The First Cut Is the Deepest
"It's all about lines. The finish line at the end of residency, waiting in line for a chance at the operating table, and then, there's the most important line. The line separating you from the people you work with. It doesn't help to get too familiar. To make friends. You need boundaries between you and the rest of the world. Other people are far too messy. It's all about lines. Drawing lines in the sand, and praying like hell no one crosses them. At some point, you have to make a decision. Boundaries don't keep other people out. They fence you in. Life is messy. That's how we're made. So, you can waste your life, drawing lines. Or, you can live your life crossing them. But there are some lines... that are way too dangerous to cross. But here's what I know. If you're willing to take the chance... the view from the other side is spectacular."- Meredith Grey

Full SummaryEdit

Meredith enters the locker room and puts up a notice for roommates on the noticeboard. She wants non-smoking, non-Bush-supporters with no pets.

Meredith talks to an intern who wants to live in Meredith's house and after saying no, Izzie asks why she put up posters for roommates if she doesn't want roommates but Meredith insists she just doesn't want to have to live with interns. The interns see Bailey and she assigns them their tasks. As Bailey walks away, Meredith quickly asks to assist her in the O.R, sensing a possibility of a surgery, the others ask too. Bailey instead tells them that every interns wants to perform their first surgery but it's not their job. Their job is to make the resident happy and Bailey is not happy. She tells them all to do their jobs, takes the mocha latte and the interns scramble away to do their jobs.

Meredith moves to the elevator, where Derek is waiting. He randomly notes that Seattle has ferry boats. He didn't know that even though he had been living in Seattle for the past six weeks. As they step into the elevator he tells her he is annoyed as he has to like it in Seattle. He explains that he has a thing for ferry boats. Meredith tells him that she's not going out with him, he tells her he didn't ask but then asks if she will. She says she won't date him because she isn't sleeping with her boss. Meredith stares at him for a second, drops her folders and kisses him. They kiss passionately until the elevator doors ding and Meredith quickly crouches to pick up her folders and leave.

Meredith keeps walking until she reaches a nurse who asks if she is a surgeon. Meredith nods and the nurse informs her that they have a badly beaten up rape victim. Another nurse says the patient is a 21-year old female found down at the park, status: post-trauma, she came in with a GCS of six, BP 80 over 60, head trauma, unequal breath sounds, right pupil is dilated, and she's ready for x-ray. Meredith notices the girl's shoes, which are identical to the ones she wore to work. She looks unfocused but when the nurse calls her, she states that they should call it in to clear CT, let them know she will be coming, to load up the portable monitor, call respiratory for a ventilator, and she will get x-rays while she is down there.

In the O.R, the rape victim is being treated. Derek says she's going to spend a lot of time in recovery and rehab. Burke notes that she tried to fight back but Derek tells him she kicked the guy's ass as the rape kit came back negative. Burke calls her a warrior and Meredith interrupts to tell them her name is Alison. Burke then picks up something thinking he may have found the cause of the rupture. He asks the room if anyone can identify what the bloody piece of flesh is and shocked, Meredith tells him it is the rapist's penis. Burke quickly drops it into the tray.

Burke and Derek wash up after the surgery and Burke suggests that the two go out for a drink later so that Derek can tell him why a hot-shot doctor left the Big Apple for Seattle. Derek says there was no big story. The Chief just gave him an offer he couldn't refuse, Burke is surprised and slightly annoyed at this.

George speaks to Cristina, excited that he is part of the code team as the code team saves lives. He can shock a heart and someone lives to see another day. Cristina calls him Bambi and tells him not to say another word until after the hunter shoots his mother. She tells George that she has a B.A. from Smith, a PhD from Berkeley, and an MD from Stanford and she is stuck delivering lab results and that it will take all day to get through them all. Bailey walks up and advises her that she should get started then. Baffled, Cristina tells her she wasn't complaining but Bailey cuts her shorts introducing her to Alex, a new intern that was reassigned. She tells her to show him how she likes things done. Cristina remembers that he was the intern who called Meredith a nurse and tells him that she hates him on principle. Alex calls her the pushy overbearing kiss-ass and he hates her too. Suddenly, George's pager beeps.

