"Crash Into Me"

What a downer for Thanksgiving, huh? Not to mention it was one of those (dreaded) "To be continued..." episodes. Oh - and we have to wait TWO WEEKS to find out what happens next. (The 29th is a rerun, in case you didn't know.) Things like this really make me unhappy.
I'm sad about Miranda having trouble at home. I sort of wondered if that would be an issue. After all she did have a baby last season, and while we're supposed to believe they have the perfect, understanding marriage ... A Baby Changes Everything... as they say. Please, please, please let them figure it out.
Derek absolutely cannot leave Meredith. Cannot. Nope. I know we all want what's best for him and blah-blah-blah, but I just don't want him winding up with the nurse... no matter how appealing and sweet she might seem. Here's my prediction on that... He is going to start seeing her because he wants a real relationship. Maybe they even date a bit, do the nasty. But I think he'll eventually realize that in his heart of hearts, he really wants and needs Meredith. Despite being broken and needy and unable to commit, she completes him. And the nice-nice way of life with the nurse just won't cut it. But I think we're getting on the relationship roller coaster with McDreamy. Buckle up.
The whole paramedics injured thing was absolutely heart-wrenching, and once again, we saw Meredith and the chief having special moments. I love that dynamic. I love that he's "there" for her. He needs her, too.
Man... Alex is in trouble! For me, it's a no-brainer. As much as I LOVE Ava, he really could have a connection with Lexie. The two of them really have a lot in common and seem to "get" each other... not to mention neither of them are MARRIED. Ava/Rebecca (apparently) still is. That can make things a little sticky, right?
Izzie and George are so over... romantically anyway. Finally! But can they be friends? Most people think they can, but most aren't able to pull it off. It would be nice, though.
Touchy topic with the swastika-tattoo guy. It's hard to imagine that there really are people out there walking around like that, and there are real, well-educated doctors -- and other caregivers -- who have to treat them. I can't imagine what I would do in that situation. The Hippocratic Oath begins "First, do no harm..." but when you are facing someone eyeball to eyeball who has no regard for you... how do you put that away? I liked the way Bailey did it. Way to "rise above."