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2009
GREY'S ANATOMY
3x09: From A Whisper to a Scream
Original Airdate: 11/23/2006
Written by: Kip Koenig
Directed by: Julie Ann Robinson
CHRISTINA: (narrating) As doctors, we know everybody's secrets. Their medical histories, sexual histories, confidential information that is as essential to a surgeon as a 10-blade. And every bit as dangerous. We keep secrets. We have to. But not all secrets can be kept.
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DEREK: 6 letter word for pinnacle.
MEREDITH: Zenith.
DEREK: Oh this is good. No sex crossword puzzles, current events. When's the knitting start?
MEREDITH: Shut up. Good things come to those who wait.
DEREK: I want sex.
MEREDITH: There will be no sex.
CHRISTINA: Am I interrupting sex?
DEREK: No.
CHRISTINA: Good. Get out.
DEREK: What? You can't ask me to leave.
CHRISTINA: Meredith...
MEREDITH: Give us a sec.
DEREK: When I get back there better be some sex.
MEREDITH: Why are you all sweaty and ick?
CHRISTINA: I jogged here.
MEREDITH: You don't jog. Christina...
CHRISTINA: What if Derek robbed a bank?
MEREDITH: What?
CHRISTINA: Say Derek was robbing a bank...and while he was in there, you were waiting outside, cause it was your job to drive the get away car.
MEREDITH: Why would Derek rob a bank?
CHRISTINA: Just go with me here.
MEREDITH: Okay, Derek's robbing a bank.
CHRISTINA: And he gets caught. And no one knows you were involved, cause you were driving the car.
MEREDITH: Okay, Derek's in jail, I'm in the mystery car. What's the question?
CHRISTINA: Would you turn yourself in? Or would you stay quiet and let Derek go down for a robbery in which you were a complicit participant? Or would you stand by him?
MEREDITH: Well... whose idea was it to rob the bank?
CHRISTINA: I don't know...his! But you helped. I mean could you live with yourself if you walked away and let the man you love take the fall?
MEREDITH: If you tell me, maybe I can help. If you tell me...
CHRISTINA: I'll see you at work.
MEREDITH: Christina, you don't jog. We don't jog.
CHRISTINA: Has George said anything to you?
MEREDITH: About what?
CHRISTINA: I jog sometimes... without you.
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CHRISTINA: How's your dad?
GEORGE: His surgery is today.
CHRISTINA: You have nothing to worry about.
GEORGE: I'm not worried. Not any more.
CHRISTINA: What do you mean by that?
IZZIE: Hey. So are you and Meredith having one of your "we're best friends, we're so cool" secret time things? Sorry, I'm cranky. Candy striping makes me so cranky.
GEORGE: Christina's leaving.
DEREK: Ah, so I can have my girlfriend back.
(Christina jogs out.)
IZZIE: What's wrong with her?
(George just walks back into the kitchen as Izzie rolls her eyes at the giggles coming from Meredith and Derek upstairs.)
BURKE: Why are you acting like the sky is falling?
CHRISTINA: It is falling. It already fell. George knows.
BURKE: I was in surgey 14 hours yesterday and no tremor.
CHRISTINA: Yeah, with me by your side ready to jump in.
BURKE: I haven't had a tremor in a week.
CHRISTINA: George knows. This isn't just any surgery. You are operating on his father today.
BURKE: I am aware of that. And I am fine.
CHRISTINA: He's going to do something. I know him. He's not just going to just stand by and say nothing.
BURKE: There's nothing to say. I had a tremor and now I don't.
CHRISTINA: We need a strategy. We have to figure out our story and come up with a plan.
BURKE: Christina...you're too intense.
CHRISTINA: I am too intense? I have been working my ass off making sure nobody knows. Running your board, learning surgial procedures I shouldn't have to know until my fifth year covering you.
BURKE: Covering me? And I haven't been covering you?
CHRISTINA: Excuse me?
BURKE: I'm just saying, we're a team.
CHRISTINA: Okay
BURKE: A strong team. And I wouldn't be in tha OR if I didn't know I could do it. You're just going to have to trust me on that. Don't let this O'Malley thing break you down
CHRISTINA: No, I'm not.
BURKE: Christina...
(Her pager goes off.)
CHRISTINA: I gotta go.
(His pager goes off too.)
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ALEX: What happened?
BAILEY: Driver, lost control of his car. plowed throug the fish market at the warf. I need all hands on deck.
IZZIE: All hands? Does that mean "all hands" or just...all hands?
BAILEY: Stephens you shouldn't have been paged. You can go and take over on Mr. O'Malley. He's having surgery today with Dr. Burke.
CHRISTINA: That's my case. I'm with Burke.
BAILEY: You have traumas rolling in. She can take over for you.
IZZIE: Thanks...
BAILEY: Stephens, you will not scrub in, you will not handle any instruments. You will not move or talk or DO anything other than breathe and watch.
