An image from the episode "Let the Truth Sting."
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What happens in the elevator, doesn't stay in the elevator as Alex blows George's cover as a repeater. Jerk.
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Izzie Stevens' eyes tell the story. She has no one. Not Denny, not George, not even Really Old Guy. Poor girl.
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Norman (Edward Herrmann) played the oldest intern like, ever. He was a good guy, though, even if he was a bit premature in his diagnosis of the kid.
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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.
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Alex Karev, not his intern Norman. This comes as a source of conflict for Karev, who's not used to bossing around elders.
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Izzie looks at her formerly comatose patient in shock. After being really old and non-responsive for a year, he's alive... and he wants to die!
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This kid was not strung out on pills or dope... despite what Norman the older intern thought. Alex saved the day!
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Meredith smiles. Alex is clearly amused as well. One of the few lighter moments from "Let the Truth Sting."
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Izzie struggles to get her interns to respect her sometimes. It's just the kind of person she is... she gets involved.
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Alex and Miranda talk about the latest case. Karev is taking on a bigger and bigger role of late.
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Lexie Grey and her estranged older sister Meredith Grey talk about some things. This family drama promises to take over their lives in and outside the hospital in Season Four.
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Grey's Anatomy Season 4 Episode 3 Quotes

[narrating] The truth is painful. Deep down, nobody wants to hear it, especially when it hits close to home. Sometimes we tell the truth because the truth is all we have to give. Sometimes we tell the truth because we need to say it out loud to hear it for ourselves. And sometimes we tell the truth because we just can't help ourselves. Sometimes, we tell them because we owe them at least that much.

Meredith

[narrating] Doctors give patients a number of thing. We give them medicine, we give them advice and, most of the time, we give them our undivided attention. But, by far, the hardest thing you can give a patient is the truth. The truth is hard. The truth is awkward and very often the truth hurts. I mean, people think they want the truth. But do they really?

Meredith