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Viewing Single Post From: 5.23 — Here's to the Future — Season Finale (1st hour)
oncetherewasaway
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PART 1 for DISCUSSION


5.23 Here’s to the Future ~ May 14, 2009


Meredith: [voice over]: (view of bridge leading into Seattle) When something begins, you generally have no idea how it’s going to end. (Aerial view of Seattle skyline, ya know the Space Needle..... switch to Casa Grey living room....morning after balloons and pan down to see Derek playing with Meredith’s morning hair .....wake up Meredith!) The house you’re going to sell becomes your home, the roommates you were forced to take in become your family and the one night stand you were determined to forget becomes the love of your life.


Meredith: (groggy Meredith turns head and opens eyes) Hi. How long have you been up?
Derek: All night. I was trying to figure out how to get the tumor out of Izzie’s brain.
Meredith: Why are you smiling?
Derek: (cheshire cat grin) ‘Cause I figured out how to do it. Once Izzie’s in the clear, we’re gonna go down to the Bahamas and have our wedding on the beach. The One and Only Beach Club. You could actually have drinks during the ceremony. (both giggle)

Seattle Harbor and skyline.... and oh those pretty, pretty ferryboats



Scene - Hospital hallway, Izzie and Alex walking the halls.

Alex: You sure you’re okay to be up and around?
Izzie: Yes. I have good days and bad days, plus I don’t want to spend our entire honeymoon in a hospital bed.
Alex: It’s not our honeymoon.
Izzie: It totally is. Come on, I want you to meet my friends.
Alex: I know all your friends.
Izzie: You know all my doctor friends. I’m a patient now, you’re gonna meet my patient friends. And they’re gonna love my new husband.
Alex: Don’t make a big deal.
Izzie: I’m not gonna make a big deal. (holds out her hand to show chemo friends her plastic dome ring) I’m a bride! (Applause)
Alex: I’m getting her a real one.
Izzie: I love this one, that makes it a real one. Okay everybody, this is Alex my husband.(friends wave) Husband, this is Austin, Starr, Meg, Miguel and Alison.
Alison: Could you turn him around so we can see the butt.
Izzie: Yes — Alex.
Alex: What? Are you kidding me?
Izzie: Come on ... (Izzie turns to look down the hall) Oh, big trauma just came in (Alex turns around to look, Izzie nods to her friends).
Alison: That’s quality bootie. Congratulations Izzie.
Izzie: Thank you (laughs)

Scene - Nurses Station
Owen: So, umm...I had a good session with my shrink this morning.
Cristina: Did you talk to her about your mom? I mean have you seen your mom yet? 'cause she lives, like, you know, a few miles away, and she thinks you're still in Iraq.
Owen: Yeah, I.... I’m planning to see her.
Cristina: When?
George walks up
George: Dr. Hunt...I’m not on trauma today?
Owen: Follow me, O’Malley.

Scene - Owen enters with George
Owen: Lieutenant Lowell, I’m Dr. Hunt. We spoke on the phone.
Charlie: Major Hunt, it's good to finally meet you. My C.O. has told me a lot about you.
Owen: Oh, you shouldn't believe anything Steve Mason tells you. This is Dr. O’Malley and you've already met Dr. Torres.
Callie: I’m looking at Charlie’s post-op scans, but I’m not finding anything functionally wrong with the leg.
Charlie: Except that I can't walk or run or move really without serious pain. I've tried everything... medications, physical therapy. Nothing works.
Owen: Which could indicate nerve damage.
George: Or a chronic pain syndrome.
Callie: And we can definitely look into pain management procedures but surgically, I’m afraid, there's nothing I can do.
Charlie: Actually, there is. You could cut it off. You can cut it off and replace it with a prosthetic leg so I can get back to Iraq where I’m needed. (George looks at Owen for guidance...... who looks at Callie..... who looks at George)

Scene ~ Callie and Owen walk to nurses station.
Callie: (not one bit happy) Did you know that's why he was here?
Owen: No, but is it such an unreasonable request?
(Callie: Unreasonable? Cutting off a viable limb is dismemberment.
Owen: That kid made lieutenant at 19. He was planning on spending the rest of his life in the military.
Callie: They gonna take him back with one leg?
Owen: There have been several lower-leg amputees who’ve returned to active duty with prosthetics.
Callie: Voluntary amputees?
Owen: Maybe....I don't know. Are you saying I have to turn this kid away? His C.O. sent him here because he trusts me.
George: We could get another set of scans and then try an epidural for the pain.
Owen: Dr. Torres?
Callie: Fine. Do an MRI and an epidural. I'll take a look at the scans but if the leg is healthy I’m not cutting it off. (George raises both eyebrows to Owen.... that’s my ex-wife....Owen nods an understanding nod)

