Grey's Anatomy s06e08 Episode Script
Invest In Love
[Pager beeps, hums.]
[Meredith.]
It's impossible to describe the panic that comes over you when you're a surgeon and your pager goes off in the middle of the night.
[Sighs, kisses.]
[Snoring.]
[Pager beeps.]
- [Meredith.]
Your heart starts to race.
- Please don't be mine.
[Meredith.]
Your mind freezes.
- Your fingers go numb.
- Not mine.
- Wake up! - [Grunts.]
- [Callie.]
I'm up.
- They're paging you.
[Meredith.]
You're invested.
[Pager beeps.]
- I'm sleeping! - [Chuckles.]
[Meredith.]
They're someone's mom, someone's dad, someone's kid.
And now it's on you.
Because that someone's life is now in your hands.
Robbins, Karev's with your patient.
Torres, come with me.
We have a 15-year-old female, she fell off the roof of her house.
- Now, I think that - She's gonna be OK, right? I just need to know, is she gonna be OK? And this is her mother.
Mrs.
Boyd, I need to bring Dr.
Torres up to speed.
She's never been in any accident before, she's never even broken any bones.
Oh.
You paged me here at 4:00am for a couple of broken bones? More like 50.
- [Girl moans.]
- [Meredith.]
As surgeons, we're always invested in our patients.
Laura Young, 30 weeks pregnant.
Car accident, head CT showed a subdural.
Shepherd's coming in.
Baby's in distress, OB on its way.
- It really hurts! - [Arizona.]
Hold on.
Move the wand up.
- What? - OK, baby's brain is hemorrhaging.
She needs a crash-c while Shepherd handles the bleed.
- Grab the wheel and start running.
- But when your patient's a child Get another unit of packed cells, meet me in the OR.
you're not just invested - [Arizona.]
We need the OR! you're responsible.
- We're already on our way.
There's only one OR prepped this time of night.
- Which is why we need it.
- Mine's got a subdural.
- Fifty broken bones! - Stroke in the womb! - Oh! - Whoa! All right.
Get another OR ready now! [Meredith.]
Responsible for whether or not that child survives, has a future.
[Screams.]
And that's enough to terrify anyone.
[Distant siren blares.]
- What's her status? - Mom's heart rate and BP has been fluctuating, but she's ready for you.
- Let's prep her for a craniotomy.
- Apgar's only four.
Get to NICU now.
- Drain's in a good position.
- She's breathing over the vent.
- Maybe we should extubate her.
- But watch for apnoeic episodes and keep an eye out for her CBC.
Too much blood draining from her head.
- What time is it, Karev? - Uh, half past eight.
Half past eight.
I've been awake for five hours and my day hasn't started.
Rough way to start your morning.
A stroke before you're even born.
Rough way to start a life.
Yeah.
Hey.
I brought you some coffee.
- Oh.
You already have one.
- I want your coffee, need your coffee.
When we see Cristina, she's gonna be mad.
Mad at me for not paging her here.
Possibly mad at you for not waking her up either.
I'm handling this.
Do not engage her, do not provoke her.
Simply ignore.
All right? That's your plan? Ignore the scalpel-hungry animal? Yep, until I come up with something better.
OK.
I know this is the first time on a Peds rotation with me for some of you.
Not for others.
But I wanted you to understand that I run my Peds unit differently than you're used to.
This is not general surgery in miniature.
These are the tiny humans.
These are children.
They believe in magic.
They play pretend.
There is fairy dust in their IV bags.
They hope and they cross their fingers and they make wishes.
And that makes them more resilient than adults.
They recover faster, survive worse.
They believe.
In Peds, we have miracles and magic.
In Peds, anything is possible.
- Morning, Dr.
Robbins.
- [Arizona.]
Morning, Dr.
Wallace.
You've introduced yourself to Mr.
And Mrs.
Boyd? Yes.
Reminds me of Hillary at that age.
Such an overachiever.
Dr.
Yang, why don't you present? Yeah.
[Cristina clears throat.]
Excuse me, little doctor boy.
Uh, Hillary Boyd, 15 years old.
Fell off the roof of her house.
Fifty-two acute fractures were diagnosed when she was admitted last night.
An intricate and extremely challenging ORIF surgery was performed by Dr.
Torres and Dr.
Hunt this morning.
- Before rounds.
- Thank you, Dr.
Yang.
If she fares well enough today, I'd like to go in tomorrow to repair her subtrochanteric fracture.
Can anyone tell me the proper dosage of ceftriaxone for a pediatric patient? - Fifty milligrams per kilogram per day.
- [Arizona.]
Mm-hmm.
Dr.
Wallace, can you tell me the proper dose for this patient if she were 42 kilograms? Two point one grams per day, if you carry the decimal.
- OK, who's presenting? - I am, Dr.
Robbins.
- [Arizona.]
Proceed.
- [Wallace.]
Wallace Anderson.
Ten years old, almost 11.
Been here for seven months, in and out over the past two years.
Suffers from short gut syndrome, which means he can't absorb nutrition.
Exactly.
Dr.
Percy? Fifteen intestinal surgeries to date plus a bowel lengthening procedure which helped for a while, but recently had to go back to being fed through TPN.
- Yum.
- How'd he do this morning? We covered some advanced algebraic conversions.
Dr.
Robbins helps me with math and science homework - by letting me go on rounds.
- Fascinating.
[Man.]
We try to keep his life as normal as we can, even living in a hospital.
But I can skip my homework on Friday, right? - Since it's my birthday? - Since it's your birthday.
What about Dr.
Robbins? It is her birthday, too.
I'm afraid I can't skip my homework, Wallace, but I can come celebrate with you like I promised.
[Chuckling.]
Dr.
Robbins.
We've requested a meeting with Chief Webber and a representative from the hospital board.
And we'd like you there, too.
OK.
They didn't give you any indication as to what this meeting was about? You know as much as I do.
[Man.]
You treated their son, right? You better pray you didn't do something to piss them off.
God knows this hospital can't afford another misstep right now.
It's a pleasure to see you again, Paul.
Bethany, you look lovely.
We didn't think Wallace would see his ninth birthday, let alone his tenth.
And now this week, his eleventh.
Which is why we'd like to offer Seattle Grace Mercy West's Peds Program a gift of 25 million dollars.
Twenty-five million? Half to research, to continue searching for a cure for Wallace's condition, and half to the hospital itself.
Uh I I'm I mean - Twenty-five million dollars? - Happy birthday, Arizona.
I knew Wallace's parents were wealthy, but not 25 million dollars wealthy.
That's libraries-named-after-you money.
Save-babies-in-Africa and has-dinner-at-the-White-House-type money.
[Mark.]
People don't give me that kind of money.
You have an unfair advantage, you work with children.
Oatmeal, side of fruit, wheat toast, hold the butter.
- Thank you.
- That money is gonna make such a difference for so many patients.
It's really amazing.
[Mark.]
Maybe I should start doing more cleft palate kids.
Everyone's a sucker for those.
[Callie.]
