"Communication." "It's the first thing we really learn in life." "She didn't even know he was married." "I mean his wife just shows up and he dumps her." "I heard she flipped out." "What'd she expect?" "She got what she deserved." "Dating an attending!" "Dating Mc Dreamy." "Have you seen his hair?" "No guy is that perfect." "I think it's kinda sad." "She has to work here." "Him." "Them." "Everyone knows." "Funny thing is once we grow up, learn our words and really start talking;" "the harder it becomes to know what to say or how to ask for what we really need." "What do you ah need to make this marriage work?" "I need her to move to Seattle." "That's just ah ..." "Addison, what do you need?" "I need him to stop talking to Meredith." "Ah uh I work with her!" "You want me to pick up my entire practice and move here, fine!" "I want you to give up your girlfriend." "I did give up my girlfriend." "Okay you wanted me to take you back," "I took you back here in Seattle." "See once again it's all about what he wants." "Okay she's not listening to me." "I'm not gonna move back to Manhattan." "I'm not the same person you're used to." "I know you're a flannel wearing, wood chopping fisherman." "I get it!" "Oh that's just great." "I'm not gonna talk to her anymore" "if she's gonna behave like this." "Fine!" "Sorry guys." "Times up." "Good progress." "Well we have to do something." "Meredith's become like an exhibit.Like the...hey." "Like a zoo animal, like that rare panda that everyone stares at." "Please don't say that to her face." "I think that panda died alone." "This just could just as easily be you, if people knew about you and Burke." "You take that back." "No." "I'm just saying we should do something to cheer her up." "Don't worry about it." "It's under control." "Wait, what do you guys have going on?" "Nothing." "What?" "Where's Karev?" "Probably off somewhere, not kissing somebody." "Let's go O'Malley." "Hey so um after rounds we have something to show you." "Mer?" "Meredith can you hear us?" "She's not deaf." "Well she looks weird." "Well what did you expect?" "Derek didn't pick her, she's gone mental." "Meredith have you gone mental?" "I have not gone mental." "See, okay she's fine." "We have something to show you." "So whatever you do, do not get assigned to a surgery this morning." "Yeah?" "Mind your own business." "Mrs. Ah Kimberley Griswold." "History of heart disease and multiple surgeries." "In for a beating heart quadruple CABG." "You're late." "Yes Karev, nice of you to join us." "Why keep the heart beating Dr. Yang?" "I don't know." "What?" "I have no idea." "Oh I don't know either." "Just don't." "Because of the" "Anyone else?" "Stress reduction because of the previous surgeries ..." "O'Malley." "I know, I know the answer." "I'm asking O'Malley." "Scar tissue is too deep." "Heart's too weak to start up again so you only immobilize the portion you're working on and you leave the rest of the heart on its own." "Welcome to the case." "Thank you." "Okay move." "What is that?" "PJs." "That isn't fair and you know it." "He's punishing me for the elevator." "He's punishing you because you were late for rounds." "You wanna tell me why you were late?" "Dr. Shepard needs somebody on his nerve case today." "Go." "And you three!" "Brush up on how to not embarrass me in front of the attendings or I'll see to it that your hearts stop beating." "We clear?" "What is going on?" "We found a case." "You stole a case." "Borrowed from psych." "Okay the prelims on this thing is totally unprecedent." "And we found it." "Stole it." "Found." "Stole." "Hijacked." "Whatever." "Okay, Meredith behind this door is the coolest medical mystery I've ever seen." "Now you can either walk away guilt free   or walk through this door, risk your place in the program which could possibly lead to spending the rest of your life serving fries and medical helping." "So are you in?" "Hell yeah." "Mr. Herman." "Oh no please call me Shane." "I gotta hit the can, again!" "Seems like I gotta go every 30 seconds these days." "It's just a guy." "Wait for it." "I sure am glad to be off that psych floor." "What's so special?" "Wait for it." "I'm not nuts." "I'm just pregnant." "I'm fine and then last month, huge belly." "My doctor just kept telling me I was gaining weight with my wife." "She's due on the 30th." "It's her first." "Congratulations." "The admitting intern shipped him off to Psych." "Barely did a physical." "Feel that." "It's not fluid." "There's something in there." "Yeah no joke there's something in there." "I've been able to feel it getting bigger and