Previously on Grey's Anatomy:
You understand there are rules to your probation.
The divorce was finalized this morning.
I need a little time to...
- Take some space. - Yeah.
The other night was me breaking up with you.
I slept with another guy. It was not cheerful, it was dirty.
You told me your hand was fine!.
It is not fine!.
Stop worrying.
We are a well-oiled machine.
Nobody has to know.
As surgeons, we're trained to look for disease.
- You're going camping? - Uh... with Shepherd, yes.
Sleeping on the ground and everyone peeing
- behind the same bush? - Fresh air.
Sometimes the problem's easily detected.
We have back to back CABG's. I booked the OR's.
- I canceled the OR's. - Why?
Because I'm going camping with Shepherd.
But why?
Getting away. Out of the city.
Men being men. Mountain men in the wild.
Ah, the open road. The road not taken. The uncharted course.
- Terra incognita. - Oh, OK.
Most of the time, you need to go step by step.
First probing the surface, looking for any sign of trouble.
We do have to make one stop.
A mole or a lesion or an unwelcome lump.
- Mountain men in the wild. - Yeah.
T erra incognita.
- This is my first camping trip. - You don't say.
So Preston, any other little surprises?
Sunscreen and insect repellent. A shovel to bury your poo.
Izzie, I'm not five. Zip me.
If Callie calls, will you tell her,
tell her I'm a mountain man. I'm a man of the mountain.
- Right, Dr. Burke? - OK, him I invited.
Izzie baked us treats.
Have fun with your, um... space. Or whatever.
Mmm.
I just thought we needed an extra tent. Maybe Joe misunderstood.
You want to follow us or should we follow you?
This is unbelievable.
Hey, guys.
That wasn't me. I swear.
What are you doing?
Most of the time, we can't tell what's wrong with somebody
by just looking at them.
After all, they can look perfectly fine on the outside
while their insides tell us a whole other story.
Derek's camping. T aking time. Getting space.
Prestons do not go into the woods.
A guy named Preston is gonna get his ass kicked by a squirrel.
It's a slumber party. They do it outside. We do it inside.
That's really the only difference.
- You seen what's his face? - Alex Karev.
Poor bastard gets a thrill out of tagging along after me.
He's camping.
How'd you like to get a thrill out of tagging along after me?
- Dr. Bailey makes the assignments. - Dr. Bailey says it's fine.
Go.
Stevens. Conference room. Spend the day with a peer counselor.
The hospital's already making me see a shrink.
Now see a peer counselor. So go. Meet your peer. Get counseled.
- Exciting procedures on the board, huh? - Yes, Dr. Bailey.
Which should I start with?
- Are those...? - Monopoly pieces.
Twenty-one of them to be exact. Mostly houses and hotels.
I also swallowed the thimble, the racecar, the iron and top hat.
Oh! And the shoe.
Eric and his older brother don't always get along.
He wouldn't let me play with him and his friends.
- This way nobody could play. - Yang, what do you recommend?
- Is this even surgical? - Yang.
Track and inventory all pieces. Measure the progress in X-rays.
- And keep examining the stool. - Very good. Enjoy.
Oh. Dr, Bailey, isn't this more of a nurse's job?
Are you too good to help that boy?
Yes.
No. Definitely not.
I just thought I'd be more help if I was assisting you in a surgery.
- No surgeries for you. - I'm sorry. I don't understand.
I don't understand why you erased my name from the OR board.
- What are you talking about? - No, don't do that.
Don't give me that fake confused look. It irritates me.
You know exactly what I'm talking about. You erased my name
from Burke's Humpty Dumpty surgery. I know it and you know it.
What I don't know is why.
I...
...have no comment.
No surgeries, Yang.
OK, before you start, there are rules to this friendship thing or whatever.
The Dirty Mistresses Club has rules?
You'd think a bunch of dirty mistresses would be a little less uptight
- about things like rules. - Number one, no flirting.
Second, no talking about Derek. And C, no giving me the face.
- The face? - The McSteamy face.
Doesn't work on me. I'm immune.
You know, if I'd gone off to the woods, I would've invited you to keep me warm.
Breaking rules one, two, and three.
