Grey's Anatomy S3E6 Script

Let the Angels Commit (2006)

[Preston] Previously on Grey's Anatomy...

When I told you I was done trying to compete, that was me breaking up with you.

I broke up with Finn. [Derek] Yeah.

Patient died from complications following a heart transplant.

Denny. Are there any questions for me?

I got shot. I'm not fine. You're not fine.

You quit being a surgeon.

You stand on my right side. I'll look at you and you'll know to slide in to do the sutures we've practiced.

Nobody has to know.

[Meredith] To make it, really make it, as a surgeon, it takes major commitment.

♪ Mi press trigger mi nuh Press people button ♪

♪ Nuh bodda chat come Face mi wid somethin ♪

♪ Ten haffi use so mi get Di next dozen, fool ♪ We have to be willing to pick up that scalpel... and make a cut that may or may not do more damage than good.

It's all about being committed.

Because if we're not... we have no business picking up that scalpel in the first place.

♪ Bom digi bom di deng di Deng digigi you you ♪ Put Burke in OR 2 tomorrow at 10:00 a.m., the usual scrub team.

And get rid of his valve replacement at 2:00. That's no... that's no good.

Yang, brought you a latte.

You're not scrubbing in. But Burke always lets me scrub in.

Hey, Yang. Can I get in on Burke's... No. OK? No residents.

Burke says you crowd him. So just go away.

Make sure you put the instrument tray on his left-hand side.

He needs the extra elbow room.

And remember, OR 2, no gallery. Burke was specific.

Dr. Burke's become very specific since coming back to work, hasn't he?

Do you want me to tell him you said that?

[George] Burke's back, and suddenly Cristina's running his board?

Who does she think she is... Bailey?

She's helping him.

Bull. She's taking advantage. She gets out of rounds, she scrubs in on every surgery Burke does, she's ordering around third-year residents.

You guys are overreacting.

Sorry. It's completely illegible.

She's writing on the OR board.

Maybe I should sleep with Burke.

[Meredith] You've been busy.

Yeah.

Derek hasn't called yet.

I told him I broke up with Finn a week ago.

Still hasn't called. Hey, do you want to go grab a drink? Catch up?

Uh, no, I can't. I have to study up for Burke's surgeries tomorrow.

She's busy.

Callie.

Hey.

Talk to me.

How about talking to me instead of ignoring me? Callie?

George!

That's talking. It's a good start.

[screams] Oh, God! Hey, stranger.

Nancy. You don't call first?

[knock on door]

Hi. You know, I...

Meredith.

Meredith. Wait. Let me explain. Meredith.

I take it that was the slutty intern you cheated on Addison with.

She's not slutty. What are you doing here?

You bailed on Thanksgiving and Christmas, and you live in a trailer, and you're getting a divorce.

And there's the slutty intern. I really don't like you.

You love me.

Feeling good. Really good.

Good. Good.

Yeah, first day back.

It's big. Kind of nervous. But feeling good. Do I look OK?

Great. Great.

I want to get off on the right foot. Gotta get my ID renewed, new time card, sign some papers to legal, and then I'm back. Really back.

Yeah. Yeah.

[elevator bell dings]

This is me. Human Resources. See you guys on the floor.

Bye.

OK. I'll be Cristina for you if you'll be Izzie for me.

Deal.

Derek had a woman in his trailer last night. She was ugly. Very ugly.

Except she was tall and beautiful and he was naked.

Oh, uh...

McDreamy was doing the McNasty with a McHottie?

That McBastard.

How-how was that? That was good.

Cristina enough? Really? Yeah?

Yeah. Yeah, 'cause...

Channeling Izzie. Go. OK.

Callie, she won't forgive me.

Uh... She won't talk to me. She dumped me.

Which is, I don't care about, you know, at all.

Good because you deserve better. You do.

You are George. I mean, seriously.

Seriously. Seriously.

Was that Izzie optimistic? Yeah, that's very Izzie.

What the hell has happened to us?

