Epi 8 Washing Machine by Michelle Branch
This epi picks up a week or two after epi 7. (Mark has been spending some time over at addis place. Alex and izz are flirting but nothing anywhere near serious. Burke and Christina are still ignoring the whole wedding thing never happened, George and callie seem to be doing good, and Mer/der doing really good)
MVO: Ok, So sometimes life revolves in cycles. You know, something happens it leads to something else, and you wind up in the same place you were before. The Egyptians built their whole life around it. But some of us never learn. You would think, as surgeons it is our responsibility to learn from our mistakes. I guess some of us are always in denial. But that isn't always a bad thing? Is it?
(Christina arguing on the phone in the locker room)
Chris: look I need a maid. Yes, this is Dr. Yang. I know you've sent over 4 already. They left crying. Ohh, Come on. They were wusses. I don't even have dishes for them to wash. Seriously. All it is is a bunch of laundry. I'll pay $500 for one day. Hello? (they hung up) Seriously.
(Mer and Derek in the kitchen)
Mer: Derek. What are you doing?
Der: Well, Izzie and Alex slept late, so I decided to cook breakfast. (puts a plate on the table and kisses Mer on the cheek)
Mer: they did? what's that?
Der: whole wheat pancakes with fresh fruit and a glass of orange juice.
Mer: Ok, but when I cook, you will have to eat it too.
Der: What do you cook?
Mer: grilled cheese and cold pizza.
Der: that is not cooking. (der sits down at the table)
(Izzie walks into the kitchen)
Izz: yum, that smells really good. Derek, You cooked?
Mer: why wouldnt you think I cooked?
Izz: You dont cook. (sits down and pours her some orange juice)
(Alex walks in)
Alex: Smells good, like normal izz.
Izz: It was Derek.
Alex: wow, another cook in the house. I could get used to this.
Mer: and why does nobody think I can cook?
Der izz and Alex (laugh) : because you cant
Mer: (gets up from the table) we are going to be late for work.
(in the hospital elevator)
Mer: Im fine
Izz: You are upset if you want to learn how to cook, I can teach you.
Alex: (to Izzie flirting) You can teach me.
Der: (to mer) I like the fact that you dont cook.
Mer: You do?
Alex: (to izz) So you want to go to joes tonight?
(Izzie just smiles as the elevator door opens and they go towards the locker room)
Der: (to mer) So you want to scrub in? I have a craniotomy at 11:00
Mer: Sure.
Der: good. I ll tell Dr. Torres.
Izzie: Tores? Bailey has been giving us orders lately.
Alex: maybe Omalley has been taking up too much of her time. (everybody looks at alex) Sorry. I didnt mean it like that.
Der: (to mer) I ll see you soon.
Mer: (to alex) I can not believe you just said that.
Alex: Sorry. I ll just keep my mouth shut then.
Izz: Like that ll happen. (mer and izz laugh)
(callie and Addi in the ladies room)
Callie (washing her hands) : I think things are actually going to work out for me and George. Its great. Really great. I cant believe how
Addi (whispers in the stall) : Da it!
Callie: What? You need a tampon? Midol? What?
Addi: no, Its not that. (goes to wash her hands) I'm late.
Callie: I thought that you didn't have any surgeries for at least another hour.
Addi: not that kind of late.
Callie: oh, (eyes widen) Ohh, You think (she whispers) you are pregnant?
Addi: I cant be. I mean its impossible.
Callie: I thought you were old and dried up?
Addi: I am.
Callie: then how could you think (Addi cuts her off)
Addi: I'm not. Trust me, I'm not (she walks out callie follows)
Callie: you sure? I mean it is likely if (Addi cuts her off)
Addi: Don't say a word to anyone, and I'm not. I'm sure. (Addi goes to the nicu to check on a patient)
(in the locker room)
Mer: Christina, How long have you been here?
Chris: since 5, I couldn't sleep so I ran the clinic.
Izz: the clinic all by yourself?
George: (to Chris) Any good surgeries?
Alex: of course there are good surgeries. The best come in on the night shift. (they all give him a look) Its true.
Mer (to Chris) So how are things with
Chris: burke? I don't know. Ask him. He still wont take the fricken key back.
Izz: maybe its for the best, you know.
Chris: It is too early in the morning for happy "miss perfect" (meaning Izzie)
George: There's Callie.
(callie enters the locker room)
Callie: Ok, Doctors. Grey you are with shepherd, Yang/burke. Stevens/Montgomery. Karev/Clinic and pit, (starts to walk away)
George: umm, Callie?
Callie: yeah Dr. O'Malley?
George: Sorry, but um, What about me? Everybody got an order but me. I
Callie: (smiles) George, You are with me.
George: ohh, ok. (they both walk out)
Izzie: isn't that just a little bit sickening?
Chris: I thought you were over bambi.
(Izz looks over to Alex)
Alex: she is, Its just sickening that O'Malley gets the wife and the surgery and the sx and I get to run the clinic with no surgeries. (leaves)
Mer: is he mad?
Izz: only at Callie. (walks out)
Chris: do you think she still
Mer: no, I don't think so.
Chris: Do you know what case you got today?
Mer: craniotomy. And you?
Chris: I don't know.
Mer: you don't?
Chris: no, and back off. (they both leave the room)
(in the nicu)
Addi: Mark, what are you doing in here?
