Grandma Got Run Over By a Reindeer/Transcript

Meredith VO: It's an urban myth that suicide rates spike at the holidays. Turns out they actually go down. 
(In Meredith's house)
(Izzie decorating Christmas tree)
(Meredith and Doc come in)
Meredith VO: Experts think it's because people are less inclined to off themselves when surrounded by family.
George: Looks like Santa threw up in here.
Meredith: Just... go with it. We're bring supportive.
Izzie: Oh, hey! What do you think? Did I go too overboard? Oh, I know I know sometimes I go a little overboard.
Meredith: No, it's great.
George: No, we love it.
Izzie: Oh, yay! I love Christmas.
Meredith: We know.
'George: Clearly.
Meredith VO: Ironically, that same family togetherness is thought to be the reason that depression rates actually do spike at the holidays. Yeah, okay. Izzie doesn't count.
(At Burke's appartment)
'Burke: Oh, I thought you might like to help me decorate it tonight. Mark our first Christmas together.
'Cristina: I'm Jewish.
Burke: Seriously?
Cristina: My stepfather, Saul Rubenstein?
Burke: Oh, right. Right. Right.
(In the hospital)
George: Look at her belly. She's almost as wide as she is tall.
Meredith: Are her ankles swollen? Is that why she's waddling?
Izzie: What happens when she leaves?
Cristina: Leave? She's going on leave?
Meredith: What do you think happens when people push babies out their vaginas?
George: Do you think we'll get a new resident?
Cristina: What?
Alex: Nah. They'll probably just let us all wander around unattended to see how much damage we can do.
Izzie: Yeah, well, you would know. Hey, you guys. We should all get together and get Bailey a Christmas gift for the baby, or we could organize some sort of Secret Santa thing.
Cristina: Listen, Tiny Tim, you can take your...
George and Meredith: Secret Santa sounds great, Izzie.
Izzie: OK.
Meredith (To Cristina and Alex): We're being supportive.
(Derek comes up)
Derek: Hey.
Meredith: Hey. You okay? You seem...
Derek: Yeah. You know... Holidays.
Meredith: Oh. Yeah. I do know.
(In Tim's room)
Meredith: Tim Epstein, 38, fell off the roof of his house.
Tim: I was stringing Hannamus lights and a shingle came loose.
Izzie: Hannamus?
Tim: Hannamus. Christmukkah. We go all out.
Izzie: Awesome.
Jillian: He fell twelve feet.
Tim: The good news is, my head broke my fall.
Meredith: There are no visible deformities, but he's definitely having some Focal Left Arm Weakness.
Jillian: He'll probably be fine. He's always been a little hard-headed.
(Tim laughs)
Derek: Does your head hurt when you laugh?
Tim: Is that a bad thing?
Derek: Follow my finger with your eyes, please.
Jake: I know karate.
Bailey: Uh... You know what? Your husband might need a little quiet, so, there's a cafeteria right down...
Tim: No, no. Whoa. Let 'em stay. Pain or no, I don't want to miss out on the holidays with my kids.
Derek: Who would like to take Mr. Epstein down for a CT? Stevens it is.
(In Nadia Shelton's room)
Nadia's Mother: Should we have a dog?
Josh Shelton: No dog.
Nadia's Mother: Come on, get a dog.
George: Nadia Shelton, 41, scheduled for excision of her gastric ulcer.
Nadia's Mother: Lot of good it's done us. She's been scheduled for three days.
Nadia Shelton: Mom, it's not his fault.
Jimmy Shelton: Every day she gets rescheduled for emergencies.
Richard: We are very, very sorry for the inconvenience.
Nadia's Mother: Inconvenience? Watch your child spend 3 days in pain, and then talk to me about inconvenience.
Richard: We get a lot of trauma cases at the holidays. Your daughter's ulcer is serious, but it's non-emergent.
Ernie: Is that the news?
Jimmy: Are you saying my wife's not important? Is that what he's saying? Is that what he's saying? Is that what I hear?
Nadia's Mother: When are you taking her?
Josh: Grandpa, it's not the remote.
Nadia's Mother: We have reservations to eat at the top of the Space Needle. We've had 'em for months.
Richard: All right! Dr. O'Malley, prep Mrs. Shelton for her ulcer excision, which will happen this morning.
