Goof: Dr. Virginia Dixon tells Bailey that the first successful heart transplant was performed in 1896 by Dr. Ludwig Rehn, which is a very serious mistake - in 1896 Dr. Ludwig Rehn actually performed a very first successful heart surgery in recorded history, but not a heart transplant. First cardiac transplantation was performed only in 1967 by Dr. Christiaan Barnard in South Africa. It's hard to believe that Dr. Dixon would make such a mistake in her area of expertise.
Cristina: Hey. Petey's julienning her skinny little chicken arms. Still no word on what made H hitch a ride with the flying monkeys. Later!
Derek: Translate that for me.
Meredith: Lexie may be a secret cutter, and there's still no word on why Hahn quit.
Derek: Tell me the stories.
Meredith: What stories?
Derek: The ones that you won't let Sadie tell me.
Meredith (laughs): They are ancient history, humilating, and ridiculous.
Derek: Ridiculous is telling another grown man to stay out of Little--
Meredith: You did it?
Derek: I did. Those exact words. I did it because it was nice to see you sticking up for your sister. I did it for you. So, now you owe me a story.
Meredith: Okay, fine. But you can never tell anyone, ever.
Izzie: I love you. I will always love you. You own a piece of me. So, although you will be gone. You won't be forgotten. Not by me. I'm sorry we never got our chance. I'm sorry that we never... got to get married or have children, or grow old together, I wanted that so much. ... I wanted to be your wife more than anything.
Denny: Why are you telling me this?
Izzie: I'm trying to let you go so that your soul can be at peace.
Denny: But I have peace, Izzie. I'm here for you.
Izzie: Goodbye, Denny. I love you, but goodbye.
Mark: Boy, that Lexie Grey sure does know how to wrap herself around a suture.
Derek: Mark, Meredith has some concerns.
Mark: Well, that's not news.
Derek: About Lexie. Apparentally, Lexie is fragile. And getting involved with a superior might make her more fragile.
Mark: I was talkin' about her sutures.
Derek: Keep Little Sloan out of Little Grey is my point.
Derek: Little Sloan does not enter Little Grey. Are we clear?
Mark: Did you just say? ... Okay, that's just creepy. And inaccurate. Big Sloan!
Bailey: Excellent job today, Dr. Dixon. Excellent... rule following.
Virginia: I only have one real intereset. The human heart. I love it. I like it's regularity. I know everything that there is to know about it. I like it's predictablity, it has rules, every chamber has a function, every function has movement, I like the color. It's comforting. Are you familiar with Asperger's syndrome, Dr. Bailey?
Bailey: I... Of course. ... Significant impairment during social situations.
Virginia: I'm not good at cues like sarcasm or condensension, but I do know when I'm being manipulated, and I know when I'm being made fun of. I don't think that I like this hospital very much. ... I don't think I like this hospital at all.
Denny: You know, you're actin' like you don't want me to be here.
Izzie: You know what I've wished for everyday since you died? I wished that I could see you to again. I would've given anything just to see you, one more time. Looking at you and knowing that I can't touch you, it's hurting me.
Denny: Izzie, you can touch me.
Izzie: You're not real. You can't be real. So, that must mean that I'm sick, or that something is wrong with me. And I can't hope for that. I... I can't hope. ... You're not real.
Meredith: Hey, Lexie, how are you? Is everything okay?
Lexie: Why? Did somebody say something? Like I was doing something?
Meredith: Uh... No. I'm asking as a person who's sort of related to you. If there's anything bothering you...
Lexie: So, this isn't as a boss, or resident, or a superior, keeping eyes on what I do as a--
Meredith: No, no. I'm just a compassionate person. And I'm just wondering if you're channeling your tragic pain into self-mutilation. ... Are you a secret cutter?
Mark (walks up): Little Grey, Torres is trying to set a world record for the most titiaum rods used in one patient. Are you in?
Meredith: Little Grey?
Mark: Little Grey, Big Grey. That's how I tell you two apart.
Cristina: Dr. Dixon. I'm Cristina Yang, I'm a resident here and I've been focused on cardio since I began my internship. I'm certainly looking foward to anything that you might--
Virginia: Are the other ones taken off my case?
Cristina: What other ones?
Virginia: The male one, and the one with the yellow hair.
Cristina: Not that I'm aware of.
Virginia: Then why are you talking to me? (Cristina just walks off)
Bailey: Um, I need the hospital rules to specify that we must respect all relgious and spritiual beliefs of our patients.
