Cristina is in with her patient when the man's whole family files into the room in one happy, noisy bunch, one of them carrying a "tater tot hotdish." A quick Google has taught me that this is a Midwestern variety of casserole, and I am intrigued as I am a fan of both casseroles AND tater tots. Cristina is not as intrigued as I am; she rains on their parade by telling them that "Pop Pop" can't have any hotdish since he's got an enlarged heart and is about to have surgery. One of the youngest family members pleads that this is his last meal but Cristina points out -- in a very upbeat way, for her -- that this is not a "last meal" as they are not planning to kill him today. Feeny then calls for her to join him in the hall, and when a couple of what I assume are Pop Pop's daughters see him they squeal "Hi Dr. [Feeny]!" with delight. Cristina is so far out of her depth here with these nice, warm Midwestern folks.
He warns her good-naturedly to just stay clear of Pop Pop's room during visiting hours and then they discuss the surgery -- he wants to do a procedure called a ventricular reduction while she thinks an LVAD is in order. I swear, they will never be able to mention an LVAD on this show without me thinking that surely the use of one is going to end in tragedy. She thinks Feeny's method is risky and that they are cutting away good heart muscle while he thinks an LVAD is nothing more than a band-aid. She argues that people die during ventricular reductions but he informs her that they don't when he performs them and then walks away to punctuate his statement.
Obviously, Meredith was going to win the Seattle/Boston argument since they can't follow yet more characters at other far-flung hospitals on this show, but it must have been settled awfully quickly to give them time to be completely moved in to their stunning and gigantic new house already. She and Derek are cleaning up Zola's toys and discussing the settlement offer. Mere sort of argues on both sides to show they have a lot of things to consider but ultimately, quitting their jobs and traveling the world for a while does sound like more fun than slogging through years of litigation and thousands of dollars spent trying to find some answers -- especially because no answers they get will bring Lexie and Mark back. The conversation ends when Meredith realizes they've been spending precious sleeping-Zola moments just talking when they could be getting down to sexy funtime.