previously on "grey's anatomy"...
- You and Burke, are you okay? - We're existing in total silence.
That hand is worth $2 Million. I Want it Fixed
Mark and I..
it wasn't a one-night stand. I was in love with him.
Or... at least, I thought I was.
Your sister molly's just been admitted for an emergency c-section.
Molly's not my sister.
She is, you have the same father.
Why didn't you stay and fight for us?
I did. I-I tried.
Why didn't you try harder?
you are Officially off my service.
But for what it's worth, I think you're gonna Miss me.
Harold O'Malley, 63, diagnosed
with esophageal cancer, and severe aortic regurge,
You think i want to die and leave my boy in charge?
You are not gonna die.
Morning.
Are you watching me sleep? Maybe.
What are you? Some kind of weirdo who watches women sleep?
Maybe.
- Izzie? - What?
I just dropped 8.7 million dollars on the floor.
And?
I shouldn't be able to drop 8.7 million dollars on the floor.
You need to deposit that check!
George. Your father's surgery is tomorrow.
Any chance you're misplacing your anxiety on me and my check?
No! There's no chance.
That check ruins my morning every morning.
It belongs in the bank!
Would you just please, as a favor to me,
Would, just ..
put it in the bank? Please?
Hmm, No.
But, .. if you're nice to me for the next 7 minutes, I will..
give you a ride to work.
You don't deserve 8.7 million dollars!
Hmm. So true. So true.
How's Burke doing?
- I don't now - She doesn't know
Just has a surgery yesterday and you don't know how he is doing?
- They are not speaking - I thought they made up?
- It did so off - but she is just still not speaking to him
He, is not speaking to me
- They are not speaking to each other - Okay!
Mer, Did you asked Derek about Burke's hand?
I don't want to get in the midle, and, Derek and I, are happy.
Could you just keep that us for awhile?
Mer, could you swallow your pride and just ask him yourself.
her *** a lot
Alex **
o'malley!
Everyone, have to break down
Good morrning everybody
Good morrning
Who is presenting? - Oh!
Can Georgie do it? He's real good.
Oh, Yeah, Yeah .. come on .. (O'Malley family cheers George on)
Hum!! Harold O'Malley, 63,
status post aortic valve replacement.
Morning chest X-ray showed no atelectasis
after agressive C.P.T. for the last 2 days.
Scheduled for ..
a transhiatal esophagectomy tomorrow morning at 9.
That's it Oh, Yeahhh!!
For the next few minutes, I Think, it will be best if the ..
extended family could wait out .. in the waiting room
few minutes, guys, and you could come back
- How are you feeling, Mr O'Malley ? - He's feeling great!
better than never, he said
Which is why everybody come here today
because we figured out after today
he maybe will not feeling so grateful .. for awhile
Hum!, after the surgery, then when we start chemo and staffs?
That protocol depends on what we find when we open, Harold
What would you mean by "we find"?
Ah!!, Grey..
There isn't so much they can tell from labs and scans, and that means
we need to catching look inside to see if the the cancer has spread
and if it's spread.. that's change .. how much chem he's need?
That change a lot of things
Like what?
I'll let the oncologist explain that to you later today, Harold
and Dr Grey will be taking you for a final later **
preop tests before we go - so, .. uh!
so, it will be best if the party went home
Dr. Shepherd, about burke's hand .. has there hand any tremors?
- That's confidential - Oh!, but, but i'm one of his doctors, and ..
you're also his girlfriend, ask him yourself
Good morning, everyone Who is presenting?
Good morning
Preston Burke, first post-op day one
from edema with a compression hematoma to the brachial plexus
He's febrial signs, ** constants was stable overnight
and the cesure ** was clean, with no sign of infection,
Last morphin was givin at 2' this morning
Ask about the hand
You ask
No, I do just ask one question about burke
dr. yang, something you want to share with the rest of us?
No, M'am, sorry
All's good Preston
Take it easy on the nurses
I'll do my best
O'Malley.
- Is your father surgery for today? - Tomorrow
- You are okay, honey? - Yeah
Can you just help me..
Scoliosis?
- Looks like a birth defect - Looks like hell
What are you all staring at?
