Grey's Anatomy s03e10 Episode Script

Don't Stand So Close to Me

Previously on Grey's Anatomy: - George's dad got admitted.
- I met a sister I never knew I had.
Can you imagine? A family you know nothing about.
- I'm just asking about your dad.
- Why do you care? You broke up with me.
O'Malley has elected to have Dr.
Hahn perform his valve replacement.
- I can clear you.
- You're sure? Absolutely.
I need you to tell me why you didn't want me in on your surgery? I just couldn't use you.
- I can't see your mother anymore.
- It's time for you to retire, Richard.
I'm going to be chief.
I had a tremor and didn't say anything.
- We crossed the line.
- You dragged me across! He's with her.
He's with that woman, his wife.
I don't think he is.
Not anymore.
He is.
I mean, why would he do that? He loves me.
I mean, why would he go back to her? I gave up everything for him.
Mom? Mom, look at me.
This happened a very long time ago.
This is not happening now.
It's because I have a daughter, isn't it? He always said he didn't want kids.
I should never have had a kid.
- What's going to happen to them? - What? Dr.
Burke and Dr.
Yang? What are you going to do to them? Their punishment.
- Dr.
- There's a need for justice here.
Justice? Justice has no definition within the four walls of a hospital, Dr.
- This isn't a court of law.
- What's going to be done? Legally and technically, they've done nothing wrong.
Nobody died, there was no malpractice.
I haven't made a decision.
- Excuse me? He - He what? Nothing.
Yang, you go back on the floor with Dr.
- Sir! - Am I not understanding this? Does this situation directly harm you in some way? No, sir.
I am fine.
Then get back to work.
Burke, you and Shepherd need to come together on this as soon as possible.
- He doesn't want my help.
- Derek.
- I don't want his help.
- That hand is worth 2 million dollars.
I want it fixed and I want it fixed yesterday.
Figure it out.
- It's just that if things go wrong - Dad.
If things go wrong, the life insurance papers are in the second drawer in my nightstand.
And my magazines are in the garage, with the truck manuals.
Your magazines? Get them out of there, so your ma doesn't see them.
Your magazines? Good morning, Mr.
I wanted to stop by before the surgery and see how that collarbone was healing.
You're not going to say hello to Dr.
Torres? I'm going to see you for rounds, Dad.
Ifyou had told me you were developing a tremor, I could've run some tests.
The likelihood is compression ofthe structures around the injury.
- I can go in there - I don't want another surgery.
Could be a small clot.
I just go in Shepherd, I don't want another surgery.
The first one caused enough damage.
I can do this.
That's what you said the last time.
Now I have a tremor.
Maybe she'll be on "look, don't touch" patrol.
- At least I'd have some company.
- Whatever she gets, I hope it's bad.
- She made a mistake.
We all - Mistake? She was going to let Burke, Burke with the shaky hand, operate on my father.
Could you stop looking at me like that? It's creepy and it makes me feel like you haven't been fed.
- How's it going? - How's what going? You and Burke.
Are you OK? We're existing in total silence.
- He's not talking to you? - I'm not talking to him either.
I'm sorry.
Are you OK? Stop asking me that.
- I'm making an effort here.
- Please don't.
Rounds started 30 seconds ago.
The chief may be confused about punishment for you, but I'm not.
You late again, you will find another resident.
Bailey, can I have Grey? - You can have them all.
- Something you needed, Dr.
Montgomery? I thought you might want to be warned.
I'm sorry.
Your sister Molly's just been admitted for an emergency C-section.
Molly's not my sister.
Technically, she is.
You have the same father.
And Susan Susan Grey is definitely not my mother.
I appreciate you trying to be nice, but I really don't need to know this.
Actually, you do.
Hello, Meredith.
Hi, Mom.
I put out some breakfast in case you kids haven't eaten.
- Oh.
- Score.
- Karev.
- Hey, ready for the big day, Pops? Food.
Let's make this fast, people.
I have a day.
Which one of the interns is mine? - He's family and she's a candy striper.
- I'm ready.
What if you did pick me? - Pick me.
- Guys! This is serious.
- What? - What? Dr.
Hahn, Cristina is very good with cardio.
I'm sure you can use her for the day.
