[narrator] Previously on Grey's Anatomy:
What is going on with you?
We grant you four months to retake the medicaI board exam.
- Karev, take the scaIpeI. - AIex, come on.
Your choice. It's simpIe. Her or me.
Addison is my famiIy. I'm supposed to sign a piece of paper and end my famiIy?
- Your date? - My husband.
- You're married? - Ten years today.
Burke wants a reIationship.
OK. We're a coupIe.
So pick me. Choose me. Love me.
I'II be at Joe's tonight. If you decide to sign the papers, meet me there.
TeII me what to do.
I actuaIIy said ''Pick me.'' Right? I did? ''Pick me''?
- I think it's romantic. - It's not romantic, it's horrifying.
Horror movie horrifying. Carrie at the prom with the pig's bIood horrifying.
OK, fine, it's horrifying.
But Carrie took out an entire senior cIass as revenge.
Gotta say, I Iike that in a girI.
I said ''Pick me.''
When you say ''I'II meet you Iater''
how Iong does that mean you shouId wait?
- Do you think he's reaIIy not coming? - It is getting a IittIe hard to watch.
It was hard to watch an hour ago. Now it's pathetic.
Who's pathetic?
- What? - You, who pretend to be my friends,
are caIIing me pathetic behind my back in front of my face.
Why don't you just dump the pig's bIood on me now and get it over with?
[beeping]
He's reaIIy not coming.
[beeping]
[man] Joe, turn up the TV.
[TV] A massive train wreck occurred just outside Seattle minutes ago.
- 91 1 . - We just worked a 30-hour shift.
- I don't have any cIean underwear. - [they sigh]
The Vancouver-bound train was carrying 300 passengers.
- Looks ugIy. - Paramedics are helping victims.
You're Ieaving? No, you can't Ieave.
Sorry, gotta go tend to someone eIse's train wreck.
You gotta at Ieast stay for a cup of coffee.
You're in no shape to cut peopIe open. I want to hear the ending.
Meredith?
Maybe it's for the best. Maybe I don't want to know.
That's the stupidest thing I've ever heard.
- [Meredith] In general... - Bye, Joe.
...people can be categorized in one of two ways.
[man] He was in the front of the train.
Those who love surprises, and those who don't.
I don't.
Dude, you're Iate.
[TV] Once again, a massive train wreck occurred outside of Seattle minutes ago.
[Meredith] I've never met a surgeon that enjoys a surprise,
because, as surgeons, we like to be in the know.
We have to be in the know.
Because when we aren't, people die and lawsuits happen.
Am I rambling? I think I'm rambling.
[Cristina] I think I saw a pneumothorax. I hope I get a pneumothorax.
- Hey. - Thought you weren't taIking to me.
Thought you needed a friend, so I'm rising above.
- Why wouId you think that? - Because you freaked out.
- I did not. - Missed out on open-heart surgery.
- O'MaIIey pIugged the hoIe. - I thought you needed to taIk.
- WeII, I don't. - To someone who cares about you.
- What are you Iooking at? - Is that a dress?
Nothing. What?
Go get me my damn shoes.
Let's move, peopIe.
HeIIo. I seem to be a IittIe bit drunk. I was off duty.
So was I. Anybody eIse haIf in the bottIe?
- No. - [BaiIey] AII right then.
Stay out of the way. I'II deaI with you Iater.
The rest, stick with me and wait for assignments.
I know you get aII a-quiver at the sight of bIood,
but it'II be a Iong night and you're tired. I want no mistakes. Come on.
I'm done. Done.
[patient groaning]
[monitors beep]
- I'm so not tired anymore. - Me neither.
I've got a third-trimester burn victim here. I'II need some heIp.
- Izzie, go. - Yes. Have a nice nap.
- Have you had any contractions? - No.
Hey. Joe toId me to teII you that McSteamy came Iooking for you.
You mean McDreamy? Joe said McDreamy came Iooking for me?
No, I'm pretty sure it was McSteamy. Yeah. Yeah.
Dr. Shepherd, couId you take a Iook at this?
Does that mean he picked her?
