内容简介：: Greys Anatomy Season 8 15 Have You Seen Me Lately?Greys Anatomy Episode ScriptsSeason 88x15: Have You Seen Me Lately?Original Airdate: 2/16/2012Written by: Austin GuzmanDirected by: Tony PhelanOwen: We-fight.Cristina: No, we dont. You yell and then you go silent.Owen: I yell because you-We dont communicate. Theres no intimacy.Cristina: Theres intimacy.Owen: Okay. All right. Theres intimacy, but were not on the same page.Cristina: Oh, be-because I dont do what you want me to do.Owen: Because you had an abortion.Cristina: Uh, weve done couples therapy before. He has P.T.S.D.Owen: From the war, and shes had it, too.Cristina: From the shooting, but not at the same time. We-we didnt have it at the same time. And mine wasnt as bad as his is.Owen: You lay on the floor of an O.R.Cristina: You choked me.Owen: You quit being a doctor. SoCristina: For a little while. Uh, but now were fine. Really? Owen: Oh, sure. Okay. Were fine.Cristina: I meant the P.T.S.D.Owen: Okay. Yeah. Were fine.Cristina: Were fine.Owen: Mm-hmm. Except for the part where you aborted the child that I wanted.Cristina: Except for the part where you held my hand while I exercised my right to choose and then four months later, you screamed I killed your baby in front of all our friends.Meredith VO: When youve tried everything but that headache wont go away, you cant stop coughing, the swelling wont go down, thats when you turn to a professional.Owen: SoMeredith VO: As surgeons, we spend years developing skills of perception that allow us to see exactly what the problem is.Amy: You havent even looked.Derek: Amy, I am telling you, it is unrescetable. Let it go.Amy: I came all the way from L.A. to show you this. You could spend more than 30 seconds.Derek: I am looking right at it. Its a gliosarcoma that has invaded the carotid artery. You try and remove it, she will stroke out.Amy: Stop being a jackass.Lexie: Wow. Im-she called-she called you a jackass.Derek: Dr. Grey, excuse us.Amy: Dr. Grey, stay here. I need backup.Derek: Fine. You just got out of rehab. I want you to get on your feet. But you cant help her.Amy: Look at his face. His name is Mason. This gliosarcoma belongs to his mother Erica. Hes a great kid. I dont know him that well, but he seems great. I do know his dad well. His name is Cooper, and he works with me and he is a good guy. He is a good dad, which means he is the one who is gonna have to tell Mason that his mom is dead, that he doesnt have a mom anymore because we didnt do anything.Derek: You tell Cooper youre sorry. You tried. Let it go. I have a surgery.Meredith VO: Trouble is, sometimes all that time spent developing those skills of perception can leave a person with an extremely narrow point of view. And how are you supposed to argue with someone who has science on their side? Jackson: Ah. 65-year-old woman enters the E.R. in shock. Presents with a pulsatile, expanding abdominal mass. Go.April: Ruptured triple-A. I would take the patient straight to the O.R. and access the peritoneal cavity through a vertical midline incision.Jackson: Nice.Meredith: You guys studying for the oral boards in the middle of the day?April: Just another benefit of having a study buddy. You should get one.Meredith: I have one. Its just that my stupid study buddys too busy trying to save her stupid marriage to actually help me study.Alex: Well, you know whats better than a study buddy? A study lackey. Check it. Hey, you. Brown-haired girl, youre up.Morgan: Uh, trauma incident or a surgical situation? April: You made your interns come up with study questions? Alex: Surprise me.Morgan: A 12-year-old boy fell off his bike, hitting his abdomen against the handlebars. Complains of progressive abdominal pain and is short of breath. Breath sounds cloudy.April: What is it? Jackson: Sloan. 