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LD EXEC. PRODUCER: SHONDA RHIMES EXEC. PRCDUCER: JAMES EXEC. PRCDUCER: MARK GORDON EXEC. PRODUCER: BETSY BEERS CO-EXEC. PRODUCER: PETER HORTCN REVISED PAGES: 24,25,29,29A,34,34A, 35,44,45,46 © 2004, Touchstone Television Productions, EP#100 GREY'S ANATOMY “A Hard Day’s Night” Written by Shonda Rhimes Directed by Peter Horton Feb. 27, 04 WHITE Mar. 02, 04 BLUE Mar. 09, 04 PINK Mar. 09, 04 YELLOW Mar. 12, 04 GREEN Mar. 12, 04 GOLDENROD Mar. 14, 04 BUFF Mar. 15, 04 SALMON Mar. 16, 04 CHERRY Mar. 25, 04 TAN Mar. 26, 04 GRAY Mar. 27, 04 IVORY Sep. 09, 04 DOUBLE WHITE Oct. 01, 04 DOUBLE BLUE All Rights Reserved. This material is exclusive property of Touchstone Television Productions, LLC and Imagine Television and is intended solely for the use of its personnel. Distribution to unauathorized persons or reproduction, in whole or in part, without written consent of Touchstone Television Productions, LLC is strictly prohibited.
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LD Al GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 1. TEASER FADE IN: SURGICAL MONTAGE Al MEREDITH (V.O.) The game. They say a person either has what it takes to play, or they don’'t. My mother was one of the greats. Me on the other hand -- FLATLINE MEREDITH (CONT’D) I'm kinda screwed. INT. MEREDITH'S LIVING ROOM - SUNRISE 1 A rambling but shabby home. Light filters through curtains. Meet MEREDITH GREY (32) smart, awkward, irreverent, hard-working and...well, naked. She fumbles for her clothes. DEREK (0.S.) This is... There’'s a naked man lying by the fireplace we didn’t notice before. DEREK (late 30s), dashing, sexy, charming -- the man we all wish existed, is just waking. Meredith dresses quickly, uncomfortable with his presence. MEREDITH This is humiliating on so many levels. -- You have to go. DEREK Come back down here. pick up where we left off... MEREDITH You have to go. I’m late. Which isn’t what you want to be on your first day of work so...you have to go. She’s tossing his clothes at him. Derek sits up, looking around. The room is oddly disorganized -- too much furniture, post-its stuck to drawers, layers of dust over everything. DEREK You actually live here? MEREDITH No. Yes. Kind of. (CONTINUED)
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LD 1 2A GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 CONTINUED: DEREK It’s nice. Dusty. 0dd. But nice. -- How do you kind of live here? MEREDITH I moved in two weeks ago. From Boston. It’s my mother’s house. Was my mother’s house. I’'m selling it. DEREK I'm sorry. MEREDITH For what? DEREK You said “was”... MEREDITH mother’s not dead, she’s...You know what? We don’t have to do the thing. DEREK Oh, we can do anything you want. MEREDITH The thing. Exchange the personal details of our lives, pretend we care...Look, I'm going upstairs to shower. And you won’'t be here when I get back. So goodbye...? DEREK Derek. MEREDITH Derek. -- Meredith. Aware of the irony, they shake hands. . DEREK It was nice making your acquaintance. MEREDITH Bye, Derek. Meredith escapes upstairs. Amused, Derek begins to dress. OMITTED EXT. MEREDITH'S HOUSE - DAY Meredith leaves for work. 2. 2A
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LD 2B 3A GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 3. EXT. SEATTLE - DAY 2B Meredith drives to work with the Space Needle in the background. EXT. SEATTLE STREETS - DAY 3 Meredith drives with one hand, works to make herself look presentable with the other. Checks her watch. Anxious. RICHARD (V.O.) Each of you comes here today hopeful. Wanting in on the game. EXT. HOSPITAL PARKING LOT - DAY 3A Meredith pulls her car into the hospital parking lot. OMITTED 4-5 INT. HALLWAY - SURGICAL SUITE - DAY 6 Meredith races up to fall in with 19 mostly male INTERNS (includes Izzie, George and Cristina). They gather around RICHARD WEBBER (50s), gruff, authoritative, -- you know without having to ask that he’s the man in charge. RICHARD A month ago you were in med school being taught by doctors. Now... He pushes open doors that lead into... INT. OR - SURGICAL SUITE - CONTINUOUS 7 ...an operating room suite. Gleaming. Sterile. Sleek. RICHARD ...you are the doctors. The seven years you spend as a surgical resident will be the best and worst of your life. You will be pushed to your breaking point. Look around you. Say hello to your competition. Eight of you will switch to an easier specialty. Five of you will crack under tfie pressure. Two of you will be asked to leave. This is the starting line. This is your arena. How well you play, it’s up to you. The interns shift, freaked. Meredith swallows, nervous. MEREDITH (V.O.) Like I said, I'm screwed.
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LD 7A GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 4. ACT ONE EXT. SEATTLE GRACE - DAWN 7A Establishing. INT. RESIDENTS LOUNGE/LOCKERS - DAY 8 A crush of nervous interns in brand new scrubs. Residents stand in the doorway, impatient and authoritative. SENIOR RESIDENT Martin! Robinson! Bond! Hawkins! The named interns hurry out of the room to join their resident. In one corner, guys cluster around Izzie; she tries to smile. Meredith listens for her name. Cristina stands near her. They size one another up, look away. Beat... MEREDITH Only 6 women. Out of 20. CRISTINA Yeah. And I heard one of them is a model. Seriously. That’s gonna help with the respect thing. MEREDITH You’'re Cristina, right? SENIOR RESIDENT Monroe, Crowe, Osbourne... CRISTINA Which resident are you assigned to? I got Bailey. MEREDITH The Nazi? Me too. George approaches, his eyes on Meredith. GEORGE You got the Nazi? So did I. Hey, at least we’ll be tortured together, right? -- I'm George? We met at the mixer? You had on a black dress, slit up the side, strappy sandals and...now you think I'm gay. I'm not gay. It’s just I'm a guy and you looked really...you were... very...unforgettable... BAILEY (0O.S.) O'MALLEY! YANG! GREY! STEVENS! (CONTINUED)
