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Got to Be Real

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On an operating table, a person is at his most vulnerable. Naked. Exposed. Skin is not a very tough armor. It's soft, easily broken. Surgeons are bred to be invulnerable. It's very hard to lay ourselves bare, because we know exactly how deep some injuries can go. But vulnerability isn't the opposite of strength. It's a necessary part. We have to force ourselves to open up, to expose ourselves. To offer up everything we have and just pray that it's good enough. Otherwise, we'll never succeed.

Got to Be Real is the third episode of the eleventh season and the 223rd overall episode of Grey's Anatomy.

Short SummaryEdit

Owen introduces Callie to the Veterans Hospital patients in hopes that she will help them with her robotic limb lab, Jo becomes jealous of Alex and Meredith’s friendship, and Maggie continues to confide in Richard. Meanwhile, Alex and Bailey prepare to go in front of the board.

Full SummaryEdit

Alex is showering as Meredith rants to him about Pierce. She doesn't believe that Pierce is her half-sister because she believes she would have remembered her mom being pregnant when she was five. When Meredith pulls back the shower curtain, he screams about her seeing him naked. She sarcastically compliments his penis and tries to go back to her rant. Alex says that he's happy to be her person, but he has a big presentation to make to the board so he can get a job, which he needs because Oliver Lebackes fired him. He was up all night practicing. Meredith continues her rant and Alex admits that Pierce's story is far-fetched.

Outside the bathroom, Jo is listening through the door and complaining to Stephanie about how Meredith is in the bathroom with Alex while he's naked in the shower. She says she deserves respect, but Stephanie doubts that. Jo misses Cristina because when Cristina was there, no one stole her Alex. Meredith then emerges from the bathroom and leaves the bedroom. A few moments later, she peeks back in and says to tell Alex that she'll be downstairs and if anyone asks them, she's sick.

Callie follows Owen through a Veterans' rehab facility. She says that she's there to give a speech on residual limb health and that is it, because she has a child and she and Arizona are trying to have another one and Arizona's starting a fellowship and she's stretched too far already. Owen says she's just going to meet a couple guys. They enter a room where several amputee veterans are gathered. He asks her if she's too busy to help their nation's heroes. She tells him she doesn't like him.

Dr. Herman is describing a surgery to Arizona as they walk together. Herman stops and asks Arizona why she's not taking notes. Arizona believed they were just chatting, but Herman believed Arizona was her fellow. Arizona says she is and she's excited about it, but she needs time to get up to speed because she has a lot of peds cases. Herman says that for the purposes of the fellowship, they are not peers and the four weeks she requested are 10% of the average gestational age. Everything in utero happens in hyper-speed and the sooner that Arizona gets up to that speed, the better. She advises Arizona to get a notepad.

Derek comes up and tells Jackson that he has a backlog of cases. He asks Jackson to reschedule that night's board meeting. Jackson says no, but Arizona asks if they're re-scheduling, because she and Callie have a meeting and she's apparently already started her fellowship. Jackson repeats that they're not re-scheduling, but Derek just asks Arizona if tomorrow works for her. She says tomorrow's bad, too. Jackson demands their attention and says they're voting on a new board member, so the meeting has to happen.

Amelia comes up and asks Derek why he changed the order for one of her patients to a different anti-convulsant. She says he can't go around changing the orders for her patients. He says he's doing his job, but Amelia corrects that he's dong HER job. She's the head of neurosurgery and if he has a problem with that, he should take it up with the board. Until then, she'll call him when she needs him.

Bailey asks what happened to two of her surgeries she had scheduled for that day. Stephanie replies that she moved them so that Bailey could have an easy day before her board presentation. Bailey says she doesn't need practice. She needs her schedule back as it was. Stephanie asks if she's sure, because Alex is close with several board members. She points out that Meredith and Alex are close to the point where she was in the bathroom with him that morning. Bailey acknowledges that she and him aren't that close. Bailey says she's going to go in and tell the board the truth: that she deserves the seat. If they don't believe her, she'll set them straight. Bailey gets a page to the ER for an incoming trauma and wonders why they're paging her instead of Meredith. Stephanie tells her that Meredith is sick.

In Alex's kitchen, Meredith insists that if her mother were pregnant, she would have known. Alex wonders if the adoption agency just made a mistake, but Meredith doesn't believe it. She thinks Pierce is after something, but the only thing there is to inherit in their family is Alzheimer's. She again insists that Pierce is not her sister. Alex says she should ask Richard about it, because he's the only person alive who would know. Meredith says Richard is like a second father to her and if she had a sister, he would tell her.

