Grey's Anatomy

Season 4 Episode 1

A Change Is Gonna Come

16
Aired Thursday 8:00 PM Sep 27, 2007 on ABC

Trivia

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  • Trivia

    • A fake deer was used for all the scenes when the injured deer was lying motionless in the truck. However, they used a real animal for the brief shot of the deer standing up, magically recovered. According to associate producer Karin Gleason, Katherine Heigl (Izzie) had to sit in the truck for hours while filming, waiting for the deer to be "in the mood" and stand up for them. Heigl passed the time by reading a book, and when the deer finally jumped up unexpectedly, Heigl was ready with her character's shocked and happy reaction. Gleason has stated previously that she was very impressed with the actress's patience and performance in this scene.

  • Quotes

    • Meredith: I...uhm....
      Derek: You're not ready for this.
      Meredith: No.
      Derek: I asked for too much.
      Meredith: I think so.
      Derek: So, this is it?
      Meredith: Yeah.
      Derek: We're breaking up?
      Meredith: We're breaking up.
      Derek (walks to Meredith): We're broken up.
      Meredith: It's done. (they start kissing)
      Derek: Break-up kiss.
      Meredith: Break-up kiss.
      Derek (removes his jacket): And some break-up sex.
      Meredith: Yeah, break-up sex.

    • Callie: What? You wanna humiliate me some more? 'Cause I get it. I suck. I suck at my job, I suck as a wife, I suck all around, so... go ahead, humiliate me some more, please.
      Bailey: Hope tomorrow's better.

    • Alex: I filled this entire bag with coins from my patients stomach today.
      Cristina: No kiddin'.
      Alex (long pause): I miss Rebecca.
      Cristina (long pause): I miss Burke.
      Alex (holds up the bag of coins): You want some money? (Cristina smiles)

    • Cristina (to her interns): I have five rules. Memorize them. Rule number one, don't bother sucking up. I already hate you, that's not gonna change.
      Izzie: Traumas protocol, phone lists, pagers. The nurses will page you, you answer every page at a run. A run. That's rule number two. (notices the interns are not following her) You're supposed to follow me.
      Alex: Your first shift starts now and lasts 36 hours. You're grunts, nobodies, the bottom of the surgical food chain. You run labs, write orders, work every second night until you drop. And you don't complain.
      Meredith: On call rooms. Sleep when you can, where you can. You know, but not with anybody. Not attendings, especially not attendings. Sleeping with attendings, not a good idea. Where was I?
      George: Er, rule number three. If you're sleeping, do not wake you unless the patient is actually dying.
      Cristina: The dying patient better not be dead when I get there, because not only will you have killed someone, you will have woken me for no good reason. Are we clear? (Lexie raises her hand) Yes?
      Lexie: That was four rules. You said five.
      Cristina: Rule number five. When I move, you move. (awkward pause as nobody moves) Go! (Cristina's interns scramble off)

    • Richard: Now, whether you like it or not. You and I are gonna have to talk.
      Bailey: Chief...
      Richard: I know that you're angry and disappointed.
      Bailey: No, I'm not angry, I'm not disappointed. I'm speechless, I don't wanna talk because I'm speechless. It makes me speechless to realize that, you didn't think... I would've made an excellent Chief Resident.
      Richard: And you're right. You would've made an excellent Chief Resident, but you'll make an even more excellent surgeon. You belong in the OR, Bailey. Focus on honing those skills, not on how well you can juggle schedules, or fill out paper work. Believe me I know. You'll thank me for this one day.
      Bailey: Not today.

    • Lexie (looking at the babies): It's like a cute festival in here.
      George: I delievered that one an hour ago.
      Lexie: Oh, my god. Why aren't you like jumping up and down?
      George: I've done this before. This is deja-vu.
      Lexie: Uh.. you know, you didn't pass your intern test, it happens. It's nobodies fault, right?
      George: Yeah, it's nobodies fault. Except that Callie gave Cristina the study cards and Meredith didn't write anything down and Cristina was planning a wedding and Izzie... Izzie just had to... You know, I'm responsible, I've always been the responsible one, I'm not saying 'what about me', I'm not saying 'when do I get what I want', when do I get to be somebody other than the guy who repeats his intern year, I'm not sayin' that but...
      Lexie: ... But what about you?
      George: Yeah!
      Lexie: I didn't plan on being here. I was all set for an internship at Mass Gen., and then my mother gets the hiccups and I'm at a funeral. You know, we all have problems. Moms die, and dad's drink so much that they don't even know what year they're in and sisters... I didn't even know that there was a Meredith Grey until a coupla months ago. And she -- she doesn't even wanna talk to me. I don't-- I don't want to be here. I'd give anything to not be here. No, to have my life work out the way that I planned and to even have time to ask 'what about me'. So you change, you get over it. (pauses) I'm here now. And you... you delievered a baby today. So, stop feeling sorry for yourself.
      George (pauses): You... are kind of awesome.