IZZIE: Candy striping again, no problem.
CHRISTINA: Where is George? Why isn't he here?
MEREDITH: I don't know. He switched shifts with me.
CHRISTINA: Dr. Bailey I just wanted to say...Dr. Burke requested me on the O'Malley case, so if I have to go...even if Izzie can't scrub in...so if and when my attending asks for me...
BAILEY: Well if and when your attending asks for you, then you have to go don't you?
(They enter mad chaos of hurt people.)
BAILEY: Grey, trauma room 1. Yang, man that stretcher. Karev come with me.
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DEREK: All right talk to me
CHRISTINA: Larry Shane Dickerson. 68. GCS 8. BP of 100 over palp. Pulse in the 120's.
CALLIE: Obvious deformation of the tib/fib. Get x-rays let me know if there's anything surgical. He's got a lot worse problems than a broken leg.
WIFE: Honey, let me hear your voice. Oh that car... that car... just about killed him.
DEREK: The car hit him?
CALLIE: No, he was driving.
CHRISTINA: Hit his head on the windshield. Chest hit the steering column. Old car. No airbags.
DEREK: So he was driving the car that crashed into the fish market?
WIFE: He wasn't driving it. That's what I'm telling you. It was driving him. He didn't do all this. It was the car. He couldn't stop it.
DEREK: Alright, left puple is sluggish. Mrs. Dickerson, Dr. Yang is going to take your husband over to radiology.
BAILEY: Mrs. Dickerson I have two police officers waiting to take you statement about the accident.
MRS. DICKERSON: It was the car. He went to drop me of, just like he always does. He's a good driver. Please I want to be with my husband.
BAILEY: Yes, Mrs. Dickerson, but just give the statement.
MRS. DICKERSON: Not now! Please.
BAILEY: Okay um...right. I'll ask them to come back later. Let's go.
NURSE: He's crashing.
NURSE 2: I need suction here.
MEREDITH: Should we shock him again?
BURKE: Shocking him isn't going to help if there's no blood to pump. Damn it. There are clots everywhere. If I could just get better visualization.
ADDISON: So you were in the fish market when this happened? Okay I need you to get her
(She notices a woman covered in blood standing in front of some automatically opening doors.)
ADDISON: Ma'am? Ma'am?
BURKE: Call it Grey.
MEREDITH: Time of death 7:53 AM.
(Addison walks toward the woman, who is now slowly walking into the room.)
Dr. HAHN: Preston Burke. Back from the dead. Can't say the same for your patient.
(Addison running over to the woman.)
ADDISON: I need a stretcher over here!
Woman: I think I might be parked in a red zone
(She collapses into Addison's arms.)
ADDISON: I need a stretcher please!
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ALEX: Awesome cuts.
JANELLE: I flew through a window. I flew.
ADDISON: Karev.
MARK: Stop man-handling my interns. That's my job.
ADDISON: Can you tell me your name?
JANELLE: Janelle Duko.
ADDISON: Janelle what do you do for a living?
JANELLE: I sell vegetables at the fish market.
MRS. DICKERSON: Janelle, honey, can I get you anything? Some food maybe?
JANELLE: Mrs. Dickerson is that you?
ADDISON: Mrs. Dickerson, you can't be here right now.
MRS. DICKERSON: Larry's a good driver. The car went crazy. Janelle if you need anything, I'll be right over here.
JANELLE: She's my best customer.
ADDISON: She collapsed in my arms, I just want to make sure she's okay. You got it from here?
MARK: They don't call me doctor for nothing.
JANELLE: Mr. Dickerson is such a nise man. I hope he didn't kill my baby.
MARK: Addison! She's pregnant.
ADDISON: I need an ultrasound. How far along are you?
JANELLE: 10 weeks. OW!
ALEX: Sorry.
MARK: There's glass in there Karev, try a lighter touch.
JANELLE: The doctors...hot men. They're all really hot. They are aren't they? It's not just cause I'm wearing a plate-glass window?
ADDISON: Nope. They're man-candy.
JANELLE: Good (She starts coughing up blood.) Okay that is nasty.
ADDISON: Her SAT's are in the 80's. I've got to get her oxygen. And I'm going to need a portable chest STAT!
MARK: I love you bossing. Boss more.
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MR. O'MALLEY: Hey Izzie. Honey, this is Izzie.
MRS. O'MALLEY: Oh yeah. One of the girls who lives with Georgie. In some kind of set up there.
MR. O'MALLEY: It's not a set up. It's what they do these days. Men and women live together without being Men and Women. It's like a neutral thing.
MRS. O'MALLEY: So, nothing sexual?
GEORGE: Mom!
IZZIE: No, nothing sexal. Where are the other O'Malley men today?
MR. O'MALLEY: I told them to get back to work. They were climbing the walls in here.