Really, if you're expecting me to be the brave
and heartwarming differently-abled girl,
that isn't going to be happen so! go ahead and do your thing.
Stevens?
Heather Douglas, 17. Past medical history of VATER syndrome.
Which is?
VATER syndrome is a genetic condition that affects the vertebrae,
anus, trachea, esophagus and renal system.
Wow, give this girl a medal. She memorised the whole acronym,
which I assure you is a hell of a lot easier than living with it.
Stevens...
Right, hum!!
Heather is .., is in today for a Lithotripsy to remove kidney stones,
and a thoroxoplasty to relieve pressure on hers lumbs
Can is ask? I, I know i'm just supposed to remove a few ribs
but i wondering if you ever try something more radical
to treat this spinal curvature?
let's see, If by "more radical",
you mean, having a steal rod ** installed in my spine?
Then, yeah, we tried,
just, rod bent.
Removing the kidney stones may seem minor
but it will really improve your quality of life.
Really? So this surgery is gonna get me laid?
Heather, stop it.
Mom, I'm sorry but she's talking about improving my quality of life
and I don't think doctors shouldn't make promises that they can't keep.
Laura Grey Thompson, born 4 days ago, with jejunal atresia
corrected surgicaly, post-ops .. **
Oh!! I-I'm sorry, Am i interrupting?
Mama and grandma have a flu, and ..
They asked me to get an update
Oh, she is doing very well, Mr Grey, We will be ** a few minutes
Dr. Grey, you will say? Hum!
escuse me..
I just come back a little later
Grey ? Hum!!
Laura Grey Thomson, hum!!
had some dilation of abdomen showed by X-Ray this morning
We need to operate a Barium enema to avoid all intestinal striction
Dr Grey, i'd like you stay with Mr O"Malley this week
Yang, Pitt. Karev, Sloan.
Stevens, prep Heather Douglas for surgery
- O'Malley ? - yes ?
- You take the rest of the week off - Yes M'dam
So, take today too you can spend time with your family
Thank you, euh, Dr Bailey
If something progress *** for my dad ..
You know sometimes, with families ..
We cover them suggar cook things ***
It will help me if you will frank with me and thanks for ** this grace **
- Okay - Thank you
Dr Bailey ? Dr Bailey ?
I know that i'm supposed to prep her, only,
But, any chance i can scrub in on? ... Heather Douglas
I mean, very few patients is like something Vater all day ***
No
But, I am ready. I am ready.
Your psychiatrist has not given you an all clear.
He's --
I have done everything he has asked me to do. Everything ..
... except deposit my inheritance check, which --
Wait, you have not deposited a nearly 9 million dollar check?
It, it ..
He is being unreasonable.
- That check has nothing to do with any .. - What's unreasonable ..
is that you're losing thousands of dollars a day in interest.
That's unreasonable. You clearly are not reasonable yet
which, I think, is the point your psychiatrist is trying to make.
Hey, I need a CBC and a count concern *** for Harold O'Malley.
I need these labs ASAP.
- Everybody needs everything "ASAP". - Oh, yes,..
and all throughout this hospital people are dying while you give me crap about "ASAP"
Hey, are you okay?
Why wouldn't I be?
Your father, freezing up on rounds. Oh, God, that was mortifying.
Thank you. Thanks.
Oh, okay, it wasn't mortifying?
I just wish the baby would get well
and go home and Thatcher will go with her.
Is that wrong?
Wrong would be if you wished the baby wouldn't get well.
Okay, good. Thanks.
You know if you want to thank me,
um, you can ask Derek if Burke has any more tremors.
- Talk to him. - No, because then he wins.
Wins what?
Forget it.
Do you have a father?
I have a step father
He's nice, I see him for Yom Kippur
Karev, what did i told you about how i like my charts?
I like to round up preops before postops
Do you like wasting my time? Is it fun for you?
- No, sir. - Then get it right.
Do you like abusing interns? Is it fun for you?
Yes, it is. And in case you've forgotten,
you don't get to high-horse this week, Addison.
Not this week.
He's an ass.
Not this week.
You know Shepherd pretty well, yeah?