Oh!
Sydney? You're my counselor?
Peer counselor. We're equals.
Oh.
- How are you? - Fine. I'm fine.
Now, that is outside Izzie talking. OK?
How's inside Izzie?
So, you and Derek? You guys together or...?
Just answer and I'll stop asking.
Derek and I are taking some space.
From each other or he's taking some space from you?
Derek and I? There's just a lot of water under the thing or something. Whatever.
- My knight in shining poly-cotton. - Good morning, Donna.
Vicky. How was the trip?
- Smooth. Perfect. - Speak for yourself.
She's still having some penis issues.
I'm sorry?
Am I missing something?
You're missing the fact that Dr. Sloan is planning to remove
my husband's penis this afternoon.
- Oh. And your husband is...? - Right here.
Daniel Gibson, 34, in for sexual reassignment surgery.
Donna. Not Daniel. She's been living as Donna for two years. Come on.
So essentially today we are inverting his... her...
Her penis. It's OK. You'll get it.
- You know the steps for a vaginoplasty? - Not exactly.
If you want to get in on this operation, better learn.
Don't pay any attention to him. You're doing well.
Better than I did when I first found out.
We need to run pre-op labs. Make sure everything's in working order.
And then surgery? Today?
Yeah.
Big day, Donna.
You excited?
Excited doesn't begin to cover it.
You're gonna do great.
Jesus.
What do you say, Preston? Ready to go fishing?
We're all going fishing.
- That's why we're up here. - No, I mean...
Just me and you. Just us.
They're almost done. Then we can all go.
Right. All seven of us.
- That is a nice-looking picnic basket. - Thank you.
Concierge at the hotel put it together.
We got crackers, uh, pâté,
and an assortment of Seattle soft cheeses. Like some?
No.
Dude, he brought silverware.
You should talk. Have you ever been camping before?
What?
T- shirt and sneakers? You'll freeze your ass off.
- I'm wearing a jacket. - Just do me a favor.
Don't crawl to me in the night when you wanna huddle for warmth.
It's a good-looking tent, Joe.
Uh... you and Walter got room for one more?
Thought you'd be sleeping with one of the doctors.
Oh, Preston's already got O'Malley for a roommate.
And just between you and me? Those other tents are pretty puny.
Well, Walter and I were sort of wanting to share this one. Just the two of us.
But I guess if you really want to.
Chief, I don't think you really...
They've offered, Karev.
Chief? They want to be alone.
Oh.
- So you are... - Uh, chief.
That's wonderful. Man-love.
It's beautiful. It's beautiful.
My cousin's gay.
So I'm hip.
And Brokeback Mountain, all of that.
- Who's ready to go fishing? - Me! Me. I'm ready.
Yeah, let's go. OK. Yes! Fishing.
Guess what I'm doing today? Removing a man's penis.
You got an SRS? Seriously?
He's, well... she is one of Sloan's patients.
God! That should be me.
I should be turning a penis into a vagina. That should be my penis.
I have to hide!
Sydney is my peer counselor.
"Heal with love" Sydney?
- Oh. Eww. - Eww.
I'm supposed to be shadowing her and "dialoguing"
unless I can come up with a medical reason not to? Anybody? Anything?
A couple houses and the dog. That's nine pieces so far.
I love the dog. I'm always the dog when I play Monopoly.
Uh... I got a page.
Jamie Carr. She slipped and fell in the shower this morning.
I can't see my own feet. I did this.
Ooh. Nasty break.
- She hasn't had any meds for the pain? - She refused.
- She's toughing it out. - Don't tough it out.
- Just say yes. - Well, the baby. I...
I know Dr. Montgomery said it was all right, but...
I'll suffer.
Is he OK? He was kicking like crazy and now...
- It's possible that he's just sleeping. - So our son sleeps.
He's just sleeping, Jamie.
- Do I need a cast? - Definitely.
But first we need to straighten the bones.
Put your arm in this fancy sling. Use gravity to help realign the bones.
Would you excuse me for just a moment? I've got to...
Trade you.
Vicky.
Insurance forms.
Donna gets the surgeries and I do the forms. Super fun.
