Grey's Anatomy s06e20 Episode Script
Hook, Line and Sinner
[Rock music plays.]
[Meredith.]
We're doctors.
We're trained to care for human beings.
And we're pretty sure we know what to look for.
[Callie.]
No, it doesn't make any sense! Everybody wants a kid! You wear roller skates for shoes! - I don't get it! - You know what? I don't know! Maybe there's something wrong with me.
It's not natural.
It's not womanly.
Maybe I'm cold and heartless and dead inside.
- No, I'm not saying that! - Well, but a little bit, you are.
- No.
- [Meredith.]
Cuts - OK.
infection genetic mutation You know what? Just [sighs.]
Just humor me for one minute, OK? Close your eyes.
Close your eyes.
Now, picture a baby.
A warm smushy little baby.
Wrapping its chubby little arms around your neck.
Now, breathe in that that intoxicating baby smell.
Doesn't it just melt you? No.
You know what melts me? Spain.
The beach.
You in a bikini.
Me holding a sangria.
Oh.
Wait.
What's that I hear? Oh The baby's crying.
We can't go to Spain.
- Sangria? That's why I don't get a kid? - [Doorbell ringing.]
- I can make a friggin' sangria.
- [Cristina.]
Just a minute! - What? - Yang, you got a suture kit? - [Cristina.]
Yeah.
- [Mark.]
Where's Robbins? - In there.
- [Mark.]
Robbins! - What's going on? - Two! I need two suture kits! - Why is he screaming? - Baby! Now! - Why are you? - [Sloan screaming.]
- Oh, God! He's serious! - [Sloan screaming, moaning.]
[Callie.]
Holy mother of - Get my bag.
- Give me a clamp.
[Gasping.]
- All right, another clamp.
- [Mark.]
Clamp.
- Scissors.
- How is he? Is he OK? Is he good? - He's great.
You did great.
- [Gasping, laughs.]
[Teddy.]
All right.
- Any sounds? - Not yet.
[Arizona.]
Come on, baby boy.
Come on.
Come on, baby boy.
Come on.
- Come on.
- [Cries.]
OK! That's my boy.
[Arizona.]
OK, that's what I'm talking about.
That's what I'm talking about.
- [Baby crying.]
- Here you go, Grandpa.
[Sighs.]
Hey.
So is it true you helped Teddy and Mark deliver Little Sloan's baby? - Yeah, not now.
- What's wrong with you? Tom Evans, in with your husband.
[Gasps.]
That's Tom Evans.
- He seems a lot younger than - Try and be cool.
- [Teddy.]
Good morning.
- Hey, hey, hey! - He's in with Shepherd.
- Who? Tom Evans.
- Tom Evans is here? - You didn't know? He's doing his bloodless CABG on a beating heart, today in our OR.
- Shepherd didn't tell you? - No, no [sneezes.]
- Bless you.
- [Teddy.]
Excuse me.
No, he didn't.
An Evans bypass.
Clear your schedule.
Scrub in.
- [Pager beeping.]
- No, I can't.
I gotta go.
[Derek.]
And here she is.
Your cruise director, Dr.
Yang.
Dr.
Evans, hi.
Hi.
[Laughing.]
Hi, I'm Cristina Yang.
I'm a huge fan.
She's a groupie, but forgive her because she's one of the finest - cardio residents you'll meet.
- Quite a recommendation.
- You scrubbing in with me today? - Yes.
It's an honor and a privilege.
[Stammering.]
Here are the patient charts and the most recent labs.
If there's anything else you need, ask.
I'll be around all day following you.
- If that's OK with you.
Uh - She is a groupie.
I like her.
[Laughs.]
This is my wife, Dr.
Meredith Grey.
Pleasure to meet you.
[Evans.]
Likewise.
I hear great things.
I hear them from your husband, - so grain of salt.
- [Laughing.]
- [Derek.]
Dr.
Yang.
- [Cristina.]
Yes? - [Derek.]
All yours.
- [Cristina.]
Yes, of course.
- The patient is right this way, sir.
- [Derek chuckles.]
- Think she's gonna drool on him? - [Laughs.]
I think she is.
- [Cell phone rings.]
- OK.
I gotta go.
I'll see you soon.
- Is that Thomas Evans from Baylor? - Yes, but don't get too excited.
- He's only here for one case.
- Are you sure? I overheard Chief Shepherd discussing the fact that Dr.
Altman doesn't have a permanent contract, so it would be a really genius move - on the chief's part to go in - Here we go again.
- What? - Shut up.
She thinks your husband walks on water.
I don't.
I don't.
I, um No, I'm I mean It's a professional thing.
It's, um It's a mentor thing.
He's just my mentor.
'Cause he's married to you.
And you guys are so great.
And, um Together.
Together, as a married couple.
- You You You're so great.
- Wow.
I, um I do I do think that your husband is brilliant, but I'm sure that you think that, too.
- OK, then.
- Thank you.
[Mark.]
You can see it, right? The resemblance? It's a newborn.
It resembles other newborns.
OK.
All right, fine.
But you want incontrovertible proof? Here we go.
- [Mark.]
Look at that.
- Oh.
[Derek.]
It's impressive, I'll give you that.
I mean, a lot of that swelling is from the birth.
It will go down.
He's a Sloan.
- Right.
- He's a Sloan.
[Pagers beeping.]
What is it? - Trauma choppers.
- Nice.
Hey, could you hand me my? Oh Well, OK.
Good morning.
- [Teddy.]
Good morning.
- Yes, it is.
I have a trauma chopper 15 minutes out and a small window of time - where I can practice medicine.
- Right.
Plus, Thomas Evans is here.
- He is.
He's doing a coronary - Is he interviewing for my job? I've been waiting to hear about a permanent contract from you.
- I haven't, Thomas Evans is here.
- You have a temporary contract.
- You said you were looking elsewhere.
- Yeah, I was, but I stopped.
- [Scoffs.]
I didn't know that.
- I'm sorry.
I should have told you.
I'd be happy to consider you for the permanent position.
- Consider me? For my job? - I had to run a search.
I can't get caught without a head of cardio.
OK.
Well, I I'd like to be considered.
I'll throw you in the mix.
Hey.
The baby's sleeping.
Um Thank you for everything.
- I'm happy to help.
- [Sloan.]
Dad? - [Mark.]
Hey.
Everything's fine.
The baby's doing great.
[Laughs.]
- Hey, can you grab my bag? - [Arizona.]
Yeah.
[Mark.]
What is all this? You - Did you buy all this for the baby? - [Sloan.]
Yeah.
I figured he was gonna need stuff.
And I was already in the store.
I know it's lame, all the girl stuff was way better, but - Boys like Army crap, right? - Oh! No, that's a choking hazard.
Well, he's a little young for that.
[Laughs.]
And that.
Whatever.
It doesn't really matter anyway.
He's gonna be getting a lot nicer stuff soon.
Here.
This is the number for the people that are gonna adopt him.
Trish and Keith.
Can you call them? - Mark - Yeah.
- Do you want me to handle that call? - No, no.
I'll take care of it.
It was a fishing boat accident.
Two patients, one with a head lac and abdominal pain.
The other, something about a fish hook stuck somewhere.
Why would they send a chopper for a guy with a fish hook? I'm pretty sure they said fish hook, Chief Shepherd.
[Derek.]
OK.
[Imitating.]
"I'm pretty sure they said fish hook, Chief Shepherd.
If I'm wrong, you can spank me.
Chief Shepherd, I do hope I'm wrong.
" [Derek.]
