Jackson is upset on April's behalf but newly-nice Alex offers "Apes" some fries. She declines them angrily since she knows they are pity fries. Jackson puts his hand on her arm as he assures her she still has Case Western and Seattle but she wrestles her arm away from him. He's asked what Sloan thinks about Tulane and gripes that he can't get anything out of Mark since he's hung up on his own mysterious problems right now. Lexie shudders at this, gets up and leaves. Jackson comments that he's been disturbed himself these days, and he and April glare at each other and I'm not sure if we're supposed to feel sexual tension, but really I just feel April's desperation that makes me wonder if she isn't going to try something crazy soon. Her phone rings again, and this time it's Cleveland and she knows Case Western is about to let her down too. Cristina holds the phone out to her but when April doesn't take it, she answers it again. This time, though, she tells the person on the other line, "Well, you know what? I am an awesome surgeon. And I would have rocked your stupid little program so it is your loss. Go to hell." It's Cristina's way of being nice to April, but only showcases just how horrible things are for the Chief Resident right now.
When Arizona walks in to Nick's room he's dressed and ready to leave for Belize. She lectures him that he's going to have the surgery, and they argue, and he finally lays into her for butting in now after ignoring him for three days. He points out that this is hard for her, but kind of harder for him right now being full of cancer and totally alone. He tells her sadly that she was supposed to be there for him and when she tries to say she has his back he shoots back, "So have it!" It very much echoes Cristina and Owen yelling at each other and wanting each other to be their Person. Arizona pleads with him to have the surgery and promises that she'll be there and it will work. He thinks a moment and then tells her, "The things a guy has to do to get your attention. And everyone is saaad.
Okay, readers, are you sitting down? DEREK'S HOUSE IS FINISHED. It only took five billion years. But it was kind of worth it -- the house is all windows and gorgeous views and wood and a gorgeous stone fireplace. Meredith lays it on a little too thick as she compliments his work; I mean, she obviously really loves it but she's also clearly trying to butter him up to stay. He tells her he can build her a house in Boston, and Mark can buy this one. "His dreams have always been my dreams." You mean, loving a Grey even when it seems difficult? Actually, Mark has historically done a better job of that than Derek as he flies off the handle and gets self-righteously indignant a lot less. After they have a laugh about Mark, Derek gets serious and tells her that Harvard is now offering him a 10 million dollar endowment and that he's going to use that to cure Alzheimer's which is his dream much more than the house. He then gently calls her on making the decision with Cristina. She says it's not the only factor and while she's serious, everyone knows she is a huge factor. Derek tells her that he's her husband, and she should make it with him. I hate having to give Derek any credit but I see his point. Though at the same time he seems to already have dismissed Mere's own opinions.