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Stand By Me

Revision as of 01:40, 23 March 2015 by Nerdfightergirl (Message Wall | contribs) (→‎Medical Notes)
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“ Surgeons aren’t known for being warm and cuddly. They’re arrogant, impatient, mean as often as not. You’d think they wouldn’t have friends 'cuz who could stand them? But surgeons, are like a bad cold. Nasty, but persistent. Surgeons: nasty, aggressive, unstoppable, just the kind of people you want on your side when you’re really screwed. Practicing medicine doesn’t lend itself well to the making of friends. Maybe because life and mortality are in our faces all the time. Maybe because in staring down death everyday, we’re forced to know that life, every minute is borrowed time. And each person, we let ourselves care about is just one more loss somewhere down the line. For this reason, I know some doctors who just don’t bother making friends at all. But the rest of us, we make it our job to move that line. To push each loss as far away as we can. ”

Stand By Me is the eighteenth episode of the fifth season and the 96th overall episode of Grey's Anatomy.

Short Summary

The OR board is a mess and the Chief is falling apart without Derek. Bailey tries to help, but inadvertently ends up losing two doctors to Shepherd. George and Meredith face their first "Intern Drama" while Sloan performs an extremely rare facial transplant and Lexie is being judged by her peers. Following Izzie's confession, Cristina cannot focus and to add to the chaos, she is awarded her first solo surgery.

Full Summary

File:Greys518s 1724.jpg

Meredith finds Derek.

File:Izziegetsadmitted.jpg

Izzie finally admits herself.

Episode in detail.

Cast

Main Cast

Guest Stars

Co-Starring

Medical Notes

Izzie Stevens

  • Diagnosis:
    • Metastatic melanoma
    • Liver mets
    • Skin mets
    • Brain met
  • Treatment:

Cristina began to develop a possible treatment plan for Izzie. However, Izzie blew off the appointment Cristina made for her with Dr. Swender. Meredith later took her scans to Derek to ask him to remove her brain met.

David Young

  • Diagnosis:
    • Severe facial trauma
  • Treatment:
    • Face transplant
    • Anti-rejection

David, 38, was hit by a drunk driver 12 years prior, which caused severe facial trauma. He had no lips and no nose. He'd had nine reconstructive surgeries, but none of them brought back full form or function, so he was in the hospital so Mark could perform a full facial transplant. His transplant was successful and he was pleased with the results, even with the swelling, which he was told would go down.

Face Donor

  • Diagnosis:
  • Treatment:
    • Face graft harvest

Owen took Alex to retrieve the face from their donor.

Kendall Sully

  • Diagnosis:
    • Hernia
  • Treatment:
    • Hernia repair

Kendall was in the hospital with a hernia. Cristina operated to repair it.

Callie's Patient

  • Diagnosis:
    • Internal bleeding
  • Treatment:
    • Knee replacement
    • Blood thinners

Callie told the story of a knee replacement she did. Post-op, she gave him blood thinners for a pulmonary embolus, but it turned out that he was bleeding internally, so the blood thinners caused his death.

Sharon

  • Diagnosis:
  • Treatment:

Sharon was examined by Meredith after her surgery. She had tenderness around her incision.

Owen's Patients

  • Diagnosis:
  • Treatment:
    • Surgery

Owen told the story of being a resident and operating on two parents. He lost both patients.

Pierce Halley

  • Diagnosis:
    • Black eye
  • Treatment:
    • Ice

Meredith told Pierce to put an ice pack on his eye.

Steve Mostow

  • Diagnosis:
    • Hand injury
  • Treatment:
    • Stitches

Meredith told Steve to go to the ER to have his hand x-rayed and stitches.

Megan Nowland

  • Diagnosis:
    • Pregnancy
  • Treatment:
    • Pre-natal care

Meredith told Megan to go to OB because her pregnancy test was positive.

