Grey's Anatomy

Previously on "Grey's Anatomy"...

You're gonna transfer to Mercy West?

- I have to. - Give me my husband back.

- Chief resident? - The one 5th year resident

that rules all residents.

Your intern exams are in two weeks.

You need to spend every available minute studying for them.

What happened to our small ceremony?

What happened to you and me at city hall?

There's no guarantee the surgery's gonna bring back your memory.

- Is there a man in my house? - I'm so sorry, Richard.

And I'm finally ready to have a baby, and I can't.

We're losing her pulse. She's coding!

We did everything we could.

A surgeon's education never ends.

Every patient, every symptom, every operation...

is a test.

A chance for us to demonstrate how much we know...

And how much more we have to learn.

How do you treat pancreatic divisum? Izzie?

Oh, Cristina. If you're not gonna let us sleep,

you at least have to let me put coffee in my cup.

- Okay, so go. No one's stopping you. - I'm too tired to go.

- Pancreatic divisum. - Dorsal duct sphincterotomy.

Not your turn, but correct. You do me.

Can't believe O'Malley's missing this.

- How's he gonna be ready? - You're kidding, right?

- We have Callie's cards but George has- - George has Callie.

What's the most frequent cause of diarrhea in hospitalized patients?

Is she coming to this bachelorette thing tonight?

Rotavirus. Yes. No, no, no. Uh, salmonella.

Diarrhea in hospitalized patients.

The most frequent cause of diarrhea in hospitalized patients is C. diff.

Which can lead to toxic megacolon, perforation, sepsis and death.

That's what killed Susan.

- Is she okay? - Oh, she's fine.

- Dude, she's messed up. - Of course she's messed up.

Susan was basically her surrogate mother.

Yeah, her fake mom was better than her real mom.

Is she going to the hospital first or the funeral?

First to the hospital, then to the funeral,

then to the test this afternoon.

- Has she even studied? - Yeah, she studied. She's fine.

She just needs to be left alone, okay? So...

what's inside the carotid sheath? Izzie?

The internal carotid artery,

the internal jugular vein and the vagus nerve.

Ah, that was too easy. Let's find you a hard one.

Uh, what is this?

Uh, what is what?

Yeah. That just came this morning.

You got a spot at Mercy West! Why didn't you tell me?

Because it's pending the results of the intern exam.

Oh, you know what this means, don't you?

You, you got, you got into Mercy West...

I haven't told the chief yet.

You'll tell him today. He'll understand.

It's a smaller program,

fewer residents, fewer distractions,

more surgeries.

And when I come home and ask you how your day went,

you can actually tell me because I won't already know.

- Hi. - Hi.

Look, I...

I know this is a... an impossible day for you.

So...

I'm just want to say one thing.

I brought a black suit, just in case.

Thank you.

But I think this is something I need to do by myself.

If you need me, just...

let me know.

- Oh, Cristina. - What is M.E.N. syndrome?

Don't answer that.

The minister needs to see a copy of your vows before the wedding.

Multiple endocrine neoplasia. Yes.

Look, I know it's test day, and I'm not supposed to be

talking about the wedding on test day.

- But since tomorrow's our wedding day-- - You have five seconds. Go.

Bill Adams can't make it. I have no best man.

Oh, no. Baby, I'm so sorry.

- And I need your vows by-- - Okay, time's up.

Test day.

What am I supposed to tell the minister?

Test day.

They paged you guys, too?

- Well, I think they paged all of us. - That can't be good.

Sure it can. He could be letting us know I won the race for chief.

Not today, he isn't.

He's making his recommendation to the board tomorrow

for chief of surgery and chief resident.

Why were we all paged?

Oh, because search and rescue found those lost

climbers who were up on Mount Rainier.

- People, the climbers are on their way. - Any specifics?

They found only 3 so far. One's still missing.

They're reporting severe dehydration

with traumatic head and chest injuries.

Dr. Bailey, Dr. Torres, you'll be my trauma team.

- Bad day not to have interns. - What?

Today's the intern exam.

