Grey's Anatomy

We all remember bedtime stories of our childhoods.

The shoe fits Cinderella, the frog turns into a prince,

Sleeping Beauty is awakened with a kiss.

Once upon a time.

And then they lived happily ever after.

Fairy tales. The stuff of dreams.

The problem is, fairy tales don't come true.

It's the other stories, the ones that begin with dark and stormy nights,

and end in the unspeakable...

It's the nightmares that always seem to become reality.

- - What happened!?

A bus in front of him hit a telephone pole.

- He tried to swerve to miss it... - How bad is it?

You are gonna have to be strong.

Derek!

No... No!

No! No!

Derek!

No!

No! Derek!

The person that invented the phrase "Happily ever after,"

should have his ass kicked so hard.

Back up, you're sucking all my oxygen.

- I'm trying to see. - It's not up yet.

- It supposed to be posted at four. - It's 4:15.

Hit the refresh button. You have to reload the page.

I am hitting the button every ten seconds.

- Is it up yet? - No.

- Hi. - Hi.

- Is it up yet? - No. Wait.

Think we move up a slot. Pass Hopkins, move to number one.

- Not passing Hopkins. We'll stay two. - Mayo could surge ahead. We'd be three.

- Three? Pessimist. - Realist.

Rankings of teaching hospitals change based on any number of things.

Three's top five. I can live with three.

- Hit the refresh button. - Stay back! I'm doing this.

- Is it up yet? - No!

- Here, hit the refresh... - I am hitting the refresh...!

OK, all of you, back up. Stop hovering. Stop speculating.

The rankings will go up when they go up. We have no control when they are posted.

When it is up, I will say it is! Until then, back up.

- Leave me alone so I can... - It's up!

Number one, Hopkins. Number two, Mayo...

Told you.

- Number three, Cleveland Clinic. - What?

- Number four, Mass Gen. - What?

We moved down to five?!

No. We are not five.

- Twelve, O'Malley. - It's so upsetting...

This is not a number 12 teaching hospital.

It's a great...

I do not run the number 12 surgical program. Out with it!

We've been downgraded from Level One trauma center to Level Two.

What does that mean?

You don't need to explain, it's just details...

Twelve.

I couldn't ask him about when he's gonna schedule my test,

with all the you-know-what hitting the fan.

For all I know he's gonna spring it to me, what, like, in an hour.

You'll be ready. Causes of hypotension?

Uh, hypovolemia, Ml, cardiac dysrhythmia...

Uh...

- Hypoxia... Is that good? - Very good.

Yeah? What?

The snow... it's so pretty. It's like a fairy tale.

Lexie, it's... it's the fall.

It's not so much a fairy tale as global warming.

That's the Apocalypse.

It's like dropping to number 12.

And me failing my intern test for the second time.

I adore you, by the way... Just...

Oh! Hey, sorry I'm late. I was just helping...

No talking unless it's medical.

So I keep having the dream. The Derek is dead dream.

Know who does residencies at number 12 hospitals?

Losers. And I am not a loser. Go get the charts.

So the dream is about me being afraid of the house of candles,

taking the big step. And I'm afraid of having a happy ending.

I have a PhD in biochem. I am a double doctor.

Double doctors should not do residencies at second rate hospitals.

Wyatt says I should just lean into the wind. Into the fear.

So I'm gonna ask Derek to move in with me.

I could transfer. Cleveland Clinic has a huge cardio program.

- Still top 20. Pretty good. - Pretty good is not enough.

I want to be great. Greatness.

Which is why I'm going to ask Derek to move in with me.

Just that's it's a big step. Don't wanna mess up, I've messed it up before...

The break ups and the on and off again, and the sleeping with George.

You slept with George?

No talking unless it's medical.

So, I'm just gonna do it. I'm gonna ask him to move in.

You think it's the right thing?

- - Ugh. Bailey's paging.

Uh, so, medically, Meredith and George had sexual intercourse?

Uh, when? And how many times?

- It's humiliating. Twelve. - Yeah.

You're the best neurosurgeon in the country. In the world.

You wanna say anything about me?

You're the best plastics guy at Seattle Grace.

