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Surgeons don't compromise. We defy death, we exceed perfection. We operate for seventeen hours straight if we have to. We aren't built to settle, but that doesn't mean we won't.When we follow our hearts, when we choose not to settle, it's funny. Isn't it? A weight lifts, the sun shines a little brighter, and for a brief moment, we find a little peace.

Love the One You're With is the third episode of the ninth season and the 175th overall episode of Grey's Anatomy.

Short Summary

The survivors from the crash are asked to make an almost impossible decision that will affect the rest of their lives. Meanwhile, tension grows between Jackson and April after they're forced to work together, and Alex tries to restrain himself with one of the interns.

Full Summary

We open with Meredith, Derek, Callie, Owen (as a proxy), and the lawyers in a conference room. They're discussing the extent of injuries. Derek Shepherd, hand injury with nerve damage. Arizona Robbins, open femur fracture with resulting above-knee amputation. Lexie Grey, deceased. Mark Sloan, deceased. Meredith wants to know if they've found out why the plane crashed. One of the lawyers says investigations can take years and that they want to help the survivors put it behind them, so they offer a one-time settlement agreement that must be unanimous. Owen calls Cristina to let her know what's going on. She says she's been "okay." He replies he's been "fine," but he clearly misses her as he keeps patting the bed. 

Meredith and Derek are discussing the settlement, asking each other if they should or should not settle. Derek replies he doesn't know. As they're about to go to sleep, Meredith asks to keep the lights on.

Callie is trying to convince Arizona that the settlement is good and that it will take care of her, Arizona, and Sofia. Arizona doesn't seem interested and doesn't respond. As Callie goes to brush a bit of hair away from her forehead, Arizona flinches. Callie looks hurt and puts her hand down. 

The next day, Meredith confronts Alex as an intern just gave her a compliment on her old house, meaning Alex is still staying there. Meredith demands her key back, just as April walks in and says excitedly "Can you believe we're in the attendings' lounge!?" Meredith wants to know what April is doing there and April says Hunt got her from the farm. Bailey looks skeptical and neither Meredith nor Alex knew April was coming back. Jackson walks in then, too, and seems shocked to see April. Jackson takes his shirt off and Bailey reminds them they are all attendings now and they do not change in front of each other. Alex responds, "Yeah, but Kepner does," as April is staring at Jackson. April seems flustered. They all leave and Webber walks in. Bailey says she cannot get used to having them in the attendings' lounge. Webber says he is still getting used to having Bailey in there. 

In Minnesota, Cristina is walking into the office to talk to her new boss after her R&R period. He hires her back and informs her she'll be working with Dr. Thomas today.

Jo, Alex, and Callie all get ready for a 16-year-old who was in a sailing accident. Callie tells Alex to stop sleeping with his co-workers and Karev responds "I slept with you." Callie replies, "And now I no longer sleep with men." 

Jackson is taking care of a patient who is there for skin removal after a 117-pound weight loss. She sends her fiancé out of the room after they ask her to remove her robe. April averts her eyes. The lady wants to know when she can "jump" her fiancé's bones. Jackson says her incisions will be healed in about two weeks.

Callie is with the injured sailing girl, whose foot been nearly taken off. She says they may not be able to save it and the girl starts screaming. Jo starts exclaiming as the girl's foot moves, meaning the nerves are still intact.

Jo wants to scrub in, but Alex says she should monitor his pre- and post-ops.

Yang seems annoyed with a family who is trying to feed their "Pop Pop" tater tot hot dishes.

Derek and Meredith are cleaning up Zola's toys. Derek asks her again "Should we settle?" Meredith still seems indecisive, but says that Zola is sleeping and all they are doing is talking. Derek laughs and they get down to business.

April and Jackson meet awkwardly in the attendings' lounge, deciding to fix the incision points together. Jackson looks surprised to hear April is staying the attendings' lounge. She tells Jackson she is "revirginizing," which involves prayer which she has time to do. Jackson seems upset, saying she wants to pretend that they never happened. Jackson walks out before April can explain.