The elevator doors open and Richard sees Pierce standing there. She enters the elevator. He asks if she was paged to the ER. She says she was and he was also. He makes small talk as they ride. Pierce then confesses that she told Meredith about their relationship. He asks how it went and she says it could have gone better.

The elevator reaches the ER, where a crowd has gathered around Charlie Hays, who rear-ended a lumber truck. April requests that anyone not treating the patient move back. Bailey pushes her way through the crowd and, once she sees the man with a branch impaled through his abdomen, takes a quick selfie, including the patient in the background.

The doctors work quickly to get enough of the branch sawed down that they can lay Charlie down on his back. There's no fluid around his heart, so they plan to take him into surgery. Pierce starts a chest tube and prepares to intubate, but because he's not on his back yet, she has to intubate through his nose. The rest of the branch is then cut off so Charlie is able to be rolled onto his back.

At the rehab center, Callie and Owen talk to Jeff, an Army Ranger. He is curious about the leg. He can't believe they want to give him a free robotic leg. He's been through three prosthetics, each one that hurt more than the last. He's even more surprised to find out that Callie's leg is pain-free. Callie backs up and says they still need to run tests to find out if he's a candidate.

Callie and Arizona are walking together. Callie says she told Owen that she's stretched too thin, but he doesn't care. Arizona says she's an attending with a service to run and she and Herman have share dozens of patients before. Callie continues that Owen is bringing the guy to her lab, like she's going to say no to a guy who gaze his leg in the service to their country. Arizona says that Herman has her reviewing journals and doing skills labs. She has a case report due by four, but she also has a neuroblastoma to remove at four. Callie asks if that's Arizona's way of saying that she's canceling their surrogacy meeting that night. Arizona says no, she's not. She will work it out somehow. She asks Callie to say something to help her. Callie reminds her that she owns a hospital, she's raising a wonderful kid, she saves babies, and she's going to save more. She can do this, too. If anyone can, she can. Arizona gets a page. She says she'll meet Callie at the agency with a smile on her face. Callie says then they'll get themselves a new baby. They then part ways.

April, Amelia, and Derek are examining Steve Tate, who was ejected from his motorcycle while not wearing a helmet. Derek is taking point, which is frustrating Amelia. Amelia notices that the patient is trying to talk, so she asks him his name. He says it's Steve and she asks if he forgot his helmet. He says it hurts, so April gives him pain meds, but warns that he'll get sleepy. Derek says he has a depressed skull fracture and it's deep. He needs a CT and possibly an angio. Amelia says she'll make that decision if Derek will give her room to look. As she moves in to look at the patient, Derek pushes her back and says that the patient probably won't make it and it'll get ugly, so he suggested that Amelia let him handle it. Amelia refuses and steps in to tend to the patient. April says they can both take it, like a team or like a family, but Amelia says she has it. She asks April to assist and they take him up to CT.

Alex rehearses his speech as Meredith drinks. Alex stops rehearsing and tells Meredith he doesn't want to screw up especially since he's up against Bailey. Meredith points out that Bailey delivered her baby. Alex asks why she's not at her own home, complaining to Derek. Meredith says Derek doesn't know. Meredith isn't talking to Derek because he quit the drain mapping initiative and he's walking around like a martyr. She says her career is just as important as hers. She's the sun and he can suck it. Alex takes the bottle from her and says they're going to do something about it.

Jeff holds the robotic leg Callie created and admires it. Callie says before they can get him into the trial, she has to test his nerve response. She asks him to flex, but she doesn't see any response on the EMG. He wants to know if he'd get to keep the leg at the end. Owen says the trial is fully funded, including followups. Jeff talks about being a Ranger and how it's all he ever wanted. The trial's like a dream come true. Jeff has Owen take a picture of him with the leg, saying his mom will love it. Callie goes to tell Jeff that he has no nerve response, but Owen stops her and pulls her out into the hall.

Callie says Owen was inappropriate, but Owen is mad at her for attempting to tell Jeff she can't help him. He reminds her that he's a soldier. She says she cares about that, but the leg doesn't care at all. The leg only cares that the nerves aren't communicating with his muscle. Owen tells her just to figure it out. She says she can't, so he orders her to. She says that he can't order her around in her lab. Owen says she can't get their hopes up and leave them with nothing. She points out that she didn't do that -- he did.

