A patient who needs an extremely difficult surgery comes to Seattle Grace, and it‘s Richard and Owen who vie for the opportunity to tackle it. But the decision lies in the hands of Derek, who deems that Owen should take on the surgery, leaving Richard bitter. Meanwhile, Bailey deals with her own personal struggles when she nervously prepares for another date with Ben.

After watching Grey‘s Anatomy last night I was trying to gather my thoughts in an effort to write this column.  Some weeks that‘s a fairly easy process.  Other weeks?  Not so much.  So I found myself thinking out loud and pondering how Meredith‘s voiceover echoed and supported the not-so-subtle episode title: "Push".   That‘s when my husband piped up and said, "I think this week‘s theme is about moving on..."  And it immediately struck me that he was right.  So there are two complementary ideas at work in this episode:  people pushing themselves to be better, pushing themselves to change and grow and take risks, both professionally and personally, while simultaneously having the courage to move on from their pasts and venture into new, uncharted, really scary territory.  Even better, this episode was, to quote Owen Hunt, "old school".  So those themes were developed through the classic
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