"In the 8th grade my English class had to read Romeo  Juliet." "Then for extra credit," "Mrs. Snyder made us act out all the parts." "Sal Scalperillo was Romeo." "As fate would have it, I was Juliet." "All the other girls were jealous but I had a slightly different take." "I told Mrs. Snyder that Juliet was an idiot." "For starters she falls for the one guy she knows she can't have." "Then she blames fate for her own bad decision." "You kissed me." "Yes I did." "Should we, I mean ..." "There's a discussion we could have, if you wanted to have one ..." "Izzie I kissed you." "With tongue." "And I plan to do it again and again." "Get used to it." "End of discussion." "Okay." "Mrs. Snyder explained to me that when fate comes into play, choice sometimes goes out the window." "Congratulations." "For what?" "Fellowships." "Five applications." "Five offers." "Do you know how rare that is?" "This is your year." "Everybody wants to dance with you." "Of course Seattle Grace's fellowship program is the best." "Oh yeah." "Yeah." "You are taking my fellowship offer?" "I don't know ..." "I haven't made a decision yet." "At the ripe old age of 13, I was very clear." "That love like life is about making choices." "I would not wish this upon anyone." "Literally it's like someone reached in and ripped my guts out." "Baby you had food poisoning." "I had one lousy restaurant clam" "Wait a minute where's billing again?" "The basement." "And fate has nothing to do with it." "We're going the wrong way." "Hey." "Thank you." "It's date night." "Yeah it's a night uh with a date." "You forgot." "No." "Yesss." "You wanna cancel?" "No." "Everything it's so romantic." "Romeo  Juliet." "True love." "How sad." "Oh!" "Crap!" "Sheesh!" "If Juliet was stupid enough to fall for the enemy, drink a bottle of poison and go to sleep in a mausoleum" "she deserved whatever she got." "Window washer." "Fell from 5th floor scaffolding." "Obvious open to hip fracture but otherwise okay." "Equal breast sounds." "After a 5 storey fall he's got equal breast sounds!" "This is unbelievable!" "Do you wanna hear?" "Some how I believe you." "Yang, get in there and palpate his abdomen." " Does this hurt anywhere?" " No." "You fell from the sky. 5 storeys." "And you only injured your leg." "George." "No." "Don't George me." "A few seconds there ago he would've landed on me." "Okay roll him on three please. 1, 2, 3." "Oh." "Are these feathers?" "My life was saved by that pigeon." "Let's get some x-rays." "And after that you might want to get in there and look for the rest of Tweety." "Thank you." "Esme wanted to wait until tomorrow to see her doctor but she hasn't been able to keep anything down since yesterday so I brought her in." "Mrs. Sorrento you have acute cholecystitis which means that your gall bladder may need to come out." "She has gall stones?" "He watches cable;" "he thinks he's a doctor." "I'm giving you antibiotics and IV fluids to cool the gall bladder down and then I'm gonna go call Dr. Bailey and I'm going to see if surgery is the best way for us to go." "Do you have any questions?" "Honey what happened to your forehead?" "Nothing." "I already told you I don't need an appointment." "I'm not a patient;" "I am a friend from New York." "Weiss?" "Derek!" "I've been looking for you." "Sav!" "Oh it's good to see you." "Oh why didn't you tell me you were coming?" "If I knew you were coming I would've taken the day off." "Well it was kinda last minute." "Is everything okay?" "Are you alright?" "A month ago her mother died of ovarian cancer." "Katherine died?" "I'm sorry." "That's Savvy." "I mean you know how close they were." "I mean all she could think about was this breast and ovarian cancer gene." "BRCA." "A positive test result isn't the end of the world Sav." "It just means that you have a gene mutation that could ..." "I know what it is." "I've talked to the genetic counselor." "I've been to my gynecologist and now I'm here." "Addie, you're the best surgeon there is." "True" "But this isn't surgical." "Yes it is." "No Sav, you understand you don't have cancer." "And I have no intention of getting it." "So you want me" "I want you to take out my ovaries and the uterus." "And when that's done you're gonna find the best person out there to cut off my breasts." "Beak?" "Claw." "We need to widen this incision to take