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A legendary jazz musician refuses to see medical reason. The musician is Burke's musical hero. Finn makes Meredith breakfast. The staff attends to an intern from another hospital who has short-term memory loss. This intern, named Marshall, also has caused a car accident that involved a married couple, their unborn baby and the woman's parents who the staff are also treating. The pregnant woman is named Melanie and she will die but her baby may survive.

One of the female interns meets up with a woman from her past who is planning on having a family of her own. Cristina is in a good mood although Alex, Izzie, George, and Meredith are having problems but in the meantime Burke hasn't forgiven Cristina for her late night faux pas. Meredith and Izzie are making fun of Callie's household habits and George and Callie are having a fight because of George's roommates. Addison is continuing to own Alex and he's upset about it.

Denny has an outburst at Izzie and Derek has an outburst at Meredith. George and Derek work together, Denny still doesn't have a heart, and Meredith gets paired with Callie.

A week pregnant girl dies in the O. This causes tension between Derek and Addison. One doctor's overreaction unites two bickering patients. Finn is still treating Doc for medical problems. Denny needs a heart or else. Izzie and George go crazy trying to get him one. Derek has the life of a friend in his hands as he operates on Burke who has been shot. Burke cannot operate on Denny after Denny's heart stopped and now Denny is in a dire condition.

Cristina gets put in charge of the ER and she is worried about Burke. This episode is the second part of a two-hour season finale. Richard tries to get information from Addison about a family member's condition. Callie and George have a talk about his feelings. Meredith and Derek have a talk about Doc.

Meredith must make an important choice about which path she wants to follow to determine the future of her love life. While she considers her future she and others have flashbacks of their pasts. Cristina spends time with Burke while he recovers. Webber and Adele have a conversation after he spends the night at the hospital.

Everyone attempts to deal with Izzie's choice to quit. George seeks relationship advice from Derek. Cristina meets Burke's parents, the interns try to get Izzie's job back, and Addison takes a day off, a surgical patient may be living her last day. Some of the interns want to know why Bailey won't talk to Izzie. Meredith tries to decide between Derek and Finn and comes to a decision somewhat. Webber finds out that Callie has been living in the hosiptal and he confronts her about it.

The staff tries to prevent a patient from getting an elective surgery. Cristina tries to help Preston cope with the after effects of his surgery. A patient bails on their surgery. Someone goes to a bed-and breakfast. Alex deals with a patient who has had a high amount of injuries in the past. A man undergoes surgery. Before the surgery his wife was only somewhat supportive, but the results may be too much for her to handle.

Izzie tries to go back to the hospital for the first time since Denny died. One child's constant visits are noted by a nurse. Two foster patients are met with suspicions of child abuse. George and Callie's relationship moves forward. Shawn Sullivan, a car salesman who just had surgery, wants to get back to his routine so he doesn't lose his renown.

Addison works with a pregnant woman named Rebecca who may need a C-section and Addison doubts her medical skills. Rebecca wants to have the baby naturally. Derek and Mark's opinions clash when the try to decide the course of treatment for a burn victim.

Izzie gets surprised. Cristina pushes Burke to get better faster. Derek learns one of Addison's secrets. Bailey talks about motherhood and depression to a mother who is set to have cancer surgery and who seems to not care about any decisions concerning the future.

A resident is fiercely questioned about the death of a male patient. An ex-couple meet before lunch and get stuck - Meredith and Addison work on their case. Things get awkward when the ex-couple's daughter, Michelle, arrives at the hospital. Cristina gets to scrub in on a rare surgery which incites envy. Alex questions his future in plastics. George and Addison work together with Noelle.

Noelle is pregnant with twins but one of them is growing slower than the other. Derek's sister visits. A patient's wife makes things hard on the staff since she has made her husband's health her job. A woman's sexual exploits are questioned. The men of Seattle Grace go on a camping trip together, Addison and Callie must team up to work on a patient, Meredith assists Sloan with a procedure unlike any she has experienced, and, suspicious of her recent actions at the hospital, Bailey confronts Cristina.

A 9-year-old is seen by Cristina after he swallowed Monopoly game pieces. A pregnant year-old, is brought in after she slipped in the shower. She doesn't want medicine to take away the pain from her injury so not to put her baby's growth in jeopardy.

