Grey's AnATOMY 4XOL-A CHANGE IS GONNA COME ORIGINALAIRDATE Thu,Sep.27th,2007@9pm(ABC) WRITTEN BY SHONDA RHIMES DIRECTED BY ROB CORN TRANSCRIPT COURTESY OF BRANDEE IN ASSOCIATION WITH TVTDB.COM PROVIDED BY "TWIZ TV.COM-FREE TV SCRIPTS DATABASE" DISCLAIMER: The following is not a novelizationor n actual script but a dry transcript of the aired episode that includes accurate word-to-word dialogues,settings descriptions,action scenes and/or camera movements where the transcriber felt they were pecessary This transcrint is archived on "TWIZ TVCOM-FREE TV SCRIPTS DATABASE"Couresy of brAndee "GREY'S ANATOMY" and other related entitie owned,(TM)and ?by THE MARK GORDON COMPANY in association with TOUCHSTONE TELEVISION.This transcript is posted here without their permission.approval.authorization or endorsement.Any reproduction.duplication.distribution or display of this material in any form or by any means is expressly prohibited It is absolutely forbidden touse it for commercial gain.For entertainment and educational purposes only.No intended. TRANSCRIPT: (Seattle scenes) (Richard sits at his desk) MVO:In the practice of medicine,change is inevitable.New surgical techniques are created. procedures are updated,levels of (George enters the locker room with the new interns) MVO:Innovation is everything.Nothing remains the same for long.We either adapt to change.or we get left behind. (Cristina's interns walk up to her) Cristina:I have five rules.Memorize them.Rule number one,don't bother sucking up,I already
GREY'S ANATOMY 4X01 - A CHANGE IS GONNA COME ORIGINAL AIRDATE: : Thu, Sep. 27th, 2007 @ 9pm (ABC) WRITTEN BY SHONDA RHIMES DIRECTED BY ROB CORN TRANSCRIPT COURTESY OF BRANDEE IN ASSOCIATION WITH TVTDB.COM PROVIDED BY "TWIZ TV.COM - FREE TV SCRIPTS DATABASE" ========================== DISCLAIMER: ========================== The following is not a novelization or an actual script but a dry transcript of the aired episode that includes accurate word-to-word dialogues, settings descriptions, action scenes and/or camera movements where the transcriber felt they were necessary. This transcript is archived on "TWIZ TV.COM - FREE TV SCRIPTS DATABASE" courtesy of BRANDEE. "GREY'S ANATOMY" and other related entities are owned, (TM) and ?by THE MARK GORDON COMPANY in association with TOUCHSTONE TELEVISION. This transcript is posted here without their permission, approval, authorization or endorsement. Any reproduction, duplication, distribution or display of this material in any form or by any means is expressly prohibited. It is absolutely forbidden to use it for commercial gain. For entertainment and educational purposes only. No infringement intended. ========================== TRANSCRIPT: ========================== (Seattle scenes) (Richard sits at his desk) MVO: In the practice of medicine, change is inevitable. New surgical techniques are created, procedures are updated, levels of expertise increase. (George enters the locker room with the new interns) MVO: Innovation is everything. Nothing remains the same for long. We either adapt to change.or we get left behind. (Cristina's interns walk up to her) Cristina: I have five rules. Memorize them. Rule number one, don't bother sucking up, I already
hate you.That's not gonna change (Izzie is with her interns at a nurse's station) Izzie:Trauma protocols,phone lists,pagers.The nurses will page you You answer every page at a run.arun.That's rule number two.You're supposed to follow me. (Alex is walking through the hall with his interns) Alex:Your first shift starts now and lasts 36 hours.You're grunts,nobodies,the bottom of the surgical food chain.You run labs.you write orders.you work every second night until you drop. and you don't complain. (Meredith isshowing her interns the on-call rooms) Meredith:On call rooms Sleep when you can,where you can.You know,but not with anybody. Not attendings.especially not attendings.Sleeping with attendings.no a good idea Where was George:Um,rule number three.If you're sleeping.do not wake you unless a patient's actually dying. (Cristina is showing her interns the oncall rooms) Cristina:The dying patient better not be dead when I get there,because not ony will you have killed someone,you will have woken me for no good reason.Are we clear?