内容简介：: Greys Anatomy Season 5 19 Elevator Love LetterGreys Anatomy Episode ScriptsSeason 55x19: Elevator Love LetterOriginal Airdate: 3/26/2009Written by: Stacy MckeeDirected by: Edward OrnelasAlex VO: Surgeons are all messed up. Were butchers, messed-up, knife-happy butchers.Nurse: Sir, would you like a card set up for you in her room? Alex VO: We cut people up. We move on. Patients die on our watch. We move on.Alex: No. Im a doctor here.Alex VO: We cause trauma. We suffer trauma.Callie: Wait. And here it comes.Alex VO: We dont have time to worry about how all the blood, and death, and crap really makes us feel.Owen: This is how you went wine by watching two hours straight advanced coronary artery. Cristina? Callie: Everything ok? Oh. Cristina! Owen! Meredith: Three in the morning. Cristina, this better be good-Callie. What? He what? Its me. Cristina. Whats going on? Owens out there upset. Callie was screaming.Cristina: Visual acuity, no problem。No petechia. Im fine. Im fine, Im fine, Im fine.Meredith: Oh, my god. Your neck! I will kill him.Cristina: No. It was a nightmare. He had a nightmare.Owen: Cristina, please. She all right? Meredith. I just need to know if she is all right.Meredith: No. No. No. No. Cristina. No.Owen: I am so sorry. I dont know what happened. Im-I dont know what happened. Im sorry.Cristina: Look at me.Owen: Im sorry.Cristina: Look at me. Im fine. See? Its ok. You were asleep. Its ok. OK? Its ok. Its ok.Owen: Im sorry.Cristina: Its OK. I know. Its ok. You were asleep. Its ok. Its ok. Its ok.Meredith: Heres coffee. No. I dont like this. Today is your first day back to the hospital. Today is about Izzie. You have to operate on her brain. You have a gift. And you can do this.Derek: Ill get a shower before I go there.Meredith: Youre wearing a turtleneck under your scrubs. Its ugly. Not as ugly as the fact you hugged him. You hugged him.Cristina: I get it. Hear you. Lets move on.Meredith: Turtlenecks arent ok. Youre not ok, and your boyfriends not ok.Alex: Is your boyfriend ok?Meredith & Cristina: What? Alex: To be cutting into brains today. Is he ok to be back?Meredith: Yes. Of course. Derek is fine.Alex: I was there for his carnage in the O.R. Remember? This isnt just any patient today. This is Izzie.Callie: George. Hey. Im surprised youre not-I mean isnt there a big presentation happening with Izzie?Omalley: I didnt even know she was sick. Bailey told me after Cristina told her. Izzie trusted Cristina. I was the very last to know.Callie: Well, Im sure Izzie wasnt tryingOmalley: I dont even want to talk about it anymore. What I wanna do is work. You have any room on your service?Callie: Yeah. I have 3 hip replacements onOmalley: Thank you.Bailey: You three. OK. I understand why youre here. I know you wanna help. But I will be the resident on her case today. I will be preparing her for surgery. And if you going into that hospital room today, youll do so as her friends. Izzie needs her people around her. She needs you tell her everything will be fine. She needs you hold her hands. She needs you. Not more doctors. Understood? Izzie: Great. Lets get started.Bailey: As you know, you have stage iv metastatic melanoma. We have a lot of surgeries and a lot of procedures lined up for you over the next few weeks.Webber: Weve seen evidence of METS on your liver. So one of those surgeries Dr. Bailey and I will resect them. We also lined up Dr. Parker from O.B. to harvest as many healthy eggs as she can Before you undergo any radiation.Izzie: Right. Babies.Bailey: You just leave me a word before if you wanna. Derek: But our priority today is to address the temporal lobe mets on your brain. Im surprised we need to catch it soon. This kind of thing can cause headaches and seizures. And intense hallucinations. But hopefully delusion has cleared much since I can remove it all.Swender: Are you people done? Over the next four weeks, youre slated for three major surgeries. Seven out-patient procedures. Thats just for the METS weve already found and all likelihood we