What are you waiting for, Yang? Present the case.
Harold O'Malley, 63, diagnosed with esophageal cancer and aortic regurg.
Scheduled for aortic valve replacement.
I wanted that surgery and she hands it to Yang.
- I haven't had a cardiac case in ages.
- It's my father.
Guess there's a double standard.
Yang does something wrong and gets rewarded.
- That's fair.
- Yeah.
If you don't stop whining, I won't show you what's behind this door.
And trust me, you want to see what's behind this door.
Excuse me, doctors, you're going to have to wait a few minutes.
- He's got to pee.
Every five minutes.
- I've always had a small bladder.
I can't live like this any longer! - I put up with your whining.
- Like what you're doing now? - It's going to go all over your leg.
- So what else is new? Now which one ofyou thinks that Yang got the better case? That's what I thought.
Jake and Peter Weitzman, - attached at the lumbosacral junction.
- But not for long.
Right, Dr.
Webber? The Weitzmans came about 6 months ago for a separation procedure.
- They opted out because of the risks.
- Pete chickened out.
Forgive me for wanting to live longer even if it meant living with you.
Well, you wasted 6 months of our lives.
- Thank you.
- Stop it.
You guys came at the right time.
We scored New York's top plastic surgeon.
Mark Sloan.
You remember Dr.
Shepherd, your neurosurgeon.
- We used to work as a team.
- Pete.
Nice to see you.
We were never actually a team.
- I hear you.
- Mr.
Weitzman? - Call me Jake.
- Call me Pete.
Jake, Pete.
Why Do you mind me asking why now, when you thought the procedure was risky six months ago? - Well.
- Guys? Whoa.
That's a lot of doctors.
I'll just come back later.
No, no.
Elena, come in, come in.
You wanted to know "why now"? This is why.
The love of my life.
Jake, don't.
I told him not do this.
Not for me anyway because that's just crazy.
Because Pete said that they could end up paralyzed.
He could end up dead.
Why do you tell her things like that? I wasn't telling her, I was telling you.
She just happens to be the only one who listens.
She happens to be right.
Do you know what it's like to have to be stuck to the same person? Every That's right.
Here we go.
What it's like to have to be with the same person every minute of every day? To not have anything that's just yours? Not be able to do anything on your own? - Nobody should have to live like that.
- What do you think, Pete? Why would I want to be attached to someone who doesn't want to be with me? I'm calling it.
- I have brothers, I feel their pain.
- I would be great at watching.
- Zip it, all of you.
- We're on the case, right? - Right.
- Yes! Stevens.
You are to Look and not touch or speak or breathe.
I got it.
- So this is the crack team? - Feel free to take one.
How about I take the one that doesn't speak or breathe.
- Great.
- Damn it.
Thank you.
For picking me.
Even just observing.
Thought you might be fun to look at while I worked.
Will you be working on the nerve graft and the skin reconstruction? Yes.
I'll handle them better with a little caffeine in my system.
Get me a blueberry scone, a bone dry cappuccino and a little something for yourself.
There's a cafeteria on the second floor and a coffee cart in the lobby.
You can kick me back to Bailey if you want.
I don't do coffee.
So how will you be handling the nerve graft and the skin reconstruction? Conjoined twins, Derek.
I know, Chief.
Conjoined adult twins.
I mean, it's rare enough to separate conjoined infants, but conjoined adults? Can you imagine the press? What this could do for the hospital? I know.
I don't think we should do it.
Their spines are fused from the L4 down.
Their blood flow is intricately connected.
They could end up paralyzed or even dead.
Your patients want this operation, Derek.
Why are you backing out? This isn't like you.
Unless there's incontrovertible evidence that it can't be done, we're moving forward.
Your father's not here.
Thatcher's at Harvard Med visiting Lexie.
We thought we had a lot of time.
Molly's only 36 weeks and Dr.
Montgomery's been trying to stop the contractions, but I guess the baby is ready to come out.
Well, do you need anything else, or? Actually, I could use an intern for this.
Can you ask Dr.
Bailey for someone? Uh I'll do it.
You sure? - Yeah.
I'm fine.
- OK.
It'll be nice to have a familiar face in the operating room.
Thank you.
For being here.
