This episode takes place about three months since the plane crash.
Meredith (opening voiceover): Dying changes everything. There's the emotional fallout, sure, but there's also the practical stuff. Who's going to do your job? Who's going to take care of your family? The only good thing for you is you don't have to worry about it. People you never knew will be living in your house, working your job. The world just keeps on going... Without you.
Meredith (closing voiceover): They say death is hardest on the living. It's tough to actually say goodbye. Sometimes it's impossible. You never really stop feeling the loss. It's what makes things so bittersweet. We leave little bits of ourselves behind, little reminders, a lifetime of memories, photos, trinkets, things to remember us by... even when we're gone.
Callie: Uh, I can't keep doing this alone, Arizona. I just can't. (Arizona has her back turned to Callie) Get up. Get the hell out of bed and snap out of this... (voice breaking) If not for me, then for Sofia, because she lost a parent last night. (Arizona slowly turns to face her) And I lost my best friend. And I will be damned if I lose you, too.
Arizona: Snap out of this? Snap out of this? (pulls the blanket back revealing her leg) How the hell am I supposed to snap out of this when you cut off my leg?
(At April's parent's farm)
April: Dr. Hunt?
Owen: Hey, uh, your dad told me where I could find you.
April: What-- What are you doing here?
Owen: Mark Sloan died yesterday.
April: Oh, god. Um... I'm so sorry.
Owen: I want you to come back and work at the hospital.
Owen (sighs): Nothing is the same over there. It's all... I keep trying... I keep trying to think of ways I could've done things differently, and, uh... If I'd realized they were missing sooner, if I'd told Cristina how much I... I keep looking for the do-overs, and there's no do-overs. There's just the way it is, and I can't fix that. Except for this, for you. I didn't teach you, not the way that I should have. I-I should've helped you be strong instead of kicking you when you were down. I should have never have taken your job from you. You don't belong out here on a... farm. You belong in Seattle, saving lives. Now come home.
(FaceTiming each other)
Cristina: I had the boarding pass in my hand. I was... (sighs) standing there watching them board the plane, but I... couldn't move.
Meredith (takes a shot): Next time.
Cristina: We have to get past this.
Meredith: I know. (Alex sits down at the bar next to her) What are you doing here?
Cristina: Hey, who is that? Point me. (Mer moves her iPad so Cristina can see Alex)
Alex: I'm sorry about before.
Meredith: You should be. I'm sorry, too.
Cristina: I thought you said he was leaving. (to Alex) I thought you said you were leaving.
Alex: The guy replacing Robbins is just gonna mess the place up. Besides, I don't even like Baltimore.
Meredith: So, what are you saying?
Alex: I couldn't get on my plane, okay? I couldn't go.
Cristina: You're saying you ditched the flight 'cause you chickened out.
Meredith: What a loser. (Mer smiles and they hug)
Alex: When Hunt lands, tell him I'm staying.
Alex: I just saw him here at the airport, isn't he coming to see you? (Cristina is silent)
Meredith: Hey. So that's it? I'm not even as good as one of your intern girls, huh? You're not gonna say good-bye to me?
Alex: Mer, what-- What are you doing here?
Meredith: Don't change the subject.
Alex: Don't make this a thing.
Meredith: Don't make this a thing? Mark is dying right now. And that's it? You're just gonna leave, too?
Alex: I'm just-- I'm gonna be on the other side of the country. It's uh, we'll talk. It's not like--
Meredith: That's what Cristina said. It's not the same. Nothing is the same. Everything is different. Everyone's leaving and everyone is dying.
Alex: Don't make this my problem. I'm finally getting the hell out of here. I can't keep standing around being the guy who should've been on the plane that crashed. I shouldn't be here, Mer. I... I should've left this freakin' place three months ago.
Meredith (grabs his arm): Alex!
Alex: Get off. Look, I'm not gonna stay in Seattle just because you don't want to be alone. Look, Hopkins won't wait forever. I got a plane to catch, so bye.
Bailey: D-Does my nickname command respect?
Bailey: Strike fear in the hearts of residents?
Bailey: Well, what is it?
Richard (clears throat and looks to Jackson for help): You've been... happy. And the interns noticed that your happiness often coincides with the arrival of-- of Dr. Warren. (Jackson smirks, Bailey gasps) And that's all I'm saying!
Bailey: Oh, oh, come on now! You have to tell me.
Richard: No. I can't! I'm a gentleman. And also, I don't wanna! (Jackson laughs. Bailey looks at both of them)
Bailey: Wh-- Wh-- Oh, come...
