Grey's Anatomy

Season 10 Episode 21

Change of Heart

31
Aired Thursday 8:00 PM Apr 24, 2014 on ABC
8.8
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Episode Summary

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The doctors receive bad news from Jackson. Meanwhile, Amelia arrives in Seattle for an unexpected visit; Richard heads to Boston to surprise Catherine; and Bailey makes a bold decision after growing disappointed with the lack of progress in her research.

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Ellen Pompeo

Ellen Pompeo

Dr. Meredith Grey

Sandra Oh

Sandra Oh

Dr. Cristina Yang

Justin Chambers

Justin Chambers

Dr. Alex Karev

Chandra Wilson

Chandra Wilson

Dr. Miranda Bailey

James Pickens Jr.

James Pickens Jr.

Dr. Richard Webber

Sara Ramirez

Sara Ramirez

Dr. Calliope "Callie" Torres

Dominic Hoffman

Dominic Hoffman

Dr. Jeff Russell

Guest Star

Chad Addison

Chad Addison

Sam Roane

Guest Star

Danny Nero

Danny Nero

Anesthesiologist

Guest Star

Debbie Allen (I)

Debbie Allen (I)

Dr. Catherine Avery

Recurring Role

Caterina Scorsone

Caterina Scorsone

Dr. Amelia Shepherd

Recurring Role

Mark Adair-Rios

Mark Adair-Rios

David Morris

Recurring Role

Trivia, Notes, Quotes and Allusions

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  • TRIVIA (0)

  • QUOTES (42)

    • (Owen finds Cristina standing in a running shower with her scrubs on)
      Owen: Cristina? Are you okay? Cristina, they were very sick kids. Every one of them would have been looking at a death sentence without you. The fact that any of them survived--
      Cristina: I know this, Owen.
      Owen: Frankie was on borrowed time from the moment she got here. You made the right decision. You made the right call.
      Cristina: I know I made the right call. You don't have to tell me. It was an impossible decision, and I stand by it. I did everything... exactly as I was supposed to. I did it perfectly.
      Owen: So what is wrong?
      Cristina: What's the point, Owen? What's the point of anything?
      Owen: You won. The Harper Avery-- You got the most votes. Richard just told me. The politics screwed you. The Foundation's relationship with us-- They used you. (scoffs) You never stood a chance. (Cristina walks out of the shower and out of the hospital)

    • Jackson: Hey. So, you are... (April holds up her iPod) Right.
      April: Uh, I'll see you tomorrow.
      Jackson: April. I said a lot of things the other night that I regret. And I'm sorry that I hurt your feelings.
      April: I'm sorry, too.
      Jackson: Good. So come home. Stay. This is a conversation that we're always gonna have to have. It's part of who we are. It's gonna take some talking. But we got married. We love each other. We made vows to push through this sort of thing.
      April: I know. I love you, too, and we made a commitment.
      Jackson: And if you believe in god, then you believe he made me-- Your husband... who shares your values, which I do. I believe we shouldn't kill or steal. I believe that you should be truthful. I believe that you should treat others the way that you want to be treated.
      April: I agree.
      Jackson: So, then, we can push through this problem. At our core, we believe the same things.
      April: Until I think about telling our children how unbelievably loved they are by the creator of the universe, who also made them, and I can just see you standing there, judging and dismissive, and I just can't get past it.
      Jackson: Can we please just take a break from our hypothetical children for--
      April: No, we can't, because they're not hypothetical anymore. Jackson, I'm pregnant.

    • (Derek & Mer walk in the house, and it's a mess. Amelia is sleeping on the couch)
      Derek: What happened?
      Meredith: Wait. Where are the kids?
      Amelia (waking up): They're asleep-- Totally fine.
      Derek: What's wrong?
      Amelia: I can't do this.
      Meredith (to Derek): The children broke your sister.
      Amelia: No, it's not them. I didn't come here to see how your perfect life worked. I came to see if I could do it-- The whole freaking thing, the kids and marriage and the full-time careers-- Because I want that... with James. (voice breaking) And I am wrecked after one day. It goes on the list of things that I suck at because... (crying) I can't. (walks into the bedroom)
      Meredith: Well, I knew that was too good to be true. Why don't you go fix your sister? I'll order takeout.