It's my job to be here.
Does Molly know who I am? She doesn't.
I wanted to tell her, but your father, he just No, it's better.
It's better that she not know.
It's good.
I think Molly should be ready in the OR.
- Susan, you'll need scrubs and a cap.
- I'm about to be a grandmother.
In about a half an hour, you will be a grandmother.
- Oh, my.
Here we go.
- Here we go.
Here we go.
We'll be replacing your aortic valve with a porcine valve.
Georgie says it's going to be OK.
He says they know what they're doing.
Besides, if you die, I'll kill you.
It's good we're doing this today.
We noticed you had irregular heart rhythms.
Did you check his dig level? Excuse me.
What are you doing? This morning his potassium was a borderline low.
We've got a handle on things here.
I'm sure you do.
- I think you should step outside.
- You don't talk to me like that! - She's waking up the baby.
- Ronny, shut up! Be careful, Dr.
Hahn, he might start crying.
- I said, shut up! - All right, you are out of here.
- No, I'm not.
- Georgie.
No, she can't kick me out.
She has no right.
I hired her.
I'm staying.
- How you doing there, Molly? - OK.
I'm just excited to see my girl.
You're going to get to take a look at her in a couple minutes.
Grey, could you give me a little more traction.
Vitals are holding steady.
Can you see her yet? No.
I'm not going to look until the blood's all gone.
Want to cut the cord, Dr.
Grey? The warmer's ready when you need it, Dr.
Grey, follow me.
Knox, could you close for me, please? Bag valve mask.
We have to stabilize this baby and get it into surgery.
- Get her on the monitors.
- What's happening? What's wrong with her? I need you to stand back and stay with Molly.
- What's wrong? - No response to stimulation.
- Wanna talk her through this? - Let's try suction.
Grey, I need your help here.
The baby is not breathing.
What? What did she say? You left me hanging in there, Grey.
I'm sorry.
I was I'm sorry.
Do you need me to scrub in on the baby? No.
I want you to keep them apprised of the baby's condition while I operate.
- I'm sure they'd rather talk to you.
- Baby's got jejunal atresia.
She may die.
I got consent, but I don't have time for updates.
I think I would really learn a lot from observing.
It was a mistake to let you in the OR with your family.
It's not going to happen again.
Check in with me every hour.
How many valve replacements have you performed in your life, Dr.
O'Malley? None.
And how many do you think Dr.
Hahn has performed? - That is my father.
- And you're in that room as his son.
You interns think you can do whatever you want.
Not anymore.
Which is why you are going to stay away.
Fifty feet away, to be precise.
You are to remain 50 feet away from your father today.
And Dr.
O'Malley, do not make me tell you again.
- Everything OK with the O'Malleys? - The kid's a pain in the ass.
But Dr.
Yang here is proving to be an extremely capable asset.
I hear she studied under you.
You trained her well.
She's very professional.
What do you know about Dr.
Levine? Pretty good.
Better or worse than Dr.
Korsikov? Wait.
Why are you researching neurosurgeons when we both know that Derek's better than anybody? I don't want Shepherd.
You blaming this on him? You know, up until now, I have not yelled.
I have not yelled because you were a guy in trouble and I was supporting you, - but now? I am yelling! - Chief.
I'm yelling very loudly! I want to retire, Burke! I want my wife back and I passed the torch to you! I passed the torch to you and you blew it out! Look, I know I let you down.
Burke I'm tired.
I'm tired of you men acting like boys.
You let me down.
And if you don't let Derek fix that hand, you're letting yourself down.
Twenty-two surgeons.
It takes 22 surgeons to do this.
So where are we? I've gotten to the cauda equina.
I'll be working on the musculature of the perineal floor.
I'll be harvesting the sural nerve for transfer.
And once I resect this artery, we'll have less than two minutes before all sensation to these nerves are gone.
I'm pretty sure we'll have enough nerve to transfer and cover the deficits.
We can definitely do this.
Oh, damn it.
It's going to be a lot more fragile in the body.
It's one thing if this is a life or death situation and this is all we can do to save them, but these guys are fine.
This isn't worth the risk.
How's our baby? She has an intestinal obstruction, which is why she couldn't breathe.
Montgomery is operating on her right now.
