03x05 - Oh, the Guilt

Episode transcripts for the TV show "Grey's Anatomy". Aired: March 2005 to present.*
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A drama centered on the personal and professional lives of five surgical interns and their supervisors.
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03x05 - Oh, the Guilt

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GREY'S ANATOMY

3x05: Oh, The Guilt

Original Airdate: 10/19/2006

Written by: Zoanne Clack, Tony Phelan, Joan Rater

Directed by: Jeff Melman


MEREDITH: First, do no harm. As doctors we pledge to live by this oath. But harm happens. Then guilt happens, and there's no oath for how to deal with that.

IZZIE (cooking): Good morning!

GEORGE: I thought we were done with the whole muffin thing.

IZZIE: This isn't muffins, it's breakfast. Mer needs a good, solid breakfast. First day back after the big surgery.

MEREDITH: Are you okay?

IZZIE: Of course I'm okay... I'm a millionaire. Fruit? What do you guys think about B&B's? I'm thinking about opening B&B in Vermont where the foliage is, you know?

GEORGE: Maybe you should go back to bed.

IZZIE: Can't. I'm going to the hospital

MEREDITH: Are you going to talk to the chief?

IZZIE: Nope. I'm going to clean out my locker. I could buy a hotel. How much do you think a hotel costs?

(Izzie pours orange juice spilling it all over her 8.7 million dollar check.)

GEORGE: That's eight million... eight million dollars does not like to have juice spilled on it.

MEREDITH: You have to take that to the bank today. It's making me nervous in the house.

IZZIE: I will. Just as soon as I clean out my locker. I'm fine. Really I'm fine. Denny loved me. He wanted me to have this money; he wants me to be happy. So I'm happy (She plasters on a huge smile.) Juice?

----------

MEREDITH: She's losing it. She almost battered and deep fried an 8 million dollar check this morning.

CHRISTINA: That kind of money, I'd buy my own hospital and stock it full of sick people. Vavuloplasties and ruptured aneurisms. Hmm.

GEORGE: You are a psycho, you know that, right?

CHRISTINA: Okay, I'm not the one with an 8 1/2 million dollar check I won't cash.

IZZIE: Stop talking about me. I'm fine. I'm cleaning out my locker and I'm going home. Mer is the one with the problems.

MEREDITH: Well you haven't told McDreamy that you dumped McVet.

CHRISTINA: You haven't done that yet?

ALEX: Dude, tell him already.

GEORGE: She's scared.

MEREDITH: I am not scared. Derek walked away. He walked away. Maybe that's a good thing. Maybe he's happy. He's got Addison here. He's got Mark here. He's got a lot to deal with. And I'm not going to make him feel guilty. I'm being an adult here, and I am not going to drag him into our whole... Izzie is the one with the big check!

MEREDITH (voice over) Guilt never goes anywhere on its own. It brings its friends, doubt and insecurity.

----------

MARK (to Callie's ringing cell): That your boyfriend again?

CALLIE: I do not have a boyfriend.

MARK: Then why the guilty face?

CALLIE: You were sexier when you weren't talking.

----------

BAILEY: Am I keeping you O'Malley? (George is on his cell calling Callie, who is still in bed with Mark) M&M ten in minutes, people.

ALEX: We get to go to M&M?

GEORGE: Even if we haven't finished our rounds?

BAILEY: Even if. I want all of you at the M&M today.

ALEX: Yes!

BAILEY: People die in this hospital. Once a month we gather to discuss how our actions as physicians contributed to the deaths. This is a serious exercise.

MAN: Dr. Bailey.

CHRISTINA: George Alex, you get good seats. Mer and I will get snacks.

ALEX: Yeah.

BAILEY: Mr and Mrs. Niles.

MR. NILES: We kind of got turned around on our way to admitting.

BAILEY: Oh, not a problem. Dr. Karev, uh, Mrs. Niles is scheduled for a mastectomy tomorrow. Why don't you show her and her husband up to the fifth floor. Is this the little man? He's adorable.(Mr. Niles is carrying their baby)

MRS. NILES: He's not so adorable at 4 in the morning and won't take a bottle. Can we just get to the room (She walks off.)

