1
00:00:04,377 --> 00:00:06,242
[Woman] The game:
2
00:00:06,312 --> 00:00:09,042
They say a person either
has what it takes to play
3
00:00:09,115 --> 00:00:10,912
or they don't.
4
00:00:10,983 --> 00:00:14,282
My mother was one of the greats.
5
00:00:14,353 --> 00:00:18,255
Me, on the other hand...
I'm kind of screwed.
6
00:00:31,037 --> 00:00:33,198
[Grunts]
7
00:00:37,476 --> 00:00:39,706
[Man] This is, uh...
8
00:00:39,779 --> 00:00:42,145
Humiliating on so many levels.
9
00:00:42,214 --> 00:00:43,408
You have to go.
10
00:00:43,482 --> 00:00:46,576
Why don't you come back here,
and we'll pick up where we left off?
11
00:00:46,652 --> 00:00:48,711
No, seriously. You have to go. I'm late.
12
00:00:48,788 --> 00:00:52,417
Which isn't what you want to be
on your first day of work, so...
13
00:00:52,491 --> 00:00:54,118
So, uh, you actually live here.
14
00:00:54,193 --> 00:00:56,024
- No.
- Oh.
15
00:00:56,095 --> 00:00:59,496
- Yes. Kind of.
- Oh.
16
00:01:00,900 --> 00:01:03,300
It's nice. A little dusty,
17
00:01:03,369 --> 00:01:05,166
odd, but it's nice. [laughs]
18
00:01:05,237 --> 00:01:07,205
So, how do you kind of live here?
19
00:01:07,273 --> 00:01:10,731
I moved two weeks ago from Boston.
It was my mother's house.
20
00:01:10,810 --> 00:01:12,937
- I'm selling it.
- Oh, I'm sorry.
21
00:01:13,012 --> 00:01:14,445
For what?
22
00:01:14,513 --> 00:01:15,605
You said "was."
23
00:01:15,681 --> 00:01:17,649
Oh, my mother's not dead.
24
00:01:17,717 --> 00:01:20,481
She's... You know what?
We don't have to do the thing.
25
00:01:20,553 --> 00:01:22,714
Oh, we can do anything you want.
26
00:01:22,788 --> 00:01:25,689
No, the thing: Exchange
the details, pretend we care.
27
00:01:25,758 --> 00:01:27,658
I'm gonna go take a shower,
28
00:01:27,727 --> 00:01:32,323
and when I get back down here,
you won't be here, so, um...
29
00:01:32,398 --> 00:01:36,027
Goodbye, um...
30
00:01:38,037 --> 00:01:40,130
- Derek.
- Derek.
31
00:01:40,206 --> 00:01:42,071
- Right. Meredith.
- Meredith.
32
00:01:42,141 --> 00:01:44,666
- Yeah. Mm-hmm.
- Nice meeting you.
33
00:01:44,744 --> 00:01:48,145
Bye, Derek.
34
00:01:48,214 --> 00:01:51,240
[- Rilo Kiley: Portions For Foxes]
35
00:02:05,965 --> 00:02:09,162
[Man] Each of you
comes here today hopeful,
36
00:02:09,235 --> 00:02:10,600
wanting in on the game.
37
00:02:10,669 --> 00:02:14,503
A month ago, you were
in med school being taught by doctors.
38
00:02:14,573 --> 00:02:16,336
Today...
39
00:02:16,408 --> 00:02:19,070
...you are the doctors.
40
00:02:21,313 --> 00:02:23,873
The seven years you spend here
as a surgical resident
41
00:02:23,949 --> 00:02:26,076
will be the best and worst of your life.
42
00:02:26,152 --> 00:02:28,279
You will be pushed
to the breaking point.
43
00:02:28,354 --> 00:02:32,290
Look around you.
Say hello to your competition.
44
00:02:32,358 --> 00:02:34,952
Eight of you will switch
to an easier specialty.
45
00:02:35,027 --> 00:02:36,927
Five will crack under the pressure.
46
00:02:36,996 --> 00:02:39,396
Two of you will be asked to leave.
47
00:02:39,465 --> 00:02:43,026
This is your starting line.
This is your arena.
48
00:02:43,102 --> 00:02:46,299
How well you play,
49
00:02:46,372 --> 00:02:47,600
that's up to you.
50
00:02:48,741 --> 00:02:51,369
[Thinking] Like I said...
51
00:02:51,443 --> 00:02:53,240
... I'm screwed.
52
00:03:03,656 --> 00:03:07,888
OK, Martin, Robinson, Bond, Hawkins.
53
00:03:11,764 --> 00:03:13,231
Only six women out of 20.
54
00:03:13,299 --> 00:03:16,325
Yeah. I hear one of them's a model.
55
00:03:16,402 --> 00:03:19,769
Seriously, that's gonna help
with the respect thing?
56
00:03:19,839 --> 00:03:22,933
- You're Cristina, right?
- [Man] Patton, Monroe...
57
00:03:23,008 --> 00:03:25,499
Which resident are you assigned to?
I got Bailey.
58
00:03:25,578 --> 00:03:29,241
- The Nazi? Me too.
- You got the Nazi? So did I.
59
00:03:29,315 --> 00:03:31,476
At least we'll
be tortured together, right?
60
00:03:31,550 --> 00:03:33,984
I'm George O'Malley.
61
00:03:34,053 --> 00:03:36,851
Uh, we met at the, uh, mixer.
62
00:03:36,922 --> 00:03:38,184
You had on a black dress
63
00:03:38,257 --> 00:03:41,090
with a slit up the side,
strappy sandals and...
64
00:03:42,728 --> 00:03:44,923
Now you think I'm gay.
65
00:03:44,997 --> 00:03:46,396
No, I'm not gay.
66
00:03:46,465 --> 00:03:48,990
It's... it's just that, uh, you were...
67
00:03:49,068 --> 00:03:51,298
You were very unforgettable.
68
00:03:51,370 --> 00:03:54,669
[Man] O'Malley, Yang, Grey, Stevens.
69
00:03:54,740 --> 00:03:56,537
And I'm totally forgettable.
70
00:03:57,643 --> 00:04:00,043
- Bailey?
- [Man] End of the hall.
71
00:04:00,112 --> 00:04:02,205
That's the Nazi?
72
00:04:02,281 --> 00:04:04,374
[George] I thought
the Nazi would be a guy.
73
00:04:04,450 --> 00:04:07,385
I thought the Nazi would be a Nazi.
74
00:04:07,453 --> 00:04:10,149
Maybe it's professional jealousy.
She's brilliant
75
00:04:10,222 --> 00:04:12,622
and they call her a Nazi
because they're jealous.
76
00:04:12,691 --> 00:04:15,819
- Maybe she's nice.
- Let me guess. You're the model.
77
00:04:16,428 --> 00:04:19,363
Hi, I'm Isobel Stevens,
but everyone calls me Izzie.
78
00:04:21,100 --> 00:04:23,125
I have five rules. Memorize them.
79
00:04:23,202 --> 00:04:25,295
Rule number one:
Don't bother sucking up.
80
00:04:25,371 --> 00:04:27,498
I hate you. That's not gonna change.
81
00:04:27,573 --> 00:04:30,098
Trauma protocol, phone list, pagers,
82
00:04:30,175 --> 00:04:31,665
nurses will page you.
83
00:04:31,744 --> 00:04:34,679
You will answer every page at a run.
A run!
84
00:04:34,747 --> 00:04:36,715
That's rule number two.
85
00:04:36,782 --> 00:04:40,047
Your first shift starts now
and lasts 48 hours.
86
00:04:40,119 --> 00:04:41,984
You're interns, grunts, nobodies,
87
00:04:42,054 --> 00:04:43,954
bottom of the surgical food chain.
88
00:04:44,023 --> 00:04:46,651
You run labs, write orders,
work every second night
89
00:04:46,725 --> 00:04:48,659
until you drop, and don't complain.
90
00:04:48,727 --> 00:04:50,957
On-call rooms. Attendings hog them.
91
00:04:51,030 --> 00:04:54,522
Sleep when you can where you can,
which brings me to rule number three.
