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87-502: Addison initially joined Grey's Anatomy in the Season 1 finale as the estranged wife of Derek Shepherd ( Patrick Dempsey ). Although she was originally planned as a recurring guest character, creator Shonda Rhimes grew fond of Walsh's portrayal, which led to Addison becoming a series regular by season 2 episode 7, "Something to Talk About". Addison's character played a significant role throughout seasons 2 and 3, with her final appearance as

174-705: A neonatologist , the physician initially receives training as a pediatrician , then completes an additional training called a fellowship (for 3 years in the US) in neonatology. In the United States of America most, but not all neonatologists, are board certified in the specialty of Pediatrics by the American Board of Pediatrics or the American Osteopathic Board of Pediatrics and in the sub-specialty of Neonatal-Perinatal Medicine also by

261-440: A post-it note . They legalize their marriage in season seven in order to adopt Zola, a young African orphan treated for spina bifida . They briefly separate after Meredith tampers with their Alzheimer's trial, jeopardizing her career and tarnishing Derek's reputation. Zola is taken away from Meredith after a social worker finds out she and Derek are living separately. Eventually, the social worker comes back and announces they are

348-409: A Little Help From My Friends," and "Should I Stay or Should I Go?". In season 19, episode 11, titled "Training Day," Addison returns to Grey Sloan Memorial to assist Miranda Bailey in training new OB fellows. After news of her presence at the hospital spreads online, a large group of protesters gathers outside the clinic due to her work as an OB/GYN. The situation turns violent when a protester throws

435-461: A brick with the words "Montgomery murders" written on it through a clinic window. Addison helps deliver a baby amid the chaos, but while she and her team are being escorted from the clinic, a protester drives a car into her and a pregnant OB/GYN trainee. Despite the severity of the attack, Addison survives. In the series, Addison is initially made to feel unwelcome by the other doctors at Oceanside Wellness Group, but she decides to stay and work through

522-429: A brief but memorable return to the series. Rhimes described Derek Shepherd as the quintessential " Prince Charming ". He was envisioned as a doctor who lives in his "own" universe, with little regard for the world around him, and exudes high sex appeal . Rhimes wanted him to be a man who was charming, devilishly handsome, and the type of guy every girl dreams of—a man who could also make wrong decisions, be perceived as

609-404: A fatal car accident while driving to the airport for his final trip to Washington. He can hear and process auditory input but is unable to speak. He is recognized by Winnie, one of the victims of a crash he assisted in earlier, who tells the surgeons that their patient's name is Derek and that he is a surgeon as well. The hospital he is taken to is understaffed and under-equipped, and his head injury

696-470: A huge chapter of my life. It's been 8 years." Her departure marked the end of Addison's full-time role in the Grey's Anatomy universe, although Walsh continued to make guest appearances on Grey's Anatomy in later seasons. Montgomery was initially described as "cold and unforgiving" when she first appeared on Grey's Anatomy . However, as the episodes progressed, it became clear that the writers had "softened"

783-415: A jerk, or be the ultimate heartbreaker. Rhimes intended for this character to be dynamic and easily adaptable to various storylines, knowing that viewers would fall in love with him despite his flaws. Robert Bianco of USA Today noted the complexity of Derek's character, stating: "Derek could, at times, seem like two people, warm and funny one minute, cold and self-involved the next. Patrick Dempsey's gift

870-479: A mainstay of treatment of neonatal jaundice. In the 1980s, the development of pulmonary surfactant replacement therapy further improved survival of extremely premature infants and decreased chronic lung disease , one of the complications of mechanical ventilation, among less severely premature infants. In the United States , a neonatologist is a physician ( MD or DO ) practicing neonatology. To become

957-536: A mother. In the Season 5 finale, Addison and Jake sleep together after Amelia Shepherd delivers a brainless baby whose organs are donated. When Addison returns home, Sam proposes to her, but Jake is also on his way to her house with flowers and Chinese food, leaving her in a dilemma. In the beginning of Season 6, it is revealed that Addison rejected Sam's proposal and is now in a relationship with Jake. The two eventually move in together, and Addison proposes marriage. Jake initially hesitates but later realizes that Addison

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1044-628: A nerve transplant for his hand. Meredith, newly pregnant with their second child, goes behind his back and calls his sisters so they can donate the nerve to him. Lizzie ( Neve Campbell ), Derek's younger sister, agrees to donate a nerve and the surgery is a success. Derek and Meredith's marriage is strained after he accepted an invitation from the U.S. President to participate in the Brain-Mapping Initiative. He went back on his promise that he would not add to his current workload to devote time to their two young children and allow Meredith

