Episode Guide
Grey's Anatomy begins with the second-year residents anxiously awaiting the decision on who gets the first solo surgery.
Richard and the attendings have made their decision. The vote is unanimous: everyone agrees that Cristina should do the first solo surgery.
However, since she is still in trouble over her interns secretly cutting themselves, she is no longer in the running. Richard decides then that Cristina must choose who among her colleagues gets to do the job.
Since all of the interns are still grounded, the person Cristina picks will get to choose one fellow resident to scrub in.
The first surgery will be a below-the-knee amputation.
Another thing Cristina must do to make good with the Chief is make sure that Dr. Virginia Dixon (Mary McDonnell) is still impressed by the hospital so that she'll accept a position there as the new head of cardio.
All the residents suck up to Cristina, except for Izzie, who doesn't really plead her case; only telling Cristina that she is currently enjoying mind-blowing sex (with Denny of course).
Dixon advises Cristina to make a system, ranking each of her colleagues by their various merits. However, Major Hunt tells her to trust her gut, 'cause that's the way they do it in war - and that's how he chose her.
Bailey needs a challenge to rediscover her passion for surgery and wants in on Mark's surgery in which a woman, Kathleen, can't talk because she had a laryngectomy years ago. Mark will be reconstructing a larynx for her.
Kathleen is pissed off, ignoring her husband and her doctors, communicating curtly in one-word responses on Post-it notes. Lexie is still on probation, but Mark lets her be on cappuccino duty.
This week's trauma case involves two sisters, Emma, the younger, and Holly, the older. Holly was driving Emma to a Future Leaders of America meeting when she crashed the car.
The sisters get on the doctors' nerves with their bickering.
Emma tells her sister that she hopes she dies, as sisters are wont to tell each other. Holly has sustained a head injury, though, so there's a chance that that might actually happen.
Sadie failed to notice that Holly might have a brain injury and instead goes off to find Callie in the x-ray room. Callie finds Mark to ask his opinion on whether Sadie was actually flirting with her.
She realizes that it was probably all in her head because she's lonely but she finds the intern incredibly hot. Mark says Sadie lives on the wrong side of the diagonal on the Hot-Crazy scale.
Alex and Derek bring Holly to get a CT brain scan, but she crashes in the middle of it. They pull her out of the machine and she looks blue-skinned with blood running out of her facial orifices.
Derek says that she has brain matter in her blood.
In Holly's surgery, Derek asks Alex to perform a surgical technique, but as soon as he starts, Holly's brain starts hemorrhaging. She's still alive, but effectively brain dead.
Dixon, who is also in the OR, comments how fortunate that such a young girl should lose her brain function because that makes her a good candidate to become an organ donor. Crickets.
Because of all the sex Izzie is having in the on-call room, she's blowing off all of her clinic duties all week, leaving George to cover them.
Concerned something is wrong, George asks Alex to look for Izzie, but Alex doesn't want to help George at all. Izzie is getting it on with fake Denny in the on-call room again at this time.
In Mark's surgery, Bailey regains her passion because of Mark's amazing work. Instead of getting annoyed with all of her questions, Mark seems willing to teach Bailey.
In the gallery, Sadie and Lexie discuss sex. Sadie says the attendings at Seattle Grace are only interested in their underlings. Lexie takes note.
Meredith brings Emma to see Holly. Emma wants to know whether her sister will ever wake up, but Dixon announces matter-of-factly that although Holly's body is working, she is dead and her organs must be harvested.
Meredith, with compassion for the family, asks Dixon to leave.
Sadie approaches Richard and says she was responsible for the unauthorized surgery, and that she should be punished instead of Cristina.
It turns out Sadie's father is some sort of big shot donor or board member because he's the only reason she is still employed at Seattle Grace.
Cristina picks Alex to do the solo surgery because he proved to her to be the most prepared. He goes to find Izzie, who's in post-coital bliss with Denny in an on-call room bunk bed.
Alex announces that he loves her. He promises that he'll never leave her and he'll always be there for her, and he chooses her to scrub in. When he leaves, Denny says, "I'm really starting not to like that guy."
Meredith is hurt that Cristina didn't pick her, so at Derek's prompting, she confronts her about it. Cristina gets upset because her decision to choose Alex had nothing to do with Meredith, just business.
Major Hunt, noticing Cristina's distress, leads her down to some crazy room in the basement. He stands her over a vent from which steam comes up and they start making out. Hot scene!
Mark's larynx patient refuses to even try to talk after the surgery. Her husband is frustrated and upset, but later, Lexie convinces her to.
Lexie is truly amazed at Mark's prowess... but will that be in more ways than one? Later that night, she goes over to Mark's.
She strips down to her underwear and asks him to "teach" her because he did something amazing by making his patient speak again. Mark gives in, despite the promise he made to Derek about Little Sloan and Little Grey.
Still anxious to hire Dixon, Richard wants to know whether she likes Seattle Grace any better. After she gets him to admit that he was torturing Cristina by making her choose among her peers, Dixon hints she might take the job if the board makes her a better offer.
Before his surgery, Alex asks Meredith to scrub in, since he's now freaking out about telling Izzie he loves her, and she's nowhere to be found.
Izzie shows up at the last minute. As Alex does his first solo surgery, some residents take bets that he'll screw up.
Meredith says simply, "He's one of us."
What did everyone think? Tell us by discussing in our Grey's Anatomy forum!
