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Dream a Little Dream of Me - Reloaded; Taking It Apart/ Putting IT All Together
Topic Started: Apr 3 2009, 09:44 AM (54 Views)
oncetherewasaway
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McEditor

Shonda told us that everything that happens in Season 5 is here in the first episode. Hmmmm, she is a sly and shiftly one. Damn her for making us think! :ermm:

So after transcribing and breaking the scenes down ( I have them numbered). Pick one .... Choose one! Choose randomly..... meaning no particular order, so yeah, choose your favorite scene. You don't need to choose in order... just pick 1 or 2 or 3 .... whatever. Read it, watch it .... read what you want into it and give us your thoughts and take on the scene.... your own narration or quips!. Copy paste your scene at S&D and lets get to discussing your post-age. Hopefully after a bit of discussion and laughter we can make sense of what happens in the final 4 episodes. Have fun!! After discussion and digestion I will bring our final thoughts here.

Note: in watching episode I have sometimes inserted my own little smart alecks..... excuse, I just couldn't help it sometimes. Ignore and post away!!!
This is one site I use when transcribing..... easy to stop and rewind B)
http://videostic.com/TvShows/episode.php?id=35&season=5&episode=1




5.01~5.02 Dream a Little Dream of Me, September 25, 2008

Meredith: [voice over] We all remember the bedtime stories of our childhoods. The shoe fits Cinderella, the frog turns into a prince, Sleeping Beauty is awakened with a kiss. Once upon a time .... and then they lived happily ever after. Fairy tales .... the stuff of dreams. The problem is, fairy tales don't come true. It's the other stories, the ones that begin with 'dark and stormy nights' and end in the unspeakable. It's the nightmares that always seem to become reality.


Scene 1
Scene opens to a flatlining, Chief Webber and Cristina looking into a exam room window and Meredith rushes thru the door.
Meredith: WHAT HAPPENED?!
Christina: A bus in front of him hit a telephone pole. He tried to swerve to miss it but......
Cristina and Webber attempt to calm Meredith down.
Meredith: How bad is it!?
Webber: Meredith.
Christina: You gonna have to be strong
Meredith: (screams and runs to glass window) Derek!......... No! ......No!
Scene thru window , Bailey doing chest compressions, Mark removes ambu bag, hangs head down. Bailey looks up in despair calling time of death.
Meredith: Noooo! Nooooo! Derek! Nooooooo.....Nooooooo.....Nooooooo......Nooooooo......Nooooooo..........


Scene 2
(Meredith startles awake from dream on gurney in basement)

Meredith: [voice over] The person who invented the phrase 'happily ever after' should have his ass kicked so hard!



Scene 3
Scene of Bailey sitting at computer with Erica, Derek, Cristina and Mark hovering around, peeking over her shoulder trying to have a look at screen.
Bailey: Back up... you’re sucking up all my oxygen.
Derek: I’m trying to see.
Bailey: It’s not up yet. There’s nothing to see.
Erica: It was supposed to be posted at four.
Mark : It’s four fifteen.
Christina: Hit the refresh button, you have to reload the page
Bailey: I’m hitting the refresh buttons every ten seconds .... just wait.
Meredith: Is it up yet?
Bailey: No.
Derek: (to Meredith) Hi
Meredith: Hi
Alex: Is it up yet?
Bailey: No.....wait.
Mark: Do you think we have a shot to pass Hopkins to move up to number one.
Derek: We’re not passing Hopkins, we’re gonna stay number two.
Erica: Mayo could surge ahead, we could be three.
Derek: Three! Pessimist.
Erica: Realist. The rankings of teaching hospitals changed based on any number of things
Izzie: Ahh, three’s top five, I can live with three.
Alex: (leans over Bailey’s shoulder to hit refresh) Hit the refresh button.
Bailey: Stay back, I’m doing this. (slaps his hand away)
Izzie: (runs in) Hey, is it up yet? (someone answers no, to which Izzie leans over to hit refresh)
Bailey: No!
Izzie: Here, just hit the refresh button ....
Bailey: I’m hitting the ..... okay..... All of you. Back up. Stop hovering, stop speculating. The rankings will go up when they go up. We have no control over when they are posted. When it is up, I will say “It is up!”, Until then backup, shut up and leave me alone so I can push the ......
The computer pings and all gathered around bend down to look at screen.
Meredith: It’s up!
Bailey: Number one Hopkins, number two Mayo...
Erica: Told you.
Bailey: Three Cleveland Clinic?
Derek: What?
Bailey: Four, Mass. Gen.
Izzie: What?
Christina: We moved out of five?
Bailey: No, we’re not five....


Scene 4
(Scene of Webber and George walking down hallway)
Webber: Twelve! Twelve! O’Malley!
George: So upsetting.
Webber: This is not a number twelve teaching hospital
George: No, it’s a great teaching hospital.
Webber: I do not run a number twelve surgical program in the country.
George: Sir .... sir.
Webber: Out with it O’Malley.
George: We’ve been downgraded to a level one trauma center to a level two. What is that even mean? You don’t even ... explaining, it’s just details. (George walks off before Webber can resume his rant)
Webber: Twelve!



Scene 5
Scene in intern locker room
George: Now I couldn’t ask him about when he was going to schedule my intern test with all the you know what hitting the fan. I mean, for all I know he’s gonna spring it like in what? An hour, two hours....
Lexie: And you’ll be ready. Causes of hypotension?
George: Hypervulimia, MI Cardiacdisrythmia.....uhhh.... hypoxia, is that good?
Lexie: (whispers closely behind George) Yeah very good.
George: (quickly turns to Lexie) What? Huh?
Lexie: The snow, it stopped raining. It’s like a fairytale.
George: Lexie, it’s, it’s the fall. It’s not so much a fairytale, it’s global warming. That’s the apocalypse, well that’s like dropping to number twelve and me failing my intern test for the second time.
George leaves the locker room.
Lexie: I adore you by the way.



Scene 6
Scene with Meredith and Cristina walking hallway with Cristina’s interns..
Lexie: Oh hey, sorry I’m late. I was just talking ...
Christina: No talking unless it’s medical.
Meredith: So, I keep having that dream, that Derek is dead dream.
Christina: Who does their residencies at number twelve hospitals? Losers. And I am not a loser. (to her interns) Get the charts.
Meredith: So, the dream is about me being afraid of the house of candles and you know taking the big step and I’m afraid of having a happy ending.
Christina: You know I have a Phd.. in bio-chem . I’m a double doctor. Double doctors should not do their residencies at second rate hospitals....
Meredith: Wyatt says I should just lean into the wind, into the fear. So, I’m just gonna ask Derek to move in with me.
Christina: A transfer. Cleveland Clinic has a huge cardio program
Meredith: We’re still in the top twenty that pretty good.
Christina: That’s not good enough. I wanna be great. Greatness Meredith.
Meredith: Greatness, which is why I’m gonna ask Derek to move in with me. It’s just that it’s.... ya know it’s a big step and I don’t want to mess it up again. I’ve messed it before, the breakups, and the on and off again and the sleeping with George, it just....
Lexie: You slept with George? (Cris and Mer both turn to look at Lexie simultaneously) No talking unless its medical.
Cris and Mer turn back and continue down hallway
Meredith: So I’m just gonna do it, I’m just gonna ask him to move in with me. It’s the right thing, right?
Christina: (beeper goes off and Cris leaves) Uh, Bailey’s paging.
Lexie: So, medically. Meredith and George had sexual intercourse?. Uh....When? How many times?
Christina turns to respond to Lexie but says nothing.... tempted to give her a slap upside the head ... can’t believe Lexie is going there. Cris walks away.



Scene 7
Scene Mark and Derek walking through reception area.
Mark : Humiliating. Twelve.
Derek: Yeah.
Mark : Twelve? You’re the best neurosurgeon in the country.... in the world.(a beat) Don’t you wanna say anything nice about me?
Derek: Ahhh.... you’re the best plastic’s guy at Seattle Grace.
Mark : Nice, really nice.
Derek: Don’t push me to praise you.(Rose walks up to counter replacing a chart) Hey Rose.
Nurse Rose: (ignoring Derek) Hello Dr. Sloan.
Mark: Hmmm ....
Derek: She took it so well in the beginning, I was hoping we could be civilized, ya know she’s working my OR
Mark : Civilize is out. It’s gone, it’s a trail of fairy dust. Now she’s got delayed rage.
Derek: Delayed rage?
Mark : She was being big before, putting on a brave face. Now she’s had time to think, now she hates your guts. You have to break up with her.
Derek: That’s the point, I did already.
Mark : Well you did personally, now you have to do it professionally. Good luck with that. (Mark walks away leaving Derek a bit confused)
Derek: Delayed rage?



