After Dr. Bailey is called into surgery, Cristina is forced to watch baby Tucker for the remainder of the day. Meanwhile, George and Meredith are still on the outs as she confides in Derek with her problem. Meredith treats a woman with a fork stuck in her neck. Izzie continues to warm up to Denny who is having problems breathing. George and Callie further their flirtations over a teenaged patient who decides to chop off his own finger after Callie refuses to do it for him. Addison treats a pregnant woman, whose husband keeps hitting on her. Burke shows a preference for living with George over Cristina, and Addison gets a long-awaited admission from Derek that shows some hope for their marriage after all.
(Burke and Cristina's apartment) (George is standing in front of a mirror in the bathroom. There's a pair of scissors on the table in front of him) MVO: As doctors patients are always telling us how they would do our jobs. (George picks up the scissors and starts snipping off random bits of his hair) MVO: Just stitch me up, slap a band-aid on it and send me home. (Forest Park) (Doc is barking along a walking trail) MVO: It's easy to suggest a quick solution when you don't know much about the problem. When you don't understand the underlying cause ... (Derek picks up a stick of the ground and throws it far and Doc chases after it. Meredith is walking with Derek) MVO: ... or just how deep the wound really is. Derek: So your friends ... they still mad about this very bad horrible thing you did? Meredith (smiles): The very horrible bad thing that I won't tell you about? Yes they're still upset. Derek: Well whatever it is I don't want to know. Even if I beg. Don't tell me. Meredith: Ok, I won't. Derek: Good. Ok. Although we are friends. Meredith: True, we are friends. Derek: Technically you tell friends stuff. You come to me with a problem, I give you the answer. After maybe we celebrate the moments of our lives. (Derek takes a swig of his water bottle. Meredith takes the bottle and takes a sip herself) Meredith: I will keep that in my mind next time I do a horrible thing. What about you, don't you have any problems you want to tell me about? Derek: Truthfully, at this moment in time I don't have any problems. Not a single one. (Burke and Cristina's apartment) MVO: The first step towards a real cure is to know exactly what the disease is to begin with. (Cristina walks out of the bedroom in her pj's and grabs a mug to pour some instant coffee) MVO: But that's not what people want to hear. (The front door opens and Burke and George enter looking very sweaty and tired and out of breath) Burke: Good morning! (Burke heads into the bedroom and George heads to the fridge and grabs a water bottle) George: Ah how many miles was that Dr. Burke? Burke (calls out): Five! George: Five. Five miles in 50 minutes. Nice. (Burke re-enters and George throws him a water bottle) Burke: We can get it closer to 45. George: Pancakes? Burke: Ah, top cupboard. (George is a bit too short for the cupboard and has to jump a few times to grab the mix. Cristina stares at them strangely pouring coffee) Cristina: What's wrong with your hair? Burke: Leave the man alone. He's got issues. (He goes to the fridge and starts throwing George some ingredients) And if he wants to cut his hair to get over those issues that's his business. His thing. George: It's my thing. (to Burke) Coffee? (Cristina holds up the instant coffee she has but they don't notice) Burke: Oh cappuccino. George: Ooh excellent. Cappuccino. (George starts prepping the coffee maker to make a cappuccino while Cristina looks a little off-put by the whole situation) MVO: We're supposed to forget the past that landed us here, ignore the future complications that might arise and go for the quick fix. (Seattle Scenes) (SGH) (Bailey is actually dressed for work but still carrying her baby. George is walking beside her up some stairs with Cristina, Meredith and Izzie lagging behind) Izzie: What happened to George's hair? Is he having a nervous breakdown? Cristina: Burke says he's got issues. Uh you should see them together. Like doing things, like running ... and cooking and talking. They're like bonding. Izzie: And you're afraid that Burke will realize he makes a better girlfriend than you? (Cristina doesn't answer. Izzie nods) Cristina: You know Meredith just go and apologize to him. Meredith: I've tried! Izzie: Try again. Things can't stay like this. They suck like this. (They're now walking a hallway and Alex runs up to catch up with them) Alex: What's up with O'Malley's hair? He looks like a hobbit. Izzie: He's just trying a new look. Alex: You never called me back last night. You avoiding me? Izzie: Why would I be avoiding you? (Denny's patient room. Izzie, George, Meredith, Cristina, Alex and Burke are in there) Izzie: Denny Duquette. Age 36. Denny: 37 in 3 weeks. Izzie (smiles): 37 in 3 weeks. He's having difficulty breathing and chest pains. Burke: Breath sounds? Izzie: Still a little junky. He has a build up fluid in his system. Denny: Hey did you just call me a junkie? (Izzie tries not to smile shaking her head) That's not very nice. Burke: Denny, you're congestive heart failure is getting worse despite the meds. (Denny nods) Denny: Alright so how do we proceed? Burke: Doctors how do we proceed? (Izzie moves to answer but Alex beats her to it) Alex: Titrate up his nitrate drip and continue with diuretics plus- Izzie (interrupts): ACE-inhibitors, Beta-blockers and start dobutamine. Burke: I also want his ins and outs recorded and one of you monitoring him at all times. Izzie (immediately puts up her hand): I'll stay. Alex: Me too. (He pushes past the others to stand next to Izzie. Izzie and Denny look a little off-put) (Addison is walking down a hallway followed by Bailey, her baby, George, Meredith and Cristina. They enter a patient's room. Mrs. Gibson is a thirty year old or so pregnant woman lying in bed. Her husband is sitting by her bedside) Addison: Mr. and Mrs. Gibson, I'm Dr. Montgomery-Shepherd. I'll be covering for Doctor Pollack. (Mr. Gibson looks at Addison taken-aback at her) Meredith: Mrs. Gibson had a pre-term premature rupture of her membranes at 28 weeks. Cristina: She's