We are now the people that the people we want to be with avoid.

We have careers to think about.

We don't need attention from men with perfect hair.

You know, we should make a pact.

There's no more dating.

No more Derek. No more Callie. Just 100 percent focus on our work.

They're dead to us. They are freaking corpses to us.

Preston Burke. What a pleasure. I have read so much about you.

Well, thank you.

Pruitt Byrd. Medevac brought him in this morning.

He presents with a primary cardiac tumor.

We've been told Pruitt needs a cardiac auto-transplantation.

A cardiac auto-transplantation? A Humpty Dumpty surgery.

Yes. I know what it is. Mrs. Byrd, this is a very complicated surgery.

[ You'll need thorough testing. ]Cristina] Oh, already done.

Mr. Byrd is a perfect candidate.

You understand what this entails?

We have to... We have to remove his heart, cut it open, scrape out all the tumor and then put his heart back together again.

Which is risky. But possible.

[woman] Which is why we're here.

I want the very best for my Pruitt.

The best. She means you.

I know that. However...

[Cristina] I scheduled Mr. Byrd for surgery this afternoon.

Just trying to be as efficient as possible.

Legal cleared Stevens.

Explain her parameters and make sure she understands.

What, Stevens is being assigned to me again?

She's your intern.

But I didn't think that...

Wouldn't it be better for her to start fresh with another resident?

You don't want her, huh? I want her to succeed.

There's still a good deal of fallout after the Duquette M & M.

There's been talk.

Look, I don't need to tell you that there are doctors in this hospital who have concerns about your judgment.

Concerns about my judgment? Stevens was your mistake.

Do you, sir? Do you have concerns about my judgment?

Do you?

You're not going to put those concerns to rest by avoiding taking responsibility for Dr. Stevens.

She's your intern. Again.

Transfer from Mercy West. Noelle Labatt, 32 weeks along, pregnant with twins.

One appears to be developing more slowly than the other.

[man] Hi. Hi there.

Greg Stanton. This is my fiancee, the future Mrs. Stanton. Uh, Noelle.

Greg, I promise you, you're the only person who cares if we're married or not.

They said at Mercy that we had to come here because her condition could be serious.

I- is it serious?

[Addison] I've got to say, at first glance, you don't seem emergent enough for Mercy to send you over here in an ambulance.

You're not in labor, you're not bleeding, your vitals are fine.

They said I need a specialist because of my thing.

Your thing? [George] Two uteruses?

Ms. Labatt, uh, Noelle was born with two uteruses.

Uh, uteri.

Uteruses. Uteruses. That's very rare.

I'm here. Hi. Hello.

That paperwork took, well, forever, but I'm all done with it now and can I just say how really grateful I am to be back?

You understand there are rules to your probation. A protocol to follow?

Oh, yeah. I know. Legal already took me through lots of that stuff.

The mandatory counseling, the extra lab hours, the volunteer work with transplant patients.

That's stuff you're doing for the Chief.

I'm talking about what you're doing for me.

OK, uh, what am I doing for you?

OK. Let's start with what you don't get to do.

You will not interact with any patients. You will not be alone with any patients.

You will be seen and not heard. You will perform no procedures.

The OR is off-limits. No pre-op. No post-op.

No anything having to do with an "op." You have no authority.

You have no opinions. And you have no choice in this matter.

Am I understood?

Is there anything I can do? I want to be useful.

Well, I can't use you.

You've got to earn back the right for any of us to trust you again.

Until then, you will be shadowing a different doctor each day.

OK. Who am I with today? Dr. Montgomery? You?

Dr. Bailey, you paged? Dr. Grey.

Meredith?

You are to make sure that Stevens observes only.

You want me to...

Wait. Meredith... Meredith is the boss of me.

I'm sorry about this. It's not your fault.

Hey, you want me to fetch you some coffee, rub your feet, maybe?

I did not ask for this assignment.

I'm fine with it. Really. It's fine. Oh, I'm so sorry.