1131-421: A nervous rant about how Derek was supposed to be the one to give her away, him having given away their three other sisters at their weddings. In season 17, he appears in a dream sequence on a beach as Meredith fights COVID-19 which leaves her comatose and thus experiencing an "afterlife" reality. Wanting to be with Derek, Derek informs her it's not her time to go and Meredith eventually wakes up, leaving Derek at

1218-571: A regular in the season 3 finale, " Didn't We Almost Have It All? ". Despite her departure as a series regular, Addison continued to make guest appearances over the next 5 seasons, including a notable two-part guest stint in Season 5 . After the love triangle involving Addison, Derek, and Meredith Grey (Ellen Pompeo) was resolved, Rhimes created the first spin-off of Grey's Anatomy centered around Addison, titled Private Practice . The new series saw Addison move to Los Angeles to start fresh, working at

1305-513: A regular on the show. Addison's popularity led to the creation of the spin-off series, Private Practice , where Walsh's character moved to Los Angeles to start a new chapter in her life. In June 2012, Kate Walsh announced on Bethenny Frankel 's talk show, Bethenny , that the upcoming sixth season of Private Practice would be her last. Reflecting on her time with the character, Walsh said: "It's been an incredible journey and an amazing ride, and I'm hugely, hugely grateful. It's bittersweet. It's

1392-498: A relationship with Mark, but it quickly fell apart when she discovered she was pregnant and learned that Mark had cheated on her. She decided to have an abortion , still being in love with Derek, and subsequently moved to Seattle in an attempt to repair her relationship with him, which ultimately failed. Addison first appears in the Season 1 finale of Grey's Anatomy , arriving in Seattle at Richard Webber 's request. Her initial goal

1479-413: A romantic attraction toward Alex, leading to them sleeping together. Addison quickly realizes that Alex does not want a relationship with her, leaving her feeling even more isolated. Wanting to have a baby, Addison consults her friend Naomi Bennett, a fertility specialist, which introduces the storyline that serves as the backdoor pilot for Private Practice , marking her transition from Grey's Anatomy to

1566-582: A rudimentary incubator made from two nestled metal tubs enclosing a layer of warm water. By the mid-1850s, these "warming tubs" were in regular use at the Moscow Foundling Hospital for the support of premature infants. 1857, Jean-Louis-Paul Denuce was the first to publish a description of his own similar incubator design, and was the first physician to describe its utility in the support of premature infants in medical literature. By 1931, Dr. A Robert Bauer added more sophisticated upgrades to

1653-404: A show about people 10 years down the line — what happens if they didn't achieve their dreams, or if they did?" — Shonda Rhimes on creating a show centered on Kate Walsh's character Kate Walsh first appeared as Addison on Grey's Anatomy . Initially, the character was intended to appear in only a few episodes, but due to the positive reception of Walsh’s performance, Addison quickly became

1740-671: A subspecialty. Neonatal nursing is subspecialty of nursing that specialize in neonatal care. Rather than focusing on a particular organ system, neonatologists focus on the care of newborns who require hospitalization in the Neonatal Intensive Care Unit (NICU). They may also act as general pediatricians, providing well newborn evaluation and care in the hospital where they are based. Some neonatologists, particularly those in academic settings who perform clinical and basic science research, may follow infants for months or even years after hospital discharge to better assess

1827-406: A tense argument, he accepts the job in the heat of the moment and leaves for Washington D.C. While there, he and Meredith talk things out over the phone and come to a mutual conclusion that they both did not want to end their marriage. He tells her that just being with her, raising their children and operating on patients was more satisfying than "saving the world". In season 11, Derek is involved in

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1914-564: A university, where Addison would watch him as a child. However, her father's time with Addison was often a pretense for his numerous affairs. Her mother, Beatrice "Bizzy" Forbes Montgomery, is also a prominent figure, and her brother, Archer, is a renowned neurologist and a successful author. Addison met her future husband, Derek Shepherd , in medical school , and their love story began during their time at Columbia University College of Physicians and Surgeons in New York City . Addison

2001-426: A while longer. Naomi ends her friendship with Addison after learning about her relationship with Sam. In the Season 4 finale, Addison has to operate on her godchild, Maya Bennett, after a car accident, which helps mend her friendship with Naomi. Addison eventually breaks up with Pete and finally becomes a couple with Sam. However, their relationship is strained when Addison expresses her desire to have children, while Sam

