Part one of a three-part story arc. Gunshot victims from a nearby restaurant crowd Seattle Grace and the doctors are fully occupied. Cristina has an engaged couple who are arguing over him ducking behind her during the shooting, Meredith and Callie's patient could lose his leg, and Derek and George have a 12-week pregnant girl. Knowing that Derek is mad at Meredith for dating Finn, Addison yells at him in the hallways, not realizing everyone can hear. Meredith asks Callie for advice on bone cancer in dogs. Burke is still angry at Cristina and chooses Alex over her to go with him to retrieve a heart for Denny. When Izzie finds out that Denny is not about to get the heart, she takes the matter in her own hands. Callie professes her love to George, but before he can answer her, Izzie asks for his help with Denny, and he goes with her. As Burke races back to SGH to keep Izzie from doing something drastic, both Burke and Denny wind up in critical situations.
(Joe's Bar) MVO: In life, we are taught that there are seven deadly sins. (Derek and Burke are playing darts) Derek: Let's see what you got here. MVO: We all know the big ones: Gluttony, pride, lust. (Cristina, Izzie and Meredith are watching from another part of the bar.) Cristina: He's picturing my face. He's totally picturing that dart puncturing my skull. MVO: But the sin you don't hear much about is anger. (Burke flexes a muscle) Cristina: Whoa! Look at that. MVO: Maybe it's because we think anger's not that dangerous. (Derek and Meredith exchange angry glances.) Izzie: Derek...Derek is picturing you. MVO: That we can control it. Meredith: He called me a whore. He lost the right to picture me. Izzie: Hmm. Cristina: So I fall asleep during s*x. So what? (Loudly) Ass. Meredith: Ass! (Alex walks by) Izzie: Oh, ass! Hey! Alex: Isobel Stevens has finally left the hospital. Does this mean heart patient dude finally kicked it? Izzie: I'm sorry. This section of the bar is for surgeons. We don't socialize with gynecologists. (George enters) Izzie: George! MVO: My point is, maybe we don't give anger enough credit. (Callie is with George) Izzie: Hey. Meredith: Hi, Callie. Cristina: Hi, Dr. Torres. MVO: Maybe it can be a lot more dangerous than we think. After all, when it comes to destructive behavior... George: Uh, gin and tonic and a beer. MVO: ...it did make the top seven. (Seattle Scenes) (Finn's vet clinic) Derek: That's it? That's your diagnosis? Meredith: Yes, he said bone cancer, so that would be his diagnosis. Derek: I heard him. I was double checking. (Addison and Finn can sense the tension in the room) Finn: I still need to do a bone scan to see how far it's spread. Osteosarcomas are aggressive, but we can try and treat it with chemo or remove the tumor entirely. If it's spread too far, we may have to amputate the limb. Derek: At that point, should we even bother? Meredith: Oh, right. Let's just let him die. Derek: I don't want him to suffer, Meredith. Meredith: Right. (Addison, Derek and Meredith are in an elevator at SGH.) Addison: So what's...I mean, is there something going on? Derek & Meredith: No. Addison: Did you guys have a fight, or something? Derek & Meredith: No. Addison: So...we're all still...friends? Derek & Meredith: Yes. (Derek and Meredith exit the elevator, Addison is left standing there confused.) (Burke and Cristina, walking through the hall) Cristina: I heard you might be getting a heart. For a transplant. Burke: Mercy West has a heart and I'm going to get it, yes. Cristina: Can I go? Because, um, I've done it before. With Dr. Bailey, when she went to get a heart. You can ask her. I was very helpful. Burke: Yeah, I'm sure you were. But I'm not going to need your help on this one. (Ambulance Bay) Paramedic: White male. GSW to the left shoulder. Paramedic: Multiple walking wounded. Five injured coming in behind us. (ER) Meredith: Why are they all in the hallway? Cristina: Overflow from the ER. Izzie: A paramedic told us an employee went postal. Shot up a restaurant. George: I heard he got away. Meredith: Really? (Another part of the ER) Cristina: Neal Hannigan and Deborah Fleiss. They were paying at the register when the gunman came in. Doctor: She's got a through and through to the right upper arm. Good distal pulses. He's sustained a possible graze wound to the right back. Bailey: Lets irrigate the wound and get them to X-ray and order a tet-tox for both. Neal: Don't worry about me, take care of my Deborah first. Deborah: Oh, now you're concerned. Neal: I said I was sorry. Deborah: Sorry? The shooting starts, you duck behind me and you're sorry? Cristina: He ducked behind...? You ducked behind her? Neal: It was instinct. I couldn't help it. Deb, honey, you know I love you. Deborah: Love means never having to use your girlfriend as a human shield! Neal: We shared a bullet, Deborah. It went through you and into me. That's a sign we should be together forever. A