Well, you seem to be handling this remarkably well.
Well, I left. At first.
When she... When he told me.
You plan a life together, you know?
Kids and suddenly that's all out the window.
Suddenly your husband is this other girl in your house
who's borrowing your eyeliner and waxing her legs.
But you came back. Why?
Honestly, right now? I have no idea.
I'm really going to miss the penis.
- You OK? - Yeah. I'm fine. I'm OK. I'm good.
Don't make me climb over this stall. I'll do it, but I'll be really pissed
because I don't know you that well.
You're not OK.
I don't know why.
There's no reason that this should affect me this much.
- I'm used to this. I am, but... - Used to what?
That woman.
She's eight months pregnant
and yesterday she's just as healthy as can be, and today?
Today her baby's dead.
So, uh... how long have you and Walter been together?
Ten years. On and off.
But now? Definitely on.
- Thinking about kids. - Kids?
That's a big step.
You have kids?
No. I work a lot.
Adele and I, we...
She always said she didn't want to raise kids alone.
Walter says the same thing.
He does?
I'm always working at the bar. That's where our problems come in.
What are you going to do, right?
If I'm not there, who's gonna run the place?
Exactly.
But Walter?
If I have to make a change, I'll do it.
I can't imagine my life without him, you know?
Very nice, O'Malley.
At least once a month my dad would take me and my brothers to White River.
Well, your dad taught you well.
How are you and Dr. Torres doing these days?
Good. She doesn't know it yet, but we are.
Excellent, even.
For a while she wanted, I don't know, a certain level of commitment.
And I just didn't feel like I was ready... Now I am though.
- So you're stepping up? - I'm stepping up.
You knew, right? When it was the right time with you and Cristina?
Yeah.
Yeah, 'cause you asked her to move in with you so you knew.
Right.
- You OK? - Absolutely.
'Cause...
- We're here to fish, remember? - Right.
I'm gonna see if I can get a better bite downstream.
OK.
I'm sorry, Donna. The labs don't lie.
- Breast cancer? - I'm sorry. I'm really...
The needle aspiration showed abnormal cells in your breast tissue.
Rare, but it happens.
So the hormones I've been taking are essentially giving me cancer?
Yes. That's why we need to stop the hormone therapy
- and start the treatment. - Or the cancer will get worse?
- The operation? - There'd really be no point.
Once we stop, your breasts will shrink,
your facial hair will grow back.
She'll become a man again.
What if I do the operation, keep taking the hormones, what happens then?
Donna, you really want to treat this now while it's still in its early stages.
- So if I keep taking the hormones...? - You'd be feeding the cancer.
I could die?
Are you saying if I become a woman,
I could die?
They are a happy couple.
Look at them.
They love each other.
They should have everything.
Happy people should have happy things happen to them.
Yeah.
- I gotta go tell them. - Wait.
The moment you tell them, they won't be happy anymore.
They won't thank you. You'll be the person who killed their dreams.
So give them a few more minutes. Just let them be happy.
A few more minutes.
- So you're getting back with Callie? - Yeah.
Trust me, man, I don't think you really want to do that.
- Really? - Really.
When I get back I'll tell her we shouldn't see each other anymore
and then when she asks why, I'll say, "Well, Alex Karev
thinks our relationship isn't such a good idea. "
Do you think that'll do the trick?
Fine. Suit yourself.
This was my camping trip. I was going to come alone.
So why did you invite me?
Because, this is a guy trip. You know? Mountain men.
- You don't have any friends, do you? - Of course I have friends.
- Guy friends? - Yes.
I just need peace.
Space. I have a right to space. You go and invite half the hospital.
It's because I have guy friends.
There you are! I have been looking all over.
Oh. Dr. Yang needed some help with this patient. She needed some help.
Oh.
Patient care always comes first. So...
Oh, what...?
- Oh, I'll just wait. - Wait?
Yeah, for you to finish. Then we'll dialogue.
OK.
So, what happens with Donna now?
She goes back to being an unhappy man who's stuck with a penis.
- There are millions of us out there. - You're unhappy with your penis?
- I could be a lot less unhappy. - You are a complete and total whore.
