Meredith’s Voiceover (MVO): 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, I’m kinda screwed.
[INT. LARGE TOWNHOUSE]
(Close up of a woman obviously naked waking up on couch, with a guy sleeping on the floor in a large townhouse. She starts getting dressed as the guy starts to wake up. They’ve obviously just had a one-night stand)
GUY: This is…uh…
WOMAN: … humiliating on so many levels. You have to go.
GUY: Why, why don’t you just come back down here and we’ll pick up where we left off.
WOMAN: No seriously you have to go. I’m late which isn’t what you want to be on your first day of work, so…
GUY (starts getting dressed): So, ah, you actually live here?
WOMAN: No.
GUY: Oh.
WOMAN: Yes. Kind of.
GUY: Oh. It’s nice. A little dusty. Odd. But it’s nice. Huh. So how do you kinda live here?
WOMAN: I moved 2 weeks ago from Boston. It was my mother’s house. I’m selling it.
GUY: Oh I’m sorry.
WOMAN: For what?
GUY: You said was.
WOMAN: Oh my mother’s not dead. She’s … you know what? We don’t have to do the thing.
GUY: Oh. We can do anything you want.
WOMAN: No the thing. Exchange the details, pretend we care. Look I’m going to go upstairs and take a shower. Okay and when I get back down here, you won’t be here. So … um … goodbye … uh …
DEREK: Derek.
MEREDITH: Derek. Right, Meredith.
DEREK (grinning): Meredith.
MEREDITH (smiling): Yeah. Mmm hmm.
DEREK: Nice meeting you.
MEREDITH: Bye Derek.
[EXT. Various shots of Seattle]
[INT. SEATTLE GRACE HOSPITAL]
(Cut to Meredith driving to work. A group of interns are being spoken to by the Chief of Surgery in an O.R room. Meredith walks in late.)
DR. RICHARD WEBBER: Each of you comes today hopeful, wanting in on the game. A month ago you were in med school being taught by doctors. Today, you are the doctors. The seven years you spend here as a surgical resident will be the best and worst of your life. You will be pushed to the 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 the pressure. Two of you will be asked to leave. This is your starting line. This is your arena. How well you play, that’s up to you.
MVO: Like I said. I’m screwed.
[GREY’S ANATOMY appears on the screen]
[EXT. MORNING IN THE CAR PARK OF SEATTLE GRACE HOSPITAL]
[INT. LOCKER ROOM]
(Opens with interns getting ready for their first day, putting on their coats & stethoscopes waiting to be called by their resident.)
DOCTOR #1: Okay. Martin, Robinson, Bond, Lockins.
Someone calls out: Bond
MEREDITH: Only 6 women out of 20.
CRISTINA: Yeah. I hear one of them’s a model. Seriously, that’s gonna help with the respect thing.
MEREDITH: You’re Cristina, right?
DOCTOR #2: Patten, Munroe, Crow, Esquire.
CRISTINA: Which resident you assigned to? I got Bailey.
MEREDITH: Nazi? Me too.
GEORGE: You got the Nazi? So did I. At least we’ll be tortured together, right? I’m George … O’Malley. (to Meredith) Uh…we met at the…ah mixer…you had a black dress with a slit at the sides, strappy sandals and….now you think I’m gay.
(Meredith and Cristina look at him)
GEORGE: No I’m not gay.
CRISTINA: Uh huh.
GEORGE: It’s uh…ah…it’s just that ah…you know…I mean you were very unforgettable…and I mean….
DOCTOR #2: O’Malley, Yang, Grey, Stevens.
GEORGE: Yeah, totally forgettable.
CRISTINA: Bailey?
DOCTOR #2: End of the hall.
(He points down the hall where a short black woman is waiting at the nurses’ station)
CRISTINA: That’s the Nazi?
GEORGE: I thought the Nazi would be a guy.
MEREDITH: I thought the Nazi would be … the Nazi.
IZZIE: Maybe it’s professional jealously. Maybe she’s brilliant and they call her the Nazi because they’re jealous. Maybe she’s nice.
CRISTINA: Let me guess. You’re the model.
