04x03 - Let the Truth Sting

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GREY'S ANATOMY

4x03: Let The Truth Sting

Original Airdate: 10/11/2007

Written by: Mark Wilding

Directed by: Daniel Minahan

Provided by TVTDB.com

(Izzie is waiting near the elevator, pacing)

MVO: Doctors give patients a number of things. We give them medicine, we give them advice. And most of the time, we give them our undivided attention.

(Alex, Lexie and a bunch of interns are in the elevator)

Male Intern: I heard he saved a guy who coded yesterday, by himself.

Female Intern: He just knows things...never messes up in rounds, always has the answer.

Female Intern 2: And he's so calm. I'm always terrified, but he's, like, steady.

Male Intern 2: Best intern ever.

Alex: Hey, who are they talking about?

Lexie: George O'Malley.

Alex: Seriously? Don't they know that he...

(Lexie shhs him)

(Alex exits the elevator where is)

MVO: But by far the hardest thing you can give a patient is the truth.

Alex: You know O'Malley's got these morons snowed? They don't even know he's a repeater.

Izzie: Yeah, whatever.

(Derek, Meredith and Cristina are in the same elevator)

Meredith: Hey.

Derek: Hey.

Meredith: How are you today?

Derek: Good.

Meredith: Great.

MVO: The truth is hard. The truth... is awkward. And very often...the truth hurts.

(They all exit the elevator where Izzie is standing. Derek and Meredith walk away)

Izzie: Damn it.

Meredith: Bye.

Derek: Bye.

Cristina: She's doing McDreamy. She's doing McDreamy and lying about it.

Izzie: That's great.

Cristina: She thinks I'm weak, that I'm fragile. Like I can't handle it 'cause of Burke.

Izzie: Poor Cristina. All alone.

Cristina: Damn right. Poor Cristina.

(George finally exits the elevator)

Izzie: George, what happened?

MVO: I mean, people say they want the truth. But do they really?

(Derek and Meredith have just finished having sex in a supply closet)

Meredith: Do I have sex hair?

Derek: Uh, if I did my job right.

Meredith: You go ahead.

Derek: What?

Meredith: You go ahead. I'll wait a minute.

Derek: So this isn't just breakup sex. This is secret breakup sex. Is this about cristina, this

morning in the elevator?

Meredith: I don't know. I don't know what to do, you know? We don't talk about

it, the whole Burke thing. I mean, I want to be a good friend. I want to take care of her. But you don't take care of Cristina.

Derek: Okay, so by being with me you're cheating on Cristina?

Meredith: Just, if she knew about you and me...

Derek: You'd have to talk about it. You'd have to talk about you and me, and it'd be a long

conversation, and there'd be no time left over to talk about her.

Meredith: I told you, we don't talk about it.

(Alex is at the nurse's station with his interns)

Alex: Pierce, you're in the pit. James, need you in peds. Laura, you're on scut.

Laura: I was on scut yesterday.

Alex: Oh, and just for that, you're on scut tomorrow get lost.

(Richard walks up)

Richard: Dr. Karev, this is dr. Normal Shales.

Alex: Hey.

Norman: Oh, a strong handshake. That's a good sign.

Richard: Norman is transferring in from UCLA. I want him to work with you.

Alex: Oh, are you the new OBGYN guy?

Norman: I don't have a specialty yet.

Richard: Norman is an intern. You'll be his resident.

Alex: He's my intern?

Norman: Don't worry, son. This tugboat's ready to pull his own weight.

Richard: Age is just a number, right, Norman.

Norman: Absolutely.

Alex: Pretty important number.

(Meredith walks up to the nurses station where Cristina is)

Meredith: Hey.

Cristina: Hey.

(Cristina sounds sad)

Meredith: You okay?

Cristina: I don't know. I think it's all just hitting me...you know, stupid Burke dumping me and then stupid mama coming to reclaim her...magic necklace.

Meredith: Do you want to talk about it?

Cristina: No, not really, not... yet.

Meredith: Okay. Well, if there's anything I can do...

Cristina: You know, I just wish I had a good, bloody surgery. You know, bloody surgeries make me feel better. One, two, three, four... follow me.

(Mark, Richard Meredith and her interns enter Connie's room)

Elaine: Oh, Joanne, this is why you and I need to get sick, these doctors.

Joanne: One's more handsome than the next.

Connie: Oh, and here comes the handsomest one of them all. Hi, Dr. Webber.

Richard: Connie.

Connie: He took my appendix out three years ago. Barely left a scar. How's Adele?

Richard: Um, oh, she's good, good. Uh, marriage is hard. Uh, but we're dating again. Uh, and she agreed to date me tonight...but, um...more...more importantly, how...how are you doing?

