Shake Your Groove Thing

is the fifth episode of the first season and the fifth overall episode of Grey's Anatomy.
==Short Summary==
Meredith realizes she could be sued for making a mistake on a surgery. Her life gets more hectic hiding her mother's secret. George finds a towel in a patient, Izzie throws a party and Bailey catches Meredith having sex with Derek.
==Full Summary==
Meredith is sleeping in the shower with a toothbrush. She awakens as her arm slips from her knee and continues her shower.
Meredith walks into the nursing home her mother lives at and discusses having her mother sign everything over to her while she is lucid. She’s distractedly watching her mother through the glass and explains that she has not slept in 48 hours, and she’s getting her first shot at heart surgery this morning, she’s missing rounds, and asks if they are sure there is no one else to handle this instead. The nursing home representative explains they are talking about her mother’s estate, finances, medical care and asks if Meredith really wants to leave her mother’s life in someone else’s hands.
In the OR, Burke is placing a stitch as Meredith begins to nod off while holding the heart in her hands. Burke notices her jerk awake and questions her about it. Meredith apologizes and says the heart slipped, but he’s finished, she can release Mrs. Patterson’s heart now.
As they prepare to take the patient off by-pass, George and Cristina watch from the gallery. George is jealous that Meredith got to hold a heart. Cristina says a monkey could hold a heart, but George think she only feels that way because she’s mad Burke didn’t ask her to assist. Izzie comes in looking for George, telling him she needs more ice and chips. He’s surprised and asks how many people she invited. Cristina reiterates the invite list was ‘jocks only’ meaning only surgery, trauma, and plastics. Izzie tells them she invited some people from peds as well, who Cristina calls preschoolers. Cristina thinks shrinks are next, and when Izzie turns away, she realizes she already did and says the party is already DOA. George reminds Izzie that Meredith thinks this is a small, meet-your-boyfriend, cocktail thing, and asks if she cleared it with her first. Izzie says she didn’t but promises she will. Cristina wonders why Izzie is wasting the one weekend her boyfriend is in town on a party and assumes it’s because he’s bad in bed. Izzie denies that and says she just wants him to meet her friends. Cristina doubts that but is paged away. Alex comes in asking about the party at Meredith’s house and takes Cristina’s seat. Cristina, George and Izzie all deny there’s a party, as Alex watches the surgery below.
In the OR, an alarm is going off, but they aren’t sure what the problem is. The anesthesiologist tells Burke the patient’s temperature is rising as they continue to massage the heart. Burke says she should be doing that on her own by now when the patient flatlines. The continue compressions as Burke calls for paddles and shocks her twice before getting a rhythm. Burke compliments the team and leaves to scrub out. As Meredith turn away from the table, she notices her fingernail has punctured her glove and worries she may have done something.
Derek is eating as he approaches Meredith and asks how the surgery went. She is less enthusiastic as George joins them. Derek notices her attitude, but when the elevator arrives, George and Meredith get on leaving Derek behind. Meredith tells George that she thinks she may have done something to the heart while she was holding it. She nodded off a little and thinks she may have squeezed it. George dismisses this and says the heart is a tough muscle, but Meredith tells him her fingernail popped a glove. She asks him what if she punctured the patient’s heart. He tells her if she had punctured it, they would have known when they tried to reperfused, but they got her heart started again so the patient is okay. Meredith wonders if she should tell Burke. George asks her what there is to tell, that nothing happened, and the woman is okay. They continue to tell one another the patient is fine.
Richard, Bailey and George are reviewing chest films for Mrs. Drake. Bailey asks George what he sees. He points out hyperinflated lungs, cloudy with bullae and seriously diminished capacity and says the patient must be having trouble breathing. Bailey asks what his course of action would be and he tells her he would do a bullectomy procedure to reduce the pressure. Richard has the chart and says they operated on this patient in 1999, but even though she has been through this procedure before, George still needs to walk her through it and resist the anti-smoking lectures, Mrs. Drake feels bad enough already. As he leaves, George asks Bailey if she thinks they put this lung scan on packs of cigarettes if people would stop smoking.
