[narrator] Previously on Grey's Anatomy:
I'm George. We met at the mixer.
You had on a black dress, strappy sandals, slit up the side.
I've had this thing for my roommate since day one.
She's pretty great.
- Who's Thatch? - My dad. Thatcher.
She never talks about him.
I'm glad you moved in.
Oh, so she moved in with you?
Didn't she tell you?
I know now that when I go into my bedroom,
I'm going to see my wife cheating on me
with Mark, who happened to be my best friend.
[Meredith] After careful consideration and many sleepless nights,
here's what I've decided.
There's no such thing as a grown-up.
[# Diplo: Diplo Rhythm]
We move on, we move out,
we move away from our families and form our own.
Oh, no. I'm all wet.
[Cristina laughs]
[phone rings]
Hello?
No, Dr. Burke.
Yes?
Yes, I'll let her know.
That was your landlord.
He wants you to know there's a minor flood in your apartment.
Your other apartment.
But the basic insecurities,
the basic fears
and all those old wounds just grow up with us.
I'm exhausted.
Me, too.
And just when we think that life and circumstance have forced us
to truly, once and for all, become an adult...
I was at it all night in the on-call room.
What's your excuse?
Your mother says something like that.
Mom.
I tell you, that man makes me purr like a kitten.
Mom.
When he isn't making me growl like a tiger.
- Stop! - [chuckles]
And my husband wonders why I'm not interested in him anymore.
Or, worse, something like that.
If he had any balls at all he would leave on his own.
No. He plays stupid.
He's waiting for me to kick him out.
I come home with a hickey...
A hickey, for God's sake, like I'm some sex-crazed teenager.
Which, let's face it, these days, I am.
And what does Thatcher do?
Pretends he doesn't see it.
We get bigger, we get taller, we get older.
But for the most part, we're still just a bunch of kids,
running around the playground, trying desperately to fit in.
You know, he's acting like I committed a crime.
Like my apartment is full of stolen goods.
He's acting like I kept my apartment
to hide stuff so I can do illegal transplants for money.
Are you sure he's not just acting like you lied about moving in?
What's wrong with you?
My mommy's a filthy whore.
- You have dirty in your eyes. - You have dirty in your eyes.
I'm not doing dirty with you. It was a one-time lapse in judgment.
Oh, it was a four-time lapse in judgment.
- Well, it's not going to happen again. - Oh, OK.
I'm serious.
We're friends. It didn't work when we tried to be more.
So...
as fun as it was, it's not going to happen again.
- Stop looking at me. - I'm not, I'm rounding.
- I'm rounding, too. - Fine.
Chuck Eaton, 54, has stage 3B non-small-cell lung cancer
with possible invasion of the pleura and a history of COPD.
He's had extensive chemo-radiotherapy with minimal regression of the tumor.
He's been admitted for radical en-bloc resection.
I was a smoker.
The, uh, oncologist...
He explained that I have a 25 percent chance of surviving the surgery.
Well, unfortunately, that's about right.
If you should elect not to proceed, we can make you more comfortable.
With all due respect, uh...
there's no way that you can make a man dying a slow death comfortable.
I'll roll the dice.
How do I look? Would you say I look nice?
You could use a little more lip gloss.
- Aw! You're mean. - I'm just kidding. You look fine.
Seriously, how's my breath? [exhales]
- George, would you just talk to her? - Who? What?
Good morning, Dr. Bailey!
Hi, baby!
- Are the ORs up and running? - Fully functional.
There is some smoke damage.
How about you? Are you fully functional?
I'm fine. How's your husband?
Takin' him home tomorrow.
- Yes, we are. Yes. Yes. - I know you're so cute. I know you are.
OK, this is not a tea party.
Go! Work! Save some lives!
Now!
Jake Burton, 15, has advanced craniodiaphyseal dysplasia,
admitted after complaining of headaches.
- He's not a complainer. - He's been having some nausea.
Really? OK. So, may l, please?
Jake, can I get you to sit up?
- Sure. - All right. OK.
Now I want you to look right here for me. Thank you.
You know, if you pretend I'm a lion, it helps.
Sorry?
If you pretend I'm a lion, instead of a messed-up kid,
you get a talking circus animal, which is way easier to look at.
What's our immediate concern?
That the bony tumors are encroaching on his brain.
Invasive non-small-cell with a history of COPD?
That guy's pretty much a goner.
Sensitivity. I like that in a stranger.
