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Grey's Anatomy: Stand By Me

As Izzie continues to hide her medical secret, the residents all try to convince Derek to come back to work but fail at doing so. Meanwhile, Mark attempts a radical face transplant surgery; and Cristina is awarded a solo surgery, but is preoccupied by Izzie's condition.

Episode Info

Episode number: 5x18
Production Number: 518
Airdate: Thursday March 19th, 2009

Director: Jessica Yu
Writer: Zoanne Clack

Alternate Airdates:

FI (Nelonen) Apr 29, 2009
UK (sky LIVING) May 21, 2009
NL (Net 5) Oct 05, 2009


Guest Stars
Brandon ScottBrandon Scott
As Intern Ryan
Emily KurodaEmily Kuroda
As Kendall Sully (Patient: Hernia Repair)
Larry SullivanLarry Sullivan
As David Young (Patient: Face Transplant Nicknamed "Blowhole")

Co-Guest Stars
Amrapali AmbegaokarAmrapali Ambegaokar
As Intern Dani
Candice AfiaCandice Afia
As Intern Laura
Joseph WilliamsonJoseph Williamson
As Intern Pierce
Mark SaulMark Saul
As Intern Steve
Martin YuMartin Yu
As Anesthesiologist
Molly KidderMolly Kidder
As Intern Megan
Tymberlee HillTymberlee Hill
As Intern Claire
Winston StoryWinston Story
As Intern Leo
Candace BrownCandace Brown
As Milo (Friend of Patient David Young)
Darcy MartinDarcy Martin
As Sharon
Greta SeshetaGreta Sesheta
As Shayna (Friend of Patient David Young)
Michael MertonMichael Merton
As Dexter (Friend of Patient David Young)
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: 14.67 Million Viewers

Trivia: The facial reconstruction surgery performed by Sloan in this episode was done in real life in France. A woman named Isabelle Dinoire received the surgery after having part of her face bitten off by her daughter's golden retriever.

Special Effects: The actor playing the character receiving facial reconstruction was wearing a full prosthesis and speaking with his normal mouth behind the prosthesis, or his entire dialogue was dubbed later without the prosthesis on.

ArtistSong TitlePlayed When
CommonEverywhere (featuring Martina Topley-Bird)Opening Scenes, Seattle, Cristina Explains Options
Great NorthernDrivewayLexie Kisses Mark, Closing Scenes
Royal WoodA Mirror WithoutDerek Pitiful, George and Meredith Talk to Interns

Episode Quotes
Meredith: (opening voiceover) Surgeons aren't known for being warm and cuddly. They're arrogant, impatient, mean as often as not. You'd think they wouldn't have friends, 'cause who could stand them? But surgeons are like a bad cold. Nasty, but persistent.

Callie: I had a patient a couple of years ago. Young guy, fifty maybe. Simple knee replacement. He was post-op, he was fine. I even told his wife she could go and get him lunch. It was a simple knee replacement, it as nothing. But he'd been getting short of breath so I put him on blood thinners for a post-surgical P.E. and it wasn't until he was vomiting up dark red blood, looking me in the eye, telling me he was dying, that I figured it out. That I was wrong. That it wasn't a P.E., he was bleeding internally. And it wouldn't have been fatal, but blood thinners. I will never forget the look on his wife's face when she came back with that sandwich in her hand, asking me why her husband wasn't in his room any more.
Derek: How do you live with it? Killing him? Taking him from his wife? How do you live with it?

Izzie: They were calling the guy "Blowhole," Cristina. Not just the interns, Alex. What are they going to call me when I'm the patient? Swiss cheese for brains?
Cristina: No. That's awkward and long. Blowhole's pithy.

Owen: Shepherd's been gone all week. I'm sure the Chief would notice --
Bailey: Hunt! You survived a war. You can do this.
Owen: I know I can do this. I'm saying I don't want to. People don't really say no to you, do they?
Bailey: Not when I say please. I'm saying please.

George: Mer, there is something wrong with Izzie.
Meredith: Ah, what do you mean?
George: I don't know. All I know that there is something wrong.
Meredith: Well you know, George, we're already drowning in intern drama. We don't need resident drama, too.

Derek: Thanks for coming.
Meredith: Thanks for calling.
Derek: I love you.
Meredith: I know.
Derek: Would you still love me if i wasn't a surgeon?
Meredith: No. No, because Izzie has cancer that has spread to her brain. You're one of about twenty people in the world who can save her. I don't know if I can respect somebody who can walk away from a gift like that. So, please don't. Here are her scans. It's pretty bad.

Derek: I don't think I can get her back.
Chief: Did you call her?
Derek: What am I going to say?
Chief: I had an affair for years and when Adele found out somehow she ... she took me back. You can make your way back from anything.

Meredith: (closing voiceover) Practicing medicine doesn't lend itself well to the making of friends. Maybe because life and mortality are in our faces all the time. Maybe because, in staring down death every day, we're forced to know that life, every minute, is borrowed time. And each person we let ourselves care about is just one more loss somewhere down the line. For this reason, I know some doctors who just don't bother making friends at all. But the rest of us, we make it our job to move that line, to push each loss as far away as we can.

Episode Goofs
Factual Error:

The patient receiving the face transplant has no lips and severe facial injuries. However, when he speaks he is able to make the "b", "m" and "p" sounds perfectly. Those sounds require the interaction of your teeth and lips. He should not be able to make these sounds.

Cultural References
Episode Title: Stand By Me

"Stand By Me" is the title of a song by Ben E. King.

G.I. Joe: Meredith says to Christina "No, no. That's okay, I get it, you've got solo surgery and G.I. Joe.".

Episode References
Season 5, Episode 16: Derek is hiding out at his trailer because he is upset and depressed over the loss of a patient in 5x16 "An Honest Mistake".

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 DirectorJessica Yu
WriterZoanne Clack
Missing Information
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