will find more which means we may have to cut into you more you may get used to the idea now. Ill be adiministering all your radiation chemotherapy and immunotherapy. The treatment will be agressive. It would be harsh. You should prepare yourself. I will be overseeing all your procedures, including todays with Dr. Shepherd. Which means every surgeon in this room now answers to me. Welcome to the counseling, folks.Derek: See you in the OR.Izzie: Seriously, dont just stand there staring at me. Well, I admit it. I can be nervours. Get out of here. Go save lives.Meredith: Yeah. Were on rounds.Alex: Yeah.Cristina: OK.Meredith: See you later.Derek: Karev, I just reviewed Izzies most recent MRI. Doesnt look the tumors grown since her last cancer. Thats good news. Do you have any questions or concerns youd like to discuss with me before we brief Izzie.Alex: Just try keeping her frontal lobe inside her skull this time.Derek: Good morning, Izzie.Bailey: You come? Alex: No. Im on this old lady. SoBailey: Are you sure? Thisll only take a minute.Alex: I gotta go. Really.Joices niece: Hi, Dr. Sloan. These are aunt Joices nephews. Thesere my brothers Toben and Luke. They flew in early this morning. Dr. Sloan is doing the surgery.Mark: Im sorry. Your aunt is very sick. Theres not much more we can do for her. Probably time to say goodbyes.Toben: You mean, like say our goodbyes now or some time in next 24 hours? I mean what kind of time frame are we talking about? Mark: 24 hours seems unlikely.Toben: You sure? Because I have a flight to catch in the morning. And if I wait past noon, I cant change it.Luke: I actually need to be on the plane tonight. Board meeting tomorrow. So do you think shell die before tomorrow? Swender: You really think Shepherds a god for Stevens surgery today? Cristina: Did you have somebody else in mind? Swender: Shepherd wouldnt be my choice given his recent history. But hey, its not my brain that mans handling.Cristina: No.Swender: Damn! Shes HLA type D3. Have to hit her with the DTIC And high dose IO-2 instead.Cristina: Well, IO 2. Thats pretty toxic.Swender: Its about as bad as I guess.Cristina: Youre gonna tell Izzie this right now? Swender: I am her oncologist.Cristina: Study show that giving patients bad news right before surgery can drastically increase their chances of complications on the table.Swender: Today or tomorrow, the news is the same. And right now, I have time. You coming? Cristina: I believe Izzie is down in radiology now.Swender: Fine. We can wait an hour.Alex: Chief. You paged me? Webber: Oh, Karev. Yes, I did. I should know were gonna be harvesting eggs from Stevens. Who I believe is someone youre having relation with.Alex: Chief.Webber: Frozen eggs have a better survival rate Went theyre fertilized.Alex: Fertilized.Webber: I know this is a lot to digest. So take some time. Think about it. If you decide this is somebody might want to considerAlex: Just give me the cup.Webber: Karev. You need to speak to Stevens.Alex: Just give me the cup.Callie: Shes doing OK?Meredith: Yeah. Well, she said she is.Callie: Do you believe her? Meredith: No. Not really.Callie: Oh. Heads up.Derek: What do you hear? Owen: Motorcycle lost control. No helmet. Massive head trauma. Lots of vital signs unmoved. Good to have you back, Shepherd.Derek: Thanks. Come on. Hunt. You hear me? Owen.Cristina: Swender has no vision.Meredith: He grabbed his hands on your throat this morning. You pretending like nothing happened? Cristina: Just focus on Izzie.Meredith: Hunt literally tried to kill you. Hes barely back form Iraq. Its obvious he has issues. That doesnt mean you have to stand by.Cristina: So like if he had a heart attack or stroke or lost a leg. Would, would you walk away? So how is it anymore acceptable that I walk away from this? Hes wounded. Hes war wounds. Meredith. Its not cut and drive. And it is not as bad as you think it is.Alex: Clear.Toben: This might be it.Luke: From your lips to Gods ears.Alex: Charge to 360. Clear.Toben: Oh, for the love of god.Alex: Hey, you