Dr. Meredith Grey
Dr. Cristina Yang
Dr. Isobel "Izzie" Stevens
Dr. Alex Karev
Dr. Miranda Bailey
Dr. Richard Webber
Dr. Katharine Wyatt
When Lexie catches Derek and Meredith in the kitchen, if you look at the crack in the door you can see that Derek is wearing pants. So why would he have to stand behind the door if he had pants on?
The scene with Derek and Bailey in the elevator is reminiscent of one of the final scenes of "Into You Like a Train", only with Derek now comforting Bailey. The same song, "Today Has Been Okay" by Emiliana Torrini, also plays again in this scene.
The closing narration was done not only by Meredith, but by every regular character. This has been done before in the second season finale.
Richard: I know you all have heard a lot of rumors, and I'm sorry for that. What I'm about to say will be hard to hear, and I'm sorry for that as well. The economic climate is... well, you all know what it is. In the coming weeks Seattle Grace Hospital will be merging with Mercy West. I wish I could tell you you'll all survive the merger, but there are only so many jobs. And the board and I have some tough choices to make. I'm on your side, people. I'm rooting for every one of you. All I can say is please, be at your very best.
Cristina (after she and Owen have sex): George O'Malley died. (starts crying)
Derek (as they get on the elevator): Miranda. (the doors close, Derek stops the elevator and steps in front of her and looks at her)
Bailey: Look, I am an attending. And, I am a single mother. And I lost O'Malley... and um, I just can't.... I can't care anymore. Stevens is not my child. O'Malley was not my child. I have to stop treating them... I just have to stop caring so much. (starts to cry) 'Cause I can't keep feeling... feeling like this. Not at work. I have to save the feeling for my son, who needs it. I just can't keep giving it away here. (composes herself) I can't. I won't. (Derek starts the elevator again)
Lexie: Grief may be a thing we all have in common, but it looks different on everyone.
Mark: It isn't just death we have to grieve. It's life. It's loss. It's change.
Alex: And when we wonder why it has to suck so much sometimes, has to hurt so bad. The thing we gotta try to remember is that it can turn on a dime.
Izzie: That's how you stay alive. When it hurts so much you can't breathe, that's how you survive.
Derek: By remembering that one day, somehow, impossibly, you won't feel this way. It won't hurt this much.
Bailey: Grief comes in its own time for everyone, in its own way.
Owen: So the best we can do, the best anyone can do, is try for honesty.
Meredith: The really crappy thing, the very worst part of grief is that you can't control it.
Arizona: The best we can do is try to let ourselves feel it when it comes.
Callie: And let it go when we can.
Meredith: The very worst part is that the minute you think you're past it, it starts all over again.
Cristina: And always, every time, it takes your breath away.
Meredith: There are five stages of grief. They look different on all of us, but there are always five.
Cristina: I... I can't get back on Bailey's service. I mean, she's still not even looking at me.
Owen: Cristina, give it time. I mean, you know, she was closer to O'Malley and she has more...
Cristina: Yeah, I know but she's... it's not even about O'Malley. She's mad at me about ceviche.
Owen (laughs): You've gotta stop that.
Dr. Wyatt: Ceviche?
Cristina: It's a patient.
Owen: Uh, a boating accident victim. She thinks that it's okay to call her a seafood dish. Is that okay?
Dr. Wyatt: Well, it's pretty dark.
Cristina: Oh, come on. I'm dark? I'm not the one going around choking people in their sleep. (Owen and Cristina laugh, then their expressions turn serious) Too soon?
Owen: I'm not the guy going around choking people in their sleep.
Cristina: I know.
Owen: It was a dream. I... I can't remember what I was dreaming about but... I was trying to save my own life. I wasn't trying to hurt you. I... I was fighting for my life.
Cristina (long pause): Okay.
Dr. Wyatt: You made a start. You made a start.
Izzie: Are we waiting for Dr. Swender?
Resident: No, Dr. Swender has handed you off to me.
Alex: Wh-What are you like... second year?
Izzie: That's.. um... Can we page Dr. Swender?
Bailey: Stevens, this is a good thing.
Resident: It is. You still have cancer, but not enough to interest Dr. Swender anymore. It is a good thing.
