As doctors, we're trained to be skeptical, because our patients lie to us all the time. The rule is, every patient is a liar until proven honest. Lying is bad. Or so we are told constantly from birth—honesty is the best policy, the truth shall set you free, I chopped down the cherry tree, whatever. The fact is, lying is a necessity. We lie to ourselves because the truth, the truth freaking hurts. No matter how hard we try to ignore or deny it, eventually the lies fall away, whether we like it or not. But here's the truth about the truth: It hurts. So we lie.

Tell Me Sweet Little Lies is the fourteenth episode of the second season and the 23rd overall episode of Grey's Anatomy.

Short SummaryEdit

George is stuck with an elderly lady who refuses to leave, or even refer to him as Dr. O'Malley. While Alex has to wrestle with a Japanese competitive eater to stay in the hospital, all the while being too nervous to open his board results. Cristina is blunt to a guitarist whose fingers need replantation, while lying to Burke about moving in, as Meredith has a euphoric patient she thinks is lying. Bailey's pregnancy is now far enough to cause more problems than fun for her.

Full SummaryEdit

Episode in detail.


  • Meredith Grey
  • Cristina Yang
  • Izzie Stevens
  • Alex Karev
  • George O'Malley
  • Miranda Bailey
  • Richard Webber
  • Addison Montgomery-Shepherd
  • Preston Burke
  • Derek Shepherd
  • Sophie Larson
  • Rick Friart
  • Sophie's Daughter
  • Patricia Murphy
  • Nurse Debbie
  • Naomi Cline
  • Tom Cline
  • Jeffrey
  • ID Resident Amir
  • Paramedic
  • Yumi Miyazaki
  • GI Nurse
  • Kamaji
  • Friend #1

Main CastEdit

Guest StarsEdit


Medical NotesEdit

Derek's PatientEdit

  • Diagnosis:
  • Treatment:
    • Surgery

Derek was seen operating on a patient.

Meredith GreyEdit

  • Diagnosis:
  • Treatment:

Derek drew Meredith's blood for a family history so her mother could get into a clinical trial.

Rick FriartEdit

  • Diagnosis:
    • Traumatic amputation of fingers
  • Treatment:
    • Re-attachment

Rick, 29, had 3 fingers on one hand amputated. Derek determined that he could attempt to re-attach the fingers, but Rick would have to quit smoking. He agreed and his fingers were re-attached successfully.

Sophie LarsonEdit

  • Diagnosis:
  • Treatment:
    • Hip replacement
    • Residential care

Sophie, 78, had had hip replacement surgery a month prior, but was still in the hospital because she didn't want to go to her residential facility, Sugar Maple Nursing Home. Because of this, George sent her to OB to be checked for a prolapsed uterus, which was impossible as she'd had a hysterectomy in 1974. They then said they suspected West Nile Virus and had her checked out by an infectious disease doctor. When that was determined not to be true, she admitted that she just didn't want to go to the nursing home.

Yumi MiyazakiEdit

  • Diagnosis:
    • Persistent hiccups
    • Esophageal tear
    • Boerhaave syndrome
  • Treatment:
    • Chlorpromazine
    • Esophagomyotomy

Yumi, 22, had persistent hiccups. She was given chlorpromazine, which stopped them for a while, but they came back, so she needed a surgical consult. She went into an esophogram, which revealed a tear in her esophagus. Her coach took her out of the hospital and allowed her to participate in a competitive eating competition, which worsened the tear in her esophagus. They rushed her into surgery to repair the tear.

Miranda BaileyEdit

  • Diagnosis:
    • Pregnancy
    • Braxton-Hicks contractions
  • Treatment:
    • Bed rest

Addison determined that Bailey was having Braxton-Hicks contractions and advised her to slow down. When she showed signs of pre-term labor, she was sent home for bed rest.

Naomi ClineEdit

  • Diagnosis:
    • Asthma
    • Carcinoid tumor
    • Valve failure
  • Treatment:
    • Valve replacement
    • Tumor resection

Naomi, 43, had had a tricuspid porcine valve replacement three years prior. Her heart valve was showing signs of failure, ahead of schedule. She was also very, very happy, so Meredith suspected drug use. They ran a drug scene, which revealed no drug use, but a spike in her serotonin. They linked that and her adult-onset asthma with her valve failure to discover a carcinoid tumor in her lung. They took her into surgery to remove the tumor and she was expected to make a full recovery.


Song Performer Scene
"A Good Thing" St. Etienne
  • Meredith and Cristina watch Derek operate.
  • Cristina is surprised to hear Meredith call him McDreamy again.
  • Derek draws Meredith's blood for the trial.
  • Meredith and Cristina talk about their issues.
"Monster Hospital" Metric
  • Rick Friart comes in with three severed fingers.
  • He explains how they were cut off and says he plays guitar.
"Wienermobile Girl" Mike Tarantino
  • Cristina, Alex, and George have a hot dog eating contest.
  • Izzie and Meredith talk about the ad for Doc.
  • Cristina wins and gloats.
  • The other interns run away when it looks like Cristina might vomit.
"I Got Some Moves" Sam Winch
  • Sophie confesses to George that she's worried about becoming old.
  • Sophie encourages him to fight for what's his.
  • Richard is operating when he's notified the nurses are going on strike.
"Am I Just One" Carey Ott
  • Alex and Izzie talk to Yumi. Her coach comes in to apologize to her.
  • Alex has Izzie open his results. He passed.
  • Cristina checks on Rick's fingers and updates Derek on his condition.
"Fool's Gold" Adrienne Pierce
  • Cristina curls up in bed next to Burke.
  • Meredith, George, and Izzie drop Doc off with Derek and Addison.

Notes and TriviaEdit

  • This episode's title originated from the song Little Lies, originally sung by Fleetwood Mac.
  • This episode scored 21.04 million viewers.
  • Bailey mentions she is 47 months pregnant, though it's obviously meant to be hyperbole.
  • The nurses put forth a ten-day advance notification for their strike.
  • The song Sophie Larson sings repeatedly is "Stormy Weather" by Ethel Waters.


Episode StillsEdit


Miranda: I may be forty-seven months pregnant. I may be on bed rest. I may not be able to see my own feet. But I am Dr. Bailey. I hear everything. I know everything. I’m watching each and every one of you. And I will return.

Miranda: Tell me that's not a dog.
All interns together: It's not a dog.

George: You don't get to choose.
Meredith: Huh?
George: I know you've been going through a bad time, I know you miss Shepherd, and I know that your life, admittedly, has been pretty unpleasant these days. You get points for breathing in and out, you get to be a little selfish, but you don't get to choose a dog over me. I'm George. I sleep down the hall from you. I buy your tampons. I have held your hand every time you've asked. I've earned the right to be seen, to be respected, to not have you think of me as less than a dog you got from the pound. So... I'm not moving out. Whether you like it or not, I'm staying.

See AlsoEdit

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

The Grey Matter blog post on this episode can be found here.

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