bigger, growing in my ... you know ... my womb." "Yeah I know I sound crazy." "I do ... but I can prove it." "This room is supposed to be unoccupied." "Whose patient is this?" "Hers." "Who transferred him?" "I don't have any paperwork, any transfer documents." "Give me a break." "We shuffle rooms all the time." "You know if ah we need a bed pan changed, um we'll let you know." "Okay doctor you do that." "Okay where's his chart?" "Don't tell me you don't have his chart." "You steal a patient and you don't take the chart." "That was your job." "Yeah I was on lookout." "How you doing?" "You good?" "You look good." "Come on we're friends." "What's my name?" "Um." "Alright." "So I don't know your name." "It's not like we can't talk." "You don't have to be a surgeon for me to talk to you, you know." "Really?" "Really." "Cause I thought you only talk to attendings." "Now Nicole you're have problems with spasticity?" "Mom?" "She's says the spasms make her legs dance." "We just want to make things a little easier for her." "She starts college this fall." "Seattle Community." "Right down the street from us." "Not that she wouldn't have her pick of schools out of state." "But she's not ready for that yet." "Why, not because she's in a wheelchair?" "Has Dr. Osfold named something called a cystoplasty?" "No?" "It's an operation to enlarge Nicole's bladder." "It creates an opening called a stoma." "It's improved the quality of life in a lot of my paralysis patients." "We toyed with the idea a few years ago." "It's not for us." "Maybe we should re-visit it." "Re-visit an invasive risky procedure that's got a 20 percent failure rate?" "I don't think so." "Nicole, it's something worth considering." "It means you wouldn't have to wear a catheter all the time." "Not to mention the medical benefits, it ah would improve your quality of life.You know?" "You'd be like girls your own age." "You'd be in control of your own bladder no messy bags." "You'd have a more normal sex life." "You know when that becomes an issue of course." "We're here for the pain procedure." "That's it." "That girl and her mom share the same brain." "She's not getting that surgery." "I want you to take Nicole with you everywhere you go today." "Take her to labs, to coffee, take her anywhere." "Just get her away from her parents." "You want me to baby-sit the wheelchair chick?" "Nicole." "She thinks you're cute." "She's a teenager, which means she might even listen to you." "You want me to convince her to get that surgery." "I want you to convince her to make the decision for herself." "And how am I supposed to do that?" "Dr. Karev, you're creative." "You'll think of something." "Thank you." "This will be an extensive operation, even for an open heart veteran like yourself." "My room was bigger last time." "It was brighter." "More sun." "Alan this water is warm, I need more ice." "I'm sending you in for a nuclear scan." "Then we'll get you into the O.R. this afternoon." "You do understand all of the risks?" "I've been through it too many times to not understand the risks." "Get the blinds." "Open the blinds." "This room is depressing." "I'll check back a little later." "Take her for a volume scan." "Pick up her x-rays on the way." "Dr. Burke, thank you for choosing me to assist you today." "You're my guy, O'Malley." "You I'm, I am?" "I mean ... yeah." "Hand me the tissues. ..." "No, no, no wait." "Hospital have germs get my hand sanitizer out of my case." "Why would you be with someone who makes you that unhappy?" "Excuse me?" "I mean like, well like you're happy with Cristina." "I mean, she's happy." "Well she's happier." "You know, Cristina happy which is not normal people's happy but ..." "You know happy since you guys started ah ..." "Scans I'm on it." "I'm your guy." "And I'm an idiot." "Hi." "Hello." "Hi." "Meredith, maybe we could you know ah talk?" "No." "Okay." "Beep beep." "What you do to get stuck with me?" "Nothing." "Come on, I know you're not just wheeling me around for kicks." "No." "I was late for rounds." "Why?" "Ah because I had things to do." "Hey Izzie!" "Izzie!" "..." "Hey dollface!" "Oh I was gonna ask you a favor since you know maybe you're better with people than I am ..." "No." "But you haven't even heard what ..." "No!" "No." "You're like a broken record." "God." "You're only ever nice or friendly or anything when it's convenient for you." "So no to your favor." "No to you." "No." "What's up with you?" "I put on a dress!" "I did my hair!" "I had one night off in 2 weeks and I used it on you." "And what do I get?" "Nothing." "No respect." "No apology." "You