What do we got? We got the son, head laceration, crush injuries.
The dad's right behind.
- Let's go! - [Derek.]
OK.
[Man.]
Fifty-year-old male, penetrating trauma to the chest, hypotensive in the field.
Got him two liters of LR en route.
Oh! Big hook! [All.]
Big hook! Mrs.
Smitte, when is the last time you took a flight of stairs instead of an elevator? God, it's it's been years.
This time next week, you're gonna do it.
Your grandkids, you have grandkids? - Two.
- They're not gonna know what hit 'em.
They won't be able to keep up with you.
- [Smitte.]
You mean it? - I mean it.
- He means it.
- [Sneezes.]
Excuse me.
Sorry.
- [Whispers.]
Come in here - [whispers.]
No.
[Cristina whispers.]
Why? - Hold steady.
Grey, get in there.
- What do we have? Oh, my God.
[Owen.]
Here we go.
Boat accident.
Something fell on him.
- And the hook? - Looks like he fell on it.
[Rapid beeping.]
- Pressure's at 68, systolic.
- [Teddy.]
Tracheal deviation, absent breath sounds.
Get me a 14-gauge needle.
- Right behind you.
- Dad? What are you doing to him? - Grey, get him out of here! - I'm trying.
Doug, please.
[Groaning.]
Oh, God! What the hell is that? Dad, I don't know what happened.
I had the rope in my hand one minute - [Alex.]
Doug, Doug, come on.
- [Doug.]
No, I did this.
- I'm sorry.
Dad, I'm so sorry.
- It's OK.
It's not your fault.
[Man.]
Of course it's his fault! I was thrown on top of the shark hook because he let go of the rope.
Who the hell's fault is it? [Owen.]
Let's leave the hook in until we get him up to the OR.
- I'm feeling depressed skull fracture.
- [Derek.]
Order a head CT.
[April.]
Right away, chief.
That was the first thing he taught me when I joined the crew.
[Sighs.]
I don't know how [grunts.]
We didn't play ball when I was little.
We tied knots.
I know how to tie that knot.
Doug, you made a mistake.
It was an accident.
What if it wasn't? I thought about it sometimes.
[groans.]
Hitting him, or hurting him.
He pisses me off sometimes.
He's harsh and - You did this on purpose? - [Doug.]
No.
Not on purpose.
I just [groans.]
- I don't feel so good.
- OK, try to relax.
Deep breaths.
Deep breaths.
[Vomits.]
OK, Grey, order a head CT and get a CT angio.
- I saw some fluid around his spleen.
- I'll do it.
I think there's some Um I'll just deal with the vomit.
[Sloan.]
So the nurse says I'm being discharged.
I have to leave tomorrow? I just had the baby, like, today.
[Mark.]
It's a good thing.
It means you're doing great.
No complications.
Right, little man? Where am I supposed to go? My mom kicked me out and those friends I was staying with in Portland were like, "You gotta pay rent, or you gotta leave.
" And I can't pay rent.
- I don't have a job.
- [Baby cooing.]
I don't have anything.
You can stay with me.
- Really? - Sure.
Until you figure things out.
You're gonna be OK.
Sloans are tough.
You hear that? We're tough.
Maybe we should keep him.
You think you could? Maybe.
- You wanna hold him? - No.
[chuckles.]
- I don't think I know how to - Do you wanna hold him? He's pretty great.
- Look who it is.
- Hi, baby.
Look at that.
You're a natural.
It's up to you.
If you think we can do this.
Raise him.
Together.
If you think we can.
Hey, guys.
He really needs to go to the nursery to be monitored - and get his newborn check-up.
- I'm monitoring and I did the exams.
He's all good.
Mark, when you get a minute, I'd love to have a quick word.
- [Richard.]
Caught a big one, eh? - That's funny.
He's got a small hematoma.
Can I ask you something? Why did you hire Altman? - What'd you see in her? - Well, what do you see in her? I think she's good.
She works hard.
I feel bad even looking.
I'd feel worse, though, having a stronger candidate pass us by.
It's not the feel-good job, is it? - Can't you give me a little insight? - No.
See, that'd be doing the job for you.
I'm not gonna give you the fish.
You got a big hook in there.
Learn to fish yourself.
[Bailey.]
What kind of life is that? Living five months at a time on a boat, working 20 hours in terrible conditions? In 2007, the CDC marked crab fishing the most dangerous job in the U.
S.
With an annual fatality rate What? Dude, it's like working with Forrest Gump.
The kid's 15.
He should be doing algebra and going to school dances.
- [Alex.]
How much you bet he did it? - What? - Hooked his old man on purpose.
- I'd say 70 percent it was an accident, thirty percent attempted murder.
What? Karev's right.
Too much nature makes people crazy.
OK, there is the tear.
Grey? You wanna embolize it? Really? I've never done it before.
- But I've read that if you - You want this kid to bleed to death or what? Don't analyze everything.
Just do it.
- Tell me you called the parents.
- Sloan's having second thoughts.
Sloan picked those parents.
She asked you to call them.
- She was pretty clear.
- Now, she's not clear.
By law, she's got 48 hours before the court terminates her parental right.
- [Callie.]
Sloan changed her mind? - [Mark.]
Maybe.
- That's great! - No, it's not.
She can't change her mind? People change their minds.
This baby needs parents, not an 18-year-old child - and a father she met five minutes ago.
- Shut up! - Mark - No.
You don't get to tell me what to do here.
I appreciate your help, but you don't My mom is dead.
My dad's never gonna get off the couch again.
I don't have any brothers or sisters.
This is my grandson.
My grandson! I'm not gonna turn him over to some strangers when I might have a chance at a family.
So just give me a minute here! - How's he doing? - His temp's high.
I can't figure out why.
Is his dad in surgery yet? Yeah, they're prepping him now.
Doug, would you like to see your dad before he goes into surgery? - He's probably calmed down.
- He hates me.
He's always hated me.
Now, I practically killed him.
He doesn't want to see me.
Once when I was little, I was really mad at my mom.
And I had heard that saccharine can kill you, and so, I swear to God, I almost put ten packets of Sweet 'N Low into her coffee all at the same time.
I was this close.
While she was thinking of sweetening her mom's coffee, I tried to run my old man over with a car.
It's normal.
No, that's That's not normal.
[Doug coughs.]
Those hooks were meant to catch sharks.
He's never letting me near him or the boat again.
I don't even know where I'm supposed to go.
Ow! My head is, like, pounding.
Hey.
We should get blood cultures and a repeat CBC.
We need to find out why he's burning up.
You do that, Sweet 'N Low.
I'm gonna go watch them pull out a hook.
[Lexie scoffs.]
[Callie.]
The baby smiled at Mark.
He looked up and smiled at him like he knew him.
[Scoffs.]
That poor baby's parents just sitting - Stop calling them the baby's - That baby's parents.
The mature, capable, financially secure, emotionally stable, loving parents, who were deemed fit by Sloan and the State of Washington, are sitting there by the telephone, staring at the sky-blue nursery walls that they just painted.
Those are the parents, not Mr.
Midlife Crisis and his teenage kid who bought her infant son a bag of lollipops and Juicy Couture onesies.
So she has a lot to learn.
No, she doesn't.
She made the one sound parenting decision she needs to make.
She found a lovely couple to raise her baby.
She did that months ago when she wasn't flooded with postpartum hormones or overwhelmed by heartfelt pleas from her dad.
She had time to think clearly about what was right for her and what was right for the baby.
She made a decision, a good decision.
And it would be great if we could all try and respect that.
- OK.
- [Pager beeping.]