- Nice. Really nice. - Don't force me to praise you.

- Hey, Rose. - Hello, Dr. Sloan.

Mm.

She took it well in the beginning, hoping we could be civilized.

- She working my OR. - Civilized is out. It's gone.

It's a trail of fairy dust. Now she's got delayed rage.

- Delayed rage? - She was being big before.

Putting on a brave face. She's had time to think.

She hates your guts. You have to break up with her.

- I did. - You did personally.

Now you have to do it professionally. Good luck with that.

Delayed rage.

I'd like a list.

From you of ways that I can improve.

Not right now.

Richard, you told me that I'm a bad teacher.

Now we're number 12, and I don't like to be number 12,

- so I'd like a list. - Not right now.

But if there are ways that I can improve,

ways that I can help the program regain its ranking.

It's snowing. You know what happens when it's nighttime,

snowing and the temperature's hovering right around 32 degrees?

- No. - The snow begins to melt.

And then it freezes again creating black ice.

The deadliest kind of ice, because it is invisible to drivers.

That'd usually mean that our ER would fill up.

But Mercy West is a number one level trauma center and we're not.

Their ER gets the traumas while we get their castoffs.

Which pisses me off.

So when I say not right now, what I mean is not right now.

Oh, um...

- -

Stop shivering. You're embarrassing me.

I didn't realize we were gonna be outside.

- I'm OK. You don't have to do that. - Bundle up. You're turning blue.

- Dr. Bailey, it is kinda cold... - Someone will come.

- No one is coming. - Maybe old people with hips we can fix.

Stop talking. We are Seattle Grace Hospital.

Rankings or no rankings, we are going to stand outside.

At the ready. On alert.

Give the best care available to every patient that arrives at our door.

We may no longer be ranked the best, but I'm the best. You are my residents.

Which means you're the best. It's a matter of pride, people.

- - What are we doing?

- We're waiting. - For?

- A miracle. - Someone will come.

- Mercy West is getting traumas first... - Someone'll come.

So we're here in the hopes that someone is severely injured?

Wishing and praying that someone is so hurt, so near death,

that the ambulance has to bring 'em here

- 'cause we're closer than Mercy. - Yep.

Wow. You and God are cool with that?

Damn it. I forgot about God.

All right, let's just go on back inside...

Go, go, go! Watch out!

- Are you OK? - I drove a limousine on ice!

All by myself! Ten blocks!

You OK?

My dress. There's blood all over my dress.

- What happened? - I got us to the hospital in one piece.

Try not to move. Sit until we can get you a wheelchair.

We need a wheelchair!

We're not the patients... What's his name...?

- Benny... Billy. - Billy?

Our limo driver. He flew through the windshield.

Help him, please.

Uh, Yang, come around, help me.

Get a board, bring out a gurney and a c-collar.

- - Wha...

Wha...? Press it. Press.

- What do we have? - Billy Matthews, 45.

Arterial bleed, haven't isolated cause...

I got this. Get him to Trauma One...

- Holding pressure over the bleed... - I've got this.

Wha...

What's going on?

Vincent will worry if I'm late.

You've been in a car accident.

You're at the hospital. We're going to take good care of you.

Is she OK?

Might be a concussion. I'm gonna order a CT to make sure it's nothing.

All this blood. Should've waited for the ambulance.

We did. They never came.

Billy was hanging through the windshield.

You extracted your limo driver from the windshield? By yourselves?

- Pretty heroic. - Isn't Michael answering?

No. Try Phil again.

Shouldn't have even been going to the stupid ball in a storm like that.

- What ball? - Fire and Ice Ball.

Would you believe? In a storm?

Just goes to voicemail. Maybe their phones are off.

- Can't reach Vincent? - Husbands were in another car?

We won't ride with them.

We're three happily married women except when our husbands drag out cigars,

and they drag out the cigars in the limo.

Your arm is not broken, just bruised.

O'Malley is gonna suture your cuts and you're all set.

You're lucky you didn't sustain more injuries.

- What doctor are you? You're young. - I'm an intern.

Interns don't touch the face. The plastic surgeon touches the face.

What's happening?