You'll all have to do your own heavy lifting today.

And if you see an intern, which you will,

because they can't help themselves,

turn them away until after the exam.

The ambulances are 5 minutes away.

It's time to do what we do best, people. Let's roll.

What is a gerota's fascia?

Uh, the fascia surrounding the kidney.

Which is longer, the left...

- or the right renal vein? - That's right. The left one.

- Looks and smarts-- Not bad. - You think?

She's got my dad's nose, though.

Girl's gotta have a big personality to pull off that nose.

What?

You-- You remember your dad?

No. I don't-- No.

- You just said-- - I know, but I...

I have no idea where that came from.

That was a memory. That's what it's like sometimes.

It doesn't always come back all at once. It can happen in bits and pieces.

- Don't-- Don't get all-- - Dude, your memory's coming back.

How you feelin', Preston? You ready?

I'm always ready for surgery.

I think he's talking about the wedding.

Yeah, tomorrow's the big day.

And apart from the fact that Cristina hasn't written her vows,

my best man just canceled,

- and it's still raining... - He's not ready.

You're never ready.

I certainly wasn't.

But then... the minute I saw Adele coming down that aisle...

Well... have you picked your best man?

- Actually, chief, I-- - You can't be his best man.

- Why not? - Because it's unethical.

It's a conflict of interest. The man wants to be chief of surgery.

- Actually, Derek-- - Not that that's why you're asking.

- I was... going to ask you. - Ask me what?

- Really? - We have been through a lot this year.

And everybody else turned you down.

Oh, what do I have to do?

Well, traditionally the best man plans the bachelor party.

- Drinks at Joe's after work? - Yeah.

I knew you were the man for the job.

Dale winick, 32. B.P. 90 over 50, tachy to 110.

Severe frostbite, but no obvious internal injuries.

Got it.

My god.

Yeah, those aren't gloves.

Please someone tell me if they heard the others guys are okay.

They're right behind you. We'll let you know.

Get him a tet-tox and push a gram of cefazolin I.V.

And let's get some warm, circulating water to start thawing his hands.

I'll get someone on it. Callie.

We're supposed to be studying. If Bailey finds out we're down--

We are studying. How do you treat frostbite?

Rewarm, avoid early surgery unless

there's a deep infection due to autoamputation.

See? Studying.

Okay, okay, Mr. Meltzer, Mr. Meltzer,

I'm gonna need you to save your breath, okay?

We're gonna give you some pain meds.

You have several broken ribs,

which are compromising your breathing. You understand?

- Did you see that? - That is freaky.

I think that was a flail chest. I've never seen one before.

Come on. Come on.

Why, oh, why does today have to be test day?

Oh, I know.

Look... I bet you if you talk to the chief,

he'll let you take the test later with the funeral and everything.

I don't need to take the test later.

- Can I get a little help here? - I can't feel my legs!

Sir, you have a spinal injury.

You need to stop fighting me and stay calm, okay?

You're only making it worse. Where we going?

- You guys are going to trauma 3. - All right. Trauma 3.

- You okay? - Yeah.

I got accepted at Mercy West.

Wow that's... Are you gonna go?

Well, I kinda have to now, right?

What are you fools doing here?

In a few hours, you people are taking a test

that will determine the course of your entire medical careers

because the five interns with the lowest test scores

will be cut from the program.

But are you studying for this test? No, you're not.

Are you helping out in the E.R.? You are most certainly not!

Are you getting the hell out of here before I throw you out?

I think you are.

- Whoa, Dr. Shepherd. - Aren't you supposed to be studying?

- Yeah, I just have a quick question. - Yeah.

Could the craniotomy you performed on Ava-- On Jane Doe-- Could--

- Could that have affected her memory? - Uh, it's doubtful.

I was mostly working in the speech center of her brain.

- But you never know. Why? - I think she remembered something.

Can we test her to see if anything's changed?

Yeah, you can run another W.M.S.R.

But we're gonna have to wait, see if she remembers anything else.

- It's a good sign, though. - Thanks.