Crap.
Sloan.
[Baby crying.]
- [Arizona.]
Is he OK? - I don't know.
He won't stop crying.
- [Callie.]
What happened? - [Sloan.]
I don't know.
I was holding him and Mark went to go get a bottle and he started crying.
He's not stopping.
- I think something's wrong.
- What happened? Sloan got worried.
The baby's fine.
[Mark.]
He's just hungry, is all.
No, I [laughs.]
I don't know how to do this.
We're right here if you need help.
No, he's crying.
I don't think he wants me to do it.
Here.
- Oh, God! I don't feel so good.
- You've been up all night.
You're exhausted and dehydrated.
Drink that.
[Derek.]
Thought I'd check to see how far along we are.
[Owen.]
Almost ready to extract the hook.
Suction.
[April.]
After they get him off the hook, we'll evacuate the hematoma - and plate the skull fragments? - [Derek.]
I thought we'd throw him back.
- Catch and release.
- [April laughs hysterically.]
[Derek.]
Thank you, Dr.
Kepner.
[Owen.]
Well, Walter's lucky.
It looks like he doesn't have to lose any lung.
[Avery.]
Yeah, no thanks to his kid.
[Teddy.]
Well, it was an accident.
It happens.
[Derek.]
The kid shouldn't have been there in the first place.
[Teddy.]
Well, he's the guy's son.
Family business.
There's something to be said for loyalty.
[Derek.]
Put a person in a job like that because they have the skills to handle it, not because they're your friend.
Or your kid.
[Teddy.]
Are you intentionally equating me with the idiot son that dropped the crab cage on his dad, or is that just a happy coincidence? [Owen.]
All right.
Ready to extract the hook from the man.
[Derek.]
All right, nobody move but Dr.
Hunt.
[Owen.]
On my count.
One two - [Teddy sneezes.]
- [Rapid beeping.]
[Owen.]
Snagged an artery.
- [Teddy.]
I'm sorry.
- [Derek.]
God bless you.
He's stabilized and ready for you.
I'm sorry.
Look, if this doesn't go your way, please don't take it personally.
You're an incredible surgeon.
I see that.
It's that Evans has published dozens of times.
- He's won awards.
- She won a Bronze Star for service to her country.
Does that not count? [Evans.]
And the anastomosis is done.
- Fine suture hook? - You're not using the side clamp? No.
It's a special technique.
I get a very clean, very nice anastomosis this way.
Much less trauma to the surrounding structures.
[Cristina.]
You just parachuted that vein graft down.
Is that to avoid memory in the suture or tangles later on? Excellent observation, Yang.
Have you already applied for your fellowships? - Oh, I'm only in third year.
- Oh.
Right, I forgot.
It feels like I'm working with a fellow.
Thank you.
Oh.
Would you like me to cut the last suture? [Evans.]
That's OK.
I already got it.
[Cristina.]
Wow! It looks like you've barely operated at all.
- It's so perfect.
- That is the goal, Dr.
Yang.
That is the goal.
[Evans.]
Excellent.
[Rock music plays.]
Hook guy is stable for now.
How's the kid? Crappy.
Nothing we can do now until we finish with the angio.
- Lexie's baby-sitting.
- Hey! Have you, uh, seen Evans? It was amazing.
Who saw? Dude, you're like a kid with trading cards.
- Except with heart surgeons.
- Yeah.
I gotta have 'em all.
I thought Teddy was the love of your life.
She is.
She is, but Evans, brilliant.
I mean brilliant.
So is she, but I love them both.
I'm a cardio-thoracic whore.
Saying it makes me feel so good.
Speaking of whores, has anyone seen the love-struck intern fawning over my husband? - April's not an intern.
- Bat your eyes like that, - you're an intern.
- Don't worry.
That's not Derek's thing.
- Anymore.
- I was the love-struck intern.
- It is his thing.
- He's grown out of it.
Out of what, chicks who shave their legs and laugh at his jokes? - Sure, he's grown out of it.
- I shave my legs.
Sometimes.
You could always call him Chief Shepherd.
- Ew! - I don't make the rules.
I'm telling you, it's a thing.
- Powerful guys like adoring girls.
- Oh, my Whatever.
Do what you want.
Oh! That baby's delicious.
Yeah.
I was thinking I could take paternity leave.
At least for a couple of weeks.
It'd help Sloan get the hang of things.
I don't know if a couple of weeks is enough.
She's a good kid.
She's got good instincts.
Well, her instincts lead her to put the baby up for adoption.
I don't know.
She's unformed, she's a baby herself.
I don't know.
Yeah.
I don't know either.
Arizona wants to go to Spain.
[Laughs.]
She's picking a suntan over a family, which I don't get.
Didn't she have, like, a happy, idyllic childhood? Totally! She talks to her parents every day.
Every day! Part of which could be the brother thing.
- What brother thing? - He died.
[Sighs.]
Her brother died.
And I'm an idiot.
[Soft rock plays.]
You have a cold.
It could have happened to any of us.
Yeah, but it didn't.
It was me.
On the day that Shepherd is interviewing Evans for my job and I'm the new girl here who no one really knows, and even Yang is in love with Evans and I [sneezes.]
Ah! And I have a freaking cold! [sobs.]
- [Sobbing.]
I'm sorry! - It's OK.
[Whispers.]
You're gonna be OK.
[Pagers beeping.]
[Elevator bell dings.]
What happened? He became lethargic and febrile.
Coughed up blood.
His X-ray shows there's a large hemothorax where we took the hook out.
We'll have to go back in.
The repairs must not have held.
Should get a CT to confirm before cutting into a patient that's unstable.
There's no time for that.
He could go into multi-system organ failure.
Shepherd, you have to trust that I know what I'm doing.
I'll call up the OR.
Let them know you're coming.
[Derek.]
Yes this is Chief Shepherd, we're gonna need a cardiac room.
- [Alex sighs.]
You paged me? - [Bailey.]
What's up? Doug has fever and rigors and he's starting to get a productive cough.
So deal with it.
Hook guy's tanking.
He coughed up blood or something.
They're taking him back to surgery.
Wait, he coughed up blood? What did it look like, currant jelly? Did he have leukocytosis with a left shift? His P.
A.
CO2 was 28, right? I don't know, Encyclopedia Brown.
I didn't memorize the chart.
Let him go, Grey, he has a surgery he wants to see.
Thank you, Dr.
Bailey.
Dr.
Bailey, both patients have productive coughs and signs and symptoms of sepsis.
I am probably wrong, but if I'm not, this is infectious.
You're probably not wrong.
You're probably right.
Why do you want to hand your big save over to Karev, who's gonna march around the hospital acting like he put it together? - I didn't - You are handing your power over to a boy because he's giving you sex.
- I'm not - I'm Dr.
Bailey.
I know everything.
And you have a superpower.
That memory of yours is a superpower.
And on top of it, you're a good doctor.
And yet you're letting Alex Karev treat you like a scut monkey.
I don't care how good the sex is, if that's what it costs, - you're paying too much.
- I'm not! - Scut monkey all day.
- [Woman.]
Doctor? Thank you.
- I was right.
- I know.
Now, what are you going to do about it? [Owen.]
Karev, what's the status on your patient? [Alex.]
Temperature spiked.
The dude's doing fine.
- We're running new labs.
- [Lexie.]
Dr.
Altman, stop! Dr.
Grey, you always shout at people right before they start operating? Doug has Klebsiella pneumonia, and I'm guessing Walter does too.
We need to start imipenem stat or things could get ugly fast.
- [Teddy.]