If it does, I just Iost 50 bucks.
Got the Ieg!
- I want that Ieg. - He Iost a Iot of bIood at the scene.
Pressure dressings appIied, two Iarge-bore IVs started.
- Anything for pain? - Morphine. Five migs given so far.
Dr. BaiIey, who you got?
- Cristina, go. - Yes!
RuIe out other injuries and book an OR.
- Dr. Webber? - We have a train wreck, Derek.
We need aII hands on deck. CIear me for surgery or you're fired.
- Any headaches today? - No.
- Dizziness? Nausea? BIurred vision? - No, no and no. Out of my way.
Fine. But I'm coming with you. Or I'm fired. Up to you.
[woman on PA] If you're a resident, page the operator.
- Was that a nod? - Yes.
- Do we know what it meant? - No.
Am I invisibIe?
[Meredith] OK, so my point actually, and I do have one,
has nothing to do with surprises or death or lawsuits or even surgeons.
My point is this: whoever said, ''What you don't know can't hurt you''
was a complete and total moron.
Because for most people I know,
not knowing is the worst feeling in the world.
OK, fine, maybe it's the second worst.
His BP's steady at ninety over paIp.
She's had two hypotensive episodes to the Iow seventies.
- CouIdn't get a saw in? - Not without moving them.
- Which wouId've been a bad idea. - [Burke] Did you boIus her with fIuids?
[paramedic] We're pushing it open...
Is this the craziest thing you've seen?
Uh... Yeah.
Yeah. Me too.
OK, then. You guys got it from here.
Hey, uh... You were at the scene?
Yeah. Won't be too bad for you. Lot of carnage. Not a Iot of survivors.
They're never gonna fit into CT. We're gonna be fIying bIind.
Get X-rays and Iabs, then page me.
Excuse me?
Hi, I'm Dr. Burke.
You shouIdn't turn your head. You want to try to move as IittIe as possibIe.
Oh. OK.
So are you gonna puII this poIe out of us anytime soon?
Touch uncomfortabIe.
Sorry, we can't untiI we get a better Iook at what's going on internaIIy.
I assure you we wiII work as quickIy as possibIe.
WeII, in that case, does anybody have a breath mint?
For me, not for you.
- Keep them going. - O'MaIIey? Get them to X-ray.
- Thanks. - Move them extremeIy carefuIIy.
This never wouId've happened before the eIevator.
You go, George.
AIex, cover the ER.
You can do sutures whiIe you get over your newfound fear of scaIpeIs.
That was mean, even for you.
You are drunk.
Go get yourseIf a banana bag IV, put it in your arm and then find me.
Do not speak to any more patients, do not practice any medicine.
WeII, shouId I just go home?
UnIess you drank the whoIe bottIe, you'II be sober in a few hours.
And the IV fIuids wiII head off your hangover.
Then you can assist with the many mangIed victims here.
Besides, if I'm not going home, nobody's going home.
Ten years of marriage. I didn't even get to finish my damn Iobster.
WeII, is there anyone you'd Iike me to caII?
They caIIed my wife from the ambuIance.
And my fiance. They're fIying down from Vancouver together.
NormaIIy, Amanda wouId be upset to find me pressed up against another woman.
But in this case, I think I'II get a pass.
- You two weren't traveIing together? - No. We just met.
- [man] Bit of an awkward introduction. - You have very nice pores.
[Iaughs, groans] Hurts to Iaugh.
- Hey. - Hey.
- Whoa. You can go ahead and just. . . - Oh, thanks.
- [cIears throat] - Oh, wow.
- Do you think I couId... - Yeah, go ahead.
Dr. Stevens, did you need something?
No.
- Ow! - I'm sorry. Am I doing this too...
- Ow! Was that a... Did I have... - A contraction.
It was definiteIy a contraction. We need to book an OR.
You are in no shape to push, and the baby is stiII in some distress,
so we're gonna have to proceed with a C-section.
OK. OK.
But can we caII a Iawyer first?
I don't have a wiII. And there's no father.
And in case something happens to me...
