 You're tired. You got more work than you could possibly handle. 474 00:24:52,824 --> 00:24:56,453 I understand. So I'm gonna give you an incentive. 475 00:24:56,528 --> 00:24:59,122 Whoever finds the answer rides with me. 476 00:24:59,197 --> 00:25:01,324 Katie needs surgery. 477 00:25:01,399 --> 00:25:03,196 You get to do what no interns get to do: 478 00:25:03,268 --> 00:25:05,793 Scrub in to assist on an advanced procedure. 479 00:25:05,871 --> 00:25:08,169 Dr. Bailey's gonna hand you Katie's chart. 480 00:25:08,240 --> 00:25:09,673 The clock is ticking fast. 481 00:25:09,741 --> 00:25:12,175 If we're gonna save Katie's life, do it soon. 482 00:25:18,650 --> 00:25:20,083 [Alex] Did you just page me? 483 00:25:20,151 --> 00:25:22,415 [Nurse] Yes. 4-B's still short of breath. 484 00:25:22,487 --> 00:25:24,478 [Sighs] Give antibiotics time to work. 485 00:25:24,556 --> 00:25:28,219 - They should have worked by now. - She's old. She's freaking ancient. 486 00:25:28,293 --> 00:25:30,386 She's lucky she's still breathing. 487 00:25:30,462 --> 00:25:32,293 I got a shot to scrub in downstairs 488 00:25:32,364 --> 00:25:34,924 on a patient who wasn't alive during the Civil War. 489 00:25:35,000 --> 00:25:36,490 Don't page me again. 490 00:25:36,568 --> 00:25:40,834 [Woman on PA] Pain Management to 209. Pain Management to 209. 491 00:25:40,906 --> 00:25:42,737 Hey, I want in on Shepherd's surgery. 492 00:25:42,807 --> 00:25:46,299 You've been the intern on Katie since the start. Want to work together? 493 00:25:46,378 --> 00:25:49,074 Find the answer, we have a 50-50 chance of scrubbing in. 494 00:25:49,147 --> 00:25:51,581 I'll work with you, I don't want in on the surgery. 495 00:25:51,650 --> 00:25:54,118 It's the biggest opportunity any intern will get. 496 00:25:54,185 --> 00:25:56,312 I don't want to spend time with Shepherd. 497 00:25:56,388 --> 00:25:58,322 What do you have against Shepherd? 498 00:25:58,390 --> 00:26:00,483 If we find the answer, the surgery's yours. 499 00:26:00,559 --> 00:26:02,891 - Do you want to work together or not? - Deal. 500 00:26:02,961 --> 00:26:06,226 [Cristina] She doesn't have anoxia, renal failure or acidosis. 501 00:26:06,298 --> 00:26:08,232 It's not a tumor, her CT's clean. 502 00:26:08,300 --> 00:26:11,269 You're not gonna tell me why you won't work with Shepherd? 503 00:26:11,336 --> 00:26:13,270 No. What about infection? 504 00:26:13,338 --> 00:26:14,805 No, there's no white count. 505 00:26:14,873 --> 00:26:16,807 She has no CT lesions, no fevers, 506 00:26:16,875 --> 00:26:18,638 nothing in her spinal tap. 507 00:26:18,710 --> 00:26:20,507 Just tell me. 508 00:26:20,579 --> 00:26:24,447 You can't comment, make a face or react in any way. 509 00:26:26,518 --> 00:26:28,110 We had sex. 510 00:26:31,489 --> 00:26:33,218 What about an aneurysm? 511 00:26:33,291 --> 00:26:36,192 No blood on the CT and no headaches. 512 00:26:36,261 --> 00:26:39,992 OK. There's no drug use, no pregnancy, no trauma. 513 00:26:42,067 --> 00:26:43,398 Was he good? 514 00:26:43,468 --> 00:26:46,460 I mean, he looks like he'd be good. Was it any good? 515 00:26:48,807 --> 00:26:50,365 We're out of answers. 516 00:26:51,543 --> 00:26:53,477 What if no one comes up with anything? 517 00:26:53,545 --> 00:26:54,910 You mean, what if she dies? 518 00:26:54,980 --> 00:26:56,242 Yeah. 519 00:26:57,248 --> 00:27:01,116 This is gonna sound really bad, but I really wanted that surgery. 520 00:27:02,420 --> 00:27:05,150 She's never gonna get the chance to turn into a person. 