In the OR, the doctors go to extract the branch. Once it's out, Richard quickly removes his spleen, so fast that Pierce is impressed and hopes she's that fast someday.

Callie is working in her lab when Jackson comes in and says he heard about their episode. Callie says he can write her up all he wants, but she stands by not taking orders from Owen in her lab. Jackson says he's not asking her to take orders in her lab. He's asking her not to have screaming matches in the hallway, because when she does, he has to stop practicing medicine to play hall monitor, which he hates. He wants to go back to practicing medicine the way he wants. But Arizona's trying to leave peds surgery on him and the Shepherds are having a pissing contest and Bailey and Alex are competing and he thinks that Richard likes Pierce, which he thinks is gross. Callie says she won't have screaming matches in the hallway. Jackson asks her what's wrong. She explains about Jeff and Jackson says that he can fix it with nerve reinnervation. She says he's wasted as a hall monitor.

Pierce finishing putting in staples and says she's done. Richard and Bailey prepare to start the diaphragm repair. Pierce says that surgery was the most fun she'd had since she got to GSM. She strips her gown and leaves the OR. Richard quickly leaves to follow her, but she's gone.

Alex asks Meredith to put in her username and password so that he can access Pierce's personnel file. Meredith says what they're doing is illegal. They're logging in to get Pierce's date of birth. Alex says they'll find out when she was born and use pictures or video to prove that she's lying. Meredith says he's very different from Cristina. With Cristina, they'd just be dancing by that point. He does the math and figures out she got pregnant around the spring of 1983 and asks Meredith what she was doing at that time. Meredith says that's when her mom tried to kill herself.

After scrubbing out, Stephanie suggests to Bailey that she can practice her speech with her. Bailey says she would rather focus on making sure her patient is stable. Bailey says she's afraid of snakes and spiders and sharks in pools, but she's not afraid of Alex Karev. Stephanie says she should be afraid of everyone else. Meredith is close with Alex. Arizona is close to Alex and Callie is married to her. Jackson and Alex are also friends. and Jackson also has a history of making wrong choices.

Arizona spots Herman and tells her that she doesn't have the case report ready because she has a neuroblastoma on a baby and the mother was freaking out, so she had to reassure her. Herman says that in fetal surgery, every patient will be encased in a worried mother. If she lacks the skills and Arizona cuts her off, saying she has the skills. Moms are her thing. She even teaches others how to be great with moms. Herman just says she needs Arizona's start paperwork and leaves. Arizona says she'll get caught up on that. Once Herman is gone, Arizona tells Jo that she's great with moms and Jo agrees.

Meredith tells Alex that right after the suicide attempt, Ellis moved them to Boston. She says since she was so young, the memories of that time are hazy. Alex looks through the computerized medical records from that time to find Ellis's record from her suicide attempt. Meredith's not sure she's ready, but Alex says she's never ready for these things. He opens the file. Meredith skims through it. They find the pregnancy test results. And a note says that the patient was unaware of pregnancy when she was admitted. It's confirmed.

Owen comes into the scrub room as Callie scrubs and says he owes her an apology. When he doesn't continue, she asks if he's going to give her one or if that was just a heads up. He apologies and goes to leave, asking if they're okay. She says no. She orders him to come back and tell her a bunch of stuff that explains why he was yelling and being an ass. They're not okay. He says that he needs something to be good and right. He's not depressed, but Cristina is out there living her life and he's proud because she's happy, but it feels unfair to him because she's living happily without him. He thinks his dreams are over now. Cristina was his family and now she's gone. It's better for her, but it sucks for him. He needs a reason to get up in the morning. Cristina saved him. The war made him dark and the darkness is still in him. He thought he could beat it back by doing something good. That's why he took her to the rehab center and pushed her. He says he won't talk about it anymore and tells her to say that they're okay. She says they're okay, but when he goes to leave, she stops him and asks if he wants to watch Jeff's surgery. She explains what Jackson is going to do.

Derek asks Amelia how Steve Tate is doing. Amelia says her patient is doing fine. She fixed him. Derek says she's excellent and has nothing to prove, but if she tries to fight him over leadership of the department, she will lose because his resumé is more impressive and he's just better. Amelia tells him he's a narcissist. She scoffs and leaves. April comes up and asks where Amelia went because her post-op scans are back. He has an aneurysm. Derek tells April to book an OR. April is nervous about operating on Amelia's patent without telling her. Derek tells her just to do it.

