Upon receiving some unsettling news, Meredith and Derek take preventative steps for their children's future; a group of Syrian doctors arrive at Grey Sloan Memorial Hospital for a crash course in basic surgical skills that they plan to apply in the field; and April decides to come clean to Matthew regarding the truth about her virginity. Meanwhile, multiple pre-op patients develop infections, causing one doctor to wonder if she is at fault.moreless
Dr. Meredith Grey
Dr. Derek Shepherd
Dr. Cristina Yang
Dr. Miranda Bailey
Dr. Richard Webber
Dr. Calliope "Callie" Torres
Dr. Shane Ross
Dr. Heather Brooks
Dr. Stephanie Edwards
Owen: Bailey said the second patient isn't responding to antibiotics. So she's going to need surgery.
Richard: I just operated on the third. He's hypotensive and still pretty unstable.
Owen: Once Murphy's identified all her patients for the day, then we'll get them in here, and make sure no one else is infected.
Jackson: We're gonna need to make some kind of statement.
Derek: Before this gets out there on its own.
Bailey (walks in): Hey, uh, the first patient, Joyce Basche. She didn't make it. I thought that the surgery would get rid of the infection, but...
Arizona: You need to get cultures on the other two right away. And we need to make sure that we're using the right antibiotics so that this doesn't get out of control. (Mer and Leah walk in)
Bailey (turns to Leah): We just lost Joyce Basche.
Meredith: Dr. Bailey--
Bailey: No, she's her patient. She should know.
Meredith: Leah checked all of the charts. She was only on two of the patients that got the infection. She never touched the third one.
Bailey: What, is that supposed to reassure me? A woman just died.
Meredith: It couldn't have been Leah. The only doctor that touched all three patients was you.
Jackson: We're gonna need to get legal down here.
Bailey: Wait. Any-- Anything could've caused this kind of infection.
Arizona: Yeah, no-- Well, we know that, but until there's an investigation--
Bailey: No, um, I gotta go 'cause I have two more people--
Owen: Dr. Webber will deal with them.
Bailey: I will... go over my notes.
Owen: Sit down, Dr. Bailey.
Bailey: No. M-My patients are in danger.
Derek: Dr. Webber will take care of them.
Bailey (voice breaking): I haven't even told Joyce's husband that she didn't make it. (Owen nods to Mer) Wh-- I know the man! I don't need Grey to tell him that I killed his wife!
Owen: Dr. Bailey, please sit down.
Bailey: What are you saying?
Owen: I'm asking you to sit down.
Cristina (watching Owen & Ethan): Owen's been acting crazy. I think this is why.
Meredith: Kids make you crazy.
Meredith: Kinda cute, though.
Owen: Hey. You okay?
Ethan: You just told the nurse I was sick.
Owen: Yeah, you're fake sick. The nurse knows that. Even... all the doctors know it. We're just pretending so you can stay here tonight. There is nothing wrong with you.
Ethan: Is it fake with my mom and dad?
Owen: No. No, I wish it was.
Ethan: My dad's still not awake?
Owen: No, he's not.
Ethan: Is he ever gonna wake up?
Owen: I don't know.
Syrian Doctor: Thank you for all you've taught us.
Arizona: I wish it could be more. It feels like nothing.
Syrian Doctor: If we will help even one child, it's everything.
Richard: Wrapping it up for the day?
Richard: How about you let me buy you dinner? I want to bend your ear about a project I'm thinking about.
Jackson: You and everyone else are free to submit your proposals in writing to the entire board. And then I will vote like everyone else does. Hell, maybe I'll submit one myself. Maybe I have an idea, but I'm not out here hawking it to people at work. 'Cause I'm gonna write a proposal like you're supposed to.
Richard: Um... son, nobody's ever saying yes to your proposal. You're the most powerful vote on the board. You're the person who says yes to other people's ideas. We still let you be a surgeon. Nobody wanted to take that away from you. But your project is this hospital.
Jackson: Yeah, it's exhausting sometimes.