Cheese omelet, extra butter, cinnamon toast, crispy bacon.
- Mine! - Twenty-five million is cool, right? - Best birthday gift ever.
- Birthday gift? Yeah, because the money's a gift.
It's for the hospital, not Arizona, but since your birthday's on Friday Um How does Little Grey know about your birthday and I don't? Birthdays are just days like any other days.
I don't like them, don't celebrate, no big deal.
Twenty-five million? That's a big deal.
Crap, I'm gonna be late.
I will see you there.
Mm-hmm.
Hmm.
- [Door shuts.]
- She's downplaying it, right? I'm her girlfriend.
I have to do something for her birthday.
- Yes.
- No.
Of course you do.
Oh, a surprise party! Whoa, whoa.
Bad idea.
Surprise parties are hostile.
They're dark.
People jump out and scream at you.
They never come to any good.
Karev.
Morning, chief.
When you're free, come find me.
- What's that all about? - He fired me.
I refused to be fired.
So I say hello to him every morning and he says not a word.
- Sounds familiar.
- Haven't heard from Stevens? Not a word.
They'll come around when they come around.
Chief, you need me? Uh I wish I didn't have to saddle you with this, Karev, but - What is all this? - As Stevens left no forwarding address and as you are officially her next of kin, this is her unpaid balance of her medical bills.
Unpaid balance? I don't get it.
We work at the hospital.
And insurance doesn't take care of everything.
I'm sorry.
Accounting's been pressuring me since the merger and I can't ignore it any longer.
What's yours in for? Delivered her yesterday, stroked out at ten weeks premature.
- Yours? - Born with its insides on the outside.
Two days post-op.
Resilient little guy.
More bleeding overnight.
- Should we try FFP? - At this point, we should try anything.
Get me a repeat MRI and page me if she becomes bradycardic or starts having apnoea spells.
I'll be on rounds.
- Hey.
- Hey.
I was picking up some labs from Dr.
Bailey and I saw you had these waiting.
Thought I'd bring them by, save you the trip.
Thanks.
Are you OK? I overheard a little bit of your conversation with the chief I'm trying to save a baby here.
Get out of my face.
Oh.
Got it.
- He's still sleeping? - No.
- He had a bad night.
- I can still go on rounds.
- I feel better.
Just give me a second.
- You know what? How about if you take a rest for now, and you can join me for evening rounds instead? OK.
He listens to you more than he does to me.
Well, yeah.
She's a doctor, Mom.
And you're just a mom.
Oh.
OK.
How about you close your eyes and you let me do what moms do, OK? Bad dreams, bad dreams, go away.
Good dreams, good dreams, here to stay.
Bad dreams, bad dreams, go away.
Good dreams, good dreams, here to stay.
You have to do it three times for it to work.
One more.
I want you to repeat his chemistries and get an abdominal series.
He's had bad nights before, but I want to make sure we're not missing anything.
- How's she doing? - Touch and go.
How's the baby? - Same.
- Any news from the family? I left a message.
Haven't heard back yet.
[Derek.]
ICP is elevated, BP won't stabilize.
A hundred mikes of fentanyl, please.
Laura? Laura, can you hear me? My baby Where's my baby? - She's struggling, but hanging on.
- Can I see her? [Derek.]
Sorry, no.
You're too unstable to move.
- And so is the baby.
- I just want to hold her.
Please, I want to hold my baby.
- I need you to stay calm, OK? - What if she dies, before I get to hold her? She can't.
She can't go before she's ever even been held.
[Derek.]
It's OK, it's OK Push ten of diazepam and get me some supplemental O2.
Crap.
911.
It's her baby! She's bradying down and she lost access.
- I'll start a CPAP.
- Dr.
Robbins? - Not now.
- You'll want to see this.
- It's the X-rays on Wallace Anderson.
- Show me.
- See? He has dilated loops of bowel.
- Flip.
Flip.
Damn it.
Damn it.
He has another bowel obstruction - and he's not compensating.
- I got this, go.
- A nurse just checked that.
- A nurse checked it.
I'm gonna check it.
Three other people in the OR will check it.
We're thorough.
[Woman.]
Honey, please let them do their jobs.
Mr.
And Mrs.
Boyd? We thought you should know that Hillary's tox screen from yesterday showed signs of psilocybin in her bloodstream.
- [Mr.
Boyd.]
What does that mean? - Well, it means that when she fell from the roof, - she was - Shrooming.
- Yeah.
- Magic mushrooms.
- What? - Hillary! - Mushrooms? - Can everybody please chill out? - What in God's name were you thinking? - I can't believe You're a disappointment, young lady.
A big, big disappointment.
Dad, please, OK? The last thing I am is a disappointment.
I get straight A's.
I'm on honor roll.
I run the student council.
I basically am the school paper.
I tutor kids with reading problems.
OK? I'm every parent's dream come true, including yours.
I was exploring the bounds of my consciousness with the help of a mushroom.
I made a calculated risk going on the roof.
Falling off, well, that was a low-probability event.
Even low-probability events occasionally occur, and this one did.
So, yeah, you're bummed I miscalculated 'cause it reminds you of your own fallibility.
I'm bummed, too.
Let's just leave it at that.
Cap refill's five seconds.
Push one of epi.
It's not working.
Heart rate's down to the 60s.
- Starting compressions.
- Can I help? Doubt it.
At this rate, this kid's not gonna last more than an hour.
She's only 30 weeks.
Pretty young to survive.
So, what? You're just gonna stand there and watch her die? - Pretty much.
- That sucks! It is what it is.
It's protocol.
[Beeping.]
Beeping drives me nuts.
[Beeping stops.]
- That - Kid's gonna die.
Deal with it or get out.
Hey there, girl.
I got you.
Yeah.
It's OK.
You're not alone.
No, you're not.
You're not alone.
Wait.
Hold on.
Are you saying you can't do more surgery on him or you won't? It's not a question of if I can.
It's whether or not I should.
In my opinion, Wallace isn't strong enough to handle another operation.
But with surgery, how long would he have then? I'm not confident that he'll even make it off the table.
But if he did, how long? - I strongly advise against - How long? Maybe two months.
I'm sorry, but the moment that we've been fighting for two years it's here.
So you need to prepare yourselves, and you need to prepare Wallace.
You think I've been pouring all this money into research so you can find a cure for some other kid? No! - You have to do this surgery.
- Mr.
Anderson You buy our son two more months! You buy him more time so that we can buy him a cure! I'm sorry.
[Mrs.
Anderson whimpers.]
[Mrs.
Anderson.]
What are we gonna do? Robbins.
These aren't people who hear the word "no".
If they want surgery for their son, they'll get surgery for their son, whether or not you're the one to do it.
You've been with this boy since day one.
I believe you can do this successfully.
Don't walk away now unless you know beyond a shadow of a doubt that you can't.
- The surgery's a bad idea, chief.
- But is it impossible? In your hands, is it impossible? - OK.
- OK? OK.
I'll do it.
I'll try.
- Oh, is that the preemie? - Yeah.
