[narrator] Previously on Grey's Anatomy:
That was amazing.
Meredith won't be an issue. She's out of my Iife.
Goodbye, Derek.
Think about moving in with me.
She Iikes you. Don't Iet the syph get in the way.
I Iike you, OIivia. I just don't Iike you enough.
Do you feeI Iike doing it now?
You're married?
I'm pregnant, you bIind moron.
- How much sodium did you give? - 500 cc's over 4 hours.
Why didn't you foIIow up? I gave you one thing to do.
I have a Iot to teach if you want to Iearn.
So when you decide how important it is for you to hate me, Iet me know.
[Addison] Dorie RusseII, giving birth to quints.
[Izzie] We're gonna need aII the hands we can get.
[Meredith] 40 years ago The Beatles asked the world a simple question.
They wanted to know where all the lonely people came from.
My latest theory is that a great many of the lonely people come from hospitals.
More precisely, the surgical wing of hospitals.
I have the best quint. Lucy. She just smiIed at me.
- She's nine hours oId, George. - I'm saying.
There are five babies here and cIearIy mine is the advanced one.
CharIotte's smart.
She's got wrinkIes on her forehead. Very serious.
OK, A: this is not a competition,
and B: my quint kicks your quints' asses.
EmiIy's strong, she won't Iet go of my finger.
Hey, JuIie has her organs on the outside of her body
and she's stiII aIive, thank you.
Kate's the best one.
- Izzie. - Leave.
Can we pIease just taIk?
You're too busy screwing nurses to taIk. Just get out.
Can someone make sure
- that Kate's vitaIs remain stabIe? - I wiII.
He is unbeIievabIe. I am so gIad I never sIept with him,
which is his Ioss, because I'm reaIIy good in bed.
Mind-bIowing. Mind-bIowingIy good in bed.
Are you trying to seduce us?
And then he sIeeps with OIivia instead of me. OIivia.
- Hey, I sIept with OIivia. - WeII, then you both have bad taste.
You can't say that you weren't warned. AIex has aIways been AIex.
You dodged a buIIet, Iz. You're better off without him.
Why are you even surprised?
You sIeep with a snake, you get bit.
Thanks, guys... for the support.
- Who's on caII tonight? - I am.
AII right. The rest of you, go home, sIeep.
AII five quints are stiII aIive. It's a good day.
[Meredith] As surgeons we ignore our own needs
so we can meet our patients' needs.
We ignore our friends and families
so we can save other people's friends and families.
Which means that at the end of the day, all we really have is ourselves.
And nothing in this world can make you feel more alone than that.
I made breakfast.
I don't have time for breakfast.
I've gotta round before everyone eIse does
if I wanna get the good cases. You know that.
Right.
WeII... coffee?
Bye.
So I was thinking, we... I mean, me and you, couId maybe
go to Joe's Iater to taIk by ourseIves...
- [Derek] Why shouId I move? - [Addison] You Iive on a campground.
It's 40 acres of the most beautifuI Iand in SeattIe.
I didn't give up a CentraI Park brownstone to Iive in the forest.
Our house in the Hamptons had trees.
- They were The Hamptons. - Why are you pointing?
- I'm sorry. What were you saying? - Oh, nothing.
- Anybody have any food? - You shouId eat breakfast.
God, you sound Iike Burke.
You know, sometimes I think we'd be better off with dogs.
Preaching to the choir. I'm over men.
ReaI nice.
You know, a dog is not a repIacement for a human being.
You better wake her. If BaiIey catches her, she's dead.
Izzie.
- Izzie. - Damn it.
What?
HeII hath no fury Iike a girI whose non-boyfriend screws a nurse.
Bitch.
I Iike you bitter and pissed off.
You're aImost Iike a normaI person now.
OK, what do we got?
KarI Murphy, 52. MuItipIe skin meIanomas.
Underwent surgery to his nose, ear, and a skin graft to the Ieft index finger.
- How's the capiIIary refiII? - SIow, about four seconds.
What do you recommend to get that bIood moving again?
At this stage, our best option's probabIy a biotherapeutic agent.
What... What is that?
- We put Ieeches on your face. - Leeches? You don't say?
They secrete bIood thinners that break up pooIed bIood so it can be evacuated.
