Derek Shepherd (Patrick Dempsey), Preston, Dr. Nevertheless, he tells the hospital board of his retirement but has yet to name his successor Dr. Preston Burke (Isaiah Washington) as his successor, but after the secret of Burke's tremor and cover-up came out, that plan is put to a stand-still. In the meantime, Richard makes plans to retire and must name his successor.
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He attempts to patch things up with his wife, but is stunned to find out that she has apparently moved on to someone else. Since learning of Ellis Grey's illness, Richard had been visiting her regularly, but upon deciding to attempt a reconciliation with Adele, he realizes that he can no longer continue his emotional affair with Ellis. He moves out and sleeps in his office for a short time. He tries to skirt around it, but Adele, tired of waiting, makes her choice and leaves him.
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Later in the series his wife Adele asks him to retire, forcing him to choose between his career or their marriage. This sometimes leads him to take daring decisions, at the beginning of the first season the Surgical Program is presented as one of the best in the United States. Always vigilant, seeking and trying new things, his ambition is to see Seattle Grace as the top surgical program in the country. The enigmatic Chief of Surgery at Seattle Grace is a leading figure in the show. He graduated from Northwestern University (as shown in the degree in his office) Storylines However, it is also established that he both taught and befriended Addison and Derek, presumably in New York (the majority of references within the show, as well as additional sources, indicate that a good portion of Richard's career was spent in Manhattan, rather than Seattle). There are continuity errors regarding where exactly Richard built his career at one point he states that with the exception of his fellowship, he spent his entire career at Seattle Grace. After completing his residency, Richard left Seattle Grace to complete his fellowship. He confessed in a later episode that he ended the affair because he believed that Ellis deserved better and that he had too much baggage. Although Ellis left her husband, Richard could not bring himself to leave his wife, Adele (he would learn decades later that Adele had known about the affair all along and stayed with him anyway). During their residency at Seattle Grace, he had an affair with Meredith's mother, Ellis Grey, although both were married. Richard married his wife, Adele (Loretta Devine) on Valentine's Day.
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