521 00:27:05,223 --> 00:27:07,157 The sum total of her existence 522 00:27:07,225 --> 00:27:09,921 will be almost winning Miss Teen whatever. 523 00:27:12,130 --> 00:27:14,223 You know what her pageant talent is? 524 00:27:14,299 --> 00:27:17,928 - They have talent? - Rhythmic gymnastics. 525 00:27:18,003 --> 00:27:20,096 [Laughing] Oh, come on. 526 00:27:20,171 --> 00:27:21,866 What is rhythmic gymnastics? 527 00:27:21,940 --> 00:27:24,738 I can't even say it. I don't know what it is. 528 00:27:24,809 --> 00:27:27,300 [Laughing] 529 00:27:27,379 --> 00:27:30,212 I think it's something with a ball and a... 530 00:27:32,217 --> 00:27:33,445 What? 531 00:27:33,518 --> 00:27:35,281 Meredith, what? 532 00:27:35,353 --> 00:27:37,981 Get up. Come on. 533 00:27:38,056 --> 00:27:40,991 The only thing that she would possibly need is an angiogram. 534 00:27:41,059 --> 00:27:44,028 Oh. Oh, Dr. Shepherd, just one moment. 535 00:27:44,095 --> 00:27:45,995 Katie competes in beauty pageants. 536 00:27:46,064 --> 00:27:48,726 I know that, but we have to save her life anyway. 537 00:27:48,800 --> 00:27:51,667 She has no headaches, no neck pain, her CT is clean. 538 00:27:51,736 --> 00:27:55,638 There's no medical proof of an aneurysm, but what if she has an aneurysm anyway? 539 00:27:55,707 --> 00:27:59,643 - There are no indicators. - She twisted her ankle practicing. 540 00:27:59,711 --> 00:28:03,442 - I appreciate you trying to help... - When she twisted her ankle, she fell. 541 00:28:03,515 --> 00:28:05,881 It was no big deal, not even a bump on the head. 542 00:28:05,950 --> 00:28:08,578 She got up, iced her ankle, and everything was fine. 543 00:28:08,653 --> 00:28:11,588 It was a fall so minor, her doctor didn't think to mention it 544 00:28:11,656 --> 00:28:14,557 when I was taking her history, but she did fall. 545 00:28:14,626 --> 00:28:17,720 You know what the chance is that a fall could burst an aneurysm? 546 00:28:17,796 --> 00:28:19,388 One in a million, literally. 547 00:28:19,464 --> 00:28:21,989 [Woman over P.A.] Surgical scheduling is posted. 548 00:28:22,067 --> 00:28:23,398 [Bell dings] 549 00:28:26,471 --> 00:28:28,268 - Let's go. - [Meredith] Where? 550 00:28:28,339 --> 00:28:31,570 To find out if Katie's one in a million. 551 00:28:34,045 --> 00:28:35,376 [Sighs] 552 00:28:47,926 --> 00:28:49,325 I'll be damned. 553 00:28:49,394 --> 00:28:51,089 There it is. 554 00:28:53,164 --> 00:28:54,893 It's minute, but it's there. 555 00:28:56,668 --> 00:28:58,898 It's a subarachnoid hemorrhage. 556 00:28:58,970 --> 00:29:01,666 [Derek] She's bleeding into her brain. 557 00:29:05,977 --> 00:29:09,777 She could have gone through her entire life without it ever being a problem. 558 00:29:09,848 --> 00:29:12,612 - One tap in the right spot... - [Cristina] It exploded. 559 00:29:12,684 --> 00:29:14,948 Now I can fix it. You two did great work. 560 00:29:15,019 --> 00:29:18,682 Love to stay, but I got to tell Katie's parents she's having surgery. 561 00:29:18,757 --> 00:29:21,954 - Katie Bryce's chart, please. - Here you go. 562 00:29:22,026 --> 00:29:26,019 Dr. Shepherd, you'd said that you'd pick someone to scrub in if we helped? 563 00:29:26,097 --> 00:29:27,826 Oh, yes, right. Um... 564 00:29:27,899 --> 00:29:30,800 I'm sorry I can't take you both. It's gonna be a full house. 565 00:29:30,869 --> 00:29:32,427 Meredith, I'll see you in OR. 566 00:29:39,878 --> 00:29:41,505 Good. Thank you. 567 00:29:50,155 --> 00:29:51,383 Cristina... 