    • Jo: Well?
      Alex: I almost didn't go through with it. But... then I did. And I think it's gonna be good, right?
      Jo: Are you kidding?! It's gonna be awesome! (they kiss)
      Alex (noticing her shoes): Oh, compartment syndrome?
      Jo (groans): Yes. Blood went everywhere.
      Alex: Mm. Torres loves that trick. You should just toss those.
      Jo: I know. You're right. Why am I scrubbing those nasty things, when now you can afford to buy me new ones? (they kiss)

    • Arizona: They want us to be the center of innovation, but they don't want to pay for it.
      Callie: They love it when we innovate. They nominated Yang for an award.
      Meredith: She was robbed. They're boneheads.
      Derek: We can't give with one hand and take with the other. We have to stop this.
      Jackson: There's no stopping this. Guys, they own the place. We are just their managing board. This conversation is our relationship now. Best we can do is try to guide them to make the right decision. That's by making our own decision, as tough as that might be. Look, this is my report, alright? (hands them all the report) All the projects are here-- Operating budgets versus progress to date. Best to worst. Take a look. But the decision is pretty clear to me.
      Alex (knocks on door): Uh, y-you got a second? Never mind. I'll come back.
      Arizona: No, no. Alex, come in.
      Derek: You okay?
      Alex: Uh, yeah. Yeah. I, uh, just wanted to let you know that my fellowship is, uh, almost done, and, uh... Well, I got an offer from LeBackes Pediatric Surgery Clinic, uh, Oliver LeBackes' practice, and, uh... Well, I gave it some serious consideration and I've decided to take it. So, I guess this is my notice.

    • Shane: You stitch held.
      Leah: So?
      Shane: I've never seen vessels that friable, and I've been around a lot of diseased hearts. You did an amazing thing.
      Leah: Shane, the kid died.
      Shane: It wasn't anything that you did.

    • Stephanie: I mean, the thing I don't understand is, won't Braden die if he doesn't get this treatment?
      Bailey: It's possible.
      Stephanie: So... I mean, does this happen often with experimental treatments? That the parents or guardians just withdraw their consent?
      Bailey: Please stop talking.
      Stephanie: And then what do I do with these consent forms she just signed? I mean, do I-- Do I shred them? Do I toss them?
      Bailey: I told you-- Stop talking! Uh, I'll take those. (Stephanie hands her the consent forms)

    • Alex: Why aren't you trying to talk me into staying?
      Arizona: Oh, god. Are we still on this? Can't we just focus on transplanting the heart we just retrieved?
      Alex: Yeah. Never mind. I'll shut up.
      Arizona: Of course I want you to stay. But this sounds like an incredible job opportunity, and you're right-- You did stay here for me once, and I don't want to stand in your way again, so if you want to leave, you should leave-- But not because of something that I do or don't say. You should leave because this is the next best thing for you and because you're excited about this job and you're ready to go do great things. (inhales) And collect a big, fat paycheck.
      Alex: Really big.
      Arizona: I guess you have a decision to make. Don't screw this one up.

    • (Derek has Amelia on speakerphone)
      Amelia: You guys gonna be home for dinner?
      Derek: Yeah. Sure, sounds good.
      Amelia: Okay, awesome! Can't wait!
      Derek: Yeah, neither can we. (hangs up his phone)
      Meredith: Does that mean what I think it means? That there's gonna be dinner waiting for us on our dining room table when we get home? Have we ever even used our dining room table?
      Derek: Just remind me to thank my sister for letting me actually spend an entire day with my wife.
      Meredith: Well, she's not a permanent solution.
      Derek: Ah, not yet, but we have a spare bedroom. We can give her surgical privileges.
      Meredith: That would give her less time for child care.
      Derek: Well, I know it's not permanent, but we spent an entire day without dropping any balls. You know, maybe she'll even put the kids to bed.
      Meredith: Maybe we could have some wine.
      Derek: You know, Amy is making dinner for the kids. Maybe we have time for a little mm-mm. (leads her into an on-call room)
      Meredith: It would be a shame to end such a great day with no dessert.

    • Owen: There you are.
      Cristina (sighs): Frankie's heart is as stiff as a rock, and Ivy's got global systolic dysfunction. It's absolutely impossible.
      Owen: Why didn't you call me?
      Cristina (sighs): Mer already yelled at me about this. I'm sorry, okay? I just-- I wanted to be alone, so I left.
      Owen: I'm not talking about-- (sighs) I just heard about the McNeils. You should have called me to help you make this decision. No surgeon should have to make a decision like this on their own. That's why I'm here. That's why you have a Chief of Surgery.
      Cristina: They're my patients. I know their status. I can decide this.
      Owen: But you don't have to.
      Cristina: Yes, I do.

