text:
Bile
From Wikipedia, the free encyclopedia
Jump to: navigation, search
This article is about the fluid produced by the liver. For other uses, see Bile (disambiguation).
This article needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. (October 2011) (Learn how and when to remove this template message)
Bile (yellow material) in a liver biopsy in the setting of bile stasis, i.e. cholestasis. H&E stain
Bile or gall is a dark green to yellowish brown fluid, produced by the liver of most vertebrates, that aids the digestion of lipids in the small intestine. In humans, bile is produced continuously by the liver (liver bile), and stored and concentrated in the gallbladder (gallbladder bile). After eating, this stored bile is discharged into the duodenum. The composition of gallbladder bile is 97% water, 0.7%[1] bile salts, 0.2% bilirubin, 0.51% fats (cholesterol, fatty acids and lecithin),[1] and 200 meq/l inorganic salts.[2]
Bile was the yellow bile in the four humor system of medicine, the standard of medical practice in Europe from 500 B.C. to the early nineteenth century. About 400 to 800 ml of bile is produced per day in adult humans.[3]
Contents
[hide]
1 Function
2 Clinical significance
2.1 Biliary obstruction
3 Society and culture
3.1 Bile soap
3.2 Bile in food
3.3 Animal abuse
4 Principal bile acids
5 See also
6 References
7 Further reading
Function[edit]
Action of bile salts in digestion
Recycling of the bile
Bile acts to some extent as a surfactant, helping to emulsify the lipids in food. Bile salt anions are hydrophilic on one side and hydrophobic on the other side; consequently, they tend to aggregate around droplets of lipids (triglycerides and phospholipids) to form micelles, with the hydrophobic sides towards the fat and hydrophilic sides facing outwards. The hydrophilic sides are negatively charged, and this charge prevents fat droplets coated with bile from re-aggregating into larger fat particles. Ordinarily, the micelles in the duodenum have a diameter around 14–33 μm.
The dispersion of food fat into micelles provides a greatly increased surface area for the action of the enzyme pancreatic lipase, which actually digests the triglycerides, and is able to reach the fatty core through gaps between the bile salts. A triglyceride is broken down into three fatty acids and a monoglyceride, which are absorbed by the villi on the intestine walls. After being transferred across the intestinal membrane, the fatty acids reform into triglycerides (re-esterified), before being absorbed into the lymphatic system through lacteals. Without bile salts, most of the lipids in food would be excreted in faeces, undigested.
Since bile increases the absorption of fats, it is an important part of the absorption of the fat-soluble substances,[4] such as the vitamins A, D, E, and K.
Besides its digestive function, bile serves also as the route of excretion for bilirubin, a byproduct of red blood cells recycled by the liver. Bilirubin derives from hemoglobin by glucuronidation.
Bile tends to be alkali on average. The pH of common duct bile (7.50 to 8.05) is higher than that of the corresponding gallbladder bile (6.80 to 7.65). Bile in the gallbladder becomes more acidic in the longer a person goes without eating, though resting slows this fall in pH.[5] As an alkali, it also has the function of neutralizing excess stomach acid before it enters the duodenum, the first section of the small intestine. Bile salts also act as bactericides, destroying many of the microbes that may be present in the food.
Clinical significance[edit]
In the absence of bile, fats become indigestible and are instead excreted in feces, a condition called steatorrhea. Feces lack their characteristic brown color and instead are white or gray, and greasy.[6] Steatorrhea can lead to deficiencies in essential fatty acids and fat-soluble vitamins. In addition, past the small intestine (which is normally responsible for absorbing fat from food) the gastrointestinal tract and gut flora are not adapted to processing fats, leading to problems in the large intestine.
The cholesterol contained in bile will occasionally accrete into lumps in the gallbladder, forming gallstones. Cholesterol gallstones are generally treated through surgical removal of the gallbladder. However, they can sometimes be dissolved by increasing the concentration of certain naturally occurring bile acids, such as chenodeoxycholic acid and ursodeoxycholic acid.[citation needed]