Mark: The Cleft palate surgery is today. I'm making sure he's stable enough for the operation. You forgot didn't you?
Addi: (lying) no, I didn't (looks at the nurse) Thank you, could you give us a minute (the nurse leaves)
Mark: You look tired, beautiful, but tired.
Addi: What is going on with us? (lowers her voice) Are we together?
Mark: well, I've been at your place everyday for the last week. You tell me.
Addi: is that it?
Mark (almost casually): you dumping me again?
Addi: (shocked) no, (pauses) well are you sleeping with one of the interns? or nurses?
Mark: (laughs) No, (pauses) not in the past couple weeks..
Addi: Ok, then. (looks at baby Kyle) How's his vitals?
Mark: you tell me doctor. (gives her the chart and she reads it)
Addi: looks good. And his scar from the last surgery is barely noticeable.
Mark: I told you. I'm the best.
Addi: (smiles) page me when you go to the OR, I have to go check on my other patients.
Mark: (McSteamy smile) I ll page you if I need you.
(Addi shakes her head and leaves out the room).
Mark (to baby Kyle) : she wants me. (touches kyle's toe to get his attention) Women are complicated. You'll learn that soon enough.
(Sydney sees Alex in the clinic)
Sydney: I see you got clinic duty, congratulations. (gives him another chart)
Alex: Yeah, sure.
Sydney: (looks at a big stack of patient charts) Looks like you will be very busy.
Alex: yeah.
Sydney: Page me if you have any possible surgeries. And remember, Bedside manner counts.
(smiles and leaves)
Alex: sure I'll page you, when hell freezes over. (looks at a patients chart) Gena Smith
Gena: That would be me.
Alex: so what did you do?
Gena (looks distracted) : I was making a sandwich and I kind of sliced my hand. Its not that bad.
Alex: Cooking can be dangerous. Looks like you will need stitches. We have a plastic surgeon here, if you want
Gena: you can do the stitches? (Alex nods) Then do them, Get it over with. I have to get back home.
Alex: Are you allergic to any meds? (she shakes her head no, as he cleans out the wound) Looks like you'll need about 6. You'll need to come back in a week to get them taken out. Should only take 10 mins.
Gena: sounds good to me. (Alex starts suturing)
(izz runs into Addi)
Izzie: Im sorry dr. Montgomery. I'm your resident today. Anything I can do?
Addi: I have 3 expectant mothers and one has twins.
Izzie: wow, ok.
Addi: (hands her the chart) Check on Mrs. O'Connell in room 345 and if her bp doesn't stabilize in the next hour, we will have to do an emergency C-section.
Izzie: yes ma'am.
Addi: I have a CPS in about a half an hour, you can scrub in.
Izzie: (confused) CPS? Cleft pallet Surgery? (eyes widen) Yeah, I'm in
Addi: I thought you would be. Make sure you finish my paperwork and rounds and you can meet me and Dr. Sloan in OR3
Izzie: Thanks Dr. Montgomery.
Mer and Der scrubbing in OR2)
Mer: I love being a non-intern
Der: you do?
Mer: Yeah, you get other people to do your pre op, your paperwork, and you get to scrub in on the best surgeries.
Der: Being an attending is even better.
Mer: I bet it is.
Der: Did you chose a specialty yet?
Mer: We normally don't do that until our 3rd year.
Der: I know I was just wondering.
Mer: I haven't decided.
Der: alright then, Lets go. (enters the OR)
Mer: Dr. Shepherd.
Der: It's a beautiful day to save lives. (to the nurses) Dr. Grey will be assisting in today's surgery, 10 blade. (they hand him one and he hands it to mer)
Mer: Seriously?
Der: You can start and then I ll take over once we enter the (medical)
Mer: (smiles) Thank you dr. Shepherd.
(Mark and Lexi)
Mark: (checking up on a post op nose job patient) Looks good. The swelling should go down over the next couple days.
Lexi: Dr. Sloan, I'm your intern today.
Mark : sure, Repack his dressings and check 243 for bruising, 246 for swelling, and 253 needs more pain meds. And I need full reports on rooms 256, 257, 263, and 264
Lexi: (thinking he's a a$$) yes sir. Anything else?
Mark: no, that will be all. (leaves the room and lexi follows)
Lexi : look I know you've been ignoring me for the past couple weeks, and Ive been avoiding you too, but I don't understand how you can just forget everything that
Mark: what happened that night, its over.
Lexi: so I meant nothing? I was just a one night stand? (the nurses overheard)
Mark: goodbye Dr. Grey. (leaves)
Lexi: (to herself) great, now they think I'm a slt. (walks away quickly)
(George and callie in an on call room)
George: You don't have any patients?
Callie: not for another 2 hours.
George: ohh, so
Callie: Do you still want to try for a baby? Because we can. (rambles) If you don't want a baby anymore I understand. Its fine. I understand. Its just that I really want a baby and we are really good right now, but if you don't want to that's fine too. I just want to be with you George. And
George: Callie.
Callie: yeah? I'm shutting up. I'm talking to much. I'm rambling. I (George kisses her)
George: Whatever you want, I'll do it. I just want to make you happy.
Callie: I love hearing that. (kisses George passionately)
(Callie locks the door and they begin to undress)
(Alex in clinic w/ new patient she's 14)
Alex: So what happened to you?
