Adele is taking her test, and Richard sits behind her so that he can motion to Meredith whether she gets answers right or wrong. She's able to correctly remember what she did for Thanksgiving the previous year, but she can't really celebrate her small success with everyone else in the room so somber.
It's getting close to dinner reservation time, and April reports to Stark on what she and Alex accomplished. He's happy until April says that Alex did most of the work and then vows to double-check it all to make sure it was done right. Good to see that he's still as vindictive and petty as a middle-aged girl even when he's trying to impress April. She gently chastises him and uses his first name, but then dissolves into horror after Alex leaves at having done so in front of a colleague. Stark assures her it was fine and admits he liked it, which pretty much assures that he does like April That Way, and it's too much for her to process. She stutters as she tells him that she can't make it over to his place and should stay late at work since she's competing for Chief Resident. Stark is oblivious in so many ways but he knows a dumping when he sees it and he accepts it but chides her for blaming it on work. She insists that she loves spending time with him but just thinks of him as a friend and he replies sadly that the only problem is that he never wanted to just be her friend. She seems pretty shattered as he wishes her goodnight rather formally and leaves. I think that against all odds she does actually like him (though I would argue that she could do way better) but that the fear of seeing his bedroom ceiling when she's never seen a bedroom ceiling before was too much for her to handle.
Adele's test results are in: She needed to score a 26 or lower to get into the trial and she was higher than that. She beams at the news but Richard demands to know what she scored and Derek pretty quickly caves and admits she scored a 27. For the umpteenth time today Richard blows a fuse, this time because Derek is turning her away over just one point. Adele remains oblivious to his mood and just assures him that this is good news because it means she's not sick. Richard pouts that it means nothing of the sort and when Adele asks for confirmation from Meredith and Derek that she's okay, Meredith sadly tells about all of the mistakes she made during the test. Adele doesn't want to hear any of it and she yells at them that they are all obsessed with this trial and seeing Alzheimer's everywhere, just like Richard yelled at Meredith when she first realized that something might be wrong. But Meredith has been right all this time and after she yells at them for a while Adele finally breaks down and cries that it's not fair she should get this disease just when she and Richard are finally happy together. He pulls her into his arms as she cries that she is scared and assures her that he's not going anywhere. The problem with having an Alzheimer's trial as a central storyline of a TV show is that MAN, do these storylines get horribly depressing. I'm going to need to go watch RuPaul's Drag Race and delight at all the sequins and lip syncing to pull myself out of my funk once this recap is done.