Alex: Okay, I'm gonna tell you this because I'm literally about to walk out of this hospital forever. (Richard is shaking his head at him) Your nickname is B.C.B.
Alex: Booty Call Bailey. (Bailey looks at him shocked) That's what they call you.
Bailey: Thank you.
Alex: Good-bye, Dr. Bailey.
Bailey: Yeah, bye, Karev.
Dr. Parker: Dr. Cristina Yang. Of Seattle fame, formerly of California. Sit. How'd it go with Dr. Thomas?
Cristina: Uh, well, I'm happy to, uh, take one for the team but I'd appreciate if you steered him in somebody else's direction.
Dr. Parker: Mm. I'm not sure that's gonna work. See, I've asked him to help you out, naviagating the waters and all.
Cristina: I found the cafeteria.
Dr. Parker (chuckles): Yeah, it's... more than that.
Cristina: My work has been impeccable. My record here is perfect.
Dr. Parker: Mm. If all you look at is outcomes, maybe. But on our yardstick, you don't seem to be thriving. I want you to succeed. But the fact is, we work as a team here. No one here is the superstar. Our hospital is the superstar. And our patients... they're superstars. We pride ourselves on that. No ego, no proprietary attitudes, no competition.
Cristina: Are you serious?
Dr. Parker: We're sensitive to all you've been through. If you want to talk to someone, I'm happy to give you names.
Cristina: Dr. Parker, that won't--
Dr. Parker: Look, why don't you take a few days... see the lakes, check out the Mall of America? You know, everybody says they ride the rollercoaster for their kids, but the adults eat it up. Go get some R&R. Have a good time. Soften up those sharp Seattle edges. Doctor's orders.
Cristina: I'm sorry. Is this R&R a suggestion or--
Dr. Parker: It's mandatory, Yang. Starting now.
Richard: After I stop his medication, I'm gonna extubate him.
Callie: Okay, we're all doctor here. You don't need to say this.
Richard: I'm not saying it because you need to know the procedure. I say it because even if you think you're prepared for what's about to happen, you're not. Your brain can't fully absorb what we're about to do. But by saying this... I'm giving you a little time to catch up. So... After I stop his medications... I'm going to extubate him. (voiceover) As indicated in his living will... Dr. Sloan asked that, if life-sustaining procedures would only prolong the moment of death, that these procedures be discontinued. Dr. Sloan asked that if he was unable to make his own medical decisions, that his directive be honored by his chosen proxy. His final request was that only comfort care be given to him in his final moments. Once support is removed, he may only hold on for a few minutes... Or the process could take hours. I'm turning the ventilator off. We've sedated him with morphine, so he's not feeling any of this. (to Derek & Callie) I'll give you some privacy.
Owen: What's wrong?
Jo: Chief, sorry. I was just going somewhere else, actually.
Owen: That surgery was designed for you to fail. The intern appy-- It sets you as the example. Okay? Don't let it get to you.
Jo: Why is she so mean?
Owen: She's just trying to teach you.
Jo: No, why is she so mean? Is it that plane crash?
Jo: I heard she was in a plane crash with some other doctors. They were stranded in the woods for, like, a week. People died or almost died or something.
Owen: Yeah, yeah. People died or almost died or... something. Dr. Grey isn't mean. She is strong. And she's not gonna go easy on you because she knows that that would be a disservice to you. You are surgeon. It is your job to fix things other people can't. Now if you can't handle that, leave now. If not... don't stand around in hallways and cry. Cry somewhere else. Where I won't see you.
Meredith (sitting outside Mark's room): We tried so hard... out there in the woods. We thought if we could just get him back here alive... (get up) I- I can't stay here. I'm-- I'm tell Derek that I was here and I had to go. I am, uh... I'm going to the airport. I'm gonna go see Cristina.
Jackson (to Mark): So I discharged our cleft baby. He'll be back in about six months. Oh, and I... I decided against reconstruction... for grandpa. I know it's not what we talked about, but... and don't take it the wrong way, alright? Because... you've taught me a lot. But I think, um... I really know what I'm doing now. So... I'm good. The plastics posse's... (sniffles) gonna live on. 'Cause uh,... Because I can take it from here.
Callie: We-- We shouldn't have tried the surgery today, okay? It was too much. Being in the O.R, thinking about Mark--
Callie: No, look, I shouldn't have been operating either. Look at us. We're emotional. It was just-- It was bad--
Derek: My hand went numb in there. (kicks over a tray)
Dr. Thomas: I know why you favor a less invasive approach. But, you know, you're a creature of your generation. I mean, you believe in 30-second rice and instant oatmeal and the-- the uh, news brief.
