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This week was really an exercise in balancing the depressing with the absurd, so let's get the depressing out of the way first. Derek starts his clinical trial and as promised, he doesn't let Meredith assist since he thinks it will make things too personal. Even though she knew this would be the case, she's miffed, all the more so when she finds out Alex won the job instead. The boys quickly realize, however, that this isn't just a matter of compiling data for research; Alzheimer's tends to rip families apart, and they're going to have a hard time not getting emotional during this study. Case in point: Rose from Lost is the wife of one of the patients who, when he's lucid, loves her dearly as he has for 40 years, but at other times he doesn't recognize her and instead is in love with another patient he met at his nursing home. Meredith happens to be walking by the room as he's yelling for the other woman, and because she's way better at dealing with these situations than Alex she manages to diffuse things somewhat. At the end of the day Alex tells Derek he's decided to leave the trial and advises him to pick Meredith to assist and forget all of his excuses that he can't work with his wife on something this personal. Derek realizes he's right, so Meredith gets the job from here on out.
It turns out to be a pretty good day for her all around because she also realizes that Cristina is not just back, she's Back. Cristina and Jackson spend the day competing to assist Teddy on a bypass surgery, and their one-upping and arguing gets more and more heated until Jackson swings below the belt and points that Cristina hasn't gotten a lot of practice these past couple of months, has she? Cristina runs off, so a freaked-out Jackson finds Meredith to console her. Once the girls are alone, though, Cristina reveals that she's completely fine but knows this will totally win her the job. Meredith is slightly appalled but mostly delighted to see that Cristina seems totally back to her old self, underhanded tricks and all.
Bailey has become a Twitter fanatic, and she's been live-tweeting surgeries to the delight of Lexie, April, the other assembled residents, and apparently doctors all over the world. When Richard finds out he of course hits the roof though he obviously has no real idea of what this "Tweetter" entails, and there's a lot of comic relief in the form of him trying to use the correct lingo and failing spectacularly. When he realizes she's tweeting against his specific order to stop, he runs into the OR to yell at her but his lecture is put on hold when something goes wrong. Lexie surreptitiously keeps tweeting as he and Bailey work; when Richard realizes it he hollers at her to stop but of course she's just gotten a suggestion from another doctor as to how they can fix whatever complication is happening in this poor patient's innards. Another hospital nearby tweets that they have what Bailey needs to successfully complete the surgery, so she takes off for a short helicopter ride to go pick it up. This conveniently leaves the others all with nothing to do in the OR, so Lexie finally starts asking Richard some questions coming in from other docs. His desire to teach (and, let's be honest, to show off his surgical brilliance) finally overcomes his distrust of this newfangled technology and he of course winds up getting really into it. After the surgery he even starts combing all of Ellis' old journals to find more information for Bailey to tweet. It remains to be seen if he'll go so far as to figure out how to work the mystifying Twitter himself one of these days.
Arizona is having a hard time with the fact that Callie slept with Mark while they were broken up, but assures Callie that she wants to be involved with having the baby. Mark also assures Callie that he wants to be the dad and not just the "cool uncle," though he realizes this could royally screw things up with Lexie and spends most of the episode putting off telling her about the sticky little situation. In the meantime, Callie goes for her first doctor's appointment (with both Mark and Arizona there for support) but once it's over and the two of them leave, she freaks out that something might be wrong with the baby. Her doctor isn't terribly amused at first since she's being bombarded by suggestions from all three doctors about how to do her job, but then she finally seems to come around when she sees Callie sobbing to Mark about how she doesn't want to screw up the kid. She brings in some extra-fancy machine that enables them all to hear the heartbeat even though Callie is only a few weeks along, and all three of them are over the moon. That night, Mark finally works up the courage to tell Lexie, who is not nearly as pleased with the news as the rest of them are, and she storms out after asking how he could do this to her a second time now. Seriously, it's some pretty spectacularly bad timing that when things start to go really well between these two, some Sloan offspring appears out of the blue to crash the party.
