Lexie (to Mark, after she kisses him in front of the interns): They think that you're taking advantage of me, and that I'm using you. But they don't know us. They think that we're ugly, but I know that we're beautiful. And we can adapt to a hostile environment.
George (to Pierce, Megan and Steve): This is year one of your residency. You turn on each other now, you're not gonna make it.
Meredith: Okay, here's what's gonna happen. All of you are going to go and find the sense that the good lord gave you, and never behave like this within the four walls of this hospital ever again. You are doctors. Pierce, get an ice pack, and put it on that oozing, disgusting, mess of an eye. And Steve, go to the pit, and get that unsanitary, bloody hand x-rayed and stitched. And Megan, you should go to OB, because yes, you are pregnant.
George (as they are walking out): That was very Bailey.
Owen: I was a second year resident, MBC rolls in. Parents were in the front seat. Three kids in the back. Kids were okay, Mom and Dad were a little banged up but nothing terrible. They were talking, laughing in the ER. Turns out both parents had massive internal injuries. I operated on them both that night, hours. I lost them both. Now if I'd moved faster, if I'd rushed them to CT. If I'd known how bad off they were sooner... but I didn't. The eldest kid was 9. When I came out to tell them about their Dad, he was trying to console the 3 year old and the 5 year old about their Mother. I'll never get that image out of my head. This, this 9 year old boy trying to hold these two little ones. His arms just not big enough. I don't know how I came back the next day. (sighs) I think part of me never did.
Derek: I'm surprised you didn't talk about Iraq.
Owen: I don't talk about Iraq. What I... what my point was, I kept, you know I... I went back. I showed up. I showed up for work, you know.
Derek: You get dead inside. You get dead inside because if you actually felt it? If you let yourself feel that? No way you're going back. No way. (Derek hands him a beer)
Cristina: Hey, did you get my page? I got you the appointment. It's in like, 15 minutes. How amazing am I? It usually takes weeks to get in there. Ah, did you take a look at the research?
Izzie: Seriously. Can I just eat?
Cristina: No. I'm sorry you don't have time.
Alex (walks up): Time for what?
Izzie: There's... I... an enema.
Cristina: Ah, Izzie's enema.
Izzie: Yes, I was supposed to get an enema today, but I decided it can wait. How about we talk about something else?
Cristina: Uh, no we need to talk about it. You've been complaining about being really backed up, and I got you an appointment.
Alex: If you need an enema that bad, maybe you shouldn't have all these fries. (takes some of Izzie's fries)
Meredith: You really booked her an appointment for an enema?
Cristina: You can't just say that you're all backed up and then just sit there, Izzie. If you make the decision to get an enema, then you should get an enema.
Alex: I think that maybe you're the one that's backed up. Solo surgery panic? I tell you what, I'll scrub in with you and if you can't handle it, I'll take over.
Cristina: I, I don't, okay. You know what, I'm just saying enema's can be a serious business.
George: Okay, Izzie, enema's code for what?
Izzie: My enema, my business. (gets up from the table)
Cristina: Ah, 15 minutes!
Meredith: This is a really strange day.
Mark: What the hell is going on with you?
Izzie: They were making completely inappropriate jokes at the expense of the patient, right in front of him. I have been trying to teach them and, they were cruel and inappropriate.
Mark: Okay, they were inappropriate. You know what else is inappropriate? This. You. This case is my baby. I've spent 3 years planning for it and you and your emotional life are not about to piss all over it. You're off the case.
Izzie: No, he needs me in there with him. You can't leave him alone with those interns.
Mark: Okay, fine. You wanna be there for his feelings you can be there before and after the surgery. But you're not coming in my OR. Whatever's going on with you Stevens, you'd better get it under control.
George (about Megan, Pierce, and Steve): What the heck do we do with them?
Meredith: Can we shove them in a locker?
George: I guess we should just talk to them.
Meredith: No. We're professionals, and that's clearly personal. Besides, we'll just waste time and we'll never get to see the solo surgery, or the face transplant.