couldn't even be bothered to ..." "kiss me goodnight." "You know what you're a coward and you're just as shallow as you seem." "So I am done trying to be your friend or whatever." "I'm over it." "She's really mad at you." "The urine sample is last thing we need Mr. Herman." "Ah, meet Shane's wife, Tina." "Hey." "She's also pregnant." "And can you tell us what precipitated the psychotic episode that got you admitted to the hospital." "It wasn't an episode, okay?" "And I'm not psychotic." "I am pregnant!" "I mean wouldn't, wouldn't you freak out if you were me?" "Honey did you bring it?" "Yeah, yeah." "Oh good." "I can prove to everyone I'm not crazy." "That is my patient!" "Yeah well he's ours now." "And if you want to fight me for it, I'll guarantee you I'll win." "Now, what is going on in here?" "Dr. Bailey, just a moment please." "Look at his abdomen." "It's a male hysterical pregnancy." "It's a psych case." "And it's mine!" "It's not hysterical!" "I am pregnant." "See?" "Psych!" "No his belly is distended." "There's no signs of ascites and I clearly feel a mass with deep palpation." "Surgical." "Guys." "Told you I could prove it." "Psych." "Surgical." "Eh, come on now." "You're doctors." "Act like it." "Guys." "Psych!" "Surgical!" "Psych!" "Surgical!" "Psych!" "Surgical!" "Guys!" "Shane took a pregnancy test and it's positive." "He's definitely a surgical patient now." "Do not think for a moment I condone stealing patients." "That said ... way to go." "The first pregnancy test" "I took was a joke to make Tina laugh." "We didn't think it would lead to ... you know, this." "Mr. Herman I can assure you, you are in no way pregnant." "Wooh." "It's a relief to hear it, you know officially." "But hey, why was that stick blue?" "Well that's what we're gonna find out." "Uh, Stevens do a shot gun work up, including tumor markers." "And get CT to make some room for us in line." "What's this for again?" "Ah medical journals, monthly case reports." "Annual banquet highlight reels." "Ah hey!" "Whose pager is that?" "Um, um, mine." "But I found him, so can someone else ..." "What do you ... no!" "We don't ignore pages Yang." "Excuse me." "Here." "Just need to get to the top." "We'll be finished soon right, Dr. Bailey?" "Patient in 42 43 needs a rectal." "Then I've got 2 infected wounds, a folia grown abscess, 4 debridements and ah ..." "case of explosive diarrhea." "You're kidding me right?" "I'm not known for my humor." "Ah uh why did you page me?" "..." "ah none of these are my patients." "You're Bailey's intern right?" "Then these are you're patients." "Debbie here." "A portion of the intestine is used to enlarge the bladder." "Then we construct a pathway for a whole new belly button." "It's a very tiny hole that's virtually invisible." "She can wear a bikini and no one would ever know." "Why would she need a bikini?" "She doesn't know how to swim." "She could to the beach." "Lie in the sun." "Hang out with her friends." "Oh my god, she's so self conscious now." "Right, exactly." "Nicole could have friends her own age Elaine." "When did you say Nicole would be back?" "After her labs." "Now just think about her future." "Nicole could be independent." "She could go to college anywhere." "She could have a job, have her own apartment." "Date." "Get married." "These labs are taking a long time." "She can spend more than 20 minutes away from us Elaine." "I'm asking about my only child." "She's not a child anymore." "She's my child." "She'll always be my child." "Alan!" "Yes?" "Watch your step, you're hitting my chair." "I'm sorry." "And hold onto my bag." "I've got it." "And don't rummage through it." "I won't." "Please and thank yous were never her strong suit." "You're a very patient person." "Years of practice." "Woops." "I just try to keep her calm." "You know they didn't think they she was gonna survive the 1st surgery, let alone 3 more." "Here it is 10 years later, she's still here." "Yeah it's a miracle that she's still alive." "That's what everyone says." "What do you say?" "Uh, it's right there in the vows." "Sickness and in health, right?" "Thanks." "Pregnant guy?" "You had a pregnant guy and didn't tell me?" "Well we can get you floor space in the O.R for 50 bucks." "You're selling tickets and we don't even know what's wrong with him." "Whatever he's got inside has got to come out." "We're just brokering a few deals." "Sort of like backstage passes." "Want in on the cash?" "No." "I didn't need a pregnant guy!" "I was Burke's new go to guy." "But that's over thanks to you." "He didn't know that I knew about you two." "Stop talking." "What