    • Izzie: George, why are you avoiding me?
      George: I'm on my way to surgery.
      Izzie: No, I don't mean right now. Not right now. Not one word? In 17 days. I tell you that I love you, and not one word? For 17 days? Where have you been?
      George: I've been right here. Exactly where I was a year ago! I'm sorry-- I'm sorry. I'm freakin' out. I'm an intern again.
      Izzie: Yeah, we're all freakin' out. We're all freakin' out. I'm in charge of a group of interns who think I'm crazy and I might actually be crazy because day one of me being in charge, and I'm obsessed with rescuing bambi. We're all freaking out.
      George: Since when did you start calling me bambi?
      Izzie: What? I'm not calling you bambi.
      George: I - I understand. I - I expect it from Cristina or -- or Alex, but --
      Izzie: I'm bambi! I'm bambi, George. If anyone in this situation is a sad little cartoon character, it's me. I'm all alone in the forest, all alone in the forest, George. And my mother's been shot by a hunter and where are you? Where the hell are you?
      George: I'm on my way to surgery. (leaves)

    • Callie (about Alex): I don't know how you did it.
      Bailey: Did what?
      Callie: Get him to listen to you. To give you some respect. (Callie leaves, Izzie smirks)
      Izzie: Hey, Dr. Bailey, you wouldn't happen to know anything about a... the anatomy of a deer, would you?
      Bailey: Not my intern. Not my business. Not anymore. (walks away)

    • Richard: Hey, Dr. Bailey, how're things going?
      Bailey: I wouldn't know. Ask Dr. Torres.
      Richard: Miranda...
      Bailey: I don't want to talk.
      Richard: Miranda, it is not like you not to want to talk.
      Bailey: Fine. How's your wife?
      Richard (pauses): She's -- she's good. I haven't moved back in yet. She hasn't let me move back in yet. Not taking my calls. Wait, that's not what I wanna talk to you about. I wanna talk about Chief Resident. Now, we're gonna have this conversation.
      Bailey: Are you ordering me to stand here and talk to you about this, Chief?
      Richard: No, I'm not ordering you but I thought--
      Bailey: Okay, goodbye, sir. (walks off)

    • Callie: Hey, there you are. I missed you this morning.
      George: Yeah, I didn't wanna be late for my second first day as an intern.
      Callie: Maybe you can look at it like this, you have one up on everyone. You're gonna be like the rockstar intern.
      George: Yeah, I'm sure that's how everyone's gonna see me when they find out.
      Callie: Or maybe, they'll see you as the daddy intern.
      George: What? What did you just say?
      Callie: I'm not pregnant. I mean... I might be pregnant. My boobs are a little sore so... (George looks speechless) Hey, I'm trying to cheer you up, here George. This is-- I mean, if I am knocked up, that's a good thing, right?
      George: Callie, I'm just a little distracted. I mean, I'm havin' a bad day.
      Callie: Okay, you're having a bad month.
      George: Okay, yeah. I'm havin' a bad month. (leaves)
      Callie: Love you.

    • Derek: Hey, how are you?
      Meredith: I have a patient with a severed arm and no one seems to be able to find it. Have you seen it?
      Derek: Your severed arm? No, I haven't seen a severed arm. Meredith--
      Lexie (walks up): Hey, um, I'm so sorry about before, I was just so nervous about meeting you. Don't block the ER doors, I know that now.
      Derek: You're the girl from the bar.
      Lexie: Sorry?
      Derek: The girl from the bar.
      Lexie: Oh, my god. Yeah. Oh, my god. Yeah.
      Derek: Yeah.
      Lexie: Oh, my god. You work here?
      Derek: Yeah, I do.
      Meredith: Girl from the bar? I'm the girl from the bar. (Meredith walks away)
      Lexie: She hates me. My sister hates me.
      Derek: Meredith is your sister?
      Lexie: My half sister.

    • Izzie (to her interns): So, this is Cristina, Dr. Yang.
      Cristina: Yep, saving lives and taking names.
      Izzie (whispering to Cristina): All these interns and nothing to do. And I think that I'm a really bad teacher and they hate me. And now I'm a fraud, so any chance you wanna let me on this?
      Cristina: Izzie, this guy was dead, and now he's undead, so that kinda makes him like a zombie. And my personal zombie, so no you can't get in on this. Now you can go be a (loudly) fraud, somewhere else.
      Izzie: I don't like you.

