Grey's Anatomy

Season 5 Episode 15

Before and After

Aired Thursday 8:00 PM Feb 12, 2009 on ABC
out of 10
User Rating
315 votes

By Users

Episode Summary

Addison, Naomi and Sam rush the ailing Archer to Seattle Grace and reunite with old friends Derek and Mark to help save his life; meanwhile, Izzie employs her fellow doctors in a medical game designed to help teach the interns, and Owen runs into a significant someone from his past.moreless

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  • Derek tries to save Addison's brother.

    I love how on medical shows they always act like there's no way to possibly save a patient, then right at the end someone says hey what if we tried this (somehow they missed it originally despite being world-class doctors) and the patient is saved.

    That age-old television flaw was brought back tonight for this special cross-over edition. It was exciting to see Sam and Naomi in a different environment and for Addison to be back at Seattle Grace, but the episode just wasn't that great. The ending was predictable and the drama just wasn't there.

    We've all read reports about Izzie possibly leaving the show, and after this episode you truly see why. She deserves much better than orchestrating a relay race between interns.moreless
  • And the crossover finally begins...

    The reason I give this episode a '10' is because (while it is a fictional television show), it still reminds us that we can try something new and different, and if it doesn't work, at least we tried. Sounds reminiscent of the George & Izzie storyline in S3/S4, but I digress. Anyway, I enjoyed the crossover of characters because it provided not only a little color to the 'gray' of this season, but it added a sense of reflection, a sense of today, and a sense of what's to come...especially when Addison says to Mark, "What happened to you?" These characters we've come to love have changed and not everything can stay the same...i.e. Hahn/Burke leaving, Addison moving, etc. All in all, great episode!moreless
  • GA is back!

    After a beginning of season 5 quite lame - IMO - I think that GA seems to be definitely back on tracks!

    The crossover with Private Practice was brilliant. I had the feeling to be experiencing the show I 'fell' for a couple of years ago. The interaction between the characters was great, the medical cases were poignant and some lines were very funny. I still think that it's a shame Addison left Seattle Grace but every time she visits is a great moment. It was nice to have a Denny-free episode and seeing Izzie getting sick was disturbing, weird and sad at the same time. I just wish she would talk to Alex about it.

    The whole thing was very good. One drawback though: Sadie's exit reminds me of Hahn's one. Nobody ever noticed until now that she didn't know anything about medicine? That's very weird!

    Look forward to the next one, and it's been a while since I haven't been excited at the idea of a fresh episode!moreless
  • This is the reason why I fell in love with this show.

    I miss Addison and I am happy to see her back in Seattle Grace. I felt bad for Meredith, though. But I applaud her for knowing where to stand.

    I just wish (sometimes) that the show will be able to focus on all the character that made the show what it is.

    I love Owen and Cristina. The way Cristina understands him and where his coming from. Great to see George again and seeing Sadie leave, its not that I don't like Sadie. I just don't see the point of putting her in the show.

    I do admit I love episode 14(Beat Your Heart Out) more. But each episode has its special moment.I just really hope Grey's Anatomy writers will stay out of the Denny scenes and other non-sense and surely they can make Grey's Anatomy stay on top of its game.moreless
  • I liked both Grey's and PP's episodes for this crossover, I think it was just what both shows needed!

    Loved every minute of it! Addison, Sam, Naomi and even Archer removed from their sunshiny LA environment and thrown into the serious, life-saving, no-joke background of Seattle Grace was just the injection of originality PP needed. My favourite part was Miranda and Sam getting along so well together and even being on the brink of developing a friendship. Miranda is such an amazing personality, sparkling with intelligence and wit every line she delivers. So her intake on Sam's attitude towards Naomi's relationship with Archer was very refreshing. Noone can really be so cool about things like that! I think she gave Sam good reason to ponder on his future moves.

    Also, I loved Derek's antagonism with Archer - at the point where Archer thought the cysts had reformed and Derek stormed into the room and told him off I was so excited! I didn't think Derek had it in him but he sure put Archer in his place there! And I liked how he and Addison have figured out everything's over between them and there's no hard feelings left. I just hated them being off with eachother.