George runs along the corridor followed by the code team. They enter a patient's room to beeping. A nurse tells them they have a 57-year old male who is systolic. She asks George to use the paddles and tells someone else to charge them to 200, please.

Izzie talks to an Asian woman in the pit. She tells Ms. Lu she has to sew up her wound and that she will need about six stitches. She then asks if Ms. Lu is allergic to any medication.

Ms. Lu then says something in Cantonese but Izzie asks her if she knows any English. Ms. Lu continues to speak in Cantonese. Izzie asks the room if anybody there speaks Chinese but nobody answers.

Meredith knocks at the Chief's office door, Patricia is there and she beckons her in. She tells Meredith the Chief is on his way. Realising that the box Meredith is holding has the rapist's penis, she asks to see it but then changes her mind and decides not to look. The Chief enters and asks Meredith about her mother and Meredith says she is just taking some time off. She holds up the box with the penis saying she was told to bring it to the Chief. He tells her it's for the police and then asks Patricia when they are due to arrive but she says they are slow so Meredith had better take it with her as all medical matter and array must stay with the person who collected it, until it's placed in police custody.

Cristina and Alex are giving lab results to a family. Cristina tells the patient that they have a disorder called multinucleate cell angiohistiocytoma, it's not a cancerous sarcoma, it's very rare but a minor disease and that they will be discharged that day. The family laugh with relief. One kisses and hugs Cristina. She glares at Alex, who is smiling at her.

Meredith places her esky (penis-box) on a desk where George is working. Cristina and Alex walk by and Cristina asks Alex why she has to be the one who gets hugged. He tells her it's because he doesn't hug and she's the ovarian sister. George tells them that Meredith is carrying a penis around in a jar. George asks Meredith if she is okay and she says yes but explains that the rape victim, Alison, had the same shoes and she has in her locker. She normally never wears them, because they're not comfortable, but she did that day. She then stops, saying that it is stupid. George tells her that he knows what she needs but she says no, that it is sick and twisted and they said last time was the last time. George looks away and she asks if he was doing it without her. He insists that she goes and says he will anyway, that Nancy Reagan lied, he can't stop.

George and Meredith are outside the nursery where all the babies are. George's pager beeps and he tells her it's a code so her runs off. Meredith watches them and sighs but then looks worries as one of the baby's face is going blue. She goes in and checks on him with a stethoscope. He looks okay but then a paediatric intern walks in. She asks Meredith what she is doing and Meredith explains that there were no tests ordered and the baby has a murmur. The intern says she knows but Meredith is shocked and tells her that the baby turned blue. The intern tells Meredith where she is from and isn't authorised to be there. Meredith asks if she is going to do any tests but the paediatric intern insists that it is a benign systolic ejection murmur and it goes away with age. She tells Meredith to get out so Meredith gets her penis and goes.

Izzie stares across the room at Ms. Lu, depressed and tired. Cristina appears and asks if Izzie has a good case. Izzie says no, just that Ms. Lu won't let her sew her up. Izzie proceeds to tell her she wouldn't have called Cristina but she can't find a translator and wants Cristina to talk to her. Cristina looks to the woman and back to Izzie and says no. Surprised, Izzie asks why and Cristina tells her she grew up in Beverley Hills so the only Chinese she knows is from a Mr. Chou's menu and anyway, she is Korean, she leaves and Ms. Lu sighs.

The Chief runs into Burke and Burke asks why he asked Derek to come to Seattle Grace. The Chief tells Burke it was because he was an old student but Burke assumes there may be another reason and tells the Chief that the position of Chief of Surgery is his. Richard tells him it would have been him but now he isn't sure. Not wanting to hear why, Burke storms off.

Cristina complains to Alex that nobody gets sick anymore and Alex agrees asking how they would ever get any O.R time. Cristina picks up her files and keeps ten and hands off the other ten to Alex. They decide to get in, get out. No smiling, no hugging, no letting them cry. The two then run off to the patients in a race to finish first. They tell their patients the latest news and leave quickly as Cristina gets annoyed after being hugged repeatedly.

Meredith interviews some interns and asks their favourite 80s group. After two separate interns give two wrong answers, Meredith groans and gets up to leave. George meanwhile stands at the end of a bed, looking unhappy and calls the time of death.

