Grey's Anatomy

(Metric's "Gold Guns Girls" playing)

IT'S IMPOSSIBLE TO DESCRIBE THE PANIC

THAT COMES OVER YOU WHEN YOU'RE A SURGEON

AND YOUR PAGER GOES OFF IN THE MIDDLE OF THE NIGHT.

* AND THE GUNS *

YOUR HEART STARTS TO RACE. PLEASE DON'T BE MINE.

DON'T BE MINE. YOUR MIND FREEZES.

DON'T BE MINE. YOUR FINGERS GO NUMB.

NOT MINE.

WAKE UP.

OH! I'M UP.

THEY'RE PAGING YOU. I'M UP.

YOU'RE INVESTED. MM.

I'M SLEEPING!

THEY'RE SOMEONE'S MOM, SOMEONE'S DAD, SOMEONE'S KID,

AND NOW IT'S ON YOU,

BECAUSE THAT SOMEONE'S LIFE IS NOW IN YOUR HANDS.

ROBBINS, KAREV'S WITH YOUR PATIENT IN TRAUMA TWO.

TORRES, COME WITH ME.

WE HAVE A 15-YEAR-OLD FEMALE.

SHE FELL OFF THE ROOF OF HER HOUSE.

NOW I THINK THAT WE SHOULD-- SHE'S GONNA BE OKAY, RIGHT? PLEASE, I JUST NEED TO KNOW.

IS SHE GONNA BE OKAY? AND THIS IS HER MOTHER.

MRS. BOYD, I NEED TO BRING DR. TORRES

UP TO SPEED RIGHT NOW, OKAY? SHE'S NEVER BEEN IN ANY ACCIDENT BEFORE.

SHE'S NEVER EVEN BROKEN ANY BONES.

OH, YOU PAGED ME HERE 00 A.M.

FOR A COUPLE OF BROKEN BONES? MORE LIKE 50.

* IS IT EVER GONNA BE ENOUGH? *

OW. AS SURGEONS,

WE'RE ALWAYS INVESTED IN OUR PATIENTS.

LAURA YOUNG, 30 WEEKS PREGNANT.

CAR ACCIDENT. HEAD C.T. SHOWED A SUBDURAL.

SHEPHERD'S COMING IN. BABY'S IN DISTRESS. O.B.'s ON ITS WAY. OH, IT HURTS.

IT REALLY HURTS. OKAY, WAIT. HOLD ON. STOP. MOVE THE WAND UP.

WHAT? OKAY, BABY'S BRAIN IS HEMORRHAGING.

SHE NEEDS A CRASH "C" WHILE SHEPHERD HANDLES THE BLEED.

GET READY TO GRAB A RAIL AND START RUNNING. BUT WHEN YOUR PATIENT'S A CHILD...

GET ANOTHER UNIT OF PACKED CELLS, MEET ME IN THE O.R. RIGHT AWAY.

YOU'RE NOT JUST INVESTED... OH, WHOA, WHOA, WHOA. WE NEED THE O.R.

YOU'RE RESPONSIBLE... WELL, WE NEED IT, TOO. WE'RE ALREADY ON OUR WAY.

THERE'S ONLY ONE O.R. PREPPED THIS TIME OF NIGHT. WHICH IS WHY WE NEED IT.

MINE'S GOT A SUBDURAL. 50 BROKEN BONES.

STROKE IN THE WOMB! OH!

WHOA. ALL RIGHT, UH, GET ANOTHER O.R. READY NOW.

RESPONSIBLE FOR WHETHER OR NOT THAT CHILD SURVIVES,

HAS A FUTURE.

AND THAT'S ENOUGH TO TERRIFY ANYONE.

WHAT'S HER STATUS? MOM'S HEART RATE AND, UH, B.P. HAS BEEN FLUCTUATING,

BUT SHE'S READY FOR YOU. ALL RIGHT, LET'S PREP HER FOR A CRANIOTOMY.

APGAR'S ONLY 4. WE NEED TO GET TO THE NICU NOW.

ALL RIGHT, DRAIN'S IN A GOOD POSITION.

YEAH, SHE'S BREATHING OVER THE VENT.

MAYBE WE SHOULD CONSIDER EXTUBATING HER? YEAH, BUT WATCH FOR APNEIC EPISODES,

AND KEEP AN EYE OUT FOR HER C.B.C.

THERE'S STILL TOO MUCH BLOOD DRAINING FROM HER HEAD.

WHAT TIME IS IT, KAREV? UH, HALF PAST 8:00.

00. I'VE ALREADY BEEN AWAKE FOR 5 HOURS,

AND MY DAY HASN'T EVEN STARTED.

ROUGH WAY TO START YOUR MORNING. A STROKE BEFORE YOU'RE EVEN BORN--

ROUGH WAY TO START A LIFE.

YEAH.

