Dr. Meredith Grey
Dr. Cristina Yang
Dr. Isobel "Izzie" Stevens
Dr. Alex Karev
Dr. Miranda Bailey
Dr. Richard Webber
Dr. Jackson Avery
Dr. Reed Adamson
Derek: We can't keep doing this, Richard. I'm tired of fighting you. Let's just put this behind us and move on. I can, if you can.
Richard: You're fired. Immediatly. Get the hell outta my hospital.
Derek (exhales): Go home. Sleep on it. We'll talk more tomorrow.
(Cristina is in the skills lab)
Owen: You're standing to close.
Cristina: No, I'm not.
Owen: Yes, you are. I'll show you.
Cristina: You? Look at your hands, they're hams. My are tiny little geniuses.
Richard: Shouldn't you be in OR one?
Owen: Yes, actually, but I, uh, swapped with Torres, she has an emergency laparotomy.
Richard: Dr. Torres is doing a laparotomy?
Callie (walks up): What am I doing? (Owen nods towards her) What? I just heard my name.
Richard: He didn't cut the cord. (starts walking towards the OR)
Callie: Bailey will stop 'em she's at the door.
Owen: She's in the OR with Shepherd.
Callie: Then who's at the door? (sees Arizona and mutters) Oh, my God.
Arizona (standing in front of the door): No, no, whoa, whoa, whoa!
Richard: Dr. Robbins!
Arizona: I said no. Dr. Shepherd is operating on the inside of a man's spinal chord right now. Even the most minor disturbance could cause him to make a mistake on that patient- a patient who happens to work here, and whose life I personally would like to see Dr. Shepherd save. So no... you don't get to go in there and be a bully. Not today chief, not on my watch. (Richard turns and walks away, Arizona has tears in her eyes)
Callie: Okay, I totally thought that was gonna end different. (Arizona starts sobbing on her shoulder) Yeah, more like that.
Alex: You don't even know me so why are you all up in my face about this?
Reed: Because there is a girl sitting down there on the third floor waiting for her guy.
Alex: She doesn't wanna see me, okay? She bailed. She didn't even tell me to my face. She left a note. So stop trying to act like you know anything about it and lemme get back to my job
Reed: If you're sure about that, fine then, don't go. Nut you better be 100 percent surre she's not hoping you show up. Because right now, you are making a choice. You, not her. So you better be at peace with that.
Derek: How was your day?
Meredith: My day? Oh, my day was... You know, I slept and I ate an entire box of cereal. I left three voicemails for Izzie, and I'm sure she won't return any of them. I started and gave up on Anna Karenina for the 15th time.
Derek: You wanna talk about the tumor?
Meredith: I do. I admit it. I'm a surgery junkie.
Mark: This is why you don't go rogue. Look at him. He's cracked. I coulda told you this was gonna happen.
Arizona: Don't be smug. This is one of our people's lives at stake.
Callie: This is so depressing. Ten hours staring into a spine, he can't figure out what to do.
Richard (walks up behind them): What did you just say?
Callie: What? No, I... I didn't...
Richard: Robbins! (Arizona looks nervous)
Owen: I'm sorry about the contest.
Cristina: Who told you about that?
Owen: No one. Well, I overheard people talking in the pit. It sounded hard.
Cristina: It wasn't hard. It was a moment of... You know what? We don't have to discuss it. Watching Lexie in a diaper is punishment enough.
Owen: What? Lexie is wearing what? Well, that... that is a reason you should be glad that you're not down there.
Cristina: No, that is the reason I wanna be down there. Lexie gets to pee in a diaper and I don't.
Owen: You want to pee in a diaper?
Cristina: Oh, God. No. I want to have to pee in a diaper. To be in surgery so difficult and so long that my only option is to put on a diaper and pee in it.
Derek: Isaac, if I get in there and it looks too dangerous to remove, the responsible thing to do is close you back up.
Isaac: No, don't close me up. If you get in and it's too complicated, cut the cord. Paralyze me if you must. I survived a war did you know that? I survived a war where they put bodies in to mass graves where there was once a playground. I survived the death of my family, my parents, my brothers and sisters. Then I survived the death of my wife and child when they starved to death in a refugee camp. I survived the loss of my country, of hearing my mother tongue spoken, of knowing what it feels like to have a place to call home. I survived. And I will survive the loss of my legs. If I have to, I'll survive it. Okay? But Derek, there is always a way when things look like there's no way. There's a way to do the impossible, to survive the in survivable. There's always a way. And you, you and I have this in common. We're inspired. In the face of the impossible, we're inspired. So if I can offer one piece of advice to the world's foremost neuro surgeon. Today if you become frightened instead become inspired. Okay, I'm ready now. Put me to sleep.
Cristina: A diaper?
Lexie: It's for the surgery. Please don't tell anybody about this.
Cristina: That's genius. You never have to leave the OR, you can hydrate all you want.
