Bring the Pain/Transcript

Meredith VO: Pain comes in all forms.
(Alex and Izzie are on the porch and it is pouring rain and thunder.)
Izzie: I had a good time. Really. Thank you. It was the perfect evening. Best date ever. Ever.
Alex: Izzie...
Izzie: You know I especially like the part where you treated me like crap the entire night. That was fun. 
Alex: I had a good time.
Izzie: Really?
Alex: Yeah.
Meredith VO: The small twinge, a bit of soreness, the random pain, the normal pains that we live with everyday. 
Alex: I gotta go.
Izzie: Seriously? Seriously?
Meredith VO: Then there's the kind of pain you can't ignore.
(Izzie comes into George's room and turns on the light)
Izzie: Seriously?
Meredith VO: Then there's the kind of pain you can't ignore. A level of pain so great that it blocks out everything else; 
Izzie: Move over.
George: I was sleeping.
Izzie: Oh, shut up.
Meredith VO: ...makes the rest of your world fade away...
(Meredith and Derek are on the porch.)
Meredith: I don't want to have this conversation again.
Derek: Meredith
Meredith: You didn't sign the devorce papers. Fine. I get it. End of Discussion.
Derek: Meredith.
Meredith: What?!
Meredith VO: ...until all we can think about...
Derek: Oh.
Meredith VO: ...is how much we hurt.
Derek: I usually just say "Meredith" and then you yell at me. I haven't thought past that point. I actually didn't have anything planned.
Meredith VO: How we manage our pain is up to us.
(She hits him repeatedly with her purse.)
Derek: Ow! What is that? Hey, stop it!
Meredith: Seriously? SERIOUSLY!
(Meredith bursts into George's room)
Meredith: Seriously!!
(Next moment all three of them are in bed together with George sandwiched between them)
George: This is very small bed.
Meredith: He's a brain surgeon.
Izzie: I look fantastic. I shaved my legs!
Meredith: He's a brain surgeon. How can he be so brainless?
Izzie: Hello? Seriously!
Meredith: Seriously!
(George taps both of their shoulders)
George: Shhh...
(The storm makes the power go out.)
Meredith VO: Pain. We anaesthetize, ride it out, embrace it, ignore it... and for some of us, the best way to manage pain is to just push through it.
(Bailey is standing in the doorway as the interns get ready. Cristina, soaking wet, stands next to her and inadvertently wets Bailey with her hair.)
Bailey: You're dripping.
Cristina: I'm back. I just wanna make that clear. I'm back. I'm ready to work. 
(Addison comes to the door)
Addison: Has anyone seen Dr. Shepherd this morning?
Bailey: His name is on the OR board. He should be here somewhere.
Cristina: I'm good. I'm ready to scrub in. I'm 100% on top of my game.
Bailey: You just got discharged. Pace yourself.
Cristina: I'm paced. I'm paced.
Bailey: Uh Huh. Rounds, people.
(Izzie walks by Alex)
Alex: What? You're not talking to me anymore?
Izzie: Ok, what happened last night? What is going on with you?
Alex: I'm fine. What your problem?
Izzie: Fine. Youe know what, Alex? No, I'm not talking to you anymore.
The interns walk into the room and Cristina presents Henry Lamott to everyone.
Cristina: Dr. Bailey?
(Hands Bailey the chart)Cristina: Henry Lamott. Age 42. Is scheduled with Dr. Shepherd for a Spinal Implant to control the painof his Herniated Disk. Is allergic to all pain medication.
(There are girls laughing naughtily in the background.)
Cristina: Is that...?
Henry's wife, Marie: Porn.
Bailey: Porn? As in "Porn"?
Alex: All right. What are we watching?
Bailey: Karev, go stand in the hall. Uh, Mr. and Mrs. Lamott, I'm sure you are very nice people, and what you do in the privacy of your own... Look we can't have porn in here. This is a hospital.
Henry: It's for my pain. My doc says that it releases endorphins in the brain, and it helps keep my pain at a managable level.
George: Really...?
Bailey: George. Hall.
George: Yeah...
Izzie: What is this?
Marie: Nasty Naughty Nurses, um, [looks at the tv] 4.
(Cristina, Izzie, and Meredith stare afixed to the screen and all tilt their heads to the right at the same time. )
Cristina: That does not look comfortable.
Meredith: Trust me. It's not.
(Cristina and Izzie both look at her with mouths agape.)
Bailey: Get in the hall.