George: Oh, that's a, yeah that's a good point. I guess, well, we should, we should just ignore it then.
Meredith: Yeah, we should just ignore it. It's the professional thing to do.
George: Yeah, professionally ignoring them.
Bailey: O'Malley, Grey, I need you on pre-ops and post-ops.
Meredith: But, there's the biggest surgery in the world happening here today.
Bailey: Yes, and half our attendings are involved. Which is why we need strong residents on pre-ops and post-ops. Yang, you're with me today. You're moving to the big leagues.
George: She gets a solo?
Bailey: Nice old lady with a hernia. You're gonna fix it.
Meredith: Congratulations. I know I should seem more enthusiastic, but I'm not that big a person.
Cristina: Don't worry about it. (walks off)
George (to Meredith): Is it wrong to have hatred in your heart?
Meredith: What are you doing here I told you I was fine.
Cristina: Oh god, you are so not fine.
Meredith: I'd be fine if I knew Derek was fine.
Izzie: You still haven't heard from him? Not a word? (Meredith shakes her head and walks out)
Alex: What are you hiding?
Izzie: Ah, nothing. It's just work stuff.
Alex: What is that? A cool surgery?
Izzie: No. It's nothing. It's nothing.
Alex: Well, whatever it is they're gonna pick me. I already flew solo. You're still on training wheels.
Cristina: You blew it off?
Izzie: Cristina, please.
Cristina: I called every favor I had in this hospital, and then some. Swender's is the best Oncological surgeon in the state. Why didn't you go?
Izzie: Why do you care so much?
Cristina: Why don't you? I'm working really hard on this, the least you could do is...
Izzie: They were calling the guy blowhole Cristina. Not just the interns, Alex. What are they gonna call me when I'm the patient? Swiss cheese for brains?
Cristina: No, that's awkward and long. Blowhole's pithy.
Izzie: I'm not gonna be a piece of meat in this hospital while you all fight over who gets to slice me up, and then laugh while you do it.
Cristina: Okay, this right here…this, um, is an emotional thing you're having, which is why you should tell Meredith, or George, or--
Izzie: I'm not telling anybody, so just drop it.
Cristina: No. You're not dumping this on me! You're not dying in my arms, so either you tell them, or I will.
Izzie: I don't even know if I want treatment, Cristina. I know too much. I know how violent surgery can be. They're gonna cut into my brain. They're gonna slice open my abdomen and pull my organs out, and for what? Surgery fails all the time. Derek Shepherd is in the frickin' woods right now, because we fail all the time! And even if they do everything right, I have a five percent chance of survival. Five percent! Why would I put myself through hell, run poison through my veins, and radiate my brain if it's not gonna work anyway?
Cristina (getting upset): Why did you tell me, then? If you don't want my help, and you're not gonna do anything about it, why did you tell me?
Izzie: Just keep your mouth shut. Forget I ever told you anything. (walks out)
Meredith (closing voiceover): Practicing medicine doesn't lend itself well to the making of friends. Maybe because life and mortality are in our faces all the time. Maybe because, in staring down death every day, we're forced to know that life, every minute, is borrowed time. And each person we let ourselves care about is just one more loss somewhere down the line. For this reason, I know some doctors who just don't bother making friends at all. But the rest of us, we make it our job to move that line, to push each loss as far away as we can.
Richard: Dr. Bailey?
Bailey: How's your mood?
Richard: Meager, anxious I'm excited about Sloan's face transplant. I'm a little concerned about Derek Shepherd but all in all....
Bailey: Do I look like a therapist?
Richard (annoyed): You asked.
Bailey: I've lost Hunt and Torres. (Richard stares at her) See I sent them to get Shepherd and I never heard from them again. I was trying to solve the Shepherd situation for you sir but it appears I've somehow made it three times worse. So, I'm telling you and my next move I believe is that I'm gonna call the police because I'm half convinced there all dead... on a spit with a one arm man turning them into shish kebab's. (Richard looks confused) Sir, it's my mind it just goes there. (Richard stares at Bailey)
Derek: Thanks for coming.
