Nurse Rose is still a scrub nurse on Derek's service, but she is acting like a completely unprofessional bitch, snarking at him and making passive-aggressive sarcastic remarks to everyone in the room about him. Mark (Eric Dane) tells Derek (Patrick Dempsey) that he needs to break up with her professionally. Later on when Derek approaches Rose about her behavior, she says that she's been acting this way because "I'm carrying your child. [pause] Ha! Gotcha!" Derek is not amused and asks her to transfer to a different specialty. She refuses.

Bailey (Chandra Wilson) and the residents wait outside in the freezing cold for bloody trauma victims. Alex (Justin Chambers) wraps Izzie (Katherine Heigl) up in a blanket. I wonder what happened to these two over the summer hiatus? Finally, a limo comes careening into view. Inside the limo are three fancily dressed women with some injuries, but all of that pales in comparison to the limo driver, who is almost inside out, his wounds are so great. The three women are best friends and were on their way to a ball when the limo crashed and the driver flew through the windshield. Two of the women, Sarabeth and Anna, seemed to have escaped with only superficial wounds, but the third named Betty keeps forgetting where she is and what happened, pointing to a neurological injury. Izzie finds out later during Betty's CT scan that her memory resets every 30 seconds, and Izzie has to keep telling her what happened. Alex tells Betty that she's in a space ship. It turns out that Betty has a subdural hematoma! Which explains the memory loss. Woohoo! The first 30 minutes of Grey's Anatomy season 5, and we already have our first subdural hematoma!

Meredith blurts out to Derek, "Do you want to move in with me?" He says yes and looks at her amusedly as she babbles on in her Meredith-esque way. They stop talking when they see that Billy the limo driver died.

Bailey eavesdrops on the emergency dispatch phone line that three men in another limo were in a collision as well. She and Cristina run over to Sarabeth and Anna and tell them that the men may be their husbands. Way to be unethical, Bailey! The men are about to be taken to Mercy West, but Bailey convinces the women to insist that they be brought to Seattle Grace. Richard (James Pickens Jr.), by the way, is completely down with the patient-stealing.

Major Owen Hunt (Kevin McKidd) brings one of the men in with the paramedic. Major McHottie, as I shall dub him, has just returned from Iraq and was driving when the limo hit his car. He triaged the men at the scene, and even gave one of them a pen tracheotomy, which Cristina finds extremely hot.


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