Izzie: You're saying that I have JV cancer?
Resident: I'm saying your METS have shrunk way down. And there are no new ones. Your protocol's working very effectively. (Alex and Izzie are silent)
Bailey: Stevens, this is about as good as the news gets.
Izzie: So, uh... what-- what now?
Resident: We're gonna use the port in your chest to continue with your IL2 regimen, for now. And we'll continue to monitor the progression of your disease with PET scans every 3 to 6 months.
Alex: Is there some kind of time line on this. Or...
Resident: Your wife is living with cancer, Dr Karev. Right now, the cancer has stopped growing. With a cancer this aggressive, that's a pretty stunning success. There's no time line. There's just... We watch it. We wait. We hope it doesn't start to grow again.
Izzie: That's it?
Resident: That's it.
Derek: I'm sorry?
Arizona: I get it now... the whole, y'know, McDreamy thing. I didn't get it before, but now... I totally get it. You know they call you that, right?
Arizona: I'm involved, by the way. In case you thought I was coming on to you just now, which I was not. Plus I heard you got married, by the way. So, congratulations!
Derek: Yes, thank you.
Alex: He wrote some hokey crap on a post-it note in the residents' lounge. Sorry but until you're sweating it out in a morning coat, you're not really married.
Derek (laughs): I've consummated mine. I consummate mine all the time. How's that going for you, Karev? Girls talk. You might want to think about that the next time you criticize my post-it.
Arizona: Do you have a minute?
Derek: For what?
Arizona: Kid with a tethered spinal cord. (hands him the MRI) I just sat up in the middle of the night and thought "tethered spinal cord." But you're not gonna see it on there. I need to run another test to confirm the diagnosis.
Derek: A tethered cord's pretty rare. Does he have a history of spina bifida?
Derek: Lower back lesions, hyperlexia?
Arizona: No and no. But the pain is aggravated when he extends and flexes his spine. (Derek goes to say something) And I know what you're gonna say... That the tethered cord should've show up on the MRI. But what if it didn't? What if what this kid needs is not another MRI but a much more specific CT myelogram?
Derek: Maybe. Order one.
Arizona: Now, well, see, I can't, because if I did... I would get fired. And I really like my job.
Derek: Did the Chief deny that request?
Arizona: Several times.
Derek: You should've led with the part about the Chief. Come on.
Derek: You're a hard man to track down.
Richard: I'm busy, as you know.
Derek: Yeah, scoping out Mercy West. You planning on jumping ship? 'Cause I assume as a friend you would tell me if there's anything I need to know.
Richard: Those are rumors, Derek.
Derek: There are a lot of rumors, and Jennings isn't answering my calls anymore.
Richard: Why are you calling Jennings, Derek? I told you I would fill you in when there was something to tell. If you feel the need to go behind my back, at least do...
Derek: Behind your back? Behind your back?! I'm the one whose got your back. Don't you forget that.
Callie (walks in their apartment): Oh, hey, is Mark around?
Lexie: He's in the shower.
Callie: Oh, thanks. (walks in the bathroom as Mark's in the shower) Hey, have you heard anything about what's happening with the chief? There's all these rumors floating around Mercy West like he might be coming to work for us. That would not go well for me.
Mark: I haven't heard anything. I'll check with Derek again. (Callie turns to leave) Can you hand me the shampoo? (Callie does so) Thank you.
Callie: Mmhmm. (walks out of the bathroom, as Lexie stands there in shock, Lexie follows)
Lexie: Are you really gay? Like, how gay are you? On a scale of 1 to gay? 'Cause that's my boyfriend in the shower. My hot, hot, naked boyfriend and I... How gay are you?
Callie (laughs): I'm sorry. It's... I've known Mark a while and... But, I'll try not to do that again. The naked in the shower thing.
Lexie: Or, the you half naked in the hallway thing.... Cause... cause even if you really are gay. He's not, and you're hot.
Callie: He doesn't look at my boobs anymore. The first thing he used to look at when I walked into anywhere, was my boobs. He doesn't look anymore. Not since he met you. (smiles) Okay?
Lexie (smiles): Okay.
Izzie: Whatcha reading?