Coach: She fell while training, and her wrist is probably broken.
Alex: alright, (looks at the young girl) How exactly did this happen?
Macy: I missed my release move on the bars and crashed on it. It doesn't hurt that bad. But my coach told me I had to get it checked out anyway. I'm fine really. It doesn't hurt at all.
Alex: hopefully its just a bruise. You sure it doesn't hurt? (Alex inspects her left wrist and presses gently on it)
Macy: (winces in pain) ouch. (smiles sadly) doesn't hurt unless you touch it.
Alex: You need an x-ray. Looks like it's a fracture. A bruise wouldn't be that painful this soon.
Macy: I know what that means. No training for at least 3 weeks if I'm lucky. There goes my season. (to coach) I really wanted to make regionals.
Alex: We have a really good ortho resident. I'll get someone to take you to radiology and (sees a man in his 30's come into the clinic barely breathing he's with a woman age 24ish)
Alex: I ll be right back. (gets up and sees dr. Young/one of the interns) Hey you, Get this chick to radiology and page Dr. Torres and O'Malley.
(Alex runs to the new patient)
Alex: (yelling to the nurse) Someone page Dr. Burke and get a gurney
(Chris and Burke)
Chris: dr. Burke, Any good surgeries today?
Burke: I have a liver biopsy for room 432 and another Appendectomy later today.
Chris: What is it with appendixes? The all decide to stop working at the same time? I'm not complaining because that means surgeries for me, but still that's a bit weird right?
Burke: Not really.
Chris: But those aren't fun, its routine and boring.
Burke: then you don't have to scrub in at all. (walks away)
Chris: (follows him) no, I'm not complaining. Burke, I'm not complaining at all. (realizing she needs this surgery) Thank you dr. Burke, (burke is ignoring her) I would love to scrub in. I appreciate it. I will not complain. (raises her voice some) Burke.
Burke: (turns around and hands her the chart) I want a full report before we go into OR1.
Chris (sigh of relief) : Thank you burke.
(Burke walks away smiling and then gets a page)
(in the clinic)
Alex (to patient) : What happened to him?
Ellena: I was driving and all of a sudden he started having trouble breathing.
(Alex puts the patient on the gurney with the help of dr. Evans and starts checking the airway)
Alex: (To dr. Evans) Dude check for any vitals
Jordan: Thready heart beat and light breath sounds
Alex: (to the woman) Any signs of distress before? Numbness? History of Asthma? Any Allergies?
Ellena: I don't know.
Jordan: He's non responsive. Loss of consciousness Dr. Karev. What do I do?
Alex: (starting to get frustrated at the woman) What do you mean you don't know? (starts to intubate him and dr. Evans starts an ambu bag)
Ellena: I just met him, it was our first date.
Alex: Dude (meaning dr. Evans) Get him to MRI and make sure you focus on the chest and abdomen. I want tox screen, blood gas, and any other test you can think of that might tell us what's going on. (yells at him) Go now. (to self) Where the hell is Burke?
Ellena: will he be ok?
Alex: I don't know.
Ellena (upset) : you are a doctor. what do you mean you dont know?
Alex: (trying to stay calm) Tell me everything you know and maybe I can figure out what I can do to save him.
Ellena: well, His name is Henry.
(Mer/der in OR2 craniotomy)
Der: Alright Dr. Grey. What do you see here?
Mer: Its it a tumor? It looks like a tumor. But that wasn't on the films.
Der: Its small, some times even the best technology cant pick up a small tumor. I think I can get it all.
Mer: Do you think its malignant?
Der: its better to be safe than sorry. (looks to mer) Meredith, I'll need you to hold this part while I clip the end.
Mer: Yeah (she holds the piece of abnormal tissue like she's supposed to)
DeR: I think that is all of it.
Mer: (puts it in a container) You want me to send this to pathology?
Der: yeah and have them rush the results. I don't want his family to be worried too long if they don't need to be.
Mer: I understand.
Der: Alright, lets close him up and get him to recovery. (begins closing up)
Mer: sounds good.
Der: Dr. Grey, you've been working with dr. Sloan lately?
Mer: (confused) yeah, why?
Der: I'll let you do the outside sutures.
Mer: but don't we normally use staples?
Der: Normally, But I thought you might want to practice on the new technique Dr. Sloan showed you. (Joking) you know to see if you learned anything.
Mer: (laughs) Thank you dr. Shepherd.
(time line is off, like always. Addison is looking for dr. Bailey she goes down the stairwell)
Addison: (thinking) The Or board said she was in Or4. Her surgery must be almost over by now.
Mark: (going up the stairs to find Addi) Hey, Where have you been?
Addi: I'm sorry, I'm a bit distracted. I have to find Miranda.
Mark: who?
Addi: Miranda. (he still looks lost) Dr. Bailey.
Mark: ohh, ok. What do you need her for?
Addi: nothing. Just a consult.
Mark: For who? I had to go through the same general surgical residency before I specialized. I could be your consult.
Addi: (lying) Actually, Bailey needs me for a consult, so I have to go find her.
Mark: oh. Ok. I was just coming to tell you that I'm bringing the little dude to OR3. So hurry back as soon as you can.
Addi: little dude?
Mark: The CPS.
Addi: (laughs at him) You are getting attached aren't you?
