He's not... he's not... What is he doing here? He's NOT supposed to be here. I can't have him here, I can't... he's supposed to be in New York. I can't... I can't function with him here. I'm a professional here, people respect me here, but when he's here I'm just... I'm...
[to George] Oh, oh, on the table, keep me draped. Too many people have seen me naked already. I'd like to keep whatever dignity I have left. [sees Mark] McSteamy. McSteamy! Yoo hoo!
[voiceover] Dad, mom... It's me. I'm calling from Seattle Grace Hospital where the - the beautiful, talented and incredibly stubborn Dr. Isobel Stevens has, she's just given me a brand new heart and promised to marry me. I know we've had our differences and I'm sorry we've been out of touch. Believe it or not I was - I was trying to make everything better. I know you're angry but I hope you'll forgive me. It turns out, sometimes you have to do the wrong thing. Sometimes you have to make a big mistake to figure out how to make things right. Mistakes are painful, but they're the only way to find out who you really are. I know who I am now. I know what I want. I've got the love of my life, a new heart and I want you guys to get on the next plane out here and meet my girl. Everything's gonna be different now, I promise. From here on out, nothing's ever going to be the same. I love you, bye.
[voiceover] First, do no harm. As doctors, we pledge to live by this oath. But harm happens and then guilt happens. And there's no oath for how to deal with that. [...] Guilt never goes anywhere on its own, it brings its friends - doubt and insecurity.
Hey, you're Addison Forbes Montgomery-Shepherd. That's a lot of names, a lot of rich-sounding names. You're rich, right? That's rude. That's a rude question. I'm sorry. It's just I'm rich now too.
Being rich. 'Cause I have all this money now and I don't really feel like I did anything to deserve it and I can't really talk to my friends about it because they're all so poor.
She told you. [Derek ignores him] I've known you my whole life, I grew up with you so I know what you're thinking. That there is a year of your life wasted. Trying to make it work with Addison and you could have been with Meredith. That you could be happy right now. That all this, everything. That you and Meredith could have had a real chance. Still, I thought you should know the truth. Thought I owed you that, as a friend.
[voiceover] First do no harm, easier said than done. We can take all the oaths in the world, but the fact is, most of us do harm all the time. Sometimes even when we're trying to help, we do more harm than good. And then the guilt rears its ugly head. What you do with that guilt is up to you. We're left with a choice. Either let the guilt throw you back into the behavior that got you into trouble in the first place, or learn from the guilt and do your best to move on.
Meredith [voiceover]: To make it - really make it - as a surgeon - it takes major commitment. We have to be willing to pick up that scalpel and make a cut that may or may not do more damage than good. It's all about being committed, because if we're not we have no business picking up that scalpel in the first place.
He's my family, Nancy. Plus I needed a change of pace. [Nancy gives him an unconvinced look] Plus I slept with my tennis partner's wife and he went out and bought a gun.
[to George] I'm out of my element here, I, I break bones for a living, I, I, I used to live in the basement, most days I wear last night's eyeliner to work, I don't give a crap what other people think of me! Because I am a happily independent, successful woman and I like it that way, only when you say stuff like this, [sighs] it just makes things too hard. So please, don't chase me anymore, unless you're ready to catch me.
[voiceover] There are times when even the best of us have trouble with commitment, and we may be surprised by the commitments we're willing to let slip out of our grasp. Commitments are complicated. We may surprise ourselves by the commitments we're willing to make. True commitment, takes effort, and sacrifice. Which is why sometimes, we have to learn the hard way, to choose our commitments very carefully.
[voiceover] As surgeons, we're trained to look for disease. Sometimes the problem's easily detected, most of the time we need to go step by step. First, probing the surface looking for any sign of trouble, a mole, or a lesion, or an unwelcome lump. Most of the time, we can't tell what's wrong with somebody by just looking at them. After all, they can look perfectly fine on the outside, while their insides tell us a whole other story.