Vitals
Season: 5, Episode: 10Air Date: 12/4/2008
Rating: 7.5 / 10
Pictures
Videos

Quotes
Meredith: So you were right, Cristina and I are fighting.Derek: You should go, talk to her. She's your best friend. It's important.
Meredith: Derek...
Derek: They don't tell you when you become a doctor it's gonna be like this. They don't tell you that you lose more patients than you save. 16... I'm sick of the death.
Meredith: I'm sorry.
Derek: I'll see you.
Meredith: Ok...
Music
Kanye West - "Street Lights"Max Morgan - "Secret"

November 26th, 2008 9:48 AM
i think thats messed up because christina deserved that solo suregry, she worked too hard for that and i hope that meredith dumb butt don't get the solo surgery because cause she can't do nothin right.
November 26th, 2008 8:27 PM
well I don't think Christina will give it to Mer becasue she is angry at her. And i don't like Alex enough for him to get it. As for George he is not "flowing" with the storyline as everyone said in the chats. And Izzy as much as she is going crazy (or whatever) I think she might get it. Though I don't know. I want either Meredith or Izzy to get it. No one else should.
November 28th, 2008 8:47 AM
I wonder... say if by an off chance George gets it, who would he ask to scrub in with him? What about Meredith?... MEREDITH IS NOT A DUMB BUTT!
November 29th, 2008 10:58 PM
ummers, after the Christina/Meredith fight, i don't think Mer is getting it. Alex might get it, i don't know. If Izzie gets it, she's gonna kill the patient, because she's psycho. And i really don't think George will get it. he just became a resident!
November 30th, 2008 9:31 PM
What is the story with this denny thing????? seriously what direction can this story possibly take i`m not liking it. I loved Izzie and Denny now I have to keep reminding myself that he`s dead they wont get back together...plus the alex issue denny saying its ok go to bed with him ill wait here thats just messed up!!!!!
December 1st, 2008 1:33 PM
I totally missed thursday (thanksgivings) episode was it a new 1 and if so what happend...I'm so bummed!
December 2nd, 2008 8:48 AM
There was no new episode Thursday, don't worry. And I totally agree, where can the writers possibly be going with the Izzy-Denny thing? Obviously killing Denny was devastating to the audience, and now they are trying to fix it, but it's making the show dumb and frustrating to us (on that front) because what's happening is IMPOSSIBLE. anyways
December 3rd, 2008 2:37 PM
I love the Izzy & Denny thing!! I loved the story line of their love affair and I am so glad the writers found a way to include him back into the show!!!
December 4th, 2008 10:21 PM
anyone know what the song was that played at the end of the show? It was kinda digital and had something about streets and sheets?
December 4th, 2008 10:37 PM
Song is by: Kanye West - Street Lights
December 4th, 2008 10:39 PM
who was the actress that played the chic with the throat/voice box surgery?? i need to know what shes from.. its driving me crazy
December 4th, 2008 10:41 PM
thanks Jem, that's EXACTLY what info I was looking for. I told my husband it was either Kanye West or a white guy ran into T-Pain. He said if it was Kanye, the song would be on his album named "in the streets" but i thought that was far too much logic for Mr. Plantation Shutter Shades.
December 4th, 2008 11:11 PM
who got the solo surgery because i missed the episode and i have know before i go to sleep????????
December 4th, 2008 11:14 PM
No problem shaydl! Alex was picked for the solo.
December 5th, 2008 9:50 AM
i love mark and lexie.... i hope mark gets serious to her...
December 5th, 2008 10:40 AM
Oh dear. In the episode Recap... You missed Mer's touching moment with the sister... telling her that "She loves you, she loves you". So beautiful. Totally made me cry. As well as Derek saying that he can't take the death... or whatever it was. I cried then too. So sad. Der is really upset. I hope that this doesn't mean he questions staying at the hospital or whatever. That would be terrible!
December 5th, 2008 2:52 PM
damn. i'm looking alllll over for this, does anyone know who plays kathleen? i recognize her but i don't know where from..
December 5th, 2008 10:47 PM
Dr. Kim on The O.C., I think.
I'd been trying to come up with that all day.
I actually shouted it out loud when I figured it out, haha.
December 6th, 2008 2:19 AM
I still can't understand the izzie-denny thing. I hope izzie will finally wakes up from her "delusion" because I feel for alex. For a guy like alex, it seems so impossible to admit how intense she feels for a girl. It was really sweet when he said I love you to Izzie.
December 6th, 2008 6:05 AM
Dr Kim, and also that woman doctor from Just Like Heaven
December 6th, 2008 2:59 PM
Can anoyone tell me the actress who played Emma? She was on something else....maybe a soap or another show and it is driving me crazy...
December 6th, 2008 10:51 PM
The girl playing Emma was Kay Panabaker.
Shes been on Port Charles, Life is Ruff, Summerland, Phil of the Future, and shes guest stared on many things as well.
If none of those is what you saw her on you can check her profile on imdb.
December 9th, 2008 10:37 AM
MOre scenes for O malley please
and i think that there are still possibility between george and lexie
December 9th, 2008 9:24 PM
I dont know what is happening with Denny & Izzy?? I really dont like it, its stupid, he is dead!! I absolutely love Alex, I have since the show started and I dont think its fair for him to have to go through this with Izzy, he obviously loves her,,,why cant the writers make this work?? Hope that this thing with Denny ends soon, his scary smile freaks me out.
December 15th, 2008 3:31 PM
does anyone know where I can view this full episode for some reason youtube doesn't have it :(