    • Mark (to Izzie): You wanna rub up against me, you're gonna have to buy me a drink first.

    • Meredith: You see that girl out there? The dopey, wide-eyed one? Apparentally, we're related.
      George: Oh, you met Lexie?
      Meredith: So, you knew. You knew about it and didn't tell me.
      George: Kinda had a lot going on.

    • Cristina: Oh, crap, why'd you get me all excited with the sirens for a dead guy? (to interns) Who wants to see a dead guy?

    • Cristina (to her interns): Okay, one and two, go get stat packs. Three and four, go wait for the ambulances.
      Meredith (laughs): One and two?
      Cristina: Oh, no, I can't remember their names.
      George (raises his hand): I don't respond to being called a number.

    • Callie: Is there anything I -- I should do, sir?
      Richard: Save lives.
      Callie: No, I - I mean as a Chief Resident, sir.
      Richard: Make sure your residents run their tramuas. It's their first day on their own. (looks around) Where... are the residents that you've assigned to this ER?
      Callie
      : Oh... I -- I, uh, I-- I paged them. I paged them. Bailey?
      Bailey
      : What?
      Callie
      : Uh, I paged Grey, Stevens, Yang and Karev, but they're not here yet.
      Bailey
      : When I page them they come runnin'.
      Richard
      : Get it together, Torres. (leaves)
      Callie
      : Okay, you did not have to say that in front of the Chief.
      Bailey
      : You asked ... boss.

    • Richard: You're avoiding me, we need to talk.
      Bailey: About you choosing Dr. Torres over me to be your Chief Resident? Respectfully, no, we are not going to talk about that.

    • Derek: Hmm, your interns are back from holiday today.
      Bailey: Not my interns. They're residents. I am free.
      Derek: Well, the point is... Dr. Yang, the Burke thing, she doesn't know and I'm supposed to tell her. Burke asked me to tell her. (sighs) Any thoughts?
      Bailey: Honestly always works best.
      Derek: Well, that's true. Hey, do you wanna get together for a drink after work tonight?
      Bailey: Why?
      Derek: Well, I don't know, I just thought it might be a good idea to get together and...
      Bailey: Oh, you don't have anybody to talk to.
      Derek: No, I have people to talk to.
      Bailey: Addison is gone. Burke isn't around. And you and Grey aren't smelling each other in the elevators anymore.
      Derek: I have people to talk to.
      Bailey: Who?
      Derek (looks around): The chief, I have the chief to talk to. Hey, Chief, you wanna get together for a drink after work?
      Richard: I don't drink.

    • Izzie: How's your vacation?
      George: Um.. fine. Meredith can we uh..
      Izzie: 'Cause mine was... I didn't do much. Hung out alone. For 17 days... which... is the last time that I saw you... The day of Cristina's wedding. Which was... (Cristina gives her a look) Well, then Mer and Cristina went on Cristina's honeymoon without me.
      Alex: Girl on girl honeymoon. (laughs)
      Izzie: And then Alex took a roadtrip to see Ava... without me.
      Alex: I didn't go see Ava. Her name is Rebecca and I didn't go see her, I just drove in that direction.
      Cristina: Why is everyone so tingly and hurt? I mean I was the one who was left at the altar. (Meredith and Izzie look at her) I'm fine, by the way, I honeymooned in Hawaii and I snorkled.

    • (About the interns)
      Cristina: I hate them.
      Meredith: Oh, you do not hate them, you hate you.
      Izzie: That was hideous, I feel like a fraud.
      Alex: I rocked it. I think I'm the new nazi.
      Cristina: Oh, you are not the new nazi.

    • Guy Intern (about Izzie): I heard that she like freaked out and killed a guy.
      Girl Intern: Great, we got stuck with a dud.

    • Cristina (about George being an intern again): Hey, is this how it's gonna be all year, because bambi has got to deal.
      Izzie: Hey, at least he came back.
      Meredith: Yeah, at least he came back.
      Alex: Dude, he failed his exam and got left back in kidnegarden.
      Izzie: He won't even look at me.
      Meredith: Have you seen Burke?
      Cristina: No. Have you seen Derek?
      Meredith: No.
      Izzie: Wait, you haven't seen either of them since the wedding?
      Meredith and Cristina: Nope.
      Izzie: And you're all fine?
      Meredith and Cristina: Yep.
      Izzie: Wow. You're either incredible healthy or completely messed up.