On an empty stomach – after repeated vomiting, for example – a person's vomit may be green or dark yellow, and very bitter. The bitter and greenish component may be bile or normal digestive juices originating in the stomach.[7] The color of bile is often likened to "fresh-cut grass",[citation needed] unlike components in the stomach that look greenish yellow or dark yellow. Bile may be forced into the stomach secondary to a weakened valve (pylorus), the presence of certain drugs including alcohol, or powerful muscular contractions and duodenal spasms.
Biliary obstruction[edit]
Biliary obstruction can be caused by a variety of dietary factors. Most biliary obstructions are caused by the high consumption of sugar, fat and processed foods. These foods can cause gallstones.[8] Primarily, biliary obstruction is caused by blockage in the bile ducts. Bile ducts carry bile from the liver and gallbladder through the pancreas. A huge amount of the bile is then released into the small intestine duodenum. The remaining bile is stored in the gallbladder. After food consumption the bile in the gallbladder is released to help with digestion and fat absorption.
Society and culture[edit]
In medical theories prevalent in the West from Classical Antiquity to the Middle Ages, the body's health depended on the equilibrium of four "humors", or vital fluids, two of which related to bile: blood, phlegm, "yellow bile" (choler), and "black bile". These "humors" are believed to have its roots in the appearance of a blood sedimentation test made in open air, which exhibits a dark clot at the bottom ("black bile"), a layer of unclotted erythrocytes ("blood"), a layer of white blood cells ("phlegm") and a layer of clear yellow serum ("yellow bile").[9][need quotation to verify]
Excesses of black bile and yellow bile were thought to produce depression and aggression, respectively, and the Greek names for them gave rise to the English words cholera (from Greek kholé) and melancholia. Those same theories explain the derivation of the English word bilious from bile, the meaning of gall in English as "exasperation" or "impudence", and the Latin word cholera, derived from the Greek kholé, which was passed upon several Romance languages in words meaning "anger" such as colère (French) and cólera (Spanish).
Bile soap[edit]
Bile from dead mammals can be mixed with soap. This mixture, called bile soap,[10] can be applied to textiles a few hours before washing and is a traditional and rather effective method for removing various kinds of tough stains.
Bile in food[edit]
"Pinapaitan" is a dish in Philippine cuisine that uses bile as flavoring.[11]
Animal abuse[edit]
In regions like Asia where bile products are a popular ingredient in traditional medicine, there are several cases of abuse of bears from which bile is farmed.
Principal bile acids[edit]
Cholic acid
Chenodeoxycholic acid
Glycocholic acid
Taurocholic acid
Deoxycholic acid
Lithocholic acid
See also[edit]
Medicine portal
Animals portal
Bile acid sequestrant
Bile bear
Enterohepatic circulation
Intestinal juice
Ox gall
References[edit]
^ Jump up to: a b Barrett, Kim E. (2012). Ganong's review of medical physiology. (24th ed.). New York: McGraw-Hill Medical. p. 512. ISBN 978-0-07-178003-2.
Jump up ^ Guyton and Hall (2011). Textbook of Medical Physiology. U.S.: Saunders Elsevier. p. 784. ISBN 978-1-4160-4574-8.
Jump up ^ "Secretion of Bile and the Role of Bile Acids In Digestion". www.vivo.colostate.edu. Retrieved 2017-03-31.
Jump up ^ "Secretion of Bile and the Role of Bile Acids In Digestion". www.vivo.colostate.edu. Retrieved 2016-06-05.
Jump up ^ Sutor, D. June (1976). "Diurnal Variations in the pH of Pathological Gallbladder Bile" (PDF). Gut (17): 971–974. doi:10.1136/gut.17.12.971.
Jump up ^ Barabote RD, Tamang DG, Abeywardena SN, et al. (2006). "Extra domains in secondary transport carriers and channel proteins". Biochim. Biophys. Acta. 1758 (10): 1557–79. PMID 16905115. doi:10.1016/j.bbamem.2006.06.018.
Jump up ^ Choices, NHS. "Nausea and vomiting in adults - NHS Choices". www.nhs.uk. Retrieved 2016-06-05.
