Meredith (opening voiceover): There's this thing that happens, when people find out you're a doctor. They stop seeing you as a person, and begin to see you as something bigger than you are. They have to see us that way, as gods. Otherwise, we're just like everyone else; unsure, flawed, normal. So we act strong, remain stoic. We hide the fact that we're all too human.
Lexie: I'm so sorry.
Mark: It was worth it.
Lexie: No, it wasn't. Maybe a little. Thank you.
Bailey: I don't see anyone burnin' the place down.
Izzie: That's how they do it. They do everything right, and then as soon as you look away and they screw it all up.
Bailey: Hey, I'm sorry, earlier I was busy. I was busy with myself, so I'm sorry.
Izzie: Don't be. I called you an ass. And you were right, I think that I just needed to vent. I'm sick of this place.
Bailey: Hell, I just watched Derek Shepherd beat up a man because he's so sick of it. That's just the way it works. The patients we lose, the mistakes we make, that's how we learn. That's always how it's been done. If you figure out a better way, you Izzie Stevens will be a better doctor than the rest of us.
Derek: Put down the scalpel, Addison!
Addison: You put down the scalpel.
Derek: Addison, put the scalpel down.
Addison: You put the scalpel down! You have to let her go.
Derek: Take your hand off the scalpel, Addison! You take your ... Take it off!
Addison: Meredith, go get the chief.
Derek: Do not go anywhere.
Addison: Karev, go! Derek, don't do this.
Derek: Do not touch my patient, Addison!
Meredith (closing voiceover): Patients see us as Gods. Or, they see us as monsters. But the fact is, we're just people. We screw up. We lose our way. Even the best of us have our off days. Still we move forward. We don't rest on our laurels or celebrate the lives we saved in the past. Because there's always some other patient that needs our help. So we force ourselves to keep trying, to keep learning, in the hope that maybe, some day, we'll come just a little bit closer to the gods our patients need us to be.
When Addison and Derek are in the OR together she tells Karev to "Page Dr. Freedman". Dr. Freedman is the pediatrician on staff at Ocean Side Wellness group on 'Private Practice'. She was supposed to say "Page Dr. Robbins".
Derek's glasses change positions on his face during the scene in which Addison tries to convince Derek to let her deliver Jen's baby before he operates.
Mark loses one of his shoes during the fight with Derek, but later in the scene he is shown wearing both shoes once again.