Derek and Alex are in with a patient who complains of back pain. Alex asks how long he’s been experiencing pain. He explains it’s chronic, meaning it always hurts. Alex says he know what chronic means and asks him to be more specific about the kind of pain he’s experiencing. He says it’s like a thousand samurai warriors stabbing swords into his spine and explains he’s allergic to aspirin and most NSAIDs. Alex suggests morphine, but the patient says the only things that works is Demerol of dilaudid. Derek notices track marks on the man’s arm. They leave the room and Alex believes the patient is just drug seeking, he has exaggerated and been overly specific in describing the pain and calls him a junkie. Derek asks what he would do. Alex wants to check the database for his history, refer him to a program, and discharge. Derek says he can do that, after he gives the patient something. Alex is annoyed and says that’s exactly what the patient wants. Derek tells him they still have to treat the pain as if it were real, that the first rule of pain management is to always err on the side of caution. He tells Alex to start a central line and the patient’s veins are shot as he is paged away.
Mrs. Drake tells George that her last surgery was supposed to help but says it never felt right. George says it probably would have been a good idea to quit smoking. She snaps back that she had a 4-pack-a-day habit, and it was hell, but she did quit and it didn’t do any damn good. This surprises George as he tells her based on her scans, they assumed she was still smoking. She affirms that she quit cold-turkey 5 years ago as they start to move and prep her for surgery. She tells him she had to quit her job at the restaurant, that even sitting hurt, but no one believed her. He tells her he saw the films; it is definitely not all in her head. She urges him to come closer and tells him he’s too young to be a doctor, but he says he’s older than he looks. She asks if he thinks the procedure is going to work this time, and he replies that it’s her best option. She says she likes a straight shooter.
Meredith watches from afar as Nurse Tyler gets Mrs. Patterson comfortable in the hospital bed. She comes over and greets the patient’s husband and gets updated on her status. She confirms that her levels are fine and explains that heart surgery takes a lot out of a patient. They are monitoring her carefully, and she should be fine.
Izzie draws the curtain as she approaches Mr. Sterman and asks how he’s feeling today. He says he’s pretty okay but doesn’t think he wants to have a bowel obstruction again. She jokes that they get people in all the time requesting them and asks if he’s keeping down the clear fluids and asks if he’s used the bathroom yet. He’s not sure, but she says he would probably know and asks if he has passed gas instead. He says yes, but she knows he’s lying. He apologizes for lying and tells her he went to medical school but dropped out his last year of clinical training. Just too many hours and he was getting into a divorce. He does research now, has a life and a family. He apologizes and says he meant no offense, but Izzie says it’s fine. She one of those people who believe you can have both a successful career and a family. He’s not so sure as a doctors first responsibility will always be their patient.
As Izzie exits Mr. Sterman’s room, Burke comes up to Cristina at the nurse’s station and slides a coffee to her. She looks up at him as he’s sipping his own, clearly confused. He says it’s just coffee. Cristina awkwardly accepts the coffee as they go their separate ways. When she turns the corner, Burke peers back watching her with a smile.
Meredith is washing her face in the locker room.
Richard is performing a ‘spaghetti procedure’ on Mrs. Drake as Bailey explains to George what it is. They notice something unusual in the field, which surprises Bailey. Richard says they need to convert to an open procedure and removed the scopes. Richard makes the incision as Bailey assists. Richard then pulls a towel from inside Mrs. Drake. George wonders where it came from, Richard says his best guess is from her surgery 5 years ago. Bailey says something careless this way comes and continues to assist.
Cristina has joined Richard, Bailey and George outside the OR. She’s surprised they pulled a towel from a patient as George explains that Mrs. Drake complained of pressure on her chest, and no one took her seriously. Richard reiterates it’s not good for the patient, not good for the hospital, just not good as he leaves. Bailey asks Cristina to hit the files, find everything she can about the initial operation including who was in the room and who was responsible for closing. She tells George to stay with Mrs. Drake, who seems to like him. George starts to ask how long he will need to wait, as his shift technically ends at 6pm. Bailey knows about the party and asks if she’s invited, to which George agrees that she is, of course. Once Bailey is gone, Cristina stares at George irritated, but he wonders what he was supposed to say.
Izzie is on the phone ordering assorted cases of beer for the party when Alex comes up and requests local microbrews and bar nuts. She tells him she’s ordering office supplies but makes the request anyway and moves the delivery from 5 to 7. Mr. Sterman passes her in the hall and asks if he poops, will she invite him to her party.
