Although the episode was fictionally set in Seattle, Washington, filming occurred in Los Angeles, California. It was the first not to feature Washington, due to his being fired from the series at the conclusion of Season 3. The episode also was the first to not feature Kate Walsh (who portrayed Addison Montgomery) as a series regular, as she transitioned to become the main character in Grey's Anatomy's spin-off Private Practice; however, Walsh did appear in the subsequent seasons in guest star capacity. It also marked Leigh's promotion to series regular status, following her guest appearances in the last 2 episodes of the previous season. Also featured were one-time guest actors Mark Pellegrino, Stephania Childers, Sandra Thigpen, and Steven Porter.
The episode was viewed by 20.93 million Americans in the United States upon its original airing, ranking #2 in the time-slot and #3 for the week, and garnered a 7.3 Nielsen rating in the 18–49 demographic, seeing a decrease from the previous episode, which received an 8.0 rating. It received mixed-to-negative reviews from television critics upon telecast; however, Cristina's storyline received critical acclaim.
It is revealed that Lexie Grey (Chyler Leigh), Meredith’s half-sister, is among the new interns. Unbeknownst to both at the time, she had a brief, flirtatious encounter with Derek Shepherd (Patrick Dempsey) at Joe's Bar, before he realized who she was. Meanwhile, Callie Torres (Sara Ramirez) struggles in her new role as Chief Resident, a position she was given over Miranda Bailey (Chandra Wilson), and she faces challenges asserting authority and gaining respect from her subordinates.
Following her breakup with Preston Burke (Isaiah Washington)—who left her at the altar—Cristina has just returned from traveling with Meredith, only to discover that Burke has resigned from Seattle Grace and moved away without informing anyone. Izzie grapples with her feelings for George, who is married to Callie but is secretly having an affair with her. George, now repeating his internship, finds a confidante in Lexie, who chooses to keep his secret about failing his exam. Meanwhile, Alex is shown to have visited Rebecca Pope (Elizabeth Reaser) after her departure.
In the absence of Addison Montgomery (Kate Walsh), who moved to Los Angeles, Mark Sloan (Eric Dane) seeks to repair his friendship with Derek. Though initially hesitant, Derek eventually gives Mark a second chance. Bailey, frustrated at being passed over for Chief Resident despite her outstanding reputation, displays a cold demeanor toward Richard Webber (James Pickens, Jr.) as a way to express her disappointment.
Lexie meets Meredith for the first time, but the encounter is awkward, with Meredith clearly uncomfortable. Meredith and Derek, despite breaking up, struggle to stay apart due to their lingering feelings for each other, complicating their attempts to move on.
The emergency room becomes overwhelmed with patients from a major car accident. One patient, admitted to the neurosurgery department under Derek and Cristina's care, is discovered to be internally decapitated, meaning that even the slightest movement could prove fatal. A pregnant woman, whose arm has been severed in the accident, is brought into plastic surgery, and Meredith, assigned to work with Sloan, is tasked with finding the missing arm, to the amazement of her interns. Izzie, struggling to be taken seriously by her interns, damages her professional image further when she abandons her duties to help perform surgery on a deer.
Meredith and Derek have a candid conversation about the difficulties of their breakup and acknowledge that their feelings remain strong. Despite this, they realize they cannot reconcile their relationship. However, they end up having sex one last time as a way to express their unresolved emotions.
George admits to himself that he is in love with Izzie and tells her that he shares her feelings, deepening the complications in his marriage to Callie.
Production
Due to the producers wanting to replace the 2 departed characters, Chyler Leigh began receiving star billing in "A Change Is Gonna Come".
