"I actually said pick me." "Right?" "I did." "Pick me?" "I think it's romantic." "It's not romantic Joe." "It's horrifying!" "Horribly movie horrifying." "Carrie at the prom with pig's blood horrifying." "Okay fine it's horrifying." "But Carrie took out her entire senior class as revenge." "Gotta say like that in a girl." "I said pick me!" "When you tell somebody that I'll meet you later at a bar tonight, how long exactly does that mean you are supposed to wait?" "Do you think he's really not coming?" "It is getting a little hard to watch." "It was hard to watch an hour ago." "Now it's just pathetic." "Who's pathetic?" "What?" "You who pretend to be my friends are calling me pathetic behind my back in front of my face." "Why don't you just dump the pig's blood on me now and get it over with." "He's really not coming." "Joe." "Turn up the TV!" "A massive train wreck occurred outside of Seattle just minutes ago." "911?" "I just worked a 3 hour shift." "I don't have any clean underwear." "It looks ugly." "You're leaving." "No, no, no, you can't leave." "Sorry." "Gotta go tend to someone else's train wreck." "Gotta at least stay for a cup of coffee." "You're in no shape to cut people open." "Plus I dun wanna miss the ending." "Meredith." "Maybe it's for the best." "Maybe I dun wanna know." "That's the stupidest thing I've ever heard." "In general Bye Joe." "people can be categorized in one of two ways." "Those who love surprises." "And those who don't." "I don't." "Dude." "You're late." "I've never met a surgeon that enjoys a surprise." "Because as surgeons we like to be in the know." "We have to be in the know because we aren't people die and law suits happen." "Am I rambling?" "I think I'm rambling." "I think I saw a numothroax." "I hope I get a numothorax." "I thought you weren't talking to me." "I thought you could use a friend." "I can do both." "Why would you think that?" "I saw you freak out in the elevator." "I didn't freak out." "It was a chance to perform open heart surgery." "O'Malley plugged a hole with his finger." "I thought you could use someone to talk to." "Well I don't." "Who actually cares ..." "Yes I get that but don't ..." "Oh!" "What are you looking at?" "Hey you go get me my damn shoes." "Let's move people." "Hello." "I seem to be a little bit drunk." "I was off duty." "So was I!" "Anybody else half in the bottle?" "All right then." "Grey just stay out of the way." "I'll deal with you later." "The rest of you stick with me and wait for your assignments." "Now you get all aquiver at the sight of blood and organs but it's gonna be a long night and you already tired." "I don't want any mistakes." "Come on now!" "I'm done." "I'm done." "I'm so not tired anymore." "Me either." "I'm not tired either." "I've got a 3rd trimester burn victim here Dr. Bailey and I'm gonna need some help." "Ah." "Izzie." "Go." "Yes!" "Have a nice nap." "Have you had any contractions?" "Oh hey." "Joe told me to tell you that Mc Steamy came looking for you." "You mean Mc Dreamy." "Joe said Mc Dreamy came looking for me?" "No." "I'm pretty sure it was Mc Steamy." "Does that mean he picked her?" "If it does I just lost 50 bucks." "Got the leg!" "I want the leg." "He's lost a lot of blood at the scene." "Pressure dressings applied." "2 large boar IVs started." "Anything for the pain?" "Base ordered morphine." "5mgs given so far." "Dr. Bailey who you got?" "Ah!" "Cristina." "Go." "Yes!" "Rule out other injuries and book an O.R." "Dr. Webber!" "We have a train wreck Derek." "We need all hands on deck." "Now clear me for surgery or you're fired." "Any headaches today?" "No!" "Dizziness?" "Nausea?" "Blurred vision?" "No!" "No!" "No and no." "Now can you get out of my way?" "Fine." "But I'm coming with you." "Or I'm fired." "Up to you." "Was that a nod?" "Yes." "Do we know what it meant?" "No." "Am I invisible?" "Okay." "So my point actually ... and I do have one." "Has nothing to do with surprises or death or lawsuits or surgeons." "My point is this whoever said what you don't know can't hurt you was a complete and total moron." "Because for most people" "I know not knowing is the worst feeling in the world." "Okay fine." "Maybe it's the second worst." "His BP is looking steady at 90 over pal." "She's had 2 hypotensive episodes to