a better look." "Does your leg hurt a lot?" "I'm fine man." "Just do your thing." "Is there anyone you'd like me to call?" "What for?" "You fell 5 storeys and lived to tell about it." "I'd kinda wanna shout it from the roof tops." "So to speak." "It's a miracle!" "You may not understand the medicine of it but a 5 storey fall, your lungs should be collapsed, your back should be broken, your aorta should be totally severed" "George, enough!" "I'm just saying there's a reason for this." "You lived!" "We both did." "Carpe diem man!" "Seize the day." "Any chance you could make him leave?" "I really, really wish I could." "Mr. Vargus, your lower left leg bones are shattered." "We need to get you into surgery." "Oh great just my luck." "Beak." "Could I?" "Would you mind?" "Could I keep that?" "My mother died of it." "My aunt." "My cousin!" "She's 37, has ovarian cancer." "But you don't." "You don't have cancer!" "This is crazy Sav." "But I have the gene Weiss ... which gives her up to an 85% chance of getting cancer Weiss." "And a 15% chance she won't." "What are you invited?" "I'm not betting my life on 15%!" "Weiss asked me to come." "I thought it might help." "Help what?" "I'm sorry Derek, cause I love you and I'm really glad to see you but until you grow a uterus and watch your mother die from this disease you don't get you don't get a vote." "She tell you that they were trying to get pregnant?" "Yes she did." "Having a hysterectomy is gonna throw a wrench in that." "Derek!" "We've been trying for months." "Why give up now?" "Come on." "We've talked about this." "There are other ways to make a family Weiss." "We can adopt, we can do ..." "Savvy I just ..." "No." "NO!" "I'm not talking about this!" "Lets just take a step back." "Take a deep breath and think about this." "I've already thought about it Derek." "This ... this is going to happen." "Dr. Stevens get a complete history and her pre-op labs." "Get her scheduled for a double mastectomy and consult" "Dr. Quimar from plastics for a reconstruction." "Derek." "Addison this conversation is not over!" "This ..." "She is my patient Derek!" "Doing a bilateral prophylactic oophorectomy and hysterectomy tomorrow." "Get moving." "Prophylactic surgery is extreme." "This is has nothing to do with you." "Why were you even in there?" "She came to me for medical consultation Derek." "I'm her doctor." "Me." "Those are some of our closest friends." "This isn't medical, it is personal." "Fine." "Okay if it's personal we should be dealing with them as a couple." "Acting like a couple." "Look ..." "What does that mean?" "See the ring?" "Don't go to the ring!" "The ring Derek!" "Remember?" "We're, we're hear at work you won't talk to me or on the ferry where you pretend not to see me or in couple's therapy 3 times a week where we're arguing about whether or not" "we should be in couple's therapy." "What are we doing?" "This is not about us." "It is!" "Medicine aside our friends are going through hell in there and we can't even act like we like each other long enough to help them." "What's that other monogamous animal?" "I think it's bulls." "Oh I know it's hard." "I'm a pin cushion." "It's okay, don't worry." "I won't stick until I find a good one." "Otters mate for life you know." "Excuse me?" "As do bulls I s'pose." "Okay I got it." "Hold still." "It's gonna take a second for the tube to fill." "Hmm I've always like otters." "I've always been more of a dog person myself." "Shouldn't he be more excited?" "Maybe he's in shock, I dunno." "But I mean he survived!" "It's huge!" "He's gotta realize things happen for a reason." "Oh yeah my ex-boyfriend moved his wife to Seattle." "Reason:" "To torture me." "I'm serious." "So am I." "What's with the 'Hello Kitty' on your forehead?" "I don't want to talk about it." "George can I sign out to you early?" "You don't want in on Stu's surgery?" "Can't." "I have a test date." "Burke is testing me." "Plus I've already spent an hour picking bird parts out of the guy." "I'm over it." "Carpe diem." "Giant zit on my forehead and I'm beginning to look how I feel." "Carpe that." "This is the luckiest day in the world!" "Tell that to the bird." "Is it the kid thing?" "I saw your face upstairs." "It's the kid thing for most people." "And the breasts." "Oh and the total menopause like overnight." "It's a big