Shonda Rhimes is reflecting on the early days of Grey’s Anatomy.
The Shondaland creator—who has gone on to create Scandal, Bridgerton and How to Get Away With Murder under her company—recently detailed how she thought an early on-set incident was nearly the end of the medical drama.
In 2006, Isaiah Washington, who portrayed Dr. Preston Burke on the ABC series, got into a physical confrontation with costar Patrick Dempsey, which included the use of a homophobic slur toward costar T.R. Knight and ultimately led to Washington’s firing. After the incident, Rhimes feared the fallout “was going to kill the show.”
“I think the thorn was having the bubble of joy burst so early on Grey’s [with the Washington incident],” she told The Hollywood Reporter in an interview published March 19, “and not having anybody interested in helping us deal with it, because that really shaped a lot of how we looked at the world going forward.”
She added, “It’s funny, every Grey’s actor I talk to who was there during that time is still traumatized by that incident. People still talk about it.”
After initially denying his use of the homophobic slur, Washington admitted he had used the word and apologized in a 2007 statement to The Showbuzz, per CBS News. Despite the apology, ABC chose not to renew Washington’s contract in 2007, a spokesperson confirmed to ABC News at the time, though the network declined to comment further regarding his exit.
While Washington’s controversy rocked Rhimes and the show’s cast, it wasn’t the only drama the show—which began in 2005 and is now in its 21st season—had to tackle head-on. In 2008, series star Katherine Heigl removed herself from Emmys consideration because of what she believed to be a lack of quality material.

Following the early scandals, Rhimes explained she had to shift her perspective as the showrunner.
“It was certainly not a challenge I was looking for,” she continued. “It was also not a challenge I expected. When we partnered with [producers] Mark Gordon and [creative partner] Betsy [Beers], I remember thinking, ‘Well, they’ll have to deal with all that stuff and I’ll just write,’ and later realizing that’s absolutely not the way it works.”
According to Rhimes, she soon learned, “If you are the creative brain, you not only have to share your brain with other people, but also everybody looks to you as the leader. I had to figure out how to be a great leader, and that took a while.”
While there’s certainly been drama behind the scenes, read on to see some of the biggest twists and turns throughout Grey’s Anatomy’s 21 seasons.

From Booty Call to Boss
Incoming surgical intern Meredith Grey (Ellen Pompeo) was thrown for quite a loop in Grey’s Anatomy‘s series premiere when she learned that the hunky one-night-stand she picked up at the bar played by Patrick Dempsey was actually her new boss, renowned surgeon Dr. Derek Shepherd. Oops.

Addison’s Arrival
Fans were just as stunned as poor Meredith in the season one finale when Addison Montgomery (Kate Walsh) waltzed into Seattle Grace and right up to Mer and Derek, introducing herself with the now iconic “You must be the woman who’s been screwing my husband.”

Bombs Away
When Grey’s Anatomy was given the plum post-Super Bowl slot in its second season, fans watched tensely as Meredith decided to shove her hand into a body cavity containing a live explosive to keep it from detonating. And just as we began to breathe a sigh of relief when bomb squad chief Dylan (guest star Kyle Chandler) began to walk away with the removed explosive, it blew, taking the poor guy out in the process.

Denny’s Demise
Fans watched as Izzie (Katherine Heigl) fell in love with the effortlessly charming Denny Duquette (Jeffrey Dean Morgan) as he awaited a much-needed heart transplant throughout the second half of season two, falling for him right along with her. And when her wild plan to cut his LVAD wire to move him up the transplant list failed spectacularly, resulting in his death in the season finale, it was confirmed that Grey’s Anatomy was not here to give us the happy endings we wanted.

Meredith’s Near-Death Experience
What was more surprising during season three’s big ferry accident: Meredith nearly drowning after being knocked into freezing cold waters at the accident site or her later admission that she’d given up trying to survive?

Lexie’s Arrival
At the end of season three, a surgical intern named Lexie (Chyler Leigh) arrived at Seattle Grace, first meeting Derek the night prior to starting at the hospital in a moment that mirrored his first interaction with Mer two seasons prior (but, thankfully, did not end with them sleeping together) and then introducing herself to George O’Malley (T.R. Knight) in the intern locker room. Oh, and her last name? Why, Grey, of course. And just like that, Meredith’s younger half-sister, one of two daughters raised by her father Thatcher and his second wife Susan, was added to the mix.

