Previously on Grey's Anatomy, Meredith's mom was brought in as a patient; Cristina was pissed about how Burke broke up with her and she hasn't told him that she's pregnant, but then she collapsed (and the subsequent surgery sorta let that cat out of the bag). Meredith yelled at Derek to stop talking to her, Addison kissed Derek, and then...so did Meredith.
Meredith's VO gets us set to receive this week's Big Lesson. "The key to surviving a surgical internship is denial." Izzie is at the bar looking cute in a pink shirt, and watching Alex play darts while trying to not look entirely like she's watching Alex play darts. "We deny that we're tired, we deny that we're scared, we deny how badly we want to succeed." Alex grins at her and then goes back to his darts, which makes Izzie antsy as Joe hands her a drink. "And, most importantly, we deny that we're in denial."