----Bailey: O'Malley, Karev, you're in the pit today. Stevens, there's a cardiac patient waiting for you up on two. Yang, keep an eye on the Lamotts. I don't want any problems. Go. 
(Everyone goes off to do their assignments)
Bailey: Grey, your mother is being descharged this evening. You've made arrangements, or do you need more time?
Meredith: The nursing home is coming at 8.
Bailey: Alright. Then you're with Shepherd. Derek Shepherd, Today.
(Meredith looks at her)
Bailey: Hey, life is short. Times are hard. The road is long with many winding turn. He asked for you. Take it up with him. 
(George and Alex come in to the ER.)
George: Okay. 
E.R. Resident: Pete Willoughby, 25 year old. GSW to the chest. Immediate return of 860 c.c.s of blood from the chest...
Pete: Oh, Man, this hurts.
E.R. Resident: He's put out more than 200 c.c.s over the past hour.
Pete: hey never tell you in movies how much it hurts to get shot.
George: Push Morphine 2mg. Alex, this is my case.
Alex: Morphine 5mg. You didn't even call him.
George: I don't have to call him. I was here first.
Alex: You got here first because I let you. Where's the chest films.
George: I got them. You always get the surgery. Today, I'm getting a surgery.
E.R. Resident: Guys, knock it off. He's one of Seattle's finest. You've got an entire police force watching you.
(George gives them a thumbs up.)
George: Page Dr. Burke. Let him know I'm bringing up a GSW.
Alex: That we are bringing up a GSW.
(Richard is with Ellis)
Richard: Looks like you'll be able to go home today, Ellis.
Ellis: But I still have patients to see.
Richard: No. No more patients. I'll be back to check on you later, okay?
Ellis: You should know I'm thinking of leaving Thatcher. I should never have married him. I'll leave him, you leave Adele. Then when our residency is over we can both get jobs at the same hospital.
Richard (to nurse): Why don't you get her medsready for discharge, nurse? Thank you.
(Richard sits on the bed and holds her hand)
Richard: Ellis, that was a long time ago, remember? We had this discussion 21 years ago.
Ellis: Think about it, Richard. We should make the break now. If we wait until residency's over, you'll be at one hospital, and I'll be at another. We could end up at opposite ends of the country. It'll be too late.
(Derek and Meredith run into each other)
Derek: Meredith.
Meredith: Your wife is looking for you.
Derek: Oh my god. This is hard for me, Meredith.
Meredith: Well, let it make it easy then. I'm gonna be that woman. The one who breaks up a marriage or begs you to want me. You can sign the papers or you can not. The choice is yours. Either way, when it comes to this relationship, I'm out. Now where's this patient I'm supposed to be helping you with?
Derek: Down there.
(Izzie is with a couple)
Lou Bradley: You shouldn't have tried to walk the dog in the rain.
Verna Bradley: Oh, Lou. It wasn't the rain. I just passed out.
Izzie: Actually Mrs. Bradley,
Verna: Verna.
Izzie: Verna, you presented with Lateral S.T. Elevations and Reciprocal Inferior Changes consistent with an MI. A Heart Attack
Lou: Oh my god.
Verna: Oh, don't worry. Come on, I've had these little chest pains before, and it turned out to be nothing. This is nothing.
(He kisses her forehead)
Verna: Lou, not in front of the doctor.
(Derek is examining a young woman as Meredith looks on)
Anna Chue: I'va had a twinge in my back for a while. I thought I would go away, but then last night, my leg went numb, this morning my back... Uh,the pain is just too much.
Derek: Miss Chue, let me put you on a PCA pump, give you some morphine, which should help control the pain.
Anna: Thank you.
Derek: But there's a greater problem here. I've just taken a look at your MRI,
(Anna's parents come into the room)
Mr Chue: Anna! Why didn't you call us before coming down here?
Anna: I'm sorry. (to Derek) These are my parents.
Derek: Hi.
Mr Chue: What's going on?
Derek: I was just about to explain that Anna's MRI has shown that she has Myxopapillary Ependymoma. It's a tumor in her spinal canal, but the good news is that we can operate. You have a 95% of fully recovering if we get you into surgery as soon as possible. We can't wait another moment. With a tumor this aggressive, even waiting another day puts you at risk for permanent paralysis.
Anna: Father?
Mr Chue: No. No surgery.
Derek: Mr Chue, without surgery, Anna will be paralyzed probably within the next 24 hours.
Mr Chue: There will be no surgery today. We're taking her home.
Meredith: Anna needs the surgery.
Mr Chue: Then she can have it at another time.
