Post by Addison M. Shepherd on Aug 14, 2008 21:23:23 GMT -6
GREY'S ANATOMY
2X05 - BRING THE PAIN
Original Airdate (ABC): 23-OCT-2005
WRITTEN BY SHONDA RHIMES
DIRECTED BY MARK TINKER
TRANSCRIPT PROVIDED BY HAZEL FOR "TWIZ TV.COM"
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DISCLAIMER:
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The following is not a novelization or an actual script but a dry transcript of the aired episode that includes accurate word-to-word dialogues, settings descriptions, action scenes and/or camera movements where the transcriber felt they were necessary. This transcript is posted on "TWIZ TV.COM" in world wide web exclusivity by courtesy of HAZEL. "GREY'S ANATOMY" and other related entities are owned, (TM) and © by THE MARK GORDON COMPANY in association withTOUCHSTONE TELEVISION. This transcript is posted here without their permission, approval, authorization or endorsement. Any reproduction, duplication, distribution or display of this material in any form or by any means is expressly prohibited. It is absolutely forbidden to use it for commercial gain. For entertainment and educational purposes only. No infringement intended.
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TRANSCRIPT:
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[EXT. LIGHTNING & THUNDER FLASHES IN SEATTLE CITY AT NIGHT]
[INT. DOORWAY OF MEREDITH’S TOWN HOUSE]
(Cut to Izzie & Alex walking in to the townhouse after their date)
MEREDITH VOICE OVER (MVO): Pain comes in all forms.
IZZIE (cold and sarcastic): I had a good time. Really. Thank you. It was the perfect evening. Best date ever. Whatever.
ALEX: Izzie …
IZZIE: You know I especially liked the part where you treated me like crap the entire night. That was fun.
ALEX: I had a good time.
IZZIE (confused): Really?
ALEX: Yeah.
(They move into kiss)
MVO: The small tinge. A bit of soreness. The random pain. The normal pains we live with everyday.
(Alex pulls away before their lips meet)
ALEX: I gotta go.
(Izzie is left with a look that says unbelievable. Alex walks out the door)
IZZIE (yells): Seriously? Seriously!?!?
(she slams the door shut)
MVO: Then there’s the kind of pain you can’t ignore.
(Izzie comes storming into George’s bedroom. She flicks on the light switch)
IZZIE (loud): Seriously?
(George who was dead asleep wakes up startled. Izzie closes the door and comes in)
MVO: A level of pain so great that it blocks out anything else.
IZZIE: Move over.
(George rolls over and Izzie lies down with her back against the wall)
GEORGE (sleepily): I was sleeping!
IZZIE: Oh shut it.
GEORGE (rubbing his eyes and still groggy): Shut …..
[EXT. THUNDER CLOUDS AND LIGHTNING]
MVO: Makes the rest of the world fade away.
[INT. DOORWAY TO MEREDITH’S TOWN HOUSE]
(Cut to Derek & Meredith walking up to the doorway)
MEREDITH: I don’t want to have this conversation again.
DR. SHEPARD: Meredith…
(Meredith opens the doors)
MEREDITH: You didn’t sign the divorce papers. Fine. I get it. End of discussion.
(They both walk in)
DR. SHEPARD: Meredith.
MEREDITH (yells): What?!?
(Dr. Shepard is stunned and a little confused)
MVO: Until all we can think about is how much we hurt.
DR. SHEPARD: Oh ... I usually just say Meredith and then you yell at me. I hadn’t thought past that point. (Meredith looks pissed) I actually didn’t have anything planned.
MVO: How we manage our pain is up to us.
(Meredith starts whacking Derek with her purse guiding him out the door)
DR. SHEPARD: Hey. What is with that? Hey stop it. Ow.
MEREDITH (yells): Seriously?!?! Seriously?!?!
(Cut to Meredith standing at the door of George’s bedroom)
MEREDITH (loud): Seriously!
(Cut to Izzie who is still lying down on George’s bed. George rolls over)
GEORGE: This is a very small bed.
(Meredith is now lying next to George on his other side. George is squished in the middle, still half asleep.)
MEREDITH: He’s a brain surgeon.
IZZIE: I look fantastic! I shaved my legs!
MEREDITH: He’s a brain surgeon. How can he be so brainless?
(George sighs)
IZZIE: Hello! Seriously!
MEREDITH: Seriously!
(George pats Meredith’s & Izzie’s shoulders simultaneously)
GEORGE: Ssh. Sleep.
[EXT. DARK CLOUDS & LIGHTNING]
[INT. LIGHTNING FLASHES INTO GEORGE’S BEDROOM]
(George sits up startled. The lights go out. He sighs and tries to get back to sleep.)
MVO: Pain. We anaesthetize, ride it out, embrace it, ignore it.
(Cut to Cristina walking in the pouring rain into SGH. She’s dripping wet obviously in pain from her surgery.)
MVO: And for some of us the best way to manage pain is to just push through it.
(Cut to Dr. Bailey and her interns getting ready in the locker room. Dr. Bailey is standing in the doorway. Cristina walks up to her putting on her coat, her hair still dripping wet)
DR. BAILEY: You’re dripping.
CRISTINA: I’m back. I just wanna make that clear. I’m back. I’m ready to work.
(Addison comes up to the doorway from the hallway)
ADDISON: Has any one seen Dr. Shepard this morning?
DR. BAILEY: His name is on the O.R board. He should be here somewhere.
(Addison walks off)
CRISTINA: I’m good. I’m ready to scrub in. I’m 100% on top of my game.
DR. BAILEY: You just got discharged. Pace your self.
(Izzie makes eye contact with Alex but doesn’t say anything)
CRISTINA: I’m paced. I’m paced.
DR. BAILEY: Mmm hmm. Rounds people.
(They start walking out. Alex stops Izzie.)
ALEX: What? You’re not talking to me anymore?
IZZIE: Okay. What happened last night? What is going on with you?
ALEX: I’m fine. What’s your problem?
IZZIE (huffs): Fine. You know what Alex? No I’m not talking to you anymore.
(Izzie walks out.)
(Cut to Dr. Bailey’s group entering a patient’s room. A woman is sitting on a chair doing some knitting. Her pager goes off)
CRISTINA: Dr. Bailey. Henry Lamott. Aged 42. Is scheduled with Dr. Shepard for a spinal implant...
(Mr. Lament turns up the volume of his television. George is captivated by the TV. You can hear corny music and women moaning and giggling.)
CRISITINA: …to control the pain of his herniated disc. He’s allergic to all pain medication …
(She stops talking when she sees the screen. All the interns are now starting at the TV screen)
CRISTINA: Is that…?
MRS. LAMOTT: Porn.
(Dr. Bailey looking at the patient’s chart, hasn’t seen anything)
DR. BAILEY (still looking down): Porn?
(She looks up at the TV)
DR. BAILEY: As in Porn?!?!
ALEX: Alright. What are we watching?
DR. BAILEY: Karev! Go stand in the hall.
(Alex goes outside)
DR. BAILEY (distracted by the TV): Uh Mr. & Mrs. Lamott I’m sure … you’re really … nice people … and what you do in the privacy of your own … Look we can’t have porn in here. This is a hospital.
MR. LAMOTT: It’s for my pain. My doc says it releases endorphins in the brain. It help keeps my pain at a manageable level.
(Izzie, Cristina & Meredith look amused. George is still captivated by the TV)
GEORGE: Really?
DR. BAILEY: George! Hall!
(George purposefully closes his doctor’s coat tightly and walks a little funny to outside the bedroom)
IZZIE (amused): What is this?
MRS. LAMOTT: Nasty naughty nurses … um (she looks at the TV) 4.
(Meredith, Izzie and Cristina all stare at the TV and tilt their head to one side. Izzie’s mouth is an ‘O’ shape.)
CRISTINA: That does not look comfortable.
MEREDITH: Trust me it’s not.
(Cristina and Izzie both stare at Meredith)
DR. BAILEY: Get in the hall!
[GREY’S ANATOMY CREDITS]
[EXT. GREY CLOUDY MORNING, RAINING IN SEATTLE CITY]
[INT. SGH]
(Cut to Dr. Bailey and her interns walking down an open hallway. They end up at a nurse’s station)
DR. BAILEY: O’Malley. Karev. You’re in the pit today. Stevens there’s a cardiac patient waiting up for you on 2. Yang keep an eye on the Lamott’s. I don’t want any problems. Go.
(They all scurry off, except for Meredith.)
DR. BAILEY: Grey, your mother’s being discharged this evening. You’ve made arrangements or do you need more time?
MEREDITH: The nursing home is coming at 8.
DR. BAILEY (starts walking off): All right then you’re with Shepard. Derek Shepard today.
(Meredith moves to speak)
DR. BAILEY (smiling): Hey. Life is short. Times are hard. The road is long with many a winding turn. (She is serious now) He asked for you. Take it up with him.
(Cut to E.R room. George enters with Alex. Policemen are standing outside)
GEORGE: Okay.
E.R RESIDENT: Pete Willoughby. 25 year old. GSW to the chest. Immediate return of 860 CCs of blood from the chest.
PETE: Oh Man! This hurts.
E.R RESIDENT: He’s put out more than 200 CCs in the past hour.
PETE (in pain): They never tell you in the movies how much it hurts to get shot.
GEORGE: Push morphine 2mg. Alex, is this my case.
ALEX: Morphine 5mg. You didn’t even call.
GEORGE: I don’t have to call. I was here first.
ALEX: You got here first because I let you. … Where’s his chest films?
GEORGE: I got it. You always get the surgery. Today I’m getting a surgery.
E.R RESIDENT: Guys knock it off. He’s one of Seattle’s finest. You’ve got an entire police force watching you…
(ER. Resident waves to the police watching. George gives them a thumb up.)
GEORGE: Page Dr. Burke. Let him know I’m bringing up a GSW.
ALEX: No we are bringing up a GSW.
(Cut to Ellis Grey’s room. She is lying in bed. Richard is going over her chart. A nurse is there as well)
RICHARD: Looks like you’ll be able to go home today Ellis.
ELLIS: But I still have patients to see.
RICHARD: No. No more patients. I’ll be back to check on you later.
(He hands the chart to the nurse and they start walking out)
ELLIS: You should know I’m thinking of leaving Thatcher. (Richard stops) I should never have married him. I’ll leave him. You leave Adele. (The nurse looks at Richard) And then when our residency is over we can both get jobs at the same hospital.
RICHARD: Why don’t you get her meds ready for her discharge nurse? (Nurse nods and leaves) Thank you.
(Richard sits by Ellis on her bed. He takes her hand.)
RICHARD: Ellis. That was a long time ago, remember? We had this discussion 21 years ago.
ELLIS: Think about it Richard. We should make the break now. (Richard sighs) If we wait until residency is over, you’ll be at one hospital and I’ll be at another. We could end up at opposite ends of the country. It’ll be too late.
(Cut to Dr. Shepard walking fast to an elevator. He sees Meredith and stops)
DR. SHEPARD: Meredith.
MEREDITH: Your wife is looking for you.
DR. SHEPARD (sighs): This is hard for me Meredith.
MEREDITH: Well let me make it easy then. I’m not gonna be that woman. The one who breaks up a marriage or begs you to want me. You can sign the papers or you cannot. The choice is yours. Either way when it comes to this relationship I’m out. (Dr. Shepard looks at her) Now where’s this patient I’m supposed to be helping you with.
DR. SHEPARD (points behind him): Down here.
(Meredith starts walking that way. Dr. Shepard follows)
(Cut to Izzie checking a patient’s heart. The patient’s husband is there as well)
MR. BRADLEY: You shouldn’t have tried to walk the dog in the rain.
MRS. BRADLEY: Oh Lou it wasn’t the rain. I just passed out.
IZZIE: Actually Mrs. Bradley …
MRS. BRADLEY: Verna.
IZZIE: Verna. You presented with lateral ST elevations and reciprocal inferior changes consistent with an MI. A heart attack.
LOU: Oh my god!
VERNA: Oh don’t worry. I’ve had these little chest pains before and it turned out to be nothing. This is nothing. (Lou kisses his wife on the cheek) Lou not in front of the doctor.
(Cut to Dr. Shepard and Meredith in a patient’s room. A young Asian girl named Anna.)
ANNA: I’ve had a twinge in my back for a little while. I thought it would go away. But then last night my legs went numb and this morning my back …pain is just too much.
DR. SHEPARD: Miss Chue. We’re going to put you on a PCA pump. Give you some morphine which should help control the pain.