2088-573: Is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn. It is a hospital -based specialty and is usually practised in neonatal intensive care units (NICUs). The principal patients of neonatologists are newborn infants who are ill or require special medical care due to prematurity , low birth weight , intrauterine growth restriction , congenital malformations ( birth defects ), sepsis , pulmonary hypoplasia , or birth asphyxia . Though high infant mortality rates were recognized by

2175-661: Is also a graduate of Yale University . During her time in New York, she formed close friendships with Sam and Naomi Bennett , who would later become her colleagues at the Oceanside Wellness Group in Private Practice . Despite their early connection, Addison and Derek's marriage became strained as they started their medical practices in New York City. This professional life contributed to

2262-474: Is hesitant to pursue a relationship with Sam because of her friendship with Naomi. Despite these concerns, Addison eventually admits that she loves both Sam and Pete but decides to begin a relationship with Pete while Sam is dating another doctor. Although Addison and Pete try to make their relationship work, she and Sam continue to harbor feelings for each other, and after Sam becomes single, they kiss again. Pete catches them, but Addison and Pete stay together for

2349-466: Is not detected quickly enough by the arrogant doctors and inexperienced interns on duty that night; although one intern does suspect Derek had a head injury, her superior repeatedly shuts down her attempts to get him a head CT, prioritizing his abdominal bleeding beforehand and having him rushed into surgery even though he is stable enough for the CT. Although the neurosurgeon on call is paged multiple times after

2436-529: Is not ready for that commitment. After breaking up with Sam, Addison goes on a date with Jake Reilly, a fertility specialist . Although she initially agrees to go to Fiji with him, she ultimately reconciles with Sam. At the start of Season 5, Addison and Sam are back together but break up once more when Sam still refuses to commit to marriage and family. Jake is later hired at the practice, making Addison uncomfortable initially. Jake helps Addison attempt to conceive through IVF , and over time, they grow closer. It

2523-975: Is passionate about his job and has been known to expel staff or remove students (or at least threaten them) from his service for being disrespectful about patients or if he deems their attitude to be detrimental to his patient's well-being. Derek first meets Meredith Grey at a bar and has a one-night stand with her. He soon finds out that she is an intern at Seattle Grace. They begin to have feelings for one another, and it causes some awkwardness at work particularly after her supervising resident Dr. Miranda Bailey discovers their relationship. While most of his family members accepted Meredith, his sister, Nancy, particularly disliked her and repeatedly called her "the slutty intern"; as of season nine she still refuses to speak to Meredith or acknowledge her as her sister-in-law. His mother Carolyn approved as she felt Meredith's gray perspective of life complemented Derek's tendency to see everything in black and white. Derek's background

2610-505: Is revealed that Jake had a wife, Lily, who struggled with addiction and died of an overdose , leaving Jake to adopt her daughter, Angela. Angela encourages Jake to pursue a relationship with Addison, and despite Addison's unresolved feelings for Sam, she and Jake share several kisses. Addison’s dream of becoming a mother finally comes true when she adopts a baby boy named Henry. Sam begins to regret leaving Addison and spends more time with Henry, but Addison chooses to focus on her new life as

2697-659: Is tested when her brother Archer tells him he isn't good enough for her. Although Addison initially reassures Kevin, the strain eventually causes them to break up. Archer soon begins working for a rival practice, the Pacific Wellcare Center, and when he suffers multiple seizures and believes he has a brain tumor, Addison asks Derek Shepherd to treat him in another crossover episode with Grey's Anatomy . Derek discovers that Archer has parasites in his brain and successfully removes them, saving his life. During this time, Archer begins dating Naomi, putting further strain on

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2784-422: Is the woman he wants to spend his life with. In a romantic gesture, Jake sets up a candlelit proposal with rose petals, and the two get engaged. In the series finale of Private Practice , Addison and Jake get married, officially starting their new life together with Henry. "I discovered I had endless stories to write for her. Grey's is mainly about young people starting their careers. I realized Kate could anchor

2871-441: Is to reconcile with her estranged husband, Derek, despite his budding relationship with Meredith. Although Derek is still angry with her for her affair with Mark, Addison’s arrival stirs up old feelings, and the couple attempts to rekindle their marriage. This leads to Derek ultimately choosing Addison over Meredith, though he admits that he has fallen in love with Meredith. They try to rebuild their life together, with Addison becoming