Mark: (macho) no of course not. (casually) I just don't want to wait all day to get this surgery over with. The sooner I do it, the sooner he heals, and the sooner I'm published.
Addi: (smiles) that's the mark I know and love. (kisses him on the cheek and runs off quickly) I gotta go. Bailey needs me.
(Chris and Burke)
Chris: that's your pager.
Burke: I know that. (reads it out loud) 911 in clinic. (starts to walk off)
Chris: I'm coming with you. (follows him)
Burke: you have a report to fill out.
Chris: I am coming with you.
Burke: I don't have time to argue.
Chris: (under her breath) that's a first.
(Burke and Chris make it to the clinic and they see Alex where we left off)
Burke: Karev You paged?
Alex: 30 something year old male. Shortness of breath. (looks at Ellena) No history of anything and loss consciousness when he arrived.
Burke: obstruction of airway?
Alex: not that I could see.
Chris: where is he now?
Alex: Intern brought him to mri and is doing blood tests as we speak.
Burke: And why aren't you doing it?
Alex: I'm running the clinic. Every one else is busy.
Burke: right. Good job Dr. Karev. I'll take it from here. (turns to Christina) go and find that intern and tell him that you are now on the case and he needs to get back in the clinic to help dr. Karev.
Chris: yes dr. Burke. So does that mean I'm scrubbing in? exploratory surgery?
Burke: get the films Christina. (she nods and leaves) (burke looks at Alex) there are too many patients here for only one doctor.
Alex: thank you Dr. Burke.
Burke: you kept your cool. I can tell. Its better than what I did my first time running the floor.
Alex: seriously?
Burke: you tell anyone, I ll put you on scut.
Alex: yes sir.
Burke: alright then. (smiles) I have to go make sure Christina didn't start operating without me. (leaves)
Alex: that she would do. (Alex looks back at the clinic and sees that the 14 year old is still sitting there) Where are the O'Malley's?
(everything is basically happening at the same time which makes this hard to write in a decent order, but here I go.)
(callie and George in the on call room in bed resting. pager goes off)
Callie: Do you hear that?
George: no, what?
Callie: someone is being paged. George what if its an emergency.
George: (gets up and checks the pagers) Its for both of us. It's the clinic.
Callie: great. (starts to get dressed) How do I look?
George: Good. Wait, (fixes her hair so its not too messy) ok, good.
Callie: (smiles) I ll meet you in the clinic. Ok.
George: ok. (gets dressed)
Callie: ok. (Gives him a quick kiss and leaves to go to the clinic)
(Mer and der in Scrub room)
Mer: that was awesome.
Der: yeah. So I see mark does actually teach.
Mer: I don't know about that. I am just a quick learner.
(they both smile)
Der: What?
Mer: nothing. (looks down)
Der: no. what?
Mer: you know right now. I couldn't be happier.
Der: (kisses her on the forehead) We still have a whole day left. (Passes his hands in her hair and kisses her gently on the lips)
Mer: ok, now I couldn't be happier. (she laughs)
(Mer is paged)
Mer: ok now this This sucks. (der laughs)
Der: go ahead. It could be important.
Mer: ok. I ll find you later.
Der: you better. (mer goes to answer the page)
(Addi is in a linen closet taking a break and just thinking. Then she gets a page, Its from Lexi)
Addi: da it! (gets up off the floor and starts to go to towards labor and delivery))
Lexi: (fills Addi in on the situation as they are walking) Dr. Montgomery, you need to come quickly, Its Mrs. O'Connell
Addi: where is Dr. Stevens?
Lexi: She went to the OR. The nurses said Mrs. O'Connell has been fine all day, and that dr. Stevens checked on her all morning.
Addi: alright. (to self) Da it.
Lexi: Are you ok, Dr. Montgomery?
Addi: I can not be in two places at one time. Dr.Grey, page dr. sloan and tell him to start the surgery with out me. (enters Mrs. O'Connell's room and the monitors are beeping) Mrs. O'Connell how is your pain? Are you ok?
Mrs. O'Connell: (stressed breathing) I am, I think, I'm having contractions.
Addi: Ok, We need to get these babies out.
Mrs. O'Connell: What's wrong with me?
Addi: your blood pressure is too high. Its causing stress on the babies. We need to stop the stress and right now our only option is to deliver them.
Mrs. O'Connell: So I'm going to have a c-section? I don't want to be cut open. I don't want a surgery.
Addi: we can try for a natural birth, but it will be long and probably very painful, and I don't think the babies will respond well to that stress.
Mrs. O'Connell: (trying to catch her breath) So my only option is a c-section.
Addi: right now, yes that is what I recommend.
Mrs. O'Connell: Alright.
Addi: you are doing the right thing. (yells to a nurse) Call for OR4 and tell them I need the OR asap. Get me an anesthesiologist too. (to mrs. O'Connell) I am going to do everything I can to get both of your babies out safely.
Mrs. O'Connell: Thanks dr. Montgomery.
(Addi walks out of the room and lexi meets her)
Lexi; I paged dr. Sloan for you. Is there anything I can do?
Addi: who is your attending today?
Lexi: Dr. Sloan.
Addi: fine, you can scrub in, I'm sure he wouldn't mind.
Lexi: (under her breath) He probably doesn't even know I'm alive.
