What happens in the elevator, doesn't stay in the elevator as Alex blows George's cover as a repeater. Jerk.

Call them what you want ... a lot of fans are sick of the story line between George and Izzie. Then again, polls show more viewers than you might think love this couple together.

George, Alex, Meredith, Cristina and Izzie pay their respects to Really Old Guy after he passes away in this mock vigil. It was put together by Izzie because he didn't really have any family or friends left. She's nice.

Burke's guy, a.k.a. George O'Malley, meets Burke's mom, a.k.a. Jane. They have a talk about marriage and things, and she attempts to straighten him out.

It's hard to blame O'Malley for thinking so. George is going through a lot, and he seems to relate to others even more so than usual.

George and Callie kiss. Are these two going to be back on a normal playing field with Izzie out of the romantic picture?

The Season Four cast of Grey's Anatomy: Starring the lovely Ellen Pompeo (Meredith Grey), Patrick Dempsey (Derek Shepherd), Sandra Oh (Cristina Yang), Katherine Heigl (Izzie Stevens), T.R. Knight (George O’Malley), Justin Chambers (Alex Karev), Chandra Wilson (Miranda Bailey), James Pickens, Jr. (Richard Webber), Sara Ramirez (Callie Torres), Eric Dane (Mark Sloan) and Chyler Leigh (Lexie Grey).

George O'Malley (T.R. Knight) is still an intern, having failed his boards in the final episode of Season 3. Now he's under the direction of Meredith Grey (Ellen Pompeo).

George O'Malley is a lovable guy... but he could stand to be a little more assertive.

George couldn't even muster any words after what Izzie said to him.

Izzie professes her feelings for George.

Alex, Cristina, Izzie and George worry about Meredith.