92
00:04:54,600 --> 00:04:57,933
If I'm sleeping, don't wake me
unless your patient is dying.
93
00:04:58,003 --> 00:05:01,166
Rule four: The dying patient
better not be dead when I get there.
94
00:05:01,240 --> 00:05:05,506
Not only will you have killed someone,
you woke me for no reason. We clear?
95
00:05:05,577 --> 00:05:06,839
[Bailey] Yes?
96
00:05:06,912 --> 00:05:09,312
You said five rules. That was only four.
97
00:05:09,381 --> 00:05:10,871
[Pager beeping]
98
00:05:10,950 --> 00:05:13,180
Rule number five:
When I move, you move.
99
00:05:14,286 --> 00:05:16,720
Get out of my way!
100
00:05:30,135 --> 00:05:31,568
What do we got?
101
00:05:31,637 --> 00:05:34,299
[Man] Katie Bryce, 15-year-old,
new onset seizures,
102
00:05:34,373 --> 00:05:36,102
intermittent for the past week.
103
00:05:36,175 --> 00:05:37,733
IV lost en route,
104
00:05:37,810 --> 00:05:40,210
started grand mal seizing
as we descended.
105
00:05:40,279 --> 00:05:42,247
[Bailey] All right,
get her on her side.
106
00:05:42,314 --> 00:05:44,874
Izzie, 10 milligrams Diazepam IM.
107
00:05:44,950 --> 00:05:47,885
No, no. The white lead is on the right.
108
00:05:47,953 --> 00:05:49,944
Righty, whitey, smoke over fire.
109
00:05:50,022 --> 00:05:53,253
A large-bore IV. Don't let
the blood hemolyze. Let's go!
110
00:05:55,961 --> 00:05:58,657
[Beeping]
111
00:05:58,731 --> 00:06:02,758
- [Man] A wet fish on dry land?
- Absolutely, Dr. Burke.
112
00:06:03,435 --> 00:06:05,699
Dr. Bailey, let's shotgun her.
113
00:06:05,771 --> 00:06:07,432
That means every test in the book:
114
00:06:07,506 --> 00:06:10,134
CT, CBC, chem-7, tox screen.
115
00:06:10,209 --> 00:06:13,235
Cristina, you're on labs.
George, patient work-ups.
116
00:06:13,312 --> 00:06:15,143
Meredith, get Katie for a CT.
117
00:06:15,214 --> 00:06:17,409
She's your responsibility now.
118
00:06:17,483 --> 00:06:18,973
Wait. What about me?
119
00:06:20,386 --> 00:06:22,752
Honey, you get to do rectal exams.
120
00:06:22,821 --> 00:06:25,654
[- Jem: They]
121
00:06:38,337 --> 00:06:40,498
What are you doing here?
122
00:06:40,572 --> 00:06:42,403
Katie Bryce's labs came out clear.
123
00:06:42,474 --> 00:06:45,341
There's nothing in the results
that explain her seizures.
124
00:06:45,411 --> 00:06:47,345
OK.
125
00:06:47,413 --> 00:06:50,780
Uh, I heard every year, the
attending on-call picks the best intern
126
00:06:50,849 --> 00:06:53,909
and lets them perform
a procedure during the first shift.
127
00:06:56,188 --> 00:06:58,019
I'm just saying it's what I heard.
128
00:06:58,090 --> 00:06:59,853
Go away... now.
129
00:07:01,560 --> 00:07:04,620
- Yeah, sounds good.
- He'll be fine? You'll be fine.
130
00:07:04,696 --> 00:07:07,790
If you don't count the fact
that my bacon days are over, sure.
131
00:07:07,866 --> 00:07:11,097
So bypass surgery tomorrow
with Dr. Burke. I hear he's good.
132
00:07:11,170 --> 00:07:15,004
And, after that, you can have all the
bacon-flavored soy product you can eat.
133
00:07:15,074 --> 00:07:17,042
Mmm. Kill me now.
134
00:07:17,109 --> 00:07:19,600
I wish I could, but I'm a healer.
135
00:07:22,281 --> 00:07:24,340
[Katie] You're lost.
136
00:07:24,416 --> 00:07:27,283
I'm not lost. How are you feeling?
137
00:07:27,352 --> 00:07:29,149
How do you think I'm feeling?
138
00:07:29,221 --> 00:07:32,156
- I'm missing my pageant.
- You're missing your pageant?
139
00:07:32,224 --> 00:07:33,521
The Spokane Teen Miss.
140
00:07:33,592 --> 00:07:36,117
I was in the top ten
after the first two rounds.
141
00:07:36,195 --> 00:07:39,187
This is my year. I could have won.
142
00:07:39,264 --> 00:07:40,390
Hello.
143
00:07:40,466 --> 00:07:43,799
You're so lost.
What are you, like, new?
144
00:07:45,204 --> 00:07:48,298
OK, so I'm just gonna insert my fingers
145
00:07:48,373 --> 00:07:50,341
into your rectum.
146
00:07:51,810 --> 00:07:54,074
[Inhales sharply]
147
00:07:57,349 --> 00:07:58,714
No.
148
00:08:01,120 --> 00:08:03,782
Out. Out.
149
00:08:05,657 --> 00:08:08,125
Bet you missed a lot
when you first started out.
150
00:08:08,827 --> 00:08:10,055
[Scoffs]
151
00:08:10,996 --> 00:08:13,123
I twisted my ankle in talent rehearsal.
152
00:08:13,198 --> 00:08:16,361
I do rhythmic gymnastics,
which is, like, really cool.
153
00:08:16,435 --> 00:08:17,459
Nobody else does it.
154
00:08:17,536 --> 00:08:19,094
And I tripped over my ribbon.
155
00:08:19,171 --> 00:08:22,663
And I didn't get stuck
with someone this clueless,
156
00:08:22,741 --> 00:08:24,641
and that was, like, a nurse.
157
00:08:24,710 --> 00:08:27,201
You and I are gonna
have so much fun together.
158
00:08:30,182 --> 00:08:32,082
[Chattering]
159
00:08:34,753 --> 00:08:36,744
This shift is a marathon, not a sprint.
160
00:08:36,822 --> 00:08:38,255
- Eat.
- I can't.
161
00:08:38,323 --> 00:08:39,813
You should eat something.
162
00:08:39,892 --> 00:08:43,828
You try eating after performing
17 rectal exams. The Nazi hates me.
163
00:08:43,896 --> 00:08:46,626
The Nazi's a resident.
I have attendings hating me.
164
00:08:46,698 --> 00:08:48,393
You know Meredith is inbred?
165
00:08:48,467 --> 00:08:50,901
Like it's uncommon
to be a doctors' parents...
166
00:08:50,969 --> 00:08:52,903
Royally. Her mother is Ellis Grey.
167
00:08:52,971 --> 00:08:54,268
Shut up. The Ellis Grey?
168
00:08:54,339 --> 00:08:56,933
- Who's Ellis Grey?
- The Grey Method.
169
00:08:57,009 --> 00:08:58,909
Where'd you go to med school, Mexico?
170
00:08:58,977 --> 00:09:01,172
She was one of the first
big chick surgeons.
171
00:09:01,246 --> 00:09:04,409
She's a living legend. Yeah,
she won the Harper Avery twice.
172
00:09:04,483 --> 00:09:05,916
So I didn't know one thing.
173
00:09:05,984 --> 00:09:07,645
Talk about parental pressure.
174
00:09:07,719 --> 00:09:11,155
I'd kill to have Ellis Grey as a mother.
I'd kill to be Ellis Grey.
175
00:09:11,223 --> 00:09:12,952
All I need is one good case.
176
00:09:13,025 --> 00:09:14,492
[Mumbling]
177
00:09:14,560 --> 00:09:16,721
Katie Bryce is a pain in the ass.
178
00:09:16,795 --> 00:09:20,731
If I hadn't taken the Hippocratic Oath,
I'd Kevorkian her with my bare hands.
179
00:09:22,167 --> 00:09:23,191
What?
180
00:09:23,936 --> 00:09:26,097
[Burke] Good afternoon, interns.
