Grey's Anatomy

Previously on Grey's Anatomy...

You people are taking a test

that will determine the course of your entire medical careers.

- You want big wedding? - Yes.

I know you think I have feelings for you, but I don't.

Search and rescue found those lost climbers.

- One's still missing. - Tell me the truth.

Do you remember? Do you know who you are?

He's making his recommendation to the board tomorrow

for chief of surgery and chief resident.

- You're adopting? - She hasn't actually picked us yet.

This heartburn, it's like it...

- Fourth climber. - Is that an ax in his head?

If Richard finds out that you're carrying another man's baby...

Somebody help!

Being chief is about responsibility.

Every single surgical patient in the hospital is your patient,

whether you're the one who cut them open or not.

Come on. She's lost a lot of blood. The scalpel stops with you.

Start 2 large bore I.V's and bolus 2 liters L.R.

You need to be able to look at a family...

Ready? One, two...

And tell them your team did everything they could

to save someone's child...

Get me a stat E.K.G. And a portable chest, Brooke.

- She's 34 weeks pregnant with twins. - Their husband...

You guys, why don't you go have a seat in the waiting room?

We're not leaving her.

Their wife.

What happened?

I don't know. I found her unconscious.

You get caught up...

Taking care of other people' families.

She's lost blood, a-a lot of blood.

And the responsibility, it makes you...

I didn't know she was in the hospital.

What was she doing here?

You take care of other people's families...

And you sacrifice your own.

I thought I was gonna hate this party game thing, but it's kinda great.

Can we set her on fire after?

No, we cannot.

Okay, these wedding vows are not all gonna fit on here.

- Okay, then write smaller. - Be still, please.

- "vow" just became "cow." - You don't need vows on your hand.

When you get up there, just speak from the heart.

Izzie, the heart is an organ.

It pumps, it circulates blood, it gets clogged from time to time.

It does not, however, speak. It doesn't have tiny little lips on it.

Well, you're all "glass totally empty."

I'm gonna like being married.

It's the wedding part that's ridiculous.

- Party's over. - Damn.

Hey, mine didn't go off.

Piece of crap.

You can do this, right?

Become a piece of chattel? Sure. Looking forward to it.

I mean, no matter what,

you're walking down that aisle today.

I need you to go down that aisle.

Is the toilet paper cutting off your circulation?

You marrying Burke, it's a sign.

It's a sign that people like you and me... can do this.

Be healthy, be happy.

You marrying Burke,

restores my faith in me.

Oh, I get it.

My wedding's about you.

- Yes. - Okay.

You can do this, right?

I can do this.

Hey. They found the fourth climber.

Vitals are stabilizing after fluids, but...

- Thought he was dead. - He was according to his friends.

- Did the C.T. show a bleed? - Uh, we haven't done a C.T. Yet.

I don't understand. You said there's a head trauma.

Yeah, there's been a little head trauma.

Ice ax to the head.

What the hell happened up on that mountain?

That's a good question.

You don't think it could be uterine cancer, do you?

It runs in the family.

No, it's not...

She was in earlier. She was in a fender bender.

My wife came into my hospital, and you neglected to tell me?

Doctor-patient confidentiality.

We're still married. She's unconscious.

There are medical decisions to be made.

Legally I have a right to know. I have a right...

She might...

be having a miscarriage.

She's pregnant.

I need to know what time your chest pain started.

I don't know.

Yesterday afternoon.

What time exactly? This is important.

Around 3:00.

What's wrong with me?

I'm gonna explain everything to you. I promise.

But right now we need to get you up to the surgical floor.

Surgery? But...

What about my babies?

I think those babies are coming out today.

But I-I haven't decided. I...

I haven't chosen the parents. I need time to decide.

You don't need to decide anything right now.

Right now the most important thing

is making sure that you are okay.

All right?

Ah, I've got a surgery,

but it shouldn't be more than four hours, five tops.

- I can scrub in. - How's Rina?

I need to get a C.T. angio,

but I'm pretty sure it's a tear in her aorta.

Her heart is about to blow.

Most dissecting aortas burst within 48 hours.

Which means we have less than 12 hours

- to fix it before she's dead. - So you need me to get the babies out.

- So I can save her life. - You have an aortic dissection?

Hey, I promise I will make it to the chapel in time.

I...

Okay.

Listen up. Uh, O'Malley, you're with Shepherd and Sloan.

Stevens, you're with Burke. Karev, Addison. Go.

Grey...

You are with the chief's wife.

- The chief's wife? - Is pregnant.

Yes, I did say pregnant.

I recommend that you lose the shocked look

and try for something a little more dignified.

Go.

Who am I on?

Uh, I didn't page you. Go home. Get some sleep.

Yeah, but I'm here already, so...

You're getting married in less than 12 hours.

Give us room.

Well, Burke's getting married, too,

- and he gets to operate. - There's only one preston Burke.

There's only one Cristina Yang.

I've given you the day off, the whole day.

It's a kindness. Take it. It's your wedding day.

- There'll always be more surgeries. - But...

Really, what would you rather be doing,

prepping a patient or prepping for your wedding?

Go home.

I never got the sense you really wanted the job.

Seems to me you got in the race to play out

some kind of unfinished business you had with Derek.

I was in this to win.

Sir. I don't know if he's your new chief,

but if he is, he got there because I made him fight for it.

You made them all fight for it.

So I'm not gonna be chief.

No, you're not.

They recovered Lonnie's body?

Not his body. He's alive.

So why don't you tell me what really happened up there on the mountain?

We're half way up this ice wall.

There's a...

There's a ledge a couple of huned feet above us.

We figured we'd set up the tents,

wait out the storm.

Only Lonnie's insisting we go down the mountain.

I told him, we gotta dig in,

sit tight.

He started freaking out,

keeps saying down's the way to go.

And then, he starts climbing down.

We were tied together.

- And just like that... - We're falling.

I swing out with my ice ax,

just trying to catch a rock.

And I clip Lonnie in the back of the head.

Ax just...

snags.

We thought he was dead.

It was an accident.

What happened?

You've been unconscious for a while.

- What about... - He knows.

Adele, you lost a lot of blood.

I'm gonna try to find a heartbeat.

You should prepare yourself.

Heartbeat.

It's a little slower, than I'd like,

but once we tank you with liquids and a transfusion,

it might get stronger.

Um, I've gotta rush off to surgery,

but I will back with you the minute I'm done.

- Thank you. - Okay.

Adele, why didn't you tell me?

Come on, Richard.

What do you think you would've done,

congratulate me?

I'm sure you have work to do.

I'm good right here.

The peds resident's on call.

He'll be in the O.R. For Rina's delivery.

Great. Just make sure they notified the nicu.

Hi. Sorry for interrupting.