- Are you new here? - Visiting.
Confounded by all the rain and it's only my first day in town.
- You get used to it. - Makes me want to stay in bed all day.
We just met and you're talking about bed. Not very subtle.
Subtle's never been my strong suit.
So...
do you go out with co-workers?
I... make it a rule not to.
Then I am so glad that I don't work here.
Are you hitting on me? In a hospital?
Would that be wrong?
Meredith.
Ow.
What the hell was that?
That was Mark.
[Richard] Punching people on my surgical floor!
My head of neurosurgery, punching out people on my surgical floor!
- Put the ice pack on your hand. - My hand is fine.
Put the ice on your $2 million-a-year hand!
Now... would someone tell me what the hell happened?
- That was Mark. - Who's Mark?
He and Derek used to work together back in New York.
And, uh...
they were... we were all... close friends.
Until...
Derek found us in bed together.
- You put your weight behind it? - Yes, sir.
Well, all right, then.
- What the hell is he doing here? - I have no idea.
Derek and I always did have the same taste in women.
Excuse me?
You're Derek's lusty intern, right?
I heard about you all the way back in New York.
You're famous.
Well, I heard about you all the way here in Seattle.
So I guess we have a lot in common.
We're the dirty mistresses.
I suppose we are.
My $400-an-hour shrink says it's...
because behind this rugged and confident exterior
I'm self-destructive and self-loathing
to an almost pathological degree.
Hey, we do have a lot in common.
You know, it's funny.
Der...
Derek walks in on me naked with his wife,
actually in the throes.
And he just turns around and walks away.
But he sees me so much as talking to you,
and I'm on the ground bleeding.
Interesting, don't you think?
- What are you doing? - You need stitches.
I know. Hold the mirror.
- Why is he suturing his own face? - To turn me on.
Because he's Mark Sloan,
the go-to plastic surgeon on the East Coast.
The guy Addison slept with?
- Can't really blame her, can you? - No, not really.
Yes, you can.
McSexy wants an X-ray to check for fractures
and I think it's a bad idea if I take him.
- Why? Why? - I'm on it!
- Why is it a bad idea? - McSexy?
No?
McYummy.
No.
McSteamy.
- Ah, there it is. - Yep.
Ugh! Just...
choking back some McVomit.
Ooh.
I saw her first.
The night she met Shepherd, I had her ear.
We talked...
and I can't even remember what I said.
When you don't have sex for a while, you sort of forget how good it is
- and you don't really need it as much. - Yeah, that doesn't happen to guys.
It's like a beast. A beast that was asleep for a long...
Iong time, and now the beast is wide awake
and wants to be fed and the food that Alex gave it was...
It was good food, George.
Something needs to be done about your taste.
You're jealous because your beast is asleep.
Nah. My beast isn't asleep.
- My beast never sleeps. - [siren]
Mr. Eaton. Do you need a hand with that?
Um, if you could set up the tripod, that'd be very helpful.
Are you...? What are you doing?
I'm dying, dear.
One in four?
I've never done well with odds like that.
Some people are lucky. I just never have been.
The camera is for posterity. Saying goodbye.
Do you want me to hold the camera for you?
You're very kind. Thank you.
[coughs]
OK. We're recording.
[inhales]
This is, uh, a message for Suzie Zelman, my...
my college sweetheart and the love of my life.
Suzie, I loved you with my whole heart.
And I never would have stopped loving you
if you hadn't been the vilest whore to ever walk the planet Earth.
You deserve that...
that drunken imbecile that you slept with and then married.
And when at the reunion,
I met your ugly children,
I knew you had done me a real favor.
I am so deeply happy that I'll never have to see your face again.
Love, Chuck.
Could you please, uh, put in a fresh tape, dear?
I read about that jaw reconstruction you did
using a microvascular free transfer from the foot.
- You interested in plastics? - Absolutely.
Might want to consider a transfer to New York or Los Angeles.
You're not going to see any heat up here.
Actually...
you ever seen an advanced case of craniodiaphyseal dysplasia?
Lionitis?
Restrained driver in a minor MVC.
Vitals are stable but witnesses saw seizure activity.
- I don't even think I need to be here. - Let us determine that.
Witnesses said she was screaming and clamping her jaw.
- Do you have a seizure disorder? - Epilepsy?
It's not epilepsy. I don't have any...
Oh, no. Oh God, it's happening again.
Oh, no.