568 00:29:51,456 --> 00:29:53,447 [Butterfly Boucher: Life is Short] 569 00:30:54,219 --> 00:30:55,447 Wow, that was quick. 570 00:30:55,520 --> 00:30:58,353 [Burke] His heart had too much damage for a bypass. 571 00:30:58,423 --> 00:31:00,220 I had to let him go. 572 00:31:00,291 --> 00:31:04,125 It happens, rarely, but it does happen. 573 00:31:04,195 --> 00:31:05,890 The worst part of the game. 574 00:31:07,866 --> 00:31:10,061 But I told his wife... 575 00:31:10,134 --> 00:31:13,797 I told Gloria that he would be fine. 576 00:31:13,872 --> 00:31:16,170 - I promised her that... - You what? 577 00:31:16,241 --> 00:31:18,368 They have four little girls. 578 00:31:18,443 --> 00:31:20,775 This is my case. Did you hear me promise? 579 00:31:20,845 --> 00:31:23,814 The only one that can keep a promise like that is God, 580 00:31:23,882 --> 00:31:26,578 and I haven't seen him holding a scalpel lately. 581 00:31:26,651 --> 00:31:29,518 You never promise a patient's family a good outcome! 582 00:31:30,922 --> 00:31:31,911 I thought... 583 00:31:31,990 --> 00:31:34,254 You make promises to Mrs. Savitch? 584 00:31:34,325 --> 00:31:36,987 You get to be the one to tell her that she's a widow. 585 00:31:49,007 --> 00:31:50,338 Izzie. 586 00:31:53,344 --> 00:31:55,938 - Maybe Meredith couldn't... - Izzie. 587 00:31:59,784 --> 00:32:01,945 I'll tell him I changed my mind. 588 00:32:02,020 --> 00:32:04,352 Don't do me any favors. It's fine. 589 00:32:04,422 --> 00:32:06,014 Cristina... 590 00:32:06,090 --> 00:32:09,355 You did a cutthroat thing. Deal. Don't come to me for absolution. 591 00:32:09,427 --> 00:32:10,894 Want to be a shark, be a shark. 592 00:32:10,962 --> 00:32:13,260 - I'm not... - Oh, yes you are. 593 00:32:13,331 --> 00:32:15,891 Only it makes you feel bad in your warm, gooey places. 594 00:32:15,967 --> 00:32:19,960 No, screw you. I don't get picked for surgeries 'cause I slept with my boss, 595 00:32:20,038 --> 00:32:23,098 and I didn't get into med school 'cause I have a famous mother. 596 00:32:23,174 --> 00:32:25,233 Some of us have to earn what we get. 597 00:32:30,982 --> 00:32:36,477 [Woman over PA] Dr. Mayes to ICU. Dr. Mayes, report to ICU. 598 00:32:36,554 --> 00:32:40,422 Gloria, there were complications in the surgery. 599 00:32:41,893 --> 00:32:44,919 Tony's heart had a lot of damage. 600 00:32:44,996 --> 00:32:49,399 We tried to take him off bypass, but... 601 00:32:51,469 --> 00:32:53,801 ...there wasn't anything we could have done. 602 00:32:56,474 --> 00:32:58,442 What are you talking about? 603 00:32:58,509 --> 00:33:00,443 He... 604 00:33:02,580 --> 00:33:03,672 Tony died. 605 00:33:03,748 --> 00:33:05,306 He's dead. 606 00:33:06,884 --> 00:33:08,374 Gloria... 607 00:33:08,453 --> 00:33:11,286 ...I am so sorry. - Thank you. 608 00:33:15,760 --> 00:33:17,091 Please... 609 00:33:18,830 --> 00:33:20,457 ...go away. 610 00:33:31,442 --> 00:33:34,377 [Gloria sobbing] 611 00:33:49,494 --> 00:33:51,621 [Derek] I promised I'd make her look cool. 612 00:33:51,696 --> 00:33:54,221 Being a bald beauty queen is the worst thing 613 00:33:54,298 --> 00:33:56,698 that happened in the history of the world. 614 00:33:57,969 --> 00:34:01,132 Did you choose me for the surgery because I slept with you? 615 00:34:01,706 --> 00:34:02,730 Yes. 616 00:34:05,510 --> 00:34:06,841 I'm kidding. 617 00:34:07,345 --> 00:34:09,142 I'm not gonna scrub in for surgery. 