00 :00 :03 The game -- 00 :00 :05 they say a person either has what it takes to play or they don't. 00 :00 :09 My mother was one of the greats. 00 :00 :13 Me, on the other hand -- 00 :00 :15 I'm kind of screwed. 00 :00 :36 This is, uh... 00 :00 :39 Humiliating on so many levels. 00 :00 :41 You have to go. 00 :00 :42 Why don't you just come back down here, and we'll pick up where we left off? 00 :00 :45 No, seriously. You have to go. I'm late, 00 :00 :47 which isn't what you want to be on your first day of work, so... 00 :00 :50 So, uh, you actually live here. 00 :00 :53 No. 00 :00 :55 Yes, kind of. 00 :01 :00 It's nice -- a little dusty -- 00 :01 :02 odd, but it's nice. 00 :01 :05 So, how do you kind of live here? 00 :01 :07 I moved two weeks ago from boston. It was my mother's house. I'm selling it. 00 :01 :10 Oh, I'm sorry. 00 :01 :12 For what? 00 :01 :13 You said "was." 00 :01 :14 Oh, my mother's not dead. She's -- 00 :01 :17 You know what? We don't have to do the thing. 00 :01 :19 Oh, we can do anything you want. 00 :01 :21 No, the thing -- exchange the details, pretend we care. 00 :01 :25 I'm gonna go upstairs and take a shower, okay? 00 :01 :27 And when I get back down here, you won't be here, so, um... 00 :01 :31 goodbye, um... 00 :01 :37 Derek. 00 :01 :38 Derek. Right. Meredith. 00 :01 :40 Meredith. 00 :01 :41 Yeah. Mm-hmm. 00 :01 :43 - Nice meeting you. - Bye, Derek. 00 :02 :05 Each of you comes here today hopeful, 00 :02 :07 wanting in on the game. 00 :02 :09 A month ago, you were in med school, being taught by doctors. 00 :02 :14 Today... 00 :02 :16 you are the doctors. 00 :02 :20 The 7 years you spend here as a surgical resident will be the best and worst of your life. 00 :02 :24 You will be pushed to the breaking point. 00 :02 :27 Look around you. 00 :02 :28 Say hello to your competition. 00 :02 :31 Eight of you will switch to an easier specialty. 00 :02 :34 Five of you will crack under the pressure. 00 :02 :36 Two of you will be asked to leave. 00 :02 :38 This is your starting line. 00 :02 :40 This is your arena. 00 :02 :42 How well you play... 00 :02 :45 that's up to you. 00 :02 :48 Like I said... 00 :02 :50 I'm screwed. 00 :03 :02 Okay, Martin, Robinson, Bond, Hawkins. 00 :03 :10 Only 6 women out of 20. 00 :03 :12 Yeah. I hear one of them's a model. 00 :03 :14 Seriously, that's gonna help with the respect thing? 00 :03 :18 - You're Cristina, right? - Patton, Monroe... 00 :03 :22 Which resident are you assigned to? I got bailey. 00 :03 :24 The nazi? Me too. 00 :03 :25 You got the nazi? So did I. 00 :03 :27 At least we'll be tortured together, right? 00 :03 :30 I'm George O'malley. 00 :03 :32 Uh, we met at the mixer. You had on a black dress with a slit up the side, strappy sandals... 00 :03 :41 Now you think I'm gay. No, I'm not gay. 00 :03 :44 It's -- it's just that you were -- you were very unforgettable. 00 :03 :49 O'malley, Yang, Grey, Stevens. 00 :03 :53 And I'm totally forgettable. 00 :03 :56 - Bailey? - End of the hall. 00 :03 :59 That's the nazi? 00 :04 :01 I thought the nazi would be a guy. 00 :04 :02 I thought the nazi would be a nazi. 00 :04 :06 Maybe it's professional jealousy. 00 :04 :08 Maybe she's brilliant, and they call her a nazi because they're jealous. 00 :04 :11 Maybe she's nice. 00 :04 :12 Let me guess -- you're the model. 00 :04 :14 Hi, I'm Isobel Stevens, but everyone calls me "Izzie." 00 :04 :19 I have five rules. Memorize them. 00 :04 :21 Rule number one -- don't bother sucking up. I already hate you. That's not gonna change. 00 :04 :25 Trauma protocol, phone list, pagers -- nurses will page you. 00 :04 :30 You will answer every page at a run -- a run -- that's rule number two. 00 :04 :34 Your first shift starts now and lasts 48 hours. 00 :04 :38 You're interns, grunts, nobodies, bottom of the surgical food chain. 00 :04 :42 You run labs, write orders, work every second night until you drop, and don't complain. 00 :04 :47 On-call rooms -- attendings hog them. 00 :04 :50 Sleep when you can where you can, which brings me to rule number three. 00 :04 :52 If I'm sleeping, don't wake me unless your patient is actually dying. 