(Lexie raises her hand) Yes? Lexie:That was four rules.You said five. Cristina:Rule number five.when I move,you move.(They all stand there)Go! (Alex,Izzie.Cristina and Meredith are in the deserted hallway hangout) Cristina:I hate them. Meredith:You don't hate them.You hate you. Izzie:That was hideous.I feel like afraud. Alex:I rocked it.Ithink I'm the new nazi Cristina:Oh,you are not the new nazi
hate you. That's not gonna change. (Izzie is with her interns at a nurse's station) Izzie: Trauma protocols, phone lists, pagers. The nurses will page you. You answer every page at a run.a run. That's rule number two. You're supposed to follow me. (Alex is walking through the hall with his interns) Alex: Your first shift starts now and lasts 36 hours. You're grunts, nobodies, the bottom of the surgical food chain. You run labs, you write orders, you work every second night until you drop, and you don't complain. (Meredith is showing her interns the on-call rooms) Meredith: On call rooms. Sleep when you can, where you can. You know, but not with anybody. Not attendings.especially not attendings. Sleeping with attendings.not a good idea. Where was I? George: Um, rule number three. If you're sleeping, do not wake you unless a patient's actually dying. (Cristina is showing her interns the on-call rooms) Cristina: The dying patient better not be dead when I get there, because not only will you have killed someone, you will have woken me for no good reason. Are we clear? (Lexie raises her hand) Yes? Lexie: That was four rules. You said five. Cristina: Rule number five.when I move, you move. (They all stand there) Go! (Alex, Izzie, Cristina and Meredith are in the deserted hallway hangout) Cristina: I hate them. Meredith: You don't hate them. You hate you. Izzie: That was hideous. I feel like a fraud. Alex: I rocked it. I think I'm the new nazi. Cristina: Oh, you are not the new nazi
(George enters) George:Meredith,I need to talk toyou Izzie:George.Hi. George:Hey. Izzie:How was your vacation? George:Um,fine.Um,Meredith,can we. Izzie:Cause mine was.I didn't do much.I hung out alone.for 17 days Which is the last time Alex:Girl-on-girl honeymoon. Izzie:And then Alex took a road trip to see Ava without me. Alex:I did not go to see Ava.And her name's Rebecca.And I didn't go see her.I just drove in that direction. Cristina Oh,why is everyone so tingly and hurt?Imean.Im the o who was left at the atar.I'm fine,by the way.I honeymooned in Hawaii and I snorkeled. Izzie:What'd you do.George? George:Um,Meredith.I really need to talk to you (Internsenter the hallway) Cristina:Uh,hey,you want to know.hey,um,this is for residents only.No interns. Meredith:Yeah. Izzie:Yeah,get outta here. Alex:Babies. Izzie:Yeah,go away. Alex:007s in training. Cristina:Seriously
(George enters) George: Meredith, I need to talk to you. Izzie: George. Hi. George: Hey. Izzie: How was your vacation? George: Um, fine. Um, Meredith, can we. Izzie: Cause mine was. I didn't do much. I hung out alone.for 17 days. Which is the last time that I saw you, the day of Cristina's wedding, which was.well.then Mer and Cristina went on Cristina's honeymoon without me. Alex: Girl-on-girl honeymoon. Izzie: And then Alex took a road trip to see Ava without me. Alex: I did not go to see Ava. And her name's Rebecca. And I didn't go see her. I just drove in that direction. Cristina: Oh, why is everyone so tingly and hurt? I mean, I'm the one who was left at the altar. I'm fine, by the way. I honeymooned in Hawaii and I snorkeled. Izzie: What'd you do, George? George: Um, Meredith.I.I really need to talk to you. (Interns enter the hallway) Cristina: Uh, hey, you want to know.hey, um, this is for residents only. No interns. Meredith: Yeah. Izzie: Yeah, get outta here. Alex: Babies. Izzie: Yeah, go away. Alex: 007's in training. Cristina: Seriously