IZZIE: Well I'm here to prep you for surgery. As you know, Dr. Burke is your surgeon.
MRS. O'MALLEY: That's right Dr. Burke. Georgie's always saying Dr. Burke this, Dr. Burke that.
IZZIE: He's one of the best cardiothoracic guys in the world.
GEORGE: (disbelieving) Yeah... (his pager goes off) I have to go. I'll be right back.
IZZIE: You're not even working today, why are you getting paged?
GEORGE: I'll be back.
MRS. O'MALLEY: You're pretty. There's nothing sexual between you and Georgie? Even a little bit
MR. O'MALLEY: Loise!
MRS. O'MALLEY: What? I just want Georgie to be happy.
IZZIE: Okay..let's just prep you for surgey.
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BURKE: Anything you would have done differently, Dr. Hahn?
HAHN: Given the size of the wound, I would have given up sooner. So how have you been Preston? The last time I saw you, you stole my patient's heart, and then got shot. Karma rocks.
BURKE: What brings you out from Seattle Pres. to Seattle Grace?
HAHN: A Consult. And knowing how much my being here would annoy you...
BURKE: Oh, on the contrary, it's always a pleasure. Though not as much as when you leave.
MEREDITH: Hey, do you think I could get in on Dr. Hahn's surgery? I hear she's amazing.
CHRISTINA: Who?
MEREDITH: Dr. Hahn. She's doing a consult. I wonDerek who the VIP patient is...
(We see George talking to Dr. Hahn.)
CHRISTINA: You know what, get him to CT. (Hands films to a nurse.)
MEREDITH: What...
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CHIEF: Dr. Hahn, I was pleasantly surprised to hear you'd be joining us today.
HAHN: Well I'm always ready to lend a hand, Dr. Webber.
CALLIE: George, how's your dad?
GEORGE: Here's his chart, He's in 3975 down the hall, third door on the right. I'll be there in a minute.
CHIEF: I'll escort you. And you can tell me what it'll take me to steal you away from Seattle Pres. We could use an extra hand around here.
GEORGE: Callie. We broke up. You broke up with me unless you don't remember.
CALLIE: I'm just asking about your dad.
GEORGE: Why? Why do you care?
CALLIE: Because I care about you.
GEORGE: Right. I guess that's why you slept with Mark Sloan. Makes sense.
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ADDISON: Did Dr. Bailey see the chest x-ray?
MEREDITH: No, but with the low pulse ox. and decreased breath sounds, she suspects Janelle will need a chest tube.
ALEX: I'm dabbing out freaking glass splinters, and she gets to do a chest tube?
MARK: You signed on for this.
JANELLE: This is not a good day for me. This is not a good day for me at all.
ADDISON: The baby looks good, Janelle. Heart beat is strong. Do you want to call the father?
JANELLE: You could, but that would require me speaking to him, which I no longer do. Hearing he's a daddy from some random doctor might not go over so well.
ADDISON: So the father doesn't know?
JANELLE: No, and he's never going to.
CALLIE: Grey, can I speak with you?
MEREDITH: I'm setting up a chest tube.
Callie; I need to talk to you when you're done.
MEREDITH: I'll find you.
ALEX: You know I can suture. I've done it before.
MARK: When you've can do a z-plasty and barely see the scar, give me a call. Until then, dab and clean, dab and clean.
ADDISON: Welcome to plastics, Karev. Is it everything you've ever dreamed of?
BAILEY: We're not doing a chest tube Grey.
ADDISON: What's going on?
BAILEY: Ms. Duko. You have a shard of glass going into your heart.
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MEREDITH: Hey. Have you see Dr. Torres?
DEREK: No. Quite a morning isn't it? 14 injured, 2 dead,
MEREDITH: I know. There's a lot of blood...You know, there's a girl who literally has a shard of glass in her chest.
DEREK: Come here. Larry Dickerson, guy who crashed the car into the fish market. He has a subdural hematoma, along with air in his mediastinum. Now look at this. Look at his spine right here.
MEREDITH: Spinal Stenosis.
DEREK: Yep.
MEREDITH: Narrowing of the spine, most often a result of aging. Causes numbness in the legs and feet.
DEREK: Only his case is so far advanced, I doubt he could have even felt his feet. Which means...
MEREDITH: He shouldn't have been driving.
BURKE: You paged me?
DEREK: Patient has air in the mediastinum. Wanted you to take a look.
BURKE: This guy shouldn't have been driving.
DEREK: I know.
BURKE: Looks like he has a tracheal injury. You going into the OR for the subdural?
DEREK: Yeah, as soon as one becomes available. What's wrong with Christina?
BURKE: What do you mean?
DEREK: First she kicks me out of bed at 5 this morning so she could have girl talk with Meredith and now I can't find her. She's supposed to be my intern. I had to get my own CT. What's going on?
MEREDITH: Nothing. Christina's fine. She's just working really hard.