the low seventies." "You gonna get us on there?" "We're not moving them." "It would have been a very bad idea." "Is this the craziest thing you ever seen?" "Uh. ..." "Yeah." "Yeah." "Me too." "Okay then." "You guys got it from here?" "Hey uh ... you were at the scene?" "Won't be too bad for you." "Lot of carnage." "Not a lot of survivors." "They're never gonna fit into a CT." "We're gonna be flying blind." "Get x-rays and labs and page me the minute you're done." "Excuse me!" "Hi." "I'm Dr. Burke." "You shouldn't turn your head." "You want to try and move as little as possible." "Oh okay. ..." "So are you gonna pull this pole out of us anytime soon?" "It's a touch uncomfortable." "I'm sorry we can't until we get a better look on what's going on internally." "But I assure you we will work as quickly as possible." "Well in that case does anybody have a breath mint?" "For me." "Not for you." "Get O'Malley." "Uh O'Malley." "Get them an X-ray." "Reall..." "Thanks." "Move them extremely carefully." "This never would've happened before the elevator." "Go George." "Alex, cover the E.R. You'll do sutures while you get over your new found fear of scalpels." "That was mean." "Even for you." "You are drunk." "Go, Go get yourself a banana bag IV and put it in your arm and then find me." "Do not speak to any more patients." "Do not practice any medicine." "Well should I just go home?" "Well unless you drank the whole liquor bottle you'll be sober in a few hours." "And the IV fluids will head off your hangover." "Then you can assist with the many mangled victims you see spread out before you." "Besides if I'm not going home, nobody's going home." "10 years of marriage and I didn't even get to finish my damn lobster." "Well is there any one you'd like me to call?" "No they called my wife from the ambulance." "And my fiancé." "They're flying down from Vancouver together." "Normally Amanda would be a tad upset to find me pressed up against another woman." "But in this case I think I'll get a pass." "You two weren't traveling together?" "No." "We just met." "Bit of an awkward introduction." "You have very nice pores." "Oh." "It hurts to laugh." "Hey." "Whoa." "You can go ahead." "Oh." "Thanks." "Oh wow." "Do you think uh I could ..." "Oh yeah go ahead." "Dr. Stevens, do you need something?" "No." "Ow!" "Oh I'm sorry am I doing this ..." "Ow!" "Oh." "Ow." "Did ... was that a ...did I have ...?" "Contraction." "It was definitely a contraction." "We need to book an O.R" "Look you are in no shape to push and the baby is still in some distress." "You're going to have to proceed with a C-section." "Okay. ..." "Okay but can we call a lawyer first?" "I don't have a will." "And there's no father." "And in case something happens to me ..." "There's no cause for a panic Brooke." "We have some time, okay?" "Okay." "Hello." "Oh, oh, oh, no, no, no we fine." "Yeah some red neck tried to out run the train." "Honey the train slammed into his ass and then it rolled." "That hurt?" "No, no, no, no, no that dude is toast." "Only him and about 200 other people." "And Mary got her face all cut up." "Hurt anywhere else?" "Here." "A whole bunch of luggage when they hit the brakes just came flying at us." "Okay I'll take you for an x-ray." "See if anything's broken." "Any internal injuries." "Okay." "Yeah you know wait I'm going to have to call you back." "Hey!" "Hey!" "Excuse me." "Excuse me." "Um, where you going?" "I'm taking your friend for an x-ray." "No offence little boy but uh you look like my oldest son." "And he's nothing but trouble." "Yvonne shut up." "What?" "I said no offence." "I'm just saying are you sure you a doctor?" "Yeah." "Oh, yeah, yeah, we fine." "Yeah this red neck tried to outrun the train." "Ow ..." "Ow ..." "Ow ..." "What're you doing?" "Trying to insert my banana bag." "Which sounds vaguely dirty but it isn't." "I'll do it." "So, how's going with Addison?" "Bad mood?" "Good mood?" "Yay my husband picked me mood?" "Ah I think it's the more of the 'I hate the smell of charred flesh mood'." "Before you judge me." "I know there was a train accident." "People are very badly hurt." "And that I'm a vapid narcissist when you mix me with alcohol." "Incase you were wondering." "I know that." "Well, for what it's worth," "I take issue with