know how many people are in this hospital right now. Waiting, hoping that their loved one might actually live? Youre a bunch of vultures.Joices niece: But were not.Toben: Aunt Joyce was given one month to live three years ago. And we were crushed, and we held her hand at her bedside for weeks, and we said our tearful good-byes, and thenwell-She stabilized.Joices niece: Shes been in and out of the hospital once a month. Each time, we jump on a plane, sit by her bed, say our good-byes all over again, and each time, she winds up getting better.Toben: We want to be here when she goes. We-we really do, but Its a lot of flying around the country. Shes ready. Were all ready. Its time.Luke: And Ive got a board meeting tomorrow. Big one.Derek: You know, theyre doing tests that show altered brain anatomy in patients with P.T.S.D. Theyre actually getting close to understanding the physical side of the psychological trauma. Its amazing what you can see with an M.R.I.Owen: What did Meredith tell you about last night? What did she say? Derek: Post-traumatic stress is a real injury, Owen. It can be healed. There are resources- Vet centers, therapy. You shouldnt try and handle this on your own.Owen: I came back in one piece. I have both arms, both legs. Lots of guys came back with real injuries. If the worst I have is a couple nightmares or-or freezing for a momentDerek: Is that what happened last night? You had a freezing moment? If you want, I can help.Owen: Oh, yeah? Im not the one who needs help around here. Im not the one who cut out half a womans brain then ran off to hide. Im not the one who half this hospital is talking about behind their back. So maybe you should spend a little less time worrying about me, and, you know, Just take a look in the mirror, all right? Webber: Karev. Just checking in, see how your c-See how youre doing.Alex: Id be doing better if you werent on the other side of the door listening.Webber: Uh, right, right. Sorry.Alex: I said go away.Meredith: You left the door unlocked. Thats bold.Alex: The chief send you in here? Meredith: Nope. I offered to come in, in case you needed to talk.Alex: You think talking will help? You think a dixie cup full of my swimmers will make everything okay? Its crap. This is crap. You just cant go messing with peoples heads like that. I mean, even if she freezes the embryos, you think-you think well get a chance to use them? You think shell still be here? You think shell survive all this? Do you think-I think-She t-told me-She told me, she was seeing a ghost, okay? And Im so used to all the crazy chicks in my life that I didnt even-Im a doctor. A doctor! And I didnt even think to and now shes-This is-This is wrong. This isnt how its supposed to happen.Meredith: I know.Alex: Its crap.Meredith: I know.Alex: I hate this.Meredith: I know.Alex: This isnt-this isnt how we-how we were supp-this isnt how I wanted to do this. This isnt how Izzie and I were supposed to make a baby.Cristina: I havent seen you all day.Owen: What if I hadnt woken up? I cant even remember what happened. Its gone. I have no memory, no-no way to-I would never hurt you, ever. But I did. My hands just-I mean, how could-how could-my own two hands be capable-I cant do this. CristinaCristina: But you did wake up.Owen: We need to stop seeing each other. We have to stop seeing each other.Cristina: Why? Owen: Cristina, I almostCristina: Almost what? I told you, I know my limits. Let me decide what I can handle.Izzie: Oh, good. Stand right there. Let me see. I never know how long to make these.Bailey: I like the color. Whos it for, Karev? Havent seen much of him today.Izzie: Hes working. Theyre all working. I told them to go work. Theyre doctors. Their patients shouldnt suffer just because I have things growing on my organs.Bailey: I have a colectomy this afternoon. If you were the resident assisting me, and I were to say to you, divide the cecum, What would you use? Izzie: Dr. Bailey, Im not assisting you, and youre not gonna ask me to divide the cecum.Bailey: But Im not gonna let you get rusty. A year from now, you need to be able to do this stuff. You need to be able to teach your residents how to do it.Izzie: You really think Im gonna be here a year from now? Bailey: Yes, I do. So-I have exposed the right lower quadrant, and you are dividing the cecum withDerek: Forceps. I lift free from the arachnoid. Tacking sutures. Patties. Suction. Lets training a lot. Alex: Heres your cup, all filled up.Webber: Im eating here, Karev.Alex: Its fine. I washed my hands.Webber: Did you talk to Izzie about this yet? Considering you two are basically conceiving a child together today, dont you think you should talk with her about this? Alex: Look, you said she needed my contribution. Heres my contribution. Whatever.Meredith: Hey, hows Izzie? Omalley: I dont know.Meredith: Hows Izzie? Cristina: Why? Meredith: Have you been to see her? Cristina: No, Ive been working with Swender all day.Alex: What? Meredith: Have you been to see Izzie?Alex: No. Havent you? Bailey: You finished that thing in one day? Izzie: Had some free time. Ive had a lot of free time.Bailey: Nobody came up to visit? Izzie: Its okay. If I were them, I wouldnt want to step foot in this room either. You dont have to keep checking up on me, you know? Bailey: I do have to. I have to start you on this before your surgery.Izzie: Right. Surgery.Bailey: Well, and I wanted to tell you how my surgery went this afternoon.Izzie: Colon guy.Bailey: Yeah. Now the colectomy went great. But I was in there, and I see a mass.Izzie: Youre kidding. Was it a big mass? Bailey: It was big enough, about the size of a fist. This is going to burn a little at first, but, uh, just for a few seconds. So we had to mobilize the S.M.A. before we could resect the thing and reconnect the bowel.Callie: I wished Izzie Stevens would die. I wished her dead every day of every week for I dont even know how long. I woke up every morning wishing Izzie Stevens would die. And now-what kind of person wishes someone would die? What kind of doctor wishes- Knowing how things happen. What kind-what kind of doctor wishes.Arizona: Are you in here right now praying for Izzie to die? Callie: No. Im praying for her to live.Toben: Clear.Alex: You know what? Why dont you all wait outside?Joices niece: Will you let us know if sheAlex: Yeah, yeah, Ill let you know. Bastards.Lexie: Push 1 epi.Alex: Charge to 360. Clear. Come on, Joice, you old bag. Dont give them the satisfaction. Charge again. Clear. Hey, Im Dr. Karev. Youre a fighter, you know that? You worked hard today. She needs some rest. Um, see the family, make sure they dont come back in here. Give her a break from all the love.Joice: No. Theyre impatient. Its been a long time. But they always come. Theyre my people. People keep you going. People are better than no people.Webber: Uh, its not a good time. Hes still scrubbing in.Meredith: I know. Its just, uh, he should wear this. Its his ferry boat scrub cap. He loves ferry boats.Derek: Meredith.Meredith: What are you doing? Youre gonna have to rescrub.Derek: Im not ready.Meredith: Yes, you are.Derek: I need to know that at least I have you. No matter what happens in there, I need to know. I need you to say yes. I need to know.Meredith: I cant say yes, not if agreeing to be with you forever will make it okay if Izzie dies. I cant say yes. I love you, and you can do this. You can do this. I know you can.Alex: IzDerek: Ill see you soon, Dr. Stevens.Izzie: I hope so.Bailey: Know so.Izzie: Dr. Bailey, if something goes wrongBailey: It wont.Izzie: The scarf-I made it for you.Derek: Beautiful night to save lives. Lets get started.Callie: Okay, so I get why I havent been camped out at Izzies bedside holding her hand today, ButOmalley: Im not talking about this.Callie: Why not? Omalley: Maybe its the fact that I asked Izzie a hundred times. What was wrong, and she just ignored me. And then theres the fact that when she actually needed help, She turn-She trusted Cristina, of all people.Callie: And then theres the fact that shes your