9-1-1.April: Hey, if you want, we couldMeredith: I dont need help. Im an excellent surgeon. You know it, and I know it. Everybody knows it. I dont have to prove myself to anyone.April: Yeah, except to the American board of surgery.Meredith: Yeah, theres that.Webber: Meredith Grey.Callie: No. Not Grey. Yang, maybe. Webber: Yangs a cowboy.Callie: Kepner.Webber: Kepner? Callie: Not kepner. Definitely not Grey. She spent all that time in neuro, and suddenly, shes chasing general. Shes unfocused.Webber: Youre underestimating her. I think shed surprise you.Callie: Shed have to.Webber: She will.Callie: Shell have to come to me.Alex: Id do an exploratory laparotomy.Peterson: You said that already.Alex: I know. Um-The patients still crashing?Morgan: Yep.Alex: Oh! I gotta crack open his chest.Chuck: Youve gotta what? Alex: Uh, relax. N-not you.Arizona: Good morning, Chuck. Hey, Karev, and, Dr. Peterson, its always nice to see you in peds.Morgan: Thank you, Dr. Robbins.Alex: Uh, so, uh, Chucks looking pretty good.Arizona: Um.Alex: His, uh, abdominal pains decreased, and I think its a good time to schedule a gastroscopy.Arizona: Great, great. Well, then, youre in luck, Dr. Peterson, because I think that Karev would be an excellent supervisor for your first gastroscopy.Morgan: Thank you.Alex: Okay, uh, Megan. Lets go schedule that gastroscopy.Morgan: Uh, it-its Morgan.Alex: What is? Morgan: My name. Its Morgan.Alex: Whatever. Same difference.Bailey: Carrie Rissler is my patient. Has been for eight years.Mark: Im aware.Bailey: She was given six months to live, but after a mastectomy, oophorectomy, and risky experimental biological therapy, I managed to save her life.Jackson: Which is awesome.Bailey: D-no, it is not awesome. It is a miracle. And when I saw on the O.R. board that my patient my miracle is undergoing a lymph node transfer without my knowledge.Mark: She came to us, Dr. Bailey. Said she brought it to you a few months ago, and you shot it down.Bailey: Cause her extensive scarring makes her a poor candidate.Mark: Thats what I thought. But then Avery suggested we do some angio studies on her arm.Bailey: Avery suggested? Jackson: Dr. Bailey, this procedure has had outstanding results for patients with-with vessels just like Mrs. Risslers, okay?Bailey: This-this could make it worse. It-it-it could even kill her.Mark: Thats not gonna happen.Bailey: Well, y-youre right, its not, because youre not operating, not after I speak to my patient.Jackson: You paged me 9-1-1 to get yelled at? Mark: No, I paged you 9-1-1 so that you could help me convince Bailey were doing the right thing here. You failed.Jackson: Okay. So what do we do now? Mark: Well, lets hope Carries a little bit more persuasive than you are.Meredith: Dr. Torres, Dr. Webber suggestedCallie: Unh-unh, heres how this is gonna work I talk, and you listen. You are here because you and your little pals are all freaked out about the oral boards, and Dr. Webber suggested that Callie Torres might have a special secret study method, right?Meredith: Mm-hmm.Callie: Yeah, Dr. Webbers correct. Callie Torres does have a study method, an excellent study method, but shes not about to just give it away. Callie Torres study method has to be earned. Frankly, she doesnt think that Meredith Grey has what it takes.Meredith: I think she does? I think Meredith Grey has what it takes? Nicole: His B.P. was low and his vessels are collapsed. We could only get one good I.V. in.Nurse: Were gonna have to get another one.Callie: For her sake, Meredith Grey better hope shes right, cause today, today is gonna be a grind. Excuse me. Coming through.Meredith: Excuse me.Nicole: A grind? Really? Callie: Its a meat grinder.Nicole: Oh, whatever.Callie: Like you werent thinking it, too.Tommy: Hang in there, Dom. Yeah, youre looking good, bro, real good.Dominic: Youre lying, Tommy. I look like sopressata.Meredith: Dont worry, Dominic. We just gave you some drugs for the pain.Dominic: Okay.Meredith: Youre gonna start to feel better real quick. What do you think, Dr. Torres? Is this an amputation?Callie: I-I dont know. Is it?Dominic: Tommy.Meredith: What? Callie: No, you tell me, Dr. Grey. Does this look like an amputation to you? Meredith: I mean, yeah.Dominic: Amputate? No, you cant. I need my hand. Tommy, dont let them take