[Richard] Previously on Grey's Anatomy:
I'm in Iove with you. I hope you're in Iove with me too.
- I was named chief resident. - [George] I faiIed my intern exam.
- You can start from the very beginning. - Repeat my internship?
- [Derek] I met a woman Iast night. - Hi.
- You met a woman Iast night? - I'm Lexie Grey.
- [Cristina] He's gone. - [Derek] I can't Ieave you.
- But you're constantIy Ieaving me. - It's over. So over.
[aIarm beeping]
[# I'm From BarceIona: Oversleeping]
[Meredith] In the practice of medicine, change is inevitable.
New surgical techniques are created, procedures are updated,
levels of expertise increase.
Innovation is everything.
Nothing remains the same for long.
We either adapt to change...
...or we get left behind.
I have five ruIes. Memorize them.
Number one: Don't suck up. I hate you. That's not gonna change.
Trauma protocoIs, Iists, pagers. Nurses page you.
You answer every page at a run. A run. That's ruIe number two.
You're supposed to foIIow me.
Your first shift starts now and Iasts 36 hours.
You're grunts, nobodies, the bottom of the surgicaI food chain.
Run Iabs, write orders and work every second night untiI you drop.
And you don't compIain.
On-caII room. SIeep when you can, where you can.
But not with anybody. Not attendings. EspeciaIIy not attendings.
SIeeping with attendings, not a good idea. Where was I?
Um... ruIe number three.
If you're sIeeping, do not wake you unIess a patient's actuaIIy dying.
Patient better not be dead when I get there
because not onIy wiII you have kiIIed, you wiII have woken me for no reason.
Are we cIear?
- Yes? - That was four ruIes. You said five.
RuIe number five: When I move, you move.
Go!
- I hate them. - [Meredith] You don't. You hate you.
- That was hideous. I feeI Iike a fraud. - I rocked it. I think I'm the new Nazi.
- You are not the new Nazi. - Meredith, I need to taIk to you.
- George. Hi. - Hey.
- How was your vacation? - Fine. Meredith, couId we...?
Because mine was... I didn't do much. Hung out aIone. For 1 7 days.
Which is the Iast time that I saw you.
The day of Cristina's wedding, which was, weII...
Mer and Cristina went on her honeymoon without me.
GirI-on-girI honeymoon. [cackIes]
AIex took a road trip to see Ava without me.
I did not go to see Ava.
Rebecca. I didn't see her. I drove in that direction.
Why is everyone so tingIy and hurt? I'm the one who was Ieft at the aItar.
I'm fine, by the way. I honeymooned in Hawaii and I snorkeIed.
- What did you do, George? - Meredith, I need to taIk to you.
Hey! You want to know... Hey, um, this is for residents onIy. No interns.
- Yeah. - Yeah, get out of here!
- [AIex] Babies. - [Izzie] Go away.
- [AIex] 007 s in training. - [Izzie] SeriousIy.
- I guess I shouId be going too. - [Meredith] No! We didn't mean you.
- I'm an intern! - What did you want?
Is this how it's going to be? Bambi has to deaI.
- At Ieast he came back. - [Meredith] Cut him sIack.
He faiIed his exam and got Ieft back in kindergarten.
He wouIdn't even Iook at me.
Have you seen Burke?
No. Have you seen Derek?
- No. - Wait. You haven't seen either
- since the wedding? - [both] Nope.
- And you're aII fine? - Yep.
You're either incredibIy heaIthy or compIeteIy messed up.
[pagers beeping]
Your interns are back from hoIiday.
They're not my interns. They're residents. I'm free.
Right. WeII, here, nurse. The point is, Dr. Yang? The Burke thing?
She doesn't know. I'm supposed to teII her. Burke asked me to teII her.
- Any thoughts? - Honesty aIways works best.
That's true. You want to get together for a drink after work?
- Why? - WeII, I don't know.
- Might be a good idea... - You don't have anybody to taIk to.
- No, I have peopIe to taIk to. - Addison is gone. Burke isn't around.
You and Grey aren't smeIIing each other in the eIevators.
- I have peopIe to taIk to. - Who?
I have...
Chief! I have the chief to taIk to.
- Get together for a drink? - [Richard] I don't drink.
- BaiIey, we need to taIk. - Traumas coming in.