confined to supervised bed rest for 7 weeks and has a low grade fever. (Mr. Gibson looks at Addison kind of like he's enamored with her) Mrs. Gibson: Can't you just schedule a C? Believe me, I'm ready to have this baby. Mr. Gibson: Hey you and me both. (He chuckles and Mrs. Gibson shoots him a look) Addison: I want to get your blood work back before we make any further decisions. Mrs. Gibson: I have to pee. Again. (She sits up more and Mr. Gibson stands up to her help her get out of bed) Mr. Gibson: Come on, here we go. (Mrs. Gibson goes to the bathroom) Mr. Gibson: I appreciate you taking over my wife's case uh, uh Dr. Pollack says you're the best. Addison: Oh it's my pleasure Mr. Gibson. Mr. Gibson: He didn't mention that ah- wow you bear a striking resemblance to a young Catherine Deneuve. (Addison looks a little surprised) Oh you've, you've never heard that before? (The others in the room look a little confused and amused as well.) Addison: Uh, eh no. Sorry I, I have to say it's a first. Bailey (quietly): Been told I look like Halle Berry. Mr. Gibson: Ah beautiful. Beautiful. Well Miss Deneuve. (Addison pagers goes off and she checks it) Of course you are too but by extension. Addison (a little uncomfortable): Right, we'll be back um in later to check on your wife. (She heads out) Mr. Gibson: Look forward to it! (The others follow her) (Group is walking down a hallway. Bailey's pager goes off and her baby is crying) Bailey: Uh ER needs a consult. Addison: Uh O'Malley, Grey why don't you go and take that? Meredith: What about Mrs. Gibson? Addison: I'll take care of Mrs. Gibson. (Meredith starts walking away) George: Uh they really need both us? Addison: I'll guess you'll find out. Go! (George walks off and they continue walking down the hallway. Richard notices them a few feet away) Addison: Are you taking him to the nursery? Bailey: Ah it's full and Tucker's out of town until tomorrow. (Richard walks up to them) Richard: You brought your baby to work? (Addison takes Will from Bailey and tries to calm him down) Bailey: Uh yes Chief. Richard: You're not going to take him into surgery with you? Bailey: Uh, uh I don't have anything scheduled for today. Richard: Yet. Bailey: Ok I can't solve a problem until there's a problem to solve. Are you saying there's a problem? Addison: Yeah, is there a problem Richard? Richard: No. (Richard walks off) (Meredith and George are waiting for an elevator. George is reading his book intently while Meredith just looks at him) Meredith: You know at some point you are going to have to talk to me. (George starts walking away) George: I'm gonna take the stairs. (Meredith looks upset and gets on the elevator) (Meredith enters the Pit. She walks up to an ER doctor) Meredith: You paged? Doctor: Yeah just got a new patient. Looks surgical. Maybe neuro. (She pulls open a curtain to reveal a relatively young black couple sitting on a bed together. They're names are Sylvia and Kyle Booker. Meredith looks down and notices the ice-pack on Kyle's groin) Meredith: Doesn't look neuro to me. Doctor: Not him. Kyle: Oh no I'm fine. It's my wife. Sylvia: This is so embarrassing but we didn't know what else to do. (She turns her head slightly to reveal a fork largely embedded in her neck) Meredith: Oh. (Derek has now joined them and is checking the bandages around Sylvia's neck) Kyle: We were at the Hotel Monaco having brunch. I...we had some mimosas... Sylvia (interrupts): Uh can we just skip that part. Can we pull this out and just go...I'm fine really. Kyle: Sylvia was giving me some special attention. Under the table. (Derek looks up at this) Sylvia (embarrassed): Oh dear lord. Derek: Oh! Ok. (Meredith tries not to laugh but smiles broadly) Kyle: Sweetie, they're doctors. They've heard it all. Derek: Yes, we have. Meredith: Absolutely. (Derek grins at Meredith but the Bookers can't see. Meredith shoots him a look trying not to smile) Sylvia: While I was down there something happened. It was like a shock went through my body. Kyle: And she clenched. Derek: Clenched? (Sylvia nods) Sylvia: My jaw. It just shut. Kyle: And I panicked. Derek: Oh yeah. (Derek makes a look pain at Meredith and Meredith nods back) Kyle: And I grabbed a fork off the table and it was just instinctual. Sylvia: It doesn't hurt that much. We just didn't want to pull it out cause it's in there pretty good. Meredith: No you did the right thing. Pulling it out could cause more damage. Derek: You know I wanna do an x-ray. I wanna make sure there is no nerve or major blood vessels being comprised. (Kyle kisses Sylvia on the cheek and she nods) Now Mr. Booker did you get your injury um, you know, checked? Kyle: Oh Doctors say I'm fine. It's just some bruising. (Derek nods) Derek: Good. Ok. I wanna find out what's causing the clenching. (Kyle looks at his wife while she nods at Derek) Now do you have a history of seizures? Sylvia: No, nothing like that. Kyle: It may...It may have something to do with her brain aneurysm. Sylvia: Kyle! Kyle: What? Sylvia: I don't want to do this now. (Derek shoots Meredith a look and looks down at the chart. Meredith shakes her head) Meredith: No it's not on there. Sylvia: Can't we just take this fork out and go? Derek: No. Kyle: She was diagnosed about 6 weeks ago. Derek: And your doctor didn't recommend surgery? Sylvia: All the surgeons have said it's inoperable. Derek: Hmm. Sylvia: That's why Kyle and I are hear in Seattle. The Space Needle. I've always wanted to see it. Kyle (smiles at his wife): We wanted to see it together. Derek (softly to Meredith): Do an MRI. (He walks around her) It was good to see you today. (Meredith smiles) (Pit ambulance area where Bailey is standing holding her baby who is crying loudly, outside an ambulance. Ray the paramedic is wheeling out a guy stretched out on a gurney. The ambulance is still wailing loudly although parked) Bailey (yells): What do we got? Ray: Tachycardic in the 140s. Systolic is in the 60s. Last was 72 over 40. (He wheels the guy into the hospital and Bailey moves around to the corner to talk to another paramedic) Bailey: Can you turn that off? Turn that off! Paramedic: Ok! (Cristina comes up to her) Cristina: Dr. Bailey. (The ambulance stops wailing