It's sort of Iike a big drain.
- If this makes you uncomfortabIe... - No, no.
I've been a hiker for 40 years, aImost 40 years, yeah.
Mother Nature hasn't come up with anything yet I haven't Ioved.
You a big outdoorsman?
How do you think I got aII these meIanomas in the first pIace?
Oh, Dr. Shepherd. You're in earIy.
- If you'd Iike us to come back... - No. Go ahead.
Robert Martin, 45, coIIapsed and hit his head, causing a smaII hemorrhage.
That was the probIem.
Mr. Martin was found to have a Rathke's CIeft cyst on his pituitary,
and surgery was postponed when...
- When I toId a nurse... - OIivia.
When I toId a nurse to administer an incorrect dosage of hypertonic saIine.
Dehydrating his brain.
He stiII has a chance. He couId wake up and be fine.
- There's a chance. - I know I screwed up.
- Just put me back on this case, pIease. - There's not much of a case Ieft.
You saw to that. You want back on? Be my guest.
[Addison] Oh, good. Here you are.
Mom and Dad are anxious for an update. Dr. Yang?
We've done the initiaI surgery on JuIie's omphaIoceIe.
A primary cIosure was attempted but there was puImonary compromise
- so we couIdn't continue... - Yang, do this in pIain EngIish.
Oh, we operated on JuIie's externaI sac of organs.
We pushed in as much of the boweI as we couId
and we think we can push in the rest with a second operation.
- She has to have a second operation? - Yeah.
- Uh... WeII, not for a few days. - [Addison] Dr. O'MaIIey?
We put in Lucy's brain shunt yesterday and she's doing very weII.
We have to keep monitoring to make sure the spinaI fIuid doesn't back up.
- Stevens? - Dr. Burke used a catheter
to open EmiIy's atriaI septum Iast night.
Today, we'II try to reconstruct the Ieft chamber of her heart.
- We're very hopefuI. - [Addison] Dr. Grey?
CharIotte's Iungs were Iess deveIoped than the others',
so we put a speciaI mask on her to heIp her breathe
and we're monitoring her cIoseIy.
- That just Ieaves Kate. - She seems to be pretty heaIthy.
No major issues identified,
but we'II keep her in the IsoIette untiI she reaches four pounds.
[Tom] You hear that, honey? Kate's doing reaIIy weII.
I'II be in my room.
- Dr. Shepherd? - Tom, she's just had five babies.
Her hormones are aII over the pIace. Give her time. She'II come around.
Grey, watch the mother. Make sure her hormones don't get the best of her.
- I can Iook out for Dorie. - No, you have EmiIy's heart surgery.
- But I have a reIationship with Dorie. - Why are you arguing?
- Why am I being pushed off... - Hey, Stevens.
I don't know what you're angry about, but I don't care. Keep it to yourseIf.
On top of every other patient under our care, we have quints to worry about.
These are preemies. They shouId have spent another eight weeks in the womb.
- Like interns... - [bIeeping]
...they're not ready for the reaI worId.
- Oh, it's the pit. Yang, come with me. - [siren]
Constance Ferguson, 40, inmate at Henderson, swaIIowed a razor bIade.
- Attempted suicide? - Attempted fieId trip. Worked too.
- AII right. - [woman Iaughs, shrieks]
- FieId trip? - Says on her chart she was in soIitary.
- This is her way out. - Oh, is she crazy?
OnIy if you'd caII a murderer crazy.
Yeah, baby, that's what I'm taIking about!
[BaiIey] Ms. Ferguson, are you experiencing any discomfort?
You mean apart from these snazzy handcuffs you got pinching my wrists?
Did you at Ieast put tape on the bIade?
- I'm not an idiot. - You swaIIowed a razor bIade.
- Not going to teII me what hurts? - And shorten my vacation?
You're standing around. Why not get me some chocoIate pudding?
Make the bIade go down smoother.
Get an X-ray. PortabIe. With prisoners we have to minimize fIight risk.
I'm supposed to check on JuIie. You said we're to keep a cIose eye on the quints.
JuIie's my quint too. I got that covered. You do this.
- Are you sure you can't do it? - I can. I choose not to.
Come on, baby, I'm not gonna hurt you.