Cristina: Well, no.
Dr. Thomas: You're looking for the-- for the bullet, the memo, the text.
Cristina: Okay. Um, but--
Dr. Thomas: LOL. OMG. Ha!
Cristina: Okay, well, as I said, I will open him up, but he's a baby, so there's only room for one headlight. So you understand? One headlight, one surgeon.
Dr. Thomas: Of course I understand. And you owe me one, 'cause I'm giving those fingers a good... three hours off.
Cristina: Oh, wait, wait. Uh, that's not what I meant. I'm-- I'm sorry. Just stop. This is my case. You want me to ditch my original plan, fine. You want to backseat drive, also fine. You're the attending. I'm the fellow. I'll respect that. But you're not stealing my surgery. You're welcome to assist, to observe, to yammer about the good old days, but this is not one of them. This is my patient, my procedure. Headlight. Now.
Alex: Dr. Torres.
Callie: Uh, not a good time.
Alex: Look, the new guy, uh, Barnett, he's shipping the-- the orphan program over to U.C.L.A.
Callie: Yeah, really not a good time.
Alex: I'm leaving, so I'm not gonna be able to do anything about it, and I know-- I know Dr. Robbins wouldn't want this happen.
Callie (warningly): Oh, Alex.
Alex: Maybe you could just talk--
Callie: No, what? What? Just what? I'm up to my eyeballs trying to save things around here, and your peds program really doesn't mean that much to me, okay? Sometimes things die, Alex. And there's nothing you can do about it. Told you, not a good time.
(Flashback to 2009, at Arizona and Callie's wedding)
Mark: I had a patient once, who told me about his wedding day and how they asked all the married couples to come to the dance floor to dance together. And then they asked the couples who'd been only married a year to sit down. And then five years, then ten years, twenty, and so on, until they go to the last two couples. Uh, two sets of grandparents. Been together sixty years. Sixty years with the love of their life. That's gonna be you two at our granddaughter's wedding. Callie... Arizona... congratulations. I love you.
Cameraman: What about you? Won't you be dancing at your granddaughter's wedding?
Mark: You gotta have a partner for that.
Cameraman: Well, if you had a partner, who would it be?
Mark: Oh, well, that's easy. Lexie Grey.
(Watching Jo do the intern appy)
Shane: There's no way she pulls this off.
Stephanie: She might, as long as she doesn't look up at Medusa during the surgery.
Heather: Yeah, that face will calcify her.
Leah: Do you think Medusa has always been Medusa?
Shane: Probably. I heard her mom was even worse.
Heather: Yeah, but... that doesn't give her an excuse to act like a demon from the depths of hell itself. (Mer glares up at them) It's like she can hear us.
Owen (motions to the intercom): Yeah, that little red light... (they gasp) means the intercom is on. Now sit up straight.
Jo: I don't think that you're a demon.
Meredith: Focus on what you're doing.
(Everyone claps when Derek enters the O.R)
Callie: I had nothing to do with this. ... Okay, I had a little to do with this.
Derek: Well, thank you, everyone. Thank you very much. It's really no big deal. (everyone is silent) What?
Callie: You have to say it.
Derek (exhales): It's a beautiful day to save lives.
Mel Barnett: Alex Karev, right? Uh, Hunt mentioned that Robbins really liked you? Mel Barnett. Here from Miami.
Alex: Ah, the new peds guy.
Mel: You're headed to...?
Alex: Uh, Hopkins, fellowship. Leaving tonight.
Mel: That's right. Great program. So is this, by the way. Hunt's been filling me in.
Alex: Oh, did he tell you about our exchange program yet? We brought over 32 kids from 5 different countries in Africa.
Mel: Hunt did mention the program, Dr. Karev. Admirable work, but I'm afraid, that it doesn't fit with my agenda.
Alex: We operate on sick orphans. How does that not fit your agenda?
Mel: Not to worry. I've already reached out to U.C.L.A. the program will continue, just... not here.
(FaceTiming each other)
Cristina: Hey, I wish you could see the surgery that I'm watching. It is a train wreck.
Meredith: So you're not gonna make it by 5:00. Do you want to FaceTime or Skype or something? It's kind of weird that you're not gonna be here.
Cristina: Oh. (turns iPad so Mer can see the surgery) He turned a port-cabg into a sternotomy.