Doctors take care of Daniel, a man who wants a sexual reassignment surgery and who now goes under the name Donna. Accompanying Daniel is his wife of the past 10 years, who was surprised to see him want that surgery but, after much struggling, decided to stay by his side. George's father has a serious heart problem that requires surgery and George chooses Burke to do the procedure. Burke doubts himself because he knows the pressure this kind of surgery will put on him, but Cristina believes the team can handle it.

Derek works with Meredith on being a couple again and tries work with Addison on more civil terms. A patient has had mutiple plastic surgeries so that his girlfriend will like him more. A mom wants her daughter's babysitter fired, after she is brought in with multiple injuries, but the girl likes the babysitter more than her mother.

A traumatic car accident fills the ER. Izzie pushes the boundaries of her probation. Cristina has a crisis of conscience about her deceptive teamwork with Burke. Recent events strain Burke and Cristina's relationship.

Mark and Derek must work together when two close-knit brothers seek medical help. One of Meredith's half sisters is admitted to the hospital. Meredith discovers that Derek has a problem sleeping while her father comes to visit the hospital. George's father is moving from one surgery to another. A patient named Heather checks into the hospital. Heather is 17 and has a nasty attitude that results from her medical condition and all the surgeries it has required her to have.

Izzie has an emotional breakdown when she tries to hand over something very important to her. George's family comes to visit to celebrate his father's surgery. Cristina and Burke are playing Uncle. Cristina and Burke continue to play Uncle until one of them gives in. Derek and Meredith are fighting over the reason for their sleepless nights. Meredith tries to talk to her father about his side of the story.

There's tension between Alex and Addison. There is even more tension between Addison and Mark. Addison confides in Callie. Bailey wishes she didn't have to keep a secret from one of the interns. Callie rushes to be with George after she learns that his dad needs an emergency procedure. Izzie may have found 'some good to do' with her inheritance.

After the Chief announces his retirement, rumors begin to circulate on his departure and successor. Mark is determined to leave Seattle for good but Meredith accidentally has him stay after letting him know of the open Chief position. Derek is angry at Meredith for causing Mark to stay in Seattle, but soon realizes that she is not the reason he is really angry. The attending physicians at Seattle Grace Hospital fight to get Richard's attention, but he expresses his disappointment.

He also displays his lack of support in Bailey's plan to create a free medical clinic, but she ultimately goes through with her plan when Izzie offers to spend her entire 8.

George, devastated after his father's death, uses sex to overcome his grief, and eventually proposes to Callie.

Cristina and Burke still don't speak to each other, but he breaks the agreement when he proposes to her. Richard endeavors to reunite with his wife, Adele, and decides to retire, only to come home and find his wife with another man.

The race for the Chief's position is on, and the attending physicians, Derek, Burke, Addison and Mark, compete for Richard's affections by trying to help out everywhere possible. The Denny Duquette Memorial Clinic is open for business, but only one single patient shows up. Izzie is disappointed in what she invested Denny's legacy in, and tries to steal patients from the emergency room.

Callie and George get back from Las Vegas, announcing their marriage, much to everyone's disbelief. Izzie is not supportive of their marriage and tries to get George to realize the mistake he has made. Meanwhile, Meredith's Alzheimer's-stricken mother, Ellis Grey, experiences a change in her medical condition by becoming lucid for the day. She is disappointed in the mediocrity her daughter has fallen into and begins to despise Derek, blaming him for what happened to the Meredith that used to be "a force of nature".

Ellis has to have heart surgery and, despite her wishes, Meredith schedules her upcoming surgery. Richard talks to Ellis and realizes that she is still in love with him, but loses her memory after their talk ends, before Meredith has the chance to tell her how she really feels.

A mass trauma situation, which turns out to be a ferryboat accident, challenges the whole staff of Seattle Grace Hospital. Richard finds difficulty in coping with his separation from his wife and dyes his hair "for the ladies", which becomes an internal joke between Mark, Burke and Derek.

Cristina tries to tell Meredith about her upcoming marriage, but doesn't have the strength to. George promises to find a woman's son, who has been separated from her at the accident. The woman refuses to go into surgery until she is assured that her son is alive. Izzie has to take care of a man who got stuck between two cars on the ferry, but nobody helps her due to the large number of injured people.