I onIy murdered three peopIe and none of them were doctors.
- OIivia. - Dr. O'MaIIey.
- How are the Ieeches doing? - They're not. Can't get them to bite.
With aII this bIood? ShouId be a no-brainer for a Ieech.
They can get anxious. Bright Iights, thunderstorms...
Oh! [gasps]
- Nervous handIers. - I'm sorry. I shouId be better at this.
I stiII get a IittIe squeamish around Ieeches.
That is not what I have heard.
Dr. O'MaIIey can take over from here.
Whoa, whoa. What was that aII about?
Nothing.
[woman on PA] Dr. Frank to Oncology.
OK.
There we are. He's in.
[eIevator chimes]
[OIivia exhaIes]
I had no idea that you and AIex were a coupIe.
It's just...
I was having a bad day and it was good to have someone...
To taIk to, I mean, not good to...
AIex reaIIy is good.
I mean, he's good in the way he's a good person, good.
Not the other kind of good.
You know, ''good in bed'' good.
Which he is, as I'm sure you know.
But...
OK. WeII, bye.
[heartbeat]
- Any temperature spikes? - No fever. VitaIs are stabIe.
Very good.
- Go ahead, after you. - Thanks.
- So, you're giving up the traiIer? - I'm not giving up the traiIer.
Is Addison teIIing peopIe that I'm giving it up?
It's just funny. I just wouId never have pegged you for that guy.
What guy?
You know, the marbIed bath, private pooI, gated community guy.
- Don't peg me. I'm not peggabIe. - You're pegged. DeaI with it.
[beeping]
- BP's Iow. She's tachycardic. - [Derek] SATS?
Dropping on high-fIow O2.
- No breathing sounds. - Her Iung coIIapsed.
- ShouId I caII Addison? - No time.
Stick this between her second and third rib. Do not go too deep.
You're going to hear a smaII gush of air.
[gushing]
I heard it.
- Nice job. - Thank you.
- I'm not giving up the traiIer. - Whatever you say, Dr Shepherd.
- Her Iung coIIapsed? - And I know it sounds scary,
but it's reaIIy not that uncommon in a preemie this size.
So, we've inserted a tube into CharIotte's chest
and that wiII heIp her breathe untiI her Iung can stay up on its own.
- Mrs. RusseII... - [phone rings]
She reaIIy is doing fine now.
That's me. I gotta go.
My mom can onIy handIe the tripIets for haIf a day. She's 7 4 so...
- I'II caII you when I get home, OK? - Hmm.
I Iove you.
- CouId you... - I'II keep an eye on her.
- Thank you. - OK.
[woman on PA] Dr. Prunella to ICU, stat.
Dorie... this isn't your fauIt.
You can't bIame yourseIf for this.
I've got one baby who can bareIy breathe and one with haIf a heart.
Two of the others are...
[sighs] If I'd Iistened to the doctors I couId have had three heaIthy girIs
instead of four who might not Iive untiI tomorrow.
It was my decision.
Tom agreed with the doctors.
So, reaIIy, Dr. Grey...
who eIse shouId I bIame?
[Izzie] First step in the Norwood is cardiopuImonary bypass.
With HLHS, what eIse do you get besides hypopIasia of the ventricIe?
Stenosis or atresia of the mitraI and aortic vaIves.
Why use the RV-PA conduit instead of the modified BIaIock-Taussig shunt?
- It Iimits diastoIic runoff. - WeII, you've done your homework.
I was on caII Iast night. I study when I'm on caII.
WeII, no matter what the books say,
I guarantee you you've never seen a heart this smaII.
Bet you I have.
How you doing, you? You know, I'm having a baby too.
Yes, I am. A IittIe boy.
Maybe you can meet him someday.
How's that sound? Does that sound good?
- We couId... - [Cristina coughs]
Pregnancy has not made me soft.
I haven't gone soft. I don't do soft.
Of course not. You were just taIking to a patient.
- [sighs] What's this? - The inmate's X-rays.
[chuckIes] That fooIish, fooIish woman. She swaIIowed four razor bIades?
Mm-hm.
Hey! Hey, you! Hey, Nurse!
[TV in background]
- WouId you keep it down, pIease? - I'm starving.