sign. Deborah: No, Neal, this is a sign! She's squirting water through my arm. Look! I can see you through my arm. That's another sign. Bailey: Good luck. (Another part of the ER) Meredith: Lower left leg deformity from GSW. Pedal pulse is strong and intact. Paramedics said he got five of morphine in the field. Man: Trust me, it was not enough. Callie: Probably got the tibia. Rule out other injuries then get him up to Radiology. (Another part of the ER) Derek: Lets get her up to CT. Get a hold of her parents. Get them down here as soon as possible. What's her name, by the way? George: Kendra. Kendra Thomas. Derek: Kendra. (Another part of the ER) Izzie: Almost...got it. Brad: Do you know what you're doing? Because that really hurts, you know. Izzie: You know what really hurts? Gunshot wounds. You're lucky. Brad: Lucky? There's no luck. Quick thinking, doll. Izzie: Excuse me? Brad: I'm a quick thinker. Smart. Always right on it. As soon as I saw him, Petey...he's the shooter...I knew when I fired him he was no good. As soon as I saw him, I though, "Oh, here we go." I just knew it was coming. Hey, Chaz. Larry. No offense, but you guys got to think quicker on your feet. Izzie: They have gunshot wounds. Very serious gunshot wounds. Life threatening gunshot wounds. Brad: Really helps that I'm an athlete because the second I saw Petey with that gun, I was like cat quick. Just dove right through the window. Those guys? Not so smart. Izzie: I'm going to take a wild guess and say that Petey was looking for you. (Another part of the ER) Alex: You seen any enema kits? Meredith: We have 13 GSWs. You're looking for enema kits? Alex: I'm trapped upstairs with the gyno-beast on the uterus parade. Meredith: Addison can't do this to you forever, Alex. Alex: You want to bet? Swear to God, she's ruining vaginas for me. (Another part of the ER) Richard: Two dead, 14 injured. The policeman say the gunman got away so there could be more incoming. Burke: I could stay. We could send Bailey. Richard: No. You're our only cardiothoracic transplant specialist. You go get that heart. (Cristina and Alex are watching from nearby) Cristina: Oh, forget it, Karev. I already asked. (Alex runs after Burke) It's not going to...happen. (Rooftop, Burke is entering the helicopter) Alex: Dr. Burke! Dr. Burke! I heard you were getting a heart. Can I go with you? Cristina: I asked first. Burke: You didn't get assigned any gunshot cases? Cristina: Well, yeah, but if you had put me on this when I asked I would've been free. Alex: I didn't. I'm not doing anything. Cristina: No, he's on the gynie squad! Alex: Not if you put me on this transplant. Please. Burke: Let's go, Karev. Cristina: You can't be serious. Alex: Whoo! See you later, Yang. Whoo! (Inside the helicopter) Alex: So who's the lucky patient? (Burke and Cristina stare at each other) Burke: Denny Duquette. (Alex looks sick) (The ER) Bailey: The answer is no, Stevens. Izzie: You don't even know what I'm going to ask. Bailey: You want to help prep Denny Duquette for transplant. Izzie: So it's true? He's getting a heart then? Bailey: See, your face right now? That's the problem. You're overly attached to your patient. So the answer is no, you cannot prep him. Go back to sutures. Izzie: I know Denny's cardiac parameters. I know how his LVAD works better than any other intern. I also know his meds better. I know the frequency, the dosage, the quantity and his physical limitations. I promise I will...I will be 100% professional. Bailey: No flirting, no knitting him sweaters, no marathon games of Scrabble? Izzie: I will treat him with the same protocol I would any other patient. Bailey: All right. Fine. You can inform him the hearts coming. Izzie: Thank you, Dr. Bailey. Bailey: Stevens, if you so much as sit on that bed... Izzie: I got it. (CT viewing room) Derek: Can you imagine? You're at work, you're doing your job and somebody comes in and shoots you. Just...puts a bullet in your head. 19 years old. George: I called her parents, they're on their way. Also... Derek: We need to get her into the OR immediately. I mean, the bullet's gone right through the midline. George: Also, uh... Derek: Look at the size of the hematoma. Also? George: What? Derek: You said "also" twice. George: Yeah. Also, she's pregnant. (ER) Brad: Hey, I'm management so I'm 100% covered. So, I could spend a year in this hospital, wouldn't cost me a cent. That's why, when I told you about management, Chaz, you should've listened to me. Because now you're screwed. Even if you just spend one day in this ER, that's three month's rent. Other Man: Is there any chance you can, please, up my morphine? Meredith: He keeps talking, pretty soon I'm going to need some. Will: Can you find out about Kendra for me? Meredith: Are you two friends? Will: Not friends, exactly. But, uh, everybody likes her. You know, she's...she's just...she's nice. She'll cover your shift