Goof:During the scene where O'Malley is performing surgery, Karevappears inmedium shots at the door of the gallery, but when a wide shot of the gallery is shown, Karev is not standing at the door.
Taking the first letter of each of the original interns' first name, the word magic can be spelt.
Goof: When Meredith first sees Derek for the first time in the hospital, while she is speaking to Bailey, you can see the legs of the cameraman in the glass next to the door.
Goof: The scene of the sun rising in fast motion is actually a shot of the sun setting in Norfolk, Virginia, that is played in reverse to make it look like a sunrise. Look closely and you can see the cars are going backwards.
Goof: When Izzie and George are talking, Izzie proceeds to stretch. She puts her hands in front of her then lifts them above her head. In the next shot, her hands are back in front of her, and she is shown lifting them over her head again.
Goof: When Burke moves George away from the appendectomy patient, George's gloves are almost spotless, despite being covered with blood just moments earlier.
Goof: When Meredith and Derek are reintroducing themselves to each other at the beginning of the episode, Derek climbs over the couch while shaking Meredith's hand. In the immediate following shot, Meredith is at the stairs, not even within arms length, waving with the same hand that was just shaking Derek's hand.
Goof (editing continuity): While the interns are moving towards the landing helicopter, Izzie isn't wearing her glasses. In the next shot, she is suddenly wearing them, but as the view changes again, her glasses are gone. There would be no time to put on your glasses while picking up a patient, and it would make absolutely no sense to put on your glasses to just take them off again after a few seconds.
Goof (editing continuity): In the scene where the Chief asks Alex what the five causes for post-operation fever are, the same nurse can be seen first behind Alex, and then immediately behind Meredith. This jump occurs a few times.
Goof (editing continuity): In the scene where Meredith's patient is seizing, the shot where Meredith freaks out and can't do anything is shown twice.
Goof (editing continuity): When Meredith is sitting outside the O.R. after the big surgery, Derek goes to the desk and takes off the bandanna holding his hair back. But in the long shot of Meredith, when he bends over, it is still on his head - and gone again when the view shifts back to him.
Goof (editing continuity): In the scene where Shepherd asks the interns for help, as soon as he walks in you can see Izzie putting her hair up in a ponytail. The next time it shows her, it's still in a ponytail. But when he walks to the front of the table, she's just starting to put it up.
The character of Alex Karev (Justin Chambers) was not in the original script. Series creator Shonda Rhimes wrote the character in a few months after the pilot was completed. Several scenes were re-shot to make the new character blend in naturally. This was done because executive producers felt that the show needed another male perspective: One that was strong to contrast the weak George.
Goof (editing continuity): Dr. Bailey points out four pagers to Meredith, George, Cristina, and Izzie, but when George picks his up last, there are still two remaining.
Goof: After the medi-vac helicopter lands on the pad, there is an aerial shot of everyone wheeling the stretcher away from it. They've covered up the KOMO logo in this shot with "SGH" (Seattle Grace Hospital) and added a ramp leading off of the pad to the roof. But upon close inspection, there is no way off of the roof except for two staircases.
Goof: In the beginning sequence, when the medi-vac helicopter is coming in to land, the "KOMO 4" logo on the side of the building, can be clearly seen. KOMO is ABC's local affiliate station, so it makes sense that they'd use the building, but covering the logo might have been a good idea. Hosiptals aren't usually located in the same building as television stations.
Goof (medically incorrect): You can try pacing Asystole but only if it is witnessed. Ellen Pompeo's character did a 3 stack shock when her patient flatlined the only problem is Asystole is not a shockable rhythm, meds are the only way to treat it. Which is partially true. You should not use transcutaneous pacing.
Goof (editing continuity): Check out the first scene in the locker room and the lack of continuity with the stethoscope, as he walks over to talk he puts it around his neck but in the third shot before they all leave the room it is back in his hand and he puts it around his neck again.
Meredith: I wish I wanted to be a chef. Or a ski instructor. Or a kindergarten teacher.