Dr. Stevens. Welcome back. Hey, Dr. Shepherd.

OK. Uh, Meredith. Meredith?

Sorry, it's not like I can leave. I got to stay by my boss' side.

OK, the trailer sucks, but in the light of day, the land's nice.

Seattle is pretty in the daylight. Plus, you have your thing for ferries, so...

[both] Ferryboats. Right, whatever.

Dr. Stevens. Meredith. This is my sister, Nancy.

Oh. Hi. Sister?

Yeah. Mm-hmm. Oh! You're one of Derek's sisters.

Yeah.

Yeah, well, I knew you didn't think I was the wife seeing as you already ran her off.

Nancy is visiting from Connecticut.

She's on her way home now. Straight back home.

Well, it was nice to meet you. OK.

McDreamy's sister is McBitchy. What are you doing?

You put me in charge of your schedule.

To make sure I didn't get a surgery like this.

Only a handful of people do Humpties. Burke, you're the best on the west coast.

Well, he can go to Houston. You want to tell the Chief?

Pruitt needs surgery, else he will die without it.

You didn't tell me.

You told the patient we were doing the surgery, but you didn't tell me.

I have been doing that all week.

Are you up on the Humpty? Do you realize what this entails?

I have done my research. Stop worrying.

We are a well-oiled machine.

[Bailey] Uh, Dr. Burke. Yeah.

I understand there are some doctors in this hospital who have concerns about my judgment since Denny.

Well, everybody loves a scandal.

So you think it's just gossip? Not actual concern about me as a doctor?

Sure. Sure.

Because...

[Bailey] Ow.

Iz, set me up for debridement and dressing.

It was stupid. I know better.

When I'm studying for the Bar, I'm a mess.

I can't focus on anything for weeks and real property, constitutional law. but torts and real property and constitutional law.

Uh, the biosynthetic ones. We never use those.

We do now. Sloan changed the burn protocol last week.

I was about to start a practice test. I wanted some tea.

So I put on a pot of water and hit the timer, and just forgot.

Half an hour into my section on contracts and the smoke alarm was blaring and, well, you know the rest.

So you're going to be a lawyer? All I have to do is pass the Bar exam.

I failed before. But this time I'm ready. I'm going to pass.

Good for you.

That was just mean.

Kathleen called and told me to find out why the slutty intern's panties were hanging on the hospital bulletin board.

Four sisters... four sisters and not one brother, and you wonder why I don't call more.

Feel free to explain about the panties at any time.

Nance, you know what? It's great to see you. Really great to have you here.

But I have a job, you know? I have patients.

I have a mother at 35 weeks with twins. Where is her OB?

Well, her O.B. should be on a plane back to Connecticut where she belongs.

OK, so we've covered the trailer. We still need to cover the slutty intern and the divorce. [elevator bell dings]

You know what? You sound more and more like Mom every day.

Take it back.

So two uteruses. That's pretty cool.

And you're engaged. That's also cool. Well, Greg talked me into it.

Oh, man. From the first moment I saw Noelle, I was ham.

Did you say "ham"? You're either ham or eggs.

Here we go. You got to ask yourself: in every situation.

Are you the chicken or are you the pig?

I'm sorry. Pig or chicken?

Look, you got a plate of ham and eggs, right?

Now... now the chicken is involved in the meal. but the pig... now the pig is committed. So the question is... are you involved or are you committed?

Ham or eggs. Yeah. Ham or eggs.

[Noelle chuckles]

Karev, you free? Absolutely, sir.

Great. Take this. I'm on hold with the DMV.

Some mix-up about switching my license and registration to Seattle.

Take care of that for me? Thanks for thinking of me, sir.

O'Malley. How's it feel to be the new gynie grunt?

Oh, I got a patient who is born with and is pregnant in two uteruses.

Two uteruses. Jealous?

No. No. I'm busy. I'm on hold.

Important business. Right.

For Sloan. Right. It's super important, I'm sure.