2958-837: The Apgar score , used for standardized assessment of infants immediately upon delivery, to guide further steps in resuscitation if necessary. The first dedicated neonatal intensive care unit (NICU) was established at Yale-Newhaven Hospital in Connecticut in 1965. Prior to the development of the NICU, premature and critically ill infants were attended to in nurseries without specialized resuscitation equipment. In 1968, Dr. Jerold Lucey demonstrated that hyperbilirubinemia of prematurity (a form of neonatal jaundice ) could be successfully treated through exposure to artificial blue light. This led to widespread use of phototherapy, which has now become

3045-559: The University of Southern California Keck School of Medicine , whom Rhimes consulted for inspiration. In January 2014, Dempsey signed a two-year contract to stay on Grey's Anatomy , securing his presence through potential seasons 11 and 12. However, in April 2015, his character was unexpectedly killed off, even though his contract had not yet ended. Dempsey commented on his exit, saying, "It just evolved. It's just kind of happened. It

3132-706: The American Board of Pediatrics or American Osteopathic Board of Pediatrics. Most countries now run similar programs for post-graduate training in Neonatology, as a subspecialisation of pediatrics. In the United Kingdom , after graduation from medical school and completing the two-year foundation programme , a physician wishing to become a neonatologist would enroll in an eight-year paediatric specialty training programme. The last two to three years of this would be devoted to training in neonatology as

3219-568: The Oceanside Wellness Group, a fictional private practice in Santa Monica, California . Private Practice ran for six seasons, from 2007 to 2013, airing concurrently with Grey's Anatomy 's seasons 4 through 9. Walsh decided to retire the character after 8 years of portraying Addison, making her final series regular appearance in the Grey's Anatomy universe during the Private Practice series finale, "In Which We Say Goodbye", on January 22, 2013. However, nearly 9 years later, Walsh returned to

3306-430: The already fragile friendship between Naomi and Addison. Addison also begins dating a man who turns out to be married to her patient. Despite knowing this, Addison continues to cross the line until the patient calls Addison out on it. Additionally, she discovers that her mother, Bizzy, is a lesbian and has been in a long-term affair with her best friend. Addison had previously blamed her father for his numerous affairs and

3393-474: The average salary for a neonatologist was about $ 299,000 to $ 355,000. Premature birth is one of the most common reasons for hospitalization. The average hospital costs from 2003 to 2011 for the maternal and neonatal surgical services were the lowest hospital costs in the U.S. In 2012, maternal or neonatal hospital stays constituted the largest proportion of hospitalizations among infants, adults aged 18–44, and those covered by Medicaid. Between 2000 and 2012,

3480-536: The beach as he waves good-bye to her. When Patrick Dempsey auditioned for the role of Derek Shepherd, he was initially afraid that he wouldn't land the part. However, Grey's Anatomy creator Shonda Rhimes was immediately convinced: "The very first time I met him, I was absolutely sure that he was my guy. Reading the lines of Derek Shepherd, Patrick had a vulnerable charm that I just fell for. And he had amazing chemistry with Ellen Pompeo." Rhimes later revealed that Dempsey's dyslexia initially caused some hesitation during

3567-466: The care of newborns was in its infancy and was led mainly by obstetricians; however, the early 1900s, pediatricians began to assume a more direct role in caring for neonates. The term neonatology was coined by Dr. Alexander Schaffer in 1960. The American Board of Pediatrics established an official sub-board certification for neonatology in 1975. In 1835, the Russian physician Georg von Ruehl developed

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3654-575: The cast numerous accolades. In 2006, she was part of the Grey's Anatomy ensemble that won the Satellite Award for Best Ensemble in a Television Series . Additionally, she was also part of the Grey's Anatomy ensemble cast that was nominated for the Screen Actors Guild Award for Outstanding Performance by an Ensemble in a Drama Series from 2006 to 2008 , with a victory in 2007 . For her role on Private Practice , Walsh

3741-458: The challenges. Early on, Addison is attracted to Pete Wilder , the practice's alternative medicine specialist. However, after Pete stands her up on a date, Addison decides to remain friends with him and begins dating Kevin, a police officer she met through work. In a crossover episode , Addison briefly returns to Seattle Grace to assist with a patient and gives Meredith advice not to let Derek slip away. In Season 2, Addison learns from Naomi that