00 :04 :56 Rule number four -- the dying patient better not be dead when I get there. 00 :04 :59 Not only will you have killed someone, you would have woke me for no good reason. We clear? 00 :05 :03 Yes? 00 :05 :04 You said five rules. That was only four. 00 :05 :08 Rule number five -- when I move, you move. 00 :05 :12 Get out of my way! 00 :05 :29 What do we got? 00 :05 :30 Katie Bryce, 15-year-old female, new onset seizures, intermittent for the past week. 00 :05 :35 I.V. lost en route, started grand mal seizing as we descended. 00 :05 :38 All right, get her on her side. 00 :05 :40 Izzie, 10 milligrams diazepam I.M. 00 :05 :43 No, no. The white lead is on the right. 00 :05 :46 Righty, whity -- smoke over fire. 00 :05 :48 A large-bore I.V. Don't let the blood hemolyze. Let's go! 00 :05 :57 What do we have? A wet fish on dry land. 00 :05 :59 Absolutely, Dr. Burke. 00 :06 :02 Dr. Bailey, let's shotgun her. 00 :06 :04 That means every test in the book -- C.T., CBC, chem-7, tox screen. 00 :06 :08 Cristina, you're on labs. George, patient work-ups. 00 :06 :11 Meredith, get katie for a C.T. 00 :06 :13 She's your responsibility now. 00 :06 :15 Wait. What about me? 00 :06 :18 Honey, you get to do rectal exams. 00 :06 :37 What are you doing here? 00 :06 :38 Katie Bryce's labs came out clear. There's nothing in the results that explain her seizures. 00 :06 :43 - I just thought you wanna know. - Okay. 00 :06 :45 I heard every year, the attending on call picks the best intern 00 :06 :49 and lets them perform a procedure during the first shift. 00 :06 :54 I'm just saying it's what I heard. 00 :06 :56 Go away... now. 00 :07 :00 Yeah, sounds good. 00 :07 :01 He'll be fine? 00 :07 :02 You'll be fine. 00 :07 :03 If you don't count the fact that my bacon days are over, sure. 00 :07 :06 So, bypass surgery tomorrow with Dr. Burke -- I hear he's good. 00 :07 :09 And, after that, you can have all the bacon-flavored soy product you can eat. 00 :07 :13 Mmm. Kill me now. 00 :07 :15 I wish I could, but I'm a healer. 00 :07 :20 You're lost. 00 :07 :23 I'm not lost. 00 :07 :24 How are you feeling? 00 :07 :25 How do you think I'm feeling? 00 :07 :27 I'm missing my pageant. 00 :07 :28 You're missing your pageant? 00 :07 :30 The spokane teen miss. 00 :07 :31 I was in the top 10 after the first 2 rounds. 00 :07 :34 This is my year. 00 :07 :35 I could have won. 00 :07 :37 Hello. 00 :07 :39 You're so lost. What are you, like, new? 00 :07 :43 Okay, so I'm just gonna insert my fingers into your rectum. 00 :07 :55 No. 00 :07 :59 Out. 00 :08 :01 Out. 00 :08 :04 Bet you missed a lot when you first started out. 00 :08 :09 I twisted my ankle in talent rehearsal. 00 :08 :11 I do rhythmic gymnastics, which is, like, really cool. 00 :08 :14 Nobody else does it. 00 :08 :16 And I tripped over my ribbon. And I didn't get stuck with someone this clueless, 00 :08 :20 and that was, like, a nurse. 00 :08 :23 You and I are gonna have so much fun together. 00 :08 :33 This shift is a marathon, not a sprint. Eat. 00 :08 :35 I can't. 00 :08 :36 You should eat something. 00 :08 :38 You try eating after performing 17 rectal exams. The nazi hates me. 00 :08 :42 The nazi's a resident. I have attendings hating me. 00 :08 :45 You know Meredith is inbred? 00 :08 :46 Like it's uncommon around here to be a doctors' parents -- 00 :08 :49 No, royally inbred -- her mother is Ellis Grey. 00 :08 :51 Shut up. The Ellis Grey? 00 :08 :52 Who's Ellis Grey? 00 :08 :54 The Grey Method. Where'd you go to med school -- Mexico? 00 :08 :57 She was one of the first big chick surgeons. 00 :09 :00 She's a living legend. Yeah, she won the harper avery twice. 00 :09 :02 So I didn't know one thing. 00 :09 :04 Talk about parental pressure. 00 :09 :05 God, I would kill to have Ellis Grey as a mother. 00 :09 :08 I'd kill to be Ellis Grey. 00 :09 :09 All I need is one good case. 00 :09 :13 Katie Bryce is a pain in the ass. 00 :09 :15 If I hadn't taken the hippocratic oath, I'd kevorkian her with my bare hands. 00 :09 :20 What? 00 :09 :22 Good afternoon, interns. 