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After being named interim chief, Derek begins to settle into his new position but faces a lawsuit when Bailey and Meredith's patient wakes up during surgery. Meanwhile, Teddy refuses to let Cristina be a part of her service, Alex continues to work with Arizona in pediatrics, and Mark avoids talking to Lexie who is still heartbroken over their break up.
Ratings: 12.55 Million Viewers
Voiceover: The open and closing voiceover's are done by Derek instead of Meredith.
Casting: This is the first appearance of Jason George as Dr. Ben Warren.
Derek (opening voiceover): We ask a lot of our patients. We put them to sleep. Cut them open. Poke around in their brain and guts with sharp instruments. We ask for their blind trust. Irony is, trust is hard for surgeons, because we're trained from day one that we can't trust anyone but ourselves. The only instincts you can count on are your own. The only skills you can count on are your own. Until one day, you leave the classroom and step into the O.R. You're surrounded by others, a team of others. A team that you have to rely on whether you trust them or not.
Richard: I can't give them this. Shepherd. Jennings. If I do what they want me to do, it's like saying that they were right. Right about doing this. Right about me.
Bailey: Saying they were right about what?
Richard: They want me to say that I'm an alcoholic.
Bailey: Well, are you an alcoholic?
Richard: Yes. But if I sign these papers then I have to stop drinking. And go to rehab. And I don't think I'm ready to do that. Drinking, it feels a little like all I have left.
Bailey: You are better than this. I have seen you be better. Look, the way to win, the way to beat them is to stop fighting them. You go get better. You be the man that I've always known you to be. You be the Chief. .. Be the Chief.
Ben: And so you know, I don't read Architectural Digest in the OR. That magazine I read earlier? That was the Journel of Clinical Anesthesia. In case you were wondering.
Bailey: I wasn't.
Ben: I acutally don't like the sittin' down part of my job. It's not great for the back, and I like to keep in shape, you know. So I can lift my big buckets of money.
Bailey: I yell when I'm scared. Some people whimper, or duck, I yell. And when she woke up, it was one of the scariest moments of my lief. So I yelled. And then I yelled some more. It's what I do.
Ben: Was that an apology?
Bailey: Closest thing that you're gonna get.
Arizona: Karev, I hear that you're the future of Peds.
Alex: Excuse me?
Arizona: Yeah, a little birdie named Bailey whispered it in my ear. And I want you to work with me today so I can see if she's right.
Alex: What did she say?
Jackson: That you're the best babysitter in the hospital.
Alex: Shut up.
Arizona: You don't think Peds is hardcore? Because you can say that to my face, Avery.
Jackson: Um, no. No, ma'am.
Arizona: Uh huh. Don't let the roller skates fool you. Peds is nothing but hardcore.
Derek (closing voiceover): Hi. I know it's been a long day, and you're all anxious to get home. But I feel like we got off on the wrong foot this morning. I don't expect to win your trust overnight. But I want each of you to know you have mine. Which is why I felt it was important to personally come in here and apologize. I am neither pro nor anti merger. From this point on, everyone has a clean slate. I am not focused on the past. I'm looking to the future to all the promise this hospital has to offer. I plan to honor Richard Webber and his legacy, not undo it, which is why I'm both humbled and honored to be your new Chief of Surgery.