Alex rescues a pregnant woman with severe wounds on her face, and promises to take care of her. Meredith looks after a girl who has been separated from her mother after the accident, but accidentally falls into the water and drowns, with nobody but the little girl as a witness.

Meredith is still underwater, but nobody seems to notice. Her worsening condition makes her rescuing an urgent matter.

Derek finds her coat on a man she had helped, and starts looking for her and, much to his shock, the little girl Meredith took care of suggests that she is in the water. Derek saves her, but she is almost dead, due to hypothermia. Izzie has to perform brain surgery on a man stuck between cars, as he begins to experience seizures.

She drills holes into his head, perforates his skull and ultimately saves his life before he is rescued and transferred to Seattle Grace Hospital. George lies to the woman whose son he had been looking for, in order to get to surgery, but still doesn't have any luck in locating him. Alex finds no hope in searching for the pregnant Jane Doe's family as she undergoes surgery.

The interns find out about Meredith's situation and express their hopelessness. She wakes up in what appears to be limbo and meets her deceased acquaintances. Everyone is pushing for Meredith to survive, or in this case to be revived. People are still dealing with the fallout from the ferry disaster. A young man named Lucas is having problems with brain-mouth coordination.

Someone else dies. The race between the attending physicians for the Chief of Surgery position heats up after a new competitor enters the fray. They soon realize that the new surgeon, Colin Marlow, was Cristina's professor in medical school and they used to have a long-term relationship.

He begins to lie to Burke in order to protect her secret, but is soon faced with the realization that their relationship is on the rocks. George finds out that Callie's family is rich, but she had previously hidden the fact in order to find out whether George loves her for who she really is. Derek treats his former colleague from New York, and forces her to have surgery for brain cancer in order to save her future, no matter what the post-surgery risks are.

Alex continues to work with Jane Doe, whose memory doesn't seem to come back. He moves in with Meredith and they have a dinner with her father and stepmother. She seems to connect with Susan, but her relationship with Thatcher seems to be irreparable.

Izzie wakes up, realizing that she has slept with George while they were both drunk. In the aftermath of Izzie's affair with George, he doesn't seem to remember anything.

Callie lets him know that they will be having dinner with her father, but George does not make a good impression, being hung over after last night's events. Alex helps Jane Doe choose how her face will look like after Mark Sloan performs reconstructive surgery on her. He also gives her a new perspective on how the world will see her from then on. The hospital board begins interviewing the candidates for the Chief's position, and Colin Marlow intimidates everyone with his ten-year plan.

However, after taking advice from Bailey, Mark seems to have convinced the board that he is appropriate for the job, despite continuous efforts from Derek, Burke and Addison, whose careers in the hospital outlast his.

Izzie seeks advice from Addison about her affair, telling her sleeping with George felt right, despite him being married. Mark takes Meredith as his intern for the day in order to impress the Chief, something that Derek doesn't approve of, feeling that Mark has become manipulative.

Colin Marlow continues to try to get in the way of Cristina and Burke's relationship. The daughter that Izzie gave up for adoption needs something from her. This episode features a pro chess player, a flirtatious woman, and a mother named Mrs.

Malone haven't talked to their daugther in a while because of their son-in-law. Someone goes to see a priest. The attendings vie to be Chief. Two people who haven't slept together before, will. McSteamy's day vow of chastity has a conclusion. We meet a boss, his assistant, and his wife. We also get to see someone being treated in the clinic. Derek has more questions about his relationship with Meredith.

The chairman of the hospital board is admitted as patient. Callie confronts Izzie about her relationship with George. Meredith works on her relationship with Susan and Thatcher.

Cristina has to deal with her mother and Burke's. Meredith and Derek's relationship has a problem that needs resolution quick.

Addison sees her god-daughter which leads to a job offer outside of Seattle. Derek has to perform surgery. Burke has a reservation about marrying Cristina. Many new people guest star in the course of Addison's road trip to California. Addison considers moving to be closer to her old med school friends until she discovers that drama she wishes to leave behind isn't exclusive to Seattle.

Her friends who she thought had it all, are divorced. A pregnant woman must discover who the father of her child is. The interns finally take their first year medical exams, the biggest test of their careers, and one of them is ill-prepared. Callie grows more suspicious of George and Izzie. The doctors treat a patient named Dale. Three mountain climbers are treated. Cristina works on her vows. Adele wants Addison to keep a secret from Richard.

