*_Fabulous_*

George complains to Callie about being an intern again and she tries to reassure him by saying he's going to be the "rock star" intern. When that fails to cheer him up, she suggests maybe they'll see him as the "daddy" intern. He's rattled rather than pleased by the suggestion that she might be pregnant.

Miranda is still bitter over being passed over for Chief Resident. Without Burke or Meredith to hang out with, Derek asks Miranda out for a drink after work and she turns him down, as does the Chief.

A multi-car pileup is en route to the hospital, proving Callie's first responsibility as Chief Resident. The residents she paged are MIA and Miranda drily notes that when she paged them, they always came running. The Chief tells Callie to "get it together."

The residents instruct their interns and Izzie overhears hers saying they know her history and lamenting that they got stuck with "the dud."

The first ambulance from the multi-car accident arrives with a DOA and Cristina pulls back the sheet to show the interns their first "dead guy." The second ambulance contains a pregnant woman whose arm has been severed and the third one holds a heavyset man with a knee injury who surprises everyone by asking for something to eat.

Lexie introduces herself to Meredith, who is stunned to learn that she has another half sister. Derek approaches Meredith, just as Lexie comes up to apologize for botching her introduction. Derek recognizes Lexie as "the girl from the bar," and Meredith gives him a disgusted look and says, "I'm the girl from the bar" and walks off. Lexie frets that Meredith has another reason to hate her now.

Cristina asks Derek if Burke is off today and he reluctantly informs her that Burke turned in his resignation two weeks ago.

Cristina is pronouncing time of death for the dead man when he starts to breathe! He's been internally decapitated -- the only thing holding his head on is his skin. Derek assures him he'll try to reconnect his spine. Cristina tells the wife that if he moves even a fraction of an inch, he could die and that this may be the last time she sees her husband alive. During surgery, the patient starts to move and Cristina orders him stay still, saying he can't abandon his family like that. Miraculously, he pulls through.

The pregnant woman says she really needs her arm since her baby has no father. Mark orders Meredith to find the severed arm.

A young boy and his father come running into the E.R. carrying the arm and the boy begs Izzie to help him with another patient who's in the truck. Izzie -- who's had nothing for her interns to do yet -- rallies her group and follows the boy outside, where she is speechless to discover that her new patient is the deer that caused the accident. When the deer opens its eyes and looks at her, she agrees to try to save it, to the dismay of her interns, who think she's crazy. The father insists there's no point in saving an animal that they'd usually be eating. Izzie is horrified at the father's attitude and insists that she's going to save "Bambi."

George and Izzie meet in the stairwell and she accuses him of avoiding her since she told him that she loves him. She says she's busy trying to save Bambi and he misunderstands, thinking she's using the same nickname Cristina has for him. Izzie insists that she's Bambi -- alone and scared -- and George tells her he's needed in surgery.

Mark informs Nancy, the pregnant woman, that he can reattach her arm. During the procedure, she goes into labor and George delivers the baby.

Alex is upset that Callie won't let him switch to a surgical case. Callie is furious that she wasn't notified when the man with the knee injury ends up in emergency surgery --- turns out he's got a mania for eating random objects and now he has a perforated stomach. Miranda insists that Alex did the right thing by rushing him to surgery and there wasn't time to inform her. Richard tells Miranda that the reason he didn't name her as Chief Resident was because he thinks she's better as a surgeon than juggling paperwork.

Mark wants to take Derek up on the offer for a drink, saying he thinks he could use a friend. When Mark slams Meredith, Derek defends her, saying he doesn't blame her for running after seeing that Cristina was left at the altar. Mark insists that he didn't come to Seattle for Addison, he came to patch things up with Derek. "Maybe we should have a drink," Derek smiles, "but not today."

Izzie manages to bring the deer back to life and then informs her interns that they have to be ready for anything, even something like this. She announces that they're stuck with her and she's sorry she's stuck with them since they're all obviously "duds."

When George isn't ecstatic over delivering the baby, Lexie lectures him that he should be, and tells him he's not the only one whose life hasn't gone according to plan. The other interns are impressed by George delivering a baby on his "first day" and he slowly warms to their praise.

