Grey's Anatomy

Season 5 Episode 9

In the Midnight Hour

Aired Thursday 8:00 PM Nov 20, 2008 on ABC
out of 10
User Rating
365 votes

By Users

Episode Summary

Meredith, Cristina and Bailey come to Lexie and Sadie's rescue when a routine surgery goes horribly wrong, as Owen and Derek treat a man seriously injured while sleepwalking and Mark comforts the sleepwalker's distraught daughter.

Who was the Episode MVP ?

  • Love and Surgery. Awesome Episode.

    Denny and Izzy make love for the first time. He wants to prove to her that he is really here and not a figment of her imagination. Everyone hears her and then leaves. Alex asks if he can help her out, but she claims that she's just sick. The intern, Sadie, lets Lexie and the other interns take out her appendix. They notice it looks inflamed, but continue anyway. The next thing you know, Lexie is asking Meredith for help because something went wrong. When Mer sees the situation she sends for Bailey. With Bailey and Yang's help they save Sadie's life, but the interns are in serious trouble and are put on probation. They aren't allowed in the OR until told otherwise. O'Malley finds out that Lexie loves him, which he was clueless about.moreless
  • Thoroughly enjoyable episode with the exception of the spectre at the feast - Denny and Izzie.

    This was one of those episodes that Grey's Anatomy do well with one major exception. That is the Denny-Izzie ghost storyline. I don't believe I'm the only one that hates this. The rest of the episode I thoroughly enjoyed. It was about time the interns stupidity about doing surgery on themselves backfired. How could they even consider it? This episode helped to flesh out some of the interns' characters. Alex with the fecal transplant couple was priceless as far as comedy value goes and there were many touching moments with Bailey. I also like the gentle development of Christina's relationship with Dr Hunt. George didn't have much to do (again) - I would have liked to see more of a storyline for him.moreless
  • Two words - Mixed Feelings

    I love Mark. he was incredible in this episode yet still managed to be snarky and funny. I love the relationship he has with Callie and I hope it develops into something deeper in the future. I love Alex in this episode. because we are finally seeing the incredibly strong and sensitive man he is. becuase he sticks to Izzie no matter what cr*p she throws his way. Im warming up to Owen and to Owen and Cristina. their scene was just incredible and I loved the speech Cristina gave to Meredith. MerDer were great in this epi too, especially in the last scene. this wasnt the way I wanted for George to find out about what Lexie feels for him but at least now they can maybe built some form of a relationship, be it friendship or romance. although I don think neither of them is ready for a romance right now. I loved the cases. especially the sleep walking one. Im glad the secret club is finally over with. and now the thing I fast forwarded because it was too painful to watch. I kinda expected an explanation and it seems we di not get any. and to be honest its getting too much. last week I was angry, now Im jut dessapointed that a stupid story line is essentially ruining an otherwise great show. and I still dont care for Sadie.moreless
  • The internes led by Lexie have made a terrible mistake and need help from Meredith, Christina and Bailey. Izzie and her ghost boyfriend are still in a tangling situation while Dr. Hunt shows Christina his feelings for her.moreless

    Izzie and her ghost is still dragging on. It has become unbearable. Are the producers trying to write her off and that she dies and join Danny in heaven? Or simply the writers are confused that they are writing for the Ghost whisperer ? (coincidently the recent episodes of GW are about Melinda and her ghost husband who comes back for her).

    The good part of the show is the Owen/Christina's slow developing admiration for each other. Dr Owen Hunt has gradually overcome his post-war syndrome and finally has the courage to open up.

    Another character that changes gradually for the better is Alex who has become a more mature and understanding person than he was before. The way he told Izzie about their relationships shows that he has more confident about himself. Justin Chambers is a good actor.moreless
  • Derek, Sloan, Owen, and George treat a patient with epilepsy. The interns perform a routine appendectomy on Sadie that turns haywire. Meredith and Christina fight. Izzy humps a ghost.

    Grey's is definitely not living up to its standards. This installment proves that the show doesn't prove its mettle with one good plot amidst some insane subplots.