I can't do this.
I can't do it.
Yes, you can.
Yes, you can.
I'm right here, baby, and Dad's on the way.
- I have to call Eric.
- OK.
- I don't know what to tell him.
- Her husband.
He's in Iraq.
I can't tell him this.
He's going to want to name her, and I don't want to because I don't know how long she's going to be ours.
We'll call him together.
He's just going to be happy to hear your voice.
And the baby's going to be OK, you hear me? - I thought you were Sloan's right hand.
- Sloan can kiss my Ow! - I haven't even put the needle in yet.
- Sorry.
I'm just not a big fan of pain.
You're having extensive and painful surgery.
You think this is an elective procedure? That we're in here because we're getting on each other's nerves? You want to know the real reason? - Come on.
She doesn't want to.
- It's because we have rules.
Rules? Like say one of us is on a dinner date.
According to the rules, the other one's supposed to sit there quietly, eat and shut the hell up.
I try.
It's just the way you talk to her sometimes - Is none of your business.
- How? He sticks up for me.
I think that that's kind of nice.
You don't talk to him anymore.
What? We can't even be friends now? - We have other rules too.
- Oh.
Like for when we're with someone? Got it.
Sort of.
No looking.
No talking.
No touching! - It was an accident! - This is going to end badly.
You were dreaming.
I told you.
I'm completely fine with it.
How are you OK with the fact that he's touching you while you're naked? Because it wasn't a big deal.
It was kind of sweet and It wasn't a big deal.
Wait, you liked it? You enjoyed it.
I'm completely in love with you, that's not even You're a great guy and you know, when we make love, that's great.
It's really great.
And I've never had that before and it's just that when you fall asleep that Pete and I just we talk.
And I really love that too.
- Elena.
- No.
You have to choose.
- What? - Him or me.
We're going to have this surgery and you can't have us both.
So choose.
Him or me.
This is the part where you're supposed to say, "You, Jake.
I choose you.
"' I'm so sorry, Jake.
I'm so sorry.
- Elena Ow! - No, no, no! Don't do this! I swear to God! I'm going to kill you! I think it's romantic.
Two brothers fighting over the same woman.
Know what's freaky? The "conjoined twin having sex in front of the other one" thing.
- How do you do that? - Family is complicated.
You're here.
You haven't been kicked out yet.
- Alex.
- No, not yet.
I'm still here.
How'd you do it? Did you have some kind of signal so that the nurses wouldn't know? - Or did you? - Alex.
I'm wondering how to get ahead here.
I get coffee for Sloan.
Yang gets surgeries none of us would get.
Got a head count on how many patients you two lied to in the past month? George.
Her patients lived, so she gets to scrub in.
Meredith, please.
Can we just stop defending me? Ah.
- No, no, no.
No, I'll I'll go.
- Oh, wait, wait.
Georgie, you should make nice with her.
- Look, Dad - Mr.
O'Malley, it's fine.
It's not fine.
- George, you're so angry.
- No, I'm not.
You've been picking fights and that's not like you.
You don't know what's been going on.
OK, then, tell me.
Why are you so mad at Dr.
Torres? - I have patients to see.
- You know what? I'm going to go.
No! Everybody stays.
You're angry, Georgie.
At Callie, at your brothers, at Dr.
Hahn, at Dr.
Bailey, at Dr.
Yang, at Dr.
Burke! That's a long list of people to be angry at.
Especially when the person you're really angry at is me.
I drink.
And I smoke.
And I don't exercise.
And I eat all the wrong things.
And now I have cancer.
And you have to take care of everything.
You have to take care of me.
I don't mind.
You do.
You're mad at me.
And that's OK, because I'm mad at me too.
You think I want to die and leave my boy in charge? You are not going to die.
What's going on? You're not supposed to be in here, Georgie.
Georgie doesn't work here in this hospital! My name is Dr.
O'Malley! Dr.
- Dad? - Honey! Dad? Get Dr.
- I can't - Dad? Dad, don't try to talk.
- He's having a heart attack.
- Why don't you pump his chest? - They always use the paddles! - He's not having a heart attack.
Dad? I'm trying to help you.
Your heart's going too fast.
Recycle his BP.
Pull verapamil.