3828-591: The chance to establish her career as a full-fledged attending. Eventually, he was offered a position at the National Institutes of Health in Washington, D.C., but Meredith puts her foot down and refuses to leave her hometown and uproot their young family. His youngest sister Amelia ( Caterina Scorsone ) takes over his position at Grey Sloan as Head of Neurosurgery. Meanwhile, he and Meredith fight bitterly off and on over whether they should move. After

3915-472: The character as an alumnus. Interestingly, Patrick Dempsey himself hails from Lewiston , Maine, located just 18 miles from Brunswick. In 2013, Dempsey was awarded an honorary doctorate by Bowdoin College. On November 12, 2020, Dempsey reprised his role as Derek in a dream sequence during the two-part season 17 premiere of Grey's Anatomy . He appeared in several more episodes throughout the season, marking

4002-489: The character, allowing audiences to see a more vulnerable side. Kate Walsh summarized Addison as a "girl you love to hate". Reflecting on Addison’s transition from the first season of Grey's Anatomy to the second, Walsh observed: "She started out so together. Now she's a cat without a whisker — a little off balance and leaving a mess all over the hospital. She's a little untethered now, she's coming unraveled". Walsh felt that Addison became "stronger" and "more centered" between

4089-399: The doctors finally discover the head injury, he takes too long to arrive, and Derek is declared brain dead. Police arrive at Meredith's door and take her to see Derek, where she consents to remove him from life support. At the time of his death, Meredith is pregnant with their third child. After quietly leaving Seattle, she gives birth to a daughter whom she names Ellis after her mother. Derek

4176-403: The fact that his career as a surgeon may be over and is grateful that he is alive. When Callie Torres ( Sara Ramirez ), head of orthopedic surgery, tells him a more risky surgery could give him back full function of his hand or reduce its function if it goes wrong, he agrees, accepting the possibility of never again holding a scalpel. Derek, Callie, and fellow resident, Jackson Avery, decide to do

4263-462: The first table readings : "I did not know about Patrick's dyslexia in the beginning. I actually thought that he didn't like the scripts from the way he approached the readings. When I found out, I completely understood his hesitation. Now that we all know, if he is struggling with a word, the other actors are quick to step up and help him out. Everyone is very respectful." Isaiah Washington , who eventually portrayed Preston Burke , also auditioned for

4350-524: The first and second seasons of Private Practice . She noted, "Initially she's still getting her footing, still isn't quite sure and a little wobbly, and then you see that she's got her groove back". Walsh further elaborated on Addison’s character, describing her as "flawed and arrogant and really good at what she does. And no matter what happens, she picks herself up and moves on. She keeps trying." Walsh expressed satisfaction with how Addison’s love life evolved in Private Practice . In Grey's Anatomy , Addison

4437-493: The growing distance between them. The couple's troubles were further compounded by Derek's family disapproving of Addison, particularly his mother, who gave her deceased husband's ring to Derek's second wife, Meredith Grey . Additionally, Addison's brother, Archer, disliked Derek, which created further tension. The pivotal moment in their relationship came when Addison had an affair with Mark Sloan , Derek's best friend, further damaging their marriage. Addison briefly tried to build

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4524-414: The head of a new surgical service that integrates neonatal surgery with obstetrics and gynecology . However, Derek's lingering feelings for Meredith continue to challenge their relationship. Matters are further complicated when Mark Sloan arrives in Seattle to pursue Addison. Mark tells her that Derek is still in love with Meredith, and that he (Mark) genuinely loves her. Addison eventually acknowledges

4611-416: The hospital altogether. In seasons three and four, Meredith and Derek's relationship becomes rocky, and they each take time to date other people. Derek's plans to propose were ruined by a series of unfortunate events in season five. In the season finale, they decide to give their planned wedding to Alex and Izzie. Due to their tight schedule, they instead informally marry, and Derek writes down their "vows" on

4698-494: The idea that he just turned out to be a bad guy who walked out on his wife and kids be a true story. To me, it felt like that was the only way to make Meredith and Derek's magic remain true and forever frozen in time. The character was later written to be a graduate of Bowdoin College , a liberal arts college in Brunswick, Maine . This change came after an alumnus of Bowdoin led a petition, signed by over 450 students, to "adopt"

4785-408: The incubator which allowed for humidity control and oxygen delivery in addition to heating capabilities, further contributing to improved survival in newborns. The 1950s brought a rapid escalation in neonatal services with the advent of mechanical ventilation of the newborn, allowing for survival at an increasingly smaller birth weight. In 1952, the anesthesiologist Dr. Virginia Apgar developed