Nadia's Mother: Thank you! Ernie, I'm so happy! We're gonna go to the Needle!
(In the Hallway)
Bailey: Grey, Karev, cover the pit. You can expect all sorts of holiday idiocy so that is my gift to you. Yang...
Burke: Dr. Bailey. UNOS called. They have a donor heart for my patient.
Cristina: Heart surgery? I'm free. I'm totally free, right?
Meredith: I'm free.
Alex: I'm available.
Bailey: No, you're not. You're covering the pit. Yang, it's yours.
Cristina: Thank you.
Bailey: Pit!
Alex: Damn. Heart transplant. Woulda liked to have seen that.
Meredith: There's always tomorrow.
Alex: Teah, maybe for you.
Meredith: Meaning?
Alex: I retake the boards tomorrow. Pretty sure I'm gonna fail, which makes today my last day here, and I get to spend it doing stitches in the pit.
(Burke and Cristina walking)
Burke: So, when does Hanukkah fall this year?
Cristina: Uh... No idea.
Burke: Oh, well. If there are any more traditions you want me to be aware of,
Cristina: Oh, no, Burke, seriously, I haven't observed religious holidays since I was old enough to know better.
(In Justin's room)
Marian Davidson: "Run as fast as you can. You can catch him..."
Burke: Good morning, Justin, Marian.
Marian: Good morning.
Justin: Hi, Dr. Burke.
Burke: I'm here with good news. Great news.
Marian: You don't mean that...
Burke: UNOS called. We have a heart. I'll operate this morning.
Marian: You hear that, baby? Santa Claus is bringing you a new heart for Christmas.
Justin: Tell the fat-ass to give it to someone else. I don't want it.
Marian: I'm sorry, Dr. Burke. He's tired today.
Justin: I'm tired every day. I hate Christmas every day. I'd rather not have another stupid operation.
Burke: Justin, I know surgery can be frightening, but you need this heart. You've worn out your last one.
Cristina: His last one?
Burke: Justin had a heart transplant as a baby, but his heart hasn't aged as well as he has. You understand that, Justin? Your heart can't keep up with you anymore. You need a new one.
Justin: I don't care. I don't want it.
Burke: Can you tell me why not?
(In front of OR board)
Richard: Anxiety attacks, aneurysms and ulcers.
Bailey: Must be December.
Patricia: Chief, Adele just called.
Richard: Tell her I'm in...
Patricia: She knows you're not in surgery. And she said to tell you, quote,"We are going to our niece's school pageant this morning. You have known about it for months. After what you pulled on Thanksgiving..." And then she started using great many words that I don't feel comfortable repeating.
Richard: I have seven surgeons on vacation,
Patricia: And there was something about "divorce."
Richard: You'll have to cover my ulcer excision.
Bailey: Yes, sir.
Richard: The woman is unreasonable. When did watching a six-year-old dressed up like a wise man... You couldn't hang up the phone?
(In the ER)
Paramedic John: Male, 44. Had a gastric bypass. Three weeks post-op. Reported exttreme pain when we found him. Said something about fruitcake.
Meredith: He must have torn his abdomen wide open. You're gonna have to fight me for this one.
Alex: He's all yours. My parting gift.
(Addison and Derek walking)
Addison: OK, for your mom, I got a lambswool blanket, handmade in Edinburgh. It's soft, comfortable, says "don't hate me for hurting your son" except with fabric.
Derek: Addie, you know my mom loves you.
Addison: No, she used to love me. I gotta make up ground to make up for with these gifts. So, what do you think, plain or plaid?
Derek: I don't know. Whatever.
Addison: You love Christmas shopping.
Derek: I'm not in the mood for it right now, okay?.
Addison: Okay, well. How about French food and Scottish catalogues tonight around 9?
Derek: Well, I guess that depends... What time do we get outta here?
Addison: Come on.
(Izzie comes up)
Izzie: Dr. Shepherd?
Derek: Yeah?
Izzie: I have Tim Epstein's CT scans.
Derek: Ah, good. Okay, what do you think?
Izzie: It's not great.
Derek: Oh, no, it's not great at all.
(In Nadia's room)
Jimmy: Honey bunny, what do you think of this scooter?
George: Excuse me, I need to take her blood pressure.
Ernie: What is the guy saying?
