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Grey's Anatomy: Oh, the Guilt

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Grey's Anatomy: Oh, the Guilt
(S03E05)
For some reason, this episode of Grey's felt like a palate cleanser, a bit of a throat-clearer to set us up for the rest of the season. We have the Shepherds finally getting a divorce, and Addison finally tellling Derek the truth about Mark. Burke comes back and performs heart surgery... with help. Callie continues to tell George that they're through, almost in a "Hello... McFly..." fashion. Meredith tells Derek that she and Finn are done, but her timing couldn't have been worse. And Izzie has both feet in the hospital.

Oh, and there was the M&M conference about the Denny Debacle. Didn't think they'd show that, did you?

Obviously, the M&M (for people who don't watch Scrubs or ER, it's the Morbidity & Mortality conference, where the staff tries to learn from their mistakes in cases where the patient ends up dead) is the show's way to give the Denny Debacle some closure, and it was an effective way to do it. It was especially effective when Bailey got up to defend herself, not wanting Burke to make excuses or cover for her lack of supervision as Team Intern cut Denny's LVAD line. As soon as she got up and asked if there were any questions, everyone in the audience rose their hand, and we slipped right into the title card. Shonda and company always do a nice job with their opening sequences, and this was no exception.

Imagine Team Intern's sinking feeling when they realized why they were called to the M&M for the first time ever (they were so happy to be invited they brought snacks). George's reaction was the best "I'm going to go to my happy place." Oh, and Izzie was there, too... in the back. She went to clean out her locker and then, she says, cash the (gulp) $8.7 million check that Denny left her. But when she sees her old stethoscope and listens to her heart, the old feelings -- not for Denny... for surgery, silly! -- creep back in, which leads her to sneak into the M&M.

It's an artificial way to get her back into the hospital, but there was really no other way for Shonda Rhimes to do this. It was either this or have Izzie go before a state inquiry board. Burke helps her try to address her guilt by telling her that neither of them are fine and she has to deal with it (she even called him Preston during that conversation... that's the M*A*S*H method of displaying friendship; you know, when Hawkeye called Col. Potter "Sherman", you took notice).

What I'm liking so far this season is that we're back to the pattern of one serious patient and one not-so-serious patient. The serious one is a breast cancer patient who blames her late detection on her kid; Bailey wants to use her maternal instincts here, but is discouraged after a particularly snotty doctor asks her at the M&M if lack of sleep and raging hormones got in the way of her judgement (interesting how Alex shot to her defense there).

Then we had a couple of exes who are, uh, stuck together in an unusual way. Let's just say it involved an IUD and an unusual piercing. That couple was this episode's Superpatients, able to move along three storylines in a single bound: the fact that they kept going round and round with each other made Mer see that she should tell Der about Finn; Addie found out from the wife that she needs to tell Der the truth about her relationship with Mark; and for some reason, the ex-husband has a heart attack during their separation, and Burke has to operate on him (maybe it was the swirl Webber told Meredith to do with the ex-wife).

Make that four storylines: when Cristina bails out Burke by practicing her zip stitch on the guy's heart, word gets back to Izzie, who is amazed. She's so amazed, she decides she still wants to be a surgeon. Webber's story to Izzie, about not letting his mistake as an intern be his final act as a doctor, didn't wash with me; he merely choked when it was time to put in a central line, but Izzie willfully cut her lover's mothereffin' LVAD line! It's so not the same, it's silly. But at this point, I've shut my brain off to this whole Izzie/malpractice/should-be-in-jail thing and decided to enjoy the show. So the check stays uncashed and Izzie's going to be back on a probationary basis. It's as if the last half of season two never happened!

All I have to say, though, is: Put that damn check in a safe-deposit box, Izzie! Don't leave it on the refrigerator like it's a coupon for Pizza Hut! What if the dog eats it, or the house falls down around it or, more likely, one of your roommates forges your signature and cashes it? Thank goodness Alex doesn't live there, or else he'd definitely cash that check and "buy a Bahama," as he said while all the interns contemplated the money at lunch.

Finally, our obligatory Mer/Der segment: She's smiley as she runs into him. "You're everywhere!" she keeps telling him. But her timing couldn't be worse; she tells him about dumping Finn literally seconds after Addison told him about her relationship with Mark. He's pissed, as much that he wasted a year trying to make things with Addison work when he could have been with Meredith (heck, Mark tells him as much, even though we all really kind of didn't need him to spell it out for us). So he just says "OK," and the Grey Scowl comes back. I thought that was gone forever now that Meredith had a clear shot. But Shonda would never let the two of them be in synch; it just wouldn't be fun to her. Why Der is taking this news out on Mer is anybody's guess; but I wonder sometimes if Ellen Pompeo can be heard yelling, "You've got to be fucking kidding me!" from her dressing room as she reads what her character is in for that week.

Other good stuff:
  • Alex standing up for Bailey and then saying he should have done more to stop Izzie. He might actually mature.
  • Mark and Alex both telling the cancer patient's husband, "Dude... you care" when discussing reconstruction options with them.
  • Callie telling Mark the next morning, "You were sexier when you weren't talking."
  • Mark sleeping with Addie at the end and saying to her, "Well, at least you don't have to feel guilty now."

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