Scene 8
Chief Webber stands at railing on the skywalk thinking.... pondering number twelve, Erica walks up
Erica: I’d like a list ...from you... of ways that I can improve.
Webber: Not right now.
Erica: Richard, you told me I’m a bad teacher. Now we’re number twelve and I don’t like to be number twelve, so I’d like a list.
Webber: Not right now. (Walking away from Erica)
Erica: But if there are ways I can improve, ways that I can help the program regain it’s ranking then...
Webber: It’s snowing. You know what happens when its nighttime and it’s snowing and the temperature is hovering right around thirty-two degrees.
Erica: No.
Webber: The snow begins to melt and then it freezes again, creating black ice, the deadliest kind of ice because it’s invisible to drivers. That would usually mean our ER would fill up but Mercy West is the number one level trauma center and we’re not. Which means their ER get the traumas while we get their castoffs, which pisses me off. So when I say “Not right now”what I mean is not right now.
(Webber walks off and Erica turns to see Callie....awkward moment.... avoiding each other, each turn to walk away)



Scene 9
Scene outside ER, Meredith, Bailey, Izzie and Alex appear to be waiting for incoming traumas)
Bailey: Stop shivering, you’re embarrassing me.
Izzie: I didn’t realize we were gonna be outside. (Alex grabs a blanket and wraps it around Izzie) Oh! I’m okay, you don’t have to do that.
Alex: Bundle up, you’re turning blue.
Meredith: Doctor Bailey, it is kinda cold out here
Alex: No one’s coming
Izzie: Maybe some old people with broken hips we can fix.
Bailey: Okay, stop talking. We are Seattle Grace Hospital and rankings or no rankings we are going to stand outside, at the ready on alert and give the best care available to every single patient that arrives at our door. We may no longer be ranked the best but I’m the best and you’re my residents which means you’re the best. It’s a matter of pride people. (Cristina joins the group)
Christina: What are we doing?
Izzie: We’re waiting.
Christina: For?
Meredith: A miracle.
Bailey: Someone will come.
Christina: Doctor Bailey, you know that Mercy West is getting all the traumas first.
Bailey: Someone will come.
Meredith: So we’re standing out here in the hopes that someone is severely injured, wishing and praying that someone is so hurt and so near death that the ambulance has to bring them to here because we’re closer rather than Mercy West.
Bailey: Yep.
Izzie: Wow, you and God are cool with that?
Bailey: Damn, I forgot about God. Alright let’s just go on back inside. (As they turn to go inside a car pulls up to ER, clearly out of control)
Bailey: Whoa, whoa.... whoa. Watch out!
( a woman in an evening gown get out of car, shaken and bleeding from the head)
Meredith: Are you okay?
Sarabeth: I drove the limousine on ice. All by myself, ten blocks.
(Izzie help another woman from the passenger side)
Izzie: You okay?
Betty: My dress, there’s blood all over my dress. What happened?
Sarabeth: What happened was I got us to the hospital in one piece.
Izzie: Please, please try not to move. Okay. Just sit right here until we can get you a wheelchair. We need a wheelchair over here.
Sarabeth: We’re not the patients, where.... what his name.....Billy ......
Bailey: Billy?
Sarabeth: The limo driver, he flew through the windshield.(inside another female passenger is holding limo driver)
Anna: Help him please.
Bailey: Yang, come around and help me. Get a board, bring out a gurney and a C-collar (Bailey and Cristina begin to help limo driver and there’s blood all around, Cristina applies pressure to spurting artery)
Bailey: Press it, press!



Scene 10
Scene inside ER Bailey wheeling gurney while holding pressure to stop the bleed
Webber: What do we have?
Bailey: Billy Matthews, 45, arterial bleed, haven't isolated the cause.
Webber: I got this. Okay, let's get him in trauma one.
Bailey: Okay, but I'm holding pressure over the bleed. I just need
Webber: I got this.
Bailey: I just need—chief…



Scene 11
Scene in ER, Meredith and Izzie are treating Sarabeth, Anna and Betty’s injuries
Betty: What’s going on? Vincent will worry if I'm late.
Izzie: You've been in a car accident. You're at the hospital, but we're gonna take really good care of you.
Sarabeth: Is she okay?
Izzie: Might be a concussion. I'm gonna go order a C.T. And make sure it's nothing more than that.
Anna: All this blood ... we should've waited for the ambulance.
Sarabeth: We did wait. We waited, they never came. And Billy was just hanging there through the windshield.
Callie: Wait, you guys extracted your limo driver from the windshield by yourselves? Wow, that's pretty heroic.
Anna: Isn't Michael answering?
Sarabeth: No. Try Phil again. We shouldn't have even been going to the stupid ball in a storm like that.
George: What ball?
Sarabeth: The Fire and Ice ball—would you believe, in an ice storm?
Anna: Just goes to voice mail. Maybe--maybe their phones are off?
Betty: You can't reach Vincent?
Meredith: Your husbands were in another car?
Sarabeth: We won't ride with them. We're three of the most happily married women ever except when our husbands drag out their cigars, and they drag out their cigars in the limo.
Callie: Well, your arm is not broken, just bruised. So O’Malley here is gonna suture up your cuts, and then you're all set. You ladies are lucky you didn't sustain more serious injuries.
Sarabeth: What kind of doctor are you? You're young.
George: Oh, I'm an intern.
Sarabeth: Interns don't touch the face. The plastic surgeon touches the face.
Betty: What's happening? Where am I?
Anna: We were in an accident. You're okay. We're all gonna be fine.
Anna and Sarabeth both look at Betty concerned, Izzie and Meredith both notice Betty may have issues

Scene in hallway Erica and Callie meet......awkwardness abounds
Erica: Hi.
Callie: Hi.
Erica: I've been really busy.
Callie: No, no, I know. I've been, like, crazy busy. Researching things, a lot of research, in the library. Erica: Oh, yeah, me, too. Incredibly busy. A lot of research, uh, like you, only I use the internet.
Callie: Well, I gotta check in with Bailey, so…
Erica: Me, too.
Both approach Bailey who is sitting at desk.... charting
Callie: Bailey, anything else?
Bailey: Nothing. Nothing else. That's the problem. I'm charting. The chief took my one trauma. I gave up my clinic, and now I'm charting.
The chief wanted you to take a look at these. Billy Matthews. He's the limo driver. Multiple crush injuries from an M.V.C.
Erica: Hemopericardium. (a beat) Hemopericardium can lead to cardiac tamponade, which can be detected by beck's triad--increased J.V.P., Hypotension and muffled heart sounds. This is a teaching hospital. I'm trying to improve my teaching.
Bailey: Well, don't try it on me.
Mark: Want to know how I teach?
Erica: No.
Mark: I'm like a guru—they come to me for help, and I gently guide them along the path to truth and wisdom.



Scene 12
Scene Hallway, George walking and Lexie runs to catch up with him
Lexie: Hey,George.
George: Hi.
Lexie: I heard a thing.
George: Yeah?
Lexie: A surprising thing, a very unexpected, non-medical thing about you and—
George: Oh, hold on. Uh, Dr. Sloan, hi. Sarabeth Briar has got a facial lac but she will only let you touch her.
Mark: You paged me for a cut? What kind of moron are you, O’Malley? Are you a special moron from the isle of complete and utter morons?
George: I don't think so.
Mark: Shut up. (winks at Erica and walks away) Truth and wisdom.
Lexie: He’s an ass.




Scene 13
Meredith walks up to Cristina who is at counter writing in chart
Cristina: You know what? This is what we get for being number 12-- a bunch of women in ball gowns and half-dead limo driver.
Meredith: Those women are amazing. They tried to save his life. That's who I want to be, you know? Cristina: An aging princess?
Meredith: They've been with the same men for years, and they're happy. They did it. I can do it.
Cristina: Mer, I…
Derek: Hey. Who paged me?
Derek and Meredith walk away leaving Cristina thinking what the heck.....we we’re talking
Meredith: Bailey and Izzie paged you, but you should see Bailey first because she's got the limo driver.
Derek: Okay.
Derek: Do you want to move in with me?
Derek: You want to live together?
Meredith: Well, I mean I could-- I just, uh.
Derek: Yes.
Meredith: If—if you don't want to, I.....Yes?
Derek: Absolutely. You sure you're ready?
Meredith: I am leaning into the fear to get a happy ending.
Derek: I don't even know what that means.
Derek and Meredith get to ER exam room where Webber is calling time of death on limo driver.
Webber: Damn it! Time of death--20:47. Limo driver, traumatic arrest. Never regained a pulse. Tell them not to book the OR



Scene 14
Bailey and Cristina at counter in ER
Bailey: : I have a dream, Yang.
Cristina: Excuse me?
Bailey: That one day, a trauma will come through those doors--I have a dream.
Cristina: I share that dream.
Bailey: Number 12. Christina, number 12.
Bailey: Right now dispatch is squawking about three men-- three serious injuries...Every one, they're taking 'em to Mercy West.
Cristina: Three men?
Bailey: That's what I said.
Cristina: You mean like three men who could be married to those ladies in the ball gowns?
Bailey looks up at Cristina realizing she is on to something.



