Meredith(V.O.): We all remember the bedtime stories of our childhoods: the shoe fits cinderella, the frog turns into a prince, sleeping beauty is awakened with a kiss. Once-upon-a-time-and-then-they-lived-happily-ever-after fairy tales, the stuff of dreams. The problem is fairy tales don't come true. It's the other stories, the ones that begin with dark and stormy nights and end in the unspeakable. It's the nightmares that always seem to become reality.
Lexie: It's like a fairy tale. George: Lexie. It's the fall. That's not so much a fairy tale as, uh, it is global warming. That's the apocalypse. That's like – well, it's like dropping to number 12 and me failing my intern test for the second time. Lexie: I adore you, by the way. Just..
Meredith: You know, we're still in the top 20. That's pretty good. Cristina: Pretty good is not enough. I want to be great. Greatness, Meredith. Meredith: Greatness, which is why I'm going to ask derek to move in with me. It's just that it's, you know, it's a big step, and I don't want to mess it up again. I've messed it up before – the breakups and the on and off again and the sleeping with George.
Lexie: You slept with George? No talking unless it's medical.
Lexie: Um, uh, so medically, um, Meredith and George had sexual intercourse? Uh, when and how – how many times?
Mark: It's humiliating. Derek: Yeah. Mark: 12? You're the best neurosurgeon in the country. Derek: Thank you. Mark: In the world. Don'you want to say anything nice about me? Derek: Uh, you're the best plastics guy at Seattle Grace. Mark: Nice, really nice. Derek: Don't force me to praise you.
Derek: Hey, Rose. Rose: Hello, Dr. Sloan.
Derek: She took it so well at the beginning. I was hoping we could be civilized. You know, she's working my O.R. Mark: Civilized is out. Derek: Thank you. Mark: It's gone. It's a trail of fairy dust. Now she's got delayed rage. Derek: Delayed rage? Mark: Yeah, she was being big before, putting on a brave face. Now she's had time to think. Now she hates your guts. You have to break up with her. Derek: Well, that's the point. I did already. Mark: Well, you did it personally. Now you have to do it professionally. Good luck with that.
Rihcard: You know what happens when it's nighttime and it's snowing and the temperature is hovering right around 32 degrees? Erica: No. Richard: The snow begins to melt, and then it freezes again, creating black ice the deadliest kind of ice because it is invisible to drivers. That would usually mean that our E.R. would fill up , but Mercy West is a number I level trauma center and we're not, which means their E.R. gets the traumas while we get their castoffs, which pisses me off. So when I say "not right now," what I mean is not right now.
Callie: I've been really busy. Erica: No, no, I know. Callie: I've been, like, crazy busy. Researching things, a lot of research, in the library. Erica: Oh, yeah, me, too. Incredibly busy. A lot of research, uh, like you, only I use the internet.
Erica: Billy Matthews. He's the limo driver. Multiple crush injuries from an M.V.C. hemopericardium. hemopericardium can lead to cardiac tamponade, which can be detected by beck's triad, increased J.V.P., hypotension and muffled heart sounds.
Erica: This is a teaching hospital. I'm trying to improve my teaching. Bailey: Well, don't try it on me.
Mark: Want to know how I teach? Erica: No. Mark: I'm like a guru. They come to me for help, and I gently guide them along the path to truth and wisdom.
Mark: You paged me for a cut? What kind of moron are you, O'malley? Are you a special moron from the isle of complete and utter morons?
Mark: Truth and wisdom.
Lexie: He's an ass.
Meredith: Do you want to move in with me? Derek: You want to live together? Meredith: Well, I, uh, I could– I just, uh. If– if you don't want to, I... Derek: Yes. Meredith: Yes? Derek: Absolutely. You sure you're ready? Meredith: I am leaning into the fear to get a happy ending. Derek: I don't even know what that means.
Anna: When you– when you spend your life with someone and – and you have kids together, you think it'll always be this amazing and this wonderful. You think – you think that you'll always feel that kind of love, and – and – and I do, I.. I do love Phil. I just... Meredith: Just what? Anna: Well, little pieces of you get chipped away... by another person, and then you shave little pieces of yourself away so that you'll fit together and then one day, you look up, and you don't even know who you are.
Erica: Oh, that's interesting. Why did you want to use the number 4 penfield instead? Derek: Sorry. Erica: Oh, well, how would you explain it? I'm observing your teaching style. Hope you don't mind. So the penfield – you changed it because? Derek: I changed my mind.
Izzie: It's not about the years, it's about the man, and Derek is a good man.
Izzie: Alex. Yeah. Alex has turned into a very good man.
Meredith: You and Alex... Izzie: No. I'm making a point. But it is nice, you know, that we're friends, and he's changed. He's actually opening up to me. Meredith: So do you think if you moved in and got married, in 40 years, you'd feel dead inside enough to cheat on him?
