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Grey's Anatomy

Season 7 Episode 5

Almost Grown

Aired Thursday 8:00 PM Oct 21, 2010 on ABC
out of 10
User Rating
223 votes

By TV.com Users

Episode Summary

As part of their training, Seattle Grace's residents are promoted to attendings for one day. Meanwhile, the real attending surgeons compete for the rights to spend a million-dollar budget surplus however they see fit. But not every proposal manages to impress Chief Webber.

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  • Amazing! Spoilers.

    I loved this episode! The Chief is promoting all fourth year residents to attending doctors for one day. Unfortunately it means that Lexie is the only resident left and she has a lot of work to do. There is also a one million dollar grant that the true attendings have to compete for by giving a presentation. These presentations were extremely funny! Especially when Arizona started to assure that she isn't going to cry and Mark revealed a little about his sex life. Bailey had her feet firmly on the ground as always. Finally Owen won the money for disaster training which was easy to predict as he was the only one to give serious presentation. At the same time new attendings-residents struggle with their cases. Cristina and April have a patient who needs a lung transplant. I'm really happy to see a shadow of old fierce Cristina fighting for her patients! I came to like Roy right away. His comments about Cristina were so amusing. Avery and Meredith are competing for a neuro surgery. They practice on eggs:) Avery uses a trick and wins a surgery under Derek supervision but during the surgery he makes a big mistake and Derek has to intervene. It serves Avery right! Meredith ends up getting her solo neuro surgery when an ortho patient suddenly needs an emergency crainiotimy.

    Alex performs a breast reduction surgery on 13 year old boy but first he has to convince the mother that this is a good idea. Alex is a little irascible but it seems that a small rant was exactly what the mother needed. At the end of the day Lexie is completely exhausted and falls asleep on a bench.

    I enjoyed every minute of this episode!moreless
  • um

    Okay, so Grey's is starting to get a little bit better, but this show is still just done. I do not even know what they are hoping to accomplish at this point. There are no huge season long arcs being built up (oh no Cristina is afraid to operate!) and there are not even any romantic problems, something this show has strived on for so long.

    Again, this was better than the previous episodes this season, but very few scenes were even able to hold my interest. Grey's Anatomy needs something huge now, or the show will start to alienate viewers.moreless
Jessica Capshaw

Jessica Capshaw

Dr. Arizona Robbins

Sarah Drew

Sarah Drew

Dr. April Kepner

Kim Raver

Kim Raver

Dr. Teddy Altman

Ellen Pompeo

Ellen Pompeo

Dr. Meredith Grey

Sandra Oh

Sandra Oh

Dr. Cristina Yang

Justin Chambers

Justin Chambers

Dr. Alex Karev

Ron Perkins

Ron Perkins

Roy Henley

Guest Star

Randee Heller

Randee Heller


Guest Star

Candice Patton

Candice Patton

Meg Waylon

Guest Star

Alixandree Antoine

Alixandree Antoine

O.R. Nurse

Recurring Role

Trivia, Notes, Quotes and Allusions


  • TRIVIA (0)

  • QUOTES (25)

    • Richard: Alright, talk to me.
      Bailey: There is a broken CT machine in the basement, next to it is a broken argon lasor, and a broken fluroscope. I think the million dollars could repair all three of them, and it might even be enough left over to put a new nurse on the night shift. Which is what our patient's really need.
      Richard: That's it? That's what you've got for me? That's your best idea? This assignment couldn't have been clearer, inspiration. Good 'ol fashioned competition, not you coming in here and tellin' me I need to fix what's old and broken.
      Bailey: Um, I would love to go to Paris but you don't see me sitting around planning my Parian vacation. It sounds nice, but I am a mother, and what I really need to do is... get my kid to preschool, get the laundry done, put food on the table. Alright, I could do a big tap dance here about how I'm going to change the face of medicine, with a million dollars. But, come on, you can't do anything with a million dollars. A million dollars is nothing. That's a dream. This is real life. Preschool, laundry, food. I'm realistic. (scoffs) Change the face of medicine, we need to fix the medicine that we already have. We need a new night nurse, we need these broken machines repaired. Let's not go to Paris. Let's go to the grocery store, Chief. And while we're being honest, why are you wasting our time with this exercise anyway? When you and I both know you don't have a million dollars.
      Richard: Well, things may be a little different around here in the next few weeks.

