Dr. Meredith Grey
Dr. Cristina Yang
Dr. Isobel "Izzie" Stevens
Dr. Alex Karev
Dr. George O'Malley
Dr. Miranda Bailey
Dr. Addison Montgomery-Shepherd
When the interns arrive back at the hospital to deal with the train wreck, Tyler (the nurse) tells Meredith that Joe said McSteamy stopped by looking for her. At this point, "McSteamy", or Mark Sloan, was not yet on the show and McSteamy was actually referring to McDreamy, or Derek.
(Meredith is still drunk)
Meredith: Ow. Ow. Ow.
Izzie (pulls back curtain): What are you doing?
Meredith: Trying to insert my banana bag which sounds vaguely dirty, but it isn't.
Izzie (pulls the curtain shut): I'll do it.
Meredith: So, how's going with Addison? Bad mood? Good mood? Yay my husband picked me mood?
Izzie: Ah I think it's the more of the 'I hate the smell of charred flesh mood'.
Meredith: Before you judge me. I know there was a train accident. People are very badly hurt. And that I'm a vapid narcissist when you mix me with alcohol. (Izzie smiles) Incase you were wondering. I know that.
Izzie: For what it's worth, I take issue with her salmon colored scrubs. I mean what self respecting surgeon wears salmon colored scrubs?
Meredith: This is what I'm saying.
Meredith: I actually said "pick me". Right? I did? "Pick me"?
Joe: I think it's romantic.
Meredith: It's not romantic, Joe. It's horrifying. Horror-movie horrifying. Carrie at the prom with the pig's blood, horrifying!
Joe: Okay, fine, it's horrifying. But Carrie took out an entire senior class as revenge. I gotta say, I like that in a girl.
Meredith: I said pick me! (Cristina, Izzie and George are at a table playing darts, they keep glacing over at Meredith)
Cristina: You tell someone, "I'll meet you later at a bar tonight", how long exactly does that mean you're supposed to wait?
George: Do you think he's really not coming?
Izzie: It is getting a little hard to watch.
Cristina: It was hard to watch an hour ago, now it's just pathetic.
Meredith: Who's pathetic?
Meredith: You, who pretend to be my friends, are calling me pathetic. Behind my back. In front of my face! (George points to Cristina) Why don't you just dump the pig's blood on me now and get it over with. (to herself) He's really not coming.
Meredith: Addison yelling at you in front of a patient?
Alex: She didn't exactly yell. (pause) Fine, she's Satan's whore.
Meredith: Thank you. So, did you yell back?
Meredith: Dude, you lost your mojo.
Alex: Excuse you?
Meredith: I was trying to talk boy.
Alex: O'Malley plugs a hole with his finger and everyone walks around like he's some kind of hero. I have one off day...
Meredith: You chickened out.
Alex: I hesitated briefly.
Meredith: Why didn't you kiss Izzie?
Alex: And now I'm leaving.
Meredith: I hope you find your mojo Alex, I find you disturbing without it.
Alex: Me too.
(Cristina enters the OR with a leg)
Cristina: Uh, Dr. Webber. Sir?
Richard: Notice anything else about that leg? Anything other than that very clean cut? Did you happen to notice, for example, that it was shaved recently? And manicured? Take a look at my patient, Dr. Yang! Does he look like a man who woke up and shaved one of his legs this morning?
Cristina: No. I'll go find the um right ... the right, right leg. The right, right ...
Meredith: Ow. Shh.
Meredith: So, you operated on a heart earlier George. You think you could draw a little blood.
George: I rocked that heart.
Meredith: Yeah, you did.
George: I think I'm strung out on the scalpel.
Meredith (smiling): Nothing wrong with that.
George: So any news? About ...
Meredith: No. I can't read him.
George: You know, I think, I think it's pretty amazing you even gave him the choice. And I think for what it's worth I think he's crazy if he doesn't pick you.
Bailey: Alex, cover the ER. You can do sutures while you get over your new found fear of scalpels.
Meredith: That was mean. Even for you.
Bailey: You are drunk. Go get yourself a banana bag IV, put it in your arm and then find me. Do not speak to anymore patients, do not practice any medicine.
Meredith: Well should I just go home?