Noelle Labatt. Room 2314.

[humming]

Hang on. Can I see that? For a second?

Did I just hear him say two uteruses?

I'm sorry. You must be...? Nancy-pants?

Hey, loser.

I wish Derek had told me you were coming to visit.

Oh, like he tells you anything these days?

Yeah, well, I'm working on that.

What are you doing here, Mark? Are you trying to torture him?

He's my family, Nancy.

Plus I needed a change of pace.

Plus I slept with my tennis partner's wife and he went out and bought a gun.

There it is.

Oh, my God! Nancy! Oh, God.

Let me guess. Did Mom send you out?

I hear Derek's trying to ban you from Seattle.

Did he also tell you that he's living in a trailer?

Yeah.

Derek.

Oh.

Derek. I want to see the two uteruses.

Yeah, um, find me later.

I miss her. Yeah. [sighs] Me, too.

The Diesel pushes past cornerback Don McNeal.

He's at the 30. He's at the 20. He's at the ten.

Touchdown, Washington Redskins!

Sorry. One of the twins gets rowdy and Greg gets carried away when talking to the baby.

He's decided that the baby is into sports of all things.

She's Daddy's little girl. I can tell, see, because when I talk to her...

Yeah, the rhythm in your voice, it helps calm her. Sure.

I read a couple of articles on that recently, actually.

Dr. Karev. I knew you secretly missed my service.

Right.

Greg, Noelle, I have very good news for you.

According to our tests, the babies are both perfectly healthy.

But they are substantially different sizes for a very unique reason.

The tests indicate the babies have different due dates.

[George] According to our calculations, the larger baby, your son was conceived a full six weeks before your daughter.

I... Oh, God.

I-I don't... I-I don't understand. That can't be right.

That's impossible.

[Addison] No, actually, it's quite possible.

Our tests are extremely accurate at predicting due dates.

But we broke up. Yeah, see, she, um, she got pregnant.

I wanted to get married, she didn't.

I gave her an ultimatum and she left me.

Greg, I am so sorry. I am so, so sorry. I...

I mean, we were barely, six weeks after the conception, let alone having sex.

Or at least I wasn't having sex.

It was one night, Greg. It was one night.

I- - I didn't think that this could happen. It was nothing.

I can't believe you did this. I can't believe you didn't tell me.

God, I can't believe this.

He's not the father of both babies.

I just accidentally broke the news of my patient's infidelity to her fiance.

And yet no one is questioning your competence as a surgeon.

No. What?

I need a button. I'm down to my last clean shirt and I'm missing a button.

Adele always handled my buttons. You called her?

Adele? Oh, no.

I wouldn't want to bother her with something as trivial as a button.

I don't suppose either of you would want to?

I'm sorry. I have two uteruses I have to attend to.

I have many skills.

Many skills. Surgical skills.

Your button ruptures its esophagus, I'm your woman. Otherwise...

I hear you burned your hand because you were studying?

I can't even be allowed to warm soup within five days of taking the Bar.

[Mark] So you burned your hand while... Burning my soup.

And when you grabbed the pot... Dropped it, obviously.

I mean, it was literally red hot.

You must have held on to it for a little while, though.

This burn's extremely deep. Oh, yeah. No, that's right.

I held on and then I dropped it.

There are some deep partial thickness burns here.

Give her a gram of cefazolin and a tetanus.

It's too bad, really. That I did this to my hand.

I'm supposed to be taking the Bar again Friday.

This burn is bad, but we'll get you fixed up.

You'll be fine to take the test on Friday.

I will?

She's lying. Something's off about Gretchen's story.

Izzie, you're only supposed to be observing.

I am observing, I am observing closely, and I'm telling you something is off.

Did you see her reaction when Sloan told her he'd be OK to take the test again?

That was not relief. That was panic.

It's OK to be nervous about being back here at work. About failing.

But you haven't even been back a full day yet, and already you're pushing to bend the rules.

Meredith, this is so not about me. This is about our patient.