Connie: Oh, I just had a little bump on my tongue removed is all. Couple of taste buds. Turns out it was a little touch of cancer. So I'm here to have the rest out. I mean, you know, the cancer, not the taste buds. I don't know exactly how bad it is because Dr. Sloan over there has been awfully quiet.

Joanne: 'Cause you don't let him get a word in edgewise is why.

Richard: Uh, how is she, Dr. Sloan?

Mark: Well, we just got back the pathology report. Connie, unfortunately, the cancer is a

bit more widespread than we'd hoped. It's over 60% of your tongue.

Joanne: Well, what... what does she do, chemo?

Mark: I think the, uh, best bet is a micro-vascular free flap. Dr. Grey?

Meredith: Uh, he'll remove the cancerous part of the tongue, and then reconstruct it with a strip of flesh from your legs. George?

George: Uh, the extra flesh will provide the bulk your tongue needs to breathe properly, chew, swallow.

Connie: And talk? Dr. Sloan...I'll be able to talk, won't I?

Mark: You will be able to talk, Connie. I just don't know how well you'll be understood.

Elaine: You'll be okay.

(Alex and Norman enter the clinic)

Bailey: What are you doing in my clinic, Karev? I thought you didn't work in the clinic anymore.

Alex: Oh, I don't, but I thought I could get my new intern Norman here settled in with you. Bailey's the best. You'll really learn from her.

Bailey: Oh, pleased to meet you. You want to leave Norman with me while you troll for surgeries.

Alex: The dude's got a bum hip, and he smells like arthritis cream. He can't keep up. Come on. Do me a favor ,and I'll do you a favor.

Bailey: I'm calling in my favor now. Curtain five. You can take your intern and show him how we do an H&P. Nice to meet you, Norman.

Norman: Thank you.

(They walk over to curtain five)

Alex: Hunter, uh, I'm Dr. Karev. This is Dr. Shales. What's, uh,what's going on?

Mrs. Chapman: My son is on dr*gs.

Hunter: I'm not on dr*gs, mom.

Mrs. Chapman: I wasn't born yesterday. I know the signs. He's lethargic, irritable, and the last two months, his schoolwork's gone down the drain.

Hunter: I'm not on dr*gs.

Alex: Okay, there... there are a host of reasons why your son could be exhibiting those symptoms. Um, I think we should run some tests, see if there's any...

Mrs. Chapman: But first a drug test, Dr. Shales. I'm right to want a drug test.

Alex: Yeah, I...I just said that...

Norman: Mrs. Chapman, you are not wrong. My Mary Beth, god rest her soul, was just like you. When one of our kids started heading down that slippery slope, she just knew it. You have a mother's instinct. Right, Dr. Karev?

Alex: Yeah, right.

(Izzie drags George into really old guy's room)

Izzie: Okay. What happened? George, it's really old guy. We could bring a marching band in here, and he wouldn't know the difference. What happened with Callie?

George: What happened? I...

Izzie: I thought you were gonna tell her last night.

George: I tried, but she would not let me. She... she wouldn't let me. I wanted to k*ll her, but then I couldn't k*ll her because she did help me through a lot of stuff. And it was a lot of stuff and, you know, she did help me through it. But then I wanted to k*ll her again, because who marries someone who just buried their father? And then I went to bed.

Izzie: So what does this mean?

(Izzie's interns enter)

Izzie: What do you guys want? I told you I needed a minute before rounds.

Intern: We heard you saved a guy yesterday.

George: What?

Izzie: Rounds.

George: Excuse me.

Izzie: We'll start in here. Graciella, what can you tell us about really old guy?

Graciella: He has a name.

Izzie: I know he has a name. We call him really old guy. Catch up.

Graciella: 82-year-old,semicomatose male, uh, came in a year ago, status post fall and is post-op day 352 from...

Izzie: Which basically means that he hasn't woken up for a year. So what's the treatment plan?

(They all hesitate)

Izzie: It's really very simple. Daily labs and dialysis three times a week.

Really Old Guy: Don't bother with any more dialysis. I plan to die today, so it won't be necessary. Nice to meet you. And while I think really old guy is charming, in a "neglected patient" kind of way, my name is Charlie. Charlie Yost.

(Izzie is in Charlie's room. Alex and Meredith enter)

Meredith: Hey, I just heard. Welcome back.

Alex: Is it true? Really old guy woke up?

Izzie: He has a name.

Charlie: This time tomorrow, you can call me really dead guy.

Izzie: Guys, I don't think Mr. Yost knows who you are.

Charlie: Sure I do. That's Meredith. She and the brain doctor are always running hot and cold. And you're, uh, Alex. You still got a thing for that old patient of yours? I was semi-comatose, blondie. I could still hear you guys.

Izzie: Get a CT, a CBC and chemistries. Your kidneys may be working again, which may be why you woke up. That's good news.

