The doctors split into teams for a risky surgery involving conjoined twins; Bailey recruits Meredith to be a buffer between her and Ben when he puts pressure on moving their relationship to a more serious level; Richard teaches Alex a tough lesson in the OR; meanwhile Teddy questions Cristina about what exactly happened to Henry during his surgery.moreless
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Dr. Meredith Grey
Dr. Derek Sheperd
Dr. Arizona Robbins
Dr. April Kepner
Dr. Jackson Avery
Dr. Cristina Yang
Dr. Ben Warren
Arizona: So that went well today.
Callie: Mmmm. You were a monster.
Arizona: No, no, no, no. I was just-- I was amped up.
Arizona: Yeah, I think people found me helpful.
Callie: Oh. Mmhmm. Okay.
Arizona: O-kay. Anyways, I'm gonna go check on the twins, then I'm gonna head home.
Callie: Hey, could you, um, put the humidifier on in Sofia's room? She seemed a little congested this morning.
Arizona: Yeah, I noticed that.
Callie: Yeah, but don't give her anythhing for it. I don't that we're there yet.
Callie: Oh, and give her the pink blanket that your friend Terry gave us. She likes that.
Arizona: Uh, no, no, she doesn't--
Callie: Uh, yes, she does. And don't put it on her directly 'cause she'll just fling it off. Lay it down, on top of the sheet, fuzzy side up. (Arizona looks away) Uh, excuse me. This is important. Are you getting this? Fuzzy side up, not down. Up. Not down. Up. Up.
Arizona (laughs): Fine, fine, fine.
Callie: Not down. Up. My way.
Arizona: Fine, fine, fine! I was a monster. (goes to leave)
Callie: Hey, I'll come see the babies with you. Seriously, though, I'm putting the humidifier on. (slaps Arizona's ass)
Mark: God, I wish you could've been in there with me today.
Lexie (overhearing): Really? Me, too. (Mark points to his headset) Oh!
Mark: I'm sorry. I wasn't--
Lexie: Oh, no, no. I'm sorry. I- I was... I was hearing things. It was... long day. I'm just gonna... (laughs and walks away)
Richard: That's something, isn't, Karev? What a surgery.
Alex: This is a teaching hospital, okay? You were the chief for 20 years. You're supposed to be teaching your residents, not stealing surgeries like some shark fifth year. It's not cool, okay? It's not fair.
Richard: Oh, I think I taught you something today. You don't give up a once in a lifetime surgery, not for any reason, not for anyone, not ever. ... Watch your back, Karev. I might want to teach you something tomorrow.
Bailey: I had a husband, and a baby and I was a surgeon. I had it all. And then it all... turned bad. So then I got divorced. And then I got back on my feet. I found you. And then there was a shooting. So now I am finally back on my feet again and I have you again. ... I just don't want it to blow up.
Ben: Okay. You-- You're scared. See, alright, now... I am, too. Why can't we be scared in the same house?
Bailey: Well, don't act like it's not complicated.
Ben: It's not complicate. We just take it one step at a time. Put a toothbrush in my house today. Tomorrow, maybe a couple pairs of socks. Then a suitcase on the weekend--
Bailey: I have a child. I can't just move--
Ben: Wait. You-- You have a child? Whoa. When did that happen?
Bailey: Oh, stop-- You are not a funny man.
Ben: I met him. Rick, right?
Bailey: It was a mistake to even enter into this conversation with you.
Ben: T-Rex vs. Megalosaurus -- Who wins?
Bailey: Well, I have no idea.
Ben: You know who does? I do. And so does Tuck. Megalosaurus is a tenth of the size. T-Rex eats Megalo every time. But T-Rex vs. Pteranodon, though-- Pteranodon can fly. That's an easy win. Unless, you think that's a forfeit. Yeah, I can do this all day, and so can Tuck. You're bored already, and we've been at it for 30 seconds. I like Tuck. I like hanging out with Tuck. I like dinosaurs and transformers and... I like you. I want the whole package. I know you don't come without Tuck. I know that. I know who you are. (Ben leans to kiss her, Bailey backs away) So, that's it? Nothin'?
Bailey: My toothbrush is in my locker. One step at a time.
Cristina: Dr. Webber exercised his judgment and stepped in. We cracked his chest and tried to tamponade the bleeding and get to the source. He became bradycardic, so we pushed atropine. Then, I realized that he had lost some much blood because his--
Teddy: The tumor had eroded though the pulmonary artery.