618 00:34:09,213 --> 00:34:11,477 You should ask Cristina. She really wants it. 619 00:34:11,549 --> 00:34:13,983 You're Katie's doctor. And on your first day, 620 00:34:14,052 --> 00:34:16,520 with little training, you helped save her life. 621 00:34:16,587 --> 00:34:20,250 You earned the right to follow her case through to the finish. 622 00:34:20,324 --> 00:34:22,792 You shouldn't let the fact that we had sex 623 00:34:22,860 --> 00:34:25,260 get in the way of you taking your shot. 624 00:34:39,110 --> 00:34:41,340 I wish I wanted to be a chef 625 00:34:41,412 --> 00:34:45,075 or a ski instructor or a kindergarten teacher. 626 00:34:45,149 --> 00:34:49,518 You know, I would have been a really good postal worker. 627 00:34:49,587 --> 00:34:50,884 I'm dependable. 628 00:34:50,955 --> 00:34:52,217 [Chuckles] 629 00:34:52,290 --> 00:34:56,021 You know, my parents tell everyone they meet that their son's a surgeon, 630 00:34:56,094 --> 00:34:58,790 as if it's a big accomplishment. 631 00:35:00,098 --> 00:35:02,066 Superhero or something. 632 00:35:04,202 --> 00:35:06,033 If they could see me now. 633 00:35:08,372 --> 00:35:12,172 When I told my mother I wanted to go to medical school, 634 00:35:12,243 --> 00:35:14,677 she tried to talk me out of it. 635 00:35:15,613 --> 00:35:18,207 Said I didn't have what it takes to be a surgeon, 636 00:35:18,282 --> 00:35:20,443 that I'd never make it. 637 00:35:21,419 --> 00:35:23,944 So the way I see it, 638 00:35:24,021 --> 00:35:26,489 superhero sounds pretty damn good. 639 00:35:30,761 --> 00:35:32,922 We're gonna survive this, right? 640 00:35:39,137 --> 00:35:40,695 She's still short of breath. 641 00:35:40,771 --> 00:35:42,898 Did you get an ABG or a chest film? 642 00:35:42,974 --> 00:35:44,168 Oh, yes, sir, I did. 643 00:35:44,242 --> 00:35:46,802 [Richard] And what did you see? 644 00:35:46,878 --> 00:35:48,641 I had a lot of patients last night. 645 00:35:48,713 --> 00:35:50,704 Name the common causes of post-op fever. 646 00:35:50,781 --> 00:35:51,839 Uh, yes. 647 00:35:51,916 --> 00:35:54,111 From your head, not from a book. 648 00:35:54,185 --> 00:35:57,018 Don't look it up. Learn it. It should be in your head. 649 00:35:57,088 --> 00:35:59,283 Name the common causes of post-op fever. 650 00:35:59,357 --> 00:36:02,019 Uh... the common causes of post... 651 00:36:02,093 --> 00:36:06,052 Can anybody name the common causes of post-op fever? 652 00:36:07,598 --> 00:36:11,227 [Meredith] Wind, water, wound, walking, wonder drugs. 653 00:36:11,302 --> 00:36:12,860 The five W's. 654 00:36:12,937 --> 00:36:16,532 Most of the time, it's wind, splinting or pneumonia. 655 00:36:17,675 --> 00:36:21,702 Pneumonia's easy to assume, especially if you're too busy to do the tests. 656 00:36:27,084 --> 00:36:28,949 What do you think's wrong with 4-B? 657 00:36:29,020 --> 00:36:30,453 The fourth W, walking. 658 00:36:30,521 --> 00:36:33,456 I think she's a prime candidate for a pulmonary embolus. 659 00:36:33,524 --> 00:36:34,821 How would you diagnose? 660 00:36:36,894 --> 00:36:38,953 Spiral CT, VIQ scan, 661 00:36:39,030 --> 00:36:42,056 provide O2, dose with heparin 662 00:36:42,133 --> 00:36:45,159 and consult for an IVC filter. 663 00:36:46,370 --> 00:36:47,837 Do exactly as she says, 664 00:36:47,905 --> 00:36:52,205 then tell your resident that I want you off this case. 665 00:36:52,276 --> 00:36:56,406 I'd know you anywhere. You're the spitting image of your mother. 666 00:36:56,480 --> 00:36:58,471 Welcome to the game. 667 00:36:58,549 --> 00:37:01,518 [Thirteen Senses: Into the Fire] 668 00:37:15,600 --> 00:37:19,366 All right, everybody. It's a beautiful night to save lives. 