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 5. 8 CONTINUED: 8 Hearing her name, Meredith leaves. Cristina and George follow. GEORGE (to hlmselfg And I'm totally forgettable. 9 INT. NURSES STATION - CONTINUOUS 9 George, Meredith and Cristina pause, eyeing their resident. MIRANDA BAILEY (30) is pint-sized and adorably cute. CRISTINA That's the Nazi? GEORGE I thought the Nazi would be a guy. MEREDITH I thought the Nazi would be...a Nazi. IZZIE (jolnlng them) Maybe it'’s professional jealousy. Maybe she’s brilliant and everyone calls her a Nazi because jealous. Maybe she’s nice. CRISTINA Let me guess. You’'re the model. They approach Bailey. is all smiles, friendly. IZZIE Hi. Isobel Stevens. Everyone calls me Izzie. BAILEY I have 5 rules. Memorize them. #1: Don’t bother sucking up. I already hate you; that’s not going to change. Trauma protocol, phone list, pagers. Nurses will page you. You answer every page at a run. A RUN. That’s Rule #2. She takes off walking at high speed. The four interns follow. 9A INT. HOSPITAL CATWALK - CONTINUOUS 9A The interns follow Bailey. BAILEY Your first shift starts now and lasts 48 hours- (CONTINUED)
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LD 9A 9B 9C 9D 10 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 6. CONTINUED: 9A GEORGE 48 hours? BAILEY . You're interns. Grunts, nobodies, the bottom of the surgical food chain. You run labs, write orders, work every second night until you drop and you don’t complain, I don’t care if your shift lasts 48 days. OMITTED 9B INT. OR FLOOR/ON CALL ROOM - CONTINUOUS 9C BAILEY On call rooms -- the attendings hog them. Sleep when you can, where you can. Which brings me to Rule #3: if I'm sleeping, don’t wake me unless your patient is actually dying. Rule #4: The dying patient better not be dead when I get there. Not only will you have killed someone but you would’ve woken me for no good reason. We clear? Meredith raises her hand as Bailey’s PAGER SOUNDS. MEREDITH You said 5 rules. You only told us 4. BAILEY (reading pager) Rule #5: when I move, you move. GET OUT OF MY WAY! She takes off running. Pushing through other interns. Our four interns race to follow. EXT. SEATTLE SKY - DAY 9D A Medical Helicopter races toward Seattle Grace. EXT. HOSPITAL ROOFTOP/HELIPAD - DAY 10 A chopper lands on the helipad. A SMALL TOWN DOC (50s) gets out. EMTs unload KATIE BRYCE (15); she’s having a violent seizure. BAILEY What’'ve we got? SMALL TOWN DOC Katie Bryce. 15 year old female with new-onset seizures, intermittent for the past week. IV lost en route. (MORE) (CONTINUED)
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LD 10 11 GREY'S ANATOMY PILOT: CONTINUED: Started grand descended. Let’s get her OMITTED DOUBLE BLUE 10/01/2004 7. 10 SMALL TOWN DOC (CONT'D) mal seizing as we BAILEY inside. 10A OM - DAY 11 INT. KATIE'S HOSPITAL RO The interns transfer Kat begins to seize again. BA ie from the gurney to the bed. She ILEY Get her on her side. Izzy, 10 mg, diazepam, IM. George, Meredith and Izz - among them TYLER (30s) ie start working on Katie. Nurses help - . Bailey watches. BAILEY (CONT'D) NO, NO! The white lead is on the right -- righty whitey, smoke over fire! Meredith fixes her mista out the tools to start t ke. 1Izzie preps a syringe. George lays he IV. BAILEY (CONT'D) HEY! A large bore IV. Don’t let the blood hemolyze. Let’s go -- 10 mg diazepam IM. Katie sleeps, sedated. PRESTON BURKE (30s), an arrogant showdog who loves the show, enters. BURKE Heard we had a wet fish on dry land. Bailey hands him the cha BA Absolutely Dr. rt; he reads it over. ILEY Burke. BURKE Dr. Bailey, shotgun her. He strides out. Bailey turns to the interns. BAILEY Cristina, you’ re on labs. George, patient work ups. Meredith, get Katie down for a CT. She’s your responsibility now. IZZ1IE What about me? (CONTINUED)
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11 12 12a 12B Al3 LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 8. CONTINUED: 11 Bailey eyes her. Smiles. BAILEY You? Honey, you get to do the rectal exams. OMITTED 12 INT. PATIENT HOSPITAL ROOM - DAY 12A Izzie snaps on her latex gloves, squeezes lubricant on her finger. Eyes the hairy man lying on his stomach in the bed. INT. OR FLOOR/OR #3 - DAY 12B Cristina skulks by the OR. Peering through glass at surgeons working on patients. Suddenly, Bailey is peering back at her. BAILEY What are you doing here? CRISTINA Katie Bryce's labs came out clear. Nothing in the results explain the seizures. I thought you'd wanna know. BAILEY Okay . Cristina doesn’t move, gazes over Bailey’'s shoulder. CRISTINA I heard every year, the attending on call picks the best intern and lets them perform a procedure during the first shift. (off stare) I'm just saying...it’'s what I heard. BAILEY Go away. Now. INT. TONY'S HOSPITAL ROOM - DAY Al3 George examines Tony (35), a sweet chubby man. Tony's wife GLORIA (30) unpacks for him, anxious. GEORGE Sounds good. GLORIA He'll be fine? You'll be fine. (CONTINUED)
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Al3 13 13a 13B LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 9. CONTINUED: Al3 TONY If you don’t count the fact that my bacon days are over...sure. GEORGE You have bypass surgery tomorrow with Dr. Burke. I hear he’s good. And, after, you can have all the bacon- flavored soy product you can eat. TONY Kill me now. GEORGE I wish I could. But I'm a healer. INT. ELEVATOR/HOSPITAL TUNNELS - DAY 13 Meredith pushes gurney. awake -- and bitchy. KATIE You're lost. MEREDITH I'm not lost. How are you feeling? KATIE How do you think I'm feeling? I'm missing my pageant. MEREDITH Missing your pageant? KATIE The Spokane Teen Miss. I was in the top ten after the first two rounds. This is my year. I could have won. Hello. You are so lost. What are you new? INT. PATIENT HOSPITAL ROOM - DAY 13A Izzie takes a deep breath. Raises his gown. IZZIE So, just going to insert my finger into your...rectum. INT. TONY'S HOSPITAL ROOM - DAY 13B Trying to draw blood, George jabs Tony'’s arm again and again. Tony winces.
