So, as promised at the end of last week's Private Practice, Addison and Naomi arrive at Seattle Grace with Addy's brother Archer and the worms residing in his brain. No, seriously. It's 100 percent as disgusting as it sounds, especially since they felt compelled to show us the little buggers. Sam winds up joining the gang, so that it can really be a true crossover episode, and he manages to convince Derek to do the surgery and be a god like Addy begged him to be. And because he's Derek, he manages to get all eight of the worms, and there is much rejoicing in the land. He puts off Jen's aneurysm surgery so that he can work on Archer, but when he tells Jen it's going to be another day she manages to convince him to just operate on her that night so that she doesn't have to spend another night worrying that she might suddenly die. He operates, all seems fine, and then she wakes up gasping for breath and Alex screams at someone to page Shepherd. This means she's either going to make an appearance on PP or we have to wait a week to see what happens to her and her unborn baby.
Meredith is a little bit thrown off at Addison being in the hospital, but manages to be far more mature than I ever would have expected and everything is fine. She does make a comment to Cristina that she feels like she doesn't really know him once she sees all of the inside jokes and whatnot that were part of his life before he met her. Cristina isn't up to being supportive, and replies that she doesn't know him, just like Cristina doesn't know Hunt. It turns out that Blondie from last week is Hunt's ex-fiancée, who is in the hospital with her father (Bernard from Lost!), who has secret cancer. After Cristina successfully avoids his attempts to explain, Hunt finally lays out that he's totally a different person than he was before Iraq, he's not the man that was engaged to Blondie, and Cristina is the only person who sees him for the person he is now. Aw.
Izzie decides to help the interns love medicine again by creating a giant day-long game for them that involves various tasks and trivia. As she's putting it together (and a couple of times during the day), Alex notices that she seems to have a blind spot or depth perception problem. Of course, she denies that anything is going on but clearly these are the first signs (other than the ghost sex) of whatever it is that's wrong with her. Lexie wins the contest, but the real news is Sadie's ineptitude. George realizes that she doesn't actually have any medical knowledge and is trying to fake her way through the program so he offers to help her study. When she denies that anything is wrong and gets really defensive about it, he points out that she could hurt a patient and rats her out to the Chief. She quits/gets fired and with that, we bid adieu to a character that we never really cared about in the first place.
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"Every patient's story starts the same way." Mere gets right into the VO this week as an ambulance pulls up where Richard and Derek are waiting. "It starts with them being fine. It starts in the before. They cling to this moment, this memory of being fine, this before, as if their talking about it may somehow bring it back." In this case, the before is Addison, who gets out of the back of the ambulance with Naomi, and then they unload her brother Archer on a stretcher. It's a little distracting that they have everyone greeting each other and talking at the same time that Mere is doing her thing. Addie hugs Richard while Naomi hugs Derek, and then Addison falls limply into a hug with her ex-husband. "But what they don't realize is that the fact that they're talking about it to us, their doctors, means there's no going back." Addison starts to cry and tells them that Archer was fine earlier that day as they all follow the gurney inside. "By the time they see us, they're already in the after."
Izzie is at home doing what appears to be some sort of second-grade art project that involves construction paper and glitter. Alex comes in and makes the same face I am at seeing this, and asks her what she's doing. She explains that, "The interns are broken," and that being punished for doing surgery on each other is making them hate medicine. I don't think they've really got a leg to stand on since they were about as stupid as human beings can be with that little stunt, but okay, sure, they hate medicine now. Izzie is going to be the one to remind them that they actually love medicine, and she's going to do it by gluing glitter into a little swirly shape on a piece of orange paper. Alex wants to know if this is about Denny, and when Izzie tells him that it's only about the interns, he asks why she cares, as the interns are a bunch of losers. Izzie emphatically defends that they aren't, and I suspect we are supposed to feel the same way but seriously, I just don't care since I've only ever seen the interns as being pointless or foolish and reckless. Izzie just counters that they need to have fun, and she does as well. She then wonders what happened to the scissors and Alex points out they are right in front of her. This is supposed to be the first sign of what might be wrong with her, but they could have written a better example of that since I know that I always miss stuff that's right in front of me, and as far as I know I have no strange brain ailment to speak of -- I'm just kind of an airhead sometimes. She's confused for a moment but then gets back to work, and while Alex clearly thinks she's lost it, she cheerfully tells him that everything is going to be great.