181
00:09:27,372 --> 00:09:30,830
It's posted, but I thought
I'd share the good news personally.
182
00:09:30,909 --> 00:09:34,276
As you know, the honor
of performing the first surgery
183
00:09:34,346 --> 00:09:37,611
is reserved for the intern
that shows the most promise.
184
00:09:37,683 --> 00:09:41,312
As I'm running the OR today,
I get to make that choice.
185
00:09:43,055 --> 00:09:45,683
- George O'Malley.
- Me?
186
00:09:45,757 --> 00:09:50,091
You'll scrub in for an appendectomy
this afternoon. Congratulations. Enjoy.
187
00:09:56,768 --> 00:09:57,894
Did he say me?
188
00:09:57,970 --> 00:09:59,801
[Bailey] I've seen his file.
189
00:09:59,871 --> 00:10:02,840
George O'Malley barely made
the cut to get in this program.
190
00:10:02,908 --> 00:10:05,103
- He's not your guy.
- He's my guy, all right.
191
00:10:05,177 --> 00:10:06,701
Every year, you pick your guy,
192
00:10:06,778 --> 00:10:09,338
and your guy suffers
more than any other intern.
193
00:10:09,414 --> 00:10:11,575
Terrorize one,
and the rest fall in line.
194
00:10:11,650 --> 00:10:15,051
I get it, I respect it,
but George O'Malley's a puppy.
195
00:10:15,120 --> 00:10:16,382
Katie Bryce, 3604?
196
00:10:16,455 --> 00:10:18,013
- Right there.
- Thank you.
197
00:10:18,090 --> 00:10:20,149
Katie, honey, Mom and Dad are here.
198
00:10:20,225 --> 00:10:23,888
They gave her a sedative for the
CT scan, so she's a little groggy.
199
00:10:23,962 --> 00:10:25,486
[Mother] Will she be all right?
200
00:10:25,564 --> 00:10:28,032
Our doctor said
that she might need an operation.
201
00:10:28,100 --> 00:10:29,226
Is that true?
202
00:10:29,301 --> 00:10:31,292
[Mother] What kind of operation?
203
00:10:31,370 --> 00:10:34,396
She's, um... Well... You know what?
204
00:10:34,473 --> 00:10:36,168
I'm not the doctor.
205
00:10:36,241 --> 00:10:39,404
Um, I'm a doctor,
but I'm not Katie's doctor,
206
00:10:39,478 --> 00:10:41,537
so I'll go get him for you.
207
00:10:45,150 --> 00:10:47,914
- What?
- Katie's parents have questions.
208
00:10:47,986 --> 00:10:49,920
Do you talk to them, or do I ask Burke?
209
00:10:49,988 --> 00:10:51,285
No, Burke's off the case.
210
00:10:51,356 --> 00:10:54,917
Katie belongs to the new attending now,
Dr. Shepherd. He's over there.
211
00:11:09,875 --> 00:11:12,571
Meredith, can I talk to you
for a second?
212
00:11:12,644 --> 00:11:13,906
Actually, I was...
213
00:11:15,914 --> 00:11:16,938
Dr. Shepherd.
214
00:11:17,015 --> 00:11:20,610
Dr. Shepherd?
This morning, it was Derek.
215
00:11:20,686 --> 00:11:21,914
Now it's Dr. Shepherd.
216
00:11:21,987 --> 00:11:24,387
We should pretend it never happened.
217
00:11:24,456 --> 00:11:26,947
What never happened?
You sleeping with me,
218
00:11:27,025 --> 00:11:28,890
or you throwing me out this morning?
219
00:11:28,960 --> 00:11:30,894
Both are memories
I'd like to hold onto.
220
00:11:30,962 --> 00:11:33,123
No, there will be no memories.
221
00:11:33,198 --> 00:11:36,133
I'm not the girl in the bar anymore,
and you're not the guy.
222
00:11:36,201 --> 00:11:39,102
This can't exist. You get that, right?
223
00:11:39,171 --> 00:11:41,435
You took advantage of me,
and you wanna forget.
224
00:11:41,506 --> 00:11:44,304
I was drunk and good-Iooking.
You took advantage.
225
00:11:44,376 --> 00:11:47,777
OK, I was the one who was drunk,
and you are not that good-Iooking.
226
00:11:47,846 --> 00:11:48,835
Maybe not today.
227
00:11:48,914 --> 00:11:51,576
Last night, I was good-Iooking.
Had my red shirt on.
228
00:11:51,650 --> 00:11:54,244
- You took advantage.
- I did not take advantage.
229
00:11:54,319 --> 00:11:56,583
Want to take advantage again?
Friday night?
230
00:11:57,689 --> 00:11:58,678
No.
231
00:11:59,925 --> 00:12:02,519
You're an attending and I'm your intern.
232
00:12:03,161 --> 00:12:06,130
- Stop looking at me like that.
- Like what?
233
00:12:06,198 --> 00:12:08,758
Like you've seen me naked.
234
00:12:08,834 --> 00:12:12,099
Dr. Shepherd, this is inappropriate.
235
00:12:13,071 --> 00:12:14,936
Has that ever occurred to you?
236
00:12:15,907 --> 00:12:16,896
[Sighs]
237
00:12:19,778 --> 00:12:22,872
Open, identify, ligate,
remove, irrigate, close.
238
00:12:22,948 --> 00:12:25,178
Open, identify, ligate,
remove, irrigate, close.
239
00:12:25,250 --> 00:12:28,583
- He's gonna faint. A fainter.
- No, code brown, right in his pants.
240
00:12:28,653 --> 00:12:31,816
He's about the flop sweat.
He's gonna sweat himself unsterile.
241
00:12:31,890 --> 00:12:33,755
Ten bucks, he messes up the McBurney.
242
00:12:33,825 --> 00:12:36,385
- Fifteen, he cries.
- I'll put 20 on a total meltdown.
243
00:12:36,461 --> 00:12:38,622
Fifty says he pulls the whole thing off.
244
00:12:39,965 --> 00:12:43,901
That's one of us down there,
the first one of us.
245
00:12:43,969 --> 00:12:45,698
Where's your loyalty?
246
00:12:48,039 --> 00:12:50,064
75 says he can't even ID the appendix.
247
00:12:50,142 --> 00:12:51,700
I'll take that action.
248
00:12:51,777 --> 00:12:53,745
OK, O'Malley, let's see what you can do.
249
00:12:54,846 --> 00:12:56,245
Here it comes.
250
00:12:56,314 --> 00:12:58,646
[- O.A.O.T. S: Dance]
251
00:13:00,218 --> 00:13:02,049
- Scalpel.
- Scalpel.
252
00:13:02,120 --> 00:13:04,645
[Cheers, applause]
253
00:13:06,391 --> 00:13:09,588
That Burke is trouble.
254
00:13:13,398 --> 00:13:14,660
More pressure.
255
00:13:14,733 --> 00:13:17,167
The human flesh
is a tough shell. Dig in.
256
00:13:20,972 --> 00:13:23,463
- Pickups.
- Pickups.
257
00:13:26,344 --> 00:13:28,710
- Clamp.
- Clamp.
258
00:13:33,351 --> 00:13:34,818
[George mutters indistinct]
259
00:13:37,255 --> 00:13:38,654
I'm there.
260
00:13:38,723 --> 00:13:40,918
Damn, he got the
peritoneum open. I'm out.
261
00:13:40,992 --> 00:13:42,926
I told you. He's gonna pull it off.
262
00:13:51,837 --> 00:13:53,395
- Scalpel.
- Scalpel.
263
00:13:55,040 --> 00:13:56,871
[Cheers, applause]
264
00:13:56,942 --> 00:13:58,375
Appendix is out.
265
00:14:00,345 --> 00:14:02,370
- [Burke] Not bad.
- Thank you.
266
00:14:02,447 --> 00:14:04,210
Now all you have to do
267
00:14:04,282 --> 00:14:06,978
is invert the stump
into the cecum
268
00:14:07,052 --> 00:14:11,648
and simultaneously pull up
on the purse strings,
269
00:14:11,723 --> 00:14:14,658
but be careful not to...