(They walk up to Dr. Bailey)
IZZIE: Hi. I’m Isobel Stevens but everyone calls me Izzie.
(She holds out her hand to shake Dr. Bailey’s. Dr. Bailey just looks at her)
DR. BAILEY: I have 5 rules. Memorize them. Rule number 1. Don’t bother sucking up. I already hate you, that’s not gonna change. (points to the desk) Trauma protocol. Phone lists. Pagers. Nurses will page you.
(They grab their stuff of the desk as Dr. Bailey starts walking away. They rush to follow.)
DR. BAILEY: You answer every page at a run. A run! That’s rule number 2. Your first shift starts now and lasts 48 hours.
[HOUR 1 flashes across the screen]
DR. BAILEY: Your interns, grunts, nobodies, bottom of the surgical food chain. You run labs, write orders, work every second night until you drop and don’t complain.
(She leads to them to the on call room)
DR. BAILEY: On call rooms. Attendings hog them. Sleep when you can, where you can. Which brings me to rule number 3. If I’m sleeping, don’t wake me unless your patient is actually dying. Rule number 4. The dying patient better not be dead when I get there. Not only will you have killed someone, you would have woke me for no good reason. We clear?
(Meredith raises her hand)
DR. BAILEY: Yes?
MEREDITH: You said five rules. That was only … four.
(Dr. Bailey’s pager goes off)
DR. BAILEY: Rule number five. When I move, you move. (She starts running down the hall, yelling at doctors). Get out of my way!
[EXT. HELICOPTER FLYING OVER SEATTLE CITY. CLOSES IN ON THE ROOF OF SGH.]
(Dr. Bailey rushes ahead. The 4 interns are wheeling a gurney onto the roof. The helicopter lands. They rush forward.)
DR. BAILEY: What do we got?
(They start removing a patient who’s seizing from the medivac helicopter and across the roof)
EMT: Katie Bryce. 15 year old female. New onset seizures. Intermittent for the past week. IV lost in route and started grand mall seizing as we descended.
(Cut to them moving her into a hospital room. There are nurses and doctors helping as well)
DR. BAILEY: Alright get her on her side. (They move her onto her side) Izzie 10mg diazepam i.m. (tells off Meredith) No, no. The white lead is on the right side. Righty, Whitey. Smoke over fire. (speaks to George) A large boar IV don’t let the blood haemolyse. Let’s go!
(Izzie injects the diazepam. Katie stops seizing. A good looking black doctor walks in)
DR. BURKE: Oh I hear we got a wet fish on dry land.
DR. BAILEY: Absolutely Dr. Burke.
DR. BURKE: Dr. Bailey. That’s shotgun.
DR. BAILEY: That means every test in the book. CT, CBC, CHEM-7, TOX Screen. (She hands Cristina a chart) Cristina you’re on labs. George patient work ups. Meredith, get Katie for a CT. She’s your responsibility now. (She starts walking out)
IZZIE: Wait, what about me?
DR. BAILEY: You? Honey you get to do rectal exams.
(She walks out of the room)
(Cut to Izzie putting on latex gloves and squeezing lube onto her fingers. Cut to Cristina peeking into an O.R where a surgery is going on. Dr. Bailey who is in there sees her and opens the door.)
DR. BAILEY: What are you doing here?
CRISTINA: Ah. Katie Bryce’s labs came out clear. There’s nothing in the results that explains her seizures. I’d just thought you’d wanna know.
DR. BAILEY: Okay.
CRISTINA: Ah … ah … I, I heard every year the attending on call picks the best intern and, and lets them perform a procedure during the first shift. (Dr. Bailey just stares at her.) I’m just saying that’s what I heard.
DR. BAILEY: Go away … Now.
(Cristina walks away quickly)
(Cut to George checking a patient, Mr. Tony Savitch’s heart beat)
GEORGE: Yeah. Sounds good.
MRS. SAVITCH: He’ll be fine? (kisses her husbands head) You’ll be fine.
MR. SAVITCH: If you don’t count the fact that my bacon days are over, sure.
GEORGE: So your by-pass surgery tomorrow with Dr. Burke. I hear he’s good. And after that you can have all the bacon flavored soy product you can eat.