HEY, I BROUGHT YOU SOME COFFEE.

OH, YOU ALREADY HAVE ONE. OH, NO. I WANT YOUR COFFEE. I NEED YOUR COFFEE.

OKAY, WHEN YOU SEE CRISTINA, SHE IS GONNA BE MAD.

SHE'S GONNA BE MAD AT ME FOR NOT PAGING HER IN HERE LAST NIGHT,

POSSIBLY MAD AT YOU FOR NOT WAKING HER UP EITHER.

NOW I AM HANDLING THIS. DO NOT ENGAGE HER.

DO NOT PROVOKE HER. SIMPLY IGNORE HER, ALL RIGHT?

OH, THAT'S YOUR PLAN--IGNORE THE SCALPEL-HUNGRY ANIMAL?

YEP, UNTIL I COME UP WITH SOMETHING BETTER.

HMM.

AHH.

OKAY, I KNOW THIS IS THE FIRST TIME

ON A PEDS ROTATION WITH ME FOR SOME OF YOU.

NOT FOR OTHERS.

BUT I WANTED YOU TO UNDERSTAND THAT I RUN MY PEDS UNIT

A LITTLE DIFFERENTLY THAN YOU MAY BE USED TO.

THIS IS NOT GENERAL SURGERY IN MINIATURE.

THESE ARE THE TINY HUMANS. THESE ARE CHILDREN.

THEY BELIEVE IN MAGIC. THEY PLAY PRETEND.

THERE IS FAIRY DUST IN THEIR I.V. BAGS.

THEY HOPE AND THEY CROSS THEIR FINGERS

AND THEY MAKE WISHES.

AND THAT MAKES THEM MORE RESILIENT THAN ADULTS.

THEY RECOVER FASTER, SURVIVE WORSE. THEY BELIEVE.

IN PEDS, WE HAVE...

MIRACLES AND MAGIC.

IN PEDS, ANYTHING IS POSSIBLE.

MORNING, DR. ROBBINS.

GOOD MORNING, DR. WALLACE.

I SEE THAT YOU'VE ALREADY INTRODUCED YOURSELF

TO MR. AND MRS. BOYD. YES. REMINDS ME OF HILLARY AT THAT AGE.

SUCH AN OVERACHIEVER.

DR. YANG, WHY DON'T YOU PRESENT?

YEAH.

EXCUSE ME, LITTLE... DOCTOR BOY.

UH, HILLARY BOYD, 15 YEARS OLD, FELL OFF THE ROOF OF HER HOUSE.

52 ACUTE FRACTURES WERE DIAGNOSED

WHEN SHE WAS ADMITTED LAST NIGHT.

AN INTRICATE AND EXTREMELY CHALLENGING O.R.I.F. SURGERY

WAS PERFORMED BY DR. TORRES AND DR. HUNT

THIS MORNING BEFORE ROUNDS.

THANK YOU, DR. YANG. IF SHE FARES WELL ENOUGH TODAY, I'D LIKE

TO GO IN TOMORROW TO REPAIR HER SUBTROCHANTERIC FRACTURE NEXT.

MM. CAN ANYONE TELL ME

THE PROPER DOSAGE OF CEFTRIAXONE FOR A PEDIATRIC PATIENT?

50 MILLIGRAMS PER KILOGRAM PER DAY. MM-HMM.

AND, DR. WALLACE, CAN YOU TELL ME

THE PROPER DOSE FOR THIS PATIENT IF SHE WERE 42 KILOGRAMS?

2.1 GRAMS PER DAY...

IF YOU CARRY THE DECIMAL.

OKAY, WHO'S PRESENTING?

I AM, DR. ROBBINS.

PROCEED. WALLACE ANDERSON...

10 YEARS OLD--ALMOST 11-- BEEN HERE FOR 7 MONTHS.

IN AND OUT OVER THE PAST TWO YEARS.

SUFFERS FROM SHORT GUT SYNDROME,

WHICH MEANS HE CAN'T PROPERLY ABSORB NUTRITION.

EXACTLY. DR. PERCY? UH, 15 INTESTINAL SURGERIES TO DATE,

PLUS A BOWEL LENGTHENING PROCEDURE,

WHICH HELPED FOR A WHILE,

BUT RECENTLY, HE'S HAD TO GO BACK TO BEING FED THROUGH T.P.N. YUM.

HOW'D HE DO THIS MORNING? WE COVERED SOME PRETTY ADVANCED ALGEBRAIC CONVERSIONS.

DR. ROBBINS HELPS ME WITH MY MATH AND SCIENCE HOMEWORK

BY LETTING ME GO ON ROUNDS. FASCINATING.

WE TRY TO KEEP HIS LIFE AS NORMAL AS WE CAN,

EVEN LIVING IN A HOSPITAL. BUT I CAN SKIP MY HOMEWORK

ON FRIDAY, RIGHT, SINCE IT'S MY BIRTHDAY?