(Mark and Izzie)
Mark: (pager goes off) nurse what does it say?
Nurse Debbie: I'll call it back. And see.
Izzie (to mark): Shouldn't we be starting the surgery soon?
Mark: I have to wait for Addison.
Debbie: It was from Dr. Montgomery, she said an emergency came up, and start without her.
Izzie: So I guess we don't have to wait.
Mark: This kid is only 3 months old. Do we have a pediatric surgeon on standby if anything happens? (nurses shake their heads no)
Izzie: I think they are all busy today. Every OR was booked last time I checked.
Mark: Alright, lets get this surgery started. (to nurse) Scalpel
Izzie: what would you like me to assist with?
Mark: keep an eye on the vitals. You are doing Addison's job right now until she comes back. If anything dips more than 5 points you tell me and this surgery stops until he's stable.
Izzie: Yes, Dr. Sloan.
Mark: good. Do we have the peds paddles ready in case of heart failure?
Izzie: yes sir.
Mark: alright. Lets begin. (makes the first incision)
(Chris and burke going over films)
Burke: what does that look like dr. Yang?
Yang: cardiomegaly it would explain the shortness of breath and the abnormal heart rhythm.
Burke: Alright lets open him up.
Yang: Likely cause is amyloidosis.
Burke: and why would you suggest that?
Yang: no high blood pressure. No deformed ventricles .(burke starts to smile) No anemia or no hemochromatosis no Amyloidosis. So that only leaves (medical)
Burke: (smiles) Very good dr. Yang. Lets go cut.
Chris: Do I get to cut too, or only you?
Burke: I ll decide that when I decide.
(Alex and the 14 year old)
Alex: Hey, Macy, What are you still doing here?
Macy: The other doctor brought me for x-rays and brought me back here.
Alex: did you see Dr. Torres yet?
Macy: No, I don't think so.
Alex: I ll page her again. How's the pain?
Macy: surprisingly not that bad. I think I'm getting used to it.
Alex: Alright, If you need something let me know. I'm going page ortho again. (walks off as callie shows up)
Callie: Someone paged for an Ortho consult?
Alex: (upset) Yeah, I paged you and O'Malley about 30mins ago. (hands her the chart) Ive been running this place since. Where have you been?
Callie: I was with a patient. (looks over the chart) Athlete, ok. I ll look over the films.
Alex: You do that. (walks towards the nurses station and starts to fill out some papers)
(Callie introduces herself to the patient)
Callie: hello, (looks at the chart) Macy, Im dr. Torres. I ll be fixing your wrist.
Macy: Its about time. Ive been here forever.
(George shows up)
Callie: (To macy) I'm going to look over the films and be right back
(George and callie look over the films out of view)
George: (looks over to the patient) hey, how bad is it?
Callie: How old do you think the patient is from these films?
George: I would say about 40 maybe in her 50s
Callie: she's 14 George. What causes that?
George: Overtraining? Female athlete triad. She's an athlete right?
Callie: yeah. After we set her wrist and cast it, lets get her some prescription calcium supplements and get someone from psych to come talk to her to make sure she understand how serious this is.
George: ok, will do.
(goes to call for psych as callie gets ready to cast macys wrists)
(Addi and Lexi in OR4 scrubbing in)
Addi: alright, dr.Grey, We wont have much time once we get in there. I ll make the incision and I ll have about 2 minutes to get both babies out.
Lexi: alright, not a problem. Do you need me to help with the mother or the babies?
Addi: hopefully the babies wont need any help. I want you to do a quick check up on both of them, and come help me close her back up. (goes into the OR, lexi follows)
Lexi: alright.
Addi: (to the nurses) How's her stats?
Nurse: Her bp keeps rising. It doesn't look good for any of them.
Addi: alright lets get those babies out. (to nurse) Scalpel. (makes the incision)
Lexi: bp is still rising.
Addi: Im almost at the first one. Grey, hold here. (lexi does) be careful. (she pulls the first baby out) It's a girl. Grey,
Lexi: I got her. (lexi takes the baby to the side to check the stats)
Addi: She's not crying. How is she grey?
Lexi: breathing sounds good. 6lb 7oz.
Addi: Alright here's the boy, (she takes him out and he starts crying) We have a loud one here.
Lexi: I got him. (the little girl starts crying) They both look good.
Addi: good. Alright lets take care of the mother.
(she starts to close her up when her bp starts to drop quickly, lexi runs back over to the table)
Lexi: That's too much of a drop.
Addi: I know that. Her bp is too low now. give me a dose of epi that should pick it back up. (looks at lexi) She must be bleeding internally.
Lexi: I dont see anything, How could she be?
Addi: its here, (to lexi) give me the bovie. (lexi hands it to her)
Lexi: all this damage from a few blood vessels?
Addi: that's all it takes. (bp stabilizes) Good. Alright now lets close her up so she can meet her new babies.
Lexi: Yes ma am.
Addi: So how are you liking being an intern?
Lexi: The surgeries aren't bad, it's the people you meet that's the problem.
Addi: guy trouble?
Lexi: you could say that.
Addi: (finishes the last suture) Alright, that's it for me here. Dr.Grey, bring her to recovery and bring the babies to the nursery. (goes to scrub out) I have to go check on another patient.
