00 :00 :02 Remember when you were a kid, and your biggest worry was, 00 :00 :06 like, if you'd get a bike for your birthday 00 :00 :09 or if you'd get to eat cookies for breakfast? 00 :00 :13 Being an adult -- totally overrated. 00 :00 :18 I mean, seriously, don't be fooled by all the hot shoes and the great sex 00 :00 :22 and the no parents anywhere telling you what to do. 00 :00 :26 Adulthood is responsibility. 00 :00 :29 The lawyer has been managing her estate with a limited power of attorney, 00 :00 :32 but your mother's alzheimer's is advancing. 00 :00 :34 So, while she's still lucid enough to consent, 00 :00 :36 she needs to sign everything over to you. 00 :00 :40 Me? 00 :00 :44 Responsibility -- it really does suck. 00 :00 :48 Look, I haven't slept in 48 hours. 00 :00 :50 I'm getting my first shot at heart surgery this morning. 00 :00 :53 I'm missing rounds. 00 :00 :55 Are you sure there isn't anybody here, or the attorney...? 00 :00 :59 I mean, do I really have to be the one to handle this? 00 :01 :02 We're talking about her estate, finances, medical care. 00 :01 :05 You really want to leave her life in someone else's hands? 00 :01 :07 She's your mother. 00 :01 :10 Really, really sucks. 00 :01 :14 Adults have to be places and do things 00 :01 :17 and earn a living and pay the rent. 00 :01 :20 And if you're training to be a surgeon, 00 :01 :22 holding a human heart in your hands -- 00 :01 :26 Hello! Talk about responsibility! 00 :01 :32 What was that, Dr. Grey? 00 :01 :34 Sorry, it slipped. 00 :01 :35 My hands... 00 :01 :37 It's okay. I'm done. 00 :01 :39 You can release Mrs. Patterson's heart now, 00 :01 :41 very gently. 00 :01 :46 All right. 00 :01 :48 Let's warm her up. 00 :01 :49 Get her off bypass. 00 :01 :50 Kind of makes bikes and cookies look really, really good, doesn't it? 00 :01 :54 I wish I could hold a heart. 00 :01 :56 A monkey could hold a heart. 00 :01 :58 You're mad Burke didn't ask you. 00 :02 :00 George, I need more ice and chips. 00 :02 :02 Who did you invite? 00 :02 :03 We said the list was jocks only -- surgery, trauma, plastics. 00 :02 :07 Who else? 00 :02 :08 Some people from peds. 00 :02 :10 You invited the preschoolers to Meredith's house. 00 :02 :12 Next thing, you'll say that you invited the shrinks. 00 :02 :16 She invited mental defects. 00 :02 :18 This party is D.O.A. 00 :02 :19 Meredith thinks this is going to be a small, meet-your-boyfriend cocktail thing. 00 :02 :23 Did you clear this with her? 00 :02 :24 No, but I will. 00 :02 :26 I promise. 00 :02 :27 Why are you wasting the only weekend your boyfriend is in town on a big party? 00 :02 :31 Is he bad in bed? 00 :02 :33 No. I just want him to meet some of my friends. 00 :02 :36 Right. 60 geeks in scrubs are your friends. 00 :02 :41 Bad sex -- sucks for you. 00 :02 :43 I heard there's a party tonight. At Meredith's house. 00 :02 :45 - A party?- Uh, news to me. 00 :02 :47 No party. 00 :02 :48 We losing her or what? 00 :02 :50 - Are the grafts...?- They're open. 00 :02 :52 - Temperature?- She's at 96 and rising. 00 :02 :55 She should be doing this on her own. 00 :03 :00 That's her falling. 00 :03 :03 Continue the progressions. 00 :03 :07 Come on, Mrs. Patterson. 00 :03 :08 - Paddles.- Sets are below 90. 00 :03 :11 Charge. 00 :03 :12 10 joules. 00 :03 :14 Clear. 00 :03 :17 Come on, Mrs. Patterson. 00 :03 :19 - Give me 20.- Charge. 00 :03 :21 There. We have rhythm. 00 :03 :24 Reluctant heart. 00 :03 :26 All right. 00 :03 :28 Let's close. 00 :03 :29 Keep an eye on her. 00 :03 :31 Good work, everyone. 00 :03 :33 The scariest part about responsibility? 00 :03 :37 When you screw up and let it slip right through your fingers. 00 :03 :44 Hey, I heard you did a cabg with Burke. 00 :03 :47 Did you get to hold the heart? 00 :03 :48 Yeah. 00 :03 :49 It's an amazing feeling. You never forget the first time. 00 :03 :52 It was pretty great just to watch. 