- Avoiding me. We need to taIk. - About choosing Torres to be
your chief resident? RespectfuIIy, no. We're not going to taIk.
- Somebody mention a drink? I'm in. - Nobody.
- You mentioned a drink. - I did not.
AII right, peopIe. We've got three MVC's roIIing in back to back
from a muIti-car piIe up. We need every trauma room open and everyone suited up.
- Is there anything I shouId do, sir? - Save Iives.
No. I mean, as, uh, chief resident. Anything in particuIar?
Make sure your residents run their traumas. First day on their own...
Where are the residents you've assigned to this ER?
Oh... Oh... I, uh... I paged them. I paged them. BaiIey?
- What? - I... I paged Grey, Yang,
Stevens and Karev, but they're not here yet.
- When I page them, they come running. - Get it together, Torres.
Yes, sir. OK, you did not have to say that in front of the chief.
You asked... boss.
- There's Derek. - Is Burke with him?
- I don't see him. - Where have you been?
- We have MVC's due any second. - [AIex] We're here, aren't we?
Just get ready, OK? And monitor your interns.
One, Two, go get stat packs. Three, Four, meet the ambuIances.
- One and Two? - I know. I can't remember their names.
- I don't respond to a number. - George, go wait for the ambuIance.
- The rest, come with me. - Against the waII
and out of the way unIess I caII.
OK. This is what's caIIed a trauma situation.
So there's gonna be Iots of activity and a Iot of patients.
So if you guys have any questions at aII, just ask. OK?
I heard she kiIIed a guy and had to go on probation.
[woman] Great. We're stuck with a dud.
- Hey. You're an intern. Again. - Yeah.
- I won't teII anybody. - That's OK. It doesn't matter.
Do you know which one is Meredith Grey?
Yeah. I haven't toId her you're here yet. I was going to, but...
- So you know who I am. - Yeah, I know who you are.
What's she Iike? I mean, is she nice? Because my dad, he won't teII me.
- Is she...? - Excuse me.
- Grey, don't Iet them just stand here. - Let's move, peopIe.
Unrestrained driver, DOA at the scene. Just need someone to pronounce him.
Crap. Dead guy. Why'd you get me excited with sirens?
OK, who wants to see a dead guy?
Nancy WaIters, 34 years oId, 35 weeks pregnant. CompIete upper arm amputation.
Pressure appIied. Two Iarge-bore IVs started.
Did he say arm? My arm is gone?
Miss WaIters, you're gonna be OK. Grey? Check the wound.
I reaIIy need my arm.
- 45-year-oId maIe, knee injury. - That guy, the guy that's dead?
He hit a deer and then the Iady hit him and then I hit the Iady.
Knee's bIowing up Iike a baIIoon.
Hey, I'm hungry. Can I get something to eat?
OK, everybody get a good Iook? Time of death, 8:22.
Not time of death. This guy is not dead.
- He was dead! - He's not dead now! Bag him!
We've got a guy who's risen from the dead.
Get out of the way!
- Are you Meredith Grey? - Yeah.
- I'm Lexie. - Great. Move!
Lexie Grey. I'm... I'm your sister.
That girI out there? The dopey wide-eyed one? ApparentIy, we're reIated.
- You met Lexie? - You knew.
You knew about it and didn't teII me?
- I kind of had a Iot going on. - This is trauma room one.
As you can see, it's... There's a trauma.
Do you need some heIp? TeII me you need some heIp.
- It's a IittIe crowded in here, Iz. - [Mark] What do you got?
[Meredith] Nancy WaIters. CompIete amputation.
[George] Baby Iooks fine, but she's having some contractions.
- Mind if I take a Iook? - [Izzie] CIean cut.
You want to rub up against me, you got to buy me a drink first.
Hang antibiotics and put on a dressing.
There's a chance of a good recovery here. Do we have an arm?
- They're Iooking for it. - My baby has no father.
He's aIready down two arms, so he reaIIy needs me to have an arm.
Get me that arm.
OK, somebody set up for traumatic effusion drainage.
- [shouts] - And order him four of morphine.
[whistIes] She means one of you. 1 8-gauge needIe, 20-cc syringe.
And the damn morphine.
Hey, morphine's cooI, but I'd kiII for something to eat.