Yang complains she came to work with Dr. Parker, not Thomas. Parker says she should just "take her shift" with the old man and he'll see to it they work together.

Bailey says that she doesn't think Kepner should be doing a procedure like an umbilical hernia because she failed her boards and was fired twice.

Meredith and Cristina have a heart-to-heart over FaceTime, while Bailey puts up Post-it notes saying "This is a public space", "Clear out food," and "This is not a closet." Jackson spills coffee on April and as he goes to clean it up, he turns away and says, "Let's pretend this never happened."

Jo brings Callie a coffee and compliments her smile, as well as calling her eyes "beautiful". Callie knows Jo is flirting with her and says it would be "really sweet" if she was into ladies, but she guesses Jo isn't lesbian and just wants a surgery. Callie also says that Jo has poked a very horny bear and Jo looks almost sick. Callie laughs and tells Jo to give the coffee to Alex.

Jackson and April are arguing in surgery. When Meredith tries to figure out what's going on, both yell "Nothing!" at the same time. Meredith figures it out shortly after and says, "Oh. My. God."

Derek reminds Webber of a case where they killed a patient by mistake and settled out of court, like they are trying to do with Derek, Meredith, Cristina, Arizona, etc. Cristina tells Owen she doesn't know whether to settle or not.

Meredith hits Jackson on the head with a towel, saying "She was a virgin." Jackson replies that he knew that. Meredith hits him again, saying, "You defiled a virgin!". Jackson said that the Chief banged his mom. When she is startled and questions, "Owen?" he clarifies that he meant Dr. Webber. Meredith says, "If it makes you feel any better, he banged my mom, too!" Jackson says that makes him feel worse.

Callie says they should settle and everyone says agrees, except for Derek who says he's undecisive.

Thomas tells Cristina how to suture a heart without a synthetic patch.

Callie says Arizona should go to the meeting.

Alex is harsh again towards Jo and she starts sniffling and says she's really embarrassed because she's crying in front of her boss. She says this is the first time she's failed and she can't stand being the loser intern. Alex says she isn't the loser intern and she hasn't pissed him off; It's that Dr. Torres said not to flirt with her.

Derek visits the crashed plane, which is being stored in a garage. Every piece gives him memories of the woods, like where Lexie died and where he got his hand stuck. 

Jackson and April talk again. April seems really awkward and says she can't be near him because it's too hard for her. As she's about to walk out, she grabs Jackson in a passionate kiss, and they do it.

Bailey is still complaining about the other attendings, the new ones, and cleaning out all their mess. Webber asks Bailey what's REALLY going on. She says Tuck let go of her hand and says the other Tucker is getting married again. She says everyone is moving on and she's still here, doing appes and colies. Webber says it's good, and that it means that Bailey gets her hand back, and she has time.

Callie gets back to Arizona and finds her sitting in a puddle of pee because she couldn't make it to the toilet. Arizona starts screaming at Callie, blaming her for everything that happened. They both start crying and screaming. 

Thomas tells Cristina he was in a plane crash, too, and then he offers her a smoke. She declines and he says he doesn't smoke either.

The meeting happens. Everyone except Derek seems to agree to settle. Once he makes his case, they change their minds, except for Callie. The lawyer tries to interject a few times, but each time is met with a chorus of "Shut up!". In the end, Callie says not to settle. The vote is unanimous and they do not settle.

Cast

Main Cast

Guest Stars

Co-Starring

Medical Notes

Emery James

  • Diagnosis:
    • Foot injury
  • Treatment:
    • Surgery

Emery, 16, was fished out the sound after a sailing accident which happened while she was trying to sail solo from Mexico to Alaska. Her leg was crushed under the mast of her sailboat. They initially couldn't get a pulse in her foot and Callie accessed that it would likely have to be amputated, but when Emery panicked and her foot started moving, they thought they might be able to save it. Callie planned a series of operations over several months, but emphasized that Emery would have to stay off her feet the whole time. After her first surgery, Emery's mother came to Callie concerned that Emery was going to take off sailing again before she was healed and Callie encouraged her mother to "be the bad guy" to protect her daughter.