Jump up ^ Choices, NHS. "Gallstones - NHS Choices". www.nhs.uk. Retrieved 2016-06-05.
Jump up ^ Johansson, Ingvar; Lynøe, Niels (2008). Medicine & Philosophy: A Twenty-First Century Introduction. Walter de Gruyter. p. 27. ISBN 9783110321364. Retrieved 23 April 2015.
Jump up ^ Newton, W. (1837). "The invention of certain improvements in the manufacture of soap, which will be particularly applicable to the felting of woollen cloths.". The London Journal of Arts and Sciences; and Repertory of Patent Inventions. IX: 289. Retrieved 2007-02-08.
Jump up ^ "Pinapaitan - Ang Sarap". Ang Sarap (A Tagalog word for "It's Delicious"). 2013-08-13. Retrieved 2016-06-05.
Further reading[edit]
Bowen, R. (2001-11-23). "Secretion of Bile and the Role of Bile Acids In Digestion". Colorado State Hypertextbook article on Bile. Archived from the original on 29 May 2007. Retrieved 2007-07-17.
Krejčí, Z; Hanuš L.; Podstatová H.; Reifová E (1983). "A contribution to the problems of the pathogenesis and microbial etiology of cholelithiasis". Acta Universitatis Palackianae Olomucensis Facultatis Medicae. 104: 279–286. PMID 6222611.
Maton, Anthea; Jean Hopkins; Charles William McLaughlin; Susan Johnson; Maryanna Quon Warner; David LaHart; Jill D. Wright (1993). Human Biology and Health. Englewood Cliffs, New Jersey, USA: Prentice Hall. ISBN 0-13-981176-1.
[show]
v
t
e
Physiology of the gastrointestinal system
GI tract
Upper
Exocrine
Chief cells
Pepsinogen
Parietal cells
Gastric acid
Intrinsic factor
Foveolar cells
HCO3−
Mucus
Goblet cells
Mucus
Processes
Swallowing
Vomiting
Fluids
Saliva
Gastric acid
Lower
Enteric nervous system
Submucous plexus
Myenteric plexus
Endocrine/paracrine
G cells
gastrin
D cells
somatostatin
ECL cells
Histamine
enterogastrone:
I cells
CCK
K cells
GIP
S cells
secretin
Enteroendocrine cells
Enterochromaffin cell
APUD cell
Fluids
Intestinal juice
Processes
Segmentation contractions
Migrating motor complex
Borborygmus
Defecation
Either/both
Processes
Peristalsis (Interstitial cell of Cajal
Basal electrical rhythm)
Gastrocolic reflex
Digestion
Accessory
Fluids
Bile
Pancreatic juice
Processes
Enterohepatic circulation
Abdominopelvic
Peritoneal fluid
Authority control
GND: 4393841-3
NDL: 00572708
Retrieved from "https://en.wikipedia.org/w/index.php?title=Bile&oldid=802430273"
Categories:
Body fluids
Digestive system
Biomolecules
Hepatology
Hidden categories:
Articles needing additional references from October 2011
All articles needing additional references
All articles with unsourced statements
Articles with unsourced statements from June 2016
Articles with unsourced statements from February 2012
Wikipedia articles needing factual verification from April 2015
Wikipedia articles with GND identifiers
Navigation menu
Personal tools
Not logged in
Talk
Contributions
Create account
Log in
Namespaces
Article
Talk
Variants
Views
Read
Edit
View history
More
Search
Navigation
Main page
Contents
Featured content
Current events
Random article
Donate to Wikipedia
Wikipedia store
Interaction
Help
About Wikipedia
Community portal
Recent changes
Contact page
Tools
What links here
Related changes
Upload file
Special pages
Permanent link
Page information
Wikidata item
Cite this page
Print/export
Create a book
Download as PDF
Printable version
In other projects
Wikimedia Commons
Languages
Afrikaans
العربية
ܐܪܡܝܐ
Авар
Azərbaycanca
বাংলা
Беларуская
Беларуская (тарашкевіца)
Български
Bosanski
Català
Чӑвашла
Čeština
Dansk
Deutsch
Eesti
Ελληνικά
Español
Esperanto
Euskara
فارسی
Français
Gaeilge
Galego
한국어
Հայերեն
हिन्दी
Hrvatski
Ido
Bahasa Indonesia
Íslenska
Italiano
עברית
Basa Jawa
Kapampangan
Қазақша
Kreyòl ayisyen
Kurdî
Лакку
Latina
Latviešu
Lietuvių
Lumbaart
Magyar
മലയാളം
Монгол
Nederlands
日本語
Norsk
Norsk nynorsk
ਪੰਜਾਬੀ
Polski
Português
Română
Runa Simi
Русский
Simple English
Slovenčina
Slovenščina
Српски / srpski
Srpskohrvatski / српскохрватски
Suomi
Svenska
தமிழ்
తెలుగు
ไทย
Türkçe
Українська
Tiếng Việt
中文
Edit links
This page was last edited on 26 September 2017, at 03:27.
Text is available under the Creative Commons Attribution-ShareAlike License; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy. Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization.
Privacy policy
About Wikipedia
Disclaimers
Contact Wikipedia
Developers
Cookie statement
Mobile view

