Penny did not know that Callie was good friends with Derek and Meredith and Callie did not know about Penny being a resident at the hospital Derek died in. She and Meredith were both shocked to see each other when Callie and Penny arrived at the party.
They dated for a while and Callie invited Penny to come to a dinner party at Meredith's with her. Long after Derek's death, Penny began seeing Callie Torres. It'll either make her a better doctor or she'll quit and Meredith says she doesn't get to spend what would have been the rest of Derek's life being a quitter and then sends her back inside because she's not saving any lives outside. He'll haunt her and remind her that he died on her watch. She went up to Meredith to apologize again, but Meredith told her that Derek was her one, the patient whose face she'll see every time she treats a patient. When Meredith exited the hospital, Penny was on a bench outside crying. Cohn to speak to Meredith about Derek's death and Meredith told them that the decision not to get a CT was a bad decision. When she continued to say that he should have gotten there faster because Derek might have had a chance if he had, he kicked her out of the OR. Penny called him out on this and he responded that they should have gotten a head CT and they would have paged him sooner. Despite this, it took him an hour and a half to arrive. Cohn, who said he'd be there in 20 minutes because he was at a dinner. When he became unstable, Paul finally remembered that he'd had a head laceration and had the anesthesiologist check his eyes, which revealed a blown right pupil. Paul again declined and they took Derek into surgery and started operating.
While they were on the way to the OR, she made one final plea to get the CT, since he was stable. She wanted to order a head CT, but Paul Castello insisted that they didn't have time and they needed to take him into surgery to get his abdominal bleeding under control. She put in his chest tube and his thoughts indicated that he liked her, said she was smart. Penny was one of the doctors who tended to Derek Shepherd when he came into the Dillard ER. She hated high school, which she attributes to cheerleaders. As a child, Penny moved every two years due to her mother's job.
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