Roxie Meyers

  • Diagnosis:
    • Umbilical Hernia
  • Treatment:
    • Excess skin removal
    • Hernia repair

Roxie, 30, was in the hospital to have excess skin removed following a 117-pound weight loss. She also had a hernia that needed to be repaired. The surgery was successful and Roxie and her fiancé were pleased with the results.

Isaac Patel

  • Diagnosis:
    • Enlarged heart
  • Treatment:
    • Ventricular reduction

Isaac was in the hospital for ventricular reduction. Cristina suggested an LVAD instead, but Dr. Thomas was insistent. In surgery, Dr. Thomas showed Cristina his signature move, a technique of his own creation. The surgery was successful.

Parker's Patient

  • Diagnosis:
    • Mitral regurgitation
  • Treatment:
    • Mitral annuloplasty

Dr. Parker talked to Cristina Yang about a patient with mitral regurgitation.

Donna Drake

  • Diagnosis:
  • Doctors:
  • Treatment:

Donna Drake was a patient at the hospital whose family sued and won a very large settlement from the hospital after she died as the result of the hospital's actions.

Owen's Patient

  • Diagnosis:
    • Arm laceration
  • Treatment:
    • Stitches

Owen was seen stitching up a woman's arm in the ER.

Alex's Patient

  • Diagnosis:
    • Acid reflux
  • Treatment:
    • Floppy Nissen fundoplication

Alex had a patient receiving a Nissen fundoplication and invited Jo to scrub in with him.

Music

Song Performer Scene
"Heat Lightning" Icky Blossoms
  • The plane crash survivors are offered a settlement from the hospital.
  • Owen calls Cristina about the settlement.
  • Derek and Meredith discuss the offer.
"What Makes a Good Man?" The Heavy
  • Bailey complains to Richard about April having a surgery her first day back.
  • Meredith talks with Cristina.
  • Bailey puts sticky notes all over.
"What Could You Do?" Dolorean
  • Meredith realizes that Jackson and April slept together as they argue during surgery.
  • Derek asks Richard about a previous hospital settlement.
  • Cristina and Owen talk on the phone.
"It's All Okay" Julia Stone
  • Roxie's fiancé sees her new body.
  • Alex makes Jo cry, then ends up offering her a spot on a surgery.
"Won't Back Down" Benjamin Francis Leftwich
  • Dr. Thomas finds Cristina crying outside and tells her he was also in a plane crash.
  • The group decides not to settle.

Notes and Trivia

  • This episode's title originated from the song Love the One You're With, originally sung by Stephen Stills.
  • This episode scored 9.69 million viewers.
  • Upon meeting Jo, Alex tells her he digs "chicks with guy names." However, out of the many girls Alex has shown to be with, Jo and Izzie are the only ones with traditionally male/ambiguous names. This is perhaps to foreshadow at the longevity of Alex and Jo's relationship, as if to parallel it to his and Izzie's.

Gallery

Episode Stills

Behind the Scenes

Quotes

Jackson: The Chief banged my mom.
Meredith: What? The... Owen?
Jackson: I mean Webber, Dr. Webber banged my mom.
Meredith: Oh... oh... Oh my god!
Jackson: Yeah, I know...
Meredith: Well, if it makes you feel any better: he banged my mom too.

Callie: I'm coming to get you, you're going to this meeting, it starts in twenty minutes! (looking for her) Arizona... Where are you? (she founds her lying on the bathroom floor) Are you okay? Where is the nurse?
Arizona: I didn't like her, so I fired her.
Callie: Oh, great, great. It's just... Why are you...?
Arizona: I thought, that I could get to the toilet on time by myself. Apparently I was wrong.
Callie: Did you fall, are you ok?
Arizona: Do I look ok? I'm sitting in a pool of my own urine!
Callie: I'm putting you in the shower.
Arizona: No, just get out!
Callie: Hey! Do not talk to me that way!
Arizona: Please, please, get out!
Callie: Arizona...
Arizona: Did you hear me? You did this! I can't even pee by myself!
Callie: Yeah and that's a problem because you now stink! This bathroom stinks! I'm not sharing my home with somebody who smells like this!
Arizona: (screaming) Get of off me!
Callie: (puts Arizona in the shower while crying) I have nowhere else to go. This is my life now too!
(Arizona looks at her and realizes that she's trying to help her and that she is suffering too.)