Scene 15
Mark treating Sarabeth in ER
Mark: Little stick.
Anna: Squeeze my hand. Squeeze my hand. Just like when you had Petey, you remember?
Sarabeth: Pete hurt less.
Mark: Yeah, but you're going to love me later when there's virtually no scar.
Bailey: Ladies, um, I've been on the phone with uh, ambulance dispatch. Three gentlemen in a limousine collided with another vehicle on Broad Street. It's possible it was your husbands.
Anna: Oh, no.
Cristina: They're taking them to Mercy West…
Bailey: Which is across town.
Cristina: Unless .... you prefer that they be brought here.
Sarabeth: We can do that?
Bailey: Oh, you can insist.
Cristina: And, if I were you, I would insist.
Anna: Oh, well, then I guess.... I guess we insist.
Sarabeth: Yes, we insist.
Bailey: You insist. (Mark smirks at Bailey)



Scene 16
Chief Webber going out ER doors to meet an incoming trauma
Webber: Am I to understand that you stole these traumas from Mercy West?
Bailey: I have no idea what you're talking about.
Webber: Good job, 'cause now it's personal. Yang, come with me. (doors open on arriving ambulance)
Paramedic: We have a situation. 58-year-old male, MVC, Tachy and 160, BP 80 palp, decreased bilateral and breath sounds.
Webber: What did you do?
Paramedic: I didn't do it. He did. G.I. Joe trached him at the field before I got there.
Webber: With a pen? You trached this guy with an ink pen?
Owen: So?
Webber: Move this guy inside now. Come on now. Let's go. Move, move, move, move.
Cristina: Pen.. Trach. Hot. (Cristina watches in amazement the doctor who has caught her attention go into the ER)



Scene 17
Derek enters ER exam room where Cristina presents
Derek: Okay, what do we got?
Cristina: Vincent Kenner, 58, unrestrained backseat passenger of a limo that took a nose-dive, muffled heart sounds and large scalp lac.
Betty: That's Vincent.
Izzie: Betty. I'm sorry, Dr. Hahn, but she wanted to see her husband.
Betty: Vincent. That's my husband. What happened? Is he all right?
Izzie: I promise to give you an update as soon as we know something.
Betty: No.
Izzie: But right now, I have to get you to the C.T.
Betty: Oh, god. Vincent.
Izzie: I'll bring you back. I'll bring you back.
Cristina: Free fluid in the abdomen.
Derek: Compressed skull fracture.
Erica: He's also got decreased breath sounds bilaterally. This guy's getting an express ticket to the OR. Let the chief know.
Cristina: Can I scrub in?
Erica: Fine.



Scene 18
Outside the exam room in the hallway
Anna: He has a pen in his throat! Oh, Michael! Oh, god, Michael! Oh, god, are you.... Is that a.....is that a pen in his throat? Does he have a ballpoint pen in his throat?
George: Ma'am, you need to wait outside. Let the doctors work.
Anna: But they have to be very careful with him. Michael's been under an incredible amount of stress lately and .... and the last thing he needs…
Webber: Grey, can you handle this woman, please?
Meredith: Mrs. Loomis, we're gonna take you to your husband. He's around the corner.
Anna: Sweetheart, I'm here. Michael, I'm here sweetheart.
Webber: This is not her husband?
George: Nope.



Scene 19
As Anna leaves Sarabeth comes in exam room
Sarabeth: Oh, my god, Michael!
George: It's her husband.
Sarabeth: What happened to him.....What happened to him?
George: Please come with me, ma'am. Please, this way.
Sarabeth: What happened to him? Michael!
Mark: You trached a man in the field using a ballpoint pen?
Owen: That’s all I had on me. What, it's not like I didn't clean it off with fresh snow.
Alex: That's awesome.
Owen: Really? You're going with a size six shiley tube on this?
Mark: Somebody get this guy away from me.
Bailey: Uh, I'm gonna need a C.T. of, uh, his belly, chief. Karev, get us in line.
Mark: Looks like his trachea's crushed. I'm gonna need an O.R. And an extra set of hands. Who's available?
Bailey: Grey.
Mark: The good Grey?
Bailey: The intern Grey.
Webber: And I'll throw in O’Malley.
Mark: Oh, nice. Perfect.
Anna: Phil? Oh, my god. Oh, my god. What happened?
Phil: The limo hit a patch of ice. Next thing I know, we’re all upside down, rolling around, and now. Anna.. I can't feel my legs.
Anna: Oh, Phil. I'm so sorry.
Callie: Okay, get her out of here. I gotta get a consult from Shepherd.



Scene 20
Cristina comes down hallway to speak with Webber.
Cristina: Oh, sir, Dr. Hahn is working on multiple crash injuries. She wants you to take a look.
Webber: Mm-hmm, I'm on my way. (to Owen) You're bleeding.
Owen: Oh, my car was right behind theirs at the intersection. I cut it on impact.
Webber: And you triaged these men?
Owen: Major Owen Hunt, U.S. Army, second forward surgical. I'm a trauma surgeon. I just got home on leave.
Webber: Dr. Yang, take care of Major Hunt's leg.
Cristina: Uh, sir, I'm .... I'm scrubbing in with you. Webber: After you take care of Major Hunt.
Cristina: Hey, where are you going?
Owen: To check on my other patients.
Cristina: No, no. You are the patient.



Scene 21
Izzie in CT room as Alex comes in
Betty: Hello? Vincent? Are you there? Where am I?
Izzie: You've been in a car accident, Betty. You're having a C.T. It's gonna be okay. Everything is okay, don't move.
Alex: Some nut job down there trached a guy with a pen. Pretty freakin' cool.
Izzie: You want cool? Check this out, every 30 seconds.
Betty: Is someone there? Where am I?
Izzie: You've been in a car accident, Betty. You're having a C.T. It's okay. Every 30 seconds, her memory resets .... every 30 seconds.
Alex: Might not be so bad. Like hitting the refresh button, everything is new again.
Izzie: How you doing?
Alex: You keep asking me that, and I keep telling you, I'm fine.
Izzie: I know, it's just.. sometimes I still think Denny's gonna be right around the corner, and he's been dead a long time now. It just takes a while to get used to.
Alex: Rebecca didn't die. It's not like that for me. I'm good. But thank you for asking.
Betty: Hello? Is someone there? Where am I?
Alex: You're in a spaceship. You're going to the Moon, enjoy the ride.
Izzie: Alex.
pager beeps
Betty: A space ship? Excuse me?
Izzie: You're having a CT, Betty, you're gonna be okay. You've been in a car accident, just don't move. Thanks a lot.
Alex: Bailey paged me. I'll see you later.
Edited by oncetherewasaway, Apr 3 2009, 10:47 AM.
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oncetherewasaway
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McEditor

20:33


Scene 22
Derek is reading Vincent’s films
Derek: He has a depressed skull fracture. I could elevate the skull fragments, but there's just no telling how much damage has been done.
Webber: We're saving this man.
Erica: I think we're looking at an aortic tear, not to mention vast amounts of blood in his abdomen.
Webber: We are saving this man. I can handle the abdominal bleeding.
Erica: He is circling the drain.
Derek: Yeah, I have other traumas to get to.
Webber: We are saving this man! Now does everyone understand, or do I have to repeat myself?
Erica: Yes, sir.
Derek: Understood.
Webber: Book OR two.



Scene 23
Meredith is with Anna in waiting area
Anna: It’s pathetic, isn't it? A married woman cheats on her best friend with her husband? You can't go much lower than that.
Meredith: These things happen.
Anna: I ran into Michael in the mall and we had lunch. And a week later we had another lunch. And here we are…eight months later, and Sarabeth has no idea. When you, when you spend your life with someone and .... and you have kids together you think it'll always be this amazing and this wonderful. You think .... you think that you'll always feel that kind of love and .... and ....and I do, I ... I do love Phil. I just...
Meredith: Just what?
Anna: Well, little pieces of you get chipped away…by another person, and then you shave little pieces of yourself away so that you'll fit together and then one day, you look up.. and you don't even know who you are. I better get back to my husband. He'll be wondering where I am.
Meredith: Okay.



Scene 24
OR Two Webber, Derek and Erica along with Rose
Webber: That graft is actually holding.
Erica: I am impressing even myself.
Webber: Shep?
Derek: Mm..hmm, almost there. All right, everybody take a look at the monitor, please. Now to elevate the last of the skull fragments, I'll need a large, flat instrument to get under the bone. A curved number two penfield, please. You know what? Actually, I want my number four penfield.
Erica: Oh, that's interesting. Why did you want to use the number four4 penfield instead?
Derek: Sorry.
Erica: Oh, well, how would you explain it? I'm observing your teaching style. Hope you don't mind. So the penfield .... you changed it because? Derek: I changed my mind. (Rose laughs at the comment) Is that a problem, Rose?
Rose: Not at all, Dr. Shepherd. You changed your mind. Got it.
Derek: Hmmmm
Callie enters OR in search of Derek.
Callie: Dr. Shepherd, uh, I've got a guy with a high level spinal injury. I've ... uh, started him on steroids, but I believe he needs to be decompressed. Are you almost done here?
Derek: Yeah, I'm done right now. Close up for me? (Derek glares at Rose as he leaves the OR)
Erica: So we consider him a good teacher, right? I'm just checking.



Scene 25
Derek and Callie are reviewing films.
Callie: The spine's crushed from C6 to T1, impinging on the cord.
Derek: Yeah, we need to go in and try and relieve the pressure on the spinal cord. But with this kind of injury ….
Phil: People don't walk again.
Anna: Phil, you don't know that.
Phil: Anna, sweetheart .... it's okay.
Anna: You have to be able to do something. Phil's very strong and he .... he has grand kids. You have to do something.
Owen: You could freeze him..
Cristina: You shouldn't be in here. I'm so....
Owen: If you want him to have a shot at walking again.



