McDreamy tells Janye that the bad news is she had a grand mal seizure, but the good news is they mapped her brain, so now they can operate. Janye says, actually, she's decided against the surgery. McDreamy's all, "Huh?" Janye says the risks of craniotomy aren't terribly appealing. McDreamy says yes, but she has to weigh those risks with the detrimental effect her seizure disorder is having on her life. Janye shoots back, "Unless my life is having a detrimental effect on my seizure disorder. It's like you and your wife. Is the bad sex the biggest problem, or are the problems causing the bad sex?" McDreamy doesn't know whether to shit or go blind, and settles for saying he's not going to answer that question. Hee. Janye says her point is, she had more fun today than she can remember. She doesn't have any fun, or any friends, only work and seizures. "It's no coincidence that when the work stopped, the seizures stopped. Watching people fight has been my whole life for fifteen years. So I'm changing my life, and if that doesn't work I'll come back and let you cut open my brain, okay?" McDreamy finds this fair enough. I find Janye fantastic.

Aw, hello, baby horse! Mere and McVet check out their handiwork whinnying all around its mother. "It's pretty good, huh?" "It's pretty good."

Addie checks in on Rose, who says she's a little sore. Addie says that's normal, then gives her an expectant look. Rose apologizes for spilling it to Chris about the "complications." Addie gets very serious. "Rose. I need you to tell him that you asked me to tie your tubes." Rose is all, "No can do, ma'am. For you it's just insurance. For me, it's my marriage." Oh my God. Addie says it's her career, her reputation. Rose says she's sorry, because she's so grateful to her, but she just can't do it. Addie walks out angrily. Rose is a bitch.

Burke puts on one of Eugene Foote's CDs, sits down next to the player, and listens sadly to it in the dark. And now, one very weirdly timed commercial break.

When we return, Mere and McVet are back at his office. He suggests going upstairs to his place and having dinner. Mere balks; she does want to, but she doesn't. McVet tells her she has two options: "You could come up to my place, take off all your clothes, shower off the goo, borrow one of my shirts, and I'll cook you dinner. That's door number one. Door number two, you go home. I think you ought to take door number one." Me too! Take door number one, Mere! Mere says there is nothing he could say that would make her go upstairs with him, and she's kind of offended that he would think she'd go upstairs with him, and he should know that she is celibate. "I absolutely cannot have...sex. With you." McVet: "If you choose door number one? I will absolutely not have sex. With you." Mere makes him promise, which he does, and when he tells her again to choose door number one, any idiot can see how this is going to end up. And if not, Meredith is d-u-m-b dumb.