[voiceover] 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.
“A Change Is Gonna Come” · Season 4, Episode 1
In this episode: Meredith Grey (4), Derek Shepherd (2), Cristina Yang (1), Alex Karev (1), Izzie Stevens (1), Mark Sloan (1), Lexie Grey (1), George O'Malley (1)
[to new interns] I have five rules. Memorize them. Rule number one, don't bother sucking up. I already hate you, that's not gonna change.
Traumas protocol, phone lists, pagers. The nurses will page you, you answer every page at a run. A run. That's rule number two. [notices the interns are not following her] You're supposed to follow me.
The first shift starts now and lasts 36 hours. You're grunts, nobodies, the bottom of the surgical food chain. You run labs, write orders, and you work every second night until you drop. And you don't complain.
On call rooms. Sleep when you can, where you can. You know, but not with anybody. Not attendings, especially not attendings. Sleeping with attendings, not a good idea. Where was I?
Er, rule number three. If you're sleeping, do not wake you unless the patient's actually dying.
The dying patient better not be dead when I get there, because not only will you have killed someone, you will have woken me for no good reason. Are we clear? [Lexie raises her hand] Yes?
That was four rules. You said five.
Rule number five. When I move, you move. [awkward pause as nobody moves] Go! [Cristina's interns scramble off]
I really am up for a drink, you know if you, uh, need to talk.
What would I need to talk about?
Meredith. You were lucky, man. That girl jerked you around.
You have no idea what you're talking about.
Hey, I'm just... seem like you can use a friend about now.
Meredith's mother never wanted her and her father was never man enough to hang around. She has a right to be damaged and us, together? It's a big step for her. Her best friend gets left at the altar, and all she sees now is things like this, they don't work. She panics. She wants this, but she doesn't know how to have it. And you know what? That's not her fault. So don't ever talk to me about Meredith Grey again because you do not know what you are talking about. And I don't want a friend.
I...um...
You're not ready for this.
No.
I asked for too much.
I think so.
So, this is it?
Yeah.
We're breaking up?
We're breaking up.
[Walks to Meredith] We're broken up.
It's done.
[They start kissing]
Break-up kiss.
Break-up kiss.
[Removes his jacket] And some break-up sex.
Yeah, break-up sex.
[voiceover] Change; we don't like it, we fear it, but we can't stop it from coming. We either adapt to change, or we get left behind. And it hurts to grow, anybody who tells you it doesn't is lying. But here's the truth, sometimes the more things change, the more they stay the same. And sometimes, oh, sometimes change is good. Sometimes change, is, everything.
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