Scene ~ Smiley Arizona approaches Dr. Bailey at Nurse station.
Arizona: Dr. Bailey, are you busy today?
Dr. Bailey: That depends. You got any more dying children you want me to become overly attached to before they expire?
Arizona: No, I have an 8-year-old neuroblastoma patient and he's gonna live. I can feel it in my bones so scrub in with me and see the joy.
(Richard walks up to speak)
Richard: Dr. Bailey. May I borrow you?

(walking off and down a stairwell....Richard asks the burning questions)
Richard: Who is Santa Claus?
Dr. Bailey: An old white man who lives at the North Pole and enters peoples homes inappropriately
Richard: No. I’m Santa Claus.
Enter room with machines limbs moving — lights flashing and whizzin’
Computer Generated Voice: All systems ready.
Dr. Bailey: Oh, no, you did not!
Richard: Oh, yes I did. The Da Vinci SIHD surgical system.
Dr. Bailey: Tell me you didn't wait till I had all but left the general surgery program to buy us a Da Vinci!
Richard: Care to take it out for a spin?
Dr. Bailey: Santa. (laughs and is giddly with anticipation)

Scene ~ Lexie charting at counter ..... Mark walks up
Mark: Hey, I was thinking. You know with, ummm — Derek and Meredith getting married — they — umm — probably don't want us hanging out in the attic much longer. So I was thinking I’d start looking for a condo.
Lexie: Perfect, and then you'd finally have a place of your own.
Mark: Actually, I was, you know, thinking maybe you'd — you’d come with me.
Lexie: Absolutely. No, I…I would love to see it. I’m so happy for you. (Lexie walks away oblivious to what actually when down)

Derek who has been charting/listening to Mark blubber..... clear his throat to make Mark aware he hear every word.

Mark: How much of that did you hear?
Derek: You mean the part where you asked her to move in with you or the part where she shot you down? I was here for both. By the way it's just way too early for you to be moving in with Lexie. You don't have to do everything I do.
Mark: (indignant) This is not about you. I have my own future to think about – life is short. Look at what's going on with Stevens.
Derek: Don’t worry about Stevens. I got a plan.

Scene ~ Izzie’s hospital room where Dr. Swender, Derek discuss Derek’s plan. Meredith and Cristina and Izzie listen
Dr. Swender: You want to remove her hippocampus?
Derek: One of them. It’s a common procedure for seizure patients.
Dr. Swender: Removing her hippocampus could compromise her memory... her speech. She wouldn't be able to practice medicine anymore.
Derek: I have performed this surgery hundreds of times.
Dr. Swender: On cancer patients?
Derek: No, but it's...
Izzie: If you do the surgery, I could lose my memory?
Derek: It's unlikely, but it's possible.
Izzie: And if you don't do the surgery?
Dr. Swender: We could shrink the tumor with IL2.
Izzie: If the tumor doesn't kill me first.
Derek: Why take the chance?
Dr. Swender: Have you even done a Wada Test to see how her memory would be affected?
Derek: Putting her brain to sleep and asking her to remember a bunch of flash cards is not an accurate assessment of the post-surgical outcome.
Dr. Swender: But it would tell us whether or not she could function afterwards and as Dr. Stevens' primary physician.
Derek: Fine, I’ll do it. It’s unnecessary but I’ll do it.
Dr. Swender: The surgery is unnecessary.
Derek: The tumor's already symptomatic. She’s having hallucinations.

Scene ~ As Izzie listens to Derek and Dr. Swender debate — Izzie begins hearing ocean waves crashing and we Izzie sitting in a beach chair, blonde hair flowing and soaking up the sun. Quiet and peaceful with birds chirping in the background. Slowly pans out from Izzie to chair next to Izzie.... slowly..... slowly.... ever so slowly. OMG --- OMG it’s Denny Duquette!
Denny: Nice ring. Alex outdid himself.
Izzie: (Izzie holds out hand to admire her wedding ring and we see the bubble ring replaced with a rock the size of Kansas) We're gonna have beautiful kids, don’t you think? Is four too many?
Denny: Four is perfect.
Izzie: Ideally, it would be two boys and two girls…one of which would definitely be a tomboy. And I was thinking I should have them pretty close together though that might be stupid.
Denny: Why wait?
Izzie: Exactly. That way if I’m not able to practice medicine anymore...
Denny: You won't want to.
Izzie: You don't think?
Denny: Do you?
Izzie: I’m asking you. Why do you keep agreeing with everything I say?
Denny: Because I am you. I’m your tumor. You're talking to yourself.
Izzie: Right.
Denny: At least until you have surgery, if you have surgery. Are you gonna have surgery? (End scene with sounds of waves crashing and Izzie fiddling with the Kansas rock.