Ghost Denny
Two and a half seasons after he’d perished, Denny was back and his ghost was…having sex with Izzie. In one of the most ludicrous moments in the show’s history, Ghost Denny was used to signal to viewers and to Izzie herself that something was wrong. That something was ultimately proven to be stage IV metastatic melanoma, which had spread to, among other places, her brain.

It’s George
While fans were expecting Izzie to bite the bullet in the season five finale, the fact that no one could find George should’ve clued us into the fact that something was up with poor O’Malley. When Meredith finally realized what the John Doe who’d been hit by a bus while trying to save a woman on the street was writing in her hand–007, his cruel nickname in earlier seasons–she tried to alert the surgeons working on him, but it was too late. He flatlined and died.

The Shooting
File this one under: The mist disturbing episode in Grey’s history. In the season six finale, the grieving husband of a deceased patient arrived at the hospital, fresh off its merger with neighboring Mercy West, with a loaded gun and nothing left to live for. A few doctors were murdered, several more injured, and the image of Bailey (Chandra Wilson) being dragged by her feet out from under a patient’s bed will forever haunt us. Thankfully, she survived. Mer and Derek’s baby wasn’t so lucky. After he was shot, she believed he’d died and had a traumatic miscarriage.

The Plane Crash
Two seasons after the horrific hospital shooting, Shonda Rhimes decided it was time to torture a handful of docs yet again. In the eighth season finale, a plane carrying Meredith, Derek, Cristina Yang (Sandra Oh), Lexie, Mark Sloan (Eric Dane) and Arizona Robbins (Jessica Capshaw), traveling to Boise, Idaho to perform surgery on conjoined twins, crashed in the wilderness, leaving them stranded and wounded, with no one at home even knowing they’d gone down. The accident claimed Mark and Lexie’s lives and Arizona’s leg, while nearly leaving Derek’s hand permanently injured.

Burke’s Return
How would Grey’s send off Mer’s person Cristina at the end of season 10 after Sandra Oh decided to move on? Why, by having ex Preston Burke (Isaiah Washington) pop back up after leaving her at the altar in season three to offer her his hospital in Switzerland. That the show brought Washington back after his highly contentious exit, which involved him referring to co-star T.R. Knight by a heinous gay slur, was truly surprising.

Maggie’s Arrival
As the show said goodbye to Cristina in the season 10 finale, it welcomed her replacement as the head of cardio-thoracic surgery, Dr. Maggie Pierce. And when the character, played by Kelly McCreary, revealed to Richard (James Pickens Jr.) in the episode’s final moments that she was Dr. Ellis Grey’s daughter, asking if he knew the legendary doctor, he wasn’t the only one stunned to learn that he had a daughter and that Mer had another sister.

Derek’s Departure
Literally no one saw it coming when, with a handful of episodes left to air in season 11, Derek was killed off, the victim of a head-on collision just after rescuing a family on the side of the road involved in a car crash of their own. Patrick Dempsey had just recently extended his contract on the show, making his departure truly unexpected. Killing off Mer’s husband may have been Shonda Rhimes‘ only feasible option to get rid of the character in a way that didn’t render an 11-year love story completely worthless, but that didn’t mean it hurt any less.

Meredith’s Attack
As if Mer hadn’t been through enough up to this point, in the ninth episode of season 12, she was violently attacked by a patient in a brutal episode that saw her jaw broken and then wired shut in order to restore her hearing. Her panic attack when her kids won’t see her during her recovery was a stunning moment of acting from Ellen Pompeo.

Alex’s Departure
How would the show explain Alex Karev’s sudden absence after original star Justin Chambers walked away from his role midway through season 16? By having him write letters to wife Jo (Camilla Luddington), Mer and Bailey explaining that he’d gotten in contact with Izzie years after she ghosted and sent him divorce papers, only to learn that she’d been raising their twins all these years on a farm somewhere and he’d chosen his newfound family over his life in Seattle. If anyone tells you they saw that coming, we’ll show you a liar.

The Death of Dr. DeLuca
In season 17, fans watched as Dr. Andrea “Andrew” DeLuca (Giacomo Gianniotti) met his untimely end. After overcoming his mental health struggles, DeLuca found himself as an attending at Grey Sloan Memorial Hospital. Yet, in typical Grey’s fashion, Dr. DeLuca’s back-on-track life was cut tragically short when he was stabbed by a human trafficker’s accomplice.
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