The surgical scalpel is made of sterilized,
carbonized, stainless steel.
This is a vast improvement over the first scalpel,
which was pretty much a sharp stick.
Medicine is constantly reinventing itself.
That means surgeons have to keep reinventing themselves, too.
I can't believe we're doing this.
- It's Valentine's day. - We don't do Valentine's day.
- There's more to life than hospital. - No there isn't.
- It's romantic. - No, it isn't.
There's constant pressure to adapt to changes.
- Ambulance! It can be a painful process.
- Eyes front, ladies. But without it...
- Okay, that seemed big. - If it's big, they'll page us.
It's big.
You'll find yourself moving backwards
instead of forwards.
Season 06 episode 14 Valentine's day massacre
- What's going on? - Grandinetti's roof collapsed.
We'll be getting more than a dozen. All scheduled procedures are pushed.
On Valentine's day? God, Grandinetti's must have been packed.
Tonight's out. I told you this would happen.
That's why we went to dinner at 4:00
and exchanged gifts. Look.
Just special. Original. Magical.
Squeals of joy.
Scrooge.
Scrooge is christmas. That's a holiday.
Our hemicolectomy's pushed.
That's a shame. I was... really looking forward to that.
As... you know....
Maybe we could make up for it. Dinner tomorrow?
Just...
I'm... busy.
I have surgeries most nights.
- I always have surgery. - Right.
Maybe see you in the OR, then.
Oh, my God. She likes him.
You like him?
You should totally go out with him. You have to say yes.
It's Valentine's day. You have to.
See, that... this right here, What's happening, the giggling...
the girl talk, the O.M.G. it's okay, it has to stop.
I am busy.
Do you know anything about putting together cribs?
You bought a crib?
Sloan's coming home tonight, and I got it put together, but it wobbles.
And it can't wobble. Now will you take a look at it?
You're like a sweet, nerdy dad now.
I don't even recognize you.
Who's the blonde?
I don't know.
I may be a dad, but I am a single dad.
Excuse me.
Okay. Now I recognize you.
It must,
suck to work on Valentine's day. I don't believe we've met.
What'd you do to your hair?!
I changed it. I colored it. I just...
Wait. You thought I was someone else.
You didn't know it was me and you were hitting on me?
I pretty much thought you were, you know, just some blonde.
You are pathetic and hypocritical
- and slutty. - And you are no blonde.
You can't pull that off. Blondes are either bad ass or fun.
And you're... You're a brunette.
- Damn. - Shut up!
Quit staring. I'm probably gonna change it back anyway.
I get it. You get dumped by your boyfriend, and
you go for the extreme makeover. Chicks always do that.
I didn't get dumped.
And I did not do this for Mark. I just...
It's Valentine's day, and I wanted to change something.
And I could change...
I wanted to do something for me, okay?
This was for me.
How is that different than what I just said?
I'm changing it back.
- Trauma 2 is available... - Restaurant roof collapse.
So far, a penetrating abdominal injury, a sucking chest wound
and a massive head wound. Also, there's an open fracture on the way.
- You're still here? - If you're here I'm here.
There's an Osha investigator waiting in the lobby, also
two TV crews who are asking for a statement. I told 'em to wait.
We cleared the OR board, also, I paged Bailey, Nelson, Altman, Hagan and Sloan.
Stop. Who do I see first?
- Skull fracture, trauma 1. - The Osha guy.
Chart, please.
Try to get as many people as possible off the backboards.
Clear c-spines clinically, but if you're not sure, wait for x-ray
no matter how backed up they are.
- Hold the elevator. - I got it!
- Bring the chart, please. - Right away.
Where are they taking my husband?
He's going into surgery. His doctors will let us know more soon.
- Can you take a deep breath for me? - What do you have, Grey?
Decreased breath sounds on left side. Possibly a pneumothorax.
Put in a chest tube if you need to. Evaluate and page me if it's surgical.
- Sorry. - I'm sorry.
- Non responsive... - Let me see the chart.
Looks like a pretty bad break. You're gonna have to have that reset.
