I'm going to be blunt and to the point, but I hated this episode.
The only characters I liked in this episode was George(even though they are regressing the heck out of his character, and thank gawd he might become a resident in the finale because I really don't want to see Season 2 George again *rolleyes* since that's exactly how George has been written the past two episodes), Izzie, and Lexie. Everyone else either annoyed the crap out of me, were too mean that I can no longer tolerate their behavior, or other storylines/characters were just plain lame/clique/contrived. Seriously, I really don't want to watch Season 2 2.0 *rolleyes*. The past two episodes just screamed of lazy writing, decreasing quality, and taking four seasons to deliver backstory info is going into "too little too late" category for me as a viewer. Truth be known many of friends dropped this show a long time ago, and now I'm beginning to understand their point of view more and more.
For me it was IMO one of the worst episodes of the season along with 4.07. If the finale comes to pass like I think it will be, then IMO GA will sadly be going into "jump the shark" area of no return. I'm completely dreading the finale. Damn, if I wasn't a big hardcore Katie Heigl fan I honestly would have heavily considered dropping this show this week. I'm beginning to think just put GA out of it's misery

, or just watch Izzie scenes on You Tube

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Isn't there a Grey#s Q & A thing with Shonda and Betsy coming up as well?
The Q & A is up on the official site, and fair warning there is a lot of BS concerning the character of Derek.....