[moans]
[sustained moan]
Was that a...?
Did she just have a...?
Orgasm.
Spontaneous orgasms?
- Are you sure? - Kind of hard to miss.
Ms. Calva, Dr. Montgomery-Shepherd.
It's Pamela.
Since we're talking about, you know, may as well get familiar.
Pamela, can you tell me how long this has been happening to you?
- For a few months, I guess. - How often?
About... I don't know, seven or eight times a day.
- Every day? - Uh, Dr. Stevens.
I'm sorry. Every day?
Yes, every day.
And you haven't seen a doctor about this before?
- It's not something you want to cure. - Dr. O'Malley!
Sorry. Is it?
I went to my doctor. He sent me to a shrink.
- And he didn't do any tests? - Pammy? You back here?
- Oh, God, no! You called my father? - Pammy?
He's your emergency contact person.
Pammy, what happened?
- You were in an accident? - I caused the accident, Dad.
- You had one of your...? - Episodes? Yeah.
Oh, no.
Dang it!
[Pamela moans]
She's... a junior at U-Dub.
- She's a math major. - [groans]
Last three semesters she made the honor roll.
High up in the honor roll.
Mr. Calva, we're going to...
run some tests and we're going to...
figure out what's causing your daughter's...
- Episodes. - That's right, episodes. OK.
And when you were 14, you stole Laura Brendese right out from under me.
You knew how I felt about her, don't say you didn't, because you knew.
And you went for her anyway.
What kind of human being does that to his brother?
He was 14. Cut him some slack for God's sakes!
Oh, sorry. Forgot we were recording.
If you wouldn't mind just rewinding a little bit, please.
I'm a doctor, not a videographer, and I do need to prep you for surgery.
- But you offered to help. - I thought you were saying goodbye.
I am saying goodbye.
None of these people, not one of them, knows how I really feel.
My whole life, I've kept it all inside.
I don't want to carry this with me to my grave.
You seem like such a nice man.
Wouldn't you rather they remember you that way?
No.
Please rewind the tape?
[Cristina] It can get a little cramped in there,
so you have to try not to move.
Yeah, uh, this is like my 50th MRl experience.
- Right, sorry. - That's OK.
You have really nice eyes.
I'm just saying that you're mostly all...
all surly and hardcore but your eyes aren't.
I'm really big on eyes.
They're the only part on my face where tumors aren't growing.
- Yeah, you've got nice eyes. - Yeah?
You get that that I'm jailbait, right?
- Meredith. - Chief.
Chief. Can I ask you something, not work-related?
OK.
Do you remember my father?
- Of course. - Do you know why he left?
I believe your mother asked him to.
Right. But do you know why?
No. No, I'm sorry, I don't.
- Well, have a good day. - Thanks. You, too.
Dr. Yang, book an OR, please.
How is that possible?
It's precision work. It won't be easy, but...
Dr. Sloan, can I help you with something?
He says he can fix my face.
He says he can make me look like normal.
- What did he say? Did you hear that? - Did he call him a crack whore?
Oh, shut up. I'm trying to read lips.
[Cristina] Shepherd's gesturing.
- What you got? - They're battling it out.
- Oh, it's getting good. - Why? What you got?
Just a woman down in the ER...
having spontaneous orgasms.
Hey! Wait, wait, wait! Wait!
- That is not the point! - The kid wants his face fixed!
No, you want to get published!
Yeah, and I'm guessing your Chief of Surgery does too.
The press loves a before-and-after shot, Richard.
Call me Dr. Webber.
Derek, out of friendship to you,
I would very much love to say no to this... jackass.
- But as Chief... - Please don't say it.
Dr. Sloan, if you can get the parents to sign a consent form...
Round two goes to the jackass.
- Which one? Which one? - Twelve o'clock.
Oh! Oh, no.
Oh, it's happening.
[Pamela moans]
- Doctors? There something you need? - No.
Well, in that case, move on.
[moaning intensifies]
I don't get what McDreamy or McSteamy sees in her.
- She's McHot. - McYeah she is.
You're not even a little bit happy to see me?
Go home. Whatever it is you came here to do, just drop it.
Hey, we all made mistakes, Addison. All three of us.
Somehow I lost my best friend and the woman I loved.
Please... don't say that.
He doesn't know how we felt.
He doesn't know you stayed with me after he left?
How do you expect to work out a marriage if you can't even be honest with him?
- Why are you here? - For one reason.