The Season 4 premiere marked Chyler Leigh's first appearance as a main cast member.[2] Leigh had previously appeared during the final three episodes of Season 3 as Meredith Grey's half-sister, Lexie. Following Isaiah Washington's departure from the series, it was reported that executives planned to add new cast members, including Lexie.[6] Leigh was officially upgraded to series regular status on July 11, 2007 for Season 4.[7] Rhimes explained her decision to cast Leigh, stating, "We met with a lot of young actresses, but Chyler stood out. She had a quality that felt right and real to me. It felt like she could be Meredith's sister, but she had a depth that was very interesting."[8] Leigh described her first days on set as "daunting," but shared that she "had such a great time" working with the main cast.[9] This episode also introduced a new generation of interns, all in co-star capacity except for Lexie.[2]
"A Change Is Gonna Come" was the first episode in two years not to feature Kate Walsh as a series regular, due to her transition to Private Practice, the spin-off from Grey's Anatomy.[2][10] Walsh's character, Addison Montgomery continued to appear as a guest star in future seasons.[2]
The episode marked the first absence of Washington's character, Preston Burke, following Washington's termination from the series.[2][11] Washington's departure followed an on-set controversy during Season 3, where he was accused of using a homophobic slur against co-star T. R. Knight (who portrays George O'Malley). After this incident gained media attention, Knight publicly came out as gay, and Washington issued a public apology.[12] The controversy reignited after Washington made further remarks at the 2007 Golden Globe Awards, which were widely condemned. Despite his public apologies and executive counseling, Washington's contract was not renewed, leading to his dismissal from the show.[12][13] He later expressed his anger about the decision and suggested that racism within the broadcasting industry contributed to his firing, an assertion that drew criticism from Rhimes.[14] In an appearance on Larry King Live, Washington denied using a homophobic slur in reference to Knight.[15]
Rhimes highlighted O'Malley's story arc, focusing on his relationships with Izzie Stevens and Callie Torres.[1] She explained, "The interns are now residents with their own interns, except George, who's repeating his intern year. He's the only one who hasn't changed, but by the end, he has. He tells Izzie he loves her too, which takes guts because he knows the complications that come with it."[1] The episode also explored Meredith's emotional struggle with her relationship with Derek Shepherd, and Cristina Yang's attempts to move on from Burke, whose sudden departure has left her devastated.[1]
The episode also saw Mark Sloan and Derek reconciling, following the departure of Addison.[2] Rhimes discussed the arrival of Lexie, stating, "Lexie is here to stay. I love that she's a bit of a dork. Being a dork myself, I am fond of girls with verbal diarrhea."[1] Regarding the tension between Miranda Bailey and Richard Webber, Rhimes pointed out Bailey's frustration at being passed over for the Chief Resident position in favor of Callie, noting Webber's flawed judgment in making that decision.[1]
Release
"A Change Is Gonna Come" was originally broadcast in the United States on September 27, 2007, airing on the American Broadcasting Company (ABC) in its regular 9:00 Eastern time-slot.[16] Viewed by a total of 20.93 million viewers, the episode became the series' second most-watched season premiere, just behind the Season 3 opener, which had been watched live by 25.41 million American viewers.[17][18] Compared to the previous episode, which garnered 22.57 million viewers, "A Change Is Gonna Come" experienced a 21% decrease in viewership.[19] Nevertheless, the episode ranked #2 in its time-slot and the entire night, trailing only CBS's CSI: Crime Scene Investigation, which attracted 25.22 million viewers.[17] For the week, the episode ranked #3, following both CSI and fellow ABC show Dancing with the Stars.[17] In terms of ratings, the episode also performed well, earning a 7.3 Nielsen rating in household viewership, ranking #2 in its time-slot and #3 for the week.[17]
Reception
Sandra Oh's performance as Cristina Yang was one of the few sources of critical praise upon the episode from television reviewers, with most of them enjoying her adaptability to the unrealistic character.
"A Change Is Gonna Come" received mixed-to-negative reviews from television critics upon telecast; however, Cristina Yang's (Sandra Oh) storyline received critical acclaim.