I was just I tried everything.
I just thought maybe somebody should hold her before she - Kangaroo.
- What? The way you're holding the baby, it's called a Kangaroo hold.
There's been cases where the Kangaroo has helped babies thrive.
But look, Karev.
Look at the numbers.
Look at this.
- [Alex.]
Huh.
Heart rate's going up.
- Yeah, it is.
And her temperature is normal.
Karev, you may have just kick-started this baby's entire system.
Just by holding her? - Take off your shirt.
- What? No.
Take off your shirt.
No, no.
The Kangaroo hold is most effective when there's skin-on-skin contact.
It's usually the mom, but you're gonna have to do.
I'm not kidding! Take off your shirt! [Owen.]
Looks like you used pretty much every piece of hardware in the hospital.
[Callie.]
Makes you think twice about shrooming on a roof.
Some mouth on this one.
If I talked to my parents like that [laughing.]
My father would've You don't even want to know.
I had perfect grades.
Perfect record.
I said whatever I wanted, did whatever I wanted.
Parents couldn't do a thing about it.
[Jackson.]
Wanna hear about my childhood? No? OK.
I'll just think about it quietly in my own head.
Nail's in.
Everything's tight.
Let's take a look.
- Fantastic.
- [Rapid beeping.]
[Jackson.]
End-tidal CO2 just dropped from 34 to 22.
Come on, give me a break here, Hillary.
[Cristina.]
She has a new murmur.
[Rapid beeping continues.]
- An air embolus in her heart.
- [Callie.]
Flood the field with saline.
[Owen.]
Bone wax, page Cardio and set up a chest tray.
And put her in Trendelenburg.
I can aspirate it.
No, no.
We wait for Cardio and we try to find the source.
It'll take me 30 seconds.
It might take Cardio half an hour to get here.
I've done this before! I know what I'm doing! - She could arrest at any moment! - Dr.
Yang, no! End of discussion! [Bailey.]
See, it's the skin-to-skin contact.
The baby can feel your warmth better, sense your heartbeat better.
See that? The baby's own heart is picking up in response.
Karev, what are you doing? He's saving a baby's life, that's what.
Dr.
Bailey, I Oh.
No shirt.
He's wearing no shirt.
- Have you started to lactate? - [Alex.]
Bailey made me! Is this the room for the calendar shoot? I was told it was downstairs.
That's enough.
Everybody out.
Let Karev do what he's doing in private.
- What is he doing, exactly? - Out.
Out.
[Rapid beeping continues.]
This is ridiculous.
You're wasting time here.
- We should deal with the heart problem.
- We're following protocol.
Cardio's on its way, and we can find the source of the embolus this way.
Screw it.
Dr.
Yang, the patient is not coding.
- You're not qualified to do this.
- Opening the left chest.
- Yang, really? - Turn on the fluoro.
- Dr.
Yang! - Will someone step on the fluoro, - or do you want me to go in blind? - Dr.
Yang, put down that scalpel! - Thank you.
- [Owen.]
Cristina! - Scissors.
- Cristina! - [Owen.]
Cristina! - Cardio's here, Yang.
It's done.
I'm done.
Air embolus out.
- The patient was crashing.
- She was not crashing.
It was a procedure I've done before.
I handled it, she's fine.
What if she wasn't? You could've lacerated her heart or cut the phrenic nerve.
She could have died on that table.
It would have been your license! All so you could prove what, exactly? I did it to stabilize the patient.
You were watching her vitals drop.
Waiting for a CT surgeon, who would have taken a more minimally invasive approach.
I could've done a thoracotomy myself if I had thought it was indicated.
I've been around the block once or twice! I kind of know what I'm doing! - I'm aware of that, I was just - You just thought every You just thought everything would be better if you took charge.
You know I have to report this to the chief, at a time when he is scouring this place for people to fire.
[Scoffs.]
Well, he's not gonna fire me.
Oh.
[chuckles.]
Of course not, 'cause you're invincible! He's not firing me because the last time I did an open thoracotomy for an embolus was with him, in his OR.
Only he was giving me words of encouragement, not screaming in my ear! For the record, you rocked in there.
Hunt's jealous he didn't do it himself.
Shut up.
OK.
You won't believe what just happened in surgery with Hey.
You OK? Tell me I'm great.
- What? - I need for you to tell me I'm great.
- You're great.
- I mean really tell me.
Because I'm about to go in on a surgery I'm not sure I should be going in on, and I can't think like that, right? I can't go into the OR feeling like this.
So I need you to tell me I'm great.
Make me Make me hear it.
You are great.
You are great.
Thank you.
[Knocking.]
Hey, there.
You ready to go? - I'm gonna take you to the OR myself.
- I've been here a while now.
And I've seen kids go home and go away.
Like Evan, the kid from down the hall, with asthma, last month? He died the day before he was supposed to be discharged.
- You're not Evan.
- And Chloe, the heart girl? She was here for three weeks before she died.
- No one says you're gonna die.
- I've been here for seven months.
I've been here the longest of anyone on the floor, by double.
- Wallace - They say it's like going to sleep.
Maybe it is.
But what if I go to sleep and I have nightmares? [Sighing.]
More traction, please? Damn it.
The mesentery's really friable.
Percy, a little help on the suction.
This is not a good idea.
This surgery was not a good idea.
Can we get a washcloth for Dr.
Robbins? - No, it's fine.
- Just take a moment.
Thank you.
Pickups, please.
- I left two messages.
- I'm sorry.
I was in surgery.
- There were complications.
- I don't care.
I operated on Wallace tonight when I knew better.
I keep retracing every step, every suture, going over it and over it.
- He didn't make it? - He did.
He's in recovery.
Not the point.
What I needed from you tonight was a little support, - for once, and you weren't here.
- OK, you're scared.
So you're picking a fight.
You get that, yeah? Yeah.
Yeah, fine.
Whatever.
But I've helped you through crisis after crisis, and once I thought that I could come here and get - [Cristina.]
Let it go! It's done! - I have every right to be mad.
You never pulled a stunt like that with another attending.
I seem to recall Callie was there, she still didn't stop me.
- Guys, not now.
- You took advantage of me - and of our relationship.
- The kid was dying.
- What kid? What happened? - [Owen.]
You didn't hear? - No, I didn't.
- Cristina performed an unauthorized and unnecessary thoracotomy against my orders.
- She what? - I saved the patient's life.
- You didn't tell? - I was going to, but you were all, - "Tell me I'm great.
" - So it's my fault Yang went rogue - on a child? - It wasn't rogue.
It was brilliant.
It wasn't! You know? I'm done.
You got lucky today, Cristina, and you may think you can get away with whatever you want, but one of these days, that luck is gonna run out.
[Pager beeps.]
Look Wha? Oh! OK.
So you're leaving, too? Yes, because I have a patient.
Bitches.
[Arizona.]
All right, start an epi drip now.
More irrigation.
Keep it coming.
Give me a Babcock clamp.
I can't have a light Can somebody get me more light? Pressure's dropping to 68 over 40.