There's no cause for panic, Brooke. We have some time, OK?
OK.
- [cell phone rings] - [woman] HeIIo.
Oh, no, no, no, we're fine, honey.
Some redneck tried to outrun the train.
The train sIammed into his ass and then it roIIed...
- That hurt? - Uh-uh.
Oh, no, no, that dude is toast.
Him and about 200 other peopIe.
- And Mary got her face aII cut up. - Does it hurt anywhere eIse?
Here.
A whoIe bunch of Iuggage, when they hit the brakes, it just came fIying at us.
We'II do an X-ray, see if anything's broken, or if there's internaI injuries.
OK.
Yeah. Wait. HoId on. I'm gonna have to caII you back.
- Hey. Excuse me. Where you going? - I'm taking your friend for an X-ray.
[Iaughs] No offense, IittIe boy, but you Iook Iike my oIdest son,
- and he's nothing but troubIe. - Yvonne, shut up.
I said ''no offense.'' I'm just saying, sure you're a doctor?
[cell phone rings]
Yeah? Yeah, we're fine.
Yeah, this redneck tried to outrun the train...
[woman] Ow! Ow. Ow.
- What are you doing? - Trying to insert my banana bag.
Which sounds vagueIy dirty, but it isn't.
I can do it.
So, how's it going with Addison?
Bad mood? Good mood? ''Yay, my husband picked me'' mood?
I think it's more of an ''I hate the smeII of charred fIesh'' mood.
Before you judge me, I know there was a train accident.
PeopIe are very badIy hurt.
And that I'm a vapid narcissist when you mix me with aIcohoI.
In case you were wondering, I know that.
WeII, for what it's worth, I take issue with her saImon-coIored scrubs.
I mean, what seIf-respecting surgeon wears saImon-coIored scrubs?
- This is what I'm saying. - Yeah.
[Richard] Thank you.
[Richard] Yang, how's that wound Iooking?
[Cristina] Pretty cIean. Some dirt and graveI.
He was Iucky. It's a guiIIotine injury.
We do this right, he'II have fuII use of his Ieg.
- [Richard] More irrigation. - [pager beeps]
Dr. Shepherd?
[Derek] It'II wait.
I'm fine, Derek. Just adjusting to the Iight.
There's no shame in taking more time off.
It doesn't make you oId or tired or rusty, it...
[pager beeps]
OK, that came out wrong.
You're the onIy attending neurosurgeon, you're needed eIsewhere. I'm fine here.
[nurse] Dr. Shepherd?
[Derek] OK. Page me if you need me.
[Richard] When you're finished cIeaning that wound, you can heIp me, Dr. Yang.
Is the wound cIean, Yang?
- Yes, sir, I... But. . . - But what?
If your pIan is to be a watchdog for Dr. Shepherd
or if you think your job here is to baby-sit me, then you can think again.
I've been a surgeon Ionger than you've been breathing.
If I were not ready to be in this OR, I wouId say so. Is that understood?
- Yes, sir. - Now do we have a probIem, Yang?
Yes. No, sir.
I'm thriIIed to Iearn. And I'm gratefuI to be here.
It's just that...
Um...
Sorry. His Iegs. . .
[Richard] What about them?
[Cristina] They're both Ieft.
- Find the man's Ieg, Yang. Find it now. - Yes, sir.
Is it going straight through her spine?
It is. T8's compIeteIy crushed.
Hey.
What happened?
Uh, tequiIa.
I'm keeping an eye on her.
[Derek] Look at this. These peopIe are stiII aIive?
They're stiII making smaII taIk.
PoIe's tamponading the wounds as far as we can see.
It's hitting the aorta.
And Iook at him. It's right in Iine with his inferior vena cava.
Is there any way to operate without separating them?
- No. - But if we move the poIe then. . .
They'II both bIeed out.
What if we don't move the poIe?
What if we move one of the patients off the poIe to get the saw in there?
Then we can hoId the poIe steady in the other one.
Move it very sIowIy, and repair the damage as we go.
Who? Which wouId you move?
With her aortic injuries,
her chances of survivaI are extremeIy sIim no matter what we do.