Meredith: Thanks for calling.
Derek: ... I love you.
Meredith: I know.
Derek: Would you still love me if i wasn't a surgeon?
Meredith: No. (sits beside him) No, because Izzie has cancer that has spread to her brain. You're one of about twenty people in the world who can save her. I don't know if I can respect somebody who can walk away from a gift like that. (long stare at each other) So, please don't. Here are her scans it's pretty bad. (she places them beside him and walks off)
Derek: Get out!
Derek: Get out, Richard! Get out!
Richard: Look, I've destroyed lives before. Several in fact, and yours is not one of them. Now, I sent the woman you love out here to help you. I sent the woman who loves you, out here, to bring you back to your life. If you ruin it with her, that's on you. I don't accept it. You're scared, you're drunk. You don't know which way is up. You threw a punch at your best friend, and you threw a ring at Meredith, and now you wanna throw me out. I'm not accepting it. Because, I'm older than you, and I've been where you are. You've been drunk for a few days, I was drunk for years. And I know you're gonna need at least one friend when you decide to come out of that hole you're digging. I hope you come out of it soon, and I'll be here when you do.
Derek: I don't think I can get her back.
Richard: Did you call her?
Derek: What am I going to say?
Richard: I had an affair for years and when Adele found out somehow she... She took me back... you can make your way back from anything.
Richard: Okay, what the hell is this? (Callie gets startled and knocks over empty beer cans) Oh, this is not okay, I have a hospital to run. And Derek, what the hell's the matter with you man? We've all been there.
Callie: We said that.
Richard: We've all had tough losses.
Owen: He knows that.
Richard: We show up the next day, and we try and save the next life.
Callie: Yeah, we covered that, too.
Richard: Okay, what about this? Nothing we do can stop death. We can hold it at bay every now and then, but everyone dies. And that's not on us.
Derek: I took a pregnant woman in for a simple surgery and I botched it, that is on me I should feel badly about that and you should feel badly while I was out here you sent Meredith out here expectation a ring. Why would you do that? Why in gods name would you do that?
Richard: I was trying to help, she didn't want to come, she wanted to leave you out here alone. I was trying to help Derek.
Derek: You were trying to help yourself not me, yourself! I hit the ring in the woods-- In the woods. You destroyed me! (Derek gets up and goes inside his trailer slamming the door behind him)
Cristina: Sometimes we fail, but that's not always the case.
Izzie: I know.
Cristina: Blow hole has a new face. You know, and what people call him to get through the day is...
Izzie: Cristina, I know.
Cristina: I told Alex and Bailey and they're telling Meredith and George.
Izzie: Cristina ...
Cristina: I couldn't do my job. I think you came to me for help. And that's what I did. Because sometimes we win, Izzie. And I want you to fight. Okay, for whatever that's worth, I want you to fight.
Izzie: Thank you.
George: Hey buddy, you need to start talking, and you need to start talking now.
Ryan: I really can't, talk to Steve.
George: Right guy, you need to start talking dude. Because, any second they're gonna start that face transplant surgery and then her good friend...
Meredith: My best friend.
George: Is gonna have her very first solo surgery, and so we have very little patience right now.
Ryan: Look, it's not my place.
Meredith: Okay, you are gonna tell me everything thats going on. Or else, every time I have a rectal exam or an infected abscess is gonna have your name on it. Every time!
Ryan: Megan was with Pierce, but they broke up for a little bit, and while they were broken up, she slept with Steve. Then she got back together with Pierce, but Steve sent her an email about how they slept together and instead of just emailing her, he hit reply all. It went to a whole bunch of people, one of them was Pierce. And, now Steve says he loves her, Pierce wants to kill him, Megan's like really freaking out right... because... oh... ok wait, so... A while back, someone sent this text message right, and like I didn't get it. I didn't get to see it. It just came, to certain peoples phone, you know...
