From a Whisper to a Scream
Encyclopedia
"From a Whisper to a Scream" is the ninth episode of the third season of the ABC
American Broadcasting Company
The American Broadcasting Company is an American commercial broadcasting television network. Created in 1943 from the former NBC Blue radio network, ABC is owned by The Walt Disney Company and is part of Disney-ABC Television Group. Its first broadcast on television was in 1948...

 series, Grey's Anatomy
Grey's Anatomy
Grey's Anatomy is an American medical drama television series created by Shonda Rhimes. The series premiered on March 27, 2005 on ABC; since then, seven seasons have aired. The series follows the lives of interns, residents and their mentors in the fictional Seattle Grace Mercy West Hospital in...

. The episode was written by Kip Koenig
Kip Koenig
Kip Koenig is an American film and television producer and screenwriter.Koenig's most notable work has been on medical drama Grey's Anatomy, for which he has served as supervising producer and consulting producer for dozens of episodes, and has written an additional three episodes...

 and was directed by Julie Anne Robinson
Julie Anne Robinson
Julie Anne Robinson is a British theatre, television, and film director perhaps best known for her work on British television. She earned BAFTA and Golden Globe nominations for directing the first half of the BBC miniseries Blackpool...

. It originally aired on November 23, 2006, running for 50:11 min, about 7 minutes more than the usual episode. In this episode, Sandra Oh was nominated for the 2007 Emmy Awards in her role as Dr. Cristina Yang. She eventually lost to her co-star Katherine Heigl.

Starring

  • Ellen Pompeo
    Ellen Pompeo
    Ellen Kathleen Pompeo is an American actress, known for playing the title role of Meredith Grey on the ABC medical drama Grey's Anatomy.-Early life:...

     as Dr. Meredith Grey.
  • Sandra Oh
    Sandra Oh
    Sandra Oh is a Canadian actress. She is best known for the role of Dr. Cristina Yang on ABC's Grey's Anatomy, for which she has won a Golden Globe and Screen Actors Guild award. She also played notable roles in the feature films Under the Tuscan Sun and Sideways, and had a supporting role on the...

     as Dr. Christina Yang.
  • Katherine Heigl
    Katherine Heigl
    Katherine Marie Heigl is an American actress and producer. She is possibly best known for her role as Dr. Izzie Stevens on ABC's Grey's Anatomy from 2005 to 2010, for which she won a Primetime Emmy Award for Outstanding Supporting Actress – Drama Series in 2007...

     as Dr. Izzie Stevens.
  • Justin Chambers
    Justin Chambers
    Justin W. Chambers is an American actor and former Calvin Klein male fashion model. As of 2005, he is starring in the ABC drama series Grey's Anatomy as Dr. Alex Karev....

     as Dr. Alex Karev.
  • T.R. Knight as Dr. George O´Malley.
  • Chandra Wilson
    Chandra Wilson
    Chandra Danette Wilson is an American actress and director, best known as Dr. Miranda Bailey in the ABC television drama, Grey's Anatomy.-Early life:...

     as Dr. Miranda Bailey.
  • James Pickens, Jr.
    James Pickens, Jr.
    James Pickens, Jr. is an American actor. He is best known for his starring role as Dr. Richard Webber on the ABC drama television series Grey's Anatomy, and for his supporting role as Deputy Director Alvin Kersh on later seasons of the Fox Network science fiction series The X-Files.- Early life...

     as Dr. Richard Webber.
  • Kate Walsh as Dr. Addison Montgomery.
  • Sara Ramirez
    Sara Ramírez
    Sara Ramírez is a Mexican-American singer/songwriter and actress. She is known for her role as Callie Torres in Grey's Anatomy and as the original Lady of the Lake in the 2005 Broadway musical Spamalot, for which she won the Tony Award for Best Featured Actress in a Musical.-Early life:Ramírez...

     as Dr. Callie Torres.
  • Eric Dane
    Eric Dane
    Eric Dane is an American actor. After appearing in television roles throughout the 1990s and 2000s, he became known for playing Dr...

     as Dr. Mark Sloan.
  • Isaiah Washington
    Isaiah Washington
    Isaiah Washington IV is an American actor. A veteran of several Spike Lee films, Washington is best known for his role as Dr. Preston Burke on the ABC medical drama Grey's Anatomy from 2005 to 2007.-Personal life:...

     as Dr. Preston Burke.
  • Patrick Dempsey
    Patrick Dempsey
    Patrick Galen Dempsey is an American actor, known for his role as neurosurgeon Dr. Derek Shepherd on the medical drama Grey's Anatomy. Prior to Grey's Anatomy he made several television appearances and was nominated for an Emmy Award...

     as Dr. Derek Shepherd.

Episode Recap

Meredith still refuses to have sex with Derek because they are taking things slow. Cristina barges into Meredith's bedroom early in the morning and kicks Derek out. She needs advice and asks Meredith a hypothetical question. She needs to know whether Meredith would turn herself in if Derek was caught for robbing a bank and she was his accomplice. Naturally, Meredith sees through this and tries to get Cristina to open up but fails as Cristina leaves.