Debbie Chang of BuddyTV deemed the episode "dysfunctional and ridiculous", particularly criticizing Izzie Stevens' (Katherine Heigl) storyline, which she felt did not justify her promotion to a resident.[20] Chang disagreed with how Miranda Bailey (Chandra Wilson) and Derek Shepherd (Patrick Dempsey) were written, feeling Bailey's anger should have been self-directed and that Shepherd's emotional immaturity was exaggerated. Nonetheless, she praised Cristina's storyline, especially her method of repressing her feelings, as a highlight.[20] Chang expressed overall disappointment in the episode as a season opener, stating, "I can see already that this season will continue to bring us medical cases that are so blatantly about the doctors' pathetic lives."[20]
Eileen Lulevitch of TV Guide offered a more favorable review, writing that watching the season premiere felt like "welcoming an old friend back into your home." She appreciated the way the episode acknowledged Bailey's importance through her former interns' homage and praised Meredith Grey's (Ellen Pompeo) character development, as well as Lexie Grey's (Chyler Leigh) introduction.[21] Lulevitch was less positive about Callie Torres' (Sara Ramirez) as Chief Resident, criticizing the storyline as unrealistic, but acknowledged the episode's focus on Callie adjusting to her new role as central to the plot.[21] Cristina's storyline was praised for the moment she realizes how much she misses Preston Burke (Isaiah Washington), with Lulevitch noting the predictability of her emotional arc.[21] Writing for IGN, Laura Burrows also commended the episode for introducing a new set of interns and creating new drama with George O'Malley (T. R. Knight) repeating his intern year, though she recognized that some storylines felt overly familiar.[22]
Heigl, who portrayed Izzie, was critical of her character's relationship with O'Malley, labeling it a "ratings ploy".[23] She explained, "They really hurt somebody, and they didn't seem to be taking a lot of responsibility for it. I have a really hard time with that kind of thing. I'm maybe a little too black and white about it. I don't really know Izzie very well right now."[23]Alan Sepinwall of The Star-Ledger was similarly critical, calling the episode "childish and ridiculous" and describing Izzie’s storyline with the deer as "not cute, not character-illuminating, just dumb."[24] He also critiqued Callie' character regression, labeling her scenes difficult to watch.[24] Despite these negative remarks, Sepinwall expressed optimism about Lexie's arrival, writing that while the character felt like a clone of Season 1 Meredith, there were few other likable characters left in the show, so the manipulation was tolerable.[24] In contrast, the reviewer for BuzzSugar criticized the episode for moving away from the show's original tone, though they praised Lexie's introduction.[25]
Entertainment Weekly later ranked the inclusion of the deer as one of the "Most Memorable Cases of Grey's Anatomy", placing it at #12 in their 2009 ranking.[26]
Related Research Articles
The third season of the American television medical drama Grey's Anatomy, commenced airing on the American Broadcasting Company (ABC) on September 21, 2006, and concluded on May 17, 2007. The season was produced by Touchstone Television, in association with Shondaland Production Company and The Mark Gordon Company, the showrunner being Shonda Rhimes. Actors Ellen Pompeo, Sandra Oh, Katherine Heigl, Justin Chambers and T. R. Knight reprised their roles as surgical interns Meredith Grey, Cristina Yang, Izzie Stevens, Alex Karev and George O'Malley, respectively, continuing their expansive storylines as focal points throughout the season. Previous main cast members Chandra Wilson, James Pickens, Jr., Kate Walsh, Isaiah Washington, and Patrick Dempsey also returned, while previous guest-stars Sara Ramirez and Eric Dane were promoted to series-regulars, following the extension of their contracts.
Cristina Yang, M.D., Ph.D., F.A.C.S. is a fictional character from the medical drama television series Grey's Anatomy, which has aired for 20 seasons on the American Broadcasting Company (ABC) in the United States. The character was created by series producer Shonda Rhimes and is portrayed by actress Sandra Oh. Cristina was introduced as a surgical intern at the fictional Seattle Grace Hospital, and over the course of the series, she rose to become a cardiothoracic surgical fellow. Her relationships with fellow doctors Meredith Grey, Izzie Stevens, Alex Karev and George O'Malley were central to the show's early seasons.
Isobel Katherine Stevens, M.D. is a fictional character from the medical drama television series Grey's Anatomy, which airs on the American Broadcasting Company (ABC) in the United States. The character was created by series producer Shonda Rhimes, and was portrayed by actress Katherine Heigl from 2005 to 2010. Introduced as a surgical intern at the fictional Seattle Grace Hospital, Izzie worked her way up to resident level, while her relationships with her colleagues Meredith Grey, Cristina Yang, Alex Karev and George O'Malley formed a focal point of the series.
George O'Malley, M.D., is a fictional character from the medical drama television series Grey's Anatomy, which airs on ABC in the United States. The character was created by series producer Shonda Rhimes and portrayed by actor T. R. Knight from 2005 to 2009. Introduced as a surgical intern at the fictional Seattle Grace Hospital, O'Malley worked his way up to the level of surgical resident. His relationships with his colleagues Meredith Grey, Cristina Yang, Izzie Stevens and Alex Karev were a central aspect of the series. O'Malley married Callie Torres, from whom he later separated to pursue a relationship with Stevens. He also briefly entertained romantic interests with Grey and Olivia Harper.