4872-408: The long-term outcomes. The infant is undergoing many adaptations to extrauterine life , and its physiological systems, such as the immune system , are far from fully developed. Diseases of concern during the neonatal period include: Neonatologists earn significantly more than general pediatricians. In 2018, a typical pediatrician salary in the United States ranged from $ 221,000 to $ 264,000, whereas

4959-502: The love was not true, the thing we had said for 11 years was a lie and McDreamy wasn't McDreamy. For me, that was untenable. Meredith and Derek's love had to remain Meredith and Derek's love. As painful as it was for me as a storyteller, because I had never really thought that was going to happen, it preserved what felt true to me, was that Derek was going to have to die in order for that love to remain honest. Because I really couldn't have

5046-416: The medical community at least as early as the 1860s, advances in modern neonatal intensive care have led to a significant decline in infant mortality in the modern era. This has been achieved through a combination of technological advances, enhanced understanding of newborn physiology, improved sanitation practices, and development of specialized units for neonatal intensive care. Around the mid-19th century,

5133-480: The moral high ground back to McDreamy was bad. Dude, whatever happened in New York ceased to count once you agreed to take Addison back. You're the one who cheated on her, and still you act like her getting back together with Mark justifies what you did?" In Season 4 , Debbie Chang of BuddyTV commented on Derek's immaturity, noting: "The only character who did not make me love him was Derek Shepherd. Yes, his love for Meredith torments him, but that does not give him

5220-420: The new Head of Neurosurgery from New York City . He is a Bowdoin College graduate and attended Columbia University College of Physicians and Surgeons alongside his childhood best friend Mark Sloan and ex-wife Addison Montgomery and Private Practice characters Naomi Bennett and Sam Bennett . Derek was a student of Dr. Richard Webber and was enticed to come with an "offer he couldn't refuse"  –

5307-608: The new head of plastic surgery. Derek and Addison attempt to repair their marriage but attempts were futile. Addison and Derek each began their practice in New York City, which placed a strain on their marriage. Their marriage was troubled in the years leading to Derek's decision to leave New York as it is eventually revealed in both Grey's Anatomy and Private Practice that Derek's mother did not approve of her (choosing to give her dead husband's ring to Derek's second wife, Meredith Grey ) and Addison's brother Archer disliked Derek. Addison's affair with Derek's best friend Mark Sloan drove

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5394-662: The nicknames "Bad Shepherd" and "McDreary". When Derek is offered the Chief of Surgery position for the second time, he persuades the board to keep Dr. Webber on the staff. During the merger of Seattle Grace with Mercy West their relationship sours when Derek disagreed with Richard's handling of the merger and Richard begins to display uncharacteristic behavior. Derek learns from Meredith that Richard has since resumed drinking and feels forced to have him removed as Chief of Surgery. With mixed feelings, Derek offers him an ultimatum: go into rehab and pick up where he left off after, or retire from

5481-423: The number of neonatal stays (births) in the United States fluctuated around 4.0 million stays, reaching a high of 4.3 million in 2006. Maternal and neonatal stays constituted 27 percent of hospital stays in the United States in 2012. However, the mean hospital costs remained the lowest of the three types of hospital stay (medical, surgical, or maternal and neonatal). The mean hospital cost for a maternal/neonatal stay

5568-496: The official parents of Zola. As Meredith nears the end of her fifth year of residency , she and Derek are torn between staying at Seattle Grace Mercy West or leaving for Boston where Derek would work at Harvard while Meredith would be at the Brigham and Women's Hospital . Following his rescue from the plane crash that killed Mark and Lexie, Derek learns that he may only regain 80 percent of his hand's function. He comes to terms with

5655-516: The position in Season 7 , following the traumatic hospital shooting . For his portrayal of Derek Shepherd, Dempsey earned widespread recognition. He was nominated for the Golden Globe Award for Best Actor – Television Series Drama in both 2006 and 2007. Additionally, he also received a nomination for the Screen Actors Guild Award for Outstanding Performance by a Male Actor in a Drama Series . Derek arrives at Seattle Grace Hospital as

5742-502: The position of Chief of Surgery, which he eventually turned down. He specializes in highly complex tumors and conditions of the brain and spine, and came to Seattle Grace with a reputation for taking on "lost causes" and "impossible" cases that most of his peers would turn down. As an attending , he is both well-liked by patients and his scrub nurses for his compassion and polite bedside manner and feared by interns and residents who are intimidated by his reputation and high standards. He