Richard: Yeah. You know something I learned when I was the chief?
Richard: Somebody offers to buy you dinner while they talk your ear off about something you don't want to hear...
Jackson: You say yes.
Richard: Look at that. You're a natural.
Meredith: Cristina said that she would pull the trigger if it comes to that.
Derek: You're my wife. Can we make the decision together if we're gonna throw in the towel?
Meredith: That sounds fair. It's not gonna be easy on you if I start to lose it.
Derek: Oh, don't worry. You're a project even with all your marbles. (Mer laughs) I brought you something.
Meredith: You did?
Derek: I had Bailey do my genome.
Meredith (gasps): You did?
Meredith (reading Derek's results): High-risk for liver cancer and prostate cancer? Whoa.
Derek: Yeah. You're tellin' me.
Meredith: Male pattern baldness?
Derek: Late onset, apparently.
Meredith: Mmhmm. Heroin addiction?
Derek: I'm a real prize. It's all a crapshoot. We didn't get one single definite. We all got maybes.
Meredith: Ah, maybe we live forever.
Derek: Maybe we do, and maybe I become a bald heroin addict. (Mer laughs)
Owen: Uh, I would like to admit Ethan Dawson to PEDS for the night.
Arizona: Oh, he'll be fine with social services. Kids go with them every day.
Owen: This kid doesn't have to.
Arizona: Owen, there's protocol for a reason.
Owen: Yeah, but we're human for a reason.
Arizona: I know that you've taken a special interest in this kid--
Owen: Why is everybody acting like this is some kind of a character flaw?
Alex: He oughta stay. He's sick. I got a look at him when I checked his wrist. Short limb syndrome.
Owen: Right. He's right. Uh, limited growth, excessive sleeping, and eating.
Alex: Impulse control problems.
Arizona: Th-These are all the symptoms of childhood.
Alex: Can't be sure.
Owen: Not until we confirm it with testing and observation.
Arizona: Guys, guys, I love the enthusiasm, but it's not gonna happen.
Richard: Ross was working the pit today?
Richard: Okay, I just took out an infected dialysis graft. He saw the patient before I did... but he didn't scrub in with me because he wanted to make sure you M.R.I was just the way you liked it.
Shane (walks up): Hey, Dr. Webber. Someone just put a glioblastoma resection on your schedule for tomorrow. Did you want to that before or after your aneurysm?
Derek: Shane, you have to stop. I am working with Brooks now.
Shane: Yeah, but she annoys you, doesn't she? (Derek nods) I mean, you and I kind of get along.
Derek: Brooks has an instinct for this that you don't have. You make up for it with a ton of work.
Shane: Well, if I'm making up for it, who cares how?
Derek: I care. And you should, too. You should find a specialty where you shine.
Shane: This is what I'm passionate about. Doesn't that count for anything?
Derek: She's better at this than you are. And that means, to me, I have to teach her, not you. You're gonna be a great surgeon. Go figure out where.
Meredith: Still unconscious? (Cristina lifts Paul's arm and drops it) Bummer.
Cristina: It's okay. He'll wake up in a couple of days, if we can all relax and be patient about it.
Cristina: Yeah, tell that to Owen.
Meredith: We may be losing Leah Murphy from the program.
Cristina: Did I like her?
Meredith: I think you said once that she didn't suck as much as you expected her to suck.
Cristina: Oh. That's too bad. You know, maybe Owen doesn't like being chief.
Meredith: What makes you say that?
Cristina: I thought he did, but lately, he's had a bug up his butt about Russell not supervising me. You know, maybe it's because he misses teaching. I mean, Derek-- He hated all that administrative crap when he was chief, right? (Mer nods) Owen's had nothing but that for weeks. Maybe he feels like he's losing touch with the medicine?
Meredith: Or maybe it's because Russell's not supervising you.
Cristina: Okay, I just agreed to off you the minute you started acting Dotty. Shouldn't you be on my side for the rest of the day just as a courtesy?