270
00:14:14,726 --> 00:14:16,489
...break them.
271
00:14:16,561 --> 00:14:19,826
You ripped the cecum.
You've got a bleeder.
272
00:14:19,898 --> 00:14:22,059
You're filling with stool.
What do you do?
273
00:14:22,133 --> 00:14:23,862
Uh...
274
00:14:23,935 --> 00:14:24,924
Think.
275
00:14:25,003 --> 00:14:27,471
You start the suction
and you start digging
276
00:14:27,539 --> 00:14:29,939
for those strings
before she bleeds to death.
277
00:14:30,008 --> 00:14:32,408
- Give him a clamp.
- BP's dropping.
278
00:14:32,477 --> 00:14:34,809
- He's choking.
- Come on, George.
279
00:14:34,880 --> 00:14:37,280
Today. Pull your balls
out of your back pocket.
280
00:14:37,349 --> 00:14:40,011
Let's go. What are you
waiting for? Suction.
281
00:14:40,085 --> 00:14:42,019
- [beeping]
- [Sighs]
282
00:14:42,087 --> 00:14:43,349
Getting too low, folks.
283
00:14:44,990 --> 00:14:46,423
[Woman] Dr. Burke.
284
00:14:46,491 --> 00:14:49,153
Get out of the way. Pansy-ass idiot.
285
00:14:49,227 --> 00:14:50,660
Get him out of here.
286
00:14:50,729 --> 00:14:52,788
Suction. Clamp.
287
00:14:54,866 --> 00:14:56,026
He's 007.
288
00:14:56,101 --> 00:14:58,831
- [Man 1] 007, yep.
- [Man 2] A total 007.
289
00:14:58,904 --> 00:15:01,805
- What's "007" mean?
- License to kill.
290
00:15:11,249 --> 00:15:12,648
007.
291
00:15:12,717 --> 00:15:14,685
They're calling me 007, aren't they?
292
00:15:14,753 --> 00:15:18,382
- [Both] No one's calling you 007.
- Murphy whispered, "007."
293
00:15:18,456 --> 00:15:20,549
How many times do we
have to go through this?
294
00:15:20,625 --> 00:15:22,957
Five? Ten? Give me a number,
or I'm gonna hit you.
295
00:15:23,028 --> 00:15:25,155
Murphy whispered, everyone laughed.
296
00:15:25,230 --> 00:15:27,562
- He wasn't talking about you.
- Are you sure?
297
00:15:27,632 --> 00:15:29,463
- [Meredith] Would we lie?
- Yes.
298
00:15:29,534 --> 00:15:31,729
007 is a state of mind.
299
00:15:31,803 --> 00:15:35,102
Says the girl who finished
first in her class at Stanford.
300
00:15:35,173 --> 00:15:37,164
[Pager beeping]
301
00:15:38,310 --> 00:15:41,211
Oh, man. It's 911 for Katie Bryce.
302
00:15:42,347 --> 00:15:43,814
I got to go.
303
00:15:50,655 --> 00:15:52,885
Maybe I should
have gone into geriatrics.
304
00:15:52,958 --> 00:15:56,018
No one minds
when you kill an old person.
305
00:15:56,094 --> 00:15:58,289
Surgery is hot. It's the Marines.
306
00:15:58,363 --> 00:16:00,991
It's macho. It's hostile. It's hardcore.
307
00:16:01,066 --> 00:16:05,560
Geriatrics is for freaks who live
with their mothers and never have sex.
308
00:16:07,572 --> 00:16:09,836
I've got to get my own place.
309
00:16:09,908 --> 00:16:11,205
[Chuckles]
310
00:16:16,114 --> 00:16:18,048
Excuse me! Excuse me!
311
00:16:20,585 --> 00:16:22,052
Took you long enough.
312
00:16:22,120 --> 00:16:24,714
You're OK? The nurse paged me 911.
313
00:16:24,789 --> 00:16:28,782
I had to go all Exorcist
to get her to even pick up the phone.
314
00:16:28,860 --> 00:16:31,886
[Panting] Wait.
There's nothing wrong with you?
315
00:16:31,963 --> 00:16:33,863
I'm bored.
316
00:16:34,699 --> 00:16:36,530
You little...
317
00:16:36,901 --> 00:16:39,699
- I'm not a cruise director.
- You don't have to wig out.
318
00:16:39,771 --> 00:16:41,170
The pageant's on cable,
319
00:16:41,239 --> 00:16:43,799
but this crappy hospital
doesn't get the channel.
320
00:16:43,875 --> 00:16:47,675
If that cow Kylie Wood is gonna walk off
with my crown, I have to see it.
321
00:16:47,746 --> 00:16:49,179
Can you call someone?
322
00:16:50,081 --> 00:16:54,108
OK. This is an actual hospital.
323
00:16:54,185 --> 00:16:56,119
There are sick people here.
324
00:16:56,187 --> 00:16:59,384
Go to sleep and stop wasting my time.
325
00:16:59,457 --> 00:17:01,584
But I can't sleep. My head's all full.
326
00:17:01,660 --> 00:17:03,924
That's called "thinking." Go with it.
327
00:17:10,435 --> 00:17:14,565
[Woman on PA] Pain Management
to 209. Pain Management to 209.
328
00:17:17,509 --> 00:17:18,999
What do you need?
329
00:17:19,077 --> 00:17:22,478
[Sighs] Mr. Jones has junky veins,
and he really needs antibiotics.
330
00:17:22,547 --> 00:17:24,481
I should start a central line.
331
00:17:24,549 --> 00:17:25,948
So start one.
332
00:17:26,017 --> 00:17:27,951
You don't know how.
333
00:17:28,019 --> 00:17:30,579
I've never done one.
334
00:17:30,655 --> 00:17:33,180
Well, you know what that means.
335
00:17:34,325 --> 00:17:36,259
Can't we just page someone else?
336
00:17:36,327 --> 00:17:38,955
She's the on-call resident.
337
00:17:39,030 --> 00:17:40,725
OK.
338
00:17:40,799 --> 00:17:42,790
OK, I'll just... I'll wake her.
339
00:17:49,240 --> 00:17:51,105
Dr. Bailey, I don't mean to bother you.
340
00:17:51,176 --> 00:17:53,269
- Then don't.
- It's Mr. Jones.
341
00:17:53,344 --> 00:17:55,312
- Is he dying?
- No.
342
00:17:55,380 --> 00:17:57,712
Then stop talking to me.
343
00:18:04,355 --> 00:18:05,617
[Clears throat]
344
00:18:05,690 --> 00:18:09,649
[Sighs] What is it?!
345
00:18:13,131 --> 00:18:14,598
Next time you wake me,
346
00:18:14,666 --> 00:18:18,659
he better be so close to dead
there's a tag on his toe.
347
00:18:27,479 --> 00:18:29,470
Here. Take these to the lab.
348
00:18:34,152 --> 00:18:37,610
[Man] 4-B's got post-op pneumonia.
Let's start antibiotics.
349
00:18:37,689 --> 00:18:39,987
Are you sure that's the right diagnosis?
350
00:18:40,058 --> 00:18:42,322
Well, I don't know. I'm only an intern.
351
00:18:42,393 --> 00:18:44,725
Why don't you go spend
four years in med school
352
00:18:44,796 --> 00:18:47,594
and then let me know
if it's the right diagnosis?
353
00:18:47,665 --> 00:18:49,895
She's short of breath. She's got fever.
354
00:18:49,968 --> 00:18:52,095
She's post-op. Start the antibiotics.
355
00:18:53,338 --> 00:18:54,669
God, I hate nurses.
356
00:18:56,841 --> 00:19:01,938
I'm Alex. I'm with Jeremy.
You're with the Nazi, right?
357
00:19:02,013 --> 00:19:03,810
She may not have pneumonia,
you know.
358
00:19:03,882 --> 00:19:05,679
She could be splinting,
or have a P.E.
359
00:19:05,750 --> 00:19:08,150
Like I said, I hate nurses.
360
00:19:08,219 --> 00:19:10,244
What did you just say?