BURKE: I'm sure I don't have any idea.
MEREDITH: Don't mention Christina to Burke, okay? It's just not a good idea?
DEREK: Oh yeah? What did you two talk about in bed this morning?
MEREDITH: Bank robberies. Which isn't really the point. It's just that, she was jogging and...just cut her some slack today. Not that I should interfere...
DEREK: But you're going to anyway.
MEREDITH: I'm just going to ask once. Very nicely...Please? Please...please?
DEREK: You know what says thank you like nothing else? (whipers) Sex.
MEREDITH: I'm leaving now.
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(Dr. Hahn is talking to Mr. O'Malley. Christina listens in. Meredith walks over to Christina.)
MEREDITH: Hey, Derek's looking for you He says you left a patient in CT.
CHRISTINA: Shhhhh.
MEREDITH: What's going on?
(Chief looks out to see Christina prying and she runs off.)
CHIEF: Dr. Yang?
CHRISTINA: Yes sir?
CHIEF: When you see Dr. Burke, tell him I need to speak with him.
CHRISTINA: Of course sir. Is that Dr. Hahn from Pres. talking to George's dad?
CHIEF: Mr. O'Malley has elected to have Dr. Hahn perform his valve replacement.
CHRISTINA: But what about Dr. Burke?
CHIEF: Dr. Burke's been replaced.
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BURKE: Dr. Hahn's going to perform the surgery. That's a good thing if it means you stop obsessing.
CHRISTINA: George didn't just replace you, he told the Chief. The Chief knows. And for all we know, Erica Hahn is being considered for the next head of Cardio. And if the Chief asked me to tell you he has something important to talk to you about.
BURKE: Oh. Okay.
CHRISTINA: So we need to align our stories.
BURKE: This is why I feel like I'm covering for you. I don't line up stories, that's not me.
CHRISTINA: Oh, and you think that's me? That's not fair.
BURKE: Well the deal is done. If the Chief wants to talk to me, then I will talk to him. I'm not telling him a story Christina. I'm going to tell him the truth.
CHRISTINA: Burke. Burke!
MR. O'MALLEY: Still getting a heartbeat there?
IZZIE: Happy to say. And it'll get stronger once you have the surgery. Do you guys mind me asking why you switched from Dr. Burke to Dr. Hahn?
MR. O'MALLEY: We didn't George did.
IZZIE: Did he say why?
MR. O'MALLEY: Not really, no.
MRS. O'MALLEY: Did Georgie and Dr. Burke maybe have a falling out?
IZZIE: I don't think so.
MRS. O'MALLEY: Then is there something going on with George and Dr. Hahn?
MR. O'MALLEY: Oh here we go again..
IZZIE: There's definately nothing doing on with George And Dr. Hahn.
MR. O'MALLEY: I already told her, Dr. Torres is the one who loves George.
MRS. O'MALLEY: Then why did she break up with him? Why did she break up with him? Just between us?
IZZIE: Well how much did George tell you?
MRS. O'MALLEY: Everything, I'm his mother.
IZZIE: Well then you know Callie's a little bit out there. I mean, I've seen more of her body than I have my own. It's just a little too much information for me. Nobody needs to be naked that often. (At their looks) He didn't tell you that? Um I don't know why they broke up. I mean he really seemed to like her. And I think he kind of needed her. I mean you remember the whole George and Meredith thing...
MR. O'MALLEY: Wait...George and Meredith?
MRS. O'MALLEY: I knew it.
IZZIE: George didn't tell you that either.
MRS. O'MALLEY: Dr. Grey, Dr. Torres, and now this Dr. Hahn.
MR. O'MALLEY: O'Malley men are studs!
MRS. O'MALLEY: He isn't a stud, he's just very handsome.
IZZIE: People, focus. George is not dating Erica Hahn.
MRS. O'MALLEY: Then why would he want her to perform his father's surgery instead of Dr. Burke? Is she better than Dr. Burke?
IZZIE: She's good. Really good. But nobody's better than Burke.
MR. O'MALLEY: Then why can't I have Dr. Burke?
IZZIE: I don't know.
MRS. O'MALLEY: Do me a favor... could you find out?
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IZZIE: Hey, have you seen George?
MEREDITH: No.
IZZIE: He is acting so weird.
MEREDITH: So is Christina.
IZZIE: What is wrong with everyone today?
(Callie storms in.)
MEREDITH: Hey Callie, I was going to come and find you. What did you want to talk to me about?
CALLIE: Panties?
IZZIE: Uh Callie whatcha you up to?
(Callie rolls up her sleeves.)
CALLIE: I'm kicking Meredith's ass.
(She shoves Meredith up against a locker.)
Callie; I kept your secrets, I was discreet. I was a really good friend to you when I didn't have to be. And now you go and do this?
MEREDITH: Do what?
IZZIE: Callie use your words!