ANNA: Thank you.
DR. SHEPARD: Okay. But there’s a greater problem here. I’ve just taken a look at your MRI….
(Anna’s parents walk in and interrupt Dr. Shepard.)
MR. CHUE: Anna! Why didn’t you call us before coming down here?
ANNA: I’m sorry. (to Dr. Shepard and Meredith) These are my parents.
DR. SHEPARD: Hi.
MR. CHUE: What’s going on?
DR. SHEPARD: I was just about to explain that Anna’s MRI has shown that she has myxopapillary ependymoma. It’s a tumor in her spinal canal. But the good news is we can operate. You have a 95% chance of fully recovering if we get you into surgery as soon as possible. We can’t wait another moment. With a tumor this aggressive even waiting another day puts you at risk of permanent paralysis.
ANNA (looks to her dad): Father?
MR. CHUE (shakes his head): No. No surgery.
DR. SHEPARD: Mr. Chue without surgery Anna will be paralyzed probably within the next 24 hours.
MR. CHUE: There will be no surgery today. We’re taking her home.
MEREDITH: Anna needs the surgery.
MR. CHUE: And she can have it at another time.
DR. SHEPARD: Look Mr. Chue…
MR. CHUE (interrupts): We are taking our daughter home.
(Dr. Shepard looks at him and then Anna)
DR. SHEPARD: Anna you are over 18. You don’t need your father’s consent.
(Anna looks at her father and then speaks to Dr. Shepard)
ANNA: I am hmong and my father is the elder. He says I go home, I go home.
(Dr. Shepard stares hard at Anna’s father)
(Cut to Dr. Shepard and Meredith walking up an empty stair way)
DR. SHEPARD: Hmong? Let’s find out what that means. Contact social services. See if we can get anyone down here. And talk to them.
MEREDITH: Do I continue to process her discharge?
DR. SHPEARD: Yeah we have to. It’s insane but we have to. It reminds of this case I had in New York one time and this woman came to the office and…
(They stop at then end of a stairway.)
MEREDITH (interrupts): Look do you need me for anything else work related?
(Dr. Shepard nods to himself suddenly angry and annoyed.)
DR. SHEPARD: Look I was married for 11 years. Addison is my family. That is 11 thanksgivings, 11 birthdays and 11 Christmases. And then one day I’m supposed to sign a piece of paper and end my family? A person doesn’t do that. Not without a little hesitation. I’m entitled to a little uncertainty here! At least a moment to understand the magnitude to what it means to cut somebody out of my life. I’m entitled to a least one moment (some one enters the stair way. He speaks quieter) of painful doubt. And a little understanding from you would be nice.
(He storms off. Meredith just looks annoyed)
(Cut to hallway where Dr. Burke runs into Addison)
DR. BURKE: Dr. Shepard. Still here I see.
ADDISON: I couldn’t leave you. You seen the other Dr. Shepard?
DR. BURKE: I’ll tell him you’re looking for him.
(He continues walking. Cristina walks up to him and walks with him)
CRISTINA: So thanks for … you know being there.
DR. BURKE: No thanks needed.
CRISTINA: Okay.
DR. BURKE: So where are we?
CRISTINA: Uh the north east corner of a hospital.
(Dr. Burke looks at her pointedly)
CRISITNA: Oh I’m, I’m getting back on my feet.
DR. BURKE: Fine.
CRISTINA: That doesn’t mean…
DR. BURKE (interrupts): Cristina.
CRISTINA: It’s my first day back. I’ve, I’ve got…
DR. BURKE (interrupts): I’m not waiting forever.
(He walks off and enters an elevator. Dr. Bailey walks out)
DR. BURKE: Karev & O’Malley are bringing up a GSW. Wanna scrub in?
DR. BAILEY: No can do. No extra work. I’m trying to get out of here at a decent hour tonight.
DR. BURKE: Oh you got a date?
DR. BAILEY: Yes. Yes I do. A handsome man is whisking me away to a love nest for the weekend.
(Cut to Alex, George and a nurse moving Pete on a gurney down a hallway)
ALEX: You got shot in the line of duty?
PETE (has difficulty speaking): First night on the job. Can you believe my luck? A guy pulls a gun and I freeze up. The rookie let himself get shot. I’m never gonna live this down.
(They stop in front of an elevator. The nurse goes off.)
GEORGE: Sure you will.
PETE: You think?
GEORGE: Absolutely.
(Cut to Dr. Bailey walking down the hall. Izzie runs up to catch up with her)
IZZIE: Hey I got Verna Bradley’s test back. I don’t think she had a heart attack.
DR. BAILEY: Yeah but look at the changes in her EKG. She had something.
IZZIE: Yeah but her serial enzymes and her dobutamine stress cycle came back negative. I actually think she’s fine.
DR. BAILEY: Get a cardiac CATH. Izzie, be thorough.
(Dr. Bailey walks off)
IZZIE: I am thorough.
(Cut to George & Alex riding in an elevator with Pete on the gurney)
ALEX: So dude what’s the deal with Izzie?
GEORGE: She shaved her legs for you.
ALEX: And??
GEORGE: And you didn’t even kiss her goodnight.
PETE: She shaved her legs for you and you didn’t follow through?
ALEX: Hey I follow through. I always follow through.
GEORGE (half laughs): You didn’t last night.
ALEX: Mind your own business.
GEORGE: Mind? (George takes a breath) She had expectations. Women have expectations. And you didn’t meet them. Hey I live with these women and every time you guys don’t meet their expectations, I have to hear about it. I didn’t get any sleep last night. So you know it is my business.
(Alex looks disgruntled. Suddenly the elevator blacks out and stops all together. Emergency lights come on.)
ALEX: Dude we’re not moving.
GEORGE (sarcastic): Really? … You think?
(Cut to Meredith, Izzie & Cristina standing at the edge of a mezzanine at the hospital. The hospital lights flicker above them. Cristina moans slightly still in pain.)
MEREDITH: You know how long a surgical scar takes to heal. You must be in pain. You should take something.
CRISTINA: Drugs are for babies.
IZZIE: I hate Alex.
CRISTINA (looks at Izzie): The non sequitur award goes to…
IZZIE: I’m sorry. I hate Alex.
MEREDITH: I broke up with Derek.
CRISTINA: Burke wants to have a relationship.
IZZIE: Boys are stupid.
(Izzie & Meredith walk off)
CRISTINA: Yep.
(Cut back to stuck elevator. Alex is trying to open the elevator doors with his hands. George is reading the elevator emergency sign. Pete is looking bad.)
GEORGE: If elevator should stop do not become alarmed. Press the button marked alarm to summon the assistance. (He pushes the button repeatedly) They don’t want us to be alarmed then why call the button alarm?
ALEX: That didn’t work the last 5 times you did it. Get it through your head we’ve lost power. We’re stuck here.
(Pete moans. George and Alex check him)
GEORGE: You okay? (George checks the BP monitor. Alex takes his pulse) His pressure is falling. (he whispers to Alex) Alex there’s a lot more asbestosis in the pleura back. We need to get him to the O.R.
PETE: Okay you’re whispering. Don’t whisper. I mean I don’t wanna complain here … but I got a bullet in my chest and whispering isn’t a sign I’m gonna be A-OK, you know?
(Alex tries the emergency elevator phone)
ALEX: Dammit. It’s out.
PETE: That’s bad. That’s bad, right?
GEORGE: Someone is gonna get us out of here. Don’t worry.
(Cut to Cristina walking in to Mr. Lamott’s room to check on him. He is the only one there and is in a little pain. Cristina looking at his chart doesn’t realize.)
CRISTINA: How are we doing?
MR. LAMOTT: Oh can you move me to another room? The lights and the TV went out.
CRISTINA: Ah. Power outage in the east wing. They’ll have it back on soon. You’re not a critical patient, you’ll be fine here.
MR. LAMOTT: Oh god what am I gonna do?
CRISTINA: You mean?
MR. LAMOTT: Without my porn!
CRISTINA: Read a book. Talk to your wife.
MR. LAMOTT: No. School closed early because of the storm. She had to pick up the kids. She won’t be back until after dinner.
CRISTINA: Well … I’m sure you can find some … normal way of amusing yourself.
(She starts walking out.)
MR. LAMOTT: No I need my porn!
CRISTINA (dismissively): Yeah.
(She leaves)
(Cut to Addison & Richard walking down a darkened hospital hallway)
ADDISON: Lightning hit a sub station. We’re running on back up generators. One of them’s down. (Richard puts his hands on his hips annoyed) Richard…Breathe.
RICHARD (frustrated): The only direct means of transporting from the E.R to the O.R isn’t working. Don’t tell me to breath. I’ll breathe if I wanna breathe.
(He walks off. Addison holds up her hands in defence and walks after him.)
(Cut to 2 security guards prying the outside elevator doors open. Dr. Bailey & Dr. Burke are watching)
GEORGE: We’re caught between floors.
(Richard & Addison walk up to them)
RICHARD: How bad is it?
DR. BURKE: Two interns and a GSW to the chest.
(Richard closes his eyes and puts his hand to his forehead)
ADDISON: Good air in. (breathes in) Bad air out.
(Richard gives her a look)
RICHARD: Come on people get those doors open.
(Only the top approximately 50cm of the internal elevator doors where George & Alex are is visible. A security guard is trying to open the doors. It only opens about 15 cm wide)
GUARD #1: It’s jammed. It won’t open any more.
DR. BAILEY: Move. Move.
GUARD #1: This is wide as wide as it goes.
(She lies down and peers into the elevator. The camera is now from George’s & Alex’s perspective)
DR. BAILEY (accusingly): What, What did you two do?
ALEX & GEORGE: Nothing!
(She gets up. Dr. Burke takes her place and peers in)
DR. BURKE: How’s the patient?
GEORGE: He’s not looking so good.
(Cut to Anna’s room. She’s still there. Meredith is there as well. The lights in her room flicker)
ANNA: Why do the lights keep flickering?
MEREDITH: Something about a back up generator. This pump will provide you with a morphine drip. It should stop your pain.
ANNA: I, I told you I don’t need it. I’m going home.
MEREDITH: You realize you’ll have to sign an AMA form stating that you’re leaving against medical advice.
ANNA (nods): Fine.
MEREDITH: I know this new and confusing. … I called a social worker and she’s willing to come down and talk to you…
ANNA (interrupts): Spare me your white girl cultural divide love. I grew up from the street down here. I play in a band. I went to UDUB. I get it. My father doesn’t. He says no, it’s no.
MEREDITH: We’re talking about your ability to ever walk again.
ANNA: That’s what you’re talking about. I’m talking about my family. Have you ever even heard of the Hmong people? Our religion has got rules that are way old and way set in stone and way spiritual and you don’t mess with them. (sighs) You don’t anger the ancestors. (She makes a face) Even if you pierce your tongue and play in a band.
MEREDITH: What are the rules exactly?
(Cut to Dr. Bailey walking down a dark hall with a nurse.)
DR. BAILEY: All I.C.U. patients are going to the south wing. All limitary and step-down patients north wing.
(Dr. Shepard comes up to them. Nurse nods and walks off)
DR. SHEPARD: You paged me?
DR. BAILEY: Porn! As pain management?
DR. SHEPARD (grinning): You met Henry. Yeah there’s a lot of different theories on how to treat pain.
DR. BAILEY: Porn!!! As pain management?
DR. SHEPARD: Look. It’s possible that pornography like art and music can stimulate the brain to produce endorphins and minimise pain.
DR. BAILEY: Porn! As pain management?
DR. SHEPARD: I didn’t prescribe it. It wasn’t me. Take it up with the treating physician.
DR. BAILEY: If that man turns out to be some sort of sex weirdo it’s on you. That’s all I’m saying. … oh and you’re wife’s looking for you.
(She walks off)
DR. SHEPARD: I know.
(Meredith comes up to Dr. Shepard. They start walking down the hall together)
MEREDITH: Derek.
DR. SHEPARD: Yes?
MEREDITH: You need to talk to Anna’s father. I’d do it myself but I guess having testicles is a requirement.
DR. SHEPARD (sighs): What happened to social services?
MEREDITH: According to Anna they can’t help us. Apparently Anna’s father believes she’s missing something that she needs for surgery.
DR. SHEPARD: Missing something? Missing what?
MEREDITH: One of her souls. (He looks at her) We don’t need a social worker, we need a shaman.
DR. SHEPARD: A shaman.