when you need it. She's good with the customers. She's real generous when it comes to tipping busboys. Meredith: Let me guess. You're a busboy? Will: I am. Plus, she's the only one that calls Brad on his crap. Meredith: Well, why don't you say something? Will: Yeah, I wish. I'm saving up to go back to school. I need the job. (Callie walks up) Callie: What are you, socializing? I've got five more patients for you to see and Will here needs to get to surgery. Move your ass. (Callie walks away and Will gives Meredith a look) Meredith: I need the job. (Denny's room) Izzie: I have some news for you. Denny: Am I getting a better television? Because this one is ridiculously small and it doesn't get the porny channels. Izzie: You're getting a heart, Denny. Denny: I don't mean to be dramatic and all...but I'm going to need you to repeat that. And you say it slow, because this is one of those moments in life that I'm going to want to remember in detail. Izzie: You...are getting a heart...from Mercy West. Dr. Burke already left to get it. Denny: I guess this means I'm going to have to start taking you on some real dates. Izzie: I guess so. (Patricia enters) Patricia: Here we are, Mr. Duquette. Izzie: What are there? Patricia: DNR papers. Izzie: Do not resuscitate? Patricia: I'll leave these here and come back. (Patricia leaves) Izzie: Why are you signing there? You're getting a heart. Denny: If this heart doesn't come through for some reason... Izzie: It will. Denny: The last one didn't. Izzie: You're on an LVAD. Ok? That could give you another two years right there. Denny: Izzie...if I don't get this heart...I'm done. I'm...I'm sorry...I'm tired. Izzie: No. No. I'm not going to let you make this decision. Not now. Denny: Well, that's funny because I thought DNR was a patient's choice. Listen to me. I believe in heaven, Izzie. And if I had to choose between this life here...and one in heaven...I choose heaven. Ok? Izzie: Ok. (ER) Cristina: Ok, the x-rays will tell us the location of the bullet. Deborah: Mine was a through and through, right? So there's no bullet. Cristina: Yeah, well we wanna make sure it didn't hit bone. Neal: However this turns out, I want you to operate on my fianc�e first. I don't care if I'm dying. Cristina: You're not dying. Deborah: I'm also not your fianc�e anymore. Neal: We already sent out the invitations. We're getting married six weeks from now. Deborah, please. I love you. Cristina: Oh, don't fall for it. Neal: Excuse me, but... Cristina: That's how they do it, huh? With the "I love you's" and the "move in with me's" and they suck you in and they melt your resolve. And the minute you actually need something, something you totally deserve, forget it, you know, it's not going to happen. Because they pass you over for surgery or they're gonna duck behind you when someone's shooting. Deborah: You're very, very bitter. Neal: That's exactly what I was thinking. See? We're meant to be together. Deborah: Shut up, Neal. Cristina: Mm-hmm. (Mercy West) (Burke and a doctor from Mercy West are walking through the hall talking) Doctor: Two brothers tried to pass a semi on a double yellow and came out on the losing end of a head-on. Both are a match for your guy. Alex: So we get our pick. Burke: It doesn't work like that. UNOS has already assigned who gets which donor. Alex: So who's retrieving the other heart? (They walk up to a woman, Erica Hahn.) Erica: Took you long enough, Preston. Why is Junior here? Your ego get too big for one man to carry? Burke: Dr. Hahn here graduated second in our class at Johns Hopkins, Dr. Karev. Ask her who graduated first. Erica: God. (Scrub room where Derek and Addison are talking about Kendra) Addison: Kendra's fetus is 12 weeks along. It seems healthy. Did you hear me, Derek? Derek: I heard you. Addison: So you're not gonna tell me what's going on between you and Meredith? Derek: I told you. There's nothing to tell. (George enters) George: Kendra's parents are here. Derek: Let them know the situation, have them sign the consent forms, then scrub in. George: Yes, Dr. Shepherd. Derek: Thank you. (Mercy West, OR) Burke: What the hell happened to my donor? Doctor: He went into v-fib. Burke: I can see that. Give me the paddles. Karev, take over compressions! You gave epi? Doctor: Three rounds and shocked him twice. Burke: I'm going to hit him again at 360. Clear! He's asystolic. Alex: I don't get it. I mean, if the guy's already dead... Burke: And now his heart has joined the rest of him. Alex: Hmm. So, we can't use it? Burke: No, Karev, we cannot use it. The muscle is dead. The heart is useless. (Burke runs out of the room) Alex: Dr. Burke? Burke: (Running through the hall) Move, move, move, move, move! (Entering Dr. Hahn's OR) Stop right there! Don't move that scalpel! Not even a single slice! Erica: Just because your donor's heart died doesn't mean I have to give you mine. Burke: Is your patient higher