Pulse is racing.
Come on, Wallace.
- What happened to the Anderson boy? - He's in septic shock.
His body was too unstable, what I said in the first place.
- Maybe I can help.
- No! No, you can't.
As long as you're breathing over my shoulder, I feel like I'm operating on a stack of bills.
25 million dollar bills.
What I need to be invested in is this kid.
So get the hell out of my OR! More suction now! How'd it go? Damn it.
[Sighs.]
I'll let them know you did everything you could.
Wait, Dr.
Robbins.
Don't we have to tell the parents, let them know? - No.
- What do you mean, no? I mean no.
I will not be speaking to Wallace's parents.
Mr.
Jennings and the chief will take care of that.
As far as they are concerned and as far as the Andersons will be concerned, I just killed their son.
I'm a liability.
Because if they were to ask me, the truth is, I'd tell them I did just kill their son.
And they should sue.
I am responsible.
But that's not in the best interest of the hospital.
- Am I close? - I think we're on the same page.
[Scoffing.]
My luck will run out? It has nothing to do with luck.
He's just being an ass.
I rocked that embolus.
- What? - He cares about you.
- So? - So maybe he's a little bit right.
I get it.
I mean, I'm dying to get out of this bed and cut.
But you did an unauthorized procedure in an OR.
You're an amazing surgeon, but if anything had gone wrong, that would have been your career.
He cares about your career.
He's in love with you.
I hate married, happy you.
[Chuckles.]
Go to work.
And don't cut anybody open without permission.
You should have seen Yang in that surgery.
She was fearless.
And you are hopeless.
She's completely out of your league.
I'm hopeless? I'm just stupid.
He's married.
And have I mentioned, a total ass to pretty much everyone at all times.
Karev? Did you stay here all night? Uh, yeah.
I guess I did.
Go home, get some rest.
The nurse will take over for you.
No, I'm OK.
I'm good here.
You'd be good in Peds, you know that? You get invested, you have good instincts, you stick to your instincts.
You'd be good in Peds, Karev.
Yeah, I know, they say I can have visitors tomorrow.
Cool.
And Do you have any loopies? Or whatever you have.
They only have me on two milligrams of morphine at a time.
I know.
How lame is that? Hey, little pusher girl, I'm Hillary's doctor, and now I have Hillary's phone, so I'm gonna give this number to the police.
How lame is that? - What the hell? - OK.
I know you think you can do anything and say anything and handle anything.
And that's almost true.
Except for the fact that you fell off a roof.
Because you were so high, that you, what, you thought you could fly? In surgery, you almost died of a heart complication, because your body is so strung out from the crap you've been putting in it that it almost shut down.
That doesn't make you smarter than everyone else.
It makes you an idiot.
The only reason why you're alive is You know what? It's 'cause you're lucky.
So just grow up.
Surprise! [All shouting.]
[Shouting stops.]
[Whimpering.]
[Arizona.]
I I I Oh.
Told ya.
In retrospect, I realize now that surprise parties are hostile.
This was a bad idea.
Please, stop crying.
I'm sorry.
- I'm sorry about the party.
- Wallace died.
He was supposed to be turning 11 today, and instead, he's lying in a morgue.
Oh God.
Um I'm I'm sorry.
I'm sorry.
I can't stay.
No, it's OK.
It's OK.
I'll take care of it.
You don't have to stay.
Just I understand.
We're all surgeons.
Everyone will understand.
- All right.
- OK.
Just go.
[Indistinct chattering.]
- Might as well take advantage, huh? - What? Party's a dud, but at least there's free booze, right? Right.
Go ahead and gloat.
Surprise parties never come to any good.
- I think this party speaks for itself.
- I don't get it.
The best birthday of my life was the surprise party that my parents threw.
I loved it.
So much.
How old were you at this party? - Seven.
- Mmm.
Like I said.
Speaks for itself.
If there's anything we can get for you, help you with, please, just let us know.
I'd be happy to oversee any packing you need done from his room.
I've already arranged for a car.
It's ready to take you home anytime.
- Arizona.
- Dr.
Robbins, this is a sensitive time.
- [Richard.]
Let her be.
- Excuse me? I said let her be.
It just doesn't feel real.
Any of it.
It just It just doesn't feel real.
Bethany, would you like to see him? I have to admit, I'm impressed.
I never would have pegged you for the babysitting type.
- Are you heading home? - No, I got the baby.
I'm sure somebody else could take a shift.
I can't leave, OK? Wow.
Are you really so messed up you can't let one person be nice to you? Ever? I can't go.
I can't go home, I can't get lzzie to call me back.
She's gone.
Could be dead, for all I know.
She left me with a $200,000 medical bill and I I can't do anything about it.
About any of it.
But I can sit here and I can hold this baby.
That I can do.
Then I'll sit here with you for a little while.
[Indistinct chatter.]
Yang! Doctor Can I "Cristina" you, or are we not there yet? That's a no? OK.
Dr.
Yang, let me just tell you that that was incredibly hot in the OR yesterday.
[Cristina laughs.]
Very, deeply hot.
It was hot! You are hot.
- You're drunk and you're in my room.
- I am in fact inebriated, but it's legal, you know, and even if I wasn't, you're the rule-breaker, which I think we established in surgery.
Really? You think that was hot? Would it be really, really bad if I just 'Cause of the embolus thing, and you in general, could I just? Uh, no! I'm involved.
I'm involved.
Time to meet your mommy.
[Whimpering.]
She's so beautiful.
[Meredith.]
They say the bigger your investment, the bigger your return.
- Surgery yesterday? - Mm-hmm.
It wasn't just It was me.
Can't you see that? See what? See what? I I can't just ignore what happened, Cristina.
OK.
I'm sorry.
Look, I know, um I know I overstepped.
Come home with me.
Please? [Meredith.]
But you have to be willing to take a chance.
OK.
Bad dreams, bad dreams, go away.
Good dreams, good dreams, here to stay.
Good dreams, good dreams, here to stay.
Bad dreams, bad dreams, go away.
Good dreams, good dreams, here to stay.
Bad dreams, bad dreams, go away.
Good dreams, good dreams, here to stay.
Stay.
- You have to do it three times for - [Mr.
Anderson.]
For it to work.
I know.
[Mrs.
Anderson whimpers.]
[Mr.
Anderson.]
She is the reason that we will still be giving Seattle Grace Mercy West Not because of you or your ass kissing.
It's because of her her.
[Meredith.]
You have to understand you might lose it all.
The chief still won't talk to me.
He will.
When did you become such an optimist? This is married, happy me.
Can we? Are you OK to? Yes, we can.
[Meredith.]
But if you take that chance - [Derek.]
Are you healed? - [Meredith.]
I'm healed.
[Meredith.]
If you invest wisely the payoff might just surprise you.
Oh! I'm awake! I'm See? I'm I'm totally awake.
I'm There's hats! And gifts! And And donuts! And lingerie.
[Makes faint noise.]
Really? [Chuckles.]
I love you.