Alex asks what Meredith's going to do now. She called Richard to come over. Alex has to get ready for his meeting and Meredith needs to be there, too. Meredith says his speech is great and wonders why he's so nervous. Alex says he wants it. He doesn't just need a job. For the first time, he feels like he can do something bigger. He doesn't want it to go badly. There's a knock at the door. Meredith lets Richard in. She asks when Richard knew. He says he found out the night he met Pierce. Meredith is surprised that Ellis didn't tell him when she was pregnant. He says when he found out, he felt like he was being hit by a car. Meredith is surprised that he's known for a whole week and didn't tell her and didn't tell Pierce. He said he's been trying to do it all day and he would have liked to have done it 30 years ago. He would have liked to have been her father, to know her, to have had a stay, but Ellis stole that chance from him.

Amelia comes into the OR where Derek and April are operating. She's mad that Derek stole her patient and yells at him. He says she doesn't need to scrub in, but Amelia tells April to move so she can step in. April is upset to be put between them. Derek says that Steve never had a good prognosis. His brain starts swelling. He's in DIC. His pupils are fixed and dilated. He has no gag reflex. He's probably brain dead.

Richard is explaining his side of the story. Ellis never said anything to him. Meredith apologizes to him. Richard says he had an amazing day with Pierce and he'd like to get to know her. Meredith says Pierce came there to look for answers about her birth mom and he is her answer. She encourages him to tell Pierce. Ellis made the decision for him. She doesn't want him to do that for Pierce.

Jackson and Callie are operating and Jackson says they could make his process part of the amputation surgery, to avoid having to do it later. Callie says they're going to start a program with veterans. They're taking some of her research money to do it. Callie asks Jackson if he wants in. Jackson tries to play it cool, but Callie and Owen call him out on it.

At the surrogacy agency, Arizona is filling out paperwork as Callie describes what happened with Jeff. She could change the way the world does amputations. Arizona says it sounds like she really wants to do it. Callie says she does. Callie knows it'll take a bunch of time and they'll be stretched really thin. Arizona asks if that means she wants to wait on the baby. Callie says she doesn't. Arizona says she just said it would be too much to juggle. Callie says Arizona was supposed to say that she can do it. She's supposed to support Callie the way Callie has supported her since she decided she needed to start the fellowship. Arizona wonders what if they can't do it all. Callie asks if she's saying she doesn't want a baby. She asks why they're even there if she doesn't want a baby. Arizona tells her not to put words in her mouth. Callie says she didn't want to carry it and then Callie couldn't and Arizona still didn't want to and they found surrogacy and she found something else to do and Callie wonders why she didn't see it before. She then demands that Arizona admit that she doesn't want a baby. Before Arizona can say anything, the lady from the surrogacy agency comes out and says hi.

Amelia is doing the op note for Steve Tate. Derek comes in and says he'll do it for her. She doesn't want him to steal that part, too. Derek says he's trying to help. Steve was a lost cause. Amelia says whether or not he was a lost cause, he was her responsibility. She doesn't need Derek's help or his bullying. Derek says this was the cream of the crop for him. Amelia says then he shouldn't have given it up and he needs to stop stomping around, punishing others for a choice he made. Derek says Meredith made a choice and backed him into a corner. He wants to give Meredith everything, but nothing like that will come around again. So this is as high as he goes. He's never taken a step back in his career before and he feels like Meredith forced him. Amelia knows the feeling because he's doing it to her right now. Amelia says he wants Meredith to have everything, but not if it interferes with him having his everything. Amelia is saying no, too, because he has to live with his choice. Derek says he's trying. Amelia says they're all trying.

Callie is by Jeff's bed as he sleeps with tears in her eyes. Jackson comes to the door with Owen and says it's time for the board meeting and asks how Jeff is doing. Callie says Jeff is good without turning toward the door. Jackson asks if she's coming and she says she'll just be a minute. Owen says he'll make sure she gets there. Jackson says they need to meet up to talk about timelines and protocols for the veterans. Owen says they'll figure it out. Once Jackson is gone, Owen asks Callie if she's okay. Callie says she is, but she needs something to be good, too. He hugs her as she cries. She pulls back and wipes her face. She asks how sobby she looks from 1-10. He says she's a six.