Five milligrams.
Dad! Dad! Stop fighting the mask! O'Malley, what's going on? - You should've paged Hahn.
- I paged anyone from cardiothoracics! He's got A-fib.
I've ordered verapamil.
He's in V-tach.
The verapamil is going to cause more problems.
- One hundred lidocaine.
- Put on his O2 mask.
All right.
What happened? He went into V-tach.
O'Malley is giving him lidocaine.
It's already put him back in normal sinus.
I need everyone out of here.
- I got your page.
- Need another cappuccino.
Did you think I was kidding before? I am your attending.
And ifyou want in on my surgeries, you're going to learn how to fetch and stay and heel.
- Fine.
- Don't fetch angry.
Do you think this means I respect you? Ifyou want me to respect you, you have to do something worth respecting.
All these cables of nerves.
Oh, God.
I can't do the surgery, Miranda.
It's I started to think I shouldn't be operating after the Duquette M & M.
All the whispers and the talk.
- I let that in.
- Mmm.
Started to question myself.
I believed it when I was told I was no longer of use in the OR.
When you said you wanted justice, you were talking about Because I'm a surgeon.
There are lives in my hands and to make me question that? That's like to put a life at stake every time I hold a scalpel.
I told Burke I could fix his hand and - Well, you did.
- Yeah.
He is not paralyzed or disabled in any way.
He has a tremor.
And if he'd been honest about that, well, there's no telling what you could've done to prevent it.
You can do this.
Hold onto my wedding ring, honey.
Hospital rules.
Georgie, are you going to be there in the operation? They don't allow family in, but you'll be fine.
- I'll be fine.
- We'll take good care ofyou.
What am I going to do? What am I going to do if he dies? - I changed my mind.
- Oh, no, you didn't.
I'd like to be excused from the twins.
I'd like to be with my mom.
That's the right call, O'Malley.
Promise me something? When you separate us, can you make sure his ass is bigger than mine? I can hear you.
You're still here? I went to the NICU, I thought you'd be done.
Having trouble with this anastomosis and still have to look at the distal bowel.
- What should I tell Molly? - I don't know.
Tell her I'm doing the best I can.
I don't know.
Bailey, I'd like my intern to observe from a better vantage point.
Stevens? Yes.
She's my intern today and I'd like her nearby during surgery, not up in the gallery, if that's OK with you.
No problem.
Bailey, Stevens is without privileges.
Oh, because she messed up? Dr.
Yang messed up and she's over in OR 2 right now.
Can you hit that for me? Stevens? I take it you remember how to scrub in? Come on.
This vessel is even more fragile than in the bio-model.
Let's do a microvascular bypass graft.
I could harvest the saphenous vein while I'm down there.
- I don't know if that's a good idea.
- We need to make a decision now.
Derek, it's your call.
Do you or don't you want to proceed? OK, give me a ten blade.
Let's get some suction in here, please.
Thank you.
- I'm not supposed to be here.
- Me either.
- How's it going? - They just started.
All right, the skin incision is done.
Let's go.
She's through the sternum.
There's a bit of bleeding.
She's stopping it with the bone wax.
Inserting the retractor.
She's opening the pericardial sac.
Taking a look at the echo.
She's nodding.
Looks good.
They're looking at your dad's heart now.
She's preparing to put in the stay sutures.
- Saphenous vein graft in place? - Yeah.
I'm ready.
- Dr.
Bailey? - I'm good.
- Chief? - Ready when you are.
All right.
The moment of truth.
Removing the clamps.
Bailey, check the nerve stimulator.
SSEPs are falling.
Pump up the blood pressure.
We need as much blood as possible.
I'm going up to two milliamps.
Up to three.
Wait a minute.
I see something.
A flicker on the hamstring oftwin A.
Anything on twin B? - Pump it up some more.
- OK, up to four.
A twitch! I got a twitch in twin B's gastroc.
It's small, but it's there.
We have a signal.
Congratulations, ladies and gentlemen, we have four functioning legs! Good job, everybody.
Ladies and gentlemen, on three.
One two three.
It'd be nice if every love triangle could be fixed with a scalpel.
If they could, you'd have stabbed me with a ten blade a long time ago.
I'll call you back.