George:I guess I should be going.too. Meredith:No,george.We didn't mean you. George:No.I'm an intern Meredith:Wait.What did you want to tell me? Cristina:Uh,is this how it's gonna be all year?Because Bambi has got to learn how to cope. Izzie:At least he came back Meredith:Yeah,cut him some slack Alex:Dude,he failed his exam and got left back in kindergarten. Cristina:Mm-hmm Izzie:He won't even look at me. Meredith:Have you seen Burke? Cristina:No.Have you seen Derek? Meredith:No. Izzie:Wait,you haven't seen either of them since the wedding? Cristina:Nope. Izzie:And you're all fine? Meredith:Yep Izzie:Wow.You're either incredibly healthy or completely messed up (Bailey walks up the desk where Derek is standing) Derek:Your interns are back from holiday today. Bailey:Uh,not my interns.They're residents.I'm free. Derek:Right.Wellhere,nurse.The point is,uh,Dr.Yang.The Burke thingshe doesn't know
George: I guess I should be going, too. Meredith: No, george.We didn't mean you. George: No, I'm an intern. Meredith: Wait. What did you want to tell me? Cristina: Uh, is this how it's gonna be all year? Because Bambi has got to learn how to cope. Izzie: At least he came back. Meredith: Yeah, cut him some slack. Alex: Dude, he failed his exam and got left back in kindergarten. Cristina: Mm-hmm. Izzie: He won't even look at me. Meredith: Have you seen Burke? Cristina: No. Have you seen Derek? Meredith: No. Izzie: Wait, you haven't seen either of them since the wedding? Cristina: Nope. Izzie: And you're all fine? Meredith: Yep Izzie: Wow.You're either incredibly healthy or completely messed up. (Bailey walks up the desk where Derek is standing) Derek: Your interns are back from holiday today. Bailey: Uh, not my interns. They're residents. I'm free. Derek: Right. Well.here,nurse. The point is, uh, Dr. Yang. The Burke thing.she doesn't know
I'm supposed to tell her.Burke asked me to tell her.Any thoughts? Bailey:Honesty always worksbest Derek:Yeah.that's true.You want to get together for a drink after work tonight? Bailey:Why? Derek:Well.I don't know I just thought it might be a good idea to get together and have Bailey:Oh,you don't have anybody to talk to. Derek:No.Ihave people totalk to Bailey:Addison is gone.Burke isn't around.and you and Grey aren't smelling each other in the elevators anymore. Derek:I have people to talk to. Bailey:Who? Derek:I havechief I.I have the chiefto talk to.Hey,chief.Want to get together for a drink after work? Richard:Idon't drink.Dr.Bailey,we need totalk Bailey:We have traumas coming in. Richard:You're avoiding me.We need totalk Bailey:About you choosing Dr.Torres to be your chief resident over me?Respectfully,no,sir We're not going to talk about that. (Mark walks up) Mark:Someone mention adrink later?Cause I'm in. Derek:Nobody mentioned a drink. Richard:You mentioned a drink Derek:I did not mentiona drink. (Richard entersthe ER)