    • Sabine: I'm-- I'm sorry, what? You're gonna have to say-- You're gonna have to say it all again.
      Cristina: Dr. Robbins is on her way with a new heart for Frankie, but Ivy's deterioration has caused her to shoot up to the top of the transplant list, too. Ivy is also a perfect match for the donor heart en route.
      Sabine: But th-that's Frankie's heart.
      Cristina: Officially, yes, but... Under the circumstances, the heart could be redirected.
      Sabine: To Ivy? You-- You want to give Frankie's heart to Ivy?
      Cristina: No, I don't want-- Medically speaking, Frankie's condition is declining rapidly. Technically, Ivy is more stable, which would give the heart a better chance of survival.
      Jon: Wait. Just--
      Sabine: But-- B-B-But if Frankie's worse, don't you have to give the heart to the one that's the worst?
      Jon: Unless she thinks it's a waste. (to Cristina) You think the heart will be wasted on Frankie?
      Cristina: I just want to explain all your options.
      Jon: Our options? This is our decision?
      Sabine: Wait. You-- You're asking us to choose? You want us to try to pick which of our children gets a heart and which one doesn't?
      Cristina: Frankie can be fitted with a total artificial heart for now.
      Jon: We can't choose. You have to do it.
      Sabine: We have three children, Dr. Yang-- Three... amazing... (crying) beautiful, kind children. And we can't-- We can't try and pick between two of them. We won't. You have to make this decision. Please. Please.

    • Richard: You pursued her. You encouraged her. You all but told her she was a front runner, when you knew she was nothing but window dressing.
      Catherine: She was not window dressing! She was nominated for a prestigious award that brought publicity to her and the hospital.
      Richard: You used her! She was never going to win that damn thing for a second. Nobody from Grey-Sloan Memorial will ever win a Harper Avery, will they-- ever?
      Catherine: Do you want me to remind you why there is a Grey Sloan Memorial Hospital? Or should I just take my $24 million and go home? What draws me to you, Richard, is your idealism. I find it extremely attractive. But this is business. And I do not appreciate your coming all the way across the country to harangue me about the fact that your prize pony didn't get a ribbon! And if it makes you feel better... She had the votes.
      Richard: Are you that naive? Catherine, do you really think that's why I came all this way, why I planned an entire weekend with the things that you love?
      Catherine: Richard--
      Richard: I made reservations at Cipriani's because I know you love it there. And I was going to wait until just before dessert and the waiter was going to bring you a glass of champagne, and I was going to tell you how much I love you and how right for one another we are, and how you make me feel excited to be alive, how you give me a reason to get up each morning and say a thankful prayer every night. I was gonna ask you to be by my side for the rest of our lives. That's why I'm here. That's why I came. (takes a ring box out of his jacket pocket and sets it on her desk) And now I'm leaving.

    • Bailey: Now that it's thawed, and I've added the virus to the culture, I just have to wash them down and give him the injection within the next four to six hours, and then, theoretically, that's when the magic will happen.
      Jackson: See, that's the problem, though, Bailey. So far, all of this, is theoretical, and the foundation needs actual results. I need you to help me out, okay? Give me something, anything concrete, that shows that your project is producing results.
      Bailey: No, it will be. Once I give this targeted gene therapy to my bubble boy, I know it will. I-I can feel it.
      Jackson: Okay, I can't exactly pitch that we need to keep your lab because you have a feeling, can I? You said you're doing this today?
      Bailey: Yes, I am. And it's going to work.

    • Bailey: Now that it's thawed, and I've added the virus to the culture, I just have to wash them down and give him the injection within the next four to six hours, and then, theoretically, that's when the magic will happen.
      Jackson: See, that's the problem, though, Bailey. So far, all of this, is theoretical, and the foundation needs actual results. I need you to help me out, okay? Give me something, anything concrete, that shows that your project is producing results.
      Bailey: No, it will be. Once I give this targeted gene therapy to my bubble boy, I know it will. I-I can feel it.
      Jackson: Okay, I can't exactly pitch that we need to keep your lab because you have a feeling, can I? You said you're doing this today?
      Bailey: Yes, I am. And it's going to work.

