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Grey's Anatomy: Suicide is Painless

When Teddy's patient seeks to end treatment and her life, she turns to Hunt for help. The situation triggers Hunt's memories of his life at war and his past relationship with Teddy. Meanwhile, Callie and Arizona have a difference in opinion on what their future holds, and Richard tries to adjust to his role as a surgeon.

Episode Info
Episode number: 6x18
Airdate: Thursday March 25th, 2010

Alternate Airdates:

UK (sky LIVING) May 27, 2010
NL (Net 5) Sep 06, 2010

Guest Stars
Jesse Williams (2)Jesse Williams (2)
As Dr. Jackson Avery (Attending From Mercy West)
Kim RaverKim Raver
As Dr. Teddy Altman (Cardiothoracic Surgeon and Friend of Owen's)
Robert Baker (1)Robert Baker (1)
As Dr. Charles Percy (Attending From Mercy West)
Sarah DrewSarah Drew
As Dr. April Kepner (Attending From Mercy West)
Adam KulbershAdam Kulbersh
As Tommy (Friend of Patient's Phil and Nick)
Derek CecilDerek Cecil
As Sean Allen (Husband of Patient Kim Allen)
Lance BarberLance Barber
As Phil (Patient: Skiing Accident)
Richard T. JonesRichard T. Jones
As Captain Dan (Owen and Teddy's Captain in the Army)
Sara GilbertSara Gilbert
As Kim Allen (Patient: Physician Assisted Suicide)
Zachary KnowerZachary Knower
As Nick Kelsey (Patient: Injured in Skiing Accident)

Co-Guest Stars
Moe IrvinMoe Irvin
As Nurse Tyler Christian
Nicole CumminsNicole Cummins
As Paramedic Nicole
Phil AbramsPhil Abrams
As Dr. Jim Nelson (Neurosurgeon)
Aaron PeriloAaron Perilo
As Peter "Gekko" Gekofsky (Fellow Army Surgeon in Owen's Flashbacks)
Kinsey McLeanKinsey McLean
As Billy Linneman (Injured Patient in Owen's Flashback)
Seth McLaughlinSeth McLaughlin
As Corporal Burnett
Tristen MacDonaldTristen MacDonald
As Sgt. Rebecca Cohen (Fellow Army Surgeon in Owen's Flashbacks)
Main Cast
Ellen PompeoEllen Pompeo
As Dr. Meredith Grey
Justin ChambersJustin Chambers
As Dr. Alex Karev
Patrick DempseyPatrick Dempsey
As Dr. Derek Shepherd
Chandra WilsonChandra Wilson
As Dr. Miranda Bailey
James Pickens, Jr.James Pickens, Jr.
As Dr. Richard Webber
Sara RamirezSara Ramirez
As Dr. Calliope "Callie" Torres
Kevin McKiddKevin McKidd
As Dr. Owen Hunt
Jessica CapshawJessica Capshaw
As Dr. Arizona Robbins
Chyler LeighChyler Leigh
As Dr. Lexie Grey
Eric DaneEric Dane
As Dr. Mark Sloan
Sandra OhSandra Oh
As Dr. Cristina Yang
Katherine HeiglKatherine Heigl
As Dr. Isobel "Izzie" Stevens
Episode Notes
Ratings: 11.57 Million Viewers

Voiceover: The opening and closing voiceover's are done by Owen instead of Meredith.

Trivia: This is the last episode featuring Katherine Heigl in the opening credits, although she has not appeared in the show for several episodes.