361
00:19:11,322 --> 00:19:13,187
Did you just call me a nurse?
362
00:19:13,258 --> 00:19:15,158
Well, if the white cap fits.
363
00:19:15,226 --> 00:19:17,888
[Pager beeping]
364
00:19:17,962 --> 00:19:20,522
Damn it, Katie.
365
00:19:20,598 --> 00:19:23,123
- Is she seeing anybody?
- I don't know.
366
00:19:23,201 --> 00:19:24,964
[Whistles] She's hot.
367
00:19:25,036 --> 00:19:26,094
I'm friends with her.
368
00:19:26,171 --> 00:19:28,298
I mean, kind of friends...
369
00:19:28,373 --> 00:19:30,204
Not actually friends exactly,
370
00:19:30,275 --> 00:19:32,573
but we're tight, and we hang out.
371
00:19:32,644 --> 00:19:35,977
- Really, only just today...
- Dude. Dude, stop talking.
372
00:19:44,222 --> 00:19:47,749
[Clamoring]
373
00:19:50,528 --> 00:19:52,553
What took you so long?
374
00:19:52,630 --> 00:19:55,292
[Man] She's having
multiple grand mal seizures.
375
00:19:55,366 --> 00:19:57,425
Now, how do you want to proceed?
376
00:19:57,502 --> 00:19:59,936
Dr. Grey, are you listening to me?!
377
00:20:00,839 --> 00:20:03,307
She's got Diazepam.
Two milligrams Lorazepam.
378
00:20:03,374 --> 00:20:05,308
I just gave the second dose.
379
00:20:05,376 --> 00:20:08,243
Dr. Grey, you need to tell us
what you want to do.
380
00:20:08,313 --> 00:20:09,575
Dr. Grey!
381
00:20:13,384 --> 00:20:15,352
[Beeping]
382
00:20:15,420 --> 00:20:17,445
OK, she's full on Lorazepam?
383
00:20:17,522 --> 00:20:20,491
- Four milligrams.
- You paged Dr. Bailey and Dr. Shepherd?
384
00:20:20,558 --> 00:20:22,150
Lorazepam's not working.
385
00:20:22,227 --> 00:20:24,855
Phenobarbital.
Load her with phenobarbital.
386
00:20:26,464 --> 00:20:28,762
- [Man] Pheno's in.
- [Woman] No change.
387
00:20:28,833 --> 00:20:31,028
- You paged Dr. Shepherd.
- I just told you.
388
00:20:31,102 --> 00:20:34,765
- Well, page him again, stat.
- What do you want to do?
389
00:20:34,839 --> 00:20:37,467
Dr. Grey, you need to tell us
what you want to do.
390
00:20:37,542 --> 00:20:39,100
[Flatline tone]
391
00:20:39,177 --> 00:20:42,044
- [Man] Heart stopped.
- [Woman] Code blue!
392
00:20:42,113 --> 00:20:44,445
Code blue!
Code blue!
393
00:20:44,515 --> 00:20:47,780
- Get the crash cart.
- I'll get it, right away.
394
00:20:49,287 --> 00:20:50,686
Wait.
395
00:20:51,923 --> 00:20:55,324
- Charge the pads to 200.
- Charge. Clear.
396
00:20:57,695 --> 00:20:59,162
[Man] Still v-fib. Nothing.
397
00:20:59,230 --> 00:21:00,925
- Charging.
- Nineteen seconds.
398
00:21:00,999 --> 00:21:02,330
Charge them to 300.
399
00:21:02,400 --> 00:21:05,369
- 300. Anything?
- 27 seconds.
400
00:21:05,436 --> 00:21:06,994
Charge to 360.
401
00:21:08,273 --> 00:21:10,434
- Come on, Katie.
- [Woman] 49 seconds.
402
00:21:10,508 --> 00:21:13,238
At 60 seconds, you're supposed
to admin another drug.
403
00:21:13,311 --> 00:21:14,573
Charge again!
404
00:21:14,646 --> 00:21:16,876
Charge again.
405
00:21:17,916 --> 00:21:19,941
Charge.
406
00:21:20,018 --> 00:21:22,316
- [beeping]
- [Meredith] Anything?
407
00:21:22,387 --> 00:21:24,252
I see sinus rhythm.
408
00:21:24,322 --> 00:21:26,984
- Blood pressure's coming up.
- All right.
409
00:21:27,058 --> 00:21:29,322
Pressure's returning.
Rate's coming back.
410
00:21:30,328 --> 00:21:31,556
What the hell happened?
411
00:21:31,629 --> 00:21:34,257
She had a seizure
and her heart stopped.
412
00:21:34,332 --> 00:21:36,357
- You're monitoring.
- I checked.
413
00:21:36,434 --> 00:21:38,231
I got her. Just... just go.
414
00:21:41,406 --> 00:21:44,864
Somebody give me her...
Give me her chart, please.
415
00:21:44,943 --> 00:21:46,877
You get a 911,
you page me immediately.
416
00:21:46,945 --> 00:21:50,506
Not in the five minutes it takes you
to get to the emergency. Immediately.
417
00:21:50,581 --> 00:21:53,880
You're on my team and if somebody dies,
it's my ass. Grey?
418
00:21:55,920 --> 00:21:57,353
Meredith?
419
00:21:57,422 --> 00:21:59,652
[- Vaughan Penn: Ready To Rise]
420
00:22:19,544 --> 00:22:21,273
If you tell anyone, ever...
421
00:22:32,256 --> 00:22:35,123
[Mr. Bryce] You said it
was a seizure disorder.
422
00:22:35,193 --> 00:22:38,128
- Now you're saying it isn't?
- I'm saying that I don't know.
423
00:22:38,196 --> 00:22:40,460
- What do you think it could be?
- I don't know.
424
00:22:40,531 --> 00:22:42,726
- When will you?
- I don't have an answer.
425
00:22:42,800 --> 00:22:46,736
- For now, Katie is stable, and...
- Wait one damn minute.
426
00:22:46,804 --> 00:22:48,738
We came here because this hospital
427
00:22:48,806 --> 00:22:51,366
is supposed to be
the best in Washington.
428
00:22:51,442 --> 00:22:53,910
That's my kid in there. My kid.
429
00:22:53,978 --> 00:22:57,175
And you have the audacity to stand here
and tell me, "I don't know."
430
00:22:57,248 --> 00:22:58,806
Mr. Bryce...
431
00:22:58,883 --> 00:23:01,351
No, I want a doctor
who knows what they're doing.
432
00:23:01,419 --> 00:23:03,785
You get me someone else,
better than you.
433
00:23:03,855 --> 00:23:05,789
I am working hard on Katie's case.
434
00:23:05,857 --> 00:23:09,520
No, you're not. If you were,
you'd be able to give me some answers.
435
00:23:09,594 --> 00:23:11,528
[Burke] I put you
on a bypass machine,
436
00:23:11,596 --> 00:23:13,894
which pumps blood for your heart.
437
00:23:13,965 --> 00:23:18,993
Fix your ticker, take you off the
machine. I'm done. Simple procedure.
438
00:23:19,070 --> 00:23:20,264
So I shouldn't worry?
439
00:23:20,338 --> 00:23:21,965
I'm very good at what I do.
440
00:23:22,040 --> 00:23:25,271
It still is surgery.
There are some risks.
441
00:23:25,343 --> 00:23:28,335
I'll see you in the OR
this afternoon, Mr. Savitch.
442
00:23:29,814 --> 00:23:33,147
You're not gonna leave me
alone with that guy, are you?
443
00:23:34,385 --> 00:23:37,218
Oh, I'll be outside
the OR the whole time.
444
00:23:37,288 --> 00:23:41,224
No, Dr. Burke is very good. Don't worry.
445
00:23:41,292 --> 00:23:42,725
I'll see you after.
446
00:23:42,794 --> 00:23:44,227
He'll be fine, right?
447
00:23:44,295 --> 00:23:46,160
Tony's gonna sail through it.
448
00:23:47,965 --> 00:23:51,366
You have nothing to worry about.
I promise.
449
00:23:52,904 --> 00:23:55,065
Gotta go.
