Grey's Anatomy

Season 9 Episode 17

Transplant Wasteland

Aired Thursday 8:00 PM Mar 14, 2013 on ABC



  • Trivia

  • Quotes

    • Callie: We're officially the new board of directors. (they all congratulate each other and get up to leave)
      Jackson: Actually, I'd like to share a list of a few things I think are our top priority.
      Callie: You mean that the foundation thinks--
      Jackson: No, I don't, actually... mean the foundation, or my mom or these stupid protocols. (throws the binder out) I mean me.
      Meredith: Okay, well... Let's just listen. (they all sit back down)
      Jackson: Number one, I move that we reinstate Owen Hunt as chief of surgery, effective immediately. Dr. Hunt has agreed to this.
      Derek: There were some conditions.
      Jackson: Which brings me to my second point. We are reopening the E.R. We will be a level-1 trauma enter again. That will be top priority once Owen Hunt is here to share his input. From now on, the foundation will follow our lead. We will tell them our decisions as we make them.
      Callie: Well, hear, hear.
      Arizona: Yeah. No, that sounds good.
      Jackson: I've got one more thing.
      Meredith: Maybe you shouldn't push it.
      Jackson: We are building a new hospital. And that was your vision, not mine. My priority is to make sure your vision comes true. And while it is important that we become a leading center for research and innovation, we have to remember something, we are now officially a hospital run by doctors. That should mean something. It is our responsibility to be the best doctors we can possibly be so that those who come after us can strive to be their best. So... with that in mind, I move to rename the hospital.
      Cristina: Again?
      Meredith: Why would we do that?
      Arizona: To-- To what?
      Callie: Oh, let me guess. The Harper Avery hospital?
      Jackson: No. I propose that we give this hospital a name that can honor the very reason we've come together and been able to do this, a name that exemplifies the spirit of this hospital, but also the depth of our dedication. (turns his note pad around it reads 'Grey Sloan Memorial Hospital') All in favor? (they all agree)

    • Catherine: He stepped up, didn't he? My reluctant son? If I were the kind of woman to say 'I told you so,' this might be the time.
      Richard: He got through the day.
      Catherine: Oh, come on. Can't you just say that I was right once?
      Richard: No, not when the stakes are this high. You want him to step up, but the steps are too high, and the consequences for his career are too grave. It's not fair to him.
      Catherine: Don't you tell me what's not fair for my son. You want to give professional advice? Fine. But you're wandering into parenting advice, and that is not your place.
      Richard: Yeah, you're right. I'm sorry. I overstepped.
      Catherine: Yes, sir, you did. You ever... You ever say something and then a minute later, realize you sound like a complete imbecile?
      Richard: Um, that's never happened to me.
      Catherine: Mm. I've been a single mom for 28 years, ever since Jackson's dad ran off to god knows where because he couldn't stand the pressure of being an Avery. And I've been looking for a man who cared about Jackson the way a parent would, and... the moment I find him, I bite his head off.
      Richard: You're always gonna know what's best for Jackson.

    • Alex (to Jason): Move over. (sits down in the booth with Jason & Jo)
      Jo: Um, hi.
      Alex: I heard you almost killed somebody trying to get Jaelynn her kidney, and I was kind of a douche face, and... Anyway, I'm-- I'm sorry. And thanks.
      Jo: Okay.
      Alex: Can I uh, buy you a beer or something?
      Jo: Uh, I'm all set.
      Jason: Yeah, we both are. We're all set. (Alex stands up and leaves) Well, that was, uh... What were we talking about?
      Jo: I'm sorry.

    • (Owen is jogging, Derek pulls up next to him in his car)
      Owen: There's nothing to talk about, Shepherd, move on.
      Derek: Oh, come on. This is costing me gas.
      Owen: You can afford it. (sits down on his porch, Derek gets out of his car)
      Derek: Nobody blames you for hiring the plane. Not me, not anybody else, and you shouldn't either. You never would've signed that paper if you knew what was gonna happen. Let it go.
      Owen: You blame me. You said it, Shepherd. You said it again this morning.
      Derek: I was pissed. I've been pissed, but not at you. The world. Yeah. Yeah... I'm pissed at Mark.
      Owen: You gotta let that go.

