Meredith:Get up!Come on! (Cut to them running.) Cristina:-the only thing she could possibly need is a-Oh,oh,Dr.Sheppard!Just one moment, um,uh,Katie competes in beauty pageants- Derek:I know that,but we have tosave her life anyway. Cristina:Okay,she has no headaches,no neck pain,her CT's clean,there's no medical proof of an aneurysm- Derek:Right. Cristina:-but what if she has an aneurysm anyway? Derek:There areno indicators. Cristina:Ah,but she twisted her ankle,a few weeks ago when she was practising for the pageant Derek:Look,I appreciateyou're trying to help,but- Other doctor in elevator:This is not helping! Meredith:She fell.When she twisted her ankle,she fell. Cristina:It was no big deal,not even a bump on the head,you know she got right back up,iced her ankle and everyth thing was fine,it was a fall so minor her doctor didn't even think to mention it when I was taking her history,but she did fal Derek:Well,you know the chances that a minor fall could burst an aneurysm,one in a million! Literally. The elevator door is finally allowed to close.Meredith and Cristina sigh and turn away.The elevator dings and Derek steps out.They turn back. Derek:Let'sgo. Cristina:Where? Derek:To find out if Katie's one in a million
Meredith: Get up! Come on! (Cut to them running.) Cristina: - the only thing she could possibly need is a - Oh, oh, Dr. Sheppard! Just one moment, um, uh, Katie competes in beauty pageants - Derek: I know that, but we have to save her life anyway. Cristina: Okay, she has no headaches, no neck pain, her CT's clean, there's no medical proof of an aneurysm - Derek: Right. Cristina: - but what if she has an aneurysm anyway? Derek: There are no indicators. Cristina: Ah, but she twisted her ankle, a few weeks ago when she was practising for the pageant - Derek: Look, I appreciate you're trying to help, but - Other doctor in elevator: This is not helping! Meredith: She fell. When she twisted her ankle, she fell. Cristina: It was no big deal, not even a bump on the head, you know she got right back up, iced her ankle and everything was fine, it was a fall so minor her doctor didn't even think to mention it when I was taking her history, but she did fall. Derek: Well, you know the chances that a minor fall could burst an aneurysm, one in a million! Literally. The elevator door is finally allowed to close. Meredith and Cristina sigh and turn away. The elevator dings and Derek steps out. They turn back. Derek: Let's go. Cristina: Where? Derek: To find out if Katie's one in a million
Cut to Cristina,Meredith and Derek looking ata scan. Derek:I'be damned Tech operating scan:(indicating dark spots)There it is. Derek:It's minor,but it's there.It's a cerebachnoid haemorrhage.She's bleeding into her brain. Cut to Meredith,Derekand Cristina walking. Derek:She could've gone her entire life without it ever being a problem.One tap in the right spot Cristina:And explode Derek:Exactly.Now I have to fix it.You two did great work.Love to stay and kiss your asses,but I gottatell Katie's parents she's having surgery.Katie Bryce's chart,please. Receptionist:Here you go. Cristina:Oh,and DrSheppard,you said that you'd pick someone toscrub in if we helped. s,right.Um,I'msorry I can't take you both,it's going to be a full house.Meredith (They standthere for amoment or two.Cristina looks at Meredith,who's flustered.) Derek:Good.Thank you.(leaves) (Cristinalooks back at Meredith and walksoff,clearly pissed.) Meredith:Cristina. (Cutto George watching bacon-man's surgery.Itfinishes,Burke leaves.) George:Wow,that was quick. Burke:His heart had too much damage to give him a bypass.I had to let him go.It happens, rarely.But it does happen.The worst part of the game. George:his wi-Itod Gloria that he would be fine.Ipromised her that Burke:You what?
Cut to Cristina, Meredith and Derek looking at a scan. Derek: I'll be damned. Tech operating scan: (indicating dark spots) There it is. Derek: It's minor, but it's there. It's a cerebachnoid haemorrhage. She's bleeding into her brain. Cut to Meredith, Derek and Cristina walking. Derek: She could've gone her entire life without it ever being a problem. One tap in the right spot - Cristina: And explode. Derek: Exactly. Now I have to fix it. You two did great work. Love to stay and kiss your asses, but I gotta tell Katie's parents she's having surgery. Katie Bryce's chart, please. Receptionist: Here you go. Cristina: Oh, and Dr Sheppard, you said that you'd pick someone to scrub in if we helped. Derek: Oh, yes, right. Um, I'm sorry I can't take you both, it's going to be a full house. Meredith, I'll see you in OR. (They stand there for a moment or two. Cristina looks at Meredith, who's flustered.) Derek: Good. Thank you. (leaves) (Cristina looks back at Meredith and walks off, clearly pissed.) Meredith: Cristina. (Cut to George watching bacon-man's surgery. It finishes, Burke leaves.) George: Wow, that was quick. Burke: His heart had too much damage to give him a bypass. I had to let him go. It happens, rarely. But it does happen. The worst part of the game. George: But I told his wi- I told Gloria that he would be fine. I promised her that - Burke: You what?
