Comments and corrections welcome, doesn't belong to me. That said, if you want to take these, please credit me for the transcribing.
Meredith’s in bed. It’s and raining.
Meredith VO: We live out our lives on the surgical unit. Seven days a week, fourteen hours a day. We’re together more than we’re apart – aaah! (Izzie is standing at the foot of her bed)
Izzie: George’s room is bigger than mine.
Meredith gets up but trips and falls flat on her face. She limps away.
Meredith VO: After a while -
Izzie: I have more clothes, I should have the bigger room.
Meredith VO: the ways of residency -
George: I got here first.
Izzie: It’s Meredith’s house, she should decide.
Meredith VO: become the ways of life.
George: My room is like, two inches bigger than yours!
Izzie: You have a bigger closet!
George: So? Why is everything always a competition? I –
Meredith VO: Number one: always keep score. (Izzie and George argue in the background while she looks for clean clothes) Number two: do whatever you can to outsmart the other guy.
George: …put your clothes somewhere else!
Izzie: Everywhere else is filled with Meredith’s mom’s boxes.
George: Meredith? When is your mom coming back to town anyway? Because maybe we can put her boxes in storage.
Izzie: Or unpack a few things, make this place a little more homey. Maybe some throw pillows and lamps, a few paintings.
George: Oh, paintings would be nice.
Izzie: Yeah! You have all this amazing stuff just packed away. In the back hall, I found this box with like a hundred tapes of your mother performing these amazing medical
George: Really? We should watch them. Meredith, you want to watch – (Meredith’s door slams in their faces; a moment later, it re-opens. Meredith takes Izzie’s coffee and shuts the door again)
George: Meredith, do you want some privacy?
Meredith slumps against the other side of the door, holding her coffee.
Meredith VO: Number three? Don’t make friends with the enemy.
Cut to Bailey and Sheppard standing on a street corner.
Derek: Morning Dr. Bailey.
Bailey: (holding up a hand) Shut up.
Derek: You realise that I’m an attending and you’re only a resident? So you work for me, right?
Bailey: I know I’ve forgotten something, something is happening today, I know I should know what it is, but I just can’t…(shakes her head)
Derek: All right, nice talking to you Dr. Bailey.
Bailey: Something…right in front of my face…
Sheppard walks forward to cross the road, Bailey gasps and grabs him.
We see several bike riders race past, two crash.
Bailey: Now I remember! Dr Sheppard, watch out.
The bike riders aren’t professionals and are kicking each other etc. Another one crashes.
Cut to the hospital, Bailey with her interns.
Bailey: Fools on bikes killing themselves. Natural selection is what it is.
Alex: (quietly to George) So what’s up with the Nazi, is she off her meds?
George: You never heard of the race?
Shot of a nice, neat OR schedule. Webber, Burke and Sheppard are standing in front of it.
Webber: Excellent board. Well-timed, balanced, efficient – if all goes well, we’ll have an early night.
Bailey: Chief! Dead baby bike race started twenty minutes ago.
Webber: All right, people! Dead baby bike race day!
Intern wipes the schedule off.
George: Every year this bar –
Meredith: The Dead Baby Bar.
George: Every year, they hold this underground bike race.
Izzie: Don’t you wonder why someone would name a bar something so disgusting?
Cristina: Keep your panties on, Nancy Drew.
George: The race is completely illegal, and –
Meredith: Crazy, a bunch of bike messengers racing against traffic trying to beat each other for free shots of tequila.
Alex: All-out, no holds barred competition, sounds like fun.
Izzie: Yeah, you would think that.
George: The race doesn’t even have any rules. Except eye gouging – no eye gouging.
Cristina: Oh great, we’re going to be trapped in the Pit bandaging up idiots when we could be up in the OR?
George: What kind of people engage in a race that has, as its only rule, that you can’t rip out the eyeballs of another human being?
Alex: Men, Georgie, men.
Bailey: I need someone to get up to the OR floor, the Chief needs a right hand.
Everyone’s hands shoot up.
Meredith VO: And number four: everything, everything is a competition.
Bailey: Okay people, the rules of trauma. Don’t mingle with the ER interns, they don’t know their ass from their oesophagus. Sew fast, discharge fast, take bodies up to the OR yesterday. Don’t let me catch you fighting over patients. Got it? Come on, let’s go.
The interns run and jostle for position. We see injured bike riders everywhere.
Cristina: Oh, it’s like candy, but with blood, which is so much better.
Izzie: Oh my god…
Izzie: I saw him first!
Meredith VO: Whoever said that winning wasn’t everything…
We see a guy with nails in his side.