    • Richard: Dr. Kepner, if you don't believe he's a canidate, why in the world would you convene a panel today?
      April: That is a very good question, Chief. I did think that he was a canidate earlier in the day but the longer I looked at his criteria the more glaring it became.
      Richard: It became glaring the more you looked at it?
      April: Well, also, um, new facts came to light. Um, the patient has no support system, no one to take him for post-ops visit or to make sure he complies with his meds. Ea-Earlier in the day he said he had a daughter, but it later came out that they're estranged.
      Cristina: That's not a reason.
      Teddy: Dr. Yang, do you have something to add?
      Cristina: No.
      Teddy: You don't believe that having a support system in place is an important factor in this decision?
      Cristina: It's just one factor. ... But this guy is borderline. That's why were here. We can talk about his criteria all day. I mean, his creatine clarence is low, but not critical. His-- His nefungal pneumona is bad but treatable, I mean, he's borderline. I've been involved in 27 transplant surgies and every time, the patient's will to fight is just as telling and Roy has it. If we give him the lungs, it won't be a waste because he will live. I know it.

    • April: We were supposed to be a team today. You told me what to say, and then you just turn on me?
      Cristina: I didn't plan it.
      April (sighs): I'm not used to failing.
      Cristina: Neither am I. (April walks off, Cristina walks up to Teddy) I know you think recommending him was the wrong decision, I'm sorry, but I just didn't agree.
      Teddy: Cristina, in a case like this, the right decision is making a decision. That's what we do. That's the job. You formed an opinion and you argued for it. And you weren't alone. The panel voted to put him on the list, congratulations. You were a doctor today.

    • Jackson: What am I supposed to say to her? That I botched the insertion? And- And that I puncutured the vessel? Or that an error was made? Or...
      Derek: You don't tell her anything. You made a mistake, it happens all the time. I had to yell at you, because that's my job. My job now is to... Our job now is to go in there with smiles on our faces and tell her the surgery was a success, because it was.

    • Derek: I'm gonna find a cure for Alzheimer's.
      Richard: The cure for Alzheimer's, with a million dollars?
      Derek: With a million dollars, it's a start.
      Richard: You're talking about a clinical trial? A clinical surgical trial?
      Derek: Yes.
      Richard: Start up costs alone, never mind the FDA, Derek, it's just...
      Derek: Today I watched Meredith perform an emergency craniotomy by herself. She was perfect. She's got her mother's talent, she's got her mother looks, Richard. What if she has her mother's disease? Ellis was young when it started. ... Everytime Meredith forgets her keys, or asks what day of the week it is I... When that millon dollars runs out, investors will throw money my way for the same reason I'm gonna throw everything I got at this trial. Because their dad has it, or their wife. Breakthroughs don't happen because of the medicine. Real breakthroughs happen because someone is scared to death to stop trying.

    • Mark: If I root against him, does that make me a bad guy?
      Arizona: The patient's a child, Mark.
      Mark: Alright, Karev. You got this. If you don't, we're right here.

    • Callie: And that is why the future of ortho is in zena-grafting. (Richard sighs. Callie laughs nervously) You think I'm nuts. You're thinking... (imitates Richard) 'I don't cow ligament in my leg, that sounds wacky.'
      Richard: That's supposed to be my voice?
      Callie: No. That's the... The voice of the average baby boomer.
      Richard: I was hoping for something more... Inspirational. For example, Dr. Robbins suggested that we take--
      Callie: Oh, yeah, yeah. Tiny humans.
      Richard: What?
      Callie: Arizona's nicer than I am.
      Richard: I-I'm sorry?
      Callie: She's more patient, she went to Hopkins, she's more reknowned in her field, she's a much better lesbian. I- I mean, I was sort of a late bloomer in that area. But she's got this whole circle of lesbian friends, you know? Like, like this subculture. And uh, I'm always just... I'm always just a little bit left out. Just a little bit talked down to because I have a long history of enjoying sex with men, which is something that I don't think I have to apologize for. Whatever. I'm just... She's just... She's... She's just better.
      Richard: So you want me to give ortho a million dollars to level the playing field in your relationship?
      Callie: Also for the zena-graft which, as I mentioned, the future of sports medicine.