The mountain climbers lie about the axe in their friend's head, telling Derek that it accidentally got there. During surgery, he and George discover that it was deliberately put there, and one of the climbers admit that he was trying to "put him out of his misery". Adele is saved after Richard finds her lying in the bathroom and is stabilized, but soon suffers a miscarriage.

Richard learns Adele was actually pregnant with his son, not someone she had one night stand with. Bailey is disappointed to see that Callie is the new Chief Resident and begins to question her abilities as a surgeon. Richard chooses Derek as Chief of Surgery, but he refuses, telling him that he isn't done doing what he does best. Cristina and Burke's wedding day arrives, but Cristina won't stay out of the hospital. However, Cristina's nervousness results in Burke's realizing that he does not love the real Cristina and leaves her.

Meredith and Derek are uncertain about their future and despite Derek admitting that she is the love of his life, they call their relationship over. Among the new interns are George, forced to repeat his internship after failing his exams, and Lexie Grey, Meredith's half-sister. Another two new interns will be introduced in this season premiere. And they'll have their hands full when a three-car accident sends multiple casualties pouring into Seattle Grace.

Some of the doctors need to deal with new stressed out interns. A young boy brings his bleeding deer to the hospital in the hope a doctor will save her. A patient is in the hospital because they fell asleep in a hazardous situation. A patient's home laboratory blew up in an apartment building and the victims flood the hospital. Alex investigates the cause of the incident by talking to a really old guy who lived in the building.

Jane Burke shows up to deal with what her son left behind. Lexie tries to talk to Meredith. Callie is overwhelmed by her new position while Bailey is searching for things to do.

The doctors meet the world's oldest intern. Marcy brings in her son Henry because she finds his change in behavior suspicious. A patient named Connie may lose her vocal chords unless Mark and Richard can perform a radical new surgery.

George impresses the other interns at work but at home he is trying to deal with his guilt about having sex with Izzie. A face familiar to one of the year-twos shows up and dredges up issues that were never really dealt with. A teen soccer player needs counseling because of his father and surgery for an injury he sustained while playing the game.

Another patient's, named Courtney, finds out that her cancer is back. It's Halloween at Seattle Grace! Some of the women form a club based on an experience they all share.

A man volunteers for what most of the doctors believe is an unnecessary surgery. One of the patients is in the hospital because they tried to carve a pumpkin in an unconventional manner. A patient comes to the ER with a dream and a condition which may prevent him form realizing it. Two patients are competing to win something big. One of them convinces an intern to take their place.

Izzie and George's new-founded relationship results in them having bad sex. Callie's Chief Resident position is taken away from her, and Bailey is the humble replacement. Meredith can barely handle it with Lexie anymore. There has been a bus crash and the patients are in the ER. Meredith and Derek's relationship gets more complicated when he dates a fellow doctor. Meredith's dad goes to visit her at the hospital. An ambulance crash endangers the lives of the paramedics involved, as Meredith and the Chief work on-site to save them, Bailey treats a patient who refuses her help, and Ava returns for Alex and meets his other girlfriend in the process.

Meredith works furiously to save a paramedic trapped in an ambulance; Lexie holds the life of a patient in her hands; Derek must rely on a nurse to save a patient; Bailey struggles to balance her personal life with her work. George has a surprise visitor. Bailey's family is falling apart. Derek sorts through what kissing Rose means. Meredith discovers something that doesn't inspire hope or happiness in her. Alex treats a faith healer.

Time has passed but not much has changed. Sexual angst still runs rampant in the halls of Seattle Grace. Derek and Rose have been dating and Meredith has noticed the activities of her current off-again ex-boyfriend.

The doctor's are in the midst of a competition. Addison visits Seattle Grace because they need skills that only she has. Meredith and Derek's clinical trial experiences one or two developments. The clinical trial continues to make progress. The anti-McSteamy club creates new initiatives but that isn't enough to stop one woman from spending time with him. Christina is affected by Burke's career developments. Wyatt refuses to let Meredith give up on therapy.

Alex learns something else about Rebecca. The Chief wants Erica to perform a daring surgery. Christina continues to act strange. A couple undergoes surgery. Derek and Meredith's clinical trial gets a second shot from a new patient.