Meredith: Hey, Alex, why did an intern just give me a compliment on the crown moldings in my empty house? Are you still sleeping there?
Alex: Chicks like it better than the on-call room.
Meredith: Okay, that's disgusting. Now I have to have the place tented.

April: Hey you guys! Can you believe we're in the attending's lounge?
Meredith: April? What are you doing here?
April: Oh, uh, Hunt came and got me on the farm in Moline. I was giving the pigs their breakfast, and I turn around, and there's Dr. Hunt, offering me my job back. He didn't tell you guys?
Meredith: Did anyone else see Dr. Hunt in the barnyard?
Alex: When he appeared unto you, was he glowing at all?

Alex: Why are you following me?
Jo: I'm your intern for today.
Alex: Oh. Well, hello, intern. You have a name?
Jo: Jo Wilson.
Alex: Oh, nice. I like chicks with boys names.
Callie: Karev.
Alex: What? I do. It's hot.
Callie: Stop sleeping with your coworkers. It ruins them.
Alex: I slept with you.
Callie: And now I no longer sleep with men.

Callie: You could've let her scrub in or stand in the back and observe.
Alex: Why?
Callie: Because she has joy. I like joy, excitement, happiness, people looking at me like I know things. She practically squealed when I mentioned nerve testing. There needs to be more squealing.
Alex: I can squeal if you want me to.
Callie: That sounds dirty and inappropriate. Oh, which I hear is your specialty these days.

Cristina: Oh, are you doing a mitral annuloplasty?
Parker: Probably. And I'll relocate the tip of the posterior papillary muscle.
Cristina: Are you serious?
Parker: As a heart attack. Cardio humor.
Cristina: Oh, yes, sir. I am laughing, just not externally.

Jo: You have a nice smile.
Callie: Thanks.
Jo: And, uh... just beautiful... eyes. You know, if you want to drab ... grab a drink later or ... Okay. I know this Mexican place...
Callie: Okay, okay, okay, you're flirting with me, which is really sweet or would be really sweet if you were into ladies, but I'm guessing that you're not a lady lover, 'cause you also look terrified that I might say yes. You're poking a bear, a very horny bear. And what would you do if the bear said yes? And there you'd be, trading sexual favors for ... I don't know what it is you want from me, so ... you're gonna have to tell me.
Jo: I was wondering if it would be possible to scrub in on your next surgery.
Callie: Okay, A, never trade sex for scrubbing in because that's just skanky. Save it for actually getting to cut. And B, you're giving coffee to the wrong person.

Derek: We can't do this. I saw the plane. I went to the hangar and I saw the pieces of our plane laid out on the floor like a jigsaw puzzle. If we agree to settle, they do the investigation, and we can't do anything with the results.
Airline Rep: Bayview Aeronautics will take the results and act accordingly.
Derek: Oh, I'm sure you'll be very thorough. Big companies are always very good about self-policing.
Callie: Mistakes happen, Derek. Accidents happen. We make mistakes that can cost lives, too.
Derek: Yes, we do. But when we do, we have M&Ms, we pore over the files, we make sure it never happens again. And we try to make sure future patients never have to go through that grief. They don't have to sleep with the lights on every night because the darkness is too much. We just can't stand by and let this happen to other people's Lexies and Marks. We have to do something about it. We have to make this right.
Doctor's Rep: If I could interject for a moment...
Meredith: Be quiet.
Doctor's Rep: Your decision does have to be unanimous.
Owen: She said, be quiet.
Derek: Callie, what are you thinking?
Doctor's Rep: My advice at this time...
Owen and Meredith: Shut up!
Callie: You're not one of us. You don't know. You have no idea what we've been... Derek's right. We shouldn't take the money. We can't take it.

See Also

A complete overview of this episode's crew can be found here.

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