Cristina: Uh, for me, personally, I learn better when I'm asked questions. The Socratic method. Erica: Well, that's the cornerstone of medical teaching. It's what we do in rounds. Cristina: Well, not everyone does it. Some people... simply tell you what to do. Erica: Who? Are you talking about me?
Erica: Your forceps were macerating the tissue. You were handling the bowel incorrectly, which you would know if you weren't allowed to clock so many hours in cardiothoracics at the expense of your general surgery knowledge.
Rose: Okay, there's no good way to say this. I've been acting this way because I'm... I'm carrying your child, Derek.
ポッカーーーン。This ain't funny.
Rose: Ha! Gotcha. Derek: This is your idea of a joke? Rose: Oh, please. You deserve it. Who do you think you are? If you're gonna keep behaving this way, you can't be in my O.R. Derek: You should transfer to a different specialty. Rose: You should transr to a different specialty. Derek: I'm a neurosurgeon. Rose: You should've thought of that while repeatedly assuring me that you were over your ex. I'll see you in the O.R. I'm not going anywhere.
Meredith: We build a house on his land, which will be our land because we'll be married, and then I'll be Dr. Mrs. Shepherd. And you know what comes after that, don't you? Babies, and they'll be his babies, so they'll have perfect hair and they'll be chatty. So I'll have five chatty children, a chatty husband and live in a house in the wilderness. And then I'll start sleeping with your husband. I gotta tell him I changed my mind. Don't you think?
Cristina: You and Derek will not work. Moving in together is a mistake of massive proportions. You are dreaming of dead Derek, which should tell you it will not work! Meredith: Cristina, I– Cristina: No, no, you know this whole thing, this happily ever after does not exist. So please, please, please, as you weigh your options here, just, you know, consider the possibility of shutting the hell up, because I can't listen to it anymore.
Meredith: I'm not gonna say you deserved that, but you deserved that. Cristina: Oh, thanks. Oh, help me... help me up.
Derek: Ever since this morning, you've been pissing on anything with a pulse trying to prove you're not number 12, and you're not. But right now, with this decision, you act like number 12. Good luck with the patient, Dr. Torres.
Derek: Not intentional. Mark: She's a dead mouse on the kitchen floor. At some point, you gotta pick it up and throw it away. Want me to take a look at that? Derek: Mer's gonna take care of it. Mark: I'm a renowned plastic surgeon. Grey's a resident. Derek: She gives me sex, especially when I'm wounded.
Meredith: I am not sure moving in together is a good idea. Derek: Okay. Fine. Meredith: Fine? What does that mean? Derek: It means that I know you. Meredith: So what, you didn't believe that I would let you move in in the first place? Derek: I believe that you believe it. Look, I'm gonna move very slowly; baby steps, no sudden moves. You're like a deer in the woods. Meredith: Okay, I built the house of candles. That is unprecedented in the Meredith chronicles. Derek: Fine. Let's move in together. Meredith: Fine. Derek: Unless, of course, you just want to go ahead and get married.
Derek: Ha! Gotcha.
Izzie: Oh, damn it, Meredith. Why can't you just mind your own business? You know what? Forget it.I should never have told you anything. You can't keep anything to yourself unless it's for Cristina.
Anna: Michael lost his job eight mohs ago. Sarabeth: What? Anna: The firm let him go. He just... he couldn't bring himself to tell you. He –he just felt like such a failure. Sarabeth: Why, I don't– wh-why do you – how do you know this? He told you. He told you. Anna: Sarabeth... Sarabeth: Anna... you been sleeping with my husband?
Sarabeth: Why do men cheat? My husband slept with my friend. He lost his job, and then he slept with my friend, all the while telling me he loves me. Why? Alex: Maybe he was low. He was down, and he didn't want you to see him like that, in pain, weak... as less than a man. He has his pride, so, uh, he turned away. It's not right, but it... it doesn't mean he doesn't care about you. I swear it doesn't.
Erica: Look at me. Look at me. Focus. You're trying something new. There's nothing wrong with new. Breaking new ground, pushing the boundaries, it comes with the job. So, Dr. Torres, take a breath, stop panicking and just tell us. What did your research say?
Richard: You don't know how to do anything... none of you. You're halfway through your second year of residency, and you walk around this hospital like it's your God-given right to be here. Well, it is not, Dr. Grey. I assure you. You are here because I allow it. You are here to do what I say, and the one thing I ask you to do &ndash you can't even save – Derek: Richard. We can't save everybody. Richard: We should try harder. We should try harder.
Lexie: "Sarabeth. Sorry." Um, that wasn't me, that was the letter. It... "I know you hate me." Um, again, it's not me, it's the letter. I'll – I'm just gonna read. Um, "I know you hate me right now. And you have every right to. I betrayed you. I betrayed our marriage. But I had lost my job and I couldn't tell you, so I told Anna instead, which was wrong and stupid. And I've wanted to tell you a million times "and let you know how truly sorry I am, but now I have no voice. So I am begging you, please, if you could just listen with your heart." Oh, that is so poetic. That – that was me, so, not him. Sorry. Um, "if you could just listen with your heart when I tell you that I know you can't forgive me right now but I'm gonna do everything in my power to make it up to you. And no matter what happens, no matter what you decide to do I'm gonna love you until the end of time." That's it. I'm done talk. Well, he's done. It's the end.