00 :03 :54 Vicarious thrills, you know? 00 :03 :56 Yeah. 00 :04 :03 See you later. 00 :04 :05 Bye. 00 :04 :17 I think maybe I did something to the heart when I was holding it. 00 :04 :22 I nodded off a little, squeezed it. 00 :04 :26 Oh, please. 00 :04 :27 The heart's a tough muscle. 00 :04 :29 It can take a squeeze or two. 00 :04 :31 My fingernail popped a glove, cut straight through. 00 :04 :36 George, what if I punctured Mrs. Patterson's heart? 00 :04 :41 If you had punctured it, 00 :04 :45 you would have known when they reperfused. 00 :04 :47 They got her heart beating. The woman's okay. 00 :04 :50 - So, I shouldn't tell Burke?- Tell him what? 00 :04 :53 You know, um... 00 :04 :55 nothing happened. The woman's okay, right? 00 :04 :59 She's okay. 00 :05 :00 She's fine. 00 :05 :02 She's fine. 00 :05 :35 What do you see, George? 00 :05 :37 Hyperinflated lungs -- cloudy with bullae. 00 :05 :40 Seriously diminished capacity. 00 :05 :42 She must be having trouble breathing. 00 :05 :44 Course of action? 00 :05 :46 A bullectomy procedure. Remove the bullae. Reduce the pressure. 00 :05 :49 It says here we operated on her back in '99. 00 :05 :52 So Mrs. Drake has been through this before, but talk her through it anyway. 00 :05 :55 And resist the anti-smoking lectures. 00 :05 :57 She feels bad enough already. 00 :06 :02 So, do you think, if they put a picture of these in a pack of cigarettes, people would stop smoking? 00 :06 :10 How long has your back been hurting you? 00 :06 :12 It's chronic. 00 :06 :14 Means I have it all the time. 00 :06 :16 I know what "chronic" means. 00 :06 :17 What kind of pain are you having? 00 :06 :18 Oh, man, the pain's bad. 00 :06 :19 It's like a thousand samurai warriors stabbing their swords into my spine. 00 :06 :23 I'm allergic to aspirin, most nsaids. 00 :06 :26 So, maybe we'll start you on morphine. 00 :06 :27 No. The only things that will work are, uh, 00 :06 :30 demerol or dilaudid. A ton of dilaudid -- that will set me straight. 00 :06 :35 The standard starting dose is two. 00 :06 :37 Did you see that tom cruise samurai movie, hmm? 00 :06 :39 Pow! Pow! Pow! 00 :06 :42 Exaggerated and overly specific description of his pain. 00 :06 :44 A self-prescription. 00 :06 :46 "Pow! Pow! Pow!"? 00 :06 :48 He's a dilaudid junkie. 00 :06 :49 So what do you do? 00 :06 :50 Check the database for history, refer to a program, and discharge. 00 :06 :53 After you give him something. 00 :06 :55 That's exactly what he wants. 00 :06 :56 Junlie or not, you still have to treat his pain as if it were real. 00 :06 :59 Why? 00 :07 :00 The first rule in pain management -- always ERR on the side of caution. 00 :07 :03 He's in our care. He says he's in pain. 00 :07 :05 Start a central line. His veins are shot. 00 :07 :16 The surgery before was supposed to help. 00 :07 :19 But it never felt right. 00 :07 :21 Probably would have been a good idea to quit smoking. 00 :07 :24 I did! 00 :07 :25 Four-pack-a-day habit. 00 :07 :27 It was hell. 00 :07 :28 Here you go, Mrs. Drake. 00 :07 :29 Didn't do any good. 00 :07 :30 Really? Because it looked... 00 :07 :32 I mean, from the damage, we all thought you probably were still smoking. 00 :07 :36 Cold turkey, five years ago, and what did I get for my trouble? 00 :07 :40 I still had to quit my job at the restaurant. 00 :07 :42 But even sitting, it hurt. 00 :07 :44 Here you go. 00 :07 :45 Nobody believed me. They all said it was in my head. 00 :07 :47 I've seen the films. 00 :07 :49 It's not all in your head. 00 :07 :51 You're right about that. 00 :07 :53 Hey, come here. 00 :07 :55 You're too damn young to be a doctor. 00 :07 :57 - Hey.- What? 00 :07 :59 I'm older than I look. 00 :08 :02 Do you think this is going to work this time? 00 :08 :05 I think it's your best option. 00 :08 :07 Straight shooter, huh? 00 :08 :08 Yes, ma'am. 00 :08 :09 I like that. 00 :08 :27 Hi, Mr. Patterson. 