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Episode Summary

Derek learns one of Addison's secrets. Bailey talks about motherhood and depression to a mother who is set to have cancer surgery and who seems to not care about any decisions concerning the future. A resident is fiercely questioned about the death of a male patient. An ex-couple meet before lunch and get stuck - Meredith and Addison work on their case. Things get awkward when the ex-couple's daughter, Michelle, arrives at the hospital.moreless
9.1
out of 10
EPISODE RATING: Superb
497 votes
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Rate It
  • Patients, we have patients?

    7.7
    "Good"
    It's all about guilt tonight, according to Meredith's teeth-gratingly dreary narration. But then Meredith and Desperate Housewives' Mary Alice clearly attended the same school of banal profundity and majored in shoe-horning plots into thematic boxes. If you put the narration aside, and Oh, I wish. There are a few insights into guilt, just ticking over of long-running plots. Izzie is wondering how to spend the fortune Denny left her; if only she would bank the cheque. Meredith is wondering whether she should tell McDreamy she dumped McVet; Callie whether she should tell George about Mark; and Addison whether she should reveal a secret to Derek. On the medical front which just means their quandaries involve actual patients Preston baulks at fessing up about his tremor, while the fabulous Miranda questions her empathetic approach after she is savaged in a forum on Denny's death. It's sappy and slow, but the addicted don't care.moreless

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    3 1
  • I felt guilty...but guilty of turning on the Tv that night

    7.3
    "Good"
    Well, as guilt being the underlined topic and the key word, I have a lotta say. Firstly, it was really painful to watch everybody lashing out at Miranda. Come on, give me a break! Pregnancy didn't cause anything wrong to happen. Also, seing Izzie receiving bombs from anywhere, it was terrible. Nobody deserves to be treated as Miranda and Izzie were. I also found the plot very boring, and the patients' stories were really boring as well. It wasn't funny at all watching two people stuck by a pearcing...that's just...ewww, and a little hard to diggest. The few good things that happened were just enough to save the episode: Mark demanding Addison to tell the truth about them, Miranda encorauging her patient to pull through, the philosophical debates about money and future plans involving 8 million dollars, and the best part was when Izzie decided that she wanted to come back to the hospital! But it really wasn't an average episode, it's below average, and just fair. I expected more for an episode called "Oh, the guilt". (7.30)moreless

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    0 2
  • Izzie debates what to do with the check Denny left her. Bailey gets chewed out at an M & M meeting. Callie makes it clear to George that they broke up and what he needs to do if he wants her back. Addison tells Derek the truth about her and Mark.moreless

    10
    "Perfect"
    Ok, props to Izzie, our favorite recently turned nutcase, who spills orange juice on an eight million dollar check. Anyone here that would keep a check like that lying around in a kitchen please raise your hand...She's going to lose it somewhere. So she finally goes in and talks to the chief, who basically tells her bad things happen, but you don't just quit because of them, especially if you're good at something. I wonder if that will hellp persuade her to come back? Preston goes off on Izzie about him getting shot on her account, and also about his anger that she quit when she has two good hands (and hostile because he no longer does.) I thought he was a bit harsh in that confrentation, but i also wonder if that might be some of the motivation she needs to pull her head out of her behind and get back to work. I thought what Cristina said about the check was absolutely hilarious, saying if she had that money she'd buy a hospital and stock it with sick people to perform surgeries on all day. Then George told her she's a psycho. I also thought the couple that were stuck together during the course of having sex was a very amusing situation. While they were divorced and she was cheating on her recent husband (who she later decided she was going to tell), i still think the situation was funny. It got even more interesting when the daughter walked in, that was a shocker. I couldn't believe the man had a heart attack. So, Addison finally tells Derek the truth about her relationship with Mark, after Mark makes her feel guilty. In light of this event Derek runs into Meredith and treats her in a way he probably normally wouldn't, had he not just found out such information. She was obviously looking for a different response when she told him she broke up with Fin. So he says he needs more time. In the meantime Mark is sleeping with Addison, will they become official? So i thought Dr. Bailey was hilarious when she was telling off the other Dr. and said" you better leave now, i feel a rush of hormones coming on." I thought that was great. Overall, another great episode.moreless

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    1 0
  • Guilt will work itself out.

    9.5
    "Superb"
    Everyone attends M&M meeting and Bailey is blamed for what happened to Denny. Meanwhile Izzie is planning completely to leave Seattle Grace Hospital. To leave everything behind because now she has 8 million dollars.
    Diana comes to the hospital with breast cancer and she blames the baby for it because she woulnd't have tought that it is a milk duct if she hadn't had a baby.
    Sonja and Adam, divorced couple come to the hospital. They had sex and piercing on his penis stucked into her vaginal wall and everyone had a hard time dealing with that.
    Hilarious episode and just as always fantastic and enjoyable.moreless

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    1 0
  • An instant classic!