You do? I do.
[Callie.]
I love you, too.
[Meredith.]
It's impossible to describe the panic that comes over you when you're a surgeon and your pager goes off in the middle of the night.
[Sighs, kisses.]
[Snoring.]
[Pager beeps.]
- [Meredith.]
Your heart starts to race.
- Please don't be mine.
[Meredith.]
Your mind freezes.
- Your fingers go numb.
- Not mine.
- Wake up! - [Grunts.]
- [Callie.]
I'm up.
- They're paging you.
[Meredith.]
You're invested.
[Pager beeps.]
- I'm sleeping! - [Chuckles.]
[Meredith.]
They're someone's mom, someone's dad, someone's kid.
And now it's on you.
Because that someone's life is now in your hands.
Robbins, Karev's with your patient.
Torres, come with me.
We have a 15-year-old female, she fell off the roof of her house.
- Now, I think that - She's gonna be OK, right? I just need to know, is she gonna be OK? And this is her mother.
Mrs.
Boyd, I need to bring Dr.
Torres up to speed.
She's never been in any accident before, she's never even broken any bones.
Oh.
You paged me here at 4:00am for a couple of broken bones? More like 50.
- [Girl moans.]
- [Meredith.]
As surgeons, we're always invested in our patients.
Laura Young, 30 weeks pregnant.
Car accident, head CT showed a subdural.
Shepherd's coming in.
Baby's in distress, OB on its way.
- It really hurts! - [Arizona.]
Hold on.
Move the wand up.
- What? - OK, baby's brain is hemorrhaging.
She needs a crash-c while Shepherd handles the bleed.
- Grab the wheel and start running.
- But when your patient's a child Get another unit of packed cells, meet me in the OR.
you're not just invested - [Arizona.]
We need the OR! you're responsible.
- We're already on our way.
There's only one OR prepped this time of night.
- Which is why we need it.
- Mine's got a subdural.
- Fifty broken bones! - Stroke in the womb! - Oh! - Whoa! All right.
Get another OR ready now! [Meredith.]
Responsible for whether or not that child survives, has a future.
[Screams.]
And that's enough to terrify anyone.
[Distant siren blares.]
- What's her status? - Mom's heart rate and BP has been fluctuating, but she's ready for you.
- Let's prep her for a craniotomy.
- Apgar's only four.
Get to NICU now.
- Drain's in a good position.
- She's breathing over the vent.
- Maybe we should extubate her.
- But watch for apnoeic episodes and keep an eye out for her CBC.
Too much blood draining from her head.
- What time is it, Karev? - Uh, half past eight.
Half past eight.
I've been awake for five hours and my day hasn't started.
Rough way to start your morning.
A stroke before you're even born.
Rough way to start a life.
Yeah.
Hey.
I brought you some coffee.
- Oh.
You already have one.
- I want your coffee, need your coffee.
When we see Cristina, she's gonna be mad.
Mad at me for not paging her here.
Possibly mad at you for not waking her up either.
I'm handling this.
Do not engage her, do not provoke her.
Simply ignore.
All right? That's your plan? Ignore the scalpel-hungry animal? Yep, until I come up with something better.
OK.
I know this is the first time on a Peds rotation with me for some of you.
Not for others.
But I wanted you to understand that I run my Peds unit differently than you're used to.
This is not general surgery in miniature.
These are the tiny humans.
These are children.
They believe in magic.
They play pretend.
There is fairy dust in their IV bags.
They hope and they cross their fingers and they make wishes.
And that makes them more resilient than adults.
They recover faster, survive worse.
They believe.
In Peds, we have miracles and magic.
In Peds, anything is possible.
- Morning, Dr.
Robbins.
- [Arizona.]
Morning, Dr.
Wallace.
You've introduced yourself to Mr.
And Mrs.
Boyd? Yes.
Reminds me of Hillary at that age.
Such an overachiever.
Dr.
Yang, why don't you present? Yeah.
[Cristina clears throat.]
Excuse me, little doctor boy.
Uh, Hillary Boyd, 15 years old.
Fell off the roof of her house.
Fifty-two acute fractures were diagnosed when she was admitted last night.
An intricate and extremely challenging ORIF surgery was performed by Dr.
Torres and Dr.
Hunt this morning.
- Before rounds.
- Thank you, Dr.
Yang.
If she fares well enough today, I'd like to go in tomorrow to repair her subtrochanteric fracture.
Can anyone tell me the proper dosage of ceftriaxone for a pediatric patient? - Fifty milligrams per kilogram per day.
- [Arizona.]
Mm-hmm.
Dr.
Wallace, can you tell me the proper dose for this patient if she were 42 kilograms? Two point one grams per day, if you carry the decimal.
- OK, who's presenting? - I am, Dr.
Robbins.
- [Arizona.]
Proceed.
- [Wallace.]
Wallace Anderson.
Ten years old, almost 11.
Been here for seven months, in and out over the past two years.
Suffers from short gut syndrome, which means he can't absorb nutrition.
Exactly.
Dr.
Percy? Fifteen intestinal surgeries to date plus a bowel lengthening procedure which helped for a while, but recently had to go back to being fed through TPN.
- Yum.
- How'd he do this morning? We covered some advanced algebraic conversions.
Dr.
Robbins helps me with math and science homework - by letting me go on rounds.
- Fascinating.
[Man.]
We try to keep his life as normal as we can, even living in a hospital.
But I can skip my homework on Friday, right? - Since it's my birthday? - Since it's your birthday.
What about Dr.
Robbins? It is her birthday, too.
I'm afraid I can't skip my homework, Wallace, but I can come celebrate with you like I promised.
[Chuckling.]
Dr.
Robbins.
We've requested a meeting with Chief Webber and a representative from the hospital board.
And we'd like you there, too.
OK.
They didn't give you any indication as to what this meeting was about? You know as much as I do.
[Man.]
You treated their son, right? You better pray you didn't do something to piss them off.
God knows this hospital can't afford another misstep right now.
It's a pleasure to see you again, Paul.
Bethany, you look lovely.
We didn't think Wallace would see his ninth birthday, let alone his tenth.
And now this week, his eleventh.
Which is why we'd like to offer Seattle Grace Mercy West's Peds Program a gift of 25 million dollars.
Twenty-five million? Half to research, to continue searching for a cure for Wallace's condition, and half to the hospital itself.
Uh I I'm I mean - Twenty-five million dollars? - Happy birthday, Arizona.
I knew Wallace's parents were wealthy, but not 25 million dollars wealthy.
That's libraries-named-after-you money.
Save-babies-in-Africa and has-dinner-at-the-White-House-type money.
[Mark.]
People don't give me that kind of money.
You have an unfair advantage, you work with children.
Oatmeal, side of fruit, wheat toast, hold the butter.
- Thank you.
- That money is gonna make such a difference for so many patients.
It's really amazing.
[Mark.]
Maybe I should start doing more cleft palate kids.
Everyone's a sucker for those.
[Callie.]
Cheese omelet, extra butter, cinnamon toast, crispy bacon.