    • Lexie: How didn't I see this coming?
      Meredith: Did you check her platelets?
      Lexie: Yes.
      Meredith: And everything was normal?
      Lexie: Yes, until now. Yes.
      Meredith: Okay, well, you checked her platelets, you got a CT, you called neuro. The only thing you're doing wrong is standing around talking about it, wasting time, while we should be getting her to the O.R.
      Lexie: You totally sound like an attending.
      Meredith: Right?! Let's page Shepherd, 911.

    • April: Cardio is not my thing.
      Cristina: What?
      April: Neuro is my focus and this is cardiothoracic and I've had relatively little experience with caridothoracic, you know I'm pretty sure I'm gonna walk in there today and humiliate myself. Or humilate you, or Teddy, or the Chief. You know, really, anyone who could possibly be humilated by my failure is gonna be humilated today.
      Cristina: He was admitted two days ago. Teddy could've convened a panel yesterday but she didn't.
      April (realizes): She doesn't think he's a candidate.
      Cristina: No, she doesn't So just say that and you'll be fine. Everybody will be fine except for Roy, who will be dead.
      April: Wow, way to kill a happy moment.

    • Owen: I like the dark blue scrubs on you. You look good. ... You okay?
      Cristina: My patient deserves a doctor.
      Owen: You don't have to cut, no ones asked you to...
      Cristina: I know that. I know what's being asked of me and I'm doing it.
      Owen: Okay, I got an idea. And I think it's gonna help. You and me, we're gonna go outside into the alley behind the hospital and you're just gonna-- You're just gonna kick my ass, you're gonna knock the living crap outta me. (Cristina smiles and laughs, Owen laughs) There you are. I knew you were in there somewhere. End this day, good or bad, we're going to go home together.

    • Arizona: No, you did not say that to the chief. (they laugh)
      Mark (to Callie): It's your fault, you know. You psyched me out.
      Callie: What? All I ever do is support you.
      Teddy: Oh, look at that face. That's her game face. She's in it to win it.
      Arizona (sees Alex walking by): Oh, hey, Karev. You talk to Seth's mother?
      Alex: Oh, she's thinking about it. She may wanna talk to you guys again.
      Mark: Way to handle it.
      Alex: What? I can't force her to listen to me.
      Mark: Keep your face in that book, it'll inspire confidence. (Alex walks off)
      Callie: Okay, that's getting into someone's head. I'm just honest.
      Arizona: Oh, I'm up with the Chief. I gotta go.
      Callie: Oh, knock 'em dead. Oh, wait... (reaches into her pocket and gets tissues) I bought you tissues. (hands them to Arizona, she takes them)
      Arizona: Thanks. (walks off)
      Mark: You have a sickness. You do.

    • Richard: That is a very compelling and very focused presentation, Dr. Robbins.
      Arizona: You seem surprised.
      Richard: No, no, not at all.
      Arizona: Did you think I was going to cry? (Richard nods) Yeah, um... (pulls out the tissues Callie gave her) Torres suggested I was going to cry as well. ... I think that we should all try to wipe the whole crying thing out of our memories. It happens very rarely. It's embarassing and frankly I think that I've got it under control. And the fact that my colleagues see me as the type of person who would burst into tears into tears in the middle of an important, professional situation, well, that doesn't make me weepy, that makes me mad. Like, violent. Makes me wanna punch someone, and you know, I was the daughter so I was taught to hit as a child. I was taught to hit fast and hit hard so you only have to hit once! And now I feel like hitting a person or a wall, no, a person! (shoves the tissues towards Richard, then she calms down and quietly places them back in her pocket) Let's just circle back to the sweet little children.

