Previously on Grey's Anatomy:
You're going to transfer to Mercy West?
Yeah, I have to.
Give me my husband back.
Chief resident?
The one fifth year resident that rules all residents.
Your intern exams are in two weeks.
You need to spend every available minute studying.
What happened to our small ceremony?
What happened to you and me in City Hall?
No guarantee the surgery's going to bring back your memory.
- Is there a man in my house? - I'm so sorry, Richard.
And I'm finally ready to have a baby and I can't.
Losing her pulse! She's coding!
We did everything we could.
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A surgeon's education never ends.
Every patient, every symptom, every operation is a test.
A chance for us to demonstrate how much we know,
and how much more we have to learn.
"How do you treat pancreatic divisum?" Izzie.
If you're not gonna let us sleep, at least let me put coffee in my cup.
OK, go. No one's stopping you.
- I'm too tired to go. - Pancreatic divisum.
Dorsal duct sphincterotomy.
Not your turn, but correct. You do me.
O'Malley's missing this. How's he gonna be ready?
- We have Callie's cards, but George... - George has Callie.
"The most frequent cause of diarrhea in hospitalized patients?"
- She coming to this bachelorette thing? - Rotavirus.
Yes. No, no, salmonella.
Diarrhea in hospitalized patients.
Most frequent cause of diarrhea in hospitalized patients is C. diff,
which can lead to toxic megacolon, perforation, sepsis and death.
That's what killed Susan.
Is she OK?
- Oh, she's fine. - Dude, she's messed up.
Of course. Susan was her surrogate mother.
Yeah, fake mom was better than her real mom.
Is she going to the hospital first or the funeral?
First to the hospital, then to the funeral, then to the test.
- Did she even study? - Yeah.
She just needs to be left alone, OK?
So, "What's inside the carotid sheath?"
Izzie?
Internal carotid artery, internal jugular vein and vagus nerve.
Oh, that was too easy. Let's find you a hard one.
What is this?
What is what?
That just came this morning.
You got a spot at Mercy West? Why didn't you tell me?
Because it's pending the results of the intern exam.
You know what that means, don't you?
You, you got You got into Mercy West
I haven't told the chief yet.
You'll tell him today. He'll understand.
It's a smaller program. Fewer residents, fewer distractions, more surgeries...
...and when I come home and ask you how your day went,
you can actually tell me because I won't already know.
- Hi. - Hi.
Look, I...
I know this is an impossible day for you,
so I just want to say one thing.
I brought a black suit. Just in case.
Thank you. But I think this is something I need to do by myself.
OK, if you...
If you need me just... let me know.
- Cristina. - "What is MEN syndrome?" Don't answer.
The minister needs to see your vows before the wedding.
Multiple endocrine neoplasia. Yes.
It's test day and I'm not supposed to talk about the wedding on test day,
- but tomorrow is our wedding day... - You have five seconds. Go.
Bill Adams can't make it. I have no best man.
Oh, no, baby. I'm so sorry.
- And I need your vows by... - OK. Time's up.
Cristina.
Test day.
- What do I tell the minister? - Test day!
They paged you guys too?
- I think he paged all of us. - That can't be good.
Sure, it can. He could be letting us know I won the race for chief.
He's making his recommendation to the board tomorrow.
- Chief of surgery and chief resident. - Why were we paged?
Search and Rescue found those lost climbers who were up on Mount Rainier.
- The climbers are on their way. - Any specifics?
They found only three. One's missing.
They're reporting severe dehydration with traumatic head and chest injuries.
Dr. Bailey, Dr. Torres, you'll be my trauma team.
Bad day not to have interns.
- What? - Today's the intern exam.
You have to do your own heavy lifting today.
If you see an intern, which you will 'cause they can't help themselves,
turn them away until after the exam.
Ambulances are five minutes away. It's time to do what we do best.
"What is a Gerota's fascia?"
The fascia surrounding the kidney.
Yep. "'Which is longer, the left or the right renal vein?"
That's right, the left one. Looks and smarts, not bad.
You think? She's got my dad's nose, though.
Girl's got to have a big personality to pull off that nose.
What?
You remember your dad.
No. I... No.
You just said...
