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Grey's Anatomy: Don't Deceive Me (Please Don't Go)

Derek begins a clinical trial for an Alzheimer's therapy. Friction arises when he chooses to exclude Meredith from assisting with this research. Bailey uses Twitter to describe an abdominal surgery, provoking the Chief's ire - until the feed creates a degree of collaboration that spares a patient from a lifetime of serious diabetes following a pancreatectomy. Callie's concern over her perfectly normal pregancy symptoms drive new obstetrician Lucy Fields, Mark and Arizona to distraction.

Episode Info


Episode number: 7x13
Airdate: Thursday February 03rd, 2011

Director: Kevin McKidd
Writer: Mark Wilding

Alternate Airdates:

BR (Sony TV) Feb 21, 2011
NL (Net 5) Mar 21, 2011
UK (sky LIVING) Mar 30, 2011

Guest Stars
Rachael TaylorRachael Taylor
As Dr. Lucy Fields (OB/GYN Attending)
Recurring
Angela PatonAngela Paton
As Martha Elkin (Patient: Quadruple Bypass)
Harrison PageHarrison Page
As Daniel Cobb (Patient: Surgery In Dr. Shepherd's Clinical Trial)
L. Scott CaldwellL. Scott Caldwell
As Allison Cobb (Wife of Patient Daniel Cobb)

Co-Guest Stars
Payton SilverPayton Silver
As Dr. Knox (Anesthesiologist)
Recurring
Carolyn PowerCarolyn Power
As Victoria (Girlfriend of Alzheimer's Patient Daniel Cobb)
Evans BrownEvans Brown
As Orderly
Frank KopycFrank Kopyc
As John Driscoll (Patient: Surgery In Dr. Shepherd's Clinical Trial)
Hugh HolubHugh Holub
As Ben (Husband of Victoria)
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
Sarah DrewSarah Drew
As Dr. April Kepner
Jesse Williams (2)Jesse Williams (2)
As Dr. Jackson Avery
Kim RaverKim Raver
As Dr. Teddy Altman
Chyler LeighChyler Leigh
As Dr. Lexie Grey
Eric DaneEric Dane
As Dr. Mark Sloan
Sandra OhSandra Oh
As Dr. Cristina Yang

Recap

The episode begins and Derek's up and out of the house early and Meredith doesn't seem to know why. He is then shown at the hospital working on the first patient in his Alzheimer's clinical trial. The patient is awake as Derek drills into his head. He places a placebo into the patient's brain. Meanwhile, Callie and Sloan are struggling with her pregnancy, but he assures her they're "going to be great parents." He suddenly realizes he doesn't know what he's going to tell Lexie. Callie then walks over to Arizona, who is upset that Callie slept with someone else, especially a man. Callie tells her she didn't plan it, but now she has to plan and she can't wait for Arizona to process it, but she wants her to be part of her plan. ..

Read the full recap
Episode Notes
Ratings: 11.18 Million Viewers

Medical Notes: The frame Derek attaches to his patient's head is called a stereotactic frame. Used in conjunction with an brain scan, it permits the clinician to precisely locate structures in the brain during surgery. Using a scan data, a computer can calculate the location of each structure relative to a point on the frame. Once the clinician places the frame, the computer can maneuver a probe to implant electrodes or inject drugs with a high degree of precision - in this case, ensuring that a drug dosage is delivered to the correct region of the brain in each patient.

Trivia: This is the first episode to be directed by Kevin McKidd (Dr. Owen Hunt).



Music
ArtistSong TitlePlayed When
ArchangelHero’s WelcomeWebber Looks at Tweet, Clinical Trial, Sonogram
The Boxer RebellionBoth Sides Are EvenBailey Exits, Arizona Moving, Closing Scenes
Brooke WaggonerFresh Pair of EyesMeredith Talks to Alex, Cristina Reassures Patient
Lykke LiGet SomeOpening Scenes, Seattle, Meredith Turns Off Alarm


Episode Quotes
Meredith (opening voiceover): Doctors practice deception all the time. We give vague answers to hard questions. We don't talk about post-op pain. We say you'll experience some discomfort. If you didn't die, we tell you the surgery went well, but the placebo has to be the doctor's greatest deception. Half of our patients we tell the other truth ... the other half, we pray the placebo effect's real. And we tell ourselves that they'll feel better anyhow, believing help's on the way, when, in fact, we're leaving them to die.

Callie: You have to say something. Words. Make words.
Mark: Holy crap.
Callie: Yep.
Mark: A baby?
Callie: Yep, growing like a weed in my uterus.
Mark: Not like a weed, like a mighty oak. (Callie looks confused) We're gonna make great parents.
Callie: Mark, you don't have to do...
Mark (puts a hand on her stomach): Are you kidding? That's my kid in there, I'm a dad. (Callie laughs) We're parents. Of a baby!
Callie (smiling): Okay, you're in.
Mark: Should we get married?
Callie (smile fades): Oh, no. I mean, I'm all for raising a baby with you, but there's a line.
Mark: You're right, that's good 'cause I'm in love with Lexie... Oh my God, Lexie. What am I gonna tell Lexie?
Callie: Okay, you think about that.

Jackson: I booked the OR, I read up on the procedure, I know this thing better than my own name at this point.
Cristina: I pre-rounded on the patient and her pre-op labs are all done.
Teddy: Quadruple bypasses are exciting, right? First assist gets to sew all the grafts onto the heart. Fun job.
Cristina: I want it!
Jackson: It'd be an honor.
Teddy: I know, you're thinking whoever does this gets a leg up on the race for Chief Resident. But you wanna know a good way not to get it? That's to bug the crap outta me before my day even starts.