Bailey: Well, unless you drank the whole liquor bottle, you'll be sober in a few hours. And the IV fluids will head off your hangover. Then you can assist with the many mangled victims you see spread out before you. Besides, if I'm not going home, nobody's going home. (walks away, muttering) 10 years of marriage; I didn't even get to finish my damn lobster.
(Cristina is looking through the ambulance for the severed leg)
Paramedic: What are you doing in here?
Cristina: Uh the leg you brought in with the amputee...
Paramedic: I didn't bring in an amputee.
Cristina: Okay, well, uh... one of you did and it's ah...
Paramedic (chuckles interrupting): Because all paramedics look alike to you, right ... Doctor?
Cristina: Okay, really, ah, um... I can not straddle another giant ego right now. I'm already doing the splits so I need a right leg, right now, or the chief of surgery is going to take away my pretty blue scrubs.
Paramedic: When the train de-railed it hit an overpass. The roof of the dining car was sheared off and it sliced through a passenger car. There were multiple decapitations. Your guy can live without his leg.
Cristina: This is so not about the leg. Or the guy. But thank you. (starts walking back into the hospital but turns around sarcastic) For all that you do. Really. Thanks.
George: Is there anyway to operate without separating them?
George: But if we move the pole ...
Bailey: They'll both bleed out.
Burke: What if we don't move the pole? What if we move one of the patients off the pole to get the saw in there? Then we can hold the pole steady in the other one. Move it very slowly and repair the damage as we go.
George: Who? Which would you move?
Burke: With her aortic injuries, her chances of survival are extremely slim no matter what we do. But if we move her, we have a real shot of saving him.
Derek: Well I could argue since her injuries are so extensive we should move him. Give her the best shot we can.
Meredith: So basically whoever you move doesn't stand a chance? So how do you choose? How do you decide who gets to live?
Alex: Hey. Thought you weren't talking to me.
Izzie: Thought you could use a friend, so I'm rising above.
Alex: Why would you think that?
Izzie: Um, because you freaked out in the elevator.
Alex: I didn't freak out.
Izzie: And missed your chance to perform open heart surgery.
Alex: O'Malley plugged the hole with his finger.
Izzie (sighs): I thought you could use someone to talk to.
Alex: Well, I don't.
Bonnie: Dr. Shepherd, I don't know about Tom here, but I didn't expect to be walking out of here anytime soon, so if there's something you need to say, please just say it.
Derek: Okay, Bonnie. (pauses) In order to operate on Mr. Maynard, we have to separate you two. In order to do that, we have to move you backwards off the pole.
Tom: Can't you just pull the pole out of both of us?
Burke: No. If we did that, both of you would start bleeding very quickly. Too quickly. Right now, the pole is blocking your injuries. Once removed, your organs will shift.
Bonnie: So if you move me off the pole... I'll die?
Derek: We're going to do everything we can--
Tom: No! No, if anyone has to go, it should be me, so you just move me--
Burke: Mr. Maynard... your injuries are less extensive than Miss Crasnoff's. If we operate around the pole, you have a better chance of surviving.
Tom: It's not right. It's not fair!
Bonnie (eyes filled with tears): Tom... it's not fair either way.
Bonnie (knowing that she is about to die): Do you believe in Heaven?
Tom: Yes. Do you?
Bonnie (crying): I want to.
Derek (running a test on a patient): Can you feel that, Miss Crasnoff?
Bonnie: You're a cute doctor. Cute doctors get to call me by my first name.
Derek (smiles): Okay, Bonnie.
Meredith (closing voiceover): As surgeons, there are so many things we have to know. We have to know we have what it takes. We have to know how to take care of our patients... and how to take care of each other. Eventually, we even have to figure out how to take care of ourselves. As surgeons we have to be in the know. But as human beings, sometimes it's better to stay in the dark, because in the dark there may be fear, but there's also hope.
Meredith (opening voiceover): In general, people can be categorized in one of two ways -- those who love surprises and those who don't. I don't. I've never met a surgeon that enjoys a surprise, because as surgeons, we like to be in the know. We have to be in the know, because when we aren't, people die and lawsuits happen. Am I rambling? I think I'm rambling. Okay, so my point, actually, and I do have one, has nothing to do with surprises or death or lawsuits, or even surgeons. My point is this: whoever said "What you don't know can't hurt you", was a complete and total moron. Because for most people I know, not knowing is the worst feeling in the world. (sees two people with a pole cutting through them) Okay, fine. Maybe it's the second worst.