Lots of hair. Too many women.
Likes elevators and long walks on the beach.
So, um, what's the best way to get him to do something?
What kind of something?
A consult that the patient hasn't requested ...
but that the friendly neighborhood ortho resident thinks is worth pursuing.
Shepherd thinks he's busier and a maybe little bit more important than everyone else
Standard neuro surgeon breed.
- Exactly. - Okay, so..?
So, he'll say no until you stare him down.
- Stare him down? - Stare. Him. Down.
You are to hot to be a doctor
Okay
I mean, all people who look like yours, supposed to be dumb
I"m just saying, would you be *** in my surgery, are your are ..
because.. i am a little too youg to die
I will not be in your surgery
Yous see, i'll knew it
and your aren't even a doctor
I am a doctor It's just that when my, hum!
fianc� dropped dead, not too long ago I went a little nuts,
and, .. there is no surgeries for me, for awhile ..
** doesn't ** match for my theory that life doesn't suck for pretty people.
I'm sorry I was such a bitch to you.
Well, you're in pain. Sometimes, I'm a bitch for no good reason at all.
- Dr Shepherd ? - Yes?
I am so sorry about, I know you are very busy
but here is a girl, she is 17 years, with severe scoliosis and some Vater syndroms
...she is her for a thoraxoplasty, because his ribs pressing on his lumbs
She had already two spinal fusion
and a segmental spinal instrumentation that didn't work
sh's bend over 90 degree that's clearly sucks
Clearly sucks? Is that your professional assesment?
My professional assesment is .. that we can help her
My day is impossible
I'll come back for a consult on the morning
I'm a good stare
Doctors, Could i get a word?
How are you feeling, Harold ?
feels great, fells fine it's just that this oncologist..
He said that if, eh, the cancer is in other organs ..
he said, that, maybe you will not procedure with the surgery
That's right, Hal, If the cancer spreads to your others organs,
it will compromise your ability to recover from a surgery
So, if you close me up, and then send me home, i'll get what ..?
couple of weeks to live?
you'll have... .. weeks or months, yes.
No, .. No, you'll get the tumor out ..
'cause, i can survive this .. I know i can
O'Malley's , we are fighters
- Mr. O'Malley, he, it is not a godd idea. - my wife ..
We have been married 40 years Make her crazy
40 years .. she needs me, my family needs me.
I can't let you close me up and then tell them that there is nothing that can be done
what I know I can fight
So, I, i'm asking for your word
I want that you took that tumor out
M. O'Malley, my job is to do the best i can for you, medically, then after ..
close me up and send me home to die Is this best for me?
nor medically, nor in other ways
Please
take the tumor out
All right
All right?
Thanks
It's fall under confendiatility?
If you ask if you can tell his son, .. my answer is no
You're watching me sleep again?
You're cute when you sleep. What can I say?
But don't you sleep? Why are you always up before the alarm?
Well, I'm a light sleeper. It's no big deal.
So something woke you up.
It's no big deal.
It's just that, ..
you snore a little.
What? I do not!
Yes you do! I love it.
I find it charming that such a big noise can come from such a little person.
- Do you know what's not charming? - What?
Your morning breath.
Sorry, what?
I'm just saying seeing how you're always up before me,
you might consider brushing your teeth.
I guess I'll be brushing my teeth.
Thank you.
- Surgery's today? - Yeah. I'm okay.
Yeah, I have a really good feeling.
- Yeah? - Yeah
I didn't even bake anything for you.
Thank you.
Hot dry capuccino
Is it something dry around here? Is it never stop raining in this hell hole?
not really
Great deal to know
What the hell is this, Karev? Vanilla?
Are you trying to poison me, or are you just trying to make my day a little bit worse?
- Mark! - Coffee cart must have screwed up.
No, if you can't handle coffee, you can't handle plastics.
Maybe you ought to head back to the gynae squad where life is all squishy and pink!
Squishy and pink though it may be, I have an amazing surgery today Karev,
- if you want in. - Yeah!!
Good morning, dr. burke.
Yes, it is.
Beautiful morning
I love watching rain
Are you feeling good? No too much pain?
Feeling great.