George:They have four little girls- Burke:Who the hell are you to promise anything on-this is my case.Did you hear me promise? The only one that can keep a promise like that is God,and I haven't seen him holding a scalpe lately.You never promise a patient's family a good outcome! George:I-I thought- Burke:You're important enough to make promises to Mrs.Savage,you get to be the one to tell her that she's a widow. (Cut to lzzie and Cristina,sitting on the spare beds in the empty corridor again. Cristina:zie Izzie:Maybe Meredith couldn't- Cristina:Izziel Meredith comes in. Meredith:I'l tell him I changed my mind,you can- Cristina:No,no,don't do me any favours.It's fine Meredith:Cristina,- Cristina:You know what,you did a cutthroat thing,deal with it.Don't come to me for absolution, you want to be a shark,be a shark. Meredith:I'mnot- Cristina:Oh yes you are.Only it makes you feel all bad in your warm gooey places.No,screw you. I don't get picked for surgeries because I slept with my boss,and I didn't get into med school becauseI have a famous mother.You know,some of us have toearn what we get. Meredith leaves.Cut to George going to see Mrs.Savage. George:Gloria.there were complications in the surgery.Tony's heart had a,a lot of damage They-we tried to take him off bypass,but.tere wasn't anything we could've done Gloria:Uh.what are you talking about? George:He.Tonydied.He's dead.Gloria,I'm so sorry
George: They have four little girls - Burke: Who the hell are you to promise anything on - this is my case. Did you hear me promise? The only one that can keep a promise like that is God, and I haven't seen him holding a scalpel lately. You never promise a patient's family a good outcome! George: I - I thought - Burke: You're important enough to make promises to Mrs. Savage, you get to be the one to tell her that she's a widow. (Cut to Izzie and Cristina, sitting on the spare beds in the empty corridor again.) Cristina: Izzie. Izzie: Maybe Meredith couldn't - Cristina: Izzie! Meredith comes in. Meredith: I'll tell him I changed my mind, you can - Cristina: No, no, don't do me any favours. It's fine. Meredith: Cristina, - Cristina: You know what, you did a cutthroat thing, deal with it. Don't come to me for absolution, you want to be a shark, be a shark. Meredith: I'm not - Cristina: Oh yes you are. Only it makes you feel all bad in your warm gooe y places. No, screw you. I don't get picked for surgeries because I slept with my boss, and I didn't get into med school because I have a famous mother. You know, some of us have to earn what we get. Meredith leaves. Cut to George going to see Mrs. Savage. George: Gloria.there were complications in the surgery. Tony's heart had a, a lot of damage. They - we tried to take him off bypass, but.there wasn't anything we could've done. Gloria: Uh.what are you talking about? George: He.Tony died. He's dead. Gloria, I'm so sorry
Gloria:(whispered)Thank you.Please.oaway. (He does.We hear her crying.Cutto Derek shaving Katie's head while Meredith looks on.) Derek:I promised I'd make her look cool.Apparently being a bald beauty queen is the worst thing that happened in the history of the world. Meredith:Did you choose me for the surgery becausel slept with you? Derek:(straight-faced)Yes.(pregnant pause)I'm kidding. Meredith:I'm not going toscrub in for surgery.You should ask Cristina.She really wants it. Derek:You're Katie's doctor.And on your first day,with very little training,you helped save her life.You earned the right to follow her case to the finish.You.you shouldn't let the fact that we had sexget in the way of you taking your shot. (Cut to George and Meredith sittingoutside.) Meredith:I wish I wanted to be a chef.Or aski instructor.Or a kindergarten teacher. George:You know,I would've been a really good postal worker.I'm dependable.You know,my parents tll everyone they meet t thei irson'sa surgeon.As if it's a big accomplishment.A superhero or something.If they could see me now. Meredith:When I told my mother I wanted to go to medicalschool,she tried to talk me out of it. Said I didn't have what it takes to be a surgeon.That I'd never make it.So,the way I see it, superhero sounds pretty damn good. George:We're going to survive this,right? (Cut to Dr Webber(head of the hospital)talking to Alex.) Webber:She's still short of breath.Did you get an ABG or a chest film? Alex:Oh,yes sir,I did. Webber:And what did you see? Alex:Oh,well,I had alot of patients last- Webber:Name the common causes of post-op fever
