Dr. Meredith Grey
Dr. Cristina Yang
Dr. Isobel "Izzie" Stevens
Dr. Alex Karev
Dr. George O'Malley
Dr. Miranda Bailey
In all reality, Jilly would have been shunned from her community like Rachel as soon as her parents arrived and learned what the surgery was for. The Amish see any surgery involving the reproductive system (this includes life threating cases and even necessary C-Sections) as sacrilegious and is guaranteed an automatic shunning from the community.
Izzie: You called your parents.
Jilly: I didn't know what else to do.
Izzie: And you sent them away because...?
Jilly: Rachel's my best friend, and after she was baptized, she decided to leave the community, which means she's shunned. I couldn't just let her go out into the world by herself.
Izzie: So you're shunned, too?
Jilly: No, because I hadn't been baptized yet, so I could still go back. But Rachel would never...
Izzie: Do you want to go back?
Jilly (pauses): I think about it. If I'm dying, I want an Amish funeral. I want to be buried in the white dress, and I want everybody to be there.
Izzie: It's your home.
Jilly (nods): But I made a promise to Rachel. Cradle to grave.
Izzie: Over the next few months, Jilly is going to go through a lot. Radiation, chemo. It's likely that her condition is going to get worse-- a lot worse-- and she's going to need a lot of help.
Rachel: Okay, well, um, can you give me the names of some doctors and medications? I want to be ready. I want to know everything so I can do this.
Izzie: Rachel... you can't be everything. It's too hard. Jilly has parents who love her. They love her, and they're still here, and she wants to go home.
Rachel: No, she doesn't.
Izzie: She called them, not me.
Izzie (nods): Jilly's dying.
Rachel: But I promised her! Cradle to grave. She's Jilly. I love her.
Izzie: It's possible that the very best thing you can do for her, if you love her, is let her go.
Rachel: Go home.
Rachel: They're your parents, and you love them, and they're still here. You know what a big deal it is for them to get on a plane. Go home, Jilly.
Jilly: I can't just leave you here.
Rachel: Yes, you can.
Rachel: You can go back home, and put on your bonnet. And you can get in the buggy and go to church, and get baptized. You can die Amish.
Jilly: No, I can't do that.
Rachel: Why? Because you'll have to shun me? Don't worry about me. I'll be living it up here with your curling iron, and your cable TV, and your entire DVD collection. I'll be okay here in the 21st century.
Jilly (near tears): I can't shun you.
Rachel: You can, and you will, and I won't take no for an answer. (they hug)
Izzie: How's your clinic going?
Bailey: Got my signatures. It's a start. The Seattle Grace Free Clinic will exist.
Izzie: The Denny Duquette Memorial Clinic.
Izzie: I have eight million dollars.
Bailey: Izzie Stevens... (Izzie smiles)
Bailey: You owe me.
Bailey: When you had that tremor, you cut me out of surgery after surgery. Made me feel like I was the one that couldn't do her job. You made me doubt myself. You owe me this.
Burke: You need someone who can provide leadership, direction to the project. I'm not that man.
Bailey: Not anymore. That's what you wanna believe.
Derek: You told Sloan.
Derek: Mark Sloan. You told him that the chief was stepping down and that I wanted the job.
Meredith: I didn't know that was a secret.
Derek; He was leaving, Meredith. He was leaving town.
Meredith: Okay. And now he's not?
Derek: No! No, he's not. You gave him a reason to stay.
Bailey: I'd like to open a free clinic.
Bailey: Because I want to...and I could use your support.
Derek: Ah, that kinda project requires logistical, strategic and administrative components. Some thing the chief does. Apparently I'm not cut out for that kinda work. So... you're gonna have to take it to somebody else.
Addison (sighs): I kissed Karev.
Callie (tiredly): George has become a sex machine.
Meredith: It's so sad. She's not talking to him. He's not talking to her.
Derek: He said that when he retired, I would become chief. Oh, no, no, no, he asks Burke.
Meredith: I don't think they're gonna make it.
Derek: He said, "Shep, you're my man." Not Burke.
Meredith: How can two people be in a relationship and not talk?
Derek: I am supposed to be chief.
George: I don't want to waste another minute.
Callie: I can't have sex with you again, George. Okay? I can't- I just- I- Enough with the sex.
George: Since my dad died, I feel like someone ripped out my stomach, filled the hole with asphalt. I laugh everytime I remember I'm never going to talk to him again because it just sounds like the stupidest thing I've ever heard. I can't believe it's real. But everytime I look at you- I feel better. It shocks me. It knocks my wind out, but it's true. I don't have to have sex with you, I'd be happy just look at you from across the room. And even that, anything, any piece of you. And, hopefully, all of you... that'd be the best thing. Because I love you.
George (gets on one knee): Marry me? Will you marry me?
