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1.7 The Self-Destruct Button
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"The Self-Destruct Button"Episode Number: 7 Season: 1 Original Air Date: May 8, 2005 Writer: Kip Koenig Director: Darnell Martin Special Guests: Ever Carradine, Kim Morgan Greene, Amanda Macdonald, Russell Hornsby |  |
| Synopsis | Hookups |
| It's a toss-up as to who is more disgusted by the news that Meredith has slept with Derek: Meredith's roomies Izzie and George, or the interns' granite-faced supervisor Bailey. Back at Seattle Grace, Derek picks George to assist him during an extremely delicate brain operation, but George may lose the opportunity if he speaks up about the drinking problem of veteran anesthesiologist Dr. Taylor. Elsewhere, Izzie performs emergency surgery on a disgruntled gent who has swallowed his girlfriend's car keys; Alex meets a fellow former wrestler named Owens, who has developed a morbid fascination with self-mutilation; and several of the interns become involved in the plight of a teenager who is suffering the after-effects of a botched gastric bypass operation. |
| Recap of Events: |
George and Izzie catch Derek sneaking out of the house, finally figuring out that he's the mysterious stranger who's been sleeping with Meredith. George immediately becomes jealous, but Izzie is bothered for completely different reasons - no wonder Meredith is getting in all the good surgeries lately. A flu is going around the hospital, and Cristina feels sick to her stomach. She blames Dr. Burke. A gunshot wound victim gets Alex's attention as he awaits attention in the lobby. Alex wants to know why he isn't in the emergency room. Answer: Because he has an appointment. It was a schedule gunshot wound. His friend shot him with permission. The scars, apparently, make a great addition to his tattoos. Meredith assists Bailey on a case where a normal sized teenager (who is not now, nor ever was, obese) went to Mexico to get a gastric bypass operation - a bad one -- without her parent's permission. Now they have to undo the damage that's been done. Izzie has to help a man who swallowed his girlfriend's keys just as she was dumping him. George gets to be a part of the biggest surgery of the day - well, at least initially he does. George works with Derek on the case of toddler with terrible tremors. After viewing films of the girls' brain just a couple months apart, Derek finds that her brain tissue is dying at too quickly a rate, and that the only way to halt the deterioration is with a hemispherectomy - in layman's terms: removal of half the brain (in a young brain like hers, the remaining tissue still has time to adapt and learn how to replace the missing tissue). To George it's an amazing procedure to be done by a man who can seemingly do everything - including Meredith. But George has one other issue on his mind: he swears he smelled bourbon on the breath of Dr. Taylor, the anesthesiologist who is to scrub in on the hemispherectomy. Dr. Taylor outranks George, though, and has a great reputation behind him. George doesn't know if he should say anything. Alex and the tattooed gunshot victim bond over the fact they both wrestled collegiately in the state of Iowa. They also share the same ethos about pain being good for you. Burke, who has seen this patient before, has a hard time hiding his contempt for such self-mutilation. He prefers safer hobbies: like playing the trumpet. George speaks up to Dr. Taylor - in front of Derek - just before the hemispherectomy. Dr. Taylor is offended George would even suggest such a thing (essentially accusing him of being unfit to administer anesthesiology). Derek, somewhat reluctantly, has to side with his fellow attending Dr. Taylor, and George is kicked out of the surgery, replaced with Cristina. Meredith discovers that there is more behind her patient's troubles than just a desire to be ultra-skinny. She's under extraordinary pressure to live up her mother's lofty expectations for perfection. "Life shouldn't be this hard" Meredith tells her. Unfortunately, the procedure to reverse the gastric-bypass doesn't go well. There's complications, the least of which is the patient's bowel exploding on Meredith. The girl, unfortunately, will have to struggle to achieve proper nutrition for the rest of her life. Alex's tattooed patient begins to crash as the stress on his body from the gunshot wound has exacerbated an infected tattoo he already had. They can't fight the infection though, as it has spread too far, and the patient dies. During the hemispherectomy, the little girl begins to wake up - as Derek is in the process of removing half her brain! Her anesthesia is too light and Dr. Taylor is fast asleep. Derek kicks Dr. Taylor out of the surgery, and later apologizes to George, where he also comes clean about Meredith, and his intentions with her. Izzie, who's been giving Meredith a hard time all day, finally confronts Meredith over her indiscretions with an attending. Izzie's vitriol, though, subsides when she makes a startling conclusion: Meredith is actually in love with Derek. And now Izzie isn't quite so upset. In fact, she feels a little sorry for Meredith. Cristina, thinking her flu-like symptoms might not be a flu at all, takes a pregnancy test. Two of them. And doesn't like what she finds. |
| Best Moments | Best Quotes |
| Opening Statement/Quote: |
OK. Anyone who says you can laugh when you die, tell them to come talk to me after a few months as an intern. Of course, it's not just the job that keeps us up all night. I mean, if life's so hard already, why do we bring more trouble down on ourselves? What's up with the need to hit the self-destruct button? |
| Ending Statement/Quote: |
Maybe we like the pain. Maybe we're wired that way. Because without it, I don't know, maybe we just wouldn't feel real. What's that saying? Why do I keep hitting myself with a hammer? Because it feels so good when I stop. |
| Music: | Title Reference: |
| The episode's title refers to a song by AC/DC. | |
| Goofs: | Aha! Moments |
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