(Cut to Izzie in a hospital room with Verna & Lou Bradley)
IZZIE: Cardio tells me that your CATH went just fine.
VERNA: Is that much bruising normal?
IZZIE: Your one looks good Mrs. Bradley and so do the results on your CATH. You don’t have any blockage in your arteries.
LOU: Which means?
IZZIE: You definitely did not have a heart attack.
(Both Lou & Verna sigh in relief and joy)
VERNA: So I can go home?
IZZIE: Not yet. Your EKG shows significant changes. And I’m gonna find out why before you leave the hospital.
(Cut to the elevator with George, Pete & Alex. Pete is getting restless and trying to leave the bed.)
ALEX: Hey what are you doing?
PETE (delirious): I have to get home.
ALEX: Pete you’re in the hospital.
PETE (delirious): Need to get home. (George and Alex restrain him) No. Need to get home.
(Dr. Burke peers in through the small opening)
DR. BURKE: What’s his blood pressure?
GEORGE: It’s not reading. He’s too agitated.
DR. BUKRE: How’s his pulse?
ALEX: Steady but it’s still there.
DR. BURKE: Do you have any instruments?
ALEX: Uh, just a code box and some gloves.
DR. BURKE (annoyed): You didn’t bring an open chest tray?
ALEX: No we thought …
DR. BURKE (interrupts angry): You don’t have time for excuses. O’Malley blood pressure.
GEORGE: I’ve taken it 3 times.
DR. BURKE: And?
GEORGE: I can’t hear systolic over 50.
(Pete is really pale and wheezing)
GEORGE: He’s gonna die.
(George & Alex look at each other. Burke makes a decision)
DR. BURKE: Intubate him. I’ll be right back.
GEORGE: Wait. Where are you going?
DR. BURKE: To get an instrument tray. You guys are going to have to open up his chest.
(George and Alex look at each other. Dr. Burke stands up. Dr. Bailey is there standing next to him)
DR. BAILEY: Are you sure about that?
DR. BURKE: No.
(He runs off down the hall)
(Cut to George and Alex now intubating Pete)
GEORGE: When’s Burke coming back? (whispers) Is Dr. Burke coming back? … Alex?
ALEX: Oh would you shut up.
(Cut to outside SGH. Mr. Chue is standing outside in the rain with an umbrella smoking a cigar. Dr. Shepard walks up to him with his own umbrella)
DR. SHEPARD: Mr. Chue! You won’t take on our help but a healing ritual?
MR. CHUE: When sickness comes it means one of her souls is missing. Anna needs every soul intact before she has her surgery. She needs a shaman.
DR. SHEPARD: You could of, told me that.
MR. CHUE: Why? So you can call me a fool.
DR. SHEPARD: I respect that you have traditions that I can’t understand. But you’re standing beside me in a 3000 dollar suit, so I also know that you respect the fact that I’m telling you Anna needs a surgery in the next 24 hours if she’s going to continue to walk. She can’t leave this hospital.
MR. CHUE: She can’t undergo surgery without her soul. She’d die.
DR. SHEPARD: Alright then. We’re just gonna have to get a shaman. Today in the hospital.
MR. CHUE (mildly amused): Shaman’s aren’t listed in the yellow pages. Our shaman is 500 miles from here. You are an arrogant man.
DR. SHEPARD: No. I’m just a guy with access to a helicopter.
(Mr. Chue smiles, takes out another cigar and hands it to Dr. Shepard)
DR. SHEPARD: Thank you.
MR. CHUE: Finding her soul won’t be easy.
DR. SHEPARD: Never is.
(He walks off)
(Cut to Richard & Dr. Bailey walking down a hallway)
RICHARD: This is incogitable. There’s not enough power to move those elevators?
DR. BAILEY: They’re doing what they can to replace the back up generator now. Fire department is standing by.
RICHARD: All critical patients?
DR. BAILEY: Moved to the south wing.
RICHARD: Incoming trauma?
DR. BAILEY: Re-routed to Mercy West.
RICHARD (angry): Look that back-up generator should’ve been replaced last year.
DR. BAILEY: Yes, sir.
RICHARD (angry): Why didn’t it happen?
DR. BAILEY: Chief you … eh … have to … ask maintenance, I wouldn’t…know
RICHARD (interrupts): Dr. Bailey. You know everything. Tell me whose butt to kick.
DR. BAILEY: That would be your butt Chief. You didn’t authorize the replacement generator. Saved the money for the new MRI machine. (Richard looks at her) Um I need to get back on down to the …
(She gestures to the elevator and walks off. Richard is left smiling sheepish)
(Cut back to elevator. Dr. Burke comes suddenly. He lies down and peers into the elevator)
DR. BURKE: Hey! This isn’t gonna be too sterile but we can still try. Prep and drape the patient.
(He hands George & Alex numerous gowns and effects. George & Alex dress and sterilize themselves as best they can. George removes the bloody bandage covering Pete’s GSW and starts prepping him. Alex looks on as he ventilates Pete)
(Cut to Cristina at the nurse’s station. Izzie comes up to the desk)
IZZIE (to nurse): Hey can you get me copies of all of Verna Bradley’s medical records and page me. I’ll be on the O.R floor.
(Cristina looks at her. Izzie starts walking off upstairs quickly)
CRISTINA: Hey … wait … where (Meredith is coming down the stairs hurrying) where are you 2 going so fast?
IZZIE: Burke is talking George & Alex through heart surgery in the elevator.
(She heads up the stairs. Meredith is already half way down the hall)
MEREDITH: Shepard is setting up a shaman healing ritual.
IZZIE (from up on the next floor): Rock on!
CRISTINA (to herself annoyed): I have porn guy!
(Cut to Cristina walking into Mr. Lamott’s room. He’s in really obvious pain now)
MR. LAMOTT: Help please. … Oh.
CRISTINA: Mr. Lamott. What’s wrong?
(She picks up his chart and reads it. Mr. Lamott groans in pain)
CRISTINA: Pressure’s elevated. Pulse is racing (in shock) You’re really in pain!
MR. LAMOTT: Whatcha think?
CRISTINA (still stunned): You’re telling me the porn actually sedated you?
MR. LAMOTT: Oh what did you think I’m some kinda pervert watching that stuff in front of you?
CRISTINA: Well … yes.
(Mr. Lamott gives her a look)
CRISTINA: Oh okay, okay. (she grabs his chart) Uh … you’re allergic to most narcotics and NSAIDS. I, I suppose uh we could try droperidol and dihydroemetine.
MR. LAMOTT (in pain): No. That put me into a coma last year.
CRISTINA: Well ah um I can get anesthesiologist down here. (She shakes her head) Oh no but with your surgery tomorrow I don’t think he’ll give you an epidural block.
MR. LAMOTT (desperate): What am I gonna do?
CRISTINA (scratching her head): Uh hold on.
(Cut to back to Elevator. Everything is prepped and ready to go. George looks nervous. Alex looks scared.)
ALEX: We’re really going to do this.
(George just looks at him. Dr. Burke peering through puts through his hand to hand over a pair of scissors and a scalpel to Alex)
DR. BURKE: Take these.
(Alex just looks at them and remains standing still)
DR. BURKE: Karev take the scalpel.
(Alex just stands frozen with a scared look on his face. He looks at George)
GEORGE: Alex. Come on. (he doesn’t move) Alex!
(Dr. Burke looks at Alex confused. There’s a huge crowd now outside the elevator. Lots of interns and doctors. Izzie & Dr. Bailey are 2 of them. Alex just looks away from the scalpel and scissors. George annoyed moves.)
GEORGE: Ventilate!
(Dr. Burke is looking at Alex now concerned. George moves to take the scalpel and scissors)
GEORGE: I got it.
(George gives Alex an angry look. Alex is just looking down petrified)
GEORGE (to Dr. Burke): What do I do?
DR. BURKE: Make a large anterior lateral, mid-auxiliary incision in the 5th intercostal space.
GEORGE: How, how large?
(Alex is now holding a light for George as well as ventilating)
DR. BURKE: As long as possible. You need to get 2 hands in there. It needs to be long and deep. Use the scissors if you have to.
(Alex makes eye contact with Dr. Burke. Dr. Burke looks at him but then turns his attention to George)
GEORGE: Okay.
(He is about to cut when Dr. Burke startles him)
DR. BURKE: But be sure you don’t cut into the lower of the heart.
GEORGE: Uh, how can I be sure of that?
DR. BURKE: You just have to be sure.
(George looks a little panicked)
GEORGE: We’re not in Kansas anymore.
(He starts cutting into Pete’s chest)
(Cut to Dr. Shepard, Meredith & Anna’s parents waiting in Anna’s room)
DR. SHEPARD: You’re shaman’s late.
MR. CHUE: My shaman is never late.
(Dr. Shepard and Meredith smile half heartedly at each other)
(Cut back to the crowd watching the operation going on in the elevator)
IZZIE: You guys see anything? Poor George, doesn’t have the steadiest hands.
DR. BAILEY: Izzie.
IZZIE: Yeah?
DR. BAILEY (speaks out each word distinctly): He can hear you.
(Pan down to Dr. Burke watching the operation)
DR. BURKE: O’Malley how are you doing down there?
(Fire department arrives)
DR. BAILEY: Uh fire department’s here. You can get the doors open.
DR. BURKE: No. Nobody moves. Nobody works on the elevator. I have an open chest and a very nervous intern in there. Keep them back until I give the word.
(Dr. Bailey nods)
DR. BURKE: O’Malley.
GEORGE: I didn’t cut the heart or the lungs. (louder) Dr. Burke, I didn’t cut the heart or the lungs!
DR. BURKE: Good, good. Good. Good O’Malley. Really good. Now check for injuries and do a pericardiotomy.
GEORGE (concentrating on Pete): Uh I’ll need some lap pads, forceps, metzenbaums and satinksy clamps.
DR. BURKE (nods smiling, quietly impressed): Yes you will.
(Cut to Mr. Lamott’s room. Cristina is sitting on the empty bed next to Mr. Lamott’s bed)
CRISTINA: You tell anyone I did this for you, not only will I kill you; I will sell your body parts for cash.
(Mr. Lamott nods gratefully)
CRISTINA: Okay. So … there were these women. … Nurses. 3 nurses. And they were …. naughty. … Really, really, naughty. … They were 3 naughty nurses. Uh saucy even. They were saucy and, and bad and naughty. 3 saucy, naughty, bad nurses. They were taking a shower … together. (Mr. Lamott starts to become less in pain) Soaping each other up. And then this doctor walks in and he sees these 3 naughty bad nurses with these great big …
(Cut to Mrs. Bradley’s room. Izzie is there with her medical records)
IZZIE: Mrs. Bradley do you realize you’ve been admitted to the hospital on this date for the past 7 years?
LOU: Oh that can’t be. I don’t remember the date exactly but …
IZZIE (interrupts): I have the medical records. On this date for the past 7 years you have what looks like a heart attack.
VERNA (smiling): No. No. I know I’ve had some scares but I, I don’t…
LOU (interrupts): Every year on this date?
(Izzie nods)
IZZIE: Is there some significance to this date for you personally?
VERNA: No. Nothing.
IZZIE: What we’re you doing the first year? The first time you had a cardiac episode?
VERNA: Oh I couldn’t remember back that far.
LOU: We were in the yard. I remember because our neighbor … what was his name?
VERNA (gets a look on her face): Ted.
LOU: That’s right. He died … of an aneurysm I think. And we watched as the funeral home people took him away and you had your first attack.
IZZIE: And you were close to Ted?
VERNA: No. Oh. (looks at her husband) We barley knew Ted.
LOU: That was all very sad but what does that have to with Verna’s heart?
(Izzie looks at Verna. Verna looks away)
(Cut back to elevator. George pulls out a clot from Pete’s chest)
GEORGE: I’ve removed the small clot from the pericardium. No obvious cardiac injuries.
DR. BURKE: Any change in the vitals?
ALEX: BP’s still too low to register on the monitor.
DR. BURKE: We need to cross clamp the aorta.
(He grabs a clamp from a tray next to him and puts it through the opening. George moves to retrieve it)
DR. BURKE: Stick your hand in and bluntly dissect down until you feel 2 tube like structures. The esophagus will be more medial and anterior.
(George sticks his hands in the open chest)
GEORGE: Ah I feel one tube that is easily collapsible and the other is more muscular and spongy. I can ah feel the spine just underneath it.
DR. BURKE: Yes you’re touching the aorta.
GEORGE (to Alex): I’m touching the aorta.