Alex confides to Cristina that he misses Rebecca and she says she misses Burke.

Callie is depressed over how the residents don't respect or listen to her and invites Miranda to tell her how terrible she is at her job. "Hope tomorrow is better," is all Miranda says.

Meredith tells Derek it's over but she agrees to a breakup kiss, and then to breakup sex.

George shows up at Izzie's house and tells her, "I love you too."

So…change.

Change is good.  Change is everything.

Change is also what’s in the stomach of that guy who can’t stop eating weird crap.

Welcome to Season Four.  SEASON FOUR.  I can’t believe we made it this far.  We’re proud to have made it this far.  Let me tell you, Season Three was not easy for anybody and we’re glad to have it behind us.  It’s all new dawn, new day over here and people are happy as freaking pie about it.

The interns are residents now, with interns of their own.  Except for George, poor George, who is stuck repeating his intern year.  He’s a repeater.  And it’s not easy being a repeater.  It pretty much sucks being a repeater.  He’s the only who hasn’t gone through any change when we begin the episode.  But by the end, he has.  He tells Izzie that he loves her too.  Which takes guts.  Because he knows what he is getting into.  He’s a married man, he’s a married man with a great wife, and he never intended to be a married man who loved another woman.  Man, is he in for some change.

I’ve been reading the boards.  I know how a lot of y’all feel about the George/Izzie of it all.  But stay tuned because it gets really interesting.  And funny.  And sad.  And I’m pretty sure what comes is unexpected.

Meredith and Derek are “broken up” by the end of this first episode.  But what does that really mean?  Especially when break up means break up sex?  Are they really apart?  Poor Meredith can’t quite deal with all that is expected of her in this relationship but they love each other, they really truly love each other and so…how much can they really be broken up?

I gotta say, I’m really rooting for the two of them to make it.  For Meredith to get her act together and learn to trust someone.  Someone other than Cristina.  Whom she honeymooned with. 

That was my favorite detail.  That Meredith and Cristina went on Cristina’s honeymoon together.  Because that is so exactly what my best friends and I would have done (my best friends are named Cristina and Debbie – they are my Cristina and Izzie) if I had been left at the altar by a spectacular heart surgeon on the day of my wedding.  We would have gone on that honeymoon and tried to have a good time.  We would have been fine.  Which is what Cristina is – fine.  Or she’s trying to be.  Fine.  But she’s not.  She’s not fine and we know she’s not fine because when she’s looking at the internally decapitated man and his family all together at the end, she’s devastated. 

Bailey.  I love her.  And I love that she’s not at ALL about to let the Chief off the hook for not making her Chief Resident.  After all, she’s BAILEY.  She’s worked hard, she’s been the best.  And isn’t it just like the Chief to decide what is best for her?  It’s his flaw, the Chief.  He’s an old school man and like an old school man, he’s taking care of his women.  Whether they like it or not.  Whether they want to be taken care of or not.  This isn’t gonna be an easy pill for Bailey to swallow…

But my most favorite thing about this episode?  Mark and Derek kinda making up.  That moment when Mark professes his “intentions” to Derek about why he came to Seattle is priceless.  And charming.  And a little bit sweet.   They were the very best of friends, these two.  They grew up together.  So it’s so true that they would go back to being friends in the absence of Addison…

Addison, by the way, is living her life over on Wednesday nights.  It’s a good life.  And I’m not saying you should check it out.  But…you should check it out.

Back to Seattle:  Lexie Grey is here now.  And she’s here to stay.  I love that she’s a bit of a dork.  Being a dork myself, I am fond of the girls with verbal diarrhea.  Because it’s not easy to keep all your words in – believe me.  It’s the reason I identify so much with Callie.  Poor Callie.  She’s got a lot of unpleasant stuff heading her way in the coming weeks.  Things she never imagined she would have to go through.  But the one thing she will never do is keep silent.

Okay, this blog was late and now, it’s short.  But that’s because I have to get back to writing scripts for the show…

Thank you for watching.  I mean that.  We mean that.  All of us over here at Grey’s mean it.  We’re staring at a new dawn, new day but that doesn’t mean we aren’t grateful to every single one of you for watching…