Scene 26
Derek Callie Cristina and Owen in nurses area
Derek: Who the hell are you?
Cristina: Army surgeon bad ass, did something crazy with a pen on a guy's throat.
Derek: Well, I would appreciate it if you didn't give my patient and his wife false hope.
Owen: Until you've exhausted all the options it's not false, it's just hope. Maybe you should keep current on your research.
Callie: They did .... uhh .... make a football player walk at Buffalo Gen. using therapeutic hypothermia.
Derek: Buffalo Gen.'s patient was twenty years old, in prime cardiac fitness. My patient is in his sixties and is a very risky candidate. I would prefer he live to see his grandchildren. Dr. Torres, book an OR and please tell this patient that this procedure is not an option, despite Uncle Sam's assessment.
Cristina: (To Owen... little tongue in cheek) We're closing up your leg now.
Callie turn to look at films again..... thinking




Scene 27
Bailey and Sarabeth looking at films and talking
Sarabeth: Michael can live after they put a pen in his throat?
Bailey: Oh, yes ma'am the emergency trach helped him breathe. Dr. Sloan needs to get him to the OR to sta…
Sarabeth: Surgery, He needs surgery?
Bailey: Uh, when your husband was pinned underneath the car, he suffered a laceration to his windpipe which Dr. Sloan needs to fix to stabilize his airway. He also has some bruising around his kidney and a lac on his liver.
Sarabeth: He needs surgery for that?
Alex: There's a chance the abdominal injuries will heal on their own, but if its worse, yes, he will need surgery.
Sarabeth: Two surgeries? I can't believe this is happening.
Bailey: (Bailey glances at paperwork Alex is holding) Hold on. This .... this is today?
Alex: Tonight, midnight.
Bailey: Um, ma'am, there's also one other matter.
Sarabeth: More? There's more?
Bailey: Um, just according to billing your insurance expires at midnight. So we're gonna treat you, of course but just to make it easier on you later, is there another card or another insurance policy?
Sarabeth: My husband, he .... he takes care of these things.
Bailey: Uh, okay.



Scene 28
Cristina and Owen in exam room, Cristina turns to get shot to numb his leg.
Cristina: I'm gonna numb .... wow! Uh, you're not numbed!
Owen: So?
Cristina: S ...ow! S ...uh, ow.
Owen: Can't get an angle on these. Could you?
Cristina: Okay. (Cristina giggles at what she has just witnessed and staples away)
Owen: Thank you.
Cristina: Don't mention it.
Callie enters exam room
Callie: Can I ask you something?
Cristina: Uh, wh ...what? Callie: Um ..... him, actually.
Cristina: Oh ... um yeah, sure. I've got surgery. And ... uh ... poke yourself. (Cristina leaves)
Callie: Talk to me about the freezing thing.



Scene 29
OR Derek is operating Izzie asks question ..... Rose interrupts
Izzie: Betty Kenner, closed head injury from the limo wreck.
Derek: Sub-dural hematoma.
Izzie: Which is why she has memory loss.
Derek: Yeah. Might ease up once we relieve the pressure. Book an OR I'll go in on her once I finish up on Anna's husband. Busy OR today.
Rose: But that's kinda your thing... right? Juggling more than one person at a time. (Derek glares again... Rose make a face.....)



Scene 30
Meredith and Cristina are at the OR board as Izzie walks up
Izzie: How's Betty’s husband doing?
Cristina: Oh, I'm scrubbing in on him now. Shepherd did what he could but the Chief and Hahn are still working on him. He is an ugly, ugly mess.
Izzie: Sarabeth's husband may need another surgery after Derek's done with him. These poor women.
Meredith: Well, Anna ... the one with the cuts ... is married to the guy on Derek's table and she is sleeping with Sarabeth's husband ... the one Sloan's working on.
Izzie: You're kidding.
Meredith: No, don't tell Betty.
Izzie: She wouldn't remember even if I did.
Meredith: You mean, that's what happens? You're married forty years and then you become a big, fat lying cheater? I mean if forty years doesn't make you committed, what does? What's the point? What if I move in with Derek ....
Cristina: Okay, you know what? I'll give you a hundred bucks if you talk about something else.
Izzie: It's not about the years, it's about the man and Derek is a good man.
Cristina: Oh well, I'm outta here.
Izzie: There are a lot of really good men, you know? George is a really good guy. I mean he.. nope. Sloan is not. Alex. Yeah. Alex has turned into a very good man.
Meredith: You and Alex ....
Izzie: No, I'm making a point. But it is nice you know, that we're friends and he's changed. He's actually opening up to me.
Meredith: So do you think if you moved in and got married in forty years, you'd feel dead inside enough to cheat on him?
Izzie: Wow....



Scene 31
OR Webber and Erica operating on Phil
Webber: Yang, Major Hunt all taken care of?
Cristina: Uh .... I did my best sir.
Webber: Okay, come put some pressure on this bleeder for me. You know what I think? I think that number twelve ranking was a mistake. I think it was a clerical error and I'm gonna start making calls about it as soon as I get out of this surgery.
Erica: So I've been observing teaching styles. Shepherd likes to teach by thinking out loud. Bailey is blunt and direct and doesn't over teach and Sloan .... well, Sloan just likes to berate and humiliate.
Webber: I think if you really want to learn about teaching you should talk to your students, find out how they learn best. Yang? (Cristina gives Webber a look that says.... please don’t go there!)
Erica: Oh that's not necessary, sir.
Webber: Are you serious about this or not, Dr. Hahn?
Erica: Fine....... Go.
Cristina: (like a deer in headlights) Ummm .... for me personally, I learn better when I'm asked questions. The Socratic Method.
Erica: Well that's the cornerstone of medical teaching. It's what we do in rounds.
Cristina: Well not everyone does it. Some people .... simply tell you what to do.
Erica: Who?
Cristina: Uhhhh.....
Erica: Are you talking about me? He's crashing! Get me an aortic clamp!
Webber: I can't get a handle on this bleeding in his liver. We may just have to start doing damage control soon.
Webber: I see a tear in the renal artery. Yang, are you familiar with the single-layer continuous closure?
Cristina: Yes sir, of course.
Webber: All right,
Erica: BP's still dropping.
Webber: Okay, max out on levophed and keep pushing the blood. Get in there and stitch, Yang.



Scene 32
Sarabeth is with husband as he is readied for surgery
Sarabeth: There's a problem with the insurance.
George: As we explained, he can't talk right now.
Sarabeth: I know, but, Michael, I ...I called them and the credit card company ... and ... and they said that... the cards have been canceled. I... I don't understand. I... I just need to know what to do. I don't know what to do. Lexie: I'm sorry. I'm .... I'm really sorry, but we need to get him to Dr. Sloan now.
(Phil is taken for surgery and Alex enters the doorway)
Sarabeth: Is there something I can do? Someone I can call? I... I don't. I don't handle the money but I... if you can just tell me...who to call...
Alex: I'll talk to billing and see what I can do.
Sarabeth: Thank you.



Scene 33
Exam room as Mark is observing George attempt to intebate a patient while Lexie encourages him
George: It's stuck. I can't seem to get down the left bronchus.
Lexie: Y-you almost got it, George.
Mark: What are you, his little cheerleader? Step aside wonder boy, before you make things worse. O’Malley, go find out if the O.R. is ready... if you can manage that. (George leaves room)
Lexie: You're a little mean to George, un-unnecessarily mean. And he's studying to retake his intern test, so he's a little stressed out, so I was just thinking maybe you could be nicer.
Mark: You're an intern. Why are you talking to me?
Lexie: Ye ... well, you're my half sister's boyfriend's best friend, so I...
Mark: You thought that makes us friends? You thought that you'd defend your boyfriend to me and I'd just take it?
Lexie: He's not my boyfriend.
Mark: But you want him to be.
Lexie: I do not.
Mark: Do too.
Lexie: Do not.
Mark: Do too. Does he know?
Lexie: Shut up.
Mark: I'm your attending. You can't tell me to shut up. You want me to be nicer to O’Malley?
Lexie: Please.
Mark: Confess your love to him, and I'll think about it.
Lexie: Shut up. (Mark smirks)



Scene 34
Meredith and Alex at nurses station
Alex: You know anything about health insurance?
Meredith: No, why?
Alex: Well, I'm trying to help out a patient.
Meredith: Oh, the softer side of Alex. Izzie was right.
Alex: What's that supposed to mean?
Meredith: Nothing.
Alex: What did Izzie say to you?
Meredith: She said you were a good man. Said you changed, it was nothing.
Alex: Did she say that I cried? 'Cause that is a lie.
Meredith: No, she didn't say that.
Alex: She should just keep her mouth shut.
Meredith: Alex, I made a stupid joke. She didn't mean anything.



Scene 35
OR Two as Cristina attempt to stop the bleed
Webber: Yang, how you doing?
Cristina: It's, um...I can't get it. It's .... it's not holding. It's tearing. I….
Webber: Damn it, Yang. Move. I thought you said you'd done this stitch.
Cristina: I have, a hundred times.
Erica: On hearts.
Cristina: On hearts.
Erica: Your forceps were macerating the tissue. You were handling the bowel incorrectly which you would know if you weren't allowed to clock so many hours in cardiothoracics at the expense of your general surgery knowledge. (Webber glares at Erica)



Scene 36
Mark’s OR
Mark: Crap. His vocal cords are damaged beyond repair.
Lexie: Is there anything we can do?
George: He probably won't talk again.
Mark: I think that question was for me.
George: Sorry.
Mark: You think just 'cause you get to take your intern test again that makes you big man on campus? Doesn't change the fact you failed it the first time.
Lexie: Dr. Sloan.
Mark: I'm ....sorry, Grey. Was there something you wanted to say to anyone here? (grinning behind his mask)Lexie: No, there wasn't.
Mark: Coward
Lexie: Shut up.
George: Lexie!
Mark: Pressure's dropping.