(Cristina is about to start surgery on Ms. Sully)
Cristina (to Bailey and Alex): Izzie has stage 4 metastatic melanoma that has spread to her brain, liver and skin. She may only have months to live, and she's resisting treatment. She needs help. (sighs) Scalpel.
Bailey: You're finished with your part of the face transplant, right?
Owen: Yes, but I cleared my schedule to watch Sloan and Dr. Yang do their surgeries. So whatever it is you need, I hope it's not too time consuming.
Bailey: That all depends on how fast you can drive and talk.
Owen: Uh, I'm sorry...
Bailey: I need you to drive into the woods and talk Derek into coming back here. And I believe you also might run into Callie Torres, with a flat tire or a broken heel or an... ax-wielding serial killer.
Owen: You're serious?
Bailey: See, I sent Torres after Shepherd, and she's fallen off the grid. Her phone goes straight to voicemail. Okay, I'm not normally a panicky person, but I'm a fan of daytime television, and you know, the mind creates these scenarios-- uh. never mind. I- I need you to go get Torres and Shepherd and bring them back here before the Chief notices that any of you are gone.
Owen: Shepherd's been gone all week. I'm sure the Chief would notice ...
Bailey: Hunt! You survived a war. You can do this.
Owen: I know I can do this. I'm saying I don't want to. (Bailey gives him a look) People don't really say no to you, do they?
Bailey: Not when I say 'please'. (louder) I'm saying please.
Meredith (to Steve and Megan): What ever it is the two of you have going on, it stops, now.
Steve: I didn't ...
George: I don't think you should talk when she's talking.
Meredith: You are scaring the patients. And you're making this hospital look ridiculous and you're making us look incompetent.
Steve: No, but we have ...
George: That's not a good idea.
Meredith: Just stay away from each other. So much as a tear or a glance at each other's direction and it's over.
Megan: I don't understand ...
Meredith: No, no, no. Don't talk while I'm talking. Now just get out. Go. (they walk away) Not together. (to George) Oh that felt good.
George: Mer, there is something wrong with Izzie.
Meredith: Ah, what do you mean?
George: I don't know. All I know that there is something wrong.
Meredith: Well you know, George, we're already drowning in intern drama. We don't need resident drama, too. If it's a problem, she'll tell us. Until, just ignore it. (Steve limps by) I repeat, ignore it.
Bailey (walks over): What in gods name is going on?
Meredith: It's a personal issue, and we are just trying to give them their privacy.
Bailey: Do you think for a second I wanted to get involved with your little intern dramas?
George (scoffs): We were not this bad.
Bailey: Oh, getting married in Vegas, shacking up with attendings, cutting LVAD wires. You don't have to like it, but you have to manage it.
Meredith: Oh, we've got it under control. (Megan runs down the stairs crying)
Steve: Wait, I love you Megan! (Bailey glares at Meredith and George)
Kendall (about the Interns): I'm sorry. I'm trying to listen but are they supposed to look like that?
Meredith: Like what?
Kendall: The bleeding and the shiner and that one looks like she's suicidal. They're supposed to be doctors?
George: We're going to reserve judgement on that right now.
Meredith: It's the not knowing that does it. Not knowing if he's okay. Not knowing if he's coming back. Maybe I've just been dumped. I mean, It's not knowing if I'm single that makes me wanna throw up all day long. You are not listening to me are you?
Cristina: Ah, sorry.
Meredith: No, no. That's okay, I get it, you've got solo surgery and G.I. Joe. It's a charmed life. You don't have time for me.
Cristina: I have not had G.I. Joe. We've kissed a couple of times. It's like friends with benefits. Without the benefits.
Meredith: Still no sex?
Cristina: Mmm-mmm. Not a charmed life.
Pierce (walks up, with a black eye): Lab results for the splenectomy. (walks off)
Meredith: Do we ask?