(Chris and burke in OR1 doing the surgery)
Burke (to chris): bovie. (she hands it to him)
Chris: Dr. burke, I could really do this on my own. I have studied and I know that I can do this on my own.
Burke: Im sure you can. (to nurse) forceps
Nurse: Yes, dr. Burke. (hands it to him)
Burke: Alright, dr. yang
Chris: (thinking she ll get to cut) yeah
Burke: What do you see right here?
Chris: classic Dilated cardiomyopathy since lab results ruled out everything else. Treatment is installing a biventricular pacemaker with defibrillation capabilities.
Burke: (smiles) and you want to do it yourself?
Chris: yeah.
Burke: You can assist.
Chris: deal. I just really need to cut.
Burke: (hands Chris the scalpel) Go ahead.
Chris: seriously? (smiles) Alright.
Burke: I ll take over when we get to installing the pacemaker.
(Mark and izzie in the OR)
Mark: (to self) Addison should have been here by now. (to izzie) How are his vitals?
Izzie: Bp dropped a little but hes Still stable. Hes doing really good for being in surgery for so long.
Mark: We ve been lucky so far. Keep an eye on his O2 levels.
Izzie: I am. Is there any chance that I could do something surgical?
Mark: No, Your job is to monitor. If he starts to go downhill there wont be a surgery to do anymore, and I wont get published.
Izzie: Is that the only reason you are doing this surgery? To get published?
Mark: (lying) Of course Stevens. Why else do you perform risky surgeries on an infant?
Izzie: To save their life or increase their quality of life?
Mark: (looking up from baby Kyle) No Dr. Stevens, Money and prestige.
(Addison walks into the Or)
Addi: Mark, Hows he doing? (walks over to where mark is)
Mark: Just fine. Where were you? (joking) An oncall room?
Addi: no, not this time. I delivered twins by emergency C-section with the help of Dr. Grey
Izzie: but Meredith was supposed to be with shepherd.
Addi: the other Dr. Grey. (looks to mark) Your intern today.
Mark: Well isnt she the overachiever. (continues to work on kyles palate) We are half way through, if he stays stable I can close it up completely today.
Izzie: wow, thats amazing.
Mark: Addison, I need an extra hand, could you?
Addi: yeah, Wow, you did a lot while I was gone. (whispers to mark) Wouldn't it be better if Dr.Stevens helps out? She needs the experience.
Mark: fine, Dr. Stevens you can assist. Addi, keep an eye on his vitals for me.
Izzie: (excited that she can finally do something surgical) thank you Dr. Sloan.
Mark: (to addi) Do they always suck up to you?
Addi: Anytime there is a surgery involved. Yeah. (mark and addi share a smile)
(callie and George with Macy)
Callie : you will need to take it easy for the next couple weeks. (finishes wraping her wrist and forearm)
Geroge: you have a condition that is very much like osteoperosis. That is why you are so prone to fractures. (macy looks up at him confused)
Callie: We went through your file. We know about all of your previous breaks.
Macy: You don't understand. I want to be the best. I have to be the best. If I take time off, I will lose my edge. I cant lose.
Callie: I understand more than you think. Your condition could be caused by a number of things (looks at george)
George: (sits next to macy) You are overdoing it, and arent taking care of yourself. From now on you have to make sure that you get enough calcium because if you don't (pauses)
Macy: I get it. (repeating what shes heard a million times) My bones are brittle, and Im never going to make it to regionals if I keep it up.
Callie: yeah that's about it. We paged someone to come and talk to you about your other problem too
Macy: other problem? (macy looks scared) You know?
Callie: We kinda have to. We're doctors. And its pretty obvious (she's extremely thin)
(macy smiles sadly)
George: You have to take care of yourself first. You cant always please everyone, your coaches, your parents, your friends.
Macy: I get it. But I'll be ok?
George: yeah, 6 weeks or rest will do you good. (lowers his voice) And now you have an excuse to eat ice cream. (both of them laugh a bit)
Macy: thanks doctors.
Callie: no problem. (looks over at george) I think we should give her some privacy.
George: (gets up to leave) take care of yourself. (walks out of the room)
(Callie and George now alone)
Callie: You did really good in there. Patients love you.
George: (smiling) what can I say, I'm loveable, and dependable and
Callie: (smiles) You are awesome, you know that. (George nods and opens his mouth to speak)
(dr bailey walks up)
Bailey: Dr. O'Malley, It must be a slow day considering you two have the time to flirt in the hallways, so publicly I might add. Some of us are too busy to have a life. Some of us have patients to see and lives to save. But I see that is not a priority for you at this moment now is it?
George: (gets flustered) no ma'am, I mean.
Callie: I gotta go, we have to go. Patients to see. (George and callie hurry off)
Bailey: that's what I thought. (walks away) flirting in the hallways. You have to be out of ever loving mind.
(Mer meets Alex at the nurses station)
Mer: Hey, Alex. How you doing?
Alex: (looks up from signing charts) hey, Meredith. No surgeries?
Mer: no, I came back from one a little while ago. I had to drop something off at pathology. (looks at a patients chart)
Alex: Feel free to take it.
Mer: what? (looks down) oh, busy day?
Alex: this is the first time I sit down today. I'm never going to tease Izzie about clinic duty again.
Mer: (smiling) that bad huh?