Derek is walking by when he hears his pain patient complaining and struggling with a nurse. Mr, Frost asks where he has been, and Derek assures him they will help as he goes to find Alex.
Derek berates Alex saying when he tells him to start a central line, he’s to do so without judgement or question. Alex tells him the patient have been in 7 hospitals in the last 4 months, he’s an addict. Derek says the patient has a 3-lumbar fusion, but Alex still only sees a junkie. Derek says yes, he may be an addict, but his pain is real and tells Alex to drop the attitude, get down there and start the central line.
George is with Mrs. Drake who says a handsome, older, male surgeon told her she had a towel inside her. George tells her that’s Dr. Webber, their chief. She understands the towel was left inside after her last surgery and asks who would do that, it doesn’t seem right. George agrees.
Cristina enters an office and starts going through files looking for information on Mrs. Drake’s initial surgery. She finally finds a post-op report listing Dr. John Davies as the surgeon, and Dr. Preston Burke as the surgical fellow on the case. She brings the information to Bailey and asks what happens now. Bailey tells her to keep it to herself while they work it out.
Meredith is charting at the nurse’s station when Derek comes over. He noticed something seemed off and asks if she’s okay. She assures him she’s just tired from a long procedure. He asks her out for dinner tonight, but she can’t. He tells her to forget about the party, which surprises her since she didn’t tell him about it. He sarcastically thanks her for not inviting him saying that felt good and tells her to think about dinner as he leaves and she is paged.
Meredith arrives at Mrs. Patterson’s bed where Nurse Tyler tells her there was swelling over her sternum and then blood started gushing. He’s already paged Burke. Mr. Patterson wants to know if his wife is dying. Meredith asks for someone to get Mr. Patterson out of there and hold pressure over the wound. When Burke arrives, he tells Tyler to call for an OR and asks Meredith for an update. She says the patient has received medication, with no allergic, anaphylactic or histamine responses, and updated him on her labs. Burke isn’t sure what went wrong and tells the team to move. Meredith hesitates, but then confesses that she popped a glove in the OR. Mr. Patterson has heard all of this and watches as they move his wife to surgery.
In the OR, Burke berates Meredith for not telling him sooner. She had every opportunity to speak up before he closed and then she went and confessed in front of the husband. He says she doesn’t know if this was her fault, she continues to apologize. He then finds the problem and beckons her to the table. There is a wall rupture, but it’s a lot larger than a fingernail. He tells her that Mrs. Patterson’s ventricular walls are weak as Richard comes in from the scrub room. He tells them he just spoke with Mr. Patterson and wants copies of his wife’s chart in his office by 5pm. He says Burke and Meredith will meet with legal tomorrow and they better be able to explain what happened here. As he leaves, he rants about people poking holes in hearts and leaving towels behind. Burke tells Meredith he’s going to go back and talk with Mr. Patterson, and tells her to review the history and apologize profusely. Her ass is on the line here. 
Meredith is reviewing the chart with Cristina and George. She told them she has to go before the chief tomorrow morning, that she could be kicked out of the program. George doesn’t think she will be kicked out and Cristina thinks the husband will sue. She wonders why Meredith even told Burke. George tells her he told Meredith not to. Meredith’s phone rings and she says she has to take it, and sarcastically thanks them for their comfort. Izzie arrives with coffee, a banana, and chips saying the beer is coming at 7pm and some of the floor nurses are bring wine. Cristina is annoyed she invited nurses and George asks her again if she’s cleared it with Meredith. Izzie says a few more people won’t make a difference, a party is a party. Cristina says yeah, and the bigger the party, the less time for the bad sex with her hockey player. Izzie asks her to stop, saying she and Hank have great sex, all the time and they will probably have sex after or maybe even during the party. Cristina laughs, and George again reminds her to clear it with Meredith. Izzie says Hank just needs to know that doctors can have fun, that they aren’t all workaholics with god complexes. Cristina say’s that’s exactly what they are annoying Izzie as George plays with an inflated glove. 
Meredith is on the phone confirming the notary can be there at 6:30, and that the home’s doctor will be there to attest to her mother’s mental competency as well. She asks if there is anything else she needs to bring besides her license and checkbook. She confirms 6:30 again and ends the call as Derek joins her. He heard. She thinks he’s talking about her phone call and tries to cover, but he’s referring to the heart thing and asks if she wants to talk about it. She says they are adults, but wonders when that happened and how to make it stop as she leaves. 