Jo asks Alex if he rehearsed at all with Meredith. He says not really. She tries to asks about what's going on with Meredith, but he brushes it off. She says he looks great and sends him off to do his speech. Alex sits on the bench outside the board meeting room next to Bailey. They acknowledge each other.

As Richard and Meredith go to enter the hospital, they spot Pierce digging in her purse out front. Meredith says she'll tell the others he's on his way. He approaches Pierce. She asks if he checked in on their patient, who is doing great. He tells her that he and Ellis knew each other well and had a relationship. She stops him. She says she kind of wondered if it was him, but she doesn't understand why he waited so long to tell her. She believes it's because he knew about it 30 years ago and he didn't want her either. He says that's not true, but she doesn't believe him. She says it must have been a nightmare for him to have her show up, but it's worse for her. She says goodnight and walks away.

Derek meets up with Meredith and asks how she's feeling. She admits that she wasn't actually sick, but she is a little drunk. He is confused. Meredith says a crazy thing is happening. He's upset that he gave up the project so that she can sit around and get drunk with her friends. Instead of telling him about Pierce, she just walks away.

In the board room, Arizona and Callie are sitting two seats apart, not looking at each other. The rest of the board files in. Bailey comes in and gives her presentation. Then Alex gives his. Afterward, they both wait outside. Bailey tells Alex she's sure he did fine. Alex says they're taking a long time. Arizona peeks out of the room and calls Alex in. He follows her back into the room. A few moments later, he comes back out and tells Bailey congratulations as he walks past her. Arizona then calls Bailey back into the room. The board congratulates her as Alex continues to walk out of the hospital.

CastEdit

  • Meredith Grey
  • Alex Karev
  • Miranda Bailey
  • Richard Webber
  • Callie Torres
  • Owen Hunt
  • Arizona Robbins
  • April Kepner
  • Jackson Avery
  • Amelia Shepherd
  • Jo Wilson
  • Stephanie Edwards
  • Derek Shepherd
  • Nicole Herman
  • Maggie Pierce
  • Jeff
  • Steve Tate
  • Dr. Knox (bottom right)
  • Paramedic Grace
  • Woman
  • Charlie Hays

Main CastEdit

Guest StarsEdit

Co-StarringEdit

Medical NotesEdit

Herman's PatientEdit

  • Diagnosis:
  • Treatment:
    • Radiofrequency ablation

Dr. Herman relayed the story of a surgery she had performed to Arizona.

Eric SchneiderEdit

  • Diagnosis:
    • Seizures
  • Treatment:
    • Anti-convulsants

Amelia was upset with Derek for changing the order for which anti-convulsant a patient would receive to treat his seizures.

Charlie HaysEdit

  • Diagnosis:
    • Sharp force trauma
  • Treatment:
    • Laparotomy
    • Chest tube
    • Splenectomy
    • Partial gastrectomy
    • Diaphragm repair

Charlie, 37, rear-ended a lumber truck and ended up with a tree branch impaled through his abdomen. As he couldn't be laid on his back to be intubated through his mouth, he had to be intubated through his nose. They cut the branch and were able to cut down the branch so they could lay him flat to take him into surgery. Once they were in surgery, the branch was removed. Webber quickly removed Charlie's spleen and part of his stomach. Pierce then finished her portion, stabilizing his lung. Bailey then proceeded with a diaphragm repair. After surgery, Charlie was doing well.

JeffEdit

  • Diagnosis:
    • Residual limb
  • Treatment:
    • Targeted muscle reinnervation

Jeff was left with a residual limb after an amputation surgery. Owen introduced him to Callie in the hopes that she could have success with him using her robotic leg. He'd had three previous prosthetics, each more painful than the previous. However, when Callie hooked him up to check his nerve response, she discovered that he didn't have the nerve response required for the robotic limb to work. When she told Jackson about that, he said that he could do reinnervation that would tie the nerves to the muscles and allow him to use the robotic limb. The surgery was performed successfully.

Steve TateEdit

  • Diagnosis:
    • Depressed skull fracture
    • Subdural bleed
    • Aneurysm
    • Brain death
  • Treatment:
    • Surgery
    • Aneurysm clipping

Steve, 35, was brought to the ER after falling off his motorcycle while not wearing a helmet. He had a depressed skull fracture. Amelia took him into surgery. A post-op CT showed a large aneurysm. Derek took Steve back into surgery. While he was operating, Amelia came in just in time to see that he was re-bleeding and he was likely brain dead.

