The character Alex Karev was not in the original pilot script. His role was inserted into the pilot as an afterthought, in order to provide a foil, as well as male companionship for Dr. George O'Malley. Since he wasn't added until after the pilot was shot, scenes with him were either re-shoots or digitally altered.
You are so lost.
Dr. Meredith Grey: I am not lost. Okay?
Izzie tells her patient, Cheyenne and her mother, Mrs. Ward that they live in the same town she grew up in - Chehalis, Washington, yet mispronounces it. She says CH-halis (like CHurch) when it is SH-halis like Chinook Salmon.