00 :08 :29 Hi. 00 :08 :30 Hemodynamics stable? 00 :08 :31 Yeah, map has stayed around 80. Cardiac output at 5. 00 :08 :34 - That's good, Dr. Grey?- That's fine, Mr. Patterson. 00 :08 :37 But it's not good. 00 :08 :39 Well, heart surgery takes a lot out of the patient, 00 :08 :42 but we're monitoring your wife very carefully, 00 :08 :45 and she should be fine. 00 :08 :51 Mr. Sterman, let's see about getting you out of here today. 00 :08 :54 How are you feeling? 00 :08 :55 Pretty okay, except I don't think I ever want to have a bowel obstruction again. 00 :09 :00 Really? 00 :09 :01 We get people in here all the time requesting one. 00 :09 :05 So, you keeping down clear fluids? 00 :09 :07 And my all-time favorite question -- have you pooped yet? 00 :09 :10 I'm not exactly sure. 00 :09 :13 I think you'd probably know. 00 :09 :17 Passed gas? 00 :09 :18 Yes. 00 :09 :19 Really yes? Because if I bring in my handy lie detector... 00 :09 :22 Okay, no. 00 :09 :24 And I shouldn't try and lie. I know. 00 :09 :27 I went to medical school. 00 :09 :29 You went to med school? 00 :09 :30 Yeah, dropped out my last year at clinical. 00 :09 :33 Too many hours, and I was staring into the ice-cold eyes of divorce. 00 :09 :37 Wow. 00 :09 :39 Yeah, I do research now, and I have a life -- a family. 00 :09 :44 No offense. I mean... 00 :09 :45 No, no, that's okay. 00 :09 :48 I'm just one of those people who believe you can have both. 00 :09 :51 Maybe so. 00 :09 :52 But your first responsibility's always gonna be your patient. 00 :10 :18 Just coffee. 00 :10 :22 Good. 00 :10 :23 Okay. 00 :10 :24 Okay. 00 :11 :02 We call this "a spaghetti procedure." 00 :11 :05 We cut and deflate the bullae 00 :11 :08 to facilitate gentle manipulation 00 :11 :12 of Mrs. Drake's lung. 00 :11 :14 Dr. Bailey, do you see that? 00 :11 :18 Sir? 00 :11 :21 Oh, my ever-lovin'... 00 :11 :24 We need to open her up. 00 :11 :26 I'm taking out the scope. 00 :11 :29 You heard him, people. Let's move. 00 :11 :30 Lights. 00 :11 :33 10 blade. 00 :11 :34 - Here you go.- Retractors. 00 :11 :36 Retractors. 00 :11 :38 Scalpel ready. 00 :11 :42 Towel. 00 :11 :46 Rib spreader. 00 :11 :50 Suction. 00 :12 :01 Is that a towel? 00 :12 :03 Get a pan. 00 :12 :04 Where did that come from? 00 :12 :05 Best guess -- her surgery five years ago. 00 :12 :10 Something careless this way comes. 00 :12 :19 - A towel?- Not good. 00 :12 :21 She complained of pressure on her chest, but nobody took her seriously. 00 :12 :24 Not good for the patient, not good for the hospital. 00 :12 :26 Not good. 00 :12 :28 Cristina, hit the files. 00 :12 :29 Find out everything you can about that initial operation. 00 :12 :31 Who was in that room? 00 :12 :32 Who was responsible for closing? 00 :12 :34 George, stay with the patient. 00 :12 :35 Keep her happy. She seems to like you. 00 :12 :37 Right, okay, um, how long do you think...? 00 :12 :40 I mean, just technically, I'm off at 6:00. 00 :12 :43 Am I invited? 00 :12 :44 Excuse me? 00 :12 :45 Am I invited to the party? 00 :12 :47 Well, yeah. Yes, yeah, of course. 00 :12 :55 What was I supposed to say? 00 :13 :02 Okay, yeah, great. All right, 14 cases. 00 :13 :05 What kind? I don't know. Maybe an assortment. 00 :13 :10 Microbrews -- locals. 00 :13 :12 Make sure they throw in some bar nuts. 00 :13 :15 I'm ordering office supplies. 00 :13 :17 Oh, yeah, sure. 00 :13 :19 Microbrews -- local. And throw in some bar nuts. 00 :13 :21 7:00 would be better than 5:00. 00 :13 :23 Hey, any luck? 00 :13 :25 Hey, if I do, will you invite me to the party? 00 :13 :30 Yeah, great. Okay, thanks. 00 :13 :32 - Take it easy.- Mr. Frost. 00 :13 :35 - Where have you been?!- We're going to take care of you, all right? 00 :13 :37 - Just hang on.- Where the hell have you been?! 00 :13 :43 When I tell you to start a central line, you start a central line -- no judgment, no question. 00 :13 :48 Guy's been in seven hospitals in the last four months. He's a major addict. 