- Mine! - Twenty-five million is cool, right? - Best birthday gift ever.
- Birthday gift? Yeah, because the money's a gift.
It's for the hospital, not Arizona, but since your birthday's on Friday Um How does Little Grey know about your birthday and I don't? Birthdays are just days like any other days.
I don't like them, don't celebrate, no big deal.
Twenty-five million? That's a big deal.
Crap, I'm gonna be late.
I will see you there.
Mm-hmm.
Hmm.
- [Door shuts.]
- She's downplaying it, right? I'm her girlfriend.
I have to do something for her birthday.
- Yes.
- No.
Of course you do.
Oh, a surprise party! Whoa, whoa.
Bad idea.
Surprise parties are hostile.
They're dark.
People jump out and scream at you.
They never come to any good.
Karev.
Morning, chief.
When you're free, come find me.
- What's that all about? - He fired me.
I refused to be fired.
So I say hello to him every morning and he says not a word.
- Sounds familiar.
- Haven't heard from Stevens? Not a word.
They'll come around when they come around.
Chief, you need me? Uh I wish I didn't have to saddle you with this, Karev, but - What is all this? - As Stevens left no forwarding address and as you are officially her next of kin, this is her unpaid balance of her medical bills.
Unpaid balance? I don't get it.
We work at the hospital.
And insurance doesn't take care of everything.
I'm sorry.
Accounting's been pressuring me since the merger and I can't ignore it any longer.
What's yours in for? Delivered her yesterday, stroked out at ten weeks premature.
- Yours? - Born with its insides on the outside.
Two days post-op.
Resilient little guy.
More bleeding overnight.
- Should we try FFP? - At this point, we should try anything.
Get me a repeat MRI and page me if she becomes bradycardic or starts having apnoea spells.
I'll be on rounds.
- Hey.
- Hey.
I was picking up some labs from Dr.
Bailey and I saw you had these waiting.
Thought I'd bring them by, save you the trip.
Thanks.
Are you OK? I overheard a little bit of your conversation with the chief I'm trying to save a baby here.
Get out of my face.
Oh.
Got it.
- He's still sleeping? - No.
- He had a bad night.
- I can still go on rounds.
- I feel better.
Just give me a second.
- You know what? How about if you take a rest for now, and you can join me for evening rounds instead? OK.
He listens to you more than he does to me.
Well, yeah.
She's a doctor, Mom.
And you're just a mom.
Oh.
OK.
How about you close your eyes and you let me do what moms do, OK? Bad dreams, bad dreams, go away.
Good dreams, good dreams, here to stay.
Bad dreams, bad dreams, go away.
Good dreams, good dreams, here to stay.
You have to do it three times for it to work.
One more.
I want you to repeat his chemistries and get an abdominal series.
He's had bad nights before, but I want to make sure we're not missing anything.
- How's she doing? - Touch and go.
How's the baby? - Same.
- Any news from the family? I left a message.
Haven't heard back yet.
[Derek.]
ICP is elevated, BP won't stabilize.
A hundred mikes of fentanyl, please.
Laura? Laura, can you hear me? My baby Where's my baby? - She's struggling, but hanging on.
- Can I see her? [Derek.]
Sorry, no.
You're too unstable to move.
- And so is the baby.
- I just want to hold her.
Please, I want to hold my baby.
- I need you to stay calm, OK? - What if she dies, before I get to hold her? She can't.
She can't go before she's ever even been held.
[Derek.]
It's OK, it's OK Push ten of diazepam and get me some supplemental O2.
Crap.
911.
It's her baby! She's bradying down and she lost access.
- I'll start a CPAP.
- Dr.
Robbins? - Not now.
- You'll want to see this.
- It's the X-rays on Wallace Anderson.
- Show me.
- See? He has dilated loops of bowel.
- Flip.
Flip.
Damn it.
Damn it.
He has another bowel obstruction - and he's not compensating.
- I got this, go.
- A nurse just checked that.
- A nurse checked it.
I'm gonna check it.
Three other people in the OR will check it.
We're thorough.
[Woman.]
Honey, please let them do their jobs.
Mr.
And Mrs.
Boyd? We thought you should know that Hillary's tox screen from yesterday showed signs of psilocybin in her bloodstream.
- [Mr.
Boyd.]
What does that mean? - Well, it means that when she fell from the roof, - she was - Shrooming.
- Yeah.
- Magic mushrooms.
- What? - Hillary! - Mushrooms? - Can everybody please chill out? - What in God's name were you thinking? - I can't believe You're a disappointment, young lady.
A big, big disappointment.
Dad, please, OK? The last thing I am is a disappointment.
I get straight A's.
I'm on honor roll.
I run the student council.
I basically am the school paper.
I tutor kids with reading problems.
OK? I'm every parent's dream come true, including yours.
I was exploring the bounds of my consciousness with the help of a mushroom.
I made a calculated risk going on the roof.
Falling off, well, that was a low-probability event.
Even low-probability events occasionally occur, and this one did.
So, yeah, you're bummed I miscalculated 'cause it reminds you of your own fallibility.
I'm bummed, too.
Let's just leave it at that.
Cap refill's five seconds.
Push one of epi.
It's not working.
Heart rate's down to the 60s.
- Starting compressions.
- Can I help? Doubt it.
At this rate, this kid's not gonna last more than an hour.
She's only 30 weeks.
Pretty young to survive.
So, what? You're just gonna stand there and watch her die? - Pretty much.
- That sucks! It is what it is.
It's protocol.
[Beeping.]
Beeping drives me nuts.
[Beeping stops.]
- That - Kid's gonna die.
Deal with it or get out.
Hey there, girl.
I got you.
Yeah.
It's OK.
You're not alone.
No, you're not.
You're not alone.
Wait.
Hold on.
Are you saying you can't do more surgery on him or you won't? It's not a question of if I can.
It's whether or not I should.
In my opinion, Wallace isn't strong enough to handle another operation.
But with surgery, how long would he have then? I'm not confident that he'll even make it off the table.
But if he did, how long? - I strongly advise against - How long? Maybe two months.
I'm sorry, but the moment that we've been fighting for two years it's here.
So you need to prepare yourselves, and you need to prepare Wallace.
You think I've been pouring all this money into research so you can find a cure for some other kid? No! - You have to do this surgery.
- Mr.
Anderson You buy our son two more months! You buy him more time so that we can buy him a cure! I'm sorry.
[Mrs.
Anderson whimpers.]
[Mrs.
Anderson.]
What are we gonna do? Robbins.
These aren't people who hear the word "no".
If they want surgery for their son, they'll get surgery for their son, whether or not you're the one to do it.
You've been with this boy since day one.
I believe you can do this successfully.
Don't walk away now unless you know beyond a shadow of a doubt that you can't.
- The surgery's a bad idea, chief.
- But is it impossible? In your hands, is it impossible? - OK.
- OK? OK.
I'll do it.
I'll try.
- Oh, is that the preemie? - Yeah.
I was just I tried everything.
