George runs in to give Bailey some charts and notices she has Tuck with her; she explains that she wanted the evening with him, so Tucker didn't take him. George asks if they resolved anything and Bailey's silence tells him no. He then asks if she'd like him to take Tuck for a couple of hours so that she and her husband can go fight some more (it sounded much more compassionate coming out of his mouth than typed on the page) because they won't fix anything in a day, but they can at least keep trying.
Izzie gets home to find Alex pulling clothes out of her drawers. Again the bigger person (killing me!) she doesn't kill him for doing so without asking but just listens as he tells her that Ava is staying there for a couple of days and needs some new clothes. Izzie reasonably asks if Alex called Ava's husband or set up the psych consult. He ignores her, so she reminds him of the little fact that Ava just had a hysterical pregnancy. He interrupts to yell at her that Ava's fine and he's handling things, and then demands that she give him some clothes. He takes what Izzie hands him and without a word goes back to his room where he starts to change a seemingly catatonic Ava.
And now the time has come for Richard to be welcomed to the 21st century. George comes in holding Tuck -- I guess Bailey took him up on his offer -- and Richard asks what he's doing with the baby. George deadpans, "Dr. Bailey and I are in love. And I'll be heading back to Vegas with her just as soon as my divorce with Dr. Torres is final." Richard glares at him and then tells him that Adele responded to his email with a typo. He hands over the Blackberry to George, who corrects that it's a wink. Richard corrects, "That's a semicolon and a closed parenthesis." George tells him to turn it sideways, and opens Richard up to a whole new world of e-flirting . He's stoked that his wife is flirting with him and his good mood reminds him to tell George that he did good work today. George heads out of the office with Tuck and tells the baby happily that he got an attaboy, which makes all of his hard worth it. He tells Tuck that he's turning it around and adds, "And you're going to get the punching under control, right? You and me -- it takes us a while, but we get there, right?" I am so happy that lovable George is back.
Mere and Derek are in Greta's room giving the results of the surgery, and they aren't good. There was too much swelling in her brain, and that caused so much damage that she won't wake up. Her sister cries, and then we see Andre, with tears running down his face, holding Greta's hand and gazing at her lovingly. Mere can barely hold it together as she tells them how sorry they are, and that they should have waited. "We didn't think... I didn't think you were coming." She explains that the story was so incredible, and Andre smiles as he reminisces about the shoe and their meeting. He asks if she might wake up and adds, slightly desperately, "I mean, it's been a fairy tale from the start. They always wake up!" Derek shakes his head sadly, and everyone cries. Andre touches Greta's cheek. Voiceover time: "Don't wonder why people go crazy. Wonder why they don't." Meredith, bereft, glances over at an upset Derek while Andre sobs. "In the face of all we can lose in a day, in an instant, wonder what the hell it is that makes us hold it all together."