Derek: Look Mr Chue,
Mr Chue: We are taking our daughter home.
Derek: Anna, you're over 18. you don't need your father's consent.
Anna: I'm Hmong, and my father is the elder. If he says I go home, I go home.
(Derek and Meredith walking up the staircase)
Derek: Hmong? Let's find out what that means.
Meredith: Okay.
Derek: Contact social services. See if we can get somebody down here to talk to him.
Meredith: Do I continue to process her discharge?
Derek: Yeah, we have to. It's insane, but we have to. It reminds me of this case I had in New York one time where this women came to the office,
Meredith: Look, do you need me for anything else work related?
Derek: Look I was married for 11 years. Addison is my family. That is 11 Thanksgiving’s, 11 birthdays, and 11 Christmas’s, and in one day I am supposed to sign a piece of paper and end my family? A person doesn’t do that, not without a little hesitation. I’m entitled to a little uncertainty here. Just a moment to understand the magnitude of what it means to cut somebody out of my life. I am entitled to at least one moment of painful doubt and a little understanding from you would be nice.
(Burke is walking the halls and runs into Addison.)
Burke: Dr. Shepherd, still here, I see.
Addison: I couldn't leave you. Have you seen the other Dr. Shepherd?
Burke: I'll tell him you're looking for him.
(He continues to walk. Cristina comes up)
Cristina: So thanks for, you know, being there.
Burke: No thanks needed. 
Cristina: Okay.
Burke: So, where are we?
Cristina: The northeast corner of the hospital. ... Oh, I'm getting back on my feet.
Burke: Fine. 
Cristina: But that doesn't mean that,
Burke: Cristina.
Cristina: It's my first day back.
Burke: I'm not waiting forever.
(He walks ahead and goes into an elevator. As he gets in, Bailey comes out.)
Burke: Hey, O'Malley and Karev is bringing up a GSW. You want to scrub in?
Bailey: No can do. No extra work. I'm trying to get out of hereat a decent hour tonight.
Burke: What, you got a date? 
Bailey: Yes. Yes, I do. A handsome man is whisking me away to a love nest for the weekend.
(Alex and George are pushing Pete as he is lying on a gurney.)
Alex: You got shot on the line of duty?
Pete: Forst month on the job. Can you belive my luck? Guys pulls a gun, and I freeze up. The rookie lets himself get shot. I'm never gonna live this down.
George: Sure, you will.
Pete: You think?
George: Absolutely
(Izzie catches up to Bailey)
Izzie: Hey, i got Verna bradley's test back. I don't think she had a heart attack.
Bailey: Yeah, but look at the changes in her EKG. She had something.
Izzie: Yeah, but her Serial Enzymes and Dobutamine Stress ECHO came back negative. I actually think she's fine.
Bailey: Get a Cardio Cath. Izzie, be thorough. 
(Bailey walks ahead)
Izzie: I am thorough.
(Alex, George, and Pete are in the elevator.)
Alex: So, Dude, what's the deal with Izzie?
George: She shaved her legs for you.
Alex: And?
George: And you didn't even kiss her good night.
Pete: She shavedher legs for you, and you didn't follow through?
Alex: Hey, I follow through. I always follow through.
George: You didn't last night.
Alex: Mind your own business.
George: Mind- She had expatations. Women have expectations and you didn't meet them. I live with these women and everytime you guys don't meet their expectations I have to hear about it. I didn't get any sleep last night. So, you know, it is my business. 
(There is a loud noise and a jolt. They are immersed in darkness. They look around as the emergency lights come on.)
Alex: Dude, we're not moving.
George (sarcastically): Really? You think?
(Meredith, Cristina, and Izzie are leaning over the railing when the power goes out then turns back on again. Cristina is hunched over and exhales sharply.) 
Meredith: You know how long a surgical scar takes to heal. You must be in pain. You should take something.
Cristina: Drugs are for babies.
(Meredith rolls her eyes)
Izzie: I hate Alex. 
Cristina: And the non sequitur award goes to ...
Izzie: I'm Sorry. I hate Alex.
Meredith: I broke up with Derek. 
Cristina: Burke wants to have a relationship. 
Izzie: Boys are stupid.
(Izzie and Meredith one by one walks away in different directions)
Cristina: Yep.
(Alex and George are still in the elevator)
(Alex trys to pry the elevator doors open)
George: (reads off the directions on the elevator panel) "If elevator should stop, do not become alarmed. Press the button marked 'Alarm' to summon assitance." If they don't want us to be alarmed, then why call the button "Alarm"?
