Derek: I know that's why we're gonna do an exam, ok. I need you to look down for me.
Patient: Ok... OH! What is that?
Derek: What? Oh... ah, Dr. Grey could you ah, set up an MRI for Mrs unsure of what her name is please right now.
Meredith: But did you see...
Derek: Now Dr. Grey.
Meredith: Ok... [leaves]
Patient: Oh... you, you saw something?
Derek: No, no no. No, I'm sorry. Alright, can you keep a secret?
Lexie: You bet I can.
Derek: This is intended for Dr. Grey. It's supposed to be a surprise.
Patient: Oh my god... and I almost blew it!
Derek: Yeah.