Cristina: Why? Because this surgeon is 103. Because everyone in this frozen tundra is too damn polite to say, 'Hey, retire, old man, before you kill someone with your brittle, bony hands.'
Doctor: I'm sorry. Would you mind taking that outside? I'm trying to take notes.
Cristina: Yeah, well, there's nothing to learn here. He's just poking holes in a guy's pericardium. (Mer laughs) He'll never come off bypass.
Meredith: I just wish you were gonna be here.
Cristina: Owen e-mailed me today, wanted to make sure that I had people around me tonight. I don't know why everyone is so worked up about 5:00. I mean, Mark is still gonna be gorked no matter when my plane lands. Oh, for piss sake, he's doing another graft. Talk about lipstick on a pig.
Jackson (to Mark): And I finished the reconstruction we talked about on the young mastectomy patient, uh, and the result is full Sloan. I mean, she is gonna look A-Scale hotter than god intended. Uh, and grandpa's labs came back. Stable. Um, scarring is gonna be a problem, obviously. But the result is pretty good, considering. ... And you think we can do better. I don't know. Reconstruction? That's pretty radical for a guy his age. ... No, you're right. We can do better.
(Flashback to 2010)
Mark: You're going to thank me for this, Avery, when you've rewatched it for the 500th time trying to figure out how to line up your vertical mattress sutures as perfectly as I can. Now, pan up to my face. (Jackson points the camera up) You see that? Not a drop of sweat. You know why? Because I'm that good. Now go get scrubbed. You're gonna finish up here.
Jackson: Wait, really?
Mark: Hurry. Before I change my mind.
Callie: Any numbness or tingling around the median nerve?
Derek: Not-- I'm good to go, Torres. You did a great job.
Jo: I'm screwed. As long as Medusa's my attending I will never get to see the inside of an O.R.
Shane: Unless you're the patient. (Jo fake laughs)
Heather: Don't be alarmed but Medusa's walking over here.
Stephanie (to Jo): Depending on her mood, I might have to pretend like I don't know you.
Meredith (walks up): Good afternoon, everyone. As you all probably already know, we have a tradition here. The honor of performing your first surgery is reserved for the intern who shows the most promise. ... Dr. Wilson, (Jo chokes on her drink) congratulations, you're scrubbing in.
Stephanie (hands her a napkin): You got soda comin' out your nose.
Alex: You really doing the intern appy?
Jackson: He's too busy just doing the interns.
Meredith: Are you gonna say good-bye to your fan before you leave?
Alex: I've been saying good-bye all day. (laughs & knocks fists with Jackson)
Alex: They're gonna be sad to see me go. You may have to step up, Avery. Comfort them a little.
Jackson: No sloppy seconds for me, thank you.
Alex: You're a surgical fellow. Might as well enjoy the perks. Besides, you need to get laid. You haven't banged anybody since Lexie. (Mer & Jackson are silent and give him a look) Sorry, Mer.
Jackson: I-I have... banged people.
(FaceTiming each other)
Meredith: Guess what. I have a nickname. Medusa. I'm Medusa Grey.
Cristina: I had to push my flight tonight.
Meredith: Oh. Okay.
Cristina: It's not what you're thinking. It's not like last time or the time before that. My surgery got pushed. That's it. I'm on standby for a later flight.
Meredith: It's okay if you're not ready to fly.
Cristina: I said I'd come. I'll be there.
Meredith: Well, you won't make it by 5:00 anyway, so why push yourself?
Cristina: I will be there, Medusa.
Meredith: Oh, so you did hear me?
Cristina: I like it. Snakes in the hair-- Hot. Okay, bye.
Richard: Uh, the intern appy-- You got your guy?
Meredith: I have someone in mind.
Owen: Are you really wanna do this today?
Meredith: Especially today.
Bailey (walks up): Uh, Grey. Hey. Um, I need you to take my 3:00 lap chole.
Meredith: Oh, I can't. I have the intern appy.
Richard: Grey, living up to your nickname.
Meredith: Nickname? I have a nickname? (Richard clears his throat and looks away, Mer looks to Bailey)
Bailey: Uh, they call you Medusa... The serpent-haired monster who turns folks to stone. Hey, this is not a bad thing. You want to be the attending with the scary nickname. It keeps your residents in line. It strikes fear in their heart. Take it from the Nazi, it's good to be feared.
Richard: You retired the Nazi. They call you somethin' else now.
Bailey: They do?
Richard: They do.
(Flashback to 2007)
Callie (laying in bed, Mark is holding a camera): Okay, we're not doing this. (laughs) I'm not gonna be in one of your videos... So you can put it on your creepy bookcase with all your other creepy videos.