Scene 37
OR Two
Webber: It looks like V-Fib.
Erica: Twenty joules.
Webber: Clear.
(Cristina stand back and observes)



Scene 38
Derek’s OR
Derek: Give me another unit of packed cells, as many as it takes.
Rose: Pack, right here.
Derek: Somebody get me some FFP suction, please. Suction! Too much blood! There's too much blood!



Scene 39
Mark’s OR
Mark: We're losing him.



Scene 40
ER Sarabeth holding Betty’s hand
Betty: What's going on? Am I in a hospital?
Sarabeth: There was an accident, but you're going to be fine. (Anna walks in, Sarabeth looks at her ) We're all going to be fine.



Scene 41
Derek, Meredith and Mark come to give Anna and Sarabeth news of the surgeries
Derek: I was able to repair your husband's vertebrae and relieve the pressure from his spine. But, uh... it...
Anna: He .... he's still paralyzed?
Derek: Yes, I'm sorry.
Anna: Oh, god. Oh, Phil. And ... and ... and Michael. What, what about Michael?
Mark: I repaired his trachea. But unfortunately his vocal cords were completely severed in the accident.
Sarabeth: He can't talk? He'll never be able to talk again?
Anna: We have to be strong. We have to be strong for Phil and ... and for Michael.
Derek: I'll be ready for Betty in OR one when you're done here.




Scene 42
Webber enters the room to give Betty news of Vincent.
Betty: Is it Vincent? Tell me what's happened, please.
Webber: Vincent came through the surgery. He's stable but still critical.
Betty: Oh, my god.
Webber: This is Dr. Yang. She is going to be personally responsible for seeing to it that your husband makes it through the night.
Cristina: I'm... I will keep you posted.
Betty: Keep me posted... about what? Where am I? Where's Vincent?
Izzie: She has a subdural hematoma. Her memory resets every 30 seconds.
Cristina: Perfect.




Scene 43
Derek sees Rose at OR board and goes to talk with her
Derek: Rose, please look at me. If you're gonna behave like this, you can't be in my OR.
Rose: Okay, there's no good way to say this. I've been acting this way because I'm ... I'm carrying your child Derek. ..... Hah! Gotha!
Derek: This is your idea of a joke?
Rose: Oh, please! You deserve it. Who do you think you are? If you're gonna keep behaving this way, you can't be in my OR.
Derek: You should transfer to a different specialty.
Rose: You should transfer to a different specialty.
Derek: I'm a neurosurgeon.
Rose: You should of thought of that while repeatedly assuring me that you were over your ex. I'll see you in the OR. I'm not going anywhere.





Scene 44
Callie walks up to Webber
Callie: Chief, about Phillip Loomis, Shepherd's spinal patient? Hmm ... I was thinking... what about therapeutic hypothermia?
Webber: You want to freeze a spinal injury?
Callie: They did it in Buffalo and Mass Gen. had success with it too and Major Hunt-- he swears by it.
Webber: What does Shepherd think?
Callie: He thinks it's too risky in Mr. Loomis' case, that he's not as fit ... is older.
Webber: Loomis isn't much older than me.
Callie: I can do the procedure, Chief. I just need your okay.




Scene 45
George and Lexie in hallway walking
George: What were you doing back there?
Lexie: I was trying to help you.
George: Telling an attending to shut up in his OR .... that's not helping. What makes you think you can get away .... you're sleeping with him?
Lexie: What? No.
George: Yes, you are.
Lexie: You .... why would you even say that? Wait, are you jealous?
George: Of the fact that you can tell Sloan to shut up? Yeah. But you know, he's right. I'm the hospital joke, and it's my fault. I'm the one who failed my intern exam and got married in Vegas and cheated on my wife.
Lexie: No, you don't understand. The only reason that he was picking on you is ….
George: No, it doesn't matter. I can take care of myself.





Scene 46
Cristina and Meredith coming down stairway
Meredith: So .... and he's got fishing gear and boots and hair products. I don't have room for any of that stuff. And he talks and not a little. I mean, he chats. He's chatty freaking' Cathy..
Cristina: Not right now.
Meredith: And then you know what's gonna happen after he moves in, don't you? We build a house on his land, which will be our land because we'll be married, and then I'll be Dr. Mrs. Shepherd. And you know what comes after that, don't you? Babies, and they'll be his babies, so they'll have perfect hair and they'll be chatty. So I'll have five chatty children, a chatty husband and live in a house in the wilderness. And then I'll start sleeping with your husband. I gotta tell him I changed my mind. Don't you think? (both are walking through front entry door when Cristina cannot take one more word)
Cristina: Meredith!
Meredith: What? Why are you making that face?
Cristina: Shut up. You know, just shut up about Derek. Shut up about moving in with Derek. Shut up about your relationship because you want to know why? I've heard it all before. Yeah, you know you guys get together, and I have to listen to it and then you guys break up and I have to listen to it. I almost killed a man in surgery today. I….. Ok, you want .....you want to know what I think? Okay, you .... you really want to know? You and Derek will not work. Moving in together is a mistake of massive proportions. You are dreaming of dead Derek, which should tell you it will not work!
Meredith: Cristina, I…
Cristina: No, no you know this whole thing, this happily ever after does not exist. So please, please, please, as you weigh your options here, just you .... consider the possibility of shutting the hell up, because I can't listen to it anymore.
Meredith: I…
Cristina: No. Okay .... no! ..... I .... okay, that's it. I'm done. (Turns back around to come back into the hospital and slips on ice)
Meredith: (Meredith looks down at Christina) I'm not gonna say you deserved that, but you deserved that.
Cristina: (finds that a bit humorous) Oh, thanks. Oh, help me... help me up. ( a beat and both hear a noise .... look up to see a huge icicle breaks off above Cristina and before you know it impales Cristina!)
Meredith: Don't move. I'm gonna go get some help. (Meredith runs off and Cristina is left flailing in the entry)
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Scene 47
Old Meredith removes chicken from microwave... turns to Cristina
Meredith: What are you doing?
Cristina: Eating cereal.
Meredith: I got us a chicken for dinner.
Cristina: Chicken .... seriously?
Meredith: You're not gonna be hungry now.
Cristina: Oh, you're doing it all wrong again as usual.
Meredith: I'm not. I'm cutting from the mediastinum out.
Cristina: You can't even see the mediastinum without your glasses.
Meredith: Damn it, where are my glasses?
Cristina: No, put it down. Down. Right here. (shows Meredith she has her eyeglasses hanging from a chain around her neck) Mmmm .... Right here. Move. (Puts on her own glasses and snaps on a pair of surgical gloves as she prepares to cut the chicken)
Meredith: What would I do without you?
Cristina: Starve.



Scene 48
Cristina is still on the pavement gasping in pain as Major Owen Hunt looks down at her from above
Owen: A damsel in distress. (Owen picks her up and carries her into the hospital)




Scene 49
(Owen pops her down on a bed and starts assisting Meredith and taking vitals)
Meredith: Put her on a monitor. Order a portable chest. I'm gonna cut your top off. Cristina: It's between my ninth and tenth intercostal spaces. There's no hemo or pneumothorax. My vitals are stable. Just pull it out.
Owen: I wouldn't.
Cristina: Mind your own business.
Meredith: Who is this guy?
Cristina: Get this thing out of me. I already screwed up in front of the chief today once. I can't... I mess up a suture and now he's looking at me like I'm number twelve. Mer, please. No one gets to see me like this, okay?
Webber: Yang ... what the hell happened? Get her on a monitor and order a portable chest.
Meredith: I did.
Webber: Did you check her respiratory function—
Cristina: I did. See? Breath sounds clear and equal.
Webber: You be quiet. Grey, what would you advise as a course of treatment?
Meredith: I think we should leave it in until we get the chest x-ray and the CT back.
Cristina: I'm fine.
Meredith: But what about infection? This thing is definitely melting dirty roof water into her body.
Cristina: Which is why we should pull it out.
Owen: Leave it right where it is. You get stabbed in the chest and you're lucky enough to still be breathing, you leave the knife in, at least until you figure out what's going on inside. Leave it in.
Cristina: Take it out.
Webber: Leave it in. In the meantime, since you know so much you can teach your interns how to treat you. This is a good opportunity to get back to the basics.
Cristina: But I need to check on Vincent Kenner.
Webber: Grey, Vincent Kenner is your responsibility now. But bear in mind he is my patient, and I'm not about to lose another trauma case today. Keep that man alive. Can I get a word with you, Dr. Hunt?