    • Alex: It's about time.
      Meredith: You mean 'thank you, Meredith for carrying a kidney across state lines for me.'
      Alex: Whatever. Hand it over.
      Jo: Can I scrub in? I'd love to--
      Alex: I got Murphy. (Jo walks out)
      Meredith: You want me to apologize, Alex? I'm sorry. I'm sorry we bought the hospital. I'm sorry you have to think of us as your bosses now. But we didn't do it for just us. We did it for everyone, for you, for Wilson, who, by the way, fought so hard for you today, I thought she might cut someone to get you that kidney. So drop the attitude before nobody wants to work with you anymore.

    • Derek: Did you get the O.R. straightened out?
      Cristina: The place doesn't run without Owen, Derek. You know it.
      Derek: I didn't force him to leave. But once he started talking about who's to blame--
      Cristina: Because he feels the blame, every day since it's happened. And you remind him again and again. You say you forgive him, but you don't or you won't. So what is it? What is this about? 'Cause it's not about him.

    • Richard: He is drowning and he's taking my hospital down with him.
      Catherine: Where is all this drama coming from? He will handle this. Just give him time.
      Richard: He's paralyzed.
      Catherine: Decisions are like building blocks. He'll make one, then another will follow.
      Richard: You do not do this job only calmly thought-out decision at a time. You're spinning plates, ten at a time, and you're doing it at a sprint.
      Catherine: He will get there.
      Richard: You act like I don't have any idea what I'm talking about. When I was chief, I worked hand in hand with the board. So I know what it takes to--
      Catherine: You are not doing it now, Richard.
      Richard: I am not thinking of myself, Catherine. I'm thinking of your son. Look, if he fails at this, it will follow him his whole life. It'll define his entire career-- This failure-- And he didn't even choose it. His mother chose it for him.

    • Richard: Are you okay there? You're looking a little overwhelmed. Anything I can help you with?
      Jackson: Can you read everything in my arms and own this hospital?
      Bailey (walks up): You actually gonna look at those protocols or just keep carrying 'em around?
      Jackson: Right. Your hernia. I'm gonna get you an answer just as soon as I--
      Bailey: Too late. I already did it, my way.
      Jackson: That's not-- Bailey, you shouldn't--
      Bailey: Well, you couldn't make a decision, so I made it myself. You gonna get rid of me now like you did Hunt?
      Jackson: I didn't get rid of hunt. Why--
      Cristina (walks up): Sign this.
      Jackson: What is this?
      Cristina: Authorization for a domino transplant.
      Jackson: Yeah, why am I--
      Cristina: Because when you anoint yourself king, it comes with certain responsibilities. You have to sign this.
      Jackson: I need to know what this is first.
      Cristina: Well, I could take the time to explain to you how a heart-lung domino transplant works, but by then, both my patient's will be dead.
      Jackson: I know how a damn domino works. (sees April walking by) Hey, April. Take these.
      April: What are they?
      Jackson: Hunt left before he could coordinate the recovery teams for your D.C.D patient. So it's just a list of which organs are going where.
      April: Yeah, well, he's not my patient anymore, per his request--
      Cristina: Just sign this.
      Jackson (to April): Just handle it, please.
      Callie (as Jackson is signing Cristina's forms): Hey, make sure you sign your own name, not mom's.
      Jackson: Really?
      Alex (walks up): Avery.
      Jackson: What?
      Alex: I want to know who the hell sent my kid's kidney flying coach to Seattle when I sent two surgeons to pick it up.
      Jackson: Wait. What are you talking about?
      Bailey: He's talking about the protocols. Look... (opens binder) Pegasus policy states, look, (points) 'Donated kindeys coming from outside a certain radius will be flown unaccompanied, saving personnel hours.' So when the other hospital called, the nurse just told 'em to put it on a plane. Told you they were stupid rules. You should read 'em sometime.
      Alex: Great. Does anybody know what's going on?
      Bailey: Tough day, boss?

