Two hour episode!
This could be one long haiku
Better get some snacks!

Cristina’s still sad
Mer: “Take the sparkle pager”
Just like that: she’s back!

Derek wants to sell
his land, bought for the dream house
He would build for Mer

Rose to Meredith:
“Derek’s going to sell his land.
Plus, I’m scared of you.”

Sloan teases Callie
He can see that she wants Hahn
“She takes one finger…”

Callie’s bewildered
By her crush on a woman
“I thought I liked men?”

Mer tells shrink about
Mom’s attempted suicide
Whoa, that’s heavy stuff

Concrete’s heavy too!
Dumb kid laid down in cement
To impress his crush

Too bad she’s a bitch
Shallow “friends” let him lie there
Now docs must work fast

True to form, they fight
Can’t agree what to do first
Clock is ticking folks!

The clinical trial
Keeps killing every patient
Chief: “You’ve one more chance”

Mer’s shrink sets her straight
“Ellis didn’t want to die.
Figure out the rest…”

Rebecca’s still nuts
Izzie can’t make Alex see
Whoops, she slit her wrists!

Alex will suture!
“Leave us be, you stupid bitch!”
Izzie won’t give up

Two tumor patients
Each one wants the surgery
Teenagers, in love

Mer: “Let’s do them both”
“I’ll get clearance from the chief”
(Except, she doesn’t)

But first, some nookie!
Mer and Der stand guard outside;
Tumor kids have sex.

Boy’s surgery first
“Do not kill him,” girlfriend pleads
Of course, then he dies

Derek is fed up
Doesn’t want to kill again
Meredith insists

He’s so furious
“After this, won’t work with you”
He storms off, she’s stunned.

Talking to himself
“I keep failing her again”
Rose: “Don’t you mean ‘them’?”

Izzie stands her ground
Pulls Karev off Rebecca
He’s done this before?

Thinks he can fix her
Because he took care of mom
“It’s just a bad patch!”

He calls her husband
Learns she’s been nuts for awhile
Off to the psych ward!

Human cinderblock
Crashes; rushed to the O.R.
Cristina’s big chance!

Concrete boy pulls through
Gets a smooch from stuck up girl
Lucky him, I guess

Chief says Hahn must teach
If she wants to keep her job
She looks stunned, put out

Cristina’s so stoked
She’ll take Chief’s advice to heart;
Teach her own interns

George is a lame duck
Could look at Chief’s files but won’t
Lexie will, and does!

George failed by one point!
Recommendations were best!
Why no second chance??

George stands up to Chief
“You know I’m better than this.”
“Fine, retake the test.”

Now for the last trial
Finally, a patient lives!
Will her tumor shrink?

Mer goes home to rest
Finds and cleans Rebecca’s blood
Thinks about her mom

Lightbulb goes on now
“She knew how to kill herself;
Could have done it right.”

“Didn’t want to die;
Wanted to get Richard back
But he never knew.”

Tumor check: it shrunk!
Trial is a success at last!
Time to celebrate!

Mer can’t find Derek
Meanwhile he’s looking for her
(Tiresome faux suspense)

Izzie proved herself
By standing firm with Alex
Bailey: “Clinic’s yours.”

George kisses Lexie
Chief moves back in with Adele
Callie kisses Hahn

In a bizarre twist
Alex begs Izzie for sex
Kissing through his tears

Mer lights up the land
Candles outline the floorplan
“I want our dream house”

Derek kisses her
Then leaves to break up with Rose
(Now he’s a nice guy??)

End of season four.
Drama, random hookups: check!
What annoyed YOU most?