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13C 13D 14 15 15A 16 17 18 19 20 LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 10. INT. PATIENT HOSPITAL ROOM - DAY 13C Izzie digs for gold. Shuddering with revulsion. INT. TONY'S HOSPITAL ROOM - DAY 13D Burke steps in. Draw’s Tony's blood on the first attempt. GEORGE Bet you missed a lot when you were first starting out. Burke eyes him. OMITTED 14 INT. LONG HOSPITAL TUNNEL - CONTINUQOUS 15 Meredith looks for the CT. Still lost. KATIE I twisted my ankle in the talent rehearsal? I do rhythmic gymnastics. Which is like, really cool? Nobody else does it? All I did was trip over my ribbon and I didn’t get stuck with someone this clueless. And that was like, a nurse. INT. HOSPITAL ROOM - DAY 15A Burke eyes George. BURKE Oh, you and I are going, to have such fun together. OMITTED 16 MOVED TO Al3, 13B, 13D AND 15A 17 MOVED TO 12B 18 MOVED TO 12A, 13A AND 13C 19 INT. HOSPITAL CAFETERIA - DAY 20 The surgical interns’ table reeks of competitive aggression. Izzie stares at her lunch, revolted. GEORGE This shift is a marathon, not a sprint. Eat. (CONTINUED)
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 11. 20 CONTINUED: 20 IZZIE I INTERN #1 She’s right; there’s nothing sadder than a fat centerfold. GEORGE (flash of recognition) That's where I’'ve seen you... IZZIE I wasn’'t a Playboy bunny. I was a model. CRISTINA Like there’s a difference? I1ZZIE Hey, it paid for med school. GEORGE Eat something. You try eating after performing 17 rectal exams. The Nazi hates me. GEORGE The Nazi’s a resident. got attendings hating me. I tried to draw blood on this guy; now he’s a pin cushion. I shou{d’ve gone to the shrink service. CRISTINA ! Shrinks are the Milli vanilli of medicine. They have no talent so they mess around with other people’s. GUY/PSYCH INTERN (0.S.) At least we’re not macho butchers with God complexes. The GUY alone at the next table is offended. The table of surgical interns glare. He picks up his tray and flees. CRISTINA Did you know Meredith is inbred? GEORGE Like it’s uncommon around here to be a doctor whose parents are doctors. (CONTINUED)
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LD 20 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 CONTINUED: (2) CRISTINA Royally inbred. Her mother is Ellis Grey. IZZIE Shut up. THE Ellis Grey? GEORGE Who's Ellis Grey? CRISTINA Ellis Grey? The Grey Method? -- Did you go to med school in Mexico? IZZIE Grey's one of the first big chick surgeons. She practically invented the abdominal retractor. CRISTINA The woman’s a living legend. A genius. She won the Harper-Avery. Twice. GEORGE So I didn’t know. One thing. IZZIE Talk about parental pressure. CRISTINA I'd kill for Ellis Grey as a mother. I'd kill to be Ellis Grey. All I need is one good case and- George shushes her. Meredith sits down with her tray. MEREDITH Katie Bryce is a pain in the ass. If I hadn’t taken the Hippocratic oath, I’d Kevorkian her with my bare hands. (off their stares) What? Burke stops by the table. Everyone falls silent. DR. BURKE Good afternoon, interns. It’s posted but I thought I’'d share the news. As you know, the honor of performing the first surgery is reserved for the intern who shows the most...promise. As I'm running the OR today, I get to make that choice. George GEORGE Me? 12. 20 (CONTINUED)
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LD 20 21 22 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 13. CONTINUED: (3) 20 DR. BURKE You’ll scrub in for an appendectomy this very afternoon. Congratulations. He walks away. Interns eye George, jealous. Cristina glares. GEORGE Did he say me? INT. NURSES STATION - DAY 21 Bailey’s on heels. BAILEY I've seen his file. George O'Malley barely made the cut to get in this program. He's not your guy. BURKE Oh, he’s my guy alright. BAILEY Every year, you pick your guy and every year your guy suffers more than any other intern on surgical... BURKE Terrorize one, the rest fall in line. . BAILEY I get it. respect it. But George? Pick one of the arrogant blades, the jock cutters. Like Cristina Yang. Pick her. -- O'Malley’s a puppy; he can’'t take the pressure... They pass MR. and MRS. BRYCE (40s). We follow them into... INT. KATIE'S HOSPITAL ROOM - CONTINUOUS 22 Meredith waits as a Tech unhooks an EEG. The Bryces rush to Katie’s side. MRS. BRYCE Katie, honey. Mom and Dad are here. MEREDITH They gave her a sedative for the CT so she’s a little groggy. MR. BRYCE We drove here as fast as we could but the traffic...How is she doing? (CONTINUED)
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 14. 22 CONTINUED: 22 MRS. BRYCE Will she be alright? MR. BRYCE Our doctor at home said she might need an operation. Is that true? MRS. BRYCE What kind of operation? MEREDITH (backing out of the room) I'm not the doctor. (off Katie’s look) I'm a doctor but I'm not the doctor. I'11l get him. 23 INT. NURSES STATION - CONTINUOUS 23 Meredith steps in Bailey'’s path. BAILEY WHAT?! MEREDITH Katie’s parents have questions. Do you talk to them or should I ask Burke? BAILEY Burke’'s off the case. belongs to the new attending now. Dr. Shepherd. He'’'s over there. Meredith falters. Shepherd grins at her across the nurses station. Shepherd is Derek -- her one night stand. Meredith flees in the opposite direction.
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LD 24 24A 25 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 15. ACT TWO INT. KATIE'S HOSPITAL ROOM - DAY 24 Derek talks to Katie’s parents. DEREK Her neuro exam is normal and her CT shows no sign of hemorrhage, tumor or lesions. MRS. BRYCE That’s good, right? Meredith walks in. Sees Derek and turns to walk out again. MR. BRYCE So what’s wrong with her? DEREK It looks like a seizure disorder. The meds we’'re giving her should control it. I want to keep her for a couple of days. Just to be safe. -- Excuse me. He heads after Meredith. INT. HOSPITAL HALLWAY - DAY 24A Derek chases Meredith down the hallway. DEREK Meredith, can I have a word? MEREDITH Actually, I was going to- But he grasps her arm, pulling her from the room. INT. STAIRWELL - DAY 25 Derek steers Meredith in. MEREDITH Dr. Shepherd- DEREK Dr. Shepherd? This morning it was Derek and now it’s Dr. Shepherd? MEREDITH Dr. Shepherd, we should pretend it never happened. (CONTINUED)
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 16. 25 CONTINUED: 25 DEREK What never happened? You sleeping with me last night? Or you throwing me out this morning? ‘Cause both are fond memories I‘d like to hold onto. MEREDITH No. No memories. I’'m not the girl in the bar anymore. And you are not the guy. This can’t exist. You get that, right? DEREK So you took advantage of me and now you want to forget about it. MEREDITH I did NOT take- DEREK I was drunk, vulnerable and good- looking. You took advantage. MEREDITH I was the one who was drunk and you are not that good-looking. DEREK Maybe not now. But last night. Last night I was very good-looking. I had on my red shirt. My good-looking shirt. And you took advantage. MEREDITH I DID NOT- DEREK Wanna take advantage of me again? Say, Friday night? MEREDITH You are an attending. I am your intern and -- Stop looking at me like that. DEREK Like what? MEREDITH Like you’ve seen me naked. We work together. This? (wildly gesturing to illustrate) INAEPROPRIATE. Did that ever occur to you? She walks out. Derek leans against the wall. She’s right.
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26 27 28 LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 17. OMITTED 26 INT. OR - SURGICAL SUITE - DAY 27 Scrubbed and sterile, George stands frozen. Around him, an amused surgical staff prepares. GEORGE Open, identify, ligate, remove, irrigate, close. Open, identify, ligate, remove, irrigate, close. Open, identify, ligate... INT. GALLERY - SURGICAL SUITE - CONTINUOUS 28 All of the surgical interns gather in the theatre, peering down through the glass window at George'’s OR. INTERN #2 He's gonna faint. He’'s a fainter. INTERN #3 No. Code Brown. Right in his pants. INTERN #2 He's all about the flop sweat. He's gonna sweat himself unsterile. INTERN #3 Ten bucks says he messes up the McBurney. CRISTINA Fifteen says he cries. INTERN #3 I'll put twenty on a total meltdown. MEREDITH 50 bucks says he pulls the whole thing off. (off their surprise) one of us down there. The first one of us. Where’'s your loyalty? A beat of silence. Then: CRISTINA 75 says he can’t even ID the appendix. IZZIE I'11 take that action. Everyone is waving money and shouting bets.