Meredith: You didn't say goodbye this morning.
Derek: I had a surgery. I didn't want to wake you.
Meredith: No, you were starting your clinical trial and you feel guilty that I'm not on it, so you snuck out.
Derek: You're right, but I don't feel guilty and I didn't sneak out.
Alex (walks up): Ah, patient number two Daniel Cobb admitted and in his room, his wife has some questions for 'ya.
Meredith: I... can't believe he picked you for this thing instead of me?
Alex: Well, Dr. Shepherd didn't want to leave anything to chance.
Meredith: Now you both can go to hell.
Derek: Meredith, it was open to all the residents Karev just did a better job at pitching me.
Meredith: It was open all the residents except for one!

Alex: Day one and it already blows. I got one guy begging us to get his wife on the trial and this other guy's wife wants me to steal a drug for her husband.
Meredith: Well, you're the one who wanted in on the trial of the century.
Alex: With peds, the problem is right in front of you. I mean, sick kid, worried parents. Here, you got a sick parent who doesn't even know their sick.
Meredith: Well about five years ago, I was visiting my mother and she starts telling me about how she thinks she has herpes. And how she doesn't want to go to the hospital and get checked out because she's afraid everybody will know. So, I realize that she thinks I'm her best friend from med school, and it's 35 years ago. So, I just had to just sit there and talk to my mother about her possible herpes for two hours, two very long hours. I couldn't cure her Alzheimer's but at least I could give her what she needed in that moment.
Alex: Advice about herpes?
Meredith: Advice about herpes.

Lexie: I'm putting in targon, not that I have any idea what targon tastes like but I think when people use targon it makes them seem like they know what they're doing. Basil can't do that. Anybody can sling some basil around the kitchen.
Mark: Callie's pregnant.
Lexie: Oh my God, that's great. She loves babies. Did- Did they do a turkey baster thing or- or something? I mean, wait a minute, okay, so wait. Arizona just got back... and they, we're they doing this, wait was this before... (looks at Mark who's looking down, then he looks at her, she realizes)
Mark: I saw the heart beat today. This is my kid, this is a part of me. ... Please, is there any way we can...
Lexie (teary eyed): How the hell did you get me in this position... (slams counter) twice?! It... It is... Unbelievable. You are unbelievable!

Meredith (closing voiceover): Doctors practice deception every day, on our patients, on their families. But the worst deception we practice is on ourselves. Which is why sometimes it takes us a while to realize that the truth has been in front of us the whole time.



Episode Goofs
Factual Error:

Most modern drug investigations are conducted using the double-blind model, where neither patient nor clinician knows whether the patient has received the investigational drug or a placebo. Trials usually depend on patient descriptions to ascertain whether medications are effective. A key problem with this is the "placebo effect" in which patients report improvement even when receiving a placebo. This effect can hide whether or not (and to what degree) an investigational medication actually works. To avoid the placebo effect, patients are not told whether they are receiving the medication or a placebo, and in a double blind model, the clinician does not know, either. This prevents him from introducing his own bias into the reports or inadvertently telegraphing the facts to the patient. Yet here, we see that the medication insert reveals to the clinician (Derek) whether his patient is receiving a real medication or not. At best this is a single-blind study, a type known to be inferior to double-blind studies.

Continuity:

When Lexie is reading questions to the Chief during surgery from her phone, you can see that the 'text' on her phone is actually her lines.




Cultural References
Episode Title: Don't Deceive Me (Please Don't Go)

Don't Deceive Me (Please Don't Go) is the title of a song originally sung by James Brown.

Silence of the Lambs: Lexie says to Bailey during surgery (about not using Twitter) "It is like turning off the TV when Clarice is knocking on the door of the house. It is like silencing the lambs."



Episode References
Season 7, Episode 12: We found out at the end of 7x12 "Start Me Up" that Callie was pregnant with Mark's baby.



Other Episode Crew

CreatorShonda Rhimes
Executive ProducerBetsy Beers  |  Tony Phelan  |  Joan Rater  |  Mark Wilding  |  Rob Corn  |  Shonda Rhimes  |  Mark Gordon (4)  |  Krista Vernoff
Co-Executive ProducerZoanne Clack  |  Stacy McKee
ProducerJeff Rafner  |  Linda Klein  |  Tammy Ann Casper
Co-ProducerKarin Gleason  |  William Harper  |  Peter Nowalk  |  Lisa Taylor (1)  |  Chris Van Dusen
Consulting ProducerDebora Cahn
Production DesignerDonald Lee Harris (1)
EditorSusan Vaill
CastingJohn Brace (1)  |  Linda Lowy
Unit Production ManagerJeff Rafner
First Assistant DirectorAnnette Sutera
Second Assistant DirectorShawn Hanley
MusicDanny Lux
Music SupervisorAlexandra Patsavas
Costume DesignerMimi Melgaard
Key GripMatt Mania
Set DecoratorNicole Cramer
Property MasterAngela Whiting
Production Sound MixerBeau Baker
Script SupervisorNicole Cummins
Director of PhotographyHerbert Davis
Art DirectorBrian Harms
Executive Story EditorBrian Tanen
Costume SupervisorTom Houchins
Special Makeup Effects ArtistBari Dreiband-Burman  |  Thomas R. Burman
Chief Lighting TechnicianPeyton Skelton
Department Head Make-upNorman Leavitt (1)
Theme Song Written And Performed ByPsapp
Department Head HairstylistMelanie Smith
 
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