Alex: That didn't work the first 5 times you did it. Get it through your head, we've lost power. We're stuck here.
Pete: Oh
George: (to Pete) You okay? (Then to Alex) His pressure is falling. Alex there's a lot more of his blood in the Pleurovac. We need to get him to the OR.
Pete: Okay. You're whispering. Don't whisper. I mean, I don't want to complain here, but I got a bullet in my chest. And whispering isn't a sign that I'm going to be a-okay, you know?
Alex: Damn, it's out.
Pete: It's bad. It's bad right? 
George: Someone's gonna get us out of here. Don't worry.
(Cristina comes in to check on Henry)
Cristina: How are we doing?
Henry: Oh, Can you move me to another room? The lights and the TV went out.
Cristina: Power outage in the East wing. Thet'll have it back on soon. You're not a critical patient. You'll be fine here.
Henry: Oh god. What am I gonna do?
Cristina: You mean...?
Herny; Without my porn?
Cristina: Read a book, talk to your wife.
Henry: No,school closed early because of the storm. She had to leave to pick up their kids. She won't be back until after dinner.
Cristina: Well, I'm sure you can find some normal way of amusing yourself.
Henry: I need my porn!
Cristina: Yeah.
(The lights are not on as Richard and Addison are walking.)
Addison: Lightning hit a substation. We're running on backup generators. One of them's down. Richard, breathe.
Richard: The only direct means of transporting patient from the ER to the OR isn't working. Don't tell me to breathe. I'll breathe if I wanna breathe.
(Burke, Bailey, and some maintenance men are outside the elevators.)
Maintenance Men: The car's between floors.
Richard: How bad is it?
Burke: Two interns and a G.S.W. to the chest.
Addison: Good air in, bad air out.
Richard: Come on people. Get those doors open.
Maintenance Men: It's jammed up. It won't open anymore. This is as wide as it goes. 
Bailey: What did you two do?
Alex and George: Nothing!
Burke: How's the patient?
George: He's not looking so good.
(Meredith is with Anna as the lights flicker off then on again)
Anna: Why do the lights keep flickering?
Meredit: Something about a backup generator. This pump will provide you with a Morphine drip, and it should stop your pain.
Anna: I told you, I don't need it. I'm going home.
Meredith: You realize you'll have to sign an AMA form stating that you're leaving against medical advice.
Anna: Fine.
Meredith: I know this is new and confusing. I called a social worker, and she's willing to come down and talk to you.
Anna: Spare me your white girl cultural divide love. I grew up down the street from here. I play in a band. I went to U-Dub. I get it. But my father doesn't. He says no, it's no.
Meredith: We're talking about your ability to ever walk again.
Anna; That's what you're talking about. I'm talking about my family. Have you ever even heard of the Hmong people? Our religion has gor rules that are way old and way set in stone and way spiritual, and you don't mess with them. You don't anger the ancestors. Even if you pierce your togue and play in a band.
Meredith: What are the rules exactly?
(Bailey is giving instructions to a nurse)
Bailey: All ICU patients are going to the South wing. All telemetryand step-down patients, North wing.
(The nurse leaves and Derek comes because he was paged.)
Derek: You paged me.
Bailey: Porn as pain Management?
Derek: You met Henry? Yeah, there are a lot of different theories on how to treat pain.
Bailey: Porn as pain Management?!
Derek: Look it's possible that Pornography, like art and music, can stimulate the brain to produce endrophines that minimize pain.
Bailey: Porn as pain Management?
Derek: I didn' prescribe it. It wasn't me. Take it up with the treating physician.
Bailey: If that man turns out to be some sort of sex weirdo, it's on you, that's all I'm saying. Oh, and your wife's looking for you.
Derek: I know.
(Meredith comes to Derek) 
Meredith: Derek.
Derek: Yes?
Meredith: You need to talk to Anna's father. I'd do it myself, but I guess having testicles is a requirement.
Derek: What happened to social services?
Meredith: According to Anna, they can't help us. Apperently, Anna's father believes she's missing something that she needs for surgery.
Derek: Missing something? Missing what?
Meredith: One of her souls.We don't need a social worker, we need a Shaman. 
Derek: A Shaman?
(Izzie is tending to Verna)
Izzie: Cardio tells me that your cathwent just fine. 
Verna: Is that much bursing normal?
Izzie: Your wound looks good, Mrs. Bradley, and so the test results on your cath. You don't have any blockage in your arteries 
Lou: Which means?