    • Izzie (to her new interns): I know you didn't wake up this morning expecting this was how your first day was gonna go. You thought you'd get to re-attach an arm or observe brain surgery; instead you helped save the life of a deer. You can bitch and complain about it, or you can adjust your expectations. Cause like it or not, you are stuck with me and I'm the kind of doctor who lets a little kid convince her she can do the impossible. Oh! Plus, when I woke up this morning, I thought today was gonna go a lot differently too. I thought I was gonna get the good interns instead I get stuck with the duds. So I have to adjust my expectations as well.

    • (Derek sees Mark and begins to walk away)
      Mark: I'm the one that can use a friend. (Derek pauses) I said, that you could use a friend, I can use a friend.
      Derek: Look Mark, I know..
      Mark: I didn't come to Seattle for Addison. I didn't come to Seattle to be chief. I came to Seattle for you. (Derek gives him a look) Okay, I came to Seattle to get you back. (Mark and Derek share an awkward pause) I know I want to take it back, but I already said it. So... (laughs)
      Derek: Yeah, (smiles) Maybe, we should have a drink.
      Mark: We could.
      Derek: Yeah, not today. (Mark smiles)

    • Mark: I really am up for a drink, you know if you need to talk.
      Derek: What would I need to talk about?
      Mark: Meredith. You were lucky, man. That girl jerked you around.
      Derek: You have no idea what you're talking about.
      Mark: Hey, I'm just... seem like you can use a friend right about now.
      Derek: Meredith's mother never wanted her and her father was never man enough to hang around. She has a right to be damaged and us, together? It's a big step for her. Her best friend gets left at the altar, and all she sees now is things like this, they don't work. She panics. She wants this, she doesn't know how to have it. And you know what? It's not her fault. So don't ever talk to me about Meredith Grey again because you do not know what you are talking about. And I don't want a friend. (leaves)

    • Derek: Do you wanna have a drink later?
      Cristina: A what?
      Derek: A drink. Gimme one reason why we can't hang out.
      Cristina: I don't like you.
      Derek: You don't like me because of Meredith?
      Cristina: I don't like you because you're you.
      Derek: Hmm. How is Meredith by the way? Is she okay?
      Cristina: She's fine.
      Derek: She's always fine. That's her problem.
      Cristina: We're fine people... We do fine. We're fine. (pauses) How's Dr. Burke? I haven't seen him around today, is he off today?
      Derek (pauses): Dr. Burke handed in his letter of resignation two weeks ago. He wanted me to tell you.
      Cristina: He's g-gone?
      Derek: Sorry.
      Cristina: Oh, don't be. I'm...
      Derek: ... Fine?
      Cristina: Yep.

    • Cristina: Still no sign of Burke. Ooh, you got a severed arm.
      Meredith: My arm. Mine. Get away from it.
      Cristina: Maybe he's not on today.
      Meredith: Maybe you should just see him and get it over with.
      Cristina: No, no, no. If I never see him again, I won't care.
      Meredith: Well, I've seen Derek and Derek has seen me.
      Cristina: And?
      Meredith: And plus he seems to know Lexie.
      Cristina: And?
      Meredith: More akward. Your intern is my half sister, how weird is that?
      Izzie (walks in): Well, I'm trying to save Bambi and my interns think that I'm a loser. Ooh, severed arm.
      Alex (walks in): Callie's a bitch.
      Izzie: Word.
      Alex: She won't lemme off my patient. There's nothing wrong with him except he's a nut job. Severed arm.
      Izzie: Anyone know anything about deer?
      Alex: Tastes good.
      Izzie: Evil.
      Cristina (to George, who just walked in): Oh, George! Severed arm. Plus, Meredith's half sister is my intern, Izzie is playing Doctor Doolittle... oh and Alex hates your wife.
      George: Dr. Sloan is ready for the arm. (leaves)
      Meredith: I'll say it. George is being an ass.
      Izzie: It's my fault. I said some things and now he's not talking to me.
      Alex: I don't know what he's got to complain about, those new chick interns are hot.
      Meredith: He's married, Alex.
      Izzie: Yeah, he's married.
      Alex: You know who's seriously hot? That Lexie girl. (Cristina laughs)
      Meredith: Get out before I hurt you.
      Alex: I'm going over Callie's head to Bailey.
      Cristina: Uh, Callie is over Bailey's head...
      Meredith: Spiritually, Bailey's over everyone's head.

    • Meredith (closing voiceover): Change… We don't like it. We fear it. But we can't stop it from coming. We either adapt to change, or we get left behind. It hurts to grow. Anybody who tells you it doesn't is lying. But here's the truth; sometimes the more things change, the more they stay the same. And sometimes… oh, sometimes change is good… sometimes change… is everything.