Andd ..... youurr .. hannd... Youur right hand, feeling good today?
I am sorry, Olivia. It's just ..
You had gonna to tell Dr Yang that i am not ready to give her that information
Right Okay, then ..
sorry.
- ask him .. - You know? Christina is staking your room
I do
- Your father? - Yeah, hum!!
Surgery Dad's having
Has 50% morbidity rate
O'Malley, that's statistics It means 50% ..
of the people undergoe the surgery, survive
should you ** at on statitics you have to look at the both sides
Heather, i had a look on your case history
I know you had been thru very painful and very unsucessful surgeries
but, if you afford, i think i can significantly help with this spinal curvature
by help, you mean what exactly?
I mean, i think i can get you standing up straight
you are messing on me?
it's not nice to ***
You see this, this curve part here?
I'll remove it
You want to remove a portion of my daughter's spine?
Hum, hum, .. and i will replace it with a titanium match case **
that will fill the space between the vertebrae.
I seen those case studies, certain quite most sucessful.
and what on those uncessful?
They result in paralysis or death.
but Dr Sheperd is the best there is
- She's 17 - Mom
I know you still think death is the worst thing that can happen to a person.
Death is not the worst thing.
I mean ** (amen?)
They will remove a piece of her spine .. Heather Douglas.
Dr Shepherd and Torres, they are gona to straight her spine
And ?
and .. it's, it's a one life happen surgery
Please, ..
she is my patient.. I count i know her, and
I would really like to scrub in.
Did you deposit the check?
It's my money. I should get to do what I want with it.
You get a 5% return on the 6 month c.d.?
And the time we've been standing here, you could have just made 400 hundred dollars.
Dr. Bailey ...
It's not reasonable, Stevens.
Dad, is your dice card ...
- I'm sorry about raning over bucky.. - what?
your dog, your happy dog, bucky..
when you were kid i ran over
and i .. .. told you he run away .. i'm sorry about that
You ran over my dog on purpose?
Of course, not..
he was chasing after the truck like all ***
** and ** under the tyre, pchu!!
you were so sensitive ..
you were such a soft kid that i couldn't ba able to tell you
i'm no soft
I mean, you're good, georgie, ..
you're kind and you loved the animals
you're always looking at help people
.. and i couldn't face it,
and tell you that i killed your dog, so ..
.. i told you a lie.
i'm saying, i'm sorry
Ok!
hum, you're a good kid, Georges
you always been, .. such a good kid
- I wanted tell you .. - Dad, ..
stop talking, like dying
not dying, okay?
I would tell you ..
that i think you're crazy .. if you let, that Callie get away
- Dad, please .. - No, she gets you
she gets you in a way that, your family never has
I'm sorry, but .. that,
you grew up feeling so .. different, all the time
- it's not a thing, I .. sorry, - Dad, stop it!
stop apologize and stop saying good bye you can't ..
It's not a way to go in the surgery
I'll go to die someday, georgie
We all gone die, and ..
Laying here, in this bed,
give me times to think about all the things i haven't said, it's all.
Okay.
Well, just dice card.
- nothing you want to say to me? - Dad !!!
All right I'm dicecarding **
Dog murder.
Tell me what i want to hear
If i die, you'll kill me
it's a quick story
Meredith, hello!
- hello. - I am... hem ..
- how are you ? - Good.
busy, with work ... .. with a patient
- Hello! - Hello!
- Hey! - hey!
- he! - hey!
All right, then Hum, hum!
- Nice to seen you - Okay!
Is that your ex-boyfriend? No, that's my ex-father.
you see, Grey?
Good exposure to theoesophage hiatus
Yes, sir
now, we wil inspect and palping the abdominal cavity
Is there **the metastasis?
they are in the stomach,
caeliac, lymph nodes, and liver
it's everywhere
so, that's all ? we'll closing and back up?
No.
We will proceed
- but, i thought .. - those patient ask us .. to proceed
what does that mean, exactly?
this man asked let chance to fight
what it means is ..
it must have fight like hell ..
but for recovering, is it a chance?
that a chance ..
Dr. Grey, this request is from the patient
- ah, It's private? - Yes.
Okay.