- Maybe, but I'm more fun than Derek. - Really? How?
Maybe it's for the best that he's taking some space.
Maybe you two aren't meant to be together.
You really do need to learn how to mind your own business.
Look, Derek,
on the outside, he holds it all together, but...
...he's damaged goods, Meredith. It's my fault. I damaged him.
Maybe forever.
Do you really want to drink from a poisoned well?
Dr. Sloan?
- You have to talk to her. - What's wrong?
Donna says she wants to go through with the operation.
Joe and Walter got tired of not catching any fish. Went for a hike.
What do you make of that?
Joe and Walter?
Oh, no, no, no. Joe and Walter are great.
I mean that we haven't caught any fish. Any theories?
Just one. Fish generally don't like to go where there's a lot of noise.
- Notice anything going on with Burke? - No.
Because before I thought I saw...
What are you doing? You don't use bait when you're casting.
It's going to fall off before it hits the water.
- Here, here, here, here. - She's sleeping with Sloan, dude.
- What? - Callie. She's sleeping with Sloan.
- No, she's not. - I'm telling you, as a friend,
Torres is doing Sloan.
You better take that back.
Yeah, people chatting, laughing, moving around, that sort of thing.
That lets the fish know they're not alone.
That's the theory.
- So I invited other people. - I'm saying, it's not a frat party.
Take it back!
Oh, for God's sake! What are you guys doing?
Break it up! Break it up!
I don't condone fighting. I don't like fighting.
I think it is pointless and foolish.
But you two idiots seem determined to beat the hell out of each other,
so if you're going to do it, you're going to do it by my rules.
- Rules? - Yes, O'Malley. Rules.
To help protect your hands,
- so you don't do irreparable damage. - You're dead.
Damage that'd end your careers before they started.
So with that in mind, we're gonna do open-handed combat.
- A slap fight? - Open-handed combat.
This is ridiculous. Karev is going to kill him.
- Not necessarily. - No punching, kicking.
No wrestling moves of any kind. Now, any questions?
- That doesn't leave us with much. - That's not a question.
All right.
- O'Malley's a scrapper. - A scrapper? He's going to destroy him.
He's tougher than he looks. Silent, but deadly.
This is immature and stupid. I would think you'd agree.
They're letting off some steam. This is why you don't have guy friends.
- This is why I should have come alone. - Ready? Let's go.
I've wanted this since I can remember. I've waited forever. I'm not stopping.
- Donna, listen to me. - If you don't, I'll find a doctor.
You'll have a hard time finding a surgeon who...
- I'll find one. - Donna, I'm trying to save your life.
As a man. I am not a man.
I'll fight the cancer. I'll just fight it as a woman.
For God's sake! Wake up, Daniel!
My name is Donna.
I'm not gonna stand by and watch you kill yourself.
I need Vicky to love me.
But I need her to love me.
Oh, my God. Please tell me it's going to stop hurting soon.
You're almost done.
When our son's 15 and yelling at you that you never did anything for him,
you can guilt him with the wrist.
Ted, Jamie, I need to talk to you.
- About the baby. - Dr. Montgomery.
You have to say it.
I won't believe it unless you say it.
You have to say it.
Thanks for this, Izzie. Thank you.
- No good deed goes unpunished. - Good deed?
You're making me dig crap. I didn't ask her to spend the day with me.
Ooh.
Eww-y.
How's it going in there? Any luck?
I can't have that grinning puppet head stare at me another second, so go.
- Cristina. - Hey, this is my crap.
Bailey assigned me this crap. You get Sydney.
Fine. Come on, Sydney. We can go.
Okey-dokey, Smokey.
Man, I thought my brother and I had problems, but you two are morons.
OK, well, swallowing Monopoly pieces wasn't exactly a genius move.
- You could've really hurt yourself. - I didn't, did I?
My mom's gonna make my brother let me play all I want.
I get to play. That's all that matters. Getting to play.
- That makes you smart? - You're fishing through my poop.
How smart are you?
- Take it back. - That's right, Karev.
- Don't take it back. - You don't know why they're fighting.
Arms up, O'Malley. Don't drop your arms!