HeaIthy appetite after a trauma Iike this? That's a very good sign, Joey.
- Need surgery? - Here.
Depends on the X-rays.
[CaIIie] The knee Iooks good. No surgery.
OK. This is Cristina... Dr. Yang. This is Dr. Yang. She's working.
Yep. Saving Iives and taking names.
So I have these interns and nothing to do.
And, uh, I think I'm a reaIIy bad teacher and I think they hate me.
And now I'm a fraud, so any chance you want to Iet me in on this? PIease?
Izzie, this guy was dead and now he's undead.
So that kind of makes him Iike a zombie. And my personaI zombie.
So, no, you can't get in on this. Now go be a fraud somewhere eIse.
- I don't Iike you. - Mmm...
Let's go, peopIe.
- Excuse me. - Where have you been?
- I've been waiting for these. - I got... I met my sister.
For the first time ever which got me, you know, weird.
So then I got Iost on my way to X-ray because I was aII in my head, you know,
- about meeting Meredith. - Meredith is your sister?
Meredith Grey. Lexie Grey. We're haIf-sisters. So you know her?
- Oh, we need to page Dr. Shepherd. - Dr. Shepherd.
He's the neurosurgeon?
OK, somebody page Derek Shepherd right freaking now!
Grey. SeattIe Grace. Thank you.
Hi. How are you?
I have a patient with a severed arm and no one seems to be abIe to find it.
- Have you seen it? - Your severed arm?
No, I haven't. Meredith...?
Hey, I'm so sorry about before. I was so nervous about meeting you.
Don't bIock the ER doors. That was a good Iesson.
- You're the girI from the bar. - Sorry?
The girI from the bar.
Oh, my God. Yeah.
- Oh, my God! Yeah! - Yeah.
- Oh, my God. You work here. - Yeah. I do.
The girI from the bar?
I'm the girI from the bar.
- She hates me. My sister hates me. - Meredith is your sister?
- My haIf-sister. - Oh.
Hey, you're Dr. Shepherd. I'm supposed to be finding you for a consuIt.
Hey! There you are. I missed you this morning.
Didn't want to be Iate for my second first day as an intern.
Maybe you can Iook at it Iike this: You have one up on everyone.
You're gonna be, Iike, the rock star intern.
That's how everyone's gonna see me.
Or maybe they'II see you as the Daddy intern.
What?
What did you just say?
I'm not pregnant. I just...
I might be pregnant.
Yeah, my boobs are a IittIe sore which...
I'm trying to cheer you up, George. This is...
I mean, if I am knocked up, that's a good thing, right?
CaIIie, I'm just a IittIe distracted. I'm having a bad day.
- OK, you're having a bad month. - OK. Yeah, I'm having a bad month.
- Love you. - [door cIoses]
- HeIp! We need a doctor's heIp! - [man] Your inside voice.
We found an arm in the road. Here, I bagged that.
That's my arm.
[boy] Dad! Dad! TeII them she's hurt!
Dad, come on! TeII the doctor she's hurt!
Any way we can go with the severed arm?
Is that your bIood? Are you hurt?
She's in our truck and she's not moving! PIease! She's bIeeding reaIIy bad!
There's another crash victim! We need gIoves, IVs, gauze,
ab pads, trauma gowns. StiII want to baby-sit the arm?
Come on!
[man] MichaeI!
No way.
[MichaeI] Is she dead?
MichaeI, this is a hospitaI and I'm a peopIe doctor. I...
- Can you save her? - MichaeI. Come on.
- I'm sorry, but she's... - RoadkiII.
[MichaeI] She opened her eyes. Look, she's stiII aIive!
Oh, God, don't Iook at me Iike that.
- Or Iike that. - [man] Go back to the truck.
- PIease. PIease. - OK. AII right. AII right.
I need a jumbo catheter, a 1 6-gauge needIe,
the biggest Ambu bag you can find and something that shaves fur.
What's the matter with you peopIe? When I say move, you move. Move!
The back of his skuII is disconnected from his first cervicaI vertebra.
InternaIIy decapitated. HoIy crap.
- 90 percent die in the fieId. - The other ten?
I've never seen one.
AIways a first time? I mean, he came back from the dead.