    Firstly, I still don't understand why the makers are still unable to give us a rational explanation for Izzy's new found gift of having a relationship with the dead. The case of a sleepwalker who jump out of a window was one medical case that was covered with a primary purpose of depicting Sloan as a good guy. I liked the part where the intern's decide to perform an appendectomy on one of themselves. We see Sadie play the lab rat this time. But, for drama's sake, Lexie who does the appendectomy messes up with the internal stitches, which nearly pushes Sadie on the brink of death. A large number of characters still continue to be underutilized. Though, for most part I found this episode watchable, its fairly evident that most sequences are portrayed in a subtle manner. I feel the show has lost a good deal of intensity and power as a result of this.

    The last two episodes have been disappointing. Time to rev up and deliver.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

Leslie Grossman

Leslie Grossman


Guest Star

Joshua Malina

Joshua Malina


Guest Star

John Allen Nelson

John Allen Nelson


Guest Star

Jeffrey Dean Morgan

Jeffrey Dean Morgan

Denny Duquette

Recurring Role

Kevin McKidd

Kevin McKidd

Dr. Owen Hunt

Recurring Role

Melissa George

Melissa George

Dr. Sadie Harris

Recurring Role

Trivia, Notes, Quotes and Allusions


  • TRIVIA (1)

  • QUOTES (26)

    • Meredith: Hey.
      Derek: Hi.
      Meredith: Lexie's here.
      Derek: Yeah.
      Meredith: Are you making up a bed for her?
      Derek: Yeah.
      Meredith: You brought home a stray.

    • (Owen is sitting on Cristina's steps)
      Owen: I don't know why I came here.
      Cristina: ... Do you wanna come in?
      Owen: No. I don't think that that would be appropiate.
      Cristina: ... Do you wanna go someplace else?
      Owen: No. (Cristina sits next to him on the steps) I think you're beautiful.

    • Mark (to Derek as they look at Lexie sitting alone on the chair): When your mom used to see how tired I was, she used to make me bring you home because I was all alone and needed a family. ... That was a good thing. So, either you bring her home or I will.

    • Bailey: How 'ya doin'?
      Callie: They give good drugs here. (Bailey laughs) Do I look bad?
      Bailey: Oh, you look beautiful. Just badge of honor, written all over your face. (they both laugh)
      Callie: Wait, did I hear correctly that the interns went scalpel crazy?
      Bailey: Yes, you did.
      Callie (laughs): Crazy.
      Bailey: Ah, I don't know that they were... crazy. I can remember what it's like to be an intern, just lovin' medicine, being so excited by surgery, wanted to operate so badly that I'd do anything. That I couldn't stop bouncin' up and down long enough to even hold a scalpel. Now...
      Callie: Now?
      Bailey: I can do most of my surgeries without even thinkin' about it. It's like I'm driving and suddenly I'm at home, and I don't even know how I got there. ... I don't even remember most surgeries. Most of the lives that I saved. The residents, they're workin' so hard, workin' like crazy just to get to do a solo surgery, that I have come to hate. I hate appys. Appys bore me. I resent the appendix for bothering to get hot and needin' to come out. I resent an organ. (laughs) I... I don't know. Maybe I don't wanna do general surgery after all... Maybe I need a new challenge. Maybe I need somethin' to make me bounce up and down... Or maybe I'm just tired.
      Callie: It's okay, to be tired... Right?
      Bailey: You tired too.
      Callie: Oh, I'm exhausted. I'm beyond exhausted. It's just... I want... I don't know but I want somethin'.
      Bailey: Well, that makes two of us.

    • Meredith: Effective immediatley every intern here is on probation. So much as sneeze and you're done.
      Cristina: And none of you will see the inside of an OR until further notice.
      George: You lost the Chief's respect, which believe me, is not an easy thing to get back.
      Alex: I'm speaking for myself, you lost my respect and you probably won't ever get that back. (Pierce mumbles something) What did you say?
      Pierce: You seem to still respect Izzie Stevens, and she killed a patient.
      Alex (slams him against the wall): She was trying to save a man's life. And you almost killed a friend for fun, it's different.