I'm supposed to tell her. Burke asked me to tell her. Any thoughts? Bailey: Honesty always works best. Derek: Yeah, that's true. You want to get together for a drink after work tonight? Bailey: Why? Derek: Well, I don't know. I just thought it might be a good idea to get together and have Bailey: Oh, you don't have anybody to talk to. Derek: No, I have people to talk to. Bailey: Addison is gone, Burke isn't around, and you and Grey aren't smelling each other in the elevators anymore. Derek: I have people to talk to. Bailey: Who? Derek: I have.chief. I.I have the chief to talk to. Hey, chief. Want to get together for a drink after work? Richard: I don't drink. Dr. Bailey, we need to talk. Bailey: We have traumas coming in. Richard: You're avoiding me. We need to talk. Bailey: About you choosing Dr. Torres to be your chief resident over me? Respectfully, no, sir. We're not going to talk about that. (Mark walks up) Mark: Someone mention a drink later? Cause I'm in. Derek: Nobody mentioned a drink. Richard: You mentioned a drink. Derek: I did not mention a drink. (Richard enters the ER)
Richard:All right,people.Weve got three MVCS olling in back-to-back from amulti car pileup We need every trauma room open and everyone suited up. Callie:Is there anything II should do,sir? Richard:Save lives. Callie:No.I mean as,uh,chief resident.Anything in particular? Richard:Make sure your residents run their traumas.This is their first day on their own. Where.are the residents you've assigned to this ER? Callie:Oh.Oh,I.uh1.uhIpaged them.I.paged them.Bailey? Bailey:What? Callie:Uh,I,uh,paged,uh,Grey,Yang.Stevens and Karev,but they're not here yet Bailey:When I page'em,they come running. Richard:Get it together,Torres. Callie:Yes,sir. (Richard walks away) Bailey:Okay,you did not have to say that in front of the chief. Bailey:You asked.oss (The interns are in the hall outside the ER) Meredith:There's Derek Cristina:Is Burke with him? Meredith:Idon't see him. (They enter the ER) Callie:Where have you been?We have multiple MVC'S due any second. Alex:We're here,aren't we?We're here
Richard: All right, people. We've got three MVC'S rolling in back-to-back from a multi car pileup. We need every trauma room open and everyone suited up. Callie: Is there anything I.I should do, sir? Richard: Save lives. Callie: No. I mean as, uh, chief resident. Anything in particular? Richard: Make sure your residents run their traumas. This is their first day on their own. Where.are the residents you've assigned to this ER? Callie: Oh. Oh, I, uh, I, uh, I paged them. I.I paged them. Bailey? Bailey: What? Callie: Uh, I, uh, paged, uh, Grey, Yang, Stevens and Karev, but they're not here yet. Bailey: When I page 'em, they come running. Richard: Get it together, Torres. Callie: Yes, sir. (Richard walks away) Bailey: Okay, you did not have to say that in front of the chief. Bailey: You asked.boss. (The interns are in the hall outside the ER) Meredith: There's Derek. Cristina: Is Burke with him? Meredith: I don't see him. (They enter the ER) Callie: Where have you been? We have multiple MVC'S due any second. Alex: We're here, aren't we? We're here
Callie:Just.just get ready,okay?And monitor your interns (Cristina points to her interns) Cristina:Okay,one,two,go get stat packs.Uh,three,four,go meet the ambulances. Meredith:"One and two"? Cristina:No,I can't remember their names. (George raises his hand) George:I don't respond to being called a number. Meredith:George,go wait for the ambulance.The rest of you come with me. (Alex talks to his interns) Alex:All right,you guys stand against the wall and out of the way unless I call for you. (Izzie talks to her interns) Izzie:Okay,this is what's called a trauma situation.So theres gonna be lots of activity and alot of patients,so if you guys have any questions at all,just ask,okay? (Izzie walks away but overhears her interns) Male Inter:I heard she,like,freaked out and killed aguy and had to goon probation Female Intern:Great.We're stuck with a dud (Lexie and George are in the ambulance bav) Lexie:So,hey,you're an intern.again George:Yeah. Lexie:I won't tell anybody.The other interns,I won't. George:That's.that's okay. Lexie:Do you know which one is Meredith Grey?