Gloria: (whispered) Thank you. Please.go away. (He does. We hear her crying. Cut to Derek shaving Katie's head while Meredith looks on.) Derek: I promised I'd make her look cool. Apparently being a bald beauty queen is the worst thing that happened in the history of the world. Meredith: Did you choose me for the surgery because I slept with you? Derek: (straight-faced) Yes. (pregnant pause) I'm kidding. Meredith: I'm not going to scrub in for surgery. You should ask Cristina. She really wants it. Derek: You're Katie's doctor. And on your first day, with very little training, you helped save her life. You earned the right to follow her case to the finish. You.you shouldn't let the fact that we had sex get in the way of you taking your shot. (Cut to George and Meredith sitting outside.) Meredith: I wish I wanted to be a chef. Or a ski instructor. Or a kindergarten teacher. George: You know, I would've been a really good postal worker. I'm dependable. You know, my parents tell everyone they meet that their son's a surgeon. As if it's a big accomplishment. A superhero or something. If they could see me now. Meredith: When I told my mother I wanted to go to medical school, she tried to talk me out of it. Said I didn't have what it takes to be a surgeon. That I'd never make it. So, the way I see it, superhero sounds pretty damn good. George: We're going to survive this, right? (Cut to Dr Webber (head of the hospital) talking to Alex.) Webber: She's still short of breath. Did you get an ABG or a chest film? Alex: Oh, yes sir, I did. Webber: And what did you see? Alex: Oh, well, I had a lot of patients last - Webber: Name the common causes of post-op fever
Alex:Uh.yes,sir.(pulls notebook out of pocket) Webber:From your head.Not rm inyour head Name the common causes of post-op fever. Alex:Uh.the common causes of post-op. Webber:(loudly)Can anybody name the common causes of post-op fever? (Everybody stops,one girl pulls out her notebook.) Meredith:Wind,water,wound,walking,wonder drugs.The five Ws.Most of the time it's wind, splinting or pneumonia.Pneumonia's easy to assume,especially if you're too busy to do the tests. Webber:(gives Alex a pointed look,then to Meredith)What do you think's wrong with 4B? Meredith:The fourth W,walking.I think she's a prime candidate for a pulmonary ambulus. Webber:How would you diagnose? Meredith:Spiral CT,VQscan,provide 2,dose with Heparin,and consult for an IVC filter. Webber:(tAlex)Do exactly as she says,then tell your resident that Iwant you off this case.(o Meredith)I'd know you anywhere,you're the spitting image of your mother.Welcome to the gang. (Cut to Katie'ssurgery.Meredith is there.) Derek:All right everybody,it's a beautiful night tosavelives,let's have some fun. Meredith voiceover:I can't think of any one reason whyl want to be a surgeon.But I can think of a thousand reasons why I should quit. (Cutto Bailey sleeping and Izzie walking towards her again.) Meredith VO:They make it hard on purpose.There are lives in our hands. (Cut to the surgery.) Meredith VO:There comesamoment when it's more than just a game.And you either take tha step forward,or turn around and walk away.(Cristina is seen watching from the gallery.Sheppard waves Meredith over to look through the magnifiers at what's happening.)I could quit.But here's the thing:Ilove the playing field
Alex: Uh.yes, sir. (pulls notebook out of pocket) Webber: From your head. Not from a book. Don't look it up, learn it, it should be in your head. Name the common causes of post-op fever. Alex: Uh.the common causes of post-op. Webber: (loudly) Can anybody name the common causes of post-op fever? (Everybody stops, one girl pulls out her notebook.) Meredith: Wind, water, wound, walking, wonder drugs. The five Ws. Most of the time it's wind, splinting or pneumonia. Pneumonia's easy to assume, especially if you're too busy to do the tests. Webber: (gives Alex a pointed look, then to Meredith) What do you think's wrong with 4B? Meredith: The fourth W, walking. I think she's a prime candidate for a pulmonary ambulus. Webber: How would you diagnose? Meredith: Spiral CT, VQ scan, provide O2, dose with Heparin, and consult for an IVC filter. Webber: (to Alex) Do exactly as she says, then tell your resident that I want you off this case. (to Meredith) I'd know you anywhere, you're the spitting image of your mother. Welcome to the gang. (Cut to Katie's surgery. Meredith is there.) Derek: All right everybody, it's a beautiful night to save lives, let's have some fun. Meredith voiceover: I can't think of any one reason why I want to be a surgeon. But I can think of a thousand reasons why I should quit. (Cut to Bailey sleeping and Izzie walking towards her again.) Meredith VO: They make it hard on purpose. There are lives in our hands. (Cut to the surgery.) Meredith VO: There comes a moment when it's more than just a game. And you either take that step forward, or turn around and walk away. (Cristina is seen watching from the gallery. Sheppard waves Meredith over to look through the magnifiers at what's happening.) I could quit. But here's the thing: I love the playing field