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LD 29 30 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 18. INT. OR - SURGICAL SUITE - CONTINUOUS 29 The anesthesiologist puts the patient under. Burke enters. BURKE O’'Malley, let’s see what you can do. The nurses move into action, removing the patient’s blanket and draping her belly. INTERCUT WITH: INT. GALLERY - SURGICAL SUITE - CONTINUOUS 30 The interns are silent. Leaning in to the glass. Waiting. MEREDITH Here it comes... Down on the floor, George holds out his hand. Deep breath... GEORGE Scalpel. The interns hoot. George'’s surgery is underway. CRISTINA That Burke, he’s trouble. IN THE OR: George operates -- nervous but steady. BURKE More pressure. Human flesh is a tough shell. Dig in. GEORGE Pick-ups. -- Clamp. -- I'm there. IN THE GALLERY: INTERN #2 Damn! He got the peritoneum open. I’'m out. MEREDITH I told you...he’s gonna pull it off. IN THE OR: George put the appendix on the tray. Proud. GEORGE Appendix is out. BURKE Not bad. (CONTINUED)
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LD 30 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 19. CONTINUED: 30 GEORGE Thank you, sir. BURKE Now all you have to do is invert the stump into the cecum and simultaneously pull up on the purse strings. But be careful that you don’t- As George tugs on the purse strings, they break off in his hand. BURKE (CONT'D) -break them. Nice. You ripped the cecum. got a bleeder and you’'re filling with stool. What do you do now? GEORGE Ummm. . . BURKE THINK. You suction and you start digging for those purse strings before she bleeds to death. Give him a clamp. ANESTHESIOLOGIST (torturing the intern) BP’'s dropping. George stands there, frozen. IN THE GALLERY: The interns lean in to the glass. CRISTINA He’s choking. MEREDITH Come on, George... IN THE OR: Monitors begin to sound. George move. BURKE Pull your balls out of your back pocket, O'Malley! ANESTHESIOLOGIST (serious now) Getting too low folks. -- Dr. Burke. BURKE Get out of the way. When George doesn’t move, Burke shoves him aside. Takes over. (CONTINUED)
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LD 30 31 32 33 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 20. CONTINUED: (2) 30 BURKE (CONT'D) Pansy ass idiot. -- Suction. Clamp. IN THE GALLERY: Meredith, Izzie and a few other interns wince at Burke’s barb. But there are cackles of glee from others. One of the interns ALEX (28) shakes his head. ALEX He's 007. INTERN #2 007! YES! INTERN #3 A total 007! Money changes hands. 1Izzie, Cristina and Meredith sit quiet. IZZIE What’'s 007 mean? MEREDITH Licensed to kill. Meredith stares down into the OR. George looks small and humiliated as Burke finishes his case. OMITTED 31 MOVED TO 35A 32 INT. HOSPITAL TUNNEL/VENDING MACHINES - NIGHT 33 Cristina reads a journal. Izzie does yoga stretches. Meredith lays on an hospital bed. George rolls around in a wheelchair. GEORGE 007. They’'re calling me 007, aren’'t they? MEREDITH/IZZIE No one thinks you’re a 007. GEORGE I was on the elevator and Murphy whispered 007- CRISTINA George, how many more times do we have to go over this? Five, ten? Give me a number because going to hurt you. GEORGE -Murphy whispered 007 and everyone laughed. (CONTINUED)
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33 34 35 LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 21. CONTINUED: IZZIE They weren’t talking about you. GEORGE Are you sure? MEREDITH Would we lie to you? GEORGE Yes. CRISTINA 007 is a state of mind. GEORGE Says the girl who finished first in her class at Stanford. Meredith’s pager BEEPS. She reads it, alarmed. MEREDITH 911 for Katie Bryce. Oh man, I gotta go. She takes off. GEORGE I should’ve gone into geriatrics. No one minds when you kill an old person. CRISTINA Surgery is hot, George. 1It’s the Marines. It’s macho, it’s hostile, it’s hard core. Geriatrics is for freaks who live with their mothers and never have sex. GEORGE I have got to get my own place. INT. STAIRWELL/CORRIDOR - NIGHT Meredith races down the hall at full speed. INT. KATIE'S HOSPITAL ROOM - NIGHT 33 34 35 Meredith races in. Katie sits in bed, reading a magazine. KATIE Took you long enough. MEREDITH You’'re okay? The nurse paged me 911. (CONTINUED)
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 22. 35 CONTINUED: 35 KATIE I had to go all Exorcist to get her to even pick up the phone. MEREDITH Wait. There’s nothing wrong with you? KATIE I'm bored. MEREDITH You little...I'm not a cruise director. Angry, she checks Katie'’s vitals. KATIE You don’t have to wig out. My pageant’s on cable but this crappy hospita% get the channel. If that cow Kiley Wood is gonna walk off with my crown, I have to see it. Can you call someone? MEREDITH There are actual sick people in this hospital. Go to sleep and stop wasting my time. KATIE I can’'t sleep. My head’s all...full. MEREDITH That’s called thinking. Go with it. She leaves, muttering to herself. Katie lies back, an edge of ' fear in her face. 35A OMITTED 35A 36 INT. NURSES STATION - NIGHT 36 Tyler sits at the station. 1Izzie hovers, paging through her notes. Worried. TYLER What do you need? IZZIE Mr. Jones has junkie veins and he really needs antibiotics. I should start a central line... TYLER So start one. -- You don’t know how. (CONTINUED)
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LD 36 37 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 23. CONTINUED: 36 IZZ1E I've never done one. TYLER You know what that means. ON BAILEY -- sleeping on a gurney in the hall. Couldn’t we page someone else? TYLER She’s the on-call resident. IZZIE Okay. I’'ll just...wake her. Izzie approaches Bailey. Terrified. IZZIE (CONT'D) Dr. Bailey? I don’t mean to bother you- BAILEY Then don’t. It’s Mr. Jones- BAILEY Is he dying? IZZIE No. BAILEY Then stop talking to me. Izzie backs up. Hovers, uncertain. A beat. Bailey sits up. BAILEY (CONT’'D) WHAT IS IT?!! INT. MR. JONES’ HOSPITAL ROOM - NIGHT 37 Izzie hovers as Bailey completes MR. JONES’ central line. BAILEY The next time you wake me, he’d better be so close to dead that there’s a tag on his toe. Her pager BEEPS. She leaves, checking it. Mr. Jones looks to Izzie, scared. (CONTINUED)
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LD 37 38-40 40A 40B 40C GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 24. CONTINUED: 37 MR. JONES I'm dying? No, Mr. Jones. You're fine. Really. OMITTED 38-40 INT. PATIENT ROOM - NIGHT 40A Cristina examines a sleeping patient’s surgical dressing, checks vitals. INT. HOSPITAL CORRIDOR - NIGHT 40B George hurries down the hall, arms full of fluids for the lab. INT. POST-OP - NIGHT 40C Meredith writes orders on a patient chart. Trying to stay awake. At the bed next to hers, Alex steps up to talk to the nurse. ALEX 4B's got post-op pneumonia. Let’s * start antibiotics. * NURSE Are you sure the right diagnosis? ALEX I don‘t know. I'm only an intern. Here’'s an idea: why don’'t you go spend four years in med school and then let me know if it’s the right diagnosis? She’'s short of breath, she’s got fever, * she’s post-op -- start the antibiotics! * The nurse backs off, insulted. He looks at Meredith, friendly. ALEX (CONT'D) God, I hate nurses. -- I'm Alex. I'm with Jeremy. You're with the Nazi, right? MEREDITH It’'s not always pneumonia, you know. * She could be splinting. Or have a PE. You know the five W's, right? A long beat. Then Alex shakes his head. ALEX Like I said, I hate nurses. (CONTINUED)