CALLIE: Panties Meredith. I'm talking about the McFreaking code of silence and the pair of panties I pulled off the bulletin board. Not to mention the adulterous McSex I witnessed. (Izzie pulls Callie off her and gets in between them.) Remember that?
IZZIE: I'm sorry, but she's very little and you're hurting her!
CALLIE: You told George. My night with McSteamy was not yours to share!
IZZIE: That's what this is about, your sex with McSteamy?
CALLIE: You told Izzie?
MEREDITH: Callie! You told me you slept with someone. You never said it was Sloan. George told me it was Sloan.
CALLIE: George? George told you? Who told George?
IZZIE: Maybe perhaps the guy you slept with?
CALLIE: George thinks I betrayed him. I didn't. We were broken up.
MEREDITH: Well go tell George
IZZIE: Dude she went all cagefighter on you.
MEREDITH: I know.
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GEORGE: How's my dad doing?
IZZIE: George- your ex is hardcore. Passionate but hardcore.
GEORGE: Yeah I don't...how's he doing?
IZZIE: He's fine George.
GEORGE: And my mom? Is she driving you crazy? Has she offered to iron your scrubs? She does that you know...she offers to iron things. Wierd things.
IZZIE: They're fine. They're just...
GEORGE: What?
IZZIE: Confused. A strange doctor is operating on you dad's heart, and they both want to know why, and I have nothing to tell them, so...
GEORGE: Christina...tell Izzie why Dr. Hahn is doing my dad's surgery instead of Dr. Burke. Go on.
CHRISTINA: Dr. Hahn is an excellent surgeon. Your father is great hands. Nothing else matters.
GEORGE: You're wrong. There's alot of people with fathers in this hospital, and it does matter tot hem who their doctor is.(She walks away.)
IZZIE: George I... I know this is scary, but Burke... I didn't come back until I was ready. Preston Burke is ready.
GEORGE: Look I can't talk to you about this. This is none of your business. So just please just stay out of this.
IZZIE: What do I do about your parents?
GEORGE: You don't do anything about my parents. Your job is to watch remember? Sorry...
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MARK: You might want to consiDerek leaving that alone until she goes into the OR.
JANELLE: Yeah, about that, when's that going to happen? There's a large shard of glass in my heart you know.
ALEX: You'd be surprised how long people can live with stuff inside their bodies. Shrapnel, bullets.
MARK: I saw a guy once with half a chair leg in his chest. That was one hell of a splinter.
JANELLE: Can we focus here?
ADDISON: Janelle, it looks like we'll have the OR in a few hours.
JANELLE: So if I get hit by a car, get thrown through a window, have a big shard of glass in my heart, and my baby survives, that's pretty much a sign I should have this baby right? Even without a father?
ADDISON: Everyone has a father.
MARK: Not if she doesn't tell him.
JANELLE: You think I should tell him. Everyone says I'm wrong. He's scum and now I'm the bad guy cause I don't want him in my kid's life. Isn't that what you''re thinking?
ADDISON: Janelle...
ALEX: My thing is what about the kid? What happens when he's 6 or 7 and he wants to meet his dad?
MARK: Karev, this is none of your business okay?
ALEX: She asked, okay?
JANELLE: He cheated on me.
ALEX: Makes him an ass, doesn't mean you have to be one. Mrs. Duko?
(She's breathing hard and monitors go off.)
MARK: BP's 80/60.
ADDISON: I'm getting muffled heart sounds. She's officially unstable. The OR can't wait. Alex, find Dr. Burke, and Bolus a litre of saline. I need a unit of blood. We've got to get her ready for transport people.
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MRS. DICKERSON: I'm sorry spinal what?
DEREK: Stenosis.
MRS. DICKERSON: And he got this from the accident?
DEREK: I think it may have caused the accident. Spinal Stenosis is common in olDerek people
MRS. DICKERSON: No. Larry didn't have anything wrong with him before the accident.
BAILEY: So there were no symptoms that either of you noticed?
MRS. DICKERSON: No, Larry was fine. We're old, but we're both in good health. Larry was fine.
DEREK: We're going to need to operate on your husband. He has a subdural hematoma, which is bleeding in the brain. And we need to bring in a cardiothoracic surgeon to repair the hole in his trachea, which is his windpipe.
MRS. DICKERSON: So that means that you need to operate on his chest and his head.
DEREK: Yes.
MRS. DICKERSON: We just wanted to go to the market.
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(Christina waits for Burke to get out of his talk with the Chief. They shake hands and Burke leaves to talks to Christina.)
CHRISTINA: It'll be okay.
BURKE: Christina...
CHRISTINA: Whatever happens. He cannot punish you. Every surgery we have done has been textbook. We haven't lost a single patient. We were flawless.
BURKE: Christina� You were right the Chief does want Dr. Hahn to replace me as head of cardio. Richard's planning to retire. And he's recommending to the board that they name me, next chief of surgery.
