So despite having recapped 60-something episodes of this show, and knowing full well that there was a prestigious fictional award called the Harper Avery Award, I still somehow neglected to notice that one of the Mercy Westers was named, hmm, Jackson Avery. It turns out Meredith isn't the only one at the hospital with a famous family member, as Harper is Jackson's grandfather, and Jackson has an incredibly difficult relationship with him on account of his medical fame. Harper is rushed in with abdominal pain and then, when he's told he needs surgery, orders the doctors to let him stay awake so that he can see what's going on. When Derek tries to talk him out of it, Harper basically mocks his being Chief and looks more to Richard. He wants Richard to do the surgery, as he is the only one Harper actually knows and trusts. It's Richard's first day back and he wanted an easy day, but he agrees, and the only hitch during the surgery is when Harper orders him to use a different type of suture than Richard was planning to use. Afterward, Meredith convinces Jackson to talk to his grandfather and learn from him while he has time, but it dissolves into a fight that is then interrupted by Harper's cardiac arrest. Richard doesn't want to be the one to perform the fix-it surgery because he's terrified he made a mistake the first time around that caused this, but Derek assures him he can do it and sends him back in, where they find that Harper had an allergic reaction to the sutures that he had wanted. Richard is thrilled that he did in fact do everything right and actually none of this would have happened if they had done things his way in the first place, which makes up some for the humiliation of having to now submit urine samples at work so that they can make sure he's not sneaking any drinks. Derek, meanwhile, is having some trouble asserting himself as Chief, but when he finally has to stand up to Harper before his second surgery it seems to get him going in the right direction, and he and Richard seem to start to work at being able to coexist with their new backwards boss/employee relationship.

Cristina, meanwhile, is having a hard day on account of having misdiagnosed Harper before she even knew who she was. She and Lexie are working on Teddy's service and Lexie is having her own bad day since everyone thinks she has feelings for Alex now that they are sleeping together. She wants to prove she's a badass, and Cristina wants to do something incredible that Harper might hear about, so they wind up kinda/sorta stealing some lungs that were going to be tossed rather than donated and do some crazy, barely-tested procedure to implant them into their patient who is too sick to get garden-variety donor lungs. Teddy is furious when she realizes they stole lungs behind her back, and then freaks out during the surgery when complications. But Cristina manages to get her mind back to the surgery and they work together and manage to save the kid's life. They celebrate with a girls' night that Arizona planned because for ONCE someone in the hospital noticed the obvious -- that Teddy was mooning over Hunt. She convinces Teddy to hang with her and Callie and to become friends instead of just making sad puppy dog eyes at Owen, and all of the ladies wind up having a bonding, celebratory night of playing baseball.

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