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Grey's Anatomy: Take the Lead

The Chief makes a career-changing decision that shocks Seattle Grace Hospital; Cristina and Owen try to find normalcy in their relationship; April continues to struggle in her new role; and the 5th year residents are given their first solo surgeries, only to find out that even the most routine procedures aren't always easy.

Source: ABC

Episode Info

Episode number: 8x3
Airdate: Thursday September 29th, 2011

Alternate Airdates:

NL (Net 5) Oct 17, 2011
UK (sky LIVING) Nov 16, 2011


Guest Stars
Jon SchmidtJon Schmidt
As Intern Logan
Andrea SavoAndrea Savo
As Intern #3
Christopher CarringtonChristopher Carrington
As Sam Kenton (Patient: Bowel Resection)
Jessica Anne BogartJessica Anne Bogart
As Lindsay Colvin (Wife of Patient Rob Colvin)
Karly RothenbergKarly Rothenberg
As Ruth Bennet (Patient: Mitral Valve Replacement)
Ken WeilerKen Weiler
As Rob Colvin (Patient: Aneurysm)
Lawrence AdimoraLawrence Adimora
As Jason Kenton (Son of Patient Sam Kenton)
Luke DilibertoLuke Diliberto
As Intern #2
Sabrina PerezSabrina Perez
As Marlene (Mother of Infant With Cleft Pallete)
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
Eric DaneEric Dane
As Dr. Mark Sloan
Sandra OhSandra Oh
As Dr. Cristina Yang


The episode begins and this is the day when fifth-year residents rotate in as lead surgeons. Meanwhile, Meredith is anticipating her first aneurysm surgery and tells Alex she hasn't heard anything about Zola. They're all fighting over who is going to teach skills labs, even though April has made a schedule, when Avery gets the news on his phone that the chief resigned and Owen is the new chief of surgery. They're all stunned. Meanwhile, Derek is still reeling from the news, but talks to the chief about why he's taking the fall. Webber says he just wanted to know if Derek had heard anything about Zola, and Derek says he hasn't. ..

Read the full recap
Episode Notes
Ratings: 10.20 Million Viewers

Casting: Chyler Leigh (Lexie Grey) does not appear in this episode.

Trivia: From this episode on Derek is blacklisted from ever doing a clinical trial again.

ArtistSong TitlePlayed When
Foster The PeopleDon’t Stop (Color on the Walls)Opening Scenes, Female Walks Toward Surgery Board
The Innocence MissionRain (Setting Out in the Leaf Boat)Derek Reminds Meredith of Promise, Closing Scenes
Katie HerzigLost and FoundCristina Forgets, Mark Finishes Avery's Surgery
Mozella And Tim MyersEach Other BrotherAlex Practices Surgery on Pig, Doctors Ask to Join
Opus OrangeNothing But TimeDoctors Talk in April’s Office, Drink, Discuss Bet

Episode Quotes
Meredith (closing voiceover): Sometimes it happens in an instance. We step up, we see a path forward. We see a path and we take it. Even when we have no idea where we're going.

Cristina: Hey, what's going on? Anything about Zola?
Meredith: Oh, no. We were supposed to hear yesterday and then yesterday is today, so, is it up yet?
Cristina: Oh, don't know. Are you okay?
Meredith: I have no choice. I'm clipping my first aneurysm today.
Cristina: Well, I got a valve replacement. My valve replacement. Altman just has to shut up and watch. I hope I get a good OR.
Alex (walks up): Is it up yet?
Meredith: No, not yet.
Alex: Hey, you heard anything about Zola?
Meredith: I haven't heard anything.
Cristina: And she's clipping her first aneurysm. Are you sure you don't wanna start with something simpler?
Alex: Yeah, like juggling chainsaws.
Meredith: Oh, thanks, that's helping.

Richard: Is that Alzheimer's trial? Have you heard anything from the FDA?
Derek: I'm sending it to Phoenix. Earl Blackman is taking over. I'm blacklisted. I may never do another clinical trial ever again.
Richard: I've been blacklisted, too.
Derek: And now you're gonna let them fire you.
Richard: I fired myself.
Derek: It was one thing taking the blame for Meredith for abusing the trial but why are you doing this to yourself?
Richard: You know, I came to ask if you've heard anything about your little girl.
Derek: No, I have not. This is not right.
Richard: I hope you hear soon.

Cristina: You.
Intern: Ruth Bennet, age 50, mitral valve replacement, complained over night of stomach pains.
Cristina: These stomach pains, what did you do? (they all raise their hand) You.
Intern 2: We tested her cardiac enzymes and ran an echo. Both normal.
Cristina: Did any of you touch her stomach? (they are all silent) No one touched the patient. Are you guys the slow class? Palpating the patient's abdomen is first before tests or labs, basics, people, fundamentals. I'm all about not skipping steps. (Cristina touches the patient's stomach, she says 'Ow') I'm sorry. Does it hurt more or less when I take my hand away?
Rose: More.
Cristina: See? Basics. Take Mrs. Bennett for a triple contrast CT and try not get lost.

April: Dr. Torres I need to push my meniscus repair until tomorrow, I have to teach a skills lab.
Callie: A skills lab over surgery?
April: Yeah, and then I have to assist Karev on a bowel resection.
Owen: You should be delegating that stuff, Kepner.
April: I tried but no one would cover it.
Owen: Don't try, Kepner, just order them. Leadership isn't about making friends.
April: Oh, then I'm doing it right. (walks off)
Callie: That was nice. Very chief-y.

Teddy: What are you doing now?
Cristina: Are we still doing this thing where I have to tell you every little move?
Teddy: It never gets old. What are you doing now?
Cristina: Blind separation of the oblique muscles.
Teddy: Neat.

Owen: Uh, Dr. Bailey, hold up please. Uh, I learned in the Army that a leader is only as good as the people around him. Now, you are one of the best people on this team and I just wanna make sure that I have you on my side.
Bailey: Have I done something wrong?
Owen: Uh, no.
Bailey: Is there something in my job performance that prompts you to ask me this?
Owen: Not-- No.
Bailey: Or do you just need me to like you?
Owen (laughs): It-It's not that.
Bailey: Are you sure?
Owen (shocked, shakes his head): Carry on, Dr. Bailey.

Meredith (closing voiceover): Sometimes it happens in an instance. We step up, we see a path forward. We see a path and we take it. Even when we have no idea where we're going.

Cultural References
Episode Title: Take the Lead

Take the Lead is the title of a song originally sung by Bone Thugs-N-Harmony.

Episode References
Season 8, Episode 2: Meredith is back on staff at Seattle Grace Mercy West after being reinstated at the end of 8x02 "She's Gone".

Season 8, Episode 2: Richard Webber has stepped down as Chief of Surgery after he took the fall for Meredith tampering with the clinical trial in 8x02 "She's Gone". Dr. Owen Hunt is now the Chief of Surgery.

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