Grey's Anatomy

Previously on Grey's Anatomy:

I'm in love with you. I hope you're in love with me too.

- I was named chief resident. - I failed my intern exam.

- You can start from the very beginning. - Repeat my internship?

- I met a woman last night. - Hi.

- You met a woman last night? - I'm Lexie Grey.

- He's gone. - I can't leave you.

- But you're constantly leaving me. - It's over. So over.

In the practice of medicine, change is inevitable.

New surgical techniques are created, procedures are updated,

levels of expertise increase.

Innovation is everything.

Nothing remains the same for long.

We either adapt to change...

or we get left behind.

I have five rules. Memorize them.

Number one: Don't suck up. I hate you. That's not gonna change.

Trauma protocols, lists, pagers. Nurses page you.

You answer every page at a run. A run. That's rule number two.

You're supposed to follow me.

Your first shift starts now and lasts 36 hours.

You're grunts, nobodies, the bottom of the surgical food chain.

Run labs, write orders and work every second night until you drop.

And you don't complain.

On-call room. Sleep when you can, where you can.

But not with anybody. Not attendings. Especially not attendings.

Sleeping with attendings, not a good idea. Where was I?

Um... rule number three.

If you're sleeping, do not wake you unless a patient's actually dying.

Patient better not be dead when I get there

because not only will you have killed, you will have woken me for no reason.

Are we clear?

- Yes? - That was four rules. You said five.

Rule number five: When I move, you move.

Go!

- I hate them. - You don't. You hate you.

- That was hideous. I feel like a fraud. - I rocked it. I think I'm the new Nazi.

- You are not the new Nazi. - Meredith, I need to talk to you.

- George. Hi. - Hey.

- How was your vacation? - Fine. Meredith, could we?

Because mine was... I didn't do much. Hung out alone. For 17 days.

Which is the last time that I saw you.

The day of Cristina's wedding, which was, well...

Mer and Cristina went on her honeymoon without me.

Girl-on-girl honeymoon.

Alex took a road trip to see Ava without me.

I did not go to see Ava.

Rebecca. I didn't see her. I drove in that direction.

Why is everyone so tingly and hurt? I'm the one who was left at the altar.

I'm fine, by the way. I honeymooned in Hawaii and I snorkeled.

- What did you do, George? - Meredith, I need to talk to you.

Hey! You want to know... Hey, um, this is for residents only. No interns.

- Yeah. - Yeah, get out of here!

- Babies. - Go away.

- 007 s in training. - Seriously.

- I guess I should be going too. - No! We didn't mean you.

- I'm an intern! - What did you want?

Is this how it's going to be? Bambi has to deal.

- At least he came back. - Cut him slack.

He failed his exam and got left back in kindergarten.

He wouldn't even look at me.

Have you seen Burke?

No. Have you seen Derek?

- No. - Wait. You haven't seen either

- since the wedding? - Nope.

- And you're all fine? - Yep.

You're either incredibly healthy or completely messed up.

Your interns are back from holiday.

They're not my interns. They're residents. I'm free.

Right. Well, here, nurse. The point is, Dr. Yang? The Burke thing?

She doesn't know. I'm supposed to tell her. Burke asked me to tell her.

- Any thoughts? - Honesty always works best.

That's true. You want to get together for a drink after work?

- Why? - Well, I don't know.

- Might be a good idea... - You don't have anybody to talk to.

- No, I have people to talk to. - Addison is gone. Burke isn't around.

You and Grey aren't smelling each other in the elevators.

- I have people to talk to. - Who?

I have...

Chief! I have the chief to talk to.

- Get together for a drink? - I don't drink.

- Bailey, we need to talk. - Traumas coming in.

- Avoiding me. We need to talk. - About choosing Torres to be

your chief resident? Respectfully, no. We're not going to talk.

- Somebody mention a drink? I'm in. - Nobody.

- You mentioned a drink. - I did not.

All right, people. We've got three MVC's rolling in back to back

from a multi-car pile up. We need every trauma room open and everyone suited up.

- Is there anything I should do, sir? - Save lives.

No. I mean, as, uh, chief resident. Anything in particular?

Make sure your residents run their traumas. First day on their own...

Where are the residents you've assigned to this ER?

Oh... Oh... I, uh... I paged them. I paged them. Bailey?

- What? - I... I paged Grey, Yang,

Stevens and Karev, but they're not here yet.

- When I page them, they come running. - Get it together, Torres.

Yes, sir. OK, you did not have to say that in front of the chief.

You asked... boss.

- There's Derek. - Is Burke with him?

- I don't see him. - Where have you been?

- We have MVC's due any second. - We're here, aren't we?

Just get ready, OK? And monitor your interns.