Scene ~ Izzie, Alex walking the halls with Meredith and Cristina bring up the rear.

Izzie: If Derek cuts the tumor out, I could lose my memory and if he doesn't, I could die andI don't know what to do. Alex, tell me what to do.
Alex: Iz, I can't tell you what to do.
Izzie: Of course you can. You're my husband. That's what husbands do — They stomp around telling their wives what to do. It's your job.
Alex: No, my job is to support whatever you want to do.
Izzie: I don't know what I want to do, that's why I’m asking you. Okay, I have an idea. Let's put it to a vote. All in favor of the surgery?
Meredith: No, we're not voting. No’s…no one's voting.
Izzie: Opposed?
Cristina: I’m opposed...(elevator bell dings)… to voting.
Izzie: Just decide for me. Please.
Alex: You don't have to know right now. Think about it.
Izzie: I don't have time. (Izzie walks away and Alex looks to Meredith)

Scene ~ Charlie in hospital room on gurney. George fiddles with doctor stuff and Owen fills out chart.
Charlie: Captain Mason told me that you saved his life at least four times in the field.
Owen: Yeah, and a couple of times in the canteen, but don't tell Mase I told you that.
Charlie: So, you think I’ll get to go back?
George: Are you sure you want to? I mean, why do you want to cut off your leg just to go back to the war? Don't you have family?
Charlie: You know what it's like to have family who don't know you. Who don't get you, maybe even don't like you?
George: Yeah, actually I have brothers
Charlie: Me, too. So there's that family, the guys I grew up withand we've got nothing in common. And then there's my guys in Iraq — my real family. Whatever we got into, we were in it together. But here — I’m alone. I’m nobody, And I’ve tried. You know, I’ve tried fitting in here. I've tried being a regular person. I've tried getting a job, but there aren't any. There are a lot of things that I wanted to be in my life, a lot of things I wanted to do — but none of them's here
(George ponders this last statement)

Scene ~ Dr. Swender and Cristina view scans in — the scan viewing room

Dr. Swender: This is Alison Clark. She was referred to me two years ago.
Cristina: Mets in her brain, liver, kidney?
Dr. Swender: Mm-humm. She ended up having five surgeries and extensive chemo, which worked, but then...
Cristina: Oh, yeah, the mets came back.
Dr. Swender: Uh huh. That's when I started her IL2 therapy. And now... after three treatments in as many months...
Cristina: The mets are gone?
Dr. Swender: The mets are gone. Dr. Stevens should be patient. She should give her therapy a chance. As surgeons, we like to cut, but — (deep sigh) — sometimes there's a better way.


Scene ~ In the Da Vinci Robotic Room
Richard: Let me retract that small bowel so you'll have better visualization.
Dr. Bailey: You know what Chief? Thanks to Leo, you don't have to.
Richard: Leo?
Dr. Bailey: Leonardo... (laughs) Da Vinci. Here – here, watch this. See? 540 degrees of wristed movement. Can't do that with a laprascope.
Richard: Or in open surgery. Feels pretty good doesn't it?
Dr. Bailey: (channeling her inner yoda and making light saber sound effects)
Richard: Dr. Bailey, are you making light saber noises?
Dr. Bailey: Ehh, not anymore — sir.
Richard: (clears throat) You know, Dr. Chulakonda at Cleveland clinic is doing single-incision gall bladder removal through the belly button. We could try that on the next one — if you're up to it.
Dr. Bailey: (dramatically) Don't tease me, sir.
Richard: Oh, I’m not. Why should Dr. Chulakonda have all the fun?
Dr. Bailey: ( a quick giggle and light saber sound effects resume)

11:45

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Edited by oncetherewasaway, May 20 2009, 11:20 AM.
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5.23 — Here's to the Future — Season Finale (1st hour) · Episodic Chat

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