Alex: I have this patient I'm trying to diagnose. It's driving me nuts.
Izzie: So take a break, I miss you.
Alex: I'm right here.
Izzie: No, you're not. You're here, but you're not here. And I miss you.
Alex: Iz, come on. I'm trying to work.
Izzie: ...I'm wishing for a brain tumor. I'm wishing all the time for a giant tumor that would just press down on my brain and make me hallucinate George. So that I could talk to him again, so I could laugh with him again. I... miss him so much. I miss him all the time, and I just want to feel better. Even for a minute you know, I just want to be a person who isn't wishing for a brain tumor. Just for one minute. And, I can't drink because of the cancer meds, I don't do drugs, I can't even work right now. I don't have any distractions. I'm sad, and I miss George. So please, please, come inside and help me feel better.
Alex: "I miss George". Nice. Real seductive.
Derek (after Lexie walks in the kitchen and sees them having sex): Oh God!
Lexie (immediatly walks out): Sorry. Sorry.
Derek (pokes his head out of the kitchen door): Just... ah... Sorry. Sorry, we're sorry.
Meredith (giggles): Sorry!
Derek: Sorry, we'll clean the counter top.
Lexie (keeping her eyes closed): Oh, uh... you didn't used to do this before and now it's kind of all the time. Everywhere and I just...
Derek: Well, you know, it's... we're married now and things have changed a little. But, ah, we're sorry about the counter top.
Lexie: Ah, so you guys are. You're really, that it? The post it? That's for real?
Derek: Yeah. That's for real. (closes the door and goes back to Meredith who giggles)
Lexie (disgusted): Ugh!
Arizona: Oh, I have wine. White and Red, and I have cigarettes. Which is awful I know, but I only smoke on very rare, very occasionally. And, only when I know I'm gonna be in trouble. Like now.
Callie: It was inappropriate. Not to mention manipulative and stupid. You smoke?
Arizona: I know. Listen, I know you have every right to be mad at me but I ran out of options. So...
Callie: It's an expensive test, there was no indication to do it, there was a reason Webber turned you down.
Arizona: So you didn't do it?
Callie: Of course I did it, Arizona.
Arizona: Thank you.
Mark: More suits? It's freaking people out. There's talk of downsizing, corporate take overs, rumors that Webber's jumping ship. You've got the Chief's ear. What's he got planned?
Derek: He's retiring. They're making me Chief.
Mark: I mean, the Chief never said anything to me. I would have fought you hard for that. Well, hell, I guess if that's what he wants, I guess congratulations are in order. (Derek laughs) Wait... that was... You're messing with me!
Derek: It's just too easy.
Mark: Oh, you've got a mean streak. You know that? Mean! Seriously, what's going on?
Derek: I have no idea.
Cristina: She asked me a question, I was right to answer it. I did my job. A patient asked me to disclose the risks of a surgical procedure and I am required by law and my oath to do so. If you know a way to sugar coat a colostomy bag I would like to hear it.
Bailey: If you know a more respectful way to speak to an attending surgeon I'd like to hear that. Until you do, you don't talk to me. You're off my service!
Cristina (doing surgery on Clara): That's a lot of neucrotic small bowel.
Lexie: Can you save any of it?
Bailey: Yesterday I could have. Yesterday this would have been a simple drainage but that was before Dr. Yang threatened my patient with a colostomy that, thankfully will not be necessary because it did not actually involve the colon.
Cristina: How can I help?
Bailey: Oh, you've done enough.
Cristina: Ah, he trained at Northwestern, and then at Harvard. He grew up like, 5 miles away from here. Um, not rich, not poor. Comfortable. And, well loved by his parents. But um, itching to do something more with his life. Which is when he enlisted at the age of...
Owen: Cristina, this is not a book report.
Cristina: I'm trying to explain to Dr. Wyatt that I know things about you.
Dr. Wyatt: Cristina...
Cristina: No, wait, wait. He knows things about me, too. If that's what you're gonna say, because we talk. We talk all the time. ... Honey?
Owen (laughs): 'Honey'?
Dr. Wyatt: Cristina, let me be clear. It's not just that I want the two of you to get to know each other, it's that I want Owen to feel comfortable with you.