Scene 50
Derek in OR with Izzie and yeah Rose is helping
Izzie: You think you'll be able to restore her memory?
Derek: Well, I was able to suction the blood and remove the pressure. I'm hopeful. Not certain, but hopeful. 15-blade please.
Izzie: Something wrong Dr. Shepherd?
Rose: Oh, my god.
Derek: Dr. Hahn asked me about teaching before. Here's a tip ..... when you hand a surgeon a 15-blade, make sure it's handle first. (To Izzie) Suction the bleeders while I clean this up and get a new glove.
Izzie stares a Rose, cannot believe she just did that.... neither can Rose



Scene 51
Alex, Lexie and George with Sarabeth (and Anna) in husband Michael’s room after surgery
Sarabeth: He's really gonna be okay?
Lexie: Except for his voice.
Alex: His abdomen's definitely more tender. He needs another CT
Sarabeth: Michael, the insurance, it's ..... it's a mistake, right? It's gotta be a mistake. Look, write down a name and number and I'll fix it and everything will be fine, right? Everything's gonna be fine?
Lexie: Uh ..... maybe later would be better.
Anna: Sa ...Sarabeth, come on honey.



Scene 52
Derek enter patients room to see Webber, Bailey, Callie and Owen around bed
Derek: What's going on?
Webber: We're going ahead with the freezing.
Derek: Without my consent? No, I don't think so.
Owen: You really want to be the doctor who doesn't give his all to keep a man from being wheelchair-bound for the rest of his life?
Derek: Get out of my patient's room!
Owen: I don't take orders from civilians.
Derek: Listen, you arrogant, little .…
Webber: Shepherd.
Derek: Okay, right now this patient is stable. He may never walk again but if you try this he could throw a clot, go into organ failure and he could die.
Webber: We're going ahead with the freezing.
Derek: Ever since this morning, you've been pissing on anything with a pulse ... trying to prove you're not number twelve and you're not. But right now, with this decision you act like number twelve. Good luck with the patient Dr. Torres.



Scene 53
Derek and Mark walk up to desk in waiting/reception area
Derek: You know, the chief is under the spell of some insane man in camouflage.
Mark: He saved my patient's life. He'll never talk again but still, life saved. What happened to your hand?
Derek: Ah ... scalpel. Rose, not intentional.
Mark: She's a dead mouse on the kitchen floor. At some point you gotta pick it up and throw it away.
Derek: Hmmmm
Mark: Want me to take a look at that?
Derek: Mer's gonna take care of it.
Mark: I'm a renowned plastic surgeon.
Derek: It’s a scratch.
Mark: Grey's a resident.
Derek: She gives me sex, especially when I'm wounded. (Mark chuckles under his breath)



Scene 54
Cris’ interns are working to set up CT as Meredith walks
Intern: Is this positioned right?
Cristina: If I'm getting a mammogram. Lower ... to the right. Two, what are you doing?
Steve: Uhh ... draping so your parts are safe.
Cristina: Get away from my parts. Oh!... gentle ... gentle ... gentle.
Meredith: How are you doing?
Cristina: Please take my films 'cause my interns are idiots. How's Mr. Kenner?
Meredith: Well, he's stable, but…
Cristina: You cannot let him die.
Meredith: I'm doing my best. Hold still.
Cristina: I am. Just shoot it.
Meredith: Hold still because I want to ask you a question.
Cristina: What?
Meredith: Did you mean what you said about me ... and Derek?
Cristina: Oh well, this is not fair. I'm impaled an…
Meredith: I know I talk about it too much, and I know I've gone soft and gooey and disgusting. And if I had to listen to it I'd puke too. But you said what you said because you were mad right, not because you meant it?
Cristina: Can you just .... just take my x-ray? And ... and it doesn't matter what I say.
Meredith: Of course it matters what you say! Of course it matters. (Meredith turns and walk out)
Cristina: (To interns who are all taking pictures of Cris on the cell phones) You stop .... oh! Stop taking my picture and take my picture!



Scene 55
Meredith at nurse station when she sees Anna in waiting area, rocking back and forth clearly not alright
Meredith: Are you feeling okay? (sits down next to Anna)
Anna: Her world is about to fall apart and she has no idea. It's all my fault. What should I do? I know I'm a terrible person but what should I do?
Meredith: She should hear it from you. You're her best friend even if it's the most terrible thing in the world, you should tell her.



Scene 56
Alex sits looking at computer screen as Izzie walks in
Izzie: Hey .. Callie's gonna freeze her patient. You want to go check it out? Hello? Alex? Why are you ignoring me?
Alex: I'm hoping if I wait long enough, you'll be as annoyed by the sound of your voice as I am and just shut up.
Izzie: Okay. Did I do something?
Alex: You know what you did.
Izzie: No, I don’t. Alex, just tell me. What did I do? I thought that…
Alex: Just shut up. I had a bad night and I cried like a girl. I'm over it. You need to get over it too.



Scene 57
Callie and Bailey begin the process of lowering Phil’s body temp.... in the room Webber observes
Callie: That chill you'll feel is the cold saline rushing through your veins to lower your core body temperature.
Phil: And if it works, I walk?
Callie: If it works, the hope is that you walk.
Phil: Oh, well okay, uh... I'm .... I'm getting cold.
Callie: His temp's still 96.8 Chief. Shall we lay another cooling blanket on him?
Webber: That's up to you Dr. Torres. You're taking point. That's what the Chief of a number one teaching hospital does. He handpicks talented surgeons and lets them take point. Right Dr. Bailey?
Bailey: Couldn't agree more Chief
Phil: Warm and toasty, that's what I'm feeling.
Bailey: His pulse is falling. Are you sure…?
Webber: Yeah, down to 52.
Callie: Yeah, it's normal for his pulse to fall.
Phil: Okay, h...how much longer we got?
Callie: Not too much longer, okay? You're doing great.
Bailey: Keep thinking warm and toasty.
Phil: Okay, I'm trying.
Callie: Good.
Bailey: Number twelve my ass.



Scene 58
Derek sits as Meredith begins to suture his hand
Derek: You want to hear how I cut my hand? It's a good story.
Meredith: I am not sure moving in together is a good idea.
Derek: Okay ..... Fine.
Meredith: Fine? What does that mean?
Derek: It means that I know you.
Meredith: So what, you didn't believe that I would let you move in the first place?
Derek: I believe that you believe it. Look, I'm gonna move very slowly .... baby steps, no sudden moves. You're like a deer in the woods.
Meredith: Okay, I built the house of candles. That is unprecedented in the Meredith chronicles.
Derek: Fine. Let's move in together.
Meredith: Fine.
Derek: Unless, of course, you just want to go ahead and get married. Hah! Got you! You want to know where I learned that? Goes with the story of how I cut my hand.
Izzie walks up
Izzie: What did you say to Alex?
Meredith: I ... I didn't say anything. I just ss ... said that I think it's nice that you two are friendly again.
Izzie: Oh damn it, Meredith. Why can't you just mind your own business? You know what? Forget it. I should never have told you anything. You can't keep anything to yourself unless it's for Cristina. (Izzie turns and stomps off)
Meredith: Izzie!
Derek: Marriage?
Meredith: Not funny.



Scene 59
Phil’s room as treatment continues Alex stops at doorway
Alex: Dr. Bailey.
Bailey: Yeah.
Alex: Michael Briar's abdomen is more tender. Now I ... I know I'm supposed to get a CT but if we start the surgery after midnight he's not covered. we're basically bankrupting him. I say we skip the CT
Bailey: Oh, you sa .... You say? No, you don't say. You ask and the answer is, we don't skimp on medicine to save money. Get the CT.
Callie: Phillip, you're doing great. I'm giving you more sedative and a paralytic to stop your shivering, okay?
Phil: Okay.
Callie: Okay, we'll need to intebate, Bailey.
Webber: All right, coming down. One, two and three and down.
Callie: He's down to 90 degrees. I think that's ... um, too low. I ... is that too low?
Webber: You did all the research.
Callie: I think it's too low. Oh, my god!
Bailey: Okay, so what now? Is this gonna resolve? Do they recommend lido or amiodarone? Dr. Torres? Uh ... Dr. Torres?
Webber: He’s barely got a pulse.
Callie: Uh ... uh ... should we do CPR?
Bailey: No, ... let's t-try to avoid jostling Shepherd’s spinal decompression unless absolutely necessary.
Callie: Oh, crap! Crap!
Webber: His heart is likely to stop ..... soon. What are you gonna do, Dr. Torres?
Callie: I don't know. I ...I don't know.



Scene 60
Sarabeth and Anna enter Vincent’s room
Sarabeth: How is he?
Meredith: We've giving him medication to keep his blood pressure up, but Betty's husband's not as stable as we'd like him to be.
Anna: They're freezing Phillip... freezing him...to try to help him walk again. I don’t... they explained it to me very well. And Betty's having surgery on her brain, and poor Vincent here is barely hanging on...and Michael...
Sarabeth: It’s all right. We'll survive. We always do. I wish he would just look at me.
Anna: Sarabeth .... Michael lost his job eight months ago.
Sarabeth: What?
Anna: The firm let him go. He just … he couldn't bring himself to tell you. He .... he just felt like such a failure.
Sarabeth: Why? .... I don't .... wh...why do you .... how do you know this? ............... He told you ................ He told you.
Anna: Sarabeth ....
Sarabeth: Anna .... have you been sleeping with my husband?
Anna: I'm s ....
Meredith: He’s in v-fib. Code blue! Get them out of here, please.
Anna: What .... what the matter with him.....
Meredith: Push one of epi, one of atropine.



