The Seattle Grace nurses have brought in a union rep and a nurse mediator (none other than the Chief's wife Adele) to institute a new "date and tell" policy. Everyone who works at Seattle Grace who has sexual relations with anyone else must report it. We know this was inspired by Mark Sloan - who's sleeping with Callie in the on-call room BT-dubs.
Hoping to prove to Adele that he has changed, Richard appoints George (T.R. Knight) to be "the Chief's intern," which means that George gets to run around the hospital like the sex police and make everyone fill out forms about whom they are sleeping with. So, you know, Richard can prove he's delegating better now and everything.
When Bailey finds out she is exempt from filling out George's sex form, she is furious. She is offended Richard wouldn't expect her to be having sex even though she's been single for a while now, so she protests by saying that she's had sex with just about everybody, including Derek and Mark.
George delivers the sex police forms and realizes that the Chief was just using him to get back together with Adele. George finally grows a set and quits, but the Chief wants him to continue being his intern. Also, Adele seems to be impressed with how Richard has changed, so they have sex.
Meredith (Ellen Pompeo) is in a counseling session with Dr. Wyatt and admits that whenever she and Derek work together for their clinical study, she keeps getting distracted by the thought of his tongue in her mouth. Wyatt advises her to focus on the reality that Derek is with Rose now.
Meredith and Derek's clinical patient today is a veteran named Darren, who survived two tours in Iraq and is here because of a brain tumor. They are experimenting with injecting a live virus into the tumor. They practice on a jelly model of a brain... and are totally bonding in the process!
The hospital is also abuzz because the news of Preston Burke receiving a big award is stapled up to the bulletin board. Cristina Yang doesn't take it very well, pulling herself out of Erica Hahn's transplant surgery.
Lexie (Chyler Leigh) tries to sympathize, but Cristina needs the other Grey - Meredith helps make her feel better by telling her that she's in therapy and way more screwed up than Cristina because Derek is dating Rose now.
Alex (Justin Chambers) is supposed to scrub in with her for the surgery, but can't because he's sick and can't risk exposing the paitent. Dr. Hahn (Brooke Smith) taps Cristina to replace him - and as they wait for the donor heart to arrive, Hahn confides how pissed she is that Burke won the award, even though Hahn is clearly the more talented surgeon. Cristina doesn't say a word back.
Erica is also displeased that Callie (Sara Ramirez) is hiding the fact that she's sleeping with Mark, which everyone knows anyway.
Richard makes Cristina fill out a form about her relationship with Burke, even though he's no longer an employee of Seattle Grace, and she vents to them that she got to do all of Burke's surgeries while he had the tremor, and yet there was no mention of her in the newspaper article. She was Burke's hand, and now she's a ghost whom Hahn treats like crap.
Meredith and Derek's surgery is a success - and makes for some intense bonding. Afterwards, he must decide whether he wants to stay at the hospital with Meredith or go home and have sex with Rose. Ever the waffler, Der leaves the decision in Meredith's hands.
Meredith shows some maturity and decides that Derek should go home with Rose.
Later, though, he has to come back because Darren doesn't make it. Meredith takes it really hard, and Derek buys her a bottle of champagne for the day when they have a success in their clinical trial.
Alex is stressed out at the prospect of being the father to Ava's child. IzzieÂ knows that Ava isn't really pregnant and really wants to tell him, but actually manages to protect her patient's confidentiality.
The heart patient, Kyra, starts coding inside her bubble, so he decides to go in and help her. Alex tells Kyra's kids to avert their eyes while he does a scary procedure that helps her breathe again.
He saves her life, but there was too great a chance that she was exposed to bacteria and viruses so they can't do the transplant, and she'll have to remain in isolation awhile longer. Showing his softer side, Alex lets the kids visit with their mom inside the bubble.
At the bar, Callie admits to Hahn that she has been a bit off lately since Addison thought that the two of them were lesbians. Hahn laughs, and it looks like things are better between them, but it's awkward.
The next morning, Derek tells Mark that he slept with Rose (Lauren Stamile) that night but thought about Meredith the whole time, so take that for what it's worth.
Meredith ends the day in therapy. She tries to tell Dr. Wyatt that she had a good day, but the shrink says that's a load of crap, calling her out on her cowardice, for not admitting that she wants Derek but is scared.
Meredith walks out.
Fade to black.
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