How is she? Tell me good news because I have to go tell Molly and I don't want to tell her anything bad.
Montgomery is on her way and she will explain everything.
- But the baby - Laura.
Molly named her Laura.
Laura will need some recovery time, but she should be just fine.
Oh, thank you.
Oh, I was so scared.
Oh, thank you! Oh, God.
She's going to be so happy to hear this.
Hey, this is your niece, you know? I'm sorry.
You're very nice.
You both seem so nice.
But I don't know you.
And you are not my family.
We're closing the aortotomy.
What's next? Place the needle in the ascending aorta to remove air, then release the aortic valve clamp.
You remind me of myself when I was an intern.
- I do? - Focused, intense.
And I don't mean that as a bad thing.
Cold is good.
The dating, the friends, the family.
Ifyou ask me? It's all overrated.
All right.
Tubes are out.
The ascending aorta is looking dilated.
There's too much bleeding around the aortic suture line.
BP's 68 over 42.
He's bradying down.
Get me another TEE and an echocardiogram, stat! Let's move it, people.
This doesn't look good.
We got to get control of this bleeding.
Let's get him back on bypass.
I could put the cannula into his right atrium.
- By yourself? - Yes.
All right, do it.
Replace it with a two stage venous cannula.
Why is she doing that? Why is Hahn letting her do It's OK.
She's doing a running whip stitch.
She's done it before.
There you go.
Yeah, that's beautiful work, Dr.
Hahn's work was impeccable, O'Malley.
I wouldn't have done anything different myself.
It's just You can never tell how the body is going to respond.
Every surgery, every body is different.
You just never know.
But it's OK now.
They're in the home stretch.
Thank you, Dr.
It undermines everything for my interns to see Yang go without punishment.
For me to see Burke go without punishment.
Take a step back.
Try and get some perspective.
So there will be no consequences? For either of them? What would you have me do? Fire the both of them? End their careers? They made a terrible judgment call.
- That happened with Denny Duquette! - And they didn't kill anybody! And I did.
You didn't kill Duquette, and I won't have you saying you did.
But I was responsible for Izzie Stevens.
I was responsible.
And I'm responsible for Cristina Yang.
I am the common thread here.
I lost them.
Cristina, Izzie.
Are not the same.
Miranda, you raised them.
You raised them like like children.
And some of them make mistakes and some of them disappoint you.
Some of them Do you know what kind of strength it must have taken Yang to come to me? To report on an attending? On her boyfriend? Do you see how much she's grown? You raise them.
Like children.
And some of them turn out exactly like you, Dr.
- We're finally alone.
- Yeah.
Pete? It's been a long day.
All right.
Well, you get a good night's sleep and I'll come back in the morning.
At the end ofthe day, when it comes down to it, all we really want is to be close to somebody.
Couldn't stay away? So this thing, where we all keep our distance and pretend not to care about each other? It's usually a load of bull.
- Did you want to come in? - No.
I just - She's OK? - She's beautiful.
We could be your family if you wanted.
You have a mother, I know.
I'm not saying I'm just saying that we could be your family too.
So we pick and choose who we want to remain close to.
- I can't take this anymore.
- What? Let her off the hook.
Let Cristina off the freaking hook.
Izzie, you cut the LVAD wire.
She stuck by you and did Denny's echo.
You cheated on Izzie with syph nurse and she helped you study for your boards.
And George, when everybody was calling you 007 She was calling me 007.
Just let her off the hook.
It's OK.
Why can't you mind your own business? You know, what is your problem? You're my sister.
You're my family.
You're all I've got.
And once we've chosen those people I'm so tired.
I know.
Me too.
we tend to stick close by I just I wanted to check on your dad and see how he was doing.
He's resting, but he's good.
- OK.
- OK.
no matter how much we hurt them.
Hi there.
I'm going to go upstairs with Dr.
He wants me to take a look at his shoulder.
Going to be a while.
Don't wait up.
The people that are still with you at the end of the day? Those are the ones worth keeping.
And sure, sometimes, close can be too close.
I couldn't stay with him.
I don't care that he's Meredith's father! I just couldn't take it! And then Richard and he What am I? Meredith.
But sometimes, that invasion of personal space it can be exactly what you need.

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