00 :09 :25 It's posted, but I thought I'd share the good news personally. 00 :09 :29 As you know, the honor of performing the first surgery 00 :09 :32 is reserved for the intern that shows the most promise. 00 :09 :36 As I'm running the O.R. today, I get to make that choice. 00 :09 :41 George O'malley. 00 :09 :43 Me? 00 :09 :44 You'll scrub in for an appendectomy this afternoon. 00 :09 :46 Congratulations. 00 :09 :47 Enjoy it. 00 :09 :55 Did he say me? 00 :09 :56 I've seen his file. George O'malley barely made the cut to get in this program. 00 :10 :00 He's not your guy. 00 :10 :02 He's my guy, all right. 00 :10 :03 Every year, you pick your guy, and every year, your guy suffers more than any other intern. 00 :10 :07 Terrorize one, and the rest fall in line. 00 :10 :09 I get it, I respect it, but George O'malley's a puppy. 00 :10 :13 - Katie Bryce -- 3604? - It's right there. 00 :10 :15 Thank you. 00 :10 :16 Katie, honey, mom and dad are here. 00 :10 :18 They gave her a sedative for the C.T. scan, so she's a little groggy. 00 :10 :22 Will she be all right? 00 :10 :23 Our doctor at home said that she might need an operation. Is that true? 00 :10 :28 What kind of operation? 00 :10 :29 She's, um -- well... 00 :10 :32 You know what? I'm not the doctor. 00 :10 :34 I'm a doctor, but I'm not Katie's doctor, so I'll go get him for you. 00 :10 :43 What? 00 :10 :44 Katie's parents have questions. Do you talk to them, or do I ask Burke? 00 :10 :48 No, Burke's off the case. Katie belongs to the new attending now, Dr. Shepherd. He's over there. 00 :11 :10 Dr. Shepherd. 00 :11 :12 Dr. Shepherd? 00 :11 :14 This morning, it was Derek. 00 :11 :16 Now it's Dr. Shepherd. 00 :11 :17 Dr. Shepherd, we should pretend it never happened. 00 :11 :19 What never happened -- you sleeping with me last night, or you throwing me out this morning? 00 :11 :23 Because both are fond memories I'd like to hold onto. 00 :11 :26 No, there will be no memories. 00 :11 :28 I'm not the girl in the bar anymore, and you're not the guy. 00 :11 :31 This can't exist. 00 :11 :33 You get that, right? 00 :11 :34 You took advantage of me, and now you want to forget about it. 00 :11 :36 I was drunk, vulnerable, and good-looking, and you took advantage. 00 :11 :39 Okay, I was the one who was drunk, and you are not that good-looking. 00 :11 :42 Maybe not today. 00 :11 :44 Last night, I was very good-looking. I had my red shirt on. You took advantage. 00 :11 :47 - I did not take advantage. - Want to take advantage again -- say, friday night? 00 :11 :53 No. 00 :11 :55 You're an attending, and I'm your intern. 00 :11 :58 Stop looking at me like that. 00 :12 :00 Like what? 00 :12 :01 Like you've seen me naked. 00 :12 :03 Dr. Shepherd, this is inappropriate. 00 :12 :08 Has that ever occurred to you? 00 :12 :14 Open, identify, ligate, remove, irrigate, close. 00 :12 :18 Open, identify, ligate, remove, irrigate, close. 00 :12 :21 He's gonna faint. He's a fainter. 00 :12 :22 No, code brown, right in his pants. 00 :12 :24 He's all about the flop sweat. He's gonna sweat himself unsterile. 00 :12 :27 10 bucks says he messes up the mcburney. 00 :12 :28 $15 says he cries. 00 :12 :29 I'll put $20 on a total meltdown. 00 :12 :31 $50 says he pulls the whole thing off. 00 :12 :35 That's one of us down there, the first one of us. 00 :12 :39 Where's your loyalty? 00 :12 :43 - $75 says he can't even I.D. the appendix. - I'll take that action. 00 :12 :46 Okay, O'malley, let's see what you can do. 00 :12 :50 Here it comes. 00 :12 :55 Scalpel. 00 :12 :56 Scalpel. 00 :13 :02 That burke is trouble. 00 :13 :08 More pressure. 00 :13 :10 The human flesh is a tough shell. Dig in. 00 :13 :16 Pickups. 00 :13 :17 Pickups. 00 :13 :21 Clamp. 00 :13 :22 Clamp. 00 :13 :33 I'm there. 00 :13 :34 Damn, he got the peritoneum open. I'm out. 00 :13 :36 I told you -- he's gonna pull it off. 00 :13 :46 Scalpel. 00 :13 :48 Scalpel. 00 :13 :52 Appendix is out. 00 :13 :55 Not bad. 00 :13 :56 Thank you. 00 :13 :57 Now all you have to do is invert the stump into the cecum 00 :14 :02 and simultaneously pull up on the purse strings, 00 :14 :06 but be careful not to... 00 :14 :09 break them. 00 :14 :11 You ripped the cecum. 