MR. SAVITCH: Mmm. Kill me now.
GEORGE: I wish I could but … I’m a healer.
(Cut to Meredith looking daunted in an elevator with Katie who’s lying in a hospital bed)
KATIE: You’re lost.
MEREDITH: I’m not lost. (she starts moving the bed out of the elevator) How are you feeling?
KATIE: How do you think I’m feeling? I’m missing my pageant.
MEREDITH: You’re missing your pageant?
(Meredith wheels her down the hall)
KATIE: The spoke canteen miss? I was in the top 10 after the first 2 rounds. This is my year! I could’ve won!
(Meredith starts wheeling her down the other direction)
KATIE: Hello? You’re so lost. What are you like new?
(Cut to Izzie giving her first rectal exam)
IZZIE: Okay, So I’m, I’m just gonna insert my fingers … into your rectum…
(Flashes back between Izzie giving the patient a rectal exam and George struggling to insert a Mr. Savitch’s IV in his arm. Mr. Savitch is in pain. Dr. Burke is watching him)
GEORGE: No.
(Dr. Burke puts on a pair of gloves and moves George out of the way)
DR. BURKE: Out. Out.
(Mrs. Savitch looks concerned)
GEORGE: Bet you missed a lot when you first started out.
(Dr. Burke gives George a look.)
(Cut to Meredith still wheeling Katie down a hall)
KATIE: I twisted my ankle on taunt rehearsal. I do rhythmic gymnastics which is like really cool. Nobody else does it. And I tripped over my ribbon and I didn’t get stuck with somebody this clueless. And that was like … a nurse.
(Cut back to Dr. Burke and George in patient’s room)
DR. BURKE: You and I are going to have so much fun together.
(Cut to Izzie sighing and pulling the curtain across for another rectal exam)
[HOUR 7 – flashes across the screen]
(Cut to Cafeteria where a group of interns are having lunch. George sits down. Izzie is not eating)
GEORGE: The shift is a marathon. Not a sprint. Eat.
IZZIE (looking queasy): I can’t.
GEORGE: You should eat something.
IZZIE: You try eating after performing 17 rectal exams. The Nazi hates me.
GEORGE: The Nazi’s a resident. I have attendings hating me.
CRISTINA: You know Meredith is inbred?
GEORGE: Like it’s uncommon around here to be a doctor’s parent?
CRISTINA (interrupts): No royally inbred. Her mother is Ellis Grey.
IZZIE: Shut up. The Ellis Grey?
GEORGE: Who’s Ellis Grey?
CRISTINA: Ellis … (Izzie laughs. Other interns turn to look at George) The Grey method? Where’d you go to med school, Mexico?
IZZIE: She was one the first big chick surgeons and she practically invented the abdominal laparotomy.
CRISTINA: She’s a living legend. She won the Harper Avery. Twice!
GEORGE: So I didn’t know one thing.
IZZIE: Talk about parental pressure.
CRISTINA: God I would kill to have Ellis Grey as a mother. I’d kill to be Ellis Grey. (Meredith walks into the caf) All I need is one good case.
(George makes a muffled warning when he sees Meredith. She sits down at their table)
MEREDITH: Katie Bryce is a pain in the ass. If I hadn't taken the Hippocratic Oath I'd Kevorkian with my bare hands. (All the interns stare at her in awe. She notices.) What?
(Dr. Burke walks into the cafeteria and up to their table)
DR. BURKE: Good afternoon interns. It’s posted but I thought I share the good news personally. (They all look at him) As you know the honor of performing first surgery is reserved for the intern that shows the most promise. As I’m running the O.R. today I get to make that choice. (He smiles and slaps George on the back) George O’Malley.
GEORGE (stunned): Me?
DR. BURKE: You’ll scrub in for an appendectomy this afternoon. Congratulations. Enjoy.
(The others turn back to their lunch. Cristina looks annoyed. George is dumbfounded.)
GEORGE: Did he say me?
(Cut to Dr. Bailey & Dr. Burke walking down a hallway)
DR. BAILEY: I’ve seen his file. George O’Malley barely made the cut to get into this program. He’s not your guy.