her salmon colored scrubs." "I mean what self respecting surgeon wears salmon colored scrubs?" "This is what I'm saying." "Yeah." "Yang." "How's that wound looking?" "Pretty clean." "Some dirt and gravel mostly." "This guy was lucky." "It's a guillotine injury." "We do this right he'll have full use of his leg." "Um more irrigation right there." "Dr. Shepard." "Get away." "Hmm." "I'm fine Derek." "Just adjusting to the light." "I'm saying that there's no shame in taking a little more time off." "Doesn't make you old or tired or rusty, it Yeah okay that came out wrong." "You're the only attending neurosurgeon and you're obviously needed elsewhere." "And I'm fine here." "Dr. Shepard." "Okay." "Page me if you need me." "When you finished cleaning that wound you can help me here Dr. Yang." "Is the wound clean Yang?" "Yes sir." "I ... but ..." "But what?" "If your plan is to be a watchdog for Dr. Shepard or if you think your job here is to baby-sit me then you can think again." "I've been a surgeon longer than you've been breathing." "And if I were not ready to be in this O.R.," "I would say so." "Is that understood?" "Yes sir." "Now do we have a problem Yang?" "Uh yes!" "No sir." "I mean I'm thrilled to learn and I'm grateful to be here it's just." "Sorry.His legs." "What about them?" "They're both left." "Find the man's leg Yang." "Find it now." "Yes sir." "Is, is it going straight through her spine?" "It is." "T8's completely crushed." "Hey." "What happened?" "Uh tequila." "I'm keeping an eye on her." "Look at this." "These people are still alive?" "They're still making small talk." "Pole's tamponading the wound as far as we can see." "It's hitting the aorta." "And look at him." "It's right in line with his inferior vena cava." "Is there anyway to operate without separating them?" "No." "Remove the poll ..." "They'll both bleed out." "What if we don't move the poll?" "What if we move one of the patients off the poll to get the saw in there?" "Then we can hold the pole steady in the other one." "Move it very slowly and repair the damage as we go." "Who?" "Which would you move?" "With her aortic injuries, her chances of survival are extremely slim no matter what we do." "But if we move her, we have a real shot of saving him." "Well I could argue since her injuries are so extensive we should move him." "Give her the best shot we can." "So basically whoever you move doesn't stand a chance." "So how do you choose?" "How do you decide who gets to live?" "We have to make this call soon if we want our shot of saving either one of them." "I'd like to examine them before I weigh in." "I'll wait for your page." "Thank you." "Dr. Grey ..." "Uh Dr. Grey needs to get herself a blood alcohol test before practicing any medicine tonight." "What?" "No." "I'm totally fine." "Look." "Totally fine." "Right okay." "I'm fine." "Regretting that last shooter by now aren't you?" "What are you doing in here?" "Uh the leg you brought in with the amputee..." "I didn't bring in an amputee." "Okay well uh one of you did and it's ah..." "Because all paramedics look alike to you, right ..." "Doctor?" "Okay, really, ah um" "I can not straddle another giant ego right now." "I'm already doing the splits so" "I need a right leg, right now, or the chief of surgery is going to take away my pretty blue scrubs." "When the train de-railed it hit an overpass." "The roof of the dining car was sheared off and it sliced through a passenger car." "There were multiple decapitations." "Your guy can live without his leg." "This is so not about the leg." "Or the guy." "But thank you." "For all that you do." "Really." "Thanks." "All right." "Scars shouldn't be too bad." "Can you tell me?" "My friend ... she's pregnant too." "She was put in a different ambulance." "She was burnt." "Do you know where she is?" "If she's not down here she should be in maternity." "Okay." "I need to see her." "Hold on." "We're not finished here." "We still have to do a full check." "My baby's fine." "I can feel her kicking." "I gotta see Brooke." "Uh wait you can't just leave like that." "Just wait ... come here, come here." "Ow." "Ow." "Sssssh." "Sorry." "So you operated on a heart earlier George." "You think you could draw a little blood." "I rocked that heart." "Yeah you did." "I think