- Dr. Derek Shepherd: [thinking to himself] My head. Look at my head.
- Paul: Sedation, please. You need to calm down, buddy.
- Dr. Penelope Blake: He's a surgeon. He's a surgeon and he just saved everyone from the car accident that just came through.
- Paul: Doctor, we're gonna sedate you now so we can secure your airway. You're gonna be fine.
- Dr. Derek Shepherd: [thinking to himself] No. I'm not. You need to wait.
- Dr. Penelope Blake: [as Derek tries to grab her arm] It's okay. We've got you. It's all gonna be okay.
- Dr. Derek Shepherd: [thinking to himself] This isn't right. You should have taken me to get a head C.T.
- Dr. Penelope Blake: His pressure's holding. Maybe we should get the scan.
- Dr. Derek Shepherd: [thinking to himself] Yes, listen to her.
- Paul: Too risky. He could bottom out in the scanner. We need to open him up. Find the source of the bleeding.
- Dr. Derek Shepherd: [thinking to himself] No, you don't. You have the time.
- Paul: We have to work fast, people.
- Dr. Derek Shepherd: [thinking to himself] I'm stable. Guys, I'm stable. Take me to get the head C.T.
- Paul: Let's set up for an ex lap. Coming through.
- Dr. Derek Shepherd: [thinking to himself] I'm going to die because these people aren't properly trained.
- Dr. Derek Shepherd: It's a beautiful day to save lives.
- Winnie: What... what does that mean?
- Dr. Derek Shepherd: Oh, it's just a thing I say.
- Dr. Meredith Grey: [opening voiceover] When I was 5, my mom lost me in a park. I don't remember much except one minute I was riding the carousel and then the next, she was gone. I don't remember how I found her. I don't remember how I got home. All I remember is what happened next. She told me not to worry. She told me everything would be fine. Funny, isn't it? The way memory works. The things you can't quite remember and the things you never forget. The carousel never stops turning.
- Paul: [to Meredith] Ma'am? I thought that if this was a good time, I'd take a moment to explain how this all works.
- Dr. Meredith Grey: Where are the papers?
- Paul: Mrs. Shepherd, there's some things you need to know... some things we need to discuss. Difficult things.
- Dr. Meredith Grey: I'm a doctor. Dr. Grey. I'm a surgeon just like my husband was. I know how this works. You've waited the requisite number of hours and now you can officially declare him dead. Normally, you'd talk to me about organ donation, but by the looks of his chart, there's not much left that works to donate. So, the ICU needs a bed. Those must be the papers, the papers you want me to sign to decide what to do with my husband now that he's dead, but not really dead. Do we ship him off to a long term care facility and cross our fingers and hope for fairy tales and magic? Or do I pull the pus? And stop all curative intervention? Discontinue all routine monitoring, remove all the catheters, drains, and tubes, end any and all treatments that might provide comfort to the patient. Terminate all... life-sustaining measures... and behave as any sane doctor would behave. Does that about cover it, doctor?
- [voice breaking]
- Dr. Meredith Grey: Is that what you want to talk to me about while I sit here with my sleeping children? You want to talk about killing my husband? Give me the papers.
- Paul: Ma'am...
- Dr. Meredith Grey: Give me the papers!
- Alana: I'm not supposed to be here. I'm a mathlete. I take five A.P classes. I'm first chair on cello. I have a perfect attendance record. I haven't missed one day, not one day of school. I'm boring.
- [chuckles]
- Alana: Charlie Abbot's prom king.
- [crying]
- Alana: He's in remedial math. He's never even heard of A.P. He's dumb and popular and totally gorgeous. And this morning, he says, 'Do you want to go for a ride?' To me. So, the earth is shifting on its axis or something crazy because no way. Charlie Abbot is not supposed to kiss me.
- [groans, holds her stomach]
- Alana: Mm, so something is wrong. Some wormhole to another universe has opened. I don't know, but now I am on a road because the car I was in just flew through the air and I just ran from a giant fireball and Charlie Abbot's brain is broken and my stomach is killing me. So I am obviously not supposed to be here. So, can someone please wake me up or wave your magic wand or click your heels three times or whatever so I can go home?
- [Derek stands in front of her]
- Alana: Please. Please. What? What is it?
- Dr. Derek Shepherd: Just look at my eyes.
- Alana: What's wrong?
- Dr. Derek Shepherd: Look at my face. Look at my eyes, okay?
- Alana: I'm scared.
- Winnie: Derek?
- Dr. Derek Shepherd: [thinking to himself] Winnie, you shouldn't be in here.
- Winnie: [feels Derek's wrist] You're not dead.
- [voice breaking]
- Winnie: I know you're not dead. Know how I know? 'Cause I can feel your pulse, which means your heart is beating. Your heart is beating, which means you're not dead, okay? Hey. Eyes on me. You stay not dead, okay? It's a beautiful day to save lives, right? So you stay not dead.
- Dr. Penelope Blake: [to Winnie] That man... do you know him?
- Winnie: Yeah, that's Derek.
- Dr. Penelope Blake: Derek? Derek who? Is he a family member? A neighbor?
- Winnie: He's my friend.
- Dr. Penelope Blake: Okay. Do you know your friend's last name?
- Winnie: No, I mean, I just met him today. He pulled me and my mom out of our car after the accident. He fixed her leg, he helped Charlie and put Alana's insides back in. He saved us.
- Dr. Penelope Blake: He saved you?