on earth?" "Hi ..." "I'm Alex's charity case." "Huh, I like her already." "Are you volunteering?" "Don't ask." "Why?" "It's not like we can read your mind." "It's not like we have any idea what's going on in your tiny, tiny, tiny little brain." "She has a point." "I am hungry!" "So this is cool." "A real live lunchtime.." "In a real cafeteria with trays and friends" "We're not his friends." "Don't they have a cafeteria at your school?" "I'm home schooled by my parents." "That explains a lot." "So are you guys are the cool kids around here or something?" "What would make you think that?" "It seems like everyone is talking about you." "The guys and I were taking bets on who would get to scan this dude." "Beers are on me tonight." "Next up the wager on what this thing is." "You're taking bets?" "On what's inside his belly." "You want in?" "10 bucks." "Well we know its not fat, fluid or fetus, so ..." "Geeze." "Are those teeth?" "Cristina is gonna be so mad she missed this." "I was told to page you and only you if something like this came up." "Who told you?" "Bailey?" "No." "Oh yes." "And all I can say is you must've made one serious faux paux." "I hate vomit." "You're gonna need this." "Bailey knows." "Knows what?" "She knows." "Well O'Malley knows, why not Bailey?" "So you didn't tell her?" "Why would I do that?" "This is bad." "We have to manage the damage ourselves before this thing spins to far out of control." "And that means coming clean to the chief." "What?" "If we come out into the open, then no one has anything to say." "No, no, no way." "No way." "That's the only way." "No." "Good morning." "Morning chief." "Ah thank you Dr. Burke." "You're welcome." "Great board Chief." "Could you make sure that they get the breathing tube out of my throat right after surgery this time?" "Are you trying to cut off my circulation?" "He's just doing his job." "What did you say?" "I said he's just doing his job." "Well I don't really care whose job he's doing, he's squeezing my arm off." "Are you just gonna sit there?" "Shut up Kim." "Just shut up huh?" "Hey." "You complain to me, about me ..." "Maybe ..." "Around me." "All day!" "Everyday!" "A little silence would be nice." "A few measly minutes of quiet." "Can't you just for once in your life just shut up?" "What do we got?" "She had a LaVeen sign." "EKG shows ST elevations and inferior rates." "She's having a heart attack." "Give her 4mg of morphine." "Run nitro. 10 mics per minute." "Lets do this fast so we can get her into surgery people." "I did this. ..." "I did this to her." "A mesenteric teratoma chief." "In an adult male!" "Is this possible?" "It is now." "Large bi-lobe cystic lesion." "With a solid calcified structure." "A deformed mandible." "Labs show elevated HCG levels that explains the false positive on the pregnancy test." "Which also means ... probably malignant." "You okay?" "You look a little green." "I think he needs some air Chief." "Deep breaths Mr. Herman." "It's just that most of this medical speak goes right over my head." "You have what's called a teratoma." "And it's really very rare in adults." "Which is why you're so popular." "It's just a mass of cells that's probably been there your whole life only now .... ... now it's growing." "Yeah growing jawbones and toe nails and ah clumps of hair." "Yeah I've been listening." "It's just that nobody's been talking to us." "Just about you." "I know what that's like." "Uh what, what did I miss?" "Ew, is that ... is that rectal jelly on your scrubs?" "Dr. Bailey, all the attention." "All the people, they're making them panic." "You know when you said you found a lunch spot with a view" "I knew I should've taken you literally." "I found it in my best of Seattle guide." "It's hardly brown baggie and top of the Empire State building but ... they do have these cute little viewfinders." "You always find something to complain about." "Okay is there anything that you like about me anymore?" "Because if there is I really need to know now." "Well I like that you like cute little viewfinders in every city you live in." "I don't live here yet." "Are you gonna stop talking to Meredith?" "I will." "When?" "..." "Today, tomorrow, next week?" "Maybe I'm not ready yet." "Are you ever gonna be ready Derek?" "What if I say no?" "Then I'm not moving here." "I guess we're at an impasse then." "Dr. Yang." "We never finished our conversation." "Yes we did." "We decided we're not gonna tell you know who about us." "We decided?" "If you're worried about your career, your reputation, they're in much more danger if he hears about us through