MR. NILES: It's been a rough week. She had to stop nursing. Gus here just won't eat.

BAILEY: Why don't I take you up? (She grabs the baby.) You can try a little sugar water on the bottle just until he gets used to it.

MEREDITH: Does that woman have breast cancer? What is she, 30 years old?

ALEX: New baby. She probably thought the lump was a milk gland. You learn things on the vag*na squad

CHRISTINA: Focus people. M&M. Insults flying, residents covering their asses. Our bosses getting kicked in the teeth instead of us. Seats. Snacks.

----------

CHRISTINA: Hey, I didn't know you were coming to the M&M.

BURKE: You brought snacks?

CHRISTINA: Yeah. You okay? No surgeries today right? I mean I'm ready if you need...

BURKE: No. No surgeries.

----------

GEORGE: Callie. Hey...did you get my message? Messages.

CALLIE: Yeah. I gotta get a seat.

GEORGE: Alex is saving us a bunch if you want to sit with us.

CALLIE: No.

(They enter the Morbidity and Morality seminar, a.k.a. the M&M.)

----------

GEORGE: She's trying to make me feel guilty about the other night with Izzie.

MEREDITH: I thought you said you apologized.

GEORGE: I did. I have. I'm done. I am not apologizing any more. I'm enjoying life. I'm loving the M&M.

CHIEF: Okay people. Let's begin. Patient #34986 died last month from complications following a heart transplant. Dr. Burke will present.

ALEX: You guys isn't patient #34986...

MEREDITH: Denny...

CHRISTINA: $8 million. 8 million could get us on a plane to somewhere far, far away.

----------

(Izzie is cleaning out her locker.)

She takes out her stethoscope and listens to her heart.

----------

BURKE: Cause of death was an embolus that dislodged from the suture line and caused a CVA with brain stem herniation.

(People raise their hands with questions.)

GIRL: So the company line is he died from a CVA?

BURKE: There is no company line. That's how he died.

MAN: Let's get back to this patients need for emergent transplant. You're saying the patient's left ventricle had been weakened by the LVAD malfunction?

BURKE: His left ventricle was weakened by the fact that he had congestive heart failure.

DR. SAVOY: Please Dr. Burke. We all know the LVAD was cut by an intern.

BURKE: The events remain unclear.

GEORGE: I'm going to my happy place...

DR. SAVOY: It's unclear to you 'cause you were in the ER with a g*nsh*t wound. Why aren't we hearing from Dr. Bailey? She was the senior physician on the case.

BURKE: I'm the attending on record.

BAILEY: Yes, I was the resident in charge. (She takes the stand.)

BAILEY: Dr. Burke has summarized the medical facts of this case. Are there any questions for me?

(Everyone raises their hands.)

----------

DR. SAVOY: You recently had a baby, Dr. Bailey?

BAILEY: I don't see what that has to do with...

DR. SAVOY: Sleep deprivation coupled with wild swings in hormone levels are factors that could cloud anyone's judgement.

BAILEY: I sleep just fine, Dr. Savoy.

DR. SAVOY: Really? Cause if a patient died due to my poor decision making, I'd lose a little sleep over it.

CHIEF: Let me remind everyone that our purpose here is not to place blame. This is a forum to discuss mistakes in patient care and learn from them

DR. SAVOY: well so far I haven't heard Dr. Bailey admit to a mistake.

CHRISTINA: Why don't they just put a b*llet in the back of her head?

MEREDITH: It would be more humane.

DR. SAVOY: So for a period of several hours, your interns were running amuck in teh hosptal unsupervised.

BAILEY: I'm waiting for a question.

DR. SAVOY: The question is where were you?

BAILEY: There was the sh**ting, and the ER was chaotic.

DR. SAVOY: The ER is always chaotic. Did you page them during this time?

