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Grey's Anatomy: Oh, The Guilt

Bailey treats a young woman suffering from breast cancer while Derek begins to learn more about Addison and Mark's rekindled relationship. Meanwhile, the interns team up to defend a resident at a staff meeting, and Meredith and Addison stumble into an awkward situation with one another.

Episode Info

Episode number: 3x5
Production Number: 305
Airdate: Thursday October 19th, 2006

Alternate Airdates:

AU (Seven) Apr 01, 2007
DE (Pro7) May 08, 2007
FI (Nelonen) Sep 26, 2007
NL (Net 5) Jul 21, 2009


Guest Stars
Arye GrossArye Gross
As Adam Morris (Patient: Stuck To Ex-Wife During Sex)
Chris ConnerChris Conner
As Mr. Nyles (Husband of Patient Mrs. Nyles)
Faith PrinceFaith Prince
As Sonya Cowlman (Patient: Stuck To Ex-Husband During Sex)
Justina MachadoJustina Machado
As Anna Nyles (Patient: Mastectomy For Breast Cancer)
Margo HarshmanMargo Harshman
As Jennifer Morris (Daughter of Sonya Cowlman and Adam Morris)
Todd BabcockTodd Babcock
As Dr. Matthew Savoy (Doctor Asking Questions In M&M)

Co-Guest Stars
Kate AnthonyKate Anthony
As Nurse Kate
Moe IrvinMoe Irvin
As Nurse Tyler Christian
Dennis DepewDennis Depew
As Intern
Karl T. WrightKarl T. Wright
As Divorce Mediator
Libby BarnesLibby Barnes
As Dr. #1
Rosemary GarrisRosemary Garris
As Hospital Administrator
Tom OrmenyTom Ormeny
As Dr. #2
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
Eric DaneEric Dane
As Dr. Mark Sloan
Kate WalshKate Walsh
As Dr. Addison Montgomery-Shepherd
T.R. KnightT.R. Knight
As Dr. George O'Malley
Sandra OhSandra Oh
As Dr. Cristina Yang
Isaiah WashingtonIsaiah Washington
As Dr. Preston Burke
Katherine HeiglKatherine Heigl
As Dr. Isobel "Izzie" Stevens
Episode Notes
Ratings: 22.05 Million Viewers

Trivia: When Cristina is buying snacks, you can see on a sign that M&M stands for "Morbidity and Morality."

ArtistSong TitlePlayed When
Fionn ReganBe Good Or Be GoneBailey Comforts Patient, Addison Confesses
Kate HavnevikKaleidoscopeMeredith Looks at X-Ray, Talks to Derek
Nellie McKayClonieOpening Scenes, Izzie Making Breakfast
The Second BandWild is the WindMark Storms Out, Interns Having Lunch
Tereza KerndlováIf You Wanna See a Broken HeartGeorge Visits Callie, Closing Scenes

Episode Quotes
Meredith (opening voiceover): First, do no harm. As doctors, we pledge to live by this oath. But harm happens and then guilt happens. And there is no oath for how to deal with that. Guilt never goes anywhere on its own, it brings its friends - doubt and insecurity.

Derek: The divorce is my fault, let me take responsibility.
Addison: We both had affairs.
Derek: You had a one night stand with Mark.
Addison: Derek, actually ... it was ... it was ...
Derek: It was two nights. You made a mistake. Meredith and I, we had a relationship.

Izzie: Morning.
George: I thought we were all done with the whole muffin thing.
Izzie: This isn't muffins. This is breakfast.
Meredith: Are you okay?
Izzie: Of course I’m okay. I’m a millionaire.

Derek: You look, uh, good without an appendix. It suits you.