Klebsiella? - Highly contagious in close quarters.
Like living on a crab boat for months at a time.
I think that hemothorax is a mixture of blood and an empyema.
- Thanks for the heads-up.
- You were busy.
- Maybe we should open and check - No, I, um - I think I was wrong here.
- [Derek.]
Get him out of the OR, into the ICU now! - This day has to end.
- [Derek.]
Tell me about it.
- [Mark groans.]
- I was supposed to watch - Tom Evans work.
- [Mark sighs.]
Meanwhile, I got stuck in an OR all day watching Teddy Altman decompose - in front of my eyes.
- I don't understand.
- What's Tom Evans doing here? - Taking a look around.
Why? You don't need Evans.
You got Teddy.
- I don't need Teddy if I've got Evans.
- What? No, you can't.
Me and Me and Teddy, we See, this is my point exactly.
I can't staff this hospital based on the fact that she's Hunt's friend and your flavor of the month.
I'm just sick of worrying about this.
This job's exhausting.
I'm sorry.
That's what you're complaining about? Screw you.
I'm losing everything today.
Everything! [Mug shatters.]
Go ahead.
How am I supposed to call a couple of strangers and tell them to take my kid? Sloan's your kid, Mark.
You're not losing her.
They're not taking her.
Hey.
Did you see me in the OR? - You're an idiot.
- What? You really think that Evans is gonna take you under his award-winning wing? He won't.
He doesn't need you.
He doesn't care about students.
He's a rock star, not a teacher.
He is a rock star.
Teddy, he's totally a rock star.
Did you see him in there? He was like an octopus! Doing a million things, cutting, retracting, suctioning all at once.
You think I need you to hold my instruments when I operate? You think that helps me save the patient? I do it so that you can learn, Cristina.
I'd be a lot faster in the OR without you.
Did you notice you never even touched that patient? Your gloves were totally clean at the end of surgery.
You learn a lot? Teddy, it was one surgery.
He's here for my job, Cristina.
Do you not get that? If Evans is in, I'm out.
So, you know, good luck with your new attending.
I get it.
You watch parents go through horrible, unimaginable pain.
Every day.
And you went through horrible, unimaginable pain when you lost your brother.
And your parents never got over it.
But if we had a baby our baby's not gonna be one of those kids in your NICU.
Our baby won't be your brother.
I mean, knock on wood.
[Sighs.]
Do you know how happy our baby would be? I'm gonna say this once.
And then I'm not gonna say it again.
I'm not broken.
I'm not some psychodrama.
My lack of interest in having a child is not some pathology that you can pat yourself on the back for having diagnosed.
I like my life the way that it is.
I don't want it to change.
I thought I liked it with you in it.
I hope I'm not wrong.
Wait.
[Soft pop music plays.]
- I called your mother.
- [Sloan.]
What? Why?! She kicked me out! She's on her way.
She misses you.
- She's worried about you.
- Right.
- I'm worried about you, too.
- If this is the part where you tell me that you talked to her and she convinced you that me keeping my baby was a bad idea because I'm young and irresponsible That's not what the conversation was about.
OK, well, so you thought it over and you decided that you don't have time for a kid? That's fine.
I get it.
You have a life.
You're busy.
But you know what? I can handle this kid on my own.
No, you can't.
Having a kid is hard.
And you are young and irresponsible.
And keeping him is probably a bad idea.
But if that is your decision, if that's what you want, then I'm in.
I'm all in.
I'm not too busy for my family.
But don't keep the baby for me.
You'll always have me.
And I'll always want you.
And that's true no matter what you decide.
[Sloan sobbing.]
You're my kid.
And I'm so happy I get to know you, Sloan.
I'm so happy about that.
Hey.
What are you doing right now? - Uh, I'm - Can we walk and talk? - Where are we going? - You need to talk to Derek Shepherd about Teddy, and why replacing her with Evans would be a huge mistake.
Remember, be persuasive and strong.
- Use a lot of words.
- Cristina, I'm not 12.
- I'm not saying you're 12.
- Dr.
Yang.
- Good work today.
- Thank you, Dr.
Evans.
This is important.
- [Owen.]
Shepherd.
- Hunt.
Before you say anything, I want you to know that I think, uh she's a fine surgeon.
- Evans is interested? - Yeah, I think so.
Evans is good, he's really good.
Patients would come here from all over.
That would be That would be good for this hospital.
- I'm glad you feel that way.
- Yeah.
And Teddy has a lot of connections.
Mainly on the East Coast, so she'd be fine.
If that's what you decide.
She'd be fine.
Thank you.
[Derek.]
Walter, I need you to squeeze my hands.
All right, let's do a little push against them.
Not bad, all things considered.
You like being captain? Do I like it? No.
Me neither.
You know what it beats, though? It beats not being captain.
Come here, son.
You OK? This was my fault.
I'm sorry.
Thanks, Dad.
[Mark.]
Just remember.
The Sloans, we bloom early.
So when you start to grow hair on your face, don't be shy.
Live it up.
All the other guys will be jealous.
It's OK to rub it in a little bit.
But not a lot.
You don't wanna be considered too full of yourself.
No one likes a vain guy in the locker room.
[Callie.]
Mark.
Oh, my God! [Woman.]
Is that him? Hey there.
[Man.]
Hi there, little guy.
Oh! [sobbing.]
He's so beautiful! This is And this.
Thank you.
- [Man.]
He has your dad's chin.
- [Woman.]
What? [Woman laughs.]
That's crazy.
- [Knocking on door.]
- [Derek.]
Come in.
Chief Shepherd, are you busy? - You just called me Chief Shepherd? - I did.
Go with it.
- What are you doing with the shades? - [Laughs.]
- [Derek laughs.]
- Shh - No one can know.
- No one can know what? About our secret love, Chief Shepherd.
- Secret love? - By the way, chief, I picked up your dry-cleaning for you.
And I - Ooh! had your car washed.
[Laughs.]
And I dusted off your desk.
- With my bottom.
- [Laughs.]
Is there anything else I can do for you, Chief Shepherd? Let me see if I can come up with a list of things.
Oh, Chief Shepherd! [Acoustic rock plays.]
Give me a beer.
You screwed me today.
That was my patient.
You made me look like a moron.
Get your own beer.
You You can't be an ass to me all day and expect me to give you respect.
You can't be an ass to me all day and then expect me to give you sex.
And you can stop with the patronizing nicknames.
I am a nice person, who couldn't even bring myself to attempt matricide by Sweet 'N Low.
That makes me charming to anybody else.
I am a nice person.
And I am nice to you.
So, whatever your damage is, you better start to be frickin' nice to me, or I am not spreading my legs for you anymore, no matter how much I want to.
Now give me a damn beer! [Meredith.]
As doctors, we have an arsenal of weapons at the ready.
My cousin's baby punched her in the face.
Literally.
She got a black eye from a one-year-old.
Who needs that, right? I don't need that.
They scream, they're grimy, they smell like poop, the house smells like poop.
Don't.
Don't.
- [Sobbing.]
- Don't.
[Meredith.]
Antibiotics to kill infections, narcotics to fight pain.
Tell me you're staying.
Please.
I'm staying.
OK.
OK.
[Meredith.]
Scalpels and retractors to remove tumors and cancers.
- [Richard.]
Derek! - [Meredith.]
To eradicate the threat.
I heard you gave Teddy a contract.
- Yes, I did.
- I'm glad.
It was the right move.
Loyalty, it's a powerful thing.
It makes for a great chief.
I offered it to Evans.
He passed.
[Meredith.]