BAILEY: Yes, I paged them several times.

DR. SAVOY: So apparently, they thought it was okay to ignore your pages. Dr. why do you think your interns have so much contempt for your authority?

ALEX: You don't know what the hell you're talking about!

BAILEY: Dr. Karev, sit down.

(He sits and reveals Izzie standing in the door way, her hand at her temple.)

GEORGE: Izzie...

BAILEY: Next question

----------

LAWYER: Derek says that neither of you brought your assets into the marriage.

ADDISON: Well I had my trust fund. And a sparkling personality. And the futon couch.

DEREK: Yes, Addison had a very ugly, very heavy futon couch.

ADDISON: What happened to that couch?

DEREK: We gave it to Mhark. She can have him.

ADDISON: I don't want him.

DEREK: Ok so that's settled. What else?

LAWYER: Aside from Addison's trust fund which will remain in her name, we'll spilt everything, stocks, bonds, 401K's down the middle. The only thing that gets complicated is the real estate.

DEREK: Well let me make this simple. I'd like to keep my trailor and the land is Seattle. Addison can keep the rest.

ADDISON: Hold on...

LAWYER: That's the house in the Hamptons and the Brownstone overlooking central park. That's very generous of you.

ADDISON: Hold on. He's up to something. I came here to fight over CD's and books. Go to w*r over a crystal vase. What are you up to Derek.

DEREK: The divorce is my fault, let me take responsibility.

ADDISON: We both had affairs.

DEREK: You had a one night stand with Mark.

ADDISON: Actually, it was...

DEREK: Ok it was two nights. You made a mistake. Meredith and i, we had a relationship. Make these changes. I'll sign them today.

----------

MEREDITH: You weren't supposed to be in here Izzie.

GEORGE: You shouldn't have had to see that

IZZIE: It's fine. I'm fine. Clearly the doctor thing wasn't working for e. so go about your business. Run labs. Cure cancer. I'm fine.

GEORGE: You're not going home. Either you hang out with us or we'll call your mother.

MEREDITH: She's just a few hours away, and I'm sure she wouldn't mind coming and staying with you. All day.

IZZIE: You wouldn't.

GEORGE: Dialing.

IZZIE: Woah! Hey, hey! Ok. I'll just... go hang out in the locker room.

----------

CHIEF: What is she doing here? She has no business in this room.

ALEX: What are you looking at me for? I didn't have anything to do with this. I didn't have anything to do with ANY of this.

GEORGE: I'll stay with her today if that's okay. I''ll update charts an I'll run labs and keep an eye on her, if that's okay. She shouldn't be alone.

CHIEF: Fine.

GEORGE: Dr. Bailey...

MEREDITH: We just want to say..

CHRISTINA: We're sorry...

MEREDITH: About the M&M

BAILEY: No. You do not get to apologize to me for this. You do not get to feel better. Neither do I. Get to work. O'Malley keep an eye on her.

GEORGE: Yes Dr. Bailey.

----------

DR. SAVOY: Dr. Bailey, you understand it's nothing personal

BAILEY: People talking about your hormone levels, starts to feel personal.

MR. NILES: Dr. Bailey. Looks like you're the baby whisperer. Gus drank the whole bottle. Do you want to hold him?

(But with Dr. Savoy standing behind her...)

BAILEY: Actually now isn't a good time. I'm about to go get your wife's labs.

MR. NILES: Do you think you could talk to her? She's freaking out. She's not too sure about the mastectomy, she's thinking maybe a lumpectomy. I know she likes you. Maybe you could talk her into...

BAILEY: No it's not my job to talk her into anything. Maybe if she knew more about her reconstructive options. I'll send our plastic surgeon up.

----------

BURKE: Hey chief. Got a minute?

CHIEF: Sure. Quite morning isn't it?

BURKE: It was. It's always important to be reminded how important it is to be on top of your game. That's what I wanted to talk to you about...

CHIEF: I am so glad you are back in this building. Look, I need your help focusing the staff. They respond to you as an authority figure. You're an example of what they should be. Glad to have you back Preston.