and Bailey quickly turns around to face Cristina) Bailey: Here, take him. (She starts remove Will from herself) Cristina: Uh what? Bailey: You're going to watch him. Cristina: No, no, no. You don't want me to do that. I can... Bailey: Yang I have a patient! I need to operate on that patient right now! Take him! Cristina: Page the Chief! Bailey: No I'm not paging anyone. I'm a surgeon. I'm going to do the surgery. Cris...I ... I need you to help me Cristina. (She hands Will over to Cristina who looks horrified) Cristina (speechless): I...I ... (Bailey also hands her Will's baby bag and Will starts to cry loudly) Bailey: Take him. Watch from the gallery! You both can. (She rushes off into the hospital leaving Cristina holding a very upset little baby and kinda unsure what to do. She heads into the hospital) (George is rifling through a filing cabinet in the Pit. He notices Callie standing a few feet away looking at a computer. She suddenly notices him and then looks away quickly. George walks up to her as Callie moves off) George: Hey. Callie: Hey. (She turns back to him) You didn't call me. George (nods): I did. I did. A few times. I just hung up every time. Callie: Nice. Very stalker like. (George nods) Goes with the hair. George: I just thought it would look good a little shorter. Callie (smiles): It is shorter. ... I make you nervous don't I? George (nods): Yeah a little. Callie: That's good. George: Yeah, that's what? (Callie laughs) Callie: Hey are you busy? George: No. Callie: You wanna see something really cool? (Area in the Pit where a young guy named Heath Mercer is sitting on a bed with his hand on an icepack. One of his fingers is extremely bent and obviously broken and looks like it has lost all circulation of blood to it by being quite blue. Callie and George are examining it closely) George: Whoa. Callie: Excellent, right? George: Yeah it is. How'd you do that? Heath: After hockey practice this morning. I didn't have my glove on cause I was getting a drink from the goalie's water bottle and the next thing I know this ass-head crashes into the net, my hand gets tangled in the mesh and I start hearing pops. (Callie places a film onto a viewing board near the bed) Heath: Big pops. Callie: Dr. O'Malley, what do you see? George (moves to look at the screen): Oh dislocation of the PIP joint and multiple fractures. (He moves back to Heath) That must really hurt. Heath: It's just a finger. Last season I took a puck to the face; broke two teeth. (Heath smiles) George (raises his eyebrows): Oh yeah. Callie: Ortho's love hockey season. It's like Christmas everyday. Heath: Can we just like put it on a splint or something? I've got a really big game this afternoon. (Callie and George exchange kinda shocked looks) (Trauma room where Sylvia is now lying on a bed that's been half propped up to remove the fork from her neck. Meredith is checking the wound while Sylvia's husband Kyle sits on a chair in front of Sylvia. A nurse is also in there helping set up) Sylvia: Um, do you know what you're doing? I mean have you ever done this before? Meredith (smiles): Have I ever pulled a fork out of somebody's neck? (Kyle chuckles) Sylvia: Mmm great. Ok. Yeah let's just do it. (to Kyle) Honey? Kyle: Mmm? Sylvia: Talk to me. Kyle: Ok. Sylvia: Distract me. Kyle: Ok. Think about Paris. Sylvia: Ok. Kyle: And the food and the wine. Sylvia (smiling): Uh huh. Kyle: And the long walks we'll take together and the Champs de what? Sylvia: The Champs d'Elys�es. (Meredith yanks the fork out) Kyle: More food. Sylvia: Yes. Kyle: More wine. Meredith: Ok. Sylvia: That's it? (Meredith nods) Oh my god, I didn't even feel anything. You're amazing. (Meredith half smiles) She's amazing. Kyle (to Meredith): So how much do you know about this Dr. Shepherd? Sylvia (warningly): Kyle. No. I do not want another MRI. I want to go to Paris. Kyle: I made a few calls. He has an incredible reputation. Sylvia: Please Kyle. Let's just live our lives. (Meredith is sewing up Sylvia's wound while Kyle looks upset) I wanna go crazy. I wanna crawl underneath the table. I wanna go to Paris while we still can. Meredith: Dr. Shepherd is an extraordinary surgeon. If he thinks he can help a second opinion couldn't hurt, could it? Sylvia: There won't be a second opinion. It'll be a fourth opinion. And when Dr. Shepherd says there's nothing more that he can do, we'll be devastated all over again. I just wanna spend what little time we have left in Paris. Kyle: So do I. But I don't want to go to Paris and wonder if we should've listened to the amazing girl who took a fork out of your neck. (Sylvia just shakes her head at Kyle and begins to chuckle. Kyle chuckles too and Meredith is smiling as well) (Denny's room where Denny is lying in bed and Alex is checking his monitors and writing in his chart) Denny: You're not Izzie. Alex: Sorry to disappoint you. Denny: Not disappointed, just saying. W-here is she? Alex: Well she's busy with other patients. (He smirks at Denny) I'm afraid you'll have to make do with me. Denny: Look man I'm sure you're, I'm sure you're a fine doctor just, just not as much my type. No offense. Alex: Yeah well I'll just have to settle on being Izzie's type. Denny: So you ... you two ... Alex: Yeah. Yeah. (he nods looking awfully pleased with himself) Pretty much you know. Denny: Congratulations. (Fairly empty gallery where Cristina is changing Bailey's baby's diaper on the floor) Cristina (singing): A, b, c, d. (stops singing and removes the diaper) Oh, gross. (Starts singing again) E, f, g, this really couldn't suck any worse. Richard: (appears in the door way): Dr. Yang. Cristina: Oh ah, Dr. Webber. Richard: What's that smell? Cristina: Uh...it's feces, it's baby feces. We've had an incident, sir. Richard: Are you having trouble with the diaper, Yang? Cristina: Sir. No, sir. Richard: Because it looks like you're having trouble with the diaper. Cristina: No, sir, I've got a ... I've got a MD from Stanford and a PhD from Berkley I can handle this diaper. (suddenly looks at Richard pleadingly) Unless you want to? Richard (uncomfortable): Uh...n...no, no. It's alright, it's alright, you carry on. Carry on. (Richard walks away) (Meredith is pushing Sylvia