Derek returns to Meredith’s bedroom and finishes getting ready as Meredith watches on.
Izzie is in the kitchen with George complaining that her cupcakes still don’t taste right. He disagrees and says Martha Stewart would be proud of these cupcakes. Izzie thinks she’s missing something, one specific ingredient. George suggests she just call her mother and ask, but Izzie doesn’t want to do that.
Meredith watches Derek brush his teeth in the bathroom and suggests they sleep at his place tonight. She doesn’t understand why they always sleep at her place and wonders if he even has one. Derek doesn’t answer and heads downstairs to the kitchen. He greets George who offers one of Izzie’s cupcakes for breakfast. Derek says he likes it here, that Meredith prefers having her things here, sleeping in her own bed as he gathers a bowl and cereal. George asks if he’s a health nut as he easts muesli every morning, which Derek denies. Izzie says he definitely does, the last 7 days at least. Derek then realizes he’s been there all week.
Cristina is sitting in a doctor’s office. When someone comes in, she tells them she’s starting an ENT rotation on the 9th and needs to have this done before that, but there are no openings until the 16th. The person tells her there are other options besides termination and tries to discuss them, but Cristina cuts her off telling her to put her down for the 16th. She will confirm after she rearranges her schedule. The person again tries to discuss options with Cristina, but she cuts he off saying she’s not interested in the talking part.
Alex is examining Devo, a patient who recently had a root canal that wouldn’t stop bleeding. Burke comes in asking for the bullet. Alex tells him Devo is a 17-year-old female hospitalized for excessive bleeding status post root canal, also had a significant new heart murmur associated with fever and is not afebrile on antibiotics. Devo asks if she’s going to die, can they call her parents who are in the cafeteria, but Burke assures her she is not dying. He says Alex is going to run some labs, and he will be back later with her parents. Once he’s gone, Alex asks what kind of name Devo is anyway. She mentions the 80s rock band and says her parents did too much blow. As she tells Alex she calls herself Esther, he pulls back the blanket to reveal she’s wearing an ankle length denim skirt under her hospital gown. He teases her asking if she’s Amish. She asks if he’s ever seen an Orthodox Jew.
Cristina is reviewing scans, but says the patient belongs in psych and questions why they are turfing him to surgery. The psych resident explains the patient had a seizure 2 days ago, and another this morning. Meredith is reading his chart and wonders what he’s talking about, the patient says he can talk to dead people, his family thinks he is dangerous and had him committed and reiterates it’s a psych case, not neuro. Cristina asks if he even went to med school, which offends the resident. He says unlike the ‘correspondence school’ she attended, he learned not to jump to conclusions. He sarcastically apologizes and says psych can’t take him back until he’s cleared. He says the patient believes his seizures are visions, but the patient heard him and argues they are not seizures – he’s psychic! Meredith and Cristina enter the room, greeting Mr. Duff and telling him they are going to start a workup, which he believes is a waste of time. As Meredith checks his eyes, Cristina tests his grip when he has another seizure. Once it stops, he tells them someone is going to check out, Cristina is not impressed and still thinks he’s nuts. Mr. Duff says he’s dizzy, not deaf and someone on the 4th floor is going to die. Just then, a code blue is called over the intercom for the 4th floor.
Cristina is fighting back nausea as she walks up to the nurse’s station and joins George. He’s still thinking about how the psychic called it with the 4th floor dead guy, but Cristina ignores him and asks if he’s free to cover for her on the 16th. George is distracted by Derek and Meredith heading their way and says he’s thinking of letting his hair grow. Maybe he won’t shave, go for the stubble effect and asks Cristina what she thinks. She reiterates, he needs him to cover the 16th. He agrees and asks why, but she tells him it’s none of his business and walks away.
Meredith and Derek are walking down the corridor discussing how she doesn’t feel like she knows anything about him. He says she knows him – he’s from New York, he likes ferry boats, but she wonders about friends. He says he’s a surgeon, he doesn’t have any friends. She continues asking who he hangs out with, what he does on his days off saying they are important questions. He wonders who it’s important to, as she says they have sex every night, she thinks she deserves some details. He says she has more details than most, but she thinks it’s weird and says she’s withholding sex until she knows him better. He suggests she just roll with it, be flexible, but she says she isn’t flexible, to which he disagrees with a sly smile as he’s paged away. They stare at one another a moment, until he says they will find these things out, it’s the fun part of being in a relationship, like the gravy as he runs off. She shouts back she doesn’t want to be his gravy.
Burke and Alex are discussing Devo/Esther’s treatment with her parents in the lobby. She needs a valve replacement as her labs show Von Willebrand’s disease. They explain that she can’t take the blood thinners necessary to maintain a mechanical heart valve, they are suggesting a porcine valve instead. Her father understand that’s a pig valve, and Burke says it’s the standard of care for someone in Esther’s position. Her mother says she doesn’t care, she just wants them to save her daughter’s life.
Bailey and Izzie are in surgery, removing a lump. Mrs. Glass is awake and asks about the psychic in the hospital. Neither Bailey nor Izzie believe the psychic is real and Izzie says the ICU is on the 4th< floor, people die there all the time. Bailey is almost finished with the procedure and explains the next steps. Izzie is still stuck on the psychic and says he’s a fake, that she can see further into the future than he can. Bailey wonders why it bothers Izzie so much, which Izzie denies.
Derek is testing nerve response on Mr. Walker’s leg. He can’t feel anything until Derek gets to his thigh. Derek asks him to try to wiggle his toes, but he is unable to do so. Mr. Walker says he was able to wiggle them about 10 minutes earlier as Derek reviews the X-Rays. He says the spine looks clear and asks to clarify how he was injured. He was rock climbing in Snohomish. It was a small drop and he was belayed. He says his family is on their way. Derek tests his leg strength and Mr. Walker asks if he should be worried now. Derek tells him to relax but calls for a nurse to get an MRI and Meredith to accompany him.