Izzie: You definately did not have a heart attack. 
Verna: So I can go home? 
Izzie: Not yet. Your EKG shows significant changes, and I'm gonna find out why before you leave the hospital.
(Alex and George are still in the elevator)
Alex: Hey, Pete, what are you doing?
Pete: I have to get home.
Alex: Pete, you're in a hospital.
Pete: I need to get home. I need to get home.
Burke: What's his blood pressure?
George: It's not reading. He's too agitated.
Burke: How's his pulse?
Alex It's thready, but it's still there.
Burke: Do you any instruments in there?
Alex: Just a code box and some gloves.
Burke: You didn't bring an open chest tray?
Alex: No, we thought,
Burke: You don't have time for excuses. O'Malley, blood pressure?
George: Iv'e taken it 3 times.
Burke: And?
George: I can't hear a systolic over 50... He's gonna die.
Burke: Intibate him. I'll be right back.
George: Wait where are you going?
Burke: To get an instrument tray. You guys are gonna have to open up his chest.
Bailey: Are you sure about that?
Burke: No.
(Burke runs off)
(In the elevator)
George: When's Burke coming back? When's Dr. Burke coming back? Alex?
Alex: Oh, would you shut up
(Derek goes outside to see Mr. Chue, who is smoking a cigar.) 
Derek: Mr. Chue! You want to take Anna home for a healing ritual?
Mr. Chue: When sickness comes it means one of our souls is missing. Anna needs to have her souls intact before she has surgery. She needs a Shaman.
Derek: You could have told me that.
Mr. Chue: Why? So you would call me a fool?
Derek: I respect that you have traditions that I can't understand, but you're standing next to me in a $3000 suit, so I also know you respect the fact that I'm telling you Anna needs the surgery in the next 24 hours if she's going to continue to walk. She can't leavethis hospital.
Mr. Chue: She can't undergo surgery without her soul. She'd die.
Derek: Alright then. We're jsut gonna have to get a Shaman, today. In the hospital. 
Mr. Chue: Shanman's aren't listed in the yellow pages. Out shaman is 500 miles from here. You are an arrogant man. 
Derek: No, I'm just a guy with access to a helicopter. 
(Mr. Chue hands Derek a cigar.)
Derek: Thank you. 
(He then smells it.) 
Mr. Chue: Finding her soul won't be easy.
Derek: It never is.
(Derek walks back towards the hospital entrance)
(Bailey and Chief are walking)
Richard: This is unconcsionable. There's not enough power to move those elevators?
Bailey: They're doing what they can to replace the backup generator now. Fire department is standing by.
Richard: All critical patients?
Bailey: Move to South wing.
Richard: Incoming trauma?
Bailey: Rerouted to Mercy West.
Richard: Look at that backup generator should've been replaced last year.
Bailey: Yes, Sir.
Richard: Why didn't it happen?
Bailey: Chief, you'd... have to ask maintenance. I wouldn't know.
Richard: Dr. Bailey, you know everything. Tell me whose butt to kick.
Bailey:That would be your butt, chief. You didn't authorize the replacement generators saving money for the new MRI machine. Um... I need to get on back on down to the... OR.
(She awkwardly leaves.)
(In the elevator, George is still pumping the air bag.)
(Burke comes back)
Burke: Hey. This isn't gonna be too sterile. But we can still try. Prep and drape the patient.
(Alex and George start to prep for surgery)
(Cristina is leaning on the counter o f thre nurse station reading and writing in a chart when Izzie comes )
Izzie: Hey, can you get me copies of all Verna Bradly's medical records and page me me. I'll be on th OR floor.
Cristina: Hey, Where,
(Izzie rushes off up the stairs as Meredith is quickly coming down)
Cristina: Hey, where are you two going so fast?
Izzie: Burke is talking George and Alex trough heart surgery in the elevator.
Meredith: Shepherd's setting up a Shaman healing ritual.
Izzie: Rock on!
Cristina: I have porn guy.
(Cristina walks into Herny's room)
Henry: Help, please.
Cristina: Mr. Lamott, what wrong? You're pressure's elevated. Your pulse is racing. You're really in pain. 
Henry: What'd you think?
Cristina: Are you telling me the porn actually sedated you?" 
Henry: What'd you think I was some kind of pervert watching that stuff in front of you.
Cristina: Well, yes. Okay. Okay. You're allergic to most narcotics and nsaid. I suppose, uh, we could try droperidol and diphenhydramine. 
Henry: That put me into a coma last year. 