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Want more? The full recap starts right below!Jazzy music ushers in another Seattle dawn, and as Mere turns off the alarm and slowly gets out of bed we see Derek already at the hospital, preparing for surgery. Meredith's surprise to see his side of the bed empty clues us in to the fact that he totally snuck out without waking her, and she VOs that doctors practice deception all the time and give vague answers to hard questions. Derek does a scan on his patient and speaks into a small recorder that this is patient No.1of his Alzheimer's clinical trial. Meredith VOs that the placebo has to be the doctor's greatest deception.
Alex tapes a hand-written sign up on the door of the OR before he goes in and OH GHASTLY HORROR NIGHTMARE GAH NO WORDS LAKSJDFOPASIDJF [THUD] it warns that the patient inside is awake. The look on the patient's face is that of controlled fear, though he's trying very hard to be calm and tells Derek he's okay as Derek fires up the drill. Alex then rips open the envelope that contains the medicine and a letter saying that this patient is scheduled to receive... the placebo. It's quite a downer of a start to the study. Meredith watches, pouting, from the gallery as she VOs some more about placebos and how doctors tell themselves that patients who receive them will feel better anyhow, which tends to help when all you're doing is actually leaving them to die. This last line kind of lingers over her scowling face, and it seems a tad disproportionate since it seems to imply that Mere's been left to die when really she was just left to not participate in the trial.
We join Mark and Callie just after she has told him about the pregnancy; he's still in bed but she's fully clothed and just hanging out on top of the covers, which perhaps is too little too late. Mark's shocked but not displeased by the idea and though Callie is flustered and assures him he doesn't have to be involved, he absolutely wants to be. He goes so far as to ask if she wants to get married but she shuts that idea right down, which is good, but the question causes him to remember the small detail of Lexie, which is bad. He drops his face into his hands wondering how on earth he's going to tell her about this and Callie takes the opportunity to run out, not super excited to think about all of that.
She goes across the hall to talk to Arizona, whose puffy face indicates that this maybe wasn't the news she wanted to hear on coming back from Africa to profess her love. Callie gently asks if she's ready to talk; it's now Arizona's turn to be angry and it's kind of a welcome change, though of course what I really hope for is for them to work things out like adults and for their storyline to remain consistent. Arizona admits she wants to yell some mean things while knowing Callie won't run away, so Callie agrees and Arizona goes on a tirade about how angry she is that Callie slept with someone even though it was while they were broken up. She's also angry that person happened to have a penis, even though she knows Callie is bisexual. Callie tries to make a joke but Arizona is so not in the mood -- a surprise ex-sex pregnancy does generally sober the atmosphere. Callie tells her that she didn't plan all this but as now a wee baby is arriving in about seven months, she has to get to planning. She sincerely tells Arizona that she wants her to be a part of that plan. Arizona tells her that she is in, but she also still needs time to be mad. Seems fair to me, and Callie agrees. Thank goodness this looks like it might be the end of Callie playing the victim. I much prefer these two when they are able to get mad at each other like adults, without the fear of actually breaking up a la Coach and Tami Taylor.
Richard is performing a surgery with Lexie assisting, while about ten other residents in the room text with a degree of fervor generally seen in lovestruck 13-year-olds. Seriously? I stand by my argument from the last episode that there isn't any place for this in the OR, but it seems I am to be overruled and labeled a fuddy-duddy. It also turns out that in fact they aren't technically texting, but rather tweeting. Richard somehow doesn't hear the clicking of 20 thumbs on tiny keyboards but does finally take notice when someone's phone beeps, and he hollers at all of them. April explains that they are following Bailey's surgery on Twitter since there was no room left for all of them to observe in person. Of course Richard has no idea on earth what those words mean.
Cristina and Jackson, meanwhile, are ready to claw each others' eyes out to be the one to assist Teddy during a quadruple bypass. Teddy warns them that driving her nuts so early in the morning isn't going to win anyone any points either with her or towards their goal of becoming Chief Resident. Jackson backs off and says he's going to the skills lab to practice the grafts for the surgery, but while he's sucking up Cristina reaches in, deftly grabs the chart and sprints away with it. After an indignant yelp, Jackson gives chase.