5829-413: The practice is struggling financially. Despite Naomi’s request to keep it a secret, Addison informs Sam, which leads Naomi to feel betrayed and end her friendship with Addison. This situation escalates when Addison inadvertently prompts the staff to vote between Sam and Naomi for leadership of the practice, and she is surprised when the staff elects her as the new director. Addison's relationship with Kevin

5916-526: The right to lash out at her when his clinical trial patients are dying. If things don't go absolutely the way he wants, then he refuses to cooperate. How immature can this man possibly be?" Entertainment Weekly placed Derek in its list of the "30 Great TV Doctors and Nurses." He was also featured in Wetpaint 's "10 Hottest Male Doctors on TV" and BuzzFeed 's "16 Hottest Doctors On Television." His iconic relationship with Meredith Grey ( Ellen Pompeo )

6003-480: The role of Addison in a recurring capacity for the Seasons 18 and 19 of the original series. Most of Addison's past is revealed in a non-linear fashion, primarily throughout the second season of Grey's Anatomy and the second and third seasons of Private Practice . Addison comes from a wealthy background and has a $ 25 million trust fund. Her father, nicknamed "The Captain", is a doctor who teaches medicine at

6090-446: The role of Derek Shepherd. Reflecting on the experience, Washington said his reaction to not getting the part was like "I'd been kicked in the stomach by 14 mules." Another actor considered for the role was Rob Lowe , who turned it down in favor of starring in the short-lived CBS medical drama Dr. Vegas . Some of Shepherd's medical cases on the show were based on real-life patients of Steve Giannotta, Chair of Neurological Surgery at

6177-591: The spin-off. Addison eventually decides to leave Seattle and moves to Los Angeles , where she joins the Oceanside Wellness Group, led by Sam and Naomi Bennett. This officially ends Addison's time as a series regular on Grey's Anatomy , though she makes guest appearances on the show through Season 8. For reasons unknown, Addison is not present at Derek's funeral. In September 2021, it was announced via social media that Kate Walsh would reprise her role as Dr. Addison Montgomery in Grey's Anatomy 's eighteenth season . Addison returned for 3 episodes: "Hotter than Hell," "With

6264-589: The truth: that Derek’s heart belongs to Meredith. As Derek tries to deal with seeing Meredith move on, he has sex with her in a moment of vulnerability at a hospital foundation gala. When Addison learns about this, she retaliates by having a one-night stand with Mark. Though Mark expresses his desire for a serious relationship, Addison declines, as she recognizes the complexity of her feelings for both men. In Season 2, Addison initially punishes Alex Karev by placing him on her service after he almost causes her legal trouble. However, as season three unfolds, Addison develops

6351-571: The wedge even further and Derek's departure to Seattle. Addison briefly attempted to have a relationship with Mark, which resulted in her becoming pregnant. She then had an abortion soon after she discovered that Mark cheated on her, and as she was still in love with Derek. She then moved to Seattle. In the season eight episode " If/Then ", Meredith dreams of an alternate universe where her mother never had Alzheimer's; Derek and Addison are still married, but their strained relationship and Shepherd's disillusionment causes his career to stagnate, earning him

6438-460: Was also included in various lists by About.com , BuddyTV , Cosmopolitan , Wetpaint . However, following the announcement of Dane's upcoming departure from the show, Mark Perigard of the Boston Herald disagreed, stating that Derek and Mark "never clicked like you'd expect friends would," calling their scenes together "uncomfortable" and "forced". Neonatology Neonatology

6525-414: Was generally a mystery for the first season and source of speculation amongst his colleagues due to his sudden departure from an established and highly respected practice in New York. In the season one finale, his past eventually catches up with him when his estranged wife Addison moves to Seattle and is offered a position by Dr. Webber. Shortly after that, his childhood best friend Mark joins Seattle Grace as

6612-684: Was highly praised by critics and audiences alike. TV Guide said of her performance: "Kate Walsh kicks butt as Addison, and I hope she sticks around. She adds spice to an already hot show". However, not all reviews of Addison's transition to Private Practice were initially positive. Joel Keller of AOL TV expressed disappointment with Addison’s evolution during the first season of the spin-off, stating that she "went from strong and funny to whimpering and lovelorn". Keller appreciated Addison's original strength and wit on Grey's Anatomy and felt her character had become more vulnerable and emotionally dependent in Private Practice . Despite his criticism, Keller