    Apart from that there was an important revelation about Owen and I believe one we needed, since he participated in a war and must have witnessed all these incredibly cruel things there - his friends being maimed or killed and himself bearing the responsibility for their lives the whole time - that we just couldn't dismiss it with a few dialogues. We had to see the real extent of the impact this war has had on him, and how broken and changed he really is. Christina understood him and it was great, to see this forgiving side of her character for the first time. Great epi in all accounts! Thumbs up for this one.moreless
Ellen Pompeo

Ellen Pompeo

Dr. Meredith Grey

Sandra Oh

Sandra Oh

Dr. Cristina Yang

Katherine Heigl

Katherine Heigl

Dr. Isobel "Izzie" Stevens

Justin Chambers

Justin Chambers

Dr. Alex Karev

T.R. Knight

T.R. Knight

Dr. George O'Malley

Chandra Wilson

Chandra Wilson

Dr. Miranda Bailey

Grant Show

Grant Show

Archer Montgomery

Guest Star

Jennifer Westfeldt

Jennifer Westfeldt

Jen Harmon

Guest Star

Ben Shenkman

Ben Shenkman

Rob Harmon

Guest Star

Kate Walsh

Kate Walsh

Dr. Addison Forbes Montgomery

Recurring Role

Steven W. Bailey

Steven W. Bailey


Recurring Role

Brandon Scott

Brandon Scott

Dr. Ryan Spalding

Recurring Role

Trivia, Notes, Quotes and Allusions


  • TRIVIA (2)

    • Goof: When Derek walks into Joe's bar, and Addison is telling him that he was a god, her hands are on his neck and then his shoulders when the camera is on Derek, but when the camera is on her, we see no indication of her hands.

    • The song that Derek wrote and sang to Addison at their wedding goes something like this.

      Our eyes met over the cadavar, and I knew that I had to have her / Had his mitral valve grown too think? Is that what made the cadavar so sick? / Addison Montgomery he met her in the summer / She was cutting up a very dead body / And in her eyes I saw my life / I knew that she'd be my wife / And that she would breathe the life back into me / For every day until eternity / Or until I'd be as dead as that body.

  • QUOTES (27)

    • Mark, Naomi & Sam (singing): 'Had his mitral valve grown too think? Is that what made the cadavar so sick?'
      Addison (laughs): Oh, God!
      Derek: Shut up.
      Naomi: But we can't. We can't remember the second chorus.
      Sam: We get all the way through and we can't remember the second chorus. Your name, your name starts with the chorus.
      Addison (singing): 'Addison Montgomery, he met her in the summery.' (they laugh)
      Derek: It wasn't summery. I'd never use summery as a noun. I met her in the summer... she...
      Addison (laughs): Oh, summer, she-- Really?
      Derek (laughs): Yeah.
      Sam & Naomi: She was... (singing) 'Cutting up a very dead body.'
      Derek: This is why I don't stay in touch.
      Sam (singing): 'And in her eyes I saw my life...'
      Naomi (singing): 'And I knew that she'd be my wife...'
      Mark, Naomi & Sam (singing): 'And that she would breathe the life back into me. For every day until eternity.' (Addison and Derek share a meaningful look)
      Sam (singing): 'Or until I'd be as dead as that body.' (they all laugh)

    • Addison (to Derek): You were... You were a God today, you were a God today in that OR. You slew dragons, you walked on water, you... You were a God, but now, now you need to get very tiny again... (laughs) And go back in the box.

    • Mark: I'm an ass.
      Addison: You're such an ass.
      Mark: I shouldn't have blurted.
      Addison: Uh, a little warning would've been nice.
      Mark: But you're okay?
      Addison: Yeah, you know, it strange. I expected this horrible feeling, this wave of sadness or something to just take over... But... people get divorced... they meet new people, they remarry. I don't kow, you know, things just... Maybe seeing Archer in that OR, it just changed my perspective... or something.
      Mark: But you sort of wished it had been you first.
      Addison: Oh, shut it. So, what are you gonna tell Derek about the-- Okay, wait, wait. (chuckles) If we call Meredith the 12 year old, what do we call Lexie? A preschooler?
      Mark: She's a woman.
      Addison (laughs): Oh, okay.
      Mark: I'm gonna tell him. ... I'm working on it.

    • Richard: I just got out of surgery. What's goin' on?
      Alex: She needs a prize.
      Izzie: A big prize, but not too big, because they did take out their own appendixes. I understand that they're still being punished for that, and that you think that they're not even authorized to hold a clamp... So, do you have any prizes like that?
      George: Alright, they just diagnosed the syptoms for their final patients, so get out the finish line. It's gonna be close.