Owen (about Ethan's dad): He's still not awake?
Cristina: Uh, no, not yet. I gave him a bolus of D50. We'll see if that helps.
Owen: Why didn't you talk to me first?
Cristina: Because I talked to Russell about it, like you asked me to.
Owen: But you knew that I was concerned about this case.
Cristina: You really want me to have three highly trained surgeons supervising one man's recovery?
Owen: It shouldn't be news to you that we work as a team at this hospital.
Cristina: Oh, yes, and the entire team is helping you save Syria from itself. I came up with, like, 14 ways of doing thoracotomy procedures without a chest tray. I didn't have time for group think on a perfectly straight forward post-op care.
Owen: Tomorrow, you, Russell, myself will round on Paul together, alright?
Cristina: Are you serious?
Owen: I am.
Matthew (as April is walking in with a box): Wow. Is that my door prize?
April: Okay, so you know I was working with these two Syrian guys today? They barely get any supplies anymore. I mean, this is all they have to work with. But the attendings all pitched in and we figured out a bunch of life-saving procedures that they can do.
Matthew: That's great.
April: Yeah. Um, my point... is you think you need everything, but you don't. We could get by without a lot of stuff, right?
Matthew: Sure. What exactly are we getting by without?
April: Uh... My virginity. I was... I was a virgin for a really long time, and then I wasn't. Uh, I really wanted to wait for someone like you for marriage, but I screwed up. And I was just I was so scared to tell you. But then I was watching these guys today, and they-- they literally have nothing left, and they're making do. And then I-I just felt like I was being so stupid to-- to worry about this one little thing, li-like-- like you couldn't even get over it.
Matthew: So, I guess I would be an ungrateful jerk if I worried about your virginity while there's a war going on somewhere and people are dying? That what you're saying to me?
April: No, no. I-I-I didn't--
Matthew: You didn't think I'd be more hung up on the lying? 'Cause I bet even in a war, people still value honesty.
Meredith: Promise me you'll kill me with lethal injection before I start to forget where my keys are.
Cristina: Of course.
Meredith: Early. Not when I set the house on fire because I forgot to shut the stove off or when I'm sitting in the rocking chair in the corner of the nursing home. I don't want my kids to go through what I went through--
Cristina: Mer, you had me at 'lethal injection.'
Bailey: You doing okay?
Meredith: I'm fine.
Bailey: You sure?
Meredith: Dr. Bailey, don't get all weird on me because you think you shattered my psyche. I knew what I was asking when I took that test.
Bailey: Well, if you ever need to talk...
Meredith: Stop it.
Bailey: Alright. Fine. How about we talk about the sloppy job you're doing raising those crappy interns?
Meredith: There you go.
Bailey: What, she sneezed all over my patients, now I have two post-op infections? They have no judgment or common sense.
Meredith: You were right. Cristina only wants to be the cool aunt.
Derek: I'm sorry. I wish I was wrong.
Meredith: That's okay. What about Kathleen?
Derek: What about Lizzie? You two got along.
Meredith: Oh, I forgot about Lizzie.
Derek: You know, I don't want to leave our kids with somebody you forgot about.
Meredith: Well, she's the alternate.
Derek: Well, it's a disaster plan. Most disasters don't happen.
Meredith: They do to us.
Derek: That's true. We have survived an unusual amount of very bad things. At this point, it ups our odds.
Meredith (laughs): Just sign the papers.
Derek: Uh, apparently we have never filled out a health care directive. The lawyer wants that, too.
Meredith: Oh, well, I mean, we know all of this. I don't want to be a potato. No extraordinary measures taken if it's obviously at the end.
Derek: He wants it in writing.
Meredith: Oh, it doesn't matter. We both know you're gonna give me a lethal dose of morphine the second I start to forget where my keys are. (Derek shakes his head) I'm not kidding. Before we knew my mother was sick, she couldn't remember anything I'd ever said to her. And I thought it was because she didn't give a crap about me. I don't want to put my kids through that. You'll give me a lethal dose, we'll hold hands, and I'll fade off into the night.