Alex: you don't have a clue. Thank god for interns. (they both smile) Hey Meredith, I was wondering. Do you think that
(der walks up behind Mer and puts his arms around her waist)
Der: Hey, Where were you? (gives her a soft kiss on the neck)
Mer: (smiling) I was just coming back from pathology. The results should be in first thing in the morning.
Der: Sounds good. (gets paged)
Mer: Is it important? Do I need to go too?
Der: No, It shouldn't be. I got it. (kisses her quickly) I'll page you if I need you.
Mer: I'll meet you in a second (der leaves to answer page)
Alex: (smiles at mer) So you guys are really together again huh?
Mer: (smiling) Yeah. I really think it'll work out this time. I hope anyway.
Alex: I'm happy for you mer. (looks down at the papers)
Mer: Hey, um. What did you want to ask me about earlier?
Alex: what? Nothing. Its not important. I think I figured it out.
Mer: ok. Glad I could help. (they both smile) Derek and I are staying at his place tonight, so
Alex: I wont wait up. I'll let Izzie know.
Mer: thanks. (walks off to find Derek)
(Chris and Burke in the scrub room)
Burke: Good work in there.
Chris (being Christina) : Yeah, I know. (burke )
Burke: here (holds out his hand)
Chris: What?
Burke: take it. (tries to give her something)
Chris: I don't want it.
Burke: take the key, Christina.
Chris: I don't want it. You wont take my key back, I wont take yours.
Burke: You are living there, the key belongs to you.
Chris: It was your apartment first, it belongs to you.
Burke: (holding back a smile) you are so stubborn. (remembering the argument) What am I supposed to do with the key?
Chris: I don't know. Bury it, throw it away, keep it, sell it, use it. Do what you want. I don't care.
Burke: (gets paged) alright then, (puts the key back in his pocket) I have 2 surgeries left to do. You are on call tonight right?
Chris: yeah, why?
Burke: (paged again) I have to go. (leaves and smirks)
Chris: (alone thinking out loud) What is he going to do with the key? Did he say there were 2 surgeries? I have to get in on it.
(Addi Mark and Izzie in OR3)
Mark: After I finish the last sutures, he can go to recovery.
Addi: Good job mark. You might get published after all (smiles)
Mark: and who would have thought in Seattle of all places.
Izzie: (interrupting their gaze) So should I bring him to recovery or is a nurse going to do it?
Addi: Dr. Stevens, You can go. I'm sure you will want in on another surgery.
Izzie: I didn't mean to be rude. I was just wondering.
Mark: You can scrub out. I'm done here. (finishes the last suture)
Izzie: ok.
(Izzie scrubs out quickly and leaves as Addi and mark start to scrub out)
Addi: I'll bring him up to the NICU.
Mark: you don't have to. I was going to. Its not a problem.
Addi: (skeptical) Mark, seriously? What's gotten into you lately?
Mark: Nothing. Last time he coded. He needs someone to keep a close eye on him. If
something happens. (pauses) I don't trust interns.
Addi: (smiles at the last comment) Its just a bit weird. And he is kind of my patient too. And you have other patients to attend to. I can do it.
Mark: (smiles) Alright, he's yours.
Addi: (smiling) don't worry, you'll still get all the credit. (leaves to go and bring Kyle to recovery)
Mark: yeah (watches Addi with Kyle then leaves)
(Alex returns to the nurses station after treating a patient)
Lexi: hey, dr. Karev (Alex looks up from paperwork) I was wondering if you could look over my notes. I think I'm missing something but I cant figure it out. And since you are the first resident I saw
Alex: Yeah, I'll look over it.
(lexi sits down next to him and hands him the chart)
Lexi: (smiles) Thanks.
Alex: (looks over her notes) I would recheck his tox screen and get a CT to make sure you cover all the bases.
Lexi: thanks. (Alex hands her the chart)
Alex: so how's that avoiding thing working?
Lexi: Its not.
Alex: Sorry to hear that. (starts working on another chart)
Lexi: Yeah. I walked in on him with another woman. (Alex looked up at her) Yeah, imagine that.
Alex: Do you think you can forgive him?
Lexi: Hell no, He's completely ignoring me anyway. And I don't think I want him back. You can't just pretend it didn't happen. You know?
Alex: Yeah, I guess not. (goes back to writing)
Lexi: I'm sure you would never do that to your girlfriend.
Alex: I don't have a girlfriend
Lexi: (embarrassed) Ohh, I'm sorry, I didn't mean anything by it.
Alex: Its ok.
(Izzie walks up and sees Alex and Lexi talking)
(Der leaving a patient's room)
Mer: Hey, sorry I took so long.
Der: that's ok. (talking about the patient) She regained consciousness.
Mer: seriously? That's great. (looking back at der) So, I was thinking. Why don't we go back to your place tonight?
Der: the trailer? You want to go to the trailer.
Mer: yeah. Its been a while, and I thought we could use some time alone.
Der: Yeah? (smiling) Alright. So we'll go to the trailer.
Mer: My shift is almost over. I'll meet you in your office?
Der: (McDreamy smile) my office huh? I can't wait.
Mer: (giggling) I'm sure you can't. (walks away)
(Burke and Christina are exiting different ORs)
Chris: Burke
Burke: Dr. Yang
Chris: Where are you going?
Burke: Home. My shift is over. Enjoy being on call. (walks away)
Chris: how was the biopsy?