    • Meredith (opening voiceover): In the practice of medicine, change is inevitable. New surgical techniques are created, procedures are updated, level of expertise increase. Innovation is everything. Nothing remains the same for long. We either adapt to change… or… we get left behind.

  • Notes

    • This episode takes place 17 days after the previous episode: Didn't We Almost Have It All?

    • International Titles:
      Czech Republic: Měním se, tedy jsme (I am Changing Anyway I Am)
      Slovakia: Čas zmien (Time of Changes)

    • Original International Air Dates:
      Italy: Monday, December 10, 2007 on Foxlife
      Portugal: Thursday, December 20, 2007 on Foxlife
      Australia: Sunday, February 10, 2008 on Channel 7
      Latin America: Monday, February 11, 2008 on Sony Entertainment Television
      Sweden: Wednesday, February 13, 2008 on Kanal 5
      Germany: Wednesday, February 13, 2008 on ProSieben
      The Netherlands: Monday, March 10, 2008 on Net 5
      Croatia: Monday, March 17, 2008 on RTL TV
      Czech Republic: May 11, 2008 on Prima
      Norway: Tuesday, August 26, 2008 on TV2
      United Kingdom: Wednesday, September 17, 2008 on Living
      Romania: Tuesday, October 7, 2008 on TVR1
      Thailand: Tuesday, October 21, 2008 on Star World

    • Music Featured In This Episode:
      1. Breathe In, Breathe Out by Mat Kearney
      2. Oversleeping by I'm From Barcelona
      3. Knock 'Em Out by Lily Allen
      4. 23 by Blonde Redhead
      5. Reasons To Love You by Meiko
      6. To Build A Home by Cinematic Orchestra

  • Allusions

    • Cristina (to her interns): I have five rules. Memorize them. Rule number one, don't bother sucking up. I already hate you, that's not gonna change.
      Izzie: Traumas protocol, phone lists, pagers. The nurses will page you, you answer every page at a run. A run. That's rule number two. (notices the interns are not following her) You're supposed to follow me.
      Alex: Your first shift starts now and lasts 36 hours. You're grunts, nobodies, the bottom of the surgical food chain. You run labs, write orders, work every second night until you drop. And you don't complain.
      Meredith: On call rooms. Sleep when you can, where you can. You know, but not with anybody. Not attendings, especially not attendings. Sleeping with attendings, not a good idea. Where was I?
      George: Er, rule number three. If you're sleeping, do not wake you unless the patient is actually dying.
      Cristina: The dying patient better not be dead when I get there, because not only will you have killed someone, you will have woken me for no good reason. Are we clear? (Lexie raises her hand) Yes?
      Lexie: That was four rules. You said five.
      Cristina: Rule number five. When I move, you move. (awkward pause as nobody moves) Go! (Cristina's interns scramble off)

      This is a reference to the very first episode, "A Hard Day's Night" in which Bailey tells Izzie, Meredith, Cristina, and George the same thing. And Lexie, does what Meredith did.

      (From "A Hard Day's Night")
      Bailey: I have five rules. Memorize them. Rule number one, don't bother sucking up. I already hate you, that's not gonna change. Trauma protocol, phone list, pagers, nurses will page you. You will answer every page at a run. A run! That's rule number two. Your first shift starts now and lasts 48 hours. You're interns, grunts, nobodies, bottom of the surgical food chain. You run labs, run orders, work every second night until you drop, and don't complain. On-call rooms. Attendings hog them. Sleep when you can where you can, which brings me to rule number three. If I'm sleeping, don't wake me unless your patient is dying. Rule number four: the dying patient better not be dead when I get there. Not only will you have killed someone, you would have woke me for no good reason. We clear? (Meredith raises her hand) Yes?
      Meredith: You said five rules. That was only four.
      Bailey: Rule number five: When I move, you move. (looks at pager and starts running)

    • Izzie: I'm not doing it for him I'm helping Bambi.

      Bambi the animated story (1942 movie) of Bambi, a young deer hailed as the 'Prince of the Forest' at his birth. As Bambi grows, he makes friends with the other animals of the forest, learns the skills needed to survive, and even finds love. One day, however, the hunters come, and Bambi must learn to be as brave as his father if he is to lead the other deer to safety

    • Episode Title: A Change is Gonna Come

      The title of this episode is a reference to the song A Change is Gonna Come by Otis Redding. This is also a song by Sam Cooke, released in 1965. and a song by Leela James, released on her album A Change is Gonna Come in 2005.

    • Cristina: Izzie is playing Doctor Doolittle...

      Doctor Doolittle is a 1998 movie about a doctor that can understand animals. In it stars Eddie Murphy and Peter Boyle.

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