Scene 61
Working to get Phil stabilized
Erica: You started him on ecmo? You're taking out all his blood and replacing it? Webber: It was the only thing to do, Dr. Hahn. We don't want to jostle his spine, and this will give his heart some rest. Now we need you to monitor him until we get him back on. Now are you in or not?




Scene 62
Alex finds Sarabeth alone in waiting area
Alex: I sent Michael down for the C.T. I was hoping we could start the surgery, get him in under the wire, but it's almost midnight so ...
Sarabeth: It doesn't matter. I don't care. I don’t. Do you .... do you know anything about Betty's husband? He ... I think he was dying. Do you ... have you heard anything?
Alex: No. I ....I can find out.
Sarabeth: Why do men cheat? My husband slept with my friend. He lost his job and then he slept with my friend, all the while telling me he loves me. Why?
Alex: Maybe he was low. He was down and he didn't want you to see him like that. In pain, weak ... as less than a man. He has his pride ... so ... uh he turned away. It's not right but it...it doesn't mean he doesn't care about you. I swear it doesn’t.



Scene 63
Webber, Bailey, Callie and Erica continue to stabilize Phil
Erica: All right, we all ready to wean?
Webber: Let’s do it.
Bailey: It looks like he's tachy cardic. Should we shock him, give him adenosine?
Erica: Well, normally I'd say yes but this man's an ice cube.
Webber: Dr. Torres, in any of your research, was there anything to suggest what to do in a situation like this?
Callie: I don't ... I don't ... I mean, um ... I think I messed up here. I don't know. I mean, maybe--maybe .... maybe he would've been fine on his own. Maybe ... maybe.......
Erica: All right, look at me. Look at me. Focus. You're trying something new. There's nothing wrong with new. Breaking new ground, pushing the boundaries, it comes with the job. So Dr. Torres, take a breath, stop panicking and just tell us. What did your research say?
Callie: My research showed that...that, um...arrhythmias can occur at a certain threshold. His appear to be between.. uh, 91.5 and 92 degrees.
Webber: He around 90 right now.
Bailey: Okay, so... we could use the ecmo to help bring him back up.
Callie: Yes, but not too quickly, because that can cause problems of its own.
Erica: All right. Looks like we have some warming to do.



Scene 64
Cristina is fed up with icicle in her abdomen while having to teach interns
Cristina: What do you see?
Intern 1: Um, it kinda looks like it's hitting nothing?
Cristina: Ohhhh, almost looks like it's hitting nothing? Because it's hitting nothing!
Intern 2: So, like, what does that ... what does that mean?
Cristina: What do you mean, what does that mean? Don't you know how to read an x-ray?
Intern 2: You .... you always read them.
Cristina: Well, get out. All of you just... get out and find me someone with a brain.
Enter Major Owen Hunt
Owen: Those your interns? They seem pretty scared of you.
Cristina: I am not scary. (Owen comes bedside...glances up at her films) Uh, what are you doing? (Owen looks dreamily at Cristina who looks right back dreamily ..... then Owen pulls out Cristina’s icicle really fast) That’s my icicle!
Owen: Yeah.
Cristina: Uh, you took out my icicle. I didn't give you permission to do that.
Owen: So?
Meredith enters room ... obviously to deliver bad news

Meredith: Cristina.
Cristina: He died...?



Scene 65
Derek and Webber look through window to patient
Derek: My patient still alive?
Webber: He's stable.
Derek: You let some soldier off the street talk you into something that could have killed a man.
Webber: He deserved the chance.
Derek: We have no way of knowing if it helped or hurt.
Webber: He deserved the chance, Derek. He deserved the best, the most that this hospital could give him. I've let a lot of things slide over the past few years. I've been... soft.
Derek: This was not about you being soft.
Webber: Yeah, I think it's the fact that Meredith's here, the fact that Ellis' daughter is here. (Meredith enters room)
Meredith: Chief. Vincent Kenner ... we gave him 31 units of blood, fresh frozen plasma, multiple liters of LR We did everything we knew how to do. We just couldn't bring him back.
Webber: You don't know how to do anything ... none of you. You're halfway through your second year of residency, and you walk around this hospital like it's your god-given right to be here. Well, it is not, Dr. Grey. I assure you. You are here because I allow it. You are here to do what I say, and the one thing I ask you to do… You can't even save..
Derek: Richard! We can't save everybody.
Webber: We should try harder. We should try harder.



Scene 66
Sarabeth enters Michael’s room where Alex, George and Lexie are prepping him for surgery
George: Michael, Sarabeth is here.
Alex: He’s a little tired. Uh, the CT showed that his hematoma's getting worse. So Dr. Bailey and I will be taking him down to the OR soon.
Lexie: But he wrote you, um, this letter.
Sarabeth: I'm not interested. (Sarabeth turns to leave room)
Lexie: Sarabeth.... Sorry .... Um ... that wasn't me, that was the letter. (Lexie starts reading Michael’s letter to Sarabeth) It... I ... I know you hate me. Um, again it's not me, it's the letter. I'll ... I'm just gonna read. Um, I know you hate me right now. And you have every right to. I betrayed you. I betrayed our marriage. But I had lost my job and I couldn't tell you, so I told Anna instead, which was wrong and stupid. And I've wanted to tell you a million times and let you know how truly sorry I am but now I have no voice. So I am begging you please, if you could just listen with your heart. Oh, that is so poetic. That ... that was me, so ... not him. Sorry. Um, if--if you could just listen with your heart when I tell you that I know you can't forgive me right now but I'm gonna do everything in my power to make it up to you. And no matter what happens, no matter what you decide to do I’m gonna love you until the end of time. That's it. ... I'm done talk…well, he's done. It's the end.



Scene 67
Sarabeth sits in waiting area, gets up as she see Izzie approach.... Anna joins them
Sarabeth: Betty?
Izzie: She's not awake yet, but I can take you to see her if you'd like.
Anna: And her memory?
Izzie: We don't know yet.
Meredith walk up to the three women with news
Anna: Oh, no. Oh, please don't say it.
Meredith: I'm sorry.... Vincent.
Sarabeth: Oh, god. Oh, god ... no ... no.
Meredith: I'm very sorry.
Anna: Sarabeth.
Sarabeth: No, don't, don’t. Just don’t.
Anna: Sarabeth... Vincent’s dead, and Betty... We don't know if she's gonna be okay, and ... and Phillip and Michael ....
Sarabeth: Don’t you mention his name to me.
Anna: Sarabeth... more bad things have happened to us today than have ever happened before. We have been blessed until today. I took it for granted. I took you for granted. We've been friends for 50 years, ever since we were little girls. And I made...one awful, awful mistake...but I need my best friend.
Sarabeth: You slept with my husband.
Anna: Please.
Sarabeth: I'm going to go see Betty. I'm gonna see my friend.
Sarabeth leaves ..... leaving Meredith and Izzie who have just witnessed heartbreak
Meredith: I'm sorry about teasing Alex.
Izzie: I forgive you.



Scene 68
Owen sutures Cristina as she lets her guard down
Cristina: Tell me about trauma surgery.
Owen: Trauma? Quick and dirty. There's no time to make things pretty and no time for mistakes. Drop your pants. You need a shot of cefazolin IM
Cristina: No time for mistakes, huh? So what, you don't make mistakes?
Owen: I make mistakes and people die.
Cristina: I'm the best surgical resident in my program and... today I killed a man because I couldn't do a stitch.
Owen: In the field, you do what you can, you work with what you have. It's about something. It's not about being the best. It's about saving lives.
I make mistakes. Guys die by my hand, good guys ... guys who are fighting for their country in a desert. And I don't know everything. Nobody does. So I make mistakes, and I learn. And the next time, I don't make that mistake again. So the next time, the next guy, that guy, he lives.... Mistakes are how you learn.



Scene 69
Sarabeth and Anna stand at Betty’s bedside
Sarabeth: Hi, Betty. How you feeling?
Betty: My head ... hurts. What's going on?
Anna: Betty, you and Vincent were in a car accident. Vincent ... I'm sorry. I'm ...I'm so sorry. He ... he didn't make it, Betty.
Betty: No, no, please. No. No. He's in the other car. He's just gonna be here any minute. He’s...
Sarabeth and Anna both look at Izzie as Izzie glance at the clock, knowing Betty will reset in a few seconds
Betty: Oh... my head...it hurts. What happened?
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Scene 70
Lexie in Michael’s hospital room giving him an update and pep talk ..... Mark listens in the doorway
Lexie: You look pretty stable which is good because I can't let you go into your next surgery unless you're feeling strong and stable, okay? It happens, people make mistakes. You know they sleep with the wrong person and they hide it. But if you ask me, it's the part that comes after that matters, the part where you make it right. And I think you're off to a good start.



Scene 71
Alex outside taking a break when Bailey finds him
Bailey: Karev, is Michael Briar ready for his ex lap?
Alex: He was ready an hour ago.
Bailey: And I'm ready now, book the OR
Alex: Fine.
Bailey: Dr. Karev, what time is it?
Alex: It's tomorrow. His insurance expired.