    • (On the phone)
      Alex: Hey, how's it lookin'?
      Meredith: You sent me all the way out here to get a kidney that's already flying coach to Seattle as an unaccompanied minor?
      Alex: What?
      Meredith: I don't even know who's coming to pick it up.
      Alex: Find out.
      Meredith: Alex, I--
      Alex: Look, just deal with it, okay? (hangs up)

    • (On the phone)
      Alex: Hey, how's it lookin'?
      Meredith: You sent me all the way out here to get a kidney that's already flying coach to Seattle as an unaccompanied minor?
      Alex: What?
      Meredith: I don't even know who's coming to pick it up.
      Alex: Find out.
      Meredith: Alex, I--
      Alex: Look, just deal with it, okay? (hangs up)

    • (On the phone)
      Meredith: So he's rejecting the heart out of spite?
      Cristina: Yeah. I can't figure out how to talk him into taking it.
      Meredith: Have you talked to Owen?
      Cristina: Uh, no. But I know. He just needs time. What is your husband's deal anyway?
      Meredith: Oh, Cristina.
      Cristina: You know, it's like everyone has gone crazy. Owen and Derek are at each other's throats. Avery's on some kind of power trip. You know, I am supposed to be prepping for a major transplant, and Callie's left me with an O.R. board that's like a Rubik's cube.
      Meredith: Wow. In charge one day, and already the hospital's spinning out of control? Okay, I gotta go. We're here. (hangs up, to Jo) Uh, you need to stop listening to my conversations.
      Jo: Is the place really spinning out of control?
      Meredith: What? No, of course not. Shut up. Everything's perfectly fine.

    • (On the phone)
      Meredith: So you'll have to pick up Zola. Did you sort out the O.R. board?
      Derek: I started, but I have a surgery. I have Torres looking at it right now. Why are you on a plane?
      Meredith: Oh, because Alex wants his kid's kidney mobilized before perfusion, and he's being a giant baby about it.
      Derek: Alright. Well, call me when you get back.
      Meredith: Okay. (hangs up)
      Jo: He doesn't mean to be a giant baby. Karev-- I think he just hates feeling like you guys left him in the dark.
      Meredith: You don't have to teach me how to speak Alex. I'm fluent.
      Jo (sighs): I'm just learning. I shouldn't take it personally that he's acting like he hates me, right? I mean, he's just feeling abandoned by everyone in his life right now, and the fact that I'm dating a guy and not available to go to Joe's bar every night is just-- He's feeling hurt and lonely.
      Meredith: Or he hates you.
      Jo: Thanks.
      Meredith: You're welcome.

    • April: If you were dying would you donate your organs?
      Cristina: Of course.
      April: Even if you still had time?
      Cristina: Mm. This the D.C.D guy?
      April: I have a plan. He just won't even listen to it.
      Cristina: You know, he's a doctor. He knows the deal. He's not gonna get any better.
      April: Yeah, but--
      Cristina: He's gonna save a crapload of people. I think it's awesome. He's got perfectly good organs. Might as well use them. Oh, my god. He has good organs. That is genius. I am a genius. (walks out)

    • Jo: You're pushing all of our surgeries?
      Meredith: There's no place to do them.
      Alex: Mer, I need you to do a kidney procurement in Missoula. I gotta stay here and do the transplant, and Robbins is in surgery.
      Meredith: I can't. Hunt is gone, and I have to sort out where all these patients are going.
      Alex: Come on, I'm not gonna risk some Missoula hack screwing up the dissection and giving me some unusable kidney.
      Jo: Jaelynn got a kidney? Can I do anything?
      Alex: I said I need a surgeon. You're not a surgeon yet. (to Mer) And I forget, neither are you. Upper management's too busy to get a kid a kidney. (walks off)
      Meredith: Call Dr. Shepherd and ask him to fix this board, and book me a plane to Missoula.
      Jo: The patient's this really sweet kid...
      Meredith: Whatever. You can come, too.