values: mw-page-base noprint

values: mw-head-base noprint

attrs: id class style

values: firstHeading firstHeading en

values: siteSub noprint

values: jump-to-nav mw-jump

attrs: href class title

values:
/wiki/Bile_(disambiguation)
mw-disambig
Bile (disambiguation)

values:
note
hatnote navigation-not-searchable

value: b

values: Help:Introduction to referencing with Wiki Markup/1

value: i

value: small

values: plainlinks metadata ambox ambox-content ambox-Refimprove

values:
/wiki/Pancreatic_lipase
mw-redirect
Pancreatic lipase

values:
/wiki/Fat-soluble_vitamins
mw-redirect
Fat-soluble vitamins

values: This claim needs references to reliable sources. (June 2016)

values:
noprint Inline-Template Template-Fact
white-space:nowrap;

values: This claim needs references to reliable sources. (February 2012)

values:
/wiki/Classical_Antiquity
mw-redirect
Classical Antiquity

values: Quotation needed from source to verify. (April 2015)

values: display:table-cell;padding:0.2em 0.2em 0.2em 0.3em;vertical-align:middle

values: margin:0.5em 0 0.5em 1em;border:solid #aaa 1px

values:
/wiki/Intestinal_juice
mw-redirect
Intestinal juice

values:
nofollow
external text
//doi.org/10.1136%2Fgut.17.12.971

values:
/wiki/PubMed_Identifier
mw-redirect
PubMed Identifier

values:
nofollow
external text
//www.ncbi.nlm.nih.gov/pubmed/16905115

values:
nofollow
external text
//www.ncbi.nlm.nih.gov/pubmed/6222611

values:
/wiki/Gastrointestinal_system
mw-redirect
Gastrointestinal system

values:
/wiki/Human_gastrointestinal_tract
mw-redirect
Human gastrointestinal tract

values:
/wiki/Accessory_digestive_gland
mw-redirect
Accessory digestive gland

values: nowraplinks collapsible collapsed navbox-inner

values:
nofollow
external text
http://d-nb.info/gnd/4393841-3

values: Category:Articles needing additional references from October 2011

values: Category:All articles needing additional references

values: Category:All articles with unsourced statements

values: Category:Articles with unsourced statements from June 2016

values: Category:Articles with unsourced statements from February 2012

values: Category:Wikipedia articles needing factual verification from April 2015

values: Category:Wikipedia articles with GND identifiers

values: Discussion about edits from this IP address [ctrl-alt-n]

values: A list of edits made from this IP address [ctrl-alt-y]

values: You are encouraged to create an account and log in; however, it is not mandatory

values: You're encouraged to log in; however, it's not mandatory. [ctrl-alt-o]

values:
/wiki/Bile
View the content page [ctrl-alt-c]
c

values: Discussion about the content page [ctrl-alt-t]

values: p-namespaces navigation vectorTabs p-namespaces-label

values:
p-variants
navigation
vectorMenu emptyPortlet
p-variants-label

values:
/w/index.php?title=Bile&action=edit
Edit this page [ctrl-alt-e]
e

values: Past revisions of this page [ctrl-alt-h]

values: p-views navigation vectorTabs p-views-label

values:
p-cactions
navigation
vectorMenu emptyPortlet
p-cactions-label

values:
mw-wiki-logo
/wiki/Main_Page
Visit the main page

values:
/wiki/Main_Page
Visit the main page [ctrl-alt-z]
z

values: Featured content – the best of Wikipedia

values: Find background information on current events

values: portal navigation p-wikibase-otherprojects p-wikibase-otherprojects-label

values:
uls-settings-trigger
Language settings
0
button
true

values:
https://af.wikipedia.org/wiki/Gal
Gal – Afrikaans
af
af
interlanguage-link-target

values: صفراء – Arabic

values:
https://az.wikipedia.org/wiki/%C3%96d
Öd – Azerbaijani
az
az
interlanguage-link-target

values: পিত্ত – Bangla

values: Жоўць – Belarusian (Taraškievica orthography)

values: Жлъчен сок – Bulgarian

values:
https://ca.wikipedia.org/wiki/Bilis
Bilis – Catalan
ca
ca
interlanguage-link-target

values:
https://da.wikipedia.org/wiki/Galde
Galde – Danish
da
da
interlanguage-link-target

values:
https://de.wikipedia.org/wiki/Galle
Galle – German
de
de
interlanguage-link-target

values: interlanguage-link interwiki-de badge-Q17437798 badge-goodarticle

values:
https://et.wikipedia.org/wiki/Sapp
Sapp – Estonian
et
et
interlanguage-link-target

values: Χολή – Greek

values:
https://es.wikipedia.org/wiki/Bilis
Bilis – Spanish
es
es
interlanguage-link-target

values:
https://eo.wikipedia.org/wiki/Galo
Galo – Esperanto
eo
eo
interlanguage-link-target

values:
https://eu.wikipedia.org/wiki/Behazun
Behazun – Basque
eu
eu
interlanguage-link-target

values:
https://fr.wikipedia.org/wiki/Bile
Bile – French
fr
fr
interlanguage-link-target

values:
https://ga.wikipedia.org/wiki/Domlas
Domlas – Irish
ga
ga
interlanguage-link-target

values:
https://gl.wikipedia.org/wiki/Bile
Bile – Galician
gl
gl
interlanguage-link-target

values: पित्त – Hindi

values:
https://io.wikipedia.org/wiki/Bilo
Bilo – Ido
io
io
interlanguage-link-target

values:
https://id.wikipedia.org/wiki/Empedu
Empedu – Indonesian
id
id
interlanguage-link-target

values:
https://is.wikipedia.org/wiki/Gall
Gall – Icelandic
is
is
interlanguage-link-target

values:
https://it.wikipedia.org/wiki/Bile
Bile – Italian
it
it
interlanguage-link-target

values:
https://jv.wikipedia.org/wiki/Empedhu
Empedhu – Javanese
jv
jv
interlanguage-link-target

