Despite the episode title, there's no kung fu to be had this week. But there is a skydiver whose parachute didn't open, which I think is exciting enough to make up for it. The only thing is, he turns out to have no injuries, and the only surgery he needs is an appendectomy. As luck would have it, he had on a helmet cam that filmed the whole accident, so the residents gather to watch and realize that he's in love with his skydiving instructor. Meredith feels a particular kinship with him due to her own near-death experience and warns him that the feelings of clarity will leave, and so he'd better tell her that he loves her while he still has the guts. She herself finally realizes that she can't bring herself to stop having breakup sex with Derek because the few moments afterward is her own little bit of clarity, but who knows if this will actually carry over into her moving forward to a more functional relationship with him.
Cristina's been awesome trying to help her out while she tries to figure out why she's an emotional mess, but even she doesn't have the answers for Mere. She does, however, have a solution to a problem facing Hahn and Izzie, namely that their patient needs heart surgery and is allergic to anesthesia. She researches a method that can be used to do the surgery on him while he's awake, but despite the fact that Hahn thinks it's a great idea and uses it, she still has Izzie scrub in instead of Cristina. This leaves Cristina to watch the surgery from the gallery, miming the procedure as she watches.
Izzie is rather freaked out about the whole thing, especially since she's gotten to know the patient and knows how terrified he is. With some encouraging words from George to be herself (as opposed to trying to be Cristina), she ends up making the surgery as comfortable as possible for the patient, and then calms him down and talks him through the procedure when he starts to freak out. The bonus to all this is that she's too tired that night to have the perfect (barf) awesome (retch) sex that she and George had planned.
George himself had an interesting day in which he had to hold on to a wedding dress for hours. Two women were brought in having beaten the crap out of each other to win a dream wedding, and the last one holding the dress wins. Mark, who out of loyalty to Callie wants to give George a hard time, offers George to be the stand-in so that one bride can go have her shoulder put back in its socket. While George is there he ends up bonding with the other bride, who ends up collapsing from internal injuries. She turns out to be sweet and awesome, and George had to let go first to catch her when she passed out, so she wins the wedding over the heinous, bitchy girl. After watching this gross display, Callie decides it's time to just let go, and she and George have a nice moment where they actually talk like the people they were months and months ago before their Wedding of Doom. The mostly warm and fuzzy day comes to a close with Richard, Mark, Derek, and Hahn bonding over a game of Monopoly out at the trailers (Richard has pulled up his own next to Derek's for the time being), and finally with Alex and Lexie having some supposedly-no-strings-attached sex back at the house. Unfortunately, Meredith walks out of her bedroom to both her and Lexie's horror, setting up all sorts of sisterly angst for the next week.
Over a gorgeous early-morning shot of Seattle, Meredith voices us into this week. "There's this thing about being a surgeon." Wait a second, these guys are surgeons? I thought this was just a relationship drama. "Maybe it's pride, or it's just about being tough. But a true surgeon never admits they need help unless absolutely necessary." Callie's sleeping on Cristina's couch amidst piles and piles of crap. That poor apartment. Cristina and Mere are lying on Cristina's bed, making a list of Meredith's symptoms. She thinks and says, "There's the father thing. The mother thing. The sister thing. The dying and coming back to life thing." Cristina informs Meredith that she's got too many things, and while yeah, she had a pretty crappy life up until now...yeah, Cristina's not wrong at all. Meredith can't sleep, because when she sleeps she has awful dreams and has had a panic attack, and she asks Cristina what's wrong with her. Checking the list, her notes, and a book, Cristina diagnoses her with "severe abandonment issues." Meredith calls psych crap. Well, that's true if you use it to list out all your problems while not trying to actually move past them. Cristina delicately presents an idea to Meredith -- that maybe she and Derek should stop having break-up sex. Meredith shoots her a Look, and Cristina quickly drops it and settles back into bed. Mere muses, "The more available he gets, the more I pull away." Cristina asks what that means, and Meredith says it's just a "Derek thing." Actually, I'd say it's very much a Meredith thing, a thing that's been going on for over three seasons now, and if I were Derek, a thing I'd be really, really tired of dealing with.
Disembodied Meredith continues: "Surgeons don't need to ask for help because they're tougher than that. Surgeons are cowboys. Rough around the edges. Hardcore." Dawn has dawned at Derek's trailer, where we see...a second trailer. "At least, that's what they want you to think." If "hardcore" means "expensive-looking dark wood furniture and soft lighting," then Richard is the hardest. He comes out with two mugs of coffee and sets them down next to two carefully folded napkins, as Derek comes out of his own trailer with two breakfast plates and wishes him a good morning. Richard notes, less than excitedly, that they're having trout for breakfast again, sounding very much like a passive-aggressive, unhappy spouse. And like they're an old married couple, Derek tells him not to start. Richard replies, "I'm just saying that a man who is up fishing at three every morning is a man in pain over a woman." Derek thinks he sounds like a country-western song, missing his point that they have woman troubles in common. Richard then says they need to get their mind off of these women, and announces, "What we need is a gentlemen's evening." Derek's confusion isn't cleared by Richard's description: "A good, old-fashioned Gentlemen's Evening. Tonight!" Derek's brow is furrowed skeptically.