Mark and Callie arrive at the hospital and keep talking about the pregnancy while walking down the hall. They're playing rather fast and loose with this secret, just chatting away in normal voices out in the open, but fortunately there isn't anyone who awkwardly overhears and therefore thankfully is no excruciating storyline wherein Lexie finds out about this from a third party. Callie tells Mark that even though Arizona said she's in, Callie's not moving back in until she's really sure Arizona won't bolt. I... it's just... clearly, no one is going to call Callie on this one-sided, revisionist crap wherein she's just the innocent victim so I need to just stop commenting on it and I will instead just pray that this ends soon and I don't pull all of my hair out in the meantime. From here on out, we'll just go with whatever they are trying to feed us about their relationship and that's that. Lexie bounds up then and tells Mark she wants to make him dinner at his place, and after she leaves Callie assures him that she's letting him off the hook and that he could just be the kid's "cool uncle." He doesn't need reminding of what happened the last time an unexpected Sloan baby turned up, but she mentions it anyway. Despite all that, he forcefully assures her that he wants to be the kid's dad. Callie rightfully points out that he's going to have to tell Lexie, and soon, if that's the case.
Mere finds Derek at the surgery board and accuses him of sneaking out of the house that morning because he was starting his clinical trial and felt guilty that she wasn't on it. He tells her she's right, but that he didn't feel guilty nor did he sneak out. So... what was she right about, then? I guess the obvious, that his trial started that day. Meredith is even more offended by the situation when she realizes Alex won the job of assisting on this trial. Derek just tells her that Alex made the best pitch for the job. If she were a cartoon, steam would be coming out of both of her ears right now but Derek just kisses her and heads off while she yells at them.
Derek's patient is Daniel, and Daniel's wife is the always-awesome Rose from Lost. He's having a good day and is able to joke with her and the doctors, and Rose is anxious to know, if he gets the medicine, how soon will it help his slipping in and out of reality? Derek doesn't make any promises and reminds her there's a two-year follow-up process but she's understandably a bit desperate and asks if this might reverse his condition completely, as it did in some animal testing. Alex decides to field this answer and while he's not unkind, he's quite direct as he reminds her that human reactions could be different. Derek comes in to play Good Cop, and reminds her that right now the most important thing is that they stop the disease progressing; he then tells them that Alex will be able to answer any more questions they have leading up to the procedure. Poor Rose is trying to stay cheerful but this is obviously one heavy burden she's been shouldering.
Out in the hall Derek tells Alex that in a clinical trial things are a little bit different, so he can "paint a rosier picture" (i.e. charm the pants off of them with luscious hair and a disarming grin while sticking only to the positives) when consulting with them. Alex doesn't want to give false hope but Derek paints a bit of a rosier picture himself and says that they didn't give Rose any false hope. Instead, if she thinks her husband has a better chance of getting better, she'll be a better caregiver and that in turn could possibly lead to the procedure being more successful.
Richard finds Bailey in the cafeteria and though she protests that this is her milkshake break (and apparently a Twitter break as she's clicking around on her Blackberry) he lays into her for broadcasting her surgeries. She thinks it's not a big deal and assures him that the patients have to sign a big release form before they go under saying that it's okay. I'm a little confused about how the hospital lawyers could have put together a Twitter-Surgery Release and not consulted the Chief of Surgery about it, but maybe Bailey is also a legal genius and was able to do it herself. The woman is totally awesome, we don't know. She assures Richard that if the patient codes she stops tweeting but argues that it's a great way for residents the world over to ask questions and learn about how surgical decisions are made. We've already well established that I am an old lady and a fuddy-duddy but I can't help but think Richard has a valid point about this potentially turning into a nasty lawsuit. However, the interwebs have informed me that live-tweeting surgery has already happened in the real world, so I'm going to have to just go with it and get with this modern tekmology hoo-ha. Bailey thinks Richard just doesn't understand it and he tries to argue that he does, but finally she gives him "Bailey eyes" long enough that he concedes he doesn't, but promises to look into it and in the meantime, she's not to do any OR tweeting.