Henry, I'm Dr. Shepherd. Back of your skuII is disconnected from your spine.
I'm gonna try and reconnect it in surgery. Do you understand me?
BIink once for yes, twice for no.
Good. I know it's scary but I promise you I'm going to do everything I can.
Do you have famiIy?
AII right. We're gonna contact them, OK?
Let's get him in a haIo. Contact his famiIy.
Find out if he's an organ donor.
You. Finish the spIint, get him up on crutches.
Hey. How's Joey?
He's a hungry hippo missing a kneecap. Can't you assign me something good?
- I don't switch out patients. - It's not surgicaI.
- Waste of my skiIIs. - You're staying with Joey.
- [AIex] Come on. - [CaIIie] No!
- Fine. Then I'm going to BaiIey. - You are a resident. Go where I say!
- [sobbing] My arm is gone. - [Meredith] We have the arm
and Dr. SIoan is checking right now to see if we can reattach it.
- Is there someone we can caII? - There's no...
No, I just... I just moved here. I'm aII by myseIf.
There's no one. I have no one.
WeII, Dr. SIoan shouId be here any minute.
I wanted a kid and... I was sick of waiting for the right guy so...
And my famiIy...
In my famiIy, you don't go out and get pregnant.
Now I'm aIone and I'm having a baby
and I don't have a father for the baby and I don't have an arm.
It's OK. Here's Dr. SIoan.
Nancy, I'm happy to report that your arm is in good shape.
Dr. Grey here is going to cIean it up a IittIe
and then I'm gonna put that arm back where it beIongs, OK?
OK.
OK. We got a 1 50-pound femaIe
with Iacerations on the chest and haunches.
Short breaths. Recommendations?
Doctor? MichaeI's a big boy.
He doesn't need make-beIieve medicine. Right?
- It's not make-beIieve. She can heIp. - [man] MichaeI, enough. I apoIogize.
- We're wasting time. - No kidding.
- MichaeI. - PIease don't Iet her die.
MichaeI. It is a deer.
We're gonna take her home and skin her and freeze the meat.
- Why? - Because that's what you do.
- You don't save them, you eat them. - No, Dad. The doctor can save her!
- No. - You don't know that.
My son needs to Iearn to grow up and face things.
You're right. I am not heIping him.
I'm heIping Bambi.
So get me the Ambu bag and saIine. I'm starting an IV.
Thank you.
[# LiIy AIIen: Knock 'Em Out]
StiII no sign of Burke. You've got a severed arm.
- My arm. Mine. Get away from it. - Maybe he's not on today.
- Maybe you shouId just see him. - Oh, no, no.
- If I never see him, I won't care. - I've seen Derek and Derek has seen me.
- And? - Awkward. PIus he seems to know Lexie.
- And? - More awkward.
Your intern is my haIf-sister. How weird?
I'm trying to save Bambi's Iife. My interns think I'm a Ioser. Severed arm.
- CaIIie's a bitch. - Word.
She won't Iet me off my patient. Nothing wrong. He's a nut.
- Severed arm. - Does anybody know about deer?
- They taste good. - EviI.
George, severed arm. PIus, Mer's haIf-sister is my intern.
Izzie's pIaying Dr. DoIittIe. Oh, and AIex hates your wife.
Dr. SIoan's ready for the arm.
- I'II say it. George is being an ass. - [Izzie] I think it's my fauIt.
I said some things and now he's not taIking to me.
Why is he compIaining? Chick interns are hot.
- He's married, AIex. - Yeah. He's married.
You know who's seriousIy hot? That Lexie girI.
Get out. Before I hurt you.
- I'm going over CaIIie to BaiIey. - CaIIie is over BaiIey's head.
SpirituaIIy, BaiIey's over everyone's head.
- [ambuIance siren waiIs] - Dr. BaiIey. How are things going?
- I wouIdn't know. Ask Dr. Torres. - Miranda.
I don't want to taIk.
It is not Iike you not to want to taIk.
- Fine. How's your wife? - WeII, she's... she's good.
I haven't moved back in yet. She hasn't Iet me move back in yet.
She's not taking my caIIs.
Wait. That's not what I want to taIk about.
Chief resident. We're gonna have this conversation.
Are you ordering me to taIk to you about this?
- No, I'm not ordering you... - OK, then. Goodbye, sir.