values:
https://pam.wikipedia.org/wiki/Bile
Bile – Pampanga
pam
pam
interlanguage-link-target

values:
https://ht.wikipedia.org/wiki/Bil
Bil – Haitian Creole
ht
ht
interlanguage-link-target

values:
https://ku.wikipedia.org/wiki/Zerav
Zerav – Kurdish
ku
ku
interlanguage-link-target

values:
https://la.wikipedia.org/wiki/Bilis
Bilis – Latin
la
la
interlanguage-link-target

values:
https://lmo.wikipedia.org/wiki/Fel
Fel – Lombard
lmo
lmo
interlanguage-link-target

values:
https://hu.wikipedia.org/wiki/Epe
Epe – Hungarian
hu
hu
interlanguage-link-target

values: പിത്തരസം – Malayalam

values:
https://no.wikipedia.org/wiki/Galle
Galle – Norwegian
no
no
interlanguage-link-target

values:
https://nn.wikipedia.org/wiki/Galle
Galle – Norwegian Nynorsk
nn
nn
interlanguage-link-target

values:
https://pt.wikipedia.org/wiki/Bile
Bile – Portuguese
pt
pt
interlanguage-link-target

values:
https://qu.wikipedia.org/wiki/Hayaqi
Hayaqi – Quechua
qu
qu
interlanguage-link-target

values: Жёлчь человека – Russian

values:
https://simple.wikipedia.org/wiki/Bile
Bile – Simple English
simple
simple
interlanguage-link-target

values:
https://fi.wikipedia.org/wiki/Sappi
Sappi – Finnish
fi
fi
interlanguage-link-target

values:
https://sv.wikipedia.org/wiki/Galla
Galla – Swedish
sv
sv
interlanguage-link-target

values: பித்தநீர் – Tamil

values: పైత్యరసం – Telugu

values: น้ำดี – Thai

values:
https://tr.wikipedia.org/wiki/Safra
Safra – Turkish
tr
tr
interlanguage-link-target

values:
suggestions
display: none; font-size: 13px;

values: mediawiki ltr sitedir-ltr mw-hide-empty-elt ns-0 ns-subject page-Bile rootpage-Bile skin-vector action-view