SINCE IT'S YOUR BIRTHDAY.

WHAT ABOUT DR. ROBBINS? IT IS HER BIRTHDAY, TOO.

I'M AFRAID I CAN'T SKIP MY HOMEWORK, WALLACE,

BUT I CAN COME CELEBRATE WITH YOU LIKE I PROMISED.

DR. ROBBINS.

WE'VE REQUESTED A MEETING LATER WITH CHIEF WEBBER

AND A REPRESENTATIVE FROM THE HOSPITAL BOARD.

AND WE'D LIKE YOU THERE, TOO.

ALL RIGHT.

SO THEY DIDN'T GIVE YOU ANY INDICATION

AS TO WHAT THIS MEETING WAS ABOUT?

YOU KNOW AS MUCH AS I DO.

YOU TREATED THEIR SON, RIGHT? WELL, YOU BETTER PRAY

THAT YOU DIDN'T DO SOMETHING TO PISS THEM OFF.

GOD KNOWS THAT THIS HOSPITAL CAN'T AFFORD ANOTHER MISSTEP

RIGHT NOW.

IT'S A PLEASURE TO SEE YOU AGAIN, PAUL.

BETHANY, YOU LOOK LOVELY.

WE DIDN'T THINK WALLACE WOULD SEE HIS 9th BIRTHDAY,

LET ALONE HIS 10th.

AND NOW THIS WEEK, HIS 11th.

WHICH IS WHY WE'D LIKE TO OFFER

SEATTLE GRACE MERCY WEST'S PEDS PROGRAM A GIFT

OF $25 MILLION.

UH...

$25 MILLION? HALF TO GO TO RESEARCH TO CONTINUE SEARCHING FOR A CURE

FOR WALLACE'S CONDITION,

AND HALF TO THE HOSPITAL ITSELF.

UH... I...

UM...

I MEAN...

$25 MILLION?

HAPPY BIRTHDAY, ARIZONA.

I ALWAYS KNEW THAT WALLACE'S PARENTS WERE WEALTHY,

BUT NOT $25-MILLION WEALTHY.

I MEAN, THAT'S "LIBRARIES NAMED AFTER YOU" KIND OF MONEY,

"SAVED BABIES IN AFRICA AND HAS DINNER

AT THE WHITE HOUSE REGULARLY" TYPE MONEY. PEOPLE DON'T GIVE ME THAT KIND OF MONEY.

YOU HAVE AN UNFAIR ADVANTAGE. YOU WORK WITH CHILDREN.

OATMEAL, SIDE OF FRUIT, WHEAT TOAST, HOLD THE BUTTER. THANK YOU.

YOU KNOW WHAT? THAT MONEY IS GONNA MAKE SUCH A DIFFERENCE

FOR SO MANY PATIENTS. IT'S--IT'S REALLY AMAZING. MAYBE I SHOULD START DOING MORE CLEFT-PALATE KIDS.

EVERYONE'S A SUCKER FOR THOSE.

CHEESE OMELET, EXTRA BUTTER, CINNAMON TOAST, CRISPY BACON. MINE!

$25 MILLION IS PRETTY COOL, RIGHT?

YEAH. BEST BIRTHDAY GIFT EVER.

BIRTHDAY GIFT? YEAH.

WELL, 'C-CAUSE THE MONEY'S A GIFT.

I MEAN, TECHNICALLY IT'S FOR THE HOSPITAL, NOT ARIZONA,

BUT SINCE YOUR BIRTHDAY'S ON FRIDAY... UM...

HOW DOES LITTLE GREY KNOW ABOUT YOUR BIRTHDAY AND I DON'T?

BIRTHDAYS ARE JUST DAYS LIKE ANY OTHER DAYS.

I DON'T LIKE THEM. DON'T CELEBRATE THEM.

NO BIG DEAL. $25 MILLION? THAT'S A BIG DEAL.

CRAP. I'M GONNA BE LATE. I WILL SEE YOU THERE.

MM-HMM. HMM.

**

OKAY, SHE'S DOWNPLAYING IT, RIGHT? I'M HER GIRLFRIEND.

I HAVE TO DO SOMETHING FOR HER BIRTHDAY, RIGHT? YES.

NO. OF COURSE YOU DO. OH! OH! A-A SURPRISE PARTY.

WHOA, WHOA. BAD IDEA.

SURPRISE PARTIES ARE HOSTILE.

THEY'RE DARK. PEOPLE JUMP OUT AND SCREAM AT YOU.

MM-HMM.

THEY NEVER COME TO ANY GOOD.

**

KAREV.

GOOD MORNI, CHIEF.

UH, WHEN YOU'RE FREE, COME FIND ME.

WHAT'S THAT ALL ABOUT?

HE FIRED ME. AND I REFUSED TO BE FIRED.