00 :14 :14 You've got a bleeder. 00 :14 :15 You're filling with stool. What do you do now? 00 :14 :17 Uh... 00 :14 :19 Think. You start the suction, and you start digging for those purse strings before she bleeds to death. 00 :14 :24 Give him a clamp. 00 :14 :26 B.P.'s dropping. 00 :14 :27 He's choking. 00 :14 :28 Come on, George. 00 :14 :29 Today. Pull your balalls out of your back pocket. Let's go. 00 :14 :33 What are you waiting for? Suction. 00 :14 :37 Getting too low, folks. 00 :14 :39 Dr. Burke. 00 :14 :41 Get out of the way. 00 :14 :43 Pansy-ass idiot. 00 :14 :44 Get him out of here. 00 :14 :45 Suction. Clamp. 00 :14 :50 - He's 007. - 007, yep. 00 :14 :52 - A total 007. - What's "007" mean? 00 :14 :55 License to kill. 00 :15 :06 007. They're calling me "007," aren't they? 00 :15 :09 - No one's calling you 007. - No one's calling you 007. 00 :15 :11 On the elevator, murphy whispered, "007." 00 :15 :14 How many times do we have to go through this, George? 5, 10? 00 :15 :16 Give me a number, or else I'm gonna hit you. 00 :15 :18 Murphy whispered, "007," and everyone laughed. 00 :15 :20 He wasn't talking about you. 00 :15 :21 Are you sure? 00 :15 :22 Would we lie to you? 00 :15 :24 Yes. 00 :15 :25 007 is a state of mind. 00 :15 :26 Says the girl who finished first in her class at stanford. 00 :15 :33 Oh, man. It's 911 for Katie Bryce. 00 :15 :38 I got to go. 00 :15 :45 Maybe I should have gone into geriatrics. 00 :15 :48 No one minds when you kill an old person. 00 :15 :50 Surgery is hot. It's the marines. It's macho. It's hostile. It's hard-core. 00 :15 :56 Geriatrics is for freaks who live with their mothers and never have sex. 00 :16 :02 I've got to get my own place. 00 :16 :11 Excuse me! Excuse me! 00 :16 :15 Took you long enough. 00 :16 :17 You're okay? The nurse paged me "911." 00 :16 :19 I had to go all "exorcist" to get her to even pick up the phone. 00 :16 :24 W ait. 00 :16 :25 There's nothing wrong with you? 00 :16 :27 I'm bored. 00 :16 :30 You little... 00 :16 :32 - I'm not a cruise director. - You don't have to wig out. 00 :16 :35 The pageant's supposed to be on cable, but this crappy hospital doesn't get the channel. 00 :16 :39 If that cow kylie wood is gonna walk off with my crown, I have to see it. 00 :16 :43 Can you call someone? 00 :16 :45 Okay, this is an actual hospital. 00 :16 :49 There are sick people here. 00 :16 :51 Go to sleep, and stop wasting my time. 00 :16 :54 But I can't sleep. My head's all full. 00 :16 :56 That's called "thinking." 00 :16 :58 Go with it. 00 :17 :12 What do you need? 00 :17 :15 Mr. Jones has junky veins, and he really needs antibiotics. 00 :17 :17 I should start a central line. 00 :17 :19 So start one. 00 :17 :21 You don't know how. 00 :17 :23 I've never done one. 00 :17 :25 Well, you know what that means. 00 :17 :29 Can't we just page someone else? 00 :17 :31 She's the on-call resident. 00 :17 :34 Okay. 00 :17 :36 Okay, I'll just -- I'll wake her. 00 :17 :44 - Dr. Bailey, I don't mean to bother you. - Then don't. 00 :17 :47 - It's mr. Jones. - Is he dying? 00 :17 :49 No. 00 :17 :50 Then stop talking to me. 00 :18 :03 What is it?! 00 :18 :08 Next time you wake me, he better be so close to dead, there's a tag on his toe. 00 :18 :22 Here. Take these to the lab. 00 :18 :29 4-b's got post-op pneumonia. 00 :18 :32 Let's start antibiotics. 00 :18 :33 Are you sure that's the right diagnosis? 00 :18 :35 Well, I don't know. I'm only an intern. 00 :18 :37 Why don't you go spend 4 years in med school and then let me know if it's the right diagnosis? 00 :18 :42 She's short of breath. She's got fever. She's post-op. 00 :18 :45 Start the antibiotics. 00 :18 :48 God, I hate nurses. 00 :18 :52 I'm Alex. 00 :18 :54 I'm with Jeremy. You're with the nazi, right? 00 :18 :57 She may not have pneumonia, you know? She could be splinting, or have a P.E. 00 :19 :00 Like I said, I hate nurses. 00 :19 :03 What did you just say? 00 :19 :06 Did you just call me a nurse? 00 :19 :08 Well, if the white cap fits. 00 :19 :13 Damn it, Katie. 