Music

Song Performer Scene
"Everywhere" Common featuring Martina Topley-Bird
"A Mirror Without" Royal Wood
"Driveway" Great Northern

Notes and Trivia

Grey's_Anatomy_5x18_Promo

Grey's Anatomy 5x18 Promo

  • This episode's title originated from the song Stand By Me, originally sung by Ben E. King.
  • This episode scored 14.67 million viewers.

Gallery

Episode Stills

Quotes

Meredith: (to Cristina about Derek) It's the not knowing that does it. Not knowing if he's okay. Not knowing if he's coming back. Maybe I've just been dumped. I mean, It's not knowing if I'm single that makes me wanna throw up all day long. You are not listening to me are you?
Cristina: Ah, sorry.
Meredith: No, no. That's okay, I get it, you've got solo surgery and G.I. Joe. It's a charmed life. You don't have time for me.
Cristina: I have not had G.I. Joe. We've kissed a couple of times. It's like friends with benefits. Without the benefits.
Meredith: Still no sex?
Cristina: Mmm-mmm. Not a charmed life.
Pierce: (walks up with a black eye) Lab results for the splenectomy. (walks off)
Meredith: Do we ask?
Cristina: No. 'Cause he might tell us.
Callie: (to Derek as he was drinking beer) It's a little early in the day for that don't you think?
Derek: You sound like my mother.
Callie: I met your mother, I liked her.
Derek: Who sent you? Richard?
Callie: Uh, Bailey.
Derek: Of course.
Callie: Look, I'm sorry about your patient. I know how hard it can be. I-I had a patient a couple of years ago. Young guy, fifty maybe. Simple knee replacement. He was post-op, he was fine. I even told his wife she could go and get him lunch. It was a simple knee replacement, it as nothing. But he'd been getting short of breath so I put him on blood thinners for a post-surgical P.E. and ... it wasn't until he was vomiting up dark red blood, looking me in the eye, telling me he was dying, that I figured it out. That I was wrong. That it wasn't a P.E., he was bleeding internally. And it wouldn't have been fatal, but ... the blood thinners. ... I will never forget the look on his wife's face when she came back with that sandwich in her hand, asking me why her husband wasn't in his room any more.
Derek: How do you live with it? Killing him? Taking him from his wife? How do you live with it?
Callie: We call it malpractice when we make a mistake.
Derek: Yeah, I know what we call it. I'm asking you, when you get up in the morning, how do you look at yourself in the mirror? I'm no... I'm... I'm asking.
Callie: Can I have one of those?
Derek: Yeah. (opens a beer and hands it to her)
Owen: I was a second year resident, MBC rolls in. Parents were in the front seat. Three kids in the back. Kids were okay, Mom and Dad were a little banged up but nothing terrible. They were talking, laughing in the ER. Turns out both parents had massive internal injuries. I operated on them both that night, hours. I lost them both. Now if I'd moved faster, if I'd rushed them to CT. If I'd known how bad off they were sooner... but I didn't. The eldest kid was 9. When I came out to tell them about their dad, he was trying to console the 3 year old and the 5 year old about their mother. I'll never get that image out of my head. This, this 9 year old boy trying to hold these two little ones. His arms just not big enough. I don't know how I came back the next day. (sighs) I think part of me never did.
Derek: I'm surprised you didn't talk about Iraq.
Owen: I don't talk about Iraq. What I... what my point was, I kept, you know I... I went back. I showed up. I showed up for work, you know.
Derek: You get dead inside. You get dead inside because if you actually felt it? If you let yourself feel that? No way you're going back. No way. (Derek hands him a beer)
Derek: Thanks for coming.
Meredith: Thanks for calling.
Derek: I love you.
Meredith: I know.
Derek: Would you still love me if i wasn't a surgeon?
Meredith: No. (sits beside him) No, because Izzie has cancer that has spread to her brain. You're one of about twenty people in the world who can save her. I don't know if I can respect somebody who can walk away from a gift like that. (long stare at each other) So, please don't. Here are her scans. It's pretty bad. (She places them beside him and walks off.)

See Also

A complete overview of this episode's crew can be found here.

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