I am worried about our patient, and get off your high freakin' horse.

This is my patient. Try to remember that.

Fine. Whatever. Iz.

A Humpty Dumpty surgery? B... Burke's doing a Humpty Dumpty today?

Um. Yes.

I've never seen a Humpty firsthand before.

Yeah, me neither.

Uh...

What are you doing? Scrubbing in. You'll let Burke know?

Sure.

I know you're not talking to me anymore, and that's OK, but there's something I'd like to explain.

All you have to do is listen.

You and me? We're like ham and eggs.

I was the chicken. I just want you to know that I know that I was the chicken.

You put yourself out there and were committed.

And I was just putting the eggs on the plate, not the ham because you're the pig.

I was involved, but now? I'm committed.

Did you call me a pig? No, it's a metaphor.

Calling me a pig?

The point is, you're not the pig anymore. I'm the pig.

What I'm trying to say is I'm the pig.

Now I am the pig.

I am the pig.

["Young Folks" by Peter Bjorn and John playing]

I've been waiting for you guys for a half an hour in the cafeteria.

Since when do we eat in a patient room?

Izzie, meet Really Old Guy. We found him a couple of days ago.

He sleeps all the time.

It's quiet in here. Nobody bothers us.

No. What are you doing?

It turns out I'm not doing anything. I'm literally not allowed to do anything.

I knew coming back was going to be an adjustment...

No. What are you doing right now? Eating my lunch.

OK, if you want to socialize or talk about your day or get in a quick therapy session, you know, go do it over there.

Seriously? Goodbye, Izzie.

OK. Fine.

So, O'Malley, your chick with the two uteruses?

You're on scut. Glorified plastics scut.

You are in no position to mock me or my uteruses.

Any cervical changes on the ultrasound? Why do you care?

I don't. I'm so glad to be back.

Yay. Not complaining about you.

You and I are fine, boss.

[man clearing throat]

[sighing]

This is weird. I called Callie a pig.

To her face? [Izzie chuckles]

[Meredith] What happened to "she's a corpse" thing?

I just can't get over how much everything around here has changed.

How many times? Just one time.

I get one, too, then. Deal.

Gin. Wha...

What was with that? With Meredith? We have a thing.

You have a thing with Meredith and I don't know about it?

I live with you. I see you every day. It's a work thing.

OK, you know, the whole point of hanging out with Really Old Guy is that he doesn't talk.

The man is sedated. This is supposed to be a quiet place.

See? Changed. She's changed. Everything's changed.

I gave the other nurse a list of his medications this morning.

My husband needs his pills! He needed them hours ago!

Oh, oh, OK. Why don't you check on the meds again?

I have checked on them. Meds. Pharmacy. Now. Sorry.

I'm sorry. I am sorry. It's fine. It's fine.

I was never a yeller before.

I'm becoming this horrible person who yells at people who are just trying to do their job.

You are just looking out for your husband.

You do exactly what it takes to protect him, and that does not make you horrible.

It makes you smart.


[Noelle] He said he was leaving. He said he wasn't coming back.

She's hyperventilating. The baby's had some bradycardia.

[Addison] I need you to get back into bed now.

Is Greg out there? Did he leave? Like really leave?

Just take deep breaths.

I always give him such a hard time, you know, about everything.

Like he likes weddings. I hate them.

He loves kids, and me, they scare me to death.

Noelle, have you had any cramping, any contractions, any pressure at all?

[panting] But I can't do this without him. We have to get past this, right?

We have to get past this. Aah!

Damn it. Right now I need you to get into bed, OK?

Why? What's happening?

Stay on your left side and whatever you do, do not push. OK?

I need slow deep breaths.

So tell me about the slutty girl. Fine, the slutty intern.

It's the slutty part, I had a problem with.

Kathleen says she's not even single.

She is single. She's wonderful. She's smart. She's a lot of things.

She's none of your business, Nancy. Wow.

I've never seen you like this over a girl, even Addison.