DR. BURKE: Wrap the index finger of your left hand around it and apply a satinsky clamp with your right hand.
(George puts in the clamp)
GEORGE: Got it. … Wait I think I can localize the bleeding. I think it’s coming from the inferior vena cava.
DR. BURKE: Can you find the lesion?
GEORGE: Yeah. Yeah. I think I can feel ah (he fiddles around) … it’s too far in to repair.
DR. BURKE: How big is it?
GEORGE: Small. Maybe smaller than a dime.
DR. BURKE: Okay O’Malley. I want you to take your finger and plug the hole.
(George puts his hand in)
GEORGE: I think I can feel his heart… starting to fill more. It’s beating a little stronger.
DR. BURKE: Excellent. Keep your finger there.
GEORGE: Okay now what?
DR. BURKE: That’s it.
GEORGE: That’s it? (Dr. Burke turns over to lie on his back in relief) I just stand here with my finger plugging the hole?
DR. BURKE: Until we can get you out of that elevator and into the O.R.
(George and Alex look at each other)
DR. BURKE: Dr. Bailey, tell the fire department to get my guys out of there.
DR. BAILEY: Will do. (to fire department) Okay we’re ready.
DR. BURKE (rolls back over and peers in): O’Malley.
GEORGE: Yes sir?
DR. BURKE: You just flew solo.
GEORGE: Thank you sir.
[EXT. HELICOPTER FLYING OVER SEATTLE CITY IN THE RAIN, EVENTUALLY LANDING ON THE ROOF OF SGH]
[INT. SGH]
(Cut to Anna’s room. Meredith is there. Dr. Shepard is switching off Anna’s pump)
MEREDITH: Okay Anna. We’re going to shut off the PCA pump now which means you’ll be in a lot of pain for the duration of the …
ANNA (interrupts): the healing ritual.
MEREDITH: Are you okay with that?
ANNA: Yeah. I can’t find my soul if I’m medicated. No pain, no gain right?
MEREDITH: Well it’s not just for your father. You believe it too, right?
ANNA: I know it sounds like a load of crap but … watch the ritual. You’ll see.
MEREDITH: See what?
ANNA: The moment it happens.
(Meredith nods)
(The shaman comes to the doorway with Anna’s family. Dr. Shepard and Meredith see.)
ANNA: I’m ready.
(Cut to Mr. Lamott’s room. Cristina is now lying down on the empty bed. Mr. Lamott is completely sedated)
CRISTINA: Oh yes I’m so very, very naughty Bianca said as she dropped her stethoscope.
(Dr. Bailey is walking by the room and pokes her head in. Cristina doesn’t see)
CRISTINA: Me too said Crystal as she snapped on her surgical glove.
(Dr. Bailey looks aghast)
CRISTINA: And then there was Marta…
(she stops when she sees Dr. Bailey looking at her demandingly. Cristina shrugs and gestures look at him, he’s sedated. Dr. Bailey looks annoyed but walks off)
CRISTINA: Where was I?
MR. LAMOTT: Marta.
CRISTINA: Oh yes Marta was the naughtiest nurse of all because she knew how …
(she stops when the lights and television come back on)
CRISTINA: Oh thank god.
(Cut to the Shaman healing ritual. Meredith & Derek watch on as the shaman performs the ritual in Anna’s room with her family beside her bedside. The song "Don't Forget Me" by Way Out West plays through the next few scenes)
DR. SHEPARD: How long do you think it takes to retrieve a lost soul?
MEREDITH: I don’t know.
(Cut to Izzie peering into the elevator where George and Alex are still stuck)
IZZIE (smiling): Way to go George!
GEORGE: I have my finger in a heart.
IZZIE: Very cool. (she stops smiling when she makes eye contact with Alex who looks upset)
(Cut to Richard who has stopped outside Ellis’ room. She sees him and smiles. He looks pensive)
(Cut to Mrs. Bradley’s room. Izzie is talking to her. Mr. Bradley is not present.)
IZZIE: You have stress cardiomyopathy.
VERNA: Cardiomyopathy? What does… can you tell me what that is?
IZZIE: It’s Ted.
VERNA: Ted?
IZZIE: Ted. Not just the neighbor you barely knew was he?
VERNA (trying to not get emotional): I don’t know what you’re talking about.
IZZIE: Cause every year on the day he died you get a rush of adrenaline caused by stress. Your pressure rises. You have chest pains. And you end up here.
VERNA: 27 years. I loved the man next door and he loved me. I know how this is gonna sound but Ted was my soulmate. And then he just died!
IZZIE (quietly): Its grief. Your heart stops because you’re grieving for Ted.
VERNA (teary): So … what do I do next? … I mean how do you treat it?
IZZIE: I wish I knew.
(Cut to George & Alex now out of the elevator and the O.R. The operation obviously was successful as George is surrounded by police cops congratulating and thanking him. Alex walks off despondent. Can only hear the song play)
(Cut back to Meredith & Dr. Shepard watching the ritual)
(Cut to Richard entering Ellis’ room)
ELLIS: I told Thatcher that I’m leaving him.
RICHARD: You left Thatcher Ellis. But I couldn’t bring myself to leave Adele. Do you remember?
ELLIS: Painted horses.
RICHARD: Yes. We were on the carousel in the park. It was raining.
ELLIS: I have an offer from Boston General.
RICHARD: You took it to get away. We swore to never to talk again about what we had together. It was gonna always be our secret.
ELLIS: Richard.
RICHARD: Yes Ellis?
ELLIS: Carousels give me the creeps.
(Cut to Mr. Lamott’s room. He is sedated. Cristina and Mrs. Lamott are off to the side talking quietly)
CRISTINA: How do you put up with it? … I mean ‘Nasty Naughty Nurses 4’ and I’m assuming 1, 2 & 3.
MRS. LAMOTT: He’s my Henry.
CRISTINA: I know but don’t you find him misogynistic and degrading and kind of … (she sighs) 24 hours a day of porn. Seriously that’s your life?
MRS. LAMOTT: I’m grateful for it. It takes away his pain. You see the thing is … Henry … Henry takes away my pain.
(Cristina looks likes she understands)
(Cut back to healing ritual. Anna nods slightly to Meredith. Meredith nods back)
(Cut to the O.R where Anna is now. Dr. Shepard and Meredith are performing surgery on Anna. Dr. Shepard looks up at the observation deck. Addison is standing there smiling and watching. Meredith notices this. “Don’t forget me” song fades off)
(Cut to Meredith entering the wash/sterilize room adjoined to the O.R. Dr. Shepard is already in there. He looks at her and goes back to what he was doing. Meredith comes right up to him, almost invading his personal space)
MEREDITH: I lied. I’m not out … of this relationship. I’m in. I’m so in it’s humiliating because here I am begging…
DR. SHEPARD (interrupts quietly): Meredith.
MEREDITH: Shut up. You say Meredith and I yell remember?
DR. SHEPARD: Yeah.
(Dr. Shepard leans against the sink listening)
MEREDITH: Okay here it is. Your choice. It’s simple. (she starts getting teary and emotional) Her or me. And I’m sure she’s really great. But Derek… I love you…. in a really, really big … pretend to like your taste in music, let you eat the last piece of cheesecake, hold a radio over my head outside your window…unfortunate way that makes me hate you, love you. So pick me. Choose me. Love me.
(Dr. Shepard looks at her lovingly. He moves in to touch her. Meredith pulls away)
MERDETIH: I’ll be at Joe’s tonight. So if you do decide to sign the papers meet me there.
(Meredith walks out. Dr. Shepard looks distressed and sighs)
[EXT. SEATTLE AT NIGHT]
[INT. SGH]
(Cut to Meredith & Richard at the doorway of Ellis’ Room. Ellis is getting into wheelchair ready to go)
RICHARD: Goodbye Ellis.
(Ellis doesn’t look at him. Meredith walks up to Ellis)
MEREDITH: I’m going to come see you tomorrow, okay?
(She moves to step back but Ellis grabs her arm)
ELLIS: He doesn’t love her. He can’t. But he’ll stay with her anyway. She’s his wife.
MEREDITH: Mom? (Ellis looks like she recognizes Meredith as she is today). Mommy.
ELLIS: Meredith. (Meredith crouches down. Ellis places cups Meredith’s cheek with her hand). You grew up.
MEREDITH: I did.
ELLIS: Hmm. It’s a shame. It’s awful being a grown-up. But the carousel never stops turning. (pensively) You can’t get off.
MEREDITH: Okay.
(She stands up and a person wheels Ellis out. She and Richard just stand there)
(Cut to Joe’s bar. Meredith is sitting at the bar. Joe is pouring her a tequila shot. The song ‘Not Tonight’ by Tegan & Sara plays until the end of the show in the background)
MEREDITH: You think he’ll show?
JOE: He’ll show.
(The door opens. Meredith turns to the door hopefully but it’s George walking in)
GEORGE: Hey!
(Cut Dr. Shepard sitting in the large waiting area of the hospital just outside the main doors. Dr. Bailey comes up to him, looking fairly snazzy all dressed up)
DR. BAILEY: How’s your patient? The one who got her soul back?
DR. SHEPARD: She’s gonna be fine.
(A man knocks on the window from outside the hospital. Dr. Bailey sees, smiles and waves)
DR. BAILEY: Gotta go.
DR. SHEPARD: Look at you. You’re like a girl. (she gives Dr. Shepard a look) Is that your date?
DR. BAILEY: He’s my husband.
DR. SHEPARD: You’re married?
DR. BAILEY: 10 years today.
DR. SHEPARD (shocked and smiling): How come I didn’t know you were married?
DR. BAILEY: You never asked. (he half nods) You haven’t signed those divorce papers yet have you?
(He shakes his head no. She shakes her head as well)
DR. SHEPARD: Bailey. Tell me what to do.
(They both chuckle)
DR. SHEPARD: God why does this have to be so hard?
DR. BAILEY: It’s not hard. It’s painful but it’s not hard. You know what to do already. If you didn’t you wouldn’t be in this much pain.
(She walks outside and meets her husband. They hug and kiss. Dr. Shepard watches)
MVO: Pain. You just have to ride it out. Hope it goes away on its own. Hope that the wound that caused it heals.
(Cut to Cristina entering an on call room. Dr. Burke is dead asleep on the top bunk. She turns on the light and shuts the door waking up Burke)
CRISTINA: So here’s where we are. I work too much. I’m competitive. I’m always right. And I snore.
(Dr. Burke looks confused)
DR. BURKE: What?
CRISTINA: I’m trying here.
(Dr. Burke still looks slightly confused)
DR. BUKRE: Ohhhhh. Oh. … (realization dawns) Oh! Oh.
CRISTINA: Yeah. (she smiles)
DR. BURKE: So?
CRISTINA: Okay. We’re a couple. Whatever. Don’t make a big deal about it.
(She walks to the door. But then walks back quickly, jumps and kisses Burke. Awww they’re so cute. She walks back and out of the room)
(Cut to Dr. Shepard still sitting in the hospital)
MVO: There are no solutions. No easy answers. You just breathe deep and wait for it to subside.
(Cut to Meredith at the bar. Izzie, George and Alex are sitting at the bar as well joking and laughing. The bell on the door goes again. They all turn to look. It’s just 2 women entering)
MEREDITH (sighs): He’s not coming. (Izzie looks sad for her) You don’t think he’s coming.
IZZIE: He might come.
CRISTINA: Yeah. You never know.
GEORGE (to Meredith): He’s definitely coming.
(Izzie kicks George)
GEORGE (to Izzie & Cristina): Owww. What? Do you want her doing tequila shots all night? I’ll be the one cleaning up the vomit. (they look at him. He looks at Cristina) Besides I touched a heart today porny.
(The bell on the door goes off again. They turn to look. It’s just a couple entering the bar)
MVO: Most of the time pain can be managed.
MEREDITH (to Joe): Pour me another one.
MVO: But sometimes the pain gets to you when you least expect it.
JOE: I’m telling you any second.
(Cut back to Dr. Shepard still sitting in the hospital)
MVO: It’s way below the belt and doesn’t let up.
(Addison walks up to him)
ADDISON: I have been looking … everywhere for you.
DR. SHEPARD: Well … you found me.
ADDISON: So? You gonna sign those divorce papers or not?
(Dr. Shepard just looks at her)
(Cut back to bar where Meredith is taking tequila shot after tequila shot)
MVO: Pain. You just have to fight through because the truth is you can’t out run it. And life always make more.
