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Aware that Derek might never operate again, Meredith stops talking about the surgeries she's performing. Meanwhile, Richard calls on Dr. Catherine Avery to help him perform a complicated procedure, as things continue to heat up between Jackson and April; and Arizona's struggle to accept her fate forces Callie and Alex to face their guilt.
The episode begins and Meredith and Derek are having sex. Cristina's too is having sex with her boss. April and Jackson too just had sex. But they agree it's "the last time" just like the previous last times. Arizona meets David, her prosthetist. He says they'll be working together for a while "until one of us dies, or your leg grows back". Meredith's intern brings her a scan that shows a rare mass in a patient. Webber brings Catherine to meet a patient, Brian. He appears to have basketballs in his pockets but they aren't basketballs. Catherine doesn't understand why he let his condition get this bad before seeking treatment. He says a few months earlier everything just "blew up". ..Read the full recap
Meredith: (opening voiceover) The clothes a surgeon wears help to present an image. The lab coats and badges and scrubs all work together to indicate a person of authority. Someone you can trust. When the clothes come off, now that's a different story. We're sensitive. Vulnerable. Human. And just as prone to questionable judgement as anybody else.
Meredith: What about the ancient guy? What about him?
Cristina: You want me to be sex friends with the ancient guy?
Meredith: No! I want you to be regular friends with the ancient guy, and to stop having sex friends in general.
Meredith: This is a cry for help.
Cristina: It's a cry for an orgasm.
Meredith: And how's that working out?
Dr. Thomas: (addressing an elderly patient) Janet, believe me, I know exactly how you feel.
Cristina: Because he's old. Very, very old.
Dr. Thomas: Don't mistake Dr. Yang's disrespect for a sense of humour. She hasn't got one. (the patient starts laughing)
Cristina: Oh no, no, no! I respect you! You're a historical landmark.
Dr. Thomas: Case in point.
Cristina: Like the Grand Canyon.
Dr. Thomas: Keep it up!
Cristina: Only older...
Inern: So, how do we get the entire mass without having to resect the aorta?
Meredith: I have no idea.
Bailey: Yeah, I'm happy to take this off your hands.
Meredith: I called you for an opinion... not to steal my surgery.
Bailey: No first year attending in her right mind is gonna wanna take on something like this. I mean, not when full responsibility for every decision (Meredith starts tapping her shoulder) made in the OR falls on her shoulders...
Derek: I hate teaching.
Meredith: You love teaching.
Derek: I just never realized how much I rely on just having them be able to watch me do the thing.
Meredith: I used to love it when you stood behind me and whisper instructions in my ear…
Derek: Well, I can't do that with all the kids." (to Zola) "How are you?(to Mer) I guess your intern didn't like finding out she was wrong about the tumor.
Meredith: No. She didn't like it at all.
Meredith: (closing voiceover) It might be hard for a surgeon to admit, but there's no shame in simply being human. It can be a relief to stop hiding, to accept who you really are. A little self awareness never hurt anyone. Because when you know who you are, it's easier to know what you're about, what you really need.