We open with lots of quick outside shots of Seattle: highways, the Space Needle, ferryboats. Then we're in bed with Meredith. There's no action; we're just lying there looking depressed. MereVO: "Communication. It's the first thing you really learn in life." Mere is now dressed and running out the door, now driving over a bridge to work, now adjusting her rearview mirror so as to get a better look at her floppy, floppy bangs. Cut to the hospital locker room, where people are shamelessly talking shit about our heroine. "She didn't even know he was married," pshaws a blonde nurse, who looks like she never met a bleach kit she didn't love. "I heard? She flipped out." Shut up, Blonde Nurse. Someone else says she got what she deserved, dating an attending. Blonde nurse remarks on McDreamy's perfect hair. More people talking about how Meredith is totally screwed. MereVO continues, "The thing is, once we grow up, learn our words, and really start talking, the harder it becomes to know what to say, or how to ask for what we really need." We pan slowly around to the backside of the lockers, where Mere is standing there listening to her own reaming. I hope she uses her tiny, ineffectual fists to punch their lights out.

In a delightful segue, McDreamy and Addison are sitting in a counselor's office, listening as the counselor asks, "What do you really need? To make this marriage work?" McDreamy says he needs Addison to move to Seattle. Addison counters that she needs HIM to stop talking to Meredith. McDreamy can't help it that he works with Meredith. Addison: "You want me to pick up and move my entire practice? I want you to give up your girlfriend." Well, she has a point, although if you are the one who cheated on your husband, you're not really in a position to make such demands, are you? McDreamy says he is definitely not moving back to Manhattan -- he's not the same person he was then. Addison: "I know. You're a flannel-wearing, wood-chopping fisherman. I GET IT." I think maybe she has her escapist surgeons mixed up. There is more bickering until a timer rings to indicate that their time is up. They both give the counselor "NOW do you see what I'm dealing with here?" looks. Oh, you two.

Back at the hospital, George is telling Izzie and Cristina that Meredith has become like a zoo exhibit. Interestingly, George is munching on a banana as he says this. Koko! Cristina giggles, until George reminds her that it could just as easily be her. He says they should do something to cheer Mere up. Izzie tells him slyly that it's under control. She and Cristina exchange knowing looks, while George is all, "What? WHAT?" They won't tell. Bailey bustles in and asks where Alex is. Izzie: "Probably off somewhere, NOT kissing somebody." They start off to rounds, but Cristina and Izzie hang back so they can tell Meredith not to get assigned to a surgery this morning, because they have something super-awesome to show her. Meredith shows no signs of life, but snaps out of it when Izzie gets up in her face and screams, "Mere? MEREDITH CAN YOU HEAR ME?" Hee. Cristina and Izzie wonder if she's gone mental. Meredith fixes them both with a look and says she has not gone mental. She's about to, though, because at just this moment McDreamy and Addison exit the elevator together. Mere just stands there holding her coffee and staring forlornly after them. Cristina has to physically guide her into the elevator as a song tells us, "You're better off dead!" No mixed messages there.