Derek (regarding Bonnie, to her finacee): She asked me to tell you... She wanted you to know, that if love were enough... that if love were enough, that she'd still be here with you.
(Derek walks in and nods towards Meredith)
George: Does that mean he picked her?
Cristina: If it does I just lost 50 bucks.
Addison: Have you made a decision yet Dr. Stevens?
Izzie: I'm sorry?
Addison: Whether or not you hate me. You're Meredith's friend and I'm the wicked witch that came in and ruined her life and cheat on Dr. Mc--- Wait. What is it that you guys call him?
Addison: Right. God, doesn't that embarass him?
Izzie: Yeah. I think it does.
Addison: Yeah, by all rights you should hate me.
Addison: Except I'm going to be staying in town for awhile.
Izzie: You are?
Addison: Yes. And you show a real gift with my specialty. And I have a lot to teach, if you wanna learn. So...
Addison: So...when you decide how important it is for you to hate me, let me know.
Derek: Dr. Grey.
Bailey: Dr. Grey needs to get herself a blood alcohol test before practicing any medicine tonight.
Meredith: What? No, I'm totally fine. Look, (touches her finger to her nose, a few times) Totally fine. (Bailey gives Derek a look)
Derek: Right, okay. (he walks away)
Meredith: I'm fine!
Bailey: Regretting that last shot about now aren't you?
Derek (seeing Meredith with the banana bag): What happened?
Cristina: There you are. I've been looking everywhere for you.
Burke: What is it?
Cristina: I need to find this man's leg. The chief is going to kick me out of the program if I don't. I cannot go back to Los Angeles. It's sunny there. Everyday. (Burke smiles) You're my boyfriend! I mean, I know I don't have much experience with this kind of thing but, aren't boyfriends supposed to help in situations like this?
Burke: Cristina, when we're on duty I can't be your boyfriend.
Cristina: Okay, so when we're on duty, I can have sex with someone else?
Burke: Dr. Yang, I'm walking away now.
Meredith: You operated on a heart earlier, George. You'd think you could draw a little blood.
George: I rocked that heart.
Meredith: Yeah, you did!
George: I think I'm strung out on the scalpel.
George (about Bonnie): She's cracking jokes. How do you tell somebody that she's gonna be dead in a few minutes when she's sitting up cracking jokes?
(Derek gives Meredith a nod)
George: Was that a nod?
George: Do we know what it meant?
Awards and Nominations:
This episode was nominated for a Directors Guild of America Award for Outstanding Directorial Achievement in Dramatic Series.
Original International Air Dates:
Sweden: May 9, 2006 on Kanal 5
Bulgaria: June 27, 2006 on bTV
UK: August 31, 2006 on Living TV
Croatia: December 11, 2006 on NOVA TV
Finland: December 13, 2006 on Nelonen
Italy: February 23, 2007 on Italia 1
Romania: April 17, 2007 on TVR1
Music Featured In This Episode:
1. Blood and Peanut Butter by B.C. Camplight plays as Meredith is continuing to wait for Derek at Joe's bar,
2. Back Where I Was by The Hereafter plays when Bonnie and Tom (pole victims) are talking to each other about heaven before their surgery,
3. The City Lights by Umbrellas plays when surgery is being performed on Bonnie and Tom (pole victims),
4. Today Has Been Okay by Emiliana Torrini plays when Derek is talking to Bonnie's boyfriend Danny.
Bailey: Go get yourself a banana bag IV...
The treatment Bailey refers to is primarily used for chronic alcoholics, who are often malnourished from replacing food with drink. The IV form is a bag of fluids (D5W or lactated ringers) infused with a vitamin solution, thiamine, folic acid, and sodium chloride. The name comes from the yellow tinge the fluid gets from the B-complex vitamins
Meredith: Why don't you just dump the pigs' blood on me now... ?
This is a reference to the big scene in Brian De Palma's 1976 horror movie Carrie where the lead character, played by Sissy Spacek, has pigs' blood dropped on her to humiliate her
Episode Title: Into You Like a Train
This is a song by Jawbreaker and The Psychedelic Furs. The track was also covered by the band Jawbreaker.
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