Derek's latest effort to try and help Cristina get back to normal (whatever that might be) is to take her fishing for the day, which Meredith thinks is totally insane, but Cristina agrees to go. The two of them head to the lake, but Derek's quiet day is not to be, since Cristina can't keep quiet and keeps asking him questions based on all of the fishing research she did the night before. Eventually she quiets down and winds up catching a humongous trout, and when she stands to have her picture taken with it, she breaks down in tears but seems to reach a bit of peace, if only for a second. Meanwhile, back at the hospital, Meredith and Owen have to work together on a patient who seems unfixable. They start to fight in the OR and while it seems to be about the best way to go about fixing the guy on the table, it's totally really about the best way to handle Cristina. Owen does seem in a little bit over his head, but he'll be damned if he takes any advice from Meredith; both of them are stubborn about how their way is right and clearly neither is right, but in this case I'm siding with Meredith, because Owen's plan to just let Cristina drift around and hope that she comes out the other side doesn't seem to be working very well as of yet. Honestly, Derek seems to be the only one who can get any sort of positive interaction from Cristina, even if it's only for brief moments.
Teddy is still beating herself up for also having failed Cristina, and is having a weak moment when she meets a very sick but very sweet patient (played by Scott Foley) who is on his way to propose to his girlfriend. When Teddy sees him next he's been shot down, but it turns out that the biggest reason he was asking was to get on her health insurance, as he has some sort of horrible disease that will eventually kill him without proper care. Teddy does all she can to convince Richard to treat him pro bono but when Richard calls a panel to discuss the idea, it's decided that they can't take on the cost. As Scott is packing up to leave, Teddy pulls on her bad idea jeans and belts them tight... and offers to marry him herself, since she's got awesome insurance as well as massive loads of guilt and she's hoping that this will help lessen that. Of course, she only tells Scott the insurance part. Thank goodness he's cute, at least.
Also cute is the new nurse who has actually been at the hospital for 12 years now, but who we have never seen before. He gets onto Lexie's bad side when he doesn't follow her precise orders about how to handle one of Bailey's post-op patients. Bailey is still on a mission to cure fistulas, so she starts a contest between Jackson, April and Lexie to see who can figure out the best way to avoid them after surgery. Lexie goes to Bailey and tattles on Eli, the nurse, but when Bailey comes up to write him up for disobeying orders, she comes to realize that he actually has an incredibly low fistula rate in his patients. They do some research and figure out what he does that's been working, and Bailey nearly bursts out of her skin with happiness that this means she might have finally figured out a fistula cure. When she goes back to talk to Eli he ends up asking her out on a date and she's in such a good mood (and also recognizes that though she's a doc and he's a nurse he's quite a fine specimen) that she agrees to go.
Mark and Callie are still hooking up but have to admit that they each really want other people instead. Mark decides to start pursuing Lexie again, and he finally manages to get her to agree to a drink with him after work, though she really just wants him to stop trying to get her back. But after work, as she tells him all of the reasons why she doesn't want to go out and all of the reasons why they wouldn't work together, he kisses her, and she eventually starts to thaw towards him and kisses him right back. Callie, meanwhile, tries to make herself feel better by performing a kick-ass, cutting-edge hip replacement surgery. She almost convinces Alex to ditch peds and work with her in ortho instead as her mentee, but at the end of the day Alex decides to go back to the kids after all, even though Stark is still a total jerk. But things might be changing for them both, because that night, Callie answers a knock at the apartment door to find none other than Arizona on her doorstep. Arizona admits that she was miserable in Africa without Callie and so was offered the opportunity to come home and took it. And even though Callie missed her, she's clearly in no state to hear or handle this, so after Arizona is done with her speech, she closes the door in her face.
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So, finally, THIS is the week in which I give up painstakingly transcribing Meredith's lame voiceover. All you need is the gist -- that the 24 hours after surgery are the most critical and your every move is being monitored but what do you do in the days and weeks following? Clearly, this is mostly about Cristina if "surgery" equaled "gunplay." Well, I guess actual surgery was involved too, but you know... okay, back to the episode this week.
A very sleepy Meredith has just been told that Cristina and Derek are going fishing, and she can't believe it. Derek just tells her that Owen was concerned about leaving Cristina alone, so he had this brilliant idea for the day. Meredith is quite sure that Cristina must not actually know about the plan yet but when Derek says he spoke to her on the phone the night before, Mere looks like she's been slapped, even though she tries to hide it. It's obviously not the agreeing to do something completely opposite to her personality but the fact that she and Derek actually spoke on the phone without her even knowing. Mere finally resorts to pouting that Cristina doesn't do the wilderness, especially as it has no bathrooms. Derek knows the problem isn't really the lack of bathrooms but gently tells Mere that he knows she's concerned but there's nothing else she can do right now. Mere is kind of offended that he thinks that he can do something, though, especially since that something is fishing. She wants Cristina to come back to work but Derek tells her firmly that they aren't trying to get Cristina back to work, they are just trying to make sure she's okay. Mere is convinced that the only way her friend will be okay is to work again. Derek's obviously a bit fed up by now but he smiles at her, and as Meredith assures him that Cristina's not really going to show, the doorbell rings. Derek, being Derek, can't help but look a little smug.
Callie and Mark are showering together, just like roommates do. It's about as platonic a situation can be -- they aren't facing each other, Callie's just brushing her teeth -- until Mark asks if she wants to Do It. There really isn't a single shred of romance between the two, but instead they're like best friends and sex toys. Callie kills whatever mood there was, though, by admitting that it just makes her miss Arizona and she gets sad. Mark just retorts that he is thinking about Lexie and though she just said the same thing, Callie gets totally offended. She reminds Mark that he's amazing which he already knows -- that's why he suggested It in the first place. But she's all worked up and she sends him out of the shower, though when he gripes about missing Lexie she looks really smug and again yells that she's amazing.