    • Owen: Just a few more sutures.
      April: You know where he was when he got hit? He was crossing highway 519. He could see the water. All he wanted to do was walk from ocean to ocean. (voice breaking) He was just so freaking close.
      Owen: Okay. Let's check the pulse.
      April: It's not fair, you know? You make a commitment, it's supposed to mean something, and then a... pickup truck just takes you out. (starts crying)
      Owen: Hey, you okay?
      April (crying): S-Sorry. I just feel like this fight with Jackson is, like, the fight, and I... I don't know how we recover from it.
      Owen: Listen. (sighs) Some fights, you just can't get passed. You know? Like me and Cristina, it was-- It was about kids. You and Avery? This is your first fight. You will get passed this, and then something else will come along, and you'll fight about that, too. And you guys will recover every time. This is not your pickup truck.

    • Alex: So, this is how it's gonna be now? Radio silence til the end of my fellowship? That's how you're gonna leave things?
      Arizona: Alex, I brought you here today because I trusted your skills to properly procure this heart. And then we got on that plane, and I started feeling sad because you're leaving soon and I will miss you. I didn't bring you today to scold you. I'm proud of you and I'm happy for you, and all I wanted was to share a freaking memory, okay? I was being sentimental!
      Alex: Oh. ... You know, if I take the job, I'm still gonna have hospital privileges. You'll see me around.
      Arizona: Shut up, Karev. Moment's ruined.

    • Richard: She gets results. She always has, and this is no exception. M-Make me understand, because my read is that Yang should have clearly won. I mean, what am I missing? From where I'm standing, she had it by a mile.
      Catherine: Richard, honestly, tell me that you're not this naive.
      Richard: Well, what is that supposed to mean?
      Catherine: The Harper Avery foundation co-owns the hospital Cristina Yang works for. She could never win that award.

    • Leah: Yang is a robot. If I just lost the Harper Avery, I'd be AWOL, in my bed with a bottle of scotch. Although, she did just throw pick-ups across a crowded O.R.
      Shane: Yang's a surgeon. She cares more about her patients than some stupid awards.

    • Arizona: The last time that we were on a plane--
      Alex: Can we not talk about the last time you were on a plane?
      Arizona: No. (sighs) Alex, the last time that we were on a plane together-- the first time we met.
      Alex: Look, I know you brought me on this plane to talk me out of taking this job. We'll be in Portland soon. Just get it over with and say what you're gonna say. It's not like I can go anywhere.
      Arizona: We were on our way to pick up a liver and a small bowel for a 10-year-old--
      Alex: And now you think I'm selling out, that I'm choosing money over substance, and that it's a waste of my talent or whatever-- That there's more to life than nice schedules and a big, fat paycheck. Well, I've thought about it, hard. You've been awesome, but I've already stayed here once for you. I have to start thinking about myself, about what I want. I've worked hard, and I deserve this. I deserve to think about myself for once, okay?

    • April: Jackson and I aren't having just a fight. This is important-- It's not something that can be just glossed over, ignored, or fixed. It-- I can't pretend like nothing's wrong.
      Callie: Yeah, I know. I know. You said all that last night and then again this morning over breakfast. (chuckling) And now-- You're saying it all again now. (to Jo) Hey, wow. Look at that. His x-fix looks ready to go. Sadly, I think our work is done here.
      Owen (stammering): Ww-Wh-What-- Y-Y-You're leaving? Y-You're not leaving.
      Jo: Don't we need to review the measurements with imaging?
      Callie: No, we do. We do. Uh, it's just-- We should really stay out of Kepner and Hunt's way, so we're gonna do it in radiology, where there are bigger screens and better lighting. Sound good?
      Owen: Yeah, well, we're almost done here, so...
      Callie: N-- Take your time. Let's go, Wilson.

    • Meredith: I barely got two words out of her. She's obviously not okay, right?
      Derek: You said she got pulled into an emergency. I'm sure she's fine. You know, this is the most time we've spent together, just the two of us, in weeks. It's really nice.
      Meredith: We should do it more often.
      Jackson (walks in): Grey?
      Derek (to Mer): Should have left the tie on the door.
      Jackson: About your portal vein project-- Do you really need lab staff five days a week?
      Derek (whispers, to Mer): Yes. Say yes.
      Meredith (to Jackson): Yes. (to Derek) Why?
      Derek: The foundation is trimming research.
      Meredith: What?!
      Jackson: No, no, no. They're just looking--
      Meredith: The hell they are-- The Harper Avery foundation doesn't make any decisions about this hospital. If there's one thing the Harper Avery foundation can't do well, it's decide who should get something.
      Jackson: Okay, I am just--
      Meredith: Tell them that if they cut my funding, I cut their tires. Cristina Yang deserved that award, not Dr. Nobody Sucksalot from Hopkins. And tell them in short sentences with little, tiny words, because they are boneheads! (Jackson turns to leave)
      Derek (sighs): And we were having so much fun.