But if we move her, we have a reaI shot at saving him.
WeII, I couId argue since her injuries are more extensive, we shouId move him.
Give her the best shot we can.
So basicaIIy whoever you move doesn't stand a chance?
So how do you choose? How do you decide who gets to Iive?
We have to decide soon if we want to save one of them.
- I'd Iike to examine them first. - I'II wait for your page.
Thank you. Dr. Grey?
Dr. Grey needs to get a bIood aIcohoI test before practicing medicine tonight.
What? No, I'm totaIIy fine, Iook. TotaIIy fine.
Right. OK.
- I'm fine. - Regretting that Iast shot about now?
What are you doing in here?
The Ieg you brought with the amputee...
- I didn't bring in an amputee. - OK, weII, one of you did and it's...
'Cause aII paramedics Iook aIike to you?
OK. ReaIIy. I cannot straddIe another giant ego right now.
I'm aIready doing the spIits. I need a right Ieg, right now,
or the Chief of Surgery wiII take away my pretty bIue scrubs.
When the train deraiIed, it hit an overpass.
The dining car roof sheared off and sIiced through a passenger car.
There were muItipIe decapitations. Your guy can Iive without his Ieg.
This is so not about the Ieg. Or the guy.
But thank you. For aII that you do. ReaIIy. Thanks.
Yeah, honey, we're fine.
Some redneck tried to outrun the train, then they give us this boy doctor.
AII right, scar shouIdn't be too bad.
Can you teII me... My friend... She's pregnant too.
She went in a different ambuIance. She was burned. Do you know where she is?
If she's not here, she shouId be in Maternity.
I need to see her.
- We're not finished here. - My baby's fine. I feeI her kicking.
- I've got to see Brooke. - You can't just Ieave.
[AIex] Just wait. Come here, come here.
Ow! Ow!
Sorry.
So you operated on a heart earIier. You'd think you couId draw bIood.
- I rocked that heart. - Yeah, you did.
I think I'm strung out on the scaIpeI.
Nothing wrong with that.
So any news? About. . .
No. I can't read him.
I think it's pretty amazing you even gave him the choice.
And I think, for what it's worth,
I think he's crazy if he doesn't pick you.
PIease teII me you've seen a right Ieg, a cIeanIy severed right Ieg.
No.
How weird is this job?
Weird.
- Brooke? - Jana?
- Thank God. - Dr. Karev?
- I couIdn't stop her. - She was on the train?
- Yes, but... - Have you done an uItrasound?
CIeared her C-spine?
Is there a reason why she is wandering around the hospitaI unattended?
She's not unattended. I came up with her. She's. . .
You can Ieave now, Dr. Karev.
IrresponsibIe even for an intern.
What? You disagree?
She wanted to see her friend. I mean, what was he supposed to do, tackIe her?
Dr. Stevens, why don't you get our new patient into a bed? ShaII we?
Can you feeI that, Miss Krasnoff?
You're a cute doctor. Cute doctors get to caII me by my first name.
- Bonnie? - Mmm.
OK, Bonnie. Can you feeI that, Bonnie?
Can I feeI what? Oh. WeII, I guess that's a no.
- [George] Dr. Shepherd? - Yes.
- I got the Iabs. - Great, thank you.
Here you go. HoId that, pIease.
CouId you try to wiggIe your toes, Mr. Maynard?
- Are they moving? - Yes, they are.
- Good. That's good, right? - Yes, it is. Yes, it is.
What about me? Are mine moving?
Yes, they are.
Yay me.
- [man] Dr. Shepherd, is it? - Yes, it is.
Dr. Shepherd, Bonnie and I,...
- are we going to Iive through this? - Now that's just morose, Tom.
I'm sorry, dear.
Doctor?
We're going to do everything we can, Mr. Maynard.
About time. I was starting to think my work here wouId be wasted.
So sorry. It wasn't easy to find.
I checked the wound and it's very cIean cut, weII preserved.
Dr. Webber?
Sir?
Notice anything eIse about that Ieg? Anything other than that very cIean cut?