myTommy: All right.Mike: Whoa. Is heCallie: No, those are the drugs. They work quickly, just like we have to.Mike: But youre just gonna cut off his arm? I mean, ICallie: No, this is a teaching hospital, Mike, okay? Im doing a thing. Grey, heres how its gonna work if you want my help on the boards. Youre gonna run this. Youre gonna decide our course of action. Youre gonna be the person that stands between Dominic and a hook for a hand. You in or you out? Meredith: I already said amputation is our best option.Callie: Oh. Best? Meredith: Yeah, best.Callie: Okay, so book an O.R. and fire up the bone saw. Lets move him out, people. Grey wants to amputate.Tommy: Whoa.Callie: Yeah.Meredith: Dr. Torres, wait. I have a finger here.Callie: I knew that already, Dr. Grey.Meredith: No, a viable finger. Look at the cap refill.Mike: I-is that bad or good? Callie: Dr. Grey, is that bad or good?Meredith: Thats good.Callie: All right. So what do you want to do? Meredith: I think we should take this thing off and see whats left.Callie: All right. Times a factor here, Grey.Tommy: Why is time a factor? Meredith: Because the longer his hand stays in there, the more we compromise his circulation.Callie: Tick tock, Dr. Grey.Meredith: So lets call up to maintenance and get a sawzall.Callie: Mm. You really want to wait that long?Meredith: Uh, fire and rescue has tools.Callie: Better.Meredith: Okay.Tommy: Hey, th-these tools, what are they gonna do, Rip apart the grinder? Meredith: To save his hand.Tommy: Yeah, we dropped a couple grand on that thing. You cant trash it.Meredith: To save his hand? Tommy: Mike, how long is it gonna take you to get that thing apart? Mike: I-I take it apart and-and clean it every night. We can get him out.Tommy: Yeah.Mike: Quick.Meredith: Dr. Torres? Can you do it in under 45 minutes? Mike: Give or take?Callie: Grey? Meredith: Dr. Grey what? Do I think its okay to let a couple of civilians take apart the machine thats grinding their brothers hand?Callie: Yeah.Meredith: Lets do it.Mike: Okay. Im gonna need a set of allen wrenches and a phillips head screwdriver. Make that two.Tommy: Stat! Mike: Hang in there, Dom.Lexie: Hey, you paged? Amy: Look, I can remove the tumor and the diseased carotid together. All I have to do is run balloon catheters in through the femoral, place them in precise position, inflate them to stop the blood flow, do two arteriotomies, then feed a heparinized shunt into place, and reestablish blood flow.Lexie: Thats all? Amy: Oh, and I have to do it in 90 seconds. Any more than that, and she strokes out.Lexie: Is that even possible? Amy: Not sure. I would love to test it out.Lexie: We should set up a simulator.Amy: Uh, dont we need to get Dereks approval? Lexie: Yeah, but that shouldnt be a big problem.Amy: He loves to say no to me. That is his favorite thing to do.Lexie: Maybe you should refrain from calling him a jackass.Amy: I cant help it, cause he is one.Lexie: Maybe I should ask him.Amy: Would you?Lexie: Yeah.Amy: Hes in surgery, O.R. two.Lexie: You just called me down here so that I would go to Derek for you, made me feel like it was my idea.Amy: Arent I good? Lexie: Amazing.Cristina: I have always been clearOwen: You have not always been clear. She loves to say that.Cristina: Always been clear I do not want kids. He knew that.Owen: I did not know that.Cristina: You knew that.Owen: I did not know that in the beginning.Cristina: What, I have an icicle in me, and Im supposed to tell a stranger, Hey, I dont want to have kids? Owen: Im not talking about the icicle. I am talking about after. After.Cristina: No, I told you when it was relevant to the relationship.Owen: Most people wouldve considered dropping a bomb like that before the wedding. That is when it wouldve been relevant.Cristina: Well, uh, you proposed, and we were married like 12 hours later. So sue me if, in the moment, I was thinking of other things.Bailey: I-I know the lymphedema is bad.Carrie: Oh, its miserable. These are sausages, not arms. I cant lift them. Oh. Im in pain all the time.Bailey: I think-Look, we just need to be happy the cancer is gone and look at the lymphedema as-the price were payingCarrie: The price Im paying. Oh, look-You dont think I felt awful, sneaking in here like a thief to get my surgery? But Im just-You saved my life. You know how I feel about you. Youre a hero to me. But I-I want to be able to brush my hair hold my grandson.Bailey: Erin had a baby? Carrie: Having one, in the spring.Bailey: Oh, e-oh, my-she was just starting college when you were first diagnosed.Carrie: I know. You promised me Id make it to her graduation. If you-really think this is a mistake, I wont do it.Mike: O-okay.Tommy: You got it? You got it? Mike: I got it.Callie: So whats your plan, Grey?Meredith: Okay, my plan is, they get this thing off, and then we assess.Callie: Right, but what if they dont? You need an alternate plan.Meredith: Well, I dont need an alternate plan, because theyre gonna get it off.Mike: Whatd you do?Tommy: I didnt do anything.Meredith: The more you guys loosen that, the more hes gonna bleed.Mike: Should we stop? Meredith: No, keep going, just go faster.Callie: Y-you sure you have time for that? Meredith: If you have something to suggest, why dont you? Callie: Now youre just wasting everyones time.Meredith: Well, we have to get him up to the O.R. or hes gonna bleed out.Callie: Yeah, well, his hands still trapped in that grinder.Meredith: Lets get a pneumatic tourniquet on his arm above the grinder. Thatll buy us a few minutes.Callie: Okay.Meredith: I can give you guys 15 minutes, and after that, I have to amputate.Mike: Understood.Lexie: Weve operated on worse.Derek: Lexie, she showed us a picture of a little boy.Lexie: I know. I-its clear that she is passionateDerek: My sister is too emotionally wrapped up in this patient to clearly see that she cant help this woman.Lexie: You know, it tells me that shes passionate enough to try harder.Derek: Yeah, well, all the passion in the world is not gonna make her plan doable in 90 seconds. You need to see that for yourself, fine, set it up.Lexie: Only youre gonna be the one who sees a thing. I mean, thank you.Morgan: Dr. Robbins said I would be doing this.Alex: Yeah, how can you do a gastroscopy and read the index cards? Come on. Keep them coming.Morgan: Congenal aganglionic megacolon, also known asAlex: Hirschsprungs disease.Morgan: Typical treatment? Alex: A pull-through procedure. Did you skip symptoms? Morgan: Uh, symptoms, right. Sorry.Alex: Dont crap out on me now, Megan.Morgan: Morgan. Uh, symptoms, uh, severe and persistent tightness in chest, indigestion, blurred vision, shortness of breath.Alex: Yeah, thats not Hirschsprungs. Morgan: Severe headache, nausea. Patient is 24 weeks pregnant.Alex: Yeah? Well, that narrows it down. Uh-it could be P.I.H. Yeah, Id order labs and, uh, a U.A. then Id take her down to the O.B. so she could be monitored.Morgan: Okay. Yeah. Y-yeah. You should you should probably do that.Alex: Hey. Hey. Hey! Hey. Are you gonna just stand there or are you gonna help her? Nurse: Morgan? Alex: When were you gonna tell me you were pregnant? Morgan: Everybody in this hospital knows that Im pregnant. But then they-they also know my name.OB: Well, theres a good fetal heart rate. The baby looks fine. These are definitely not contractions.Alex: List the symptoms.Morgan: I am not quizzing you right now.Alex: No, your symptoms. Chest tightnessMorgan: Nausea, shortness of breath, indigestion.Alex: You mean like, uh, heartburn?Morgan: Mm-hmm.Alex: Page cardio. Youre having a heart attack.Cristina: There is no deeper reason.Owen: There has to be.Cristina: There is no deeper reason. I wasnt abused. I-I dont have a dark secret. I wasnt mugged by a baby. I just dont want kids.Owen: Nobody doesnt want kids.Cristina: People can not want kids. Its a thing.Owen: That is not a thing.Cristina: Well, its my thing.Owen: Youre gonna change your mind. Youre gonna change your mind in three years or five. Youre gonna change your mind about having a baby, and then its gonna be too late. And youre gonna regret