I like that there's no aphasia for Richard! Interesting to see the annoyance at being brought back to life. I don't think there is any surprise with that. When a person has been in an extended condition like he was, I think you should expect just about anything from them, and take nothing personally; you can always talk it out later. Very well done, Shonda! I thoroughly enjoyed it. Really liked that the intern took it upon himself to insert the feeding tube and convinced Richard, in private, man-to-man.
I like Cristina and Owen acknowledging the reality of where/what their relationship is about, and trying to make conscious decisions about it. Now, it remains to be seen if they can make their/her decisions work. Usually, it takes a couple of failed attempts before they can really go forward.