I'm strung out on the scalpel." "Nothing wrong with that." "So any news ... about ..." "No." "I can't read him." "You know, I think," "I think it's pretty amazing you even gave him the choice." "And I think for what it's worth" "I think he's crazy if he doesn't pick you." "Please tell me you've seen a right leg." "A cleanly severed right leg?" "No." "How weird is this job?" "Weird." "Brooke!" "Jana?" "Thank god." "Dr. Karev?" "I couldn't stop her ..." "She was on the train?" "Yeh, yes." "You did an ultrasound?" "Cleared her C-spine?" "Is there any reason you can think that this patient should be wandering around the hospital unattended?" "She's not unattended." "I came up with her." "She's, she's ..." "You can leave now. ..." "Dr. Karev." "Irresponsible." "Even for an intern." "What you disagree?" "She wanted to see her friend." "I mean what was he supposed to do tackle her?" "Dr. Stevens why don't you get our new patient into a bed?" "Shall we?" "Can you feel that Miss Krasmef?" "Hmm." "You're a cute Doctor." "Cute doctors get to call me by my first name." "Bonnie." "Okay Bonnie." "Do you feel that Bonnie?" "Can I feel what?" "Oh well I guess that's a no." "Excuse me, Dr Shepard?" "Yes?" "I got the labs." "Oh great." "Thank you." "Hold that please." "Could you try to wiggle your toes Mr. Maynard?" "Are they moving?" "Yes they are." "Oh good." "That's good right?" "Yes it is." "Yes." "It is." "What about me?" "Are mine moving?" "Yes they are." "Yay me." "Dr ... ah Shepard is it?" "Yes it is." "Dr. Shepard ..." "Bonnie and I are we gonna live through this?" "Now that's just morose Tom." "I'm sorry dear." "Doctor?" "We're gonna do everything we can Mr. Maynard." "About time Yang." "I was starting think here my work would be wasted." "So sorry." "It wasn't easy to find." "I took the liberty of checking the wound and it's very clean cut." "Well preserved." "Ah Dr. Webber ..." "Sir?" "Notice anything else about that leg?" "Anything other than that very clean cut." "Did you happen to notice for example that it was shaved recently?" "And manicured?" "Take a look at my patient Dr. Yang!" "Does he look like a man who woke up and shaved one of his legs this morning?" "No." "I'll go find the um right ... the right, right leg." "The right, right ..." "Thank you!" "Where are we?" "You were right Her vitals are erratic" "Pulse is weak." "Spine severed." "I was hoping it didn't hit from that angle." "It just can't miss the aorta." "What about him?" "Think he can live?" "He's got better odds." "Alright." "Let O.R. 1 we're coming." "Oh and O'Malley." "Close off the gallery." "We don't need an audience for this." "She's cracking jokes." "How do you tell somebody that she's gonna be dead in a few minutes when she's sitting up cracking jokes." "Excuse me." "Is there any chance that we can get out sometime this year?" "Well the labs backed up and so is radiology." "Can't discharge your friend until" "I'm certain she doesn't have any internal injuries." "Hello." "Yeah we still here." "Cause the Doctor is friggin useless Mmm hmm." "I realize that you're dealing with a lot of carnage." "I'm, I'm asking if you could maybe ... sift through some that carnage and find it ..." "Hello?" "Dammit." "Cristina." "You paged me?" "If I don't find this leg the chief is gonna cut me from this program." "And I cannot go back home Burke." "It is too sunny in Los Angeles." "It's sunny everyday!" "And you paged me because?" "I need you to help me find the leg!" "I checked the board." "You're not in surgery right?" "You're my boyfriend." "I mean I know I don't have much experience with this kind of thing but aren't boyfriends supposed to help in situations like this." "Cristina, when we're on duty" "I can't be your boyfriend." "Okay, so ah when we're on duty I can have sex with some one else?" "Dr. Yang." "I'm walking away now." "Fine." "Fine!" "But when the chief cuts me, you might re-think this!" "Addison yelled at you in front of a patient?" "She didn't exactly yell." "Fine." "She's Satan's whore." "Thank you. ..." "So did you yell back?" "No." "Dude, you lost your mojo." "Excuse you?" "I was trying to talk boy." "O'Malley plugs a hole with his finger and everyone walks around like he's some kind of hero." "I have one off day." "You chickened out." "I