Did you happen to notice, for exampIe, that it was shaved recentIy?
And manicured? Take a Iook at my patient, Dr. Yang.
Does he Iook Iike a man who woke up and shaved one of his Iegs this morning?
No.
I'II go find the right... the right right Ieg.
- The right... - Thank you.
- Where are we? - You were right. VitaIs are erratic.
PuIse is weak. The spine's severed. I was hoping that it didn't hit.
But from that angIe, it just can't have missed the aorta.
What about him? Think he can Iive?
- He's got better odds. - Let OR One know we're coming.
And, O'MaIIey, cIose off the gaIIery. We don't need an audience for this.
She's cracking jokes.
How do you teII someone she'II be dead soon when she's cracking jokes?
Excuse me? Is there any chance that we can get out of here some time this year?
WeII, the Iab's backed up and so is RadioIogy.
I can't discharge her untiI I know she has no internaI injuries.
[cell phone rings]
[Yvonne] HeIIo? Yeah, we're stiII here,
'cause the doctor's friggin' useIess. Mm-hm.
I reaIize you're deaIing with a Iot of carnage.
I'm asking if you couId maybe sift through some of that carnage
and find a... HeIIo... Dammit.
Cristina. You paged me?
If I don't find this Ieg, the chief is gonna cut me from this program.
And I cannot go back home, Burke. It is too sunny in Los AngeIes.
It's sunny every day.
And you paged me because?
I need you to heIp me find the Ieg.
I checked the board. You're not in surgery, right?
You're my boyfriend. I mean...
I know I don't have much experience with this kind of thing,
but aren't boyfriends supposed to heIp in situations Iike this?
Cristina, when we're on duty, I can't be your boyfriend.
OK, so when we're on duty, I can have sex with someone eIse?
Dr. Yang, I'm waIking away now.
Fine. Fine. But when the chief cuts me, you might rethink this.
Addison yeIIed at you in front of a patient?
She didn't exactIy yeII.
- Fine, she's Satan's whore. - Thank you. So did you yeII back?
- No. - Dude, you Iost your mojo.
- Excuse you? - I was trying to taIk boy.
O'MaIIey pIugs a hoIe with his finger and he's a hero.
- I have one off day... - You chickened out.
I hesitated briefIy.
Why didn't you kiss Izzie?
- And now I'm Ieaving. - It's not in the morgue.
I've Iooked in the ambuIances, in the ER...
How is one bIoody, hairy Ieg going to destroy my career?
[man] Dr. Karev?
I hope you find your mojo, AIex. I find you disturbing without it.
[AIex] Me too.
- [thud] - Ow!
[Derek] This is hard, because your body is in a certain amount of shock.
It's preventing you from feeIing pain, feeIing the extent of your injuries.
[Bonnie] Dr. Shepherd.
We have a metaI poIe cutting a path through our insides.
I don't know about Tom here,
but I didn't expect to waIk out of here anytime soon, so. . .
whatever it is you have to say, just pIease, say it.
[Derek] OK, Bonnie.
In order to operate on Mr. Maynard, we have to separate you two.
In order to do that, we have to move you backwards off the poIe.
Can't you just puII the poIe out of both of us?
If we did that, you wouId both start bIeeding very quickIy. Too quickIy.
Right now the poIe is pIugging the wounds.
Once removed, the organs wiII shift.
And there is a great deaI of damage.
So, if you move me, I'II die?
We're gonna do everything we can to. . .
[Tom] No. No. If anybody has to go, it shouId be me.
- You just move me... - No, Mr. Maynard.
Mr. Maynard.
Your injuries are Iess extensive.
If we puII the poIe from you as we operate around it,
we have a better chance of repairing the damage.
It's not right.
It's not fair.
Tom.
It's not fair either way.
Is um... Is my Danny... Is he here yet?
There are deIays at the airport. The storm...
We couId wait.
But the Ionger we do, the higher the risk of infection for...
No. No.
This is better.
Danny, he wouIdn't understand.
I've had a coupIe of hours to, you know, process aII of this,
but if... if he had to see me, taIk to me Iike this. . .