Cristina: Well, umm, I can get an anesthesiologist down here. Oh, no, but with your surgery tomorrow, I don't think he'll give you an epidural block.
Henry: What am I gonna do.
Cristina: Uh...Hold on.
(In the elevator)
Alex: We're really gonna do this?
(Burke hands Alex the instruments)
Burke: Take these.
(Alex is reluctant and looks frozen)
Burke: Karev take the scalpel.
George: Alex, come on. Alex. 
(Alex does nothing)
George: Ventilate! (to Burke) I got it. What do I do?
Burke: Make a large Anterrolateral Midaxillary Incision in th fifth intercostal space.
George: How - How large?
Burke: As long as possible, you need to get two hands in there. It needs to be long and deep. Use the scissors if you have to.
Geoege: Okay.
Burke: But be sure you don't cut into the lungs and heart.
George: How can I be sure of that?
Burke: You just have to be sure.
George: We're not in Kansas anymore.
(Derek, Meredith, Anna, and Anna's parents are waiting for the Shaman to arrive.)
Derek: Your Shaman's late
Mr. Chue: My Shaman is never late.
(George is continuing the operation.) 
Izzie (From outside): Can you guys see anything? Poor George. He doesn't have the steadiest hands.
Bailey: Izzie.
Izzie: Yeah?
Bailey: He can hear you.
Burke: O'Malley. How you doing down there?
George: ...
Bailey: Uh. Fire department is here. They can get the doors open.
Burke: No, nobody moves. Nobody works on the elevator. Keep them back until I give the word.
Bailey: Okay, guys, we're not ready yet.
Burke: O'Malley?
George: I didn't cut the heart or the lungs. Dr. Burke, I didn't cut the heart or the lungs.
Burke: Good. Good, O'Malley. Really good. No check for injuries and do a pericardiotomy.
George: I'll need some lap pads, forceps, metzebaums, and satinsky clamps.
Burke: Yes, you will.
(Cristina sits on the other bed in Henry's room.)
Cristina: You tell anyone I did this for you, not only will I kill you, I will sell your body parts for cash! Okay, so, there were these women. Nurses. Three nurses. And they were naughty. They were really, really naughty. They were three naughty nurses. Saucy, even. They were saucy and bad and naughty. Three saucy bad naughty nurses. They were taking a shower together. Soaping each other up. And then this doctor walks in and he sees these three naughty bad nurses with these great big..."
(Izzie is with Verna)
Izzie: Mrs. Bradley, do you realize that you've been admitted to the hospital on this date for the past 7 years.
Lou: Oh, that can't be. I don't remember the date exactly, but,
Izzie: I have the medical records. On the date for the past seven years, you have what looks like a heart attacks.
Verna: No. No. I know I've had some scares, but I don't-
Lou: Every year on this date?
(Izzie nods)
Izzie: Is there some significance to this date for you personally?
Verna: No. Nothing.
Izzie: What were you doing the first year, the first time you had a cardiac episode?
Verna: Oh, who can remeber back that far?
Lou: We were in the yard. I remember because our neighbour- What was his name?
Verna: Ted.
Lou: That's right. He died. Of an aneurysm, I think. And we watched those funeral home people took him away, and you had your first attack. 
Izzie: And you were close to Ted?
Verna: No, Oh we barely knew Ted.
Lou: That was all very sad, but what does that have to do with Verna's heart?
(Izzie and Verna look at each other)
(George is operating in the elevator)
George: I removed a small clot from the pericardium. No obvious cardiac injuries. 
Burke: Any changes in the vitals?
Alex: BP's still too low to register on the monitor.
Burke: we need to cross clamp the aorta. Stick your hand in and bluntly dissect down until you feel two tube-like structures. Does oesophagus will be more medial and anterior.
George: Um, I feel one tube that is easily collapsible and the other more muscular and spongy. I can feel the spine just underneath it. 
Burke: Yes! You're touching the aorta.
George: I'm touching the aorta.
Burke: Wrap the the index finger off your left hand around it and apply a satinsky clamp with your right hand.
George: Got it! Wait, I think I can localize the bleeding. I think it's coming fromt the Inferior Vena Cava.
Burke: Can you find the lesion?
George: Yeah. Yeah. I think I can feel it. It's too far in to repair.
Burke: How big is it?
George: Small. Maybe smaller than a dime.
Burke: Okay, O'Malley. I want you to take your finger and plug the hole.
George: I think I can feel his heart starting to fill more. It's beating a little stronger.