Derek: I was a jerk. sometimes boyfriends can be jerks... It doesn't mean you stop talking to them... You get that I'm saying I'm sorry, right?
Meredith: You yelled at me for no reason, and you walked away, and now you show up here.
Derek: Of course I showed up. Why wouldn't I? You don't trust me?
Meredith: I do.
Derek: Well, this is how it works. You fight sometimes, and somebody apologizes.
Meredith: Well, how am I supposed to do that?
Derek: You've never done this before.
Meredith: No, I've never done this before.
Derek: Hmm... Okay... Alright... Well, this is... From now on you can expect, that I'm gonna show up. Even if I yell, even if you yell. I'm always gonna show up. Okay?
Meredith: Okay. (they kiss, and hug each other) You are gonna make an excellent chief.
Addison: He's really doing it. He's really stepping down.
Mark: One of us could be the next chief.
Burke: No, no, no. (motioning to Addison, Derek, and himself) One of us could be next chief, not you.
Mark: I could be chief!
Addison: Mark Sloan, Chief of Medical Surgery. Y'know, it makes me vomit a little in my mouth. (Bailey walks up)
Bailey: These are your letters of support (hands out folders) for my free clinic. Sign them!
Burke: Why do you want this clinic so badly?
Derek: You're a surgeon.
Bailey: Because I need something more! I know you all have your messy lovelives and your secrets and your silliness but I want more. I, need something to hold on to. I need a reason to believe that medicine could do more than stitch you up and send you away. I need to believe that medicine cannot only save lives but change lives. I need (attendings looking and listening attentively to Bailey). I need (pauses) to believe in something the way I used to believe in you all. (all four still looking at Bailey) Sign the papers! Sign the papers! (they sign them)
Derek: You still need funding. (Bailey walks away) Nazi's back.
Meredith (opening voiceover): No one believes their life will turn out just kind of okay, we all think we're going to be great; and from the day we decide to be surgeons we are filled with expectation. Expectations of the trails we will blaze, the people we will help, the difference we will make. Great Expectations of who we will be, where we will go; and then, we get there.
Meredith (closing voiceover): We all think we're going to be great. And we feel a little bit robbed when our expectations aren't met. But sometimes, our expectations sell us short. Sometimes the expected simply pales in comparison to the unexpected. You gotta wonder why we cling to our expectations because the expected is just what keeps us steady, standing, still. The expected's just the beginning. The unexpected is what changes our lives.
Cristina: I was right. I swear, I really believe what I did was right. I -- I don't want you to forgive me. Frankly, I'd find it patronizing if you did because while I know I was right, you think I'm wrong, which doesn't matter because I'm in this. I'm in this for the long haul, and I'm in this to finish the race. So if that means I don't win this one, then fine, I don't win. You win. I'm talking. See? I'm talking first. You win.
Burke: Marry me.
Izzie: I'm sorry.
George: Why--? I'm angry. What's wrong with having a lot of sex if it makes me feel better?
Izzie: Do you.. feel better?
George: You know how you felt when you were lying on the bathroom floor?
Izzie: Maybe you're not supposed to feel better.
George: Iz, you can't help me. I know you want to but you can't. You can't help me.
Izzie: I have to let you go.
Izzie (tearfully): Just one last thing. (she hugs him) Life is short, George. Life is short and it sucks a lot of the time. If being with Callie makes you happy, then go be with Callie.
Bailey: You didn't think of maybe telling me this morning, that you were planning to step down instead of sending me on this wild goose chase?
Richard: Dr. Bailey, you need those clowns to sign off on your proposal because one of them may be chief of surgery in a month. It's hard to imagine, for me more than anyone, but since you're not ready for the job, one of them's going to have to do it for the next few years.
Richard: It's you in the chair eventually. That's who you are. But you're gonna have to get a new chair because you're short. You have short legs. But someday you are going to be chief of surgery. I wasn't sending you on a wild goose chase. I was trying to get you in the habit of doing things without me.
Cristina (about Steve): He was in it to win. I can understand that.
Richard: You can, can you?
Cristina: Well, surgery is the most competitive field in medicine. We're all here to win.
Richard: It's a long road, Dr. Yang, and when you get to the end of it you're not going to care about winning. You're just going to be relieved you made it to the finish line.
Cristina: Have you done that before?
Callie: Slice a guy's legs open while he's awake? No.
Callie: You too. Not that we're, uh, friends or anything.
Cristina: So you said I should be concerned -- about George.
Callie: He doesn't -- he doesn't talk about his dad. We don't talk about anything really. He just--
Cristina: Talking's overrated.
Callie: Oh, so you and Burke still aren't-- George told me.
Cristina: Well, see, you talked about that.
Callie: Yeah, a week ago. If this keeps up, you and Burke might be the very last thing we ever talk about. So, what's the last thing you and Burke talked about? Silence is overrated.