450
00:23:55,139 --> 00:23:57,733
- [Meredith] What are you doing?
- Suturing a banana
451
00:23:57,809 --> 00:24:00,004
with the vain hope
that it wakes up my brain.
452
00:24:00,078 --> 00:24:01,238
[Laughing]
453
00:24:01,312 --> 00:24:03,872
What are you smiling at, 007?
454
00:24:03,948 --> 00:24:06,143
I'm sorry. I get mean when I 'm tired.
455
00:24:06,217 --> 00:24:08,549
You know what? I don't care.
456
00:24:08,619 --> 00:24:12,282
I comforted a family,
and I got to hang out in the OR today.
457
00:24:12,356 --> 00:24:13,653
All is well.
458
00:24:13,724 --> 00:24:15,157
Anybody know why we're here?
459
00:24:15,226 --> 00:24:16,591
Good morning.
460
00:24:16,661 --> 00:24:17,992
- Morning.
- Morning.
461
00:24:18,062 --> 00:24:20,656
I'm gonna do something
rare for a surgeon.
462
00:24:20,731 --> 00:24:22,665
I'm gonna ask interns for help.
463
00:24:22,733 --> 00:24:24,894
I've got this kid, Katie Bryce.
464
00:24:24,969 --> 00:24:27,369
Right now, she's a mystery.
465
00:24:27,438 --> 00:24:29,372
She doesn't respond to our meds.
466
00:24:29,440 --> 00:24:32,034
Labs are clean, scans are pure,
467
00:24:32,110 --> 00:24:35,409
but she's having grand mal seizures
with no visible cause.
468
00:24:35,480 --> 00:24:37,209
She's a ticking clock.
469
00:24:37,281 --> 00:24:40,773
She's gonna die if I don't make
a diagnosis, which is where you come in.
470
00:24:40,852 --> 00:24:42,376
I can't do it alone.
471
00:24:43,354 --> 00:24:45,481
I need your extra minds, extra eyes.
472
00:24:45,556 --> 00:24:49,993
I need you to play detective. I need you
to find out why Katie's having seizures.
473
00:24:50,061 --> 00:24:53,360
You're tired. You got more work
than you could possibly handle.
474
00:24:53,431 --> 00:24:57,060
I understand.
So I'm gonna give you an incentive.
475
00:24:57,135 --> 00:24:59,729
Whoever finds the answer rides with me.
476
00:24:59,804 --> 00:25:01,931
Katie needs surgery.
477
00:25:02,006 --> 00:25:03,803
You get to do what no interns get to do:
478
00:25:03,875 --> 00:25:06,400
Scrub in to assist
on an advanced procedure.
479
00:25:06,477 --> 00:25:08,775
Dr. Bailey's gonna
hand you Katie's chart.
480
00:25:08,846 --> 00:25:10,279
The clock is ticking fast.
481
00:25:10,348 --> 00:25:12,782
If we're gonna save Katie's life,
do it soon.
482
00:25:19,257 --> 00:25:20,690
[Alex] Did you just page me?
483
00:25:20,758 --> 00:25:23,022
[Nurse] Yes.
4-B's still short of breath.
484
00:25:23,094 --> 00:25:25,085
[Sighs] Give antibiotics time to work.
485
00:25:25,163 --> 00:25:28,826
- They should have worked by now.
- She's old. She's freaking ancient.
486
00:25:28,900 --> 00:25:30,993
She's lucky she's still breathing.
487
00:25:31,068 --> 00:25:32,899
I got a shot to scrub in downstairs
488
00:25:32,970 --> 00:25:35,530
on a patient who wasn't alive
during the Civil War.
489
00:25:35,606 --> 00:25:37,096
Don't page me again.
490
00:25:37,175 --> 00:25:41,441
[Woman on PA] Pain Management
to 209. Pain Management to 209.
491
00:25:41,512 --> 00:25:43,343
Hey, I want in on Shepherd's surgery.
492
00:25:43,414 --> 00:25:46,906
You've been the intern on Katie
since the start. Want to work together?
493
00:25:46,984 --> 00:25:49,680
Find the answer, we have
a 50-50 chance of scrubbing in.
494
00:25:49,754 --> 00:25:52,188
I'll work with you,
I don't want in on the surgery.
495
00:25:52,256 --> 00:25:54,724
It's the biggest opportunity
any intern will get.
496
00:25:54,792 --> 00:25:56,919
I don't want to spend time
with Shepherd.
497
00:25:56,994 --> 00:25:58,928
What do you have against Shepherd?
498
00:25:58,996 --> 00:26:01,089
If we find the answer,
the surgery's yours.
499
00:26:01,165 --> 00:26:03,497
- Do you want to work together or not?
- Deal.
500
00:26:03,568 --> 00:26:06,833
[Cristina] She doesn't have anoxia,
renal failure or acidosis.
501
00:26:06,904 --> 00:26:08,838
It's not a tumor, her CT's clean.
502
00:26:08,906 --> 00:26:11,875
You're not gonna tell me why
you won't work with Shepherd?
503
00:26:11,943 --> 00:26:13,877
No. What about infection?
504
00:26:13,945 --> 00:26:15,412
No, there's no white count.
505
00:26:15,479 --> 00:26:17,413
She has no CT lesions, no fevers,
506
00:26:17,481 --> 00:26:19,244
nothing in her spinal tap.
507
00:26:19,317 --> 00:26:21,114
Just tell me.
508
00:26:21,185 --> 00:26:25,053
You can't comment,
make a face or react in any way.
509
00:26:27,124 --> 00:26:28,716
We had sex.
510
00:26:32,096 --> 00:26:33,825
What about an aneurysm?
511
00:26:33,898 --> 00:26:36,799
No blood on the CT and no headaches.
512
00:26:36,867 --> 00:26:40,598
OK. There's no drug use,
no pregnancy, no trauma.
513
00:26:42,673 --> 00:26:44,004
Was he good?
514
00:26:44,075 --> 00:26:47,067
I mean, he looks like he'd
be good. Was it any good?
515
00:26:49,413 --> 00:26:50,971
We're out of answers.
516
00:26:52,149 --> 00:26:54,083
What if no one comes up with anything?
517
00:26:54,151 --> 00:26:55,516
You mean, what if she dies?
518
00:26:55,586 --> 00:26:56,848
Yeah.
519
00:26:57,855 --> 00:27:01,723
This is gonna sound really bad,
but I really wanted that surgery.
520
00:27:03,027 --> 00:27:05,757
She's never gonna get the chance
to turn into a person.
521
00:27:05,830 --> 00:27:07,764
The sum total of her existence
522
00:27:07,832 --> 00:27:10,528
will be almost winning
Miss Teen whatever.
523
00:27:12,737 --> 00:27:14,830
You know what her pageant talent is?
524
00:27:14,905 --> 00:27:18,534
- They have talent?
- Rhythmic gymnastics.
525
00:27:18,609 --> 00:27:20,702
[Laughing] Oh, come on.
526
00:27:20,778 --> 00:27:22,473
What is rhythmic gymnastics?
527
00:27:22,546 --> 00:27:25,344
I can't even say it.
I don't know what it is.
528
00:27:25,416 --> 00:27:27,907
[Laughing]
529
00:27:27,985 --> 00:27:30,818
I think it's something
with a ball and a...
530
00:27:32,823 --> 00:27:34,051
What?
531
00:27:34,125 --> 00:27:35,888
Meredith, what?
532
00:27:35,960 --> 00:27:38,588
Get up. Come on.
533
00:27:38,663 --> 00:27:41,598
The only thing that she would
possibly need is an angiogram.
534
00:27:41,666 --> 00:27:44,635
Oh. Oh, Dr. Shepherd, just one moment.
535
00:27:44,702 --> 00:27:46,602
Katie competes in beauty pageants.
536
00:27:46,671 --> 00:27:49,333
I know that, but we have
to save her life anyway.
537
00:27:49,407 --> 00:27:52,274
She has no headaches,
no neck pain, her CT is clean.
538
00:27:52,343 --> 00:27:56,245
There's no medical proof of an aneurysm,
but what if she has an aneurysm anyway?