Josh: I got three arch-moguls on my ass.
Nadia: Josh...
Nadia's Mother: Language! Josh!
George: Any questions about the surgery?
Jimmy: Apart from when you're actually gonna do it?
George: We're doing it now.
Jimmy: Good.
Nadia: I'm sorry.
Jimmy: Don't apologize.
George: Any questions?
Nadia: No. I've had three bleeding ulcers in the last five years.
Jimmy: Yeah. I hope you read the chart.
George: Yes.
Jimmy: Good.
(Alex studying in tunnels)
(In scrub room)
Meredith: Dr. Bailey. A gastric perforation just came in.
Bailey: Damn. Uh. All right, take Mrs. Shelton back to her room.
George: Seriously?
Bailey: Do I look like I'm kidding? Tell her we'll get to her this afternoon. Grey, call the ER, tell them to send him up, and then scrub in.
Meredith: Alex Karev, um, failed his boards, and he's retaking them tomorrow. He can't study for a practical by himself. If he fails again, he's out.
Bailey: OK, go. O'Malley.
George: Yeah?
Bailey: After you drop her off, get back here and scrub in.
George: All right.
Bailey: OK.
(In Justin's surgery OR)
Anesthesiologist: Okay, Justin.
Justin: I don't want the heart. Why are you doing this?
Cristina: Because you need it. And until you're 18, your mother calls all the shots.
Justin: My mother's a liar. You heard her. She said the heart came from Santa Claus. She shouldn't get to decide anything.
Cristina: Yeah. Well, you could make a run for it, but the heart you have won't get you very far.
Burke: Are we ready?
Cristina: Just about.
Burke: How about you, buddy? Are you ready?
Justin: If I die in the surgery, can you give this heart to some other kid?
Burke: Not gonna happen, Justin. Not on my watch.
Anesthesiologist: Here we go.
(In Tim's room)
Jesse Epstein: ...and it was only one day of oil.
Tim: And then what happened?
Leah Epstein: It lasted eight whole days and nights.
Jesse: And it was a miracle.
Jake: I wanted to say that part.
Izzie: Mr. Epstien, sorry to interrupt. You remember Dr. Shepherd?
Derek: Uh, Should we talk more privately?
Jillian: Just tell us, is it bad?
Derek: The fall caused a subdural hematoma.
Leah: I don't even know what that means. 
Derek: That means, your dad... His brain is bleeding.
Leah: Great.
Derek: Look, there is some risk to the surgery, but it has to happen before the bleeding gets worse.
Jillian: What kind of risks?
Derek: See, the bleed is in an area of the brain that controls speech and motor control.
Jake: We don't need an operation. OK?
Tim: You know, Jake, I think we do.
Jillian: But, hey, honey, you know something else?
Jake: What?
Jillian: We have a doctor named "Shepherd."
Tim: "Shepherd." Is that a sign from God, or what?
(In OR)
Burke: Look at that. Beautiful fit. Now all we have to do id to figure out why he's so angry.
'Cristina: If I had that mother, I'd be angry too. Actually, I do have that mother.
Burke: His mother is not the problem here. She loves him. She never leaves.
Cristina: She also never listens. She doesn't know him.
Burke: Justin's depressed. You heard him. He doesn't want to live. I just hope he changes his mind before he's too late.
Cristina: What do you mean, "too late"?
Burke: With all medical realities being equal, why does one patient live and another dies? I believe there's a mind-body-spirit connection. And if Justin really doesn't want this heart, his body will reject it.
Cristina: OK, let me get this straight. You don't just celebrate Christmas, you actually believe in Santa Claus?
Burke: Dr. Yang, go and schedule a psychiatric consult for our patient.
Cristina: But we're not done here.
Burke: You are.
(In the tunnels)
Meredith: I don't know. It hurts here and here and back here.
Alex: Did you get hit by a truck and forget about it?
Meredith: You're judged on bedside manner. I wouldn't be surprised if that's why you failed. Could you be more patronizing?
Alex: I didn't ask for your help.
Meredith: Enough with the ego, you big baby. I gave up a surgery for this. Now, like I said, it hurts here and here and back here. Oh, and this morning, I noticed my poop was a funny grayish color.
(In OR)
George: Wow. That's all you can save of his stomach?