sitting in a wheelchair down a hallway) Sylvia: Can we stop for a moment please? Meredith: Sure. (Meredith stops the wheelchair) Sylvia: I can walk. Meredith: Oh, ok. (Sylvia stands up) The wheelchair is just protocol. Sylvia: Yeah well I'm way past caring about protocol. I just wanna feel my body move while I can. (They start walking down the hall again with Meredith pushing the empty wheelchair) Meredith: You seem incredibly ok with your prognosis. Sylvia (nods): More than ok. I'm a little in love with my prognosis. Woke me up. Woke my marriage up. Been sleepwalking about 15 years and now I am wide awake. I'm having this MRI for Kyle. He's not ready to let go. But me and my aneurysm ... (she nods) we're good friends. (Derek is in the MRI scan viewing room looking over Sylvia's scans. Addison walks in) Addison: Hey, I've been looking for you. Derek: Hey. (he points to the screen in front of him) Look. Look at the size of this aneurysm. Addison: Yeah it's big. Derek: It's huge. Addison: You're going to try to operate? Derek: Well I'm definitely intrigued. Addison: You know who Catherine Deneuve is? Derek: Hmmm ... yeah actress. French. Hot. (He starts taking notes on the MRI) Addison: One of my patients...her husband actually uh said I looked like her. (They both kinda chuckle but Derek isn't really paying attention and more focused on the MRI) Derek: Isn't she blonde? Addison: Yeah ... I guess. I dunno...I...I dunno. Anyways so ... ok, you're busy. Derek (still staring at the screen): Bye. (She walks out of the room) (Denny's CICU room where Denny is sitting up right in his bed and Izzie is sitting on the edge of his bed. They have the moveable table separating them with a game of scrabble open) Denny: I'm not just another pretty face you know. (he taps his head) I've got it going on up here as well. Izzie: So you keep telling me. Denny: Yep. I probably know hundreds of words. Izzie: Really? Hundreds. Wow you're a real brain trust. Denny: Ouch. Izzie: Oh I'm highly competitive. (She moves her scrabble pieces onto the board) Screw. S-C-R-E-W. That's 25 points thank you very much. Denny: Wait a second, now you didn't tell me we were playing naughty word scrabble. Izzie (laughs): We're not playing naughty word scrabble, you just have a dirty mind. Denny: Oh, it's filthy but you're the one that put down screw. Izzie: I was referring to hardware, not s*x. (She picks up some more pieces) Denny: Oh. I guess maybe sometimes it's ah; it's hard to tell where you're...where you're coming from. (Izzie looks at him confused) Izzie: What do you mean? Denny: Alex ah ... he may have said something about you guys um being together. Izzie (kinda avoiding eye-contact): Uh well ... he had no business telling you that and besides it's not even true so ... Denny: So you're not together? Izzie: No. I mean yeah a little but not really so ... no. (Denny nods) Denny (sarcastic): Ok ... well sweet. Thanks, (chuckles) thanks for clearing that up. (They kinda smile at each other but then Denny has serious trouble breathing) Izzie: Denny what is it? (Denny just gasps for air) Don't, don't panic! Just try to breathe! (She moves quickly to the door) Izzie: Page Dr. Burke! (Denny's is seriously getting worse and Izzie runs up to him and places an oxygen mask over him) Izzie: Just try to breathe! Just breathe! Just breathe! Take it easy! (Denny just gasps for breath into the mask) (Denny is now lying on his bed breathing slowly but seems to be okay. Izzie and Dr. Burke are standing near his bedside) Izzie: He had flash-pulmonary edema. I switched him to nesiritide, started him on milrinone and put him on BiPAP. Burke: That's a good call Stevens. Denny (slight breathing difficulty): Good call. Bad news right? Burke: It's not good. The fact is Denny, you need a new heart and you're running out of time. Denny: Ok, so what's behind door number 2? Burke: I would like to install a left-ventricular assist device. It's a battery operated machine to help your heart pump. Denny: Battery-operated. (he smiles) I knew it. You people are trying to turn me into a robot. (Burke and Izzie chuckle) It's all part of your evil plan to take over the hospital. Izzie: It's a bridge to transplant Denny. It'll keep you alive while we wait for your new heart. Denny: Yeah that easy, huh? (to Burke) No catch? Burke: There are some risks. Increased damage to your platelets, increased bleeding and if you do choose the assist device, you may not be able to leave the hospital until you get a donor heart. Denny: Phew... (raises his eyebrows) yeah ... any other options? (Burke and Izzie remain silent) I'm gonna need time to think. Burke: Don't take too long Denny. (Burke leaves the room) [SCENE_BREAK] (On-call room where Izzie is standing pacing. Alex walks in and whistles closing the door behind him) Alex: Always happy to get this page. (He starts to remove his shirt) Izzie: Stop. That's not why I paged you. Alex: What you paged me to the on-call room to talk? Izzie: No I paged you to the on-call room to yell. Why the hell did you talk to Denny about us? You had no right! Alex: Oh right because you never talk to Denny about personal... Izzie (interrupts angry): I don't talk to him about our s*x life Alex! That is between us! Alex: Oh, got it! So none of your friends know that we're sleeping together? Izzie: I'm sorry are you saying that you and Denny are friends now? Alex: No I don't become friends with my patients Iz! Izzie (yells): You're an ass! You feel threatened by him! That is why you did that! There is no other reason! Alex: You're his doctor Izzie! And he's your half-dead, possibly soon to be all-dead patient! How can I possibly be threatened by that guy? Izzie: I can't believe you just said that. (She moves to walk past him but he puts his arm up to stop her) Alex: Someone's got too. (He removes his arm and Izzie walks to the door opening it and slams it closed behind her) (Trauma room where Heath is now sitting on an exam table getting his hand bandaged up by Callie. George is standing near them. Mrs. Mercer, Heath's mom is also in the room) Callie: I'll schedule the surgery for your son. In the meantime I'm sending Heath home today with a prescription for hydrocodone