(Meredith sits despondently at the bar still waiting)
[END]
==GREY’S ANATOMY==
2X05 - BRING THE PAIN
Original Airdate (ABC): 23-OCT-2005
WRITTEN BY SHONDA RHIMES
DIRECTED BY MARK TINKER
TRANSCRIPT PROVIDED BY HAZEL FOR "TWIZ TV.COM"
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DISCLAIMER:
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The following is not a novelization or an actual script but a dry transcript of the aired episode that includes accurate word-to-word dialogues, settings descriptions, action scenes and/or camera movements where the transcriber felt they were necessary. This transcript is posted on "TWIZ TV.COM" in world wide web exclusivity by courtesy of HAZEL. "GREY'S ANATOMY" and other related entities are owned, (TM) and © by THE MARK GORDON COMPANY in association withTOUCHSTONE TELEVISION. This transcript is posted here without their permission, approval, authorization or endorsement. Any reproduction, duplication, distribution or display of this material in any form or by any means is expressly prohibited. It is absolutely forbidden to use it for commercial gain. For entertainment and educational purposes only. No infringement intended.
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TRANSCRIPT:
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[EXT. LIGHTNING & THUNDER FLASHES IN SEATTLE CITY AT NIGHT]
[INT. DOORWAY OF MEREDITH’S TOWN HOUSE]
(Cut to Izzie & Alex walking in to the townhouse after their date)
MEREDITH VOICE OVER (MVO): Pain comes in all forms.
IZZIE (cold and sarcastic): I had a good time. Really. Thank you. It was the perfect evening. Best date ever. Whatever.
ALEX: Izzie …
IZZIE: You know I especially liked the part where you treated me like crap the entire night. That was fun.
ALEX: I had a good time.
IZZIE (confused): Really?
ALEX: Yeah.
(They move into kiss)
MVO: The small tinge. A bit of soreness. The random pain. The normal pains we live with everyday.
(Alex pulls away before their lips meet)
ALEX: I gotta go.
(Izzie is left with a look that says unbelievable. Alex walks out the door)
IZZIE (yells): Seriously? Seriously!?!?
(she slams the door shut)
MVO: Then there’s the kind of pain you can’t ignore.
(Izzie comes storming into George’s bedroom. She flicks on the light switch)
IZZIE (loud): Seriously?
(George who was dead asleep wakes up startled. Izzie closes the door and comes in)
MVO: A level of pain so great that it blocks out anything else.
IZZIE: Move over.
(George rolls over and Izzie lies down with her back against the wall)
GEORGE (sleepily): I was sleeping!
IZZIE: Oh shut it.
GEORGE (rubbing his eyes and still groggy): Shut …..
[EXT. THUNDER CLOUDS AND LIGHTNING]
MVO: Makes the rest of the world fade away.
[INT. DOORWAY TO MEREDITH’S TOWN HOUSE]
(Cut to Derek & Meredith walking up to the doorway)
MEREDITH: I don’t want to have this conversation again.
DR. SHEPARD: Meredith…
(Meredith opens the doors)
MEREDITH: You didn’t sign the divorce papers. Fine. I get it. End of discussion.
(They both walk in)
DR. SHEPARD: Meredith.
MEREDITH (yells): What?!?
(Dr. Shepard is stunned and a little confused)
MVO: Until all we can think about is how much we hurt.
DR. SHEPARD: Oh ... I usually just say Meredith and then you yell at me. I hadn’t thought past that point. (Meredith looks pissed) I actually didn’t have anything planned.
MVO: How we manage our pain is up to us.
(Meredith starts whacking Derek with her purse guiding him out the door)
DR. SHEPARD: Hey. What is with that? Hey stop it. Ow.
MEREDITH (yells): Seriously?!?! Seriously?!?!
(Cut to Meredith standing at the door of George’s bedroom)
MEREDITH (loud): Seriously!
(Cut to Izzie who is still lying down on George’s bed. George rolls over)
GEORGE: This is a very small bed.
(Meredith is now lying next to George on his other side. George is squished in the middle, still half asleep.)
MEREDITH: He’s a brain surgeon.
IZZIE: I look fantastic! I shaved my legs!
MEREDITH: He’s a brain surgeon. How can he be so brainless?
(George sighs)
IZZIE: Hello! Seriously!
MEREDITH: Seriously!
(George pats Meredith’s & Izzie’s shoulders simultaneously)
GEORGE: Ssh. Sleep.
[EXT. DARK CLOUDS & LIGHTNING]
[INT. LIGHTNING FLASHES INTO GEORGE’S BEDROOM]
(George sits up startled. The lights go out. He sighs and tries to get back to sleep.)
MVO: Pain. We anaesthetize, ride it out, embrace it, ignore it.
(Cut to Cristina walking in the pouring rain into SGH. She’s dripping wet obviously in pain from her surgery.)
MVO: And for some of us the best way to manage pain is to just push through it.
(Cut to Dr. Bailey and her interns getting ready in the locker room. Dr. Bailey is standing in the doorway. Cristina walks up to her putting on her coat, her hair still dripping wet)
DR. BAILEY: You’re dripping.
CRISTINA: I’m back. I just wanna make that clear. I’m back. I’m ready to work.
(Addison comes up to the doorway from the hallway)
ADDISON: Has any one seen Dr. Shepard this morning?
DR. BAILEY: His name is on the O.R board. He should be here somewhere.
(Addison walks off)
CRISTINA: I’m good. I’m ready to scrub in. I’m 100% on top of my game.
DR. BAILEY: You just got discharged. Pace your self.
(Izzie makes eye contact with Alex but doesn’t say anything)
CRISTINA: I’m paced. I’m paced.
DR. BAILEY: Mmm hmm. Rounds people.
(They start walking out. Alex stops Izzie.)
ALEX: What? You’re not talking to me anymore?
IZZIE: Okay. What happened last night? What is going on with you?
ALEX: I’m fine. What’s your problem?
IZZIE (huffs): Fine. You know what Alex? No I’m not talking to you anymore.
(Izzie walks out.)
(Cut to Dr. Bailey’s group entering a patient’s room. A woman is sitting on a chair doing some knitting. Her pager goes off)
CRISTINA: Dr. Bailey. Henry Lamott. Aged 42. Is scheduled with Dr. Shepard for a spinal implant...
(Mr. Lament turns up the volume of his television. George is captivated by the TV. You can hear corny music and women moaning and giggling.)
CRISITINA: …to control the pain of his herniated disc. He’s allergic to all pain medication …
(She stops talking when she sees the screen. All the interns are now starting at the TV screen)
CRISTINA: Is that…?
MRS. LAMOTT: Porn.
(Dr. Bailey looking at the patient’s chart, hasn’t seen anything)
DR. BAILEY (still looking down): Porn?
(She looks up at the TV)
DR. BAILEY: As in Porn?!?!
ALEX: Alright. What are we watching?
DR. BAILEY: Karev! Go stand in the hall.
(Alex goes outside)
DR. BAILEY (distracted by the TV): Uh Mr. & Mrs. Lamott I’m sure … you’re really … nice people … and what you do in the privacy of your own … Look we can’t have porn in here. This is a hospital.
MR. LAMOTT: It’s for my pain. My doc says it releases endorphins in the brain. It help keeps my pain at a manageable level.
(Izzie, Cristina & Meredith look amused. George is still captivated by the TV)
GEORGE: Really?
DR. BAILEY: George! Hall!
(George purposefully closes his doctor’s coat tightly and walks a little funny to outside the bedroom)
IZZIE (amused): What is this?
MRS. LAMOTT: Nasty naughty nurses … um (she looks at the TV) 4.
(Meredith, Izzie and Cristina all stare at the TV and tilt their head to one side. Izzie’s mouth is an ‘O’ shape.)
CRISTINA: That does not look comfortable.
MEREDITH: Trust me it’s not.
(Cristina and Izzie both stare at Meredith)
DR. BAILEY: Get in the hall!
[GREY’S ANATOMY CREDITS]
[EXT. GREY CLOUDY MORNING, RAINING IN SEATTLE CITY]
[INT. SGH]
(Cut to Dr. Bailey and her interns walking down an open hallway. They end up at a nurse’s station)
DR. BAILEY: O’Malley. Karev. You’re in the pit today. Stevens there’s a cardiac patient waiting up for you on 2. Yang keep an eye on the Lamott’s. I don’t want any problems. Go.
(They all scurry off, except for Meredith.)
DR. BAILEY: Grey, your mother’s being discharged this evening. You’ve made arrangements or do you need more time?
MEREDITH: The nursing home is coming at 8.
DR. BAILEY (starts walking off): All right then you’re with Shepard. Derek Shepard today.
(Meredith moves to speak)
DR. BAILEY (smiling): Hey. Life is short. Times are hard. The road is long with many a winding turn. (She is serious now) He asked for you. Take it up with him.
(Cut to E.R room. George enters with Alex. Policemen are standing outside)
GEORGE: Okay.
E.R RESIDENT: Pete Willoughby. 25 year old. GSW to the chest. Immediate return of 860 CCs of blood from the chest.
PETE: Oh Man! This hurts.
E.R RESIDENT: He’s put out more than 200 CCs in the past hour.
PETE (in pain): They never tell you in the movies how much it hurts to get shot.
GEORGE: Push morphine 2mg. Alex, is this my case.
ALEX: Morphine 5mg. You didn’t even call.
GEORGE: I don’t have to call. I was here first.
ALEX: You got here first because I let you. … Where’s his chest films?
GEORGE: I got it. You always get the surgery. Today I’m getting a surgery.
E.R RESIDENT: Guys knock it off. He’s one of Seattle’s finest. You’ve got an entire police force watching you…
(ER. Resident waves to the police watching. George gives them a thumb up.)
GEORGE: Page Dr. Burke. Let him know I’m bringing up a GSW.
ALEX: No we are bringing up a GSW.
(Cut to Ellis Grey’s room. She is lying in bed. Richard is going over her chart. A nurse is there as well)
RICHARD: Looks like you’ll be able to go home today Ellis.
ELLIS: But I still have patients to see.
RICHARD: No. No more patients. I’ll be back to check on you later.
(He hands the chart to the nurse and they start walking out)
ELLIS: You should know I’m thinking of leaving Thatcher. (Richard stops) I should never have married him. I’ll leave him. You leave Adele. (The nurse looks at Richard) And then when our residency is over we can both get jobs at the same hospital.
RICHARD: Why don’t you get her meds ready for her discharge nurse? (Nurse nods and leaves) Thank you.
(Richard sits by Ellis on her bed. He takes her hand.)
RICHARD: Ellis. That was a long time ago, remember? We had this discussion 21 years ago.
ELLIS: Think about it Richard. We should make the break now. (Richard sighs) If we wait until residency is over, you’ll be at one hospital and I’ll be at another. We could end up at opposite ends of the country. It’ll be too late.
(Cut to Dr. Shepard walking fast to an elevator. He sees Meredith and stops)
DR. SHEPARD: Meredith.
MEREDITH: Your wife is looking for you.
DR. SHEPARD (sighs): This is hard for me Meredith.
MEREDITH: Well let me make it easy then. I’m not gonna be that woman. The one who breaks up a marriage or begs you to want me. You can sign the papers or you cannot. The choice is yours. Either way when it comes to this relationship I’m out. (Dr. Shepard looks at her) Now where’s this patient I’m supposed to be helping you with.
DR. SHEPARD (points behind him): Down here.
(Meredith starts walking that way. Dr. Shepard follows)
(Cut to Izzie checking a patient’s heart. The patient’s husband is there as well)
MR. BRADLEY: You shouldn’t have tried to walk the dog in the rain.
MRS. BRADLEY: Oh Lou it wasn’t the rain. I just passed out.
IZZIE: Actually Mrs. Bradley …
MRS. BRADLEY: Verna.
IZZIE: Verna. You presented with lateral ST elevations and reciprocal inferior changes consistent with an MI. A heart attack.
LOU: Oh my god!
VERNA: Oh don’t worry. I’ve had these little chest pains before and it turned out to be nothing. This is nothing. (Lou kisses his wife on the cheek) Lou not in front of the doctor.
(Cut to Dr. Shepard and Meredith in a patient’s room. A young Asian girl named Anna.)
ANNA: I’ve had a twinge in my back for a little while. I thought it would go away. But then last night my legs went numb and this morning my back …pain is just too much.
DR. SHEPARD: Miss Chue. We’re going to put you on a PCA pump. Give you some morphine which should help control the pain.
ANNA: Thank you.