I just thought maybe somebody should hold her before she - Kangaroo.
- What? The way you're holding the baby, it's called a Kangaroo hold.
There's been cases where the Kangaroo has helped babies thrive.
But look, Karev.
Look at the numbers.
Look at this.
- [Alex.]
Huh.
Heart rate's going up.
- Yeah, it is.
And her temperature is normal.
Karev, you may have just kick-started this baby's entire system.
Just by holding her? - Take off your shirt.
- What? No.
Take off your shirt.
No, no.
The Kangaroo hold is most effective when there's skin-on-skin contact.
It's usually the mom, but you're gonna have to do.
I'm not kidding! Take off your shirt! [Owen.]
Looks like you used pretty much every piece of hardware in the hospital.
[Callie.]
Makes you think twice about shrooming on a roof.
Some mouth on this one.
If I talked to my parents like that [laughing.]
My father would've You don't even want to know.
I had perfect grades.
Perfect record.
I said whatever I wanted, did whatever I wanted.
Parents couldn't do a thing about it.
[Jackson.]
Wanna hear about my childhood? No? OK.
I'll just think about it quietly in my own head.
Nail's in.
Everything's tight.
Let's take a look.
- Fantastic.
- [Rapid beeping.]
[Jackson.]
End-tidal CO2 just dropped from 34 to 22.
Come on, give me a break here, Hillary.
[Cristina.]
She has a new murmur.
[Rapid beeping continues.]
- An air embolus in her heart.
- [Callie.]
Flood the field with saline.
[Owen.]
Bone wax, page Cardio and set up a chest tray.
And put her in Trendelenburg.
I can aspirate it.
No, no.
We wait for Cardio and we try to find the source.
It'll take me 30 seconds.
It might take Cardio half an hour to get here.
I've done this before! I know what I'm doing! - She could arrest at any moment! - Dr.
Yang, no! End of discussion! [Bailey.]
See, it's the skin-to-skin contact.
The baby can feel your warmth better, sense your heartbeat better.
See that? The baby's own heart is picking up in response.
Karev, what are you doing? He's saving a baby's life, that's what.
Dr.
Bailey, I Oh.
No shirt.
He's wearing no shirt.
- Have you started to lactate? - [Alex.]
Bailey made me! Is this the room for the calendar shoot? I was told it was downstairs.
That's enough.
Everybody out.
Let Karev do what he's doing in private.
- What is he doing, exactly? - Out.
Out.
[Rapid beeping continues.]
This is ridiculous.
You're wasting time here.
- We should deal with the heart problem.
- We're following protocol.
Cardio's on its way, and we can find the source of the embolus this way.
Screw it.
Dr.
Yang, the patient is not coding.
- You're not qualified to do this.
- Opening the left chest.
- Yang, really? - Turn on the fluoro.
- Dr.
Yang! - Will someone step on the fluoro, - or do you want me to go in blind? - Dr.
Yang, put down that scalpel! - Thank you.
- [Owen.]
Cristina! - Scissors.
- Cristina! - [Owen.]
Cristina! - Cardio's here, Yang.
It's done.
I'm done.
Air embolus out.
- The patient was crashing.
- She was not crashing.
It was a procedure I've done before.
I handled it, she's fine.
What if she wasn't? You could've lacerated her heart or cut the phrenic nerve.
She could have died on that table.
It would have been your license! All so you could prove what, exactly? I did it to stabilize the patient.
You were watching her vitals drop.
Waiting for a CT surgeon, who would have taken a more minimally invasive approach.
I could've done a thoracotomy myself if I had thought it was indicated.
I've been around the block once or twice! I kind of know what I'm doing! - I'm aware of that, I was just - You just thought every You just thought everything would be better if you took charge.
You know I have to report this to the chief, at a time when he is scouring this place for people to fire.
[Scoffs.]
Well, he's not gonna fire me.
Oh.
[chuckles.]
Of course not, 'cause you're invincible! He's not firing me because the last time I did an open thoracotomy for an embolus was with him, in his OR.
Only he was giving me words of encouragement, not screaming in my ear! For the record, you rocked in there.
Hunt's jealous he didn't do it himself.
Shut up.
OK.
You won't believe what just happened in surgery with Hey.
You OK? Tell me I'm great.
- What? - I need for you to tell me I'm great.
- You're great.
- I mean really tell me.
Because I'm about to go in on a surgery I'm not sure I should be going in on, and I can't think like that, right? I can't go into the OR feeling like this.
So I need you to tell me I'm great.
Make me Make me hear it.
You are great.
You are great.
Thank you.
[Knocking.]
Hey, there.
You ready to go? - I'm gonna take you to the OR myself.
- I've been here a while now.
And I've seen kids go home and go away.
Like Evan, the kid from down the hall, with asthma, last month? He died the day before he was supposed to be discharged.
- You're not Evan.
- And Chloe, the heart girl? She was here for three weeks before she died.
- No one says you're gonna die.
- I've been here for seven months.
I've been here the longest of anyone on the floor, by double.
- Wallace - They say it's like going to sleep.
Maybe it is.
But what if I go to sleep and I have nightmares? [Sighing.]
More traction, please? Damn it.
The mesentery's really friable.
Percy, a little help on the suction.
This is not a good idea.
This surgery was not a good idea.
Can we get a washcloth for Dr.
Robbins? - No, it's fine.
- Just take a moment.
Thank you.
Pickups, please.
- I left two messages.
- I'm sorry.
I was in surgery.
- There were complications.
- I don't care.
I operated on Wallace tonight when I knew better.
I keep retracing every step, every suture, going over it and over it.
- He didn't make it? - He did.
He's in recovery.
Not the point.
What I needed from you tonight was a little support, - for once, and you weren't here.
- OK, you're scared.
So you're picking a fight.
You get that, yeah? Yeah.
Yeah, fine.
Whatever.
But I've helped you through crisis after crisis, and once I thought that I could come here and get - [Cristina.]
Let it go! It's done! - I have every right to be mad.
You never pulled a stunt like that with another attending.
I seem to recall Callie was there, she still didn't stop me.
- Guys, not now.
- You took advantage of me - and of our relationship.
- The kid was dying.
- What kid? What happened? - [Owen.]
You didn't hear? - No, I didn't.
- Cristina performed an unauthorized and unnecessary thoracotomy against my orders.
- She what? - I saved the patient's life.
- You didn't tell? - I was going to, but you were all, - "Tell me I'm great.
" - So it's my fault Yang went rogue - on a child? - It wasn't rogue.
It was brilliant.
It wasn't! You know? I'm done.
You got lucky today, Cristina, and you may think you can get away with whatever you want, but one of these days, that luck is gonna run out.
[Pager beeps.]
Look Wha? Oh! OK.
So you're leaving, too? Yes, because I have a patient.
Bitches.
[Arizona.]
All right, start an epi drip now.
More irrigation.
Keep it coming.
Give me a Babcock clamp.
I can't have a light Can somebody get me more light? Pressure's dropping to 68 over 40.
Pulse is racing.