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 25. 40C CONTINUED: 40C MEREDITH What did you say? Did you just call me a nurse? ALEX If the white cap fits... MEREDITH Hey- Her PAGER goes off. Meredith checks it. Sighs. MEREDITH (CONT'D) Dammit, Katie. She trudges off. Alex leans on the counter where George charts. ALEX She seeing anybody? INTERN #3 I know. ALEX She’s hot. GEORGE I'm friends with her. -- I mean, kinda friends...well, not actually friends exactly tight. We hang out. Really only just today so far but...I think- ALEX Dude. Stop 41 OMITTED 41 42 INT. STAIRWELL/CORRIDOR - NIGHT 42 Meredith slowly trudges down the hall. 43 INT. KATIE'S HOSPITAL ROOM - NIGHT 43 Meredith pushes open the door to find chaos. Nurses race around. Panic. NURSE 2 What took you so long?! Katie is seizing. Violently. TYLER She’s having multiple grand mal seizures. Now how do you want to (MORE) (CONTINUED)
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LD 43 GREY'S ANATOMY PILOT: DOUBLE BLUE CONTINUED: TYLER (CONT'D) 10/01/2004 proceed? Dr. Grey? Are you listening to me? She’s got diazapam, 2 mg of lorazapam, I just gave her the second dose. Dr. Grey? 26. 43
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LD 44 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 27. ACT THREE INT. KATIE'S HOSPITAL ROOM - NIGHT 44 Chaos. Nurses race around. Panic. Katie’s seizures continue, forceful and scary. Meredith peers at the chart. Panicked. MEREDITH Okay...she’s full on lorazepam? NURSE 2 had 4 mg. MEREDITH You paged Dr. Bailey and Dr. Shepherd? NURSE 2 Yes. TYLER Lorazepam’s not working. MEREDITH Ummm. ..let’s load with...with...what is it? -- Phenobarbital! Load with phenobarbital. A nurse injects the drug into Katie’s IV. TYLER Pheno’s in. NURSE 2 No change. Katie’s still seizing. Meredith desperafiely checks her notes. MEREDITH Phenobarbital’s protocol. 1It's supposed to work... TYLER What do you want to do? The nurses are all looking to her. MEREDITH I can’'t give her anything else. -- You did page Dr. Shepherd? NURSE 2 I just told you.. MEREDITH Page him again. STAT. (CONTINUED)
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LD 44 45 46 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 28. CONTINUED: 44 TYLER What do you want to do? MEREDITH What does the doctor normally do? TYLER This isn’t normal. How do you want to proceed? -- Dr. Grey? Meredith just stands there, staring at Katie. Scared. TYLER (CONT'D) DR. GREY! You need to tell us what you want to do! MEREDITH I don’'t know! I don’t know! On the monitor: FLATLINE. TYLER Heart stopped! NURSE 2 Code Blue! CODE BLUE! Meredith races out of the room. INT. NURSES STATION - CONTINUOUS 45 Meredith grabs the crash cart from the code team and shoves it down the hall to Katie’s room. Running. INT. KATIE'S HOSPITAL ROOM - CONTINUOUS 46 ' The nurses set up the crash cart. Meredith paddles, fumbles and drops them, grabs them again. MEREDITH Okay. -- V. Fib on the monitor. Charge paddles to 200. Clear! She shocks Katie. Stares at the monitor. Nothing. TYLER Still in v-fib. NURSE 2 19 seconds. MEREDITH Charge to 300! Everybody clear! She shocks Katie again. They stare at the monitor. Waiting. (CONTINUED)
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LD 46 GREY'S ANATOMY PILOT: CONTINUED: TYLER Still v-£fib. Nothing. NURSE 2 27 seconds. MEREDITH Charge to 360. Clear! She shocks Katie again. Nothing. She starts chest compressions. MEREDITH (CONT'D) Come on, Katie. They stare at the monitor. Waiting. Nothing. NURSE 2 49 seconds. MEREDITH Charge again. TYLER At 60 seconds you’re supposed to- MEREDITH CHARGE AGAIN! Clear! She shocks Katie. A beat. Then...a rhythm. NURSE 2 I see sinus rhythm. TYLER Blood pressure’s coming up. Meredith sags. Relieved. The nurses relax. Derek room on a run. DEREK What the hell happened? MEREDITH She had a seizure and then her heart stopped- DEREK Her heart stopped? You were supposed to be monitoring her! MEREDITH Derek, I- DOUBLE BLUE 10/01/2004 29. 46 enters the (CONTINUED)
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LD 46 GREY'S ANATOMY PILOT: DOUBLE BLUE CONTINUED: (2) DEREK I've got her. Just...GO. Then he moves forward, intent on Katie. 10/01/2004 29A. 46 (CONTINUED)
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46 47 48 49 49A 50 51 LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 30. CONTINUED: (3) 46 DEREK (CONT'D) Let’s check her airway status. Someone get me her chart... Meredith steps back. Watching. Then turns to go. INT. HOSPITAL CORRIDOR - NIGHT 47 Meredith moves down the hall, blank. INT. EMERGENCY ROOM - NIGHT 48 Meredith walks towards the doors. Determined. Cristina, writing in charts, sees her. CRISTINA Meredith? Meredith walks out the ER doors. Cristina follows her out. EXT. EMERGENCY ROOM - CONTINUOUS 49 CRISTINA Meredith? A calm beat. Then Meredith leans forward and vomits. MEREDITH If you ever tell anyone I did that... They head in, go their separate ways. OMITTED 49A INT. HOSPITAL CATWALK - SUNRISE 50 A shot of Derek. He stares out the windows. Eyes focused on nothing. Contemplative. INT. 3RD FLOOR LOBBY - DAY 51 Derek sits with the Bryces. MR. BRYCE You said it was a seizure disorder. Now you'’'re saying it isn’t? DEREK I'm saying that I don’t know. MRS. BRYCE Well, what do you think it could be? DEREK I don’'t know. (CONTINUED)
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 51 CONTINUED: MR. BRYCE When will you know? DEREK I don’t have an answer for you. For now, Katie'’'s stable but- MR. BRYCE Wait one damn minute. We came here because this hospital is supposed to be the best in Washington. That’'s my kid in there. My kid. And you have the audacity to sit here and tell me YOU DON'T KNOW? DEREK Mr. Bryce- MR. BRYCE No. I want someone else. A doctor who knows what they’re doing. You get me someone else. Someone better than you. DEREK Mr. Bryce, I assure that I'm working as hard as I can to- MR. BRYCE No, you’'re not. If you were, you’'d be able to give me some answers. 52 INT. PRE-OP - DAY George hovers as Burke talks with Gloria and Tony. BURKE ...I put you on a bypass machine which pumps blood for your heart, fix your ticker, take you off the machine and I'm done. Simple procedure. GLORIA So I shouldn’t worry? BURKE I'm very good at what I do. Still, it’'s surgery. There'’'s always a risk. see you in the OR this afternoon, Mr. Savitch. Burke leaves. Tony and Gloria look at George. TONY You're not gonna leave me alone with that guy, are you? 31. 51 52 (CONTINUED)