    • Graziella: Are we going to go to jail?
      Ryan: You're not gonna go to jail, because you didn't have the balls to stay in the room. The rest of us, we're gonna go to jail.
      George (walks up, to Lexie): I just heard. What the hell happened? We lived together, you should've come to me.
      Lexie: So, what? You- You could've saved me?
      George: No, maybe I could've stopped you.
      Lexie: No, this isn't about you. George, this is the one thing that I've done in the past few months that wasn't about getting you to notice me. I did this. You had nothing to do with it. This was all me. (walks off)
      Graziella: Dude, she's like in love with you. How did you miss that? (George walks off)

    • Mark: It's gotta be scary goin' to bed at night, not knowing what you're gonna wake up to.
      Derek: Yeah. It sounds like livin' with Meredith. She takes in strays.
      Mark: It's your fault, you know, I never thought about Little Grey in that way until you told me not to. Now, I can't help it. You planted a seed.
      Derek: Unplant it.

    • Cristina: 2, what do you think you're doing?!
      Steve: Charting. I'm only charting!
      Cristina: Well, where's 3 and 4.2?
      Steve: I-I don't know. I thought...
      Cristina: You know, just stop talking. Come with me. You're gonna do the post-op orders on the appy. And you're gonna tell me all about all the trouble you and your little friends are into. (starts walking away, and sees Steve isn't following) Do you need a leash? Let's go.
      Steve: No.
      Cristina: What do you mean 'no'?
      Steve: I mean... I kind of can't walk. Do to the cathater and the epidural.

    • Mark: Do you know where they keep the IV kits in here? And where the hell are all the damn interns?
      Lexie: Um... The interns are interning. Busily interning. ... They are very busy.
      Derek (walks up): Dr. Sloan. Little Grey.
      Mark: I need some medical supplies. Found the intern in the supply closet. Did not invite the intern into the supply closet.
      Derek: Hmm.
      Mark: Go away now, Grey.
      Lexie: Thank you. (leaves)
      Mark: Stop lookin' at me like that, I didn't do anything.
      Derek: Don't do anything.
      Mark: I didn't.
      Derek: Don't.
      Mark: I didn't.

    • Callie: The guy was sleeping walking and took a two-story header through a plate glass window. Night terrors.
      Mark: Can you imagine? You wake up, you're battered, you're bruised, you don't know where 'ya are, or how you got there.
      Callie: Ah, sounds like my life. Married, betrayed, gay, abandoned, and then I woke up and have no idea how I got here. I just figured... this is the bottom. It's as bad as it gets. It can only go up from here.

    • Sadie: Your sofa sucks. I can't sleep.
      Meredith: I never went to bed.
      Sadie: You usually read on the bathroom floor?
      Meredith: I didn't wanna wake Derek. These are my mother's journals from when she was a resident.
      Sadie: I thought that we hated your mother.
      Meredith: Y'know, I kinda think now that if I wasn't her child, I would've liked her. I mean, she was funny, and intense. A lot like Cristina.
      Sadie: Oh, yeah. Intese I get from Cristina, funny not so much.
      Meredith: Oh, she takes awhile to warm up, but once she does, she's Cristina. Give her a chance. She's very loyal and we need allies around here.
      Sadie: What do you think about what's her name? Your sister? Lexie...
      Meredith: What do I think about her?
      Sadie: Yeah. As an alli for me. My new intern BFF.
      Meredith: No.. I-I uh, I-I don't see that. I just... She was raised right with parents, and rules, and smiley faced posters on her wall.

