As McDreamy dates one coworker and flirts with another (neither of which are named Meredith), a busload of injured high school students and Dr. Bailey’s old flame turn up the heat at Seattle Grace.

Derek goes on a date with the somewhat eccentric Dr. Sydney Heron (guest star Kali Rocha) as Meredith and Mark look on in disbelief. George and Izzie continue to have sex that, according to Izzie, is “just tragic.” When word of their rocky relationship spreads, Callie doesn’t really try to hide her smile.

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