- Preston. - Addison.
- How are you feeling? - Better.
i look ** for going home
well, i'm sure .. ... dr Yang is looking for **
you backing at home as well
ah, maybe, i would know
Why would you know? is ..
Is that over?
No, it's not over, it's just .. ...silent ..
oh yeah, yes !! I heard something about this, hum..
.. from the nurses .. .. was talking, but just thought was gossip
Is not
So, you are not talking to her. Why not?
Did you have a play "say uncle"?
"say uncle"?
someone bind ** your arm behind your back ..
harder and harder ... until you say "uncle"
and then, whatever happens?
then, they all have the power.
I see ..
- So .. you are not saying "uncle" - Yes
And never she.
- It seems that way. - That's pathetic.
- Maybe you be right - Yeah, i'm right .. and ..
If you say something wrong, ..
then you apologise.
I didn't do anything wrong.
Did she?
She doesn't seem to think so.
That's pathetic.
Hey
You are alone. Where is your family?
Eat, they like to eat.
Hum, you are pacing.
Yeah
He has been in surgeries for awhile
That's good, means they **
Or that's means complications.
Someone told you that there is complications?
Yes
- It's okay to be scared. - I'm not scared.
I'm just saying if you are,
- you can talk to me. - I'm not scared
You sure about that?
Okay, now I'm scared of you.
Damn it. I was staring you down.
Staring me down?
Yeah, it worked on Shepherd.
- Seriously? - Wait, let me try it again.
No, it's not, I'm still stay scared.
Hold on there
You should prepare yourself
because this is a much more extensive surgery .. than the heart valve.
there are probably still the tube in his throat helping him breath
and half the stomach with **and a part
of oesophagus had been removed so, he has big scares.
Okay?
be prepared
Wellcome back, sweet Heart
- Untranslated subtitle -
scored scares
You need to breathe
He is my dad
I know
He is my dad
I Know
Oh, you have got to be kidding me?
Where's George?
Spent the night at the hospital.
- And you slept in his bed? - Yeah
- All night? - No,
right after you fell asleep
So you're telling me that my snoring is so bad?
How did you deal with it for all those nights before I found out about your wife.
He usually sleeps on the couch, sets an alarm
and gets back in bed before you wake up.
Yeah, didn't want to hurt your feelings.
Oh, I'm going to do more than hurt your feelings.
What ar you doing? stop it.
I'm gonna hurt your feelings cause
- Can I help you? - yeah
I, I inherited eight million dollars.
- I'm sorry? - Almost nine, actually.
Haha, it's nine.
I'm sorry.
Thank you.
I'm sorry, did you say ..
You need to take it. Just take it please.
Is that? It's covered in food.
is it some kind of joke?
Yes, it's kind of a joke.
A really cruel joke.
- I'm sorry, you wanted to deposit this. - I wanted to deposit it.
Do you think ..
I would look like this?
- I don't understand. - I ..
I'm supposed to do something good.
I'm supposed to do something good and I-I- ge ..
Can you just deposit the damn thing already?!
I'm surprise how the procedure was in the surgery
Me to, but maybe they thought that he has a strong constitution
- to fight the cancer - Is he conscious?
Always intubated, under sedative
The main concern for the next few days ..
.. wil be .. multisystem organ failure
That is, that surgery is too intense ..
for his weak organs able to support
You would have watch his kidneys
Because if the kidneys fails,
that's a sign than every else is ** to go
- So, watching his kidneys? - You watching his kidneys.
Thank you.
Oh, do you mind if i ask you .. How is your hand?
I don't mind if you ask
I will mind if you tell Christina.
You two have .. a strange relationship
Yes, we do.
And when you go home, you will ever have your own room.
yes, .., you do-
and you mom, she already had bought, you know, .. that stencils
hum, hum, and she makes some little butterflies and flowers.
You need something?
No, i'm fine.
oh, it's quiet here, and ..
You don't have paged me? **
I started my shift 10 minutes ago ...
.. i notice his stomach was a litlle more distended.
His estomac distendded? i did .. i didn't noticed that
It's hard to see.
page Dr Montgomery Steph**
Is everything okay? Is this bad?