But just the physical threat.
For every other kind you're on your own.
[Meredith.]
We're doctors.
We're trained to care for human beings.
And we're pretty sure we know what to look for.
[Callie.]
No, it doesn't make any sense! Everybody wants a kid! You wear roller skates for shoes! - I don't get it! - You know what? I don't know! Maybe there's something wrong with me.
It's not natural.
It's not womanly.
Maybe I'm cold and heartless and dead inside.
- No, I'm not saying that! - Well, but a little bit, you are.
- No.
- [Meredith.]
Cuts - OK.
infection genetic mutation You know what? Just [sighs.]
Just humor me for one minute, OK? Close your eyes.
Close your eyes.
Now, picture a baby.
A warm smushy little baby.
Wrapping its chubby little arms around your neck.
Now, breathe in that that intoxicating baby smell.
Doesn't it just melt you? No.
You know what melts me? Spain.
The beach.
You in a bikini.
Me holding a sangria.
Oh.
Wait.
What's that I hear? Oh The baby's crying.
We can't go to Spain.
- Sangria? That's why I don't get a kid? - [Doorbell ringing.]
- I can make a friggin' sangria.
- [Cristina.]
Just a minute! - What? - Yang, you got a suture kit? - [Cristina.]
Yeah.
- [Mark.]
Where's Robbins? - In there.
- [Mark.]
Robbins! - What's going on? - Two! I need two suture kits! - Why is he screaming? - Baby! Now! - Why are you? - [Sloan screaming.]
- Oh, God! He's serious! - [Sloan screaming, moaning.]
[Callie.]
Holy mother of - Get my bag.
- Give me a clamp.
[Gasping.]
- All right, another clamp.
- [Mark.]
Clamp.
- Scissors.
- How is he? Is he OK? Is he good? - He's great.
You did great.
- [Gasping, laughs.]
[Teddy.]
All right.
- Any sounds? - Not yet.
[Arizona.]
Come on, baby boy.
Come on.
Come on, baby boy.
Come on.
- Come on.
- [Cries.]
OK! That's my boy.
[Arizona.]
OK, that's what I'm talking about.
That's what I'm talking about.
- [Baby crying.]
- Here you go, Grandpa.
[Sighs.]
Hey.
So is it true you helped Teddy and Mark deliver Little Sloan's baby? - Yeah, not now.
- What's wrong with you? Tom Evans, in with your husband.
[Gasps.]
That's Tom Evans.
- He seems a lot younger than - Try and be cool.
- [Teddy.]
Good morning.
- Hey, hey, hey! - He's in with Shepherd.
- Who? Tom Evans.
- Tom Evans is here? - You didn't know? He's doing his bloodless CABG on a beating heart, today in our OR.
- Shepherd didn't tell you? - No, no [sneezes.]
- Bless you.
- [Teddy.]
Excuse me.
No, he didn't.
An Evans bypass.
Clear your schedule.
Scrub in.
- [Pager beeping.]
- No, I can't.
I gotta go.
[Derek.]
And here she is.
Your cruise director, Dr.
Yang.
Dr.
Evans, hi.
Hi.
[Laughing.]
Hi, I'm Cristina Yang.
I'm a huge fan.
She's a groupie, but forgive her because she's one of the finest - cardio residents you'll meet.
- Quite a recommendation.
- You scrubbing in with me today? - Yes.
It's an honor and a privilege.
[Stammering.]
Here are the patient charts and the most recent labs.
If there's anything else you need, ask.
I'll be around all day following you.
- If that's OK with you.
Uh - She is a groupie.
I like her.
[Laughs.]
This is my wife, Dr.
Meredith Grey.
Pleasure to meet you.
[Evans.]
Likewise.
I hear great things.
I hear them from your husband, - so grain of salt.
- [Laughing.]
- [Derek.]
Dr.
Yang.
- [Cristina.]
Yes? - [Derek.]
All yours.
- [Cristina.]
Yes, of course.
- The patient is right this way, sir.
- [Derek chuckles.]
- Think she's gonna drool on him? - [Laughs.]
I think she is.
- [Cell phone rings.]
- OK.
I gotta go.
I'll see you soon.
- Is that Thomas Evans from Baylor? - Yes, but don't get too excited.
- He's only here for one case.
- Are you sure? I overheard Chief Shepherd discussing the fact that Dr.
Altman doesn't have a permanent contract, so it would be a really genius move - on the chief's part to go in - Here we go again.
- What? - Shut up.
She thinks your husband walks on water.
I don't.
I don't.
I, um No, I'm I mean It's a professional thing.
It's, um It's a mentor thing.
He's just my mentor.
'Cause he's married to you.
And you guys are so great.
And, um Together.
Together, as a married couple.
- You You You're so great.
- Wow.
I, um I do I do think that your husband is brilliant, but I'm sure that you think that, too.
- OK, then.
- Thank you.
[Mark.]
You can see it, right? The resemblance? It's a newborn.
It resembles other newborns.
OK.
All right, fine.
But you want incontrovertible proof? Here we go.
- [Mark.]
Look at that.
- Oh.
[Derek.]
It's impressive, I'll give you that.
I mean, a lot of that swelling is from the birth.
It will go down.
He's a Sloan.
- Right.
- He's a Sloan.
[Pagers beeping.]
What is it? - Trauma choppers.
- Nice.
Hey, could you hand me my? Oh Well, OK.
Good morning.
- [Teddy.]
Good morning.
- Yes, it is.
I have a trauma chopper 15 minutes out and a small window of time - where I can practice medicine.
- Right.
Plus, Thomas Evans is here.
- He is.
He's doing a coronary - Is he interviewing for my job? I've been waiting to hear about a permanent contract from you.
- I haven't, Thomas Evans is here.
- You have a temporary contract.
- You said you were looking elsewhere.
- Yeah, I was, but I stopped.
- [Scoffs.]
I didn't know that.
- I'm sorry.
I should have told you.
I'd be happy to consider you for the permanent position.
- Consider me? For my job? - I had to run a search.
I can't get caught without a head of cardio.
OK.
Well, I I'd like to be considered.
I'll throw you in the mix.
Hey.
The baby's sleeping.
Um Thank you for everything.
- I'm happy to help.
- [Sloan.]
Dad? - [Mark.]
Hey.
Everything's fine.
The baby's doing great.
[Laughs.]
- Hey, can you grab my bag? - [Arizona.]
Yeah.
[Mark.]
What is all this? You - Did you buy all this for the baby? - [Sloan.]
Yeah.
I figured he was gonna need stuff.
And I was already in the store.
I know it's lame, all the girl stuff was way better, but - Boys like Army crap, right? - Oh! No, that's a choking hazard.
Well, he's a little young for that.
[Laughs.]
And that.
Whatever.
It doesn't really matter anyway.
He's gonna be getting a lot nicer stuff soon.
Here.
This is the number for the people that are gonna adopt him.
Trish and Keith.
Can you call them? - Mark - Yeah.
- Do you want me to handle that call? - No, no.
I'll take care of it.
It was a fishing boat accident.
Two patients, one with a head lac and abdominal pain.
The other, something about a fish hook stuck somewhere.
Why would they send a chopper for a guy with a fish hook? I'm pretty sure they said fish hook, Chief Shepherd.
[Derek.]
OK.
[Imitating.]
"I'm pretty sure they said fish hook, Chief Shepherd.
If I'm wrong, you can spank me.
Chief Shepherd, I do hope I'm wrong.
" [Derek.]
What do we got? We got the son, head laceration, crush injuries.
The dad's right behind.