it.Cristina: And I will know and understand that I made a choice. I choose medicine. I choose me. I choose that over the remote possibility that I might one day regret not having a child. And by the way, its all right to never want kids. Some people dont ever want kids.Owen: Well, I want to know why. Why? Bailey: In 2004, I was removing mets from Carrie Risslers abdomen and pelvis, and decided to go for one near her liver when she started bleeding out. As I was trying to stop the bleeding, she went into heart failure. I had to send her to the I.C.U., tell her daughter Erin that she was in a coma and that there was a good chance she wouldnt wake up. But she did. And she still had two more surgeries ahead of her and chemo and radiation. Her body is a battlefieldMark: I get it. You talked her out of it.Bailey: No. Youre doing the lymph node transfer, but not without reading every page of this file twice.Jackson: But were supposed to operate in half an hour.Bailey: Then start reading.Jackson: Okay.Bailey: Im watching you, Avery.Jackson: Yes, maam.Tommy: Come on.Mike: I almost got it.Tommy: Come on. Come on.Calle: B.P.s dropping, Grey.Meredith: You guys need to be done now.Tommy: Just one second, Dr. Grey. Just one-one moreMike: And done.Tommy: We should be able to turn back the auger and pull him out.Callie: No, well pull him out. Its time for you to go. Grey, take this. Youve got the auger.Meredith: Okay.Tommy: Look, cant we just stick around and seeCallie: There we go.Tommy: Oh, holy god.Callie: Okay, so weve got a piece of hand with sort of fingers on it.Meredith: What about these? Can these be saved? Callie: I dont know. Can they? Amy: Boom! Lexie: 97 seconds.Amy: Bite me!Lexie: Wow.Amy: Sorry. I just-Sorry. I just-Ive been at 97 seconds for 8 freaking tries now.Lexie: Maybe not the ninth. If I can find another stopwatch.Amy: I mean, Dereks probably right. Im just-Im gonna let her down. He should know. Ive let him down enough times.Lexie: Lets take a break. Lets go, uh, you want to get something to eat? Amy: I want something. Its not food.Lexie: Theres a guy who got his hand stuck in a meat grinder.Amy: I-wouldnt mind seeing that.Lexie: Yes.Teddy: Okay, Morgan, you had an acute M.I. from a spontaneous coronary artery dissection.Morgan: Are you kidding? I-I dont have any of the risk factors.Teddy: Yeah, well, most likely, related to your pregnancy. We need to get you upstairs right now.Morgan: Dr. Robbins, why are you here? Teddy: We need to repair the dissection immediately.Morgan: My babys fine, right? You said that my baby was fine? Teddy: Morgan, listen to meMorgan: If my babys fine, why are you here! Teddy: Lie back, lie back, listen to me. All right, we need to go right now.Morgan: But its too early to take the baby out. Hehe-she could have R.D.S. or get septic? The dissections extensive.Teddy: We have to put you on bypass in order to fix it, so the baby needs to be delivered now.Morgan: She barely has any lungs.Arizona: 24 weeks is premature, but theres a very good chance. No, you-you cant say that, okay? Morgan: I know what you can and cant say is very good and you cant say that.Arizona: Listen, my baby was born at 23 weeks, and its terrifying, I know, but Ill be here for you. Were all gonna be here.Morgan: Will someone call my boyfriend? His name is the first in my phone.Arizona: All right. Karev, call her boyfriend and let him know whats happening.Alex: Im scrubbing in.Arizona: Shes your intern, Karev.Alex: Yeah, okay. Uh, wait. Uh-Her names, uh, Megan, right? Arizona: Her name is Morgan.Callie: Grey, Im surprised. I wouldnt think youd be thrown by a little thing like a severed finger.Meredith: Yeah, well, its just, it smells like pork.Callie: Mmm.Alex: There she goes again. Shes gonna yack. Jackson: Would you quit it with that, all right? I gotta finish this thing before I go into surgery. Hey, where is your study lackey? Alex: Of course the one competent intern in the whole program just so happens to be pregnant and needs surgery for a coronary artery dissection.Lexie: Morgan needs