step." "Well I think it's brave." "Thank you." "And yes I'd love to be pregnant." "I want a lot of things." "I wanna ... sky dive." "I'd like to learn Italian." "I wanna go to San Trope with my husband and lie topless on the beach." "They do excellent implants in reconstruction these days." "You won't even know the difference." "Plus you'll never have to wear a bra again." "That's something right?" "Alex, did I see your service on the O.R board for a biopsy right about now?" "Yeah." "It's not the kid thing." "Okay." "What?" "It's not like I have a lot of options." "One take my chances and never get cancer." "Two take my chances and die young." "There's a third option you know?" "Okay I'm listening." "Take your chances, get cancer and fight like hell to survive." "Ah they're both really nice." "I know." "I bought them." "But which one is right?" " For what?" " You're gonna look hot in either one." "Well clearly." "That's not the point." "Wow you look hot." "Yeah." "Burke and I are gonna talk about how hot I am over dinner." "This date is such a mistake." "But it's easy to get nervous on dates." "It's especially hard if you're out of practice so you just got be mellow" "Yeah I know how to date George." "I'm not you." "I have a scheduled for the mastectomy." "And I get to stay while plastics does a transflap reconstruction." "I couldn't do it." "Do what?" "Make yourself all hot and sexy for your boyfriend like Yang?" "Go wrestle something." "I couldn't cut off my ovaries and breasts just because I might have cancer." "Think of it like a hand." "If someone told you you'd die if you didn't chop off your hand you'd do it." "Except when you chop off a hand you don't kill your sex drive, have silicon breasts, get hot flushes and lose your ability to bear children." "If it were me I wouldn't even have the test." "I mean what's the point?" "We're all gonna die anyway right?" "It's the 'Hello Kitty' band-aid on my forehead." "It's freaking me out." "I say slice 'em and dice 'em." "Whatever." "They're body parts." "So you'd cut of your penis?" "If it kept me from dying." "Besides I've got plenty of spare." "I can do hot in my sleep." "I look hot in scrubs." "I'm a hot person." "He's seen my naked a thousand times." "Bad, bad images in my head." "But he's never seen you outside the hospital." "Thank you." "You look lovely." "Thanks." "Oh." "Very polite." "Okay Grey." "Adhesions are down." "What next?" "Putting graspers to lift the gall bladder so we can dissect it out." "Good and what are we looking for in close triangle?" "The cystic artery." "That's right." "Wait a minute." "What do you see?" "It's worse than gall bladder." "That's not good." "Mr. Sorrento when we removed your wife's gall bladder we found that there were calcifications." "What does that mean?" "It's often a sign of gall bladder cancer." "We sent it off to pathology." "She has cancer?" "I'm afraid so." "We can keep her comfortable but she's going to need more tests to see what are next steps are." "This might include more surgery." "But the surgery will save her right?" "The cancer appears to be advanced." "There a palliative surgeries that we can do, that is surgeries to help with the pain but it won't cure it" "How long she got?" "From what we can tell so far she has about 4 to 6 months." "I'm so sorry." "I don't want Esme to know." "What?" "Esme." "I don't want her to know she's dying." "You don't want to tell her?" "Please." "You saw her." "She's happy." "Let me take her home." "I don't want her to be afraid before she dies." "She doesn't need to." "No please don't." "No more carpe diem man." "I don't wanna seize the day." "See that's what I don't get." "I'm standing here and I'm just so incredibly happy to be alive." "You know I'm looking at the sky, its bluer." "Food tastes better." "And I didn't survive a 5 storey fall." "You jumped didn't you." "All the way down all I could think about was Daisy." "She's my ex-girl." "She works at this hospital." "What kinda joke is that?" "Maybe, maybe you got a second chance." "Daisy." "You gotta go and find her for me." "Talk to her." "Tell her she's the reason that I'm alive." "You know we had a future." "We had plans." "Picked out baby names together." "She betrayed that without even asking my opinion." "Without even giving me time to process." "It's a difficult time." "For