on the transplant list? Is he higher on the transplant list? Erica: I have no idea. Burke: Well, neither do I. Karev, get UNOS on the phone now. Erica: Oh, give me a break! (A doctor picks up a scalpel) Burke: Hey! Hey! Erica: What? Are you going to beat him up? Burke: If I have to. Erica: Ok, just hold on. It's pathetic, Preston. Really pathetic. (Callie is standing at the OR board when Meredith walks up) Meredith: I've finished all five of your patients. Do you mind if I scrub in? I've never seen an ORIF before. Callie: Can't! The board's all backed up like crazy. Will's gonna have to wait a few hours, because every specialty thinks their surgeries are more important than Ortho. Freaking superior macho jerks. Meredith: Can I ask you a question? About bone cancer. Callie: Yeah. Meredith: In a dog. Callie: A dog? Meredith: My dog. Well, Derek's dog. Do you know Dr. Shepherd? It's our dog. We share the dog, which is...well, never mind. I just wanted to ask if you knew the success rate of curing osteosarcoma in a canine leg? Callie: We have an actual human patient with a bullet lodged in his tibia who might walk with a limp for the rest of his life, who might even conceivably lose his leg, and you're asking me about your precious dog that you share with your precious McDreamy? Yeah, I...I know about him. And you think I care? Unbelievable! (Mercy West conference room) Erica: Your guys on an LVAD? He's probably up and walking around. My guy still needs his dobutamine drip. Burke: That's the best you can do? He can climb Mount Shasta on a dobutamine drip. Man on Phone: As of this morning, Dr. Hahn's patient was 22 hundredths of a point ahead. Burke: That's basically a tie. Man on Phone: Except that Dr. Hahn's patient was admitted into the transplant program before Mr. Duquette. Burke: How long before? Man on Phone: 17 seconds. Burke: 17 seconds. Erica: Might as well be 17 weeks. It doesn't matter. (Burke's cell phone rings) (Burke hands the phone to Alex who answers it) Alex: Hello? (Izzie is sitting in the lobby) Izzie: Alex? Where's Dr. Burke? Alex: What do you want? Izzie: I wanted to know how the heart recovery is going. Alex: He's working on it. Izzie: He's working on it? So, he's operating then? Alex: There were two donors, Izzie. Our guy's heart flatlined. And now he's trying to get the other guy's. Izzie: But there's a list. Alex: Yes. And the higher guy gets the heart. Izzie: Denny's getting sicker. Alex: What? Izzie: Denny's getting worse by the second. His, uh, sats are in the eighties. Alex: Izzie. Izzie: It's seventies. His sats are now in the seventies and dropping. Alex: Izzie, I'm not going to lie for you. Izzie: Then put Burke on the phone! (Meredith is sitting in a conference room and Addison enters) Addison: Hey. Meredith: Hey. Addison: Have you seen Dr. Karev? Meredith: Uh...hours ago. Addison: Ok. (Addison and Meredith smile at each other and Meredith goes back to her work. Addison does not leave.) Addison: Sorry. I, uh...I'm not sorry. I just...I'm having a little trouble because I need to ask you something. And I don't usually have trouble. But what I need to ask...I'm not even sure I want the answer to, but I have to ask. So I'm just going to ask you and then you answer and then...uh, I'll go from there, ok? Meredith: Ok. Addison: Are you sleeping with my husband? Meredith: Not since before I knew he was married. Addison: Ok. (She starts to leave but turns back) Except, you know, it just...it felt like in the vet's office this morning, and then again in the elevator...if felt a little like you two were having a lover's quarrel? Meredith: No. We're not. I've moved on. I'm dating Finn. Addison: You're dating the vet? (A look of realization comes over Addison's face) Addison: Ok. Meredith: Addison... Addison: No, no. Thanks. I'm...I'm good. Thanks. I'm great. (Burke is on the phone with Izzie.) Burke: Flash pulmonary edema? Is it the LVAD? Is the LVAD working? Izzie: Absolutely. Burke: Well, did you put him on a nitro drip? Izzie: Um, yes. Yes, of course. [SCENE_BREAK] (Mercy West Conference room) Erica: Preston, she could be putting paddles directly on his heart. He's still not getting this thing. Burke: How's his blood pressure? Izzie: It's, uh, still dropping. 