Callie: Just.just get ready, okay? And monitor your interns. (Cristina points to her interns) Cristina: Okay, one, two, go get stat packs. Uh, three, four, go meet the ambulances. Meredith: "One and two"? Cristina: No, I can't remember their names. (George raises his hand) George: I don't respond to being called a number. Meredith: George, go wait for the ambulance. The rest of you come with me. (Alex talks to his interns) Alex: All right, you guys stand against the wall and out of the way unless I call for you. (Izzie talks to her interns) Izzie: Okay, this is what's called a trauma situation. So there's gonna be lots of activity and a lot of patients, so if you guys have any questions at all, just ask, okay? (Izzie walks away but overhears her interns) Male Intern: I heard she, like, freaked out and killed a guy and had to go on probation. Female Intern: Great. We're stuck with a dud. (Lexie and George are in the ambulance bay) Lexie: So, hey, you're an intern.again. George: Yeah. Lexie: I won't tell anybody. The other interns, I won't. George: That's.that's okay. Lexie: Do you know which one is Meredith Grey?
George:Yeah,I haven't uh,told her youre here yet I was going to. Lexie:So youknow who I am? George:Yeah,I know who you are. Lexie:What's she like?1.I mean,is she nice?Cause.cause my dad,he won't.he won't tell me Is she.she. (The other residents enter the bay including Bailey) Bailey:Uh,Grey,don't let them just stand here Meredith:Let's move,people. (The ambulance arrives) Ambulance Driver:Unrestrained driver,DOA at the scene.Just need someone to pronounce him Cristina:Oh.crap.Dead guy.Why'd you get me all excited with the sirens?Okay,who wants to see a dead guy? (Other ambulance) Ambulance Driver 2 Nancy Walters 34 years old,weeks pregnant.Complete upper arm amputation.Pressure dressings applied.Two large bore IVs started. Nancy:Did he say"arm"My arm isgone? Bailey:Miss Walters,youre gonna beokay.Grey,check the wound. Nancy:I really need my arm. (Another ambulance) Ambulance Driver 2:45-year-old male,sustained a knee injury. Joey:That uy,the guy that's dead,he hit adeer,and then the lady hit him,and thenI hit the lady Callie:Knee is blowing up likea balloon Joey:Hey,I'm hungry.Can Iget something to eat? Cristina:Okay,everybody get a good look?Time of death.22
George: Yeah, I haven't, uh, told her you're here yet. I was going to. Lexie: So you know who I am? George: Yeah, I know who you are. Lexie: What's she like? I.I mean, is she nice? 'Cause.cause my dad, he won't.he won't tell me. Is she.she. (The other residents enter the bay including Bailey) Bailey: Uh, Grey, don't let them just stand here. Meredith: Let's move, people. (The ambulance arrives) Ambulance Driver: Unrestrained driver, DOA at the scene. Just need someone to pronounce him. Cristina: Oh,crap. Dead guy. Why'd you get me all excited with the sirens? Okay, who wants to see a dead guy? (Other ambulance) Ambulance Driver 2: Nancy Walters, 34 years old, weeks pregnant. Complete upper arm amputation. Pressure dressings applied. Two large bore IVs started. Nancy: Did he say "arm"? My arm is gone? Bailey: Miss Walters, you're gonna be okay. Grey, check the wound. Nancy: I really need my arm. (Another ambulance) Ambulance Driver 2: 45-year-old male, sustained a knee injury. Joey: That guy, the guy that's dead, he hit a deer, and then the lady hit him, and then I hit the lady. Callie: Knee is blowing up like a balloon. Joey: Hey, I'm hungry. Can I get something to eat? Cristina: Okay, everybody get a good look? Time of death.8:22