both of you." "She's emotional." "Hormone changes." "Mood swings." "They say she could lose her sex drive." "You'll get through this." "You guys love each other." "Is that what you said about you and Addie?" "What?" "You left her." "That was different." "Was it Derek?" "Really?" "Yeah I gotta go check on a patient and get ready for dinner." "See you later." "Sure." "Uh where's the butter?" "Oh no that's olive oil." "I want butter." "Should I send the small year over?" "Oh no that won't be necessary." "What is a nice oaky chardonnay?" "Oh I want bardot." "Chardonnay will be better with the lobster." "I'm having steak." "You eat red meat." "You don't?" "You're seriously gonna try to find this girl?" "Hunt her down while she's working." "Look" "Okay I know it's crazy but someone's gotta tell her how he feels." "I mean he's alive, right?" "Something good has got to come out of this." "I mean this could change everything." "See I dunno I thought you were a romantic." "Was." "Past tense." "Well this is fun, again." "Love the 'Hello Kitty' by the way." "Very pink." "Very cheerful." "Daisy works is billing which is where?" "In the basement." "You need something Chief?" "I have one more surgery and then I'm free." "No, no, no." "Have you made a decision yet?" "Sir?" "The fellowship." "The Seattle Grace fellowship." "I thought you would've accepted by now." "Busy." "I've just haven't had a chance to fill out ..." "We're a private hospital." "We have extensive resources." "You'll get more surgical experience here than anywhere else." "You could write your own ticket." "Why aren't you more excited?" "No I'm excited." "I just, I'm, excuse me sir, I just I need to scrub in." "What?" "Ah, nothing." "Maybe we should probably skip dessert" "I have, I have an early morning." "Oh, right." "Not a problem." "Oh my god, help is there a doctor in here?" "Call 911." "He couldn't be having heartburn." "I thought he was choking." "Pulse?" "Yes it's rapid and unequal." "Look at this." "The length of his fingers." "He's gotta be at least 6 foot 4." "Marfan's." "What do his fingers have to do with it?" "Your husband is showing classic markers for Marfan's syndrome." "It means the walls of his blood vessels are weak." "Uh we need an ambulance." "Fast." "He could be dissected here and then get him to the O.R." "What if aorta ruptures?" "What are you talking about?" "Who are you people?" "We have a dissected thoracic aorta." "We need a CT cleared and an O.R ready." "Start another large boar IV." "Continue high O2." "Transport him sirens and lights to Seattle Grace." "Who the hell are you?" "Hey!" "He's the cardiothoracic surgeon who's gonna operate on him." "And she's with me." "Oh." "I didn't have you been discharged?" "Wh?" "No." "I'm going out to dinner with my surgeon and our husbands." "Sort of a last supper I guess." "I know, I know." "Nothing after midnight." "Disappointed aren't you?" "How do I look?" "You're a beautiful woman." "And so are you." "Is that why this is so hard to understand?" "Uh menopause I know." "Boobs." "But they have hormone replacement, reconstructions." "But the sexy Savvy." "The Savvy that gets noticed when she walks into a room." "The Savvy that likes to wake her husband up in the middle of the night to make love." "Yeah I wonder if that Savvy is still gonna be there" "Honestly I haven't a clue." "But then I think is, is that why Weiss married me?" "God I hope not" "Could this place be any further away?" "It's like Siberia down here." "That's because we don't like sick people." "Oh." "You know you're, you're in a hospital." "Uh are you Daisy?" "I don't deal with Billing questions after 7pm." "Just data entry at night." "No uh actually Stu sent me." "Is this some kinda joke?" "No." "He's in this hospital." "He's had an accident." "I'm his doctor." "He's fine." "Uh we're taking him into surgery." "Um but he wanted me to find you." "You just tell that bastard he could've come looking for me like 10 years ago." "What are you pissed about?" "You'll look at everything in a skirt." "I'll look at you in a skirt." "Short." "Maybe something school girl." "If that skirt didn't have a pair of big bouncy boobs you'd stop looking." "When you cut them off you build them back up." "Maybe you get to upgrade." "Life goes on." "If there was a genetic test for testicular cancer, you