Bailey: Yup. If eating is what this man lives for, we should put him out of his misery.
George: Paging Dr. Karevian.
[Laughter]
Bailey: What did you just say?
George: Just... it's a joke. Kevorkian, Karevian. Alex Karev.
Bailey: I get the joke. I just don't think it's funny. You see this, O'Malley? I make one mistake with this scalpel and this man's dead. My husband, he makes mistakes at his job all the time. As far as I know he's never killed anyone, but I have, and you will. And Alex did. He made a math mistake and a man died for it. Run that past your accountant, see how he'd feel if every mistake he made, someone ended up dead. You don't have to like Alex or care about him. But you damn well have to be on his side. Hold that.
(In Shepherd's OR)
Izzie: What a great family. "Hannamus," "Christmukkah..." And how cute are those kids?
Derek: Really, Dr. Stevens. "Christmukkah"?
Izzie: I think it's sweet.
Derek: Do you happen to know what time of year neurosurgeons are busiest?
Izzie: No. There's a "time of year"?
Derek: There's no hard or fast rule, but brain injuries tend to pile up around holidays. Like our friend here. Folks fall off their roofs while they string up lights or go skating for the first time in a decade, break their heads open. And every year, people drive through blizzards to get to parties where they kiss germ-infected strangers under poisonous mistletoe. And then they get so drunk that they smash their heads through the windshield on the way home. Like I said, there's no hard or fast rule.
(In the tunnels)
Alex: Does this hurt, Mrs. Grey?
Meredith: Yes, doctor.
Alex: How about here? Does it hurt here?
Meredith: Yes, it does.
Cristina: If you're lonely, there are excellent vibrators. I can give you a catalogue.
Meredith: He failed his boards. I'm helping him.
Cristina: Failed your practical?
Alex: Glad you can keep a secret, Grey.
Meredith: I kept it. It did you no good. He needs our help.
Cristina: You're not serious.
Meredith: If it were you?
(Meredith's pager Beeping)
Cristina: It wouldn't be.
Meredith: But what if it were?
Cristina: It wouldn't be.
Meredith: I have to go. Be a patient. Do it for me.
Cristina: Fine but when Tiny Tim goes Norman Bates on us I'm blaming you.
Meredith: Diagnosis?
Alex: Gallstones.
Meredith: Yes.
Cristina: I'm a 55-year-old man, I'm nauseous, and I'm throwing up.
Alex: Forget it, all right? I didn't ask for any help.
Cristina: Okay, Evil Spawn, you can nurse your pride, key word being "nurse", or you can pass your test and be a doctor. Up to you.
Alex: Any abdominal pain?
Cristina: Yes, from my giant fat belly all the way to my back. Oh, and I'm drunk. Hiccup, hiccup.
(In scrub room)
Meredith: I got another one for you.
Bailey: He tried to gift wrap a 70-inch TV for his wife?
George: Hernia?
Meredith: Strangulated. Pretty ugly. 
Bailey: And you just know the wife hates TV. Grey, is that other project covered?
Meredith: I think so.
Bailey: Then scrub in. O'Malley, go tell Nadia Shelton she's off the schedule until tomorrow.
(In Nadia's room)
Jimmy: Till tomorrow?
Nadia: Another day won't kill me, Jimmy.
George: I promise tomorrow for sure.
Nadia's Mother: Today was "for sure".
Ernie: What's he saying?
Nadia's Mother: They say they can't operate until tomorrow!
Ernie: Outrageous!
Nadia's Mother: I cannot believe this!
George: Could you please turn that down? Your mother needs to rest.
Josh: Who are you, my dad?
George: Sir, please tell your son...
Jimmy: Don't talk to me about my son. Who the hell do you think you are?
George: Sorry. I just think that your wife should rest.
Nadia's Mother: I can't go Christmas shopping...
Josh: You messed me up. 
Nadia's Mother: You people have ruined everything. I hope you're happy.
George: Again, very sorry.
Nadia's Mother: Oh, yeah. Yeah.
Ernie: "Very sorry." That cuts it here, doc, thanks a lot.
(In the tunnels)
Cristina: Yeah. OK, the way you're grabbing me now, it's assault. This... is an exam. Pads.
George: What... What the hell? Does Izzie know... Does Burke know about this? 
Cristina: Unbunch your panties, George. We're helping Alex study. Do it.