to control the pain. Heath: Look I...I get this is a bad break but it doesn't hurt that much. I'm telling you I can handle this! So here's what I'm thinking, we take this off; we put a small splint on my fingers so I can jam it into the glove. I play today and then I'm all yours! (Callie silently shakes her head in disbelief and humor) Mrs. Mercer: You're not playing today. There's no playing today! George: Heath, you're mom's right. Mrs. Mercer: Thank you. Did you hear that? I'm right. (to George) You're mother must be very proud of you. (Heath jumps off the table angry) Heath: Scouts are coming today! College Scouts! I could get a scholarship today! Don't you get that? Callie: Heath, if I cut that bandage off, we risk doing permanent damage to your finger. (She pats him comfortingly) I'm with you man but I'm sorry there's no way we can put your finger into a glove today. Heath: There must be something you can do. I need to play this afternoon. This game ... it's what I've been training for my entire life. This is my chance to go to college. This is my whole future. Mrs. Mercer: Oh honey, you can go to community college and get your grades up... (Heath storms out of the room angrily) Mrs. Mercer: I'm sorry. (she shakes her head) I'm sorry. (She leaves the room) Callie: Oh (she sighs) sucks. George: Yeah. (Outdoor cafeteria where Addison is eating lunch by herself at one of the tables reading a magazine. Mr. Gibson walks up to her with his own lunch tray) Mr. Gibson: Oh, Dr. Montgomery-Shepherd. (he points to papers on the table) Are those my wife's test results there? Addison: Yes, they are actually. There's no infection. (Mr. Gibson just appears to stare at Addison) Everything looks good. I'm scheduling a C-section this afternoon. I was actually going to go up after lunch and tell her. (Addison goes back to reading her magazine but realizes that Mr. Gibson is still staring at her and puts down the magazine) Addison: Mr. Gibson... Mr. Gibson (interrupts): You know you really do look like Catherine Deneuve. Addison: I'm talking about your wife. Giving birth to your baby. Mr. Gibson: I know. I know. I'm sorry. May I? (he sits down at the table) Listen I don't mean to focus on your looks. I mean you seem very kind, very intelligent; obviously you're a doctor. I don't mean to objectify or harass you in any way ... (he groans) I'm usually not this awkward but you're just so extraordinarily beautiful. (Addison chuckles obviously flattered) I understand if a beautiful, intelligent woman like you doesn't want to eat with me. So uh ... well, anyway ... (He moves to get up) Addison: No, no. Mr. Gibson: Really? Addison: Yes, stay. It's fine. Mr. Gibson: Ok. All right. Addison: You're gonna eat that pudding? (She grabs his pudding from his tray) (Nearby table where Cristina, Izzie, George are all sitting at table together eating lunch. Cristina still has Bailey's baby in her arms and looks very harassed) Cristina (hisses): Take him! Izzie: No. Bailey gave him to you. Cristina: She's only gonna be in surgery for another half an hour. Hour tops. Take him. Take him. Izzie: You're a liar. And you also smell like vomit. George: Really? Cause I just think it smells like poo. Cristina: Okay this is why some species eat their young. Izzie (to George): Have you talk to Meredith yet? George: Tomorrow ah I'm gonna buy a T-shirt that says 'Stop asking me about Meredith' and I'm gonna wear it everyday until people stop asking me about Meredith! (Meredith walks into the cafeteria and Cristina notices) Cristina: Shh, at least they won't be asking you about your hair! (Meredith sits down at the table next to George. George gets up immediately and leaves) Izzie: Uh! Come on. (to Meredith) Meredith, stop him! (George sits down with Callie at any empty table) Meredith: What should I do? Knock him down? Cristina: Do you know that he cut his hair over my bathroom sink this morning? Meredith: George is a good roommate. If you tell him what's annoying you, he will stop. Cristina: No he's not my...he's not my...See this is why I shouldn't have given up my place. Izzie: He would still be our roommate if Meredith would just apologize. Meredith: I have apologized. I've apologized sincerely. And you know what? It takes two, to make a stupid sexual decision. So, whatever. (She gets up and leaves) Izzie: Oh. I just miss when we all got along. Can't we just go back to that? (Alex comes to the table and hovers over it. Izzie gets up immediately) Izzie: Excuse me; I have to check on a patient. (She leaves and Alex throws his tray down hard on the table and sits down. Instantly Bailey's baby starts crying loudly) Cristina (glares at Alex): Awesome. Awesome! Thanks Alex. Thank you! (She starts getting up) Oh yeah. Ok. (Rocking the baby) Shut it. Shut it. Shut it. (Open hallway in front of the big wall of windows. Meredith and Derek are standing eating lunch together. Meredith is facing the window and Derek is facing the opposite direction) Meredith: They have no right to be mad at me! It's none of their business. Derek: I agree. Meredith: You can't agree. You don't even know what I'm talking about. Derek: You're talking about being mad at your friends for being mad at you. Meredith: I hate them. I do. Derek (leans in close): What the hell did you do? Meredith (chuckles): I'm not telling you. Derek: Oh you know as a friend, you suck. (Derek stands up weirded out when he notices across on the other side of the hospital Addison laughing with Mr. Gibson outside the elevators. Meredith notices his look and follows his gaze. He turns back around to face the window) Meredith: Does Addison know we're friends? (He doesn't answer and continues to chew on his sandwich) Derek: Did you get Sylvia Booker's blood work back yet? (Meredith stares at him a bit) Meredith: I'm going right now. (She leaves) (Gallery overlooking the OR where Bailey is performing surgery. Cristina is holding a very antsy baby Will who is crying loudly. She uses Will's foot to press the intercom button that allows you to communicate to the OR) Cristina (desperate): Dr. Bailey! Bailey (focused on the surgery): What is it Yang? Cristina: Uh. He's crying. Bailey: Let me hear him. (Will however cries