669 00:37:19,437 --> 00:37:20,768 Let's have some fun. 670 00:37:29,847 --> 00:37:33,305 [Meredith] I can't think of any one reason why I want to be a surgeon... 671 00:37:35,486 --> 00:37:38,785 ...but I can think of 1,000 reasons why I should quit. 672 00:37:52,970 --> 00:37:55,495 [Meredith] They make it hard on purpose. 673 00:37:59,844 --> 00:38:02,438 There are lives in our hands. 674 00:38:10,688 --> 00:38:14,180 There comes a moment when it's more than just a game... 675 00:38:14,258 --> 00:38:15,316 [beeping] 676 00:38:25,770 --> 00:38:28,967 ...and you either take that step forward 677 00:38:29,040 --> 00:38:31,873 or turn around and walk away. 678 00:38:50,861 --> 00:38:54,957 [Meredith] I could quit, but here's the thing... 679 00:38:56,567 --> 00:39:00,128 ...I love the playing field. 680 00:39:07,178 --> 00:39:09,942 - It was a good surgery. - Yeah. 681 00:39:18,756 --> 00:39:20,246 We don't have to do that thing 682 00:39:20,324 --> 00:39:23,293 where I say something and then you say something, 683 00:39:23,361 --> 00:39:25,955 and then somebody cries, and there's a moment. 684 00:39:26,030 --> 00:39:28,624 - Yuck. - Good. 685 00:39:32,203 --> 00:39:36,003 You should get some sleep. You look like crap. 686 00:39:36,073 --> 00:39:37,973 I look better than you. 687 00:39:38,042 --> 00:39:39,805 That's not possible. 688 00:39:44,749 --> 00:39:46,410 [Sighs] 689 00:39:56,660 --> 00:39:58,184 That was amazing. 690 00:40:00,898 --> 00:40:01,956 Hmm. 691 00:40:03,000 --> 00:40:04,729 You practice on cadavers, 692 00:40:06,737 --> 00:40:08,204 you observe 693 00:40:08,272 --> 00:40:10,934 and you think you know what you're gonna feel like 694 00:40:11,008 --> 00:40:13,568 standing over that table, but... 695 00:40:13,644 --> 00:40:16,875 ...that was such a high. 696 00:40:19,817 --> 00:40:23,116 I don't know why anybody does drugs. 697 00:40:25,189 --> 00:40:27,157 Yeah. 698 00:40:31,429 --> 00:40:32,794 Yeah. 699 00:40:35,800 --> 00:40:38,325 I should, uh, go do this. 700 00:40:40,404 --> 00:40:42,599 You should. 701 00:40:45,176 --> 00:40:47,701 I'll see you around. 702 00:40:47,778 --> 00:40:49,769 See you around. 703 00:40:49,847 --> 00:40:51,576 See you. 704 00:40:56,086 --> 00:40:57,451 [Meredith] So... 705 00:40:57,521 --> 00:41:00,854 ...I made it through my first shift. 706 00:41:00,925 --> 00:41:03,485 We all did. 707 00:41:03,561 --> 00:41:05,495 The other interns are all good people. 708 00:41:05,563 --> 00:41:06,928 You'd like them... 709 00:41:07,998 --> 00:41:09,363 ...I think. 710 00:41:10,301 --> 00:41:12,769 I don't know, maybe. 711 00:41:14,071 --> 00:41:15,663 I like them. 712 00:41:16,974 --> 00:41:19,534 [Bell jingles] 713 00:41:21,011 --> 00:41:23,002 Oh, and I changed my mind. 714 00:41:23,080 --> 00:41:26,777 I'm not gonna sell the house. I'm gonna keep it. 715 00:41:28,385 --> 00:41:30,649 I'll have to get a couple of roommates, 716 00:41:30,721 --> 00:41:33,656 but it's home, you know? 717 00:41:36,827 --> 00:41:38,522 Are you the doctor? 718 00:41:38,596 --> 00:41:39,893 No. 719 00:41:41,265 --> 00:41:45,531 I'm not your doctor, but I am a doctor. 720 00:41:51,075 --> 00:41:52,474 What's your name? 721 00:41:55,312 --> 00:41:58,247 It's me, Mom. Meredith. 722 00:42:01,151 --> 00:42:02,709 All right. 723 00:42:08,826 --> 00:42:11,158 I used to be a doctor, I think. 724 00:42:22,039 --> 00:42:24,200 You were a doctor, Mom. 725 00:42:24,275 --> 00:42:26,209 You were a surgeon.