George: I can't hear you when his hand is on your boob.
Cristina: Take your hand off my boob, Alex.
George: Thank you. Study for what?
Alex: Shut it, Yang.
Cristina: Alex failed his boards.
George: Seriously?
Alex: I failed one part of one board.
George: Still, that's pretty embarrassing.
[Cristina's pager Beeping]
Cristina: Hey, he's all yours, Georgie. Do your worst.
George: You're not giving me a rectal. Do not ask me to cough.
(Outside Justin's room)
Cristina: You paged me?
Burke: I didn't see a psych consult scheduled here.
Cristina: I couldn't get one. I tried to, but they told me to come back in January.
Burke: You disrespected me. You mocked me in my OR. That can't happen.
Cristina: I... It won't happen again.
Burke: You equated my spirituality with a belief in Santa Claus.
Cristina: Burke, science is the one thing, you know, it's the one thing we have in common. I'm an intern, you're not. I'm a slob and you're not. I say I want to keep our relationship private and you go and tell the Chief of Surgery and you ask me to move in with you. And now, you're religious.
Burke: Spiritual. There's a difference.
Cristina: Well, not to me. I don't know what we're doing.
Burke: Well, right now, we're working. Page me if he spikes a fever. Tell Mrs. Davison to hire a therapist, or a priest. Anyone Justin will talk to.
(In the waiting area)
Izzie: Mrs. Epstein?
Jillian: Oh. How is he?
Izzie: He's gonna be fine. He's still groggy.
Jake: My dad wants to see me now, OK?
Izzie: OK. Come on.
Jillian: OK.
Jesse: Run-run-run.
Jillian: Yeah, let's run-run-run. Let's run and see Dad.
(In Tim's room)
Jillian: It's OK, guys, Daddy's OK.
Jesse: Daddy. Daddy. I could kiss it better, Daddy.
Tim: Jillian, I have a headache.
Leah: I'll sing, Daddy.
Tim: No.
Leah: Dashing through the snow...
Tim: No, Leah. Damn it, Leah, shut up! I can't stand that insipid song!
Jillian: Tim.
Tim: Just get out! Get out! Get the hell out of here, all of you!
Jake:You stupid shepherd! You broke my dad's brain!
(Izzie and Derek walking in the hallway)
Izzie: How did that happen? His personality... You didn't go near the frontal lobe.
Derek: Well, the CT might have missed something. Or the personailty change could be a reaction from anesthesia wearing off, could be the pain.
Izzie: He was in pain before surgery.
Derek: Watch him for a couple hours. If he doesn't improve, get a new CT.
Izzie: OK.
Derek: Dr. Stevens?
Izzie: You had his brain open, literally open, he was laying there unconscious and vulnerable...
Derek: You think I poisoned him with my anti-holiday venom?
Izzie: Well, you're the one always saying there's a lot about the brain we don't know.How do you know your words didn't speak to him unconsciously? I mean, he trusted you to be his... shepherd.
Derek: Dr. Stevens, you should be a little embarrassed.
Izzie: I am.
Derek: Good.
(In Justin's room)
Cristina: Oh, this is the CCU, there are no trees allowed in the CCU.
Marian: I know, but it's never really been enforced, so... How's he doing?
Cristina: Surgery went smoothly, but it's too soon to tell.
Marian: He's really a good boy. You just met him at a difficult time. He's been down. I don't know why. But Father Michael will be able to talk to him.
Cristina: No offense, but your son doesn't seem to be a fan of the holidays. He doesn't believe in Santa.
Marian: Yes, well, a mother's job is to protect her child's innocence. And this Christmas could be his last time, so...
Justin: That's what you said last year, and the year before that.
Marian: Oh, my baby, you're awake. You look great. My big strong boy. Santa brought you back to me. 
(Cristina takes away the tree)
Marian: What are you doing?
Cristina: Sorry, CCU regulations.
(In OR)
Meredith: Are we using mesh?
Bailey: Yes, the conjoined tendon is...
(Bailey groans)
Meredith: Dr. Bailey?
Bailey: Just wouldn't want to throw up in the body cavity.
Nurse: Dr. Bailey, are you all right?
Bailey: Oh, no.
Meredith: Do you need...