You're NPO. No food aIIowed.
Come on, ApriI, baby, don't go for him. He's such an idiot.
I didn't come here to starve to death. I want mint-chocoIate-chip ice cream.
Mint, OK? Not Rocky Road. You better not get me that Rocky Road. It sucks.
Thank God. Mama Bear, heIp me out here, OK? I'm starving.
Don't give her anything.
Right there you're in officiaI vioIation of the Eighth Amendment.
You can't eat because you're about to undergo major surgery.
What? What's she taIking about?
You're at risk for a perforated intestine
and haIf a dozen kinds of infection. We need to operate right away.
I don't need an operation. I taped up the bIade. It passes the next day.
- What's the big deaI? - You swaIIowed four bIades.
That's the big deaI.
I thought it wouId buy me an extra day.
Does this operation have a nice Iong recovery time?
You reaIize this is major surgery? It's dangerous and you couId die.
Mint chocoIate chip.
I want at Ieast a gaIIon after you ghouIs are done spIitting me open.
What exactIy is it that we're doing?
We're visiting.
We've thrown aII this medicaI taIk at you
and outIined worst-case scenarios, which has probabIy scared you haIf to death.
The one thing we haven't done is given you a chance to be with your daughters.
WeII, how is that going to heIp?
If I've Iearned anything, these past few days, it's that I need to face reaIity.
Here's Kate. You can reach in and touch her if you Iike.
I wouId Iike to very much.
- [beeping] - [nurse] CharIotte's not breathing.
[Meredith] Page Addison. She's in the OR.
[Addison] We didn't see this on the echo.
[Burke] You can never get an exact measurement.
[Izzie] What?
[Burke] The baby's aorta is narrower than we thought.
Diameter is onIy a miIIimeter.
- Just not getting enough bIood fIow. - [Addison] Damn.
[Burke] I wanted you to see, before I cIose up.
[Izzie] You didn't do anything.
- Dr. Stevens. - We bareIy started.
Dr. Burke has done aII he can for now, so unIess you know how to do a Norwood,
- he's gonna cIose this baby's chest. - [beeping]
- You OK? - I'm fine. May I go?
Yes.
- What happened? - She had an apneic episode.
She's stiII not breathing on her own.
[Addison] Intubate and give surfactant.
Push 0.1 of atropine and three miIIigrams of ketamine.
- [nurse] Meds are in. - Tube.
OK. PIace the CO2 detector.
- She was fine with the chest tube. - That's the thing with RDS cases.
Just when you think the baby's getting better, they sIip right back.
Breath sounds equaI. Good.
Mrs. RusseII.
[Cristina] UnbeIievabIe. Who wouId do this to themseIves?
The woman wasn't just in prison, Yang, she was in soIitary.
WeII, she was seriousIy deranged.
You try spending a month Iocked in a room with no windows,
no one to taIk to for 23 hours a day.
See how deranged she is then.
- Dr. BaiIey, she's a murderer. - I didn't say she wasn't.
One, two, three.
I said, try having no one to make your snarky comments to for a soIid month.
My guess is you'd swaIIow the entire razor.
- How are they treating you, Mr Murphy? - I've done worse for company.
Oh, they're definiteIy fiIIing up.
Tissue is getting nice and pink.
Make up with that cute IittIe girIfriend of yours yet?
OIivia's hardIy my girIfriend.
- Is she OK? - She?
Yeah, IsabeIIa.
This one here on my finger...
that's Darcy.
And that IittIe guy on my nose, named O'MaIIey.
[Iaughs] That's right, I named him after you.
You're the one that got him to bite.
IsabeIIa is fine. She's just fuII.
Oh. Wait, what are you going to with her?
She's done her job. We don't have any more use for her.
- Except as medicaI waste. - No.
I'd Iike to keep her... if I couId.
[# Gemma Hayes: Two Step]
Crazy nature man. You want to take a Ieech home as a pet? That's fine.
You had no right to speak to me that way.
Yeah? WeII, you hurt my friend.
I had no idea AIex was seeing Izzie. That's not what you're upset about.
You have no idea why I'm upset.
Besides, you know what I don't understand is, why AIex?
And why again?
PeopIe get IoneIy, George.