text:
Teddy Altman
From Wikipedia, the free encyclopedia
Jump to: navigation, search
For the Marvel Comics character, see Hulkling.
This television-related article describes a work or element of fiction in a primarily in-universe style. Please help rewrite it to explain the fiction more clearly and provide non-fictional perspective. (June 2010) (Learn how and when to remove this template message)
Teddy Altman
Grey's Anatomy character
Kim Raver as Dr. Teddy Altman in 2010.
First appearance
"New History"
6x09, November 12, 2009
(as recurring cast)
"Sympathy for the Parents"
6x19, April 1, 2010
(as main cast)
Last appearance
"Flight"
8x24, May 17, 2012
(as main cast)
"Danger Zone"
14x05, October 26, 2017
(as recurring cast)
Created by
Shonda Rhimes
Portrayed by
Kim Raver
Information
Occupation
Attending cardiothoracic surgeon at Seattle Grace Mercy West Hospital (former)
Title
Chief of Cardiothoracic Surgery
M.D.
F.A.C.S.
Spouse(s)
Henry Burton (Deceased)
Significant other(s)
Andrew Perkins
Mark Sloan
Theodora "Teddy" Altman, M.D. is a fictional character from the ABC medical drama Grey's Anatomy, portrayed by actress Kim Raver. She was an attending cardiothoracic surgeon at Seattle Grace Mercy West Hospital, the fictional institution where the show is set. She leaves the show in the 8th-season finale after it is revealed that she has been offered a chief position with Army Medical Command, but has turned it down out of loyalty to Dr. Owen Hunt. In order to liberate her from the hospital where her husband died, Hunt fires her from Seattle Grace. Teddy returns for a few episodes in season 14.
Contents
[hide]
1 Storylines
2 Development
2.1 Casting and creation
2.2 Characterization
3 Reception
4 References
5 External links
Storylines[edit]
Teddy attended the University of Texas Southwestern Medical Center. She completed her surgical residency at George Washington University Medical School and her fellowship at the Mayo Clinic in Florida. As an attending physician, Teddy worked at Columbia, but after her best friend was killed during the collapse of the second tower on September 11, 2001, she left and joined the army, meeting trauma surgeon Owen Hunt (Kevin McKidd) during her tour in Baghdad.
Owen brings Teddy to Seattle Grace Mercy West hospital to mentor his girlfriend, Cristina Yang (Sandra Oh). Teddy admits that she is in love with Owen, but he tells her that he loves Cristina. When Teddy assigns Cristina a difficult surgery for her first solo cardiothoracic case and refuses to assist, Owen questions Teddy's motives. Teddy decides to leave Seattle Grace; Cristina pleads with her to stay, even offering to break up with Owen if Teddy will continue to teach her. Although Teddy agrees to stay, Owen convinces Cristina to stay with him, and Teddy briefly removes her from her service.
Teddy develops a friendship with pediatric surgeon Arizona Robbins (Jessica Capshaw), who sets her up with plastic surgeon Mark Sloan (Eric Dane). They have a brief relationship, which they both enjoy despite knowing that neither wants the other—Teddy still wants Owen, and Mark is in love with Lexie Grey (Chyler Leigh). The two separate amicably when Teddy walks in on Mark sleeping with resident Reed Adamson (Nora Zehetner).
Towards the end of season six, Teddy has to fight for her job as Chief of Cardiothoracic Surgery. Cristina asks Owen to put in a good word for Teddy; he does the opposite by telling Chief of Surgery Derek Shepherd (Patrick Dempsey) that she would land on her feet. Ultimately another candidate refuses to take the post and Teddy receives a full-time contract. Teddy later learns of, and is hurt by Owen's betrayal.
Teddy has a brief relationship with Dr. Andrew Perkins, whose service at the hospital is temporary. Before his departure, he suggests that Teddy has a tendency to fall for people who are either otherwise engaged or only in town for a month. She later meets Henry Burton, a patient with the rare genetic condition Von Hippel-Lindau disease, who can no longer afford to pay for his medical care. Teddy marries him so that he can use her health insurance, and only comes to appreciate the gravity of this decision when Henry suffers a near fatal complication of his illness. Teddy discovers that he has listed her as his emergency contact and is forced to make a life-or-death decision regarding his care, not as his doctor but as his wife. Though the newly-weds both maintain that theirs is a simple marriage of convenience, and Teddy continues to date other men, Henry later confesses that he has feelings for Teddy. She tells him she does not feel the same way.
Teddy again removes Cristina from her service when she performs a surgery despite Teddy's opposition. She tells Owen that Cristina's over-abundance of confidence makes her dangerous, and that she will keep Cristina off her service until she feels she is ready to return. When Andrew returns and asks Teddy to move to Germany with him, she accepts, and agrees to divorce Henry. However, in the seventh season finale, Teddy changes her mind and tells Henry that she is falling in love with him. The two begin their married life properly, but in season eight, Henry dies, leaving Teddy distraught. She blames Owen because she wasn't told that Henry had died until after her surgery on another patient. Feeling that he put the hospital before her, she breaks off her friendship with him, causing problems with them being able to work together that are later made worse by Cristina's own relationship troubles with Owen (During this time, Cristina tells Owen that he has to grant Teddy her anger, to which an enraged Owen lashes out the hypocrisy in the situation, given that when Cristina discovered she was pregnant with Owen's child, she told him that keeping the pregnancy was non negotiable and wanted to pursue an abortion, despite Owen's desire to have a child, and his pleas to keep the pregnancy, points out that Cristina never "granted him any anger" over what he thought was her selfish decision). After a particularly bad case, Dr. Bailey sternly tells Teddy that what happened with Henry was not Owen's fault and that Teddy knows this and needs to get over it, which pushes Teddy to behave more civilly towards Owen, but she finally lets go of her anger after she desperately begs Owen to convince Cristina (who by this point has broken up with him) to not transfer away from Seattle and is left shocked and silent when Owen furiously tells her he will not do that because he and Teddy are only co-workers and, as she made very clear, not friends and therefore she has no right to ask him for any help or favors. She and Owen eventually make up in the season finale. Owen finds out she was offered a job at the United States Army Medical Command, but turned it down because she wanted to be there for Owen, if he and Cristina were to separate. He ultimately fires her and she does take the military job, and tells her that he'll be okay as they part having restored their friendship.Teddy and Owen make up and hug each other goodbye as he wants her to take the job offer, which would be good for her.
