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.