Mer and Derek wake in kinda wedded bliss, which freaks Mer out. She talks to Alex about it (and Derek wanting kids) while he's in the shower. Meanwhile, his brother has shown up to talk about old times and to diagnose his protruding bell button.
Arizona and Callie are still weird around each other because Callie wants a kid. Meanwhile, Mark liked his sex with Teddy. She liked it too. However, she still felt weird around Owen.
A lady, Mrs. Clark, is in the hospital because she fainted, which she doesn't do. Dr. Webber promises to do everything he can do save her. Alex's brother doesn't have health insurance and Mer tells him to ask Bailey to do it pro bono, but Alex refuses. Apparently, Alex hasn't seen his family members in seven years. Then, a cop shows up with injuries and a load of other people show up in trouble as well. She apparently showed up without any backup and her job is in jeopardy, which naturally puts her in distress.
Lexie notices that Kepner is really concerned with Derek's opinion of her work. Work crush! Alex talks to Bailey while she's hanging out with her kid and asks her to check on his kid brother. His name is Aaron. Bailey and Mer find out that all of the Karev kids were in foster care, with Alex getting the worst of it. Bailey pushes for more info.
The cop lady's husband is begging her to retire and settle down and have kids, while she's thinking about her duty. Webber is concerned about Mrs. Clark's condition and tells Kepner to check her brain activity just as Mr. Clark walks in all happy and starts talking to her. Turns out, the lady had a huge stroke.
While a group of them are busily working on the cop, Yang mentions that she doesn't want to have kids, then she really effs up the patient with an explosive bullet. Owen freaks on Yang about her bullet action but Teddy tells him to chill. Outside the OR, Arizona accidentally reveals to Aaron that Alex got married. Their younger sister is Amber. All A's. Aaron confronts Alex about the fact that he's married. Big fight. Aaron decides that he doesn't want surgery. Then, they fight with their fists. Bailey pulls them apart.
Webber tells Mr. Clark that his wife is not waking up. Mrs. Clark declared that she didn't want to be kept alive on a ventilator. The Mr. is upset. So sad. Lexie tells Mark that she told a patient's husband that she'd be fine. He tells her that telling someone the bad news is the hardest part of the job. Aaron, who is so hot, gets his operation. Bailey is impressed by Karev's circumstances.
Yang and Teddy talk -- she apologizes to Yang for talking in shorthand. Teddy says that his "triggers" are in effect. Owen's a "guy." A "man." Whatever. Bailey tells Callie that kids are not convenient, but they're sweet . Aaron's fine. Mr. Clark refuses to believe that his wife is dead. Derek reminds him that his wife signed a DNR. Mr. Clark is pissed. Lexie follows a disturbed Kepner out of the room. Kepner asks Lexie to forget about what she saw, which was that she was totally drooling over Derek. Alex is sitting in Aaron's room when he wakes up. Aaron says that he feels bad that Amber doesn't have Alex. Alex says he can't be a surgeon and be a brother.
The cop is fine, but she had to have an emergency hysterectomy. The cop husband is like, "We can't have kids?" Yes, that's what that means. This ties conveniently into Callie's conflict. Lexie unplugs Mrs. Clark even though Mr. Clark protests. He begs for her to wake up. She does not. The cop lady and her husband decide to adopt, even though she is welcomed back on the force, which doesn't make her husband happy. Mer reminds Alex that he's nothing like his deadbeat dad. He tells her she'd be a good mom. Callie and Arizona begin a serious talk about babies and moisturizer. Owen reminds Yang that she said she didn't want to have kids. Then he freaks out about overcooked food. Then he asks her if she's scared of him and she says she doesn't want to be. He says he needs to go back to the doctor. Derek tells Mer that he doesn't want her to be alone if anything should happen to him. She says something vague about maybe they'd have babies. Meanwhile, Mark and Teddy are doing it as Mer is VO'ing that babies just happen. Teddy says she needs to be honest about something. The doorbell rings and Mark answers. It's Sloan. She's in labor. -- Jeff Long
Find out how we would have written Izzie off the show.
First off, a big thank you to Jeff Long for covering this week's recaplet for me! And now, to Seattle and Mere, who is back on voiceover duty after a week off. "Psychologists believe that every aspect of our lives, all our thought processes and behavior patterns, are the direct result of our relationship to our parents." She and Derek and being schmoopy in bed, and as he gazes at her he comments on how pretty she is and immediately arouses her suspicions. He thinks it will come off as innocent when he tells her he was merely thinking about how pretty their children will be, but she freaks at the subject in general and especially because he used the plural "children." He assures her they can start with just one, but she can't even fathom the idea of starting. Derek, realizing he needs to back off, tells her again that she's pretty but it doesn't seem to work as well as he'd like to calm her.
We see Cristina and Owen in bed, but they aren't nearly as comfortable as Mere and Derek (pre-children talk, at any rate). They are not touching at all nor even looking at each other while Mere VOs: "That every relationship we have is really just another version of that first relationship." Cristina finally asks him casually if he has talked to Dr. Amy, but he brushes her off and gets up, looking grouchy, while she stays in bed, a forlorn little figure.
Back at Casa Grey, Mere walks into the bathroom where Alex is showering and informs him that since Izzie is gone and Cristina isn't answering her phone, she needs him to be a girl for a moment. Endearingly, he sticks his head out the door and asks her if she wants Alex to kick his ass, though the look on her face says he might not be keeping little Alex as out of sight as she would prefer. That's only momentary, though, because she's freaked out about Derek's wanting a baby, and Alex guesses that this could mean she does want him to kick Derek's ass. Hee. He displays his ability to actually be rather thoughtful sometimes and asks if she wants a baby, but Mere just responds by pointing out she had the worst mom in the world and would therefore be awful as a mother herself. As opposed to tackling that issue, he announces that Izzie sent over divorce papers, and Mere asks if he wants her to kick Izzie's ass. Aha, but that won't happen because she's never coming back! Hahahahahahahahaha, Merry early/late Christmahanukwanzaakahunbirthday to ME! But I digress. Derek pokes his head in to talk to Alex and is rather taken aback to see his wife hanging out there, and though they both explain that Alex was being a girl, he's a little thrown off and it takes him a second to remember that he came up to tell Alex that there's a guy downstairs who claims to be his brother. He asks if he should send him up to the party, but Mere tells Derek to have him wait, and then when Derek leaves a very surprised Mere asks if he wants her to get rid of him. Alex doesn't really hear her and just asks himself why he'd be there.