surgery? Alex: How do you know about Morgan? Jackson: Everybody knows about the pregnant intern, Karev. Theres my ride. Here we go.Lexie: If Morgan needs surgery, then why are you here? Alex: My attending gave me a job call the boyfriend. I left, like, six messages.Lexie: Chris is a fourth year at the Cleveland clinic. I mean, you know how busy it gets.Alex: How do you know his name? Lexie: Theyre not just amputating and fitting him for a prosthetic?Alex: No. She thinks shes gonna be able to salvage the finger bits and reattach, because shes cracked.Amy: Thats gonna be so much harder.Lexie: You know what else would be harder? Going through the carotid.Alex: For fingers? Amy: It would be harder, but thered be better control than going through the femoral.Alex: All right. All right. Come on. Here we go again. Come on, Mer. Just a few chunks. Oh, come on. Just puke already.Mark: Oh, thats a good-looking lymph node. You got it?Jackson: Yeah. Oop.Bailey: Did-did he say Oops? Mark: Dr. Bailey. What a pleasant surprise.Bailey: The man said Oops.Jackson: I didnt. Actually, Dr. Bailey, I just said Oop. Mark: He was picking up a lymph node, almost dropped it, but didnt. Lets make some room so Dr. Bailey can get a better view of our every move. As you were, Avery.Bailey: Yyou-you dont want a little more suction, Avery? Mark: Dr. Bailey, while Im always glad to hear your perspective, Ill instruct the resident.Bailey: But your instructions result in oops. We dont oops in my O.R.Mark: Lets try a little more suction.Derek: With Mr. Hamiltons laminectomy, I want an epidural drain for the next few days.Boki: Yes, doctor.Lexie: You should at least listen to her.Derek: Look, I swear, you gotta stop encouraging her.Lexie: Well, this is what you taught me to do. You taught me to not give up until weve tried everything.Derek: Because you can handle it. When we lose a patient, I know if youre okay or youre not because Im right there with you. With her, I cannot do that, because I dont think she can handle it. Not now.Lexie: You are the one who is too emotionally involved. Okay, if this tumor had come to you from any other doctor, you would still be looking at it. You are so worried about your sisters outcome, you wont even think about her patients. Am I wrong? Cristina: You have to try.Owen: I am. Im-Im trying.Cristina: Were supposed to focus on each other and breathe, and youre not. I mean, your mind is totally elsewhere.Owen: Oh, so now you know my every thought and intention? Cristina: We used to be able to look at each other. And Id feel-like we were gonna be okay. There is a reason were together, Owen. There is a reason were married. Please. Look at me.Owen: All right. Im looking at you. Right now-Im looking right at you.Cristina: He has to stop holding a grudge. He has to see me for who I am. He has to take his little list of all my crimes and rip it up, otherwiseOwen: Otherwise what? Cristina: You know, I-I dont know.Owen: How about you stop thinking that youre the sun, and that I revolve around you, and that being a cardio god, maybe that isnt everything, and maybe what I need is worthy of some consideration? Cristina: And were back to the abortion? Owen: Yeah. Yeah, we are.Mark: Im ready for the transfer, Avery.Bailey: Dr. Sloan.Mark: Yes.Bailey: You know that this patient has a history of multiple surgeries in that area.Mark: She sure does.Bailey: Okay, then I dont understand why you think its a good idea to continue to dissect right there.Mark: Respectfully, Dr. Bailey, its not entirely important that you understand everything I do every step of the way.Bailey: Uh, no, respectfully, Dr. Sloan, I disagree. I think its extremely important. Now if you had read the file like you said you did, youd know that shed have massive scar tissue exactly in the area that youre dissecting, so I think going forward with that dissection is a monumentally stupid courseJackson: Respectfully, Dr. Bailey, uh, the bulk of that scar tissue is gonna be found near her axilla. So if Dr. Sloan continues dissecting right there, I