Mark (sets the camera up, and jumps on the bed): There's no bookcase. And I've never done this either, but trust me, what's about to happen, you're gonna wanna relieve over and over. (they kiss)
Callie: Mmm. One second. (throws a pillow at the camera and knocks it over)
(Flashback to 1994)
Derek: You are a terrible best man.
Mark: Addison's great. But one woman for the rest of your life? It's not what god intended. (Derek laughs) Especially for men who look like us. God intended for us many, many women, a staggering number of women.
Derek: I just hope that you didn't forget the rings.
Mark: Derek... You're lucky to have me. (Derek laughs) You will never, ever, find another friend as good as me, ever.
Callie (to Mark): I mean, he says he's ready and his nerve graft seems to be ready. So I guess today's the day he's gonna operate... with his brand-new hand. And it is gonna work. It's definitely gonna work. You think it's gonna work, right?
Derek (walks in): I thought I might find you in here.
Callie (sighs): I keep thinking that if I say something big enough or... shocking enough, he'll just-- He'll open his eyes. Seven hours until 5:00.
Derek (sighs): His directive was very specific. If, after 30 days, there are no signs of recovery, Mark wanted to be let go. That's all we're doing... honoring his wish.
Callie: I know, I just... (leans over Mark and whispers) Oh, god, it's so hot in here. I think I'm gonna take off my shirt. Oh, yeah, that's better. Oh, yeah, it's so much cooler with my boobs out.
Derek: Well, if that didn't wake him, I don't know what will.
Callie: Yeah. (walks out)
Derek: You always had to be the first.
Derek: Book an O.R we need to get in there and relieve the pressure as soon as possible.
Callie: Wait. 'We'? As in you and me?
Derek: It's no big deal.
Callie: Actually, it is. It's-- It's-- It's a very big deal.
Derek: I've been cleared for surgery for weeks.
Callie: Yeah, I know, 'cause I cleared you, but you said you weren't ready so--
Derek: Well, now I'm saying I am.
Callie: Wow. Okay.
Derek: Again, it's no big deal.
Meredith: It is a big deal.
Derek: I will be done long before 5:00.
Meredith: That's not the point. Why are you putting this pressure on yourself?
Derek: I've been practicing for weeks. I feel good. I just can't sit around looking at the clock.
Meredith: You really need to do this today?
Derek: Yeah, I do... Especially today.
Callie (sighs): Okay, what did I say about the staring? I'm fine, and even if I weren't, staring at me wouldn't make me more fine.
Nurse: I'm sorry, Dr. Torres. (walks off)
Callie: Really, Avery? You, too?
Jackson: Uh, no, not staring. Uh, definitely not.
Bailey (notices Jo staring at them): What's the problem?
Jo: I have these labs... for Dr. Grey.
Bailey: Well, then give them to her. (Jo walks over to them)
Meredith: I've been waiting for those for over an hour.
Jo: I had to do an additional--
Meredith: Stop making excuses.
Meredith: Stop apologizing.
Meredith: Stop talking. (Bailey smirks, Mer looks at the chart) His lactic acid is normal. What does that tell us? (Jo is silent) You can talk now.
Jo: That he's probably not septic, so he's gonna be fine. Although his white cell count is elevated so I should probably keep an eye on that. In fact, I will... keep an eye on that so that he doesn't go--
Meredith: Go to the pit and try not to kill anybody. (Jo walks away)
Bailey (chuckles): Impressive. I would've expected that level of intimidation from Yang maybe. Not you. How is Yang, by the way? Does she like Minnesota?
Meredith: She loves it.
Jo: Steph, I need a favor. I'll do your scut for a week-- Two weeks-- And before you say no, I just want to say that you look really pretty today. (Steph laughs) And you're the most talented intern in our class, and I'm in no way trying to butter you up so you don't say no.
Jo: You don't even know what I'm asking yet.
Stephanie: Yes, I do. I'm not going anywhere near Medusa for you. I want to live, so I will say it again-- No. (they turn the corner and see Mer & Bailey talking)
Jo: Nothing to be scared of. She's just an attending. We only call her Medusa because--
Stephanie: Because she's a monster of mythic proportions.
Original International Air Dates:
Canada: September 27, 2012 on CTV
Australia: October 2, 2012 on Channel 7
United Kingdom: November 7, 2012 on Sky Livng
Norway: December 11, 2012 on TV2
Germany: January 9, 2013 on ProSieben