Bailey has finally decided to take on Derek in a contest for who has the most luscious wavy hair, and Derek better watch out. This must be her new peds hair -- she's putting together her application and gathering recommendation letters. All of them are glowing, except for the Chief's which is clearly a form letter. When she confronts him about it, he has a bit hissyfit that boils down to the fact that he's mad that she's not going into general surgery to take over his role one day like he had imagined. It doesn't help that he's a little bit on edge from the goings on in the hospital...
Cristina and Hunt get a patient who had a botched surgery performed by Faye Dunaway. She's an old revered surgeon that they keep locked away except for special occasions, and Cristina can't stand her since she uses old techniques and seems to not keep up. While Cristina might have been a little bit harsh about it, telling on Faye to the Chief, it turns out she's right and so Richard is going to have to fire her. At the same time he has a potential lawsuit on his hands from the woman a couple of episodes ago who came into the clinic and was told by Sadie and Izzie that she has cancer. It turns out she's only anemic, and... why, when Izzie got her own blood tests back at the same time, she thought she was only anemic too, didn't she? So Izzie sulks, yells at the interns for being inept morons, gets a mole tested out, and then gives the interns one more chance to try and correctly diagnose a mystery 29-year-old female patient. Still no official diagnosis, but we're getting closer to just finding out what's wrong, already.
Finally, Richard has to deal with Derek. He operated on poor Jen to get her speech back to normal, but he did so while fighting with Addison the whole time. She has stuck around at his request to make sure Jen's unborn child is okay, but then he only gets mad when Addie thinks he's taking too many risks and going to kill both Jen and the baby. He manages to fix whatever was affecting Jen's speech, but she and her husband only have a moment to be happy because then something goes horribly wrong for the millionth time and she's rushed back into surgery. Once in the OR, he removes one lobe of her brain, and he's going for a second when Addison points out that he's crazy and that even if she lives, Jen won't ever be the person she was before. She wants to deliver the baby but Derek forbids it, so finally Addie sends Alex running for the Chief. Once there, Richard has to basically tell Derek that it's already over for Jen, and Addison delivers the premature baby -- the only teensy consolation of this whole story being that the baby looks like he's got a good chance to live. Rob is understandably devastated, and when Derek can only repeat a bunch of times that he's sorry, Rob snaps and calls Derek a murderer. Derek goes to sulk and unfortunately, Mark picks that moment to blurt that he's been seeing Lexie. Derek turns around and punches him twice, which ticks Mark off so he punches back (and he seems to be much better at it than Derek, too, which must add insult to injury). Mere takes Derek home to heal him with tequila, and Lexie visits Mark after Callie has cleaned him up and he tells her that the beating was totally worth it for them to be public. It's one tiny happy moment in an hour that's a big old downer.
Look back at the worst moments of the show history. Come back next week for Lauren S' first detailed recap.
Derek is looking at a brain scan while Jen sleeps in a hospital bed and Rob sleeps in the chair next to her. Mere VO's: "There's this thing that happens, when people find out you're a doctor." He wishes her good morning and she struggles to use the correct words to ask if he proposed, asking what I think turns out to be, "Did... you... patter?" But he knows what she means and assures her she'll be the first to know. "They stop seeing you as a person, and begin to see you as something bigger than you are." Rob asks how she is and all Derek can tell him is that she's okay. VO: "They have to see us that way, as gods. Otherwise, we're just like everyone else. Unsure, flawed, normal." Oh yes, ladies and gentlemen, in case you didn't catch that, this will be the hour that we compare Derek to God. I have my barf beg situated next to me on the sofa. Rob kisses Jen's head so we're all reminded how sweet and in love they are, while Mere comes and delivers new films to Derek, who tells her there is no change. She asks if he wants coffee but he turns it down. Her voice tells us, "So we act strong. We remain stoic. We hide the fact that we're all too human."
Mere walks up to do something purposeful in a chart and Alex comes up to ask if Derek is still beating himself up like Addison thinks he is. It turns out she sent her brother back to Seattle, and then has had time to muse about Derek to Alex, pointing out that he's spent three days at Jen's bedside, so he's still beating himself up for what happened. Remember when I said that I didn't get what was going on with all the blood last week? It turns out that Derek nicked the aneurysm. And I have no idea how these things work, other than that they can suddenly burst and kill people, but it seems that the nick probably has to do with the troubles she's having now. Alex tries to get Mere to admit that it bugs having Addison around and she tells him not at all, but when alarms start beeping and Derek comes out to have Alex page Addie, saying he needs her to stay, Mere admits that it bugs a little.
Once Addie is there, Derek explains to Rob and Jen that he can't put off the surgery any longer. Jen is having mini-strokes that are causing her aphasia and they are due to a lack of blood flow so he is going to do a bypass. Jen, it should be noted, appears to be the first patient Derek has ever had who no longer has her long blonde locks -- I mean, clearly they are hidden under the bandage turban she's got going on, but I appreciate them finally recognizing that generally, people don't come out of brain surgery with all of their hair in perfect shape. She struggles for words and Rob figures out that she's trying to ask if the baby will be okay -- Addison says she'll be there to monitor things. Rob also asks Derek directly if this will fix Jen's problems, and he answers, "I'm hoping it will work, yes." Clearly Rob hears that Jen will be okay. The docs leave and Derek thanks Addie for staying to help, which she tells him is the least she could do after he saved her brother. Do they have no one else in this hospital who knows how to work with babies? I guess if they do, they aren't good-looking enough to care about them. Rob then pokes his head out to tell them quietly that if it comes down to Jen vs. the baby, to save Jen. "We can make another baby. We can't make another her."