T o bring you home.
I miss you, Addison.
I'm in love with my husband, Mark.
But he's not in love with you.
He's in love with that intern. And he's not even trying to hide it.
Why would you want to stick around for that?
- I think you're making it up. - He's not. I saw it four times.
- What? - Woman with spontaneous orgasms.
- Uh-huh. - Really?
You're jealous because you didn't see it.
Totally am.
[Meredith] Spontaneous orgasms?
- You look nice today. - Any chance they're contagious?
Spontaneous orgasms, that would solve so many problems.
It would, it would. I think you smell nice, too.
It's like, you see someone throw up, it makes you throw up, too.
Kind of like.
You know what? I'm not hungry. Do you hear me? I'm not hungry!
- Neither is the beast! - The beast?
Is that like some sly reference to your penis?
Get your mind out of the gutter, crack whore.
[George laughs]
No, it's not Alex's penis. It's... when you haven't had sex for a long time
and you forget how good it is so you want it less?
- That doesn't happen to me. - Me, neither.
Me, neither.
I grew my hair for her and...
- I know. - I don't think she's noticed.
You could just try telling her how you feel.
Um... guys? She's moving. Like, a lot.
Pamela, you have to hold still.
[moans]
OK.
- That's not helping the beast sleep. - No. No, it's not.
You're drawing the medial to the tumor?
Yeah.
It's a guideline for the bone structure.
You hear that? I'm going to have bone structure.
Jake...
What do you think? Am I a Dali or more of a Picasso?
Could you stop doing that for a minute?
Jake...
Jake, I'm sorry.
This surgery, the brain surgery, is very dangerous.
No, don't say that. Y-You don't get to change your mind.
I know Dr. Sloan has made you some big promises,
but the bony tumors inside your skull are bad.
- I don't care! - The bleeding is hard to control.
I just want you to understand.
I do understand. This has nothing to do with the plastic surgery.
If I'm going to be under the knife...
The plastic surgery can wait.
- You need to understand... - Excuse me.
- Jake is actually right. - [Derek] Uh-huh.
No reason to put him through a second round of surgery and anesthesia.
It's much safer just to do it all at once.
Honey, we just want to focus on keeping you alive.
Mom, I almost died when I was ten years old.
And then again when I was 12, and then again last year.
But...
But I'm still alive, I'm still alive. So I say we go for it.
Jake...
I know you think I'm perfect just the way I am,
but... that's your job to do that.
But...
for once in my life, l'd...
Iike to think that...
someone else thought that.
Please.
[woman on PA]
You've given up surgery to go into clerical work?
I'm fulfilling a patient's dying wish to send hate mail
to everyone he's ever met.
Ah.
- Right now I understand the impulse. - Me, too.
- Why do people cheat? - That's a good question.
Why do you think she cheated on you?
Were you different then?
Were you a bad husband?
I was, uh...
[sighs]
I was just a little... absent.
Not that that's an excuse for her.
Do you think things would have been different if you'd had kids?
Do I think she wouldn't have cheated?
I don't know.
All right, Jake's ready to roll.
- Sorry, did I interrupt something? - No.
Pamela, you should try and relax.
I am trying to relax.
The episodes happen when I don't relax.
Do you really think you can fix this?
I... hate to be insensitive,
but would it be the worst thing ever if we can't? I mean...
You know, I like sex as much as the next girl.
Like in bed or even in private.
But when you can't go to the movies or drive a car,
or go to church with your parents...
Oh, my God.
You know that dream where you show up in high school naked?
Yeah.
Yeah, well, I would really, really like to wake up.
[Meredith] It's crossed the intrathoracic fascia?
I'm afraid so. I'm going to have to go into the chest wall.
- He made 17 hate tapes. - I'm sorry?
Videotapes of himself, telling people how much he hated them,
spewing every hurt feeling he ever had.
- And he mailed them? - No, he wanted me to,
but I don't think it's a good idea. He was scared.
He was in shock. He wasn't thinking clearly.
That's not for you to decide, Dr. Grey.
He asked you for something. And you told him you would do it.
If you don't, that doesn't make you noble, it makes you a liar.
Did you know she kept her apartment?
Yeah. I did. Sorry.
[drill]
And now Dr. Shepherd is opening the skull cap.
That's what he's doing. Yes, he is.
Basin. This is done.
- [Derek] Oh, son of a bitch. - [rapid beeping]
Give me a sponge. Hang another unit of blood.
