Well who knew -- Derek's house in the woods really is moving forward, and it now has a concrete slab, wooden beams making a partial frame, and then, oddly enough, a nearly filled-in stone fireplace. Derek and Mere are standing in one room while he draws on the floor with chalk to show how Zola's room will be laid out. Mere is worried that he's going to jinx the adoption by jumping the gun like this, but he tells her that the social worker (She finally has a name! Janet!) is coming to check out the house which, right now, is a deathtrap. Well, yes, as it's not even a completed building of COURSE it's a deathtrap. I think Janet realizes you won't house the baby there until there's at least, oh, a roof to keep off the Seattle rain. But oh ho, it's a funny segue into Janet's arrival and Derek brushes some nails out of the way for her to walk into the room. Mere is nervous while Janet looks around skeptically. But seriously, is no one considering the fact that this house has barely even begun to be built? Why is Janet not visiting Meredith's house? This isn't Extreme Makeover: Home Edition where that house will be finished in a week -- they've been talking about it for multiple seasons, so even though there is now a foundation, I won't believe this will be a real house in our lifetimes until I see it. Mere laughs nervously and tries to crack a joke, but Janet isn't really amused. Mere's voiceover this week is actually personal rather than overarching, and she talks about how she always thought she'd be happier alone, because having someone in your life is more trouble than it's worth.
Once they get to the hospital, Mere gets ready to get a new Alzheimer's patient set up for the trial. She's sad when she sees that this guy has young kids and Derek immediately offers to take care of it for her, but she orders him to treat her like a colleague at work rather than his wife, and adds that she's allowed to say something bums her out without Derek needing to coddle her. She walks away and Owen finds Derek, telling him that they need to talk about the trial. Derek wants to go with Meredith, especially after the lecture he just got, but Owen tells him that he thinks it's best for them to speak alone.
Also speaking alone are Teddy and Henry. He's back in the hospital for yet another procedure, and Teddy is saying her goodbyes before she leaves for Germany. Henry's on edge and isn't shy about making Teddy feel guilty for leaving, especially for a "rock star" like Andrew. He punctuates this with the breathy mock-roar of a crowd each time one of them says Andrew's name. Teddy finally starts to get annoyed but Henry maintains that his wife is leaving, so he's allowed to be annoying. When Teddy points out that she's not a real wife he one-ups her by pointing out that she is his real best friend, then. He does tell her sincerely to go be happy, though, and they share an incredibly sad hug.