Cristina is worried that her covert teamwork with Burke will be exposed as George has caught on to the truth. At the hospital, she confides this to Burke, who assuages her fears by telling her that his hand tremors have not resurfaced in a week. He also reinforces that they are a strong team, but she is not all that convinced.

When an elderly driver, Mr. Dickerson, crashes into a fish market, all the doctors are called to tend to the several [victims.] However, Izzie was mistakenly paged and Bailey sends her to watch George's father. Izzie is not entirely pleased when she is asked to candy stripe once again and not do anything medical.

Mr. Dickerson suffered trauma to his head and chest because there was no airbag to cushion the impact. Callie examines his broken leg and decides to pass him to Derek and Cristina, so that they can tend to his more severe head injuries. Mrs. Dickerson insists that the car, not her husband, was responsible for the accident. She also refuses to talk to the police just yet and stays by her husband's side.

Burke and Meredith work on one of the victims with Cristina worriedly watching from afar, as she is not by his side to assist him. The victim succumbs to the massive injuries, which is witnessed by Dr. Erica Hahn from Seattle Presbyterian. She was called to Seattle Grace on a consult by George for his father.

Janelle, a woman covered in blood, walks into the emergency room and collapses into Addison's arms. Mark and Alex remove the glass pieces from her and stitches her up, but when she reveals that she is 10 weeks pregnant, Addison is brought on her case as well. A worried Mrs. Dickerson, who is one of Janelle's best customers, asks about her and Janelle starts coughing up blood. She needs heart surgery because a large glass shard has punctured her heart. Janelle also reveals that her baby's father does not know about the baby because he cheated on her and she did not want him in the baby's life. Alex tells her that the baby's father may be a jerk but she doesn't have to be one since the baby will grow up and ask about his father.

George's parents ask Izzie about his love life, and she unintentionally shares details about George's life that he did not want his parents to know. On top of that, Izzie is full of praise for Burke but George decides to ask Dr. Hahn to replace Burke on his father's surgery. This is witnessed by Cristina, who thinks that Dr. Hahn is replacing Burke entirely. Her fears increase when the Chief asks to talk to Burke urgently.

Cristina tells Burke that the Chief asked for him. She wants to align their stories to hide the truth but Burke is sick of lying. He wants to tell the Chief the truth about his hand and leaves angrily. However, the Chief reveals that he has decided to retire and wants Burke to take over his position of Chief of Surgery instead. Cristina is pleased as George did not tell the Chief about Burke's hand, and Burke gets the position he worked so hard for. But Burke does not want it because there is blood on it, blaming Cristina for making him cross the line with her. They argue heatedly over whose fault this is.

Mr. and Mrs. O'Malley decide to let Burke operate instead because of Izzie's compliments for him. George gets upset and tells them that Izzie is on probation and it is because she easily gets too emotionally involved with her patients and one of them died because of it. This betrayal hurts Izzie and she leaves.

George once again reminds Callie that she does not have to be concerned about him and his family because they have broken up. He also reveals that he knows that Callie slept with Mark. Furious at the assumed betrayal, she confronts Meredith in the locker room, slamming her repeatedly into the lockers for good measure. Meredith tells her that Callie only told her she slept with someone, and it was George who told her that that someone was Mark. Shocked at the sudden turn of events, Callie leaves and looks for George. She tells him that she did not betray him because she only slept with Mark to get over him after their break-up, but it did not work. Overwhelmed by everything going on, he tells her that he cannot deal with her for the moment, which causes her to flee.

Derek finds out that Mr. Dickerson has advanced spinal stenosis
Spinal stenosis
Lumbar spinal stenosis is a medical condition in which the spinal canal narrows and compresses the spinal cord and nerves at the level of the lumbar vertebra. This is usually due to the common occurrence of spinal degeneration that occurs with aging. It can also sometimes be caused by spinal disc...

, the narrowing of the spine due to aging. The intense numbness of his legs and feet meant that he should not have been driving. On top of that, he has a subdural hematoma
Subdural hematoma
A subdural hematoma or subdural haematoma , also known as a subdural haemorrhage , is a type of haematoma, a form of traumatic brain injury. Blood gathers within the outermost meningeal layer, between the dura mater, which adheres to the skull, and the arachnoid mater, which envelops the brain...

 and a hole in his trachea
Vertebrate trachea
In tetrapod anatomy the trachea, or windpipe, is a tube that connects the pharynx or larynx to the lungs, allowing the passage of air. It is lined with pseudostratified ciliated columnar epithelium cells with goblet cells that produce mucus...