BURKE: Thank you Chief.

----------

DEREK: You're back.

MEREDITH: I am.

DEREK: You look...good without an appendix. It suits you.

MEREDITH: How are you?

DEREK: Fine. How are you?

MEREDITH: I'm great.

DEREK: Feeling well? No pain?

MEREDITH: No pain. (Her pager beeps.) That's your wife. I'm on her service.

DEREK: Ok then. I won't stand in your way.

MEREDITH: Okay.

----------

MEREDITH: Hi I was paged by Dr. Montgomery-Shepherd.

ADDISON: Dr. Grey. Welcome back.

MEREDITH: Thank you.

ADDISON: And, uh...it's just Montgomery now.

MEREDITH: What?

ADDISON: My name. The divorce was finalized this morning. So...Montgomery. To add to our fun, we've been asked to consult on a woman who has a foreign object stuck inside of her. Ahem.

SONJA: Ow. It hurts whenever you move.

ADAM: Well then keep your weight off my bad knee.

(Sonja is straddling Adam, who also happens to be naked.)

SONJA: Sorry, I thought it was on the left side.

ADAM: You think after 19 years of marriage you'd have that one down.

ADDISON: It appears that her husband is the foreign object.

BOTH: Ex-husband.

----------

SONJA: So you go and get a piercing.

ADAM: Sonja.

SONJA: What. It's not like they're not going to find out.

ADAM: It's so embarrassing...

SONJA: No. What's embarrassing is meeting your husband for lunch with your ex-husband still attatched. How long is this going to take, 'cause I really don't want my husband finding out. Could you work out some small miracle?

ADDISON: First of all, we have to figure out what the piercing is caught on.

SONJA: Ok.

ADDISON: Do you have any piercings?

SONJA: Me? NO. I sell real estate.

ADAM: What's that supposed to mean? I sell real estate too.

SONJA: We've been divorced for five years. We keep running in to each other. You know, work stuff. We get together sometimes. It's stupid and weak. And it is never happening again.

ADDISON: Well Dr. Grey is going to check on the x-rays and we'll take it from there. Ok? And... you might want to cancel your lunch plans.

----------

CHRISTINA: Hey. That M&M was...

BURKE: Yeah. I went to tell the chief... about my hand

CHRISTINA: Burke.

BURKE: But I couldn't. I don't know what I'm going to do.

CHRISTINA: Well I can be there if you need me, in surgery.

BURKE: I'm not doing any surgery. I'm going to catch up on paper work.

CHRISTINA: Does that mean...

BURKE: I don't know. I don't know what I'm going to do. I need time to think.

CHRISTINA: Okay

BURKE: I have paperwork. I need to do paperwork.

----------

IZZIE: I know how the rumor mill works around her George. I'm the crazy intern, and now I'm the crazy intern whose friends have to babysit her.

GEORGE: You know what we should talk about. We should talk about what you're going to do with that money after you don't destroy it.

(They approach Adam and Sonja's room and see through the open door. George sways away, adverting his eyes as Izzie watches.)

IZZIE: Are those people having sex?

ADDISON: They were having sex, now they're just fighting. Good to have you back Stephens.

IZZIE: I'm not back. I'm fine. Just not back. Hey you're Addison Forbers Montgomery Shepherd. Thats's a lot of names. A lot of rich sounding names. You're rich right? That's rude. That's a rude question. It's just that I'm rich now too,

GEORGE: You're not rich till you deposit the check.

IZZIE: Do you ever feel guilty being rich?

ADDISON: I'm sorry?

IZZIE: Being rich? Cause I have money now, and I don't really feel like I did anything to deserve it. And I can't talk to my friends about it cause they're all so poor.

GEORGE: Standing right here Izzie.

ADDISON: Deposit the check Stephes. Just start there. And the guilt will work itself out

----------

(Meredith is looking through an upheld x-ray and Derek appears behind it.)