think men who tested positive would have the surgery?" "No." "You know why?" "It's castration." "What man would willingly get rid of the part of his anatomy that makes him a man?" "This woman is having herself castrated and we book an O.R and act like it means nothing!" "It's not nothing." "God." "How could possibly act like it's no big deal?" "I mean what if it was me?" "Izzie you gotta hear me." "You're freaking out." "You know that right?" "If I was the woman with the cancer gene." "If I should up tomorrow and my boobs were made of plastic and my skin had aged 10 years and my sex drive had dried up." "If it was me Alex would you be so fine with it then?" "Yeah you'd really be hot to kiss me with tongue then wouldn't you?" "Dr. Bailey's scrubbing in so we're gonna get started." "Okay." "Hey George." "Listen, did you find her?" "I'm very sorry Stu." "They said she's on vacation." "Oh yeah?" "Maybe her parents." "I bet you she went up to New Hampshire." "That's where she's from." "I'm gonna push the joy juice." "Oh up, up and away." "Maybe you can see her after your surgery." "You know when you recover." "Maybe then." "It's all good man." "Thanks for trying." "It really meant a ..." "lot ... to .... me." "Hold on guys." "We have a problem." "He's crashing?" "Dr. Bailey?" "O'Malley start CPR." "Push Epi." "You'll need to notify the family." "What happened?" "There'll be an autopsy." "Sometimes people get on the table and they just die." "There's no way of knowing beforehand and no way of controlling it." "But he fell 5 storeys and lived." "It doesn't make any sense." "He survived so I could go and find Daisy." "And then she didn't even want to see him so what's the point?" "We're all apart of the cosmic joke O'Malley." "Now leave me alone." "Oh Dr. Bailey." "What?" "Mr. Sorrento doesn't want me to tell his wife that she's dying." "You haven't told her yet?" "No." "Okay I didn't hear you say that." "You're her doctor." "It's your responsibility to give your patients the information necessary to make an informed decision." "Now I'm hungry." "I'm tired." "You're in my way!" "Did you see that Echo from here?" "The dissection isn't subtle." "Did you see that wingspan?" "And the pectoris carnia?" "What about his palate?" "The definition of high arched." "You're being wooed aren't you?" "Excuse me?" "The fellowship." "LA Med, Chicago Central." "They're wooing you." "I mean you're fielding offers, you're looking at bonus packages, you're letting yourself be wooed." "No, Chief I ..." "No it's fine!" "It's fine." "Go be a hotshot somewhere else." "But tell me" "how could you do this to me?" "I mean, I'm hurt." "Really hurt." "After all I've done for you." "You're gifted and you're ungrateful." "That's all I'm saying." "I'm pregnant you blind moron." "You're what?" "My heart rate is 110." "I'm burning 3000 calories a day." "My legs are swollen." "I've got indigestion and gas." "Did you know that carrying a boy in your uterus means you burn 10% more calories than if you had a girl?" "Guess what I'm carrying!" "I try for 7 damn years and a month before my fellowship notifications the stick turns blue" "Men!" "From the very beginning they just suck the life right out of you" "I'm not leaving." "I'm pregnant." "Um ... congratulations." "Dr. Yang. ..." "You're handling the saw." "Thank you Dr. Burke." "You won't let me pick the wine but this you'll let me do?" "Are we all set for by-pass?" "Almost there." "So apparently we both live on this elevator." "Meredith." "You know you could at least acknowledge I exist." "Hello Dr. Grey." "Hello." "Are you ready to go?" "I was on my way." "Well it took 3 hours but the surgery went perfectly" "All we have to do is wait now and see how he's doing when he wakes up." "Why did this happen?" "Almost every patient with Marfan's has an aorta that fails." "It's just a matter of when." "I guess it was lucky you two were having dinner at the next table." "It was." "Take care." "and we can treat it with surgery and chemo but" "We're supposed to go to Venice at the end of the month." "Do you know the story?" "No." "They say if you ride a gondola under the bridge of Sighs, you're together for eternity." "You didn't tell Jed did you?" "Excuse me?" "He's always been so worried that I'd go first." "You don't want him to know?" "You're young." "I don't expect you