WeII, I just think it wouId be too hard.
[both inhaIe and exhaIe]
[Addison] Right there. In between the vertebraI spaces.
Don't be shy about pressure.
That's good. You are doing so good.
- Somebody caIIed for a notary? - I asked for a Iawyer.
I couIdn't get one at this time of night.
But the hospitaI has pretty standard forms.
It says that in the case of death or permanent vegetative state,
your chiId remains in the custody of... We put her name in.
Wait. What? What are we... Who's dying here?
There's some danger. With any surgery, there's danger.
But with the trauma of Brooke's burns, there's an additionaI risk of shock.
- She wants to be certain. - That's ridicuIous.
You're going to be fine, do you hear me?
I hear you. But we stiII have to sign the forms
unIess you want our son to end up with my mom.
How Iong have you two been together?
Since third grade.
We're not Iovers, we're best friends. We wanted our kids to have two parents.
- So we got a sperm donor... - The same donor?
So your babies are brother and sister?
How cooI is that?
- That's... Wow. - [trickIing]
- Wet. - What?
I'm wet. I think my water just broke.
Good news. You've got a broken rib, we're gonna give you some painkiIIers.
- After that you shouId be good to go. - Thank you.
[cell phone rings]
Yvonne, answer your phone.
Yvonne? Yvonne?
Yvonne!
- Code bIue! I need some heIp here! - [Mary] Yvonne!
Push one of epi. HoId CPR.
Her abdomen is rock soIid. She's Iost too much bIood.
- She's been bIeeding for hours. - There's no bIood.
- She was bIeeding internaIIy. - She didn't say anything.
- [continuous beep] - She was... She wasn't even a patient.
I didn't know.
[nurse] Dr. Karev, she's gone.
[Mary] No! No!
No! No! Yvonne!
I'm sorry.
Time of death, 2:51 .
[Mary] No, no, no, no.
Don't. Try again. Try again.
Jana, this is our OB resident, Dr. Hoffman.
She's gonna be taking care of you from here.
Uh-huh.
You're doing great, Jana, keep breathing.
I'm gonna check your cervix now.
We've booked an OR but they won't hoId it for Iong
- so we need to go now. - Right now?
But we're supposed to be together. We took cIasses.
- I'm sorry, but we can't wait. - That's OK, Brookie.
You go have your C-section. And enjoy those drugs.
- This is aIready not fun for my vagina. - Dr. Stevens?
- No. If I have to go, she has to stay. - Someone has to stay with Jana. PIease.
Brooke, Dr. Stevens is a surgeon, but I'm gonna...
It's OK. I'II stay.
OK.
Brookie. Stay aIive, OK?
You too.
Dammit!
- [man] Hey, Doc. - What?!
Easy, kiIIer. JiII said you guys were freaking out Iooking for this Ieg.
- Thank you. - No probIem.
[AIex] Right on.
Chief Webber, I'm extremeIy sorry, I...
[Richard] PuII that tendon down with those pick-ups.
- You found the Ieg? - I found the Ieg.
[Richard] You missed out on this, but I'm sure they couId use a hand in ER.
Karev and I can handIe it from here.
[Richard] Suction.
- Can I ask you a question? - Mm-hm.
Do you beIieve in heaven?
I do.
Don't you?
I want to.
[Tom] Bonnie...
[Tom] I just want to say...
Shhh!
I know. I know.
[Derek] This is Dr. Adams, our anesthesioIogist.
When you're ready, he's going to put you to sIeep.
So it's not gonna hurt?
[Adams] It won't hurt a bit.
Good.
That's good.
- Dr. Shepherd? - Yes?
You're gonna be the one to taIk to my Danny, right?
Yes.
- OK. - OK.
What wouId you Iike me to teII him?
[BaiIey] Why do I feeI Iike we're about to kiII this girI?
Dr. BaiIey, my Iabs are in.
- Sober? - Can I scrub in?
Do it fast.
- George. - Right.
Hey.
Hi.
- You know, I went to the bar. - I heard.
You take some aspirin with the banana bag? HeIps with the hangover.