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52 53 54 LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 32. CONTINUED: 52 GEORGE be right outside the OR the whole time. worry, Dr. Burke knows what he’s doing. 1I’'ll see you after. GLORIA See, Tony? You’ll be fine. He'll be fine, right? GEORGE Tong's gonna sail through. You have nothing to worry about. I promise. INT. KATIE'S ICU ROOM - DAY 53 Derek sits, stares at Katie. Thinking. His eyes light up. He has an idea. INT. RESIDENT CONFERENCE ROOM - DAY 54 All the surgical interns gather. Izzie dozes. George reads. Cristina practices tying surgical knots. Meredith stands. CRISTINA Sit down. You're making me nervous. MEREDITH If I sit, I'll never get back up. What are you doing? CRISTINA Practice surgical knots in the vain hope that it wakes up my brain. (to George) What are you smiling about, 0072 -- I'm sorry. I get mean when I'm tired. GEORGE You know what? I don’t care. I'm hanging out in the OR today and I soothed a family. All is well. IZZIE For you. I have to get the Nazi’s labs done by 10. I don’'t have time for this. CRISTINA Does anyone know why we'’'re here? Meredith stiffens as Derek strides in with Bailey. DEREK I'm gonna do something pretty rare for a surgeon. I'm going to ask interns for help. (CONTINUED)
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 54 CONTINUED: A rustle as all the interns process this, intrigued. DEREK (CONT’D) I've got a kid named Katie Bryce. Right now, she’s a mystery. She doesn’t respond to meds, her scans are ure, her labs are clean. But she'’'s aving seizures. Grand mal seizures with no visible cause. She’s a ticking clock -- Katie'’'s going to die if I can’'t make a diagnosis. Which is where you come in. I can’t do this alone. I need extra eyes, extra minds. I need you to play detective. I need you to find out why Katie is seizing. The interns stare at him. Less than enthused. DEREK (CONT'D) You’'re tired. You’'re busy. You already have more work than you can handle. I’'ve been there. So I'm offering an incentive. Whoever finds the answer rides with me. If Katie needs surgery, you’ll do what no intern ever gets to do -- scrub in to assist on an advanced procedure. Now he has their attention. DEREK (CONT'D) Dr. Bailey’s going to hand out copies of Katie’s chart. The clock is ticking fast, people. If we’re gonna save Katie’s life, we have to do it soon. 33. 54 The interns swarm to grab copies of the chart. Derek glances up. Richard leans in the doorway. He gives Derek a nod.
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LD 54A 55 55A GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 34. ACT FOUR OMITTED 54A OMITTED 55 INT. POST-OP - DAY 55A drawing labs from a patient. Cristina appears at her side. CRISTINA I want in on Shepherd’s surgery. Meredith watches as an irritated Alex approaches the nurse. ALEX What did you page me for? NURSE 4B’'s still short of breath. CRISTINA You’ve been the intern on Katie from the start. You wanna work together? If we find the answer, we have a 50-50 shot of scrubbing in. ON ALEX AND THE NURSE: ALEX Give the antibiotics time to work. NURSE They should have worked by now... ON MEREDITH AND CRISTINA: MEREDITH I’'1ll work with you. But I don’t want in on the surgery. You can have it. CRISTINA Are you kidding? 1It’s the biggest opportunity any intern will ever get. MEREDITH I'm not spending any more time with Shepherd than I have to. CRISTINA What do you have against Shepherd? ON ALEX, handing the chart back to the nurse. Pissed off. (CONTINUED) * % ok * * * * * * *
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 34A. 55A CONTINUED: 55A ALEX Look. She’s old. freakin’ ancient. She’s lucky she’s still breathing. Now, I have a shot to scrub in downstairs on a patient who wasn’t alive during the Civil War. Don’t page me again. ON MEREDITH AND CRISTINA: MEREDITH If we find an answer, the surgery is yours. You wanna work together or not? *
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GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 35. 56 OMITTED 57 INT. HOSPITAL LIBRARY - DAY ON SCREEN: 12 P.M. -- HOUR THIRTY Interns fill the library, working on Katie'’s case. Cristina huddle in the back of the stacks. A beat... LD CRISTINA So she doesn’t have anoxia, chronic renal failure or acidosis. -- It can’t be tumor. No evidence on the CT. You’'re seriously not gonna tell me why you won’t work with Shepherd? MEREDITH No. What about infection? CRISTINA No white count, no CT lesions, no fevers, nothing in the spinal tap. -- Just tell me. MEREDITH You can’t comment, make a face or react in any way. -- We had sex. CRISTINA What about an aneurysm? MEREDITH No blood on the CT and no headache. CRISTINA No drug use, no pregnancy, no trauma...- - Was it good? I mean, he looks like he’d be good. Was he good? MEREDITH We’'re out of answers. What if no one comes up with anything? CRISTINA You mean, what if she dies? -- This is gonna sound terrible but I really wanted that surgery. 56 57 Meredith and (CONTINUED)
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LD 57 58-59 60 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 36. CONTINUED: 57 MEREDITH She’s never gonna get the chance to turn into a person. The sum total of her existence will be almost winning Miss Teen Whatever. -- You know what her pageant talent was? Rhythmic gymnastics. Who does rhythmic gymnastics? I mean- And then Meredith bolts to her feet. CRISTINA What? MEREDITH Get up. Come on. OMITTED 58-59 INT. HOSPITAL ELEVATOR - DAY 60 Meredith and Cristina approach Derek as the elevator doors close. Cristina opens them. Passengers shoot her dirty looks. CRISTINA Katie competes in beauty pageants. DEREK I know that. But we have to save her life anyway. CRISTINA She has no headaches, no neck pain and her CT is clean. No medical proof of an aneurysm. DEREK Right. CRISTINA But what if she has an aneurysm anyway? DEREK There are no indicators... CRISTINA She twisted her ankle a few weeks ago practicing for the pageant. DEREK Look, I appreciate that you are trying to help but- (CONTINUED)
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 60 CONTINUED: MEREDITH She fell. When she twisted her ankle, she fell. Derek pauses. CRISTINA It was no big deal. Not even a bump on the head. She got right back up, iced her ankle, felt fine. A fall so minor her doctor never even thought to mention it when I was taking her history. But she did fall. DEREK Do you know what the chances are that a minor fall could burst an aneurysm? One in a million. Literally. 37. 60 The women sag, disappointed. Derek turns, heading in the other direction. DEREK (CONT'D) Let’s go. CRISTINA Where? DEREK To find out if Katie is one in a million. 61 INT. ANGIO SUITE - DAY Katie lies under the angiogram. A RADIOLOGIST watches the 61 monitor. Derek, Meredith and Cristina hover over his shoulder. RADIOLOGIST The Chief of Surgery’s never gonna sign off on an angio. The kid tripped, for God’s sake. DEREK I'11l sign off. Give me the form. He hands Derek a form. Derek signs. The test gets underway. RADIOLOGIST I’11 be damned. Derek and the interns stare at the screen. RADIQLOGIST (CONT'D) There it is. (CONTINUED)