"A Hard Day's Night" is the pilot episode and series premiere of the American television medical drama Grey's Anatomy, which first aired on March 27, 2005 on ABC. The episode introduces the main characters and surgical interns Meredith Grey, Cristina Yang, Izzie Stevens, George O'Malley, and Alex Karev, as they begin their journey into the world of surgery at Seattle Grace Hospital. Other key characters introduced in the episode include Derek Shepherd, Miranda Bailey, Richard Webber and Preston Burke.
The fourth season of the American television medical drama Grey's Anatomy, commenced airing in the United States on September 27, 2007 and concluded on May 22, 2008. The season continues the story of a group of surgeons and their mentors in the fictional Seattle Grace Hospital, describing their professional lives and the way they affect the personal background of each character. Season 4 had 12 series regulars with 10 of them returning from the previous season, out of which 8 are part of the original cast from the first season. The season aired in the Thursday night timeslot at 9:00 EST. In addition to the regular 17 episodes, a clip-show narrated by the editors of People recapped previous events of the show and made the transition from Grey's Anatomy to Private Practice, a spin-off focusing on Dr. Addison Montgomery and aired on September 19, 2007, before the season premiere. The season was officially released on DVD as a 5-disc box-set under the title of Grey's Anatomy: Season Four – Expanded on September 9, 2008 by Buena Vista Home Entertainment.
Alexandra Caroline "Lexie" Grey, M.D. is a fictional character from the ABC medical drama television series Grey's Anatomy. The character was created by Shonda Rhimes and is portrayed by Chyler Leigh.
"Losing My Religion" is the twenty-seventh episode and the season finale of the second season of the American television medical drama Grey's Anatomy, and the show's 36th episode overall. Written by Shonda Rhimes and directed by Mark Tinker, the episode originally aired on May 15, 2006, on American Broadcasting Company (ABC), as part of a two-hour season finale event alongside "Deterioration of the Fight or Flight Response".
"Didn't We Almost Have It All?" is the twenty-fifth episode and the season finale of the third season of the American television medical drama Grey's Anatomy, and is the 61st episode overall. Written by Tony Phelan and Joan Rater, and directed by Rob Corn, the episode originally aired on the American Broadcasting Company (ABC) in the United States on May 17, 2007. Running for 53:05 minutes, it is the longest single episode of the series, excluding two-part episodes. The episode title refers to the song "Didn't We Almost Have It All" by American singer Whitney Houston.
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The sixth season of the American television medical drama Grey's Anatomy, commenced airing on the American Broadcasting Company (ABC) in the United States on September 24, 2009, and concluded on May 20, 2010. The season was produced by ABC Studios, in association with Shondaland Production Company and The Mark Gordon Company; the showrunner being Shonda Rhimes and head writer Krista Vernoff. Actors Ellen Pompeo, Sandra Oh, Katherine Heigl, and Justin Chambers reprised their roles as surgical residents Meredith Grey, Cristina Yang, Izzie Stevens, and Alex Karev, respectively. Heigl was released from her contract in the middle of the season, while T. R. Knight did not appear as George O'Malley, because Knight was released from his contract at the conclusion of season five. Main cast members Patrick Dempsey, Chandra Wilson, James Pickens, Jr., Sara Ramirez, Eric Dane, Chyler Leigh, and Kevin McKidd also returned, while previous recurring-star Jessica Capshaw was promoted to a series-regular, and Kim Raver was given star-billing after the commencement of the season.
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"Invasion" is the fifth episode of the sixth season of the American television medical drama Grey's Anatomy, the show's 107th episode overall, and the first of a two-part patient crossover event with Private Practice. It was written by Mark Wilding and directed by Tony Phelan. The episode was originally broadcast on the American Broadcasting Company (ABC) in the United States on October 15, 2009. In the episode, the physicians of Seattle Grace Hospital must learn to co-operate with new Mercy West residents, who do not act in a kind manner to them. Other storylines include Dr. Callie Torres 's father returning to the hospital to condemn her bisexuality, and Dr. Izzie Stevens putting her career into jeopardy after administering the wrong treatment to a patient.
↑ Grey's Anatomy 2007 cast (2007). GA - Promo Ep 401. American Broadcasting Company. Archived from the original on 2021-12-21. Retrieved October 1, 2012.
↑ "Weekly Program Rankings". Medianet. American Broadcasting Company. September 26, 2006. Archived from the original on March 29, 2012. Retrieved May 17, 2012.
↑ Wilkinson, Amy (September 23, 2009). "12. The Deer". Entertainment Weekly. Archived from the original on January 10, 2011. Retrieved October 13, 2012.
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