Cristina: No. 'Cause he might tell us.
Callie (re: Derek drinking beer): It's a little early in the day for that don't you think?
Derek: You sound like my mother.
Callie: I met your mother, I liked her.
Derek: Who sent you? Richard?
Callie: Uh, Bailey.
Derek: Of course.
Callie: Look, I'm sorry about your patient. I know how hard it can be. I-I had a patient a couple of years ago. Young guy, fifty maybe. Simple knee replacement. He was post-op, he was fine. I even told his wife she could go and get him lunch. It was a simple knee replacement, it as nothing. But he'd been getting short of breath so I put him on blood thinners for a post-surgical P.E. and ... it wasn't until he was vomiting up dark red blood, looking me in the eye, telling me he was dying, that I figured it out. That I was wrong. That it wasn't a P.E., he was bleeding internally. And it wouldn't have been fatal, but ... the blood thinners. ... I will never forget the look on his wife's face when she came back with that sandwich in her hand, asking me why her husband wasn't in his room any more.
Derek: How do you live with it? Killing him? Taking him from his wife? How do you live with it?
Callie: We call it malpractice when we make a mistake.
Derek: Yeah, I know what we call it. I'm asking you, when you get up in the morning, how do you look at yourself in the mirror? I'm no... I'm... I'm asking.
Callie: Can I have one of those?
Derek: Yeah. (opens a beer and hands it to her)
Bailey: Chief, I need to ask you about--
Richard (sees Mark): Sloan, have you heard from Derek?
Richard: Oh, I'm sorry you were saying? (sees Meredith) Oh, Meredith!
Meredith: No, I don't know how he is. I have heard nothing today, nothing yesterday and nothing the day before that. And no, I will not go back out there.
Callie (walks up): Hey, who moved my surgery? (Richard walks off) Chief? Chief?
Bailey: Don't. Just don't. He's a wreck. He's disingrating before our very eyes. (scoffs) That's why men die earlier women.
Callie: Board's a mess.
Bailey: He can't lose Shepherd. I mean, I'd go and talk some sense in to him but I got too much on my plate.
Callie: Have you tried calling him?
Bailey: About a hundred times.
Callie: Mmm. (Bailey is giving Callie a look) No. N-- Oh, you ... You want me to go to the woods? No. I don't do woods. The woods are dirty and there are many, many bugs. What am I going to say to the guy? I barely know him.
Bailey: You don't have to know him. You're both surgeons. You've been through the same war. Look, just remind him that we've all been there, we all came back.
Callie (sighs): You're kind of a bully, you know that?
Bailey (turning and walking away): I wouldn't do it if it didn't work so well.
Meredith (opening voiceover): Surgeons aren't known for being warm and cuddly. They're arrogant, impatient, mean as often as not. You'd think they wouldn't have friends, 'cause who could stand them? But surgeons are like a bad cold. Nasty, but persistent.
International Episode Titles:
Slovakia: Stoj pri mne (Stand By Me)
Czech Republic: Stůj při mně (Stand By Me)
Original International Air Dates:
Italy: June 1, 2009 on Fox Life
Latin America: June 1, 2009 on Sony Entertainment Television
Australia: June 11, 2009 on Channel 7
Germany: July 29, 2009 on ProSieben
The Netherlands: October 5, 2009 on Net5
Norway: December 15, 2009 on TV2
Slovakia: February 8, 2010 on STV1
Czech Republic: June 17, 2010 on Prima
Music Featured In This Episode:
1. Everywhere by Common featuring Martina Topley-Bird
2. A Mirror Without by Royal Wood
3. Driveway by Great Northern
Face transplant: The surgery Sloan performs was also performed in France, on a woman named Isabelle Dinoire who had part of her face bitten off by her daughter's golden retriever with impressive results.
Episode Title: Stand By Me
Stand By Me is the title of a song made famous by Ben E. King. It is also a song by Oasis.
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