One, Two, go get stat packs. Three, Four, meet the ambulances.

- One and Two? - I know. I can't remember their names.

- I don't respond to a number. - George, go wait for the ambulance.

- The rest, come with me. - Against the wall

and out of the way unless I call.

OK. This is what's called a trauma situation.

So there's gonna be lots of activity and a lot of patients.

So if you guys have any questions at all, just ask. OK?

I heard she killed a guy and had to go on probation.

Great. We're stuck with a dud.

- Hey. You're an intern. Again. - Yeah.

- I won't tell anybody. - That's OK. It doesn't matter.

Do you know which one is Meredith Grey?

Yeah. I haven't told her you're here yet. I was going to, but...

- So you know who I am. - Yeah, I know who you are.

What's she like? I mean, is she nice? Because my dad, he won't tell me.

- Is she? - Excuse me.

- Grey, don't let them just stand here. - Let's move, people.

Unrestrained driver, DOA at the scene. Just need someone to pronounce him.

Crap. Dead guy. Why'd you get me excited with sirens?

OK, who wants to see a dead guy?

Nancy Walters, 34 years old, 35 weeks pregnant. Complete upper arm amputation.

Pressure applied. Two large-bore IVs started.

Did he say arm? My arm is gone?

Miss Walters, you're gonna be OK. Grey? Check the wound.

I really need my arm.

- 45-year-old male, knee injury. - That guy, the guy that's dead?

He hit a deer and then the lady hit him and then I hit the lady.

Knee's blowing up like a balloon.

Hey, I'm hungry. Can I get something to eat?

OK, everybody get a good look? Time of death, 8:22.

Not time of death. This guy is not dead.

- He was dead! - He's not dead now! Bag him!

We've got a guy who's risen from the dead.

Get out of the way!

- Are you Meredith Grey? - Yeah.

- I'm Lexie. - Great. Move!

Lexie Grey. I'm... I'm your sister.

That girl out there? The dopey wide-eyed one? Apparently, we're related.

- You met Lexie? - You knew.

You knew about it and didn't tell me?

- I kind of had a lot going on. - This is trauma room one.

As you can see, it's... There's a trauma.

Do you need some help? Tell me you need some help.

- It's a little crowded in here, Iz. - What do you got?

Nancy Walters. Complete amputation.

Baby looks fine, but she's having some contractions.

- Mind if I take a look? - Clean cut.

You want to rub up against me, you got to buy me a drink first.

Hang antibiotics and put on a dressing.

There's a chance of a good recovery here. Do we have an arm?

- They're looking for it. - My baby has no father.

He's already down two arms, so he really needs me to have an arm.

Get me that arm.

OK, somebody set up for traumatic effusion drainage.

- - And order him four of morphine.

She means one of you. 18-gauge needle, 20-cc syringe.

And the damn morphine.

Hey, morphine's cool, but I'd kill for something to eat.

Healthy appetite after a trauma like this? That's a very good sign, Joey.

- Need surgery? - Here.

Depends on the X-rays.

The knee looks good. No surgery.

OK. This is Cristina... Dr. Yang. This is Dr. Yang. She's working.

Yep. Saving lives and taking names.

So I have these interns and nothing to do.

And, uh, I think I'm a really bad teacher and I think they hate me.

And now I'm a fraud, so any chance you want to let me in on this? Please?

Izzie, this guy was dead and now he's undead.

So that kind of makes him like a zombie. And my personal zombie.

So, no, you can't get in on this. Now go be a fraud somewhere else.

- I don't like you. - Mmm...

Let's go, people.

- Excuse me. - Where have you been?

- I've been waiting for these. - I got... I met my sister.

For the first time ever which got me, you know, weird.

So then I got lost on my way to X-ray because I was all in my head, you know,

- about meeting Meredith. - Meredith is your sister?

Meredith Grey. Lexie Grey. We're half-sisters. So you know her?

- Oh, we need to page Dr. Shepherd. - Dr. Shepherd.

He's the neurosurgeon?

OK, somebody page Derek Shepherd right freaking now!

Grey. Seattle Grace. Thank you.

Hi. How are you?

I have a patient with a severed arm and no one seems to be able to find it.

- Have you seen it? - Your severed arm?

No, I haven't. Meredith?

Hey, I'm so sorry about before. I was so nervous about meeting you.

Don't block the ER doors. That was a good lesson.

- You're the girl from the bar. - Sorry?

The girl from the bar.

Oh, my God. Yeah.

- Oh, my God! Yeah! - Yeah.

- Oh, my God. You work here. - Yeah. I do.

The girl from the bar?

I'm the girl from the bar.

- She hates me. My sister hates me. - Meredith is your sister?

- My half-sister. - Oh.