I've never been like this over a girl. Especially Addison.

Oh, don't be bitter.

I mean, shame on Addison and all that, but he's Mark, Derek.

What did you expect? He's just... Mark.

And who hasn't gone there once or twice, right?

What'd you say? Oh, come on. Everybody sleeps with Mark.

It's practically a rite of passage.

Derek, I get it, OK? I get that they made a terrible mistake.

It wasn't a mistake. Nancy, it wasn't a mistake. It wasn't just one night.

It was months. They were together for months. Didn't you know that?

No, I had no idea.

Then shut up about it and eat your lunch.

["Notice" by Gomez playing]

Derek's sister is in town.

Cristina, are you mad at me or something?

Because I have been trying to talk to you all week...

Everything is not about you, Meredith.

OK. What's going on? Because George and Alex are saying...

I-I don't care. I just... What is your problem?

I have bigger things in my life right now.

Opportunity knocks knocks knocks Open the door

♪ But I'm not the only guy I know that ♪

♪ I'm not the only guy I know that ♪

♪ You never notice ♪

♪ The only guy I know Well, I'm not the only guy I know ♪

♪ That you never notice ♪

What?

Nothing.

Ten blade.

Hey, Dr. O'Malley. Can you, uh, can you tell me what's happening in there?

Thought you left, she thinks you left her.

Look, man, this is all a lot to digest.

I mean, our daughter. My... my little girl isn't even my little girl anymore.

Noelle is in there freaking out because you left.

Just tell me if she is OK. Please.

She's gone into premature labor. Dr. Montgomery-Shepherd...

Dr. Montgomery, is about to do an emergency C-section on one of the babies to try to stop the labor on the other.

[stammers] So you're delivering one of the babies right now? Today?

In just a few minutes.

The boy or the girl? Greg...

Ham or eggs?

[woman] You ready to go? I've already made note of it.

[man] That's it.

♪ I'm not the only guy I know that ♪

♪ You never notice ♪ You say you want a career in plastics, and yet you can't tear yourself away from the baby catchers long enough to actually show me you want it.

Being on hold with the DMV has nothing to do with a career in plastics, Dr. Sloan.

Only it does. Because being on hold with the DMV has to do with me.

And I have everything to do with your career in plastics.

Tyler, Addison Montgomery needs two units of B positive blood in L&D. Stat!

I'm on it.

So the biosynthetic dressing should ensure that you won't need skin grafts, that's good news.

If I did need grafts, would that take long?

I mean, I mean, like how long would something like that take if... if I had needed them?

Uh, that would just depend on the severity of the burn, really.

Oh, so more severe than this one?

It would have to be more severe?

[clears throat]

Just to make sure I have everything accurate, uh, you burned your hand...

We've been over this. Haven't we? Uh, I'm sorry.

Look, I have a test on Friday and I have work to do.

So I have to... I want to go home.

I'm really ready to get out of here now, OK?

I'm sorry.

I didn't mean to...

Gretchen, did you burn your hand on purpose?

Izzie, you heard what Dr. Bailey said.

It's OK if you did.

It's just, did you burn your hand to get out of taking your test?

I can't fail that damn test one more time. I just can't.

It's all anyone in my family, in my life, it's all they talk about.

It's all I'm known for. "Oh, Gretchen the failure."

Can you imagine failing the Bar exam five times? Five times.

I mean that's absurd. I mean... [chuckles] That's just...

That's pathetic.

I cannot sit for two and a half solid days of testing again just to prove to everyone, again,

how pathetic I am.

[sobbing] Not when I...

You feel that pathetic all by yourself.

[Addison] OK. I've completed the incision and I'm going to ask you to move the top uterus to the side so I can reach the one underneath.

[George] Got it.

Now, I don't want to alarm you or make you nervous in any way, O'Malley, because you seem like a decent person, but I've got about 120 seconds to get Baby One out of Uterus One while you're holding Uterus Two.

And if you so much as hiccup, you could tear the uterine wall and kill this woman's child, so, do what you can to be careful, OK?