MEREDITH: Hey, you're everywhere.

DEREK: I'm sorry. For once it was actually not on purpose.

MEREDITH: Do these look blurry to you?

DEREK: What exactly am I looking at?

MEREDITH: A divorced couple who got stuck together during...

DEREK: Oh Wow. That's got to be awkward.

MEREDITH: Yeah, divorced five years and still going at it...like teens at the prom. So to speak. Speaking of divorce. I heard...because I'm working with your wife.

DEREK: Hmm

MEREDITH: Ex-wife.

DEREK: It was time.

MEREDITH: Good.

DEREK: How's Finn?

MEREDITH: Finn is...fine.

DEREK: Good. You're right, they're blurry. You should get some new ones.

----------

MARK: If you go ahead with the mastectomy, there are several reconstructive options. Saline implants are used most often. But silicone has a more natural look and feel.

MRS. NILES: I can't deal with this right now.

MR. NILES: Diana... come on. It'll take two seconds, huh?

MRS. NILES: You're the one who has to feel them so you decide.

MR. NILES: I don't care.

ALEX: Dude, trust me, you care.

BAILEY: Dr. Karev.

MARK: Dude, he's right. You care.

MR. NILES: Dr. Bailey? What's wrong with my wife?

BAILEY: I'm sorry. You know she has stage 2B breast cancer...

MR. NILES: I know that, but will you please tell me what's wrong with her?

BAILEY: Mr. Miles...

MR. NILES: Cause she wont talk to me, I try and I try but she won't. She won't even look at Gus. She won't hold him and all he wants is his mom. He's just... she's such a good mom. I know it doesn't seem like that. But she is.

BAILEY: I can schedule a psych consult...

MR. NILES: I don't want a psych consult. I just want my wife back. Please. Now she's talking crazy. How she might not have the surgery at all.

BAILEY: Mr. Niles...

MR. NILES: Can you please tell her that she has to have the surgery? Somebody has to tell her.

----------

ADAM: I did this for you you know.

SONJA: You have got to stop doing things for me you know. I'm with Tom now. I love Tom.

ADAM: I still can't believe you left me for that guy. What does Tom have that I don't?

SONJA: Well for one, he doesn't have a pierced..

MEREDITH: You two need to stay completely still (They're having another x-ray.) so that we can get a clear picture.

SONJA: We fought through 19 years of marriage. The only time we didn't fight was when we were having sex.

ADAM: I still love you.

(A girl walks in.)

GIRL: Mom? Dad?

SONJA: Scratch that. Now I'm in hell.

----------

MEREDITH: Jennifer, maybe you want to go wait in the...

JENNIFER: You guys are so paying for my therapy. And my rent. And my new car.

ADAM: Of course sweetie.

SONJA: Oh, coddle her. You are old enough to know that your parents are sexual beings and that they make mistakes.

JENNIFER: Oh. Is that what you call this mom? A Mistake? Because I call this, you once again being a sl*t.

SONJA: Hey! You don't talk like that. I am your mother!

JENNIFER: Yeah and what a great role model you turned out to be. Look at you. Cheating on your husband with your ex-husband. And daddy, what about you? I thought you finally moved on. You said you were going to start dating.

ADAM: It's complicated, honey.

ADDISON: Well, it seems your IUD has dislodged from your uterus, hooked on to your husband's piercing, and is embedded in your vaginal wall.

JENNIFER: Did she say piercing?

MEREDITH: Daughter.

ADDISON: Perfect.

----------

MARK: Hey

ADDISON: Hey

MARK: So who got the brownstone?

ADDISON: You heard?

MARK: People talk around here. I listen Who got the brownstone?

ADDISON: None of your business.

MARK: I left my bike in the basement. I just want to know who to talk to to get it back

ADDISON: Buy a new bike.

MARK: You know this angry divorce thing really turns me on.

ADDISON: I got the brownstone. And you'll get your bike back when you come to your senses and go home.

MARK: Derek took the Hamptons? Derek hates the Hamptons. Derek gave you the Hamptons too? He still doesn't know the whole story does he?