Addison: Derek!
Derek: Hey, you know what I like? I like that we're civilized. We're these adult grown people who can be divorced and friendly. We deserve a medal.
Addison: It wasn't a one night stand. Mark and I. It wasn't a one night stand, I was in love with him. Or at least I thought I was. After you left we lived together for two months. I wanted to believe that we could make it work, that I hadn't thrown my marriage away, that I hadn't thrown my life away on a fling. But he's Mark, and, well, I caught him with someone else, and then Richard called, so ... We both had relationships with other people. We're both equally liable for everything. So please, take the Brownstone.
Derek: All I want is Seattle. I want Seattle, and I want never to see you again.

Cristina: George, Alex, you guys go get the seats, Meredith and I'll get the snacks.

Izzie: Cristina's doing a running whip stitch on a heart.
Alex: I guess sleeping with your boss has it's perks.
George: This sucks! Cristina gets sex and perks.
Meredith: Maybe you should just apologize again, George.
George: Yeah, because you're in a great position to give relationship advice.

Izzie: Clearly, the doctor thing wasn't working for me. So go about your business, run labs, and cure cancer.
George: You're not going home. Either you hang out with us or we call your mother.
Cristina: Ooh.
Meredith: She's just a few hours away and I'm sure she wouldn't mind coming and staying with you, all day.
Izzie: You wouldn't.
George: Dialing!
Izzie: Whoa, hey, hey! Okay, I'll just hang out in the locker room.

Meredith (closing voiceover): First do no harm, easier said than done. We can take all the oaths in the world, but the fact is, most of us do harm all the time. Sometimes even when we're trying to help, we do more harm than good. And then the guilt rears its ugly head. What you do with that guilt is up to you. We're left with a choice. Either let the guilt throw you back into the behaviour that got you into trouble in the first place, or learn from the guilt and do your best to move on.

Episode Goofs

When Meredith is talking about Derek while in the locker room, you can see a note on the white-board in her locker that says "2pm - Eat Eye Boogies".

Cultural References
Episode Title: Oh, The Guilt

"Oh, The Guilt" is a song sung by Nirvana written by the late Kurt Cobain.

The Horse Whisperer: Mr. Nyles tells Dr. Bailey that she is "the baby whisperer."

The Horse Whisperer is a 1998 film directed by Robert Redford.

Episode References
Season 3, Episode 4: Izzie was left a check for millions of dollars from Denny at the end of 3x04 "What I Am".

Season 2, Episode 27: In the M&M, the doctors are going over the death and the events that lead to the death of Denny Duquette in 2x27 "Losing My Religion".

Season 3, Episode 4: Meredith broke up with Finn after her appendectomy in 3x04 "What I Am".

Other Episode Crew

CreatorShonda Rhimes
Co-ProducerZoanne Clack
Associate ProducerLisa Taylor (1)
CastingLinda Lowy  |  John Brace (1)
Unit Production ManagerJeff Rafner
First Assistant DirectorAnnette Sutera
Second Assistant DirectorShawn Hanley
MusicDanny Lux
Music SupervisorAlexandra Patsavas
Costume DesignerMimi Melgaard
HairstylistSean Flanigan
Key GripMatt Mania
Set DecoratorKaren Bruck
Location ManagerGeorge Larson
Transportation CoordinatorTom Gilhooley
Property MasterAngela Whiting
Construction CoordinatorCurt Jones
Production Sound MixerBeau Baker
Script SupervisorNicole Cummins
Production CoordinatorSue Jennings
Assistant EditorDavid Greenspan (1)
Post Production CoordinatorMichelle Hall
Special EffectsJason Gustafson
Executive Story EditorStacy McKee
Costume SupervisorTom Houchins
Special Makeup Effects ArtistBari Dreiband-Burman  |  Thomas R. Burman
Chief Lighting TechnicianPeyton Skelton
ResearcherElizabeth Klaviter
Department Head Make-upNorman Leavitt (1)
Production StaffThomas Barg  |  Carrie Moretti  |  Courtney Weiden  |  Angela Trujillo-macias
Theme Song Written And Performed ByPsapp
Medical ConsultantKaren Lisa Pike
Medical ProducerLinda Klein
Media Talent CoordinatorKarin Gleason
Missing Information
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