Meredith Voice Over: Silence. Silence can be a very powerful thing. At the right moments it can be beautiful.

(Cut to Cristina and Burke happy with joy, Burke just surprised Cristina with a home cooked romantic meal with the candles and Burke is dressed up. Cristina is speechless.)

Meredith Voice Over: But at the wrong moments it can be awkward. Awkward and unpleasant.

(Cut to Meredith and Derek coming in from a date, you can tell they didn't have as much fun as they usually did together. There is an awkward pause between the two.)

Meredith Voice Over: Isn't that what we avoid at all costs? That awkward silence. Although as much as we try to avoid it, it's still unavoidable.

Derek: So, um, I'll see you tomorrow?

Meredith: (Slight smile, she's uneasy.) Tomorrow?

Derek: No, not on another date, I mean at the hospital.

Meredith: Oh, right, yea. See you then.

(Meredith walks in the door and leans her head on the door panel inside.)

Meredith Voice Over: While we are busy avoiding that awkward silence, secrets build up. We choose to keep silent about our private life's for fear of judgment, fear of that awkward silence happening.

(Meredith walks up the stairs looking exhausted.)

Meredith Voice Over: Wouldn't life be easier if we didn't have to hide stuff? It's exhausting hiding secrets from your best friends.

(Meredith can hear whispers coming from Izzie's bedroom. As she walks by she sees Alex and Izzie in bed together. Meredith just nods her head and chuckles as she walks past the room to the bathroom.)

Meredith Voice Over: And yet, we all do it. We all have secrets that we would die if anyone found out.

Opening credits.

(Scene opens at Seattle Grace in the pit. Meredith and Izzie are still tying each others yellow aprons as they are running to the doors where an ambulance is driving up. As the interns see the paramedics get out, they see it's a young girl on the gurney. Izzie is heartbroken for this young patient.)

Paramedic: (As they are running inside.) Patient is 11 years old, she was riding a bike and was hit by a car. medical talk

Bailey: What have we got? (Izzie and Meredith take turns telling Bailey what the paramedic told them.) Izzie, this is your patient, take her to the OR, Meredith go see if you can find her mother. Tell her to hurry if she wants to see her alive again, it doesn't look good for her. But let her down easily, will you?

Meredith: Yes. What's her name?

Izzie: Hannah Berkley.

Meredith: Ok.

(Meredith runs to the front desk as Izzie runs the gurney with Bailey down to the OR. They page Burke and George.)

(Cut to Meredith on the phone.)

Meredith: Is this Mrs. Berkley? (Pause) I have some bad news, this is Dr. Grey, I am calling from Seattle Grace Hospital… (Meredith's voice fades as Cristina and Alex walks by. The camera follows them.)

Cristina: Alex, why are you so… (trying to think of a word to describe him, nothing is coming.) Alex?

Alex: (evil laugh) Because I am Dr. Karev. You know you love me. (He gives Cristina a corny smile.)

Cristina: In your dreams. You're so pigheaded. (The two walks down the hall a little without talking. You can see that Alex has been bugging Cristina all day.) Would you stop following me?

Alex: Oh, please, you know you love me. You are just in denial. Everybody loves Alex Karev. Come on, show the Alex some love.

Cristina: Look, I am this close (shows with fingers) to slapping you in the face.

Alex: Whoa, who knew Yang has some anger management problems?

Cristina: Yea, and they come with a name!

(Bailey walks by and sees the two fighting.)

Bailey: Karev, Yang, you two better not be fighting again. If you two can't get along I'll just make you guys suture all day, together! Now, is there a problem, or would you two like to operate today?

Alex / Cristina: No, there's no problem.

Bailey: Good, now you two can go scrub in OR 2, Dr. Shepherd needs help on a type of surgery.

Cristina: Together?

(Bailey gives them 'the look' and the two interns take off running before she can go into one of her Bailey speeches.)