Grey's Anatomy: Grey Matter

Joan Rater On "The Becoming"...

Original Airdate: 5-8-08

Hi everyone, this is Joan.  Tony and I wrote this episode, "The Becoming" and I'd like to share some of my thoughts about it with you, but first I'd like to say ... OH MY GOD!!!!  I just saw some stuff that was shot for the Season Four Finale (that Shonda wrote) and it's soooooo good.  I don't mean to torment you and I really wish I could tell you all the cool things that are going to happen, and you should know the great restraint it's taking me not to give you even the tiniest little hint of what's to come (keep an eye on that champagne bottle from tonight's episode) because I have a big mouth and am really bad at keeping secrets so I can really relate to Izzie in this episode.

But enough about me and the Finale because first we have to get there and getting there is really what "The Becoming" is about.  Becoming who you want to be, who you know you could be if you weren't quite so screwed up or preoccupied with kissing when you need to be thinking about surgery.  All of our doctors are trying, really trying, to become these people they see in their head, the versions of themselves who are strong and successful and happy, their best selves.  Izzie wants to be a good doctor and keep the news of Ava confidential.  But how does she do that and be a good friend to Alex who is changing his life for this baby that doesn't exist?  Alex wants to be a good parent, but he himself didn't have very good role models so he's scared that he won't be able to do it.   George is trying to be okay with the fact that he has to repeat his intern year, and Cristina is really trying to make the best of a bad situation with Hahn.  And then there's Meredith.

Meredith wants to be a great surgeon.  She wants to succeed at this clinical trial.  But she keeps thinking about Derek.  Particularly his tongue.  Thoughts of kissing him keep interfering with the surgeries she loves.  So can Dr. Wyatt please give her some tools to make the thoughts stop?  Because Meredith feels like she has to choose.  Career or love.  She can't have both. 

I went to see my first therapist in my twenties.  She was this nice woman on the Upper East Side of Manhattan who told me, when I started whining about my lack of career, that most people she sees in their twenties are either good at career or good at love.  Not both.   And it makes sense, both things compete for your attention.  You want to spend time with your boyfriend but your boss asks if you can do some overtime.   How to negotiate both successfully is hard.  And I think when my therapist said it, she was trying to make me feel better, sort of like, "Yeah, you have no career but at least your boyfriend sounds very nice."  But it didn't make me feel better.  It made me feel competitive.  Because when I said, "Really?  You never see people with a good career AND a good relationship?", she said, "only a few."  Only a few.  That's all I could think about after the session.  Who were these FEW and how could I become one of THEM?  It was a subtle shift in my thinking, but I began to think less about my problems and more about how to fix them.  I started to imagine the new me in my head - she was a woman of action!  She didn't sit around all day waiting for things to happen!  She made them happen!  I'm making it all sound very purposeful and dramatic when actually it was ten more years of therapy that included much whining and many more hours of inaction before I had what could even be called a career .... but .... I think that Dr. Wyatt knows that Meredith needs to be pushed into action.  So Dr. Wyatt basically tells Meredith she's being a coward.  Derek's with Rose and it's not heroic to let the love of your life go.  It's cowardly.  How's she gonna handle it?  Because no one can fix this for Meredith but Meredith.  What's she gonna do?  I wish I could tell you --

And what about Mark?  When Bailey defends him to the assembly of nurses by saying, "You knew he was a whore when you slept with him, now you can't act all shocked when he behaves like a whore."  As everyone walks away, did you see the look on Mark's face?  It's like he's realizing what a whore he is for the first time and he's so sad.  A sad, sad whore.  What's he gonna do about that?  I soooo wish I could tell you --

I will tell you though that the Mark Sloan story was originally much smaller and much more a comedic runner until we had the read thru and Eric Dane brought such vulnerability and depth to his scenes.  We just had to expand that storyline.

And Cristina. Singing "Like a Virgin" while carving corpses. She just found out that Burke won the Harper Avery and she needs to not think. About how he's thriving while she's barely getting to do any cardio. And fo course, the girl who told depressed Meredith to 'dance it out' would sing in the morgue. And it works, she manages to get through the day without thinking about Burke until Richard calls her in front of the sexual harassment committee. She can't seem to escape Burke. And she lets loose. She's been so controlled, managed to stuff all her feelings about the Burke thing for so long but she can't anymore. She lets loose with her feelings and goes home and crawls into bed. This is a sadness that can't be danced off and I'd love to tell you what happens...

Also... for a while we had "American Pie" be the song Cristina sang, but it was weird, it's already sort of a mournful sad song we wanted something that really played against the corpses in the morgue thing...

So ... "The Becoming."

Season Four is about change.  Letting go of the old and embracing the new.  Redefining who you are and struggling like crazy to be that better version of yourself that you see in your head.  Becoming is hard -- it hurts like hell and can cost you friends and lovers and career advancement.  And some of our characters will succeed, and others will fail.  But all of them will try.  Because the alternative -- standing still -- just isn't an option. 

Like I said at the beginning of the blog, there's such good stuff coming in the next three episodes, and I'd love to tell you what's gonna happen, but I've taken an oath and must observe doctor/patient confidentiality, so I gotta go all Izzie on you.  You're just gonna have to WATCH!!!!

Stacy McKee on "Piece of My Heart"...

Original Airdate: 5-1-08

I have a confession to make. About the character of Addison: I love her. Not vagina monologue kind of love – but love none the less.

I love her sense of humor. I love her friendships with Callie and Bailey. I love how she’s always known exactly how to call Derek out on exactly whatever it is he needs to be called out on. I love how good she is at her job. I love that she’s basically Sloan’s McDreamy – even if his feelings aren’t reciprocated. I love that she loves potato chips. I love that she walks the hospital halls in heels that any normal woman would twist her ankle in… I love Addison. And I love that this was her episode to come back to Seattle for a visit.