    • (They are all in the gallery, watching Archer's surgery)
      Addison: Say it, Derek. Say it, say it, say it.
      Derek (looks up at Addison in the gallery): Okay, people it's a beautiful day to save lives. (Addison smiles, looking relieved)

    • (They are all in the gallery, watching Archer's surgery, Sam sits next to Bailey and looks at the paperwork she's filling out)
      Sam: Peds surgery fellowship?
      Bailey: Yep, just when I'm almost done with my general surgery residency, crazy, huh?
      Sam: No, uh... Just suprising. Uh, you don't seem like a peds person to me.
      Bailey: Why not?
      Sam: Because you don't smile. Peds people smile.
      Bailey: I smile. (Sam gives her a look) Well, I'm not gonna smile right now, but I do smile. I smile frequently.
      Mark (walks in): Hey, he under yet? (Sam nods, Mark looks at Bailey's paperwork) A peds surgery fellowship, huh. (Sam snickers)
      Bailey: I have a child, I'm familar with children. I am going to be an excellent pediatric surgeon.
      Sam: You're gonna wanna keep that tmeper in check around the kid.
      Mark: Weird seeing Archie on that table.
      Sam: Yeah. (takes out his inhaler) Asthema. ... Looks like I'm low. (Bailey takes it from him, and hands to someone to refill it)
      Sam: Thanks.
      Bailey: It's good practice, asthema's big with kids.

    • Bailey: Hi. I'm Dr. Miranda Bailey, I'm a friend of Addison's. Now, which one are you?
      Sam: I'm sorry?
      Bailey: Archer is Addison's brother, and Archer's girlfriend is Addison's best friend, who used to be married to Derek's best friend, who Derek hasn't spoken to since the divorce.
      Sam: Right, well that would be me. The ex-husband. Dr. Samual Bennett.
      Bailey: Sorry. Well, I didn't think that the ex-husband would show up at the at the ex-wife's boyfriends beside.
      Sam: Right, well, don't worry about it. Uh, I even don't know why I'm here. (laughs)

    • Derek: There's just no way, Addie.
      Addison: I put you... in a tiny box, ... after the divorce. I made you petty and inconsequential, and nothing special, so that you fit into this tiny... little box. That would help me get out of bed in the morning, but now, now I have to take you out of the box because... I nede to believe that, uh, you can do this. That you can save my brother. I need you to be a God, just today, ... be a God.

    • Archer: I hate surgery, especially brain surgery.
      Mark: Yeah, being a neurologist, you probably see a lot of patients post-op, who are just scrambled eggs up there--
      Addison: Okay, Mark, you're not helping right now. We're sitting here trying to convince him that surgery is--
      Derek (walks in): Not an option. Accoridng to these scans, the single cyst that you had in your last CT has now multiplied by eight, all clogging the third ventrical. There's no way I can surgicially navagiate through a mess like that.
      Addison: So, what does that mean? (everyone is silent)
      Archer: You're in a room full of doctors, Addison, who are all being very quiet right now. ... I'm gonna die. That's what it means.

    • Naomi (singing): 'Our eyes met over the cadavar, and I knew that I had to have her.' (laughs) What was the next line?
      Addison (seeing Meredith): Can we talk about something else, please?
      Archer (singing): 'Has his mitral valves grown too think?'
      Naomi (singing): 'Is that what made our cadavar so sick?'
      Mark (walks in): Greatest love song of all time. Did you guys get to the part where Derek rhymes 'gross anatomy class, with Addison's fine ass'? 'Cause I wrote that line. (they laugh, Mark notices Meredith) Oh, my bad.
      Meredith (smirks): No, no, it's fine. It sounds like a fine song.