Owen: In the field, you do what you can, you work with what you have. It's about something. It's not about being the best. It's about saving lives. I make mistakes. Guys die by my hand, good guys, guys who are fighting for their country in a desert. And I don't know everything. Nobody does. So I make mistakes, and I learn. And the next time, I don't make that mistake again. So theext time, the next guy, that guy, he lives. Mistakes are how you learn.
Lexie: It happens. People make mistakes. You know, they sleep with the wrong person and they hide it. But if you ask me, it's the part that comes after that matters, the part where you make it right. And I think you're off to a good start.
Bailey: Karev, I think that clock is wrong. I know it says 2:30 A.M. But I'm pretty sure it's actually only 11:58 P.M. Can you fix it, please? Alex: Set it back? Bailey: Set it back. It's important that the official hospital record shows the right time, and the insurance company needs it, too. And I say it's only 11:58 P.M..
Cristina: I... I... I... I don't even know you. Owen: So?
Bailey: Oh, say it. Derek: Don't make me say it. Bailey: Please say it. Say it for me. Even though it's technically not true yet. Derek: We made a man walk. Bailey: We made a man walk. Callie: We made a man walk.
Lexie: The only reason I wanted to help is because I – I feel like you and I are more than just...roommates. George: We are more than just roommates. Lexie: We are? George: Yeah, we're friends. I mean, right now you're probably one of my best friends. Lexie: Best friends.
Callie: Look, I've never done this before. I &nash; I've never kissed a girl. I'm not sure I even like kissing girls. I don't, actually, like kissing girls. I just... like kissing one girl. You. Erica: I don't have anything to compare it with. I... you're the only woman I've ever kissed. Callie: So you're freaking out, too? Erica: A lot of therapy time. Callie: Yeah, I don't do therapy. I just get all "dah!" and then I get all clingy and... okay. You don't need to know that yet. So... does this this kinda makes us virgins, doesn't it? Erica: I... guess in a way it does. Callie: Virgins. Hey, we can be scared together. Erica: Kind of virgins, and, yeah, we can be scared together.
Crisitna: Mer, why do you care what I think? Meredith: Because you're my person. And if I'm gonna do this with him – be whole and healthy and be a warm, gooey person who lives with a boy, I need you. I need you on board. I need you to cheer me on. Because you're the only one who knows me... darkly, really knows me. I need you to pretend that I can do this, even if you don't believe. Because if you abandon me now, I will never make it, and I'll never get my happy ending, and then that's just... Cristina: Life. Meredith: I'm saying please here. Cristina: I think you and Derek will make it. You'll make it work. Meredith: Are you just telling me what I want to hear? Cristina: I am your person. I'm on your side.
Meredith (V.O.): Once upon a time... happily ever after... the stories we tell are the stuff of dreams. Fairy tales don't come true.
Izzie: See? I told you I would show you my dress. Denny: You look better than a bride.
Meredith (V.O.): Reality is much stormier... much murkier... much scarier.
Richard: Listen up, people. Listen up. We used to be the best surgical program in the west, an upstart program that no one ever heard of that blew everyone out the water. Then overnight, we got old, entrenched and sloppy, just like everyone else. We've been resting on our laurels. You have all been failing – failing to take initiative, failing to ask the tough questions, failing to practice your skills, failing to give opportunity to practice skills. And I let it happen. So you have not failed. We have failed. Well, it stops, and it stops now. People sliding over general surgery as though they will never see anything but a heart or a brain through the course of their career, as though blood from the heart doesn't make its way through the whole body or the nerves don't travel past the brain stem. It's shoddy teaching, and it makes for shoddy surgeons. We've failed. Get it? We all have, and it stops now. The surgical training protocol is officially changing, people. The bar has been raised. Consider yourself on notice.
Meredith (V.O.): Reality... it's so much more interesting than living happily ever after.
Stars: Ellen Pompeo as Meredith Grey Patrick Dempsey as Derek Shepherd Brooke Smith as Erica Hahn Chyler Leigh as Alexandra "Lexie" Grey Sandra Oh as Cristina Yang Katherine Heigl as Isobel "Izzie" Stevens Justin Chambers as Alex Karev T.R. Knight as George O Chandra Wilson as Miranda Bailey James Pickens Jr. as Richard Webber Sara Ramirez as Calliope "Callie" Torres Eric Dane as Mark Sloan Recurring Role:Lauren Stamile as Rose
Guest Star: Kevin McKidd as Owen Mariette Hartley as Betty Cliff DeYoung as Phil John Getz as Micheal Bernadette Peters as Sarabeth Kathy Baker as Anna