Hi, Mr. RusseII? It's Meredith Grey caIIing.
I was wondering if there was any chance
maybe you couId bring your boys by to visit their mom?
I think she couId use the company.
Oh, the fIu? No, definiteIy don't bring them.
Thank you. You too.
You've been Iying Iow.
WeII, nobody's taIking to me so it makes it kind of easy, right?
I'm taIking to you.
In short monosyIIabic sentences Iaced with disdain and contempt.
So, what, according to girI ruIes, now you aII have to hate me?
I don't hate you. If my mother hadn't gotten AIzheimer's, I'd probabIy be you.
- Oh, reaIIy? - ReaIIy.
Before she got sick, I mean, I... I'd finished coIIege,
but I was partying way too much, staying out way too Iate to keep a job.
At famiIy reunions everybody was embarrassed to taIk about me.
So that's what you think of me?
Are you OK?
- I aImost kiIIed a guy yesterday. - Mr. Martin?
I'm trying to find anything I can to heIp.
OK, weII, what are we Iooking for?
Uh, anything on centraI pontine myeIinoIysis.
- UnbeIievabIe. - Izzie.
- Izzie, come on. - ''Come on?''
You're fraternizing with the enemy and you teII me to ''come on?''
- AIex and I are sort of friends. - Since when?
Since when are you and AIex friends?
You teII me to cut my Iosses, and as soon as I turn my back...
- You're making too big a deaI of this. - Right. Of course.
I'm the unreasonabIe one. Do what you want. SIeep with him for aII I care.
ObviousIy I'm not going to sIeep with him.
Why not? You've sIept with everyone eIse.
Your surgery went smoothIy. You'II have abdominaI pain for a day or two...
- Just a day or two? - We'II watch untiI your boweIs move.
- The average is about 36 hours. - 36?
Four razor bIades and that's aII you can give me?
Come on, sugarpIum, I thought we were having fun.
- Don't Ieave. - What?
Just maybe a IittIe conversation?
They've got me here by myseIf. I thought I'd have a room mate to taIk to.
OK.
Why did you kiII three peopIe?
Start off with a IittIe smaII taIk, why don't you?
I was high.
On meth.
And I had this boyfriend who...
had this robbery aII pIanned out.
He said that he wouId Ieave me if I didn't heIp him.
Things got out of controI.
He was gonna Ieave me.
He was aII I had.
I wouId have been aII aIone.
CIearIy, being aIone has its benefits.
You paged me?
A Ieech feII off and I can't get the new one to bite.
I'm sorry, they freak me out.
- I'm a surgeon, OIivia. - You're an intern, George.
You know what time it is?
Time for you two kids to kiss and make up, that's what time it is.
Mr. Murphy, we are not a coupIe.
Oh, you can't puII much over on me.
I say there's something between the two of you.
You're right, Mr. Murphy, there was.
OIivia, this isn't the time and this reaIIy isn't the pIace.
He broke up with me for a girI who doesn't know he's aIive.
- She does know. - You, Meredith Grey?
Never gonna happen.
- Why wouId you think it's Meredith? - Anyone paying attention
knows how you feeI about her.
Except Meredith, which shouId teII you something.
Sorry, Mr. Murphy.
She gave me syphiIis.
Remember what you did to me when I was an intern?
How couId I forget?
You didn't speak to me for aImost a year.
But you Iearned.
Yeah, weII, I think I gotta do that to Izzie Stevens.
WeII, she's smart, hard-working. Gets a IittIe too invoIved with her patients.
- A Iot Iike you. - I know.
It took me a Iong time to recover.
But it made you a better surgeon, Addison.
The question is, is she taIented enough to make the Iesson worth it?
She's the best I've seen in years. I was hoping that we couId...
You're not here to make friends. You're here to make better surgeons.
And being the teacher can be a IoneIy business.
I'm teIIing you, Meredith was aII over him.
SeriousIy? She was aII over him?
Mounting him? With the babies watching?
She wouId have been if I hadn't interrupted.
- She was taIking to him. - You don't taIk to bastards who cheat.
- You weren't his girIfriend. - Not the point.
It is. I don't get emotionaI over peopIe I'm not dating.
ReaIIy?
You want to go there?
- No. - I am having a moment here.
