We pick up where we left off last week, with Meredith et al. sitting in Joe's bar waiting for McDreamy to sign his divorce papers and show up already. Before he can, though, two things happen: Meredith gets wasted; and all the doctors' pagers go off because there's been a train wreck. McDreamy, of course, walks into the bar (not a joke!) just after Meredith has left for the hospital. Oh, who will McDreamy choose? Bailey deems Mere too drunk to practice medicine and orders her to stand around with an IV in her arm until she sobers up. Cristina is assigned to assist with re-attaching a severed leg to its rightful owner. Alas, she's brought in someone else's leg, and goes off on a frantic search for the correct appendage, at one point insisting that Burke help her because he's her boyfriend, and that's what boyfriends do. Burke disagrees. In the end it's Alex who finds the leg, thereby making himself out to be the big hero, and giving him back some of his lost mojo. Izzie and Dr. Mrs. Dr. McDreamy work on two women who have gone into labor as a result of the crash; Izzie's performance prompts DMD McDreamy to offer her a mentor relationship, but only if Izzie can get over the fact that she is McDreamy's wife, and therefore evil. Meanwhile, a man and a woman, incredibly upbeat for having been impaled by the same pole and stuck together this way, are brought in. One of them has to be moved off the pole first, with the unfortunate side effect of probably dying. It's the girl, and she does die, and it is heartbreaking. Meredith makes kind of a scene in the OR about not just abandoning the girl to work on the other guy, in a clear parallel to her own sad life. Oh, and McDreamy chooses...his wife.
Previously on Grey's Anatomy: Alex loses his mojo after finding out he has to re-take his medical board exams, and also screws up his first date with Izzie; Meredith gives McDreamy a "choose me, not your wife!" speech; Bailey goes out with her husband for their ten-year anniversary; and Cristina tells Burke they're now a couple.
When we left her last week, Meredith was sitting on a barstool in The Emerald City, knocking back shots of tequila and waiting for McDreamy to show up after having signed those silly divorce papers of his. And...she's still there. The door opens again, and again McDreamy does not walk through it. Meredith makes a face in the door's general direction, then turns to Bartender Joe and laments, "I actually said 'Pick me.' 'Pick me'?" Joe says he thinks it's romantic. This sends Meredith off on a rant: "It's not romantic, Joe. It's horrifying. Horror-movie horrifying. Carrie at the prom with the pig's blood, horrifying!" Joe reminds Mere that Carrie took out an entire senior class. Meredith can't let it go: "I. said. 'PICK ME'!"
Cut to Cristina and the rest of the gang, playing darts elsewhere in the bar. She asks George and Izzie how long, exactly, Meredith is supposed to wait. George hurls darts at the board with a little too much force, not even looking, really, just lots of manly throwing. And by "manly," I mean "hilarious." He wonders if McDreamy really isn't coming. Izzie says it's getting kind of hard to watch Meredith sit there alone. Cristina says it was hard to watch an hour ago -- now it's just pathetic. Meredith hears this last bit and slurs at them, "Whosh pathetic?!?" Cristina does that thing where you act like you don't know what's going on after you've just insulted someone, all looking at your watch and whatnot. I do that more often than I care to admit. Meredith yells at them that they are very bad friends, and to just go ahead and dump the pig's blood on her now and get it over with. The door jingles open again, and in walks a very attractive black man who, unfortunately, is still not McDreamy. As Meredith finally realizes that he's really not coming, all of their pagers go off. Someone conveniently yells at Joe to turn up the TV, and breaking news tells us that a massive train wreck occurred outside Seattle just minutes ago. The doctors, who have just completed a thirty-hour shift, get ready to head back over to the hospital. Joe tells Mere she can't leave; he needs to know how the story ends. Meredith says it's probably for the best that they never find out.