Arizona's PatientEdit

  • Diagnosis:
    • Neuroblastoma
  • Treatment:
    • Surgery

Arizona operated to remove a neuroblastoma from a baby.

MusicEdit

Song Performer Scene
"Whoa is Me" Grieves
  • While Alex is in the shower, he and Meredith talk about Maggie and Alex's presentation for the board.
  • Jo complains to Stephanie about how Meredith takes Alex away from her.
  • Callie and Owen are the Veterans Rehabilitation Center to give a speech.
"Lyin King" Jhené Aiko
  • Jackson talks with Callie about her screaming match with Owen in the hallway. He comes up with a plan to make the veteran a suitable candidate for her research.
  • Maggie finishes up in the OR and compliments Richard's fast work. She leaves.
  • Richard runs after her to tell her he's her biological father, but he is too late to find her.
"You Should Know Where I'm Coming From" Banks
  • Owen apologizes to Callie and explains he behaved that way because he misses Cristina so much that he needs something to be good.
  • Callie tells him Jackson's performing a surgery on Jeff so that he's a suitable candidate for her research.
"Waiting Game" Banks
  • Maggie calls out Richard for not having told her earlier that he's her father. She angrily walks off.
  • Derek and Meredith start fighting as he won't give her a chance to tell him about Maggie being her sister and because he's still resenting her for making him stay.
  • The board members gather in a conference room. Alex and Bailey each give their presentation.
  • Alex and Bailey wait for the results. Alex is called in first, but Bailey ends up the one who gets the seat.

Notes and TriviaEdit

Grey's Anatomy 11x03 Promo "Got to Be Real" (HD)00:20

Grey's Anatomy 11x03 Promo "Got to Be Real" (HD)

  • This episode's title originated from the song Got to Be Real, originally sung by Cheryl Lynn.
  • This episode scored 8.48 million viewers.
  • This episode was filmed from August 15, 2014 to August 28, 2014.
  • The DVD has two deleted scenes for this episode. They show Arizona and Jo working on a boy who appears to have appendicitis, except that Arizona removed the boy's appendix two years ago. It later turns out Arizona left a part of the appendix behind that was hidden behind the cecum.
  • Goof: While Meredith is talking to Alex in her living room about either him or Bailey becoming the next board member, she tells Alex Bailey delivered her baby when in fact it was Dr. Ryan who delivered the baby by emergency c-section.

GalleryEdit

Episode StillsEdit

QuotesEdit

Meredith: She's, like, psycho, like a stalker. I'm being stalked. Alex, this is criminal. I mean, you... What's your problem?
Alex: Get out! I'm naked here!
Meredith: Okay, so what? I've seen it before! No big deal! I'm in crisis! Okay, fine. It's... Your junk is spectacular. Jo is a very lucky girl.

Jo: He's in the shower, and she's in the bathroom with him while he's in the shower.
Stephanie: So, go in there with them.
Jo: No! I am not going in there.
Stephanie: You're the girlfriend.
Jo: No. Yeah, I am, but I'm not. They're this little team together. They are war buddies, and I don't fit. And then they look at me... Well, she looks at me... like I'm just the stupid, naked girl in Alex's bed.
Stephanie: So go be the stupid, naked girl in Alex's shower.
Jo: I am a doctor. I am a surgeon. I deserve respect.
Stephanie: You're a girl in her pajamas with her ear to the door of a bathroom. How much respect can anyone give you right now?

Amelia: You can't go around writing orders on my patients.
Derek: I'm doing my job.
Amelia: No, you are doing my job. I am Chief of neurosurgery. If you have a problem with that, you should take it up with the board. Until then, I will call you when I need you.

Meredith: Pierce has got to want something.
Alex: Maybe she thinks there's money to inherit.
Meredith: The only thing you inherit in this family is Alzheimer's.
Alex: Whoa. Dark.
Meredith: Good one, though, huh? Yeah. She's not my sister.
Alex: You know who you should ask about this? The guy who was banging your mom back then.
Meredith: I'm not asking Richard Webber.
Alex: All I'm saying is, he's got skin in the game.
Meredith: Disgusting.