hesitated briefly." "Why didn't you kiss Izzie?" "And now I'm leaving." "It's not in the morgue." "I've looked in the ambulances and the E.R. How's one bloody hairy leg gonna destroy my career?" "Dr. Karev." "I hope you find your mojo Alex." "I find you disturbing without it." "Me too." "This is hard because your body is in a certain amount of shock." "It's preventing you from feeling pain." "Feeling the extent of your injuries." "Dr. Shepard." "We have a metal pole cutting a path through our insides." "I don't know about Tom here but I didn't expect to walk out of here anytime soon." "So ... whatever it is you have to say just please ... say it." "Okay Bonnie." "In order to operate on Mr. Maynard we have to separate you two." "In order to do that, we have to move you backwards off the pole." "Can't you just pull the pole out of both of us?" "Well if we did that you would both start bleeding very quickly." "Too quickly." "Right now the pole is plugging the wounds." "Once removed the organs will shift and there's a great deal of damage." "So if you move me I'll die?" "We're gonna do everything we can to ..." "No." "No." "If anyone body has to go it should be me." "You just move ..." "No." "Mr. Maynard ..." "Mr. Maynard your injuries are less extensive." "If we pull the pole from you as we operate around it, we have a better chance at repairing the damage." "It's not right." "It's not fair." "Ssh Tom." "It's not fair either way." "Is ah, is my Danny ... is he here yet?" "There are delays at the airport, ah a storm." "Uh we could wait but ah the longer we do the higher the risk of infection for the ..." "No, no." "This is better." "Huh." "Danny he wouldn't understand." "I've had a couple of hours to you know process all of this." "But if, if he had to see me talk to me like this ... well I just think it would be too hard." "Right there." "In between the vertebral spaces." "Don't be shy about pressure." "That's good." "You are doing so good." "Somebody called for a notary?" "I asked for a lawyer." "I couldn't get one at this time of night but the hospital has pretty standard forms." "It just says in the case of death or permanent vegetative state that your child will remain the custody of ... and then we'll put her name in." "Wait, uh what?" "Who's dying here?" "There's some danger." "With any surgery there's danger." "But with the trauma of Brooke's burns there's an additional risk of shock." "She just wants to be certain." "That's ridiculous." "You're being ridiculous." "You're gonna be fine, do you hear me?" "I hear you but we still have to sign the forms unless you want our son to end up with my mom." "How long have you two been together?" "Since third grade." "We're not lovers." "We're best friends." "We just wanted our kids to have two parents." "So we got a sperm donor." "The same donor." "So you're babies are brother and sister?" "Oh how cool is that." "It's ah ... wow." "Wet." "What?" "I'm wet." "Oh god." "I think my water just broke." "Good news." "You've a got a broken rib but we're gonna give you some pain killers and uh after that you should be good to go." "Thank you." "Yvonne, answer your phone." "Yvonne." "Yvonne?" "Yvonne!" "Code blue!" "I need some help over here." "Yvonne!" "Which one of MB holds CPR?" "Her abdomen is distended." "It's rock solid." "She's lost too much blood." "She's been bleeding for hours." "There's no blood." "She's not bleeding." "She was bleeding internally." "She didn't say anything." "She wasn't ... she wasn't even a patient." "... I didn't know." "Dr. Karev, she's gone." "No." "No." "No." "No, no, no!" "Yvonne!" "I'm sorry." "Time of death 2.51" "No, no, no, no, no." "No!" "Try again." "Try again." "Jana, this our OB resident Dr. Hoffman." "She's going to be taking care of you from here." "Uh huh." "You're doing great Jana." "Just keep breathing." "I'm gonna check your cervix now." "Brooke we've booked an O.R but they're not gonna hold it for long so we need to go now." "Right now?" "But we're supposed to be together." "We took classes." "I'm sorry but we can't wait." "That's okay Brookie." "You go have your C-section and enjoy those drugs this is already not fun for my vagina." "Dr. Stevens." "No if I have to go, she has to stay." "Someone has to stay with Jana." "Please." "Brooke