Charlie: Oh, it just means now I got two things to do today, take a pee and die.

Izzie: Nobody's dying.

(Richard walks up to Mark who is at the nurse's station)

Richard: Functional muscle transfer.

Mark: What?

Richard: For Connie Williams. I was reading up on glossectomies and saw the procedure. Could micro-surgically re-innervate her hypo-glossal nerve.

Mark: A nerve graft? It's too risky. A free flap's still your best bet.

Richard: Oh, even if that goes well, you and I both know she'll never speak the same. That woman loves to talk more than anyone I know.

(George walks up)

George: What's a functional muscle transfer?

Richard: You won't find it in the books, O'Malley. It's cutting-edge. You connect the nerves from the leg with the nerves from the tongue. Gives her a sh*t at really speaking.

Mark: If it works. They've only done a half a dozen of them.

Richard: Better than none. Sometimes you gotta push the envelope, Sloan.

George: Why? Why is it better to do a surgery that neither of you have done than to do a surgery that you know at least gives her a chance to he a normal life? Do you know how to do this procedure?

Richard: Are you saying that we're too old to learn new ways, O'Malley?

George: No.

Richard: Are you saying we're old dogs who can't learn new tricks?

George: No, I just...

Mark: We're not old dogs.

Richard: We still got it.

George: Okay.

Mark: I did do a functional muscle transfer to restore elbow function once.

Richard: Elbow, tongue... that's pretty close. Come on. What do you say? Let's light this candle.

Mark: Yes, sir.

Richard: Age is just a number, O'Malley.

George: Oh, yes, sir.

(Bailey enters the room where Callis)

Bailey: I got Karev down in the clinic all day. Hope that's not a problem.

Callie: Nope.

Bailey: I know how you like to be told these things, so I'm telling you.

Callie: Thank you.

Bailey: Oh, he tried to dump a new intern on me... Karev. Clearly he's not interested in teaching.

(George walks past the window)

Bailey: Thank you for letting me know.

(Mark and Derek are in an office)

Mark: Do you ever feel old?

Derek: I'm young. I'm a fetus.

Mark: Nah, I mean you ever feel like there's gonna be a time when new techniques pass you by?

Derek: I'm a genius and a scholar.

Mark: Shut up.

Derek: Meredith isn't telling Cristina about us. And, well, she tells Cristina everything.

Mark: I thought you broke that off.

Derek: I meant to.

Mark: You think she's gonna want to get back together.

Derek: No.

Mark: You think she's gonna grow up and get all whole and...want a relationship.

Derek: I do not.

Mark: You're a bad liar.

Derek: You're old.

Mark: I'm just gettin' started, my friend.

(Meredith walks up to the nurse's station where Cristina is)

Meredith: Hey. You feeling any better?

Cristina: I heard you're on that hemi-glossectomy.

Meredith: The tongue surgery? Yeah.

Cristina: Oh, here I am stuck in the pit with those know-nothing interns. You'd think eventually I'd catch a break.

Meredith: Cristina...are we ever gonna talk about this, the Burke thing?

Cristina: I'm not Izzie. I'm not gonna lie on the bathroom floor all day. I'm gonna lie here on the counter.

Meredith: I'll trade you the hemi-glossectomy.

Cristina: What?

Meredith: You take the hemi-glossectomy, and I will take the ER. And your interns.

Cristina: Are you sure?

Meredith: Take the surgery if it makes you feel better. You're starting to freak me out.

(Meredith walks away and Alex walks up)

Alex: I saw the whole thing, Yang. You can stop pretending.

Cristina: Oh, I'm not pretending. I'm sad. I'm very sad. Me so sad.

Alex: Maybe I should try it, see if I can get Grey to take my new intern.

Cristina: No. Hey, forget it. Sad is mine. Go find your own pretend emotion.

(Charlie is yelling to Izzie who is outside his room)

Charlie: Blondie! Hey, blondie.

Izzie: Charlie...I have a million charts to update. I'm busy.

Charlie: I want lobster.

Izzie: What?

Charlie: For my last meal. It's traditional. The dying man gets to choose what he wants to eat.

I want lobster.

Izzie: I'm not getting you lobster because you're not dying. I won't allow it.

Charlie: A man can only hang on for so long, blondie. After a while, it's just not worth it.

Izzie: Don't you have any friends, family, anyone?

Charlie: They're all dead or on their way to dead. You'll understand someday when you're older, less naive.

Izzie: I'm not naive.

Charlie: You and what's his face, that's not naive?

Izzie: I don't know what you're...we're not...he's not...you know about what's his face?

Charlie: I know you're crazy if you think he's leaving his wife. Guys always say that.

Izzie: Well, not that it's any of your business, but this is completely different.