- Let's go! - [Derek.]
OK.
[Man.]
Fifty-year-old male, penetrating trauma to the chest, hypotensive in the field.
Got him two liters of LR en route.
Oh! Big hook! [All.]
Big hook! Mrs.
Smitte, when is the last time you took a flight of stairs instead of an elevator? God, it's it's been years.
This time next week, you're gonna do it.
Your grandkids, you have grandkids? - Two.
- They're not gonna know what hit 'em.
They won't be able to keep up with you.
- [Smitte.]
You mean it? - I mean it.
- He means it.
- [Sneezes.]
Excuse me.
Sorry.
- [Whispers.]
Come in here - [whispers.]
No.
[Cristina whispers.]
Why? - Hold steady.
Grey, get in there.
- What do we have? Oh, my God.
[Owen.]
Here we go.
Boat accident.
Something fell on him.
- And the hook? - Looks like he fell on it.
[Rapid beeping.]
- Pressure's at 68, systolic.
- [Teddy.]
Tracheal deviation, absent breath sounds.
Get me a 14-gauge needle.
- Right behind you.
- Dad? What are you doing to him? - Grey, get him out of here! - I'm trying.
Doug, please.
[Groaning.]
Oh, God! What the hell is that? Dad, I don't know what happened.
I had the rope in my hand one minute - [Alex.]
Doug, Doug, come on.
- [Doug.]
No, I did this.
- I'm sorry.
Dad, I'm so sorry.
- It's OK.
It's not your fault.
[Man.]
Of course it's his fault! I was thrown on top of the shark hook because he let go of the rope.
Who the hell's fault is it? [Owen.]
Let's leave the hook in until we get him up to the OR.
- I'm feeling depressed skull fracture.
- [Derek.]
Order a head CT.
[April.]
Right away, chief.
That was the first thing he taught me when I joined the crew.
[Sighs.]
I don't know how [grunts.]
We didn't play ball when I was little.
We tied knots.
I know how to tie that knot.
Doug, you made a mistake.
It was an accident.
What if it wasn't? I thought about it sometimes.
[groans.]
Hitting him, or hurting him.
He pisses me off sometimes.
He's harsh and - You did this on purpose? - [Doug.]
No.
Not on purpose.
I just [groans.]
- I don't feel so good.
- OK, try to relax.
Deep breaths.
Deep breaths.
[Vomits.]
OK, Grey, order a head CT and get a CT angio.
- I saw some fluid around his spleen.
- I'll do it.
I think there's some Um I'll just deal with the vomit.
[Sloan.]
So the nurse says I'm being discharged.
I have to leave tomorrow? I just had the baby, like, today.
[Mark.]
It's a good thing.
It means you're doing great.
No complications.
Right, little man? Where am I supposed to go? My mom kicked me out and those friends I was staying with in Portland were like, "You gotta pay rent, or you gotta leave.
" And I can't pay rent.
- I don't have a job.
- [Baby cooing.]
I don't have anything.
You can stay with me.
- Really? - Sure.
Until you figure things out.
You're gonna be OK.
Sloans are tough.
You hear that? We're tough.
Maybe we should keep him.
You think you could? Maybe.
- You wanna hold him? - No.
[chuckles.]
- I don't think I know how to - Do you wanna hold him? He's pretty great.
- Look who it is.
- Hi, baby.
Look at that.
You're a natural.
It's up to you.
If you think we can do this.
Raise him.
Together.
If you think we can.
Hey, guys.
He really needs to go to the nursery to be monitored - and get his newborn check-up.
- I'm monitoring and I did the exams.
He's all good.
Mark, when you get a minute, I'd love to have a quick word.
- [Richard.]
Caught a big one, eh? - That's funny.
He's got a small hematoma.
Can I ask you something? Why did you hire Altman? - What'd you see in her? - Well, what do you see in her? I think she's good.
She works hard.
I feel bad even looking.
I'd feel worse, though, having a stronger candidate pass us by.
It's not the feel-good job, is it? - Can't you give me a little insight? - No.
See, that'd be doing the job for you.
I'm not gonna give you the fish.
You got a big hook in there.
Learn to fish yourself.
[Bailey.]
What kind of life is that? Living five months at a time on a boat, working 20 hours in terrible conditions? In 2007, the CDC marked crab fishing the most dangerous job in the U.
S.
With an annual fatality rate What? Dude, it's like working with Forrest Gump.
The kid's 15.
He should be doing algebra and going to school dances.
- [Alex.]
How much you bet he did it? - What? - Hooked his old man on purpose.
- I'd say 70 percent it was an accident, thirty percent attempted murder.
What? Karev's right.
Too much nature makes people crazy.
OK, there is the tear.
Grey? You wanna embolize it? Really? I've never done it before.
- But I've read that if you - You want this kid to bleed to death or what? Don't analyze everything.
Just do it.
- Tell me you called the parents.
- Sloan's having second thoughts.
Sloan picked those parents.
She asked you to call them.
- She was pretty clear.
- Now, she's not clear.
By law, she's got 48 hours before the court terminates her parental right.
- [Callie.]
Sloan changed her mind? - [Mark.]
Maybe.
- That's great! - No, it's not.
She can't change her mind? People change their minds.
This baby needs parents, not an 18-year-old child - and a father she met five minutes ago.
- Shut up! - Mark - No.
You don't get to tell me what to do here.
I appreciate your help, but you don't My mom is dead.
My dad's never gonna get off the couch again.
I don't have any brothers or sisters.
This is my grandson.
My grandson! I'm not gonna turn him over to some strangers when I might have a chance at a family.
So just give me a minute here! - How's he doing? - His temp's high.
I can't figure out why.
Is his dad in surgery yet? Yeah, they're prepping him now.
Doug, would you like to see your dad before he goes into surgery? - He's probably calmed down.
- He hates me.
He's always hated me.
Now, I practically killed him.
He doesn't want to see me.
Once when I was little, I was really mad at my mom.
And I had heard that saccharine can kill you, and so, I swear to God, I almost put ten packets of Sweet 'N Low into her coffee all at the same time.
I was this close.
While she was thinking of sweetening her mom's coffee, I tried to run my old man over with a car.
It's normal.
No, that's That's not normal.
[Doug coughs.]
Those hooks were meant to catch sharks.
He's never letting me near him or the boat again.
I don't even know where I'm supposed to go.
Ow! My head is, like, pounding.
Hey.
We should get blood cultures and a repeat CBC.
We need to find out why he's burning up.
You do that, Sweet 'N Low.
I'm gonna go watch them pull out a hook.
[Lexie scoffs.]
[Callie.]
The baby smiled at Mark.
He looked up and smiled at him like he knew him.
[Scoffs.]
That poor baby's parents just sitting - Stop calling them the baby's - That baby's parents.
The mature, capable, financially secure, emotionally stable, loving parents, who were deemed fit by Sloan and the State of Washington, are sitting there by the telephone, staring at the sky-blue nursery walls that they just painted.
Those are the parents, not Mr.
Midlife Crisis and his teenage kid who bought her infant son a bag of lollipops and Juicy Couture onesies.
So she has a lot to learn.
No, she doesn't.
She made the one sound parenting decision she needs to make.
She found a lovely couple to raise her baby.
She did that months ago when she wasn't flooded with postpartum hormones or overwhelmed by heartfelt pleas from her dad.
She had time to think clearly about what was right for her and what was right for the baby.
She made a decision, a good decision.
And it would be great if we could all try and respect that.
- OK.
- [Pager beeping.]
Crap.
Sloan.
[Baby crying.]