the grapevine." "He doesn't have to hear about us at all." "Only he will." "It's just a matter of time." "Unless you're hesitating because of some, some different reason." "You are not thinking this through." "Like not wanting to admit to this relationship at all." "We are a couple." "Fine." "Burke." "I said fine." "So what's up with you not wanting to get this procedure?" "I'm fine the way I am." "Good point." "Your choice." "So you're not gonna try and talk me into it?" "Right now I'm gonna study." "Nuclear something fancy nameology." "Is that why you were late?" "You were studying?" "No." "Is that girl Izzie your girlfriend?" "No." "Do you want her to be your girlfriend?" "Look I got stuck with you because" "I was late for rounds so if you don't mind kid, kinda busy." "I'm 18 you know." "What?" "I'm not a kid." "I'm 18." "And ... and I don't have to stay down here with you." "I could go back to my room." "So go." "Izzie's right." "You're an ass." "And I'm not an ass." "Yeah okay I am an ass." "But I'm a cute ass, right?" "How come you didn't kiss her?" "I thought you were leaving." "If I had a chance to kiss someone I liked," "I wouldn't hesitate." "If I had the chance to lose the urine bag around my ankle I wouldn't hesitate either." "Then again I don't let my mommy do all my talking for me." "I don't like you." "Yes you do." "Jerk." "Motor mouth." "Baby-sitter." "Two-wheeler." "Now that's just politically incorrect." "Okay looks like Mrs. Griswold is doing well." "Look at that." "Perfectly exposed partially numb beating heart." "It's a beautiful thing." "Code red!" "Oh I think it just caught on fire." "The heart's on fire." "We have to save Mrs. Griswold." "Begin fire protocol." "I'm on it." "Code red!" "Begin fire protocol." "Move people!" "O'Malley disconnect the electrical leads." "Got it." "Any unnecessary personnel in this room evacuate now!" "Shut down the O2." "Already on it." "Start manual respiration." "Okay I got the amp-u-va." "Starting manual respiration." "I gotta control this bleeding." "Her vitals are stabilizing." "We might just have a chance." "She was on fire." "I've never seen anything like that." "What was that?" "A freak accident." "She was on fire." "Uh yeah you've already said that." "I know but she was." "On fire." "George." "You okay?" "She was on fire." "Hey that was intense, are you okay?" "I'm fine." "O'Malley lets go." "I'm so over this." "Uh hey I heard a heard a heart caught on fire?" "In the O.R.?" "I am the best intern you've got and you are wasting me on puke and boils." "And I get it and I even deserve it but please you can't keep me away from this surgery." "I earned this surgery!" "I stole this surgery!" "What are you talking about Yang?" "You." "Punishing me." "You have no idea what I'm talking about do you?" "Well then like who has been paging me all day?" "The nurses have been on me non-stop." "A little bit of respect and you could have saved yourself a very long day Dr. Yang." "Pissing of the nurses?" "..." "Stupid." "Well I can still scrub in right?" "He wants me to move here Richard." "To pick up everything and move!" "Don't stay for him Addison." "Stay for me." "Stay for yourself." "Richard, I ..." "In Seattle you can be front page news." "With your reputation and the money I'm willing to put in promoting you." "Seattle Grace will become one of the foremost neonatal hospitals west of Manhattan." "You're serious." "I'm ready to put my money where my mouth is." "Turn around." "Walk away." "From what?" "From my intern." "But I wasn't ..." "Uh yeah, yes you were." "Come on, look." "You can't do this." "You don't have the right." "Not anymore." "I just wanna find out if she's okay." "No she's not!" "She's a human traffic accident and everybody is slowing down to look at the wreckage." "She's doing the best she can with what she has left" "Look I know you can't see this because you're in it but you can't help her now." "It'll only make it worse." "Walk away." "Leave her to mend." "Go on!" "It's not like I don't want the operation." "I do you know." "I want things." "It's just ... what if I'm not ready?" "Ready for what?" "For everything." "For taking care of myself." "For being on my own." "For sex." "For love." "I've never had a boyfriend." "I've never even been kissed." "I'm like the oldest living college prospective not to go to first base." "It's mortifying." "There are way older losers than you." "Trust me." "Alex." "Would you kiss me?" "Wh, What?" "I know you're a doctor," "I'm your patient and, and it's against the rules but I would never tell anyone." "For a kiss to be really good