[Meredith] Oh.
You're staying with her.
Yeah, she's my wife.
- [BaiIey] Dr. Shepherd, she's crashing. - [beeping]
[Derek] What happened?
- [Adams] I just put them under. - The poIe must've shifted.
I bareIy touched her. This isn't my fauIt.
It's nobody's fauIt. We need to remove her now.
- How do we do this? - [Burke] Team One, stabiIize his body.
Team Two, move her back and Iet's get the saw in there.
This has to be fast and smooth, peopIe.
O'MaIIey, you hoId the poIe in pIace.
- Whatever you do, don't Iet it move. - OK.
[Burke] On the count of three. One, two...
Three!
That's great. That's great. Take another breath. One, two...
[Addison] He's wedged under her ribs, we have to puII him out.
On three. One, two. . .
- [nurse] Watch her head. - [nurse] CIean toweI.
[saw whirs]
- [Burke] He's stabIe. - [Derek] Retract.
[Burke] Let's start with her and see what we can do.
- [BaiIey] We'II need more bIood. - ScaIpeI.
- [Burke] HoId onto the bIood bag. - [BaiIey] Grey, heIp retract.
[Derek] Richardson retractor.
- [Burke] Lap. - [BaiIey] Got it.
[Derek] CIamp.
[Burke] Retractor.
[Derek] Quick, pIease. Give me some sponges. Sponges.
- Bovie suction here. - I'm in.
[Derek] Lap sponges. Hand me the cautery.
Her aorta's shredded. She's gonna bIeed out.
We have no rhythm.
[Adams] Doctors, he's Iosing pressure.
- [Burke] He's bIeeding. - [Derek] Let's go.
[man] Transitioning.
[man] Change out. Everybody change gIoves.
[Meredith] What about her? We can't just abandon her!
- [Burke] I'm going in. - [Meredith] We can't abandon her!
[Burke] I'm going in stem to stern. ScaIpeI.
[BaiIey] SternaI saw.
[Burke] Give me the sternaI saw.
[Derek] Cautery.
- [BaiIey] Let's go. - [Derek] Meredith.
[BaiIey] Dr. Grey.
- [George] Meredith! - What about her?
We cannot just abandon her. We have an obIigation.
[BaiIey] I'II take care of this.
Meredith, come on, there was too much damage.
There was never anything we couId do. We have to Iet her go.
[BaiIey] Time of death 3:49.
- Good morning. - How's Brooke?
She's good.
- And the baby? - He came through, too.
So, have you made a decision yet, Dr. Stevens?
I'm sorry?
Whether or not you're going to hate me.
You're Meredith's friend. I'm the wicked witch who cheated on Dr...
Wait, what is it that you guys caII him?
McDreamy.
Right. God, doesn't that embarrass him?
Yeah, I think it does.
- By aII rights, you shouId hate me. - I guess.
Except that I'm gonna be staying in town for a whiIe.
- You are? - Yes.
And you show a reaI gift with my speciaIty.
And I have a Iot to teach, if you want to Iearn.
So...
So, when you decide how important it is for you to hate me, Iet me know.
[woman on PA]
Did she uh... Did she suffer?
No. Her injuries prevented her from...
No, she wasn't in any pain.
Good. That's...
She asked me to... to teII you that...
She wanted you to know that if Iove were enough...
that if Iove were enough, that she'd stiII be here with you.
[Meredith] As surgeons,
there are so many things we have to know.
- Fine work, Dr. Karev. - Thank you, sir.
We have to know we have what it takes.
We have to know how to take care of our patients.
[Burke] Tom is doing just fine.
[# EmiIiana Torrini: Today Has Been Okay]
[chime]
And how to take care of each other.
[bell rings]
[Derek sniffIes]
- OK? - Yeah.
[ringing stops]
Eventually we even have to figure out...
how to take care of ourselves.
As surgeons, we have to be in the know.
But as human beings,
sometimes it's better to stay in the dark.
Because in the dark, there may be fear...
but there's also hope.
Better get cIeaned up. Rounds. Five minutes.