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Grey's Anatomy: I Will Follow You Into the Dark

When Derek learns that more of his patients have died than survived, he decides to quit despite Meredith standing by him. Meanwhile, Bailey and the Chief continue to fail to see eye-to-eye on the fellowship until Adele steps in. Elsewhere, Izzie's interns discover dire news in regards to "patient x," unaware it's Izzie.

Episode Info

Episode number: 5x17
Production Number: 517
Airdate: Thursday March 12th, 2009

Director: Rob Corn
Writer: Jenna Bans

Alternate Airdates:

FI (Nelonen) Apr 22, 2009
UK (sky LIVING) May 14, 2009
NL (Net 5) Sep 28, 2009


Guest Stars
Brandon ScottBrandon Scott
As Intern Ryan
Jessica CapshawJessica Capshaw
As Dr. Arizona Robbins (Pediatric Surgeon)
Loretta DevineLoretta Devine
As Adele Webber (The Chief's Wife)
Erin CahillErin Cahill
As Meg Shelley (Patient: Surgery for Gastric Cancer)
Michael RadyMichael Rady
As Mike Shelley (Patient: Surgery for Gastric Cancer)
Susane LeeSusane Lee
As Beth Dearborn (Patient: Grand Mal Seizures)
Wendy HoopesWendy Hoopes
As Tricia Shelley (Patient:Surgery for Gastric 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
Mark SaulMark Saul
As Intern Steve
Molly KidderMolly Kidder
As Intern Megan
Nicole CumminsNicole Cummins
As Paramedic
Phil AbramsPhil Abrams
As Dr. Jim Nelson (Neurosurgeon)
Tymberlee HillTymberlee Hill
As Intern Claire
Winston StoryWinston Story
As Intern Leo
B.K. CannonB.K. Cannon
As Girl Band Geek (Band Mate of Patient Beth Dearborn)
Marcus McGeeMarcus McGee
As Boy Band Geek (Band Mate of Patient Beth Dearborn)
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: 13.54 Million Viewers

ArtistSong TitlePlayed When
MetricFront RowOpening Scenes, Seattle, Derek Surrounded by Mess
Piers FacciniA Storm is Going to ComeCallie Smiles as Elevator Closes, Closing Scenes
Rachael YamagataDuetPatient Worries About Sibling, Lexie Thanks Izzie
Shady BardTreeologyCristina Strokes Owen's Head, Webber Asks for Help

Episode Quotes
Meredith: (opening voiceover) Every surgeon I know, has a shadow. A dark cloud of fear and doubt, that follows even the best of us into the O.R. We pretend the shadow isn't there. Hoping that if we save more lives, master harder techniques, run faster and farther, it'll get tired and give up the chase. But, like they say, you can't outrun your shadow.

Lexie: Yes, the odds are against us. I'm a one woman wrecking ball, all I do is break you. Your hand, your penis, your relationships, your life. I'd say our survival rate is about 3 percent. And that's -- that's, that's bad. But, it's not nothing. And I don't think we should give up on this. At least not yet because (Mark puts his finger on her lips) Okay.
Mark: You think you broke me Little Grey? You're the one that put me back together.

Beth: I seized during the performance? But I took my meds.
Alex: Relax. It's not like you crapped your pants or anything.
Beth: But it is like I crapped my pants. I had a seizure in front of the entire marching band. It is exactly like I crapped my pants. They're going to kill me.
Alex: Who?
Beth: Seizure patrol.

Alex: You want me to sit here and babysit the band nerd? That's an intern job.
Owen: I don't see any interns around.

Mark: (to the Chief) Well, it wasn't easy. Not only did I push through my harelip reconstruction and a tympioplasty but I pulled out a burn graft so beautiful it could bring a grown man to tears.

Chief: I know I have no business asking you for anything, but I need your help. I need you to bring Derek back. And he's not fine.
Meredith: Sometimes people just wanna be left alone.
Chief: He's planning to propose. He's been carrying around a big ring for weeks. That's not a man who wants to be left alone. I just thought you should know.

Meredith: You cleaned all of your clothes out of the closet at the house.
Derek: Go home, Mer. Just go home.
Meredith: Well, how long are you planning on hiding out here? Because that's what you're doing. You're hiding. You made a mistake. She's dead and you can't hide from that.
Derek: I'm not hiding. I'm done. I'm done operating.
Meredith: Oh, okay. So you're just quitting?
Derek: You should understand better than anybody else. You wrote the book on quitting. Running, hiding, you've written a lot of books Meredith.
Meredith: That may be true. But I'm here now.
Derek: Oh, ah, you're here now? You've wanted me out since the day I moved in.
Meredith: That is not true.
Derek: Because you're incapable of anything that resembles commitment. You lied to me, you said you were healthy. That you were healed. There's no fixing you. You're a lemon.
Meredith: Derek Shepherd you are drunk! And you're angry, and I've been there so I get it. But that does not give you the right --
Derek: Just go home Meredith.
Meredith: You don't get to just stand here and tell me to leave.
Derek: This is what you want, I'm giving you an out. Go.
Meredith: I'm not going anywhere.
Derek: I said leave! Meredith, leave!
Meredith: I know there's a ring.
Derek: What?
Meredith: The Chief told me. I know there's a ring.
Derek: You want the ring? Here's your ring. (Derek hits it into the field with a baseball bat)
Meredith: Is that the best you've got? 'Cause I'm not bailing. we're in this together!
Derek: Go home, Meredith!

Meredith: (closing voiceover) Every surgeon has a shadow. And the only way to get rid of a shadow,is to turn off the lights. To stop running from the darkness, and face what you fear, head on.

Episode Goofs
Factual Error:

The surgeons would not have implanted a pacemaker into the band member and THEN made arrangements for her to visit a cardiologist--the cardiologist would have been involved in the selection of the type of pacemaker.


During the operation on the first sibling, the Chief's eyes continually change positions between shots.

Cultural References
Episode Title: I Will Follow You Into the Dark

"I Will Follow You Into the Dark" is the title of a song by Death Cab for Cutie.

Derek: "There's just so many people. More than Dahmer, Manson, and Bundy combined."

Jeffery Dahmer, Charles Manson, and Ted Bundy are all infamous serial killers.

Apocalypse Now: Christina mentions the movie when she says "Hunt won't even look at me without going all Apocalypse Now on me this morning."

Episode References
Season 5, Episode 16: Izzie has the interns working on finding out the diagnosis for "Patient X", who we found out is actually Izzie herself at the end of 5x16 "An Honest Mistake".

Season 5, Episode 16: Derek is talking to the board in the episode because he is being sued over the death of his patient Jen Harmon in 5x16 "An Honest Mistake".

Season 3, Episode 23: Lexie says to Izzie "Screw the odds, people die of the hiccups". In season 3 Susan Grey, Lexie's mother, went to the clinic complaining of long lasting hiccups. After surgery and complications, she died in 3x23 "The Other Side of This Life (2)".

Other Episode Crew

CreatorShonda Rhimes
Executive ProducerBetsy Beers  |  Mark Gordon (4)  |  Allan Heinberg  |  Rob Corn  |  Shonda Rhimes  |  Krista Vernoff
ProducerJeff Rafner  |  Tammy Ann Casper  |  Linda Klein  |  Zoanne Clack  |  Stacy McKee
Series DirectorKevin McKidd
WriterJenna Bans
Missing Information
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