Grey's Anatomy

We've all heard the same.

It's one of those things we've learned

in seventh grade science class.

Adapt or die.

I... don't understand.

It's two words:

No sex.

I'm sure there should be more words.

If you're gonna choose chief resident,

you have to be impartial.

Come on. This? Now?

Sex with me, however hot and excellent,

could cloud your judgment.

This is blackmail is it what it is.

No, it is not. Final interviews are today,

and coincidentally, I am on your service.

- Coincidentally. - Well, since Teddy's shutting me out of cardio,

where I can show my stuff, I'm gonna show it to you.

So today you'll see me not as your naked and desirable wife...

- Mm. - But as a focused, organized, efficient,

and deserving candidate

who's getting in the shower.

- No. I'll come with you. - No. No, no. No clouding.

Owen, this hurts me more than it hurts you.

No, it doesn't.

I know.

Adapting isn't easy, though.

You have to fight your competition,

fend off their attacks,

and sometimes, you have to kill.

Good morning.

You're meeting with Owen this morning, right?

Yeah.

You're not gonna say anything

about me or the trial, right?

You know, I thought you were gonna say something

like "good luck,"

but I guess it's every freakin' man for himself, huh?

You do what you need to do to survive.

But tell him that you were instrumental

in getting the chief's trial approved

for phase 1 human testing-- from mice to humans.

I'm not doing that.

Well, okay, I know, you don't like bragging about yourself,

but you don't even have to brag.

I mean, your diabetes trial does it for you.

It's gonna win every award. Seriously.

- Just make sure that he knows that you-- - I got it.

- That you have been instrumental-- - Got it.

He don't got it.

I got it.

I got the job at Baylor.

Over 50 applicants, I... I got it.

- That's awesome. - Well, um, I don't know. I mean--

it's in Texas.

There are a lot of factors to consider, right?

Yeah, but it's what you wanted. It's, uh, it's a great program.

Well, I-I mean, I was thinking

- of sticking around here for another year-- - Crap. Oh, I gotta go.

I gotta prep for my meeting with Hunt.

Besides, if I'm here when you win chief resident,

you'll still have a friend.

Look, we all get it's not personal.

I mean, it's a--it's a competition.

Sometimes, you gotta be a shark.

Congratulations on Baylor.

Huh? You see?

Sorry I'm late. I was cramming.

- What, for Hunt? - No.

- You got that in the bag. - No, I'm more worried

about the interview with the social worker.

Don't laugh at me, Derek.

Nothing in my life has prepared me for this.

- My mother was about as nurturing as a steak knife. - I know. I know.

I don't know anything about making lunches or Halloween costumes.

Good moms make Halloween costumes.

Well, you can sew.

I sew skin.

Yeah. See? It's gonna be fine.

It's just instinct, right?

Here you go. There you go. Oh, there you go.

Okay. Okay. Oh.

She looks good. Her weight's up,

and, uh, her previous incisions have healed.

The labs are within normal limits...

And she's super-duper cute, aren't you?

Okay. So it's an uncomplicated hernia.

So you don't have to use any artificial closures, right?

- Yeah, no. No, it's really simple. - Good.

I'll do a short incision in her suprapubic crease

to do a traditional exposure, and then I'll...

Finish with a...

Chupo.

Oh, God. I'm sorry.

That's--that's what Callie calls a pacifier.

But Zola hasn't eaten because of the surgery.

She's probably hungry. Um, you might want

to try to soothe her with the pacifier.

Come here, baby. Come here, little baby.

Chupo. Oh, yes. There you go. Ooh.

- Chupo. - Wow.

All right. I'll call you when I'm ready to come take her up.

See? We'll figure it out.

Are you excited?

It's been a month, Abena. You ready to go home?

I snagged some extra hydroxyurea.

Wait, wait, wait.

You forgot something.

You need to take that at home, okay?

Along with your antibiotics.

It's gonna help with the sickle cell symptoms,

- and the attacks will be less severe when they happen. - Thank you.

- I'll make sure she takes it. - Now you have sickle cell, Lebo,

so you need to make sure you take some, too.

- Yes, ma'am. - Promise me?

Yes, Dr. Alex.

Oh. And don't forget--you both have to have your blood counts

monitored at the clinic, even if you feel fine.

I will, just as you told me. I promise.

Thank you. Thank you for helping my sister.

- Thank you so much. - Oh.

Are you in pain, Lebo?

No, no, I am fine. We have to go.

- Dr. Bailey. - Well, maybe we should check you out.

She'll miss the plane. It's no trouble.

- I'm fine. - Okay. Wait, hold--

- Aah! Aah! - Gurney!

Oh. Okay, okay, okay.

How about her?

She's smiling. Who smiles when they go for a run?

Happy people.

Happiness is overrated. What about you?

Shouldn't what's his name

be off to save the world pretty soon?

What's his name is taking a break from world saving.

He was offered a permanent position at Landstuhl, so--

- On your left. - Oh, watch out.

It's a U.S. military hospital in Germany,

- and he leaves in a week. - That's great.

He asked me to go with him.

Wow.

- You okay? - Uh, yeah.

I mean, I-I really-- I like him.

I-I feel like things could be good with us.

That's just crazy, right?

I mean, besides, I have too many obligations here.

I'm in the middle of my contract,

I-I have residents to teach, I have you.

Okay. You just listed me as an obligation.

No. That--that's not what I meant. I mean, no, you're not--

No, I get it. Like I'm dead weight.

I'm an anchor, dragging you down. I'm horrible.

No, stop. That's--no. I-I...

If I move, it might cause your insurance headaches.

I'm just saying that we would sort of--

We would just have to sort it out.

Okay.

Okay.

What about her?

Yeah, if a unibrow was my thing, I'd be all over that.

You're hopeless.

What do you got?

17-year-old pregnant female with syncopal

episode outside the E.R.

Look, she's got blood in her left lower quadrant.

- Could be a splenic rupture, but it's hard to tell. - Abena...

Abena's fine. Don't worry about her right now.

You need to worry about yourself.

You need to have surgery.

Lebo, why didn't you tell us you were pregnant?

You would've said I cannot fly. I had to be here for my sister.

Is something wrong with my baby?

I see a strong heartbeat, but there's not much fluid

surrounding the baby, and he's very small for 32 weeks.

She's eight months along?

Yeah, I'm gonna need to monitor this baby.

Well, we need to take her to C.T. first

to see where the abdominal bleeding's coming from.

Okay, I'll meet you in surgery.

She's barely breathing. I'll get an ambu.

I've got blood hanging, but her B.P.'s still dropping.

- No time for a C.T. - All right, call up and get an O.R. ready.

- It's based on a protocol used in aviation. - Mm-hmm.

A simple checklist

has led to a huge drop in plane crashes.

'Cause it cuts down on human error.

- Exactly, and I thought instead of-- - Here you go.

Thanks-- telling you about it in an interview,

- I'd walk you through it. - Mm-hmm.

So the checklist is the first page

on every patient clipboard so you can see at a glance

that Mr. Aranda has been checked in for coughing up blood,

has been seen by a physician, has had a chest X-ray,

and those results have come back,

so now we just need to get a consent for bronchoscopy

to rule out cancer.

Cancer? He might have cancer?

Like grandpa had?

- He died. - Whoa, whoa. What are you talking about?

I'm sorry. I-I said "rule out cancer."