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CHRISTINA: This is good. This means George didn't say anything.
BURKE: I'm going to be chief.
CHRISTINA: And you didn't tell him anything about your tremor, right?
BURKE: I'm going to be chief of surgery at Seattle Grace hospital.
CHRISTINA: Why do you sound like that?
BURKE: Because I'm going to be chief of surgery at Seattle Grace hospital!
CHRISTINA: This is what you worked for. This is what you wanted. I can work harder...i can learn more procedures, whatever you need.
BURKE: What?
CHRISTINA: Now, nobody knows. I mean, the fact that George hasn't told chief doesn't mean that he wont. But we can deal with that. I'll talk to him-or you talk to him. And once you're chief, it won't matter, cause you'll be chief. This is good. Nobody will ever know.
BURKE: I'll know. I can't be chief not now, not like this. Do you know how long I've wanted this? My entire career. And when I finally get it, there's blood on it. I had a tremor and I didn't say anything. It's unimaginable. It's unethical. I crossed the line.
CHRISTINA: We crossed the line. Together. I crossed the line with you.
BURKE: You dragged me across the line. You made us a team, you told Shepherd I was fine. You said "nobody has to know." I was out there on my own. You made us a team
CHRISTINA: I did what you needed me to do. You were standing there looking at me telling me your whole life was your hands, if you couldn't operate, if you couldn't be Preston Burke.
BURKE: That was your concern, not mine.
CHRISTINA: No you put that on me. When you got shot, I walked away. And you just can't let go of that can you? Well I'm sticking now. I'm sticking. Do you know how scared I am every time we go into surgery? But I do it.
BURKE: Do you know how scare I am every time we go into surgery? I don't just have to worry about my career now, I have to put yours on my back too.
CHRISTINA: We are a team.
BURKE: There is no team. There is only me, once again, making up for your emotional short comings.
CHRISTINA: We shouldn't say any more.
BURKE: No... we shouldn't.
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MR. O'MALLEY: Oh look who's here!
MRS. O'MALLEY: Oh look how wrinkled he is. Thank god I brought the travel iron.
GEORGE: Mom what's going on? They paged me to your room, are you okay?
MR. O'MALLEY: Fine. It's just that...
GEORGE: What?
MRS. O'MALLEY: Want me to?
MR. O'MALLEY: No I'll do it. Here's the thing. We appreciate everything you've done for us.
MRS. O'MALLEY: All the strings you pulled with Dr. Burke, and Dr. Hahn...
MR. O'MALLEY: The last thing we want to do is cause trouble, 'cause we hear you've been under a lot of stress lately.
MRS. O'MALLEY: First with you and Meredith and then with you and Callie.
GEORGE: Izzie!
IZZIE: I thought they knew.
MR. O'MALLEY: We hope you won't be mad, but we rescheduled the surgery for tomorrow because...
MRS. O'MALLEY: We're sticking with Dr. Burke.
GEORGE: What did you say to them?
MR. O'MALLEY: We asked her-
GEORGE: I asked you to stay out of this.
IZZIE: I just told them that Doc-
GEORGE: Get out!
IZZIE: What?
MR. O'MALLEY: George...you don't talk like that to anyone.
GEORGE: Dad! Did Dr. Stephens tell you that she's on probation because the last time she was allowed to interact with a patient, someone died?
IZZIE: It was really nice to see both of you.
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DEREK: You know the guy that caused the accident? The OR just cleared, you going to be able to scrub in with me?
BURKE: Shepherd.
DEREK: Burke What's going on?
ALEX: Dr. Burke, we've got a pregnant woman in the pit with a traumatic cardiac tamponade. Piece of glass piercing her heart. Addison asked for you.
DEREK: Well you can't do both surgeries at the same time.
BURKE: No I can't.
ALEX: Well she's bleeding like crazy. What do you want to do?
DEREK: My guy can't wait much longer.
BURKE: Dr. Hahn is here. Invite her to scrub in with you Dr. Shepherd. I'll take the lady with the glass in her heart.
DEREK: Okay.
BURKE: And Karev? Make sure Dr. Yang scrubs in with me.
ALEX: Everybody gets a surgery except me.
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CALLIE: We were broken up as in not together.
GEORGE: I can't do this now.
CALLIE: I slept with mark to get over you, and guess what? It didn't work. It was a mistake. I did not betray you George, I would never do that.
GEORGE: I can't to this right now.
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MRS. DICKERSON: Where are you taking her?
BAILEY: She's having an operation.
MRS. DICKERSON: Oh no. What's wrong with her?
BAILEY: She has some bleeding in her chest. We need to operate.
MRS. DICKERSON: I'm sorry Janelle. I'm so so sorry.
JANELLE: It's okay Mrs. D. I'm going to be alright.
BAILEY: Mrs. Dickerson, you should go back to your husbands room and wait there.
