Mark walks in to the ER to get some more meds and finds April there, and they talk about everything that's going on. They're both pretty depressed but then the ER phone rings and after April answers it, she turns and tells Mark, shocked, that there is one survivor after all.

Derek finds his wife in the locker room and asks if she's leaving, but Meredith informs him in a clipped tone that she didn't get fired, but she knows that is disappointing to him. Smug Wronged Derek of course doesn't take this well and informs her that while the fact that Mere helped Adele changes things for Richard, it doesn't for him. Derek must never get cold in his life with all of his absolute knowledge of right and wrong to keep him warm. When Meredith has the nerve to snark that she knows this, Derek goes into full on pissypants mode as he yells at her that she couldn't possibly understand or she never would have done what she did. He actually has the nerve to then ask Meredith with a shake of his head how it's possible that she doesn't know the difference between right and wrong. Come on, Derek, really? There isn't one tiny shred of you that, even if you think it's wrong, understand where Meredith is coming from? We were making such progress on your attitude problem. Sigh. Meredith isn't about to take all of this and points out that she doesn't think things are always just right or wrong. It's not black and white, it's... GREY, get it?? Oh, I slay me. But seriously, this was the whole basis of the show in its early seasons: situations weren't always just black and white. She yells that this was, in fact, complicated, since it was Richard and Adele and since there was a drug that could help her, and that she's sorry she screwed up the trial but she would do it again. This isn't what Saint Derek wanted to hear from his wife and he finally tells her simply that he's not sure he can raise a child with someone who doesn't understand right and wrong. Well come on, Derek, you have enough moral superiority for both parents and could cover her share for sure. Meredith asks if he's really going to go there, but Derek tells her that she's been saying for weeks that she'd be a bad mother, and maybe she's right. Bring a shooter in the hospital right now, and I'm not so sure Meredith would try and jump in front of the gun again. Derek tells her that he needs time to think and leaves; as he does, Meredith gets a text from Janet saying they need to talk about the adoption.