Derek: We will cross that bridge when we come to it.
Syrian Doctor: So... are you going to tell this man the truth or include his mother in the lie? Because I cannot get on that plane without some closure.
April: Uh, I-I am so sorry. You do not need to bother with my stupid problems. You have real problems.
Syrian Doctor: Courtship troubles are everyone's troubles. Wooing my wife was very tricky.
April: Well, how'd you win her over?
Syrian Doctor: Ah. A picnic of spiced lamb under the cypress trees, almonds dipped in honey, the words of my heart. (April smiles) Dr. Kepner... We went to see 'Terminator 3.' (April laughs)
Callie: 27 new e-mails about where my research goes next. (laughs) It should sound like a cash register to you.
Jackson: Can you go bug Shepherd for his vote, please?
Callie: Oh, I plan to, and I'm sure I'll get it. Shepherd knows we bought this hospital so that we could all be the doctors we want to be. I'm not living my dream. My dreams are big and bright and filled with extremely shiny machines that grow cartilage out of thin air.
April (exhales): Matthew's mother is coming here. I can't meet her. I can't lie to a mother.
Meredith: Don't sell yourself short. You thought you couldn't lie to Matthew either, but somehow you had it in you.
Cristina: What kind of grown man gets his mommy to pick him up?
April: They have a good relationship. He respects women. He has good values. You know what? He doesn't make fun of me. He thinks I'm brave. He likes it when I babble.
Cristina: He's a unicorn.
April: He's an amazing guy.
Meredith: Well, then you should tell him the truth.
Cristina: Of course I'll take Zola and fetus.
Meredith: That's what I told Derek.
Cristina: You're not shipping them off to Ohio or wherever his stupid sisters are from.
Meredith: I knew you would say that.
Cristina: I will oversee the most competent herd of child care professionals ever. I'll get only German nannies. They're super organized.
Meredith: I'm not sure a herd of German nannies is what I had in mind.
Cristina: Wait. You don't me to be a stay-at-home mom?
Cristina: Yeah, 'cause you're not.
Meredith: Right, but Zola is at the day care here when we pick her up.
Cristina: Yeah, and you do 30 percent less surgeries than I do 'cause you're not putting in the hours anymore.
Meredith: You don't want to do this.
Cristina: Hey, I love Zola.
Meredith: I know you do. But you don't want to be her mom.
Cristina: No. You really hate those sisters?
Meredith (sighs): Kind of. Not all of them. Kathleen seems like a good mom. I mean, I don't want to hang out with her all the time, but her kids seem sane.
Cristina: Yeah, well, that's not nothing. Okay, how about this? You write in the will that I get your children three weeks every year. We'll travel. I'll take them to get their first tattoo-- someplace clean. And I'll teach 'em how to put a condom on a-- on a cucumber.
Cristina: I will be the coolest aunt in the world. I just can't be a mom.
Meredith: Oh. They deserve a mom.
Cristina: They already have a mom.
Meredith: I know. (exhales)
Cristina: You're not dying right now. You know that, right?
April: I am so sorry I wasn't here earlier.
Matthew: It's okay.
April: We got these two Syrian doctors here and we're trying to get all the surgeons to figure out how to do these procedures with, like, a piece of gum and a matchstick, and this was our first pee break. And meanwhile, you're sitting here and you can't even walk? I thought it was just a small laceration.
Matthew: It is. I'm fine.
April: But is it infected? Because you should be able to walk.
Matthew: April. April.
April: I don't know why you can't walk.
Matthew: April, I can walk.
April: You can?
April: W--They said that that you-- You couldn't leave until your mom came to pick you up.
Matthew: Oh. Uh... (chuckles) I, um... My mom's not coming here because I can't get myself home. She's coming here because I wanted her to meet you.
Derek: You barely made a dent. It's gonna take forever.
Cristina: Oh! Well, you try using this hand drill, Mr. Backseat Driver.
Meredith: Let me try.