Meredith: Ooh. I’ll take that guy.
Alex: No, you’ll have to beat me to him first. (they run for him)
Meredith VO: …never held a scalpel.
Alex: Heads he’s mine, tails he’s yours.
Meredith: Why do you get to be heads?
Alex: Because I have a head, and you are tail.
Meredith: Excuse me. (Meredith closes the curtain on the patient) How do you make everything dirty? (Alex flips it) Ha. Tails. There are plenty of other cases.
Alex: So go get one. I was here first.
Meredith: I am not backing down so I can do sutures all day while you’re up in the OR. This is a surgical case, and you know it.
Alex: It’s superficial. I mean, it’s cool, but it’s superficial.
Meredith: How do you know those things didn’t rupture his peritoneum?
Alex: Because he’s sitting up, and he’s sitting there talking to us! (guy pulls the curtain back)
Guy: ‘Allo. Excuse me, I was wondering if you could take these out, and sew me up, so I can go and win my race?
Meredith: Well, we can’t just pull them out, I mean, we ought to – (Alex does just that.) do some tests –
Guy: Oh, wicked.
Meredith: Are you out of your mind?
Alex: It’s a superficial wound. Sew him up, and let him finish his race.
Meredith: You – you –
Guy: Good man.
Cut to Cristina, Izzie and Derek.
Cristina: Unidentified John Doe, mid-thirties pedestrian, hit by a motorist swerving to avoid a bike, GCS 3, pupils fixed and dilated, atropine given for a pulse in the forties, BP 183 over 112…[medical jargon]
Izzie: …and a gram of Phenytoin.
Burke: Is he corked?
Derek: Looks like.
Burke: The bike race claims its first victim.
Burke: I ought to make my Triple A repair after all.
Izzie: Uh, Dr. Sheppard, he’s not going to the OR?
Derek: No. Do an EEG, and confirmatory tests. If he doesn’t respond, six hours. Declare him. (leaves)
Izzie: Declare him? Declare him what?
Cristina: Brain dead.
Cut to Webber cleaning up.
George: (pulling on a mask) Sir, Dr. Bailey sent me in to assist you, should I scrub in?
Webber: No, I’m stuck here all day. I need you on the floor, monitoring my pre and post-op patients.
Webber: You got a problem with that, O’Malley?
George: Oh, uh, no sir.
Webber: Oh, a mate of mine in 4451, Lloyd Mackie? Give him whatever he needs.
George: Yes sir.
Cut to a patient, in his bed, lighting up a cigarette.
George: Mr Mackie! No smoking! There’s no smoking
Mr Mackie: Why not?
George: Oh my god, you’re in a hospital.
Mr Mackie: Your point being…
George: I don’t know if you’ve listened to the surgeon-general lately, say in the past twenty years, but smoking is bad. Smoking will kill you.
Mr Mackie: Liver cancer will kill me. Smoking will just speed up the process.
George: You’re at the top of the donor list for a new liver. There’s hope.
Mr Mackie: Sweetheart, I’ve been at the top of the donor list for eight months. I’m not in the batter’s cage. I’m in a dugout, about to be traded.
George: You like baseball?
Mr Mackie: No.
George: Oh. Um, well, um, the chief wanted me to look in on you.
Mr Mackie: Richard’s a dear old friend. He’s been my doctor for thirty years.
George: Well, whatever you need, I’m your man. Just name it.
Mr Mackie: I’m sure I’ll think of something.
Cut to Izzie and Cristina with their patient.
Cristina: There’s no corneal reflexes.
Izzie: It’s been fifty-five minutes. If he doesn’t respond to these tests in the next five hours, what? We’re supposed to just stand here, and watch him die?
Cristina: If he doesn’t respond to these tests, it’s because he’s already dead.
Izzie: Technically. Legally.
Cristina: Actually, Izzie, actually dead.
Izzie: He’s breathing, he has a heartbeat.
Cristina: Look at his EEG. There’s no higher brain function. He’ll never talk, move or think again. There’s no one in there. Think like a doctor, Izzie.
Izzie: He could wake up. What about a miracle? There are medical miracles, you know.
Derek: (standing in the doorway) I know. You’re right. Miracles happen. People do wake up, that’s why we do a series of tests over a set number of hours, so when we call time of death, we know that we’ve done everything in our power to make sure it’s actually his time of death. But there isn’t going to be any miracles. This is the hard part. To stand around as surgeons, and not cut. That’s what ‘do no harm’ means.
Cristina: Wish he’d just go to the light already, so I can get on another case.