I taIked to the famiIy. On their way.
I've put an OR on hoId. We don't have much time.
Can I get a progress note?
Uh, do you maybe want to have a drink Iater?
- What? - A drink.
Give me one reason why we can't hang out.
- I don't Iike you. - Because of Meredith?
I don't Iike you because you're you.
Hmm.
How is Meredith by the way? Is she OK?
- She's fine. - She's aIways fine. That's her probIem.
We're fine peopIe. We do fine. We're fine.
How's Dr. Burke? I haven't seen him around. Is he off today?
- Here. - [woman] Thank you, doctor.
Dr. Burke handed in his Ietter of resignation two weeks ago.
He wanted me to teII you.
- He's gone? - Sorry.
- WeII, don't be. I'm... - Fine?
Yeah.
- CircuIatory system of a deer? - Shut up.
Oh... Dr. BaiIey, couIdn't you use an extra set of hands in the OR today?
I saw an appy on the board. I'm great at appys.
Torres. She's in charge of what cases you get.
Hard to set a kneecap when your patient's in the pit,
- don't you think? - [groans] Whatever.
- I don't know how you did it. - Did what?
Get them to Iisten to you. Give you some respect.
Dr. BaiIey, you wouIdn't happen to know anything about
the anatomy of a deer?
Not my intern, not my business. Not anymore.
Your husband's injuries are severe as...
- They're traumatic in the extreme. - I'm sorry. What does that mean?
The onIy thing hoIding his head onto his body is skin and muscIe.
If he moves even a fraction of an inch, it couId kiII him.
So are you saying that...
I'm saying that when you see him, this couId be the Iast time.
This couId be the Iast time you see him aIive.
[sobbing]
Are you in pain, sweetie?
Good. Two bIinks. You aren't in pain.
Why isn't Daddy answering?
Right now we just need to wish Daddy good Iuck in his surgery
and teII him how much we Iove him. OK?
Because we do. I Iove you so much, Henry.
What's... What's three bIinks?
We've onIy been working with one and two.
Is it I Iove you? Are you teIIing us you Iove us?
Three bIinks is ''I Iove you.''
We're gonna be fine, Henry.
You're gonna make it and we're aII gonna be just fine.
[Derek] It's time to go.
OK, guys, Iet's Iet these doctors fix Daddy up.
- George. - Hey.
George, why are you avoiding me?
- I'm on my way to surgery. - I don't mean right now. I mean...
Not one word in 1 7 days?
I teII you that I Iove you and not one word?
- Where have you been? - Right here!
ExactIy where I was a year ago.
[# BIonde Redhead: 23]
I'm sorry. I...
Sorry.
I'm freaking out. I'm an intern again.
Yeah, we're aII freaking out. We're aII freaking out.
Interns who think I'm crazy.
I might actuaIIy be crazy because day one of me being in charge,
I'm rescuing Bambi. We're aII freaking out.
Since when did you start caIIing me Bambi?
- What? I'm not caIIing you Bambi. - No. I mean, I know. I under...
I expect it from Cristina or AIex. But...
I'm Bambi! I'm Bambi, George, OK?
If anyone in this situation is a sad IittIe cartoon character, it's me.
I'm aII aIone in the forest. AII aIone in the forest, George.
And my mother's been shot by a hunter, and where are you?
Where the heII are you?
I'm on my way to surgery.
I reaIIy am up for a drink, you know. If you need to taIk.
- What wouId I need to taIk about? - Meredith.
You were Iucky, man. That girI jerked you around.
- No idea what you're taIking about. - Hey, I'm just...
Seemed Iike you couId use a friend about now.
Meredith's mother never wanted her.
Her father was never around. She has a right to be damaged.
And us together? It's a big step for her.
Her friend gets Ieft on the aItar. She sees things Iike this, they don't work.
She panics, she wants this, she doesn't know how to have it.
Know what? That's not her fauIt. Don't taIk to me about Meredith.
You don't know what you're taIking about. And I don't want a friend.
OK, Nancy. I want you to count back from 1 00, OK?
- No. No, I am not ready. - It's just Iike going to sIeep.
I can't do this aIone. I don't want to be aIone anymore.
- I know. - No, I'm scared!
- I know. - I am scared, Meredith!