Bailey: Just... I need a minute, Grey. When you operate, the rest of the world goes away. Hunger, thirst, pain: You don't feel it in the OR. But it's not that way when you're sharing your body with another person. OK. All right. Deaver retractor.
Meredith: Sure you don't want me to find someone to take over?
Bailey: What I want you to find me is a strawberry milk shake, extra-thick.
Meredith: Seriously?
Bailey: Yeah. Nausea. Comes with the hunger, Grey. Go.
(In the tunnels)
George: My throat, it's like, wicked sore, yo. Plus, I got all these sick break outs, right?
Alex: Dude, seriously. All right, all right! Sit down, sit down. Open up your mouth, I'd like to inspect your tonsils.
George: Aaaa!
Izzie:What's wrong with you? Are you sick?
George: Fix it.
Alex: I failed my practical board exam. O'Malley's helping me study.
Izzie: You failed your... You're helping him?
George: Just to study. Nothing else.
Alex: Izzie...
Izzie: No. Don't say my name! And you are unbelievable! 
(Izzie walks away)
George: I was doing mono, the fever and glands thing. The acne was just the teenager thing. Izzie, would you wait?
(George follows Izzie through the hospital)
Izzie: I say I like the guy, and you can't stop hating him. Then as soon as he screws me over, you're his new best friend.
George: He failed his boards. This is important.
Izzie: He cheated on me.
Meredith: Busted?
George: Yeah, I'm busted.
Meredith: His exam is tomorrow.
Izzie: You're in on this too? He cheated on me! God!
Cristina: Told you she'd find out.
Izzie: Of course you're in on this.
George: She let him touch her boobs!
Izzie: He cheated on me with George's skanky syph nurse!
George: That is just plain rude!
Meredith: We know he cheated on you! That's why we let you turn the living room into Santa's freaking Village.
Izzie: What?
Meredith: We're not big on holidays. You know that. We're being supportive because you're having a hard time. But right now, Alex, he's having a harder time.
Izzie: Why does everybody care what kind of time Alex is having?
Meredith: Because he's dirty Uncle Sal.
Cristina: Sorry? Huh?
George: You lost me.
Meredith: Dirty Uncle Sal, who embarrasses everyone at family reunions and who can't be left alone with the teenage girls but you invite him to the picnic anyway.
Cristina: What?
George: Still lost.
Meredith: I have a mother who doesn't recognize me. As far as family goes, this hospital, you guys are it. So, I know you're pissed at Alex, but maybe you could try to help him anyway. Sort of like in the spirit of this holiday you keep shoving down everybody's throats.
Cristina: You...
George: What?
Cristina: "Boob?"
(In Nadia's room)
(Monitor beeping)
Jimmy: Somebody get in here. Doctor! Now!
Nadia's Mother: Do something.
George: Deep breaths. We're taking you to surgery. (To nurse) Prep her now.
(In scrub room)
Bailey: It's about time.
Meredith: Sorry, I got sidetracked.
George: Nadia Shelton's ulcer perforated. She's vomiting blood by the pint.
Bailey: Is the chief back?
Meredith: I haven't seen him.
George: No.
Bailey: All right, both of you, scrub in. I'm gonna need all the help I can get. (Chugs her milksake)
(In CT scan)
Derek: Well, there it is. Left side of his frontal lobe. Now why didn't we see that before?
Izzie: Intracerebral bleeds can have a delayed presentation.
Derek: Right. You wanna get him out of there? Just prep an OR. I'm gonna talk to his wife.
Addison: Dr. Stevens.
(Izzie walks away ignoring her)
Addison: Nice talking to you. Think she'll ever talk to me again?
(Derek stares at CT screen satying silent)
Addison: Am I invisible? I'm feeling strangely invisible. Also inaudible.
Derek: What?
Addison: Another surgery? So, I guess dinner-shopping is out?
Derek: Yeah. It's not gonna happen tonight. Sorry.
Addison: You're not. I'm trying to figure out why you're not. It's Christmas, Derek.
Derek: Yeah, I know.
Addison: It's our season. What is going on? Are you mad? Are you depressed? What?
Derek: No. Mr. Epstein here is depressed. He's bleeding from his frontal lobe. Everything's fine, we're fine, Addie. Just... I'll see you at home. OK?