    • Mark: I'd like to expand the burn unit at Seattle Grace. Make us the go-to destination for serious burn victims. I'd also like to upgrade us to a real nationally reknowned center for cosmetcally-reconstructive surgery.
      Richard: Two sub-specialities?
      Mark (leans closer to Richard): Well, revenue from the cosmetic center helps support the burn unit. One hand scratches the other.
      Richard: That's a nice idea. And an awfully ambitious plan for a million dollars. And a tremendous amount of work.
      Mark: I'm not seein' anyone right now. I'm not sleepin' with nurses, residents, attendings, nobody. So I'm an untapped source for raw power. I'm tellin' 'ya, I have the engery of ten men. So, with one million dollars and my untapped stores, we can move mountains. (Richard just glares at him) Are you excited? I'm excited.
      Richard; Leave. Right now. Just... (waves towards the door)

    • Owen: Every doctor in this hospital needs trauma and training. Disaster training.
      Richard: You've got a strong department.
      Owen: No, not just my staff. Everyone. ... Eleven people died in that shooting. Eight of them never had a chance, but the other three, could have been saved. Charles Percy had a gun shot wound to the abodmen. Miranda Bailey did everything that she was trained to do. She gave him fluids, controlled the bleeding, applied pressure, then she tried to get him to an OR. But she couldn't. And so he died. Now, a doctor with disaster training would have been able to access that environment and worked quickly and would've known an alternative escape route. Doctor Bailey was not trained to do that and neither are 90 percent of the doctors on your staff. ... And she'll remember him dying in her arms for the rest of her life... and I'll remember it. And you'll remember that we could have saved him. We failed her. We failed Charles Percy, one of our own doctors. I can't face that. (sighs) I can't face that ever again. Can you?

    • Mr. Henley: I wanna know what she thinks. The one with the sourpuss on her face.
      Cristina: I don't have a sourpuss, this is just my face.
      April: It's true, it is just her face.

    • Lexie: Um, hey, post-ops look good, so if there's nothing else...
      Meredith: Oh, could you discharge 1224? And his chart needs to be dictated.
      Lexie: Uh, yes. It's gonna have to wait until I check on Torres' knee girl, turf the window jumper to psych, remove a june bug from some kid's ear in the pit, write some meds for screaming casons guy, and then deliever labs to my groader lady.
      Cristina: Stop bragging.
      Lexie: I can't. I was born for this kinda thing.

    • Cristina: I shouldn't be in charge of anybody.
      Meredith: Just put one foot in front of the other, just get through the day.

    • Richard: Dr. Altman, stem cell research is on the cutting edge of all medicine. Why cardio?
      Teddy: Well, cardio and neuro are the becons of this hospital. They're what put you on the map. Look, you know what? Y-You can't give this money to neuro. I mean, neuro really isn't even a department, it's just one strong surgeon. You're better off putting your money onto a deeper bench.
      Richard: What do you mean?
      Teddy: Well, Shepherd he's like a charasmatic cult leader. He's very appealing, and he's got a bunch of people hiding in his shadows, well, don't get me wrong he is a great surgeon and he can pull off a flashy procedure but is he really cultivating talent? Is he taking the time to teach your residents? Knowing when to push, and dishing out tough love when they need it? I mean, that's the hard part. I don't know, maybe Shepherd just doesn't like competion. I mean, he tried to fire me! No-Not that I'm holding a grudge or anything. ... Well, n-not much of one, anyway. ... I'm uh... Well, I feel like I should've stuck to my notes.

    • April: Do we think he's a transplant canadite?
      Teddy: Do we?
      April: At this point, I don't think there's anything else we can do, right?
      Teddy: Dr. Yang, do you agree?
      Cristina: I don't know.
      Teddy: You don't know if you agree?
      April: He'd have to be approved before going on the transplant list. Do we convene a panel?
      Teddy: Yang, do we?
      Cristina: I couldn't say.
      April: He's running out of time, I say we convene the panel for today.
      Teddy: Okay, convene the panel and then what?
      April: I get some interns to order Mr. Hanley's tests. On it. (walks off)
      Teddy: Dr. Yang, I don't know?
      Cristina: I'm here, I'm trying, but taking point...
      Teddy: I'm not asking you to be in the OR. I'm asking you to say something, to participate. We're at a crossroads Yang, a crossroads where you either get in the game ... or I tell Richard it's time to send you home.