ADDISON: No.

MARK: And as long as you don't tell him, you get to be the good guy while I'm just the chump who seduced his wife for the hell of it. Real fair.

----------

IZZIE: I think I'm going to buy something for Bailey, and for Burke. What do you think Burke would want?

CHRISTINA: Nothing you could buy with money.

GEORGE: He likes Jazz.

IZZIE: I'm not buying him a CD George. I'm a multi-millionaire. It needs to be something... big.

MEREDITH: A house in the Bahamas.

ALEX: I'd buy the Bahamas. Or a Bahama. I'd buy an island.

CHRISTINA: Oh you're an intern. When would you have time to go to your Bahama?

ALEX: I'd quit.

CHRISTINA: No you wouldn't. You're a surgeon. You operate. That's what you do. Sorry

IZZIE: Why? I'm fine. I'm fine. I am not a surgeon.

ALEX: My patient, a 30 yr. old with breast cancer. I say live your life while youcan in the Bahamas.

IZZIE: Have you told Derek yet that you broke up with Finn?

MEREDITH: I'm giving him time.

IZZIE: That's stupid.

GEORGE: You know what's stupid. It's carrying around a check for 8 million dollars.

IZZIE: I'm fine. The check is fine. We're all fine, okay?

----------

CALLIE: I slept with another guy. Do I tell George?

MEREDITH: I broke up with Finn. Do I tell Derek? I can't tell Derek.

CALLIE: I have to tell George.

----------

MR. NILES: Here, honey. Please just hold him.

MRS. NILES: Stop it.

MR. NILES: Will you please just talk to me?

MRS. NILES: I want you to leave me alone

----------

CHIEF: You took a lot of hits today at the M&M. Some of them justified, some of them not. Compassion and empathy are a big part of the job. I don't care what Savoy said, and I know I haven't always been supportive, but being a parent makes you a better doctor.

----------

Burke sits in his office...trying to write. His hand is having a massive tremor.

IZZIE: Hi. I just wanted to say hi. Denny left me 8 million dollars. 8.7 million to be exact. Did you know that he had money? Cause I didn't know.

BURKE: No, I didn't know.

IZZIE: I'm thinking about using it to travel. Maybe go to Italy. I've never been there before. I hear Venice is amazing.

BURKE: Izzie...

IZZIE: I'm fine. Really I am, I'm fine. Everyone thinks I'm not but...I'm fine.j

BURKE: You're fine. I'm fine. Everything's fine.

IZZIE: So.

BURKE: I got shot. I got shot because I was coming back to the hospital to check on Denny. Because you asked me to. I'm not fine. Denny asked you to marry him and now he's dead. You're not fine. Don't come in here and... just... we're not fine.

IZZIE: I'm sorry. We were friends. You were my boss but I think we were friends too. I didn't mean for anyone to get hurt. And I know there is nothing I can do to take it back.

BURKE: No.

IZZIE: Preston, please.

BURKE: You quit. You quit being a surgeon. You have two good hands and you aren't using them. Feel guilty about that.

----------

ADAM: Sonja, quit grabbing my leg.

SONJA: I am not grabbing you anywhere, she is.

CHRISTINA: Mr Morris, we need to position you correctly to get a clear image.

ADDISON: Dr. Yang, move him a little to the left. Hey, what are you doing here?

CHIEF: I heard about it. I had to see it. And now I've seen enough.

ADDISON: Dr. Yang I need you to lift him a little as you pull him.

CHRISTINA: I'm trying.

(The couple cry out in pain.)

CHIEF: Lift his right leg 20 degrees. Freeze! Hold that position!

ADDISON: Dr Grey, can you kind of slowly swirl Mrs. Kellman in a counter clockwise direction.

MEREDITH: Swirl?

SONJA: Swirl?

CHRISTINA: Swirl.

(Chief and Addison make hand gestures from behind the glass, indicating swirl around. Meredith does as she's asked.)