Teddy: That's when he flatlined.
Cristina: We did compressions.
Teddy: Pushed epi, got a sinus brady...
Cristina: Pushed high dose epi.
Teddy: Which is when he flatline again.
Teddy (crying): Then you and Dr. Webber agreed that he had lost too much blood...
Teddy: ... and didn't have enough left to circulate, so his heart... would not restart. So you called time of death...
Cristina & Teddy: 8:52 P.M.
Cristina: I'm sorry.
Teddy: Oh, you don't apologize. You hear me? You don't blame yourself. You did every single thing that I would have done. You were me in that O.R, you were good and you did it right. He just... (crying) He just... He just died. (Teddy is sobbing and Cristina stands there teary eyed)
Cristina: Vitals were stable after recieving L.R and packed cells. The bronchoscope was already placed when I entered the O.R so I started with the laser endoscory. I had good visualization of the tumor almost immediatley.
Teddy: Tell me about the tumor.
Cristina: It was highly vasularized and it had eroded through the pulmonary artery.
Teddy: How do you know?
Cristina: I felt it.
Teddy: What did you feel?
Cristina: A hole in the pulmonary artery.
Teddy: Are you sure that it was the pulmonary artery?
Teddy: Or did you just blindly feel it?
Cristina: I knew what I was doing and what I felt.
Teddy: You had your hand on it?
Cristina: I had my hand on it and traced the anatomy.
Teddy: Are you 100% sure?
April: She said she's sure! Enough! It's enough! This is enough. You can't keep doing this. Y-You can't... He's gone. Dr. Altman, I... I'm sorry, but he's gone, and this is not gonna bring him back so please just stop. ... Please.
Teddy: Are you alright, Dr. Kepner? Or do you need time to gather yourself?
April: No, I... No.
Teddy: Okay, then. (looks to Cristina)
Cristina: I am 100% sure.
Cristina: Henry flatlined. We did compressions, pushed epi, got a sinus brady, pushed high dose epi. He flatlined again. We did more compressions. We continued in this manner until both Dr. Webber and I decided that his heart would not start. We called time of death, 8:52 P.M.
Arizona: Hey, why are you doing this and not Karev? He's the one who suggested the transplant.
Richard: I picked Karev's pocket.
Alex: You what?
Richard: Twice in one day, Karev? Honest to God... It was like taking candy from a baby. No, that's not right. It's not fair to the baby. It was easier than taking candy from a baby. At least the baby puts up a bit of a fight.
Bailey: Uh, keep looing. (goes to look at the x-rays)
Meredith: Uh, Dr. Bailey, we have to close. He's been under too long.
Bailey: You have boards comin' up. Is this really what you want on your record? (Ben and Mer are staring at Bailey) Well, don't just stand there like a whipped puppy. Check under the liver again.
Meredith: It's-- It's not under the liver.
Bailey: Excuse me?
Meredith: It's not in the patient.
Bailey (sighs): Dr. Grey, I thought I taught you the simple, reliable rules, like when you don't find the problem on your first look, you check again. Double check, triple check, if you have to. We don't throw our hands up in my O.R. when a man's life is at stake.
Meredith: Dr. Bailey, the spong is on the bottom of your shoe.
Bailey: On the... Wh--
Ben: Focus. Like a laser.
Richard: You have every reason to be pissed at me, Karev. I played you. I wanted in on that surgery, and I looked for the weakest link, and it was you.
Alex: That's alright, next time I'll know better.
Richard: It's not alright. That was your moment. And I took it away from you. What I did today was... sad. It was pathetic. An old man acting out of fear. ... You get to a point in your career... hell, in your life, when you realize you have more yesterdays than tomorrows. And that realization is hard on a man. But when you get a chance to get in on something like that... you fight like a tiger, all beause you think it'll give you just a little more time in the game.
Alex: I don't think you have to worry about that.
Richard: You kiddin'? A year from now, maybe two, if I'm lucky, they'll stick me in an office in a part of the hospital nobody ever goes to. They'll apoint me to some do-nothing board that makes up rules nobody pays attention to. They'll let me do a couple appys a week so I can still call myself a surgeon. You reach a certain age, that's what happens. It's the order of things. I can't think of anything more humilating. Can you?
Alex: No. ... Hey, you want to scrub in on the transplant?
Richard: Robbins just needs one of us.
