Jackson, the little boy in desperate need of organs, will die unless
new a new liver and small intestine is found for him in the next 24
hours. Dr. Robbins suggests they try an experimental liver dialysis to
extend Jackson's life. Miranda breaks down, saying she can't handle it
if he dies. Robbins advises her to get some sleep. Richard orders
George to check all brain-dead patients to see if they're a match and
to ask, but only ask, whether the families will consider organ donation.
William succeeds in knocking himself unconscious after Meredith tells
him that injuring his head could lead to brain death. He needs surgery
to live, but he's still conscious and refuses to let Meredith page
Derek. Miranda advises Meredith to page Derek. "I suggest you do
everything you can to keep your patient alive because we're doctors,
Grey. We're not executioners."
Derek is in a great mood after getting his mother's approval of
Meredith. He shows Cristina the ring his mother gave him to give to
Meredith, wanting to know if she thinks Meredith will like it. He urges
Cristina to make up with Meredith, saying she'll need someone to freak
out to after he proposes to her, but Cristina says he should find
someone else.
"I know you think this is wrong. Just let me do this," Meredith begs
when Cristina insists on checking on William herself. When William
murmurs that he wants to live, Cristina puts in the page. Derek is
furious when he finds out that Meredith's kept William's declining
condition from him. "He's been manipulating you since he got here. It
was a bad decision. It was the wrong decision," Derek insists. He wants
Meredith to scrub in to see the results of her actions.
Derek has only begun the surgery when an emotional Miranda enters the
OR and insists he stop the operation. "This man is trying to kill
himself. God forgive me, I need you to let him," she begs. Derek
refuses at first, but then puts the scalpel down. "It's your call: Am I
an executioner or am I surgeon?" he wants to know. Miranda finally
realizes what's she asking of him and says, "Pick up the scalpel."
"What a waste," Meredith says as Cristina closes. "We saved a life,
that's never a waste," Derek replies.
The night after he came to Cristina's apartment drunk, Owen wakes up
naked in her bed, where her roommate, Callie, accidentally sees him.
Mark suffers a severe penis injury after having sex with Lexie in the
on-call room. She pages Callie, who summons Owen. The rumor quickly
spreads through the hospital while everyone tries to guess who the
woman was who "broke Sloan's penis." Sadie correctly guesses that it
was Lexie, so she lies and tells the other residents that she was the
one. She watches the door as Lexie joins a recuperating Mark. "It's not
'Little Grey,' it's Lexie," she insists. "And I'm not going anywhere."
Denny still hasn't left, even though Izzie made it clear she wants him
gone. She finally realizes that what Denny's been telling her this
whole time -- "I'm here for you" -- means that he's come to bring her
to heaven with him. "I'm sick," Izzie realizes, and yells at him for
not telling her right away. "I can go now, because you know," Denny
says. "But it's your choice. You get to choose." She tells Denny to go,
asking what he's waiting for. "This," he says, and kisses her goodbye.
Owen asks Cristina to give him another chance. "You've got some big
problems," she says. "Yeah, I do," he admits, and she says, "Yes."
Miranda goes back to Jackson's bedside and tells the mother it's time
to let her son go. Richard has succeeded in talking a brain-dead
patient's grieving wife into donating her husband's organs -- just as
Jackson flatlines. As Miranda and Richard wait to see if Jackson will
make it, Miranda admits she crossed a line to try to save Jackson's
life and Richard says, "So did I."
When he comes to, William tells Meredith he was playing her. "I wanted
to destroy your career. Your boyfriend was right," but she refuses to
believe him, saying she would have been scared to die, too. He asks if
she'll come to his execution. "It would be good to have a friendly face
in the crowd, when they kill me." When William is led into the the
execution chamber, Meredith is among the witnesses.
As William flatlines, Jackson wakes up, and asks his mother for some
water.
Meredith finds Derek waiting for her outside the prison. "I know you
don't understand me. I don't understand me. It was horrible," she sobs,
and he hugs her. "It's okay," he says, and drives her to Cristina's.
"She's in the car and she won't stop crying," he says, begging Cristina
to go comfort her friend, and she does.