loudly over Bailey's voice) Cristina: What? Bailey: Let me hear the baby cry. (Cristina holds up Will to the intercom who cries loudly) Bailey: That's cry number 4. You need to feed him. (Cristina pulls Will away from the intercom) Cristina: Oh god. Oh. (Small waiting room where Sylvia and Kyle are sitting down together on some seats. Derek is standing across from them and Meredith is standing a few feet from Derek) Sylvia: A double-barrel what? Meredith: The double-barrel brain by-pass. Derek: I'm gonna use two scalp arteries to re-direct the blood flow in your brain around the aneurysm. (He sits down across from them) Kyle: How come no one else has mentioned this? Derek: Well it's a surgery that's been performed less than a dozen times. I have performed one successfully and I've watched one. I don't want to understate the risks. (Sylvia doesn't seem very happy at this news) Kyle: Risks? Derek: Mmm hmm. The risks are that the aneurysm could rupture on the table. Kyle: But you think there's a chance. A chance that it could work. Sylvia: No. Hell no. I'm leaving. And we're going to Europe. We've always wanted to see it. We've never had the time. This is the time. We're going. That's it. (Derek seems a little taken-aback at this news) (Derek is walking to a nurses' station. Kyle walks up to him anxiously) Kyle: Dr. Shepherd? Can I get a word? Derek: Yes. Kyle: Um, I'm sorry if my wife offended you. Derek: Oh no. No offense at all. Kyle: Oh. I didn't notice her. Derek: I'm sorry? Kyle: For 15 years I didn't notice her. When we got married she was everything and sometime, somewhere along the way I stopped noticing her, I stopped seeing her and since she's been sick she's all I've seen. And I hate that's what it took, I hate it and I'm sorry. But I love her. And I don't want her...I don't want my wife to die. Please talk to her. (Derek nods) Dr. Shepherd, please. Derek (smiles ruefully): Ok. (Derek walks away) (Nurses' station where Addison is filling in a patient's chart. Bailey comes up to the nurses' station) Addison: I had a lunch date with my patient's husband today. He paid attention to me Miranda. For a whole half hour. (Bailey gives her a look) Bailey: Addison, you're not gonna fix the problem with your husband by having meals with someone else's. Addison: Mmm. (Addison walks away) Bailey: I mean it! (Nurses' station where Cristina is sitting down, unsuccessful attempting to feed Bailey's baby with a bottle. Will is just crying loudly) Cristina: Oh please eat. Eat. I'm begging you to eat! Yummy food. Yummy! Bailey. Breast...milk. Food. Come on! (Burke comes up behind Cristina holding a cup coffee looking highly amused) Burke: Well look at you. (Cristina gives Burke an annoyed look) Cristina: You find this amusing. Burke: And you don't? Cristina: Come on...you know what? I can't help you. I can't help you. I can not help you if you do not want to eat. (George walks by and notices Cristina's struggle and walks up to them) If you're gonna keep on crying, then eat. (George takes Will from Cristina and the bottle. Will instantly stops crying and instantly successful Will to feed from the bottle) Burke: O'Malley, you're a natural. You have nieces and nephews? (Cristina just looks on amazed) George: No sir, babies just like me. Burke (looks at Cristina): Oh speaks to a good bedside manner. (She just glares back. Burke pats George on the shoulder) Keep it up. George: Thanks sir. (Burke walks off and Callie walks up to George) Callie: Hey, is that Bailey's baby? George: Yeah. Callie: Oh, oh he's so cute. (Cristina just tiredly rubs her forehead. Callie leans in close to George) Oh hi there. ... So I scheduled the Mercer kid's surgery for tomorrow afternoon, I assume you want in? (Cristina jumps up eagerly) Cristina: No, no I want in the surgery. Any surgery. I'll do it. Callie: Who are you? Cristina: I'm Cristina. Callie: Sorry, I only need one. George: Oh well absolutely, I'm in. (Cristina sits down dejected) Callie: Ok. Oh and George? George: Hmm? Callie: This is the last invitation I'm extending, (Cristina looks up at this) so the ball's in your court. (Callie walks away) George: Ok. Callie (calls back): Ok. Cristina: Seriously? George: Seriously. Cristina: Nice. Think she has a couch you can sleep on? (Outside emergency entrance of the hospital where Sylvia is standing looking impatient. Derek walks outside and up to her) Derek: Mrs. Booker. Sylvia: I'm waiting for my husband. He's bringing the car. Derek: Mrs. Booker, I know you're worried about the surgery. Sylvia: No, I'm not. I'm not worried about it, because I'm not having it. Derek: You're not having the surgery because of the medical risks. Sylvia: No, I'm not having it because, because for the first time in 12 years I have a great marriage and I have a life. And I wanna live it. Derek: You, you have weeks. If this surgery is successful, you're looking at decades. Sylvia (shakes her head): I don't think you understand. I'm not crazy and I don't wanna die but I don't wanna go back to being Kyle's bed warmer in a full-length flannel nightgown. (Derek nods) Can you understand that? Derek: I understand that you're tired of settling, so don't. Fight. Fight for your life. Fight for your marriage. Let me operate. And make a decision right now that you'll never settle again. (Sylvia contemplates this) (Izzie is sitting in Denny's room watching over him looking very worried. He's just lying in bed breathing into an oxygen mask looking very sickly. He looks over at her and removes the mask) Izzie (anxious): The LVAD will inhibit organ deterioration. It will allow you to get off most of the meds that you're on and it'll give your heart a much needed rest. (Denny smiles at her concern) Denny (softly): Izzie, I'm just ... I'm just so tired. Izzie: I appreciate that but the LVAD also has increased survival rates over conventional therapies. And I think that you need... Denny (interrupts still soft spoken): Hey. Hey. ... Having this surgery ... it means I don't get to leave here. And you know how much I hate hospitals. Izzie (nods): I do know. But as your doctor I can't support you making any other decision. (Denny smiles) The surgery will allow you more time and we need