DR. SHEPARD: Okay. But there’s a greater problem here. I’ve just taken a look at your MRI….
(Anna’s parents walk in and interrupt Dr. Shepard.)
MR. CHUE: Anna! Why didn’t you call us before coming down here?
ANNA: I’m sorry. (to Dr. Shepard and Meredith) These are my parents.
DR. SHEPARD: Hi.
MR. CHUE: What’s going on?
DR. SHEPARD: I was just about to explain that Anna’s MRI has shown that she has myxopapillary ependymoma. It’s a tumor in her spinal canal. But the good news is we can operate. You have a 95% chance of fully recovering if we get you into surgery as soon as possible. We can’t wait another moment. With a tumor this aggressive even waiting another day puts you at risk of permanent paralysis.
ANNA (looks to her dad): Father?
MR. CHUE (shakes his head): No. No surgery.
DR. SHEPARD: Mr. Chue without surgery Anna will be paralyzed probably within the next 24 hours.
MR. CHUE: There will be no surgery today. We’re taking her home.
MEREDITH: Anna needs the surgery.
MR. CHUE: And she can have it at another time.
DR. SHEPARD: Look Mr. Chue…
MR. CHUE (interrupts): We are taking our daughter home.
(Dr. Shepard looks at him and then Anna)
DR. SHEPARD: Anna you are over 18. You don’t need your father’s consent.
(Anna looks at her father and then speaks to Dr. Shepard)
ANNA: I am hmong and my father is the elder. He says I go home, I go home.
(Dr. Shepard stares hard at Anna’s father)
(Cut to Dr. Shepard and Meredith walking up an empty stair way)
DR. SHEPARD: Hmong? Let’s find out what that means. Contact social services. See if we can get anyone down here. And talk to them.
MEREDITH: Do I continue to process her discharge?
DR. SHPEARD: Yeah we have to. It’s insane but we have to. It reminds of this case I had in New York one time and this woman came to the office and…
(They stop at then end of a stairway.)
MEREDITH (interrupts): Look do you need me for anything else work related?
(Dr. Shepard nods to himself suddenly angry and annoyed.)
DR. SHEPARD: Look I was married for 11 years. Addison is my family. That is 11 thanksgivings, 11 birthdays and 11 Christmases. And then one day I’m supposed to sign a piece of paper and end my family? A person doesn’t do that. Not without a little hesitation. I’m entitled to a little uncertainty here! At least a moment to understand the magnitude to what it means to cut somebody out of my life. I’m entitled to a least one moment (some one enters the stair way. He speaks quieter) of painful doubt. And a little understanding from you would be nice.
(He storms off. Meredith just looks annoyed)
(Cut to hallway where Dr. Burke runs into Addison)
DR. BURKE: Dr. Shepard. Still here I see.
ADDISON: I couldn’t leave you. You seen the other Dr. Shepard?
DR. BURKE: I’ll tell him you’re looking for him.
(He continues walking. Cristina walks up to him and walks with him)
CRISTINA: So thanks for … you know being there.
DR. BURKE: No thanks needed.
CRISTINA: Okay.
DR. BURKE: So where are we?
CRISTINA: Uh the north east corner of a hospital.
(Dr. Burke looks at her pointedly)
CRISITNA: Oh I’m, I’m getting back on my feet.
DR. BURKE: Fine.
CRISTINA: That doesn’t mean…
DR. BURKE (interrupts): Cristina.
CRISTINA: It’s my first day back. I’ve, I’ve got…
DR. BURKE (interrupts): I’m not waiting forever.
(He walks off and enters an elevator. Dr. Bailey walks out)
DR. BURKE: Karev & O’Malley are bringing up a GSW. Wanna scrub in?
DR. BAILEY: No can do. No extra work. I’m trying to get out of here at a decent hour tonight.
DR. BURKE: Oh you got a date?
DR. BAILEY: Yes. Yes I do. A handsome man is whisking me away to a love nest for the weekend.
(Cut to Alex, George and a nurse moving Pete on a gurney down a hallway)
ALEX: You got shot in the line of duty?
PETE (has difficulty speaking): First night on the job. Can you believe my luck? A guy pulls a gun and I freeze up. The rookie let himself get shot. I’m never gonna live this down.
(They stop in front of an elevator. The nurse goes off.)
GEORGE: Sure you will.
PETE: You think?
GEORGE: Absolutely.
(Cut to Dr. Bailey walking down the hall. Izzie runs up to catch up with her)
IZZIE: Hey I got Verna Bradley’s test back. I don’t think she had a heart attack.
DR. BAILEY: Yeah but look at the changes in her EKG. She had something.
IZZIE: Yeah but her serial enzymes and her dobutamine stress cycle came back negative. I actually think she’s fine.
DR. BAILEY: Get a cardiac CATH. Izzie, be thorough.
(Dr. Bailey walks off)
IZZIE: I am thorough.
(Cut to George & Alex riding in an elevator with Pete on the gurney)
ALEX: So dude what’s the deal with Izzie?
GEORGE: She shaved her legs for you.
ALEX: And??
GEORGE: And you didn’t even kiss her goodnight.
PETE: She shaved her legs for you and you didn’t follow through?
ALEX: Hey I follow through. I always follow through.
GEORGE (half laughs): You didn’t last night.
ALEX: Mind your own business.
GEORGE: Mind? (George takes a breath) She had expectations. Women have expectations. And you didn’t meet them. Hey I live with these women and every time you guys don’t meet their expectations, I have to hear about it. I didn’t get any sleep last night. So you know it is my business.
(Alex looks disgruntled. Suddenly the elevator blacks out and stops all together. Emergency lights come on.)
ALEX: Dude we’re not moving.
GEORGE (sarcastic): Really? … You think?
(Cut to Meredith, Izzie & Cristina standing at the edge of a mezzanine at the hospital. The hospital lights flicker above them. Cristina moans slightly still in pain.)
MEREDITH: You know how long a surgical scar takes to heal. You must be in pain. You should take something.
CRISTINA: Drugs are for babies.
IZZIE: I hate Alex.
CRISTINA (looks at Izzie): The non sequitur award goes to…
IZZIE: I’m sorry. I hate Alex.
MEREDITH: I broke up with Derek.
CRISTINA: Burke wants to have a relationship.
IZZIE: Boys are stupid.
(Izzie & Meredith walk off)
CRISTINA: Yep.
(Cut back to stuck elevator. Alex is trying to open the elevator doors with his hands. George is reading the elevator emergency sign. Pete is looking bad.)
GEORGE: If elevator should stop do not become alarmed. Press the button marked alarm to summon the assistance. (He pushes the button repeatedly) They don’t want us to be alarmed then why call the button alarm?
ALEX: That didn’t work the last 5 times you did it. Get it through your head we’ve lost power. We’re stuck here.
(Pete moans. George and Alex check him)
GEORGE: You okay? (George checks the BP monitor. Alex takes his pulse) His pressure is falling. (he whispers to Alex) Alex there’s a lot more asbestosis in the pleura back. We need to get him to the O.R.
PETE: Okay you’re whispering. Don’t whisper. I mean I don’t wanna complain here … but I got a bullet in my chest and whispering isn’t a sign I’m gonna be A-OK, you know?
(Alex tries the emergency elevator phone)
ALEX: Dammit. It’s out.
PETE: That’s bad. That’s bad, right?
GEORGE: Someone is gonna get us out of here. Don’t worry.
(Cut to Cristina walking in to Mr. Lamott’s room to check on him. He is the only one there and is in a little pain. Cristina looking at his chart doesn’t realize.)
CRISTINA: How are we doing?
MR. LAMOTT: Oh can you move me to another room? The lights and the TV went out.
CRISTINA: Ah. Power outage in the east wing. They’ll have it back on soon. You’re not a critical patient, you’ll be fine here.
MR. LAMOTT: Oh god what am I gonna do?
CRISTINA: You mean?
MR. LAMOTT: Without my porn!
CRISTINA: Read a book. Talk to your wife.
MR. LAMOTT: No. School closed early because of the storm. She had to pick up the kids. She won’t be back until after dinner.
CRISTINA: Well … I’m sure you can find some … normal way of amusing yourself.
(She starts walking out.)
MR. LAMOTT: No I need my porn!
CRISTINA (dismissively): Yeah.
(She leaves)
(Cut to Addison & Richard walking down a darkened hospital hallway)
ADDISON: Lightning hit a sub station. We’re running on back up generators. One of them’s down. (Richard puts his hands on his hips annoyed) Richard…Breathe.
RICHARD (frustrated): The only direct means of transporting from the E.R to the O.R isn’t working. Don’t tell me to breath. I’ll breathe if I wanna breathe.
(He walks off. Addison holds up her hands in defence and walks after him.)
(Cut to 2 security guards prying the outside elevator doors open. Dr. Bailey & Dr. Burke are watching)
GEORGE: We’re caught between floors.
(Richard & Addison walk up to them)
RICHARD: How bad is it?
DR. BURKE: Two interns and a GSW to the chest.
(Richard closes his eyes and puts his hand to his forehead)
ADDISON: Good air in. (breathes in) Bad air out.
(Richard gives her a look)
RICHARD: Come on people get those doors open.
(Only the top approximately 50cm of the internal elevator doors where George & Alex are is visible. A security guard is trying to open the doors. It only opens about 15 cm wide)
GUARD #1: It’s jammed. It won’t open any more.
DR. BAILEY: Move. Move.
GUARD #1: This is wide as wide as it goes.
(She lies down and peers into the elevator. The camera is now from George’s & Alex’s perspective)
DR. BAILEY (accusingly): What, What did you two do?
ALEX & GEORGE: Nothing!
(She gets up. Dr. Burke takes her place and peers in)
DR. BURKE: How’s the patient?
GEORGE: He’s not looking so good.
(Cut to Anna’s room. She’s still there. Meredith is there as well. The lights in her room flicker)
ANNA: Why do the lights keep flickering?
MEREDITH: Something about a back up generator. This pump will provide you with a morphine drip. It should stop your pain.
ANNA: I, I told you I don’t need it. I’m going home.
MEREDITH: You realize you’ll have to sign an AMA form stating that you’re leaving against medical advice.
ANNA (nods): Fine.
MEREDITH: I know this new and confusing. … I called a social worker and she’s willing to come down and talk to you…
ANNA (interrupts): Spare me your white girl cultural divide love. I grew up from the street down here. I play in a band. I went to UDUB. I get it. My father doesn’t. He says no, it’s no.
MEREDITH: We’re talking about your ability to ever walk again.
ANNA: That’s what you’re talking about. I’m talking about my family. Have you ever even heard of the Hmong people? Our religion has got rules that are way old and way set in stone and way spiritual and you don’t mess with them. (sighs) You don’t anger the ancestors. (She makes a face) Even if you pierce your tongue and play in a band.
MEREDITH: What are the rules exactly?
(Cut to Dr. Bailey walking down a dark hall with a nurse.)
DR. BAILEY: All I.C.U. patients are going to the south wing. All limitary and step-down patients north wing.
(Dr. Shepard comes up to them. Nurse nods and walks off)
DR. SHEPARD: You paged me?
DR. BAILEY: Porn! As pain management?
DR. SHEPARD (grinning): You met Henry. Yeah there’s a lot of different theories on how to treat pain.
DR. BAILEY: Porn!!! As pain management?
DR. SHEPARD: Look. It’s possible that pornography like art and music can stimulate the brain to produce endorphins and minimise pain.
DR. BAILEY: Porn! As pain management?
DR. SHEPARD: I didn’t prescribe it. It wasn’t me. Take it up with the treating physician.
DR. BAILEY: If that man turns out to be some sort of sex weirdo it’s on you. That’s all I’m saying. … oh and you’re wife’s looking for you.
(She walks off)
DR. SHEPARD: I know.
(Meredith comes up to Dr. Shepard. They start walking down the hall together)
MEREDITH: Derek.
DR. SHEPARD: Yes?
MEREDITH: You need to talk to Anna’s father. I’d do it myself but I guess having testicles is a requirement.
DR. SHEPARD (sighs): What happened to social services?
MEREDITH: According to Anna they can’t help us. Apparently Anna’s father believes she’s missing something that she needs for surgery.
DR. SHEPARD: Missing something? Missing what?
MEREDITH: One of her souls. (He looks at her) We don’t need a social worker, we need a shaman.
DR. SHEPARD: A shaman.
(Cut to Izzie in a hospital room with Verna & Lou Bradley)
IZZIE: Cardio tells me that your CATH went just fine.
