George and Bailey are looking at a lung x-ray, and he's talking about the obstruction that they see. They're going to operate and remove it, and Richard, who has been watching with them, updates George that the patient, Mrs. Drake, had another surgery there in 1999 but should still be talked through the procedure. He adds, "And resist the anti-smoking lectures, she feels bad enough already." George wonders, "Do you think if they put a picture of these on a pack of cigarettes, people would stop smoking?" Bailey shakes her head slightly. I was somewhere that they DID do that -- I believe it was in Singapore -- and the only reaction it seemed to incite was making me gag while I was buying my Coca-Cola Light at the 7-Eleven rather than actually stopping anyone else from smoking.
Alex and McDreamy are paired up today, and I need to take a moment to peel my panting self off of the television set where I was lured as if by a magnet by all the good looks gracing my screen. Their patient-of-the-week is a big guy who's being overly dramatic about his back pain. His description of the pain is "a thousand samurai warriors stabbing their swords into my spine." Unimpressed Alex suggests they give him morphine, but Mr. Drama immediately tells him that he needs Demerol. Both doctors notice the tracks on his arm as he tells them the dose that he needs, which is immense. When they express doubt, he reiterates, "Did you see that Tom Cruise samurai movie? Hmm? Pow! Pow! Pow!" Dude, by now no one's seeing any Tom Cruise movies -- you're going to need to come up with another cinematic reference to help feed your painkiller habit. Out in the hall, they discuss how he's a junkie and McDreamy asks what they do. Alex recites, "Check database for history, refer to a program, discharge." McDreamy adds, "After you give him some." Alex is disgusted, but McDreamy just explains that they still need to treat his pain as if it's real. "It's the first rule in pain management. Always err on the side of caution." Wow, that's the first rule? I'd like to then take this moment to thank my doctors who accidentally put me on a painkiller more often used for say, a bad sprain, after I had lung surgery and then didn't do anything when I was lying in bed moaning for a solid day. Who knew Grey's Anatomy could have taught them so much? McDreamy orders Alex to start a central line and Alex merely gapes after him.