Deterioration of the Fight or Flight Response
Encyclopedia
"Deterioration of the Fight or Flight Response" is the 26th episode from the second season of the medical drama show 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...

. It is part two of a three part season finale, aired along side with Losing my religion
Losing My Religion (Grey's Anatomy)
"Losing My Religion" is the second season finale of the medical drama series Grey's Anatomy. The episode, the third of three parts, was written by the creator of the show, Shonda Rhimes, and directed by Mark Tinker. This episode garnered 22.42 million viewers. This episode was included on the list...

 on May 15, 2006, running for 43:01 min.

Main cast

  • 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. Cristina 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
    Kate Walsh (actor)
    Kathleen Erin "Kate" Walsh is an American film and television actress, currently known for her role as Dr. Addison Montgomery on the ABC dramas Grey's Anatomy and Private Practice.-Early life:...

     as Dr. Addison Montgomery-Shepherd.
  • 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.

Summary

Denny needs a heart or else he cannot survive. Izzie Stevens
Izzie Stevens
Isobel 'Izzie' Katherine Stevens is a fictional character from the medical drama television series Grey's Anatomy, which airs on ABC in the United States. The character was created by series producer Shonda Rhimes, and was portrayed by actress Katherine Heigl from 2005 to 2010...

 and George
George O'Malley
George O'Malley was a fictional surgeon from the ABC television series Grey's Anatomy, portrayed by actor T. R. Knight. Knight appeared as George from the beginning of the show until its fifth season finale. Knight will not be returning to the show and has been released from his contract...

 go crazy trying to get him one. Derek
Derek Shepherd
Derek Christopher Shepherd, also referred to as McDreamy, is a fictional surgeon on the ABC television series Grey's Anatomy. The character is portrayed by actor Patrick Dempsey, who was nominated in 2006 and 2007 Golden Globe for the Best Performance by an Actor in a Television Series Drama for...

 has the life of a friend in his hands as he operates on Burke
Preston Burke
Preston Xavier Burke, more commonly known as Burke, is a fictional surgeon on the ABC television series Grey's Anatomy. The character was portrayed by actor Isaiah Washington, up until the third season.-Storylines:...

 who has been shot. Burke cannot operate on Denny after Denny's heart stopped and now Denny is in a dire condition. Cristina
Cristina Yang
Cristina Yang is a fictional surgeon on the ABC television series Grey's Anatomy. The character is portrayed by actress Sandra Oh, who won a Golden Globe and a SAG Award in 2006 for the role...

 gets put in charge of Trauma Room 2 and she is worried about Burke.

Expanded Overview

Burke has been shot and Izzie has just cut Denny's LVAD wire. George, Meredith
Meredith Grey
Meredith Grey is a fictional surgeon and the series protagonist on the ABC television series Grey's Anatomy. The character is portrayed by actress Ellen Pompeo. In 2007, Pompeo was nominated for a Golden Globe for Best Actress in a Drama Series for her role as Meredith...

, and Cristina all wind up helping Izzie keep Denny alive long enough to get moved up the transplant list and get the heart in question. Addison figures out that Richard
Richard Webber
Richard Webber is a fictional surgeon from the ABC television series Grey's Anatomy. The character is portrayed by actor James Pickens, Jr., and was created by Shonda Rhimes...

's niece's (Camille) cancer has unfortunately returned. Bailey
Miranda Bailey
Dr. Miranda Bailey is a fictional surgeon on the ABC television series Grey's Anatomy. The character is portrayed by actress Chandra Wilson, who won a 2007 Screen Actor's Guild Award for the role...

 and Derek are attending to Burke—and it's Derek who must operate on Burke to help save his surgical skills. Richard and his wife discuss his past affair with Ellis Grey. Meanwhile Alex
Alex Karev
Alexander "Alex" Michael Karev, is a fictional surgeon on the ABC television series Grey's Anatomy, portrayed by actor Justin Chambers. The character was not included in the original pilot script, but was added in after the pilot was shot, meaning initial scenes with him were either reshoots or...

 desperately stalls at Mercy West in order to maintain possession of the donor heart while the rest of the interns struggle with each other in their fear of losing their places in the programs as well as Denny, who makes a surprise marriage proposal to Izzie amidst the madness.

After Bailey discovers the interns and Denny's situation, she helps them confirm Denny should receive the heart. Burke decides to have the surgery performed, risking nerve damage. But during his surgery, Derek must perform a wake-up test to check for nerve damage, and he asks Cristina for her help. But Cristina, horrified at the sight of Burke in pain on the table, freezes. Alex travels with Dr. Hahn from Mercy West with the heart, scrubbing in with Dr. Bailey for Denny's transplant. However, after the heart has been inserted, it still does not begin to beat and back in Derek's OR, Burke still cannot move his fingers...

Music

  1. "Universe & U (Acoustic Extravaganza Version)" by KT Tunstall
    KT Tunstall
    Kate Victoria "KT" Tunstall is a Scottish singer-songwriter and guitarist from St Andrews, Scotland. She broke into the public eye with a 2004 live solo performance of her song "Black Horse and the Cherry Tree" on Later... with Jools Holland...

  2. "Look At Her Face" by The Coral Sea
  3. "Through The Backyards" by Au Revoir Simone
    Au Revoir Simone
    Au Revoir Simone is an electronic dream pop band from Williamsburg, Brooklyn, New York, formed in late 2003. The group is composed of Erika Forster , Annie Hart , and Heather D'Angelo...

  4. "How We Operate" by Gomez
    Gomez (band)
    Gomez are an English indie rock band from Southport, comprising Ian Ball , Paul "Blackie" Blackburn , Tom Gray , Ben Ottewell and Olly Peacock . The band is distinguished for having three singers and four songwriters, employing traditional and electronic instruments...


Title reference

The episode's title refers to a song by The Flaming Lips
The Flaming Lips
The Flaming Lips are an American alternative rock band, formed in Oklahoma City, Oklahoma in 1983.Melodically, their sound contains lush, multi-layered, psychedelic rock arrangements, but lyrically their compositions show elements of space rock, including unusual song and album titles—such as "What...

 released as a B side on their first UK CD single of their song Fight Test
Fight Test
Fight Test is an EP by The Flaming Lips featuring the song of the same name, released on Warner Bros. Records in 2003. The single version of "Fight Test" was released on June 23, 2003, peaking at #28 in the UK Singles Chart...

.
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