Izzie helps Alex. McSteamy hooks up with someone. As Meredith and Derek begin to find that their "happily ever after" is anything but easy, Cristina develops a crush on a military doctor who brings in a trauma patient. Meanwhile, the Chief and his staff cope with the news that Seattle Grace is no longer considered a top-tier teaching hospital. Alex is offended when Izzie talks about how great a man Alex is to Meredith.

Derek is stabbed with the scalpel in the palm of his hand by Rose, while the Chief is stunned over Mercy West's increase in the number of patients, a deadly ice storm ravages Seattle. When the plumbing springs a leak, chaos breaks out at Seattle Grace as the Chief tries to put in place new teaching methods. Meanwhile, George takes his residency exam; and Derek attempts to get Meredith's roommates to move out, much to their surprise. Meredith is sent into a state of panic when Derek finds her mother's diary in the house.

Meanwhile, Callie stresses while preparing for her first date with Erica. Later, Cristina stumbles across a part of the hospital no one has ever seen before. Bailey heads up a "domino procedure" in which each surgery hinges on the one preceding it. Meanwhile, Derek gets sole credit for the brain-tumor study he did with Meredith; Lexie tries to get George to notice her romantically; and Sloan counsels a desperate Callie in the ways of love.

The chief gives Bailey new power and responsibility. He also gives her a very difficult surgical assignment: remove a girl's inoperable tumor. Meanwhile, new trauma chief Owen Kevin McKidd challenges the attendings' methods and the residents' skills.

When the Chief makes an announcement that a solo surgery is up as an award, the residents are sent into a frenzy all trying to get an edge over one another. Meanwhile, Derek asks Bailey for advice after Cristina continues to interfere in his relationship with Meredith. Elsewhere, Erica uncovers a shocking connection between a resident and a patient. One of Meredith's oldest friends, Sadie, becomes an intern at Seattle Grace, but Mer's friends are less-than-welcoming to her.

Meredith, Cristina and Bailey come to Lexie and Sadie's rescue when a routine surgery goes horribly wrong, as Owen and Derek treat a man seriously injured while sleepwalking and Mark comforts the sleepwalker's distraught daughter.

Cristina is awarded the first solo surgery among the residents, but she is forced to give it up and choose her replacement; Lexie is impressed when Mark performs a cutting-edge procedure; Callie doesn't know if Sadie is friendly or flirtatious. Bailey teams with Seattle Grace's new pediatric surgeon, Dr.

Arizona Robbins, to save the life of a young patient near and dear to her heart, as the admittance of a death row inmate at the hospital stirs anger in Derek and further erodes Meredith and Cristina's friendship; meanwhile, Callie and Sloan work as a team to fight their respective attractions to Sadie and Lexie, and Izzie tells Alex that she's seeing Denny. Derek's mother, Carolyn, makes a surprise visit to Seattle and meets Meredith for the first time, as Mark tries to conceal his relationship with Lexie from her as well; meanwhile, death row inmate William wishes to donate his organs to Bailey and Arizona's patient, as Owen and Cristina try to go on their first date.

Bailey grows desperate as a patient's condition becomes more and more dire. Everyone in the hospital is stepping up to try to find the boy a new organ donor, including Meredith, who considers a death row patient's wish to die before execution.

Meanwhile, an injury leaves Mark in a compromising position in the OR and Cristina awkwardly avoids Owen. Now that Derek has the engagement ring, he searches for the perfect way to propose to Meredith, as Lexie demands that Mark go public with their relationship, and Bailey, encouraged by her work on recent cases and by Dr.

Dixon, considers a new direction for her medical career. Addison, Naomi and Sam rush the ailing Archer to Seattle Grace and reunite with old friends Derek and Mark to help save his life; meanwhile, Izzie employs her fellow doctors in a medical game designed to help teach the interns, and Owen runs into a significant someone from his past.

We're havin' a little dance party. Callie : So I guess you had a good day? Arizona : Yeah, yeah. I fell down. Callie : [worried] What? What happened? Arizona : [smiles] I got back up. Derek : [walking into the house, sees Meredith] Oh, hi. Meredith : Hi. Derek : So Meredith : Great. Uh, take a look at the shirt I bought Zola. Derek : Oh, Meredith. Guys don't get all goo-hoo over baby clothes.