82 over 40. Burke: Then take him off the drip and put him on dopamine. Now! Don't hang up. (To people in conference room) According to my intern, Denny Duquette now qualifies as a 1A candidate for that heart. That puts him ahead of Dr. Hahn's patient. Erica: I'm out of here. This is just crap. Man on Phone: Dr. Hahn? Erica: What? Man on Phone: If Dr. Burke wants to run labs, do an echo and a BNP to fully ascertain the status of his patient, we'll allow it. Erica: That'll take an hour. Man on Phone: Is the donor stable? Dr. Hahn? Is the donor stable? Erica: Yes, the donor is currently stable. Man on Phone: In that case. Dr. Burke, you've got an hour to get those tests. Burke (To his cell phone): Dr. Stevens? Izzie: I heard. Burke: Good. Get going then. (Kendra's OR) Doctor: BP is 220 over 130. Derek: The brain's fungating out of the wound. George: What's fungating? Derek: Herniating. Nurse: She's bradycardic. Derek: Um, give me 50 mannitol and 20 of furosemide. What's her pulse? Nurse: Down to 32. Derek: Come on, Kendra. Come one. CO2? Nurse: 40. Derek: Oh, God. Clot's already evacuated. All right, everybody. George: But... Derek: She's brain dead. There's nothing we can do now. (Derek and George are in the waiting room talking with Kendra's parents) Derek: There is no spontaneous brain activity and she isn't going to wake up. Mrs. Thomas: Oh, God. Mr. Thomas: What about the baby? Is the baby ok? Derek: As far as we can tell, the baby's fine but...that's not the point. Essentially your daughter is dead. We need your consent to remover her from life support. Mr. Thomas: What if we kept Kendra alive? Could the baby live? George: With all due respect, sir, you don't want to do that. Mr. Thomas: Are you part of this family? Do you have a daughter? If you don't, you really ought to just shut up! Mrs. Thomas: Our daughter could have this baby? (Nurse is stitching up Brad) Brad: You know, even with all these cuts, I don't feel any pain. I swear, I have the highest pain threshold of anybody I know. (Bailey walks up to Will who is watching Brad from afar) Will: God! If I could say something to that guy and not get fired... Bailey: He can't fire me. (Bailey walks over to Brad's bed) Bailey: Uh, Mr. Eckles? Brad? Uh, I'm happy for you that you're not feeling much pain from your very minor injuries. But there are a great many people in this hospital who are in a great amount of pain. See, they have bullets in their bones, in their chests, and in their brains. Bullets from a gun that was aiming for you. And although they can't say it because you are the boss of them, most of these people at this moment are praying...not that they'll live, not that the pain will subside, they're praying to God for you at this moment to shut the heck up! (Bailey walks away leaving Brad stunned. As she walks by Will he mouths thank you.) Bailey: No problem. (Cristina and Meredith are sitting on gurneys in a hallway, talking.) Cristina: Karev. He stood there and chose that moron over me. Meredith: I mean, I'm trying to help the dog and he's standing there talking about putting the dog down. Like Doc means nothing. Cristina: He's not rewarding Karev, he's punishing me. Meredith: And he hates Finn. Who, by the way, is great with dogs. Cristina: You know, he withholds surgery when I'm a bad girlfriend. It's his M.O. I mean, how controlling and macho and petulant is that? Meredith: At least he's not shooting people or putting down dogs. (Izzie walks up) Cristina: I'm dumping him. This relationship is so over. Izzie: Um, I...I told a lie...to Dr. Burke. Cristina: Good for you. Fight the power. Izzie: No, no. I need...um...God, I can't think. I...I can't...I don't know what to do. What do I do? There's this guy ahead of Denny of the transplant list. Meredith: He'll get the next heart, Iz. Izzie: No! He needs to get this heart! Cristina: He'll probably get a heart at some point, but as long as Denny's doing well on the LVAD and there's someone ahead of him on the transplant list, he's not going to get this heart. Ok? Izzie: (Looks like she had a revelation) Yes. You're right. Ok. Thank you. Thank you. (Izzie starts grabbing supplies) Cristina: (Whispering) Ok, if I was going to pick someone who was gonna go psycho and shoot up the place...it's Izzie. Meredith: Totally. (Izzie enters Denny's room with a crash cart and other supplies.) Denny: What's all that? Izzie: Heart stuff. Denny: What? So you're gonna put this heart in me in my room? I didn't know transplants were so informal. Izzie: There may not be a heart, Denny. Somebody at Mercy West might get it instead. Denny: So this isn't going to happen...again? Izzie: Not necessarily. I have been over this and over this and it can't be a lie and it can't be fake. We need charts, we need test results. We need UNOS to believe us. So it has to be real. Denny: What are you talking about, Izzie? Izzie: In order for you to get the heart, you would have to get worse. Much worse. And you would have to do it very quickly. Denny: Well, I don't see that happening. You see that happening? Izzie: I am going to make it happen. (Seattle Scenes) (Mercy West, Alex enters the OR where Burke is) Burke: It's been 30 minutes already. Is Stevens answering her page? Alex: She probably busy getting test results. Burke: Did you call Bailey? Alex: Well, she's not answering either. Erica: You can check the chart all you want. You're not getting this heart. Burke: Well, you may not want it. His angiogram shows 30% LAD. Erica: It's still not enough to give it to you. (Denny's room. Izzie is closing the