[George] OK.

Wow. Look at that. Amazing, huh?

Applying the final hemostasis suture.

Great. Don't be afraid to... Grab a bigger piece? Got it.

Hmm. Good. Very nice, Dr. Yang.

Applying pressure. Gently.

It was attached to the nterventricular septum.

Are you gonna use a graft to repair?

Hmm. Somebody's been doing their homework.

[Cristina] Four-O prolene, please. Thank you very much, Bokhee.

[monitor beeps]

Ready to perforate Uterus Two. Scalpel?

Wait. Wait, Dr. Montgomery. My baby's moving.

It's really moving. I can't hold it.

I need you to hold her still if I'm going to do the C-section.

I'm trying. I mean it. O'Malley!

What should I do? It's really moving. I can't hold it.

I need you to keep her still.

You're sending her into distress. You have to get that baby to stop moving.

How do I do that? Talk, O'Malley.

Alex! Karev, back away from the table.

Talk to it. To the baby. To calm it down.

[Addison] Karev. Talk about what?

October 30, 1974. It's the fight known as Rumble in the Jungle.

World heavyweight champ George Foreman is pitted against Muhammad Ali. his first major fight after three and a half years out of the ring.

It's working.

Foreman is favored to win. He's younger, he's stronger...

Scalpel.

But he's not prepared for what Ali would later call the rope-a-dope.

It all started in the second round. Foreman comes out swinging.

Ali's backed up against the ropes.

[Derek] That's not going to stay. You're giving it too much slack.

You're blocking my light.

You need to think of it as a basic corner stitch.

I can figure out how to sew on my own buttons, thank you. I am a surgeon.

All right.

Oh, for God sakes.

You sew this on for me, and I'll get rid of Addison and Sloan.

Really? No.

Oh. Fine, I'll do it anyway.

So, I heard you've got a sister wandering the halls.

She planning on moving here, too? God, I hope not.

Derek, I know it's been hard on you.

He was like my brother. I had four sisters.

Four very annoying sisters.

Mark was my brother. It's... it's hard.

Divorce isn't all it's cracked up to be, huh?

I just want it to be easy.

I want it to be over and move on.

But...

But you're in a surprising amount of pain.

You and Adele?

I'm sewing on a button for the first time in my life.

What does that tell you?

[chuckles] Technically, I'm sewing.

I'm just saying.

[woman, over P.A.] Radiologist, contact 5310.

Dr. Sloan.

So we're clear, you knew when you stepped into that surgery, you were forfeiting your future in plastics, right?

But, Dr. Sloan... I need my phone back.

Well done. You were really prepared. Yes. I'm always prepared.

Couldn't do it without you. Thank you.

Dr. Burke, uh, could we have a moment alone?

I just... I didn't realize that you were one of them, one of the doctors around here with doubts about me or my abilities.

Miranda, I'm not.

My name was erased from the board. I have to assume that was you.

Dr. Bailey... I just, I just... I just need to know why.

I need you to tell me why you didn't want me in on your surgery.

I'm afraid I just couldn't use you.

I understand.

Oh, you should've seen that. Two uteruses.

So unbelievably cool. And a cute baby to boot.

Well, I'm glad you're enjoying your trip.

Relax, Derek. I'm going. I'm on a plane in two hours.

So you going to report back to Mom that...

That you're you.

Hmm.

Still running in circles around all the women in your life, but that's to be expected with four sisters and a dead dad.

I'm not running around in circles.

Derek, can you even remember the last time you were alone?

You've never been single, ever. I mean, you're fine, but you're not happy.

And you're not going to get happy until you get some space.

Just get away from Addie, away from the intern. Just away.

Figure out what you want.

Kathleen's the shrink, Nancy. Not you.

I gotta go.

Nancy.

["Life Is Beautiful" by Vega4 playing]

Thanks for flying out here.

It was, uh...

Thanks.