Meredith : Just look! Derek : What is this? Meredith gets up and he shows her the writing on the t-shirt, which says: 'World's best big sister] Meredith : It's only 3 weeks, so I shouldn't even be telling you. I mean I still have a hostile uterus and terrible things are constantly happening to us, which is why I haven't told anyone, I haven't even told Christina, so I swear I will kick you out of this house that you built.

Derek : Don't worry. And good things happen to us. We're gonna have another baby! Meredith : We are gonna have another baby! Meredith : [voice over] Maybe I do believe it, all this 'meant to be' stuff. Why not believe it, really?

Who doesn't want more romance in their life? Maybe it's just up to us to make it happen. To show up and be meant for each other. At least that way you'll find out for sure. If you're meant to be or not. Love Turns You Upside Down [9. But not the interns. For them, a hospital is a magical place. It's poetic, the rhythm of the machines, the crackle on the trauma gown, it's a place full of promise, excitement, surprises.

It's a place where dreams can come true. Callie : Now the rest of you will each get a chance to examine our patient before we move on to the skills lab portion of the contest. Avery, will you bring in our patient? Jackson : Now Dr. Torres and I will be performing a nerve transplant on Dr.

Shepherd's injured hand. We need an intern we can trust. Callie : And that's saying a lot, because we don't trust any of you people yet. Wilson, you're up. Jo : [nervously examines Derek's hand] Oh Derek : I'm not gonna bite you, Wilson. Jo : Right. Lizzie Shepherd : [to Meredith] Good to see you, Mer. I hope you got some baby pictures handy because I did not take the red-eye just so my brother could hack my nerves into hamburger meat. Meredith : [voice over] There don't have to be harps playing, or birds singing, or rose petals falling from the sky.

And there are definitely days when the romance is dead… but if you look around, things are pretty amazing. So stop for a second, enjoy the beauty, feel the magic, drink it in because it won't last forever. The romance will fade, things will happen, people will change, love will die but maybe not today.

Run, Baby, Run [9. The problem is, the adrenal system can't tell what's a regular case of nerves, and what's real impending disaster.

Lizzie : You know we're family, right? There was no wedding, Meredith. You adopted a baby and you never invited us to come meet her. You never accepted our invitation to come see us. All we got was a couple of pictures via e-mail. You know, my kids were so excited that for months, they walked around telling every African-American person they saw that we have a brown baby in the family? A year later, they kind of think I made the whole thing up.

Meredith : I'm sorry. It's just, you know, with everything that's been going on—— Lizzie : No, I get that we're all busy, but you're not shy about asking me for a couple of body parts, and now you want me to cover your tracks with Derek? Meredith : If you feel like it's inappropriate—— Lizzie : No, it's what sisters ask sisters to do.

We cover each other's asses. Look, if you want to be a sister, I am delighted, but then act like one. Meredith : My version of family isn't like your version. You guys give each other crap and then you laugh about it. You'd walk through fire for each other. Greys are not like that.

Webber : [to Bailey] You were a child when you married Tucker. You're an adult now. You know the world's an ambiguous place. You know that love doesn't conquer all. It conquers some stuff. The other stuff kicks the living crap out of love. Is no one making small talk because this is Derek Shepherd on the table? This is intricate work. Small talk is what keeps us awake. Shane : Well, uh a couple of days ago, I helped Dr.

Kepner extract a malignant mass from the gluteal area of a female patient. It was an impressively sized mass. Callie : [unimpressed] Who's gonna tell Dr. Shepherd that he'll never operate again because Ross' idea of gossip is, he saw April Kepner take a lump off an ass?

Meredith : [voice over] The body doesn't know the difference between nerves and excitement, panic and doubt, the beginning and the end. The body just tells you to get the hell out. Sometimes you ignore it… That's the reasonable thing to do. But sometimes you listen; you're supposed to trust your gut. When the body says run… Run! Things We Said Today [9. So we ask questions. Things like when did the pain begin? Have you experienced these symptoms before?

Do you have a family history? Are you currently sexually active? Have you recently undergone surgery? April : [about having to sit next to Shane Ross at Miranda's wedding dinner] It's like having dinner with 'Ripley's believe it or not!

Derek : [groggily] No, not really. Callie : Oh, sorry. I just--I wanted to check your post-op vitals. How's your BP?