uh Dr. Stevens is a surgeon but I'm gonna find you some It's okay." "I'll stay." "Okay." "Brookie, you stay alive okay?" "You too." "Dammit!" "Hey Doc!" "What?" "!" "?" "Easy killer." "Jill said you guys were freaking out looking for this leg." "Thank you." "No problem." "Right on." "Chief Webber." "I'm extremely sorry," "I tried to look everywhere, but I Oh you found the leg?" "I found the leg." "Missed out on this one Yang but I'm sure they could use a hand down in the E.R." "Karev  I can handle it from here." "Can I ask you a question?" "Do you believe in heaven?" "I do. ..." "Don't you?" "I want too." "Bonnie, ..." "I just wanna say ..." "I know." "I know." "This is Dr. Adams, our anesthesiologist." "When you're ready, he's gonna put you to sleep." "So it's not gonna hurt?" "It won't hurt a bit." "Good." "That's good. ..." "Dr. Shepard?" "Yes?" "You're gonna be the one to talk to my Danny right?" "Yes." "Okay." "Okay. ..." "What would you like me to tell him?" "Why do I feel we're about to kill this girl?" "Dr. Bailey, my labs are in." "Sober?" "Can I scrub in?" "Do it fast." "Right." "Hey." "Hi." "You know uh I went to the bar." "I heard." "Take some aspirin with the banana bag?" "Helps with the hangover." "Oh." "You're staying with her." "Mer, she's my wife." "Dr. Shepard, she's crashing." "What happened?" "I just put them under." "Pole must've shifted." "I barely touched her." "This isn't my fault." "It's nobody's fault." "We'll need to remove her now if we're going to have a chance." "How are we going to do this?" "Team 1 continues, stabilizes Bonnie." "Team 2 move her back and let's get the saw in there." "This has to be fast and smooth people." "O'Malley you hold the pole in place." "Whatever you don't pull on it, don't let it move." "On the count of 3. 1, 2 ... 3!" "That's great." "That's great." "Take another breath. 1, 2, ..." "He's wedged up under her ribs." "We're going to have to pull him out." "On 3. 1, 2 ..." "He's stable." "Let's start with her and we can see what we can do." "Scalpel." "Uh Grey." "Get in here and help re-tract." "Re-tractor." "OB-suction here." "I'm in." "Hand me the cattery." "Her aorta is shredded." "She's gotta bleed out." "Got no rhythm." "Doctors." "He's losing pressure." "He's bleeding." "Let's go." "Everybody change gloves." "What about her?" "We can't just abandon her." "We can't just abandon her!" "I'm going in." "Extend the sternum." "Scalpel." "Lets go Dr. Grey." "Meredith." "Dr. Grey!" "Meredith!" "What about her?" "!" "?" "We can not just abandon her!" "We have an obligation!" "Meredith, come on'." "There was too much damage." "There was never anything we could do." "We have to let her go." "Time of death 3.49." "Morning." "How's Brooke?" "She's good." "And the baby?" "He came through to." "So have you made a decision yet Dr. Stevens?" "I'm sorry?" "Whether or not you're going to hate me?" "You're Meredith's friend." "I'm the wicked witch who came in and ruined her life and cheated on doctor ... wait what is it that you guys call him?" "Mc Dreamy." "Right." "God, doesn't that embarrass him?" "Yeah." "I think it does." "Yeah well by all rights you should hate me." "I guess." "Except that I'm going to be staying in town for a while." "You are." "Yes." "And you show a real gift with my specialty." "And I have a lot to teach if you wanna learn. ..." "So?" "So?" "So when you decide how important it is for you to hate me, let me know." "Did she ah ... did she suffer?" "No." "Her injuries prevented her from ... no she wasn't in any pain." "Good." "That's" "She asked me ah to tell you that" "... that she wanted you to know, that if love were enough ... that if love were enough that she'd still be here with you." "As surgeons" "there are so many things we have to know." "Fine work Dr. Karev." "Thank you sir." "We have to know what it takes." "We have to know how to take care of our patients." "Tom is doing just fine." "And how to take care of each other." "You okay?" "Yeah." "Eventually we even have to figure out how to take care of ourselves." "As surgeons we have to be in the know." "But as human beings, sometimes its better to stay in the dark." "Because in the dark there maybe fear  but there's also hope." "Better get cleaned up." "Rounds. 5 minutes." "Manu2005"