Don't mess with me.
You're not gonna have a nervous breakdown or kiII yourseIf?
No.
So... there's no chance you'II kiII us?
- Oh, that was wrong on so many IeveIs. - So good.
- That was... That was good. - It was good. It was good.
Your Iungs are not good.
I know we got you out of there a IittIe earIier than you wouId have wanted.
We have to find something to heIp you.
So, if you have any ideas, CharIotte...
- [Addison] Dr. Stevens. - Dr. Shepherd.
- Something you need? - Yes, Dr. Burke and I have reassessed.
There's a chance with the Norwood
if EmiIy can make it through the next ten hours.
- WouId you Iook after her tonight? - I was on caII Iast night.
- But, I mean, yeah, of course. - Good.
I've Ieft a Iist of meds, and you're famiIiar with pediatric Iife support?
Got certified soon as I got in the program.
OK, then.
Anything eIse I shouId know to Iook out for?
No. That shouId do it.
- ShouId I notify Mrs. RusseII... - No. I've done that.
Dr. Stevens, this baby is your responsibiIity.
- She better be aIive when I get back. - OK.
[AIex] I found studies where they used aggressive pIasmapheresis.
- This couId work on Mr. Martin. - Those were aII isoIated cases.
The studies resuIted in improved symptoms.
No triaIs have been done. There is nothing you can do.
- What about thyrotropin? - No.
- There's European studies... - Karev, it's over. You screwed up.
You fried Mr. Martin's brain.
He wakes up; you put him in a wheeIchair. He dies; you kiIIed him.
DeaI with it.
[# James BIunt: Tears and Rain]
Dr. Stevens, the baby's VO2 is stiII 40 per cent after transfusion.
- How's her BP doing? - StiII Iow. Last systoIic was 52.
OK, I'm going to push 30cc's of NS manuaIIy.
Nice start. Pressure's 65.
[sighs]
- Hey, Iz. - OK, reaIIy?
You think I'm taIking to you?
WeII, I just wanted to say I'm sorry.
What are you sorry for?
When Derek broke up with you, I never said ''You're better off without him.''
It's not supportive, it's condescending.
I was there. AII I ever am is there for you guys, and the one time I need you...
Just... [sighs] go away, Meredith.
She was fine then she just started seizing.
She's not seizing, she's choking.
Oh, my God. She swaIIowed a Iight buIb.
- We're Iosing her. - Don't you think I can see that?
She needs an airway.
She's cIamped down. I can't intubate. We need some heIp in here!
- [nurse] Want me to get paraIytics? - No, she'II be dead by then.
I need a scaIpeI for a crich.
- Have you done one ever? - Of course not! Go!
I was gonna do a crich.
- How Iong has she been unconscious? - She just went down.
Prep OR Two. Emergency thoracotomy. Cristina, it'II be OK. Come on.
- She's coding. - Again?
OK, uh... Turn up... Turn up the epi drip.
OK.
- Hey, Dorie. What are you doing? - I'm packing.
You've just had major abdominaI surgery.
- You're not in any condition... - I'm going home.
I need to go home. I can't be here. I can't watch them die.
They're not dying. They're trying to Iive.
You Ieaving them isn't going to heIp them.
- I have boys who need me. - Your daughters need you.
Don't you understand that I can't do it?
I can't do it.
- They're too sick. - Which is why they need their mother.
- If EmiIy dies I... - If EmiIy dies it wiII be horribIe.
But if EmiIy dies and you're not here?
- I can't even hoId them. - But you can sit with them
and taIk to them.
And Iet them know they're not aIone in this worId. That's aII they need.
That's aII anybody...
- What? - I think I know how to heIp CharIotte.
I don't know why I didn't think of this sooner.
- What are you doing? - Co-bedding.
HospitaIs sometimes do it with twins when one of them is sick.
- And the other one gets better? - It heIps.
- How? - We don't reaIIy know.
Sometimes babies get stressed in the ICUs from aII the activity.
This way there's someone there to comfort them.
To be there with them.
ExceIIent bIood fIow at aII three pIaces. You're heaIing niceIy.
- And I Iike my new nose. - Your wife wiII Iike it, too.
I'm not so sure what she'II say about your new houseguests.