Richard: The rules?
Bailey: Yeah. I'm asking you to declare a rule of our department.
Richard: That we respect the beliefs of our patients?
Richard: Isn't that just common curtosy?
Richard: Then why am I declaring it?
Bailey: Um... Dr. Dixon do common courtsy. But... she understands rules. So, if it's a rule, we're golden. If not, we have a pissed off patient, an applictact surgeon, and none of those things makes for a successful procedure on a faulty heart. Not to mention the failure to woo.
Richard: You want me to announce it as a rule?
Bailey: I'm here as a witness. You can raise your right hand, put your left one on the physician's desk refernce.
Richard: It's a rule.
Bailey: Thank you.
Cristina: What happened to Hahn? Whatever made Hahn leave, it can be fixed. ... Unless she was fire-- She wasn't fired was she?
Callie: She's not coming back.
Cristina: You don't know that.
Mark: She kinda does.
Callie: Because she doesn't... It's just too... We had a fight.
Cristina: Please. Meredith and I fight all the time. We still work together. It's not like Hahn was your girlfriend or something. ... Oh my God. She was your girlfriend?
Callie: Look, we hadn't figured it all out.
Cristina: Wait, so are you a lesbian now?
Mark: I dunno... maybe you were a "once-bian."
Callie: Or a twice-bian. Whatever. It's over.
Cristina: Are you okay?
Mark: She's fine. Leave her alone.
Derek: So that's it? No surgery. You're just gonna walk away?
Owen: I'm respecting the patient's wishes.
Derek: The patient's unstable with an open wound.
Owen: Which we are packing.
Mark: This guy's circling the drain.
Derek: You cannot just walk away.
Owen: Don't tell me how to run things in my ER.
Mark: Your ER?
Derek: We save lives here. We don't just patch up patients and leave them to die. ... If you can't handle that, go back to the desert, and leave us here. To do our jobs.
Bailey: Our cardiac wing is extensive, and well equipped with all-
Virginia: The first successful heart transplant was performed on September 7, 1896 by Dr. Ludwig Rehn, Frankfurt, Germany.
Alex: I'm sorry, I don't mean to interrupt...
Bailey: No, please, inter ... Please, update Dr. Dixon on the patient.
Alex: Dr. Stevens is prepping your patient for surgery. They scheduled a transplant six years ago, but the heart was too small. So they doubled up and added a donor heart to help his own heart function. They did a piggyback ...
Virginia: Heterotopic ... transplant. Piggyback is the colloquial name for the procedure. Don't do that.
Mark: Someone paged us?
Owen: I did.
Derek: You did? That's a first.
Cristina: Hey, what do you know about Hahn?
Callie: Um, she's gone.
Cristina: Yeah. But why?
Callie: I don't know.
Cristina: But you two were friends.
Callie: I don't wanna talk about it. I want blood and guts, and managled bones. I want a guy so smashed up that it takes all day to fix him. I-I wanna rock a surgery. And I don't wanna talk about Hahn.
Paramedic: Unidentified man, with prolonged extracation time. We had to fish him out of a working garbage truck. Multiple crush injuries, open fractures, GSF 3, and we couldn't unhook 'em in the field.
Owen: Unhook 'em?
Paramedic: The steamer's broken in half and it's puncturing his torso. He's impaled.
Cristina: Impaled on himself?
Callie: Human pretzel... that'll do.
Derek (about Sadie): So she's your pre-Cristina, Cristina. You gonna tell me why she calls you 'death'?
Meredith: Oh, no. The adventures of 'death and die' are better left untold.
Cristina (walking by): Hey, pedia is scratching her little chicken arms, still no word on why McH hitched it with her flying little monkeys. Later.
Derek: Translate that for me.
Meredith: Lexie may be a secret cutter and there's still no word on why Hahn quit.
Derek: Is that true about Lexie?
Meredith: I don't know. How would I know?
Derek: If it is true, what are you gonna do about it?
Derek: Meredith, you can't do nothing. She's your sister.
Derek: And your family.
Meredith: I'm not understanding.
Derek: Lexie's your family. (Meredith just stares at him blankly) Forget it.
Lexie: Um... these are scratches from my kitten. He's a crazy scratching scratcher.
Cristina: You're a cat person?
Lexie: I meant hair brush. It's-- I have the crazy scratchy hair brush.
Cristina: Solo surgeries are at stake here, 3. I can't have you acting weird, or wounded.