I know, but I have no idea where that came from.
That was a memory.
It doesn't always come back all at once. It can happen in pieces.
- Don't get all... - Dude, your memory's coming back.
- How you feeling, Preston? You ready? - I'm always ready for surgery.
- He's talking about the wedding. - Tomorrow's the big day.
Cristina hasn't written her vows,
my best man just canceled and it's still raining.
- He's not ready. - You're never ready.
I certainly wasn't.
But then, the minute I saw Adele coming down that aisle...
Well, have you picked your best man?
- Chief... - You can't be his best man.
Why not?
A conflict of interest. The man wants to be chief of surgery.
- Actually, Derek... - Not that that's why you're asking.
- I was going to ask you. - Ask me what?
Oh.
- Really? - We have been through a lot this year.
And everybody else turned you down? All right, what do I have to do?
Traditionally, the best man plans the bachelor party.
Drinks at Joe's after work?
Yeah. I knew you were the man for the job.
Dale Winick, 32, BP 90/50, tachy to one-ten,
severe frostbite, but no obvious internal injuries.
- Got it. My God. - Wow.
Yeah. Those aren't gloves.
Let's go.
Someone tell me, are the other guys OK?
They're right behind you.
Get him a tet-toxin, push a gram of cefazolin IV.
Get warm circulating water to start thawing his hands.
I'll get someone on it. Callie!
We're supposed to be studying.
We are studying. "How do you treat frostbite?"
Re-warm, avoid early surgery
unless there's a deep infection due to autoamputation.
See? Studying.
Mr. Meltzer, I'm going to need you to save your breath, OK?
- It hurts! - I'm going to give you pain meds.
You have several broken ribs which are compromising your breathing.
- Did you see that? - That was freaky.
I think that was a flail chest. I've never seen one before. Come on.
God, why, oh, why does today have to be test day?
I know.
I bet if you talked to the chief he'll let you take the test later.
With the funeral and everything.
I don't need to take the test later.
OK.
- Can I get a little help? - I can't feel my legs!
You could have a spinal injury. Stay calm. You're going to make it worse.
- Where are we going? - Trauma Three.
Look at me. It'll be all right.
You OK?
Yeah. I got accepted at Mercy West.
Wow. That's... Are you gonna go?
Well, I kind of have to now, right?
What are you fools doing here?
In a few hours, you people are taking a test
that will determine the course of your medical careers.
The five interns with the lowest test scores will be cut from the program.
Are you studying for this test? No, you're not.
Are you helping out in the ER? You are most certainly not.
Are you getting out of here before I throw you out?
I think you are.
Whoa, Dr. Shepherd?
- Aren't you supposed to be studying? - I have a quick question.
Could the craniotomy you performed on Jane Doe have affected her memory?
Doubtful. I was mostly working in the speech center of her brain.
I think she remembered something. Can we test her?
Run another WMSR. Have to wait and see if she remembers anything else.
- A good sign, though. - Thanks.
- Nice work, Dr. Montgomery. - Thanks. I was just directing traffic.
- I was being sarcastic. - Brain surgery's so impressive.
- It is. - Addison?
Yes? Joe. Walter. What are you guys doing here? Everything OK?
Yeah. We came to see you, actually. We need a consult.
Don't tell me you're pregnant?
- No, but... - Our birth mom is.
Potential birth mom. She hasn't actually picked us yet.
You're adopting?
We filed an application, but we never thought we'd get picked.
Bar-owning gays don't get picked very often.
I guess having a baby is easier than we thought.
Yes. I guess so.
So I was hoping you could take a look at her.
Kick the tires, check underneath the hood.
Car metaphors? No.
I'd be happy to. Give me a call and we'll set up an appointment.
That's the thing.
She lives in Portland, and she's only going to be in Seattle for one day.
She's kind of here now.
Now as in...?
Now.
- George, wait. Wait a minute. - Yeah?
You don't have to transfer to Mercy West.
- Yeah, I do. - No.
Forget about you and me for a second. OK, what about Meredith?
Alex and Cristina? Who's gonna hold us together if you're not here?
You're the glue. You're George.
- I can't stay here. I can't... - No one's making you to go.
...stay here and see you every day.
And not...