    • Bailey: How's he doing?
      Addison: I don't know.
      Derek (comes out of Archer's room): He's groggy, his eyes are open, but I don't think that he's awake, because he hasn't tried to kill me yet. (to Bailey) Her brother hates me.
      Addison (sighs): People pick sides in a divorce, Derek.
      Derek: He picked sides in the marriage. ... He first seized while having sex with his girlfriend. I wonder why she's not here.
      Naomi: Oh, she is.
      Derek: Naomi?
      Addison: I'm going in there. (goes in Archer's room)
      Derek: So, you and Archer?
      Naomi: No. Yeah. Well, I don't-- I don't know. Yeah, I don't know what we are.
      Derek: How's Sam?
      Naomi: Sam's good. And uh, how's uh... Meredith? Is that her name?
      Derek: She's good.
      Naomi: Well, look at us, we're standing here making polite conversation about your girlfriend. You two are divorced, me and Sam are divorced and I'm with Archer, sort of. What the hell happened? I mean, you wrote Addison a song, Derek.
      Derek: Can we just forget about the song? Enough with the song.
      Naomi: What? You wrote her a own little love song and you sang it to her at the wedding.
      Derek: Mark wrote it or Sam or somebody, I don't remember who it was.
      Naomi: I do. I do. I was drunk at the time, but I remember, and I remember thinking that you guys were gonna last forever, that we all were gonna last forever.
      Derek: Yeah.
      Naomi: You should call Sam, he misses you.

    • Ryan: Morning, Chief. I heard there was a guy here with worms in the brain.
      Richard: Does anyone know the medicial term for 'worms in the brain'? (all the interns are silent) Dr. Stevens requested you today for a special project.
      Izzie: Okay, take an envelope and pass the rest back, but do not open 'em. We're gonna need them for the first game that we're going to play.
      Steve: That's what we're doing today? Playing games?
      Izzie: Cheer up. We're gonna have so much fun. (Graziella is opening her envelope) I said don't open the envelope! God, don't you know how to play a simple game?
      Graziella: I did when I was eight.
      Izzie: Let's just go. (she starts walking away, they follow)
      Richard: Dr. Bailey's with Addison today, so I'm gonna hand out your morning assignments.
      Meredith: Addison's in the hospital?
      Richard: Her brother was admitted last night, with parasites in his brain.
      Meredith: Addison's brother has neurocysticercosis?
      Richard (calls out to the interns): See? That's what I'm talkin' about.

    • Alex: What the hell are you doing?
      Izzie: The interns are broken. They've been punished for taking out their own appendixes, and it's making them hate medicine. they're lost right now, and they've forgotten that this thing they hate is actually a thing they love. So, I'm gonna remind them.
      Alex: Is this about Denny? Is this some sort of dead boyfriend art therapy?
      Izzie: This is not about Denny. It's about the interns.
      Alex: Who cares about the interns? They're a bunch of losers.
      Izzie: They're not! They're not, they're just... Oh! They need to have a little fun, and so do I.

    • Sam: Your wife's in the chapel praying.
      Derek: She's not my wife, and she doesn't pray.
      Sam: Hey.
      Derek: How are 'ya? (they hug)
      Sam: You know, mid life crisis. I got an earring... I got an earring, but I let the hole close up the very next day.
      Derek: That woulda... That woulda been a very good look on you.
      Sam: I met, uh, Meredith.
      Derek: Uh huh. She's not a midlife crisis. She's the real thing.
      Sam: That's great. I'm happy for you man. I'm happy for you.
      Derek: Yep. ... I should have called.
      Sam: No...
      Derek: I should have stayed in touch. It's my fault.
      Sam: Hey, people move, they change. You know, we all do. ... But, yeah, she's praying.
      Derek: She's expecting a miracle, ... and I can't deliver one.

    • George: She knows nothing, nothing. She's a danger to the patients so I told her that she could tell the Chief or that I could, and I wanted to let you know, because you're her friend. Although, for the life of me, I... I don't know how you two were ever friends. (George walks off, Sadie comes out of the Chief's office)
      Meredith: What happened?
      Sadie: I quit. O'malley's a little narc. I'd rather be deemed a quitter than a cheater.
      Meredith: Did you cheat your way into the program?
      Sadie: I said I'm not book smart. You know that. I learn on my feet. I thought if I came to where you were, we... you could...
      Meredith: Pull you through?
      Sadie: We've seen each other through a lot.
      Meredith: We're not 25, sleeping our way through Europe anymore.
      Sadie: We could though. Think about it. We could get on a plane tonight, we could...
      Meredith: No. No! I can't. I have to work. I can't just...
      Sadie: Wow, you know... they've sucked the life right out of you. The Meredith I used to know...
      Meredith: Is right here. I'm here. I just don't wanna sleep my way through Europe anymore. I wanna be here. I wanna be here!