MRS. DICKERSON: He's having surgery too. Everyone's having surgery.
BAILEY: Go on up, the surgical team is waiting. Ma'am.
Mrs, Dickerson: What did I do? How could I have done this
BAILEY: Done what? Done what?
MRS. DICKERSON: I knew my husband had trouble with his feet. My daughter came to town, she took away his keys. She took away his keys!
BAILEY: You gave them back to him.
MRS. DICKERSON: If I'd sided with my daughter, Larry would have felt so betrayed. He loves to drive. He didn't mean to hurt anyone. I didn't mean to hurt anyone.
BAILEY: I'm so sorry. Listen come with me.
MRS. DICKERSON: Why?
BAILEY: I know that you didn't mean to hurt anyone. but we need to tell the police. Just trust me.
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BURKE: It entered the right ventricle and went right through the septum. I'm going to need to place a pericardial patch.
CHRISTINA: Shall I do a running whip stitch?
BURKE: No, I've got it.
CHRISTINA: I can do a McGoon. I've been practicing.
BURKE: Dr. Yang, move to the other side of the table.
CHRISTINA: Dr. Burke I apologize. I didn't mean to...
BURKE: Move to the other side of the table. Thank you.
----------
HAHN: Can I get some more lap pads?
DEREK: How's it going down there Dr. Hahn?
HAHN: Just groovy. They're all going to be so jealous back at Seattle Pres.
DEREK: Why is that?
HAHN: Scrubbing in with Derek Shepherd? The genious who saved Preston Burke when he almost got his arm shot off. Major Jealousy.
DEREK: Did you hear that? I'm a genious.
MEREDITH: Of course you are.
HAHN: Damn it. I'm seeing a partial tear in his aorta. I'm going to have to enlarge the incision to get tot he aorta. Turn him on his back and redress.
DEREK: His pressure's bottomed out. Can you get control down there?
HAHN: I know, I know he's crashing, and this laceration's getting bigger by the second.
DEREK: You need help?
HAHN: I need four hands and I need everyone in here to help me turn him.
DEREK: Page Thompson.
MEREDITH: He's out.
HAHN: Is Burke available?
MEREDITH: He's in OR 3.
DEREK: Run in there and see if they can spare him.
HAHN: I need everyone to help me turn him.
----------
BURKE: That's it. Start rewarming. Pledgelet 5-0 prolene. It's going to take about 10 minutes before the body warms up. Then we'll take her off bypass.
CHRISTINA: Nice work Dr. Burke.
BURKE: Thank you.
MEREDITH: Dr. Burke? Dr. Hahn was repairing the trachea and found an aortic transection. We really need your help.
CHRISTINA: What are you doing?
BURKE: the heart can't come out of bypass for a while yet. I'll be back.
CHRISTINA: Shall I come?
BURKE: No. Stay here.
(She goes after him.)
CHRISTINA: Mer. Is it bad? What does she need him to do?
MEREDITH: The guy's chest is a mess. She's juggling the trachea and aortic injuries. She just needs another pair of hands.
CHRISTINA: He just repaired a hole in her heart.
MEREDITH: I'm sure he can handle it.(she rushes down the hall) Christina!
BURKE: Hey! Where do you think you're going? Get back in there.
MEREDITH: What, do you think Burke can't operate without you. Oh my God, Christina.
CHRISTINA: Shut up.
MEREDITH: He can't operate without you.
CHRISTINA: If you ever gave a crap about me, you will shut your mouth and go back in the OR.
----------
CHRISTINA: There's a beat. It's beating. She's ready to come off bypass right?
NURSE: She is.
NURSE 2: Doctor Burke wanted me to tell you he's going to be longer than he thought.
CHRISTINA: Longer than he thought? What's that mean? She could stroke out if she stays on any longer. What did he say?
NURSE 2: You shouldn't worry, he'll be right back.
----------
BURKE: Let's unclamp and see what we've got.
(Meredith is concentrating on Burke's work.)
DEREK: Brain's not interesting enough for you Dr. Grey?
HAHN: I've still got a lot of bleeding. I'll place a partial occluding clamp.
BURKE: 4-0 prolene. There.
HAHN: Excellent work Dr. Burke. Thanks you. That should hold once you get a few more in there.
DEREK: Focus, Dr. Grey, focus (She's still watching Burke as he clears his throat and pulls his hand out and stretches it. Derek turns to watch too.)
DEREK: Everything okay Dr. Burke?
BURKE: Everything's fine.
DEREK: Dr. Grey? (He watched Burke work.)
----------
CHRISTINA: It's been too long, she should come off bypass.
NURSE: She should come off soon Dr. Yang. How do you want to proceed?
CHRISTINA: I am not having this girl die of a stroke after all this. Page someone. Anyone who can help take her off bypass.
(Burke comes back in.)
CHRISTINA: What happened in there?