ADAM: Oh God Sonja.

SONJA: Oh Adam not now!

CHIEF: Careful! Careful!

ADDISON: Dr. Yang and Dr. Grey, on the count of 3 I want you to slowly gently pull them apart.

(They do so, but Adam starts convulsing.)

CHRISTINA: Oh...

MEREDITH: He's having a... Heart attack! He's having a heart attack!

CHRISTINA: Oh thank God. I mean... code blue!

----------
CHIEF: We need to get him to an OR now or he's goin to die. Who's the cardiac surgeon on call?

NURSE: Dr. Harrison but he's in surgery.

CHIEF: Where's Burke?

CHRISTINA: He's in the conference room. But he's not on the board yet.

BURKE: He is now. Notify the OR Let's move people. Move!

CHRISTINA: How do we do this?

BURKE: Stand on my right side...

CHRISTINA: You're right side...

BURKE: And if any time in the procedure...

CHRISTINA: If you tremor...

BURKE: I'll look at you and you'll know to slide in and do the sutures we practiced.

CHRISTINA: What if one of the scrub nurses notices? What if they say something.

BURKE: Christina I can't walk away from this surgery. If I do this man will die. So tremor or no tremor, I have to try. But you..

CHRISTINA: I'm your intern. I will be there on your right side.

----------

BURKE: 10 Blade..

(He begins to operate, seamlessly.)

----------

ADDISON: As soon as we hear something about your ex-husband we'll let you know. Since I removed your IUD you may want to use a backup method.

SONJA: Oh I'm sure I won't be having sex any time soon...once I tell Tom.

ADDISON: You're... you're going to tell your husband?

SONJA: You know the first time it happened, I felt so guilty. But I wasn't going to tell Tom because it wasn't going to happen again. And then it happened again... and again... and somewhere along the way I stopped feeling guilty. Yeah, I'm going to tell my husband. I think the truth just has to come out, you know?

----------

(Burke is doing stitches. He clears his throat. Then looks at Christina..)

CHRISTINA: Dr. Burke I know it's a lot to ask, but I would really appreciate it a lot if you would let me try my running whip stitch.

(She slides in and takes over the operation.)

BURKE: All right, take a good bite. You want to make sure it holds. Don't put too much pressure. There, keep going.

GEORGE: Oh my god

IZZIE: Christina's doing a running whip stitch...on a heart.

ALEX: I guess sleeping with your boss has it's perks.

GEORGE: This sucks. Christina gets sex and perks.

MEREDITH: Maybe you should just apologize again GEORGE:

GEORGE: Yeah, cause you're in a great position to give relationship advice.

IZZIE: Christina's doing a running whip stitch...on a heart.

----------

MRS. NILES: I don't feel like talking.

BAILEY: When I'm driving home at night, after a long day at work all I can think about is getting to my baby.

MRS. NILES: If this is where you tell me to fight the cancer so I don't miss out on the joy of motherhood...

BAILEY: Then I get home, and the baby's crying... and the exhaustion hits. And I resent that tiny baby's presence in my house. My previously very quiet house.

MRS. NILES: Why are you telling me this?

BAILEY: So you know what I do? First I pick a fight with my husband. You know, blame him for not settling the baby down. Then I b*tch about the neighbor's loud music. Then if I'm really tired, and pissed off... I blame the baby. If you hadn't been breast feeding, you never would have thought the lump was a clogged milk duct. You would have gone to the doctor as soon as you felt it. Cancer wouldn't have got this far. And you wouldn't be here making this decision. Am I close?

MRS. NILES: What kind of mother blames her own baby for her cancer?

BAILEY: A mother who is human. A mother who is overwhelmed.

MRS. NILES: If this is going to k*ll me eventually, wouldn't it be better if it happened when Gus was little? Wouldn't it be easier for him if I never existed?

BAILEY: Shh. This is when I tell you to fight the cancer so you don't miss out on the joys of motherhood.

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ADDISON: Derek...