more time. Denny: We? Izzie: We uh your doctors, need more time. ... ... And we need more time. Denny: So, you'll be here? Izzie: Everyday. Denny: And as an added bonus, it'll really piss off Alex. (Izzie half laughs) Izzie: Yes, that it will. Denny: Ok. Izzie: Ok? Denny (nods): Ok. Izzie (smiles relieved): Ok. Ok. (She helps Denny place the oxygen mask back on) (Emergency entrance of the hospital where Heath walks in smiling holding a bloody rag over his hand. George nearby notices him & walks up to him) George: Heath, hi. Heath: Hey. Told you I couldn't miss my game and I didn't. I made 2 goals and 1 assist and there were scouts there! (George notices the bloody rag) George: What did you do? Heath: I cut off my finger. (George looks up shocked) It's ok. I saved it so you guys can sew it back on. (He holds up an ice-cooler in his other hand. George stares at him still thoroughly shocked and opens up the ice-cooler. There in a large batch of ice lies Heath's cut off finger. George nods at him still amazed and Heath nods back smiling happily) (OR where Callie is operating on Heath's finger. George is in there helping) Callie: Tissue infection in here. Not good. George: He said he found out how to do it on the internet. Who puts up Web pages on how to cut off your own finger? Callie: Well he's got a passion and he sacrificed for it. You gotta respect that. George (amazed): No ... you don't. (to scrub nurse) Thank you Bokie. (back to Callie) He cut off his own finger. A finger... (he moves out of Callie's way) sorry...that would've healed perfectly in a few months. (he clamps down on the finger) I got it. Callie: Sometimes you can't wait. Just want the pain to stop. So you cut it off. The problem and the pain. George (shakes his head): That doesn't and the pain no. I mean if it's that painful...(he accepts another instrument from the scrubs nurse) Thank you- (back to Callie) to start with, even if you cut it off there's always gonna be that phantom pain. Callie (stares at him): Your ex did a real number on you, huh. (George looks a little taken aback) (Hallway where Sylvia prepped for the OR is lying on a hospital bed being wheeled down the hallway. Meredith and two other interns are pushing the bed with Kyle also walking bedside the bed) Sylvia: You're quitting your job. Kyle: Oh absolutely. Sylvia: And we're selling the house. Kyle: Mmm hmm. Sylvia: And we're moving to Paris and we're spending that nest egg now. Kyle: Yeah. Sylvia: Promise? Kyle: I promise. Sylvia: Baby? Kyle: Yeah. Sylvia: If I die, promise me you'll do it anyway. Kyle: I promise. (Meredith pushes a button to open the double doors that are coming up and she turns to Kyle) Meredith: I'm sorry, this is far as you can go. (Kyle looks a little distraught and moves up close to Sylvia) Kyle: Sylvia, please don't die. Sylvia: I'll do my best. (He leans and they kiss) (Kyle is left standing watching as they wheel Sylvia away) (On-call room where Cristina is lying asleep holding Will who is also asleep on the bottom bunk-bed. Bailey comes in and gently removes Cristina's arm holding Will and leans in to take him. Cristina wakes groggy) Cristina (groggy): I fed him. Oh god there's poop everywhere. Wait. (Bailey scoops up Will into her arms and Cristina sits up startled and more awake) Bailey: Go back to sleep Cristina. (Bailey bends down to grab a bag filled with Will's baby things near the doorway and Cristina takes the opportunity to speak) Cristina: I know you're the boss of me and you could destroy my career and make my life a living hell and torture and pain and all that but just in the future (she looks earnestly at Bailey) I don't baby sit! Bailey: Fine. (She leaves and closes the door behind her) (OR where Addison is performing a C-Section on Mrs. Gibson with an OR team. She takes out the crying baby and hands the baby to George who is also there) (OR where Burke is performing surgery on Denny with an OR team. Izzie is there to standing and watching) Izzie: I read that a patient's heart can sometimes remodel itself and they can be weaned off the LVAD. Burke: It's not likely in Denny's case. His heart is too weak. (Scrub room where Addison is putting back on her wedding ring and engagement ring looking contemplative) (Addison is walking down a hallway. She stops and looks into a picture frame, using the glass as a guide to fix and check her hair. She moves and stands in front of Mrs. Gibson's room. The Gibson's are both cooing over their baby girl) Addison: I just wanted to make sure everybody was doing ok. Mrs. Gibson (staring at her baby girl): Everything's fine. (Mr. Gibson doesn't even look up just cooing over his daughter) Mrs. Gibson: Thank you so much. (Addison smiles but realizes that Mr. Gibson isn't really going to pay attention to her) Mr. Gibson (looks up briefly): Oh yeah right. Thanks. Thank you. (He looks back down at his daughter) (Addison walks back down the hall and shakes her head in annoyance at herself) (Post-op ward where Heath is now lying in a bed after his surgery. His hand is all bandaged and is being held up by wires. Mrs. Mercer is sitting in a chair next to his bedside. Callie is standing on the other side and George is standing a few feet away) Callie: When you put your freshly severed finger into a grungy-bacteria filled glove, you got a severe infection. (Mrs. Mercer just looks teary-eyed) Heath: What? No. The internet didn't say anything about infection. (George has moved up to stand next to Callie) George: Mrs. Mercer we didn't realize how deep the infection had gone until we were in there. There was too much tissue damage. Callie: Heath, the infection was caused by a methicillin resistant staph bacteria and it's continuing to spread. We'll be lucky if we can preserve enough muscle for you to have any hand function at all. Mrs. Mercer: What do you mean? (to George) What does she mean? George: You may never regain complete control of your hand. Heath (slightly panicked): No. That's wrong. You're wrong. Ronnie Lott played for the 49ers when he cut off his finger, he could still play. I got the directions off the internet. I... Mrs. Mercer (interrupts, stroking Heath's head): My poor baby. Heath: Mom, stop. They're