Begin the Begin

is the thirteenth episode and mid-season premiere of the second season and the 22nd overall episode of Grey's Anatomy.
==Short Summary==
The Chief enforces the 80 hour work limit with an iron fist so Meredith has free-time, and so does Cristina, but she chooses to go to Twin Falls, Idaho with Bailey for a heart retrieval while the Chief asks Derek for a favor regarding Ellis Grey. George has a teenager who is actually different while Alex treats a man who has a bezoar and Izzie works on Denny Duquette.
==Full Summary==
Episode in detail.
==Cast==
213MeredithGrey.png|Meredith Grey
213CristinaYang.png|Cristina Yang
213IzzieStevens.png|Izzie Stevens
213AlexKarev.png|Alex Karev
213GeorgeO'Malley.png|George O'Malley
213MirandaBailey.png|Miranda Bailey
213RichardWebber.png|Richard Webber
213AddisonMontgomery.png|Addison Montgomery-Shepherd
213PrestonBurke.png|Preston Burke
213DerekShepherd.png|Derek Shepherd
213MauerPascowitz.png|Mauer Pascowitz
213DennyDuquette.png|Denny Duquette
213Audrey.png|Audrey
213Mr.Singleton.png|Mr. Singleton
213BexSingleton.png|Bex Singleton
213Mrs.Singleton.png|Mary Singleton
213EllisGrey.png|Ellis Grey
213Administrator.png|Administrator
213Anesthesiologist.png|Anesthesiologist
213ScrubNurse.png|Nurse Linda
213RajSen.png|Raj Sen
===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
*Kate Walsh as Dr. Addison Montgomery-Shepherd
*Isaiah Washington as Dr. Preston Burke
*Patrick Dempsey as Dr. Derek Shepherd
===Guest Stars===
*Stephen Spinella as Mauer Pascowitz
*Jeffrey Dean Morgan as Denny Duquette
*Lauren Tom as Audrey
*John Prosky as Mr. Singleton
*Becca Gardner as Rebecca Singleton
*Shannon Cochran as Mary Singleton
*Kate Burton as Dr. Ellis Grey
===Co-Starring===
*Joyce Guy as Administrator
*Rob Narita as Anesthesiologist
===Featuring===
*Linda Klein as Nurse Linda
===Uncredited===
*Anjul Nigam as Dr. Raj Sen
==Medical Notes==
===Ellis Grey===
*Diagnosis:
**Alzheimer's disease
*Doctors:
**Derek Shepherd (neurosurgeon)
*Treatment:
**Residential care
Ellis was shown at Roseridge Home for Extended Care. Derek came to visit her to see if she was eligible for a trial.
===Burke's Patient===
*Diagnosis:
**Mesothelioma
*Doctors:
**Preston Burke (cardiothoracic surgeon)
**Cristina Yang (surgical intern)
*Treatment:
**Surgery
Burke and Cristina were seen preparing to operate together on a patient with mesothelioma.
===Denny Duquette, Jr.===
*Diagnosis:
**Viral cardiomyopathy
*Doctors:
**Preston Burke (cardiothoracic surgeon)
**Miranda Bailey (surgical resident)
**Izzie Stevens (surgical intern)
*Treatment:
Denny, 36, was told to come into the hospital when a heart became available for him, which he needed due to cardiomyopathy. However, the donor showed signs of coronary artery disease, so the heart was not suitable for transplant and he was sent home.
===Rebecca Singleton===
*Diagnosis:
**Elevated hormone levels
**Tumor
*Doctors:
**Addison Montgomery-Shepherd (OB/GYN and medical geneticst)
**George O'Malley (surgical intern)
**Raj Sen (psychiatric resident)
*Treatment:
**Tumor resection
**Oral medication
Bex, 14, was in the hospital for a biopsy on an enlargement of a pelvic lymph node. Bex was found to have elevated hormone levels which were caused by the consumption of birth control pills, but that could be controlled by oral medication. The ultrasound showed a tumor, which was compressing what they believed to be an ovary. However, further testing identified it as a testes, meaning Bex is intersex. The tumor was benign, but because of their condition, they recommended therapy for the family. Bex's parents asked Addison to remove the testicle, but she refused to do so without Bex's consent.