- I can't keep kissing you in elevators. - I know. I know that.
I'm married. I'm a married man.
You busy?
Cute. What are you doing here? Isn't the exam in...
Yeah, I just want to run a quick neuro-psych test on you.
No. No. Go take your test. I have a baby to feed.
- What is wrong with you? - Nothing.
You've been wishing you could remember who you were. Now you can.
I can't. It was something I said.
Why are you acting like it's no big deal, like it happens all the time?
Alex, come on. It... That's not...
Unless it does happen all the time.
Tell me the truth. Do you remember?
Do you know who you are?
"What is biloma?"
Cristina, I really don't have time.
A biloma is an intraperitoneal bile fluid collection.
- Excellent. - I'll be fine.
- Meredith. - George, I got to go.
Your dad.
Hey. I was just on my way to...
No. I came here to tell you you're not wanted.
I don't want you at any funeral, Meredith.
- Why don't you come with...? - She trusted you!
She came to you for help and you killed her.
You did. You killed my wife. You took her from me.
Dad!
So, I don't want to see you. I don't want to hear from you.
And I do not want you anywhere near her funeral!
Do you understand me?
Dad, Dad. Come on. Lexie's waiting in the car.
- We have to go, Dad. - She was everything to me. All I had.
She was all I had.
I can sit here all day. I'll miss my test, but I will sit here all day.
I don't... It... It happened a few days ago.
I just... I just woke up and it was all there again.
And you didn't tell me.
Because... Because there's...
- There's nothing to tell. - Why don't I believe that?
I was a pregnant woman in a lousy marriage
to the nicest guy anyone's ever met, end of story.
Who is he? What does he do? Where did you meet him?
College.
We got married the year after we graduated.
He... I wanted to move to New York,
and he wanted to live on the side of a mountain and take over his dad's shop.
He's a woodworker. He makes beautiful furniture. It's...
...quiet and he's quiet and... I was going out of my mind.
So you just took off?
I... I needed... I needed...
I needed to think and to be around other people.
So I came to Seattle and I thought I'd see the sights, ride the ferry.
- Have you called him? - No.
- Why not? - I left him, Alex.
So? He's your husband.
You should call him. You want me to call him?
I mean, what's his name? What's your name?
I'm not telling you that.
- Everything's taken care of. - Don't worry about a thing.
- I've got pencils and bottled water. - Oh, and PowerBars.
You know the material. You're gonna get a high score.
Not as high as mine, but everything's gonna be fine.
What are you standing around for?
Don't we have a test to...?
What happened?
You need to head upstairs. Dr. Grey will join you in a minute.
You're not to blame for Susan Grey's death and you know it.
And your father knows it too. He's just...
Well, he's never been the best communicator.
And he just lost his wife.
Stop acting like my surrogate father.
Meredith, I'm...
Just because you slept with my mother, that does not make you my father.
Follow my finger. Up, down. Side to side...
Good. Let me know if you can feel this, OK?
Ow. Yeah, I'm not enjoying that.
Good. That's a good sign.
It means I'm not paralyzed?
The MRI will show us the full extent of the injuries.
But can we ask you what happened up there?
It was my fault.
- Dale. - It wasn't your fault.
Sixty ways to get up Mount Rainier, I had to pick Liberty Ridge?
It wasn't the route, it was the storm.
On a clear day, you don't think about storms.
A minute later, the wind's pasting you to the mountain
and you can't see your hand.
Is that why you fell? Because of the storm?
All I know is, I felt the rope tug and I was in mid-air.
We all were.
We were tied together. Must have been a hundred foot drop.
When we came to, Lonnie wasn't moving.
Lonnie. He's your friend who's still missing?
He didn't make it back because he was hurt?
Because he was dead.
I'm sorry.
We had to leave him.
We had to get to the other side of the mountain or we'd be dead too.
- We had no choice. - You always have a choice.
You never leave a man behind.
Please take your seats, doctors, and put all study materials away.
If you don't know the answer, choose B. It's always B.
Write your name in the right-hand corner of your answer sheets.
You may open your test booklets... now.
We don't have to be here, if you're uncomfortable.
Oh, no, it's fine, unless you're uncomfortable.