Come on, Wallace.
- What happened to the Anderson boy? - He's in septic shock.
His body was too unstable, what I said in the first place.
- Maybe I can help.
- No! No, you can't.
As long as you're breathing over my shoulder, I feel like I'm operating on a stack of bills.
25 million dollar bills.
What I need to be invested in is this kid.
So get the hell out of my OR! More suction now! How'd it go? Damn it.
[Sighs.]
I'll let them know you did everything you could.
Wait, Dr.
Robbins.
Don't we have to tell the parents, let them know? - No.
- What do you mean, no? I mean no.
I will not be speaking to Wallace's parents.
Mr.
Jennings and the chief will take care of that.
As far as they are concerned and as far as the Andersons will be concerned, I just killed their son.
I'm a liability.
Because if they were to ask me, the truth is, I'd tell them I did just kill their son.
And they should sue.
I am responsible.
But that's not in the best interest of the hospital.
- Am I close? - I think we're on the same page.
[Scoffing.]
My luck will run out? It has nothing to do with luck.
He's just being an ass.
I rocked that embolus.
- What? - He cares about you.
- So? - So maybe he's a little bit right.
I get it.
I mean, I'm dying to get out of this bed and cut.
But you did an unauthorized procedure in an OR.
You're an amazing surgeon, but if anything had gone wrong, that would have been your career.
He cares about your career.
He's in love with you.
I hate married, happy you.
[Chuckles.]
Go to work.
And don't cut anybody open without permission.
You should have seen Yang in that surgery.
She was fearless.
And you are hopeless.
She's completely out of your league.
I'm hopeless? I'm just stupid.
He's married.
And have I mentioned, a total ass to pretty much everyone at all times.
Karev? Did you stay here all night? Uh, yeah.
I guess I did.
Go home, get some rest.
The nurse will take over for you.
No, I'm OK.
I'm good here.
You'd be good in Peds, you know that? You get invested, you have good instincts, you stick to your instincts.
You'd be good in Peds, Karev.
Yeah, I know, they say I can have visitors tomorrow.
Cool.
And Do you have any loopies? Or whatever you have.
They only have me on two milligrams of morphine at a time.
I know.
How lame is that? Hey, little pusher girl, I'm Hillary's doctor, and now I have Hillary's phone, so I'm gonna give this number to the police.
How lame is that? - What the hell? - OK.
I know you think you can do anything and say anything and handle anything.
And that's almost true.
Except for the fact that you fell off a roof.
Because you were so high, that you, what, you thought you could fly? In surgery, you almost died of a heart complication, because your body is so strung out from the crap you've been putting in it that it almost shut down.
That doesn't make you smarter than everyone else.
It makes you an idiot.
The only reason why you're alive is You know what? It's 'cause you're lucky.
So just grow up.
Surprise! [All shouting.]
[Shouting stops.]
[Whimpering.]
[Arizona.]
I I I Oh.
Told ya.
In retrospect, I realize now that surprise parties are hostile.
This was a bad idea.
Please, stop crying.
I'm sorry.
- I'm sorry about the party.
- Wallace died.
He was supposed to be turning 11 today, and instead, he's lying in a morgue.
Oh God.
Um I'm I'm sorry.
I'm sorry.
I can't stay.
No, it's OK.
It's OK.
I'll take care of it.
You don't have to stay.
Just I understand.
We're all surgeons.
Everyone will understand.
- All right.
- OK.
Just go.
[Indistinct chattering.]
- Might as well take advantage, huh? - What? Party's a dud, but at least there's free booze, right? Right.
Go ahead and gloat.
Surprise parties never come to any good.
- I think this party speaks for itself.
- I don't get it.
The best birthday of my life was the surprise party that my parents threw.
I loved it.
So much.
How old were you at this party? - Seven.
- Mmm.
Like I said.
Speaks for itself.
If there's anything we can get for you, help you with, please, just let us know.
I'd be happy to oversee any packing you need done from his room.
I've already arranged for a car.
It's ready to take you home anytime.
- Arizona.
- Dr.
Robbins, this is a sensitive time.
- [Richard.]
Let her be.
- Excuse me? I said let her be.
It just doesn't feel real.
Any of it.
It just It just doesn't feel real.
Bethany, would you like to see him? I have to admit, I'm impressed.
I never would have pegged you for the babysitting type.
- Are you heading home? - No, I got the baby.
I'm sure somebody else could take a shift.
I can't leave, OK? Wow.
Are you really so messed up you can't let one person be nice to you? Ever? I can't go.
I can't go home, I can't get lzzie to call me back.
She's gone.
Could be dead, for all I know.
She left me with a $200,000 medical bill and I I can't do anything about it.
About any of it.
But I can sit here and I can hold this baby.
That I can do.
Then I'll sit here with you for a little while.
[Indistinct chatter.]
Yang! Doctor Can I "Cristina" you, or are we not there yet? That's a no? OK.
Dr.
Yang, let me just tell you that that was incredibly hot in the OR yesterday.
[Cristina laughs.]
Very, deeply hot.
It was hot! You are hot.
- You're drunk and you're in my room.
- I am in fact inebriated, but it's legal, you know, and even if I wasn't, you're the rule-breaker, which I think we established in surgery.
Really? You think that was hot? Would it be really, really bad if I just 'Cause of the embolus thing, and you in general, could I just? Uh, no! I'm involved.
I'm involved.
Time to meet your mommy.
[Whimpering.]
She's so beautiful.
[Meredith.]
They say the bigger your investment, the bigger your return.
- Surgery yesterday? - Mm-hmm.
It wasn't just It was me.
Can't you see that? See what? See what? I I can't just ignore what happened, Cristina.
OK.
I'm sorry.
Look, I know, um I know I overstepped.
Come home with me.
Please? [Meredith.]
But you have to be willing to take a chance.
OK.
Bad dreams, bad dreams, go away.
Good dreams, good dreams, here to stay.
Good dreams, good dreams, here to stay.
Bad dreams, bad dreams, go away.
Good dreams, good dreams, here to stay.
Bad dreams, bad dreams, go away.
Good dreams, good dreams, here to stay.
Stay.
- You have to do it three times for - [Mr.
Anderson.]
For it to work.
I know.
[Mrs.
Anderson whimpers.]
[Mr.
Anderson.]
She is the reason that we will still be giving Seattle Grace Mercy West Not because of you or your ass kissing.
It's because of her her.
[Meredith.]
You have to understand you might lose it all.
The chief still won't talk to me.
He will.
When did you become such an optimist? This is married, happy me.
Can we? Are you OK to? Yes, we can.
[Meredith.]
But if you take that chance - [Derek.]
Are you healed? - [Meredith.]
I'm healed.
[Meredith.]
If you invest wisely the payoff might just surprise you.
Oh! I'm awake! I'm See? I'm I'm totally awake.
I'm There's hats! And gifts! And And donuts! And lingerie.
[Makes faint noise.]
Really? [Chuckles.]
I love you.
You do? I do.
[Callie.]
I love you, too.