6699-510: Was in making those two sides seem like part of the same person, while keeping us rooting for that person as a whole." At the end of Season 2 , Robert Bianco of USA Today suggested that Dempsey could be considered for an Emmy due to the "seemingly effortless way he humanizes Derek's 'dreamy' appeal with ego and vanity." However, Alan Sepinwall of The Star-Ledger was more critical of Derek in Season 3 , particularly regarding his moral contradictions. Sepinwall wrote: "The attempt to give

6786-433: Was married to Addison Montgomery ( Kate Walsh ), but their relationship ended in divorce in 2007. Before his death in 2015, Derek was happily married to his longtime partner, Meredith Grey ( Ellen Pompeo ), with whom he had three children. Derek served as the Chief of Surgery at Seattle Grace Mercy West Hospital (previously Seattle Grace Hospital, and later Grey Sloan Memorial Hospital). However, he abruptly resigned from

6873-482: Was mentioned or referenced several times in season 12 as the other characters struggle to cope with his sudden death. In the episode " My Next Life ", Meredith had a flashback of their first ever surgery together when a patient named Katie Bryce was admitted to the hospital with a brain aneurysm. Amelia took his death especially hard as he was the sibling she was closest to. At the end of the season, before her wedding to Derek's long-time colleague Owen Hunt , Amelia goes on

6960-400: Was named one of TV Guide's "Best TV Couples of All Time." Derek's friendship with Mark Sloan ( Eric Dane ) was also acclaimed, with Victor Balta of Today listing their bond in the "TV's Best Bromances." He described them as "the most exciting couple on Grey's," thanks to their "easy chemistry" and their ability to deliver "great comic relief" with their banter and wisdom. Their bromance

7047-463: Was nominated for Favorite TV Drama Actress at the 37th People's Choice Awards . Derek Shepherd Derek Christopher Shepherd , often referred to as " McDreamy ", is a fictional surgeon from the ABC medical drama Grey's Anatomy , portrayed by actor Patrick Dempsey . He made his first appearance in the series' pilot episode, " A Hard Day's Night ", which was broadcast on March 27, 2005. Derek

7134-497: Was pleased to see more maturity and depth in Addison’s Season 2 storylines, noting that the quality he admired most in her—"the ability to perform complicated surgical procedures even while everything in her personal life is in chaos"—was reintroduced. By the time Private Practice concluded, Margaret Lyons of New York Magazine described the character as "fun" and added: "Even when tragedy befell her at every turn on PP , she

7221-678: Was primarily seen through the lens of the Derek/Meredith/Mark triangle, which often painted her in a negative light. However, in Private Practice , she was given the opportunity to explore more meaningful and reciprocal relationships. "The only thing we saw of her in Grey's Anatomy was the ugly side of the Derek/Meredith triangle. And then, of course, Mark Sloan, but there was no real love there." Walsh explained that her relationship with Kevin Nelson (played by David Sutcliffe )

7308-410: Was refreshing and different from her relationships with Pete Wilder (played by Tim Daly ) and Derek Shepherd (played by Patrick Dempsey ). "It's really fun to see this total other side of her come out that we never saw. It hit me, this little epiphany of like, 'Oh, we've never seen Addison into someone or someone that likes her back'". Kate Walsh's portrayal of Addison Montgomery on Grey's Anatomy

7395-636: Was still sort of sassy and bright and interesting." Addison had become a complex, resilient, and beloved character, showcasing both professional brilliance and personal vulnerability. Her lasting impact on television was acknowledged by her inclusion in Comcast 's list of TV's Most Intriguing Characters, and Glamour named her one of the 12 Most Stylish TV Characters. Additionally, Addison was featured in Wetpaint 's "10 Hottest Female Doctors on TV" and BuzzFeed 's "16 Hottest Doctors On Television". Walsh’s work on Grey's Anatomy and Private Practice earned her and

7482-424: Was surprising that it unfolded, and it just naturally came to be, which was pretty good. I like the way it has all played out." In August 2015, Rhimes commented: The decision to have the character die the way that he did was not a difficult one in the sense of what were the options? Either Derek was going to walk out on Meredith, and leave her high and dry, and what would that mean? That was going to suggest that

7569-456: Was unaware of her mother's secret relationship. Though her relationship with her parents becomes strained, Addison ultimately makes peace with them. As the series progresses, Addison starts developing feelings for Sam, Naomi’s ex-husband. It is revealed that Sam had wanted to ask Addison out back in college, but ended up with Naomi instead. Addison and Sam share a kiss after a traumatic event, and their feelings for each other grow. However, Addison

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