George: You know, I would've been a really good postal worker. I'm dependable. (Meredith chuckles) You know, my parents tell everyone they meet that their son's a surgeon. As if it's a big accomplishment. Superhero or something... If they could see me now.
Meredith: When I told my mother I wanted to go to medical school, she tried to talk me out of it. Said I didn't have what it takes to be a surgeon. That I'd never make it. So, the way I see it, superhero sounds pretty damn good.
George: We're gonna survive this, right? (Meredith just smiles)
(About Katie Bryce's surgery)
Meredith: I'll tell him I changed my mind...
Cristina (interrupts): You know don't give... don't do me any favors. It's fine.
Cristina (coldly): You know what you did a cut throat thing. Deal with it. Don't come to me for absolution. You wanna be a shark, be a shark.
Meredith: I'm not. I'm...
Cristina (interrupts): Oh yes you are. Only it makes you feel bad in all your warm gooey places. (she's getting angry) You know screw you. I don't get picked for surgeries because I slept with my boss and (Meredith looks shocked) I didn't get into med school because I have a famous mother! You know some of us have to earn what we get. (Meredith walks away, upset)
Meredith: What are you doing?
Cristina: I'm suturing a banana with the vain hope that it wakes up my brain. (George laughs) What are you smiling at 007? (George stops laughing almost immediatly) I'm sorry, I get mean when I'm tired.
Alex (after he just got into a fight with a nurse over a patient): God, I hate nurses. I'm Alex. I'm with Jeremy. You're with the Nazi right?
Meredith: She may not have pneumonia you know? She could be splinting or have a PE.
Alex: Like I said, I hate nurses.
Meredith: What did you just say? Did you just call me a nurse?
Alex: Ah, if the white cap fits. (Meredith pager goes off, she walks away. George comes up to the desk) She seein' anybody?
Intern: I don't know.
Alex (whistles): She's hot.
George: I'm friends with her. (they look at him) I'm mean not as friends. I mean not you know actually friends. I'm mean not exactly. But we're tight. We hang out. (the other intern walks off) I mean really like only just today.
Alex: Dude. (shakes his head) Dude, stop talking.
(Bailey is sleeping, and Izzie needs help with something)
Izzie: Dr. Bailey, I don't mean to bother you...
Bailey (interrupts, but keeps her eyes closed): Then don't.
Izzie: It's Mr. Jones.
Bailey: Is he dying?
Bailey: Then stop talking to me. (Izzie stands up, Bailey gets up, really annoyed) What is it? (cut to Mr. Jones' room where Dr. Bailey has just finished inserting a central line. Izzie is watching) Next time you wake me he better be so close to dead there's a tag on his toe.
Intern 1: He's gonna faint. He's a fainter.
Intern 2: Nah, code brown. Right in his pants.
Intern 1: He's all about the flop sweat. He's gonna sweat himself unsterile.
Intern 3: 10 bucks says he messes up the McBurney.
Cristina: 10 says he cries.
Intern 2: I'll put 20 on a total meltdown.
Meredith: 50 says he pulls the whole thing off. (all the interns stare at Meredith) That's one of us down there. The first one of us. Where's your loyalty? (everyone is silent for a moment)
Cristina: 75 says he can't even I.D the appendix.
Izzie: I'll take that action.
Katie (to Meredith): You're so lost. What are you, like new?
Derek: It's a beautiful night to save lives. Let's have some fun.
Cristina: Oh, Dr. Shepherd, just one moment. Katie competes in beauty pageants.
Derek: I know that, but we have to save her life anyway.
Meredith: Only six women out of twenty.
Cristina: Yeah. I hear one of them is a model. Seriously, that's gonna help with the respect thing?
Richard: Each of you comes here today hopeful, wanting in on the game. A month ago, you were in med school being taught by doctors. Today... you are the doctors. The seven years you spend here as a surgical resident will be the best and worst of your life. You will be pushed to the breaking point. Look around you. Say hello to your competition. Eight of you will switch to an easier specialty. Five of you will crack under the pressure. Two of you will be asked to leave. This is your starting line. This is your arena. How well you play, that's up to you.