best friend and she might die on you. Theres also that. Come on. We are going to go wait for Izzie. Come on. George, you were my husband and you slept with her. You are the reason that I wished her dead. You owe me this. Look, you can lie to yourself all you want, but I know you. I loved you once. And I know that you care if she lives or dies.Meredith: Surgery started.Cristina: Hey, have they started the surgery?Alex: Yeah.Intern: Dr. Grey, we were wondering, did Dr. Stevens surgery start yet orMeredith: Keep it moving. No loitering in the O.R. hallway. Thats the rule.Alex: If they want to stay, let them stay. People are better than no people.Derek: Okay, clamp. All right, Im ready to, uh-No. Yes, okay. Im ready to buzz the superficial temporal artery. Tenting sutures.Bailey: Theres no rush. Take your time. Everyone here is on your side.Swender: Are you sure thats gonna hold, what, with all that friable scar tissue? Bailey: Dr. Swender. Uh, actually I saw Dr. Shepherd do three different craniotomies last month, each with easily double the amount of friable tissue. They held just fine.Derek: Next tenting suture, please.Lexie: Clear. Push another epi. Charge again. Come on, Mrs. Wallington. Clear. Uh, I-Im so sorry. Shes not responding. Weve done everything we can. So-shes gone.Joices niece: Thank you. You did a wonderful job.Toben: Are you kidding me? Joices niece: Oh, god. This is never gonna end.Lexie: No, no, she-shes gone. Shes really gone. Its really gone. Its-its, um, its her pacemaker. Its still firing, So it makes it seem like theres a heartbeat, but shes gone. Just with a heartbeat.Toben: Are you sure shes dead, young lady? Lexie: I-Im an intern. Im not authorized to call time of death in a situation like this. So I-Im gonna get my superior. Excuse me. Ill- Ill be right back. Excuse me.Meredith: Im worried about you.Cristina: O-h, MeredithMeredith: Choking.Cristina: You know what? Stop.Meredith: Its unacceptable.Cristina: Will you back off? Meredith: Hands around the neck.Cristina: Ring thrown in your face.Mark: This will shut the pacemaker down. Time of death22:40.Lexie: There you go. Shes officially dead. You can catch your plane and get to your board meeting. You can-you can leave.Toben: Actually-Could we stay a little while longer? Webber: What are you all doing out here? Alex: Waiting for Izzie, sir. Were waiting.Webber: Youre scared. Im scared, too.Derek: Damn it. Some of the sylvian vessels have wrapped around the tumor capsule. Penfield 4, please.Swender: Really? Instead of the arachnoid knife? Derek: Yes, instead of the arachnoid knife, because the penfield 4 will let me slide the arteries around the met. I need to dissect it free so that I can debulk the tumors, avoiding unnecessary trauma to my patient. So yes, penfield 4, please.Cristina: Were her vitals stable the entire time? Meredith: Were there any spikes in her intracranial pressure? Alex: Is there any residual tumor? Bailey: Shepherd was able to resect all of the tumor. Shell be in the pacu for about an hour. Shes fine. Your friend is just fine, no thanks to any of you. Tomorrow, do better.Webber: The surgery went well today.Derek: Mm.Webber: Shouldnt you and Meredith be out celebrating or something? Derek: She turned me down, twice. She says she understands, she forgives me for what happened in the woods, butWebber: So you showed her your dark side? Meredith never struck me as a woman who was afraid of the dark.Derek: I dont know.Webber: Do you know it was Merediths idea to ask Izzie if she wanted to harvest her eggs, so Izzie could have a chance at the future she wanted? The future, Derek. She was confident youd succeed today. Meredith believes in you.Alex: Im here, Iz. Im right here.Cristina: Izzies surgery went well.Owen: Good. Thats good. I wish things were-That they could be-That we could beCristina: Me, too.Owen: Can I-Can I hold you? Webber: Wait. Uh, wait. No. Y-you cant take that one.Meredith: Why not?Webber: I said dont take it.

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