    • Heather: So why do they hate each other so much?
      Cristina: They were neighbors. Crump's wife left him for Schulz, like, 30 years ago.
      Heather: No.
      Cristina: Yes. She ended up leaving him, too, for some other guy in the neighborhood.
      Heather: No.
      Cristina: Yes.
      Heather: No.
      Cristina: Can your mind be blown on your own time? Right now, I have to talk to my supervisor.
      Heather: Um, well, you own the hospital now. So doesn't that make you the supervisor?
      Cristina: It does. So I will have that conversation with myself.
      Heather: Well, should I stick around for that or... (Cristina walks away) Oh.

    • Bailey: Oh, uh, Avery, what are you all doing about the Pegasus protocols?
      Jackson: The what now?
      Bailey: Pegasus put all these protocols in place, one of which is telling me that I have to do hernia repairs using that stupid varner technique. Now I have a hernia repair today. I would like to do it the way I've been successfully doing it since you were sucking your thumb.
      Jackson: We'll look at that.
      Bailey: Well, when? There's all sorts of idiotic rules here, like the O.R layout, and organ transports, bariatric centers. Isn't that why you're the boss now, so the place won't be run by idiots? (hands him the binder with all the protocols)
      Jackson: Thank you, Bailey.
      Bailey: You're welcome, boss.
      April (walks up): Hey, have you guys seen Chief Hunt? I would like to know why he signed a death warrant on one of my patients.
      Bailey: Well, good luck. He's gone. He quit.
      April: He... what? Hunt?
      Bailey: Ask boss man over here.
      Jackson: There was a disagreement about policy.
      April: Yeah, well, then change the stupid policy.
      Bailey: Unh-unh, not before he changes my stupid policy first. My hernia's this afternoon.

    • Arizona: Did anybody call Jackson for this?
      Callie: Who cares? I mean, this is-- This is his fault.
      Meredith (walks in): Why do we need an emergency meeting?
      Callie: Hunt quit.
      Meredith: What?
      Cristina (walking in, talking to Derek): You can't keep throwing that plane crash in his face.
      Derek: Oh, don't make this my fault. He walked out. You shouldn't have told him.
      Callie: Wh-- Wait. Wait. You told him?
      Cristina: That he might be getting fired? Of course I did.
      Derek: Nothing was decided and besides, we weren't gonna let Avery get rid of Hunt.
      Cristina: Avery has his own agenda. No, warning Owen is the least we can do. We went behind his back long enough.
      Arizona: Cristina, we should probably keep what's said in here in private.
      Cristina: Well, then, count me out. I have a heart-lung transplant coming in.
      Callie: Oh, well, Karev's kid just got a kidney from U.N.O.S.
      Meredith: Two transplants in one day?
      Callie: Three with Kepner's D.C.D.
      Meredith: Three? That doesn't happen.
      Arizona: Well, it did, okay? And the O.R.s are fully booked, we have half the nursing staff and no transplant coordinator.
      Derek: Who was handling all that?
      Arizona & Callie: Hunt!

    • Catherine (as Jackson opens the door): Oh, come on in, sweetheart. We're just going over the purchase agreement that you'll be signing tonight. I'm sure you've read through them.
      Jackson: Can I speak with you outside for just a moment?
      Catherine: Of course. Excuse me. (follows Jackson outside the room)
      Jackson: No, I did not read through them, as I couldn't possibly read through them as they are not in English.
      Catherine: I understand.
      Jackson: I am not a lawyer and I am not an accountant.
      Catherine: Stop. Breathe. Nobody understands those documents. That's why these smart people are here to explain them to us. All you have to do is hear what they have to say. Ask a couple of questions, and trust your gut. Now put on your game face and go in there and listen to the suits. And try not to nod off when they start talking about debt-to-equity ratios. It's like a sedative. Go on.
      Jackson: One more thing, when we are in there, I am not 'sweetheart.'
      Catherine: Okay, baby.