DR. BURKE: Oh, he’s my guy alright.
DR. BAILEY (huffs): Every year you pick your guy and every year your guy suffers more than any other intern on the surgical…
DR. BURKE (interrupts): Terrorize one and the rest fall in line.
DR. BAILEY: I get it. I respect it. But George! O’Malley’s a puppy.
(Camera switches to Katie’s parents walking down the hallway to Katie’s room.)
MRS. BRYCE: Katie Bryce. Room 30 6-0-4.
NURSE: It’s right there.
MRS. BRYCE: Thank you.
(Cut to Katie’s Room where Meredith is standing.)
MRS. BRYCE: Katie honey. Mom and Dad are here.
MEREDITH: They gave her a sedative for the CT scans so she’s a little groggy.
MRS. BRYCE: Will she be all right?
(Meredith nods slightly and starts to slowly back out of the room)
MR. BRYCE: Our doctor at home said that she might need an operation. Is, is that true?
MRS. BRYCE: What kind of operation?
MEREDITH: She’s um … well … you know what I’m not, I’m not the doctor. Um I’m a doctor. But I’m not Katie’s doctor, so I’ll go get him for you.
(They nod and she walks out of the room)
(Cut to Meredith who has run into Dr. Bailey at a doorway at the end of the hall which opens into a large waiting room.)
DR. BAILEY: What?
MEREDITH: Katie’s parents have questions. Do you talk to them or do I ask Burke?
DR. BAILEY: Ah no Burke’s off the case. Katie belongs to the new attending now. Dr. Shepard. He’s over there.
(Dr. Bailey gestures and walks off. Meredith lets the door close behind her and survey’s the room about to walk to Dr. Shepard. She stops abruptly. Dr. Shepard is Derek from this morning with other doctors!!!! She stands frozen. Dr. Shepard takes a glance at his chart, sees Meredith and turns back to his chart. He then does a double take. Meredith scurries back the way she came. Dr. Shepard shocked is still staring at the spot where she was standing.)
(Cut Meredith walking down a hallway. Dr. Shepard comes up behind her and pulls her into an empty stairwell)
MEREDITH: Dr. Shepard.
DR. SHEPARD: Dr. Shepard? This morning it was Derek. Now it’s Dr. Shepard.
MEREDITH: Dr. Shepard we should pretend it never happened.
DR. SHEPARD: What never happened? You sleeping with me last night? Or you throwing me out this morning. (He is very amused.) Because both are fond memories I’d like to hold onto.
MEREDITH (serious): No. There will be no memories. I’m not the girl in the bar anymore and you’re not the guy. (Dr. Shepard is smiling) This can’t exist. You get that, right?
DR. SHEPARD (nods): You took advantage of me and now you want to forget about it.
MEREDITH: I did not take …
DR. SHEPARD (interrupts): I was drunk, vulnerable and good looking and you took advantage.
MEREDITH (smiling): Okay I was the one who was drunk and you are not that good looking.
DR. SHEPARD: Maybe not today. Last night? Last night I was very good looking. I had my red shirt on. My good looking shirt. You took advantage.
MEREDITH: I did not take advantage.
DR. SHEPARD (smiling): Want to take advantage again? Say Friday night?
(Meredith is a little shocked)
MEREDITH: No. You’re an attending. And I’m your intern.
(Dr. Shepard looks like he wants to kiss her)
MEREDITH: Stop looking at me like that!
DR. SHEPARD: Like what?
MEREDITH (adamant): Like you’ve seen me naked.
(He’s smirking now)
MEREDITH: Dr. Shepard! This is inappropriate. (Dr. Shepard seems confused) Has that ever occurred to you?
(Dr. Shepard sighs as Meredith leaves the stair way)
(Cut to O.R with a patient who’s about to get an appendectomy. George is pacing in there and muttering to himself)
GEORGE: Open, identify, ligate, remove, irrigate, close. Open, identify, ligate, remove, irrigate, close.
(Camera pans to observation deck above the O.R where interns have gathered to watch George help with the surgery)
INTERN #1: He’s gonna faint. He’s a fainter.