Cristina: Oh, I’m the devil because I’d rather be in surgery, instead of standing watch over the death squad? It’s depressing.
Izzie: Look at his sneakers. They’re brand new. And somebody sewed this tear in his shirt, and he has one of those electronic key cards. He belongs to someone. An hour ago, he was out there, alive. To simply stand here and wait for him to die…
Cristina: Would be a waste of life.
Cristina: It would be a waste of organs. (leaves. Izzie’s shocked at her again)
Cut to Meredith sewing up Viper.
Viper: Ah, you got a nice touch. And by the way, you are a rocking babe.
Meredith: Seriously, do you actually think you have a shot here?
Viper: I like to think I’ve got a shot anywhere.
Meredith: Look, you really have to let me take you for some tests, and a CT. You could have internal bleeding.
Viper: No thank you, I’ve got a race to get back to.
Meredith: Why? You can’t win now anyway.
Viper: Doesn’t mean I can’t cross that finish line. There’s a party at the finish line. Do you want to meet me there?
Meredith: One test.
Viper: Can’t do it, gotta go.
Meredith: Okay, well, you realise that you’re leaving against medical advice and I strongly urge you to stay.
Viper: The frat guy said I could go.
Meredith: The frat guy is an ass. Okay, well, you have to sign an AMA form.
Viper: Darlin’, I will do anything you want me to.
Meredith: What is it with you guys and your need to dirty everything up?
Viper: I don’t know. Maybe it’s just testosterone, eh?
Meredith: Maybe. You might want to see a doctor about that, too.
Viper: Come here (takes the form and signs) There.
He gets up, takes a few steps towards the door, turns back, grabs Meredith and kisses her.
Viper: That was for good luck. (leaving) Don’t worry, darling, you’ll see me again.
Meredith: For your sake, I hope not!
Meredith shakes her head and begins to strip the bed. She looks up and sees Derek standing outside.
Meredith: (as Derek enters) What do you want?
Derek: You make out with patients now?
Meredith: What are you, jealous?
Derek: I don’t get jealous.
Meredith: We had sex, once.
Derek: And we kissed, in an elevator.
Meredith: And we kissed in an elevator, once!
Derek: No, seriously, I mean come on, go out with me.
Derek: You know, I almost died today. Yeah, I came like (gestures) this close. How would you feel if I died? And you didn’t get a chance to go out with me?
Meredith: Get over yourself already.
Derek: Come on.
Meredith: It’s the chase, isn’t it?
Meredith: The thrill of the chase. I’ve been wondering to myself, why are you so hell bent on getting me to go out with you? You know you’re my boss, you know it’s against the rules, you know I keep saying no. It’s the chase.
Derek: Well, it’s fun, isn’t it?
Meredith: You see? This is a game to you. But not to me. Because unlike you, I still have something to prove. (leaves)
Cut to Bailey doing surgery and Izzie and Cristina coming in.
Bailey: I know you see me resecting this bowel, do I strike you as someone who enjoys multitasking?
Cristina: We have a John Doe, in three hours, we have to declare him brain dead. We want to harvest his organs.
Bailey: So why you wasting time on this? You know how many patients we have downstairs.
Izzie: If he dies – and he could still live, you know – his death should mean something.
Bailey: And you want a harvest surgery.
Cristina: I want to save lives. (Bailey looks derisive) Okay, I want a harvest surgery.
Bailey: Getting organs from a John Doe is a long shot. Without ID, you can’t contact the family, without the family, you can’t get consent to harvest the organs. Let the poor man die in peace.
Izzie: But if we can find the family –
Bailey: And get consent.
Cristina: We could harvest the organs?
Bailey: If you find the family.
Izzie and Cristina hurry away. Cut to Alex walking over to a desk where George is.
Alex: What’re you doing?
George: Hiding. There’s this VIP patient, he likes me.
Alex: Well, that’s good, right?
George: He likes me likes me.
Alex: Go for it, man, get yours. I’m down with the rainbow. (George looks up, wide-eyed) Oh. Are you not gay?
Alex: Really? (looks bemused) Dude, sorry.
He leaves as Izzie and Cristina come up to the other desk.
George: (holding out a disk) Cristina?
She comes over and he drops the disk.
George: Do you – do you think – does Meredith think I’m gay?
Cristina: Are you?
George looks frustrated. A woman comes over to Izzie and Cristina returns there.
Izzie: I found this on a John Doe, it’s a hotel key card? I’ve called the police and they’re going to send someone over, maybe they can figure out what hotel he’s staying at, get his ID from there. Could you…
Woman: I’ll make sure the police get it.