Cristina: Oh, he is comfortable with me.
Owen (to Dr. Wyatt): It's fine. You can talk to her, it's fine.
Dr. Wyatt: Okay. Cristina, um, he talks to you. He's comfortable with you. Does he talk to you about his trauma? Does Owen talk to you about the war? Does he talk to you about the incident between you two? The choking? Owen's post traumatic stress is fed by his avoidance of talking about anything in the war. In order to improve, to heal, he's going to have to start talking about it. To you and to me. And, my concern is, if you get lost in the lust of it all... he won't have to make a start. He won't have any reason to. He'll feel that he has everything he needs, until he doesn't. So, I'm asking you to wait.
Cristina: These are good! Do they sell these in the cafeteria?
Izzie: No, those are the cancer pops.
Cristina: Why do cancer people get all the fun? (Mer and Izzie roll their eyes at her)
Meredith: How do you feel, Izz?
Izzie: I'm not looking forward to the hurling that's about to happen, but I feel okay. I feel good.
Cristina: Bailey's on some sort of rampage. I think it's Post-O'Malley Stress Disorder. (laughs)
Meredith: She's not dealing with her grief.
Cristina: You sound like Owen's shrink.
Meredith: Owen's shrink is withholding sex, so she is grumpy and inappropriate.
Izzie: Is Derek doing that, too? Withholding sex?
Meredith: Why would Derek withhold sex?
Izzie: Alex is withholding... everything. It's like he's afraid, but I don't know what afraid of.
Cristina: He's afraid of the cancer sex.
Cristina: He doesn't wanna end up with a cancer pop.
Izzie: Just shut the hell up. I'm not contagious, Cristina.
Cristina: I know that. I would totally have sex with you.
Mark: Really? Nothing?
Mark: You don't even want a drawer?
Mark: How about a toothbrush? A change of panties?
Mark: Damn, I like your panties.
Lexie: I'm trying to focus. I'm becoming a resident today. I need to focus.
Mark: I'm right across the street from the hospital. If you crash here sometimes, you get a jump on a lot of surgeries.
Callie (coming out of her apartment, holding two dresses): Okay, okay. Which one? It's my first day at Mercy West and I wanna look nice, you know. Serious, talented, hardcore, not someone you can push around. Nice, but hot... like me.
Mark (nods to one she's holding): That one.
Callie (looks down at the one she's wearing): Really? I thought this one.
Mark: Mm-mmm. Too hot. Better for a date. That one.
Callie: Okay. (throws the dresses she's holding at Lexie, who looks uncomfortable) Here, take-- (she takes off the dress she's wearing, throws it at Lexie to hold, and changes into the other one while Mark is there) Okay. Less hot?
Mark: Less hot.
Callie: Okay, okay, good. Wish me luck, or not luck since I'm all talented and hardcore.
Mark: You're an attending, Torres. Go kick some ass. (Callie smiles as she walks back into her apartment)
Lexie: So um... did you forget to mention that your hot, hardcore, ex-sex friend lives right across the hall?
Mark: Did I?
Lexie: Yeah! Yeah, you did
Bailey: Where do you get off killing my patients, Yang?
Bailey: When you take it upon yourself to talk that girl out of a life saving surgery, you're killing her.
Cristina: I didn't talk her... She had questions about the surgery. You left the room.
Bailey: N-No, I left the room to give a very fragile, very distraught patient time and space to accept what's being asked of her. Then and only then would I have discussed the possible risks, with I'm certain, more tact and sensitivity than you've ever displayed in all the time that I've known you.
Cristina: She asked...
Bailey: No! I don't care what she asked you, and if she asked you anything else you're only answer will be "Let me ask my Attending."
Alex: Chief, this kid has been in the hospital 4 times in the last 3 weeks. Because the pain meds aren't working. Why can't we just--
Richard: 5,000 dollars, Karev.
Richard: That's how much either you or Dr. Robbins will have to put up in order to cover that scan. Otherwise, you can come with me to my board meeting this afternoon and explain why you're running this hospital like it's a charity. (walks off)
Alex: Dude, are you crying?
Arizona: I have authority issues. Walk away, Karev.