I wonder if there's any chance
you could put me in a bed next to that lady?
Sorry. It doesn't work like that.
Of course. Forgive me.
I've been a head waiter for 25 years.
I know how it works.
I'll see what I can do.
It's a depressed skull fracture with a subdural hematoma.
All right? Let's book an OR.
I need you to reassign some anesthesiologists
- You're being cupid for Bailey. - I don't do that.
- I did that once she yelled at me. - I'll be cupid. You be the Chief. Sign.
The reporters are waiting for a statement.
I have a surgery.
Dr. Nelson said he could take your skull fracture.
You've got the trustee's breakfast in the morning,
when the trustees turn on the 11:00 news it's your face they'll want to see.
Watch it! Coming through!
- I got the arm. - What do you got?
Traumatic amputation through the left distal humerus.
Bleeding controlled through pressure. Got 10 of morphine. Vitals are stable.
Chief Shepherd?
Can she have some water, please?
I'm afraid she can't.
Emile, stop.
My husband and I have been
going to Grandinetti's for 15 years,
every Friday night.
And sometimes Tuesdays.
Emile always takes very good care of us.
But now it's time to look after yourself.
I just thought you'd want someone with you
until you found out that mr. Banks was okay.
Thank you.
My patient's stalking your patient.
He's being a good waiter, and apparently, we're his busboys.
Dude gave me 50 bucks to put him next to her. He's got the hots for her.
Her husband is in surgery. She's married.
You're just saying that cause you think you're married.
His 50 bucks says he makes a move.
- You in or out? - I'm in, and I am married.
I'm not mrs. Shepherd.
- You're not? - I'm Dr. Grey.
Right. Chief Shepherd wanted me to ask you about the trustee's breakfast
- in the morning. - You Shepherd's flunky now?
Is that why he hired you back?
I'm on his service this week, and during this transition,
he needed a little more help on the administrative side.
I'm not his flunky.
So, will you be going with him to the breakfast or meeting him there?
I am not sure I'm going.
What?
You have to cause you're his wife.
When did you get in? Does Mark know you're here?
My flight got in a little bit early,
I just took a cab over. I didn't to bug him or anything.
Somebody said that you guys have a free clinic?
- Do you know where that is? - Is everything okay?
I just want someone to check me out... After the surgery and everything.
Maybe give me an ultrasound or something?
The clinic closed an hour ago.
Come on. I have a second. I'll take a peek for you.
I need another 4x4.
Dress him. I'm gonna take another look at the arm.
This wound's completely macerated and contaminated.
Why wasn't this guy brought in first?
He was lying in dirty dishwater for a while before they found him.
They forgot I was back there.
- No, I'm... - It's all right.
I'm not...
I'm not too big on talking to people,
nobody talks to me much back there.
They just, you know, bring me the dishes.
I lost my arm.
I don't want to have one arm.
I don't want to be a freak.
I don't like people staring at me.
We're gonna do everything that we can.
Please.
Frankie, I'll take you up to surgery now.
We're gonna try and reattach the arm, okay?
We have an open OR. I'll prep him, work on the stump.
You debride the arm, tag the vessels, and get it up to me as soon as you can.
Trauma room Barbie.
Irrigation here and suction, please.
So... Grandinetti's is gone...
A Seattle institution.
- Dr. Warren, you ever been there? - Couple time
- Good scampi. - Place is so romantic...
Perfectly lit, intimate,
those cozy little booths, you know, in back.
A 3-0 silk tie please.
It's a little too intense for a first date, though.
Where would you go on a first date?
- Isn't there a dying child somewhere? - I had some time,
and I wanted to observe one of... one of these.
- Baby looks perfect. - Awesome.
Can I, like, get that in writing?
Even better.
Here is a souvenir.
Don't you have some kind of, like, official form or
hospital document that you can give me?
Why do you need an official form?
That's none of your business.
If you want your official form, it is, Sloan.
What's going on?
It's for the adoption attorney, okay?
They need, like, a clean bill of health from me or something.
There's this great couple in San Francisco,
- and they have these two big dogs, - An adoption attorney?