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LD 61 62 63 64 65 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 38. CONTINUED: 61 DEREK It’'s minute but it’s there. A subarachnoid hemorrhage. She’s bleeding into her brain. INT. NURSES STATION/LOBBY - DAY 62 Derek, Meredith and Cristina hurry down the hall. DEREK You two did great work. stay to kiss your asses but I’'ve gotta tell Katie she’s having surgery tonight. CRISTINA Dr. Shepherd? You said pick someone? If we helped. To scrub in. DEREK Oh, right. I wish I could take you both but it’s gonna be a full house. -- Meredith. 1I’1ll see you in the OR. Cristina waits for Meredith to decline. ON MEREDITH -- she opens her mouth to speak. Then closes it. Making a decision. A long beat of silence. Cristina can’t believe it. And then it’s too late. Derek’s walking away. MEREDITH Cristina... Cristina’s stalking off. Livid. INT. OR - SURGICAL SUITE - DAY 63 Tony lies on the table, covered in surgical drapes, deep in the sleep of anesthesia. Burke and his team operate. Through the glass of the scrub room, George is visible. Watching. OMITTED 64 INT. SCRUB ROOM - SURGICAL SUITE - DAY 65 George peers into through the glass. In the OR, Burke and his team operate on Tony. George turns away, sipping a juice box. Behind him, through the glass: the slow casual activity suddenly turns high speed. Monitors blink, nurses rush equipment to the table, Burke shouts orders. ON GEORGE -- sipping his juice box. He's startled when Burke pushes through the doors. (CONTINUED)
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LD 65 66 67 67A GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 39. CONTINUED: 65 GEORGE Wow, that was quick. I thought it would take more- He looks through the glass. Freezes. The surgical team is cleaning up and moving out. Tony is still on the table. BURKE His heart had too much damage to get him off bypass. Had to let him go. -- It happens. Rarely. But it does happen. The worst part of the game. GEORGE But I told his wife...I told Gloria he would be fine. I promised her. BURKE You what? GEORGE They have four kids and he- BURKE Who are you to promise anything? This is my case. Did you hear me promise? The only one who can keep a promise like that is God and I seen him holding a scalpel lately. You NEVER promise a patient’s family a good outcome! GEORGE I just...I thought... BURKE You're important enough to make promises to Mrs. Savitch, you get to be one to tell her that she’s a widow. He leaves. OMITTED 66 OMITTED 67 INT. POST-OP - SUNSET 67A Cristina checks on her patients. Moving from bed to bed. Fuming. works across from her. Sneaking worried glances at Cristina. Finally, she opens her mouth to speak... CRISTINA Izzie... (CONTINUED)
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67A 68 LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 40. CONTINUED: 67A IZZIE Maybe Meredith didn’t mean to- CRISTINA IZZIE. Izzie gives up. Meredith approaches. An uneasy beat. Then: MEREDITH I'1l tell him I changed my mind. You can have the surgery. CRISTINA You did a cutthroat thing. Deal with it. Don’t do me any favors and don’t come to me for absolution. You wanna be a shark, be a shark. MEREDITH I'm not- CRISTINA Yes, you are. Only it makes you feel all bad in your warm gooey places. Screw you. I don’'t get picked for surgeries because I slept with my boss. And I didn’t get into med school because I have a famous mother. Some of us have to earn what we get. Stung, Meredith backs away. As she leaves, she passes Alex who hangs out at the nurses station with a bunch of male interns. ALEX How's it hanging, Nurse Grey? ] The other interns laugh. Meredith keeps her head down. Leaves. INT. PATIENT WAITING ROOM - SUNSET 68 Gloria’s with her family; George enters. She rises, expectant. GEORGE Gloria, there were complications in the surgery. Tony’s heart had a lot of damage and they...I mean, we...we tried GLORIA What are you talking about? GEORGE He...Tony died. He'’s dead. -- Gloria, I'm so sorry. (CONTINUED)
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LD 68 69 70 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 41. CONTINUED: 68 GLORIA Thank you. Please go away. Gloria sits back down. Wildly calm. It’s not until he’s at the door that Gloria begins to wail. MOVED TO 71A 69 MOVED TO 49A 70
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GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 42. ACT FIVE 71 INT. OBSERVATION ROOM - NIGHT 71 Katie sleeps, sedated. Derek carefully shaves the side of her head. Meredith comes in. DEREK I promised her I'd make her look cool. Apparently, being a bald beauty queen is the worst thing that ever happened in the history of the world. MEREDITH Look, did you choose me for the surgery because I slept with you? DEREK Yes. -- I'm kidding. MEREDITH I'm not gonna scrub in for the surgery. You should ask Cristina. She wants it and I- DEREK You're one of Katie's doctors. And on your first day with very little training, you helped save her life. You earned the right to see her case through to the finish. -- Don’t let the fact that we had sex get in the way of taking your shot. Meredith turns to go. 71A OMITTED 71A 73 EXT. HOSPITAL - NIGHT 73 Meredith and George sit on the window ledge. LD MEREDITH I wish I wanted to be a chef. Or a ski instructor. Or a kindergarten teacher. GEORGE I would have made a really good postal worker. I'm dependable. (beat) My parents tell everybody their son is a surgeon. It’'s this big special accomplishment to them. Like I'm a superhero or something. If they could see me right now... (CONTINUED)
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LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 43. 73 CONTINUED: 73 MEREDITH When I told my mom I was going to medical school, she tried to talk me out of it. She told me that I don’'t have what it takes to be a surgeon. That I‘d never make it. -- The way I see it, a superhero’s pretty damn good. GEORGE We’'re gonna survive this, right? Meredith looks at George. She’s not sure. 72 MOVED TO 77A 72 73 OMITTED 73 74 INT. CAFETERIA - NIGHT 74 Cristina sits picking at her food. BAILEY (0.S.) It’s not a fair game, you know. Cristina looks around. Bailey eats at the table directly behind her. Bailey keeps her back to Cristina. CRISTINA What? BAILEY Surgery. They call it a game, act like it’s fun. But a game has referees. Someone to throw the flag when they don’t play fair. To keep everyone pleasant and civilized. But if you ! want pleasant and civilized, you should’ve gone into dermatology. You want to be a surgeon, you cheat and you kick and you fight like hell for what you can get. And if they call you a Nazi...so be it. At least you have a chance of winning the game. -- We never had this conversation. She stands, leaving. 75-76 OMITTED 75-76 76A INT. POST-OP - NIGHT 76A Meredith checks a surgical dressing. She looks up. At the next bed, Alex stands with Richard. He shifts, nervous as Richard looks through the chart. (CONTINUED)