00 :19 :16 Is she seeing anybody? 00 :19 :17 I don't know. 00 :19 :18 She's hot. 00 :19 :20 I'm friends with her. 00 :19 :21 I mean kind of friends -- not actually friends, exactly, 00 :19 :25 but we're tight, and we hang out -- really, only just today. 00 :19 :29 - Dude. - Dude, stop talking. 00 :19 :45 What took you so long? 00 :19 :47 She's having multiple grand mal seizures. 00 :19 :50 Now, how do you want to proceed? 00 :19 :52 Dr. Grey, are you listening to me?! 00 :19 :56 She's got diazepam -- 2 milligrams lorazepam -- I just gave the second dose. 00 :20 :00 Dr. Grey, you need to tell us what you want to do. 00 :20 :03 Dr. Grey! 00 :20 :07 - Okay, she's full on lorazepam? - She's had 4 milligrams. 00 :20 :10 You paged Dr. Bailey and Dr. Shepherd? 00 :20 :12 Lorazepam's not working. 00 :20 :13 Phenobarbital -- load her with phenobarbital. 00 :20 :18 Pheno's in. 00 :20 :19 No change. 00 :20 :20 - You paged Dr. Shepherd? - I just told you. 00 :20 :23 Well, page him again, stat. 00 :20 :25 What do you want to do? 00 :20 :26 Dr. Grey, you need to tell us what you want to do. 00 :20 :30 - Heart stopped. - Code blue! Code blue! 00 :20 :34 Code blue! Code blue! 00 :20 :41 Wait. 00 :20 :43 Charge the pads to 200. 00 :20 :45 Charge. 00 :20 :46 Clear. 00 :20 :49 Still v-fib. Nothing. 00 :20 :51 Charging. 00 :20 :51 19 seconds. 00 :20 :52 Charge them to 300. 00 :20 :54 300. Anything? 00 :20 :56 27 seconds. 00 :20 :57 Charge to 360. 00 :21 :00 Come on, Katie. 00 :21 :01 49 seconds. 00 :21 :02 At 60 seconds, you're supposed to admin her another drug. 00 :21 :04 Charge again! 00 :21 :06 Charge again. 00 :21 :13 Anything? 00 :21 :14 I see sinus rhythm. 00 :21 :16 Blood pressure's coming up. 00 :21 :17 All right. 00 :21 :19 Pressure's returning. 00 :21 :20 Rate's coming back. 00 :21 :22 What the hell happened? 00 :21 :23 She had a seizure, and her heart stopped. 00 :21 :25 You were supposed to be monitoring her. 00 :21 :27 - I checked on her -- - I got her. Just -- just go. 00 :21 :33 Somebody give me her -- 00 :21 :35 give me her chart, please. 00 :21 :36 You get a 911, you page me immediately, 00 :21 :39 not in the 5 minutes it takes you to get to the emergency, immediately. 00 :21 :42 You're on my team, and if somebody dies, it's my ass. 00 :21 :47 Meredith? 00 :22 :11 You tell anyone, ever... 00 :22 :24 You said it was a seizure disorder. 00 :22 :26 Now you're saying it isn't? 00 :22 :27 I'm saying that I don't know. 00 :22 :29 What do you think it could be? 00 :22 :30 I don't know. 00 :22 :31 When will you know? 00 :22 :32 I don't have an answer for you. 00 :22 :34 - For now, Katie is stable, and -- - Wait one damn minute. 00 :22 :38 We came here because this hospital is supposed to be the best in washington. 00 :22 :43 That's my kid in there -- my kid -- 00 :22 :46 and you have the audacity to stand here and tell me, "I don't know." 00 :22 :49 Mr. Bryce -- 00 :22 :49 No, I want someone else, a doctor who knows what they're doing. 00 :22 :53 You get me someone else, someone better than you. 00 :22 :55 Mr. Bryce, I assure you that I am working hard on Katie's case. 00 :22 :58 No, you're not. If you were, you'd be able to give me some answers. 00 :23 :02 I put you on the bypass machine, which pumps blood for your heart. 00 :23 :05 Fix your ticker, take you off the machine -- I'm done -- simple procedure. 00 :23 :09 So I shouldn't worry? 00 :23 :12 I'm very good at what I do. 00 :23 :14 But still it's surgery. 00 :23 :15 There are some risks. 00 :23 :16 I'll see you in the O.R. this afternoon, Mr. Savitch. 00 :23 :22 You're not gonna leave me alone with that guy, are you? 00 :23 :26 Oh, I'll be outside the O.R. the whole time. 00 :23 :28 No, Dr. Burke is very good. 00 :23 :31 Don't worry. 00 :23 :33 I'll see you after. 00 :23 :34 He'll be fine, right? 00 :23 :36 Tony's gonna sail through it. 00 :23 :40 You have nothing to worry about -- I promise. 00 :23 :44 I gotta go. 00 :23 :46 What are you doing? 00 :23 :47 I'm suturing a banana with the vain hope that it wakes up my brain. 00 :23 :52 What are you smiling at, 007? 