(In Tim's room)
Derek: You need a second surgery, Mr. Epstein. The frontal lobe is difficult. We may be able to improve things, but you should be prepared for the possibility that things could get worse.
Tim: That's great. That's just great. I'm so glad we came to this hospital so I could be treated by a bunch of quacks who don't know their asses from the inside of my skull.
Jillian: This isn't my husband. This is not my husband. He doesn't speak to me this way, or anyone, this way.
Derek: I know this is difficult, but the important thing right now is that we stop the bleeding.
Jillian: He's the love of my life. And I know that you have a lot of other patients and you do a lot of other surgeries. But he's the love of my life. I just... I just need your word that you will treat this change in my husband's personality as seriously as you would a fatal cancer. Because that's the way this feels to me and to my kids. We were happy. We were a happy family. It just... If you could just fix it. Just fix it.
Derek: Mrs. Epstein, I'm gonna do everything in my power, all right? OK?
(In Justin's room)
Justin: I didn't want it. I already got one new heart, I didn't deserve another one.
Father Michael: Justin, you don't have to feel guilty about having a new heart. God wants you to live. That's why He sent you the heart.
Justin: I'm not stupid. God didn't send me the heart. There's no such thing as God.
Marian: Justin!
Father Michael: Marian. Marian, it's all right.
Justin: The heart I have now, my mom told me the heart came from Santa. I thought elves made it in their factory or whatever. But that's not true, is it?
Father Michael: No, it isn't.
Justin: Yeah. Because I heard the nurses talking. Where it really came from is some other kid. Some other kid had to die so I could live.
Marian: Justin. Baby.
Justin: And then I outgrew that kid's heart. So, for the last two years, my mom has been praying that another kid would die for me. That's what you pray for all the time. Isn't it, Mom? That's what she prayed for, Father. How does God feel about that?
Father Michael: Justin...
(Monitor beeping)
Marian: Justin... Justin, baby. Wake up, Justin.
(Continuous beeping)
Marian: Nurse! Oh, please, no, no...
Cristina: Move, please. Code blue! Just stay back.
Marian: Justin! Justin, baby, I'm right here. I love you.
Cristina: Please, just shut her up. He's in V-Fib. Charge the paddles to 100.
Nurse: Charge.
Cristina: Clear.
Nurse: Clear.
[Justin coughs]
Cristina: Can you get him back on the list? If it's a bad heart...
Burke: It's not a bad heart.
Cristina: Can you get him back on the list?
Burke: He's waited two years for this heart. He has to fight for it, decide he wants to live.
Cristina: Medically speaking, is there anything we haven't done?
Burke: The way you're feeling right now, it's why I have to believe in something bigger than me. Because if I didn't, that powerlessness would eat me alive.
(In OR)
Derek: Drill, please.
Izzie: Any danger with two craniotomies in one day?
Derek: No more than with one. Is there any music?
OR Nurse: Any requests?
Derek: Christmas carols... or Hanukkah. Is there such a thing as Hanukkah carols? The brain is a mysterious thing, Dr. Stevens. You never know what may penetrate the psyche.
(In Bailey's OR)
George: Whoa. Look at that.
Meredith: Kissing ulcers. One's perfed, the other one's bleeding.
George: Two ulcers. I'm not surprised, with that family. I should have thrown them out. Why didn't I? That's what I should have done. I don't know why I didn't. 
Bailey: Stop whining, O'Malley. You had your chance, you didn't take it.
George: Right. Sorry.
Bailey: Do not kick me.
George: Excuse me?
Bailey: Are you kicking me under the table, O'Malley?
George: No!
Bailey: Then clearly, I wasn't talking to you.
(Bailey groans)
Bailey: You cannot kick me while I am doing my job. Thank you.
(In the tunnels)
Izzie: Wake up. No wonder you failed. Do you expect to learn this stuff by osmosis?
Alex: What are you doing here?
Izzie: I'm a farmer, OK? I've been drooling, puking, and crapping my pants.
Alex: You came here to help me study?
Izzie: Well, I'm not actually crapping my pants now, am I?
Alex: Why would you want to help me after what I did?
Izzie: Because it's what Jesus would freaking do!