Burke: Excellent. Keep your finger there.
George: Now what?
Burke: That's it.
George: That's it?
(Burke rolls over on his back )
George: I just stand here with my finger plugging the hole?
Burke: Until we can get you out of that elevator and into an OR. Dr. Bailey, you can tell the firemen to get my guys outta there.
Bailey: Will do. (To fireman) Okay, we're ready.
Burke: O'Malley.
George: Yes, sir?
Burke: You just flew solo.
George: Thank you, Sir.
(The helicopter is shown flying then landing on the roof of the hospital.)
Meredith: Okay, Anna, we're going to shut off the PCA pump now, which means you'll be in a lot of pain for the duration of the-
Anna: The healing ritual.
Meredith: Are you okay with that?
Anna: Yeah. I can't find my soul if I'm medicated. No pain, no gain. Right?
Meredith: Well it's not just for your father. You believe it too, right?
Anna: I know it sounds like a load of crap, but watch the ritual, you'll see.
Meredith: See what?
Anna: The moment it happpens.
(The Shaman arrives)
Anna: I'm ready.
(Cristina is lying in the bed next to Henry's) 
Cristina: 'Oh yes, I'm so very, very naughty,' Bianca said as she, uh, dropped her stethoscope. 'Me too', said Crystal as she snapped on her surgical glove, and then there was Marta.." 
(Bailey is at the doorway and looks at Cristina confused and appalled. Cristina shrugs and gestures at Henry. Bailey looks at the two of them with slightly beady eyes then walks away.) 
Cristina: Where was I?
Henry: Marta.
Cristina: 'Oh yes, Marta. She was the naughtiest nurse of all because she knew how...' 
(The power comes back on, as well as the porn. )
Cristina: Oh, thank God.
(Anna is lying in bed with her eyes closed as family members stand around her. The Shaman is performing the ritual. He is burning a symbolic paper around her, everywhere. Meredith and Derek are in the hallway looking inside.)
Derek: How long do you think it takes to retrieve a lost soul?
Meredith: I don't know.
(Izzie peaks into the elevator) 
Izzie: Way to go, George!
George (very excited): I have my finger in a heart.
Izzie: Very cool. 
(Izzie and Alex look at each other but don't say anything. Her smile disappears and she gets up off the ground to leave.)
(Ellis is lying in bed when Richard passes her window. He looks inside. She sees him and smiles. He smiles back.)
(Izzie is seated at Verna's bedside)
Izzie: You have Stress Cardiomyopathy
Verna: Cardiomyopathy? What? Can you tell me what that is?
Izzie: It's Ted.
Verna: Ted?
Izzie: Ted. Not just a neighbor you barely knew, was he?
Verna: I don't know what you're talking about.
Izzie: Because every year on the day he died, you got a rush of adrenaline caused by stress. Your pressure rises, you have chest pains, and you end up here.
Verna: 27 years. I loved the man next door and he loved me. I know how this is gonna sound... Ted was my soulmate. And then he just died.
Izzie: It's greif. Your heart stops because youre' greiving for Ted.
Verna: So what do I do next? I mean, how do you treat it?
Izzie: I wish I knew.
(All of the police officers are shaking George's hand.)
(Richard comes into Ellis' room)
Ellis: I told Thatch I'm leaving him.
Richard: You left Thatcher, Ellis, but I couldn't bring myself to leave Adele. Do you remember?
(She looks off into the distance for a second)
Ellis: Painted horses.
Richard: Yes. We were on the carousel in the Park. It was raining. 
Ellis: I have an offer from Boston General. 
Richard: You took it to get away. We swore we'd never talk again about what we had together. It was gonna always be out secret.
Ellis: Richard.
Richard: Yes, Ellis.
Ellis: Carousels give me the creeps.
(Henry is laying in bed and Cristina and Marie are speaking to each other from across the other bed.)
Cristina: How do you put up with it? I mean, "Nasty, Naughty, Nurses 4"? And I'm assuming 1,2 and 3?
Marie: He's my Henry. 
Cristina: I know. But don't you find it misogynistic and degrading and kind of... 24 hours of porn? Seriously, that's your life?
Marie: I'm grateful for it. It takes away his pain. And, see, the thing is, Henry- Henry takes away my pain. 
(The Shaman is continuing the soul retrieval ritual. Meredith and Derek are looking on from outside the room. A moment or two later, Anna glances over at them, raises her eyebrows, and nods her head at Meredith as if to say her soul is back. Meredith nods back. Meredith then looks at Derek who is still intently watching. Anna is lying on her side on a surgical table. Derek is the performing surgery with Meredith observing. He looks up at the gallery where Addison is watching with her arms folded across her chest and a smirk on her face. Meredith turns to look at what he sees then looks back down at Anna.)