- [Arizona.]
Is he OK? - I don't know.
He won't stop crying.
- [Callie.]
What happened? - [Sloan.]
I don't know.
I was holding him and Mark went to go get a bottle and he started crying.
He's not stopping.
- I think something's wrong.
- What happened? Sloan got worried.
The baby's fine.
[Mark.]
He's just hungry, is all.
No, I [laughs.]
I don't know how to do this.
We're right here if you need help.
No, he's crying.
I don't think he wants me to do it.
Here.
- Oh, God! I don't feel so good.
- You've been up all night.
You're exhausted and dehydrated.
Drink that.
[Derek.]
Thought I'd check to see how far along we are.
[Owen.]
Almost ready to extract the hook.
Suction.
[April.]
After they get him off the hook, we'll evacuate the hematoma - and plate the skull fragments? - [Derek.]
I thought we'd throw him back.
- Catch and release.
- [April laughs hysterically.]
[Derek.]
Thank you, Dr.
Kepner.
[Owen.]
Well, Walter's lucky.
It looks like he doesn't have to lose any lung.
[Avery.]
Yeah, no thanks to his kid.
[Teddy.]
Well, it was an accident.
It happens.
[Derek.]
The kid shouldn't have been there in the first place.
[Teddy.]
Well, he's the guy's son.
Family business.
There's something to be said for loyalty.
[Derek.]
Put a person in a job like that because they have the skills to handle it, not because they're your friend.
Or your kid.
[Teddy.]
Are you intentionally equating me with the idiot son that dropped the crab cage on his dad, or is that just a happy coincidence? [Owen.]
All right.
Ready to extract the hook from the man.
[Derek.]
All right, nobody move but Dr.
Hunt.
[Owen.]
On my count.
One two - [Teddy sneezes.]
- [Rapid beeping.]
[Owen.]
Snagged an artery.
- [Teddy.]
I'm sorry.
- [Derek.]
God bless you.
He's stabilized and ready for you.
I'm sorry.
Look, if this doesn't go your way, please don't take it personally.
You're an incredible surgeon.
I see that.
It's that Evans has published dozens of times.
- He's won awards.
- She won a Bronze Star for service to her country.
Does that not count? [Evans.]
And the anastomosis is done.
- Fine suture hook? - You're not using the side clamp? No.
It's a special technique.
I get a very clean, very nice anastomosis this way.
Much less trauma to the surrounding structures.
[Cristina.]
You just parachuted that vein graft down.
Is that to avoid memory in the suture or tangles later on? Excellent observation, Yang.
Have you already applied for your fellowships? - Oh, I'm only in third year.
- Oh.
Right, I forgot.
It feels like I'm working with a fellow.
Thank you.
Oh.
Would you like me to cut the last suture? [Evans.]
That's OK.
I already got it.
[Cristina.]
Wow! It looks like you've barely operated at all.
- It's so perfect.
- That is the goal, Dr.
Yang.
That is the goal.
[Evans.]
Excellent.
[Rock music plays.]
Hook guy is stable for now.
How's the kid? Crappy.
Nothing we can do now until we finish with the angio.
- Lexie's baby-sitting.
- Hey! Have you, uh, seen Evans? It was amazing.
Who saw? Dude, you're like a kid with trading cards.
- Except with heart surgeons.
- Yeah.
I gotta have 'em all.
I thought Teddy was the love of your life.
She is.
She is, but Evans, brilliant.
I mean brilliant.
So is she, but I love them both.
I'm a cardio-thoracic whore.
Saying it makes me feel so good.
Speaking of whores, has anyone seen the love-struck intern fawning over my husband? - April's not an intern.
- Bat your eyes like that, - you're an intern.
- Don't worry.
That's not Derek's thing.
- Anymore.
- I was the love-struck intern.
- It is his thing.
- He's grown out of it.
Out of what, chicks who shave their legs and laugh at his jokes? - Sure, he's grown out of it.
- I shave my legs.
Sometimes.
You could always call him Chief Shepherd.
- Ew! - I don't make the rules.
I'm telling you, it's a thing.
- Powerful guys like adoring girls.
- Oh, my Whatever.
Do what you want.
Oh! That baby's delicious.
Yeah.
I was thinking I could take paternity leave.
At least for a couple of weeks.
It'd help Sloan get the hang of things.
I don't know if a couple of weeks is enough.
She's a good kid.
She's got good instincts.
Well, her instincts lead her to put the baby up for adoption.
I don't know.
She's unformed, she's a baby herself.
I don't know.
Yeah.
I don't know either.
Arizona wants to go to Spain.
[Laughs.]
She's picking a suntan over a family, which I don't get.
Didn't she have, like, a happy, idyllic childhood? Totally! She talks to her parents every day.
Every day! Part of which could be the brother thing.
- What brother thing? - He died.
[Sighs.]
Her brother died.
And I'm an idiot.
[Soft rock plays.]
You have a cold.
It could have happened to any of us.
Yeah, but it didn't.
It was me.
On the day that Shepherd is interviewing Evans for my job and I'm the new girl here who no one really knows, and even Yang is in love with Evans and I [sneezes.]
Ah! And I have a freaking cold! [sobs.]
- [Sobbing.]
I'm sorry! - It's OK.
[Whispers.]
You're gonna be OK.
[Pagers beeping.]
[Elevator bell dings.]
What happened? He became lethargic and febrile.
Coughed up blood.
His X-ray shows there's a large hemothorax where we took the hook out.
We'll have to go back in.
The repairs must not have held.
Should get a CT to confirm before cutting into a patient that's unstable.
There's no time for that.
He could go into multi-system organ failure.
Shepherd, you have to trust that I know what I'm doing.
I'll call up the OR.
Let them know you're coming.
[Derek.]
Yes this is Chief Shepherd, we're gonna need a cardiac room.
- [Alex sighs.]
You paged me? - [Bailey.]
What's up? Doug has fever and rigors and he's starting to get a productive cough.
So deal with it.
Hook guy's tanking.
He coughed up blood or something.
They're taking him back to surgery.
Wait, he coughed up blood? What did it look like, currant jelly? Did he have leukocytosis with a left shift? His P.
A.
CO2 was 28, right? I don't know, Encyclopedia Brown.
I didn't memorize the chart.
Let him go, Grey, he has a surgery he wants to see.
Thank you, Dr.
Bailey.
Dr.
Bailey, both patients have productive coughs and signs and symptoms of sepsis.
I am probably wrong, but if I'm not, this is infectious.
You're probably not wrong.
You're probably right.
Why do you want to hand your big save over to Karev, who's gonna march around the hospital acting like he put it together? - I didn't - You are handing your power over to a boy because he's giving you sex.
- I'm not - I'm Dr.
Bailey.
I know everything.
And you have a superpower.
That memory of yours is a superpower.
And on top of it, you're a good doctor.
And yet you're letting Alex Karev treat you like a scut monkey.
I don't care how good the sex is, if that's what it costs, - you're paying too much.
- I'm not! - Scut monkey all day.
- [Woman.]
Doctor? Thank you.
- I was right.
- I know.
Now, what are you going to do about it? [Owen.]
Karev, what's the status on your patient? [Alex.]
Temperature spiked.
The dude's doing fine.
- We're running new labs.
- [Lexie.]
Dr.
Altman, stop! Dr.
Grey, you always shout at people right before they start operating? Doug has Klebsiella pneumonia, and I'm guessing Walter does too.
We need to start imipenem stat or things could get ugly fast.
- [Teddy.]
Klebsiella? - Highly contagious in close quarters.