00 :23 :55 I'm sorry. I get mean when I'm tired. 00 :23 :57 You know what? 00 :23 :58 I don't care. 00 :24 :00 I comforted a family, and I got to hang out in the O.R. today. All is well. 00 :24 :05 Does anybody know why we're here? 00 :24 :07 Well, good morning. 00 :24 :10 I'm gonna do something pretty rare for a surgeon. 00 :24 :12 I'm gonna ask interns for help. 00 :24 :14 I've got this kid, Katie Bryce. 00 :24 :16 Right now, she's a mystery. 00 :24 :19 She doesn't respond to our meds. 00 :24 :21 The labs are clean, the scans are pure, 00 :24 :23 but she's having seizures -- grand mal seizures with no visible cause. 00 :24 :27 She's a ticking clock. 00 :24 :29 She's gonna die if I don't make a diagnosis, which is where you come in. 00 :24 :33 I can't do it alone. 00 :24 :35 I need your extra minds, extra eyes. 00 :24 :37 I need you to play detective. I need you to find out why katie is having seizures. 00 :24 :41 I know you're tired. You're busy. You got more work than you can possibly handle. 00 :24 :45 I understand, so I'm gonna give you an incentive. 00 :24 :48 Whoever finds the answer rides with me. 00 :24 :51 Katie needs surgery. 00 :24 :53 You get to do what no interns get to do -- scrub in to assist on an advanced procedure. 00 :24 :58 Dr. Bailey's gonna hand you Katie's chart. 00 :25 :00 The clock is ticking fast, people. 00 :25 :02 If we're gonna save katie's life, we have to do it soon. 00 :25 :12 Look, give the antibiotics time to work. 00 :25 :13 The antibiotics should have worked by now. 00 :25 :15 She's old. She's freaking ancient. 00 :25 :17 She's lucky she's still breathing. 00 :25 :20 I got a shot to scrub in downstairs on a patient that wasn't alive during the civil war. 00 :25 :24 Don't page me again. 00 :25 :30 Hey, I want in on shepherd's surgery. 00 :25 :32 You've been the intern on Katie since the start. 00 :25 :34 You want to work together? 00 :25 :35 If we find the answer, we have a 50-50 chance of scrubbing in. 00 :25 :38 I'll work with you, but I don't want in on the surgery. You can have it. 00 :25 :41 You're kidding? It's the biggest opportunity any intern will ever get. 00 :25 :43 I don't want to spend any more time with Shepherd than I have to. 00 :25 :46 What do you have against shepherd? 00 :25 :47 If we find the answer, the surgery's yours. Do you want to work together or not? 00 :25 :51 Deal. 00 :25 :52 So she doesn't have anoxia, chronic renal failure, or acidosis. 00 :25 :55 It's not a tumor, because her C.T.'s clean. 00 :25 :58 Are you seriously not gonna tell me why you won't work with Shepherd? 00 :26 :00 No. 00 :26 :01 What about infection? 00 :26 :02 No, there's no white count, and she has no C.T. lesions, no fevers, 00 :26 :06 nothing in her spinal tap. Just tell me. 00 :26 :10 You can't comment, make a face, or react in any way. 00 :26 :16 We had sex. 00 :26 :21 What about an aneurysm? 00 :26 :22 No blood on the C.T. and no headaches. 00 :26 :25 Okay, there's no drug use, no pregnancy, no trauma. 00 :26 :31 Was he good? 00 :26 :33 I mean, he looks like he'd be good. Was it any good? 00 :26 :38 We're out of answers. 00 :26 :41 What if no one comes up with anything? 00 :26 :43 You mean what if she dies? 00 :26 :44 Yeah. 00 :26 :46 This is gonna sound really bad, but I really wanted that surgery. 00 :26 :52 She's just never gonna get the chance to turn into a person. 00 :26 :54 The sum total of her existence will be almost winning miss teen whatever. 00 :27 :01 You know what her pageant talent is? 00 :27 :03 They have talent? 00 :27 :05 Rhythmic gymnastics. 00 :27 :07 Oh, come on. 00 :27 :09 What is rhythmic gymnastics? I can't even say it. I don't know what it is. 00 :27 :17 I think it's something with a ball and a -- 00 :27 :21 What? 00 :27 :23 Meredith, what? 00 :27 :25 Get up. Come on. 00 :27 :27 The only thing that she wouldpossibly need is an angiogram. 00 :27 :30 Oh. Oh, Dr. Shepherd, just one moment. 00 :27 :33 Katie competes in beauty pageants. 00 :27 :35 I know that, but we have to save her life, anyway. 00 :27 :37 She has no headaches, no neck pain, her C.T. is clean. 