INTERN #2: Nah code brown. Right in his pants.
INTERN #1: He’s all about the flop sweat. He’s gonna sweat himself unsterile.
INTERN #3: 10 bucks says he messes up the McBurney.
CRISTINA: 10 says he cries.
INTERN #2: I’ll put 20 on a total meltdown.
MEREDITH: 50 says he pulls the whole thing off. (All the interns stare at Meredith) That’s one of us down there. The first one of us. Where’s your loyalty?
(Everyone is quiet for a bit)
CRISTINA: 75 says he can’t even I.D the appendix.
IZZIE: I’ll take that action.
(Pan back down to the O.R., Dr. Burke has entered the O.R)
DR. BURKE: Okay O’Malley. Let’s see what you can do.
(Pan back to Meredith & the others)
MEREDITH: Here it comes.
(Pan back down)
GEORGE: Scalpel.
DOCTOR: Scalpel.
(The interns above cheer and clap. Dr. Burke gives them a gesture to keep it quiet.)
CRISTINA: That Burke is trouble.
(Focus in on George & Dr. Burke)
DR. BURKE: More pressure. The human flesh is a tough shell. Dig in.
(George makes a deep incision)
GEORGE: Pick-ups.
DOCTOR: Pick-ups.
GEORGE: Clamp.
DOCTOR: Clamp.
GEORGE: Let’s go … I’m there.
(Interns make loud noise)
INTERN #1: Damn he got the peritoneum open. I’m out.
MEREDITH: Told you. He’s gonna pull it off.
(Focus back on George doing surgery)
GEORGE: Scalpel.
DOCTOR: Scalpel.
(He removes the appendix successfully)
GEORGE: Appendix is out.
(Interns cheer. Focus back down again)
DR. BURKE: Not bad.
GEORGE: Thank you.
DR. BURKE: Now all you have to do is invert the stump into the cecum. And simultaneously pull up on the per strings but be careful not to … (George breaks them) … break them.
(The interns look worried now)
DR. BURKE: You ripped the cecum. Got a bleeder. Filling with stool. What do you now?
GEORGE (panicking): Ah … ah …
DR. BURKE: Think. Start the suction and you start digging for those per strings before she bleeds to death. (Speaks to doctor) Buckie give him a clamp.
BUCKIE: BPs dropping.
(Cut back to interns. They’re all quiet now.)
CRISTINA: He’s choking.
MEREDITH: Come on George.
(Cut back to George and Dr. Burke)
DR. BURKE: Today! Pull your balls out of your back pocket. Lets go. (George is frozen) What are you waiting for? Suction.
(Heart monitor starts beeping rapidly. George doesn’t move. Dr. Burke sighs)
DOCTOR: We’re getting too low folks.
BUCKIE: Dr. Burke.
DR. BURKE (shoves George out of the way): Get out of the way. Pansy ass idiot. Get him out of here. Suction. Clamp.
(Cut back to the interns)
ALEX (another intern): He’s 007.
INTERN #1: 007, yup.
INTERN #2: A total 007.
(Meredith looks worried for George)
IZZIE: What’s 007 mean?
MEREDITH: Licensed to kill.
(The interns start leaving the observation deck)
[EXT. Seattle at night.]
[HOUR 19 flashes across screen]
[INT. Deserted hallway in SGH. Obviously not in use anymore. Spare hospital beds line the brick walls]
(Cut to Meredith, Izzie & Cristina sitting on the beds. George is sitting on a wheelchair facing them)
GEORGE: 007. They’re calling me 007, aren’t they?
MEREDITH & IZZIE: No one is calling you 007.
GEORGE: I was on the elevator and Murphy whispered 007.
CRISTINA (gets up and walks away): Oh how many times do we have to go through this George? Five? Ten? Give me a number. Otherwise I’m gonna hit you.
GEORGE: Murphy whispered 007 and everyone laughed.
IZZIE: He wasn’t talking about you.
GEORGE: Are you sure?
MEREDITH: Would we lie to you?
GEORGE: Yes.
CRISTINA (calls down from another
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