00 :13 :51 The patient has a three-lumbar fusion. 00 :13 :53 He's a junkie. We shouldn't be giving him -- 00 :13 :55 Yeah, he's an addict, but his pain is real. 00 :13 :58 Lose the attitude, get down there, start a central line. 00 :14 :18 Told me I had a towel inside me. 00 :14 :22 Who told you that? 00 :14 :25 A surgeon -- an older man. 00 :14 :28 Handsome. 00 :14 :30 That's Dr. Webber. 00 :14 :31 He's our chief. 00 :14 :33 Yeah. 00 :14 :35 It was a towel that somebody left the last time. 00 :14 :41 Yes, ma'am. 00 :14 :43 Who would do that? 00 :14 :47 That doesn't seem right, does it? 00 :14 :53 No, ma'am, no. 00 :14 :55 It doesn't. 00 :14 :58 I was walking around with a towel inside of me. 00 :15 :02 How could that happen? 00 :15 :43 So? What happens now? 00 :15 :51 Now you keep this to yourself while we work it out. 00 :15 :57 Do this for me. 00 :16 :14 You okay? 00 :16 :15 Yeah, yeah, I'm good. 00 :16 :16 Are you sure? Because you seem not okay. 00 :16 :18 I'm fine. Cabg was long. 00 :16 :21 Well, let me take you out to dinner tonight. You can tell me all about it. 00 :16 :24 Real food, waiters, big chunks of carbs in a basket. 00 :16 :27 I can't. 00 :16 :28 Forget the party. 00 :16 :29 You know about the party? 00 :16 :31 Your friends will be at the party. You and I can be alone somewhere else. 00 :16 :34 How do you know about the party? 00 :16 :35 Thanks for not inviting me, by the way. That felt good. 00 :16 :37 Dinner -- think about dinner. Perfect opportunity. 00 :16 :40 Well... 00 :16 :45 What happened? 00 :16 :46 Started having swelling over her sternum, then blood started gushing. 00 :16 :49 Dr. Burke is on his way right now. 00 :16 :50 Is she dying? 00 :16 :52 Somebody get him out of here. Keep applying pressure. 00 :16 :55 Tyler, call for an O.R. 00 :16 :56 What the hell happened? She got her protamine? 00 :16 :58 Per protocol. No allergic, anaphylactic, or histamine responses. 00 :17 :03 Her last counts? 00 :17 :04 B.T., P.T.T., I.N.R., platelet counts were all stable. 00 :17 :08 Even her H.N.H. were stable. 00 :17 :10 What the hell went wrong? Let's move. 00 :17 :12 Hold on. 00 :17 :16 - I popped a glove.- What? 00 :17 :18 In surgery, when I was holding it, 00 :17 :20 I popped a glove with my fingernail. I think I may have nicked her heart. 00 :17 :24 Let's go, people. 00 :17 :32 You had every opportunity to speak up before I closed her chest. Every opportunity. 00 :17 :36 I'm sorry. 00 :17 :37 And then you confess in front of her husband? 00 :17 :40 You don't even know if you were the cause. You have no idea. 00 :17 :43 I'm sorry. 00 :17 :51 Over here. 00 :17 :53 There. 00 :17 :54 Look at the wall rupture. 00 :17 :56 It's a hell of a lot more than a fingernail. 00 :17 :58 Her ventricular walls are weak. 00 :18 :02 I just had a conversation with Mr. Patterson. 00 :18 :05 I want copies of his wife's chart in my office by 5:00. 00 :18 :09 Tomorrow, the two of you are going to meet with me and legal, 00 :18 :11 and you better damn well be able to explain what happened here. 00 :18 :16 People poking holes in hearts and leaving towels. 00 :18 :20 You're gonna go back and talk to the husband. 00 :18 :23 Review the history. 00 :18 :25 Apologize profusely. 00 :18 :28 Your ass is on the line here, Dr. Grey. 00 :18 :35 You got called before the chief? 00 :18 :36 Tomorrow morning. 00 :18 :38 I could get kicked out of the program. 00 :18 :40 I could, right? 00 :18 :42 You're not getting kicked out. 00 :18 :43 Patterson's just gonna sue. 00 :18 :44 Patterson is not going to sue. 00 :18 :46 You're not getting kicked out. 00 :18 :47 What were you thinking? Telling Burke? So stupid. 00 :18 :50 I told her not to. 00 :18 :52 I got to take this. 00 :18 :55 Thanks. Thank you. Very comforting. 00 :18 :57 I'll watch your books. 00 :19 :00 Okay, so the beer is coming at 7:00, and some of the floor nurses are bringing wine. 00 :19 :05 You invited nurses? 