really dont think therell be a problem. And I-I read that in-in-in the file, the file that you Carries file that you gave me to read, I-I did-I did read it.Mark: Damn it. Oh, weve got a big bleeder here.Mark: Is that subclavian? Bailey: Respectfully, doctors, I told you so.Meredith: Okay, so I think itll work. If we cut down the macerated part of the finger, itll be short, but itll still be salvageable.Callie: Okay, but this thumb, Im gonna go ahead and say thats not salvageable. Yeah, youre done here. Hell be better off with a prosthetic.Meredith: No.Callie: The thumb is responsible for 40% of hand function. Without it, were done.Meredith: But theres gotta be something else. I mean, I read something about surgeons using a mans big toe as-as a replacement for a thumb. Lets do that. Lets-lets use his big toe.Callie: Listen, Dr. Frankenstein, the big toe, its pretty important, you know, for walking.Meredith: And he can learn to rebalance. Callie: Or he can keep his toe where it is.Meredith: This is a good fix. I know it is.Callie: No, its not.Meredith: Dr. Torres, it has to be.Callie: The big toe is not the fix. That is why were gonna use the second toe. Itll provide the same benefits, but reduce potential disability.Meredith: Really? Callie: Yeah, but were not doing anything without the patients consent.Derek: All right. Tell me what youre trying to do.Amy: Im going in through the carotid with two catheters, uh, one in the proximalDerek: A carotid stick? Thatll kill her even faster.Amy: Damn it, DerekDerek: Amy, Im sorry, but you cant stop and reestablish blood flow in 90 seconds. I mean, I cant do it in 90 seconds.Amy: Oh, well, the great god of neurosurgery has spokenDerek: Look, now Im-Im trying to help you. But please dont put yourself through this. Youre too fragile.Amy: I am not fragile. Im a drug addict. Ive fallen off the wagon twice, and Ive gotten back on. That does not make you fragile, Derek. That makes you very freaking strong. I am standing in a building full of pills right now, a fact that I am painfully aware of, but I am doing this. That is not fragile.Derek: Okay. Show me what youre trying to do.Amy: So you think theres a way? Derek: No, I dont. But I cant stop you, so, um-Ill be here with you. Show me what youre trying to do.Webber: I was right. Right? Callie: Too soon to tell.Webber: Cut the crap, Torres. You two are gonna put a toe on a mans hand. That was her idea.Callie: Maybe we are.Tommy: His toe?! Are you serious?! Callie: Maybe were not.Mike: Tommy, calm down.Tommy: I-Im sorry. Im sorry. I didnt mean to yell. Its just-Thats weird.Meredith: Yeah.Dominic: But if I say okay, I get my hand back? Otherwise, you fit me for a hook?Meredith: A prosthetic, but if you give the go-aheadTommy: He gets a hand.Dominic: Well, what are you looking at me for? Take my toe already. Take my left nut if itll help.Meredith: I think the toe will be fine.Webber: I was right.Callie: So-this is how youre gonna spend your time now, pulling strings behind the scenes like some kind of puppet master? Webber: I am really good at it.Intern: So Im a 2-month-old baby.Alex: Symptoms? Intern: Im underweight, fussy, I belch, and when I vomit, it hits the ceiling.Alex: You have pyloric stenosis. Intern: These cards are so detailed. Whose are these? Alex: Uh, well, those would be the smart ones. The only smart one. What the hell? What happened to Morgans baby? Intern: Wait. Morgan had her baby? Alex: Oh, crap.Jackson: One more clamp, please.Bailey: Well, is it subclavian? Can you get under the clavicle? Mark: Vascular clamp. Its still oozing, Dr. Avery. How do you want to proceed? Jackson: Um-I, uh, I dont-I dont know.Bailey: Oh, he did not just say I dont know. Man, tell me what you see.Mark: Were staring straight at the defect. You think we should call in vascular? Jackson: No, no, I think-I think we can repair this ourself. Um, maybe patch it? Stick-stick tie.Bailey: Patch it? Jackson: Yeah. Isnt thatMark: No, no, its a good thought. Get on that. Bovie.Jackson: Sorry, Dr. Sloan. Just a little