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76A LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 44. CONTINUED: RICHARD She’s still short of breath. Did you get an ABG or chest film? ALEX Yes, sir. RICHARD And? -- What did you see? ALEX Sir, I had a lot of patients last night- RICHARD Name the common causes of post-op fever. Alex reaches into his pocket for his notes. RICHARD (CONT'D) From your head. Not a book. Alex is still struggling. RICHARD (CONT'D) You don’t look it up, you learn it. It should be in your head. Name the common causes of post-op fever. ALEX I- RICHARD Can anybody name the common causes of post-op fever?! MEREDITH Wind, water, wound, walking, wonder drugs. The Five W’'’s. Most of the time it’s wind -- splinting or pneumonia. Pneumonia’s easy to assume; especially if you’re too busy to do the tests or if the patient is...how did you put it, Alex? Oh, yeah. Freakin’ ancient. 76A (CONTINUED) * ok
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LD 76A 77 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 45. CONTINUED: (2) 76A RICHARD What do you think is wrong with 4B? MEREDITH The fourth W: walking. She’s a prime candidate for a pulmonary embolus. RICHARD How would you diagnose? MEREDITH Spiral CT, VQ scan. Provide 0-2, dose with heparin. Consult for IVC filter. Richard turns to Alex. RICHARD Do exactly what she said. Then go tell your resident I want you off this case. He smiles at Meredith. RICHARD (CONT'D) I'd know you anywhere. You're the spitting image of your mother. Welcome to the game. He walks off. Meredith raises an eyebrow at Alex. MEREDITH Not bad for a nurse, huh? She grins. MUSIC BEGINS AS: INT. OR - SURGICAL SUITE - NIGHT 77 Nurses prep Katie for surgery. And Meredith enters the OR doors. She and Derek exchange a look of understanding. DEREK Alright, people. 1It’s a beautiful night for saving lives. Let’s have some fun. MONTAGE BEGINS AS: The operating table is surrounded -- Derek, nurses, the OR tech, residents all crowd in. Meredith skirts the outside the table, trying to get a good view. But all she can see is snippets of the action -- a beat of drilling into Katie’s skull, the (CONTINUED)
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77 77A 77B 77¢C 77D LD GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 46. CONTINUED: 77 instruments being handed off, Derek’s first incision into the brain, Katie’s sleeping face... MEREDITH (V.O.) I can’t think of any one reason why I want to be a surgeon. But I can think of a thousand reasons why I could quit. Derek works on Katie, his eyes going from the microscope to the screen to the monitors -- constantly on alert, completely skilled and calm. He has a two headed microscope and one of the senior residents watches Derek work through the 2nd lens. Meredith worms her way in, trying to get closer to the table. INT. NURSES STATION - NIGHT 77A Bailey’s fast asleep on a gurney. Izzie takes a deep breath. Tentatively approaches her. Leaning in to wake her once again... MEREDITH (V.O.) They make it hard on purpose. INT. GALLERY - SURGICAL ONE - CONTINUOUS 77B ON -- Burke and then George. Watching the surgery. MEREDITH (V.O.) There are lives in our hands. INT. OR - SURGICAL SUITE - CONTINUOUS 77C Meredith watches, intent. One of the monitors begins to flash. Derek looks up. A sea of anxious action. Then the monitor returns to normal and Derek continues. MERDITH (V.O.) There comes a moment when it is more than just a game. Derek glances up. Sees Meredith, hanging back watching. Casually, he motions to the senior resident to step back. And then he waves Meredith in -- inviting her to look through the microscope. MEREDITH (V.O.) And you either take that step forward- INT. GALLERY - SURGICAL ONE - CONTINUOUS 77D ON CRISTINA -- watching the monitor that monitor shows Derek’s hands as they work. Cristina stares up at the screen. On the outside, looking in. (CONTINUED)
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LD 77D 77E 78 79 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 47. CONTINUED: 77D MEREDITH (V.O.) -or turn around and walk away. INT. OR - SURGICAL SUITE - CONTINUOUS 77E Meredith Jjoins Derek at the head of the table, looks through the microscope, watching him work up close. It’s an amazing, exciting moment for her. Over the microscopes, Meredith and Derek’s eyes meet. She'’s grateful for this. They bow their heads; Derek gets back to work, Meredith at his side. Above their heads, a monitor shows what the microscope sees. MEREDITH (V.O.) I could quit, but here’s the thing: I love the playing field. MOVED TO 77B & 77D 78 INT. PATIENT WAITING ROOM - DAY 79 MUSIC ENDS. Meredith sits outside the OR wing. Exhilarated. Cristina approaches her. A beat, then: CRISTINA Good surgery. MEREDITH Yeah. CRISTINA We don’t have to do the thing where I say something and you say something and then somebody cries and it’s a whole moment or whatever...? MEREDITH Yuck. CRISTINA Thank God. -- Get some sleep. You look like crap. MEREDITH Hey, I look better than you. CRISTINA Not possible... She takes off. Meredith smiles. Derek comes out of the OR wing. Meredith straightens. (CONTINUED)
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LD 79 80 81 82 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 48. CONTINUED: 79 MEREDITH That was amazing. You practice on cadavers, you observe and you think you know what 1t’s going to be like when you're actually standing at the table but that...it was such a high. I don’t know why anyone does drugs. DEREK Yeah... A beat of silence. They eye one another. That heat still there between them. And then: DEREK (CONT'D) Well...I should go. Do this. See you around? MEREDITH Yeah. See you around. And Meredith watches as he walks through the glass doors. EXT. SEATTLE GRACE HOSPITAL - SUNRISE 80 ON SCREEN: 6 A.M. -- HOUR FORTY-EIGHT Her bag slung over her shoulder, Meredith exits the hospital with Cristina, Izzie and George. They’'re laughing and talking, heading to the parking lot. MEREDITH (V.O.) So, I made it through my first shift. We all did. INT. NURSING HOME CORRIDOR - DAY 81 It’s raining. A nurse sits at the desk. Meredith moves by, greeting her as she goes. MEREDITH (V.O.) The other interns...they’re pretty good people. INT. NURSING HOME SITTING ROOM - CONTINUOUS 82 A warmly furnished sitting room. Meredith sits in a chair. ELLIS (late 50s), a frail shell of the strong, vibrant woman she used to be, is across from her. MEREDITH You’d like them. I think. I don’t know. Maybe. I like them. (beat) I changed my mind. About selling the (MORE) (CONTINUED)
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LD 82 GREY'S ANATOMY PILOT: DOUBLE BLUE 10/01/2004 CONTINUED: MEREDITH (CONT'D) house. I’'m gonna keep it. have to get a couple of roommates. but...I don’t know. It’s home. You know? Ellis looks at Meredith. ELLIS Are you the doctor? MEREDITH I'm not your doctor. But yes, I am a doctor. ELLIS Are you here to fix me? Because they keep telling me there’s nothing but I think...it’s my mind. My mind doesn’t work like it used to. Is there something you can do about that? MEREDITH No. There’s nothing I can do. ELLIS What’s your name? MEREDITH It’s me, Mom. Meredith. ELLIS Oh. Right. A beat. Then... ELLIS (CONT'D) Are you the doctor? 49. 82 Ellis has Alzheimer’s -- something no amount of surgery can cure. Meredith shakes her head, tired. MEREDITH No. ELLIS I was a doctor, I think. Meredith struggles, a little sad. Then: MEREDITH Yeah, you were. A surgeon. FADE OUT.
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