Actually, I...
He's fine.
So, Rina, how are you feeling? Any problems?
Just the fact that I'm huge.
And I have the worst heartburn I've ever had in my life.
I can prescribe an antacid for that.
First thing we're going to do is take a look at the baby. This might be cold.
This baby deserves parents who are going to make it their whole world.
You know we're gay, right?
I figured with you both being boys and everything.
The other couple I'm considering, they're like, you know, 40.
She's been trying to get pregnant for ten years. It's so sad.
There's the heartbeat.
- Wow. - I know.
There's, like, a person inside of me.
Actually, there are two people. Twins.
- Oh, my God. - Oh, my God.
- I think I'm gonna pass out. - Joe.
Joe. Whoa! Whoa! Whoa! Whoa! Come on.
Doctors, we are halfway through our allotted time.
You only have 60 minutes left to complete the exam.
Meredith?
Meredith!
She didn't write anything on the test.
She didn't answer a single question. She just sat there.
Wait, George. Just... Just give her a second.
I've got an extensive anterolateral flail chest.
He'll need surgical stabilization. Dr. Torres, if you are available...
My guy has bone fragments in his spinal cord.
Internal fixation. Dr. Torres will scrub with me.
We have more than one orthopedic surgeon in this hospital.
Dr. Torres and I are looking at multiple amputations.
Guys, I can be there for all of you. We have to... Dr. Burke asked first.
- I'd like to schedule you. - With all due respect...
OK, you all want Torres? Fine. Rock, paper, scissors.
One, two, three.
All rocks. Very typical. Ready? And...
Rock smashes scissors.
Best two out of three. Dr. Burke!
What?
I just want to know how it feels.
To not have to spend the next 24 hours wondering
if Richard picked you to be chief resident?
How's it feel to be the chosen one?
Feels just fine.
Hey. How'd it go?
Meredith.
Don't worry. I got it.
It's not like she actually flunked. She just didn't write anything.
It's like she actually flunked.
One guy, he was on call three nights before his test,
he slept through the whole thing, he had to repeat his intern year.
She can't repeat her intern year. We have to do something. Cristina.
What? OK, I don't know.
I mean, Meredith and I don't fail things, this is not in my book.
It's Bailey. We got to go.
We got to go.
- We can't leave her here. - Got a better idea?
It's showtime, people. Yang, you're scrubbing in with Dr. Burke.
Karev, you're with Dr. Montgomery. Stevens, find Dr. Sloan.
You paged me too.
- Mercy West. - Callie told you?
You're in the best surgical program in the country.
The toughest, most competitive, most respected.
- You want to leave this for Mercy West? - Mercy West...
Is not Seattle Grace. Are you trying...?
After the work that we put into you, are you trying to throw your career away?
I'm trying to do what's best for me right now.
I've had some personal issues.
Don't know your personal problems, don't care. I do care about your career.
Let me make myself clear: This is a mistake.
George.
It's like we're on a train that's going 200 miles an hour
and it would be so nice to get off. Just...
...stand on the platform just for a minute.
Looks like I'm off the train.
Parents die. When a parent dies, it doesn't make any sense.
So you make...
...a lot of really terrible decisions...
...that you're gonna end up having to live with for a long time.
You should go. You are still on the train.
It's OK. You have to go.
Go.
Go, go, go.
Addison.
Adele? What are you doing here? What happened?
A fender-bender. I'm fine. I told the ER resident I'm fine, but...
I'll page Richard, let him know you're here.
Oh, you will do no such thing, Addison. Richard cannot know I'm here.
We're separated. My life is none of his business.
I'm serious.
OK.
All right. Well, let's get you checked out.
Do you have any, um... any pain? Any...
Anything?
Well... There's one thing I should probably mention.
I'm pregnant.
The baby looks fine on the ultrasound, but you are spotting a little.
It's nothing severe, but I would like to hold you overnight for observation.
- Overnight? Oh, no. I'm sorry. - For just a couple of hours, at least.
Look, it could be nothing, but a pregnancy at your age is...
Terrifying? Embarrassing?
I was going to say a miracle.
I resigned myself to the fact, a long time ago, that I would never have kids,
and here I am, 52,
about to be divorced, and pregnant.