distracted here.Mark: Dr. Avery, let me give you one small piece of advice. If there is anything, I mean anything, distracting you from helping your patient, you need to leave it outside.Jackson: Oh, respectfully, IMark: This is your patient now. Yours.Bailey: Uh, someone had better tell me what is going on and had better tell me right now.Jackson: Dr. Bailey-you need to leave this O.R.Bailey: Excuse me? Jackson: This patient, my patient, developed a subclavian bleed because we misjudged her adhesions. But I am now doing an arterioplasty, which is not an easy thing to do, and you are making it more difficult by distracting me. You are compromising my ability to care for my patient, Dr. Bailey.Bailey: Well, if youre telling me you cant focus inJackson: Im telling you, you need to get out. Now.Bailey: Oh, Dr. Sloan, if you let your resident speak to an attending this way. Mark: Dr. Bailey. I believe Dr. Avery made it very clear. Leave the O.R or Ill have you removed.Alex: Get out of the way! Move! Move! Damn it! Wait. Is that for the Peterson baby? Nurse: For the mother. Its not good. Alex: All right. Get outta the way! Come on. Come on. Crap. What the hell happened? Arizona: We were barely in the NICU before he suffered an intestinal perf. Scrub in. I need your extra hands.Alex: Uh-uh, give me a minute. Hello? Yeah, this is, uh, Dr. Alex Karev. I work with, uh, Morgan in Seattle. Uh, listen up, youre-youre fourth year, right? Good. Listen up, shes still in surgery, but shes critical, sos the baby. You need to get on a plane right now.Cristina: Oh, come Meredith and I do not do everything together.Owen: The twisted sisters.Cristina: Yeah, well, were best friends. What do you expect? Owen: She has a baby.Cristina: Oh, my god. That doesnt mean I have to.Owen: I dont see why not. You do everything else together. Its like youre a team.Cristina: Because shes my person. Owen: I should be your person!Cristina: Be my person! Be my person, Owen! Be my freaking person! Owen: Be my person.Meredith: Hes dorsal dominant, so Im not going to use a plantar incision to find the artery.Callie: Okay.Meredith: And I have isolated a good draining vein.Callie: Uh-huh.Meredith: Is that it? Youre not gonna ask me if Im sure? Callie: Are you sure?Meredith: Yes.Callie: Okay, then. Youre impressive.Meredith: I am.Callie: Look, theres always been a lot of hype surrounding you, okay? Meredith Grey, ooh, child of Ellis. Ooh, isnt she so special?Meredith: You dont have to help me if you dont want to.Callie: No, no, no, thats not thats not what Im saying. Im saying youre tougher than I thought. Im saying, youre smart. Im saying-okay, look you know, weve never been friends, not even when I was with George. Mainly because you thought I was a freak and youre blonde and very-And now you have a baby, and I have a baby, and were both married, and-I dont know. Im saying, were both alike. Im saying Ill help you.Meredith: Youre not a freak. And we can be friends.Callie: Every morning, five days a week, you are in my office at 4:00 A.M. and we work, Grey. If you dont show up, if you are late, I will kick your ass. We work, Grey. We work. And youre gonna pass this test. Youre gonna pass it hard.Amy: Okay. Weve got it threaded.Derek: We need to position the balloons and then inflate. You need to get yours in position faster.Amy: I think you should do it.Derek: You can do it. You just gotta get in there faster.Amy: Okay, ready? Inflate.Derek: Starting the clock. Lets move.Lexie: Mr. Price is awake and responsive. And the rest of the post-ops are done. What are you doing? Amy: We needed two surgeons. One on the internal carotid, the other on the external, controlling the balloons. Weve almost got it to 90 seconds.Lexie: You think its gonna work? Derek: Well, lets not get ahead of ourselves. Its one step, one step of a very complicated tumor.Amy: He doesnt think its gonna work.Derek: Well, were gonna go down trying. Thats all. Thank you. You can go.Lexie: I want to go down trying.Der

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