Scene 72
Derek at nurses station, writing in chart when Rose walks up to him
Rose: I'm sorry about the hand.
Derek: These things happen.
Rose: Not to me they don't .... or they didn't before you existed for me. Before you existed .... I was good. Every doctor in this hospital wanted me in their OR. I was known as a damn good scrub nurse. And now I'm the crazy girl out of fatal attraction ‘who goes around stabbing surgeons’.
Derek: Sorry. I'm ... I'm sorry.
Rose: There's an opening in peds. I start on their service tomorrow. Again, very sorry about your hand. Derek watches as Rose walk away



Scene 73
Mark still in doorway of Michael’s hospital room
Mark: You’re never at a loss for words with your patients.
Lexie: Oh for god sake.
Mark: You don't seem to have any trouble letting me know how you feel, so why not tell O’Malley?
Lexie: You really are the last person who should be giving romantic advice.
Mark: When I like somebody I make sure they know it. Life's too short to live any other way.
Lexie: What if he doesn't like me back?
Mark: Then he's an idiot.



Scene 74
Anna and Sarabeth sit with Betty as Izzie updates her chart
Betty: What’s... what am I doing here? Where's Vincent? Did something happen?
Sarabeth: I can’t. I ... I can't tell her anymore. I ...I won’t.
Anna: I know.
Izzie: Why don't you two take a break, check on things?
Sarabeth: I don't want her to be alone.
Izzie: I'll sit with her. I don't mind. (Sarabeth and Anna get up to leave)
Betty: Sarabeth, Anna...Am I in a hospital?
Sarabeth: Oh, honey… there's been an accident.
Betty: Where's Vincent? Is he okay?
Izzie: Your husband is on his way. He'll be here any minute.
Betty: He's on his way now?
Izzie: Yes. He's just around the corner actually, if you watch the door, you'll see him any minute. You’ll see him.
Betty: Good. He’s... He’s on his way?
Izzie: He's on his way.
Betty: Around the corner.
Izzie: Yes, he's around the corner. (walk over to Sarabeth and Anna and quietly says) It's better for her )
Sarabeth: Thank you.
Come on. Let's go check on our husbands. (Sarabeth takes Anna’s hand to leave)


Scene 75
Bailey and Alex in OR about to start Michael’s surgery
Bailey: Karev, I think that clock is wrong. I know it says 2:30 A.M. But I'm pretty sure it's actually only 11:58 P.M. Can you fix it, please?
Alex: Set it back?
Bailey: Set it back. It's important that the official hospital record shows the right time and the insurance company needs it too. And I say it's only 11:58 P.M. ..... (Bailey waits until clock is set back) Scalpel.



Scene 76
Major Owen Hunt tends to Cristina’s injury .... Cristina doesn’t mind at all
Owen: You know, you'd be good in the field. Now that you got this battle scar you'd fit right in.
Cristina: (laughs) Oh, right.
Owen: I'm serious. You should ditch this place ... and go for the adventure. You're telling me this place gives you a rush, a high? Cristina: Yeah. Yeah, it does.
Webber: Oh, Dr. Hunt, there you are. How's the gash on that leg?
Owen: Uh .... Dr. Yang took good care of me, excellent care.
Webber: I made a few calls they speak very highly of you at Maryland shock trauma. I also heard a story that you constructed an OR table from an exploded Hum Vee in the middle of the desert, that true?
Owen: Well, you have to be innovative in the middle of the desert.
Webber: You have to be innovative everywhere. How would you like a job Dr. Hunt?
Owen: I appreciate the offer but I am due to go back to the sandpit, finish my tour.
Webber: Well .... good luck to you.
Owen turns to look at Cristina with a undecided look
Cristina: What? (Owen moves to Cristina’s bedside and kisses her senseless and she kisses him right back) I ... I... I ...I don't even know you.
Owen: So? (smirks and caresses her hair)
Owen walks out leaving Cristina sitting on her bed puzzled but satisfied



Scene 77
Callie, Derek and Bailey in ICU as they discuss Phil’s progress
Callie: Might have been the hypothermia treatment.
Derek: Or my surgical skills.
Bailey: Oh, we'll never know. (Mer walks up to three doctors)
Meredith: What's going on?
Callie: Phillip can wiggle his toes. (All three doctors chuckle)
Bailey: Oh, say it.
Derek: Don't make me say it.
Bailey: Please say it, say it for me. Even though it's technically not true yet.
Derek: We made a man walk. (Bailey is thrilled and laughs)
Bailey: We made a man walk.
Callie: We made a man walk. (All three doctors laugh, Callie and Bailey leave)
Anna walks up to Phil’s bedside and caresses his cheek with her hand and kisses his cheek
Phil: What a nice way to wake up. (Derek and Meredith watch the exchange ..... Meredith realizes that with all the drama going on.... Phil and Anna will make it.... tough times or not)



Scene 78
George and Lexie at nurses station outside Michael’s room
Lexie: Did you sleep with Meredith?
George: Yeah, I did.
Lexie: Why? I ... I mean. Sor…I...Were you in love with her?
George: I thought I was. But I was too scared to admit it so I... I did know that she...did not ... uh ... like me that way and ... I did it anyway, when I I...I shouldn't have, because I'm... besides just being ... so selfish I...you know to take advantage of her that way and to want her to want me, like that when clearly she … like I said I made a lot of mistakes last year but I'm trying to get back on track and... you know, I gotta do that by myself, so-
Lexie: The only reason I ...I...I wanted to help is because I ... I ... I feel like you and I are more than just...roommates.
George: We are more than just roommates.
Lexie: We are?
George: Yeah, we're friends. I mean right now you're probably one of my best friends.
Lexie: Best friends.
Sarabeth walks to Michael’s room and stands in doorway.... Michael waits to see what’s coming. Sarabeth sighs a big one and walks to Michael’s bedside and caresses his cheek, sits on his bed and kisses him. They will get through this.



Scene 79
Callie leaving SGH sees Erica at counter signing out for the day
Callie: I'm not an experimenter. I don't like to experiment.
Erica: Oh.
Callie: But then you showed up and we did it together and the experiment was kind of a success.
Erica: Oh ..... Oh.
Callie: Look I've never done this before. I ... I've never kissed a girl. I'm not sure I even like kissing girls. I don't, actually like kissing girls. I just... like kissing one girl ..... you.
Erica: I don't have anything to compare it with. I...You’re the only woman I've ever kissed.
Callie: So you're freaking out, too?
Erica: A lot of therapy time.
Callie: Yeah, I don't do therapy. I just get all "tthhaaaah!" And then I get all clingy and... Okay. You don't need to know that yet. So... does this..this kinda makes us virgins doesn't it?
Erica: I... guess in a way it does.
Callie: Virgins. Hey we can be scared together.
Erica: Kind of virgins, and yeah, we can be scared together. (They walk out together)



Scene 80
Cristina’s apartment as Meredith help Cristina sit down on sofa
Meredith: Okay?
Cristina: Yeah, thanks.
Meredith: You said Derek and I would never make it.
Cristina: And then I was karmically impaled for saying it.
Meredith: But you're right I mean people don't really have happily ever after’s. People barely have ever after’s. So why would Derek and I be any different?
Cristina: Mer, why do you care what I think?
Meredith: Because you're my person. And if I'm gonna do this with him, be whole and healthy and be a warm gooey person who lives with a boy, I need you. I need you on board. I need you to cheer me on. Because you're the only one who knows me ... darkly .... really knows me. I need you to pretend that I can do this even if you don't believe. Because if you abandon me now I will never make it and I'll never get my happy ending and then that's just ....
Cristina: Life.
Meredith: I'm saying please here.
Cristina: I think you and Derek will make it, you'll make it work.
Meredith: Are you just telling me what I want to hear?
Cristina: I’m your person. I'm on your side.



Meredith: [voice over]: Once upon a time, happily ever after. The stories we tell are the stuff of dreams. Fairy tales don't come true.

Scene 81
Izzie comes out of her room to see Alex in his room making out with a woman ..... Izzie in ball gown enters elevator

Meredith: [voice over]: Fairy tales don't come true.



Scene 82
Izzie’s elevator door opens to see Denny
Izzie: See? I told you I would show you my dress.
Denny: You look better than a bride.
Denny and Izzie gaze into each other’s eyes then walk hand in hand through a set of brightly lit doors ............Izzie back to see Alex look at her then closes door

Meredith: [voice over]: Reality is much stormier.



Scene 83
George and Lexie playing cards and laughing on sofa in their apartment


Meredith: [voice over]: Much murkier.



Scene 84
Derek and Meredith at his trailer, packing his things for the move in
Meredith: [voice over]: Much scarier.



Scene 85
A new day as Webber enters a room full of doctors he has gathered
Webber: Listen up people. Listen up. We used to be the best surgical program in the west, an upstart program that no one ever heard of that blew everyone out the water. Then overnight ... we got old …entrenched and sloppy just like everyone else. We've been resting on our laurels. You have all been failing, failing to take initiative, failing to ask the tough questions, failing to practice your skills, failing to give opportunity to practice skills. And I let it happen. So you have not failed we have failed. Well it stops, and it stops now. People sliding over general surgery as though they will never see anything but a heart or a brain through the course of their career, as though blood from the heart doesn't make its way through the whole body or the nerves don't travel past the brain stem. It's shoddy teaching and it makes for shoddy surgeons. We've failed. Get it? We all have and it stops now. The surgical training protocol is officially changing people. The bar has been raised. Consider yourself on notice.

Meredith: [voice over] : Reality. It's so much more interesting than living happily ever after.

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