Charlie: I'm sure it's true love. I'm sure he's told his wife. I'm sure he's moved out. And I'm sure all your friends know, right?

Izzie: Yeah.

Charlie: By the way, I want real lobster, not that fake whitefish crap.

(Meredith walks up to Lexie who is at a desk in the ER)

Meredith: Hey, I'm filling in for Cristina. So how's it going?

Lexie: I pulled a splinter out of a guy's toe, and now I'm writing about it.

Meredith: Okay. Well, if you have any questions...

Lexie: I have a lot of questions, just not about a splinter.

Meredith: Okay.

Lexie: Okay.

(Ambulance driver enters with gurney)

Ambulance Driver: 40-year-old unrestrained driver in a rollover MVC

Meredith: Trauma one.

Ambulance Driver: Lost vitals on the scene, and we were unable to intubate.

Meredith: Lexie, let's go. Open the intubation tray. How long's he been down?

Ambulance Driver: Took ten minutes to load him,14 to get here, so 24.

Meredith: Push another epi. You know how to intubate?

Lexie: Uh, I've never done it.

Meredith: But you've seen it done?

Lexie: Yeah, a couple of times.

Meredith: Okay, come do one now.

Lexie: Are you sure?

Meredith: Visualize the cords, pull straight up, watch the tube go through the cords.

Lexie: I...I...I can't see the cords. You should do this.

Meredith: Okay, you can do it. Just don't rock up against the teeth. Just pull straight up.

Nurse: Pulse ox is down to 86.

(Meredith and Lexie are alone and the patient has obviously d*ed)

Meredith: That wasn't bad

Lexie: What

Meredith: That wasn't bad for your first intubation.

Lexie: Is that some kind of joke? The guy is dead. He d*ed.

Meredith: He was dead when he came in here. He was dead on the scene. He was dead for 15 minutes in the ambulance. He was dead before I asked you to intubate.

Lexie: You're pretty cavalier, don't you think? I mean, they brought him here for help.

Meredith: They brought him here because they're legally required to. And I had you intubate because I'm required to teach you, and that is how you learn.

Lexie: No. No, you should have done everything that you could.

Meredith: That was everything I could.

Lexie: Well, what kind of doctor are you?

Meredith: What is this about? If you don't want to learn from me, that's fine. But I have to cover the pit today. So why don't you do both of us a favor and go help Bailey in the clinic?

Lexie: Fine.

Meredith: Fine.

(Izzie sits down at a table with George)

Izzie: Pretend I'm not here. Pretend I'm not busting in on you and pictures of... really disturbing tongues. But really old guy is giving me a hard time. I liked him so much better when he was sleeping, which he's not. He's awake. You've probably already heard. But my point is, is that he's stubborn. He's stubborn and really old, and he's telling me I'm an idiot for thinking yore gonna leave Callie. Seriously? We're in this together. You're gonna tell her tonight, right? George?

George: I...I...I have to get this research done.

Izzie: You're not gonna tell her.

George: Wasn't it just yesterday when you said that you didn't want me to tell her?

Izzie: Fine! Forget it. Just play with your stupid pictures of tongues.

(Alex, and Norman go to talk to Mrs. Chapman)

Norman: We got the tox screen back, Mrs. Chapman. Your son's not on dr*gs.

Mrs. Chapman: You're sure? There's no dr*gs in his system?

Norman: No, came back clean. Your son is fine.

Mrs. Chapman: This is not my son, Dr. Shales. It's... not.

Alex: Maybe we should order some more tests.

Norman: You know, he's a teenager. I've raised four of 'em myself. Teenagers don't like to do their homework, they talk back to their parents, and they never come out of their rooms.

Hunter: You have apple hair. I threw a pancake in the river, a pancake!

Mrs. Chapman: Hunter...

Alex: Do you know what you just said?

Hunter: I'm... I'm not sure.

Alex: Did you mean to say it?

Hunter: No, I...I was trying to say that I wanted to go home.

Mrs. Chapman: Oh, my god.

Alex: Yeah, we need to do a full neuro exam. Order a head CT and labs, now.

(Connie Williams room)

Joanne: It's gonna be okay, you know? It is. It's gonna be okay.

Connie: Do you think so?

Joanne: Dr. Sloan's gonna do this fancy new surgery. Maybe you'll make it into the medical journals. Maybe be famous.

Connie: What if the surgery doesn't work? What if this is my last chance to talk? I still have so much to say.

Elaine: Say it now, Connie.

Joanne: Don't be so morbid. The surgery will work. You'll be fine.

Elaine: She should say it all now, Jo, just in case. She shouldn't have any more regrets. You can tell us anything, Connie. We're your best friends.

George: You should tell them. I'm sorry. I don't mean to pry. But if you have something you

want to say, you should say it. I've been here a while. I've been here long enough to know that things don't always go the way that you want them to, and if there's something you want to say, you should say it.

