When I saw the promo for this week's episode, it looked like everyone was gawking at an x-ray showing something stuck up someone's private bits. At the time, I thought it looked kind of like a phone cord. It turns out I was very, very wrong, and it was in fact a carnivorous fish. And the privates in which it was lodged belong to the head of the hospital board, a.k.a. the Most Powerful Decider of Who Will Be Chief. It turns out that he wants Richard to remain as Chief, so I can only hope that comes to pass so that we don't lose him from the show. They get the fish out, and he's okay, but by the time it's over, he's dumped by his assistant/secret girlfriend as well as his wife, Mrs. Leery (formerly of Dawson's Creek). Because working with someone you're in love with, who isn't your spouse, will only end badly. Oh yes, the anvils, they are a-droppin', as George and Izzie are learning this lesson at the very same time. They seem to be getting along fine until Callie seeks out Izzie and actually begs her to let Callie have George back. Izzie turns cold toward George, and between that and his having to attend to his patient's wife and girlfriend, he realizes that this isn't going to work and inquires about transferring to Mercy West from Seattle Grace. Not wanting to be left out, Derek and Meredith are having relationship problems, too. She tries to be chipper and pretend nothing is wrong while he broods, and he finally tells her he's not sure if he can be with her after the whole drowning/not swimming incident. He forgets to mention, however, the detail that he might not be appointed Chief if they stay together. In the midst of all of the couple problems, Burke tries to get Cristina to choose a flavor for their wedding cake, all of the interns are studying for their intern exams (wait, after three seasons we might wrap up a calendar year on this show? NO!), Bailey beats herself up for missing a patient's correct diagnosis, Crush has her baby in an emergency C-section, and Alex and Addison have sex in the on-call room. You might think that would have belonged up with the couple updates, but Alex doesn't, and he rather bluntly breaks it to Addison later that the sex doesn't mean they're a couple. As it turns out, neither are she and Mark, since he saw her stumble out of the on-call room with post-sex hair. So Addison is left kind of confused and adrift, and I wonder if this is going to make her think about possibly leaving for a warmer and drier climate south of Seattle? We'll have to wait and see.
Previously on Grey's Anatomy, George and Izzie had The Amazingly Great Sex but are keeping it their little secret, Addie tells Mark to go 60 days without sex, the residents are vying for Chief Resident, the Chief of Surgery is retiring, Derek's not sure if he can be chief and be with Meredith, Crush picks a face and then yells at Alex that her name isn't Ava. Well, duh; it's Crush, silly. And wow, was that a chock-full "previously on."
The five interns are gathered at Burke and Cristina's, studying in a sort of frantic game-show style. Out of the hospital, the four all look great, including big, glossy hair on all of the girls. I take a bit of issue with the puff-sleeved t-shirt on Cristina, but overall they get an A for appearance. While they shout questions and answers at one another, Burke works behind them in the kitchen. Mere's voice-over starts the Theme of the Week: "As interns, we know what we want. To become surgeons. And we'll do anything to get there. Suffer through killer exams, endure 100-hour weeks, stand for hours on end in operating rooms. You name it, we'll do it."
Burke's puttering in the kitchen is actually him slicing cake, which makes him totally look like a mom preparing a snack for the high-school study group. He comes over and tries to feed a bite to Cristina, who is arguing that she's preparing for the biggest exam of her intern career. Burke puts the cake in Cristina's mouth as Izzie yells at them to ask her a question. She's stumped, and they all try and look for answers; Cristina unconvincingly says it's yummy and shoos Burke away to participate in the guessing. George gives Izzie some inside joke (to do with snot, yum) and she gets it. Cristina is immediately put out, assuming he's using "the wife's cards." She explains that Callie was #1 in her year after this test because of the phenomenal flashcards that she made. Izzie and George just say that they're "independently brilliant" and a "dream team." Burke tries to feed Cristina a bite of lemon cake, which makes her cringe. She and Alex both answer the question, and Cristina wants Burke to break the tie. He tells her, "Learn to care or I'll get another bride." The others all look mildly uncomfortable, but she just waves him away saying she loves all cake, and he tells them Alex had the right answer. It's so sweet, how they love being petty and dismissive of one another. My heart is warmed. There are gooey, happy shots of each intern as Meredith continues, "The tough part, though, is reconciling this huge thing we want, to be surgeons, with everything else we want."