Callie Torres wakes up alone in her bed, staring at the empty pillow beside her.  At Meredith’s house, however, Meredith Grey and Derek Shepard are awakened by a knock at the door.  It’s Cristina holding cups of coffee for all.  She barges in asking if they’re up.  Derek says “no,” but Meredith says “yes.”  Either way, Cristina’s already finding a seat on the bed.  “The wicked witch is dead,” Cristina announces, “Her name is off the surgical board, all her surgeries have been canceled, I don’t know how or why but I do know Hahn is gone!”  “That’s too bad she was really talented mumbles Derek.  Apparently she wasn’t talking to him anyway.

Alex Karev casually comes to Cristina Yang asking if she’s heard of a doctor named “Dickson.”  Of course Cristina has, she’s a cardiothoracic surgeon and well-reknowned.  “Wait, is she coming here,” she asks him.  “Yah,” he replies nonchalantly, “She’s coming today.  Piggyback heart surgery, I’m on the case.”  Cristina questions why she’s not on the case, he shrugs and leaves her to figure it out. 

Out in the ambulance bay Owen Hunt takes the time to help Cristina tie her smock while they wait for a patient coming into the E.R.  They are soon joined by Callie and Cristina asks if she knows anything about Hahn.  “I don’t want to talk about it, I want blood, guts, mangled bones, I want a guy so badly smashed up it takes all day to fix him.  I want to rock a surgery I don’t want to talk about Hahn.”  Cristina gets the picture and  the ambulance rolls up.   The man is in really bad shape.  He’s been mangled after being smashed up inside a garbage truck and pulled out by the medics.  “Human pretzel, that will do,” says Callie.  Hunt calls in for more hands and Shepard, Sloan and Meredith Grey join them to work on this difficult case.

They are all reviewing the CT scans and x-rays of this mangled man’s body, trying to figure out how to procede in this difficult situation.  The man’s own femur has broken off his leg and is impaling him.  His bones are shattered into fragments and he’s contorted in such a way that it’s difficult to figure out what is what.  They agree that they need to remove the femur that has impaled him and that it’s a good thing that he’s unconscious.  They gather around to brace him while Torres pulls out his femur.  It’s tough to get out, but as she does, the man suddenly begins screaming.  Evidently he’s not as unconscious as they thought and the rush to get him some morphine. 

Back in with the patient the doctors are explaining that the man will need surgery.  The patient is grumpy and not interested in living anymore.  He says that if he can’t walk, then he has nothing to live for.  He is homeless and that’s all he has.  He walks from one place to another every day.  He gets increasingly agitated.  If he can’t walk, he doesn’t want the surgery.  Dr. Hunt looks at him and says, “Okay,” and takes a step back, “You heard the man, the surgery’s off.”  The others look strangely at him wondering if he’s really going to give in just like that.

Outside the patient’s room, Derek Shepard confronts Owen Hunt.  “So that’s it?  The surgery - you’re just going to walk away?”  “I’m respecting the patient’s wishes,” Owen explains.  “The patient’s unstable with an open wound,” Derek asserts.  “Which we are packing,” Hunt defends.  Mark Sloan walks up and starts, “He’s circling the drain.”  “You can’t just walk away” Derek finishes.   “Don’t tell me how to run things in my E.R.,” says Hunt.  “You’re E.R?” asks Mark.  “We save lives here,” Derek continues,  “We don’t just patch up patients and leave them to die.  If you can’t handle that, go back to the desert and leave us here to do our jobs.”   Owen throws down his mask and storms off.  Callie walks up at the trail end and is told by Derek, “Dr. Torres, please tell me you can build this man some legs.”  That’s a tall order.

Callie begins reviewing the man’s case with Sloan, Meredith, Cristina and an eager Sadie behind her.  She begins brainstorming how to restore his current structures, but Sloan is worried that it’s too much hardware.  “Maybe I can build him new legs,” Callie starts, “It’s kind of a puzzle, I just need to figure out what equipment I need and how to pull it off.”   “Like Lincoln Logs,” Sadie suggests.  Cristina is quick to put the intern in her place, “Uh it’s  a little more hi-tech than that.”    “It’s exactly like Lincoln Logs,” Callie agrees and she sends them off to find all of the titanium in the hospital they can find.

