This is the first hour of a 2-hour season finale. A two episode entries have been created. The 10pm EST marker will mark to beginning of the second episode.
A couple undergoes surgery. Derek and Meredith clinical trial has another patient. Izzie helps Alex. McSteamy hooks up with someone.
Season 4 Episode 16 of Greys Anatomy resulted in a 0.00 rating in the 18-49 demographic.
Meet Meredith Grey. She's a woman trying to lead a real life while doing a job that makes having a real life impossible.
Meredith is a first year surgical intern at Seattle Grace Hospital, the toughest surgical residency program west of Harvard. She and fellow first-year interns Cristina Yang, Izzie Stevens, George O'Malley and Alex Karev were students yesterday. Today they're doctors and, in a world where on the job training can be a matter of life and death, they're all juggling the ups and downs of their own personal lives.
The five interns struggle to form friendships in this most stressful and competitive atmosphere. Meredith's medical ambition is overshadowed by a troubling secret: Her mother, a noted pioneering surgeon, is struggling with a tragic and devastating illness. Cristina is highly competitive and driven, but lacks tact when it comes to bedside manner. Isobel "Izzie" Stevens is the small-town girl who grew up dirt poor and, in spite of paying for her medical career by modeling. Sometimes she cares a little too deeply about her patients. George O'Malley is the warm but insecure boy next door who always manages to do or say the wrong thing at the wrong time. In spite of his attraction to women, he's treated as "just one of the girls". And Alex Karev, the intern the other interns love to have, masks his working class roots with arrogance and ambition.
The interns are guided by an established team of doctors who are determined to shape them into skilled surgeons or break them: Miranda Bailey, a senior resident responsible for training them, is so tough that she's nicknamed "The Nazi". Derek Shepherd is the flirtatious but very capable surgeon who shares a forbidden but undeniable sexual attraction with Meredith. Preston Burke's arrogance is second only to his skill with a scalpel. Overseeing them all is Dr. Richard Webber, Seattle Grace's paternal, but no-nonsense chief of surgery.
Grey's Anatomy focuses on young people struggling to be doctors and doctors struggling to stay human. It's the drama and intensity of medical training mixed with the funny, sexy, painful lives of interns who are about to discover that neither medicine nor relationships can be defined in black and white. Real life only comes in shades of grey.