Yeah. I mean, I'm not ready to be a mom.
I'm just... I'm just not ready yet.
Have you told Mark?
And... you're my doctor, right?
Don't you guys have some kind of rule that says you can't say anything?
I'm not gonna tell him, and neither are you.
Do you think she needs an extra blanket?
She gets chilled easily.
She must be one hell of a tipper.
- Sorry? - I can see why she comes in every week.
I bet you take better care of her than her own husband.
When she first started coming in, before they met,
we had a little game.
She would try anything we served.
She was adventurous...
Fearless.
When she'd gone through the menu,
I challenged the chefs to come up with something new.
It became...
She became... My favorite part of the week.
Then one night, she came in with him.
She felt like this was a safe place for a first date.
That ring on her finger?
The night he proposed to her...
I placed it in the "crème brûlée" for her to find.
I watched her say yes from the kitchen window.
And they never stopped coming in.
But now he orders for her...
Same thing every time.
For 15 years, I've watched their conversations grow shorter
and shorter,
until now all they do is eat.
She has no children.
If he dies, she'll be...
She'll be all alone.
She's so afraid. I can see.
And all I want to do is take her hand in mine and tell her
she'll be all right.
She'll never have to be alone...
If she doesn't want to be.
You'll let me know
when you have good news about mr. Banks, yes?
Yeah. Right. Of course.
- You can't leave without telling him. - Yes, I can. I can do whatever I...
- Sloan. - Crap.
When did you get here? I thought you were gonna call first.
Look.
My God.
Would you look at that?
That's the Sloan nose.
Can you see it?
It's my dad's. He has my dad's nose.
That's the Sloan nose.
Damn it. Will you wait for me?
I want to take you home. I got a surprise for you.
Could I see this again?
The Sloan nose.
You win.
He's been staring at her from his kitchen for 15 years.
- He's not gonna tell her now. - He just did.
She was awake the whole time. She heard everything. She has to say something.
- She's not. Her husband's in surgery. - So?
They're clearly miserable. Did you hear the whole "crème brûlée" thing?
50 bucks says she tells him she loves him, too.
You're on.
- I've got your keys. - What?
He told me you might not have time
So, I should ask you what you need from your closet, I'll go grab it for you.
You're not going in my closet. Aren't you supposed to be a surgeon?
He really needs you by his side at that breakfast.
I am a surgeon.
You tell the Chief that I will be in surgery.
So I'll just pick something out for you.
So... Yang's with Hunt,
Grey's with Shepherd, Torres is with Robbins,
and you were with Sloan until he dumped you?
It's a wonder you guys got any work done.
He didn't dump me.
He forgot about me.
He decided that we were going to start a family
and didn't ask me.
He forgot I was even there.
He... left me lying in dirty dishwater.
What?
Nothing.
I'm pretty.
- What? - In my family, I'm the pretty one.
You know, my eyes and...
my smile and my body. You should
see me without a shirt on. It's... it's kind of ridiculous.
But my family is smart,
driven,
crazy overachievers, you know? And they look like they're smart.
They don't look like me, which had its perks,
except that my family treated me like I'm pretty.
They expected nothing from me...
ever. They never pushed me, never thought to.
So I had to push myself...
Hard.
I didn't even tell 'em I was taking the mcat's till after I had aced 'em.
My point is that you can't just change your hair.
You want to be unforgettable? You want to not be mousy?
You can't just change your hair.
You have to actually change.
I'm just saying.
Okay, I'm removing
the glass... very... slowly.
Take this. Bovie.
Nice work, Dr. Bailey.
Dr. Warren, can you believe that Dr. Bailey
almost left general surgery for peds surgery?
- Did you know that? - I did not.
She almost said no to general surgery.
But then she thought about it, and she...
changed her mind.
She wasn't afraid to rethink her decision.
She just needed to be asked again.
I see.
Clearly.
Do you have my report thing?
He took you in,
he's given you money,
he flew you to L.A. He deserves to know.
So if you're not gonna tell him, I will.
You paged me?
- What's going on? - You paged him?
