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Meredith realizes the responsibility of adulthood when her mother has to sign all of her assets over to her. Izzie decides to throw a party for her boyfriend, Hank, and the scale of the party, which Meredith is unaware of, increases throughout the day. After popping a glove during a heart surgery, Meredith fears that she damaged the patient's heart and has to face a meeting with the chief and lawyers who will determine her future as a doctor. Meanwhile, sparks start to fly between Cristina and Burke, and Meredith and Derek's relationship is exposed when Bailey catches them together at the party.
Meredith (opening voiceover): Remember when you were a kid and your biggest worry was, like, if you'd get a bike for your birthday or if you'd get to eat cookies for breakfast? Being an adult? Totally overrated. I mean, seriously, don't be fooled by all the hot shoes and the great sex and the no parents anywhere telling you what to do. Adulthood is responsibility.
Meredith (on the phone): And the notary can be there at 6:30 too? And the home's physician will be there attest to her mental competency. Okay, is there anything else I need to bring besides my license? My check book. 6:30, I'll be there. (she hangs up. Derek walks up to her, leans on the railing)
Derek: I heard.
Meredith: It's a notary thing. A thing to get notarized.
Derek: I'm talking about the heart thing. Do you want to talk about it?
Meredith: We're adults. When did that happen?! And how do we make it stop?
Cristina: The bigger the party the less time for bad sex with the hockey player.
Izzie: Would you stop saying that.
Izzie: Hank and I have great sex, all the time. In fact we'll probably have sex after the party, or during the party.
George: As long as you clear it with Meredith.
Cristina: You must be Hank...he's so tall and hockey-like.
(George comes home to find Meredith drunk at the party)
Izzie: Holy Mother of Destruction.
Izzie: Mr. Sturman, and how are you feeling?
Mr. Sturman: Pretty okay, except I don't think I ever want to have a bowel obstruction again.
Izzie: Really? Wow. Because we get people in here all the time requesting them.
Derek: You know, it sounds like the party's winding down. Yeah... Listen to me!
Meredith (laughing): What?
Derek: We should probably sneak inside now.
Meredith: We've done enough sneaking for tonight. It was good sneaking, but enough sneaking.
Derek (pulling his shirt back up her shoulders): Yeah, I'd say we're pretty good sneakers.
Bailey (as they are about to kiss she knocks on the window): You mind moving this tail wagon? You blocking me in.
Derek: Apparently not good enough.
Lawyer: Dr. Grey made a huge error.
Burke: And she reported it.
Lawyer: Too late. And in front of the patient's husband.
Burke: But she reported it. She spoke up. Five years ago, as a CT fellow, I had a nagging feeling that I didn't check the body cavity of a lung patient closely enough before I closed. The patient seemed fine post-op and I was in a hurry. And yesterday, you and Dr. Bailey pulled a towel out from under that patient's lung. Why didn't I report it at the appropriate time? Maybe because I was afraid that I would be called into a meeting where some hospital lawyer's fear of liability could end my career. Even great doctors make mistakes. And when we do, we've got to have a chance to be able to speak up without fear of retribution. Or everyone suffers. Dr. Grey spoke up.
Meredith (closing voiceover): Responsibility, it really does suck. Unfortunately, once you get past the age of braces and training bras, responsibility doesn't go away. It can't be avoided. Either someone makes us face it or we suffer the consequences. And still adulthood has it perks. I mean the shoes, the sex, the no parents anywhere telling you what to do. That's, pretty damn good.
Chief Webber says that Mrs. Drake original surgery was in 1999. When Cristina looks up the paperwork for Mrs. Drake's first surgery, the date is shown to have been 10-18-2000.
The interns are complaining that they have to work 100-hour weeks, however, there are regulations that govern residency programs that only allow 80-hour work weeks.
Episode Title: Shake Your Groove Thing
"Shake Your Groove Thing" is a song by Peaches and Herb.
The Last Samurai: The patient trying to get dilaudid from the hospital tells Karev that the pain in his back is like he is being stabbed by swords, like from "that Tom Cruise samurai movie."
Macbeth: Bailey says during surgery "Something careless this way comes." This is an allusion to the line from Macbeth "Something wicked this way comes."
Lesley Gore: Meredith says "It's my party and I'll get drunk if I want to." This is a play on the 1963 song "It's My Party (And I'll Cry If I Want To)" by Lesley Gore.