May I ask who the father is?
You may ask.
Look, all I'm saying is that if Richard finds out
that you're walking around this hospital carrying another man's baby...
Richard is not going to find out,
because neither one of us are going to tell him.
Chief.
Addison, I just heard the news.
You heard?
Who told you? What did you hear?
That Joe and Walter are adopting.
Is the birth mom here?
Oh, no, no! No, no. Chief, you don't want to go in there.
It's a young girl.
And the stirrups, you know.
Her equipment exposed.
You don't want to see that.
No, I don't want to see that.
Are you going to give me an inspirational speech too?
No.
- George. - I can't talk. I have a patient.
This is about Meredith. What are we going to do?
There's nothing to do.
What?
I'm not gonna be here in a week.
Your transferring to another hospital means we're not going to be friends?
Why are you doing this, George?
Didn't you hear a word Bailey said?
What were we to do? Carry him down the mountain?
He was our friend and we left him there.
If we hadn't, we'd be dead too. You know that.
Dale was right.
You don't... You don't do that.
You don't... climb all the way up there together just to leave a man behind.
- I am being stalked by pregnant women. - You're an obstetrician.
And barren! Apparently, as a healthy, successful woman in her 30s,
I don't deserve to have a baby.
Maybe I'd have a fighting chance if I were gay
or a teenager or a member of the AARP.
Oh... That sucks. It really...
No. Oh, no. Not you too.
Oh, no, no, I'm just thinking about it. That's all.
Oh.
Oh, I don't know.
I don't even know. It's just with George going to Mercy West next year...
- He is? - Yeah, they have a spot for him.
We need a fresh start. We need to get away from all this crap.
It might be a good time.
It's a great time.
Don't let me and my fossilized eggs discourage you.
Gonna be friends still if I get pregnant?
Absolutely not.
Hi, chief?
O'Malley. Finally come to see me about that letter from Mercy West.
No, sir. I'm here about Meredith.
I have to say, I don't get it.
Why would anybody waste their time freezing,
climbing up the side of a glacier?
It's a way to test yourself. Your strength and endurance.
You put yourself through a situation like that and you know who you are.
What you're made of.
- Have you done it before, Dr. Burke? - No. You?
I used to, all the time, in college.
- Really? - Really?
Yeah. It's intense.
It's painful and hellish and you think your lungs are shredding,
but, man, when you get to the top, there's nothing like it.
Makes the whole climb worth it.
How's it going?
- Worse. There's nothing here. - We're going to amputate both?
You can't amputate both of his hands.
I don't want to take the man's hands. Once the infection gets that deep,
the only way to save his life is to make the cut.
The laminotomy happens at what level, Dr. O'Malley?
The level of maximal neural compressions
between the pedicles of the fractured vertebrae.
Very good. You must've aced your exam today.
I don't know about "aced. "
How did Meredith do?
Yeah, well, she was kind of... Don't worry, though, I talked to the chief.
About what?
She didn't tell you?
Here's the thing. Seattle Police Department's been on this for weeks.
They've been in contact with Missing Persons from all 50 states,
- Canada, the FBI. - Alex.
Know how many people are trying to find you? You do know.
You know how many relatives you have, if your parents are dead or alive,
if you've got a sister who cries 'cause she has no idea what happened to you.
- Stop. - What's it like for your husband?
He didn't come looking for me, OK?
He obviously doesn't want to find me.
- It's my life. - No. Not just yours.
What about your daughter? I'm not going to lie for you.
- If you won't tell anybody, I will. - What are you going to say?
You don't know my real name. You don't know anything about me.
It will be my word against yours.
You're right. I have absolutely no idea who you are.
You paged me?
Yeah. I think I figured out a way to help Meredith,
but I've got Shepherd's post-op and I can't do it without your help.
And I won't leave the program without knowing that she's still in it.
You're not leaving the program.
Listen, we made a mistake.
We had sex. But that's all it was.
We both wanted it to mean something
because... you didn't want to feel like that guy that cheats on his wife.
I didn't want to feel like that girl that put you in that position.
But the truth is, it didn't mean anything.
I know you think I have feelings for you, but I don't.
So you can stay. You're not leaving the program.
