I get it now the whole, you know, "McDreamy" thing. I didn't, I didn't get it before. But now I get it. You know they call you that, right? [Alex rolls his eyes]
I'm involved, by the way, in case you thought that I was just coming on to you, because I was not. Plus I heard that you got married so congratulations.
[snickers] You wrote some hokey crap on a post-it note in the residents' lounge. Sorry, but until you're sweating it out in a morning coat with a ball of white taffeta coming at you, you're not really married.
Derek
[chuckles] Oh, I've consummated mine. I consummate mine all the time. How's that going for you, Karev? Girls talk. You might want to consider that the next time you judge my post-it.
Maybe it's not one doctor. Maybe it's too many doctors who don't know each other and who don't trust each other. When I got to that room, it was chaos, because that's the system now: chaos. That has been the system that's been in place since this merger. Your system. I'm saying you should look again at who is responsible."
[voiceover] When we're headed toward an outcome that's too horrible to face, that's when we go looking for a second opinion. And sometimes, the answer we get just confirms our worst fears. But sometimes, it can shed new light on the problem, make you see it in a whole new way. After all the opinions have been heard and every point of view has been considered, you finally find what you were after - the truth. But the truth isn't where it ends, that's just where you begin again with a whole new set of questions.
No, don't close me up. If you get in and it's too complicated, cut the cord. Paralyze me if you must. I survived a war did you know that? I survived a war where they put bodies in to mass graves where there was once a playground. I survived the death of my family, my parents, my brothers and sisters. Then I survived the death of my wife and child when they starved to death in a refugee camp. I survived the loss of my country, of hearing my mother tongue spoken, of knowing what it feels like to have a place to call home. I survived. And I will survive the loss of my legs. If I have to, I'll survive it. OK? But Derek...
Derek
Yes.
IIsaac
There is always a way when things look like there's no way. There's a way to do the impossible, to survive the in survivable. There's always a way. And you, you and I have this in common. We're inspired. In the face of the impossible, we're inspired. So if I can offer one piece of advice to the world's foremost neurosurgeon. Today if you become frightened instead become inspired. OK, I'm ready now. Put me to sleep.
That is not the kind of life I want to model for my child. That is not what I want him to believe married love is. And I know what's possible, I know what's out there for me because you taught me well. You and mom showed me what true love looks like, so I chose not to settle, and I'm happier for it. Even if I'm alone at Christmas. My child is healthy, and I'm happy. --You know, part of my happiness is the fact that I got to repair a woman's bowel and save her life today. And that's God's work, which makes this an appropriate Christmas dinner conversation. --I'm happy, and my child is healthy, and that's enough for me today, Dad. That's enough.
I... I grew up on a farm, so you know, blood... blood doesn't bother me, I... I slaughtered a pig once. That was a lot of blood. 'Bleeding like a stuck pig.' That's a saying. To bleed like a pig, you know, it means something. But you don't think of people as having that much blood. I mean, you learn in med school how many pints we all have in us, but you don't realize it until you see it. You don't get how much blood... And a skinny person? I mean, my God, Reed, she's like almost anorexic. She's like, five pounds, you wouldn't think she'd have that much blood in her, but she did. She did.
Derek
[trying to interrupt her] April, April, April! You're in shock. It's alright. Tell me what happened.
(teary eyed) Don't worry about it? All I do is worry. All the time, I spend every minute of every day worrying that I'm gonna get a phone-call that you've wrapped your car around a pole. That's why I left you in jail. So that just for a little while I would know that you weren't dying like you were dying on that table. That's what I think about every time you pull out of the driveway.
We were in the back of the store. Dad had just given you two pennies. And you always hid them behind the counter in this big crack in the floorboards. You said you were saving them so you could buy a town. And then the two guys came in, we could hear them talking but you weren't paying attention until dad yelled. And you looked up. They had already pulled the gun, and already taken the money… And now they wanted the watch that mom gave him. He wouldn't give it up. It was a gunshot, you lunged forward…
I remember, I was trying to get to him but… I couldn't move.
Derek
Because I was holding you so tight that you couldn't budge. Put one hand over your mouth so you wouldn't scream and wrapped the other one around you and just held on for dear life. Prayed to God that you'd be quiet and wouldn't say anything. You were so little. I think that's what I've always wanted all these years, you just to stay… little and quiet and safe. But you're not any of those things. You're loud and fearless and that scares the crap out of me. How am I supposed to call you up and tell you that I've been shot? I can't tell you about my pain. I don't want you to know that pain exists. [he hugs her]
Here's what we're gonna do. No more doctors, no more labs. You and I, we have a lot of sex. Maybe we'll make a baby, maybe not. Maybe you get Alzheimer's, maybe not. Just screw the odds, screw the science. Let's just live. Whatever happens. Happens. Me and you. Okay?
Start-up costs alone, never mind the FDA, Derek, it's...
Derek
Today I watched Meredith perform an emergency craniotomy by herself. She was perfect. She's got her mother's talent. She's got her mother's looks, Richard. What if she has her mother's disease? Ellis was young when it started. Every time Meredith forgets her keys or asks what day of the week it is, I... When that $1 million runs out, investors are gonna throw money my way for the same reason I am gonna throw everything I got at this trial - because their dad has it or their wife. Breakthroughs don't happen because of the medicine. Real breakthroughs happen because someone is scared to death to stop trying.