Meredith (opening voiceover): The dictionary defines grief as keen mental suffering or distress over affliction or loss; sharp sorrow; painful regret. As surgeons, as scientists, we're taught to learn from and rely on books, on definitions, on definitives. But in life, strict definitions rarely apply. In life, grief can look like a lot of things that bear little resemblance to sharp sorrow.
Meredith: I haven't cried yet. I'm using work and sex as a distraction and I think it's working for me. Have you seen the girl, Amanda sitting outside the hospital on that bench all day long? And--
Cristina: I miss sex. Ugh! I miss it so much. (Mer just shakes her and walks out) What? Mer?
Lexie (walks in): I'm worried about Clara. She's depressed, but like a whole new level of depressed. I don't know what to do.
Cristina: Are you talking about Ceviche?
Lexie: That... (Cristina makes chopping noises, and makes chopping motions on her body) Oh my god! That's... that is so rude. Ceviche? That is so... that... it... th-that's rude. That is so rude! (walks out)
Cristina: What, anyone else I can offend?
Owen (after they were making out on Cristina's bed): I don't want to hurt you again. My problems, they're real. And this, this makes us real. It makes my problems your problems. I'm afraid. I don't want to hurt you again.
Cristina: You can sleep in the bathtub.
Owen: What? (Cristina kisses him again)
Alex (walks in and sees candles lit everywhere): What is this?
Izzie: Take off your pants.
Alex: Iz, it's uh...
Izzie: Be my husband. Get undressed, get into bed, and hold me. I don't know what you're so mad about, and I don't know what you're so scared of, because you won't talk to me, but I'm scared too, Alex, and I can't...if you won't... If we're gonna have any chance at a life together, then I need you... please. (she puts her hand on his cheek, and he pulls it back down)
Alex: Iz, you died in my arms. You died in my arms! You freaking died, and then you left instructions that I wasn't allowed to save your life! You want to know what I'm scared of? I'm scared of everything! I'm scared to move! I'm scared to breathe! I'm scared to touch you! I can't lose you. I won't survive, and that's your fault. You made me love you. You made me let you in, and then you freaking died in my arms! (she rests her forehead on his, then kisses him)
Izzie: I didn't expect this. They say cancer, they say stage 4, you expect to die. And then you start thinking, well maybe I can kick it. Maybe I'll be the miracle.
Meredith: Well, you are the miracle.
Izzie: I'm still living with the cancer, y'know, I just... you don't expect that. (looks over and sees Amanda sitting on a bench) Isn't that the girl George saved?
Meredith: Oh. Amanda. Yeah.
Izzie: What is she doing here?
Meredith: She sits there, every day, all day.
Izzie: For God's sakes. (stands up and walks over to Amanda)
Izzie (to Amanda): Get up. I mean it, get up. Get up! (Amanda stands up) Now go get a life.
Amanda: I can't.
Izzie: George was a surgeon. He had a purpose. He wanted to save lives, and now he doesn't get the chance. Now he doesn't get the chance to do anything anymore, but you do. You could go to medical school, you know? You could hang out with your freaking friends. I don't care what you do. Just go do something with your life, because you have one! You lived! You lived, and George didn't, and I know, I...I know that, that feels horrible, and shocking, and terrifying, but you lived. ... So go live your freaking life.
Amanda (tears streaming down her face): I...I don't know how.
Izzie: Nobody does! Nobody knows how. But God, have enough respect for George to figure it out, because if I see you sitting on this bench ever again, I will kick your ass from here to Sunday! (long silence, Amanda picks up her purse and leaves)
International Episode Titles:
Czech Republic: Sbohem (Goodbye)
Original International Air Dates:
Latin America: November 9, 2009 on Sony Entertainment Television (a.k.a. Canal Sony)
Finland: November 11, 2009 on Nelonen
The Netherlands: November 30, 2009 on Net5
Australia: February 2, 2010 on Channel 7
Germany: March 31, 2010 on ProSieben
Norway: August 10, 2010 on TV2
Czech Republic: June 27, 2011 on Prima LOVE
Music Featured In This Episode:
1. Ghosts by Fanfarlo
2. Hologram by Katie Herzig
3. Gravity by Lucy Schwartz
4. Today Has Been OK by Emiliana Torrini
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