Meredith looks at Alison and Derek comes over. Derek tells her she has no family so he will sit here and eventually the rapist will be caught. Meredith leaves and goes to tell Burke about the baby with the murmur in paediatrics. He tells her he can't help without a paediatrics consult.

Izzie bandages up a man's hand. He tells her that she's hot but she smiles and says that he is drunk. She finishes up and tells him he can see the nurse outside now. The Chinese woman comes up and starts talking again, distressed. Izzie gets to work, and the woman starts speaking again, Izzie looks up at her but doesn't know what to do, so she gets back to the arm wound.

Meredith and Cristina are in the lobby. Meredith tells Cristina that she kissed Derek again. They talk a bit but walk outside the hospital when they hear a car swerve. A man staggers out of his car, his clothes soaked in blood, mainly around his crotch and then he collapses. In seconds there are doctors and nurses checking him. Meredith calls security and then pulls the man's bed with other hospital staff. Bailey asks what they have and when she lifts the blanket she sees that it is the rapist. Bailey orders everyone to take him to the O.R and Meredith to call the Chief.

Cristina and Meredith talk quietly to each other in the operating room and Bailey tests them by asking why they are not attempting to reattach the severed penis. Cristina quickly responds telling Bailey that teeth don't slice, they tear, you can only reattach with a clean cut. Cristina then says all they can do is sew him up minus a large part of the family jewels.

The Chief comes out of an O.R. They begin to talk about the rapist but the conversation soon leads onto why Burke can't be Chief. Richard tells Burke that he only does exactly as much as is necessary, he never takes an extra step, he never gives an extra minute. He is comfortable and arrogant, and it doesn't impress him. The Chief storms off and Burke sighs. He sees Meredith, she's wheeling a patient around and he walks off.

Izzie finishes with Ms. Lu and says that she has other patients and can't understand her so there is no point in staying. Ms. Lu leaves.

It is night, clouds roll in. The interns are in an empty corridor area. Alex and Cristina complain that they had no surgeries. Izzie complains that her hands are numb from suturing and George tells her she should be happy that she at least got to heal people. Izzie sadly continues by saying it was like Ms. Lu was camping out in the pit. Meredith enters and complains about still having the penis. George asks who else feels like they have no idea what they doing and everyone, except Alex, raises their hands. They all conclude that they hate being interns. Bailey comes in and looks expectant. They get up and leave. She sits down and starts eating someone's chips.

Meredith sees the parents of the boy she's worried about. The paediatric intern looks up and sees Meredith talking to the parents. She tells Meredith that she is out of line as Meredith just told the parents that the murmur might not be benign. Meredith suggests an echo but the paediatric intern goes back to get her resident, Dr. Kerr. Kerr asks who authorised Meredith to be there but Burke swoops in and lies, saying that he did. Burke takes Kerr aside and asks him if he is messing with Meredith. Burke asks the intern if she is 100% the baby is not sick but she tells him she is not positive, he takes her off the baby's service. The paediatric intern quietly asks Kerr if Burke is allowed to do that but he says yes, Burke is an attending. He tells Mr and Mrs. Johnson he is going to run some tests and give them an answer within the hour. He gives Grey instructions and they walk away, past Izzie. Izzie sees Ms. Lu and follows her outside into the pouring rain. Izzie continues to follow her across the street. Near the dumpsters, Ms. Lu is talking to a girl, who's clutching a rag to her forehead. Ms. Lu sees that Izzie's come over, and the girl shows Izzie her forehead. The girl has a cut and there's dried blood all over her forehead. Izzie goes over to take a closer look. Izzie examines her with a penlight and tells them that the cut is deep and she should take them inside but they refuse. The young girl tells her a machine broke in the factory and that is how she was hurt but she cannot go inside because she has no green card and could go to jail if she is found. Izzie eventually decides that if they wait there then she can help as soon as she gets some supplies. Meredith walks down a hallway and Burke tells her it is a birth defect and he is booking the operating room for the next day. He tells her she can never pull a stunt like that and if she ever tries again he will make her residence hell on earth. Izzie patches the girl up and tells her to come back in five days for Izzie to remove the stitches. She gives them her pager number and they walk off but not before Ms. Lu comes back and takes Izzie's hand, still speaking her own language but obviously thanking her.