Connie: Joanne, you've gotta stop wearing those pants.

Joanne: What?

Connie: Those pants make your ass look like two puppies are struggling to get out.

As a matter of fact, all of your pants are too tight. You have to buy some new pants. And, Elaine, your breath is god-awful.

Elaine: My breath?

Connie: I mean, you need to see a doctor or something because I know you have good hygiene, but sweet god, your breath is bad. And you've got to get a new hairdo. The '80s are over, honey.

(Izzie enters Charlie's room, Tyler is there)

Izzie: What now?

Tyler: He keeps pulling off his monitor leads. I told him he can pull 'em off all day, he's still not gonna die.

Charlie: I'm sick and tired of waiting.

Izzie: Yeah? Well, I'm sick and tired of coming to your room every five minutes.

Charlie: Sorry, blondie. It's time I took things into my own hands.

Izzie: Oh, you know what? You want to die? Fine. Here. Let me help you. You missed this one. Damn. You're still with us. Oh, wait. This looks promising. A nice, thick wire. How's that? Any luck? No? Well, no wonder. That's why. It's attached to this lamp. okay. Well, let's see what else we got.

Tyler: Dr. Stevens.

Izzie: What?

Tyler: Dr. Stevens, he's not breathing.

Izzie: What?

Tyler: He doesn't have a pulse. He's in cardiac arrest.

Izzie: I swear to god, I didn't do anything.

(Izzie, Tyler and the crash team are trying to revive Charlie)

Izzie: Are the epi and atropine in?

Tyler: Epi's in. I'm pushing atropine now.

Izzie: Hold CPR, let's see what happens.

Tyler: Looks like v-fib.

Izzie: Charge the paddles,300. Clear.

Tyler: No change.

Izzie: Charge again. Clear.

Doctor: I've got a pulse.

Izzie: Charlie? Charlie?

Charlie: Stop saving my life.

(George is walking through the hall with Connie on her way to surgery)

Connie: I can't believe I said all that. Do you believe I said all that?

George: Not really, no.

Connie: You think I hurt their feelings? I mean, real bad hurt their feelings? You think they'll forgive me? You told me. You told me to tell them. You told me to say everything. You said it would be okay.

George: I'm really sorry.

(Lexie enters the clinic and walks over to Bailey)

Lexie: Dr. Bailey, Dr. Grey sent me down here to work with you.

Bailey: Oh, she did, did she? And why is that?

Lexie: Truthfully? Uh, she didn't want to work with me anymore. She kicked me out.

Bailey: You can go and tell Dr. Grey that the clinic is not a dumping ground for strays. We are not the island of broken interns. Please go tell her that.

Lexie: Please don't make me do that. I...I can't work with her, with Meredith Grey. I...I...I can't work with her because I can't look at her. 'Cause she hates me, she hates my dad, she obviously hated my mother, and I am...please just...just let me work down here today. Please, Dr. Bailey.

Bailey: Kid in curtain three needs stitches. Go.

(Derek enters the CT examining room where Alex and Norman are looking at Hunter's CT)

Derek: Okay, what do you got, Karev?

Alex: A teenager came in...the clinic this morning, he was lethargic, irritable, dysphasic.

Derek: Right. I'm sorry. I don't know you.

Norman: Uh, Norman Shales, up from UCLA.

Derek: Are you neuro? I thought I knew all the neuro guys down there.

Alex: Norman's an intern, Dr. Shepherd. My intern.

Derek: Welcome to the program.

Norman: Thank you.

Derek: Good. Okay, what do we got? Oh, look at this. Kid's got hydrocephalus. It's pushing up against his Broca's area. Yeah, which explains the screwed up speech.

Norman: I was sure it was dr*gs. Well, that's what happens when you're...you're a pharmacist for 30 years. You're sure that everybody's hooked on pills or reefer.

Derek: Right.

Norman: I won't make that mistake again. No, sirree.

Derek: Right. Okay. Um, we need to put in a shunt. Yeah, schedule an OR. Then we'll go talk to Hunter and his mom.

Norman: Will do, captain.

(Norman leaves the room)

Alex: Guy doesn't know when to shut up. He does it with the patients, too.

Derek: Well, you're his resident.

Alex: I know, I know, but it'd be like yelling at my grandfather.

(Cristina walks up to Izzie who is at the nurse's station.)

Cristina: Hey. I heard about really old guy. What's the matter? Couldn't find his LVAD wire?

Izzie: It was a coincidence, and he's still alive.

Cristina: Well, have fun with really old guy. I'm off to do Meredith's... hemi-glossectomy.

(Cristina walks away and Meredith walks up)

Izzie: Oh, hey. Hey, has George said anything to you...