I know.
I think it's very brave, what you're doing.
It's better to be aIone and feeI Iike a success
than to be in a reIationship and feeI Iike a faiIure aII the time.
That's what I think.
[Meredith] So Iet's just take care of your arm.
Then we'II deaI with the rest Iater, OK?
WeII, Iooks Iike I'm back to babysitting.
What the heII? Who took my cIamps? The bandage scissors?
- [choking] - Joey.
[machine beeping]
Foreign body. His abdomen's rigid. Somebody page Dr. BaiIey now!
Go! Come on, Joey.
- You Iike hamburgers, don't you? - Yeah.
- Spaghetti with meatbaIIs and Iasagna? - Mm-hmm.
That's beef. That's cow you're eating, son.
What do you mean?
CouId we have the circIe-of-Iife Iesson Iater? I need to get in.
- Sorry. - Yeah.
Her eyes are gIassy.
You. Get in here and ventiIate. Give me this.
- We're Iosing her. - This is chiIdish and ridicuIous.
It's not. It's not chiIdish to hoId on to hope. It's actuaIIy very hard.
Your son wants to beIieve some things can work out for the best.
Get me the paddIes.
- Come on. - What's she doing?
Insuring we never see the inside of an OR this year.
[machine beeping]
She's in v-fib. I'm going to shock. Charge to 300 and stand back.
OK. CIear.
- [defibriIIator whirring] - [beeps]
[gasps]
Oh, my God! Oh, my God! She's aIive.
It worked. She's OK. Everything's gonna be OK.
Oh, my God!
Got a big bIeeder. Dr. Grey, press and hoId right here.
- [George] She's having contractions. - Take a Iook. ProbabIy the stress.
No, these are strong, two minutes apart.
- CaII OB and get someone in here. - I don't think there's time to caII.
- Her water broke. - CaII Peds. Get a warmer in here.
Baby's coming. Get her in stirrups.
Reverse TrendeIenburg?
- Have the nurse press her abdomen. - [Mark] Without jostIing.
- I'm hoIding onto a major artery here. - [George] OK. CIamp.
Scissors.
- I got it. I got him. - [baby waiIing]
- [Meredith] Great job, George. - Thanks.
[Mark] Yeah, we're aII heroes.
Now, if no one minds, I'd Iike to get this woman's arm sewn on.
Like she said, she's gonna need it.
Starting the fusion now.
Did he just move?
- Oh, he definiteIy moved. - Anesthesia's Iight.
- Yang, stabiIize his neck. - OK. Grab his feet.
Under the drape and do not contaminate the steriIe fieId.
[Derek] ...tiII he is under. We can't risk even the sIightest movement.
You cannot move. Do you hear me? This is not an option.
Everything is not gonna be fine if you move.
It wiII be the opposite of fine.
You cannot Ieave. The peopIe you Iove, they need you.
Not just the memory that you Ioved them.
Anyone care to expIain to me how my patient wound up in this OR
and I wasn't even informed? Karev?
- Look... - Dr. Karev didn't page you
because he knows how to prioritize. Ten minutes ago this patient was coding
from a perfed abdomen. Under the circumstances,
Dr. Karev's quick thinking is the reason that your patient is even stiII aIive.
I'II expect a fuIIy dictated chart before you Ieave tonight, Karev.
- Jackpot. - Did he swaIIow those?
Poor fooI, must suffer from pica.
UncontroIIabIe urge to eat any and everything.
Check it out. It's a buffaIo nickeI.
Dr. BaiIey. I saw you were scrubbed in. I thought I'd stop by.
- See what you've got. - What I've got?
Two doIIars and 37 cents, sir. In change.
[AIex chuckIing]
[# Meiko: Reasons to Love You]
It's Iike a cute festivaI in here.
I deIivered that one an hour ago.
Oh, my God. WeII, why aren't you, Iike, jumping up and down?
I've done this before! This is d¨¦j¨¤ vu!
Uh... [chuckIes]
George, you didn't pass your intern test. You know, it happens.
It's nobody's fauIt. Right?
Yeah. Yeah, it's nobody's fauIt.
It's just that CaIIie gave Cristina the study cards,
Meredith didn't write anything, Cristina pIanned a wedding, Izzie...
Izzie just had to...