After a particularly unfulfilling introduction with Dr. Dickson, a cardio doctor here for a specific case, Cristina realizes that Dr. Hahn may have not been so bad.  She barges in to Mark and Callie and asks, “What happened to Hahn? Whatever happened to Hahn that made her leave it can be fixed. Unless she was fired, she wasn’t fired was she?”  Callie says, “She’s not coming back.”  When Cristina says that she couldn’t know that for sure, Mark assures that she does know.  Cristina continues to press, but Callie can’t quite find the words to explain.  “We had a fight,” Callie finally says.  Unconvinced at first that this is a good enough reason for Hahn to leave, she says, “It’s not like Hahn was your girlfriend or something.”  The silence that follows is more than an answer to Cristina’s question and finally she realizes.  She confirms her theory then asks, “So wait are you a lesbian now?”  Mark chimes in, “Well I don’t know, maybe she’s a once-bian.”  Callie finishes under her breath, “Or maybe a twice-bian, or whatever, it’s over.”   “Are you okay?” Cristina asks.  Sloan tells her to let it go and give her some space.

Hunt goes into the patient again to talk to him.  He explains that he’s not doing well.  The patient just wants to die in peace.  Hunt gives him a caring look and the patient begins to open up.  Derek Shepard has stepped up behind to hear with neither noticing.  The patient tells him, “I took a turn.  I lost.  I couldn’t connect.  My life, it just took a turn and I couldn’t turn back.”

Callie is silently looking at the surgical board when Sloan approaches quietly and asks, “Did she say goodbye to you?”  “Nope,” says Callie, “Not one word.”  “Are you okay?” he asks.  She turns to him all sullen and serious and says, “Do I look okay?”  Sloan tells her, “You look great!”  “Well then, okay,” Callie says with an extra little bounce in her step.

Derek comes in to see the patient and begins to explain medically what is going on in the patient’s body that may be causing him extra discomfort.  Hunt questions why he’s doing this and he explains that “I’m trying to ascertain whether he’s suicidal or just defeated.”  Hunt gets it and begins to try to talk the patient into the surgery as well.  They give him his options and he agrees to let them go through with the surgery.

In surgery,  everything appears to be going well.  Everyone is doing okay in their part of surgery.  Mark Sloan takes the time to compliment Lexie on her excellent stitching.  Chief comes in to check on the surgery.  Callie is quite pleased as everything is going well for her “rebuilding the skeleton,” though she’s several hours away from completion.  Her glory is short-lived, however, when the patient begins crashing.  The next time we see.  They’re calling the time of death.  Callie starts to lose it.  “ I built his bones.  And all of you, all you had to do was keep him alive.”  She begins rambling on as she does, except before long, she’s become hysterical and crying.  No one knows what to do until finally Cristina says,  “Why don’t you guys go ahead and I’ll help Dr. Torres clean up.”  Mark tells them, “Everyone clear out!” and they finally all shuffle out.  Leaving Cristina and Mark to comfort the crying Callie.

At Joe’s Callie is complaining how she hates this-the getting attached to someone only to have to face having them leave you and Mark is agreeing with her, but he’s looking at Lexie coming in to the bar.  Cristina is hearing them but not really listening.  She’s looking at Owen Hunt sitting at the bar alone.  

Cristina follows him into the alley when he leaves and startles him.   She begins to apologize to him about losing the patient.  “I don’t need you to be sorry, I don’t need you to be sorry,” he keeps repeating but he seems mad and he’s backing her up against the wall.  She’s almost frightened of him saying, “okay.”  He stops then attacks her and they begin kissing passionately.  It’s hot and heavy, but then he pulls away and just looks at her like he wants to do more and is holding back.  Then he lets her just walk away.

more from this episode . . .