blinds.) Denny: Izzie. Izzie, stop and listen to me. We're not doing this. Izzie: Don't worry. You're not going to die. I will be here the whole time to make sure of that and that's what this stuff is for. Denny: This isn't about me dying. All right? This is wrong. Izzie: You've waited a year and a half to get this thing. Who knows when the next one is gonna come along? Denny: I'll take my chances. Izzie: No! it may be too late by then. Denny: Then it's too late! All right? Now, get this stuff out of here! Izzie: Denny, please. You have to do this. Denny: No, Izzie. I'm not about to steal a heart from another man's chest. Not to mention, this will be the end of your medical career. Izzie: I don't care about my medical career. Denny: All right, you know what? This has gone on long enough. I'm gonna call a nurse. Izzie: Everyone who is entered into the transplant program is clocked in to the second. To the second. Denny, you were clocked in to the second and so was the other guy. I checked with UNOS. The difference between when you entered the program and when he entered the program is 17 seconds. That's it, Denny. Seventeen seconds. I mean, it's not even the length of a decent kiss. So this other guy? I'm not saying that he doesn't deserve this heart. I'm sure he does. But so do you. So do you! And if you tell me any more crap about heading towards the light or looking down on me from heaven, I swear I will kill you myself, right now. Denny: Izzie. I'm gonna be all right. All right? You don't have to worry. Izzie: What about me? What about me when you go to the light? Denny: Izzie... Izzie: (Hysterically) No! I get it, ok? I get it. You'll be ok. You'll be fine, but what about me? So don't do it for yourself. Do it for me! Please! Please, Denny! Please do this for me! Because if you die...Oh, God you have to do this. You have to do this for me or I'll never be able to forgive you! Denny: For dying? Izzie: No! For making me love you! Please! Please do this for me. Denny: Come here. Izzie: Ok? Please! Ok? I can't do this if you don't. Please do this for me! Because if you don't do this...Please! Denny: Ok. Ok, I'll do it. (Denny holds her in his arms) (Callie and George are walking through the hall) Callie: I'm in the middle of analyzing an X-ray and your friend Meredith starts asking me about her dog. Her dog. George, she wants a medical opinion about her dog. George: She likes her dog. Callie: Why are you defending Meredith? George: What? Callie: I get Izzie. I mean, I don't. But if you want to defend Izzie, that's fine. I don't get how you can defend Meredith. George: Hey! We're interns. We all started out together, Meredith, Izzie, Cristina and me. We started out together. Callie: George, that woman hurt you as badly as anyone can be hurt. You were devastated when I met you. George: Hey. They're family. Izzie and Meredith and Cristina they're...they're my family. I can hate Meredith and I can be angry at her but I'll always defend her. Callie: So you don't have to forgive Meredith but I do? George: If you want a chance to be part of the family, yeah. (Izzie is on the phone with Dr. Burke.) Izzie: Dr. Burke. Hello. Burke: Stevens. Where the hell have you been? Have you got the lab results? Izzie: Um...I'm working on that. Burke: Stevens, I need answers. Stevens? Izzie: You should get back here. With the heart. As soon as you can. Burke: What the hell are you...what are you talking about? Izzie: Preston. Burke: Izzie, what did you do? Izzie: Soon as I get confirmatory tests and labs to raise Denny's UNOS status, I will fax them over to you. Then you should waste no time getting back here. Because I don't know enough to know how long Denny will have once I start. Burke: Start? What did you do, Izzie? What did you do? Izzie: I'm going to hang up now. Just hurry. (Burke enters Dr. Hahn's OR) Burke: According to my intern, Denny Duquette is in pulmonary edema. He has been intubated and placed on multiple IV drips. Doctor: So, Preston gets the heart. Great, lets open this guy. Burke: However, given this unusual situation and out of respect to Dr. Hahn, I'd like to confirm those results. Alex: You just did. Burke: In person. I want to confirm them in person. Erica: Are you kidding? By the time you get there, it'll be another hour. What are you up to, Burke? Why don't you just talk to your chief? Confirm the results with him. Alex: Well, because of the shootings today...at the restaurant. All our attendings are still in surgery. Burke: Exactly. Now, if you'd prefer, or I can just call UNOS and have them give me the heart. Or I can go and make sure that it really belongs to me. Erica: Go. Burke: Thank you. (Burke and Alex start to leave) Burke: I'm going back to Seattle Grace. You stay here and protect my heart. If that woman so much as looks at a scalpel, tackle her. Do you understand? Alex: Yes, sir. (Derek and Addison are in a hallway) Derek: Hey, you got a minute? Addison: You ready to talk? Derek: Uh, my patient, Kendra Thomas. She's brain dead. Her parents want to keep her alive to have the baby. Addison: So, you want me to talk to the parents? Derek: Well, I tried already, but I figured, you know, you're neonatal, you might have a better shot at it than I do. Addison: Ok. Derek: It's just that you could give the a much more detailed picture... Addison: I said I'd do it. (Kendra's room) Addison: Mr. and Mrs. Thomas, Dr. Shepherd asked me to talk to you about your daughter and her pregnancy. Mr. Thomas: We've made up our mind. She's having the baby. Addison: I know Kendra meant the world to you and I know the terrible grief you must be going through right now, but from a medical standpoint, this is a very bad idea. Mr. Thomas: Well, if we'd wanted your opinion, miss, we'd ask for it. Mrs. Thomas: It's just...we love our daughter. Please try to understand. Addison: I do understand. I do. You think if you love her enough or love her baby enough that it will keep her close to you. But she's already gone and if you go forward with this, you're risking...I mean, if Kendra, were to contract an infection, she could pass it on to the fetus and it could cause brain damage... Mr. Thomas: We're taking our chances. Mrs. Thomas: Now...they keep organ donors alive after they're...gone. Why not Kendra? Addison: Organ donors aren't kept alive for six months. Your daughter is brain dead. She can't regulate body temperature, hormone output. These things are very important for a fetus. Mr. Thomas: You guys can regulate that stuff, right? Addison: We could try. I... Mr. Thomas: Well then try, damn it! What the hell's the problem here? Addison: The problem, as I see it, is you want to use your daughter's corpse as an incubator. That's the problem. Derek: Ok, I'm sorry. Would you excuse us? Addison: That's the problem. What? What? Derek what are you doing? Derek? Derek: They just lost their daughter. Addison: I know. That was my point, Derek. They need to face that. She's not coming back. Derek: A little sensitivity would be nice here, ok? They love their daughter. They don't want to let go. Addison: What they're doing is not about love, Derek. It's...it's...well, it's like you. Derek: Excuse me? Addison: Like how you pretend to love me, but really you're just using me to fill some need you have to be a good guy. Derek: Now is not the time to talk about this. We'll talk about this later. Addison: You walk away? That's all I get? Derek: Just calm down, please. Addison: What? What? You're not going to yell at me? Call me names? Or I don't know...ignore me in an elevator. Derek: What do you want from me, Addison? Addison: I want you to care! I sleep with your best friend and you walk away. He comes out here from New York and rubs it in your face, and still you get a good night's sleep. What do I have to do? Oh! I know. Maybe what I should do is go out on a date with the vet. Because that seems to something that sends you into a blind rage. Oh, but wait. That won't work either because I'm not Meredith Grey! (Derek nods his head towards the floor below. Addison looks and sees Meredith, Cristina, Chief Webber among others. They have witnessed the whole scene. Derek walks away.) (Kendra's room) George: I know this is a bad time, but have you decided, do you still want to go ahead with the baby? Mr. Thomas: We haven't decided on anything. George: Sir? You asked me before if I had a daughter. I don't. but I have a family. I...actually have a couple families. The thing about families, you don't necessarily like what they do. Their choices and their decisions. But you stick by them. Right now one of my friend, her boyfriend is dying. Heart failure. He's 36. I checked Kendra's driver's license, she's a donor. She's not a match for him, but she could save a dozen other lives. And from what I know about Kendra, what I've heard, I gotta believe that if she had the choice between where she is right now and saving a dozen other people, she'd save those people. That would be her decision. So the question is...whether you stick by her one last time. Excuse me. (Meredith enters an X-ray viewing room where Callie is.) Meredith: You paged? Callie: Yeah. There are, um, these are X-rays of a human with an osteosarcoma on his tibia. It's the closest I could get to mirroring what's actually happening to your dog. In this patient, the cancer was aggressive. And it spread quickly and he died when it finally metastasized on his lungs. Meredith: The human died? Callie: Yes. The human died. Meredith: Thank you, Callie. Callie: You're welcome, Meredith. (Deborah and Neal are kissing and getting ready to go home.) Deborah: You ok, baby? Neal: Yeah. (Cristina enters) Cristina: Well, you made up with him? Hmm. Deborah: I told him I'd give him one more chance. Neal: And I told her, she won't have to. What I went through today, what