DEREK: You know what I like? I like that we can be civilized. We're these adult grown up people who can be civilized and friendly. We deserve a metal.

ADDISON: It wasn't a one night stand

DEREK: What?

ADDISON: Mark wasn't a one night stand. I was in love with him. Or at least I thought I was. After you left, we lived together for two months. I wanted to believe that we could make it work. I wanted to believe I hadn't thrown my marriage away, that I hadn't thrown my life away on a fling. But he's mark and well... I caught him with someone else. And then Richard called. We both had relationships with other people. We're both equally reliable. So please take the Brownstone.

DEREK: All I want is Seattle. I want Seattle and never to see you again.

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MEREDITH: You're here. You're everywhere. And I can't not tell you. You know, I've been not telling ou all day because I thought it was kind and I thought I was giving you space. But I can't not tell you because you're here and you're you and... I broke up with Finn.

DEREK: Ok.

MEREDITH: Ok... then. Ok. I told you.

DEREK: Yeah.

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BURKE: The operation was successful. The next 24-48 hours are critical but...

CHRISTINA: We expect your father to make a full recovery.

JENNIFER: Thank you so much Dr. Burke.

MEREDITH: (voice over): First, do no harm. Easier said than done. We can take all the oaths in the world but the fact is... most of us do harm all the time.

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IZZIE: I have 8 million dollars.

CHIEF: So I've heard.

IZZIE: I can do anything I want.

CHIEF: Just about.

IZZIE: And all I really want to do is a running whip stitch.

CHIEF: My first year as an intern, I had a stable cardiac patient who blew out his lung while I was transporting him to CT. I called in a code, but by the time everyone got there, he was dead. If I'd have put in a chest tube right away... I made a mistake. But I stayed. I worked. I learned. I never made that mistake again. If I'd have quit, all I would have had is that life that I lost. Instead I get to save lives. Every day, I get to save lives.

MEREDITH: (VO) Sometimes even when we're trying to help, we do more harm than good.

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MARK: She told you. I've know you my whole life, I grew up with you so I know what you're thinking. That's a year of your life wasted trying to make it work with Addison, when you could've been with Meredith. That you could've been happy right now. That this... everything... that you and Meredith could've had a real chance. Still... I thought you should know the truth. I thought I owed you that. As a friend.

DEREK: You're not my friend.

MEREDITH (VO) And then the guilt rears its ugly head. What you do with that guilt is entirely up to you.

DR. SAVOY: Babysitting Dr. Bailey?

BAILEY: That's right, I'm babysitting. I'm being all unprofessional and emotionally involved while my patient and her husband are having a moment together. You might want you leave right now. I feel a rush of hormones coming on. There's no telling what I might do.

ALEX: How's it going in there?

BAILEY: I think they're leaning toward a mastectomy.

ALEX: About Izzie... I didn't do anything.

BAILEY: I know Karev, you didn't do anything, you weren't even here.

ALEX: No listen. I knew... Izzie told me what she was going to do but I didn't say anything cause I didn't want to get involved. I didn't do anything. I didn't do anything to stop her. You weren't the only one.

BAILEY: Alex. Thank you.

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MEREDITH: We're left with a choice...

GEORGE: I got fried chicken, extra crispy. Coleslaw. Peach cobbler. Beetle Jump and Samauri Ambush.

CALLIE: The other night when I told you I was done trying to compete. That was me trying to break up with you.

GEORGE: No... I think I would've noticed that.

CALLIE: Except you didn't. Which is why I broke up with you.

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MARK: (lying in bed with Addison) At least now you don't have to feel guilty any more.

ADDISON: Shut up.

MEREDITH: Either you can let guilt thrown you back into the behavior that got you in trouble in the first place, or learn from the guilt, and do your best to move on.

MEREDITH: Are you seriously not going to deposit that check?

IZZIE: Some good needs to come from this money. Until I know what that good is... no. I'm not depositing the check.

(Instead she clips it to the fridge. Meredith goes to grab it, but George slaps her hand down.)
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