"Grey's Anatomy" (2005) {A Change Is Gonna Come (#4.1)} TV Season

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Overview "Grey's Anatomy" Season 04 Episode 01 (S04E01)


(Hollywood) USA

Ratings / Votes
8.1/ 10 (328 Votes)

MPAA Ratings

Production Company
ABC Studios [us]
Mark Gordon Company, The [us]
ShondaLand [us]

Production Designer

All Producers

All Directors


Release Date
(USA) - 27 September 2007
(Australia) - 10 February 2008
(Germany) - 13 February 2008
(Finland) - 27 February 2008
(Netherlands) - 10 March 2008

Running Time



Technical Support
RAT:1.78 : 1

Related Pictures

Pictures of "Grey's Anatomy" (2005) {A Change Is Gonna Come (#4.1)} Movie not found

Full Cast

  1. Brandt, Mac as [Paramedic #3] <28>
  2. Cappon, John as [John the Paramedic] <27>
  3. Chambers, Justin (I) as [Dr. Alex Karev] <4>
  4. Dane, Eric as [Dr. Mark Sloan] <9>
  5. Dempsey, Patrick (I) as [Dr. Derek Shepherd] <11>
  6. Felix, Ariel as [Anesthesiologist #1] <25>
  7. Flack, Terrence as [Henry Flynn] <30>
  8. Giusti, Giovanni V. as (uncredited) [Himself]
  9. Jeter, Nadji as [Bobby] <31>
  10. Jones, Terrance Christopher as [Paramedic #1] <26>
  11. Keith, Richard (VI) as [Intern Mitch] <21>
  12. Knight, T.R. as [Dr. George O'Malley] <5>
  13. Morelli, Sean as [Dr. Ryan Mcmurry]
  14. Pellegrino, Mark (I) as [Chris] <12>
  15. Pickens Jr., James as [Dr. Richard Webber] <7>
  16. Porter, Steven M. as [Joey] <15>
  17. Ryan, Bryan as (uncredited) [Intern]
  18. Saul, Mark as (uncredited) [Dr. Steve Mostow]
  19. Sorensen, Jaden as [Michael] <29>
  20. Story, Winston as [Intern Leo] <23>
  21. Williamson, Joseph (I) as [Intern Pierce] <24>
  22. Afia, Candice as [Intern Laura] <16>
  23. Ambegaokar, Amrapali as [Intern Dani] <17>
  24. Childers, Stephanie as [Nancy Walters] <14>
  25. Garayua, Gloria as [Intern Graciella] <19>
  26. Heigl, Katherine as [Dr. Izzie Stevens] <3>
  27. Hill, Tymberlee as (as Tymberlee Chanel) [Intern Claire] <18>
  28. Jayn, Tara as (uncredited) [Intern]
  29. Kidder, Molly (I) as [Intern Megan] <20>
  30. Leigh, Chyler as [Dr. Lexie Grey] <10>
  31. Oh, Sandra as [Dr. Cristina Yang] <2>
  32. Osmanski, Joy as [Intern Lucy] <22>
  33. Pompeo, Ellen as [Dr. Meredith Grey] <1>
  34. Ramirez, Sara as [Dr. Callie Torres] <8>
  35. Smith, Na Kia Bell as [Tina] <32>
  36. Thigpen, Sandra as [Clara] <13>
  37. Wilson, Chandra as [Dr. Miranda Bailey] <6>

Movie Certificate

TV-14 (USA)


  1. Davis, Herbert (director of photography)

Dress Designers

  1. Melgaard, Mimi


American Broadcasting Company (ABC) [us] - (2007) (USA) (TV)
Buena Vista Home Entertainment [us] - (2007) (USA) (DVD)
Net5 [nl] - (2008) (Netherlands) (TV)
RTL Klub Televízió [hu] - (2008) (Hungary) (TV)

Film Editors

  1. Ornelas, Edward


  1. Barg, Thomas (production staff)
  2. Cummins, Nicole (I) (script supervisor) (as Nicole Cummins-Rubio)
  3. Dorian, Armand (medical technical advisor) (uncredited)
  4. Freedman, Mara (production intern) (uncredited)
  5. Fuerman, Haichi (production staff)
  6. Golson, Tara (stand-in) (uncredited)
  7. Halstead, Joe (assistant to supervising producer) (uncredited)
  8. Kaiser, Jeffrey (I) (lead stand in) (uncredited)
  9. Kiu, Nancy (I) (assistant: Betsy Beers)
  10. Kiu, Nancy (I) (production staff)
  11. Klaviter, Elizabeth (researcher)
  12. Lackey, Reza (production assistant)
  13. Larson, George (location manager)
  14. Loi, Gordon K.K. (production accountant)
  15. Marinis, Meg (production staff)
  16. Meredith, Erica (production assistant)
  17. Michael, Star (production staff)
  18. Panossian, Andre (technical advisor)
  19. Pecora, Amanda (production assistant)
  20. Pike, Karen Lisa (medical consultant) (as Karen Lisa Pike M.D.)
  21. Saul, Mark (production staff)
  22. Silver, Payton (on set medical technical advisor) (uncredited)
  23. Washington, Sonay (production staff)
  24. Wilmes, Amye (second assistant accountant) (uncredited)
  25. Zemans, Winter (production coordinator)


Dr. Isobel "Izzie" Stevens: I know you didn't wake up today expecting this was how your first day was going to go. You thought you would get to reattach an arm or observe brain surgery. Instead you helped save the life of a deer. You can bitch and complain about it or you can adjust your expectations. Cause like it or not you're stuck with me and I'm the kind of doctor who lets a little kid convince her she can do the impossible. Oh plus when I woke up this morning I thought today was going to go a lot differently too. I thought I was going to get the good interns. Instead I get stuck with the duds. So I have to adjust my expectations as well. Dr. Meredith Grey: Change. We don't like it. We fear it, but we can't stop it from coming. We either adapt to change or we get left behind. It hurts to grow, anybody who tells you it doesn't is lying, but here's the truth sometimes the more things change the more they stay the same. And sometimes, oh, sometimes change is good. Sometimes change is everything. Dr. George O'Malley: [to Izzie] I love you too. Dr. Cristina Yang: to her interns: I have five rules. Memorize them. Rule number one, don't bother sucking up. I already hate you, that's not gonna change. Dr. Isobel "Izzie" Stevens: Trauma protocol, phone lists, pagers. The nurses will page you, you answer every page at a run. A run. That's rule number two... notices the interns are not following her... You're supposed to follow me. Dr. Alex Karev: Your first shift starts now and lasts 36 hours. You're grunts, nobodies, the bottom of the surgical food chain. You run labs, write orders, work every second night until you drop. And you don't complain. You NEVER complain. Dr. Meredith Grey: On call rooms. Sleep when you can, where you can. You know, but not with anybody. Not attendings, especially not attendings. Sleeping with attendings, not a good idea. Where was I? Dr. George O'Malley: Er, rule number three. If you're sleeping, do not wake you unless the patient is actually dying. Dr. Cristina Yang: The dying patient better not be dead when I get there, because not only will you have killed someone, you will have woken me for no good reason. Are we clear? Yes? Dr. Lexie Grey: ...raising her hand... That was four rules, you said five. Dr. Cristina Yang: Rule number five. When I move, you move... awkward pause as nobody moves... Go!... Cristina's interns scramble off...


- All shows are named after songs...this title refers to Sam Cooke's "A Change is Gonna Come."