(In Justin'c room)
Cristina: You know, I don't believe in Santa either, Justin. Or God. I believe in medicine. And it's a medical miracle you're alive. With the heart you had, you should have died two weeks after you were born. Except some surgeon figured out a way to give you someone else's heart, which is so much cooler than Santa. So, I'm just saying... I think you should decide to live. Live so you can become a doctor and you can find a way to do heart transplants without someone having to die. Or, you know, live so you can grow up and have kids. And you know what? Raise them not to believe in Santa. Man, that would piss your mom off. Just decide to live. Because in your case, dying really isn't the best revenge.
(In waiting area)
Jimmy: How is she?
Nadia's Mother: She gonna be all right?
Bailey: She lost a lot of blood, but we were able to replace it and repair the tear. She's going to require several days' observation, but she should have a full recovery.
Jimmy: Thank God.
Nadia's Mother: "Thank God" is right, because we're certainly not going to thank you. We should sue you for all you're worth. We sat here and sat here and sat here and watched you pick patient after patient while you made my daughter wait for three whole days for her operation. I should sue you and this whole damned hospital!
Bailey: You wanna help me out?
George: Really?
Bailey: You got your second chance, just don't screw it up.
George: OK, yeah. You could sue us, or you could consider the possibility of just shutting the hell up.
Nadia's Mother: What did you say to me? Did you hear?
Jimmy: I heard him.
Josh: You can't talk to her like that.
Nadia's Mother: Where is my daughter? I'd like to see her.
George: Well, you can't. I am her doctor, she is my patient and this is a hospital, the kind of place where people generally need peace and quiet. So, no. Right now, you can't see her. I'm not saying this because you just threatened to sue Dr. Bailey who spent hours saving your daughter's life, saving your wife's life. I'm saying this because she is my patient, and she is in the recovery wing of this hospital trying to recover. And visiting hours are over. So, good night. And merry Christmas.
Bailey: Interns. Too emotional. My apologies.
(In the tunnels)
Alex: Uh... Is the nausea constant or intermittent?
Izzie: Constant.
Alex: When... When did it first start?
Izzie: After I worked in the fields all day.
Alex: Do you have any allergies you're aware of?
Izzie: No.
Alex: Izzie... I never wanted to hurt you.
Izzie: You didn't hurt me. I don't even know you. I'm a farmer.
Alex: You're still the patient?
Izzie: What does it look like?
Alex: It's organophosphates. Pesticide poisoning. Crying's a symptom. That's it, right?
Izzie: Right.
(Meredith leaving the hospital)
Derek: Hey.
Meredith: Hey.
Derek: You OK? You look...
Meredith: Yeah, yeah. You know. Holidays.
Derek: Yeah. I do know.
Meredith: Merry Christmas.
Derek: Merry Christmas.
(At Joe's Bar)
Joe: Hey.
Derek: Merry Christmas, Joe.
Joe: Merry Christmas. Double scotch, single malt.
Derek: You're a good man.
Addison: Hey, Dr. Shepherd.
Derek: Dr. Shepherd.
Addison: So, how's Mr. Epstein's frontal lobe?
Derek: He woke up smiling.
Addison: Congratulations.
Derek: Thank you. What are you drinking?
Addison: It's hot buttered rum. It's delicious.
Derek: It's Dickensian.
Addison: No. Well, yeah. It is Christmas. Christmas, Derek. We love Christmas. At least we used to.
Derek: Yeah. Christmas makes you want to be with the people you love. I'm not saying this to hurt you or because I want to leave you, because I don't. Meredith wasn't a fling. She wasn't revenge. I fell in love with her. That doesn't go away because I decided to stay with you.
Meredith VO: There's an old proverb that says you can't choose your family. You take what the fates hand you. And like them or not, love them or not, understand them or not...
(Cristina gets home)
Cristina: Justin took a turn. His fever's down and his BP's up.
Burke: I wonder what got through to him.
Cristina: I don't know.
Meredith VO: ...you cope. 
(Izzie laying under the Christmas tree)
Meredith: Pretty.
Izzie: Yeah.
(Meredith joins Izzie under the tree)
Meredith VO: Then there's the school of thought that says the family you're born into is simply a starting point. 
George: What are we doing?
Izzie: Lights.
(George joins them under the tree)
Meredith VO: They feed you, and clothe you, and take care of you until you're ready to go out into the world and find your tribe.
(Doc joins them under the tree)
Category:Transcripts