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A Change Is Gonna Come is the first episode of the fourth season of Grey's Anatomy, and the sixty-second episode overall.

Starring: Ellen Pompeo (Meredith), Sandra Oh (Cristina), Katherine Heigl (Izzie), Justin Chambers (Alex), T.R. Knight (George), Chandra Wilson (Miranda), James Pickens, Jr. (Richard), Sara Ramirez (Callie), Eric Dane (Mark), Chyler Leigh (Lexie) Patrick Dempsey (Derek)

Guest Starring: (in credits order) Mark Pellegrino (Chris), Sandra Thigpen (Clara), Stephanie Childers (Nancy Walters), Steven M. Porter (Joey), Candice Afia (Intern Laura), Amrapali Ambegaokar (Intern Dani), Tymberlee Chanel (Intern Claire), Gloria Garayua (Intern Graziella), Molly Kidder (Intern Megan), Richard Keith (Intern Mitch), Joy Osmanski (Intern Lucy), Winston Story (Intern Leo), Joseph Williamson (Intern Pierce), Ariel Felix (Anaesthesiologist #1), Terrance Christopher Jones (Paramedic #1), John Cappon (Paramedic #2), Mac Brandt (Paramedic #3), Jaden Sorensen (Michael), Terrence Flack (Henry), Nadji Jeter (Bobby), Na'kia Bell Smith (Tina)

Contents 1 Plot Overview 2 Notes 3 Arc Advancement 3.1 Happenings 3.2 Characters 3.3 Referbacks 4 Trivia 4.1 The Show 4.2 Behind the Scenes 4.3 Allusions and References 4.4 Memorable Moments 5 Quotes

[edit] Plot Overview

[edit] Notes

[edit] Arc Advancement

[edit] Happenings

[edit] Characters

[edit] Referbacks

[edit] Trivia

[edit] The Show

[edit] Behind the Scenes

[edit] Allusions and References

[edit] Memorable Moments

[edit] Quotes