    9.6
    "Superb"
    This episode is a classic! The way that Alex stood up for Doctor Bailey is priceless and also the looks that Izzie received when the rest of the gang also saw her in the M&M room is unforgetable. I can agree with others that the episode is lacking on the excitment of surgery\'s but this show is ultimatly not about watching the surgery\'s but more of the character lives that have us hooked on the show. From the very begining of the show we are inteligient enough to know that this crazy stuff of doctors sleeping with interns would and should never happen in a real hospital. There are rules in real life but we are cought up in a fanatsy land with this show that seems to have the whole world watching(including me).moreless

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    1 1

Trivia, Notes, Quotes and Allusions

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  • Trivia

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    • When Meredith is talking in the locker room about Derek, on the poster board in her locker, it says: "2pm-Eat eye boogies." Edit
    • M&M is an abbreviation for Morbidity & Mortality. In this episode, you could see that on the sign after the scene when Cristina bought snacks. Look carefully, you will see : Seattle Grace Hospital, Morbidity and Mortality Conference, 7 AM. Edit
  • Notes

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    • Original International Air Dates: The Netherlands: February 5, 2007 on Net 5 New Zealand: March 8, 2007 on Tv2 Brazil: Scheduled to air on 3/5/07 on Sony Entertainment Television Australia: March 18, 2007 on Channel 7 Italy: March 5, 2007 on Foxlife Switzerland: Apri 9, 2007 on SF 2 Israel: April 9, 2007 on Yes Stars 1 Germany: May 8, 2007 on Pro 7 Great Britain: June 21, 2007 on Livingtv Ireland: August 7, 2007 on RTE Two Finland: September 26, 2007 on Nelonen Croatia: October 8, 2007 on NOVA TV Norway: September 11, 2007 on TV2 Romania: February 19, 2008 on TVR1 Edit
    • Music Featured In this Episode: 1. Clonie by Nellie McKay plays at the beginning when Izzie serves breakfast. 2. Kaleidoscope by Kate Havnevik plays when Meredith bumps into Derek and shows him the X-ray of the stuck couple. 3. Wild Is The Wind by The Second Band plays when the interns have lunch and discuss what they'd do with Izzie's money. 4. Be Good Or Be Gone by Fionn Regan plays when Addison confesses she lived with Mark after Derek left her. 5. Don't Mistake Me by Keisha White plays when George shows up at Callie's hotel room. Edit
  • Quotes

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    • Bailey: When I'm driving home at night, after a long day at work, all I can think about is getting to my baby. Anna (rolls her eyes): This is where you tell me to fight the cancer so I don't miss out on the joys of motherhood. Bailey: Then I get home, the baby's crying, the exhaustion hits, and I resent that tiny baby's presence in my house. My previously very quiet house. Anna: Why are you telling me this? Bailey: So you know what I do. First, I pick a fight with my husband-- you know, blame him for not settling the baby down. Then I bitch about the neighbor's loud music. Then, if I'm really tired and pissed off, I blame the baby. I mean, if you hadn't been breast feeding, you would have never thought the lump was a clogged milk duct. You would have gone to the doctor as soon as you felt it. The cancer wouldn't have gotten this far, and you wouldn't be here making this decision. Am I close? Anna (crying): What kind of mother blames her own baby for her cancer? Bailey: A mother who's human. A mother who's overwhelmed. Anna: But if this is gonna kill me eventually, wouldn't it be easier if it happened when Gus was little? (cries harder) Wouldn't it be easier for him if I just never existed? Bailey: Shh. This is the part when I tell you to fight the cancer so you don't miss out on the joys of motherhood. Edit
    • Mr. Nyles: Dr. Bailey? What's wrong with my wife? Bailey: I'm sorry, um, as you know, she has stage 4B breast cancer. Mr. Nyles: I know that. Will you please tell me what's wrong with her? Bailey: Mr. Nyles-- Mr. Nyles: She won't! She won't talk to me. I've tried, and I'm trying, and I know this sucks, and it's scary, but we can do this. We can fight this, but she won't. She won't even look at Gus, and she won't hold him, and all he wants is his mom. She's just... she's such a good mom. I know it doesn't seem like that, but she is. Bailey: I can schedule a psych consult. Mr. Nyles: I don't want psych consult! I just want my wife back! Please. Edit
    • Meredith (opening voiceover): First, do no harm. As doctors, we pledge to live by this oath. But harm happens and then guilt happens. And there is no oath for how to deal with that. Guilt never goes anywhere on its own, it brings its friends - doubt and insecurity. Edit
  • Allusions

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    • Meredith: First, do no harm. Doctors swear by this oath. The oath Meredith alludes to is the Hippocratic Oath. It was written by the Greek philosopher Hippocrates, who is commonly called the father of medicine. The Oath, which ensures ethical guidelines for medical practitioners and their patients, is taken by many physicians upon the start of their careers. Contrary to popular belief, the Oath does not begin with the line "First, do no harm". However, this line can be found in the Hippocratic Corpus, a collection of almost 60 medical works from ancient Greece. Edit
    • Episode Title: Oh, The Guilt Oh, The Guilt is a song by Nirvana, but was never on any of their albums. Edit
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