Alex: Go ahead.
Alex: Go on or I'm gonna change my mind.
Richard: I- I don't know... Thanks, Karev.
Ben: How was your lunch, Dr. Grey?
Meredith: Oh, it was fine. Actually, no line at all. I was able to get my sandwich, find my daughter, see my husband, go the groundbreaking surgery that's going on right next door, and still get back in time to do my work.
Ben: Sounds like you have it all, Dr. Grey.
Meredith: I do, actually. I have it all.
Bailey: I've heard enough the lunch. I don't see anymore perforations. I'm gonna start closing.
Ben: Oh, well, I'd say that we should grab a drink and celebrate. But I know that you don't have room in your life for joy.
Bailey: Is it a crime that I like to focus when I'm in the workplace? If so, my apologies. I focus. I focus like a laser. That's why I don't make mistakes. That's why my patient's survive surgery. That's why I'm not sloppy or careless...
Nurse: We're missing a sponge.
Bailey: ... or inconsistant like many of my colleagues are. Frankly, like most of my students are. When you and chatty Cathy over here we're discussing the magic of lunch, I was focused enough for both of us.
Meredith: Dr. Bailey.
Nurse: We're missing a sponge.
Bailey: Well, count again.
Nurse: We did, three times. We've looked everywhere except...
Bailey: Except where?
Meredith: Inside the patient.
Meredith (holding Zola): Okay. Look at this face. Seriously. Look at this face.
Cristina: Yeah, yeah, yeah. Super cute. They're in the spinal cord now.
Meredith: Bailey spend the last two hours telling me how crappy my life is, but look at this face. Oh, look, Zola, there's your daddy. He's about to repair a myelomeningocele. Can you say myelomeningocele?
Alex: What an ass.
April: Hey, language.
Cristina: Baby here.
Alex: He pretends he's all gentle and sad with the Alzie wife at home dispensing zen wisdom from his half century of being a surgeon. Well, guess what, Yoda down there-- Biggest shark of 'em all. The guy is dangerous and mean.
April (to Cristina): I think what Teddy's doing is mean.
Cristina: It's fine.
April: No, it's horrible. It's-- It's horrible and--
Jackson: You know what else is horrible? Having a dead husband.
April: No, you know what? You don't know, okay? It's not right. Teddy's O.R is like... It's like a morgue.
Alex: Well, Altman's husband died on Yang's table. Payback's a bitch.
Cristina: Oh, will you just shut up? It's fine. I can handle it.
Meredith: Well, it has been two weeks of this. It must be getting to you.
Cristina: Well, no more than it did yesterday or the day before that or the day before that. It's fine. I'm... I can handle it.
Meredith: Uh, Dr. Bailey, OP notes done. Do you mind if I run out for minute until the next patient's ready?
Bailey: He's gonna be here 30 minutes from now.
Meredith: I know. I can get out and make it back in time.
Bailey: You're going to try and get a sandwich and then I'm going to get the sad story 40 minutes from now about how long the line was in the cafeteria.
Meredith: He's a nice man. You can do without me for a half hour.
Bailey (clenches her teeth): Dr. Grey.
Meredith (whispers): He won't bite. (walks out)
Ben: You can run but you can't hide.
Bailey: Look, what we have is good. Now why on Earth do you wanna rush it and-- and complicate it and-- and quite possibly destroy it?
Ben: Because we're not kids anymore. Because my life is happening now, not ten years from now, or five, or a respectable 14 months, but right now. And I want to share it, every day, every morning, every evening, and-- if that's not what you want, then I guess we're just not right for each other.
Bailey: Now, look, we just got back together two weeks ago. I- I can't--
Ben: Well, I guess I just got my answer.
Cristina: He flatlined again. Then Dr. Webber and I decided that without any blood left to circulate, his heart would not restart, so we called time of death at 8:52 P.M.
Teddy: Tell me about the tumor.
Cristina: The tumor had eroded through the pulmonary artery.
Teddy: Okay. How do you know?
Cristina: Know what?
Teddy: When you say that the tumor eroded into the pulmonary artery, how do you know?
Cristina: There was a hole in the artery.
Teddy: Did you actually see the artery?
Cristina: I felt it.
Teddy: You just blindly felt it?
Cristina: It wasn't a blind feel. I knew what I was doing. I traced it with my fingers. ... It was the posterior segmental artery. I'm sure of it.