Derek : Uh, you know who would know that would be a nurse. Why don't you call a nurse? Callie : Right. I'll do that. Derek : Why are you whispering? Callie : Oh, I'm in a hotel bathroom. And I'm about to have sex For the first time in months. Derek : [eyes widen immediately] I'm hanging up now. Tell her everything.

They actually make the story. The End is The Beginning is the End [9. Is the biopsy malignant or benign? Am I gonna live or die? You just want to know even if the news is scary because then you can move on. Whatever that means. Cristina : Are you still pining over Jackson? April : No. Is he seeing someone? Cristina : April, April, Jackson is like a cookie. But then they get so hung up on not having the cookie that their whole life is about the cookie.

Derek : I think you're letting me win. Shane Ross : You're a smart man. Derek : I am. Shane : So am I. That's why I'm absolutely letting you win. Whupping your ass wouldn't be a smart move, especially since you're a competitive guy who likes to win. Derek : Do you know who else is a competitive guy, Ross? A neurosurgeon. I thought you had what it takes to be one.

Shane : Mm. I am a smart man, and you are now goading me. But you won't like it when you lose. Derek : Oh, 'when' I lose? Shane : You'll be angry and never want to see my face. That won't help me on my quest to become you. Derek : Yeah, I've told you, it's creepy when you say that.

And it feels weird and sad and wrong, but it also feels exciting. I miss Mark and Lexie. And I'm heartbroken that they're not here tonight. I'm heartbroken, but I'm also grateful that all of you are. And I'm gonna celebrate that. And we are gonna toast. Will you be strong or will you fall apart? Enjoy the time you have before the news comes. Yep, ignorance is bliss. Walking on a Dream [9. The syndrome is called phantom limb. The mind is trying to make the body complete again.

Patients who experience phantom limb report many different sensations but by far the most common is pain. Derek : Ross? Shane : Sorry to bother you, sir, but I was hoping to scrub in with you today, and I'm supposed to be on Dr.

Grey's service. So I was wondering - if maybe you could talk to your wife for me. Meredith : [seethes] I'm gonna kill him. So go do the workup, and I will see you there. I am liking the stupid hormones. Meredith : Do. Shane : I am so so sorry. Meredith : Wow. Is this you not saying anything?! Go away and do not come back without a liver. Shane : Um, can I get you a tissue? Meredith : GO!!!!!!!! Meredith : Dr. Can I please get another intern? Bailey : What's wrong with Ross?

Meredith : A lot. Bailey : The kid made a tiny mistake. Meredith : Because he's an idiot. If I have to work with him one more second, I'm probably gonna kill him. Bailey : Uh, you think I didn't want to kill you? You cut L-VAD wires, and yet there you stand. So be merciful and suck it up. Meredith : [voice over] The body can be stubborn when it comes to accepting change.

The mind holds out hope that the body can be whole again and the mind will always fight for hope, tooth and nail. Until it finds a way of understanding its new reality and accepts that what is gone is gone forever.

Bad Blood [9. Every day someone comes up with a new strategy or tool or technology to increase our efficiency. The idea is to make our lives easier but the question is, does it? You have to figure out what is important and hold on tight to the things that matter most.

Alana Cahill : If you need to blame instead of thank me, I'm fine with that, because I will know who saved it [the hospital]. I've saved a dozen before just like this one and no one thanked me for those either. The Face of Change [9. In oncology, when a normal cell changes into something malignant, it's called cellular transformation. The damn cells turn toxic right in front of your eyes. So as far as I'm concerned, transformation sucks. Jo : Brand ambassador? What does that even mean? You get to wear a funny hat and cut things with oversized scissors?

Alex : All I know is, Cahill creeps me out. Who comes over to somebody else's house and starts sucking face? Alex : You invited 'em. Alex : We are directly underneath Yang's room and Owen's visiting.

What do you think? Jo : [looks grossed out] Oh. Is that him or her? Alex : [voice over] Your whole world has transformed. You realize the ground beneath you has shifted. Things are uncertain. And there's no turning back. The world around you is different now. Unrecognizable and there's nothing you can do about it. You're stuck.

The future's staring you in the face. And you're not sure you like what you see. Like I said, I'm not big into change. Hard Bargain [9. It's that when the parties leave the table, they both feel like they've been screwed. The goal is a compromise. A situation where everybody wins. Alex : I think it could work.