00 :19 :08 Did you clear this with Meredith? 00 :19 :10 A few more people isn't gonna make a difference, okay? 00 :19 :12 A party is a party. 00 :19 :13 And the bigger the party, the less time for bad sex. 00 :19 :16 Would you stop saying that. 00 :19 :17 - Okay.- Hank and I have great sex -- all the time. 00 :19 :20 We'll probably have sex after the party, or during the party. 00 :19 :23 As long as you clear it with Meredith. 00 :19 :27 Hank just needs to realize that doctors can have fun. 00 :19 :29 We're not all workaholics with god complexes. 00 :19 :32 We are workaholics with god complexes. 00 :19 :40 And the notary can be there at 6:30, too? 00 :19 :44 And the home's physician will be there to attest to her mental competency? 00 :19 :48 Okay. 00 :19 :50 Is there anything else I need to bring beside my license? 00 :19 :54 My checkbook. 00 :19 :55 6:30 -- I'll be there. 00 :19 :59 I heard. 00 :20 :00 It's a notary thing -- a thing to get notarized. 00 :20 :04 I'm talking about the heart thing. 00 :20 :05 Do you want to talk about it? 00 :20 :08 We're adults. 00 :20 :10 When did that happen? 00 :20 :14 And how do we make it stop? 00 :20 :32 Dr. Yang. 00 :20 :34 Dr. Burke. 00 :20 :38 That bypass graft got a little complicated. 00 :20 :41 It's nothing I couldn't handle. 00 :20 :44 Good. 00 :20 :54 Yeah. 00 :21 :00 Listen, I'll call you back. 00 :21 :06 That was my lawyer. He's advising me not to talk to you. 00 :21 :09 Mr. Patterson, I know that you're frustrated and angry, 00 :21 :12 but I need -- we need some more information about your wife. 00 :21 :17 The walls of her heart are abnormally thin. 00 :21 :20 Hey, don't blame this on my wife. 00 :21 :21 I heard from your very mouth what happened. I know. 00 :21 :24 But we can't treat her. 00 :21 :25 No, she was in the best shape of her life. 00 :21 :27 You ask her cardiologist. 00 :21 :29 She had lost 100 pounds. 00 :21 :30 Don't you dare try to hang this on her. 00 :21 :33 - Mr. Patterson, please.- We're through talking. 00 :21 :55 You don't like me very much, do you? 00 :21 :57 Oh, Jerry, it's not you specifically. It's just people like you, that's all. 00 :22 :03 Doc, I'm feeling pretty good. 00 :22 :06 Pain's about a 3. 00 :22 :08 A 3? That's excellent. 00 :22 :10 Mr. Frost, I'm glad we could help you out, as well as county, mercy west, seattle pres. 00 :22 :15 A lot of people have helped you out lately, Jerry. 00 :22 :17 We're pleased we could do our part. 00 :22 :18 Who's on discharge today, Dr. Karev? 00 :22 :20 Izzie Stevens. 00 :22 :22 Mr. Frost, Dr. Stevens is gonna discharge you. 00 :22 :24 Whoa, you can't discharge me. 00 :22 :26 - I'm in pain.- You were in pain. Now you're not. 00 :22 :28 Dr. Karev here is going to recommend some wonderful treatment programs for you. 00 :22 :32 Go home. 00 :22 :33 Get some help. 00 :22 :35 You can't just do that! 00 :22 :36 He just did, my friend. 00 :22 :40 Okay, any luck yet? 00 :22 :42 Nada. 00 :22 :44 Ugh. Looks like you're gonna have to spend another night. 00 :22 :47 I hate to miss the party. 00 :22 :50 You gonna make it? 00 :22 :51 You are the last person on my list, so it's looking pretty good. 00 :22 :54 So, doctors have lives after all. Who'd have thunk? 00 :22 :58 Dr. Stevens, discharge my guy in 342. 00 :23 :04 Don't look at me like that. 00 :23 :06 It's not gonna take very long. 00 :23 :09 It's not. 00 :23 :15 You paged me? 00 :23 :16 I'm gonna be a while. Do you think you could get home to sign for the beer? 00 :23 :19 Why don't you have your boyfriend sign for it? 00 :23 :23 You have a very annoying way of sneaking up on people. 00 :23 :26 Maybe if you were a little less creepy... 00 :23 :28 I wouldn't come anyway. 00 :23 :29 I hate big parties. 00 :23 :30 Is Meredith the only person who doesn't know the size of this thing? 00 :23 :34 I'm telling her. 00 :23 :35 You can't. She's gone already. 