Derek: If they had an infrascranner, it would be a lot easier.
Meredith: Well, they don't. (to Cristina) I think whoever it is, you just killed him.
Stephanie: So the second post-op infection was your patient, too.
Leah: Kathy Dong. Does she need surgery?
Stephanie: Probably. And Bailey got Medusa to scrub in with her this afternoon on the first lady that came in with an infection. They've got to take out her shunt. It's got this huge abscess under it. It's a mess.
Leah: They're gonna kill me.
Stephanie: What did you do? Did you forget the pre-op antibiotics or scrub too fast?
Leah: I was sick. I had the flu or something.
Stephanie: And you came in?
Leah: Of course I did. We all work when were sick, all the time. Patients have post-op infections all the time, right?
Leah: Um, we have another post-op complication on the same day as Mrs. Basche. And, uh, I scrubbed in on both of them with you.
Bailey: And you managed their post-op care? (Leah nods) Okay, you better go through all your notes on both these charts and figure out what the hell went wrong. Edwards, you're with me today.
Stephanie: I'm with Dr. Avery today.
Bailey: Ditch him. Murphy's having a time-out.
Callie: My talk was a viral sensation. Cartilage is trending... because of me.
Jackson: I couldn't be happier.
Callie: A cartilage regeneration lab would be a huge boon for the hospital.
Jackson: I am not an A.T.M. I have one vote just like you do and Arizona does.
Callie: Oh, no. Arizona has to vote for me 'cause she's my wife. And your vote is like a vote and a half. I'll vote for myself. Now that is a solid voting block.
Jackson: You put a lot of thought into this, huh?
Alex (appears behind them): Is this how it works? You all whisper to each other in your board meetings about your pet projects, and that's where all the money goes?
Richard: That's exactly how it works.
Jackson: That is not how it works. Everybody's supposed to submit their proposals in writing. You can't have people bugging board members while they're trying to work.
Callie: Uh... you're sitting in a chair.
Alex: I need money for my orphan thing. I want to take it global.
Jackson (to Callie): You see what you've done?
Derek: My car crash mom woke up. And the lawyer sent over an e-mail with forms. We need two names-- A guardian and a backup. Before it Was Lexie, Cristina and Owen.
Meredith: So Cristina and then which one of your sisters do you want as a backup?
Derek: Cristina doesn't want children.
Meredith: This isn't children. It's Zola and fetus.
Derek: Stop calling the baby fetus.
Meredith: Well, she will love him whatever his name is.
Derek: Alright, talk to her and see what she says.
Meredith: I know what she'll say.
Derek: And I'll be wrong and that'll be good for everybody.
Shane: Dr. Shepherd, hey. I wanted to follow up on the patients we saw yesterday, 'cause I care.
Derek: Ross, you should be learning something else from someone else.
Shane: Oh, I am. I'm covering the pit, which I can do and manage your post-ops. Also, I brought you a latte.
Derek: It's not your job to bring my coffee.
Heather (walks up): Sorry, I'm here. I had to get a piece of gum. I had epically bad breath. I didn't want it to bowl you over in the O.R., but... I'm all set. See? (sticks her gum out)
Derek: I didn't need to see it.
Heather: Okay. Well, I'm going to check your post-ops. Anything you'd like me to look for?
Derek: Ross already did it.
Derek: You tested positive for the risk factor gene. It doesn't mean you're gonna get it.
Meredith: I know what it means.
Derek: It's entirely possible it means nothing at all.
Meredith: We need an updated will. I want you to call the lawyer.
Derek: Whoa, whoa, whoa. Slow down. Even if you get the disease it's decades away.
Meredith: It might not be. We have a child and we're having another child. Look, right now, it says that Lexie is Zola's legal guardian if anything happens to us. That's not going to work.
Derek: No, but--
Meredith: Derek, we were in a plane crash. We don't need Alzheimer's--
Derek: Potential Alzheimer's.
Meredith: We need an updated will.
Derek: Okay. You're right. I will contact the guy.