(The man breathes) Cristina:Not time of death.This guy is not dead Ambulance Driver:He was dead. Cristina:Well,he's not dead now.Let's bag him.Okay,weve got a.we've got a guy who's risen from the dead over here. Meredith:Get outta the way! Lexie:Are.areyou Meredith Grey? Meredith:Yeah. Lexie:I.I'm Lexie. Meredith:Great.Move Lexie:Lexie Grey.I'm.I'm your sister (Nancy's traumaroom) Meredith:That girl ou there,the dopey,wide-eyed one?Apparently were related George:Oh,you.you met Lexie? Meredith:Oh,you knew.Knew about it and didn't tell me,huh? George:I've.kind of had alot going on. (Izzie and her interns enter) Izzie:This is trauma room one As you can see it'sthere's a trauma Hey,guys,do you need some help?Please tell me you need some help. Meredith:It's alittle crowded in herealready,Iz (Mark enters) Mark:What do you got for me? Meredith:Uh,Nancy Walters.Complete amputation
(The man breathes) Cristina: Not time of death. This guy is not dead. Ambulance Driver: He was dead. Cristina: Well, he's not dead now. Let's bag him. Okay,we've got a.we've got a guy who's risen from the dead over here. Meredith: Get outta the way! Lexie: Are.are you Meredith Grey? Meredith: Yeah. Lexie: I.I'm Lexie. Meredith: Great. Move. Lexie: Lexie Grey. I'm.I'm your sister. (Nancy's trauma room) Meredith: That girl out there, the dopey, wide-eyed one? Apparently we're related. George: Oh, you.you met Lexie? Meredith: Oh, you knew. Knew about it and didn't tell me, huh? George: I've.kind of had a lot going on. (Izzie and her interns enter) Izzie: This is trauma room one. As you can see, it's.there's a trauma. Hey, guys, do you need some help? Please tell me you need some help. Meredith: It's a little crowded in here already, Iz. (Mark enters) Mark: What do you got for me? Meredith: Uh, Nancy Walters. Complete amputation
George:The baby looks fine,but she's having some contractions Mark:Hi,Nancy.I'm Dr.Sloan.You mind ifI take a look? Izzie:It's aclean cut. Mark:You want torub upagainst me.you gotta buy me a drink first.Hang antibiotics and putona sterile,moist dressing There's a chance at a good recovery here.Do we have an arm? Meredith:Theyre looking for it Nancy:My baby has no father.He's already down two arms.ohe really needs me to have an arm. Mark:Get me that arm. (Callie's traumaroom) Callie:Okay,somebody set up for atraumatic effusion drainage. Joev:Ah. Callie:And order him of morphine Alex:She means one of you morons.Get her an 18 gauge needle and a 20 cc syringe and the damn morphine. Joey:Hey,uh,morphine's cool,but I'd kill for something to eat Callie:A healthy appetite after atrauma like this?That's a very good sign,Joey. Alex:You think he'll need surgery? Callie:That depends on the x-rays.Knee looks good.No surgery. (While Alex and Callie are looking at the x-rays,Joey starts eating cotton balls) (Cristina's trauma room) Izze:Okay.This is Cristina.Dr.Yang.She's working Cristina:Yep,saving lives and taking names
George: The baby looks fine, but she's having some contractions. Mark: Hi, Nancy. I'm Dr. Sloan. You mind if I take a look? Izzie: It's a clean cut. Mark: You want to rub up against me, you gotta buy me a drink first. Hang antibiotics and put on a sterile, moist dressing. There's a chance at a good recovery here. Do we have an arm? Meredith: They're looking for it Nancy: My baby has no father. He's already down two arms. So he really needs me to have an arm. Mark: Get me that arm. (Callie's trauma room) Callie: Okay, somebody set up for a traumatic effusion drainage. Joey: Ah. Callie: And order him 4 of morphine. Alex: She means one of you morons. Get her an 18 gauge needle and a 20 cc syringe and the damn morphine. Joey: Hey, uh, morphine's cool, but I'd kill for something to eat. Callie: A healthy appetite after a trauma like this? That's a very good sign, Joey. Alex: You think he'll need surgery? Callie: That depends on the x-rays. Knee looks good. No surgery. (While Alex and Callie are looking at the x-rays, Joey starts eating cotton balls) (Cristina's trauma room) Izze: Okay. This is Cristina.Dr. Yang. She's working. Cristina: Yep, saving lives and taking names