Derek is in with Ellis, discussing her options. He's sitting with one leg bent underneath him, on the foot of her bed, looking at her earnestly; the effect is much like two teenage girlfriends at a sleepover making a pact to stay friends 4-ever. It turns out her options are basically nil, and she can't believe that no progress has been made in five years. She also can't imagine how he can do this kind of seemingly hopeless work day in and day out. He tries to ease into the explanation that her case was special to him because of Meredith, but Ellis cuts him no slack and spits, "You're what happened to her." Just as quick as a junior high friendship pact can last, she's turned on him, and he's completely stunned that she could be mad at someone with such fabulous locks as his. She yells at him for being there for Meredith and not Ellis and accuses him of being why Meredith is unfocused. "I've seen men like you before. Threatened by someone who's an equal. You just want someone to admire you. And you don't care about the damage you do to her along the way." He nods, seemingly stunned into submission. Again, I wonder if she's transferring her own suspicions about her own life and failed relationship, since she's had two minutes with him and no way to know how he might actually feel about Meredith, other than that he made an effort to help her extremely ill mother. I can't imagine what Ellis would be feeling, learning all she has in a single day about her life and her future, but she does have a special knack for keeping everything revolving around herself.