. He would require a cardio-thoracic surgeon to repair the trachea while Derek works on his brain. He calls Burke to help and Burke starts to tell Derek the truth about his hand. However, Alex interrupts and tells Burke he is needed to work on Janelle. Burke decides to take Janelle and asks Derek to call Dr. Hahn to work on Mr. Dickerson. He tells Alex he wants Cristina to scrub in with him, and Alex quietly remarks that everyone else gets a surgery but him.

Mrs. Dickerson is filled with guilt when she sees Janelle being wheeled in for surgery and tells Bailey that she knew her husband should not have been driving. She did not want to make him feel betrayed by siding with their daughter when she took away Mr. Dickerson's car keys. She breaks down and Bailey leads her to the police to record her statement.

The glass shard is successfully removed from Janelle's heart and the heart is on bypass. Meredith enters and asks Burke to assist Dr. Hahn with Mr. Dickerson. He tells Cristina to stay and watch Janelle but she follows him anyway. Meredith is shocked at her defiance and realizes that something is up between Cristina and Burke. Cristina warns her not to breathe a word about it as she returns to Janelle.

During Mr. Dickerson's surgery, Meredith observes Burke intensely even though she is working on his brain with Derek. Mr. Dickerson's surgery is a success and Burke returns to Janelle's operation. Cristina sees Burke having difficulties with his hand and asks to help, but he rebuffs her. He asks Bailey to scrub in and assist him and feeling betrayed, Cristina leaves the OR. When the surgery is over, he heads to the Chief's office to talk to him, but realizes Cristina is already there.

Alex and Addison talk about Janelle and whether she would tell her baby's father about the baby. Addison tells him that he is a decent guy and it would be a sad thing if Mark diminishes that quality in him. They share a very meaningful look and after a while, feel embarrassed about staring at each other for so long. Alex sheepishly thanks Addison as she leaves.

Running into each other in the elevator, Derek asks Preston why he did not tell him about his hand, since they are friends. He brushes him off, saying that Derek is only his surgeon. Meanwhile, Meredith and George leave the hospital together and see Cristina sitting outside by herself. George strides past her angrily, while Meredith sits down next to her. Cristina tells her that the bank robbery was both Burke's and her idea, and Meredith replies saying that she did the right thing. Cristina sadly realizes that she cannot go home and asks Meredith where she is supposed to go.

Back at Meredith's place, Derek asks Meredith why she did not tell him about Burke and Cristina when she knew. She tells him that Cristina is her best friend and she couldn't betray that friendship. After all, she was there for her when he was not. Then, they fall out of scene and have sex. Meanwhile, George tries to apologize to Izzie for his inappropriate outburst but she tells him she is not ready to forgive him yet and to try again tomorrow.

Cristina finally sums up the courage to return home and takes tentative steps into Burke's house. He looks at her with an unreadable expression, and closes the bedroom door in her face.

Title Reference

This episode's title refers to songs by Elvis Costello
Elvis Costello
Elvis Costello , born Declan Patrick MacManus, is an English singer-songwriter. He came to prominence as an early participant in London's pub rock scene in the mid-1970s and later became associated with the punk/New Wave genre. Steeped in word play, the vocabulary of Costello's lyrics is broader...

, Robert Palmer, Starsailor
Starsailor (band)
Starsailor is an English post-britpop band, formed in Leigh, Warrington and Greater Manchester. By 2009, they had four charting albums and ten Top 40 singles in the UK since 2001.-Early history:...

, Icicle Works
Icicle Works
The Icicle Works were an English alternative rock band of the 1980s. Named after the 1960 short story "The Day the Icicle Works Closed" by science fiction author Frederik Pohl, The Icicle Works joined Liverpool's early 1980s 'neo-psychedelia' wave, which also propelled Echo & the Bunnymen and The...

 & Allen Toussaint
Allen Toussaint
Allen Toussaint is an American musician, composer, record producer, and influential figure in New Orleans R&B.Many of Toussaint's songs have become familiar through numerous cover versions, including "Working in the Coalmine", "Ride Your Pony", "Fortune Teller", "Play Something Sweet ", "Southern...

.

Music

  • "You And I Are A Gang Of Losers" - The Dears
    The Dears
    -History:The band formed in 1995 and released their first album, End of a Hollywood Bedtime Story, in 2000. Their orchestral, dark pop sound and dramatic live shows cemented The Dears at the foundation of the then-emerging Canadian indie renaissance...

  • "9 Crimes
    9 Crimes
    "9 Crimes" is the first single from the album 9 by Damien Rice. This song features additional vocals from Lisa Hannigan as does the whole album. The 7" single is pressed on clear-colored vinyl and comes with a fold-out poster.-Music video:...

    " - Damien Rice
    Damien Rice
    Damien Rice is an Irish singer-songwriter, musician and record producer who plays guitar, piano, clarinet and percussion....

  • "New Day" - Kate Havnevik
    Kate Havnevik
    Kate Havnevik is a singer and songwriter from Oslo, Norway. Her debut album, the critically acclaimed electronica infused Melankton, was released in March 2006 on iTunes and April 2006 in Norway only, before being licensed internationally later...

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