George: I'm George. O'Malley. Uh... we met at the... mixer, ... you had a black dress with a slit up the side and strappy sandals. (Meredith and Cristina exchange a look) Now you think I'm gay.
Cristina (trying to figure out why Katie is having seizures): So she doesn't have anoxia, chronic renal failure or acidosis. It's not a tumor because her CT's clean. (sighs) Are you seriously not gonna tell me why you won't work with Shepherd?
Meredith: No. What about infection?
Cristina (flips through Katie's file): No. Ah there's no white count. She has no CT lesions. No fevers. Nothing in her spinal tap. Just tell me.
Meredith: You can't comment, make a face, or react in any way. (Cristina stops looking through the file) We had sex.
Cristina (keeping a straight face): What about an aneurysm?
Meredith: No blood in the CT... No headaches.
Cristina: No drug use. No pregnancy. No trauma. Was he good? He looks like he'd be good. Was he any good?
Derek (holds up bra): This is...
Meredith: ...humiliating on so many levels. You have to go.
Derek: Why don't you just come back down here and we'll pick up where we left off?
Meredith: No. Seriously. You have to go. I'm late. Which isn't what you want to be on your first day of work, so...
Derek (starts getting dressed): So, uh, you actually live here?
Meredith: No. Yes. Kind of.
Derek: Oh. It's nice. A little dusty. Odd. But it's nice. Huh. So how do you kinda live here?
Meredith: I moved 2 weeks ago from Boston. It was my mother's house. I'm selling it.
Derek: Oh, I'm sorry.
Meredith: For what?
Derek: You said 'was'.
Meredith: Oh, my mother's not dead. She's... you know what? We don't have to do the thing.
Derek: Oh, we can do anything you want.
Meredith: No, the thing. Exchange the details, pretend we care. Look I'm going to go upstairs and take a shower. Okay? And when I get back down here, you won't be here. So .... um ... goodbye ... uh ...
Meredith: Derek! Right, Meredith. (they shake hands)
Meredith (opening voiceover): The game. They say a person either has what it takes to play, or they don't. My mother was one of the greats. Me, on the other hand, I'm kind of screwed.
Meredith (closing voiceover): I can't think of any one reason why I want to be a surgeon, but I can think of a thousand reasons why I should quit. They make it hard on purpose. There are lives in our hands. There comes a moment when it's more than just a game. And you either take that step forward or turn around and walk away. I could quit, but here's the thing... I love the playing field.
George: Maybe I should have gone into geriatrics. No one minds when you kill an old person.
Cristina: Surgery's hot. It's the marines. It's macho. It's hostile. It's hardcore. Geriatrics is for freaks who live with their mothers and never have sex.
George: I've got to get my own place.
Cristina: We don't have to do that thing you know where I say something and then you say something and then somebody cries and there's like a moment ...
Cristina: Good... You should get some sleep. You look like crap.
Meredith: I look better than you.
Cristina: Not possible.
Meredith: Did you choose me for the surgery because I slept with you?
Derek: Yes. (Meredith gives him a look) I'm kidding.
George: '007. They're calling me '007, aren't they?
Izzie & Meredith: No one's calling you '007.
George: I was on the elevator, and Murphy whispered '007'.
Cristina: Okay, how many times are we going to go through this, George? Five? Ten? Give me a number or else I'm gonna hit you.
George: Murphy whispered '007', and everyone laughed.
Izzie: He wasn't talking about you.
George: Are you sure?
Meredith: Would we lie to you?
Meredith: Dr. Shepherd.
Derek: Dr. Shepherd? This morning it was Derek. Now it's Dr. Shepherd.
Meredith: Dr. Shepherd, we should pretend it never happened.
Derek: What never happened? You sleeping with me last night? Or you throwing me out this morning? Because both are fond memories I'd like to hold on to.
Meredith: No, there will be no memories. I'm not the girl in the bar anymore, and you're not the guy. This can't exist. You get that, right?