Lexie: You're mocking me. Fine. Whatever. It's not like I was gonna use it anyway.
Cristina: Of course you are. This is the definition of hardcore. You're like an astronaut. This is surgery NASA-style.
Bailey: Everyone had said you found the great white of tumors, but I just had to see if for myself.
Derek: And now that you have?
Bailey: You want my fellow attending answer or my fellow surgeon?
Derek: Fellow surgeon.
Bailey: This tumor is dangerous, complicated and smart, beautiful. This tumor is the reason why I got into medicine in the first place. To successfully take out this tumor would be an achievement you hang your hat on for the rest of your career. You could retire on this tumor.
Lexie: Oh, a spinal tumor? I read about a case at Mayo where the surgery took 17 hours. The head surgeon had four rotating assistants, one of whom just administered fluids.
Cristina: Hey, you know what, don't try to Lexipedia your way on this. This is my tumor.
Mark: You know what this is about, right? You're no longer Daddy's favorite so you've gone in search of a crazy-ass tumor to get his love back.
Derek: Actually, it's about my patient. I haven't made up my mind yet, I'm just... looking.
Callie (walks in): Isaac has a cord tumor?
Cristina (holds up the MRI): Oh, it's awesome, look.
Callie: Awesome in a bad way. It's eaten five levels of his spine. Wait, you're not seriously considering trying to take it out?
Cristina: Of course he is. He's Shepherd.
Arizona (walks in): It's a bad case of telephone, right? Isaac's got a bone spur or a herniated disc not a... (sees the scan and sighs) He diagnosed an osteosarcoma case for me a month ago. I thought it was shadow but it turned out to be a tiny lesion on the x-ray.
Mark: That says more about you than it does him.
Arizona: I'm sorry. Do you even know who Isaac is?
Mark: No idea.
Bailey (to Derek, about Richard): You two need to stop bickering, it's unattractive.
Derek: How 'ya doin'?
Cristina: Fine. Why? Did Meredith say somethin' to you?
Derek: She mentioned you were a little down about the merger. Lack of a cardio God.
Cristina: You wife's dead, as soon as her liver grows back. She's dead.
Derek: Be glad she did. That's why I put you on my service. You need a God. Neuro God, right here.
Cristina: Godly? Your entire day consists of putting shunts in people.
Derek (closing voiceover): Ask most surgeons why they became surgeons and they usually tell you the same thing. The high, the rush, the thrill of the cut. For me it was the quiet. Peace isn't a permanent state. It exists in moments. Fleeting. Gone before we knew it was there. We can experience it at any time, in a stranger's act of kindness, a task that requires complete focus or simply the comfort of an old routine. Everyday we all experience these moments of peace. The trick is to know when they're happening so that we can embrace them, live in them. And finally let them go.
Derek (opening voiceover): Ask most surgeons why they became surgeons and they usually tell you the same thing. It was for the high, the rush, the thrill that comes from cutting someone open and saving their life. For me it was different, maybe it was because I grew up in a house with four sisters. No, it was definitely because I grew up in a house with four sisters because it was the quiet that drew me to surgery. The operating room is a quiet place. Peaceful. It has to be in order for us to stay alert, anticipate complications. When you stand in the OR, your patient open on the table, all the worlds noise, all the worry that it brings disappears. A calm settles over you, time passing without thought. For that moment, you feel completely at peace.
Lexie: This is bad, this is really, really, bad.
Jackson: Are you kidding? No one at Mercy West was this bad-ass.
Lexie: This isn't bad-ass. This is... You saw him yesterday. He was spinning himself in circles, mumbling like some crazy psych patient and he was mean.
Jackson: Well, he's your psych patient now. Deal with it, diaper genie.
Lexie: Hey, I wore a diaper yesterday, yes. And I will wear one today. If it helps get Dr. Shepherd through this surgery, I will wear a diaper, 'cause my diaper is awesome. My diaper is hardcore. You wish you had the balls to wear my diaper. I'm gonna wear it and I'm gonna wear it with pride. And if I have to pee in it, oh, I'll pee. Because I am surgeon. This is America, and I will do what needs to be done. So, you can kiss my hard-core diaper wearin' ass.
International Episode Titles:
Czech Republic: Řez naslepo (Cutting Blind)
Original International Air Dates:
Latin America: December 14, 2009 on Sony Entertainment Television (a.k.a. Canal Sony)
Finland: December 16, 2009 on Nelonen
Australia: February 23, 2010 on Channel 7
The Netherlands: March 15, 2010 on Net5
Germany: May 5, 2010 on ProSieben
Norway: September 21, 2010 on TV2
Czech Republic: August 1, 2011 on Prima LOVE
Music Featured In This Episode:
1. Moon and Moon by Bat for Lashes
Although credited, Katherine Heigl ("Izzie") didn't appear in this episode.
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