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I think this is the first episode that I cna point to and say the main characters we've been following this year all seemed at home in their position as residents... as much as they can, at least. Izzy's the weakest. And of course George being a repeat-intern is exempted. 
I'm glad to see a little thaw between Meredith and her sister. And, as always, get excited when Alex comes through like he did this time around with the kid with the spinal fluid build-up. He's still my favorite, too, so maybe I'm a little biased.
Frankly George needs to dump Izzy an reaffirm his devotion to Callie as his wife. Izzy is so wrong for him on so many levels.
I'm kinda glad we got some payoff from Really Old Guy after all those lunches, too.
I'm glad to see a little thaw between Meredith and her sister. And, as always, get excited when Alex comes through like he did this time around with the kid with the spinal fluid build-up. He's still my favorite, too, so maybe I'm a little biased.
Frankly George needs to dump Izzy an reaffirm his devotion to Callie as his wife. Izzy is so wrong for him on so many levels.
I'm kinda glad we got some payoff from Really Old Guy after all those lunches, too.