Derek: You took advantage of me, and you wanna forget about it?
Meredith: I did not---
Derek: I was drunk, vulnerable, and good-looking, and you took advantage.
Meredith: I was the one who was drunk, and you are not that good-looking.
Derek: Maybe not today. Last night? Last night I was very good looking. I had my red shirt on. My good looking shirt. You took advantage.
Meredith: I did not take advantage.
Derek (smiling): Wanna take advantage again? Say Friday night? (Meredith looks shocked)
Meredith: No. You're an attending. And I'm your intern. (Derek looks like he wants to kiss her)
Meredith: Stop looking at me like that.
Derek: Like what?
Meredith: Like you've seen me naked!
George: This shift is a marathon, not a sprint. Eat.
Izzie: I can't.
George: You should eat something.
Izzie: You try eating after performing 17 rectal exams. The Nazi hates me.
George: The Nazi's a resident. I have attendings hating me.
Cristina: You know Meredith is inbred?
George: Like it's uncommon around here to be a doctor's parent?
Cristina (interrupts): No royally inbred. Her mother is Ellis Grey.
Izzie: Shut up. The Ellis Grey?
George: Who's Ellis Grey?
Cristina: Ellis ... (Izzie laughs. Other interns turn to look at George) The Grey method? Where'd you go to med school, Mexico?
Izzie: She was one the first big chick surgeons and she practically invented the abdominal laparotomy.
Cristina: She's a living legend. She won the Harper Avery. Twice!
George: So, I didn't know one thing.
Izzie: Talk about parental pressure.
Cristina: God I would kill to have Ellis Grey as a mother. I'd kill to be Ellis Grey. (Meredith walks into the caf) All I need is one good case. (George makes a muffled warning when he sees Meredith. She sits down at their table)
Meredith: Katie Bryce is a pain in the ass. If I hadn't taken the Hippocratic Oath I'd Kevorkian with my bare hands. (all the interns stare at her in awe. She notices) What?
George: So your by-pass surgery tomorrow with Dr. Burke. I hear he's good. And after that you can have all the bacon flavored soy product you can eat.
Mr. Savitch: Mmm. Kill me now.
George: I wish I could but … I'm a healer.
Burke: Who the hell are you to promise anything? This is my case. Did you hear me promise? The only one that can keep a promise like that is God, and I haven't seen him holding a scalpel lately. You never promise a patient's family a good outcome.
George (stammers): I... I... thought...
Burke: You're important enough to make promises to Mrs. Savitch? You get to be the one to tell her that she's a widow.
Meredith: Go to sleep and stop wasting my time.
Katie: But I can't sleep. My head's all full.
Meredith: That's called "thinking." Go with it.
Cristina (they all see Bailey): That's the Nazi?
George: I thought the Nazi would be a guy.
Meredith: I thought the Nazi would be... a Nazi.
Izzie (Izzie walks up behind them): Maybe it's professional jealousy. Maybe she's brilliant and they call her Nazi because they're jealous. Maybe she's nice.
Cristina: Let me guess, you're the model. (Izzie gives her the look)
Izzie (to Bailey): Hi, I'm Isobel Stevens, but everyone calls me Izzie.
Bailey: I have five rules. Memorize them. Rule number one, don't bother sucking up. I already hate you, that's not gonna change. Trauma protocol, phone list, pagers, nurses will page you. You will answer every page at a run. A run! That's rule number two. Your first shift starts now and lasts 48 hours. You're interns, grunts, nobodies, bottom of the surgical food chain. You run labs, right orders, work every second night until you drop, and don't complain. On-call rooms. Attendings hog them. Sleep when you can, where you can, which brings me to rule number three. If I'm sleeping, don't wake me unless your patient is actually dying. Rule number four: the dying patient better not be dead when I get there. Not only will you have killed someone, you would have woke me for no good reason. We clear? (Meredith raises her hand) Yes?
Meredith: You said five rules. That was only four.