Meredith: She's faking. She's faking sadness, pretending to be sad to steal my surgeries.

Izzie: Okay, I have a really old guy trying to k*ll himself and problems of my own. So I don't have time for the two of you and your fake drama.

(Izzie is in Charlie's room)

Charlie: A person wants to die, you let them. It's polite.

Izzie: Not in a hospital, it's not. In a hospital, it's a lawsuit.

Charlie: I don't like you.

Izzie: Really? 'Cause I thought we were BFFs.

Charlie: You know what? Just for that, I'm dying right now.

(Charlie strains really hard)

Izzie: That might make you poop your pants, but it's not gonna make you die.

Charlie: Oh, damn it.

Izzie: You really think he's not gonna leave his wife?

Charlie: I think if a person wants to do something, like die, they do it. Maybe I'm wrong. Maybe there's hope. Maybe he'll tell her, and you two will get together and end up happy.

Izzie: You think?

Charlie: Not that I'll be alive to see it.

Izzie: You're not dying, Charlie. Not on my watch.

Charlie: Dead man walking.

Izzie: I don't see much walking, Charlie.

(Bailey enters the room where Callie still sitting)

Bailey: Uh, you know Yang and Grey are playing musical chairs with their interns?

Callie: Oh?

Bailey: I mean, I just thought that might interest you, seeing as how one of Yang's interns

is actually one of Grey's relatives...and the two Grey's are having some kind of family feud.

I'm just saying, it would probably be best if the residents stuck with their own interns in the future.

Callie: Yeah. I got it. Thanks.

Bailey: You plan to hide out in here all day long, or you plan to emerge at some point and do your job?

Callie: Why would I come out there to do my job when you clearly do it so much better? I'm doing paperwork, Miranda, because I don't have any more fight in me. I...I don't want to fight

you. I don't fight my...I...I don't...I don't want to fight today. So...I'm doing paperwork. Okay?

(Mark and Richard are in Connie's surgery)

Mark: The graft's a perfect fit.

Richard: It's got good vascularization.

Mark: And at this rate, you may actually get to go on that date with Adele.

Richard: Yeah, I better. Can't very well have her take me back if I cancel our first date.

George: Where you taking her, chief?

Richard: Oh, there's a nice little Chinese restaurant we like to go to.

Mark: Hmm.

Cristina: What happens next?

Richard: Dr. Sloan, I don't...

Mark: I know.

George: Is everything okay

Mark: Um...we're not sure.

George: What does that mean?

Mark: It means we've never done this before.

(They are still trying to figure out how to proceed with Connie's surgery)

Richard: What about if we coapt the lingual nerve underneath here?

Mark: No, we'd end up losing the vascular supply. The graft might not work at all.

Richard: She likes to talk, Sloan. She likes to talk a lot.

Mark: We need an extra set of hands. Someone who knows nerves.

Richard: O'Malley, get Dr. Shepherd.

George: Yes, sir.

(George is walking in the hall with Derek)

Derek: A functional muscle transfer of the tongue?

George: It was looking good for a while, but, um...

(Derek walks toward the OR and George sees Izzie)

George: I'll be right there.

Derek: Yeah.

(George enters a conference room with Izzie)

George: Izzie...

Izzie: What? What is there to say, George, I'm a blondie. I'm the other woman. I'm a bad '50s clich�?

George: No, no, no. We're not in this together.

Izzie: Wow. Great. Well, thank you for letting me know.

George: Hey no, no. No. You don't get to be mad here.

Izzie: Seriously? We said...

George: No, no, no, no. There is no "we. " It's just me. I'm the one who has to tell Callie. I'm

the one who has to destroy her. This is not about you and me. This is about her and me. I'm ending a marriage to a wonderful woman. Me. I'm the one. It's not you. You... it's not something you just blurt out. It's not. I'll do it. I will do it. You have to back off and let me do it.

Izzie: I'm sorry.

(Bailey and Meredith are walking in the ER together)

Bailey: You traded...a hemi-glossectomy for the pit?

Meredith: It's a long story.

Bailey: A long story that ends with you pawning off Lexie Grey on me?

Meredith: I had her do an intubation on a dead guy. It's something you used to have us do all the time. I was trying to teach her. Whatever she told you...

Bailey: She told me you hate her.

Meredith: I don't...

Bailey: And that you hated her mother...

Meredith: I didn't say that.

Bailey: Her mother, who came to you with a case of hiccups and d*ed in our hospital. Do you see where I'm going with this?

Meredith: She's not my intern.

Bailey: No, she's your sister, and you haven't had a kind word to say to her since she got here. And you were her mother's doctor. Now what is she supposed to think? Look, whether you like it or not, your job is to help that girl be a better doctor. So help her.

(Izzie walks up to Tyler)

Izzie: You paged me?