Derek: Rumor has it you're headed back to New York.
Mark: Where'd you hear that?
Derek: Good news travels fast. Actually, I was gonna ask you to scrub in on a peripheral nerve reconstruction. But since it's your last day --
Mark: It isn't and I'd love to.
Derek: What? But I thought --
Mark: Well, I was going but now I'm not. Rumor has it there's a race for chief.
Derek: Where'd you hear that?
Mark: Good news travels fast especially when you have a chatty girlfriend. Anyway, see you at the finish line.
Alex: You kissed me and ever since you've been avoiding me.
Alex: Look, you've been avoiding me because you just assume that I want you. I mean, you just expect that everyone you look at sideways is pining after you. Right? Has it even occurred to you that maybe I'm not interested?
Addison: You're not interested?
Alex: You think I want to be just another intern sleeping with an attending?
Addison: You kissed me back.
Alex: You're my boss. I mean, what'd you expect me to do? Look, Sloan's had me changing bandages all day and I would way rather be scrubbing in on one of your surgeries. And if you keep avoiding me then I don't get to scrub in. So stop avoiding me. It happened but it doesn't have to happen again.
Addison: All right.
Alex: All right.
Derek: When Richard asked you to come out here, what did he use for bait?
Addison: He told me that I would have the foremost neonatal unit west of Manhattan.
Derek: Okay, he didn't say anything about being chief?
Addison: Why? What do you know?
Derek: Nothing. I know what you know.
Addison: You're lying.
Addison: I'm busy now, Karev.
Alex (loudly): When you get a minute, I'd like to talk about the kissing.
Meredith: You're quitting?
Mark: As soon as I find the chief and hand him my letter of resignation.
Mark: I hate it here. I hate the town. I hate the weather. I hate the people. They're mean. They're unforgiving.
Meredith: Uh huh. The people of Seattle are unforgiving or Derek and Addison?
Mark: What's your point?
Meredith: What about your contract?
Mark: My non-binding verbal agreement with Richard? Yeah, I'm breaking that.
Meredith: Well, it's not as if he's gonna be around to enforce it so...
Mark: What do 'ya mean?
Meredith: Rumor has it he's stepping down.
Mark: The chief? (Meredith nods) Well, who's gonna take his place?
Meredith: What do you care? You're leaving anyway.
Izzie: I'm here if you want to talk. I know you're sad.
George: I don't want to talk about that.
Izzie: George, I'm your best friend. I'm trying to help you.
George: Why are you making this about you?
Izzie: It's not about me. It's about me wanting to talk about you needing so much sex your girlfriend's vagina is broken.
Callie: How's George?
Cristina: Dealing, I guess.
Callie: Oh, well, he sure has a voracious appetite.
Cristina: You know, some people bake, others eat.
Callie: No, no, no I don't mean that appetite I mean the other appetite.
Cristina: Oh, okay, uh, we are not friends, you and I. We're not friends so please don't talk to me about what George eats.
Callie: Okay, I was just concerned and I thought you'd be concerned. But you know what? Forget it. I don't like you.
Cristina (sarcastically): Oh, now my feelings are hurt.
Mark: He's gonna need to be debrided, have his dressings changed and be repositioned every two hours.
Meredith: Every two hours? By the time we finish we'll just have to start again.
Mark: I'm crying on the inside.
Alex: Can't the nurse's help?
Mark: They could but I like nurses. They're helpful and smart and already good at their jobs. So as a going away gift to them, I'm gonna let you hang with Jim while I go do one last rhinoplasty at Seattle Grace. I do like to leave the city just a little bit prettier than when I came.
Jilly: You don't have to stay here if you don't --
Rachel: Of course I'm staying. We do everything together. We might as well do this.
Jilly: Rachel and I were born two days apart.
Izzie: It's nice that your friendship has stayed so strong.
Rachel: Cradle to grave, right?
Jilly: Cradle to grave.
Derek; Chief! I gotta talk to the Chief.
Bailey: And so do I. And I was here first.
Richard: I have a meeting to get to, a very important meeting.
Bailey: I'll talk quickly.
Richard: Get in too, Shep, if you can make it fast.
Derek: Mine's not fast. Mine is epic.
Richard: Then we'll have to talk later. (elevator doors close on Derek)
Bailey: Why're you wearing a tie? And why you smilin' like that?
Izzie: Last I heard, perpetual sex was not one of the five stages of grief. But denial is.
George: That's not what I'm -- you shouldn't be listening at other people's doors.
Izzie: You were in the hallway naked. I saw you.
George: Oh, I blocked that out.
Izzie: Denial. Dr. Montogmery, is sex another form of denial?
Addison (suspiciously): What? What do you know?
George (apprehensively): That you have a G.Y.N. patient in here that you want us to see.
Addison: That's right. That's right I do.