- [Cristina] I've got it. - Too much blood.
- [Derek] Pressure infuser. - No carotid.
- [man] We've got v-fib. - [Derek] Get ready to bag him.
- [Derek] He's losing a lot of blood. - [Alex] Paddles!
- [Derek] Quickly! - [Mark] Charge to 200.
[nurse] Charging.
[beeping]
- [Derek] Watch out, stand back. - [Mark] Clear!
[heavy thud]
[continuous beep]
[Alex] Shame he never had his face fixed.
- Dr. Sloan? - Yeah?
All right. I got the parent's approval.
- You don't... really need those. - Right.
Scalpel.
Mr. Eaton? Can you hear me?
- [Mr Eaton] Oh, God. Uh... - Don't try to sit up.
You're going to be in pain for some time.
But I'm pleased to report we removed the entire tumor.
Wait, I'm alive?
Yes, sir.
- You are alive. - [groans]
My tapes.
Would you like me to throw them away?
No. I'd like you to mail them.
I have to say my piece.
Sometimes a man has to say his piece.
Mer.
Uh, do you want, uh...
I want to take you out for a drink tonight.
Maybe not Joe's. Maybe some place where we can talk?
There's something I need... want...
to talk to you about.
It's important. It's...
I don't want to make videotapes on my deathbed.
[door buzzer]
[# Rosie Thomas: It Don't Matter To The Sun]
She had an affair.
Yes.
Why didn't you stay and fight for us?
I did. I... I tried.
Why didn't you try harder?
You just left.
Meredith...
Is there anything that you need?
Anything at all?
No.
I don't need anything from you.
[elevator bell pings]
- Hey. - Hey.
- I didn't see you all day. - I didn't want to see you today.
- It's not my fault he showed up, Derek. - I know.
- Don't beat yourself up. - I'll take the stairs.
Oh, come on!
- How come you forgive her but not me? - I didn't forgive her.
And with you, I have no obligation to try.
Your marriage is over, Addison.
All you have to do is admit it.
Then you can come back home with me.
I'm going to the bar across the street.
Meet me there.
[# Headlights: Everybody Needs A Fence To Lean On]
He looks... peaceful.
He does.
[sobs]
[door opens and closes]
Um...
I am Preston Burke,
a widely renowned cardiothoracic surgeon.
I am... a professional.
And more than that, I'm a good and kind person.
I am a person that cleans up behind myself.
I am a person that cooks well.
And you? You are an unbelievable slob.
A slovenly, angry intern.
I am Preston Burke
and you are the most competitive, most guarded, most stubborn,
most challenging person I have ever met...
and I love you.
What the hell is the matter with you that you won't just let me?
I gave up my apartment 20 minutes ago.
Well, all right, then.
[# Corinne Bailey Rae: Like A Star]
[Meredith] I've heard that it's possible to grow up.
I've just never met anyone who's actually done it.
Dr. Stevens? Um, after the surgery, will I still be able to...
When I want to, will I still be able to have...
you know, episodes?
Even better, Pamela, you'll be able to have orgasms.
Without parents to defy, we break the rules we make for ourselves.
We throw tantrums when things don't go our way.
Hey.
She doesn't hear me.
- What? - She doesn't even hear me when I talk.
She will if you make her.
You fed the beast, didn't you?
Twice.
[Izzie laughs]
I'll see you later.
Bye.
We whisper secrets with our best friends in the dark.
[sighs]
Meredith came to see me today.
Poor baby. Poor thing.
Her father left, you know.
I think she knows about us, Ellis.
I think she's figured it out.
She's five years old, Richard. [chuckles]
We look for comfort where we can find it.
This seat taken?
I guess not.
Double scotch, single malt.
You look sad.
I just saw my father for the first time in 20 years.
How did that go?
Could have gone better.
What are you still doing here?
I'm hoping Addison shows up.
- You're still in love with her? - You're still in love with him.
She won't show, you know.
No?
He's not the kind of guy you leave if you can help it.
What if you're wrong?
What if, just this once...
Iife comes down on the side of the dirty mistresses?
And we hope,
against all logic, against all experience.
Like children...
we never give up hope.
[knock at door]
[sighs]
Come in.
I know I'm not a world-renowned surgeon.
And I know I'm not a lot of things that you've gone for in the past.
I know.
But...
I would never leave you.
I would never hurt you.
And I will never stop loving you.