Tyler: Really old guy...He's checked out AMA. He's leaving the hospital.

Izzie: What? He can't leave. He's sick. He can barely walk, and I got him lobster.

(Alex enters the clinic to find Hunter on the floor)

Alex: I got a 911.What happened?

Nurse: He collapsed.

Mrs. Chapman: He started talking that nonsense talk and...

Alex: His pupil's blown. His brain's starting to herniate. Page shepherd. Norman, take over the bag. We gotta get him up on the bed.

Mrs. Chapman: What's happening?

Alex: Count of three. One, two, three.

Mrs. Chapman: What's happening to my son?

Alex: Spinal fluid's backing up. It's putting pressure on his brain.

Nurse: Shepherd's not answering his page.

Alex: Try it again.

(Bailey walks up)

Alex: What do I do?

Bailey: Uh, hyperventilation... mannitol... I don't know everything. Go. Get Shepherd. Go.

(Alex runs to and enters Connie's OR)

Alex: Dr. Shepherd.

Derek: I'm a little busy right now making medical history, Karev.

Alex: Hunter Chapman's brain is herniating. His right pupil just blew.

Derek: Okay, you need to do exactly what I say, or that kid's gonna be dead in the next ten minutes. Can you do that?

Alex: Yes, sir.

Derek: Okay, get the biggest needle you can find.

(Alex runs into the hall, grabs a needle then runs over to Hunter)

Mrs. Chapman: Dr. Karev, what's going on?

Bailey: Where's Shepherd?

Mrs. Chapman: Dr. Karev

Norman: I...I think it might help Mrs. Chapman...

Mrs. Chapman: What are you doing?

Alex: Get her out of here.

Norman: Well, she is the boy's mom.

Alex: Get her out of here, Norman. Get her out!

Mrs. Chapman: What are you doing?

Norman: Mrs. Chapman, he's trying to help.

(Norman moves Mrs. Chapman from the bedside)

Mrs. Chapman: What are you doing?

Bailey: What are you doing?

Alex: Hold his head. Shepherd told me what to do.

(Alex sticks the needle in behind Hunter's eye)

(Izzie enters Charlie's room)

Izzie: Charlie...you can't go. I know that you think your life is over. I know you feel like

you don't have anybody. But your life's not over and...and you have me. You have me. I need you. I need somebody to talk to. Because I think you may have been right before. I don't think George is gonna leave his wife. And I need you to tell me what to do. I...I need some...you can't go, Charlie. Charlie? (She walks over to him and finds that he has d*ed) Charlie? Crap.

(Alex and Mrs. Chapman are at Hunter's side)

Mrs. Chapman: All this time he was telling me the truth

Alex: Once we get the shunt in, any excess spinal fluid will drain to his abdomen. He's gonna be okay. Excuse me.

(Alex walks over to Norman)

Alex: I'm sorry I unloaded on you, Norman. You know how it is? Heat of the moment.

Bailey: Don't apologize to him.

Alex: What?

Norman: Oh, Dr. Bailey's right. It...

Bailey: Shut up, Norman. I'm not talking to you. He got in your way. He's been doing it all day, and when that happens...when an intern gets in the way of a resident...you're not doing what's

best for your patient. Now you almost missed diagnosing that kid today because Norman here thought it was dr*gs. So don't apologize. He should be yelled at.

Alex: Dr. Bailey... he's as old as the hills.

Bailey: I don't care how old he is, Dr. Karev. He's still an intern, and interns are basically teenagers. We are not hard on them because it's fun. We're hard on them because this is a life-and-death job. They need to learn that. There is a reason why we have a pecking order in a hospital. It saves lives.

(Mark, Derek and Richard are in the scrub room cleaning up from the surgery)

Mark: I think that woman's gonna be able to talk for the rest of her life thanks to us.

Richard: I think I still got it.

Mark: I think you do, too. Now we just gotta figure out what you're gonna tell Adele.

Richard: Oh, man. I forgot about that.

Mark: Yeah. First off, don't tell her you want to move back in.

Richard: No?

Mark: Reeks of desperation. It's a deal breaker. Trust me.

Derek: You know what? I can't take this anymore. You guys are kidding yourselves. You know how close you idiots came to that woman losing her tongue, to her never speaking again? Oh, yeah, you were a couple of cowboys in there, telling yourselves you can do this, acting like the big boys. You had no business doing that surgery. No business. Lucky I came in when I did. Shame on you. And shame on you. As for Adele, tell her you can't imagine your life without her. Tell her for the last month you been walking around this hospital at night just thinking about her.

Tell her the truth. I'm sorry I called you an idiot.

(Derek leaves the scrub room)

(Meredith walks up to Cristina in the hall)

Meredith: Hey. So I've been thinking about how you're sad, and what I can do to help.

