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Grey's Anatomy: Beat Your Heart Out

With the engagement ring taken care of, Derek ponders the perfect way to pop the question to Meredith. Meanwhile, Lexie demands that Mark go public with their relationship; and Bailey, happy with her work with recent patients, considers a new career direction.

Episode Info

Episode number: 5x14
Production Number: 514
Airdate: Thursday February 05th, 2009

Alternate Airdates:

FI (Nelonen) Apr 01, 2009
UK (sky LIVING) Apr 23, 2009
NL (Net 5) May 04, 2009

  • Currently 8.1/10
8.1/10 (27 Votes cast)


Guest Stars
Ben Shenkman
As Rob Harmon (Patient: Wife Ran Over Him With Car)
Brandon Scott (2)
As Intern Ryan
Jennifer Westfeldt
As Jen Harmon (Patient: Wife of Rob Harmon, Pregnant, Seizures)
Jessica Capshaw
As Dr. Arizona Robbins (Pediatric Surgeon)
Laura Allen
As Beth Whitman (Ex-Fiancee of Dr. Owen Hunt)
Mary McDonnell
As Dr. Virginia Dixon (Heart Surgeon, Has Asperger Syndrome)
Melissa George
As Sadie Harris (New Intern, Old Friend of Meredith's)
Peter MacKenzie
As Warren Kramer (Patient: Foreign Object in Rectum)

Co-Guest Stars
Joseph Williamson
As Intern Pierce
Kate Anthony
As Nurse Kate
Mark Saul
As Intern Steve
Molly Kidder
As Intern Megan
Susan Merson
As Lorraine (Patient: Clinic, Sore Throat, Blood Work)
Winston Story
As Intern Leo
Eric Payne
As Dan Pollock (Father of Patient Stacy Pollock)
Jamey Dettman
As Stacy Pollock (Patient: Young Girl, Heart Surgery)
Martha Boles
As Lisa Pollock (Mother of Patient Stacy Pollock)
Main Cast
Ellen Pompeo
As Dr. Meredith Grey
Justin Chambers
As Dr. Alex Karev
Patrick Dempsey
As Dr. Derek Shepherd
Chandra Wilson
As Dr. Miranda Bailey
James Pickens, Jr.
As Dr. Richard Webber
Sara Ramirez
As Dr. Calliope "Callie" Torres
Kevin McKidd
As Dr. Owen Hunt
Chyler Leigh
As Dr. Lexie Grey
Eric Dane
As Dr. Mark Sloan
T.R. Knight
As Dr. George O'Malley
Sandra Oh
As Dr. Cristina Yang
Katherine Heigl
As Dr. Isobel "Izzie" Stevens
Episode Notes
Ratings: 15.20 Million Viewers

Timeline: This episode was part of the crossover event with Private Practice. At the end of the episode, Derek gets a call from Addison which leads in to the next episode,"Before and After".

Casting: Kevin McKidd (Owen Hunt) is now listed as a main cast member and has been added to the opening credits.

Trivia: This episode is the first meeting and first kiss of Callie Torres and Arizona Robbins.

ArtistSong TitlePlayed When
Bon IverRe: StacksPatient Upset, Bailey and Cristina Holding Dixon
DidoNever Want To Say It's LoveArizona Kisses Callie, Decorating, Closing Scenes
Kate HavnevikHaloArizona Exits, Lexie Joins Callie at the Bar
Nikka CostaStuck to YouOpening Scenes, Seattle, Hospital, Izzie Hiding
Panda TransportTransmissionPatient's Parents Upset, Dixon Asks for Bailey
Trolle//siebenhaarThese StreetsDerek and Meredith Giving Patient Test, Lunch

Episode Quotes
Meredith (opening voiceover): Any first year med. student knows that increased heart rate is a sign of trouble. A racing heart could indicate anything from a panic disorder to something much, much more serious. A heart that flutters, or one that skips a beat, could be a sign of a secret affliction. Or, it could indicate romance which is the biggest trouble of all.

Derek: This is stupid. She's gonna hate this.
Mark: What? Flowers? Girls love this crap.
Derek: It's cliche. I'm a cliche!
Mark: Cliches became cliches for a reason. Because they worked. It's great, isn't it? When you feel so strongly for someone and it's not just about the sex, it is... it's true.
Derek: You should not talk like that.

Lexie: Hey, do you mind if I sit here?
Callie: No. No. (does a shot) I'm just overthinking.
Lexie: You think that he'll tell 'em?
Callie: If he's not an idiot.

Arizona: Dixon's right, you know. You do belong in peds surgery.
Bailey: My own baby almost died last year. Doctors in this hospital, my friends, they all worked to save his life, and I stood outside the room feelin' so useless, so pointless and helpless like I was losing everything in the world. And when he didn't die, see, I knew that I didn't wanna be anywhere near that feeling again. So, I think that makes me pretty unsuitable for pediatric surgery.
Arizona: I'd say that, that makes you uniquely qualified.

Meredith (closing voiceover): It seems we have no control whatsoever over our own hearts. Conditions can change without warning. Romance can make the heart pound, just like panic can. And panic can make it stop cold in your chest. It's no wonder doctors spend so much time trying to keep the heart stable. To keep it slow, steady, regular. To stop the heart from pounding out of your chest. From the dread of something terrible or the anticipation of something else entirely.

Cultural References
Episode Title: Beat Your Heart Out

"Beat Your Heart Out" is the title of a song by The Distillers.

Episode References
Addison Montgomery: Derek takes a phone call at the end of the episode and Addison, his ex-wife, is on the other line. Addison appeared in Seasons 1-3 of Grey's Anatomy as a series regular before leaving for Grey's Anatomy spin-ff Private Practice.

Other Episode Crew

CreatorShonda Rhimes
Executive ProducerBetsy Beers  |  Mark Gordon (4)  |  Allan Heinberg  |  Mark Wilding  |  Rob Corn  |  Shonda Rhimes  |  Krista Vernoff
ProducerTammy Ann Casper  |  Jeff Rafner  |  Linda Klein  |  Zoanne Clack  |  Stacy McKee
Series DirectorKevin McKidd
WriterWilliam Harper
Warning: Grey's Anatomy season 5 episode 14 guide may contain spoilers
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