Meredith: He's walking around like he's a martyr, waiting for me to be grateful. I am not grateful. My career is just as important as his! I'm the sun. I'm the sun. And he can go suck it! I'm the sun.

Callie: Look, the way his amputation was performed, there's no way this will work. Okay, it's a crappy amputation, Owen.
Owen: Probably because it was done in less-than-ideal circumstances. He is a soldier, Callie.
Callie: I know that, okay? I feel bad about that, all right? I care about that. I really do. You know who doesn't care? You know who doesn't give a damn about his service? The robot leg. All the robot cares about is that the nerves in his leg aren't communicating with his muscles, which means they can't communicate with the sensors in the prosthesis, which means the robot leg won't work.
Owen: Then you can find a way to help him. Just... just figure it out.
Callie: I'm sorry. Are you not listening to me, Owen? Are you deliberately being obtuse? I just told you his nerves...
Owen: Just fix it. Just get back in there...
Callie: I just told you I can't!
Owen: Fix it! That is an order!
Callie: Oh, an order? Who... who are you... General Patton?
Owen: I'm your Chief of Surgery.
Callie: On the surgical floor, you're my chief. In my lab, funded by the money that I procured, I am in charge! Are we clear?!
Owen: No, you don't get these guys' hopes up and then leave them with nothing!
Callie: No, no, no. No, I didn't do that, Owen. You did that. You're the one out there running your mouth at the rehab center about "free, pain-free six-million-dollar man robot legs!" I'm about to go in there and crush his dreams because of you!

Owen: I owe you an apology.
Callie: Were you going to give me one, or is this just a heads-up?
Owen: I'm sorry, okay? We're okay?
Callie: No! Come back here! Come back and say a bunch of crap to make me understand why you were yelling at me and giving me orders and generally being a big old ass. No, we're not okay.
Owen: I need something to be good. To... I need something to feel right. Okay, I'm not depressed. I'm not... my heart is not broken. I'm not grieving. She's not dead. She's out there. She's living out her dreams, She's living out her dreams and I know... I know she's happy, and that makes me feel proud for her. But there is this other feeling that doesn't completely feel fair or right or good. She goes on, day in and day out, happy, without me. But every morning, I wake up, and there's this pit, this feeling here that... Maybe my dreams are over maybe I had my dreams and they're over now. And I'm gonna be this single guy. No wife, no kids, no family. She was my family. And now she's someplace else, and I let her go, and... It's good that I did. I mean, it's better... for her. But for me... So I need something to be good. I need a reason to get up every morning, to not crawl back to that cave that I was in before I met her. I mean, you know she saved me? You were there. You remember how I was. I was... dark. That war made me dark. And that darkness... it is still in me. She just lit it up. So I just thought... I just thought... Maybe to beat back that darkness, I would... I would do some good. I'd just... do something good. I'd go be with those guys who'd remind me... I just need something to be good. That's why I dragged you to that rehab center. That's why I, um... wanted you to help. That's why I pushed too hard, and t-that's it. I'm not gonna talk about it anymore, okay? So just... just say that we're okay, okay?
Callie: Okay.

Derek: How's our motorcycle guy?
Amelia: My motorcycle guy? I fixed him, like a boss. Like your boss, actually.
Derek: Amy, you're an excellent surgeon. You have nothing to prove.
Amelia: Oh, I know I don't.
Derek: But if you try and fight me over the leadership of this department, you will lose. My resume will kick your resume's ass. I am better than you.
Amelia: Oh, my God, Derek. There is no limit to your narcissist...
Derek: I have been playing this game longer than you at a much higher level. That is all there is to it.
Amelia: Bite me.

Meredith: So, you knew I had a sister and you had a daughter, and you didn't tell me? You didn't tell her.
Richard: I tried.
Meredith: What the hell is wrong with you?
Richard: Don't you think I want to? I tried. I tried again today.
Meredith: Well, when are you planning on doing it?
Richard: I would have liked to do it 30 years ago! I would like to have been a father! To know my child! To have a say! But your mother stole that chance from me.

Derek: Amy, you don't have to scrub in.
Amelia: I want to be sterile when I come over there and stick that bovie in your eye.