to understand an old broad like me." "You can't have a relationship built on a lie." "Can you?" "Oh honey it's not a lie." "It's our future." "I've been with the love of my life for 60 years." "And now I'm dying." "We're going to Venice." "We're getting in that gondola." "When Addie told me she was coming out here." "I had such a good feeling." "You guys are gonna make it." "You were always meant to be." "Yeah a couple of clams on a hat shell." "A couple of peas in a pod." "AStill working on the pod part." "ADDISON:" "It's about choices." "We'll here's to taking life in your own hands." "Cheers." "Cheers." "Cheers." "Yeah." "And here's to bull and here's to crap." "And here's to oophorectomy, hysterectomy." "And double bilateral mastectomy." "Please stop." "How smart am I to know all those words?" "Stop." "Here's to breast reconstruction, nipple reconstruction." "Here's to losing your wife." "Here's to being the ass who can't be supportive." "Here's to that." "Weiss." "Don't talk to me." "Keep walking." "You should get some sleep." "Sober up." "Get ready for Savvy's surgery." "Come on I'll drive you." "I'm supposed to hold her hand while they rip her apart?" "That's the definition of love?" "You can do this." "Maybe I can't." "Maybe I'm just a guy who likes to screw his wife." "Weiss." "That's what she'll think if I'm not there." "You're gonna be there." "This is coming from a guy who packed his bags in the middle of the night and drove 3000 miles to live in a trailer." "Yeah well what am I doing with Addison now?" "Hmmm?" "I'm trying to work it out." "I don't know am I out of my, my mind?" "I don't know." "You tell me?" "It's about the ring." "It's about the vows." "Savvy didn't screw around with you with your best friend." "She's looking for support." "If you don't give that to her now if you don't give her that support then what the hell am I doing?" "You didn't tell her did you?" "No." "I didn't tell her?" "I thought he cheated fate." "Maybe he did cheat fate." "He died." "I think you can't wait for someone to fly underneath you and save your life." "I think you have to save yourself." "You mean the pigeons aren't going to come?" "The pigeons aren't going to come." "Hold still." "Make sure you get both sides." "Okay." "You know these are gonna be next year's holiday cards. ." "I want them to be immortalized before they're gone." "And this way Weiss gets to look at them whenever he wants" "These are gonna be great." "We're scheduled to go in at 8?" "Yeah." "I'm gonna take you down to the pre-op in just a few minutes." "Weiss will show up Addie he always does." "Sav" "As your doctor you know I'm a 100% on your side but as your friend are you absolutely sure about this?" "I know what I'm losing." "I get it." "But think about what I'm gaining." "My life." "This gives me a shot." "A shot at the future." "At shot at me and Weiss becoming this crazy old wrinkled couple that argues all the time." "I mean, wouldn't you want that?" "A chance to grow old with Derek?" "Yeah. ..." "Yeah I do." "Oh god." "Oh Sav." "Maybe Romeo  Juliet were fated to be together but just for a while." "And then their time passed." "If they could've known that beforehand maybe it would've all been okay." "Here's the thing." "I like your rack." "What is wrong with you?" "Why do you have to be so" "What is wrong with you?" "I like your rack." "And I'd want them around if I could have them, trust me I would." "But it wouldn't be the end of the world if you got rid of them." "Because really I want you." "Ow." "Huh." "What was that for?" "I told Mrs. Snyder that when I was growing up" "I'd take fate into my own hands." "I wouldn't let some guy drag me down." "Mrs. Snyder said that I'd be lucky if I found that kind of passion with someone." "And that if I did, we'd be together forever." "I guess we never really got our date." "Are you kidding?" "That was the best date I've ever been on." "Even now I believe for the most part love is about choices." "He's not coming is he?" "You're shaking." "You're here." "It's about putting down the poison and the dagger and making your own happy ending most of the time." "We can go ahead and get started now." "You ready?" "Yeah." "Ready." "And that sometimes despite all your best choices and all your best intentions, fate wins anyway." "I miss you." "I can't." "Manu2005"