(Derek is about to wash his hands when Meredith comes in. She walks to within a few inches of him.)
Meredith: I lied. I'm not out of this relationship. I'm in. I'm so in it's humiliating because here I am begging--
Derek: Meredith. 
Meredith: Just shut up. You say 'Meredith' and I yell, remember? 
Derek: Yeah. 
Meredith: Okay, here it is. Your choice, it's simple. Her or me. And I'm sure she's really great. But Derek, I love you. In a really, really big - pretend to like your taste in music, let you eat the last piece of cheesecake, hold a radio over my head outside your window, unfortunate way that makes me hate you love you. So pick me. Choose me. Love me. I'll be at Joe's tonight. So if you do decide to sign the papers, meet me there. 
(Meredith leaves)
(Meredith and Richard are standing at the door. A man from her care facility is here helping her into a wheelchair. Richard hands Ellis her bag. )
Richard: Good bye, Ellis.
Meredith: I am gonna come see you tomorrow. Okay?
Ellis: He doesn't love her. He can't. But he'll stay with her anyway. She's his wife. 
Meredith: Mom? Mommy?
Ellis: Meredith... You grew up.
Meredith: I did.
Ellis: Hmm. Its a shame. It's awful being a grown up. But the carrousel never stops turning. You can't get off.
Meredith: Okay.
(Joe pours Meredith a shot of tequila)
Meredith: You think he'll show?
Joe: He'll show.
George: Hey.
(Derek is seated in the chairs of the waiting area. He appears to be in deep thought and contemplation. Bailey dressed in a formal green dress is about to exit the hospital when she sees Derek.)
Bailey: How's your patient? The one that got her soul back?
Derek: She's gonna be fine.
(From outside, a man is seen knocking on the glass to get Bailey's attention. She smiles and waves at the man.)
Bailey: Hey. Gotta go.
Derek: Look at you. You look like a girl. Is that your date?
Bailey: It's my husband.
Derek: You're married?
Bailey: 10 years today.
Derek: How come I didn't know you were married.
Bailey: You never asked. You haven't signed those devorce papers yet, have you?
Derek: Bailey... Tell me what to do. 
(Both Laughs)
Derek: God, why does this have to be so hard?
Bailey: It's not hard. It's painful But it's not hard. Come on, you know what to do already. If you didn't, you wouldn't be in so much pain.
Meredith VO: Pain, you just have to ride it out, hope it goes away on its own, hope the wound that caused it heals.
(Burke is lying in a top bunk asleep. Cristina comes in, turns on the light, and shuts the door loudly enough to wake him up.)
Cristina: So here’s where we are: I work too much, I’m competitive, I’m always right, and I snore.
Burke: What?
Cristina: I'm trying here. 
Burke: Oh. Ohhh. 
Cristina: Yeah.
Burke: So?" 
Cristina (somewhat annoyed): Okay. We’re a couple. Whatever. Don’t make a big deal about it." 
(She turns, walks to the door, holds the doorknob, turns back around, jumps on the bottom bed to reach him, and kisses him. They both smile as Cristina turns off the light and walks out.)
Meredith VO: There are no solutions, no easy answers. You just breathe deep and wait for it to subside.
(Meredith, Izzie, George, and Cristina are at the bar counter. They all look to be having a good time with the exception of Meredith. The bell on the door rings and they all look in that direction.)
Meredith : He's not coming. You don't think he's coming.
Izzie: He might come.
Cristina: Yeah. You never know.
George: He's definately coming
(Izzie elbows him)
George: Ow. Do you want her doing tequila shots all night? I'll be the one cleaning up the vomit. Besides, I touched a heart today, (to Cristina) Porn-y." 
(The bell rings again. They all look)
Meredith VO: Most of the time pain can be managed,
Meredith: Pour me another one.
Meredith VO: but sometimes the pain gets you when you least expect it, 
Joe: I'm telling you, any second.
Meredith VO: hits way below the belt and doesn't let up. 
(Derek is still seated. Addison walks to him)
Addison: I have been looking everywhere for you.
Derek: Well... You found me.
Addison: You gonna sign those devorce papers or not?
(They stare at each other)
Meredith VO: Pain, you just have to fight through, because the truth is you can't outrun it, and life always makes more.
Category:Transcripts