    • Izzie: I'm crazy, that's what this is, crazyness.
      Denny: Izzie, you're not crazy.
      Izzie: Then what is this? Wh-Wh-What are you?
      Denny: I'm a dead man that loves you.
      Izzie: This is my imagination. I've always had a very active imagination...
      Denny: Izzie... You touched me.
      Izzie: I touched you when you were alive, and kissed you. Everything that's happening has happened. I'm reliving moments, this is just residual grief.
      Denny: ... Alright, so I guess the only way to test it is to do something that we never got a chance to do in real life. (stands up, and takes off his shirt. They kiss)

    • Alex (referring to the interns): Where are the stooges?
      Cristina: Well, that moron and the moron and the other morons are AWOL.
      Alex: I need an intern to page me if my guy agrees to crap.
      Meredith: I wonder if they're in the skills lab, Sadie said something about a skills lab.
      Cristina: Sadie's in the hospital?
      Alex: Well, all that time in the skills lab is actually paying off. My interns are still idiots, but at least they're idiots that can put in an IV.
      Cristina (realizing): No, they're just idiots. (walks away)
      Meredith: So what's going on with Izzie?
      Alex: I don't know what's goin' on with Izzie. I'm sick of people not talking to each other. I'm gonna go get my crap chick some crap.

    • Izzie: God! You can't do that. You can't just disappear. I thought you were gone. I thought that you had left me again.
      Denny: Izzie, I told you that I'm here for you.
      Izzie: No, you're not. You died. You died! And you left me here. I was left here by myself, you left me all alone.
      Denny: You're not alone anymore.
      Izzie: Why? Why did you come back? I-I moved on. I got over you. I have a life and a job, and a boyfriend, and-and now you're back and I'm in this room, all day, probably talking to myself. I'm probably going crazy, and there is a real world out there and I'm stuck in here with you!
      Denny: I'm sorry I died.
      Izzie: No, no. Screw you! No, you know, you don't get to apologize for dying. You don't get to apologize because I killed you! (starts crying) I convinced you to let me cut the LVAD and I killed you! So, you don't get to apologize for dying! Dead people don't apologize.
      Denny: Izzie... Izzie...
      Izzie: You know, just shut up! Shut up!
      Denny: ... I love you.
      Izzie: I love you, too.

    • Alex (talking about the poo operation): We're just about ready.
      Lauren (to Seth): I'm sorry, honey for all my crazy.
      Seth: Don't be sorry, I love you, even crazy. Okay. I've taken your crap all these years. It's finally time for you to take mine.

    • Izzie: I can hear your heart beating, which is odd because they took it out for the autopsy. This isn't real, is it?
      Denny: It's real. Izzie, this is real.
      Izzie: ... I'm just gonna keep my eyes closed because this is like that moment in the morning, when you first wake up... and you're still half asleep and everything seems... Things are possible, dreams come true for that moment between waking and sleeping, anything can be real. And then you open your eyes and the sun hits you and... you realize that... I'm just gonna keep my eyes closed.
      Denny: ... Okay.

    • Meredith: Did you split the muscle, this way, or that way?
      Bailey: This way. No, wait, hold it, that way. It's the kind of thing that comes so natural you don't even think about it after a while. (looks at Meredith and Cristina) The two of you think it so hard you make me tired just looking at you.

    • Callie: I can't believe that this is happening.
      Mark: It wasn't a great nose, anyway.
      Callie: Wh-- Yes, it was! It was a nice nose!
      Mark: Relax, I was kidding. It was a gorgeous nose, and it will be again. Two weeks from now, you won't even be able to tell that anything happened.
      Callie: Really?
      Mark: Mmm. Three weeks. Four tops.
      Callie: I hate you.
      Mark: You love me. (Mark is about to give her a shot to numb her nose) Just a little pinch. (Mark sticks the needle up her nose, and gives her the shot)
      Callie: Ow, ow, ow, ow!
      Mark: Come on, that didn't hurt.
      Callie: Yeah, well, maybe if I was have a better year, it would just feel like a little pinch. But it hurts, Mark. It hurts a lot. Ow!
      Mark: You know, I was gonna use local, but I think we'll do concience sedation. This way when you wake up, your nose will be fixed and it will be a whole new day.
      Callie: Okay, well, I'll still have you, right? You'll still be my friend. You'll have sex with me when I want?
      Mark: Anytime. Yeah. ... Once your face heals.
      Callie: I hate you!
      Mark: You love me.