Teddy was later mentioned in season thirteen episode "True Colors." Army officers knocked at Owen's door stating that his sister Megan is believed to have been found alive ten years after her disappearance. At first, Owen is not sure what to believe, but his wife Amelia Shepherd mentioned to Owen that Teddy saw Megan and recognized her. This seemed to be the first time Teddy was mentioned after her departure.
Development[edit]
Raver initially signed for a recurring role, but was promoted to a series regular.
Casting and creation[edit]
In October 2009, it was reported that actress Kim Raver would play the character and have a recurring role on the show's sixth season.[1] In January 2010, Raver was promoted to a series regular.[2]
On May 18, 2012, the day after the season eight finale, Grey's Anatomy creator, Shonda Rhimes, announced that it was Raver's decision to leave the show, "I know this season’s finale had some surprises for viewers and the exit of Kim Raver was one of the big ones. But Kim’s series option was up and she was ready to give Teddy Altman a much-needed vacation. It’s been a pleasure working with someone as talented and funny and kind as Kim; everyone is going to miss her terribly. I like to imagine that Teddy is still out there in the Grey’s Anatomy universe, running Army Medical Command and building a new life."[3] When the news of the character's departure was released, Raver wrote on her Twitter, "I've had one of the best times of my creative career working on Grey's with Shonda, Betsy and the best cast on Television," she wrote, adding: "I feel fortunate and grateful to have worked with such an amazing team at GA [Grey's Anatomy]. [I] am going to miss everyone!! And to the GA [Grey's Anatomy] fans, you guys rock! I am sure S9 [season nine] will be great!"[4] On June 20, 2017, it was announced that Raver would be reprising her role as Teddy Altman for a guest arc during the show's 14th season.[5]
Characterization[edit]
This section is empty. You can help by adding to it. (July 2012)
We see Teddy as a person who is willing to do whatever possible to make herself a much appreciated doctor and friend at Grey Sloan. In Season 14's premiere, "Break Down the House", Teddy and Owen Reunite after long times away from each other. Teddy comforts Owen after he is on the verge of having a meltdown. is this just the beginning of a newly discovered friendship between the two after so much time away from each other?
Reception[edit]
This section needs expansion. You can help by adding to it. (July 2012)
Entertainment Weekly writer Tanner Stransky found Altman had not been given a good storyline until the arrival of Henry: "I think Kim Raver has always been rather under-used on this show, until more recently."[6]
References[edit]
Specific
Jump up ^ 'Grey's Anatomy' scoop: Kim Raver to play spoiler in Owen-Cristina romance
Jump up ^ Kim Raver becomes series regular on 'Grey's Anatomy'
Jump up ^ 'Grey's Anatomy' season finale: Boss explains two shocking exits
Jump up ^ Eggenberger, Nicole. "Chyler Leigh, Kim Raver Leave Grey's Anatomy". US Weekly. Celebrity News. Retrieved May 18, 2012.
Jump up ^ Andreeva, Nellie. "'Grey's Anatomy': Kim Raver To Make A Return In Season 14". Deadline. Retrieved June 20, 2017.
Jump up ^ Stransky, Tanner (November 10, 2011). "'Grey's Anatomy' recap: Death and Devastation". Entertainment Weekly. Time Inc. p. 2. Retrieved July 29, 2012.
General
"Grey's Anatomy: Episode Recap Guide". ABC. Retrieved June 19, 2012.
External links[edit]
Grey's Anatomy portal
Fictional characters portal
Teddy Altman at ABC.com
Teddy Altman on IMDb
[hide]
v
t
e
Grey's Anatomy
Episodes
Season 1
2
3
4
5
6
7
8
9
10
11
12
13
14
Characters
(cast members)
Meredith Grey
Cristina Yang
Izzie Stevens
Alex Karev
George O'Malley
Miranda Bailey
Richard Webber
Derek Shepherd
Preston Burke
Addison Montgomery
Mark Sloan
Callie Torres
Lexie Grey
Erica Hahn
Owen Hunt
Sadie Harris
Arizona Robbins
Teddy Altman
Jackson Avery
April Kepner
Amelia Shepherd
Stephanie Edwards
Maggie Pierce
Other
Awards and nominations
Soundtrack
Video game
Private Practice
A Corazón Abierto (Mexican telenovela)
A Corazón Abierto (Colombian telenovela)
Portal
Category
Retrieved from "https://en.wikipedia.org/w/index.php?title=Teddy_Altman&oldid=807298531"
Categories:
Grey's Anatomy characters
Fictional characters introduced in 2009
Fictional surgeons
Fictional United States Army personnel
Hidden categories:
Articles that need to differentiate between fact and fiction from June 2010
All articles that need to differentiate between fact and fiction
Television articles that need to differentiate between fact and fiction
Articles to be expanded from July 2012
All articles to be expanded
Articles with empty sections from July 2012
All articles with empty sections
Articles using small message boxes
Navigation menu
Personal tools
Not logged in
Talk
Contributions
Create account
Log in
Namespaces
Article
Talk
Variants
Views
Read
Edit
View history
More
Search
Navigation
Main page
Contents
Featured content
Current events
Random article
Donate to Wikipedia
Wikipedia store
Interaction
Help
About Wikipedia
Community portal
Recent changes
Contact page
Tools
What links here
Related changes
Upload file
Special pages
Permanent link
Page information
Wikidata item
Cite this page
Print/export
Create a book
Download as PDF
Printable version
Languages
Español
فارسی
Français
Italiano
Nederlands
Polski
Suomi
中文
Edit links
This page was last edited on 27 October 2017, at 03:18.
Text is available under the Creative Commons Attribution-ShareAlike License; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy. Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization.
Privacy policy
About Wikipedia
Disclaimers
Contact Wikipedia
Developers
Cookie statement
Mobile view
Enable previews