Callie: Avery, did I mention that Hunt and I are starting a special project with veterans?
Owen: We are?
Callie: We are. We are taking a chunk of my research money and focusing it on prosthetics for vets... free, pain-free, right?
Owen: Right. Right.
Jackson: That sounds great. That is good for the hospital. Good work, guys.
Callie: You want in? I mean, unless you're too busy with butt implants, hall monitoring.
Jackson: Yeah, well, I guess you would benefit from having a good plastics guy who knows nerves.
Callie: Ew. Ew. That was so weak. Did you see him trying to pretend he already had friends on the playground?
Owen: Yeah, don't pretend that you have friends on the playground.
Callie: Aw. He tried to be cool. Don't try to be cool. It's sad.
Owen: Don't try to be cool.
Jackson: Shut up.

Arizona: So, are you saying that maybe we should wait on this baby?
Callie: What? No. No, no. Why would you say that?
Arizona: No. Because you just said it was gonna be too much to juggle.
Callie: And you're supposed to say, "It's not a problem. You can do it, Callie. We can do it all." You're... you're supposed to support me the way that I've been supporting you ever since you decided you needed to start this fellowship.
Arizona: But what if we can't? I mean, what if we can't do anything and everything?
Callie: Are you saying you don't want to... Are you saying you don't want a baby? 'Cause, then, w-what are we doing here? Why... why are we meeting with this lady who's gonna help us find someone to help us make a baby if you don't want a baby?
Arizona: Don't put words in my mouth. This was my idea. I...
Callie: Yeah, but you don't want to carry it, and then I couldn't, and you still didn't want to carry it, and then we find this, and then you find something else to do. Oh, my God. It's so obvious. I can't believe it. Say it. Just say the words. You don't want a baby.

Amelia: Look, I get it! You were king of all neurosurgeons, right hand to the president. And now you can't have that, so you need to be king of the hospital and kick around the peons.
Derek: You of all people should understand that this was the future of neuroscience. I mean, this is what we would've dreamt of in med school if we'd thought it was even possible that it could be done.
Amelia: Then you shouldn't have given it up. But the least you can do is stop stomping around here punishing people for a choice you made.
Derek: I didn't make a choice. Meredith made a choice and backed me into a corner. And because I love my kids and I love my wife and I want to do what's best for her... I do. I want to give her everything. But something like this will not come again. This is it. This is as high as I go. I have never taken a step back in my career ever. I've never felt like this before, and I feel like she forced me.
Amelia: Okay, well, I know the feeling, because it is happening to me right now.
Derek: I'm not trying to...
Amelia: No, I know that you're not trying to, but you are, Derek! You are doing it to me and Meredith. You say that you want her to have everything, but not if it interferes with you having your everything. And it is not fair, and I am saying no, too, because you have to live with the choices you make.
Derek: I am trying to. I am trying.
Amelia: I know. We're all trying. It's just, no one wants to give up... Or give in. And no one should. Right?

Owen: You okay?
Callie: (crying) Yeah. I just, um... I need something to be good, too.
(He hugs her.)
Callie: Okay. Ugh. All right. How sobby do I look? 1 to 10?
Owen: Mm... 6.

Richard: I need to tell you something. I should have told you sooner.
Maggie: Okay.
Richard: Ellis Grey and I knew each other... very well. We had a relationship...
Maggie: Oh, my God. Oh, my God. Stop talking. It's funny, but that is the first thing I thought when we first spoke and you told me that you'd known my mother. I thought, "what if it's him?" But then you never said anything. And then days went by, and you still never said anything, so I thought it couldn't possibly be true, because what kind of person would do something like that? Would let me sit there and talk like an idiot and never speak up? No one decent. No one honest. A coward. The only reason that you would do something like that is if you'd known about me all along and never wanted me, either.
Richard: No. No, that's not true. That's not...
Maggie: Why should I believe you? Why should I believe a word you say to me?! Well, this must've been a nightmare for you, me showing up here like this. Don't worry. It has been worse for me. Good night, Dr. Webber.

Derek: You don't have a fever. You still sick?
Meredith: No, I wasn't sick. I am a little drunk, though.
Derek: You're drunk?
Meredith: Yes. I was at Alex's...
Derek: Okay, Meredith, you got to help me. I'm trying to understand.
Meredith: Okay, listen, this crazy thing is happening...
Derek: You said you had to stay here to make the most of your career.
Meredith: Just listen to me!
Derek: Wait. So, I gave up the brain mapping initiative so you can play hooky and get drunk with your friends? This is why we're staying in Seattle?

See AlsoEdit

A complete overview of this episode's crew can be found here.

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