Hey! No wrestling! No wrestling! Come on!
- Stupid. - George is defending his honor.
Karev said Sloan's been sleeping with Torres.
He what?
O'Malley! Arms up!
Next time we're not going camping with straight guys.
Oh, God!
So you're getting paid to look at penises all day?
I'm studying for McSteamy's reassignment surgery.
- You like McSteamy? - Yes. I mean, no!
No, not like that.
Just, you know, he thinks I'm better off without Derek's baggage.
Thinks there's too much history there. Maybe in his own twisted way,
he's just trying to protect me.
Protect you?
Maybe.
Hey...
...uh, when your mother was first diagnosed with Alzheimer's,
- why didn't you tell anyone? - She asked me not to.
Why?
- It was right to keep her secret? - Yes. Why?
Even if it meant you had to fish crap out of a toilet for years to come?
OK. Rewind. Start at the beginning. Whose secret are you keeping?
Wait.
- What the hell happened? - He was fine one minute...
Eric, lay down, OK?
Abdomen is rigid.
There's blood in the vomit. He's perfed! Page Bailey!
A lot of blood, but it didn't penetrate the galea.
- Is that a good thing? - We don't have to do deep stitches.
- You're using a fishing hook? - Don't worry. We sterilized it.
Also clipped off the barb. It's as good as a needle.
Wound's clean. Keep some pressure on it.
- Got it. - We'll do stitches now, all right?
- Is it gonna hurt? - Yes.
It's OK.
- Karev, you want to sew him up? - No. Forget it. I want an attending.
Thanks, dude.
We're doing crazy MacGyver surgery. I want what's best for my guy.
No offense.
Don't worry. Dr. Burke's really good at doing this.
You are, right?
Right.
Still a little bleeding there.
Hold on, Walter.
You got it?
I always have it.
- You want something? - He is my patient.
I've been with him all day.
If there's any chance that I can get in on this surgery...
Why'd you erase my name from the board?
- Don't know what you're talking about. - You want to go head-to-head with me?
Right now? This second? In this moment?
You chose your own fate.
- Oh. You've been avoiding me. - What? No. Oh, no.
I'm not. I'm just...
This surgery, really interesting.
I guess we can watch and talk at the same time.
OK.
So tell me about Denny.
What?
Yeah, it helps.
To... to talk about what happened.
So, as much as you can, tell me about what happened
with you and Denny Duquette.
- OK, we are done here. - Izzie. It really...
- It helps to share. - No. I don't want to share with you.
Know what I've been doing all day? Sifting through feces.
I would rather sift through feces than talk to you.
And now you bring up Denny like you want me to gossip with you?
I understand this must be difficult...
You understand? Really?
What, you cut someone's LVAD wire? You fell in love with a man and he died?
- Well, no. But... - Then what the hell could you know?
Grey, what's our next step?
Continue the primary incision of the ventral side of the shaft.
I am surprised you agreed to do the surgery.
People don't come to me to fix what's on the outside.
They come to me to fix what's on the inside.
So if that means giving someone a straighter nose or bigger breasts
or if that helps a person get by,
I don't run. I don't hide. I don't take space.
- Don't look at me. I didn't start it. - Karev.
I came to have some fun. Then he gets over me about what I'm wearing.
- He just rubs me the wrong way. - You're on a camping trip.
You're supposed to be enjoying the great outdoors.
You know I grew up in a bar. Literally in a bar.
My dad was always doing one of two things in there.
Playing music or drinking. Dude never even took me to the park.
I just figured this was my chance to go out with the guys.
The one time I try...
You wanted to be a different person.
- They're a happy couple. - Yeah.
I miss my wife.
You have high standards.
Your standards are too high.
You make people out to be...
People make mistakes.
Your standards are too high.
You see a flaw, you attack.
What are you...?
I do not. I stood up for myself.
People are human, O'Malley. You should try to remember that.
Wait. Wait.
So, you're saying that if Cristina did something like...
Cristina and I are a team.
We are a team.
You're either part of a team or you play alone for the rest of your life.
Push. Good. Push, Jamie.
OK.
I need you to push one more time, Jamie.
Ted.
One more time. Push.
Push.