    • Jo: Not the same. Surgeons save lives. You just catch it when it falls out of someone.
      Jason: O.B.s do surgery. If a baby's not coming out... I go in, and I get it.
      Jo: It's not the same.
      Jason: Oh, plus every patient that I have is two patients in one. So beat that.
      Jo: You wear pink scrubs.
      Jason: Yeah. Yeah, you win. I have no response for that.
      Jo (laughs): You really pull it off, though.
      Jason: Oh, thank you.

    • Cristina: Owen, what happened?
      Owen: Did you get the heart and the lungs?
      Cristina: I-- Yes. Talk to me.
      Owen: Nothing happened, I'm just... I'm done. I should've been done a long time ago.
      Cristina: Okay, what are you talking about?
      Owen: Shepherd is right. This is all on me.
      Cristina: No one blames you.
      Owen: Well, somebody does. And as long as that's true, I... I don't see how I can be effective here.

    • Owen: Avery. Am I in or out?
      Jackson: What? That's--
      Owen: Word is I might be out of a job, so I'd like to hear it from you.
      Jackson (sighs): Yeah, there was a thought that a change in leadership could be good for staff morale.
      Owen: Oh, for morale? I've been killing myself to keep morale up for the past three weeks, to keep this place open.
      Jackson: And no one is saying that you haven't--
      Owen: Nobody's saying anything. I've been shut out of every decision that you people make. And now I hear this?
      Jackson: Alright. Calm down.
      Owen: Don't tell me to calm down!
      Derek (walks up): Guys, guys, guys. Let's take this somewhere else.
      Owen: Oh, this is coming from you, too? You're all just talking about a new chief?
      Derek: No, no. It was brought up, and we tabled it.
      Owen: Oh, you tabled it? You shouldn't even be talking about it.
      Jackson: Listen, this isn't a decision that we have to--
      Derek: Avery, enough.
      Jackson: I'm just trying to explain--
      Derek: Avery, go! (Jackson stops talking, Derek takes Owen aside) You know as well as I do there are politics here. We're trying to find our way. Just sit tight.
      Owen: I am through sitting tight. I am through looking like an idiot while you all lie to me.
      Derek: No, we're not lying to you.
      Owen: Oh, when you said that we were in this together, I thanked you, and then one hour later, you quit. You're a liar.
      Derek: No, no--
      Owen: You lied to this staff.
      Derek: We are doing the best we can.
      Owen: And then I'm the poor sucker running around trying to fix this mess that you all made!
      Derek: You don't! You don't want to get into whose responsiblity this is. You don't want to get into who's responsible for all of this. You don't!
      Owen (turns, to Jackson): Well, I can make this decision easier for you. I quit.

    • Cristina: Owen, they're talking about replacing you.
      Owen: What? W-Why? Who is?
      Cristina: Avery. But we're not gonna let that happen. I just didn't want you to hear a rumor and think I didn't tell--
      Heather (walks up): Dr. Yang, it's U.N.O.S, they have a heart and lungs.
      Cristina (to Owen): I'm gonna talk to Catherine Avery.
      Owen: You're not gonna do anything. I am. Take your call.

    • Nurse: We don't have enough nurses to staff 6.
      Owen: I thought you said that you were getting them back.
      Nurse: I'm trying. Some of them are bitchier than I am.