    • (Lexie has just won the intern contest)
      Lexie: Wait, what's the prize?
      Richard: You get to scrub in on Shepherd's craniotomy.
      Lexie: Yeah!
      Richard: And hold the doomsday sucker.
      Lexie: What's the doomsday sucker?
      Izzie: Doomsday sucker?
      Richard: It's just a really big sucker.
      Lexie: Yeah!

    • (Addison is kneeling in the hospital chapel)
      Bailey: What is she doing?
      Richard: Looks like she's praying.
      Sam: Hmm, no, Addie doesn't pray.
      Callie: What's she doing?
      Naomi: Uh, she's praying.
      Callie (chuckles): No, Addison doesn't pray. She must be hiding.
      Addison: I can hear you. And I'm not hiding. I'm trying to pray. But I don't know how to pray because I'm a WASP and I only go to church on Christmas.
      Callie: You guys go, I got this. (everyone walks away, Callie goes and sits next to Addison in the chapel)
      Addison: I have no clout with God. God doesn't even know who I am, which sucks... Because I could... I could use some help.
      Callie (kneels down, starts to pray): Dear God, I need your guidance. I kissed a peds surgeon.
      Addison: You kissed a peds surgeon?
      Callie (still praying): I never thought I'd end up with a woman, God, I mean not until lately, but that's not the problem. The problem is the ped thing. She's perky and has butterflies on her scrub cap, but she's... also hot. ... Really hot. So, help me get over the butterflies. Amen. (gets up, and sits back down next to Addison) You're an amazing doctor, you save babies, God knows who you are.
      Addison: Do you really believe in all this? In... God?
      Callie: Sometimes. ... Most of time, when it counts.

    • Mark: Dr. Grey. It would appear that congratulations are in order.
      Lexie: Thank you, Dr. Sloan.
      Mark: And I'd also like it acknowledged that I offer these congratulations, professionally and respectfully, without any inuendo or inappropriate body language.
      Lexie: Acknowledged, Dr. Sloan. (whispers) Do you know what a doomsday sucker is?
      Addison (after she watcher their exchange, she walks over): Addison Montgomery.
      Lexie: Uh, L-Lexie Grey.
      Derek: Mark, Addie, Little Grey.
      Addison: Little Grey? (smirks)
      Derek: I am going to have to meet you at Joe's in a bit. I have a crainotomy. Little Grey, I hear that you're going to holding the doomsday sucker.
      Lexie: Now? Uh, yeah, y-yes, yes, yes, sir.
      Derek: OR two, I'll see you there.
      Lexie (walks away): Okay. (Addison laughs)
      Addison: Can you believe Little Grey and uh--
      Mark (cutting her off): Hey, did you hear that Derek was gonna propose to Meredith? How about that?
      Derek: And I'm off to surgery. (walks off, Addison glares at Mark)

    • Owen (to Cristina): I call her, alright. I call my mother, once a week. I haven't told her I'm back, she thinks I'm calling from ... I keep the conversation short because I can't bear for her to know that the son she sent off to war is gone. He's gone. And if I just got in my car and drove the six miles to see her, she'd be so ... sad. And she would look at me in the same way Beth does, now. Like I'm not there. The only time I don't feel like a ghost is when you look at me, because when you look at me, you see me. You see me. This is me. This is me. Please, Cristina, see me. See me.

    • Addison: Okay. I need to be distracted. Someone talk about something other than what's going on with my brother right now.
      Callie: Uh... Mark is good at talking about himself.
      Mark: Actually I've been using endosocopy for head and neck cancer recessions, if I could just focus the criteria for patients, I might have a breakthrough on my hands.
      Addison: What happened to you?
      Callie: He met someone.

    • Derek: Alright, Archer, I need to create room in the ventrical so I can manuever the scope, by deflating each cyst, the scope can remove them one by one.
      Archer: The cysts will rupture.
      Derek: I'm gonna grab each one with the forceps, and pull it to the edge of the port and suction out the fluid.
      Archer: The suction would have to precise--
      Derek: It will be.
      Archer: You can't do it.
      Derek: Oh, I think I can.
      Addison: Basically, you can control the way the cyst ruptures.
      Archer: No, he can't. Look, I know you guys want me to go down fighting but I-
      Derek: Coward.
      Archer: Excuse me?
      Derek: I said, coward. You're a coward by trade. You're a neurologist. You guys feed off us. Refer your patients to us. Let us assume the responsibility. And if, God forbid, something happens, well ... I'll tell you what, I can assume the responsibility. Question is, can you?