    • Meredith: Number one, I'm glad you're alive. Number two, who do you want me to go after? Because I'm in your corner.
      Cristina: Mer. (sighs)
      Meredith: But I can't be in your corner if you disappear on me.
      Cristina: Mer, not now.

    • Richard: You really thought I would come here and question why Yang didn't get a Harper Avery?
      Catherine: Well, you're a proud Papa. She's your prize student. I know it's important to you.
      Richard: I-It's important to the whole hospital. And you're an investor in that hospital, so I think it'd be important to you, too.
      Catherine: It is. That's why it's good that there's an impartial committee.
      Richard (chuckles): Well...
      Catherine: 'Well' what?
      Richard: It's not that impartial. Look, it makes no sense that she lost. See, I read her paper, I read every other nominated paper. There's no comparison-- Unless there was some statistical calculation she blew, some gross error buried way down in the data. You know as well as I do none of them even holds a candle to what Yang's been doing.

    • Cristina: What's UNOs saying?
      Nurse: We're waiting on a call back.
      Leah: I don't understand. How does that happen?
      Alex: They sent us a freaking lemon heart.
      Arizona: They must have injured it when they were removing it from the donor. (Cristina throws a lap pad)
      Nurse (answering the phone): It's UNOs. They've located another heart that's a match. It's in Portland.
      Leah: How often does that happen?
      Arizona: Karev and I will go get it. We can't risk another screw up.

    • Cristina: Removing cross clamp to re-establish blood flow.
      Arizona: I don't see one tear, one leak. You did it perfectly. I mean, I really never seen such an efficient anastomosis. Look, Karev.
      Alex: Awesome job, Yang. (Cristina glares at him)
      Leah: Inspiring.
      Shane: Flawless.

    • Callie: Hey, Wilson, did you happen to put on boot covers before you came in here?
      Jo: Why would I-- (Callie cuts the guys leg, and blood gushes out onto the floor and Jo's shoes) Okay. I get it. It's in my socks.
      Callie (laughing): Oh! That never gets old.

    • Meredith: I mean, they screwed her! And I was ready to make a scene, but she just sat there in her seat. She clapped for him. She applauded him, Derek!
      Derek: No, go ahead. Get it out.
      Meredith: And now I can't even get a hold of her. I mean, she could still be in Boston. She could be in Mexico. I have no idea where-- (gets a text) She's in O.R 1. Thank god! (looks at the MRI Derek is looking at) Is that a spinal schwannoma?
      Derek: It is.
      Meredith: Extended into the retropleural space?
      Derek: Mmhmm.
      Meredith (smiles): Is that for me?
      Derek: We're overdue for a date. O.R 3, you in fresh scrubs, me in a ferry-boat scrub cap. You in?
      Meredith: Well, this could take hours. What about the kids?
      Derek: Amy's with them.
      Meredith: We have a babysitter named Amy?
      Derek: Amy, my sister.
      Meredith: The junkie?
      Derek: She's a recovering addict and she loves kids.
      Meredith: I've only been gone a day.
      Derek: The tumor involves the great vessels. (smiles)
      Meredith: I know what you're doing.
      Derek: Mmhmm.
      Meredith: And it's working.
      Derek: Mmhmm.

    • Jackson: Hey.
      April: Hi. How are you?
      Jackson: Good. How'd you sleep?
      April: Fine, thanks. Have you talked to Cristina, is she okay? I really thought that she had--
      Jackson: Yeah, I-I know. I was shocked, too.
      April: Um... So, I need to come home tonight.
      Jackson: You want to talk?
      April: I... (shakes head) I need my iPod. I went running today, and I wished--
      Jackson: Sure. Sure.
      April: Are you okay? You look--
      Jackson: Stressed. I'm a little stressed. I got to compile a report for the foundation on the value of people's research projects, 'cause we're not gonna be able to keep all of them, I don't think.
      April: Wow.
      Jackson: What?
      April: You guys deny her the award and not 24 hours later, you're talking about shutting down her research? You know that that was like, her life's dream, right?
      Jackson: That's not what we're doing, they're looking for ways--
      April (gets paged, sighs, as she's walking away): Classy move, Avery family. Way to make it all about the medicine.