===Mauer Pascowitz===
*Diagnosis:
**Bezoar
**Mercury poisoning
*Doctors:
**Richard Webber (general surgeon)
**Alex Karev (surgical intern)
*Treatment:
**Laxatives
**Surgery
**British anti-Lewisite
Mauer was in the hospital to be treated for abdominal pain, caused by a bezoar. He had eaten a novel he'd written. Before his surgery, he was sweating profusely and babbling incoherently. The bezoar was removed successfully, but was diagnosed with mercury poisoning.
===Heart Donor===
*Diagnosis:
**Coronary artery disease
*Doctors:
*Treatment:
While attempting to retrieve a heart for Denny Duquette, Bailey saw signs of coronary artery disease, so the heart was deemed too damaged to be transplanted.
==Music==
Song 	Performer 	Scene
"Hide Another Mistake" 	The 88 	
*Izzie hides from Doc in the bathroom. She lets George in.
*Meredith plays with Doc happily, but he growls at the others.
*Derek brings a fish into the trailer, where Addison is frustrated over living there.
"One of These Days" 	Kraak and Smaak	
*Meredith tells Derek about Doc.
*They claim to be over each other.
*The elevator opens to reveal Addison.
*Addison and Derek talk about Addison's passive-aggression.
"Ride" 	Cary Brothers 	
*Bex's parents don't want to tell her she's intersex.
*They also want Addison to remove her male sex organs.
*Addison refuses and George says Bex will learn the truth eventually.
*Meredith visits Ellis, who is already visiting with Derek.
"Break Your Momma's Back"	Slow Runner 	
*Meredith asks Derek about the trial for her mother.
*Izzie walks Denny to the hospital door and says goodbye.
*George cuts Bex's hair. Bex's mom comes in and takes over.
*Addison comes home to find Derek cooking the trout outside.
*He says she just has to wait it out with Meredith.
*Cristina tells Burke that she was going to have an abortion.
*Doc chases Meredith into the bathroom. She sits down to eat pizza with George and Izzie.
"Hide Another Mistake" - The 88
"One of These Days" - Kraak and Smaak
"Ride" - Cary Brothers
"Break Your Momma's Back" - Slow Runner
==Notes and Trivia==
*This episode's title originated from Begin the Begin originally sung by R.E.M.
*This episode scored 18.97 million viewers.https://web.archive.org/web/20100528010034/http://abcmedianet.com/web/dnr/dispDNR.aspx?id=011806_07
*This episode marks the first appearance of Jeffrey Dean Morgan as Denny Duquette, Jr.
*In her 2022 memoir I'm Glad My Mom Died, actress Jennette McCurdy mentions she auditioned for but ultimately did not get the role of an intersex teenager on an episode of Grey's Anatomy. It can be assumed that the role she auditioned for was Rebecca "Bex" Singleton.
==Quotes==
:Meredith: Such a good dog! Who's Mommy's good boy? (turns and looks at Izzie and George) C'mon, what are you doing, we're gonna be late.
:George: Uh— We need to talk about the dog.
:Izzie: That's not a dog, it's a hyena that escaped from the zoo, dressed in dog clothing.
:George: Whatever. I don't chew up his clothes. I don't urinate on his bed. I don't try to mount him from behind.
:Meredith: People, he's our dog. We love our dog. He loves us.
:Izzie: Mount you from behind?
:George: He tries to.
==See Also==
Begin the Begin
de:Ein neuer Anfang
es:Begin the Begin
fr:Nouveaux départs
Category:All Episodes
Category:GA Episodes
Category:GA S2 Episodes