Bailey: Rule number five: When I move, you move. (looks at pager and starts running)
Cristina (referring to George): Total '007.
Izzie: What does '007 mean?
Meredith: Licensed to kill.
International Show Titles:
Czech Republic: Chirurgové (Surgeons)
Slovakia: Klinika Grace (Clinic Grace)
The show's theme song is Cosy In The Rocket. It was written by Carim Clasmann and Galia Durant and performed by Psapp.
Sandra Oh was initially looking to audition for the part of Bailey. Also, on The Oprah Winfrey Show, Isaiah Washington said that he had auditioned to play the role of Dr. Shepherd.
Fisher Plaza, which houses Seattle's ABC affiliate KOMO-TV, is used for some exterior shots of Seattle Grace Hospital. When a patient is flown in via helicopter, you can see the KOMO 4 logo on the side of the building and their satellite dishes on the roof. However, the hospital used for most other exterior and many interior shots is not in Seattle. These scenes are shot at the VA Sepulveda Ambulatory Care Center in North Hills, California.
James Pickens Jr. (the Chief) and Isaiah Washington (Burke) also worked together in the 1995 movie Dead Presidents, and, in the 1998 movie Bulworth.
Ellen Pompeo (Meredith) and Kate Burton (Ellis) play daughter and mother, respectively, even though they only have 12 years of difference.
The main credits appear at the middle of the screen, instead of at the sides, like they usually do.
Awards and Nominations:
Peter Horton received an Emmy nomination for Outstanding Directing for a Drama Series for his work on this episode.
This episode was nominated for a Directors Guild of America Award for Outstanding Directorial Achievement in Dramatic Series.
Original International Air Dates:
Latin America: July 7th, 2005 on Sony Entertainment Television
Australia: August 8th, 2005 on Channel 7
UK: August 29th, 2005 on LIVINGtv
Sweden: November 22nd, 2005 on Kanal 5
Netherlands: January 3rd, 2006 on Net 5
Germany: March 14th, 2006 on ProSieben
India: April 12th, 2006 on Star World
Ireland: June 11th, 2006 on RTE One
France: July 3rd, 2006 on TF1
Norway: July 11th, 2006 on TV2
Croatia: September 4th, 2006 on NOVA TV
Finland: September 6th, 2006 on Nelonen
Portugal: November 16th, 2006 on RTP 1
Romania: January 9th, 2007 on TVR 1
Serbia: February 16th, 2007 on B92
The show's main title sequence is not shown in this episode.
Music Featured In This Episode:
1. Portions For Foxes by Rilo Kiley
2. Dance by O.A.O.T.S.
3. Into the Fire by Thirteen Senses
4. Life is Short by Butterfly Boucher
5. Ready to Rise by Vaughan Penn
6. Super Cool by Bang Sugar Bang
7. They by Jem
Meredith: If I hadn't taken the Hippocratic Oath, I would Kevorkian her with my bare hands.
The Hippocratic Oath is a oath that serves as a set of guidelines for physicians and is something they usually say or vow when they receive their license to practice medicine. It is usually summarized with the word "do no harm" but those words were not in the original version.
Dr. Jack Kevorkian was the most famous advocate in the United States for physician-assisted suicide. He served eight years in prison in Michigan for helping more than 100 people to commit suicide. He was charged with several counts of second-degree murder. His conviction lead to the legalization of assisted suicide in Oregon. In Oregon, it is named the Death with Dignity Act. Jack Kevorkian died in 2011, four years after being paroled from prison.
Izzie: What does '007 mean?
Meredith: Licensed to kill.
These are references to the series of books and movies about a fictional spy named James Bond. His agent number was '007 (pronounced "double-oh-seven") and he was a covert spy with the catchphase "Licensed to Kill" since he had been by his government.
The Show Title: Grey's Anatomy
Gray's Anatomy is a famous anatomy textbook published over a century ago. People still use it today. The show's title is a play on the book. Yahoo! has it for free online.
Episode Title: A Hard Day's Night
A Hard Day's Night is a reference to the title of a Beatles song.
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