Leah: Joyce Basche. You and I put in a dialysis graft two weeks ago. She's had fevers to 102 and the site is red and tender. It looks infected.
Bailey (clears throat, mutters): Maybe you dropped a pizza crust on her wound.
April: Swag bags for the Syrians. Some um, sweatshirts, and baseball caps, post-its. Ooh, really cool penlights.
Arizona: Ooh, those are nice.
Richard: You're sending post-its to Syria?
Owen: Yeah, I'm working with doctors aid international. We've flown in two Syrian doctors. They're general practitioners, but now with the war, they've been recruited to staff the field hospitals. They're getting advanced trauma training with Seattle Pres and they're here for a crash course in basic surgical skills.
Arizona: They need to learn what they can do quick and dirty.
Richard: They rope you in? Which must mean that...
Arizona: Yeah. Yeah, they're losing a lot of kids.
Richard (sighs): Godspeed.
Owen (to April): Alright, let's get this stuff with the boxes of supplies we're sending back with them.
Callie: Ah, so Bailey got her genome thing funded. You got this thing funded. I need to get my cartilage project bankrolled while we still got bank.
Leah: Your hair looks really nice today.
Stephanie: My hair looks nice everyday.
Leah: I'm on Bailey's--
Leah: Last time I was with her, I ordered the wrong test, twice. If she has a three strike policy, I'm out.
Stephanie: I'm on Jackson's service today. So even if I cared, I wouldn't trade. (walks off)
Bailey (walks up): What is this?
Leah: I don't know what that is.
Bailey: It is a crumb, and it was stuck to my laptop after you used it to update my notes right next to a splotch of what could either be pizza sauce or blood.
Leah: I think it's pizza.
Bailey: I was hoping it was blood, and you were dying and not just getting pizza all over my computer.
Leah: I'm so sorry, I was doing my notes late, and I hadn't eaten-- (Bailey huffs) I'll go clean it up. (walks off)
Bailey: These interns are sloppy. (walks up to Alex) You people are training sloppy interns. And I trained you, which means you're bringing shame to the whole family. (slaps him)
Alex: I just got here.
Cristina: You know what? I thought I was gonna see you last night.
Owen: Oh, I got caught up with a patient.
Cristina: Ah, that's too bad. I put on that t-shirt you said I'm not allowed to wear when we we're arguing 'cause it makes you forget what your point was.
Owen (sighs): I can't believe I missed it.
Cristina: I can throw it on again tonight.
Bailey: Okay, so I've got the results of your genome sequencing here. Now we weren't able to get a clear read off Zola's sample. Sometimes we just have to run it again. But yours came out.
Bailey: And, oh, uh, first off, I just need to ask you a few questions. We have a couple of different kinds of, um, information here, so--
Meredith: I have the gene. Just say it.
Bailey: Look, this test gives us tons of information. Some of it's clear and some of it isn't. So, you know, we don't want to jump to anything without careful consideration of--
Meredith: Yeah, I've carefully considered. Do I have the Alzheimer's gene?
Bailey: You gonna let me get through this questionnaire?
Meredith: Bailey, you're my mentor and my friend, and I respect your work, but I'm telling you, if you don't answer my question, I will punch you in the face.
Bailey: Okay, you have... tested positive for more than one of the genetic markers for Alzheimer's.
Meredith: (opening voiceover) Patients say it all the time: "Tell me straight up. I just want to know what's going on. Tell me. I can handle it." We don't dodge your questions 'cause we're mean. We do it because when you say you want the truth you have no idea what you're talking about.
Meredith: (closing voiceover) They say the truth will set you free. What the hell do they know? The truth is horrible, frightening. The truth is more than you can bear. We're supposed to be straight with you, so be careful what you ask for when you walk into a hospital. Because when you find out what's really going on you may never recover.
Original International Air Dates:
Canada: April 4, 2013 on CTV
Norway: April 30, 2013 on TV2
Sweden: May 1, 2013 on Kanal 5
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