♪ Life is beautiful ♪

[sighs]

[Gretchen] Where are we going again? We need to go upstairs.

OK.

[elevator bell dings]

♪ Life is beautiful ♪ Wait. Wait!

Where are we?

We're on the psychiatric floor, Gretchen. We need to place you on a 72-hour hold.

No. I'm not crazy. You can't... No. I'm going home.

Gretchen.

No, you have to let me go home. Please?

I'll just, I need to go back home. Please.

[Izzie] If you go home, you're just gonna hurt yourself again. Right?

Isn't that your plan, so that you won't have to take the Bar exam?

You need some help, Gretchen.

If the idea of taking an exam makes you hold your palm to a burner, you need some help.

Everyone needs help from time to time. Someone to look out for them.

Make sure they're OK. Make sure they're ready.

I have that. And you need that right now.

I'm not crazy. I know.

Just...

I didn't want to fail.

I know.

♪ But it's complicated ♪

♪ We barely make it ♪

What happened?

Are my babies OK?

[Addison] The surgery went very well.

You have a healthy boy and the labor stopped on your little girl, and she's going to be just fine. And Greg? Has Greg come back yet?

No, Noelle. I'm sorry. Greg isn't here.

I want an update every half hour and...

What happened? My babies?

They're just fine. You're just coming out of anesthesia, Noelle.

Everything went very well.

Is Greg back yet?

I'm so sorry, Noelle. He's not here.

And be sure to alert me to any fetal distress.

[exhales] What happened? Your babies are healthy, Noelle.

Everything's OK. Is Greg back yet?

I'm right here.

♪ Like you did when you were young? ♪ Hi.

♪ Will you come back to me? ♪

♪ I will hold you tightly ♪ Uh...

I saw our son.

He's amazing.

But how's our little girl?

♪ Life is beautiful ♪

[Noelle sobbing]

♪ But it's complicated ♪

You look like you could use a little cheering up.

Not from you.

Oh, if I recall, I was pretty good at cheering you up.

One, two, yep. Three very cheerful times.

Dirty. It was not cheerful, it was dirty. And like I said, no.

So your sister really doesn't like me.

Sorry. It's just, she's... from the East Coast.

Well, I... I, you know, I should've called.

But you didn't.

I want us to work. It's just... it's complicated.

I think I need a little time to... Take some space.

Yeah. To clear my head.

Yeah. OK. OK.

OK.

[Meredith] There are times when even the best of us have trouble with commitment.

Dr. Stevens.

I was just looking at Dr. Grey's evaluation on your first day back at work.

I get daily report cards now? She had a lot to say.

["Writings On The Wall" by The Album Leaf playing]

Yes, sir.

It was a difficult catch. Nicely handled. Good work.

Welcome back, Dr. Stevens.

♪ Writing on the wall ♪

♪ So you can speak ♪ I was rude to you before. I'm sorry.

I understand what you were trying to say. You're the... pig.

You are committed.

Only we broke up.

I've been wanting to hear this from you for how long?

And... and you wait until now to say it to me, after we've broken up?

I'm out of my element here. I-I break bones for a living.

I- I used to live in the basement.

Most days, I wear last night's eyeliner to work.

I don't give a crap what other people think about me because I am a happily independent, successful woman and I like it that way.

Only when you say stuff like this, it just... [sighs]

It just, it makes things too hard, so please don't chase me anymore.

Unless you're ready to catch me.

♪ I couldn't seem to find you from here ♪

[Meredith] And we may be surprised by the commitments we are willing to let slip out of our grasp.

♪ I only wanted to say the right words ♪ Commitments are complicated.

I'm here for you. Whatever it is.

Whenever you're ready, I'm here.

Thank you.

♪ It's all inside ♪

[Meredith] We may surprise ourselves by the commitments we're willing to make.

♪ Writings on the wall ♪ True commitment takes effort.

And sacrifice.

♪ Writings on the wall ♪

Which is why, sometimes...

we have to learn the hard way.

To choose our commitments very carefully.