Cristina returns a patient chart to the rack as Burke is charting at the nurse’s station. They greet one another awkwardly, and she mentioned the complication of the heart graft. He says it was nothing he couldn’t handle. She walks away, but has her doubts. 
Mr. Patterson is on the phone outside the hospital but quickly ends the call as Meredith comes over. He tells her that was his lawyer, who advised him not to talk with her. Meredith understands that he's frustrated and angry, and asks for information about his wife. She tells him the walls of her heart are abnormally thin, which angers him further. He tells her not to blame this on his wife, he heard from her very mouth what happened. He says she was in the best shape of her life, and tells her to ask his wife's cardiologist. She had just lost 100lbs and tells her to not dare hang this on her. Meredith tries again, but he says he's done talking and leaves. 
Full Summary not completed.
==Cast==
105MeredithGrey.png|Meredith Grey
105CristinaYang.png|Cristina Yang
105IzzieStevens.png|Izzie Stevens
105AlexKarev.png|Alex Karev
105GeorgeO'Malley.png|George O'Malley
105MirandaBailey.png|Miranda Bailey
105RichardWebber.png|Richard Webber
105PrestonBurke.png|Preston Burke
105DerekShepherd.png|Derek Shepherd
105JerryFrost.png|Jerry Frost
105Hank.png|Hank
105StephanieDrake.png|Stephanie Drake
105Mr.Patterson.png|Mr. Patterson
105EllisGrey.png|Ellis Grey
105WarrenSterman.png|Warren Sterman
105AnesthesiologistJeremy.png|Anesthesiologist Jeremy
105JaneRichie.png|Jane Richie
105Tyler.png|Tyler
105Ms.Goff.png|Ms. Goff
105Perfusionist.png|Perfusionist
===Main Cast===
*Ellen Pompeo as Dr. Meredith Grey
*Sandra Oh as Dr. Cristina Yang
*Katherine Heigl as Dr. Izzie Stevens
*Justin Chambers as Dr. Alex Karev
*T.R. Knight as Dr. George O'Malley
*Chandra Wilson as Dr. Miranda Bailey
*James Pickens, Jr. as Dr. Richard Webber
*Isaiah Washington as Dr. Preston Burke
*Patrick Dempsey as Dr. Derek Shepherd
===Guest Stars===
*Brent Sexton as Jerry Frost
*Jonathan Scarfe as Hank
*Kathryn Joosten as Stephanie Drake
*Barry Shabaka Henley as Mr. Patterson
*Kate Burton as Ellis Grey
===Co-Starring===
*Jeff Doucette as Warren Sterman
*Steven W. Bailey as Anesthesiologist Jeremy
*Kate Forster as Jane Richie
*Moe Irvin as Tyler
*Jane Morris as Ms. Goff
*Andre Panossian as Perfusionist
==Medical Notes==
===Ellis Grey===
*Diagnosis:
**Alzheimer's Disease
*Doctors:
*Treatment:
Ellis's Alzheimer's had progressed to the point where the lawyer who was controlling her estate said it was time for her to sign things over to Meredith while she was still lucid enough.
===Mrs. Patterson===
*Diagnosis:
**Angina
**Tear in the ventricular wall
**Anorexia
*Doctors:
**Preston Burke (cardiothoracic surgeon)
**Meredith Grey (surgical intern)
*Treatment:
**Coronary artery bypass graft
**Surgery
Mrs. Patterson was having surgery. While they were operating, Meredith nodded off and squeezed her heart and her fingernail popped through the glove she was wearing. When they tried to take her off bypass, she flatlined. They were able to stabilize her and close. Post-op, Meredith checked on her and she was doing okay. When she started bleeding from her incision, they took her back into surgery. Meredith then confessed that she popped the glove and that she suspected that she nicked her heart. They discovered a large tear in her heart, much larger than a fingernail. Her heart walls were very thin to start with it. Her husband said that she recently lost 100 pounds and was in the best shape of her life. The doctors concluded that the enormous weight loss caused some of the heart muscle to disappear along with the fat, but because Mrs. Patterson still weighed 200 pounds, she was never diagnosed as anorexic.