Cristina: Oh, you have another surgery?

Meredith: No, that's not what you need.

Cristina: Well, it kind of is.

Meredith: No, what you need is me and my time. So I thought we could go back to my house and get into our pajamas. Just sit and talk about this whole Burke thing and really get to the root of your feelings. Just talk all night long if we have to.

Cristina: Talk.

Meredith: Talk...and cry. Cry.

Cristina: You know.

Meredith: You're damn right I know, surgery stealer.

Cristina: So, person-who-is-sleeping-with-Derek?

Meredith: How'd you know that?

Cristina: What, you think I'm too fragile to handle your sex life?

Meredith: Well, he did leave you at the altar. And I'm your person.

Cristina: How, by...by "protecting me"? That's not how to be my person. That's not what we do. You know that. I'm dealing. Okay? The best I can. So if you need to take care of someone, you're gonna need to take care of someone else. Okay?

Meredith: Fine. But you owe me a surgery.

Cristina: Yeah, well, you owe me sex details.

(Alex walks up)

Alex: Are we doing this or not?

(They all enter Charlie's room)

Cristina: What are we supposed to say? We didn't even know the guy.

Izzie: We ate lunch in here for a year. The least we can do is say a few kind words about him.

George: Me? He...he didn't snore too loudly...

Meredith: He, um... never complained. And he always took his meds.

Alex: Hardly ever farted.

Meredith: Alex.

Alex: Fine. Uh, he had 12 surgeries this year, and he...he lived through them. That's...that's impressive.

Izzie: Thank you, Alex. Cristina?

Cristina: Uh, I got to practice stuff on him...central lines and IVs...it was good practice.

Izzie: Um...Charlie, the truth is...you were a bastard. You were. You were mean and stubborn and just...a bastard. But you were a bastard who knew what you wanted. And you stuck to your g*ns and proved that if you want something badly enough, if you're...determined enough and patient enough, eventually it will happen. It will. And that gives me hope, so...thanks for that. Bye-bye, Charlie.

MVO: The truth is painful...

(George is in Connie's room)

George: It went really well. Your friends, uh...I am so sorry. I haven't seen them.

(Joanne and Elaine enter)

Joanne: How'd she do?

George: Great. She did great.

Joanne: She's gonna talk again?

George: Yeah, the chances are very good.

Joanne: In that case, we have a few things we'd like to say.

your first husband, he put his hand on my ass every chance he got.

Elaine: And your second husband, he spat when he talked, and plus, he was ugly. We know that you thought he was handsome, but the man was a troll.

Joanne: And that guy you dated last year, comb-over guy...Oh, my god.

MVO: Deep down, nobody wants to hear it, especially when it hits close to home.

(Meredith walks up to Lexie who is in the clinic)

Lexie: What?

Meredith: I have your mother's death note here. Everything that happened on the day she d*ed is in here, and I know because I wrote it. So, I'd like to go over with you if that's okay.

Lexie: Yeah.

Meredith: Ok first of all let me just say that everything that happened that day every set back there was one percent chance of each of those things happening one percent and your mother was the one percent. She came in complaining of persisting hiccups. We did an endoscopy out of obligation.

Lexie: You did an endoscopy?

Meredith: So it would be out-patient procedure, we wanted to avoid major surgery. For what it's worth I was very fond of your mother. She was...I was very fond of her. She got bacterial endocarditis.

MVO: Sometimes we tell the truth because the truth is all we have to give.

(Bailey enters the room where Callie still is)

Bailey: I've been having trouble with this whole pecking order of things it's...I've been having trouble cause I'm used to be a number one. But I am not number one, not any more. So the best I can come up with is to be number two. The best damn number two this hospital has ever seen But your number two. I will... I will help you. We'll be like a team. Because...look, girl, you just seem to be having a hard time and I know I am having a hard time but together...we could... do this. I just think we can do this together.

MVO: Sometimes we tell the truth because we need to say aloud to really hear for ourselves.

(Ale, Lexie, George and some interns are in the elevator)

Female Intern: You got to reattach the woman's tongue.

George: I was there, I didn't actually do the reattaching.

Male Intern: Still you are the intern they wanted on that case.

Alex: He is a repeater.

Male Intern: What?

Alex: Your big hero here, he was an intern last year. That's why he got to know some of the stuff. He's already been through it. But if you want learn from someone really, really learn, go to a resident, not this dude.

George: All right, he's right if you want to emulate someone, it's definitely not me. I'm not that guy.

MVO: And sometimes we tell the truth because we just can't help ourselves.

(Norman stares at Alex)

Alex: What the hell are you looking at? Interns.

MVO: And sometimes we tell them because...we owe them at least that much

(George enters the hotel room where Callie is)

Callie: Just say it.

George: I slept with Izzie.