** I insist, we will wait for Dr Montgomery.
What's the matter?
- My father is here. - Your father?
but, i don't talk to him like i never known***
- he's here. - Is he here to see you?
no .. see his other family.
Oh, sorry.
Where do you sleep at the trailer?
What?
When we sleep at the trailer, where do you sleep?
You know the hammock outside?
Sorry.
I'm a girl with abandonment issues.
You have to sleep with me from now on.
Okay
A note from my *havoc* shrink (psy) I get to scrub in
- No, until I say so - I deposited the damm check
You, shit, son of a bitch, bastards, and goes straight to hell, ..
straight to hell
Miss Douglas ?
Insurance bastards
They say the surgery too experiment
They won't pay
It's 200.000 $ surgery,
plus the hospital stay, plus rehab
even if i get three jobs...
son of a bitch, bastards!
they will haven't a surgery you will scrub in on
Sorry, Stevens.
Talk to me all **
her abdomen was distended .. she need some ** to breath
- oh, sorry, I was talking to her I didn't notice ..
She has a massive air ** which obturing the diaphragm -
M. Grey, I must to put Laura in surgery
What? an another surgery.. why?
The X-ray indicated a perforation in the valve **
we need to get her right away
This is the consent form we need you sign
I don't .. I don't know ..
her, her mother has a flu
- you know if she authorized you to sign? - I am, but .. I, I wait for her
Laura had no time for your doubt, now, Mr Grey
Your grand daughter doesn't have time
Oh, ..
Take out *** and you'll get a better vision
So tiny, i'm afraid i'm crushing her
Hum, hum, it's tougher than you tkink
Can i have a little more **?
Cool, nice
Look at that, the angi-tube has erased the stomach wall
and after we ressect the little portion of the stomach
- She's hypertensive - Push 30cc of albumin.
Got it
Scary!
You told me ..
This is Meredith Grey's niece.
If I lost her, people might think I did it on purpose.
- How is go on? - Okay
nearly scary medical ** but she stabilized
Your .. father is pacing up and down halls
He is worry.
You can give him update
Maybe, you, can give him an update
He is not a .. big fan of mine
not big fan of mine neither
Oohh, i can imagine that's true.
Your mother was a force to be reckon with.
If she want a thing a certain way .. I ..
I'm saying that your father was a good man when i know him
He may have a side in this, and you don't know anything about
Do you think he try to sent me a card every year,
and my mother has a whole drawer full with non-open cards?
because, that's not often than my life turns out that way
I don't know ..
You'll don't know even until you ask him
Hey,
how is he done?
Georgie is obsessed with our dad's pee.
Yeah, this is weird, even for Georgie.
- Boys, be nice. - Hey, It's his kidney function!
I'm obsessed with his kidney function, not his pee!
And I'm not obsessed,
I'm excited.
You're not gonna drink that? Are you, Georgie?
130cc!
130cc of shiny yellow urine!
130cc in how long?
- Four hours. - No way
That is fantastic!
Thank you.
Mark.
I'm sorry you're hurting.
You're sorry I'm hurting or you're sorry?
Karev.
Oh, eh
I was .. euh .. Just check the baby capillary refills
no, no, well, it's good, good..
We all need human contact from time to time
it's sucks,
so like she has any chance to deseve this, you know ?
so, why you want to go in the plastics?
These people sign of for the pain maker **
Hum,
the most part, they do, yeah
You're right.
It does suck watching them struggle
but ** you never stop sucking
but ...
How many get to see a baby heal? and, euh ..
they get to go home, and ..
it's to imagine the all life that they get to live
there is nothing better than that
And that part never change this.
but,
if you want to go back to plastics ..
no ....
The vanilla latte?
I did that on purpose.
Why?
Because he was rude to you.
- Aow! I'm um .. sorry. - Don't worry, I'm sorry.
- Gosh, - I'm sorry.
- No, I'm okay.
I'm just er, gonna ..
Yeah okay. Yeah, Yeah.
Oh, he, did you need some help?
I can walk to the toilet by myself
I'd do it my all life and nothing changing anytime soon
So, just get out off my way, okay?
Meredith?