George is out of surgery, shaking the hands of all the cops thanking him for saving Pete. Alex leaves the crowd to go stand a ways away and watch longingly. George, meanwhile, is clearly totally pumped. Up in Anna's room, the ritual continues as Mere and Derek watch silently.
Richard enters a beaming Ellis's room, and she announces to him that she left Thatcher. He responds by reminding her that he couldn't bring himself to leave Adele, which reminds her of something. "Painted horses." He tells her that the two of them were on a carousel in the rain. She then announces that she's received an offer from Boston General, and he responds in the present by reminding her that she took the job to get away from him and that they swore they'd never talk again about what happened. It's not clear if she really grasps that this is the past or present, but she tells Richard, "Carousels give me the creeps."
Mrs. Lamott has returned, and Cristina asks her how she can deal with all the naughty nurses. She gives a simple "He's my Henry!" and then explains that she's grateful for anything that will take away his pain, since he takes away her pain. The porn must have addled her brain, because Cristina the cynic seems to accept this answer. Meanwhile, Anna opens her eyes, shakily turns her head towards Mere, and gives her the smallest of nods that her soul is back. The next shot is of them operating. Addison walks into the gallery, and Derek sees her and stares. Mere follows his gaze and sees her too. Unfortunately for Mere, Derek can't seem to take his eyes off of his wife. Let's hope he's as brilliant as billed and can do this incredibly specialized surgery blindfolded, like he seems to be doing now.
As he scrubs out of surgery, Meredith joins him, looking pained. Commence the most uncomfortable exchange possible: "I lied. I'm not out of this relationship. I'm in. I'm so in, it's humiliating, because, here I am, begging." He says her name, but she shushes him. "Just shut up. You say 'Meredith' and I yell, remember? Okay, here it is. Your choice? It's simple. Her, or me. And I'm sure she's really great. But Derek, I love you. In a really, really big, pretend to like your taste in music, let you eat the last piece of cheesecake, hold a radio over my head outside your window, unfortunate way that makes me hate you, love you. So pick me. Choose me. Love me." Oh god, it hurts just to type it. He just stares. She finishes by telling him she'll be at Joe's that night, and to come meet her there if he decides to sign the papers. He moves towards her, but she pulls away and then leaves. It still hurts to watch this scene and I don't care how much protesting you do, you've either said or thought this with your heart breaking. If you haven't, and you can hold firm that this scene was awful and degrading and unnecessary, then just remember that when you get your heart thoroughly broken for the first time. It's what made the scene so awful, but which also made it so good: It was horrifically, completely, realistically painful. He sighs, clearly tormented.