00 :27 :40 - There's no medical proof of an aneurysm. - Right. 00 :27 :43 - But what if she has an aneurysm, anyway? - There are no indicators. 00 :27 :46 She twisted her ankle practicing for the pageant. 00 :27 :49 - I appreciate you trying to help, but -- - She fell when she twisted her ankle, she fell. 00 :27 :53 It was no big deal, not even a bump on the head. She got up, iced her ankle, and everything was fine. 00 :27 :58 It was a fall so minor, her doctor didn't even think to mention it when I was taking her history, 00 :28 :01 but she did fall. 00 :28 :04 You know what the chance is that a minor fall could burst an aneurysm? 00 :28 :06 One in a million -- literally. 00 :28 :15 Let's go. 00 :28 :17 Where? 00 :28 :17 To find out if Katie's one in a million. 00 :28 :37 I'll be damned. 00 :28 :39 There it is. 00 :28 :43 It's minute, but it's there. 00 :28 :46 It's a subarachnoid hemorrhage. 00 :28 :49 She's bleeding into her brain. 00 :28 :56 She could have gone through her entire life without it ever being a problem. 00 :28 :59 - One tap in the right spot... - And it exploded. 00 :29 :00 Exactly. Now I can fix it. 00 :29 :03 You two did great work. 00 :29 :05 Love to stay and kiss your asses, but I got to tell Katie's parents she's having surgery. 00 :29 :08 - Katie Bryce's chart, please. - Here you go. 00 :29 :11 Dr. Shepherd, you'd said that you'd pick someone to scrub in if we helped? 00 :29 :16 Oh, yes, right. I'm sorry I can't take you both. 00 :29 :19 It's gonna be a full house. 00 :29 :20 Meredith, I'll see you in O.R. 00 :29 :30 Good. Thank you. 00 :29 :39 Cristina... 00 :30 :43 Wow, that was quick. 00 :30 :44 His heart had too much damage to give him a bypass. 00 :30 :48 I had to let him go. 00 :30 :50 It happens -- rarely, but it does happen -- 00 :30 :53 the worst part of the game. 00 :30 :57 But I told his wife -- I told gloria that he would be fine. 00 :31 :03 - I promised her that -- - You what? 00 :31 :05 - They have four little girls. - This is my case. 00 :31 :09 Did you hear me promise? 00 :31 :11 The only one that can keep a promise like that is god, and I haven't seen him holding a scalpel lately. 00 :31 :15 You never promise a patient's family a good outcome! 00 :31 :20 I thought... 00 :31 :21 You're important enough to make promises to Mrs. Savitch? 00 :31 :24 You get to be the one to tell her that she's a widow. 00 :31 :38 Izzie. 00 :31 :42 - Maybe Meredith couldn't -- - Izzie. 00 :31 :49 - I'll tell him I changed my mind. - Don't do me any favors. It's fine. 00 :31 :54 - Cristina -- - You did a cutthroat thing. Deal with it. 00 :31 :57 Don't come to me for absolution. You want to be a shark, be a shark. 00 :32 :00 - I'm not -- - Oh, yes, you are. 00 :32 :02 Only it makes you feel all bad in your warm, gooey places. 00 :32 :06 No, screw you. 00 :32 :07 I don't get picked for surgeries 'cause I slept with my boss, 00 :32 :09 and I didn't get into med school 'cause I have a famous mother. 00 :32 :11 Some of us have to earn what we get. 00 :32 :26 Gloria, there were complications in the surgery. 00 :32 :31 Tony's heart had a lot of damage. 00 :32 :34 We tried to take him off bypass, but... 00 :32 :41 there wasn't anything we could have done. 00 :32 :45 What are you talking about? 00 :32 :48 He... 00 :32 :51 Tony died. 00 :32 :53 He's dead. 00 :32 :56 Gloria... 00 :32 :58 I am so sorry. 00 :33 :05 Please... 00 :33 :08 go away. 00 :33 :36 I promised I'd make her look cool. 00 :33 :38 Apparently, being a bald beauty queen is the worst thing that happened in the history of the world. 00 :33 :44 Did you choose me for the surgery because I slept with you? 00 :33 :48 Yes. 00 :33 :52 I'm kidding. 00 :33 :54 I'm not gonna scrub in for surgery. 00 :33 :56 You should ask Cristina. She really wants it. 00 :33 :58 You're Katie's doctor. 00 :33 :59 And on your first day, with very little training, you helped save her life. 00 :34 :03 You earned the right to follow her case through to the finish. 00 :34 :07 You shouldn't let the fact that we had sex get in the way of you taking your shot. 00 :34 :26 I wish I wanted to be a chef 00 :34 :28 or a ski instructor or a kindergarten teacher. 