Teddy: How can you be sure? You never got a visual.
Cristina: I- I followed the tracheal bifurcation. It came directly off the main pulmonary artery. ... I didn't call it without being sure.
Teddy: From the top, Yang.
Cristina: Um, his vitals were stable after recieving fluids. He was under anesthesia, and the bronch was placed before I entered the O.R, so I proceeded with the laser endoscopy using the C-O-2 laser...
Lexie: Why aren't you doing the flip?
Alex: Webber snaked it from me.
Lexie: Webber? But he hasn't practiced. You've been practicing this for two weeks.
Alex: Yeah, well tell him that.
Lexie: I told the parents that you've practiced. I told them that you had this thing down cold.
Alex: I hope he drops here. How's he gonna like it when one twin's pushing her sister in a wheelchair the rest of their lives? (Lexie stares at him) I'm just pissed at Webber.
Lexie: You're just... a monster.
Owen: Flip's coming up. And I don't want a repeat of this morning's rehearsal.
Alex (walks over to Owen): That's what I want to talk to you about. I'm a little nervous about it. We practiced that flip before, and it turned out great. And today-- Robbins doesn't trust anybody today.
Owen: Get to your point, Karev.
Alex: I just don't want to screw this up. We gotta be a perfect team.
Owen: And you're not comfortable doing it with her?
Alex: She's making everybody uncomfortable.
Owen: I get it. You don't need to say another word. (loudly) Who wants to replace Karev on the flip?
Alex: No, that's what I meant.
Richard: Uh, I'll do it.
Bailey: And then thanks to the unhealthly level of comfort that she felt working for her husband, she took some liberties with the clinical trial and now neither of their careers will ever be the same.
Meredith: You know, I would love to go back to dividing the gastrocolic ligament, but I'm not sure I remember how to--
Bailey: Figure it out. Look, all I'm saying is, it'd be nice to maintain some boundaries so a person's life doesn't fall to pieces like Dr. Grey's here.
Meredith: For the record, my life is pretty great right now.
Bailey: You hush. No one is interested in your life.
Ben: Dr. Grey.
Meredith: Please ask me about a spleen.
Ben: Dr. Grey, who's the last person you see before you fall asleep at night?
Meredith: Or a pancreas. I've got a very good view of it. It's tan and lobulated--
Ben: Answer the question. The last person you see before you fall asleep at night.
Meredith: Derek Shepherd.
Ben: Must be nice, all I'm sayin'.
Cristina: From the beginning?
Cristina: Vitals were stable after reciever L.R and packed cells. The bronch was already placed when I entered the O.R so I proceeded with the laser endoscory using the C-O-2 laser.
Teddy: Step by step.
Cristina: I had good visualization of the tumor almost immediately. About 80% of the tumor had been vaporized when the bleeding began. He had clots, which were blocking my scope. I passed a brush through the scope to clear the field. However, Henry's hemorrhaging was so severe...
Cristina: Henry's hemorrhaging was so severe that the brush did not solve the problem. SATs dropped to 88. Blood was coming out of the E.T tube, at that point Dr. Webber exercised his judgment and stepped in. We cracked his chest and tried to get to the source. Henry became bradycardic so we pushed atropine. Then, I realized that the tumor had eroded though the pulmonary artery. He flatlined. We did A.C.L.S protocol and got sinus brady. We pushed high dose epi. He flatlined again. We did more compressions. We continued in this manner until Dr. Webber and I both agreed that since he already lost more than half his blood volume, his heart could not restart. We called time of death, 8:52 P.M.
Cristina: When I entered the O.R., Henry's vitals had been stable. He recieved L.R and packed cells. The bronch was already placed so I proceeded with the laser endoscopy...
Ben: How's Zola doing?
Meredith: Oh, she's great. Thanks. She's bout a minute away from walking.
Ben: That's great. And she's in the daycare downstairs?
Meredith: She is, yeah. She really likes it.
Ben: Must be nice having the whole family in the building.
Ben: It's a win-win. You love Dr. Shepherd, and he loves you, and you see each other at work, and then see each other at home. Just more of a good thing.
Meredith: Dr. Bailey, is that the spleen right there?
Bailey: That is the spleen.
Meredith: So are we gonna take out the whole thing?
Bailey: We will. We will take it right out.
Meredith: So how many suture ligatures do you think we'll need to do for the splenic vessels?