    • Meredith: Uh, we were discussing the reopening of the E.R and the trauma department.
      Jackson: Oh, yes. Um, I'm not ready for that just yet.
      Derek: If you need more time with the material, we can go ahead--
      Jackson: No, no, I've-- I've read it. Uh, it's just that the foundation feels like the E.R. is not a forgone conclusion. They need a site visit, a chance to look over the numbers. It could be a month before a decision.
      Arizona: Okay. The foundation knows we plan on getting our level-1 trauma designation back, right?
      Jackson: They know that's the idea. Yeah.
      Callie: Uh, it's the fact.
      Cristina: I think we should table this until we can bring in Owen. Uh, he'll have a lot of thoughts on this, too.
      Jackson: That's-- That's the other thing.
      Derek: What thing?
      Jackson: Okay. Since we are starting fresh, the thought is that new leadership would be good for morale.
      Cristina: What, like, uh, chief of surgery?
      Callie: Oh, no way.
      Meredith: Firing Owen?
      Cristina: Okay, we're not firing Own.
      Jackson: Okay, well, the foundation thinks that--
      Callie: Your mother.
      Jackson: The Harper Avery foundation--
      Callie: Your mother, Avery. Just say it.
      Jackson: It's a recommendation.
      Cristina: It's an inappropriate one.
      Callie: Oh, tell your mom that. This is bull--
      Arizona: And this is going nowhere. I have surgery.
      Derek: Yeah, me, too. We should get back to this.
      Cristina: You know, I don't care who's giving you your marching orders, this thing with Owen is not happening.
      Jackson: Well, say what you want, but without the Harper Avery foundation, none of us are here.
      Meredith: And we appreciate that. But no one expected them to come in and start dictating policy.
      Jackson: Yeah, well, no one asked you to sue the hospital into bankruptcy, either.
      Meredith: For the plane crash that killed Lexie? (she glares at him and walks out)

    • Catherine: It was your idea.
      Richard: It was pillow talk. And suddenly, it's a business plan.
      Catherine: You were all for it at the time.
      Richard: You investing in the hospital, sure. Anointing your son Boy King? What on earth makes you think that young man's prepared to take on this kind of responsiblity?
      Catherine: He's my son. I know what he's capable of.
      Richard: And he's my student. I do, too. You know, actually, I should revise that. Now he's my boss, and my girlfriend is my boss' boss. What could possibly go wrong?
      Catherine: You're forgetting who you're dating, Richard. I'm the chairman of the board of a large foundation. I have made an extremely savvy investment. And I will manage my investment as I see prudent. I've placed at the top of the organization an individual that is energetic, motivated, and responsive. There's only one room in which I take orders from my boyfriend. This is not it.

    • Arizona: Jackson Avery really has a bigger say than any of us in running this hospital?
      Cristina: That can't be true. Can it?
      Derek: Well, he's a voting memeber of the management team and he also represents the Harper Avery foundation.
      Callie: And their 175 million bucks.
      Arizona: As opposed to our $15 million apiece.
      Derek: According to Stan, not only does he have the deciding vote, he can veto ours.
      Cristina: That is ridiculous. He's a fellow.
      Meredith: So are you.
      Cristina: But he's a plastics fellow. And I'm me.
      Meredith: Well, let's not overreact. I mean, it's Jackson. He's not some corporate stranger. He's one of us.
      Derek: No, you're right. He's a smart kid. He's gonna follow our lead.
      Callie: No. No. We made this plan. We pulled it together. Look, I'm grateful to Harper Avery for an infusion of cash, but I'm-- I'm not gonna let some-- some...
      Cristina: Plastics fellow?
      Callie: Plastics fellow tell me how to run my service 'cause his mommy said he could.
      Arizona: Preach.

    • Meredith: (opening voiceover) To a critically ill patient, an organ transplant means a new start, a second chance. But the body is designed to fight off any outside invader, even one that's trying to save it. Because a transplant doesn't guarantee that it's an easier life. There's a threat that the body will reject the organ outright.

    • Meredith: (closing voiceover) The transplant process is very scary. A patient goes from worrying about getting an organ to worrying if the organ will be rejected. The anxiety continues until they can finally open their eyes after surgery and see that their gift has been accepted.

  • Notes

  • Allusions