VERNA: Is that much bruising normal?
IZZIE: Your one looks good Mrs. Bradley and so do the results on your CATH. You don’t have any blockage in your arteries.
LOU: Which means?
IZZIE: You definitely did not have a heart attack.
(Both Lou & Verna sigh in relief and joy)
VERNA: So I can go home?
IZZIE: Not yet. Your EKG shows significant changes. And I’m gonna find out why before you leave the hospital.
(Cut to the elevator with George, Pete & Alex. Pete is getting restless and trying to leave the bed.)
ALEX: Hey what are you doing?
PETE (delirious): I have to get home.
ALEX: Pete you’re in the hospital.
PETE (delirious): Need to get home. (George and Alex restrain him) No. Need to get home.
(Dr. Burke peers in through the small opening)
DR. BURKE: What’s his blood pressure?
GEORGE: It’s not reading. He’s too agitated.
DR. BUKRE: How’s his pulse?
ALEX: Steady but it’s still there.
DR. BURKE: Do you have any instruments?
ALEX: Uh, just a code box and some gloves.
DR. BURKE (annoyed): You didn’t bring an open chest tray?
ALEX: No we thought …
DR. BURKE (interrupts angry): You don’t have time for excuses. O’Malley blood pressure.
GEORGE: I’ve taken it 3 times.
DR. BURKE: And?
GEORGE: I can’t hear systolic over 50.
(Pete is really pale and wheezing)
GEORGE: He’s gonna die.
(George & Alex look at each other. Burke makes a decision)
DR. BURKE: Intubate him. I’ll be right back.
GEORGE: Wait. Where are you going?
DR. BURKE: To get an instrument tray. You guys are going to have to open up his chest.
(George and Alex look at each other. Dr. Burke stands up. Dr. Bailey is there standing next to him)
DR. BAILEY: Are you sure about that?
DR. BURKE: No.
(He runs off down the hall)
(Cut to George and Alex now intubating Pete)
GEORGE: When’s Burke coming back? (whispers) Is Dr. Burke coming back? … Alex?
ALEX: Oh would you shut up.
(Cut to outside SGH. Mr. Chue is standing outside in the rain with an umbrella smoking a cigar. Dr. Shepard walks up to him with his own umbrella)
DR. SHEPARD: Mr. Chue! You won’t take on our help but a healing ritual?
MR. CHUE: When sickness comes it means one of her souls is missing. Anna needs every soul intact before she has her surgery. She needs a shaman.
DR. SHEPARD: You could of, told me that.
MR. CHUE: Why? So you can call me a fool.
DR. SHEPARD: I respect that you have traditions that I can’t understand. But you’re standing beside me in a 3000 dollar suit, so I also know that you respect the fact that I’m telling you Anna needs a surgery in the next 24 hours if she’s going to continue to walk. She can’t leave this hospital.
MR. CHUE: She can’t undergo surgery without her soul. She’d die.
DR. SHEPARD: Alright then. We’re just gonna have to get a shaman. Today in the hospital.
MR. CHUE (mildly amused): Shaman’s aren’t listed in the yellow pages. Our shaman is 500 miles from here. You are an arrogant man.
DR. SHEPARD: No. I’m just a guy with access to a helicopter.
(Mr. Chue smiles, takes out another cigar and hands it to Dr. Shepard)
DR. SHEPARD: Thank you.
MR. CHUE: Finding her soul won’t be easy.
DR. SHEPARD: Never is.
(He walks off)
(Cut to Richard & Dr. Bailey walking down a hallway)
RICHARD: This is incogitable. There’s not enough power to move those elevators?
DR. BAILEY: They’re doing what they can to replace the back up generator now. Fire department is standing by.
RICHARD: All critical patients?
DR. BAILEY: Moved to the south wing.
RICHARD: Incoming trauma?
DR. BAILEY: Re-routed to Mercy West.
RICHARD (angry): Look that back-up generator should’ve been replaced last year.
DR. BAILEY: Yes, sir.
RICHARD (angry): Why didn’t it happen?
DR. BAILEY: Chief you … eh … have to … ask maintenance, I wouldn’t…know
RICHARD (interrupts): Dr. Bailey. You know everything. Tell me whose butt to kick.
DR. BAILEY: That would be your butt Chief. You didn’t authorize the replacement generator. Saved the money for the new MRI machine. (Richard looks at her) Um I need to get back on down to the …
(She gestures to the elevator and walks off. Richard is left smiling sheepish)
(Cut back to elevator. Dr. Burke comes suddenly. He lies down and peers into the elevator)
DR. BURKE: Hey! This isn’t gonna be too sterile but we can still try. Prep and drape the patient.
(He hands George & Alex numerous gowns and effects. George & Alex dress and sterilize themselves as best they can. George removes the bloody bandage covering Pete’s GSW and starts prepping him. Alex looks on as he ventilates Pete)
(Cut to Cristina at the nurse’s station. Izzie comes up to the desk)
IZZIE (to nurse): Hey can you get me copies of all of Verna Bradley’s medical records and page me. I’ll be on the O.R floor.
(Cristina looks at her. Izzie starts walking off upstairs quickly)
CRISTINA: Hey … wait … where (Meredith is coming down the stairs hurrying) where are you 2 going so fast?
IZZIE: Burke is talking George & Alex through heart surgery in the elevator.
(She heads up the stairs. Meredith is already half way down the hall)
MEREDITH: Shepard is setting up a shaman healing ritual.
IZZIE (from up on the next floor): Rock on!
CRISTINA (to herself annoyed): I have porn guy!
(Cut to Cristina walking into Mr. Lamott’s room. He’s in really obvious pain now)
MR. LAMOTT: Help please. … Oh.
CRISTINA: Mr. Lamott. What’s wrong?
(She picks up his chart and reads it. Mr. Lamott groans in pain)
CRISTINA: Pressure’s elevated. Pulse is racing (in shock) You’re really in pain!
MR. LAMOTT: Whatcha think?
CRISTINA (still stunned): You’re telling me the porn actually sedated you?
MR. LAMOTT: Oh what did you think I’m some kinda pervert watching that stuff in front of you?
CRISTINA: Well … yes.
(Mr. Lamott gives her a look)
CRISTINA: Oh okay, okay. (she grabs his chart) Uh … you’re allergic to most narcotics and NSAIDS. I, I suppose uh we could try droperidol and dihydroemetine.
MR. LAMOTT (in pain): No. That put me into a coma last year.
CRISTINA: Well ah um I can get anesthesiologist down here. (She shakes her head) Oh no but with your surgery tomorrow I don’t think he’ll give you an epidural block.
MR. LAMOTT (desperate): What am I gonna do?
CRISTINA (scratching her head): Uh hold on.
(Cut to back to Elevator. Everything is prepped and ready to go. George looks nervous. Alex looks scared.)
ALEX: We’re really going to do this.
(George just looks at him. Dr. Burke peering through puts through his hand to hand over a pair of scissors and a scalpel to Alex)
DR. BURKE: Take these.
(Alex just looks at them and remains standing still)
DR. BURKE: Karev take the scalpel.
(Alex just stands frozen with a scared look on his face. He looks at George)
GEORGE: Alex. Come on. (he doesn’t move) Alex!
(Dr. Burke looks at Alex confused. There’s a huge crowd now outside the elevator. Lots of interns and doctors. Izzie & Dr. Bailey are 2 of them. Alex just looks away from the scalpel and scissors. George annoyed moves.)
GEORGE: Ventilate!
(Dr. Burke is looking at Alex now concerned. George moves to take the scalpel and scissors)
GEORGE: I got it.
(George gives Alex an angry look. Alex is just looking down petrified)
GEORGE (to Dr. Burke): What do I do?
DR. BURKE: Make a large anterior lateral, mid-auxiliary incision in the 5th intercostal space.
GEORGE: How, how large?
(Alex is now holding a light for George as well as ventilating)
DR. BURKE: As long as possible. You need to get 2 hands in there. It needs to be long and deep. Use the scissors if you have to.
(Alex makes eye contact with Dr. Burke. Dr. Burke looks at him but then turns his attention to George)
GEORGE: Okay.
(He is about to cut when Dr. Burke startles him)
DR. BURKE: But be sure you don’t cut into the lower of the heart.
GEORGE: Uh, how can I be sure of that?
DR. BURKE: You just have to be sure.
(George looks a little panicked)
GEORGE: We’re not in Kansas anymore.
(He starts cutting into Pete’s chest)
(Cut to Dr. Shepard, Meredith & Anna’s parents waiting in Anna’s room)
DR. SHEPARD: You’re shaman’s late.
MR. CHUE: My shaman is never late.
(Dr. Shepard and Meredith smile half heartedly at each other)
(Cut back to the crowd watching the operation going on in the elevator)
IZZIE: You guys see anything? Poor George, doesn’t have the steadiest hands.
DR. BAILEY: Izzie.
IZZIE: Yeah?
DR. BAILEY (speaks out each word distinctly): He can hear you.
(Pan down to Dr. Burke watching the operation)
DR. BURKE: O’Malley how are you doing down there?
(Fire department arrives)
DR. BAILEY: Uh fire department’s here. You can get the doors open.
DR. BURKE: No. Nobody moves. Nobody works on the elevator. I have an open chest and a very nervous intern in there. Keep them back until I give the word.
(Dr. Bailey nods)
DR. BURKE: O’Malley.
GEORGE: I didn’t cut the heart or the lungs. (louder) Dr. Burke, I didn’t cut the heart or the lungs!
DR. BURKE: Good, good. Good. Good O’Malley. Really good. Now check for injuries and do a pericardiotomy.
GEORGE (concentrating on Pete): Uh I’ll need some lap pads, forceps, metzenbaums and satinksy clamps.
DR. BURKE (nods smiling, quietly impressed): Yes you will.
(Cut to Mr. Lamott’s room. Cristina is sitting on the empty bed next to Mr. Lamott’s bed)
CRISTINA: You tell anyone I did this for you, not only will I kill you; I will sell your body parts for cash.
(Mr. Lamott nods gratefully)
CRISTINA: Okay. So … there were these women. … Nurses. 3 nurses. And they were …. naughty. … Really, really, naughty. … They were 3 naughty nurses. Uh saucy even. They were saucy and, and bad and naughty. 3 saucy, naughty, bad nurses. They were taking a shower … together. (Mr. Lamott starts to become less in pain) Soaping each other up. And then this doctor walks in and he sees these 3 naughty bad nurses with these great big …
(Cut to Mrs. Bradley’s room. Izzie is there with her medical records)
IZZIE: Mrs. Bradley do you realize you’ve been admitted to the hospital on this date for the past 7 years?
LOU: Oh that can’t be. I don’t remember the date exactly but …
IZZIE (interrupts): I have the medical records. On this date for the past 7 years you have what looks like a heart attack.
VERNA (smiling): No. No. I know I’ve had some scares but I, I don’t…
LOU (interrupts): Every year on this date?
(Izzie nods)
IZZIE: Is there some significance to this date for you personally?
VERNA: No. Nothing.
IZZIE: What we’re you doing the first year? The first time you had a cardiac episode?
VERNA: Oh I couldn’t remember back that far.
LOU: We were in the yard. I remember because our neighbor … what was his name?
VERNA (gets a look on her face): Ted.
LOU: That’s right. He died … of an aneurysm I think. And we watched as the funeral home people took him away and you had your first attack.
IZZIE: And you were close to Ted?
VERNA: No. Oh. (looks at her husband) We barley knew Ted.
LOU: That was all very sad but what does that have to with Verna’s heart?
(Izzie looks at Verna. Verna looks away)
(Cut back to elevator. George pulls out a clot from Pete’s chest)
GEORGE: I’ve removed the small clot from the pericardium. No obvious cardiac injuries.
DR. BURKE: Any change in the vitals?
ALEX: BP’s still too low to register on the monitor.
DR. BURKE: We need to cross clamp the aorta.
(He grabs a clamp from a tray next to him and puts it through the opening. George moves to retrieve it)
DR. BURKE: Stick your hand in and bluntly dissect down until you feel 2 tube like structures. The esophagus will be more medial and anterior.
(George sticks his hands in the open chest)
GEORGE: Ah I feel one tube that is easily collapsible and the other is more muscular and spongy. I can ah feel the spine just underneath it.
DR. BURKE: Yes you’re touching the aorta.
GEORGE (to Alex): I’m touching the aorta.
DR. BURKE: Wrap the index finger of your left hand around it and apply a satinsky clamp with your right hand.