Izzie: George has turned into a sex machine. Are you hearing me? A machine of sex. We have to do something. What's wrong with you people?
Meredith: Derek kept me up all night with his ranting. Cristina and Burke still are not speaking to each other.
Cristina: Okay, you know what? I'm fine. I'm just not gonna be the first one talking. I mean he has to talk 'cause I'm in the right. Talking first is for losers. I'm winning.
Meredith: And Alex -- I don't know what's wrong with Alex.
Alex: I'm good. I'm all good.
Izzie: Let me just remind you that I'm still recovering from the death of my fiance, the demise of my surgical career, the fact that I was forced to deposit an eight million dollar check that I'm saving for a good cause even though I haven't found a good cause. And I'm the only one here under the care of a shrink. I could blow any minute. Now, George's dad has died and it has turned him into a sex machine and I'm going to need a little help with that. So one of you better pull it together.
George (walks up): Hey, anyone seen Callie? I kinda need to find her for something.
Callie (frantically): Oh, thank God you're here. I can't take anymore. Three times already tonight and he's getting ready for a fourth.
Izzie: Are you talking about..? Oh. Ew.
Callie: You know, I'd get it if he were crying or depressed and I know we all deal in different ways but this is not grieving. This is my legs being bent in ways my legs do not go. And I know, I know his dad died. I get it. I feel horrible for him but ow, ow, ow, okay?
Izzie: I'm gonna give you guys some privacy.
Callie: No, you stay. You take over for me, okay?
Izzie: Callie Torres!
Callie: No, I don't -- not like that. I am giving him to you. You are now officially on George Watch 2007, okay? You are his friend. Yay! I need a break. I need to heal.
Burke: Meredith. Would you like seconds?
Meredith: Maybe Cristina would like some. (to Cristina) Cristina, would you like some?
Burke: I only made enough for three.
Meredith: You just said there were seconds.
Derek: This isn't at all awkward.
Meredith: You know, we can go and you two can talk.
Burke and Cristina: We're talking!
Meredith: To each other. (to Burke) You're enjoying your meal at the International House of Silence. Burke, you have to feed Cristina. She doesn't cook and she will starve to death.
Cristina: I have cereal!
Meredith: You two live together, someone has to be the first to speak.
Burke: I am giving a dinner party. If she wants to sit there, she can sit there. Let's just enjoy our evening and talk about something else.
Derek: I heard a crazy rumor today from one of the scrub nurses that Richard was retiring.
Burke: Mmm. That's an interesting rumor. (Cristina scoffs)
Derek: What? It's true? Richard's gonna name a new chief of surgery?
Cristina: He asked Burke. But Burke took himself out of the running, which apparently is my fault for being a part of the team.
Derek: He asked you?
Burke: Who wants dessert?
Czech Republic: Velká očekávání (Great Expectations)
Germany: Hohe Erwartungen (Great Expectations)
This episode was previously titled as Always Something There to Remind Me.
Original International Air Dates:
The Netherlands: April 2, 2007 on Net 5
Italy: April 30, 2007 on Foxlife
New Zealand: May 3rd, 2007 on TV2
Australia: May 27th, 2007 on Channel 7
Switzerland: June 4, 2007 on SF 2
Israel: June 4, 2007 on Yes Stars 1
Great Britain: August 9, 2007 on Livingtv
Germany: September 5th, 2007 on Pro7
Ireland: September 11th, 2007 on RTÉ Two
Norway: November 6, 2007 on TV2
Finland: November 21, 2007 on Nelonen
Croatia: December 3, 2007 on NOVA TV
Romania: April 15, 2008 on TVR1
Music Featured In This Episode:
1. Enchantment by Lily Frost plays when Burke has Derek and Meredith to a dinner party at his house and Cristina sits in the kitchen counter tossing cereal into her mouth and drinking wine from a bottle
2. Ships by Umbrellas plays when Callie, Cristina and Richard operate on a patient. Derek yells at Meredith about telling Sloan about the chief. Bailey asks Burke for help. Izzie talks to Rachel about letting go of Jilly who is going to die of a disease
3. Love Show by Skye plays when Addison invites Alex to a surgery. Meredith and Derek fight, but make up. Cristina and Burke make up. George and Callie make up.
Former Episode Title: Always Something There To Remind Me
This is a 1960s song written by Burt Bacharach and Hal David. Among others performed by Lou Johnson and Sandie Shaw.
Episode Title: Great Expectations
This is the title of a book by Charles Dickens about an orphan. This is also the title of a song by KISS.
User Score: 8962
User Score: 4030
User Score: 717
User Score: 659
User Score: 588
User Score: 497
User Score: 399
User Score: 319
User Score: 315
User Score: 295
User Score: 285
User Score: 198
User Score: 193
User Score: 188
User Score: 149
User Score: 147
User Score: 138
User Score: 131
User Score: 128
User Score: 118