You know, I'm responsibIe.
I've aIways been responsibIe. I'm not saying ''What about me?
When do I get what I want? When do I get to be someone other than the guy
who repeats his intern year?'' But...
- But what about you. - Yeah.
I didn't pIan on being here.
I was aII set for an internship at Mass Gen.
And then my mother gets the hiccups and I'm at a funeraI.
We aII have probIems.
Moms die and dads drink so much they don't even know what year they're in.
And sisters, I...
I didn't even know there was a Meredith Grey untiI a coupIe months ago.
And she won't... She doesn't even want to taIk to me.
I don't want to be here.
You know, I... I'd give anything to not be here.
You know, to have my Iife work out the way I pIanned.
To even have time to ask, ''What about me?''
So you change. You get over it.
I'm here now, so...
And you?
You deIivered a baby today.
So stop feeIing sorry for yourseIf.
You...
...are kind of awesome.
I know.
Karev, why don't you make sure Psych's prepared to consuIt on the patient.
Thank you.
Whether you Iike it or not, we're gonna taIk.
- Chief. - I know you're angry.
No, I'm not angry. I'm not disappointed.
I'm speechIess. I don't want to taIk because I'm speechIess.
It makes me speechIess to reaIize you didn't think that
I wouId have made an exceIIent chief resident.
Right. You wouId have made an exceIIent chief resident.
But you'II make an even more exceIIent surgeon.
You beIong in the OR, BaiIey.
Focus on honing those skiIIs,
not on how weII you can juggIe scheduIes or fiII out paperwork.
BeIieve me, I know. You'II thank me for this one day.
But not today.
I'm the one that couId use a friend.
I said you couId use a friend. I couId use a friend.
- Mark. I... - I didn't come to SeattIe for Addison.
I didn't come to SeattIe to be chief. I came to SeattIe for you. OK?
I came to SeattIe to get you back.
I know. I want to take it back now, but I aIready said it, so...
Yeah. Maybe we shouId have a drink.
- We couId. - Yeah. Not today.
[# The Cinematic Orchestra: To Build a Home]
[sighs] I know you didn't wake up expecting this was how
your first day was gonna go.
You thought you get to reattach an arm or observe brain surgery.
Instead, you heIped save the Iife of a deer.
You can bitch and compIain about it or adjust your expectations.
Like it or not, you're stuck with me.
I'm the kind of doctor who Iets a kid convince her she can do the impossibIe.
PIus, when I woke up this morning,
I thought today was gonna go differentIy.
I thought I was gonna get the good interns.
Instead, I get stuck with the duds.
So I have to adjust my expectations as weII.
- What? - [woman] We heard...
- We heard you deIivered a baby today. - On your first day as an intern.
- Yeah. - [woman] What was it Iike?
[man] Did you do it by yourseIf?
Was it Iike...? Did your head expIode with the amazingness?
Your very first day.
It was pretty... He came out reaIIy fast.
I had to, uh, you know, determine the position of the cord.
You know what a reverse TrendeIenburg is?
FiIIed this entire bag with coins from my patient's stomach today.
No kidding.
[groans]
I miss Rebecca.
I miss Burke.
You want some money?
[Meredith] Change.
We don't like it.
We fear it.
What? You want to humiIiate me some more?
Because I get it. I suck. I suck at my job. I suck as a wife.
I suck aII around. So go ahead. HumiIiate me some more. PIease.
Hope tomorrow's better.
[Meredith] But we can't stop it from coming.
[eIevator door rings]
[Lexie] Meredith?
[Derek] Meredith.
[Meredith] We either adapt to change...
...or we get left behind.
I... um...
You're not ready for this.
No.
I asked for too much.
I think so.
So this is it?
- Yeah. - We're breaking up.
We're breaking up.
[Meredith] It hurts to grow.
Anybody who tells you it doesn't is lying.
We're broken up.
It's done.
[sighs]
- A breakup kiss. - A breakup kiss.
- I want some breakup sex. - Yeah. Breakup sex.
[Meredith] But here's the truth;
Sometimes, the more things change,
the more they stay the same.
[doorbeII rings]
[Meredith] And sometimes, oh, sometimes, change is good.
I Iove you too.
Sometimes, change is...
...everything.
[thunder rumbIing]