I'm going to Iet these guys go in the Iake near my favorite hiking traiI.
They saved my face. The Ieast I can do for 'em. And I don't have a wife.
- I'm sorry. Your wedding ring... - I'm divorced. Just never took it off.
By the way... sorry you had to see that IittIe scene earIier.
TaIking with the girI who isn't your girIfriend
about the girI you'd Iike to be your girIfriend?
Yeah.
She shouIdn't have said that stuff. It was just...
She was very unprofessionaI.
Yeah, but is it true?
Do you Iike this Meredith?
I don't think that's reaIIy any of your business.
She's OK.
I Iike her OK.
- AII right. I Iove her. - [Mr. Murphy Iaughs]
Oh, come on. Don't be embarrassed.
I Ioved my wife.
But sometimes, no matter how much you Iove someone,
they just can't Iove you back in the same way.
BeIieve me, son, Iivin' with a woman who can't Iove you back?
Way IoneIier than bein' aIone.
- [beeping] - [nurse] What do you wanna do?
- We can... we can put her on ECMO. - Baby this size,
you're risking intracraniaI hemorrhage.
She's aIready coded three times. You page Dr. Shepherd?
She said you have to handIe this.
- What? I'm an intern. What is... - Dr. Stevens...
- Give me a second. - You don't have a second.
ECMO is too dangerous. We're gonna have to keep her going on epi.
It'II stop her circuIation. No point keeping her heart rate up
if she doesn't have functioning Iimbs.
I know that.
I'm sorry.
Let's...
We have to keep pushing epi. It's our best option.
We'II just have to find a middIe ground.
[# EmiIiana Torrini: Sunnyroad]
You can do this.
I can't beIieve you wouId consider moving out of your traiIer.
The view aIone.
- See the mist rise off the Iake. - Yeah.
Yeah.
I'm not moving.
- You're stiII you? - I'm stiII me.
Good.
- Where's EmiIy? - They took her away.
- Where? Why didn't you wake me? - Dr. Shepherd toId us not to.
What?
Where's the baby?
Dr. Stevens, she died haIf an hour ago.
It wasn't your fauIt.
You put me in charge. I feII asIeep. I kiIIed that baby.
No, you didn't. She was going to die anyway.
She had a restricted atriaI septum and virtuaIIy no aorta.
As soon as Dr. Burke opened up her chest, we knew she didn't have a chance.
I don't get it.
You order me to stay the night, take care of her.
I work my ass off doing CPR, pumping her fuII of every drug on the pIanet.
God, do you have any idea how scared I was? And it was aII for nothing?
HardIy. This comes up again, you'II be abIe to handIe the pressure.
- You Iied to me. - You have to Iearn distance, Stevens.
You'II be a better doctor for it.
A better...
A better doctor?
[sighs]
[BaiIey] I heard you worked a miracIe Iast night.
She came around so fast I thought the equipment was maIfunctioning.
- Her SATS are compIeteIy stabIe. - She's going to make it.
Go home, Grey. You've earned it.
Oh, Grey.
Way to go.
Did you hear that? Way to go.
- My baby died. - We know.
She just... died.
I have an idea.
[# Moonbabies: War On Sound]
The first person I kiIIed, I was a second-year resident.
James Hanson.
You shouId go home, AIex. There's nothing you can do here.
Nobody shouId die aIone.
[Meredith] 400 years ago
another well-known English guy had an opinion about being alone.
John Donne. He thought we were never alone.
Of course, it was fancier when he said it.
Don't try and taIk.
Your windpipe was perforated.
Dr. Burke repaired it and you shouId be fine.
We'II keep you here at Ieast ten days for observation.
Make sure there's no infection.
Maybe just to be on the safe side, we'II make it two weeks.
''No man is an island, entire unto himself. ''
- Oh, that's him. - Yeah. That's him.
I'm IoneIy, Derek.
Boil down that island talk
and he just meant that all anyone needs is someone to step in...
...and let us know we're not alone.
Get it. Good boy.
- Ready? Good boy, Doc. - OK.
And who's to say that someone can't have four legs?
Someone to play with or run around with...
High jump.
- [dog growIs, barks] - [Meredith and Izzie Iaugh]
...orjust hang out.