    • (Meredith and Sadie walk by Izzie's room and hear her moaning)
      Sadie: Hot.
      Meredith: Horny.
      Meredith (seeing Alex): Wh-Wh-What are you doing out here?
      Alex: What you think that you're the only one who paid off a nurse to page you with an appy?
      Meredith: That's not what I meant. (Izzie moans loudly) That's what I meant. If you're out here, then who's in there with Izzie ... (panicked) Derek?!
      Derek (runs out of the bedroom): What?! What's the matter?
      Meredith: Nothing. Nothing. I just um...
      Derek: What are you doing dressed? It's 3 in the morning. (hears Izzie moaning) Who's making a porno movie in Izzie's room?
      Alex: Relax. She's just flying solo. That's hot. (knocks on her door) Izz, party's over. We got an appy comin' in.
      Sadie (from downstairs): Death? Let's go.
      Derek: She living here too?
      Meredith: Just for a couple of days, just until she gets her own place and then she's gone.
      Derek: No more strays.
      Meredith: No more strays. (they kiss, and Meredith heads downstairs, and Derek back to bed)
      Alex (still knocking on the door): Izz, Izz, come on.
      Izzie (opens the door, out of breath): Hey, Hi. I'm- I'm not feeling that great. I think I'm gonna skip it. I don't know. I think that maybe I have the flu, or it's food poisoning...
      Alex: You're sweating.
      Izzie: Yeah... yeah. I'm hot. ... I mean, hot and cold. I- I have the chills. Yeah. I think I'm just gonna go back to bed.
      Alex: You didn't sound like you were sleeping. Y'know, I could skip the appy and help you out if you want...
      Izzie: No! N-No. I- I don't wanna get you sick too.

    • Bailey: What are you all doin' here?
      Cristina: Oh, uh, he's mine. I met the ambulance.
      Meredith: And she's sharing him with me.
      George: He's mine. I'm on call.
      Alex: uh, good morning, Dr. Bailey, you look nice today.
      Cristina: Brown noser. I got here first, and the Chief said that I'm the one to watch.
      Bailey: Oh, I get it. It's solo surgery time, and you all have heard that the past two years, the Chief has assigned an appendectomy. So you little mini surgeons dragged your butts outta bed to pick up some final tips from the master. It is kinda cute. Alright, I can use two of you.
      George: But, I'm on call.
      Cristina: I-I already filled Meredith in on the case.
      Meredith: Jason Kron, 47, tenderness over Mcburny's point.
      Bailey: Karev. What do you know about Mr. Kron?
      Alex: I know that he's a lucky man to have you as a surgeon.

    • Richard: I was sleeping. And sleep isn't easy for me to come by, and I was finally sleeping, and then I get a call.
      Meredith: I can't believe it. I still can't believe it.
      Richard: Don't beat yourself up too much about it. I've seen a lot of maturity from you throughout this whole mess. You handled the crisis. And you call for help right away. There was a time not so long ago when you would have come to a different conclusion. You could have stuck to the code and saved your own. Tried to hide the whole mess. You know sometimes, protecting your colleagues is solidarity. And sometimes it's just hubris. I'm glad to see you know the difference.
      Lexie (comes in): Chief... I-I-I can't let the two of you get in trouble for this.
      Meredith: Lexie-
      Lexie: No, it's not right. People tried to stop me. Dr. Yang told me yesterday to shut it down but I didn't listen--
      Richard: You knew about this yesterday? (to Meredith) Did you know?
      Meredith: No.

    • Alex: Gonna try to get some sleep. I gotta be back to the hospital in six hours.
      Izzie: Alex wait. I'm a mess. I'm a frickin' mess and I know that and, I'm sorry. I ... you a lot deserve better.
      Alex: Stop it. If you don't want to be with me, if this is too much for you right now, it's okay. But you're gonna have to break up with me, because I'm not going anywhere. I can handle the mess. It's up to you.