lying. They're just trying to scare me. Callie: Heath. I'm sorry. I really am but ... (she shakes her head) you're hockey career is over. (Heath stares at her shocked and upset and turns to his mother) Heath: Mom. (Mrs. Mercer just strokes Heath comfortingly, crying) Mom. They're wrong, right? They have to be wrong. Mrs. Mercer: Oh sweetheart. Heath: I got the directions off the internet! (George and Callie watch on sad) (OR where Derek is operating on Sylvia with his OR team. Meredith is assisting) Meredith: Is there any evidence of vasospasm or bleeding? Derek: No, it looks good. Meredith: So, do you think they'll move to Paris? Derek: I hope so. (Gallery which is filled with people watching, including Cristina, George, Bailey with Will and Addison. Derek glances up and stares at Addison contemplatively) (Scrub room where Derek and Meredith are washing up after the surgery. The OR is pretty much packed up and cleaned) Meredith: That was amazing. Derek: It was, wasn't it? Meredith: Yeah. (Derek moves and to dry his hands) Derek (to himself): Yeah. (He walks back to stand in front of Meredith) Meredith. You know I was kidding this morning. (he smiles) I mean you can tell me about this horrible thing. Come on, you can talk to me. Meredith: As a friend? Derek: As a friend. (Meredith contemplates this, chewing on her lip. She nods a little and turns to Derek) Meredith: There's a line between friends and not-friends and if I tell you this, if I tell you this whole horrible thing then you have to react as my friend. Not my not-friend. (Derek nods slightly) Derek: I can do that. All right. You tell me what's wrong, I'll tell you how to fix it. (He smiles at her) (Meredith closes her eyes in kinda an 'ugh, I can't believe I'm doing this) Meredith: Ok. Are you ready? Derek (smiles): I'm ready. (There's a brief silence and Meredith groans slightly. She turns to face Derek again) Meredith: I slept with George. (Derek loses his smile quick fast) And, and it was a horrible mistake. (Derek looks kinda sickened but tries not to let Meredith notice) And now everything has changed. And I don't know how to repair it. (Derek nods) I don't even know where to start but I just know that I have to and ... (She trails off and looks at Derek who just looks pensive) Say something friendly. (Derek clears his throat) Derek: You tell him that. You find George and you apologize. Meredith: That's what everyone is saying but he won't listen. Derek: Make him listen. You tell him you're sorry. Just tell him again and again and again until he listens. Meredith: How do I do that? Derek (smiles at her): You do what I do. (he grins at her) Use the elevator. (Meredith smiles and Derek leaves looking kinda upset) (Derek is standing by himself in the open hallway looking out the big wall of windows) (George is walking down the hallway with his back-pack dressed to go home. He dashes for an empty elevator that is about to close and makes it in. Meredith runs in just, squeezing in before the door closes. George moves to press the open door button but Meredith presses a button to a floor to stop him) Meredith: You're trapped. ... And you don't have to talk. I'll do the talking. (George just stares up at the ceiling, avoiding eye-contact) George, I am truly very deeply, sorry. And I'm not going to make excuses (George continues staring at the ceiling) I'm just sorry. ... Look, I know you're going to get off this elevator and walk away and not look back, I know that. But George, we're friends. Real friends, and that means no matter how long it takes when you finally do decide to look back I'll still be here. (George still stares at the ceiling. The elevator stops, he gets off of it and leaves and starts walking down the hallway and doesn't look back with Meredith staring after him) MVO: As doctors, as friends, as human beings we all try to do the best we can. (Denny's room after the surgery. Izzie is sitting at his bed-side again looking upset and worried. She takes his hand in hers and strokes it comfortingly) Denny: Hey (Izzie looks up startled that he's awake and sighs) Denny: Don't you have somewhere to be? Izzie: Yeah. (She nods) Yeah I'm there. MVO: But the world is full of unexpected twists and turns. (Cristina is opening up the door to her and Burke's apartment) MVO: And just when you've gotten the lay of the land, the ground underneath you, shifts. (Cristina enters smiling and looking around for Burke. She turns the corner and loses the smile slowly when she notices Burke playing trumpet and George playing the clarinet with him. They're playing 'When the Saints Go Marching In') MVO: And knocks you off your feet. (Cristina just walks into the bedroom closing the door behind her) MVO: If you're lucky, you end up with nothing more than a flesh wound. (Derek is walking down a hallway in the hospital. He stops at a doorway and smiles. Sylvia is waking up from her surgery lying in bed with Kyle sitting at her bedside) MVO: Something a band-aid will cover. (Sylvia looks over at Kyle and he smiles at her. He takes both of his hands in hers) (Derek enters his trailer. Addison is sitting in a dressing gown on their bed reading over some papers) Derek: Hi. Addison: Hey. (He removes his jacket and makes his way to their tiny bedroom) MVO: But some wounds are deeper than they first appear and require more than just a quick fix. (Derek smiles briefly and sits on the bed. He moves and lies propped up in front of her. He looks at Addison sighing. Addison finally looks up from her magazine confused) Addison: What? Derek: I was indifferent. You know in New York before Mark. I was just (he shrugs) indifferent towards you. Addison (a little amazed): Yes. Derek: I was absent. Addison: Yes. (He nods) Derek: I'm partly to blame for what's happened to our marriage. Addison: Yeah. Derek: I'm sorry...I'm working on it. (Addison smiles softly at him. Derek nods) Addison (nods): Ok. (Derek sits up and starts removing his shoes while Addison watches him deep in thought) MVO: With some wounds, you have to rip off the band-aid, let them breathe and give them time to heal. (Meredith's house) (Meredith is lying in bed by herself just staring out the window)
Band Aid Covers the Bullet Hole