Burke: Good (walks away)
Chris: (mocking him) Enjoy being on call (rolls her eyes and walks away)
(George and Callie getting out of Surgery)
George: That was a complicated surgery. You did good. We make a pretty good team don't we?
Callie: Yeah, We do. Hey George did I tell you? I am on call tonight.
George: Ohh, ok. I think Christina is too.
Callie: Well, she was here all morning. Maybe you can trade with her?
George: You wont get tired of me? At work and at home? All the time?
Callie: I couldn't get tired of you George. (upset) Wait? Are you tired of me?
George: No, I just. Every day together. (realizing he's in trouble again) I'll ask Cristina to switch shifts with me.
Callie: alright. (leaves the room)
(Mer on her way to change, chris walks up)
Chris: Hey, Why do you look so happy?
Mer: Because I am.
Chris: You slept with McDreamy.
Mer: not yet. Today anyway (sees Chris wants to say something) Come on, Spill. What's going on
Chris: Burke is such a woman.
(laughs but the smile goes away when she noticed that Chris looks serious)
Mer: (confused) burke's a woman?
Chris: he's moody. He's having mood swings. Its like PMS. One minute its like go to hell, and the next he's flirting. I am not this complicated.
Mer: (shaking her head in disbelief) Burke's a woman.
Chris: (snaps) Meredith, concentrate.
Mer: ok, (takes a deep breath) I'm being supportive.
Chris: What do I do?
Mer: Well, you've tried talking and avoiding and (pauses) I got it. (smiles) Coffee.
Chris: but do I want 'coffee'?
Mer: (confused) do you?
Chris: I don't know. (gets paged)
Mer: You are Christina Yang. You'll figure it out. And if you don't, then at least you have the surgeries.
Chris: yeah. (sarcastic) Nice pep talk.
Mer: sorry, I tried (they both go their separate ways)
(izz approaches the nurses station alex and lexi are talking)
Izzie: Sorry to interrupt.
Alex: Hey Izz, I didn't see you show up. How was the surgery?
Izzie: Good. What's going on here?
Alex: nothing, (lexi and Alex exchange looks) Just helping Lexi with a case.
Lexi: (sensing some tension) I was just leaving. (stands up)
Izzie: No, You can stay. I am leaving soon anyway.
(lexi sits back down)
Izzie: (to Alex) I'll see you at home?
Alex: Yeah.
Lexi: (under her breath) home?
Alex: (to izzie) Meredith and Derek won't be there tonight.
Izzie: so it's just us? (smiles)
Alex: yeah. Just us.
Izzie: alright then. (giggles) I'm going change out of these scrubs. (walks off)
(Alex just smiles and watches as she walks away)
Lexi: let me guess. That's the non girlfriend.
Alex: It's a long story.
Lexi: (laughs softly) it always is. (gets up and walks away)
(Alex finishes the last chart and goes to change to go home)
(George finds Chris at a vending machine)
George: Christina, I've been looking everywhere for you.
Chris: trying to get away from the wife?
George: no, not this time. You are on call right?
Chris: yeah, why?
George: You were here all day, and I looked at the board. We don't have any interesting cases, so I thought
Chris: Spit it out Bambi.
George: Switch days with me. I'll take today, and you have Saturday. Saturday is party night, there are a lot of accidents. That means scrubbing in. (raises eyebrows) a lot of scrubbing in.
Chris: fine, if you want it that bad, we'll switch. Just don't beg. It's needy and it bothers me.
George: Thanks, I think.
Chris: now get out of my way, I'm going home I have a date with Angeletti.
George: (shocked) You're dating? So soon?
Chris: The restaurant. They deliver. (walks away)
George: ohh. Right. (yells after her) thank you.
(Izz and Alex at Mer's house in the kitchen)
Izzie: So,
(Mer/der in the office)
(Addi is shown in an empty room pricking her finger to do a blood test. And she looks worried. Mark walks into the room and Addi hides everything as best as she can)
Mark: hey, I was looking for you. Your shift's over right?
Addi: yeah, I just had some stuff to do. I need to get this off to the lab. Its for a patient of mine.
Mark: Yeah no problem. You want to stop by Joes. We haven't been there in a while.
(smiles at Addi)
Addi: you know. I'm just really tired right now. I was busy today. Maybe another time.
Mark: (suspicious) Yeah, no problem. I'm going home. (pauses) I'll see you there?
Addi: (preoccupied) what? Um, Yeah. I'll be there. I have to go. (smiles and walks away)
Mark: (to self) What the hell is she hiding?
MVO: We have two choices. Wait around for things to happen, or take charge and do it our selves. If you live in Denial, you tend to wait it out. Sure you take charge every once in a while, but you avoid dealing with what's really going on. How can we get what we want if we don't ask and let our feelings be heard? Everyday we live this vicious cycle. When should I speak and when should I have just kept my Dam mouth shut. Normally luck or fate tends to be on the side of the speakers.
(Chris opens her apartment door to find that the room is actually clean)
Chris: (yells) Hello? (to self) Did the maid come after all? (she goes to the phone to call Meredith but she sees a paper)
'C'
Thought you could use a hand.
There is food in the fridge.
See you at work.
'B'
(Chris picks up the paper and finds the key is on the cabinet)
Chris: da it.
(End of Epi 8: Washing Machine)