    • (Sadie is checking Jen's baby's heartbeat)
      Sadie: I can't find it.
      Jen: Is something wrong? Is the baby's heart not beating?
      Alex (taking the heart monitor from Sadie): You're on the kid's ass. The heart's over here.

    • George: I just wanted you to know, that I'm happy to help you, if you like. You know, reviewing the basics, putting in some survised skills lab hours.
      Sadie: Excuse me?
      George: Well, I... I was a repeater earlier this year. I know how easy it is to get behind.
      Sadie: I don't need a tutor.
      George: You don't? At this point in your training, you should be able to hear the symptoms, and diagnois the problem and determine whether or not the patient needs surgery. Can you do that? (Sadie is silent) Can you? Because they think you can, and they will put you in situations where you have to. (Sadie shakes her head and walks away) Sadie, you could hurt someone!

    • Lexie (reading from an instruction card): 'Find Dr. Sloan. He's your patient. Ask him his symptoms. Diagnose him correctly to receive your next challenge.' What are your symptoms?
      Mark: Right now I'm battling a rapid heart rate, also feeling a little flushed. I don't even want to mention what's going on below the belt.
      Lexie: Hey, I-I-I don't do dirty secret flirting with you anymore, okay? I-I told you, if you wanna go public, with me, with us, then I will do dirty, public flirting. I-I will flirt publicly, not dirtily. ... M-Maybe a little dirtily.

    • Meredith: Hey. You know Addison's brother probably isn't going to make it? His cysts are inoperable.
      Cristina: Worms in the brain. Not the way you'd want to go.
      Meredith: I didn't even know Addison had a brother. I mean, you'd think Derek would have said something at some point. Or sang something, while he played his guitar.
      Cristina: Speak English.
      Meredith: Well, Derek used to play the guitar...
      Cristina: Oh. Owen's ex-fiancee's in the hospital. His ex-fiancee he never told me about.
      Meredith: What's wrong with her?
      Cristina: Well, she calls her dad, Daddy.
      Meredith: No. What's wrong with her? Why is she in the hospital?
      Cristina: Oh, she isn't. Daddy is.
      Meredith: Hey, you know you should ask Owen if he plays the guitar.

    • Meredith: He had all these friends. They sang, and they played guitar and... It's almost like he was a totally different person.
      Cristina: Well, he was.
      Meredith: It kinda freaks me out a little bit. I feel like I don't know him.
      Cristina: Well, I don't know Owen. We don't. We don't know them.

    • Meredith (opening voiceover): Every patient's story starts the same way. It starts with them being fine. It starts in the before. They cling to this moment, this memory of being fine, this before. As their talking about it may somehow bring it back. But what they don't realize is that the fact they are talking about it to us, their doctors, means there's no going back. By the time they see us, they're already in the after. And while every patient's story starts the same way, how the story ends, depends on us. On how well we diagnose and treat. We know the story hinges on us. And we all want to be the hero.

  • NOTES (5)

    • International Episode Titles:
      Slovakia: Čas predtým a potom (Time Before and After)
      Czech Republic: Chirurgie hrou (Surgery, a Game)

    • Original International Air Dates:
      Italy: Monday, May 11, 2009 on Fox Life
      Latin America: May 11, 2009 on Sony Entertainment Television (aka Canal Sony)
      Australia: May 21, 2009 on Channel 7
      Germany: July 8, 2009 on ProSieben
      Norway: November 24, 2009 on TV2
      Slovakia: January 18, 2010 on STV1
      Czech Republic: May 27, 2010 on Prima

    • There is no closing voiceover for this episode.

    • This episode was the first part of ABC's crossover event with Private Practice's season 2 episode Ex-Life.

    • Music Featured In This Episode:
      1. Emily by Keri Noble
      2. Gather to the Chapel by Liam Finn
      3. Roll It by Shontelle
      4. Winter Song by Sara Bareilles & Ingrid Michaelson
      5. Happy Ending by Slow Runner