What's the matter?
- Mark, she's... - I'm giving the baby up for adoption.
I'm not a mom. I'm not ready.
And I want him to have good parents
- and a good home. - Don't do this.
- Don't give this baby away. - They'll love him.
- They'll love him more than I will. - Give him to me.
I'll take him.
I'll adopt him.
I understand. I understand. You're not ready, but I am.
And I know I don't have
the best track record, and I should've been there for you, and I wasn't.
But I will be there for this baby. Please.
I want him to have a family. And,
you've been really nice to me the past couple of months,
but you're not a family. You're just a guy.
- Sloan, please. - I'll help.
I'm right across the hall.
And we're a family, sort of. And...
we're doctors... And we're best friends,
and we're good people.
We'll take care of the baby, together.
We'll love him...
Really well.
Just think about it.
Go home. We'll talk about it.
Can we talk about it?
Yes. Yes, we can.
We can talk about it.
Thank God. Where'd you get those?
Patient room. Guy's in a coma. He's not gonna miss 'em. Anything happen?
He's still asleep,
but she wants to say something.
Oh, my God. I'm starving.
- Ew. These are all half-eaten. - Now you can see what they are.
What are we doing?
Her husband's in surgery. This dude's been in love with her for 15 years.
But she just found out, so we're waiting to see if she says something.
Or if her husband croaks.
But it's okay if he does, cause they're miserable.
Is this what marriage turns into,
running out of things to say and changing who you are?
Probably.
I didn't marry Derek to be the Chief's arm candy. I'm a surgeon.
You married him for the great surgeries.
I didn't do that either.
- Right. - You should've.
She's gonna say something.
- She's gonna wake him up. - What did she say?
She can't breathe. Get a crash cart.
She's got a big air leak in her chest tube.
- What's happening? - Let's keep her on 100% O-2
and get a bronchoscopy. Grey, see if an OR is available just in case.
She's having trouble breathing. We'll let you know more as soon as we do.
We saved the arm. We saved it. We're ready.
- It's gonna have to be an amputation. - What?
There's too much devascularized tissue, too much contamination.
Or we can push antibiotics and let the stump heal,
- but by that time... - The arm will be dead.
Page me when he's awake. I'll tell him.
They can't just leave it behind.
We could move it somewhere else, attach it to a healthy zone.
Don't tell me,
- mouse. - I'm just saying... They can...
Temporary ectopic replantation!
You have to keep the arm alive until the stump heals.
Yes, but in cases involving the elbow...
It's extreme. He'll lose range of motion, grip failure...
He'll keep his arm.
He deserves extreme measures.
If the arm is still viable, you can't just let it die.
Has that ever been done before, above the elbow?
I don't know, but it could be done.
You could implant onto the epigastric and the vena commitante.
Give you a few days for the stump to heal.
- I've never done one. - Neither have I.
So?
After today, you can't say that anymore.
Okay, come on. I told him that we would do everything we could.
Do everything that we can.
I'll call Shepherd and let him know.
Grey, Avery, get ready to scrub in.
We're gonna be a while.
Okay, that?
Not mousy.
You going into surgery now?
- There's this, breakfast. - I know about the breakfast cause
there's some resident that I don't know rooting through my closet right now.
Sorry. She's a little overeager.
I have a surgery, and I can't really give up a surgery.
- I wouldn't want you to. - Just to smile
and stand at a podium for the suits? It's...
No, you shouldn't come.
You know, my patient, she's somebody's wife, too,
and I'm her doctor, and...
- Okay? - Okay.
Okay.
I've got a tracheobronchial tear.
Transitory ectopic implantation.
Wow. Nice.
I rented a house. It's amazing.
It's right on the water, a little cottage. And there are deer...
Like "bambi" deer... And singing birds. It's incredible.
I found this little secret coffee place
down the street from here, and...
And, I was thinking of getting a puppy.
But, you know... you have to be home with a puppy, and I'm always here.
So I went down to the pound cause I...
I wanted to get it out of my system, you know, the puppy love.
And I held all of these incredibly 449 00:24:23,439 -->