    • Arizona: I don't like the idea of teenagers getting plastic surgery.
      Mark: If the growths were on his face you wouldn't have a problem with him wanting them removed.
      Arizona: Yeah, but I might have a problem with Karev removing them.
      Mark: I'll give 'ya that.
      Callie (walks up): Ooh, what happened?
      Mark: Karev's about to do a ginocomastia surgery on a thirteen year old.
      Callie: Oh, Karev's fine. He's done way bigger procedures than that. You two would just rather worry about him than your presentations to the chief.
      Arizona: Oh, yeah. I'm not worried. The money's going to the tiny humans. No one ever says 'no' to the tiny humans.
      Callie: Oh. Okay.
      Arizona: What?
      Callie: Well, you're not gonna cry because you find the chief intimidating?
      Arizona (laughs): No.
      Callie: Good. (smiles)
      Arizona: Okay, I have work. Bye. (walks off)
      Mark: What? Are you trying to psych her out?
      Callie: Ortho needs the money. She and the freakin' tiny humans have all the help they need already.
      Mark: I'm getting the money, let it go.
      Callie (laughs): Oh, okay.
      Mark: Why wouldn't I?
      Callie: Well, 'cause you never prepare for anything. You think you'll get by on your good looks and charm and the brillance that pops off the top of your head.
      Mark: Yeah, 'cause it always works.
      Callie: Mmm. Uh huh.

    • Teddy (looking on at the residents in the navy scrubs): Are you sure that this is a good idea?
      Richard: Of course it is. We all did it. See, evalution of the craft, the passing of the torch, the life and blood of the training process. ... Pray people, we want God in the building today.
      Callie: What time are we pitching you today?
      Bailey: Yeah, is there an order?
      Richard: You people are adults, you decide the order. I decide who's department gets the million dollars. Love a good dog fight. (walks off)
      Callie: He can be intimidating, once you get into the room.
      Teddy: Really?
      Callie: Oh, yeah. When I pitched my cartilidge research last year he was all ticked off 'cause I had a typo in my table of contents.
      Teddy: Y-You had a table of contents?
      Callie: Yeah. (Teddy looks nervous and walks off, Callie laughs. Bailey gives her a look) What? I love a good dog fight, too.

    • Meredith: Who gets to cut?
      Derek: I wanna get a look at both of you with a drill before I decide who gets to the shunt. Skills lab, fair way to go. (walks off)
      Jackson: Competing with the wife. If that's not a stacked deck.
      Meredith: It's a game really. All you have to do is win, which you wont.

    • Lexie: Uh, Chief Webber, I'm sorry, I didn't get any scrubs.
      Richard: Uh, this is for fourth year residents only, Grey. It's just a regular day for you. (walks off)
      Lexie: Well, fine, if they're gonna be attendings then that makes me chief resident.
      Alex: No, that makes you our SCUT monkey.
      Lexie: No, it doesn't. D-Does it? It doesn't.

    • Meredith (closing voiceover): We all want to grow up. We're desperate to get there. Grab all the opportunities we can to live. We're so busy trying to get out of that mess, we don't think about the fact that it's going to be cold out there. Really freaking cold. Because growing up sometimes means leaving people behind. And by the time we stand on our own two feet, we're standing there alone.

    • Meredith (opening voiceover): They train doctors slowly. They watch us practice on frogs and pigs and dead people and then live people. They grill us relentlessly. They raise us like children and eventually they take a cold hard boot and kick us out of the nest.

  • NOTES (3)

    • International Episode Titles:
      Czech Republic: Tém dosplí (Almost Grown-Up)
      Finland: Viittä vaille aikuinen (Almost a Grown-Up)

    • Music Featured In This Episode:
      1. On The Sly by The Bamboos
      2. Head on Your Heart by Mat Kearney
      3. You Always Make Me Smile by Kyle Andrews
      4. Look Alive by Wait.Think.Fast.

    • Original International Air Dates:
      Canada: October 21, 2010 on CTV
      Sweden: November 3, 2010 on Kanal 5
      Finland: November 17, 2010 on Nelonen
      United Kingdom: February 2, 2011 on Living TV
      Australia: March 3, 2011 on Channel 7
      Germany: April 20, 2011 on ProSieben
      Norway: August 16, 2011 on TV2
      Czech Republic: January 2, 2012 on Prima LOVE