It's April's big day and all is hardly going well. While she wonders if Jackson will actually make it to the wedding, Cristina and Meredith continue to argue about their research and careers.
Meanwhile, Bailey is honest with Ben about her feelings regarding his move back to Seattle. Elsewhere, Shane puts himself in a very risky situation. Lastly, Derek gets a phone call that will change his life.
Who do you think took care of her? Kept track of her? Got her committed so she wouldn't hurt herself? Who do you think took care of your kids? Your best was worthless. I was the dad. I was the kid, but I was the dad. You were nothing. You were gone. You're worthless.Alex
April: I'm hunting bridesmaids.
Jackson: Now, is that a farm tradition?
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