Remember Really Old Guy, in whose room the Fab Five would eat lunch all during their internship? He actually wakes up, and it turns out he knows everything about everyone. Too bad he doesn't actually blurt out all of the really horrifying stuff. He's decided he wants to die that day, but Izzie can't believe it will really happen. He tells her that George is never going to tell Callie about them, which was AWESOME, but unfortunately…well, let's get to that in a moment.
Cristina figures out from Meredith and Derek's awkwardness that they're sleeping together again, and is totally miffed that Meredith hasn't told her. So she decides to act really sad about the breakup with Burke in order to get Meredith to give her surgeries. And she wins a doozy -- a woman is in with cancer of the tongue, and George inadvertently spurs Mark and Richard into trying a cutting-edge surgery neither has done before so that she'll still be able to talk afterwards. In exchange, Meredith takes her interns to work in the ER. This means she has to work with Lexie, who finally blows up at Mere after a procedure and then goes running to volunteer in the clinic. When Bailey finds out what is going on, she gives Meredith a talking-to about working with and teaching her sister as she's supposed to. Lexie also lets it slip that she thinks Meredith hated her mother, so once the day is over, Meredith brings her the report on her mother's death and reviews it with her so she knows what happened, and also corrects her that she really liked her mom. In between all of her sister drama, she figures out that Cristina's faking it because she's mad about Meredith not confiding in her like usual. She offers to have them stay up all night, talking and crying, and finally the truth comes out. Cristina then tells her that she doesn't need to be taken care of, especially not by Meredith withholding things from her to try and protect her feelings.
Alex gets a new intern assigned to him, who happens to be a few decades older than he is. They take a patient in the clinic -- a boy whose mom thinks he is doing drugs. Norman, the intern, makes chatty friends with the mom, and that contributes to Alex almost missing the correct diagnosis. He's got tons of fluid building up in his brain and as Derek's been pulled into the tongue surgery to save the day, he gives Alex instructions on how to drain the fluid in THE MOST horrifying surgical procedure I think they've had in the history of this show in order to save the boy's life. Afterward, Bailey gives Alex a dressing-down about how he needs to control his interns, no matter what their age, and that the pecking order of the hospital saves lives. Realizing she's had her own problems with this, she goes to make amends with Callie, who has been hiding and doing paperwork all day, and they agree to work together in the future. Which then brings us back to Izzie and George. He finally tells Izzie that it's his job to tell Callie and to back off (yay!) since it's not an easy or quick thing to do. But as it turns out, when he gets home that night Callie tells him to just spit it out, and so he admits he slept with Izzie. (Boo!)
Seriously, these previouslys are getting ridiculous in their length. It's like, "Previously, on Grey's Anatomy, everything that's ever happened since the start of the series." ["Maybe it's an ABC thing? Because The Bachelor and Brothers & Sisters both have really overdetailed previouslys as well." -- Sars]
Let's hear what Meredith has to say to lead us into this week, shall we? "Doctors give patients a number of things. We give them medicine, we give them advice, and most of the time we give them our undivided attention." I have to say that I think "most" is being rather generous in that last clause. Izzie's been pacing in front of the elevators, while inside one of them, Lexie and Alex are making eyes at each other. A gaggle of interns join them and are exclaiming in awe, "I heard he saved a guy from coding yesterday. All by himself." Intern of unknown number: "He just knows things," et cetera. When they finally declare, "Best intern ever," Alex asks Lexie to whom they're referring, and when she tells him it's George, he starts to snicker, but she shushes him.
While Izzie jumps around on tiptoe, looking at people getting out of the elevators, Meredith's VO continues: "But by far, the hardest thing you can give a patient is the truth." Alex gets out and tells her conspiratorially that George has the interns snowed, but Izzie couldn't care less what he's saying.
Meanwhile, in another elevator, Derek gets in, and he and Mere scream, "Wasn't that secret sex good last night?!" but not quite in so many words -- they make stilted small talk while trying not to giggle. Cristina is reading the paper (because this must be the longest elevator ride in history) but looks up to see what's going on. VO: "The truth is hard. The truth is awkward. And very often, the truth hurts." The secret sex coach arrives, and Izzie swears. Cristina just indignantly tells her, "She's doing McDreamy. She's doing McDreamy and lying about it." In what will come as a shock, Izzie doesn't care, as this doesn't center around her. Cristina continues to rant, figuring Meredith is doing this because she thinks Cristina can't handle it with what she's gone through. Izzie manages a "Poor Cristina, all alone." Cristina agrees. "Damn right. Poor Cristina." She leaves, and the doors to the millionth elevator open, and the object of Izzie's desire gets out. She immediately asks what happens but gets a severe, tiny head-shake of warning. Callie comes out right after George, reading papers, and doesn't even bother looking up at the dumb blonde. After they walk past, George looks back once fleetingly and looks confused, as only a guy being led around by two women can. Mere wraps up, "I mean, people say they want the truth. But do they really?"