Lexie: I'm- I'm on top of my game, really.
Cristina: I am sending you to plastics, far, far away now go.
Sadie: This woman is the reason why I went to med school in the first place. I figured if I was a slacker like death could be good at slicing people open, then I could too.
Derek: Meredith's not a slacker.
Sadie: Ooh, I could tell you some stories.
Meredith: But you won't.
Cristina: So, Sadie you postponed your residency to work in a morgue?
Sadie: Yeah, you know, all the fun cutting, no rules. But I got bored. Starting craving blood that was actually flowing.
Meredith: And now you're here. I can't believe that you're here.
Cristina: ... Yay!
Cristina: Apparently they went backpacking around Europe together or something. Before med school. You know that woman all but kicked me out of the bed?
Derek: Oh, that's terrible.
Cristina: And death? Meredith's name's not 'death.' It's Mer!
Derek: I really feel for 'ya.
Cristina: I mean, she's never even mentioned this woman. How good a friend could she be?
Derek: Good enough to kick us both out of bed. ... Welcome to my world.
Sadie: You look like...
Meredith & Sadie: Death! (they giggle uncontrollably)
Sadie: Is the guy in your pajamas your boyfriend? Because if so, then hot.
Cristina: Uh... Hey! Who are you?
Sadie: I'm Sadie, who are you?
Cristina: I'm... I'm Cristina! (Meredith and Sadie start giggling again, and Cristina then starts to giggle akwardly)
Cristina (knocks on the door): Are you up?
Derek (groans): No.
Cristina (gets in their bed): The wicked witch is dead.
Meredith: Metaphorically dead? Or dead dead?
Derek: Who are we talking about?
Meredith & Cristina: Hahn.
Cristina: Her name is off the surgical board, her surgeries have been cancelled. I don't know how or why but I do know... Hahn is gone.
Derek: That's too bad, she was really talented. (Meredith and Cristina stare at him) You're not talking to me.
Meredith (opening voiceover): It's intense, what happens in the OR. When lives are on the line, and you're poking at brains like they're silly putty. You form a bond with the surgeons right next to you. An unbreakable, indescribable bond. It's intimate being tied together like that. Whether you like it or not, whether you like them or not. You become family.
Mark: Did she, uh, ... She say goodbye to you?
Mark: You okay?
Callie: Do I look okay?
Mark: You look great.
Callie: Then I'm okay.
Izzie: I-I said goodbye. I burned the sweater!
Denny: Yeah, thanks for that, by the way. I loved that sweater. You made me that sweater.
Denny: Izzie... stop freaking out.
Izzie (muttering to herself): You're not real, you're not real, you're not real...
Denny: Hey, I told you.
Izzie: You're not real! You're not real! You're not real! You're not real... You're not real...
Denny: Izzie, look at me. ... Touch me. (Izzie touches Denny's chest) See? Told you I was real. (they kiss)
Cristina: I'm sorry. We lost him. The patient. I'm sorry.
Owen: I don't need you to be sorry.
Cristina: Okay. I don't need you to be sorry.
Cristina: Okay, okay.
Owen: I din't need you to be sorry. I don't need you ...
Cristina: Alright, alright. (Owen backs her against the wall and kisses Cristina)
Meredith (closing voiceover): The ties that binds us are sometimes impossible to explain. They connect us even after it seems like the ties should be broken. Some bonds defy distance and time and logic; Because some ties are simply... meant to be.
International Episode Titles:
Slovakia: Putá, které spájajú (The Ties that Bind)
Czech Republic: Vzájemně spjati (Mutually Bound)
Original International Air Dates:
Italy: March 16, 2009 on Fox Life
Australia: March 19, 2009 on Channel 7
The Netherlands: March 23, 2009 on Net 5
Latin America: March 23, 2009 on Sony Entertainment Television (aka Canal Sony)
Germany: May 27, 2009 on ProSieben
Norway: October 6, 2009 on TV2
Slovakia: November 9, 2009 on STV1
Czech Republic: April 8, 2010 on Prima
Erica Hahn (Brooke Smith) is no longer listed in the opening credtis.
Music Featured In This Episode:
1. The Uniform by The Flying
2. Ah, Ah, Ah by The Coral Sea
3. It's A Funny Thing by Jets Overhead
4. Falling for You by Seabird
5. Trouble Is a Friend by Lenka
Episode Title: These Ties That Bind
A song by Rj Cowdery from the album One More Door.
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