Cut to a rather pitched pedeconference in which Jonathan-Charlie explains to Mere, Hunt, and now Derek that the Emir was diagnosed with an unruptured cerebral aneurism about four months ago. It apparently didn't show up on the CT, but now he's got a blown pupil, so they think it's burst. J-C tells Mere he was sworn to secrecy until after the election, and he's not sure if he's betraying the Emir or not. Meredith tries to reassure him that he's trying to save the man's life, but J-C says the Emir is trying to save thousands of lives. You know, he lives under constant pressure, get it? Mere says she thinks he'll understand. If, you know, he lives. The doctors join Altman, who's looking at the current CT scans, which show a rather sizeable brain bleed. Derek starts giving her shit about using the shock paddles seven times and giving him blood thinners, like she was trying to do anything but get his heart beating again. She tells him to get off her ass, she's apparently got the fate of the entire Middle East on her hands. Derek says he does too, as they're not going to have to perform simultaneous brain and heart surgeries. Altman looks like she's thrilled at the idea.
After the break, Meredith and Derek are scrubbing in, and he's trying to wrap his head around the notion of Cristina -- Cristina Yang -- throwing a party of any kind. Meredith says she is, and at said party, they're all going to try to talk to her about returning to the program. She thinks Derek should come too, since he quit once and then came back. He reminds her that when he did that, she tried to talk him into coming back, and he hit her engagement ring with a baseball bat. He tells her -- orders her? -- not to talk to Cristina. And when Altman and Hunt enter, he says it again: "No intervention on Cristina Yang!"