Back inside the hospital, Burke asks Bailey if he is too competent. When she says no, he tells her that anything she says in the next thirty seconds is free. She tells him he is cocky, arrogant, bossy and pushy, and he also has a God complex. Burke raises his eyebrows, looking sorry he asked but thoughtful.

In the locker room George complains that he lost five patients on the code team. Cristina tells him that 95% of all code patients can't be revived and most of them are seriously dead before you can get there. In another room, Meredith speaks with the paediatric intern and they bond both realising they are always terrified all the time. Meredith goes to see Alison and sees that Derek is still there. They soon realise Alison is in trouble and bring her to the O.R for a craniotomy.

Later, Meredith leans against a wall, Derek walks past and turns back to her. He explains he had to leave her skull flap off until the pressure in her brain goes down. Derek tells her that Alison will be fine, if she wakes up. Derek meets with Burke and asks if he wants to get a drink. Burke declines but tells him that Richard promised Chief to both of them but that Derek is not the enemy, just the competition.

Meredith signs a paper to say that the penis wasn't out of her sight while Patricia helps her and Richard tries to get the word "penis" out. Meredith, Burke and the others gather in the O.R to operate on the baby with the murmur and as a reward for Meredith, he decides to let her hold the clamp. Elsewhere, Derek enters the rapist's room. He whacks the end of the bed with his chart to wake him up and tells him he has good and bad news. Bailey stopped his bleeding but he is giving the penis to the police. He storms out angrily and sarcastically tells the rapist to have a nice life. The rapist realises he is cuffed to the bed.

Cristina and Alex give more results. Cristina tells a patient that their tumour was benign and they can go home. The patient hugs her husband, who then goes for Cristina. Cristina acts fast and shoves Alex into his way. Alex gets a nice big hug, and Cristina leaves, pleased with herself.

The interns stand up looking at the infants in the hospital nursery. Meredith sighs and tells Izzie and George they can move in. They both scream delightedly, surprised she caved. Cristina tells Meredith that she blames the babies. Toxic.

In her room, Alison's eyelids flutter. They open and she sees Derek smiling at her. Shortly afterwards, Meredith walks over to the elevator where Derek is waiting.

Meredith turns to smile at Derek telling him she will take the stairs. He smiles and calls after her saying he pities her and her lack of self-control. Meredith runs to catch up with Izzie, George and Cristina leaving the hospital.


  • Preston Burke: What the-what the hell is this? Does anybody know what this is?
  • Meredith Grey: Oh my god
  • Preston Burke: (holding up body part) What is it Grey?
  • Meredith Grey: She bit it off...
  • Preston Burke: What is it? Spit it out, Grey.
  • Meredith Grey: That's his... penis.


  • "You Wouldn't Like Me"- Tegan and Sara
  • "Sister Kate"- The Ditty Bops
  • "Live and Learn"- The Cardigans
  • "Wait"- Get Set Go
  • "Somewhere Only We Know"- Keane

This episode's title originated from the song "The First Cut Is the Deepest", originally sung by Cat Stevens.


  • The episode finished roughly at 6pm.



Patients and RelativesEdit

  • Laurie Burke as Mother of Newborn
  • Shannon Burwell as Crying Patient
  • Sonia Jackson as Patient #1
  • Scott Michael Morgan as Patient #2
  • Alex Thayer as Alison
  • Patricia Harris-Smith as Patient's Wife
  • Nate Reese as Father of Patient #1
  • Scarlett Lam as Ahn
  • Alice Lo as Ms. Lu
  • Elise Robertson as Mrs. Johnson
  • Stacey Hinnen as Mr. Johnson


  • Stephan Blackehart as Vic
  • Cindy Drummond as Louis's Wife
  • Dennis Gubbins as Paul
  • Debra D. Hold as Big Man's Wife
  • Chip Keyes as Big Man
  • Gary Kraus as Louis Cardon
  • Jeff Marlow as Drunk Man
  • Joan McCrea as Louis's Wife's Mother
  • Kylie Milne as Ellen Parkins
  • Linda Nile as Louis's Wife's Sister
  • Walter Wong as Tech