    • Bailey: Why you looking at me?
      Cristina: We were just wondering...
      Alex: The interns. They...
      Meredith: What are you gonna say to them?
      Bailey: Uh uh... No. No. I'm tired and I'm not saying anything to the interns. I raised my babies. You were my babies. Now you are grown folks and this on you. You raise your own babies.
      George: So, we have to talk to them?
      Bailey: Your babies.
      Meredith: What do we say?
      Bailey: Do you really need a speech from me? At this point, after all this time? Because if you do, you shouldn't even be here. If you do, then I haven't raised you right. And I know, I raised you right. No! You don't get a speech from me. It's time you make your own speeches.

    • Meredith (closing voiceover): Sleep. It's the easiest thing to do. You just... close your eyes. But for so many of us, sleep seems out of our grasp. We want it, but, we don't know how to get it. But once we face our demons, face our fears, and turn to each other for help, night time is not so scary, because we realize, we are not all alone in the dark.

    • Meredith (opening voiceover): When you're little, night time is scary because there are monsters hiding right under the bed. When you get older, the monsters, are different... self doubt, loneliness, regret... and though you may be older and wiser, you still find yourself scared of the dark.

    • Meredith: You knew? You knew they were going to cut her open?
      Cristina: No. No!
      Meredith: Lexie just said that you knew!
      Cristina: Sutures! I knew they were doing sutures on themselves. And I didn't think I needed to say anything because I shut it down. I handled it!
      Meredith: Well, apparently you didn't, because it almost cost Lexie her job, not to mention that Sadie almost died in there!
      Cristina: Okay, Sadie did that to herself. And let's not pretend that you have some sort of relationship with Lexie. Let's not pretend that you care about her.
      Meredith: I care about my job! And I care about doing the right thing!
      Cristina: Who are you to lecture me about doing the right thing?! Are you kidding me? You're not an attending, Meredith. You may be sleeping with one, but you aren't one yet.
      Meredith: Is that what this is about? Derek? It's always going to be about Derek?
      Cristina: Okay, fine, it's not about Derek, it's about you and me, and the fact that you didn't have my back in that room!
      Meredith: What would you have wanted me to say...
      Cristina: I don't know, anything! You should have said anything! You have a relationship with the Chief. You have his ear. But you didn't say anything to defend me! Because this isn't just on me. I mean, you just stood there and you watched him take me out of the running for solo surgery. You let me take all the blame. But the fact is that we all had interns in that room. We all failed to supervise them. And if your friend had died in there, that would have been on all of us, too. You should have said that.

  • NOTES (3)

    • International Episode Titles:
      Slovakia: Polnoc (Midnight)
      Czech Republic: V půlnoční hodině (In the Midnight Hour)

    • Original International Air Dates:
      Italy: March 23, 2009 on Fox Life
      Australia: March 26, 2009 on channel 7
      The Netherlands: March 30, 2009 on Net 5
      Latin America: March 30, 2009 on Sony Entertainment Television (aka Canal Sony)
      Germany: June 3, 2009 on ProSieben
      Norway: October 13, 2009 on TV2
      Slovakia: November 16, 2009 on STV1
      Czech Republic: April 15, 2010 on Prima

    • Music Featured In This Episode:
      1. Boys With Girlfriends by Meiko
      2. Quiet Times by Dido
      3. No Time To Sleep by Tina Dico
      4. Ocean And A Rock by Lisa Hannigan
      5. Ordinary Girl by Waz


    • Seth: No poop for you!

      This was an allusion to the line "No soup for you!", from the season 7 episode "The Soup Nazi" of Seinfeld.

    • Episode Title: In the Midnight Hour

      A song by Wilson Pickett from the album In the Midnight Hour.

      This title could also refer to the song Rebel Yell by Billy Idol:

      'In the midnight hour she cried- "more, more, more"
      With a rebel yell she cried- "more, more, more"
      In the midnight hour babe- "more, more, more"
      With a rebel yell- "more, more, more"'