Everyone's trying for a fresh start in the new year, and it isn't working out all that well. George gets assigned to a young female patient who turns out to be a hermaphrodite, and battles with his/her parents over telling him/her the news. Izzie's patient, meanwhile, is a charming guy in his mid-thirties who needs a heart transplant. When he doesn't get the heart, they are both -- wait for it -- heartbroken! Alex frets about his boards, but saves the day when he figures out that a kooky writer patient who ate his own novel has mercury poisoning from the paper he ingested. Cristina finally figures out that she didn't really want the baby she was pregnant with, after all, and reveals this to Burke, who is very sweet about it. Addison is crowned queen of the fabled land of Passive-Aggressivo, and pressures McDreamy to get over Meredith already. And Meredith, with Webber's guidance, decides to get her mom into a trial to help her Alzheimer's.
Welcome back, everyone, and happy new year! Previously on Grey's Anatomy:McDreamy told Addison he was still in love with Mere; we learned that Ellis Grey and Chief Webber had a thing back in the day; Cristina got pregnant and miscarried; Alex re-took his medical boards, slept with Nurse Olivia, and broke Izzie's heart; and the Grey House Gang got a dog.
We open to the melodious strains of rock music, over which there is much dog barking and crashing sounds and George yelling. Izzie leans against the closed bathroom door and placidly sips her coffee, ignoring the melee outside in the hall. George bursts in yelling, "Izzieeeeee! INCOMING!" He's clearly terrified of the rabid dog chasing him -- the same one he was sweetly lying next to under the Christmas tree just three weeks ago. Mere voice-overs, "Fresh starts. Thanks to the calendar, they happen every year. Just set your watch to January." Izzie tells George she's thinking about coloring her hair. George says he's thinking about cutting his, which I think is a very good idea, considering his current mop. Izzie agrees that it would look good shorter. They hear Mere talking to the dog outside the door, and cautiously open it to see Mere petting him and cooing, "Such a good dog! Who's Mommy's good boy?" Aw. Mere tells the two fraidy-cats that they're going to be late. George: "We need to talk about the dog." Izzie says that's not a dog, it's a hyena that escaped from the zoo and dressed up in dog clothing. So...they hate the dog. And it hates them. Even though it very recently loved them. I find this ridiculous. Mere reminds them that he's their dog, they love him, and he loves them back. In answer, the dog turns and growls at George and Izzie. Stupid. George complains that the dog tries to mount him from behind. Hee. See? That's love right there.
Shots of nature: deer running over a great big plain, water burbling in a stream, McDreamy's trailer. MereVO: "Our reward for surviving the holiday season is a new year, bringing on the great tradition of New Year's resolutions." McDreamy, decked out in his outdoorsy best, walks into the trailer and announces to Addison that he got a trout. A rainbow trout, and it's for breakfast! Addison is less than thrilled. She's attempting to dry her hair in a tiny space, and keeps tripping over the cord. She doesn't want trout, she hates this trailer, hate, hate, hate. She stomps into the tiny bathroom and slams the tiny door. McDreamy chirps, "No trout for you, then." Heh. MereVO: "Put your past behind you, and start over."