Izzie: Okay. It’s just, it’s really important. We only have a few hours before we have to declare him and I’d really like to find his family.
Woman: You want their permission for organ donation? (George looks up, interested)
Izzie: I just – really want to find them. (leaves. Cristina looks after her, surprised, and then turns to go)
George: You have a potential donor? (Cristina nods) What’s his blood type?
Cristina: Uh, O-neg. (George pulls out a folder)
Cut to Izzie looking at her patient.
Izzie: Okay, well, I know you probably can’t hear me, and you’re feeling this big push to go towards the light, where everything is all haloes and all-you-can-eat buffets and stuff, and I mean, sharing your organs is really great and all, but I think you have a family. I can feel it. So I think it’d be great if you could do me a favour, and get better. Just …live. So you think you could give that a shot for me?
Alarms start going off. His pulse is dropping.
Izzie: Oh no. Meredith! (Meredith comes in) He’s crashing.
Meredith: Well, what the hell are you doing, call code!
Izzie: I can’t, I’m not supposed to, he’s brain dead.
Meredith: Well Izzie, if he’s brain dead, you have to let him go.
Izzie: No. It’s only been five hours and thirty-three minutes, he’s supposed to get six hours.
Meredith: Well, we can’t do anything to make him live, it’s not our place to make that call.
Izzie: He’s a person, we’re doctors, we should have every right to make that call. We can’t just stand here and do nothing while he dies. He has a right to the next twenty-seven minutes.
Meredith: Screw it. I’ll get the dopamine, you get the blood, we’ll transfuse him.
Cityscape, then cut to George examining Mackie.
George: Do you feel any pain here?
Mackie: No. You know, you really do have beautiful eyelashes.
George: Um, thank you. Uh, what about here?
Mackie: No. And nice eyes. Kind. I like a man with kind eyes.
George: Really, you think I have kind eyes?
George: (pulling Mackie’s singlet back down and writing on the chart) I mean, uh, you can, um…
Mackie: What are you examining me for?
George: You know, just routine, medical stuff. You’re doing very well.
Mackie: Because I’m enjoying the view.
George: Okay…well…I gotta go.
Mackie waves. Cut to Izzie and Meredith going upstairs.
Meredith: He’s stable.
Cristina: (coming downstairs) For now. I had a radiologist look at his chest, apparently he has a traumatic aortic injury. He’s going to rupture and bleed out.
Izzie: So he needs surgery.
Cristina: If he’s going to remain a viable organ donor, yeah.
Izzie: If he’s going to live.
Izzie: No! I’m not giving up on him. He has the surgery, he lives longer, that’s the point. So I’m going to help find the family, you guys find a way to get him into surgery. (continues upstairs)
Cristina: She’s vice-president of fantasyland.
Meredith: So who do we go to, Bailey?
Cristina: No, we need to go higher than Bailey. (they start upstairs)
Cut to Burke in the men’s room. Meredith opens the door.
Meredith: Dr. Burke?
Meredith: (closing the door) Okay.
Cristina: (opening the door) Dr Burke, um, I know you’re busy, but our John Doe needs an aortic repair.
Burke: The guy from this morning? Isn’t he legally dead?
Cristina: Well, yeah, he’s kinda still around? We gave him two units PRBCs and put him on pressers.
Burke: On whose orders?
They shut the door and open it again.
Burke: You gave a brain-dead John Doe a blood transfusion without consulting anyone. And now you want me to repair his heart.
Cristina: Well, yes.
Burke: You do enjoy crossing the line, don’t you?
Meredith: He is an excellent candidate for organ donation.
Burke: I am a surgeon. I save lives. This guy is already dead. Now, this is the men’s room. Either whip one out or close the door. (They close the door).
Cut to Meredith talking to Derek.
Derek: You’re asking my advice?
Derek: Now who’s chasing?
Meredith: Not funny. This is important.
Derek: Okay. You want to get around Burke? You gotta find a way to get the chief involved.
Cut to George eating a sandwich. Izzie, Cristina and Meredith are standing in front of him in a line.
George: What’d I do?
Meredith: How close a match for the liver is your guy to our John Doe?
George: Very. Same type, same size. UNOS couldn’t find a better match, why?
Izzie: And he’s the chief’s VIP, right?
Cristina: How much would you kill to be in on a transplant surgery?
George: You underestimate me. I’m not a baby, I’m your colleague. You don’t have to manipulate me, if you want something, all you have to do is ask.
Izzie: We want you to go over Burke’s head to the chief.
George: Ask me something easier.