Nice work today, Torres. Three surgeries at the same time.
Performed four osteosyntheses, amputated two hands
and stabilized one spine in two hours.
Impressive. Looks like Bailey's not a shoo-in for chief resident after all.
You're in the running for chief resident too?
Yeah.
Why wouldn't I be?
No, it makes sense.
I just hadn't thought about it. That's all.
I'm good at what I do, Bailey. I'm focused, I'm disciplined.
I'm more than qualified to be chief resident.
Right.
We all know that you're the chief's favorite, but...
...doesn't mean I can't take a shot.
Here she is.
Thank you, Stevens, you can go now.
- We'll be right outside. - You don't have to.
Shut up.
If you called me here to lecture me...
There's a copy of the interns exam on the table.
Some number two pencils, a bottle of water and a sandwich, if you get hungry.
I'll send a proctor in and I'll come back in a few hours and check on you.
You are not my father.
I know that.
I know.
Well, at least test day's almost over.
Speak for yourself. I'm getting married tomorrow.
Hey.
Hey. This is what you invited me to? This is your big bachelor party?
It was last minute. I needed warm bodies.
Which would explain why I'm here.
Why am I the only girl? What, am I the entertainment? I am not stripping.
That's OK. We've seen it already.
- True. - I haven't.
Well, why don't I buy you a drink instead. First round's on me.
I'll give you a hand with those.
Cristina write her vows?
I guess I'll find out tomorrow.
- How's Meredith doing? - I have no idea.
It shouldn't be this difficult, should it?
Probably not.
Then again, when I see Cristina walking down that aisle tomorrow...
All be worth it?
So how was L.A.?
L.A. was... different.
Look, Mark...
Things don't have to be awkward between us.
We tried.
We tried and we did our best. Just because we failed as a couple,
- it doesn't mean... - I know.
So we're still friends?
With benefits?
Don't push it.
Thanks, Joe.
So, hey, how'd it go with Rina?
Oh, well... Walter took her to the bus station.
I'm pretty sure he was wishing it was me he was dropping off.
That bad, huh?
If I can't get even make it through an ultrasound,
how am I going to handle a kid? Forget about twins.
You two are going to make great parents. OK? Whenever that happens.
You ever think about having kids?
All the time.
Adele?
Adele!
Oh, come on. I know you saw me.
Now this is just silly. You don't have to hide.
I've moved on.
I'm dating now.
OK, I'm not actually dating, but I intend to.
At some point.
What am I supposed to do about the stupid vows?
- You haven't written anything? - Stupid crap.
- No, it isn't. - What am I supposed to say?
I swear to love and cherish you every moment of every day of my life?
That's not real. That's not how it works.
- It does, at first. Then... - It passes.
No, it doesn't. You guys are just used to it, that's all.
You have that thing everybody else wants. You can take it for granted.
If you didn't, if you couldn't be with the person that you love,
I guarantee that hearing him promise to love you
and honor you and cherish you
no matter what, it would be pretty much all you could think about.
Wait. Can you say that again, just slowly?
You're talking about Denny. Right?
Yeah.
- Hi. - Hi.
Can I buy you a drink?
Well, you're forward.
Bad day. I get to be forward today.
Yeah. I had a bad day too.
So what do you say? One drink?
Um, I'm with some friends. It's a bachelor party, so I'm gonna...
I'm gonna say no.
That's too bad.
Yeah.
Maybe you're right.
Rebecca Pope.
That's my name.
Adele!
Come on.
I have gotten in the ladies' room.
The least you could do is a...
Adele?
Oh, my God. Adele?
- What are you doing here? - Get Rina some water.
- Thought you were going to the station. - We were.
It's this heartburn. It's like it's... It's ripping through...
- Is she all right? - Call an ambulance.
Tucker, since he's awake, could you put him on?
Keep it clear.
Let me call you back.
What do you got?
We got the fourth climber. Pressure's 70s, last pulse 135,
severely hypothermic, started two large-bore IV's.
Oh, and obvious head trauma.
Is that an ax in his head?
What the hell happened up on that mountain? Let's go.
Adele?
Somebody help me! Please!
Somebody help!
Please, somebody help me!
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