    • Catherine: What on earth are you doing here?! (they kiss)
      Richard: I like to keep you guessing.
      Catherine: Ooh! You better get in here before I will do something that will embarrass Henry. (pulls him into her office and shuts the door, they kiss)
      Richard: Mm. I should surprise you more often.
      Catherine (laughs): Well, I'm not that surprised.
      Richard: How come?
      Catherine: I thought that you might show up and poke around, trying to figure out why Dr. Yang didn't get her award.
      Richard: Oh, please. I planned this trip a long time ago. I figured you'd be exhausted from the ceremony and need a little get away.
      Catherine: You didn't plan it as a victory lap to celebrate Yang's big win?
      Richard: Mm... That would have been a nice feature. But I think the weekend will have other nice features.
      Catherine: Oh, really? (they kiss)
      Richard: So why don't you finish what you're doing? I'll sit here and watch the magic, and then I'll take you to dinner.
      Catherine: Mm. Yes, Dr. Webber.

    • (Russell is about to start surgery on Frankie, Cristina walks in)
      Cristina: I've got it, Dr. Russell.
      Russell: Yang. This is a surprise. When'd you get back?
      Cristina: Thank you for covering, Russell, but I've got it from here.
      Russell: I'm already scrubbed and ready to go. Why don't you take a load off? You must be tired.
      Cristina: I've followed Frankie McNeil since day 1. Thank you.
      Russell: Tough loss last night, Yang. Must have stung. Better luck next time. (he walks out, everyone is looking at Cristina)
      Cristina: It was an honor just to be nominated. (to nurse) 10 blade.

    • Arizona: When did all this happen?
      Alex: About a month ago. LeBackes approached me. I've been doing work with him on my off time. He thinks I could make a really good fit.
      Arizona: So you've already decided? You're leaving?
      Alex: No. I-I don't know. I mean, my fellowship is almost over, so...
      Arizona: Well, um, when do they need to know by?
      Alex: Tonight. What, you're not gonna yell at me or something? (they get paged)

    • April: You're back.
      Meredith: You're gonna wanna stay away from me today.
      April: Where's Cristina? She must be devastated. If I were her, I'd be face-first in a pile of chocolate-chip cookies.
      Meredith: Stop it! Cristina Yang doesn't need your pity! She was robbed! And you robbed her!
      April: Oh! I did?
      Meredith: Yes! You! You're an Avery by association! That pack of fools can't tell their asses from their elbows, never mind an award-winning surgeon versus some half-wit who tinkers with science kits in his mother's basement! ... I told you to stay away from me today, didn't I?
      April: Mmhmm.

    • Jackson: Hey, Shepherd, you're back to more of a regular surgical schedule, right?
      Derek: Yes. Why?
      Jackson: The foundation asked me to report on the status of our surgeon run research projects-- want to see which ones are actually getting results.
      Derek: So, what, they can start shutting the other ones down? Neurological research takes a really long time.
      Jackson: I'm looking at all the projects, Derek, not just yours. We can start making these decisions ourselves or wait for the foundation to do it for us.
      Derek: Remember-- Dr. Torres and I have a presidential seal of approval.

    • Arizona: Why are you hovering? (turns to see Alex smiling at her) What's wrong with your face?
      Alex (smiling): I like your hair.
      Arizona: Oh, what did you do?

    • Shane: So... Dr. Yang won't be back today?
      Arizona: Well, I haven't heard from her, and I can't exactly postpone the surgery.
      Shane: Has anyone heard from her?
      Arizona: You-- Just make sure Frankie's ready and prepped.

    • Russell: Good news, the heart became available this morning and we're just waiting for confirmation from the hospital in Oakland.
      Jon: I'm sorry, but who are you again?
      Arizona: Oh, I'm sorry, Dr. Russel is our head of cardiothoracic surgery. Since Dr. Yang's not back, he'll be performing Frankie's transplant today.
      Jon: But Dr. Yang's our surgeon. No offense, but how do we know you're as good?
      Russell: I'm an attending. She's a fellow. Trust me-- I'm as good.