BURKE: He's going to live.
CHRISTINA: You were gone too long. She could stroke out any second.
BURKE: Gather yourself Dr. Yang. Let's take her off bypass. Good. Good rhythm. Temperature is up. Okay let's get those lap pads.
NURSE: Coming off bypass.
BURKE: Stop protamine. Give her more volume. Arterial line is out. Nice keep going. Come on. There it is.
NURSE: Heartbeat still strong. Nice work Dr. Burke.
CHRISTINA: Oh so we just check everything and close
BURKE: Wait...
(The heart tears open and squirts blood all over Christina.)
BURKE: She blew a stitch. She could have a tear in her heart. Give me the preledged 4-0 prolene. Put up two fresh units of blood.
CHRISTINA: What do I do? Burke?
BURKE: I have to repair the heart wall.
CHRISTINA: Should I put on a clamp?
BURKE: One moment.
CHRISTINA: We don't have a moment.
BURKE: Hold on. I need to put the cannulas back in so we can empty the heart again. She needs to go back on bypass. Reheparinize and give me the tubes. Her atrium is extremely viable. It can't hold a stitch
CHRISTINA: What about a horizontal mattress. I can do it.
BURKE: Dr. Yang. I don't need you for this. This is a known complication of the surgery. It happens. It happens. Restart bypass.
BAILEY: I was paged, can I help?
BURKE: I'm repairing the heart wall. I can use your help for a second attempt at coming off bypass.
BAILEY: I'll go scrub in.
BURKE: Load more 4-0 prolene and a new pericardial patch.
(Christina runs down the hall, covered in blood, and straight into the chief's office.)
CHIEF: Come in
BURKE: Chief, we need to talk.
CHIEF: Yes Dr. Burke, I think we do.
(He turns around and there is Christina.)
----------
(Chief is in his office yelling at Burke as Christina stands watching.)
Dr. HAHN: You're lucky you know.
CHRISTINA: What?
HAHN: To study under Burke. If your little intern brain can retain any of what he teaches you, maybe you can become half the surgeon that he is. And that's pretty damn good. If you tell him I told you this... he'll never believe you.
----------
ADDISON: Karev.
ALEX: Dr. Montgomery. How's she doing?
ADDISON: She made it through the surgery. So did the baby so...well it's like I said, kid's a fighter.
ALEX: You think she'll call the guy? The dad?
ADDISON: No. It takes more than a well-meaning speech to get a girl to make a commitment like that. I appretiate it though. Your take...it was surprising.
ALEX: Surprising...
ADDISON: Well for a Mark Sloan protege.
ALEX: Lacky. I dabbed blood all day.
ADDISON: You're a decent guy Alex. I'd hate to see Sloan beat that out of you.
(They gaze into each other's eyes.)
ADDISON: Anyway...
ALEX: Yeah, thanks.
----------
DEREK:I would've helped you if you'd told me. Burke?
BURKE: I cannot. It's been a long day. And I just cannot.
DEREK: I thought you were my friend.
BURKE: I thought you were my surgeon.
CHRISTINA: (narrating) In some ways, betrayal is inevitable. When our bodies betray us, surgery is often the key to recovery. When we betray each other, the path to recovery is less clear.
(Chief stands looking at the full OR board. He'll never get to retire at this rate.)
CHRISTINA: It was both our idea...to rob the bank. It was both of us.
MEREDITH: I know.
CHRISTINA: I just couldn't do it any more...
MEREDITH: You did the right thing.
CHRISTINA: Then how come I walked across the parking lot and realized I can't go home. Where am I supposed to go?
----------
GEORGE: Hey.
IZZIE: Hey. So Dr. Hahn?
GEORGE: Yeah. He's my dad. And I'm scared and you of all people know what it's like to have someone you love in the hospital.
IZZIE: No. You dont get to bring Denny up to me ever again.
GEORGE: I'm sorry.
IZZIE: Don't try to apologize right now. Not yet
GEORGE: Okay
IZZIE: Maybe tomorrow.
GEORGE: Okay
----------
(Meredith and Derek lying in bed.)
DEREK: You watched his hands all through surgery. You knew.
MEREDITH: I can't say anything. There are things that Christina told me. She'd my friend. I can't say anything.
DEREK: No. That's not how this works. How could you know what you know, or suspect it and not tell me?
MEREDITH: You cleared him for surgery Derek. How did you not know? You can't be angry with me. She's my best friend. And right or wrong...she...
DEREK: What?
MEREDITH: She was there when you weren't.
(He turns to face her, they share a moment of understanding and so much for that whole waiting for sex thing.)
Christina (narrating) We do whatever it takes to rebuild the trust. And then there are some wounds that are so deep, so profound, that there's no way to repair what was lost. And when that happens, there's nothing left to do but wait.
(Christina arrives home to find Burke pacing in their room. She walks up to him, and he shuts the door.)
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