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Grey's Anatomy: Before and After

Addison, Naomi and Sam bring Archer to Seattle Grace in order to have Derek and Mark work to save his life. Meanwhile, Izzie works on a medical game to help the interns.

Episode Info

Episode number: 5x15
Production Number: 515
Airdate: Thursday February 12th, 2009

Alternate Airdates:

FI (Nelonen) Apr 08, 2009
UK (sky LIVING) Apr 30, 2009
NL (Net 5) May 11, 2009


Special Guest Stars
Kate WalshKate Walsh
As Dr. Addison Montgomery (Neonatal Surgeon and Derek's Ex-Wife)
Taye DiggsTaye Diggs
As Dr. Sam Bennett (Cardiothoracic Surgeon, Friend of Addison)
Audra McDonaldAudra McDonald
As Dr. Naomi Bennett (Reproductive Specialist and Archer's Girlfriend)

Guest Stars
Ben ShenkmanBen Shenkman
As Rob Harmon (Patient: Run Over by Car)
Brandon ScottBrandon Scott
As Intern Ryan
Jennifer WestfeldtJennifer Westfeldt
As Jen Harmon (Patient: Pregnant with Seizures and Anneurism)
Laura AllenLaura Allen
As Beth Whitman (Ex-Fiancee of Dr. Owen Hunt)
Melissa GeorgeMelissa George
As Sadie Harris (New Intern, Old Friend of Meredith's)
Steven W. BaileySteven W. Bailey
As Joe (The Bartender at Emerald City Bar)
Grant ShowGrant Show
As Archer Forbes Montgomery (Patient: Brain Tumour, Addison's Brother)
Sam AndersonSam Anderson
As Michael Whitman (Patient: Colo-rectal Cancer)

Co-Guest Stars
Amrapali AmbegaokarAmrapali Ambegaokar
As Intern Dani
Candice AfiaCandice Afia
As Intern Laura
Gloria GarayuaGloria Garayua
As Intern Graciella
Joseph WilliamsonJoseph Williamson
As Intern Pierce
Kate AnthonyKate Anthony
As Nurse Kate
Mark SaulMark Saul
As Intern Steve
Molly KidderMolly Kidder
As Intern Megan
Tymberlee HillTymberlee Hill
As Intern Claire
Winston StoryWinston Story
As Intern Leo
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
Chyler LeighChyler Leigh
As Dr. Lexie Grey
Eric DaneEric Dane
As Dr. Mark Sloan
T.R. KnightT.R. Knight
As Dr. George O'Malley
Sandra OhSandra Oh
As Dr. Cristina Yang
Katherine HeiglKatherine Heigl
As Dr. Isobel "Izzie" Stevens
Episode Notes
Ratings: 15.70 Million Viewers

Timeline: This episode is a cross-over episode with Private Practice and a continuation of the Private Practice episode "Ex-Life."

Narration: This episode featured no closing voiceover.

Trivia: The wedding song that is sung at the end of the episode goes like this:

Our eyes met over the cadavar, and I knew that I had to have her / Had his mitral valve grown too think? Is that what made the cadavar so sick? / Addison Montgomery he met her in the summer / She was cutting up a very dead body / And in her eyes I saw my life / I knew that she'd be my wife / And that she would breathe the life back into me / For every day until eternity / Or until I'd be as dead as that body.

ArtistSong TitlePlayed When
Keri NobleEmilyOpening Scenes, Seattle, Addison in Ambulance
Liam FinnGather to the ChapelChapel Scene, Addison's Friends Watching Her
Sara BareillesWinter Song (featuring Ingrid Michaelson)Owen and Beth Talk, Owen Exits, Derek's Friends
ShontelleRoll ItDerek Finishes Surgery, Friends Relieved, Hospital
Slow RunnerHappy EndingSeattle, Mark and Addison Talking, Closing Scenes

Episode Quotes
Meredith (opening voiceover): Every patient's story starts the same way. It starts with them being fine. It starts in the before. They cling to this moment, this memory of being fine, this before. As their talking about it may somehow bring it back. But what they don't realize is that the fact they are talking about it to us, their doctors, means there's no going back. By the time they see us, they're already in the after. And while every patient's story starts the same way, how the story ends, depends on us. On how well we diagnose and treat. We know the story hinges on us. And we all want to be the hero.

Addison: (to Derek) You were ... you were a God today. You were a God today in that O.R. You slew dragons, you walked on water, you, you were a God, but now, now you need to get very tiny again and go back in the box.

Mark: I'm an ass.
Addison: You're such an ass.
Mark: I shouldn't have blurted.
Addison: Uh, a little warning would've been nice.
Mark: But you're okay?
Addison: Yeah, you know, it strange. I expected this horrible feeling, this wave of sadness or something to just take over, but people get divorced, they meet new people, they remarry. I don't kow, you know, things just ... Maybe seeing Archer in that O.R., it just changed my perspective or something.
Mark: But you sort of wished it had been you first.
Addison: Oh, shut it. So, what are you gonna tell Derek about the -- okay, wait, wait. If we call Meredith the 12 year old, what do we call Lexie? A preschooler?
Mark: She's a woman.
Addison: Oh, okay.
Mark: I'm gonna tell him. I'm working on it.

(Addison is watching the surgery in the gallery)
Addison: Say it, Derek. Say it, say it, say it.
Derek: (looking up at Addison) Okay, people it's a beautiful day to save lives.

Chief: I just got out of surgery. What's goin' on?
Alex: She needs a prize.
Izzie: A big prize, but not too big, because they did take out their own appendixes. I understand that they're still being punished for that, and that you think that they're not even authorized to hold a clamp. So, do you have any prizes like that?
George: Alright, they just diagnosed the syptoms for their final patients, so get out the finish line. It's gonna be close.

Episode Goofs

The position of Addison's hands on Derek's shoulders when she tells him "You were a God today" changes three times.

At first they are on his neck.

Then they are no longer visible.

And finally they are on his shoulders.

Cultural References
Episode Title: Before and After

"Before and After" is the title of a song by Rush.

Episode References
Season 5, Episode 14: At the end of 5x14 "Beat Your Heart Out" Derek got a phone call from Addison. That is why she is in Seattle for him to perform a surgery on Archer.

Other Episode Crew

CreatorShonda Rhimes
Executive ProducerBetsy Beers  |  Allan Heinberg  |  Mark Wilding  |  Rob Corn  |  Shonda Rhimes  |  Krista Vernoff
Series DirectorKevin McKidd
WriterTony Phelan  |  Joan Rater
Missing Information
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