00 :23 :36 What, already? 00 :23 :37 I think she had -- um, excuse me -- an errand to run. 00 :23 :42 You don't think Meredith's going to mind, right? 00 :23 :45 I want you to make it very clear to her that I had nothing to do with this party -- 00 :23 :49 nothing. 00 :24 :02 Oh, I'm sorry I'm late. It was the traffic. 00 :24 :04 It doesn't matter, dear. 00 :24 :05 Okay. Don't tell me the notary didn't show. 00 :24 :07 Oh, everybody's here. It's just your mother isn't. 00 :24 :12 Mom? 00 :24 :14 Mom? 00 :24 :15 What do you people want from me? 00 :24 :16 We need you to sign the lawyer's papers. 00 :24 :19 I have a cranial reconstruction in a half an hour. I need to go. 00 :24 :22 Okay, mom. We're all here. 00 :24 :23 We have a notary. 00 :24 :25 I need you to focus, 00 :24 :26 and I need you to sign these papers. 00 :24 :30 Mom, look at me. 00 :24 :33 It's an emergency surgery. 00 :24 :35 I don't have time for this. 00 :24 :36 She can't sign anything now. 00 :24 :38 We should have done this earlier in the day. 00 :24 :41 I couldn't come earlier in the day. 00 :24 :42 I have a job and a life, and I'm here now. 00 :24 :46 You're gonna have to come back tomorrow, when she's lucid. 00 :24 :49 You know, why did she put this off for so long? 00 :24 :51 And why did you let her? 00 :24 :53 Doesn't it strike you as slightly irresponsible? 00 :24 :55 I mean, what the hell is wrong with you people?! 00 :26 :14 Izzie, I'm gonna kill you. 00 :26 :24 You could touch that, but I'd have to kill you. 00 :26 :32 So, about that towel thing? 00 :26 :33 It's been taken care of. 00 :26 :35 Okay. 00 :26 :37 You don't need to concern yourself with it. 00 :26 :40 So, what's gonna happen? 00 :26 :41 We're not gonna talk about it anymore is what's gonna happen -- we clear? 00 :26 :45 Or you had too much alcohol to understand me? 00 :26 :48 We're very clear. 00 :26 :49 Good. 00 :26 :51 You have any bourbon? 00 :27 :00 You can't discharge a man in pain. 00 :27 :02 You're hurting me! 00 :27 :03 You're the one who's making it difficult. Stop resisting. 00 :27 :06 Just give me the hit of demerol. 00 :27 :08 The dilaudid hasn't worn off yet. 00 :27 :10 - Mr. Frost, you have to...- Look, I'm not leaving. 00 :27 :13 I'm calling psych. 00 :27 :14 No, no. Don't call psych. 00 :27 :16 Wait, wait, wait. 00 :27 :17 Stop, Jerry. Stop. Stop. Stop. 00 :27 :24 Jerry. Jerry! 00 :27 :26 Concussion? 00 :27 :31 He's blown his left pupil. 00 :27 :32 Page Shepherd. We gotta get him down to C.T. 00 :27 :36 That was one hard fall. 00 :27 :38 What do you see? 00 :27 :44 Subdural bleed. 00 :27 :45 With midline shift. 00 :27 :47 We have to evacuate this now. 00 :27 :48 Anywhere else you have to be, Dr. Stevens, or are you in? 00 :27 :52 Brain surgery? 00 :27 :54 Are you kidding me? 00 :27 :55 That's what I thought. 00 :28 :21 Where is Izzie?! 00 :28 :23 She didn't clear it with you? 00 :28 :25 This was supposed to be a meet-the-boyfriend get-together little thing! 00 :28 :30 Izzie has a lot of friends. 00 :28 :34 Izzie doesn't know this many people. 00 :28 :36 I told her to clear it with you. 00 :28 :38 I can't handle this. 00 :28 :40 You want me to kick everyone out? 00 :28 :42 I'm gonna kick everyone out. 00 :28 :47 Baby, you made it! Whoo! 00 :28 :52 Screw it. 00 :28 :53 Hold this. 00 :28 :55 And give me this. 00 :29 :01 I made it! 00 :29 :06 George! George, come here. Come on. 00 :29 :37 See it? 00 :29 :38 It's hard to miss. 00 :29 :41 Little more than he bargained for. 00 :29 :42 Maybe he's lucky. Maybe this is his way out of the hole. 00 :29 :45 The hole? 00 :29 :46 Interesting expression. 00 :29 :49 My father was into smack pretty heavy. He was a musician. 00 :29 :52 It's tolerated in his line of work. 00 :29 :54 Not good for the family at home. 00 :30 :03 Why do we want to be surgeons, anyway? 00 :30 :06 Surgery is a very serious business. 00 :30 :10 Full house. 