===Stephanie Drake===
*Diagnosis:
**Hyperinflated lungs
**Foreign object in lung
*Doctors:
**Richard Webber (general surgeon)
**Miranda Bailey (surgical resident)
**George O'Malley (surgical intern)
*Treatment:
**Bullectomy
**Foreign body removal
Stephanie came into the hospital with difficulty breathing. A chest x-ray revealed hyper inflated lungs and bullae, so they planned a bullectomy. They also noted that she'd had surgery at the hospital years prior. She says that she quit smoking, but she never felt like the first surgery helped. When they took her into surgery, they discovered not bullae, but a cloth, left from her prior surgery. They removed the cloth.
===Jerry Frost===
*Diagnosis:
**Chronic back pain
**Drug addiction
**Spinal fusion
**Subdural bleed with midline shift
*Doctors:
**Derek Shepherd (neurosurgeon)
**Alex Karev (surgical intern)
**Izzie Stevens (surgical intern)
*Treatment:
**Central line
**Brain surgery
Jerry came into the hospital with severe back pain due to three-lumbar fusion. He had track marks on his arm and that, among other things, led Alex to suspect that he was a drug seeker. Derek told him to give him medicine and then refer him to a drug rehab and discharge him. Despite those instructions, Alex didn't start the central line. Derek found out and immediately told him to go start it. After he was given the drugs, he was much happier. Derek came in to have him discharged and told him to get some help. As they tried to discharge him, he fell on the ground and hit his head, causing a bleed. They took him into surgery. Post-op, he was referred to rehab.
===Warren Sterman===
*Diagnosis:
**Bowel obstruction
*Doctors:
**Izzie Stevens (surgical intern)
*Treatment:
**Surgery
Izzie checked on Warren Sterman, who had had surgery for a bowel obstruction. He had neither pooped nor passed gas, so he had to stay another night. Eventually, he did poop.
==Music==
Song 	Performer 	Scene
"Wake Up" 	The Ditty Bops	
*Meredith is exhausted and takes a shower.
*Meredith is told she needs to have her mother sign her estate over to Meredith.
"Tiger, My Friend" 	Psapp 	
*Burke gives Cristina coffee and watches her as she walks away.
*Meredith washes her face.
"She's Expensive" 	Dee 	
*Meredith arrives home, surprised at the size of the party.
*Cristina asks Bailey about the towel thing, but Bailey tells her it's been taken care of.
"Evil" 	Interpol 	
*Meredith is mad because the party is really big.
*Meredith joins in on the party and starts drinking.
"Edge of the Ocean"	Ivy 	
*Hank leaves Izzie.
*Burke struggles with what he's done.
*Meredith dances in the front yard with a bottle of tequila.
*Derek watches her.
*They talk and end up having sex in his car.
*Bailey catches them.
"Sparkle Me" 	Buffseeds 	
*Cristina and Burke watch each other.
*Ellis signs everything over to Meredith.
*Alex brings in a consultant to talk to Jerry about rehab.
*Burke apologizes to Mrs. Drake.
*Derek meets Bailey on the stairs and they share a meaningful look.
*Sterman tells Izzie he pooped.
*Cristina and Burke have sex.
*Meredith, Cristina, Izzie, and George clean up the house.
"Wake Up" - The Ditty Bops
"Tiger, My Friend" - Psapp
"She's Expensive" - Dee
"Evil" - Interpol
"Edge of the Ocean" - Ivy
"Sparkle Me" - Buffseeds
==Notes and Trivia==
*This episode's title originated from the song , originally sung by Peaches and Herb.
*This episode scored 17.90 million viewers.https://web.archive.org/web/20081221202507/http://abcmedianet.com/web/dnr/dispDNR.aspx?id=042605_07
*Meredith is hoarse throughout the episode.
*Goof: Richard mentions that Mrs. Drake underwent this surgery before in '99. But when Cristina is looking at the paperwork from the original surgery, it says the surgery date was 10-18-2000.
*Goof: Richard and Bailey who are general surgeons are performing a laparascopic surgery on Mrs. Drake's lungs; this would normally have been done by cardiothoracic surgeons as they specialize in organs within the thorax (e.g. heart, lungs).
==Gallery==
===Episode Stills===
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==Quotes==
:George: Who else did you invite?
:Cristina: Izzie, we said the list was jocks only. Surgery, Trauma, Plastics. Who else?