you want it to mean something." "You want it be with someone you can't get out of your head." "So that when your lips finally touch you feel it everywhere." "A kiss so hot, so deep you never wanna come up for air." "You can't cheat your first kiss Nicole." "Trust me you don't want to." "Cause when you find the right person to first kiss." "It's everything!" "Her heart caught on fire?" "Yes." "There will of course be an investigation but you should know this is not as unusual as it sounds." "Your wife is going to be fine." "She's well." "Um we completed the operation and I expect that she will make a fully recovery." "Mr. Griswold?" "So that's it, isn't it?" "Her heart caught on fire in the middle of her 5th open heart operation." "And she survived!" "Woah." "Well she's like some a, some mythical monster." "She's never gonna die." "Mr. Griswold." "Mr. Griswold." "I know this is an emotional time for you." "Um if you would like to wait ..." "Wait?" "No, no." "I'm not waiting any longer." "You tell her, tell her ... hell, tell her ... she'll survive without me!" "What is going on in here?" "Everybody out!" "Out!" "We already have ..." "Mr. Herman is a patient!" "A surgical patient who's sick and embarrassed!" "And tired of being stared at!" "You two!" "This isn't a zoo!" "Out!" "Out!" "Out!" "You know if all of you want to point and whisper and stare at me, knock yourselves out!" "Look at Meredith, isn't she sad and pathetic and heartbroken." "Maybe she's gone mental maybe I have!" "But leave Mr. Herman alone!" "You should be ashamed of yourself!" "And what are you looking at?" "So, so do you tell his wife or should I?" "I wanna thank you for helping me out in the surgery today O'Malley." "It was a high-pressured situation today and you were on top of it." "Well thank you Dr. Burke." "And hey I'm sorry about before about you knowbringing up you and Cristina.and just like ..." "You're still my guy O'Malley." "Still my guy." "I always thought I'd hold your hand in the delivery room." "I'll let you know when the surgery is over, okay?" "This is far as I go." "Hey Dr. Grey, don't let them show it off." "You know, put it in a jar, pass it around or nothing." "Your teratoma?" "Yeah." "I just feel weird about having my insides on display like that." "You promise?" "I promise." "At the end of the day there are some things you just can't help but talk about." "You really want to be the one to dispose of this Grey?" "I made a promise." "I am worried about my career." "I'm worried about my reputation." "I'm ..." "I will not be Meredith Grey." "I busted my ass to get here and people won't make allowances for me ..." "This is not about making allowances and you know that." "Everyone will know." "That's the point." "I don't want to tell the Chief, okay?" "I just ... don't." "Some things we just don't want to hear." "And some things we say because we can't be silent any longer." "I'm getting the operation." "She's clearly not considering ..." "She is considering." "I'm getting the operation." "You two talk and talk but do you notice how you never ask me anything?" "Part of it is my fault, I let you do it." "But I'm not cheating anymore." "I'm not sitting back and giving over control because" "I am ready to handle things for myself." "Some things are more than what you say." "They're what you do." "I appreciate your candor Preston." "I can take whatever you threw at Shepard." "I don't need any special treatment here." "And your not gonna get any." "You're not married." "You're not hiding." "You came to me." "You clearly value your relationship." "What you two have together." "I understand that Preston." "And it does matter." "Some things you say because there's no other choice." "I've given it a lot of consideration and I've decided to move to Seattle." "And ah ... well Meredith won't be an issue anymore she's out of my life." "It's well, it's taken care of." "Well ah I must say this is ah remarkable progress." "I applaud both of you." "You've ah taken a very significant leap." "That's what marriage is about." "Compromise, right?" "Yeah it's uh ah, well it's about ah well give and take." "Some things you keep to yourself." "She yelled at you?" "Well we probably deserved it." "We sold 485 dollars worth of tickets to the surgery." "Yeah." "Did you sell more?" "Oh yeah." "You're out of control." "Hey Joe." "Hey." "So you guys really don't have anything else to talk about." "No.No.No" "And not too often ..." "but every now and then ..." "What?" "What?" "... some things simply speak for themselves." "Good night." "Wooh." "Wow." "Seriously." "Manu2005"