539
00:27:56,314 --> 00:28:00,250
- There are no indicators.
- She twisted her ankle practicing.
540
00:28:00,318 --> 00:28:04,049
- I appreciate you trying to help...
- When she twisted her ankle, she fell.
541
00:28:04,121 --> 00:28:06,487
It was no big deal,
not even a bump on the head.
542
00:28:06,557 --> 00:28:09,185
She got up, iced her ankle,
and everything was fine.
543
00:28:09,260 --> 00:28:12,195
It was a fall so minor,
her doctor didn't think to mention it
544
00:28:12,263 --> 00:28:15,164
when I was taking her history,
but she did fall.
545
00:28:15,232 --> 00:28:18,326
You know what the chance is that
a fall could burst an aneurysm?
546
00:28:18,402 --> 00:28:19,994
One in a million, literally.
547
00:28:20,071 --> 00:28:22,596
[Woman over P.A.]
Surgical scheduling is posted.
548
00:28:22,673 --> 00:28:24,004
[Bell dings]
549
00:28:27,078 --> 00:28:28,875
- Let's go.
- [Meredith] Where?
550
00:28:28,946 --> 00:28:32,177
To find out if Katie's one in a million.
551
00:28:34,652 --> 00:28:35,983
[Sighs]
552
00:28:48,532 --> 00:28:49,931
I'll be damned.
553
00:28:50,000 --> 00:28:51,695
There it is.
554
00:28:53,771 --> 00:28:55,500
It's minute, but it's there.
555
00:28:57,274 --> 00:28:59,504
It's a subarachnoid hemorrhage.
556
00:28:59,577 --> 00:29:02,273
[Derek] She's bleeding into her brain.
557
00:29:06,584 --> 00:29:10,384
She could have gone through her entire
life without it ever being a problem.
558
00:29:10,454 --> 00:29:13,218
- One tap in the right spot...
- [Cristina] It exploded.
559
00:29:13,290 --> 00:29:15,554
Now I can fix it.
You two did great work.
560
00:29:15,626 --> 00:29:19,289
Love to stay, but I got to tell
Katie's parents she's having surgery.
561
00:29:19,363 --> 00:29:22,560
- Katie Bryce's chart, please.
- Here you go.
562
00:29:22,633 --> 00:29:26,626
Dr. Shepherd, you'd said that you'd
pick someone to scrub in if we helped?
563
00:29:26,704 --> 00:29:28,433
Oh, yes, right. Um...
564
00:29:28,506 --> 00:29:31,407
I'm sorry I can't take you both.
It's gonna be a full house.
565
00:29:31,475 --> 00:29:33,033
Meredith, I'll see you in OR.
566
00:29:40,484 --> 00:29:42,111
Good. Thank you.
567
00:29:50,761 --> 00:29:51,989
Cristina...
568
00:29:52,062 --> 00:29:54,053
[- Butterfly Boucher: Life is Short]
569
00:30:54,825 --> 00:30:56,053
Wow, that was quick.
570
00:30:56,126 --> 00:30:58,959
[Burke] His heart had
too much damage for a bypass.
571
00:30:59,029 --> 00:31:00,826
I had to let him go.
572
00:31:00,898 --> 00:31:04,732
It happens, rarely, but it does happen.
573
00:31:04,802 --> 00:31:06,497
The worst part of the game.
574
00:31:08,472 --> 00:31:10,667
But I told his wife...
575
00:31:10,741 --> 00:31:14,404
I told Gloria that he would be fine.
576
00:31:14,478 --> 00:31:16,776
- I promised her that...
- You what?
577
00:31:16,847 --> 00:31:18,974
They have four little girls.
578
00:31:19,049 --> 00:31:21,381
This is my case.
Did you hear me promise?
579
00:31:21,452 --> 00:31:24,421
The only one that can keep
a promise like that is God,
580
00:31:24,488 --> 00:31:27,184
and I haven't seen him
holding a scalpel lately.
581
00:31:27,258 --> 00:31:30,125
You never promise
a patient's family a good outcome!
582
00:31:31,529 --> 00:31:32,518
I thought...
583
00:31:32,596 --> 00:31:34,860
You make promises to Mrs. Savitch?
584
00:31:34,932 --> 00:31:37,594
You get to be the one
to tell her that she's a widow.
585
00:31:49,613 --> 00:31:50,944
Izzie.
586
00:31:53,951 --> 00:31:56,545
- Maybe Meredith couldn't...
- Izzie.
587
00:32:00,391 --> 00:32:02,552
I'll tell him I changed my mind.
588
00:32:02,626 --> 00:32:04,958
Don't do me any favors. It's fine.
589
00:32:05,029 --> 00:32:06,621
Cristina...
590
00:32:06,697 --> 00:32:09,962
You did a cutthroat thing. Deal.
Don't come to me for absolution.
591
00:32:10,034 --> 00:32:11,501
Want to be a shark, be a shark.
592
00:32:11,569 --> 00:32:13,867
- I'm not...
- Oh, yes you are.
593
00:32:13,938 --> 00:32:16,498
Only it makes you feel bad
in your warm, gooey places.
594
00:32:16,574 --> 00:32:20,567
No, screw you. I don't get picked for
surgeries 'cause I slept with my boss,
595
00:32:20,644 --> 00:32:23,704
and I didn't get into med school
'cause I have a famous mother.
596
00:32:23,781 --> 00:32:25,840
Some of us have to earn what we get.
597
00:32:31,589 --> 00:32:37,084
[Woman over PA] Dr. Mayes
to ICU. Dr. Mayes, report to ICU.
598
00:32:37,161 --> 00:32:41,029
Gloria, there were
complications in the surgery.
599
00:32:42,499 --> 00:32:45,525
Tony's heart had a lot of damage.
600
00:32:45,603 --> 00:32:50,006
We tried to take him off bypass, but...
601
00:32:52,076 --> 00:32:54,408
...there wasn't anything
we could have done.
602
00:32:57,081 --> 00:32:59,049
What are you talking about?
603
00:32:59,116 --> 00:33:01,050
He...
604
00:33:03,187 --> 00:33:04,279
Tony died.
605
00:33:04,355 --> 00:33:05,913
He's dead.
606
00:33:07,491 --> 00:33:08,981
Gloria...
607
00:33:09,059 --> 00:33:11,892
...I am so sorry.
- Thank you.
608
00:33:16,367 --> 00:33:17,698
Please...
609
00:33:19,436 --> 00:33:21,063
...go away.
610
00:33:32,049 --> 00:33:34,984
[GIoria sobbing]
611
00:33:50,100 --> 00:33:52,227
[Derek] I promised
I'd make her look cool.
612
00:33:52,302 --> 00:33:54,827
Being a bald beauty
queen is the worst thing
613
00:33:54,905 --> 00:33:57,305
that happened
in the history of the world.
614
00:33:58,575 --> 00:34:01,738
Did you choose me for the surgery
because I slept with you?
615
00:34:02,312 --> 00:34:03,336
Yes.
616
00:34:06,116 --> 00:34:07,447
I'm kidding.
617
00:34:07,951 --> 00:34:09,748
I'm not gonna scrub in for surgery.
618
00:34:09,820 --> 00:34:12,084
You should ask Cristina.
She really wants it.
619
00:34:12,156 --> 00:34:14,590
You're Katie's doctor.
And on your first day,
620
00:34:14,658 --> 00:34:17,126
with little training,
you helped save her life.
621
00:34:17,194 --> 00:34:20,857
You earned the right to follow
her case through to the finish.
622
00:34:20,931 --> 00:34:23,399
You shouldn't let
the fact that we had sex
623
00:34:23,467 --> 00:34:25,867
get in the way
of you taking your shot.
624
00:34:39,717 --> 00:34:41,947
I wish I wanted to be a chef
625
00:34:42,019 --> 00:34:45,682
or a ski instructor
or a kindergarten teacher.
626
00:34:45,756 --> 00:34:50,125
You know, I would have been
a really good postal worker.
627
00:34:50,194 --> 00:34:51,491
I'm dependable.
