If you had to pick between the gift you have and the career it's given you, or the person you love most, which would you choose? This debate raged on Grey's Anatomy last night.

Here's our official episode guide (plus quotes and music) from last night. Now, here's our take on the events of Thursday's "I Like You So Much Better When You're Naked" ...

POST-IT! That's what Meredith cites as she insists Derek can't mention Richard's drinking to the board. He agrees, and looks for other ways to get through to the Chief.

It doesn't work. Richard rebuffs McDreamy's offer to help, and when Bailey vents that the Chief is not thinking rationally, he decides he has to do something. But what?

Moving beyond passive-aggressive to simply aggressive, Derek goes so far as to pour some scotch in front of Richard and imply that he'll drink it, even if he doesn't want to. Wow, Der.

After Bailey takes over the Chief's surgery because he's sleeping in his office, Derek tells Mer he'll hire Izzie back (more on that later) if he tells the board, which will make him Chief.

Eventually she relents, although they are both left wondering if it was the right decision. Did he go too far ousting Richard? Did he do it for the right reasons? Not easily answered.

LOVE VS. WORK: Much as she feels she should be ashamed, the most Cristina thinks about it, the more unabashed she is about prioritizing her career - her gift - over romance.

An opera singer patient who says he "can't live" without his lung reinforces Yang's point, but after drunk Teddy tells Owen what Yang said the previous week, the wheels come off.

Owen tells Cristina that while surgery matters, people also matter. Their relationship matters. Yang's eyes well up as, reluctantly, she capitulates, surrendering to their relationship.

Incredible performance by Sandra Oh as always. You can see the inner turmoil even when few or no words are exchanged, forgetting you're watching an actress. Simply amazing.

CHICKEN POX: Callie has 'em. Seriously. Arizona quarantines her and puts Lexie in charge of her. Mark shows up, curls up with his BFF and helps her scratch an itch. Literally.

Arizona confesses to Lexie that she really just didn't want to deal with Callie with pox because it's not sexy. Fortunately, she get over this seemingly strange hangup in the end.

Mark confesses to Lexie about Addison. Relieved, Lexie tells him about Alex. Rather than being relieved, though, Mark is just stunned, leaving her wondering where they stand.

SHE'S BACK: Izzie arrives with a gorgeous new hairstyle and is applying for a job in Tacoma, convinced she and Alex can still make it work. He is in vintage distant Alex mode.

An hour ago, Meredith discovered him in the sack with Lexie they all agreed to keep their mouths shut. But Alex confesses he slept with someone else. Still, Izzie is undeterred.

She seems to have gained perspective, realizing that love is more important than work. But Alex is reluctant to be involved with someone who leaves, who doesn't respect him.

Izzie's scans are clear, and he's thrilled, but he deserves to be with someone who will stay, despite his own flaws. So she decides to leave again, even after Derek's job promise.

So Izzie's moving on. Again. Will it be for good this time?

What did you think of last night's Grey's Anatomy?

Steve Marsi is the Managing Editor of TV Fanatic. Follow him on Google+ or email him here.