00 :34 :32 You know, I would have been a really good postal worker. 00 :34 :36 I'm dependable. 00 :34 :39 You know, my parents tell everyone they meet that their son's a surgeon, 00 :34 :43 as if it's a big accomplishment -- 00 :34 :46 superhero or something. 00 :34 :51 If they could see me now. 00 :34 :55 When I told my mother I wanted to go to medical school, 00 :34 :59 she tried to talk me out of it -- 00 :35 :02 said I didn't have what it takes to be a surgeon, 00 :35 :05 that I'd never make it. 00 :35 :08 So the way I see it, superhero sounds pretty damn good. 00 :35 :17 We're gonna survive this, right? 00 :35 :26 She's still short of breath. Did you get an abg or a chest film? 00 :35 :29 Oh, yes, sir, I did. 00 :35 :30 And what did you see? 00 :35 :32 Oh, well, I had a lot of patients last night. 00 :35 :35 Name the common causes of post-op fever. 00 :35 :37 - Uh, yes. - From your head, not from a book. 00 :35 :40 Don't look it up. Learn it. It should be in your head. Name the common causes of post-op fever. 00 :35 :45 Uh... the common causes of post-- 00 :35 :49 Can anybody name the common causes of post-op fever? 00 :35 :54 Wind, Water, Wound, Walking, Wonder drugs -- the five W's -- 00 :35 :59 most of the time, it's Wind -- 00 :36 :01 splinting or pneumonia. 00 :36 :04 Pneumonia's easy to assume, especially if you're too busy to do the tests. 00 :36 :13 What do you think's wrong with 4-b? 00 :36 :16 The fourth "W," "Walking." 00 :36 :17 I think she's a prime candidate for a pulmonary embolus. 00 :36 :20 How would you diagnose? 00 :36 :23 Spiral C.T., V/Q scan, provide O2, 00 :36 :28 dose with heparin, and consult for an IVC filter. 00 :36 :33 Do exactly as she says, then tell your resident that I want you off this case. 00 :36 :39 I'd know you anywhere. You're the spitting image of your mother. 00 :36 :43 Welcome to the game. 00 :37 :02 All right, everybody. It's a beautiful night to save lives. 00 :37 :06 Let's have some fun. 00 :37 :16 I can't think of any one reason why I want to be a surgeon... 00 :37 :22 but I can think of a thousand reasons why I should quit. 00 :37 :40 They make it hard on purpose. 00 :37 :46 There are lives in our hands. 00 :37 :57 There comes a moment when it's more than just a game... 00 :38 :12 And you either take that step forward 00 :38 :16 or turn around and walk away. 00 :38 :37 I could quit, 00 :38 :39 but here's the thing... 00 :38 :44 I love the playing field. 00 :38 :54 - It was good surgery. - Yeah. 00 :39 :05 We don't have to do that thing where I say something, and then you say something, 00 :39 :09 and then somebody cries, and there's a moment. 00 :39 :12 Yuck. 00 :39 :14 Good. 00 :39 :18 You should get some sleep. 00 :39 :20 You look like crap. 00 :39 :22 I look better than you. 00 :39 :24 That's not possible. 00 :39 :43 That was amazing. 00 :39 :49 You practice on cadavers... 00 :39 :53 you observe... 00 :39 :55 and you think you know what you're gonna feel like, standing over that table, but... 00 :40 :00 that was such a high. 00 :40 :06 I don't know why anybody does drugs. 00 :40 :11 Yeah. 00 :40 :18 Yeah. 00 :40 :22 I should, uh, go do this. 00 :40 :27 You should. 00 :40 :32 I'll see you around. 00 :40 :34 See you around. 00 :40 :37 See you. 00 :40 :43 So... 00 :40 :44 I made it through my first shift. 00 :40 :47 We all did. 00 :40 :50 The other interns are all good people. You'd like them... 00 :40 :54 I think. 00 :40 :57 I don't know -- maybe. 00 :41 :00 I like them. 00 :41 :07 Oh, and I changed my mind. 00 :41 :09 I'm not gonna sell the house. 00 :41 :12 I'm gonna keep it. 00 :41 :15 I'll have to get a couple of roommates, but... 00 :41 :18 it's home, you know? 00 :41 :23 Are you the doctor? 00 :41 :25 No. 00 :41 :27 I'm not your doctor, 00 :41 :29 but I am a doctor. 00 :41 :38 What's your name? 00 :41 :42 It's me, mom -- Meredith. 00 :41 :47 All right. 00 :41 :55 I used to be a doctor, I think. 00 :42 :08 You were a doctor, mom. 00 :42 :11 You were a surgeon. 00 :42 :16 Transcript: RaceMan - Synchro: Amariss - www.forom.com - ÿ