ArtistSong TitlePlayed When
Andrew BelleStatic Waves (featuring Katie Herzig)Derek Exits, Hospital, Lunch Scene, Awkwardness
Angus & Julia StoneHold OnTeddy Exits, Flashback: Iraq, Owen Playing Soccer
Angus & Julia StoneDraw Your SwordsSeattle, Owen Outside, Patient's Husband Joins Him
Ashtar CommandHolding Out for LoveSeattle, Cristina Sleeps, Owen Awake Next to Her
Brett DennenHeaven (featuring Natalie Merchant)Mountain Climbers Have New Idea About Future Trips
The Sorry KissesAbandon ShipTeddy Kisses Mark, Owen in Bed, Closing Scenes

Episode Quotes
Owen (opening voiceover): Dying isn't easy. The body was design to stay alive; thick skull, strong heart, keen senses. When the body starts to fail, medicine takes over. Surgeons are arrogant enough to think there's no one they can't save. Like I said dying isn't easy.

Callie: This is really hard for me to say, 'cause I really care about you and...
Arizona: Oh my God, you're breaking up with me. Mark? I-is-is it Mark? Are you sleeping with Mark again? Are you one of those fake lesbians just-- just having a va-vaction is lesbian land?
Callie: No. Stop. God, it's not bad. This thing I have to tell you isn't bad. Um... I just... I wanna have a baby. At some point in my life. That's all. I really... I have to have a baby.

Derek: I'm sorry. I know that you're mad at me.
Meredith: I'm not mad. I'm in Whoville.
Derek: Whoville?
Meredith: Whoville. (laughs)

Mark: You missed it. Altman tore Hunt a new one in the cafeteria. The whole hospital's talking about it.
Richard: Not me. I walk into a room, and all the conversation grinds to a hault.
Mark: Oh, come on. You don't talk locker-room talk in front of the coach.
Richard: I'm not the coach anymore. I'm a player, I take a shower like everybody else.
Mark: Richard. You're a little bit like everybody else, but mostly, you're still the coach. It's a sign of respect. You'd be wrong to take it any other way.

Meredith: You stole my surgery, right out from under me.
Derek: It wasn't your surgery. It was Nelson's surgery.
April: It's beyond Nelson's kill level... Right? I mean, that's what you said.
Meredith: My diagnosis, my tumor, my debulking. Can I scrub in at least?
Derek: You're on Nelson's service. If I switch you, it's gonna look like favoritism.
April: Dr. Nelson's been given an aneurysm
Meredith: You stop talking!
Derek: Meredith, calm down. Calm down. People are starting to stare.
Meredith: You stole my surgery. (to everyone) He stole my surgery!

Owen (closing voiceover): Living is better than dying... until it's not. But even if letting a person die is the right thing to do, it's not what surgeons are built for. We are arrogant and competitive. We don't like to lose and death feels like a lost even when we know it's not. We know it's time. We know it's right. We know we did everything we could. It is hard to shake that feeling that you could of done more.

Episode Goofs
Factual Error:

Washington state is one of three states that allows physician assisted suicide in the U.S. However, the situation presented in this episode is a false representation. The second patient request must be in writing, not given orally as the patient is shown doing. In addition, there has to be two witnesses to the request, one whom is not related to the patient or a health care professional. Therefore, asking Owen or Mark to witness would not be valid.

Cultural References
Episode Title: Suicide is Painless
Suicide is Painless is the title of the theme song from M*A*S*H.

How The Grinch Stole Christmas: Jackson says to Meredith "The key is to think of yourself as one of the Who's down in Whoville." He is referring to the Who's from How The Grinch Stole Christmas.

Other Episode Crew

CreatorShonda Rhimes
Executive ProducerBetsy Beers  |  Allan Heinberg  |  Mark Wilding  |  Rob Corn  |  Mark Gordon (4)  |  Shonda Rhimes  |  Krista Vernoff
Co-Executive ProducerJenna Bans  |  Tony Phelan  |  Joan Rater
Supervising ProducerStacy McKee  |  Zoanne Clack
ProducerLinda Klein  |  Tammy Ann Casper  |  Jeff Rafner
Consulting ProducerDebora Cahn
Production DesignerDonald Lee Harris (1)
EditorDavid Greenspan (1)
Director of PhotographyHerbert Davis
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