- Winnie: All of us. He's a doctor.
- Dr. Penelope Blake: He's a doctor?
- Winnie: A surgeon, I think.
- Dr. Penelope Blake: [crying; to Meredith] I'm so sorry. I know that that's useless to you right now, but I am. He saved all those people. And it was my job... to save him. And I failed. And now... he's gonna die... because I was not a good enough doctor... to keep him alive.
- Dr. Meredith Grey: Yeah, you're right. You did fail. You weren't good enough. But do you know what tomorrow is? It's Friday. There's gonna be more patients who come in who need you to save them... Someone's mother, someone's kid, someone's husband. They need you to save them because they can't save themselves. So learn from this, better yourself and you will be better for next time.
- Dr. Penelope Blake: What if I'm not?
- Dr. Meredith Grey: You will be.
- Dr. Penelope Blake: How can you know that?
- Dr. Meredith Grey: Because he was your one. Every patient you treat, you're going to see my husband's face and remember that he was the one that died on your watch. He will haunt you. The hard ones always do. And it only takes that one. But that one, will make you work harder and they make you better. Or they make you quit and you don't get to waste what would have been the rest of my husband's life being a quitter. So get back inside because you're not saving any lives out here.
- Dr. Penelope Blake: I really am so...
- Dr. Meredith Grey: Yeah, I know. I know.
- Alana: What's wrong with me? Is it my stomach? Is it bleeding?
- Dr. Derek Shepherd: It's okay.
- Alana: Am I dying?
- Dr. Derek Shepherd: No, no, no.
- Alana: I want to know.
- Dr. Derek Shepherd: You have a little cut in your tummy. It's gonna be okay. It's no big deal. I can take care of it.
- Winnie: How?
- Alana: How are you gonna fix it?
- [Derek doesn't say anything]
- Alana: You don't know. Oh, my god, I'm gonna die out here.
- Dr. Derek Shepherd: Can you stop saying that? It's insulting. I don't let people die. I'm very good at my job, even next to the roadside, okay? I'm thinking. I'm thinking.
- Dr. Derek Shepherd: I'm gonna go get your mom. Winnie, you think you can go down there and keep those two company?
- Winnie: The people who hit our car? No, thanks. I'm good to wait here.
- Dr. Derek Shepherd: [holding the first aid kit] There's bandages in here. They could use them.
- Winnie: My mom's gonna be in a lot of pain and you don't want me to see it.
- Dr. Derek Shepherd: No... Yes.
- Winnie: I can deal with seeing stuff. My dad died right in front of me. We were fishing on the lake, and he had a heart attack on the boat and died. Do you fish?
- Dr. Derek Shepherd: No one's gonna die, Winnie.
- Winnie: You aren't God, so... you don't know. I'll go wait with them.
- Dr. Cohn: [When the neurosurgeon arrives to operate on Derek] What the hell have you people screwed up now?
- Dr. Penelope Blake: Us? You're on call for trauma. What took you so long?
- Dr. Cohn: Who the hell are you?
- Dr. Penelope Blake: Your response time was supposed to be 20 minutes.
- Dr. Derek Shepherd: [thinking to himself] It wouldn't have made a difference.
- Dr. Cohn: If you guys had ordered a head C.T, you would have called me sooner. What am I supposed to do about that?
- Paul: We needed to control...
- Dr. Penelope Blake: He was bleeding into his belly.
- Dr. Cohn: He was stable. You had the time. Now I gotta work like hell to save this man, thanks to you.
- Dr. Derek Shepherd: [thinking to himself] There's no point.
- Dr. Penelope Blake: You were supposed to be here in 20 minutes. Not an hour and a half. We had a chance. He had a freaking chance.
- Dr. Cohn: Get out of my O.R.
- Dr. Penelope Blake: What?
- Dr. Cohn: You heard me. Unless you're gonna be cutting into this man's head, you can get out. Now. Now!
- [Penny leaves]
- Dr. Cohn: I'm gonna scrub in. Someone pull in a craniotomy tray. We've already wasted enough time.
- Dr. Derek Shepherd: [thinking to himself] It's too late. You're too late.
- Dr. Cohn: [to Meredith, who has her back turned away] Dr. Grey. Dr. Grey, I can't... We can't tell you how sorry... I am so sorry for your loss. Dr. Shepherd was a tremendous surgeon... t-tremendously gifted. I've long admired his techniques. I... it... was an honor.
- [Meredith turns to face him and looks angry; she extends her hand to Penny for Derek's file]
- Dr. Meredith Grey: [as she looks through the file] The call to not get a head C.T was a bad call.
- Dr. Penelope Blake: We're not a trauma center. We're a teaching hospital.
- Dr. Meredith Grey: You did the best you could.
- Dr. Derek Shepherd: Hey, you Winnie? Is anything hurt like your neck or...?
- [Winnie shakes her head]
- Dr. Derek Shepherd: Is that why you can't talk?
- Winnie: I think I'm dead. Am I dead?
- Dr. Derek Shepherd: Let me feel your wrist.
- [Winnie extends her arm to Derek]
- Dr. Derek Shepherd: Well, you're not dead. I can feel a pulse in your wrist. You know what that means?
- Winnie: What?
- Dr. Derek Shepherd: It means that your heart's still beating. And you can't be dead if your heart's still beating. You see, I'm a doctor and I'm telling you if you ever want to know you're dead, feel your pulse.
- Winnie: I can feel it. I'm not dead.