00 :30 :12 Royal flush. 00 :30 :14 Get naked, baby boy. 00 :30 :17 - Surgery is stupid.- You're so sexy! 00 :30 :19 It's stupid. 00 :30 :20 - It's stupid.- Give me that. You're drunk. 00 :30 :22 I'm not driving. 00 :30 :24 I'm not on call. 00 :30 :25 I'm in my own house. 00 :30 :26 My life is crap. 00 :30 :28 And it's my party, and I'll get drunk if I want to. 00 :30 :32 Is, um, Izzie Stevens...? 00 :30 :35 Oh, you must be Hank. 00 :30 :40 He's very large and hockey-like. 00 :30 :42 No, Izzie's not here right now. 00 :30 :44 Okay. 00 :30 :46 You and Izzie will give birth to very tall, blond people... 00 :30 :50 like barbies. 00 :30 :51 Izzie said she was gonna be at home. 00 :30 :52 She didn't say there was gonna be a party. 00 :30 :54 Well, she pisses both of us off. 00 :30 :56 Would you like some tequila? It helps. 00 :30 :58 When do you think she's gonna get here? 00 :31 :00 Don't know. 00 :31 :01 Look, we're low on ice, Hank. 00 :31 :03 - I'm serious.- So am I. 00 :31 :06 We're interns, Hank. 00 :31 :08 The hospital owns us. It's what we do. 00 :31 :13 Bye. 00 :31 :14 Nice to meet you. 00 :31 :16 Can you guys see him through recovery? 00 :31 :18 - Yeah, I'll take it.- No, I can do it. 00 :31 :19 That's okay, Stevens. 00 :31 :21 He's my patient now, too. 00 :31 :22 No, I got it. See your hockey player. I'm serious. 00 :31 :26 Yeah, okay. 00 :31 :27 I guess. Thanks, Alex. 00 :31 :29 No problem. 00 :31 :45 Hey! 00 :31 :46 Hey. 00 :31 :47 What are you doing here? 00 :31 :54 I'm sorry I didn't have a chance to call. 00 :31 :56 My patient needed brain surgery. 00 :31 :58 Like, we were inside his brain. How cool is that? 00 :32 :02 Oh, my god. 00 :32 :07 There's a party at your house. 00 :32 :09 Yeah, did you get a chance to hang out? 00 :32 :10 I wanted you to meet some of the people I work with. 00 :32 :13 I don't care about the people you work with. I just want to see you. 00 :32 :17 You didn't mind meeting the people I worked with when they were models. 00 :32 :21 Yeah, well, when they were models, you actually showed up to your own parties. 00 :32 :26 Yeah. 00 :32 :32 This is my life now, Hank. 00 :32 :34 I work 100-hour weeks. 00 :32 :36 I can't always show up to my own parties on time. 00 :32 :39 My patients have to come first. It's just... 00 :32 :41 Yeah, I just flew across the entire country, and there's a hundred people at your house. 00 :32 :46 A hundred people who understand what I do all day. 00 :32 :48 I shouldn't have to apologize for that. 00 :32 :51 No, you shouldn't. 00 :33 :00 Look, let's just go by the party for a little while. 00 :33 :03 You'll really like everyone once you get a chance to know them. 00 :33 :08 I should just go. 00 :33 :10 Hank, come on. 00 :33 :14 I'll call you. 00 :34 :12 You know, in some states, you get arrested for that. 00 :34 :27 So, you blew me off for a bottle of tequila. 00 :34 :30 Tequila's no good for you -- 00 :34 :31 doesn't call, doesn't write. 00 :34 :33 It's not nearly as much fun to wake up to. 00 :34 :50 Take me for a ride, Derek. 00 :34 :57 You know, it sounds like the party's winding down. 00 :35 :00 - Listen to me!- What? 00 :35 :02 We should probably sneak inside now. 00 :35 :05 We've done enough sneaking for the night. 00 :35 :07 It was good sneaking, but enough sneaking. 00 :35 :09 Yeah, I'd say we're pretty good sneakers. 00 :35 :17 You mind moving this tail wagon? 00 :35 :19 You're blocking me in. 00 :35 :23 Apparently not good enough. 00 :35 :47 When's your meeting with the chief? 00 :35 :51 In an hour. 00 :35 :57 Holy mother of destruction. 00 :35 :59 You missed doctor-palooza. 00 :36 :02 Apparently, you didn't. 00 :36 :05 I should probably never speak to you again. 00 :36 :08 I'm so sorry, Meredith. 00 :36 :10 I had no idea it was going to get so... 00 :36 :13 It's okay. 00 :36 :14 Really, I don't care. 00 :36 :17 What would I be doing, anyway? 