Surgical Specialties

Alright, so, where do you think everyone is headed?

We all Christina has declared CT, but so far, she lost Burke as a mentor, Hahn quit and really wasn't helping her develop further into CT, and Dixon, apparently, didn't SGH Board of Director's offer.

George was gearing up for Trauma, but since he died (maybe?) there's not going to be anymore developments in that area.

Alex declared Plastics a long time ago but he hasn't been studying under Sloan since season 3, and he's shown quite the aptitude in neonatal surgery, but with Addison gone, that department has been unmanned. Maybe he'll look into peds surgery since neonatal is a more specialized form of peds surgery, it'll still deal with babies (at least surgical treatment on them), and he's kinda good with kinds. Remember Abigal Breslin? Now that AZ is sticking around, maybe that option will remain.

It's Izzie and Mer that are still the mystery.

There is the obvious choice that Mer would go into neuro, but realistically speaking, she can't choose neuro as a surgical specialty. She did state she was going to remain in GS since her mom was a general surgeon as well.

Now Izzie? Hmm... she never really did state what she wanted to go into, but maybe she'll stick with GS if she survives.

What do you guys think??

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Arizona Robbins

I think overall, AZ is a good addition to the show. They did lose a specialty when Addison left and I think it'd be good to see a piece of what Addison's specialty remain. Granted, peds surgery won't be exclusively dedicated to the NICU and babies like neonatal surgery, but peds surgery can certainly encompass that aspect of it.

After all, neonatal surgery is a subspecialty of peds surgery!

I was actually glad they promoted Jessica Capshaw to a full series regular. In her words, "yay".

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Are you an actual doctor?

Talk about a Johnny-come-lately, but that's awesome for you grey's fan forever. Make sure you study really hard for your steps-1 exam because that determines your residency. As of yet, there hasn't been a CT-residency established by the RRC, for far it's a 2 to 3 year fellowship post GS-residency.

Make sure you score at least a 230+ to guarantee you a GS-residency during Match Day.

I'm an accountant with BS in accounting, but i'm taking pre-med courses and taking all the prereqs so I can sit for the MCATs and apply for med school. I'm also headed for the surgery-track and although the training is a long time, I think it's well worth it to save lives.

A little tip, if you know you are really going to stick with CT, make sure you apply for GS-residencies in hospitals that are ranked high in heart and heart surgery specialities.

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Favorite voiceovers

And I think for voiceovers in general, I thought the 100th episode had one of the best, if not the best, voiceover to date. I thought the editing, the sound mixing, everything was just awesome on how it evoked the scene. And the sound track? Seriously, GA is top-notch when it comes to this. Having Matthew Mayfield's "First In Line" in the background made the voiceover resonate so much more...

Becca: “Today's the day my life begins. Today I become a citizen of the world. Today I become a grown up. Today I become accountable to someone other than myself and my parents. Accountable for more than my grades. Today, I become accountable to the world. To the future. To all the possibilities that life has to offer. Starting today, my job is to show up wide eyed and willing and ready. For what, I don't know. For anything. For everything. To take on life. To take on love. To take on the responsibility and possibility. Today, my friends, our lives begin. And, I for one can't wait.”

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Favorite voiceovers

I thinks it's memorable when somebody else narrates other than Meredith. Like George, Christina, Bailey, Denny, and Alex.

There's a certain shift in tone of the episode when the narration is somewhat tailored to that character's experience:

George: (opening and closing voiceover)"Karma. One way or another it will leave us to face ourselves. We can look our karma in the eye or we can wait for it to sneak up from behind. But karma will always find us. The truth is, as surgeons, we have more chances than most to set the balance in our favor. Yet no matter how hard we try we can't escape our karma. It follows us home. I guess we can't really complain about our karma. It's not an affair. It's not unexpected. It just... evens the score. And even when we're about to do something that we know will tempt karma to bite us in the ass... well, it goes without saying. We do it anyway."

Christina: (already mentioned in an earlier post)

Bailey:  (closing voiceover) "As doctors, we know more about the human body now than at any point in our history. But the miracle of life itself; why people live and die, why they hurt and get hurt is still a mystery. We want to know the reason, the secret, the answer at the back of the book… because the thought of our being all alone down here is just too much for us to bear. But at the end of the day, the fact that we show up for each other, in spite our differences, no matter what we believe, is reason enough to keep believing.”

Denny: (already mentioned earlier)

Alex: (opening and closing voiceover) “Surgeons are all messed up. We're butchers, messed up knife happy butchers. We cut people up, we move on. Patients die on our watch, we move on. We cause trauma, we suffer trauma. We don't have time to worry about all the blood and death and crap it really makes us feel. Doesn't matter how tough we are, trauma always leaves a scar. It follows us home, it changes our lives, trauma messes everybody up, but maybe that's the point. All the pain and the fear and the crap. Maybe going through all of that is what keeps us moving forward. It's what pushes us. Maybe we have to get a little messed up, before we can step up.”

Meredith's opening and closing voiceovers are always awesome, and there are so many to pick from. From season 1 to season 5, but I think this one, being more relevant in season 5, really spoke to me.

Meredith: “Surgeons aren't known for being warm and cuddly. They're arrogant, impatient, mean as often as not. You'd think they wouldn't have friends ‘cause who could stand them? But surgeons, are like a bad cold. Nasty, but persistent. Surgeons: nasty, aggressive, unstoppable, just the kind of people you want on your side when you're really screwed. Practicing medicine doesn't lend itself to the making of friends. Maybe because life and mortality are in our faces all the time. Maybe because in staring down death everyday, we're forced to know that life, every minute is borrowed time. And each person, we let ourselves care about is just one more loss somewhere down the line. For this reason, I know some doctors who just don't bother making friends at all. But the rest of us, we make it our job to move that line. To push each loss as far away as we can.”

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Real life Hospital rankings...

Well they do have a medical producer, Linda Klein, who keeps the medicine as real as possible with some creative licenses.

That list is compiled by the US News & World Report and they compile it every year. They do undergraduate schools, graduate schools (including medical school), and children's hospitals in addition to hospitals.

What's interesting about the University of Washington is that although their medical center is ranked #12 as an overall hospital as of 2009, the University of Washington School of Medicine has been ranked the number 1 medical school in the country for the past 15 consecutive years in primary care; in research, Harvard ranks number 1.

Also note that the 2009 Hospital rankings didn't get posted until very recently (around July 15) so they could not have used the rankings listing in 2009 when the season 5 premiere was filmed in the mid-late 2008. If they did draw inspiration from the rankings list, they would have used the 2008 Hospital rankings and UofWashington was ranked #10.

It's merely coincidence that SGH was ranked #12 and then UofWashington was ranked #12 as well.

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Before and After (Episodes)

Did anyone else notice that the only interns to win the Intern Bowl were Christina's interns? 2,3, and 4.2?

Doesn't that tell you something about how the other interns, and their respective residents, are being taught and teaching?

Christina Yang, won the first solo surgery.

Christina Yang's interns, won the first Intern Bowl.

"That's why I win all the contents."-Christina Yang, Season 5, Episode 7

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