we went through today, it's changed me. This bullet will always remind me to do the right thing by my Deborah. Cristina: Here you go. Deborah: And whatever's going on with you and your boyfriend? Maybe you should just try and forgive him. It really feels so much better than all that anger. Cristina: Thanks. (Will's bed) Bailey: We haven't forgotten you, Will. We'll get you to the OR as soon as possible. (Brad is watching from nearby) Will: My friend, Kendra...Dr. Grey said that if anybody had any information they'd give me, they would let me know as soon as possible. Bailey: Ok, I'm sorry. (Brad walks up) Brad: I'm gonna get you some time off, man. I'm gonna talk to the owner, make sure they keep your job for you, you know. It's not your fault you got shot. Not my fault either. You know, I...I didn't...I didn't pull the trigger. Petey had the gun. I'm just saying. People blame management, but we do the best we can. I mean, I...I do the best I can. (Hallway) Addison: I know what you're going to say, Richard, but if you knew that day that I had... Richard: Everybody in this hospital has those days, Addison. And no one makes a scene in front of their peers. Get it together. Addison. Addison: I can't compete. He's not having an affair. He's not trying to hurt me. He's just...the only people who don't know Derek loves Meredith are Derek and Meredith. How do I compete with that? MVO: So what makes anger different from the six other deadly sins? (Derek and Meredith are in the elevator. He looks at Meredith then turns away. She looks at Derek then turns away. He starts to say something but changes his mind. They get off the elevator.) MVO: It's pretty simple really. You give in to a sin like envy or pride then you only hurt yourself. (George and Callie are in the locker room) Callie: I love you. (George just looks at her) I'm sorry. I'm...I...I didn't mean to...I just...I...I have verbal diarrhea and I'm a moron. What are you thinking? Are you freaking out or...? (Izzie enters) Izzie: George, I need your help. I wouldn't ask if it weren't important. It's... George: Ok. (To Callie) I'll call you? Later? Callie: Sure. (Meredith enters Finn's) Finn: Were we supposed to have dinner tonight? Meredith: Tell me the truth about Doc. Finn: What about him? Meredith: You've been downplaying how sick he is, haven't you? Finn: The best-case scenario, I would say Doc has maybe a year left. Meredith: Ok. Finn: And Doc is not the best-case scenario. Meredith: Ok. Finn: Meredith? Meredith: Oh, damn it. Finn: I am sorry. I'm so sorry. I know how much you love him. Meredith: I do. I love him so much. (George enters Denny's room) George: You need my help for an EKG? Izzie: No. Come. (To Denny) Ok, after I do this, I might have to shock you a few times. George: Do what? Izzie: You feeling good? Denny: I think so. Explain this to me again. Izzie: Ok, the LVAD has been inserted into your abdomen and is connected to your heart. This cord leads to the power source, this one is connected to the pump that pumps your heart for you. I have the crash cart, the defibrillator, the Ambu bag, saline... George: Do what, Izzie? Izzie: Um, I feel like we should say stuff. Denny, do you want to say stuff? Denny: Kiss me. Right here. (they kiss) Izzie, that kiss was worth 1,000 words. Izzie: A picture. A picture is worth a 1,000 words. Denny: You're gonna correct me at a time like this? George: I don't mean to be intrusive... Izzie: Just give me a second, George. Izzie: Ok, are you ready? Denny: As I'll ever be. (Izzie picks up the scissors) George: Wait. What are you doing? (Deborah and Neal are being released. Bailey is scrubbing her hands at a sink. Brad is leaving as well.) MVO: Try lust or coveting and you'll only hurt yourself, and probably one or two others. But anger...anger is the worst. (Gunshots are heard. Neal ducks behind Deborah) Deborah: Ok. We're done. Bailey: What was that? Were those gunshots? (Bailey runs to where the sound came from) MVO: The mother of all sins. (Will's bed) Will: Petey. (Denny's room) Izzie: Denny. If there really is some kind of big glowy light... Denny: I'll try like hell to stay out of it. Izzie: Exactly. George: I don't like that sound of this. Izzie: Just make sure nobody comes through that door. George: What are you doing? Izzie: I'm stopping his heart, George. MVO: Not only can anger drive you over the edge, when it does, you can take an awful lot of other people with you. (Bailey runs outside. Bailey checks Brad's pulse. He is dead.) (Denny's room) George: Izzie. (Bailey runs up to another gunshot victim. It is Dr. Burke) Bailey: Oh! Dr. Burke. I need some help! (Denny's room, Izzie and Denny are looking at each other) (Outside Bailey is trying to help Dr. Burke who is lying on the ground not moving) (Denny's room) Izzie: It's ok. Burke will be here any minute. (Izzie cuts the LVAD wire and there is the sound flatlining.)
17 Seconds