00 :36 :19 Preparing for your career-altering meeting. 00 :36 :21 Sorry. 00 :36 :22 That heart wall shouldn't have torn. 00 :36 :25 Anything in the patient's history? 00 :36 :27 Husband said she was in the best shape of her life. 00 :36 :31 She lost 100 pounds last year. 00 :36 :34 100 pounds in a year -- how's her muscle mass? 00 :36 :40 Do you even know whose that was? 00 :36 :43 I'm hoping it was yours. 00 :36 :45 No. 00 :36 :49 What do you think? 00 :36 :51 50 says Meredith gets tossed out on her ass and Burke walks away clean. 00 :36 :56 Please be nice to her. 00 :36 :59 So, I have done a lot of research on this, 00 :37 :02 and Dr. Burke has been kind enough to help me. 00 :37 :04 And I understand my responsibility in what I've done wrong here. 00 :37 :08 However, I do think the patient's history is significant in this case. 00 :37 :13 She still weighs 200 pounds, 00 :37 :15 which is why no one even noticed it. 00 :37 :17 But, with that kind of a weight drop, it doesn't matter how much you weigh -- 00 :37 :20 technically, you're anorexic. 00 :37 :22 Along with all that fat, she was losing heart muscle. 00 :37 :25 That certainly could be the reason for a small poke to become a large tear. 00 :37 :28 That still doesn't change the fact, though. 00 :37 :30 The poke wasn't reported at the time of the occurrence. 00 :37 :33 - And if I could change that...- And you can't. 00 :37 :36 You've left yourself and the hospital open to a tremendous amount of liability. 00 :37 :40 - Not if the weight loss caused the problem.- I'm sorry, I've no choice... 00 :37 :43 I've spoken to the husband, and I believe as long as his wife remains stable -- 00 :37 :48 I can't take your beliefs to the bank, Dr. Burke. 00 :37 :51 - Dr. Grey made a huge error here.- And she reported it. 00 :37 :54 Too late. 00 :37 :54 And in front of the patient's husband. 00 :37 :56 But she reported it. She spoke up. 00 :38 :02 Five years ago, as a C.T. fellow, 00 :38 :04 I had a nagging feeling that I didn't check the body cavity 00 :38 :07 of a lung patient closely enough before I closed. 00 :38 :10 The patient seemed fine post-op, and I was in a hurry. 00 :38 :15 And yesterday you and Dr. Bailey pulled a towel out from under that patient's lung. 00 :38 :20 Why didn't I report it at an appropriate time? 00 :38 :23 Maybe because I was afraid that I would be called 00 :38 :25 into a meeting where some hospital lawyer's fear of liability could end my career. 00 :38 :31 Even great doctors make mistakes, and when we do, 00 :38 :35 we've got to have a chance to speak up without fear of retribution. 00 :38 :39 Or everyone suffers. 00 :38 :41 Dr. Grey spoke up. 00 :38 :55 Responsibility -- it really does suck. 00 :39 :03 Meredith. You okay? 00 :39 :05 Yeah, one-month probation. 00 :39 :06 - That's good.- Yep. 00 :39 :08 Burke saved my ass. 00 :39 :10 Don't you all have something better to do? Come on, people, move! 00 :39 :15 He was always gonna tell them about the towel. 00 :39 :18 Just wanted to wait for the right time. 00 :39 :20 Information is power. 00 :39 :53 Unfortunately, once you get past the age of braces and training bras, 00 :39 :57 responsibility doesn't go away. 00 :40 :03 Jerry, this is sloane. She's here to talk to you, if you want, about options for rehab. 00 :40 :12 It can't be avoided. 00 :40 :17 Mrs. Drake, 00 :40 :19 I cannot begin to tell you how truly sorry I am. 00 :40 :23 Either someone makes us face it, 00 :40 :26 or we suffer the consequences. 00 :40 :41 Izzie! I did it! I pooped! 00 :40 :44 All right! 00 :40 :50 Missed your party? 00 :40 :51 Life as a surgeon. 00 :40 :52 And loving every minute of it. 00 :41 :13 And still, adulthood has its perks. 00 :41 :19 Thanks for the coffee. 00 :41 :42 I mean, the shoes, the sex, the no parents anywhere telling you what to do... 00 :41 :51 that's pretty damn good. 00 :42 :00 Transcript: RaceMan - Synchro: Amariss- www.forom.com - ÿ