key: html

type: local

value: div

attrs: id class

values: mw-page-base noprint

values: mw-head-base noprint

value: a

attrs: id class lang

values: firstHeading firstHeading en

values: siteSub noprint

values: jump-to-nav mw-jump

attrs: href title

attrs: role class

values:
note
hatnote navigation-not-searchable

value: img

attrs: alt src width height srcset data-file-width data-file-height

value: td

values: Wikipedia:Manual of Style/Writing about fiction

attrs: class href

value: span

values: plainlinks metadata ambox ambox-content ambox-in-universe

values: Fellow of the American College of Surgeons

values:
infobox
width:22em;border-spacing: 2px 5px;

values:
/wiki/Dr._Owen_Hunt
mw-redirect
Dr. Owen Hunt

values:
/wiki/Trauma_surgeon
mw-redirect
Trauma surgeon

values:
/wiki/Pediatric_surgeon
mw-redirect
Pediatric surgeon

values:
/wiki/Plastic_surgeon
mw-redirect
Plastic surgeon

values:
/wiki/Von_Hippel-Lindau_disease
mw-redirect
Von Hippel-Lindau disease

attrs: alt src width height class srcset data-file-width data-file-height

values: plainlinks metadata ambox mbox-small-left ambox-content

values: -moz-column-width: 30em; -webkit-column-width: 30em; column-width: 30em; list-style-type: decimal;

values: display:table-cell;padding:0.2em 0.2em 0.2em 0.3em;vertical-align:middle

values: margin:0.5em 0 0.5em 1em;border:solid #aaa 1px

values: List of awards and nominations received by Grey's Anatomy

values:
/wiki/Grey%27s_Anatomy:_The_Video_Game
mw-redirect
Grey's Anatomy: The Video Game

values: A corazón abierto (Colombian telenovela)

attrs: alt src title width height srcset data-file-width data-file-height

values: nowraplinks hlist collapsible autocollapse navbox-inner

values: Category:Fictional characters introduced in 2009

values: Category:Fictional United States Army personnel

values: Category:Articles that need to differentiate between fact and fiction from June 2010

values: Category:All articles that need to differentiate between fact and fiction

values: Category:Television articles that need to differentiate between fact and fiction

values: Category:Articles to be expanded from July 2012

values: Category:Articles with empty sections from July 2012

values: Category:All articles with empty sections

values: Category:Articles using small message boxes

values: Discussion about edits from this IP address [ctrl-alt-n]

values: A list of edits made from this IP address [ctrl-alt-y]

values: You are encouraged to create an account and log in; however, it is not mandatory

values: You're encouraged to log in; however, it's not mandatory. [ctrl-alt-o]

values:
/wiki/Teddy_Altman
View the content page [ctrl-alt-c]
c

values: Discussion about the content page [ctrl-alt-t]

values: p-namespaces navigation vectorTabs p-namespaces-label

values:
p-variants
navigation
vectorMenu emptyPortlet
p-variants-label

values: Past revisions of this page [ctrl-alt-h]

values: p-views navigation vectorTabs p-views-label

values:
p-cactions
navigation
vectorMenu emptyPortlet
p-cactions-label

values:
mw-wiki-logo
/wiki/Main_Page
Visit the main page

values:
/wiki/Main_Page
Visit the main page [ctrl-alt-z]
z

values: Featured content – the best of Wikipedia

values: Find background information on current events

values:
/wiki/Special:Random
Load a random article [ctrl-alt-x]
x

values: portal navigation p-navigation p-navigation-label

values: Guidance on how to use and edit Wikipedia

values: About the project, what you can do, where to find things

values: A list of recent changes in the wiki [ctrl-alt-r]

values: portal navigation p-interaction p-interaction-label

values: List of all English Wikipedia pages containing links to this page [ctrl-alt-j]

values: Recent changes in pages linked from this page [ctrl-alt-k]

values:
/wiki/Wikipedia:File_Upload_Wizard
Upload files [ctrl-alt-u]
u

values: A list of all special pages [ctrl-alt-q]

values: Permanent link to this revision of the page

values: Link to connected data repository item [ctrl-alt-g]

values: Printable version of this page [ctrl-alt-p]

values:
uls-settings-trigger
Language settings
0
button
true

values: تدی آلتمن – Persian

values: 泰迪·阿尔特曼 – Chinese

values: /static/images/wikimedia-button-1.5x.png 1.5x, /static/images/wikimedia-button-2x.png 2x

values: /static/images/poweredby_mediawiki_132x47.png 1.5x, /static/images/poweredby_mediawiki_176x62.png 2x

values: mediawiki ltr sitedir-ltr mw-hide-empty-elt ns-0 ns-subject page-Teddy_Altman rootpage-Teddy_Altman skin-vector action-view