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Arizona and Callie are having an argument about potentially having a child when Sloan comes rushing in to get a suture kit because Sloane is having a baby.
Everyone rushes into Sloan’s apartment just in time to see the baby. Back at the hospital Sloan can’t get over the resemblance between him and the baby. Sloane asks Sloan to contact the adoptive parents and he hesitantly agrees to.
Later that day, Tom Evans is meeting with Sheppard. Teddy is taking by surprise by this news. Cristina is like a school girl idolizing Dr. Evans. Teddy realizes that she is not the main cardiothoracic specialist and she may be fighting to keep her job.
April has a little crazy breakdown in front of Meredith and Jackson about her crush on Derek. Later that day, while going up to the helicopter port, April fills in Derek about the man from the fishing boat accident. This man somehow got a big hook stuck in him. Jackson points it out again to Meredith that April is blatantly fawning over Derek.
Sloane tells her father that maybe they can raise the baby together. Arizona walks in and asks him to meet with her when he has a chance.
When Sloan meets with Arizona, she tries to convince him to give up the baby and he yells at her because this is his grandson and needs time to think about it.
Arizona points out to Callie that little Sloan made the only thoughtful decision to give the baby away to two mature and ready parents. They get a page from Sloane because she is freaked out that the baby is crying out of hunger.
Derek helps Sloan realize that losing this baby wouldn’t be losing his kid. Sloane is his kid and he is not losing her. Sloan realizes that Derek is right and meets with his daughter. He tells her that this is her decision and he will be there for her no matter what. She agrees to give the baby up for adoption.
Derek meets with Webber and he asks for a reason why he hired on Teddy. Webber wont help give Derek an answer and tells him that he needs to figure this out alone - as a Chief would.
Teddy informs Cristina that Evans is there because he wants her job. Cristina asks Owen to put in a good word with Derek to keep Teddy, but unbeknownst to Cristina, Owen tells Derek that Teddy would land on her feet if he chooses to go with Evan.
The fisherman is about to go into surgery and it fiercely mad at his son because he thinks it is his fault that he got into this accident. While in surgery, April is living on every word that Derek says. Once again Jackson points this out to Meredith. Derek compares the idiotic son to Teddy and she points this out to him. Owen goes to pull out the hook and Teddy sneezes which messes up the procedure.
Teddy and Owen are in the elevator by themselves and she breaks down. He hugs her to comfort her and they both look at each other wantingly, but nothing happens.
The hook patient’s surgery didn’t go as planned and Teddy tells Derek that he has to trust her and get this man into surgery. Little Grey is able to put it together the father and son have a very rare pneumonia. Which makes Teddy realize that she was wrong. When he gets out of surgery, the fisherman tells his son that it is his fault, not his sons.
Callie meets with Arizona and tells her that she gets it. She understands Arizona’s pain is due to her brothers death. Arizona tells Callie that she is completely wrong and it is just that she will never want kids - period.
Back at home, Lexie tells Alex how it is. That he better start being nice to her at the hospital or else she will stop giving him sexy time even as much as she may want to.
That night Callie and Arizona are in bed and Callie pretends that she doesn’t want children, but they both know it is a lie.
Teddy tells Sloan that she is there to say, while Richard approves Derek’s choice in his cardiothoracic surgeon. Derek tells Richard that his first choice was Evans, but he turned it down.