Old Time Rock and Roll

"You might be surprised, but anatomy classes can be uncomfortable for surgeons. We're trained to put bodies back together. We prefer our tissue warm, alive. Usually when a surgeon is staring at dead tissue, it means that something is very, very wrong. There are some things in life that simply can't be avoided, no matter how uncomfortable they make us and there can't be rewards in stepping outside your comfort zone. Even when the thought of it makes us want to puke. Even when we want nothing more than to run screaming for the hills. That's why people love to say that what doesn't kill you makes you stronger. But sometimes, those people don't know what the hell they're talking about."

- Meredith Grey

 is the fourth episode of the twelfth season and the 249th overall episode of Grey's Anatomy.

Short Summary
Owen suggests the interns learn a vital lesson on how to break bad news to patients' families, and Arizona's 90 year old patient reassures her that she's destined to find love again. Meanwhile, the sisters completely forget about the dinner party they're hosting for everyone.

Main Cast

 * Ellen Pompeo as Dr. Meredith Grey
 * Justin Chambers as Dr. Alex Karev
 * Chandra Wilson as Dr. Miranda Bailey
 * James Pickens, Jr. as Dr. Richard Webber
 * Sara Ramírez as Dr. Callie Torres
 * Kevin McKidd as Dr. Owen Hunt
 * Jessica Capshaw as Dr. Arizona Robbins
 * Sarah Drew as Dr. April Kepner
 * Jesse Williams as Dr. Jackson Avery
 * Caterina Scorsone as Dr. Amelia Shepherd
 * Camilla Luddington as Dr. Jo Wilson
 * Jerrika Hinton as Dr. Stephanie Edwards
 * Kelly McCreary as Dr. Maggie Pierce
 * Jason George as Dr. Ben Warren

Guest Stars

 * Ann Guilbert as Gabby Margraff
 * Lou Cutell as Abraham
 * Giacomo Gianniotti as Dr. Andrew DeLuca
 * Joe Adler as Dr. Isaac Cross
 * Joe Dinicol as Mitchell
 * Samantha Sloyan as Penny
 * Dwayne Barnes as Conner Squire

Co-Starring

 * Vivian Nixon as Intern Hannah Brody
 * Chauncey Jenkins as Intern Jason Mills
 * Pia Shah as Intern Jessica Pahlavi
 * Louisa Abernathy as Florence
 * Marcia Ann Burrs as Fran
 * Anne Johnson as Oldie 2
 * Patricia Newman as Adelaide
 * Garrett Nichols as Harold
 * Dianne Travis as Oldie 1
 * Jack Wallace as Old Man
 * Al White as Edward "Eddie" Squire
 * Jeanne Syquia as Rachel Bishop
 * Jenny Andrievna as Mom
 * Claudia de Vasco as Nurse
 * Emma Loewen as Nine Year Old

Rachel Bishop

 * Diagnosis:
 * Increased intracranial pressure


 * Doctors:
 * Amelia Shepherd (neurosurgeon)
 * Stephanie Edwards (surgical resident)
 * Hannah Brody (surgical intern)


 * Treatment:
 * Decompressive craniotomy
 * Early ambulation

Rachel, 32, had had a decompressive craniotomy. Amelia wanted to try early ambulation with her starting the day after her surgery. After several sessions of intense pushing, Rachel was able to walk to sit in a chair by her bedside.

Harold

 * Diagnosis:


 * Doctors:
 * Jo Wilson (surgical resident)


 * Treatment:

Harold was examined in the ER by Jo after being in a bus crash.

Fran

 * Diagnosis:


 * Doctors:
 * Jackson Avery (plastic surgeon)


 * Treatment:

Fran was examined in the ER by Jackson after being in a bus crash.

Bailey's Patient

 * Diagnosis:


 * Doctors:
 * Miranda Bailey (general surgeon)


 * Treatment:
 * Surgery

Bailey took one of the patients from the bus crash up to surgery.

Edward Squire

 * Diagnosis:
 * High blood pressure
 * Diabetes
 * Arthritis
 * High cholesterol
 * Erectile dysfunction
 * Myocardial infarction


 * Doctors:
 * Jackson Avery (plastic surgeon)
 * April Kepner (trauma surgeon)
 * Isaac Cross  (surgical intern)


 * Treatment:
 * Thiazide
 * Metformin
 * Baby aspirin
 * Nitroglycerin

Eddie came into the ER after a bus crash. He listed off the meds he took on a regular basis. Jackson questioned if he took erectile dysfunction meds. He denied it, so they began treatment. He later coded and was unable to be resuscitated, likely because he had lied about his use of ED meds.

Gabby Margraff

 * Diagnosis:
 * Diaphragmatic hernia
 * Splenic hematoma


 * Doctors:
 * Meredith Grey (general surgeon)
 * Maggie Pierce (cardiothoracic surgeon)
 * Jo Wilson (surgical resident)


 * Treatment:
 * Surgery

Gabby was brought to the ER after being in a bus crash. She was taken for a CT to evaluate her internal injuries. They discovered a diaphragmatic hernia and possible splenetic hematoma, so she was taken into surgery. She was stable after surgery.

Abraham

 * Diagnosis:
 * Contusions


 * Doctors:


 * Treatment:

Abe, 90, was brought to the ER after being in a bus crash. He had only minor contusions, but later died in the hospital of an unknown cause.

Stephanie Edwards

 * Diagnosis:
 * Sickle-Cell Anemia


 * Doctors:
 * Keith Wagner


 * Treatment:
 * Bone marrow transplant

Stephanie, then 5, underwent a bone marrow transplant to treat her sickle-cell anemia. She recounted the story to Jo and Amelia. She had one of the few success stories from that trial.

Notes and Trivia

 * This episode's title originated from the song Old Time Rock and Roll, originally sung by Bob Seger.
 * This episode scored million viewers.
 * The table read for this episode took place on August 24, 2015.
 * Maggie joins the long list of attendings who have slept with interns.
 * Goof: The visitor badges say it's October 11th, but Alex says it's the 14th.