Push. Good. We got it.
Oh, man. Nice!
Look at all those fish.
Nice.
We really were scaring them away.
Early morning/evening is a good time to catch trout.
So, that Mark Sloan, he's bad news.
Oh, he's a cancer. He infects everything.
What are we, three hours out of Seattle and still he infects everything.
I have guy friends. Mark was my friend.
Clearly, I am a terrible judge of character.
We could kill him. Just you and me.
We wouldn't have to involve the chief.
I thought if I just got away for a while by myself,
I'd get some answers. Get a fresh start.
Yeah? Getting away by yourself?
Hugely overrated.
And fresh starts? No such thing.
They're the reason the cliché is that
wherever you go, there you are.
Any other words of wisdom there, chief?
I'm living in a hotel.
I buy most of my clothes from the hotel gift shop
and my wife won't speak to me.
I came out here for the same reasons you did.
I have no wisdom. There is no wisdom here.
Hmm. So, in other words,
we're all a bunch of idiots.
Yes.
Who wants to go home?
Really? You didn't get the hint? Because it wasn't subtle.
- I'll find you a new peer counselor. - Good.
I lost a kid.
My first year. It was my fault.
And I just couldn't...
So I had a breakdown.
They gave me time off and when I came back, I put a smile on my face
and everybody thought I was fine.
I lost a kid.
It comes in waves, Izzie.
There's a lull and then another wave hits you.
I wasn't trying to pry.
I just wanted you to know that it's OK not to be fine sometimes.
I miss him.
All the time, I miss him.
It's not waves. It's a constant.
All the time.
And I walk through the doors of this hospital and I want to be here.
I do.
But... I don't know...
...if I can be a surgeon again.
And I can't talk about it because it scares me too much.
OK?
OK.
You came back.
I came back.
- The surgery went well? - Sloan did a great job.
I was heading home.
I was on my way to the airport and then...
You know you asked before why I came back the first time.
You know, I tried not to.
I went on dates.
Had a lot of great first dates
with guys who were planning to stay guys.
But you have a great date and you wanna go and tell your best friend about it.
And my best friend is Daniel.
Donna.
And then you have a few bad dates and...
She's my best friend.
She knows me. She loves me.
She's... my husband.
I know it sounds crazy.
My family thinks I'm crazy.
But you don't abandon someone just because there's baggage, you know?
Yeah.
At the end of the day, it's Donna.
Even when she hurts me.
Even when I hate her.
She's who you want to talk to.
Not all wounds are superficial.
So, you're sleeping with Sloan.
Was.
Me too. Was.
Which is just a hailstorm of self-loathing and misery.
Yeah.
You want to...
...get a drink or something?
I would love to.
Some other time, then.
Definitely.
Most wounds run deeper than we can imagine.
He's fine. He'll make a full recovery.
You can't see them with the naked eye.
- You're back. - Yes.
I'm glad you're back.
Me too.
I don't like to be paged when I'm off. Is it important?
- George, we need to talk. - Yeah. I think we do.
- It's about your dad, George. - My dad?
And then there are the wounds that take us by surprise.
So, this could be just a drink
or this could be more than a drink.
- You're breaking the rules again. - I don't care.
You and me, we could have fun. Dirty mistresses unite and all that.
- I cannot start something with you. - You could.
I'm not camping in the woods.
Start over, Meredith. Start fresh.
Saved by the bell.
Order me another beer.
Hi. I'm Derek Shepherd.
- What are you doing? - We met at this bar, you remember?
We met and we... Well, you said "I'm just a girl. "
I said, "I'm just a guy. "' And we started this thing.
We started this thing and you didn't know anything about me.
The good, the bad, the wife.
You didn't even know my name.
You didn't know me.
I want you to know me. I want to start over.
From the beginning.
So, hi. Derek Shepherd.
You walked away. And now it's too late.
There's too much water under the thing or whatever.
Meredith.
Please.
The trick with any kind of wound or disease
is to dig down and find the real source of the injury.
Hi, I'm Meredith Grey.
Very nice to meet you, Meredith.
It's nice to meet you.
And once you've found it...
...try like hell to heal that sucker.