Jo : What can? Alex : You know, people, coworkers getting together. I mean, don't judge it from those lawyers. They don't even like each other. Look at Grey and Shepherd. I mean, they tried to avoid it, but it was like fate or whatever. They had to be together. It was just right, you know? Jo : That's beautiful. Meredith : [voice over] They say that negotiation is an art form. Yet, when we negotiate, we have a strategy, we use tactics.

Strategies and tactics aren't words we use for seeking a compromise. These are words for going to war. This Is Why We Fight [9. The goal is to block signals that cause seizures. The problem is this also cuts off the brain's ability to communicate with itself. The left side has no idea what the right side is up to. A patient may experience problems with coordination, memory, speech.

It's a drastic solution that's only considered when all other options have failed because once a surgeon makes that cut, there's no going back. Catherine Avery : Now give your mama a kiss Jackson, she just bought you a hospital. Meredith : [voice over] There's a reason surgeons are willing to roll the dice on a risky, go-for-broke, point-of-no-return surgery with potentially devastating consequences.

Sometimes, it works. Transplant Wasteland [9. But the body is designed to fight off any outside invader, even the one that is trying to save it. Arizona : Jackson Avery really has a bigger say than any of us in running this hospital? Cristina : That can't be true. Can it? Derek : Well, he's a voting member of the management team and he also represents the Harper Avery Foundation.

Derek : According to Stan, not only does he have the deciding vote, he can veto ours. Cristina : That is ridiculous. He's a fellow. Meredith : So are you. Cristina : But he's a plastics fellow. And I'm me. Cristina : Can your mind be blown on your own time? Right now I have to talk with my supervisor.

Heather : Um, well, you own the hospital now. So doesn't that make you the supervisor? Cristina : It does. So I will have that conversation with myself. Cristina : You know, it's like everyone has gone crazy. Owen and Derek are at each other's throats. Avery's on some kind of power trip. You know, I am supposed to be prepping for a major transplant and Callie's left me with an OR board that's like a Rubik's Cube.

Meredith : [deadpan] Wow. In charge one day, and already the hospital's spinning out of control? Meredith : [voice over] The transplant process is very scary. The patient goes from worrying about getting an organ, to worrying if the organ will be rejected.

The anxiety continues, until they can finally open their eyes after surgery, and see that their gift has been accepted. Idle Hands [9. When we're not working, our hands are idle and the devil will find work for idle hands to do. And when you have an idle mind, well, that's the devil's playground too. Callie : Well, you should be staring at my wife.

Callie : No. It's her leg. She's wearing high heels. Because she has a sexy high-heel leg that makes her ass go pow. Meredith : [giggles] Hey! Derek : Wow. Cristina : Baby got back. Callie : [to Jackson, Derek and Richard, who are looking embarrassed] Come on, guys.

You can comment, too. You have permission. It's the one time in your life you can say it and not be gross. Derek : Just start with the positive news, be confident and don't make any promises you can't keep.

You're my voice out there. Shane Ross : I'll channel you. It'll be fine. Derek : Yes. Shane : I'm Derek Shepherd. Derek : [deadpan] Thank you. For hours, I tried to cast like I'd practiced. But if you over try, it'll never happen. And then just once, the rod loaded perfectly. The line formed a tight loop and the fly just danced out over the river about seventy feet.

It had a life of its own. See, the key was to relax, feel the rhythm and let the rod do the work. Just one perfect cast. Shane : Why'd you tell me that?

Derek : Did it calm you down? Shane : Yeah. Derek : Right now I am about to remove a hematoma from Broca's area and if I am not careful, she'll never speak again. There is a lot to be afraid of. Patients will be afraid. Parents will be afraid. And the only way to get through it is for you to stay calm. Meredith : [voice over] At first, idleness can seem like a welcome distraction. The troublemaking and the fun. Everyone needs some idle time to focus on something other than work, even if it means focusing on something that's a little bit scary.

Stepping back from work is the only way to change perspective. And it's only after we had everything in perspective that we remember where our hands truly belong. Can't Fight This Feeling [9. There are three things you'll need to remove it. You'll need confidence, you'll need an eleven blade and some really good instincts. Meredith : [voice over] There are some feelings that refuse to go away, they're little distractions whispering in your ear.

Some things just get under your skin. Try as you might, you can't ignore your instincts. It's like they say, always follow your intuitions. She's Killing Me [9.



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