628
00:34:51,562 --> 00:34:52,824
[Chuckles]
629
00:34:52,896 --> 00:34:56,627
You know, my parents tell everyone
they meet that their son's a surgeon,
630
00:34:56,700 --> 00:34:59,396
as if it's a big accomplishment.
631
00:35:00,704 --> 00:35:02,672
Superhero or something.
632
00:35:04,808 --> 00:35:06,639
If they could see me now.
633
00:35:08,979 --> 00:35:12,779
When I told my mother
I wanted to go to medical school,
634
00:35:12,850 --> 00:35:15,284
she tried to talk me out of it.
635
00:35:16,220 --> 00:35:18,814
Said I didn't have
what it takes to be a surgeon,
636
00:35:18,889 --> 00:35:21,050
that I'd never make it.
637
00:35:22,025 --> 00:35:24,550
So the way I see it,
638
00:35:24,628 --> 00:35:27,096
superhero sounds pretty damn good.
639
00:35:31,368 --> 00:35:33,529
We're gonna survive this, right?
640
00:35:39,743 --> 00:35:41,301
She's still short of breath.
641
00:35:41,378 --> 00:35:43,505
Did you get an ABG or a chest film?
642
00:35:43,580 --> 00:35:44,774
Oh, yes, sir, I did.
643
00:35:44,848 --> 00:35:47,408
[Richard] And what did you see?
644
00:35:47,484 --> 00:35:49,247
I had a lot of patients last night.
645
00:35:49,319 --> 00:35:51,310
Name the common causes
of post-op fever.
646
00:35:51,388 --> 00:35:52,446
Uh, yes.
647
00:35:52,523 --> 00:35:54,718
From your head, not from a book.
648
00:35:54,792 --> 00:35:57,625
Don't look it up. Learn it.
It should be in your head.
649
00:35:57,694 --> 00:35:59,889
Name the common causes
of post-op fever.
650
00:35:59,963 --> 00:36:02,625
Uh... the common causes of post...
651
00:36:02,699 --> 00:36:06,658
Can anybody name
the common causes of post-op fever?
652
00:36:08,205 --> 00:36:11,834
[Meredith] Wind, water,
wound, walking, wonder drugs.
653
00:36:11,909 --> 00:36:13,467
The five W's.
654
00:36:13,544 --> 00:36:17,139
Most of the time, it's wind,
splinting or pneumonia.
655
00:36:18,282 --> 00:36:22,309
Pneumonia's easy to assume, especially
if you're too busy to do the tests.
656
00:36:27,691 --> 00:36:29,556
What do you think's wrong with 4-B?
657
00:36:29,626 --> 00:36:31,059
The fourth W, walking.
658
00:36:31,128 --> 00:36:34,063
I think she's a prime candidate
for a pulmonary embolus.
659
00:36:34,131 --> 00:36:35,428
How would you diagnose?
660
00:36:37,501 --> 00:36:39,560
Spiral CT, VIQ scan,
661
00:36:39,636 --> 00:36:42,662
provide O2, dose with heparin
662
00:36:42,739 --> 00:36:45,765
and consult for an IVC filter.
663
00:36:46,977 --> 00:36:48,444
Do exactly as she says,
664
00:36:48,512 --> 00:36:52,812
then tell your resident
that I want you off this case.
665
00:36:52,883 --> 00:36:57,013
I'd know you anywhere. You're
the spitting image of your mother.
666
00:36:57,087 --> 00:36:59,078
Welcome to the game.
667
00:36:59,156 --> 00:37:02,125
[- Thirteen Senses: Into the Fire]
668
00:37:16,206 --> 00:37:19,972
All right, everybody.
It's a beautiful night to save lives.
669
00:37:20,043 --> 00:37:21,374
Let's have some fun.
670
00:37:30,454 --> 00:37:33,912
[Meredith] I can't think of any one
reason why I want to be a surgeon...
671
00:37:36,093 --> 00:37:39,392
... but I can think of 1,000
reasons why I should quit.
672
00:37:53,577 --> 00:37:56,102
[Meredith] They make it hard on purpose.
673
00:38:00,450 --> 00:38:03,044
There are lives in our hands.
674
00:38:11,295 --> 00:38:14,787
There comes a moment when
it's more than just a game...
675
00:38:14,865 --> 00:38:15,923
[beeping]
676
00:38:26,376 --> 00:38:29,573
... and you either
take that step forward
677
00:38:29,646 --> 00:38:32,479
or turn around and walk away.
678
00:38:51,468 --> 00:38:55,564
[Meredith] I could quit,
but here's the thing...
679
00:38:57,174 --> 00:39:00,735
... I love the playing field.
680
00:39:07,784 --> 00:39:10,548
- It was a good surgery.
- Yeah.
681
00:39:19,363 --> 00:39:20,853
We don't have to do that thing
682
00:39:20,931 --> 00:39:23,900
where I say something
and then you say something,
683
00:39:23,967 --> 00:39:26,561
and then somebody cries,
and there's a moment.
684
00:39:26,636 --> 00:39:29,230
- Yuck.
- Good.
685
00:39:32,809 --> 00:39:36,609
You should get some sleep.
You look like crap.
686
00:39:36,680 --> 00:39:38,580
I look better than you.
687
00:39:38,648 --> 00:39:40,411
That's not possible.
688
00:39:45,355 --> 00:39:47,016
[Sighs]
689
00:39:57,267 --> 00:39:58,791
That was amazing.
690
00:40:01,505 --> 00:40:02,563
Hmm.
691
00:40:03,607 --> 00:40:05,336
You practice on cadavers,
692
00:40:07,344 --> 00:40:08,811
you observe
693
00:40:08,879 --> 00:40:11,541
and you think you know
what you're gonna feel like
694
00:40:11,615 --> 00:40:14,175
standing over that table, but...
695
00:40:14,251 --> 00:40:17,482
...that was such a high.
696
00:40:20,424 --> 00:40:23,723
I don't know why anybody does drugs.
697
00:40:25,796 --> 00:40:27,764
Yeah.
698
00:40:32,035 --> 00:40:33,400
Yeah.
699
00:40:36,406 --> 00:40:38,931
I should, uh, go do this.
700
00:40:41,011 --> 00:40:43,206
You should.
701
00:40:45,782 --> 00:40:48,307
I'll see you around.
702
00:40:48,385 --> 00:40:50,376
See you around.
703
00:40:50,454 --> 00:40:52,183
See you.
704
00:40:56,693 --> 00:40:58,058
[Meredith] So...
705
00:40:58,128 --> 00:41:01,461
... I made it through my first shift.
706
00:41:01,531 --> 00:41:04,091
We all did.
707
00:41:04,167 --> 00:41:06,101
The other interns are all good people.
708
00:41:06,169 --> 00:41:07,534
You'd like them...
709
00:41:08,605 --> 00:41:09,970
... I think.
710
00:41:10,907 --> 00:41:13,375
I don't know, maybe.
711
00:41:14,678 --> 00:41:16,270
I like them.
712
00:41:17,581 --> 00:41:20,141
[Bell jingles]
713
00:41:21,618 --> 00:41:23,609
Oh, and I changed my mind.
714
00:41:23,687 --> 00:41:27,384
I'm not gonna sell the house.
I'm gonna keep it.
715
00:41:28,992 --> 00:41:31,256
I'll have to get a couple of roommates,
716
00:41:31,328 --> 00:41:34,263
but it's home, you know?
717
00:41:37,434 --> 00:41:39,129
Are you the doctor?
718
00:41:39,202 --> 00:41:40,499
No.
719
00:41:41,872 --> 00:41:46,138
I'm not your doctor, but I am a doctor.
720
00:41:51,681 --> 00:41:53,080
What's your name?
721
00:41:55,919 --> 00:41:58,854
It's me, Mom. Meredith.
722
00:42:01,758 --> 00:42:03,316
All right.
723
00:42:09,432 --> 00:42:11,764
I used to be a doctor, I think.
724
00:42:22,646 --> 00:42:24,807
You were a doctor, Mom.
725
00:42:24,881 --> 00:42:26,815
You were a surgeon.
9999
00:00:0,500 --> 00:00:2,00
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