(George puts in the clamp)
GEORGE: Got it. … Wait I think I can localize the bleeding. I think it’s coming from the inferior vena cava.
DR. BURKE: Can you find the lesion?
GEORGE: Yeah. Yeah. I think I can feel ah (he fiddles around) … it’s too far in to repair.
DR. BURKE: How big is it?
GEORGE: Small. Maybe smaller than a dime.
DR. BURKE: Okay O’Malley. I want you to take your finger and plug the hole.
(George puts his hand in)
GEORGE: I think I can feel his heart… starting to fill more. It’s beating a little stronger.
DR. BURKE: Excellent. Keep your finger there.
GEORGE: Okay now what?
DR. BURKE: That’s it.
GEORGE: That’s it? (Dr. Burke turns over to lie on his back in relief) I just stand here with my finger plugging the hole?
DR. BURKE: Until we can get you out of that elevator and into the O.R.
(George and Alex look at each other)
DR. BURKE: Dr. Bailey, tell the fire department to get my guys out of there.
DR. BAILEY: Will do. (to fire department) Okay we’re ready.
DR. BURKE (rolls back over and peers in): O’Malley.
GEORGE: Yes sir?
DR. BURKE: You just flew solo.
GEORGE: Thank you sir.
[EXT. HELICOPTER FLYING OVER SEATTLE CITY IN THE RAIN, EVENTUALLY LANDING ON THE ROOF OF SGH]
[INT. SGH]
(Cut to Anna’s room. Meredith is there. Dr. Shepard is switching off Anna’s pump)
MEREDITH: Okay Anna. We’re going to shut off the PCA pump now which means you’ll be in a lot of pain for the duration of the …
ANNA (interrupts): the healing ritual.
MEREDITH: Are you okay with that?
ANNA: Yeah. I can’t find my soul if I’m medicated. No pain, no gain right?
MEREDITH: Well it’s not just for your father. You believe it too, right?
ANNA: I know it sounds like a load of crap but … watch the ritual. You’ll see.
MEREDITH: See what?
ANNA: The moment it happens.
(Meredith nods)
(The shaman comes to the doorway with Anna’s family. Dr. Shepard and Meredith see.)
ANNA: I’m ready.
(Cut to Mr. Lamott’s room. Cristina is now lying down on the empty bed. Mr. Lamott is completely sedated)
CRISTINA: Oh yes I’m so very, very naughty Bianca said as she dropped her stethoscope.
(Dr. Bailey is walking by the room and pokes her head in. Cristina doesn’t see)
CRISTINA: Me too said Crystal as she snapped on her surgical glove.
(Dr. Bailey looks aghast)
CRISTINA: And then there was Marta…
(she stops when she sees Dr. Bailey looking at her demandingly. Cristina shrugs and gestures look at him, he’s sedated. Dr. Bailey looks annoyed but walks off)
CRISTINA: Where was I?
MR. LAMOTT: Marta.
CRISTINA: Oh yes Marta was the naughtiest nurse of all because she knew how …
(she stops when the lights and television come back on)
CRISTINA: Oh thank god.
(Cut to the Shaman healing ritual. Meredith & Derek watch on as the shaman performs the ritual in Anna’s room with her family beside her bedside. The song "Don't Forget Me" by Way Out West plays through the next few scenes)
DR. SHEPARD: How long do you think it takes to retrieve a lost soul?
MEREDITH: I don’t know.
(Cut to Izzie peering into the elevator where George and Alex are still stuck)
IZZIE (smiling): Way to go George!
GEORGE: I have my finger in a heart.
IZZIE: Very cool. (she stops smiling when she makes eye contact with Alex who looks upset)
(Cut to Richard who has stopped outside Ellis’ room. She sees him and smiles. He looks pensive)
(Cut to Mrs. Bradley’s room. Izzie is talking to her. Mr. Bradley is not present.)
IZZIE: You have stress cardiomyopathy.
VERNA: Cardiomyopathy? What does… can you tell me what that is?
IZZIE: It’s Ted.
VERNA: Ted?
IZZIE: Ted. Not just the neighbor you barely knew was he?
VERNA (trying to not get emotional): I don’t know what you’re talking about.
IZZIE: Cause every year on the day he died you get a rush of adrenaline caused by stress. Your pressure rises. You have chest pains. And you end up here.
VERNA: 27 years. I loved the man next door and he loved me. I know how this is gonna sound but Ted was my soulmate. And then he just died!
IZZIE (quietly): Its grief. Your heart stops because you’re grieving for Ted.
VERNA (teary): So … what do I do next? … I mean how do you treat it?
IZZIE: I wish I knew.
(Cut to George & Alex now out of the elevator and the O.R. The operation obviously was successful as George is surrounded by police cops congratulating and thanking him. Alex walks off despondent. Can only hear the song play)
(Cut back to Meredith & Dr. Shepard watching the ritual)
(Cut to Richard entering Ellis’ room)
ELLIS: I told Thatcher that I’m leaving him.
RICHARD: You left Thatcher Ellis. But I couldn’t bring myself to leave Adele. Do you remember?
ELLIS: Painted horses.
RICHARD: Yes. We were on the carousel in the park. It was raining.
ELLIS: I have an offer from Boston General.
RICHARD: You took it to get away. We swore to never to talk again about what we had together. It was gonna always be our secret.
ELLIS: Richard.
RICHARD: Yes Ellis?
ELLIS: Carousels give me the creeps.
(Cut to Mr. Lamott’s room. He is sedated. Cristina and Mrs. Lamott are off to the side talking quietly)
CRISTINA: How do you put up with it? … I mean ‘Nasty Naughty Nurses 4’ and I’m assuming 1, 2 & 3.
MRS. LAMOTT: He’s my Henry.
CRISTINA: I know but don’t you find him misogynistic and degrading and kind of … (she sighs) 24 hours a day of porn. Seriously that’s your life?
MRS. LAMOTT: I’m grateful for it. It takes away his pain. You see the thing is … Henry … Henry takes away my pain.
(Cristina looks likes she understands)
(Cut back to healing ritual. Anna nods slightly to Meredith. Meredith nods back)
(Cut to the O.R where Anna is now. Dr. Shepard and Meredith are performing surgery on Anna. Dr. Shepard looks up at the observation deck. Addison is standing there smiling and watching. Meredith notices this. “Don’t forget me” song fades off)
(Cut to Meredith entering the wash/sterilize room adjoined to the O.R. Dr. Shepard is already in there. He looks at her and goes back to what he was doing. Meredith comes right up to him, almost invading his personal space)
MEREDITH: I lied. I’m not out … of this relationship. I’m in. I’m so in it’s humiliating because here I am begging…
DR. SHEPARD (interrupts quietly): Meredith.
MEREDITH: Shut up. You say Meredith and I yell remember?
DR. SHEPARD: Yeah.
(Dr. Shepard leans against the sink listening)
MEREDITH: Okay here it is. Your choice. It’s simple. (she starts getting teary and emotional) Her or me. And I’m sure she’s really great. But Derek… I love you…. in a really, really big … pretend to like your taste in music, let you eat the last piece of cheesecake, hold a radio over my head outside your window…unfortunate way that makes me hate you, love you. So pick me. Choose me. Love me.
(Dr. Shepard looks at her lovingly. He moves in to touch her. Meredith pulls away)
MERDETIH: I’ll be at Joe’s tonight. So if you do decide to sign the papers meet me there.
(Meredith walks out. Dr. Shepard looks distressed and sighs)
[EXT. SEATTLE AT NIGHT]
[INT. SGH]
(Cut to Meredith & Richard at the doorway of Ellis’ Room. Ellis is getting into wheelchair ready to go)
RICHARD: Goodbye Ellis.
(Ellis doesn’t look at him. Meredith walks up to Ellis)
MEREDITH: I’m going to come see you tomorrow, okay?
(She moves to step back but Ellis grabs her arm)
ELLIS: He doesn’t love her. He can’t. But he’ll stay with her anyway. She’s his wife.
MEREDITH: Mom? (Ellis looks like she recognizes Meredith as she is today). Mommy.
ELLIS: Meredith. (Meredith crouches down. Ellis places cups Meredith’s cheek with her hand). You grew up.
MEREDITH: I did.
ELLIS: Hmm. It’s a shame. It’s awful being a grown-up. But the carousel never stops turning. (pensively) You can’t get off.
MEREDITH: Okay.
(She stands up and a person wheels Ellis out. She and Richard just stand there)
(Cut to Joe’s bar. Meredith is sitting at the bar. Joe is pouring her a tequila shot. The song ‘Not Tonight’ by Tegan & Sara plays until the end of the show in the background)
MEREDITH: You think he’ll show?
JOE: He’ll show.
(The door opens. Meredith turns to the door hopefully but it’s George walking in)
GEORGE: Hey!
(Cut Dr. Shepard sitting in the large waiting area of the hospital just outside the main doors. Dr. Bailey comes up to him, looking fairly snazzy all dressed up)
DR. BAILEY: How’s your patient? The one who got her soul back?
DR. SHEPARD: She’s gonna be fine.
(A man knocks on the window from outside the hospital. Dr. Bailey sees, smiles and waves)
DR. BAILEY: Gotta go.
DR. SHEPARD: Look at you. You’re like a girl. (she gives Dr. Shepard a look) Is that your date?
DR. BAILEY: He’s my husband.
DR. SHEPARD: You’re married?
DR. BAILEY: 10 years today.
DR. SHEPARD (shocked and smiling): How come I didn’t know you were married?
DR. BAILEY: You never asked. (he half nods) You haven’t signed those divorce papers yet have you?
(He shakes his head no. She shakes her head as well)
DR. SHEPARD: Bailey. Tell me what to do.
(They both chuckle)
DR. SHEPARD: God why does this have to be so hard?
DR. BAILEY: It’s not hard. It’s painful but it’s not hard. You know what to do already. If you didn’t you wouldn’t be in this much pain.
(She walks outside and meets her husband. They hug and kiss. Dr. Shepard watches)
MVO: Pain. You just have to ride it out. Hope it goes away on its own. Hope that the wound that caused it heals.
(Cut to Cristina entering an on call room. Dr. Burke is dead asleep on the top bunk. She turns on the light and shuts the door waking up Burke)
CRISTINA: So here’s where we are. I work too much. I’m competitive. I’m always right. And I snore.
(Dr. Burke looks confused)
DR. BURKE: What?
CRISTINA: I’m trying here.
(Dr. Burke still looks slightly confused)
DR. BUKRE: Ohhhhh. Oh. … (realization dawns) Oh! Oh.
CRISTINA: Yeah. (she smiles)
DR. BURKE: So?
CRISTINA: Okay. We’re a couple. Whatever. Don’t make a big deal about it.
(She walks to the door. But then walks back quickly, jumps and kisses Burke. Awww they’re so cute. She walks back and out of the room)
(Cut to Dr. Shepard still sitting in the hospital)
MVO: There are no solutions. No easy answers. You just breathe deep and wait for it to subside.
(Cut to Meredith at the bar. Izzie, George and Alex are sitting at the bar as well joking and laughing. The bell on the door goes again. They all turn to look. It’s just 2 women entering)
MEREDITH (sighs): He’s not coming. (Izzie looks sad for her) You don’t think he’s coming.
IZZIE: He might come.
CRISTINA: Yeah. You never know.
GEORGE (to Meredith): He’s definitely coming.
(Izzie kicks George)
GEORGE (to Izzie & Cristina): Owww. What? Do you want her doing tequila shots all night? I’ll be the one cleaning up the vomit. (they look at him. He looks at Cristina) Besides I touched a heart today porny.
(The bell on the door goes off again. They turn to look. It’s just a couple entering the bar)
MVO: Most of the time pain can be managed.
MEREDITH (to Joe): Pour me another one.
MVO: But sometimes the pain gets to you when you least expect it.
JOE: I’m telling you any second.
(Cut back to Dr. Shepard still sitting in the hospital)
MVO: It’s way below the belt and doesn’t let up.
(Addison walks up to him)
ADDISON: I have been looking … everywhere for you.
DR. SHEPARD: Well … you found me.
ADDISON: So? You gonna sign those divorce papers or not?
(Dr. Shepard just looks at her)
(Cut back to bar where Meredith is taking tequila shot after tequila shot)
MVO: Pain. You just have to fight through because the truth is you can’t out run it. And life always make more.
(Meredith sits despondently at the bar still waiting)
[END]
==GREY’S ANATOMY==