    • (they are in bed together, Alex kisses her)
      Jo: No. I'm not gonna have time to pre-round.
      Alex: Screw pre-rounds. Your peds fellow needs a consult. (Jo laughs, they kiss again)
      Jo: No! No, no, no, wait-- you have to work, too. You're avoiding something.
      Alex: Less talk, more stuff. (flips her onto her back)
      Jo: No, Alex, I'm serious. What's going on?
      Alex: I got an offer from LeBackes to work at his practice. It's a good offer-- a really good offer.
      Jo: Oh! That's great! Why don't you look like it's great?
      Alex: I'm supposed to give him an answer by the end of the day. Robbins is gonna be so pissed. What am I gonna tell her?
      Jo: Just be pleasant and confident and firm, smiles when you talk, and just tell her how excited you are about this great new opportunity. If she starts making her scary, angry face, distract her with a compliment.
      Alex: That works? The compliments thing?
      Jo (gets out of bed with just the bed sheet): Mmhmm.
      Alex: God, you're sexy.
      Jo (drops the sheet): Doesn't work on me.

    • Callie: Okay, so we turkey-baste me in May.
      Arizona: And then the baby's born in February?
      Callie: Yep.
      April (knocks on door): Sorry. Just, uh, need to borrow some toothpaste. As you were.
      Callie: Okay, so, I take off the spring, recover, nurse, and then you take off the summer.
      Arizona: Mmhmm. And then I put Karev in charge of Peds. I think that that works.
      April (comes out of bathroom): Are you sure about that? 'Cause if you're gone in the summer, you're gone when the new interns start. You really want Karev in charge of all the new kids? Maybe-- Maybe push off the insemination until July?
      Callie: Kepner. Kepner. Get out of my vagina.
      April: Yes. Right. (walks back into bathroom)
      Callie (sighs, to Arizona): Oh, wow. It's really only been two nights? 'Cause it feels like ten.

    • Derek: Alright, Mama hung up on us. Zola, time to put on your shoes, sweetie. (there's a knock at the door, Derek opens the door and finds Amelia there)
      Amelia: I should have called. I know. (walks in)
      Derek: Uh--
      Amelia: But if I would have called you'd have said no. (to Zola) And then I wouldn't get to see how grown up you are. Zola! Wow. Look at you, what are you, like, 16 now? And I wanted to meet my nephew.
      Derek: Um... hello to you, too. I haven't talked to you in like two months. Amy, what are you doing here?
      Amelia: A... thing happened. (holds up her hand) James proposed.
      Derek: Ah! Congratulations.
      Amelia: And I freaked.
      Derek: I'm sure you did.
      Amelia: Just sort of freaked, not-- not flee-the-country freaked. Just... suddenly... (sighs) There's the possibility that I may be facing a different kind of life-- The kind that you and Meredith have-- So I thought that I would come visit and see what it's like and get... unfreaked. Hopefully. You're mad.
      Derek: No. I'm happy to show you. Hey, Zola, Auntie Amy is gonna play with you and Bailey today while I go to work.
      Amelia: Oh. Oh. Wow, really not mad.
      Derek: No, I'm excited. So, Bailey gets a bottle in an hour. His schedule's on the refrigerator. Zola likes to stick stuff up her nose, so keep an eye on her.
      Amelia: Oh. Okay.
      Derek (smiling): I'll see you later.

    • Meredith (on the phone with Derek): Cristina was supposed to fly out with us this morning and she didn't show.
      Owen: Her phone's still off.
      Meredith: No, uh, Derek, all she said was 'that's how it goes.' Last night after the ceremony. And then that smug idiot's speech was a 20-minute ode to himself.
      Flight Attendant: Ma'am, we're shutting the doors.
      Owen: She'll just be one second.
      Meredith: His research wasn't even research. I read his paper on lymph nodes, it sounded plagiarized.
      Flight Attendant: I'm very sorry, but you'll need to put your phone away.
      Meredith: I heard you.

    • Meredith: (closing voiceover) So, what do you do? How do you decide? When you're left in the dark? How do you make sure you're not making the worst mistake of someone's life? You close your eyes, you block out everyone and everything around you, and pray that the voice inside you is right. Because once you've decided... you can't ever go back.

    • Meredith: (opening voiceover) Over the past 20 years, one of the most valuable tools a doctor has is the algorithm. Your patient's main complaint goes into a box, and then the formula helps you decide what to do next. But what happens when the problem doesn't fit into a box? Well, you're suddenly on your own, unexpectedly, with about a thousand paths to choose from.

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