The nice thing about bringing Addison back right now is that – she’s been gone a while. She hasn’t been privy to most of the Seattle Grace shenanigans since her departure. So she’s uniquely qualified to walk back through the doors at SGH and call things like she sees them. She can react the way we’re all secretly reacting to Derek Christopher Shepherd pining away for someone OTHER than Meredith Grey. She can notice just how much her good friend Callie seems to jive with newbie Erica Hahn… and Addison can get Bailey to admit (the way Bailey would NEVER admit to someone she saw and  worked with everyday) that she is really struggling right now, just to keep it together.

Addison is a perfect sounding board because a lot of our characters don’t have sounding boards of their own right now. Addison is a safe confidant. She can take in everyone’s uncertainty, their panic, their pain… and take it right back to LA with her when she leaves. No one needs to worry about their friends and colleagues at SGH seeing the cracks in their armor. Which is good. Because right now – there are a lot of cracks.

For instance, Izzie.  She’s floundering right now. She’s all on her own and trying to figure things out for herself – but “on her own” is not exactly a comfortable place for Izzie to be… She doesn’t have the same kind of connection with George that she used to have; he’s got Lexie now, and all of his other intern friends. Izzie’s not at the top of her game professionally – she’s not finding her medical stride like Meredith or Cristina. Izzie’s doing the opposite; she’s hiding out in the clinic where even there her patients are requesting different doctors. Then there’s Ava/Rebecca/Jane Doe. Izzie learns Rebecca isn’t actually pregnant, but what can she do with that information? As George and Lexie would say – she’s coded. Hard.   

Cristina’s also starting to crack as Erica continues to shut her down over and over and over. The moment in surgery when Erica gives Alex props, and not Cristina – after Cristina is the one who massaged the baby’s heart back to life – for me, that has always been a turning point for Cristina. In that moment, I’ve always imagined that Cristina’s world probably flashes before her eyes– Cristina can’t help but compare her relationship with Erica Hahn to how trusted and encouraged she always was with Burke. The moment leaves Cristina a little raw, which is why she’s able to confront Hahn later at the bar.  But even when confronted, Erica’s explanation to Cristina isn’t exactly something Cristina can take a lot of comfort in…

Then there’s Callie – and Erica. And the vagina monologues, which – actually – I’m choosing not to blog about. This is one story you should just watch and enjoy. Anything I might say about it now will simply step on your enjoyment of what’s to come, so…

On to Derek.  Who is all sorts of conflicted over working with Meredith on this clinical trial. On one hand, Meredith is finally shining professionally – and Derek doesn’t want to let her down. He wants her to shine, he wants to help her if he can… but on the other hand, he knows the reality of this clinical trial; he knows there are ridiculous risks. He also knows that the closer he and Meredith work together, the harder it will be for him if he can’t help her make medical history. She’s expecting greatness, and he isn’t sure he can deliver on that, which only feeds his anxiety about performing this first clinical trial surgery.

By the way, I would just like to point out that I’ve been writing on Grey’s since Season One, and Phillip, the clinical trial patient, is the first patient I’ve ever killed in one of my episodes. I made the mistake of mentioning this fact in the writer’s room one day, and I’m pretty sure that had something to do with Shonda’s insistence that Phillip must die (never mind that the story really doesn’t work if he lives. This is all about me. Obviously.) At any rate, I am no longer a patient killing virgin. Just wanted to point that out.

Finally, there’s Alex. And Ava. Or Rebecca. Or whatever you want to call her… Here’s something you should know about this story – we debated a long long time as to whether or not we should reveal in this episode – or a few episodes down the line – that Rebecca isn’t actually pregnant. In fact, even at our table read for this episode, it ended with Izzie looking at lab results, and uttering a little “Oh my god” – but nothing else. And you should have heard the reaction – WHAT DO THE LAB RESULTS SAY?!?!? – which, ultimately, is part of why we decided to at least answer that part of the question in the same episode we introduce it.

This is a story about Alex. Not about an unwanted pregnancy. Not about some unborn baby. It’s about Alex and what he’s getting ready to go through emotionally. What he’s willing and not willing to do. This is about his journey through the rest of the season – so we didn’t want to tease you guys with some faux pregnancy story that ultimately just felt like a stunt. By letting you know now that Rebecca isn’t actually pregnant – then letting you watch Alex take his next few steps forward from this point on… Suddenly the entire arc has a much darker, more interesting underbelly. For instance – think about that last image of Alex reaching over and touching Rebecca’s belly… SO much more weird and creepy when you know what Alex doesn’t. It’s a moment that, for Alex, is filled with something tender and sweet and maybe even a little bit hopeful… only… for us, so not.

Before I sign off, I just wanted to draw your attention to something addressed in this episode - the fact that an HIV positive pregnant woman, with proper prenatal care, has less than a 2% chance of passing HIV on to her unborn baby. It's a piece of medical information most people don't fully understand or realize (I know I didn't) -- including a few doctors. Which is pretty remarkable, really. If you're interested in learning more, you can click here: http://www.cdc.gov/hiv/topics/perinatal/index.htm

And that’s that. Addison has come and gone. Ava’s pregnant, but not. Mer and Der are (sort of) killing terminal patients for sport. Callie may or may not be speaking vagina monologues. And – I just realized – if you’re reading this before watching tonight’s episode then… well… I just spoiled a bunch of stuff for you – which is your fault for reading the blogs before watching the episodes anyway! Two words: Ya Coded.