Bailey: Oh, it could be two, it could be three. I'll see if two does it, but I may have to throw in a third.
Ben: This is good stuff. I'm glad I skipped the conjoined twins.
Bailey: There's beauty in the basics.
Ben: There's beauty in sharing a bowl of cereal with a woman that--
Meredith: I can't remember how to do a stick tie.
Bailey: No shame in that. There's no stupid questions.
Ben: Are you sure about that?
Bailey: Okay, I'm gonna tell you something about my personal life.
Bailey: Okay, um, my personal life is none of your business. The fact that I know things about your personal life is one of the great sadnessess of my extistence.
Meredith: Sorry about that.
Bailey: And the fact that you're gonna know about mine exponentially worse, but I don't see how we get around it.
Bailey: We're about to operate with Dr. Warren. He and I are... involved.
Meredith: Everybody knows that.
Bailey: Can you not pretend?
Meredith: Oh, oh. You and Dr. Warren? Wow.
Bailey: Uh, he is going to try and dicuss personal matters in the O.R today, and I don't want that to happen. Okay, so I'm gonna teach you a lot. And you are going to ask questions a lot. And if he gets a personal word in edgewise, I want you to forget which is the business end of a scalpel is real quick, and ask for help.
Meredith: Okay, so, let me get this straight. You pulled me out of a once of a lifetime surgery to be a buffer between you and your boyfriend?
Bailey: Oh, don't use that kind of language with me.
Meredith (after Alex & Arizona's practice flip goes wrong): You nearly killed both dolls.
Alex: Look, I had it. I know it. If only freakin' Robbins would trust me to do it.
Meredith (whispers): Doll killer.
Arizona (while they're practicing flipping the babies): Karev, you rushed it. You're like two steps ahead of me.
Alex: No, you over me. Yours over mine, everything's fine. Mine of yours, babies in the morgue. That's how it works.
Richard (about Arizona): Man, she's wound up tight.
Alex: I thought that you were off work today.
Richard: I won't see another one of these in my lifetime. You're doing the flip, right, Karev, with Robbins? (Alex nods) The flip's a critical part. You ready?
Alex: Yes, sir.
Richard: Look, I know this procedure is her baby, but she keeps nitpicking everybody, she'll destroy their confidence. Don't let her do that to you.
Alex: Oh, no, sir.
Richard: Good, because if the flip goes wrong, she's gonna blame you. It'll go on your record, and-- and boards comin' up. It's not gonna look good. Glad it's not me.
Bailey: I thought I had Dr. Knox.
Ben: You know what I love about you? Your warmth.
Bailey: You were doing the conjoined twins.
Ben: Yeah, well, now Knox is doing the conjoined twins.
Bailey: Uh huh. We're not talking about it.
Ben: Oh, of course we're talking about it.
Bailey: It's a crazy idea that I'm not talking about because it's a crazy.
Ben: It's not crazy. We sleep in one bed, we would have breakfast at the same table, we would have one eletric bill instead of two.
Bailey: Oh, that's why you want me to move in with you, so we can save on eletric?
Ben: Yeah, it's the responsible thing to do... For the planet.
Bailey (scoffs): I am not moving in with you. Okay, l-look we've been together, what, two weeks?
Ben: Two weeks and nine months before the pause. And I want to hit play again, right where we left off. I don't want to start at the beginning.
Bailey: Because it's good for the planet?
Ben: And I have a better T.V. Look, come on, now. Admit it. You want to live with me. You love me.
Bailey: I want... Knox back.
Meredith (opening voiceover): Have you had the starring role in a play... a solo in a receital? All eyes on you... waiting for you to do what they came to see. Feeling the incredible pressure to perform. There was a time when they used to call operating rooms an operating theatre. It still feels like one, scores of people get ready for the show. Sets are arranged. There are costumes, masks... props. Everything has to be rehearsed, chreographed, all leading to the moment that the curtain goes up. You know what the say about Carnegie Hall? That there's only one way to get there.
Meredith (closing voiceover): If life only was just a dress rehersal... and we had time for do-overs. We'd be able to practice and practice every moment until we got it right. Unfortunatly, every day of our lives, is it's own performance. It seems that even when we get the chance to reherse, and prepare and practice... We're still not quite ready for life's grand moments.
Original International Air Dates:
Canada: January 12, 2012 on CTV
Germany: June 6, 2012 on ProSieben
Norway: July 3, 2012 on TV2
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