Like living on a crab boat for months at a time.
I think that hemothorax is a mixture of blood and an empyema.
- Thanks for the heads-up.
- You were busy.
- Maybe we should open and check - No, I, um - I think I was wrong here.
- [Derek.]
Get him out of the OR, into the ICU now! - This day has to end.
- [Derek.]
Tell me about it.
- [Mark groans.]
- I was supposed to watch - Tom Evans work.
- [Mark sighs.]
Meanwhile, I got stuck in an OR all day watching Teddy Altman decompose - in front of my eyes.
- I don't understand.
- What's Tom Evans doing here? - Taking a look around.
Why? You don't need Evans.
You got Teddy.
- I don't need Teddy if I've got Evans.
- What? No, you can't.
Me and Me and Teddy, we See, this is my point exactly.
I can't staff this hospital based on the fact that she's Hunt's friend and your flavor of the month.
I'm just sick of worrying about this.
This job's exhausting.
I'm sorry.
That's what you're complaining about? Screw you.
I'm losing everything today.
Everything! [Mug shatters.]
Go ahead.
How am I supposed to call a couple of strangers and tell them to take my kid? Sloan's your kid, Mark.
You're not losing her.
They're not taking her.
Hey.
Did you see me in the OR? - You're an idiot.
- What? You really think that Evans is gonna take you under his award-winning wing? He won't.
He doesn't need you.
He doesn't care about students.
He's a rock star, not a teacher.
He is a rock star.
Teddy, he's totally a rock star.
Did you see him in there? He was like an octopus! Doing a million things, cutting, retracting, suctioning all at once.
You think I need you to hold my instruments when I operate? You think that helps me save the patient? I do it so that you can learn, Cristina.
I'd be a lot faster in the OR without you.
Did you notice you never even touched that patient? Your gloves were totally clean at the end of surgery.
You learn a lot? Teddy, it was one surgery.
He's here for my job, Cristina.
Do you not get that? If Evans is in, I'm out.
So, you know, good luck with your new attending.
I get it.
You watch parents go through horrible, unimaginable pain.
Every day.
And you went through horrible, unimaginable pain when you lost your brother.
And your parents never got over it.
But if we had a baby our baby's not gonna be one of those kids in your NICU.
Our baby won't be your brother.
I mean, knock on wood.
[Sighs.]
Do you know how happy our baby would be? I'm gonna say this once.
And then I'm not gonna say it again.
I'm not broken.
I'm not some psychodrama.
My lack of interest in having a child is not some pathology that you can pat yourself on the back for having diagnosed.
I like my life the way that it is.
I don't want it to change.
I thought I liked it with you in it.
I hope I'm not wrong.
Wait.
[Soft pop music plays.]
- I called your mother.
- [Sloan.]
What? Why?! She kicked me out! She's on her way.
She misses you.
- She's worried about you.
- Right.
- I'm worried about you, too.
- If this is the part where you tell me that you talked to her and she convinced you that me keeping my baby was a bad idea because I'm young and irresponsible That's not what the conversation was about.
OK, well, so you thought it over and you decided that you don't have time for a kid? That's fine.
I get it.
You have a life.
You're busy.
But you know what? I can handle this kid on my own.
No, you can't.
Having a kid is hard.
And you are young and irresponsible.
And keeping him is probably a bad idea.
But if that is your decision, if that's what you want, then I'm in.
I'm all in.
I'm not too busy for my family.
But don't keep the baby for me.
You'll always have me.
And I'll always want you.
And that's true no matter what you decide.
[Sloan sobbing.]
You're my kid.
And I'm so happy I get to know you, Sloan.
I'm so happy about that.
Hey.
What are you doing right now? - Uh, I'm - Can we walk and talk? - Where are we going? - You need to talk to Derek Shepherd about Teddy, and why replacing her with Evans would be a huge mistake.
Remember, be persuasive and strong.
- Use a lot of words.
- Cristina, I'm not 12.
- I'm not saying you're 12.
- Dr.
Yang.
- Good work today.
- Thank you, Dr.
Evans.
This is important.
- [Owen.]
Shepherd.
- Hunt.
Before you say anything, I want you to know that I think, uh she's a fine surgeon.
- Evans is interested? - Yeah, I think so.
Evans is good, he's really good.
Patients would come here from all over.
That would be That would be good for this hospital.
- I'm glad you feel that way.
- Yeah.
And Teddy has a lot of connections.
Mainly on the East Coast, so she'd be fine.
If that's what you decide.
She'd be fine.
Thank you.
[Derek.]
Walter, I need you to squeeze my hands.
All right, let's do a little push against them.
Not bad, all things considered.
You like being captain? Do I like it? No.
Me neither.
You know what it beats, though? It beats not being captain.
Come here, son.
You OK? This was my fault.
I'm sorry.
Thanks, Dad.
[Mark.]
Just remember.
The Sloans, we bloom early.
So when you start to grow hair on your face, don't be shy.
Live it up.
All the other guys will be jealous.
It's OK to rub it in a little bit.
But not a lot.
You don't wanna be considered too full of yourself.
No one likes a vain guy in the locker room.
[Callie.]
Mark.
Oh, my God! [Woman.]
Is that him? Hey there.
[Man.]
Hi there, little guy.
Oh! [sobbing.]
He's so beautiful! This is And this.
Thank you.
- [Man.]
He has your dad's chin.
- [Woman.]
What? [Woman laughs.]
That's crazy.
- [Knocking on door.]
- [Derek.]
Come in.
Chief Shepherd, are you busy? - You just called me Chief Shepherd? - I did.
Go with it.
- What are you doing with the shades? - [Laughs.]
- [Derek laughs.]
- Shh - No one can know.
- No one can know what? About our secret love, Chief Shepherd.
- Secret love? - By the way, chief, I picked up your dry-cleaning for you.
And I - Ooh! had your car washed.
[Laughs.]
And I dusted off your desk.
- With my bottom.
- [Laughs.]
Is there anything else I can do for you, Chief Shepherd? Let me see if I can come up with a list of things.
Oh, Chief Shepherd! [Acoustic rock plays.]
Give me a beer.
You screwed me today.
That was my patient.
You made me look like a moron.
Get your own beer.
You You can't be an ass to me all day and expect me to give you respect.
You can't be an ass to me all day and then expect me to give you sex.
And you can stop with the patronizing nicknames.
I am a nice person, who couldn't even bring myself to attempt matricide by Sweet 'N Low.
That makes me charming to anybody else.
I am a nice person.
And I am nice to you.
So, whatever your damage is, you better start to be frickin' nice to me, or I am not spreading my legs for you anymore, no matter how much I want to.
Now give me a damn beer! [Meredith.]
As doctors, we have an arsenal of weapons at the ready.
My cousin's baby punched her in the face.
Literally.
She got a black eye from a one-year-old.
Who needs that, right? I don't need that.
They scream, they're grimy, they smell like poop, the house smells like poop.
Don't.
Don't.
- [Sobbing.]
- Don't.
[Meredith.]
Antibiotics to kill infections, narcotics to fight pain.
Tell me you're staying.
Please.
I'm staying.
OK.
OK.
[Meredith.]
Scalpels and retractors to remove tumors and cancers.
- [Richard.]
Derek! - [Meredith.]
To eradicate the threat.
I heard you gave Teddy a contract.
- Yes, I did.
- I'm glad.
It was the right move.
Loyalty, it's a powerful thing.
It makes for a great chief.
I offered it to Evans.
He passed.
[Meredith.]
But just the physical threat.
For every other kind you're on your own.