:Izzie: Just some people from peds.
:Cristina: You invited the preschoolers to Meredith’s house? The next thing you’ll say is you invited the shrinks.
:(Izzie looks away)
:Cristina: She invited mental defects. This party’s DOA.
----
:George: Is that a towel?
:Miranda: Get a pan.
:George: Where did that come from?
:Richard: Best guess, her surgery five years ago.
:Miranda: Something careless this way comes.
----
:Izzie: Hank just needs to realize that doctors can have fun. We're not all workaholics with God complexes.
:Cristina: We are workaholics with God complexes.
----
:Meredith: We're adults. When did that happen? And how do we make it stop?
----
:Cristina: Baby! You made it! Woo!
----
:Alex: My father was into smack pretty heavy. He was a musician. It's tolerated in his line of work, not good for the family at home.
----
:George: Full house!
:Cristina: Royal flush. Get naked, baby boy. Sexy!
----
:Hank: Izzie said she was going to be at home. She didn't say there was going to be a party.
:Meredith: Which pisses both of us off. Would you like some tequila? It helps.
:Hank: When do you think she's gonna get here?
:Meredith: Don't know. But we're low on ice, Hank.
:Hank: I'm serious.
:Meredith: So am I.
----
:Hank: There was a party at your house.
:Izzie: Yeah, did you get a chance to hang out? I wanted you to meet some of the people I work with.
:Hank: I don't care about the people you work with. I just want to see you.
:Izzie: Hmm, well you didn't mind meeting the people I worked with when they were models.
:Hank: Yeah, well, when they were models, you actually showed up to your own parties.
:Izzie: Yeah. This is my life now, Hank. I work 100 hour weeks. I can't always show up to my own parties on time. My patients have to come first.
:Hank: Yeah, I just flew across the entire country and there's 100 people at your house.
:Izzie: Yeah, 100 people who understand what I do all day. I shouldn't have to apologize for that.
----
:Derek: So you blew me off for a bottle of tequila. Tequila's no good for ya. It doesn't call. It doesn't write. It isn't nearly as much fun to wake up to.
----
:Derek: You know, it sounds like the party's winding down. Listen to me. We should probably sneak inside, though.
:Meredith: We've done enough sneaking for the night. It was good sneaking, but enough sneaking.
:Derek: Yeah, I'd say we're pretty good sneakers.
:Miranda: You mind moving this tail wagon? You're blocking me in.
:Derek: Apparently not good enough.
----
:Izzie: Holy mother of destruction.
:Meredith: You missed Doctor-palooza.
:Izzie: Apparently, you didn't.
----
:Preston: Five years ago, as a CT fellow, I had a nagging feeling that I didn't check the body cavity of a lung patient closely enough before I closed. The patient seemed fine post-op and I was in a hurry. And yesterday, you and Dr. Bailey pulled a towel out from under that patient's lung. Why didn't I report it at the appropriate time? Maybe because I was afraid that I would be called into a meeting where some hospital lawyer's fear of liability could end my career. Even great doctors make mistakes. And when we do, we've got to have a chance to be able to speak up without fear of retribution. Or everyone suffers. Dr. Grey spoke up.
----
:Bailey: Information is power.
----
:Alex: Missed your party?
:Izzie: Life as a surgeon.
:Alex: And loving every minute of it.
----
:Izzie: Okay. So, the beer is coming at 7 and some of the floor nurses are bringing wine.
:Cristina: Nurses? You invited nurses?
:George: Did you clear this with Meredith?
:Izzie: A few more people isn't gonna make a difference, okay. A party is a party.
:Cristina: And the bigger the party, the less time for bad sex with the hockey player.
:Izzie: Will you stop saying that.
:Cristina: Okay. (sarcastic)
:Izzie: Hank and I have great sex all the time. In fact, we're probably going to have sex after the party or during the party.
:George: As long as you clear it with Meredith.
:Izzie: Hank just needs to realize that doctors can have fun. We're not all workaholics with God complexes.
:Cristina: We are workaholics with God complexes.
==See Also==
*Episode Transcript
de:Die Last der Verantwortung
fr:Cas de conscience
es:Shake Your Groove Thing
it:Crescere, che fatica...
Category:All Episodes
Category:GA Episodes
Category:GA S1 Episodes