Arizona walks up to Teddy and asks her about her day but it doesn't take long for Teddy to realize that Arizona has no interest whatsoever in actually listening to her; instead, she pulls Teddy around a corner to... another wide open location and announces that she might be having Mark's baby. Teddy is appalled that Mark must have earned another notch in his belt (which would have to wrap around him twice by now) but Arizona quickly explains the situation and concedes that at least Mark's genes are quite more than just decent with him being both pretty and smart. But while she wanted a baby with Callie she's not sure she wanted Callie's baby with Mark. It's a modern-day miracle that with all of the times she's uttered the words "Mark," "baby" and "Callie" no one else heard what was up. Arizona just wants Teddy to say something reassuring but while Teddy tries to pull her wits together as she absorbs all this news, Arizona gets a page and has to run.
She runs to an exam room where Callie is freaking out to Mark and a new pretty blonde doctor named Lucy, sure that something is horribly wrong. It's pathetic that I immediately recognized Lucy from Transformers. I'm judging myself, don't worry. She's not entirely excited that she's facing a room full of doctors who all have their own ideas of what might be going on (and solutions of how to fix whatever that might be). Mark demands to know her credentials, which turn out to be rather impressive. She asks about the odd little party in front of her and after some hemming and hawing Callie announces, "Lesbian lover. Baby daddy." And then gets right back to fretting. Lucy now has a much better grasp on why the air is a little bit tenser than usual and gets to the scan, where she happily shows them the little egglet and says that things look good. Callie, though, has completely melted down since we saw her earlier this morning, which seems a bit out of the blue until we learn that it's because she had some bleeding. That fact got thrown in almost like an afterthought, when in fact it makes her behavior now totally understandable. Lucy's assurances that this is normal do absolutely nothing for Callie, nor does the info that it's too early to hear a heartbeat. Lucy tells her to take it easy for a few days and to call her if things get worse or if she has any pain, but Callie grimaces and one can only assume that relaxing is not on Callie's schedule for the foreseeable future.
The quadruple bypass patient whose surgery sparked the resident-off between Jackson and Cristina is a woman named Martha who I immediately recognized from The Wedding Singer. I'm not really building up my movie cred this week, am I? As they tell her about her surgery the two residents try to outsmart and out-nice each other. When Cristina takes Martha's hand to assure her things will be okay, Jackson then sits down on her bed to give her his personal cell phone number. Martha is thrilled to be getting the best care of her life, and Jackson turns on his megawatt smile and assures her this is just what they do. At least, it is now that Cristina's back and he's had to up his game. Poor Teddy is trying so hard to keep from rolling her eyes that I'm worried she might sustain an injury.
Mere follows Alex around asking about the surgery and he manages to get in some solid gloating until they hear yelling coming from Daniel's room. When they get there he is calling for his wife, but he doesn't mean Rose -- he is looking for someone named Victoria. He's confused and scared and despite all of Rose's efforts to calm him and bring him back, he keeps demanding Victoria. Meredith finally runs in and calmly asks him questions, but when she asks where Victoria is, he doesn't know. Meredith assures him that she will find her, which seems to calm him down. She then pulls Rose aside to ask if she knows who Victoria is and, gutted, Rose tells them that Victoria is the woman he loves.
The shot we see is of a woman who is not Rose sitting on Daniel's bed and the two laugh and talk closely together. Rose explains to the doctors, including Derek, that the two met at the nursing home. With them is Ben, Victoria's husband, and he and Rose have obviously formed a very sad sort of partnership. Victoria has vascular dementia but the effects are about the same as with Alzheimer's. For both of the patients, when they are lucid they know their real spouses but when they aren't, they are in love with each other. Rose is worried that this might affect the surgery but Derek assures them that they can still do it since Daniel gave his consent when he was lucid. Ben asks if they can include Victoria in the trial and when Derek has to tell him it's just for Alzheimer's patients, Ben resorts to heartbreaking begging. It's pretty horrible for every one of them except Daniel and Victoria, who giggle at a joke and then kiss tenderly.
As Bailey prepares for her surgery, Lexie reads out the well-wishing tweets that are arriving from other hospitals. Bailey tells her to turn it off on the Chief's orders but April jumps in and starts wheedling that everyone already wants to know how this guy's surgery is going to turn out (it was his third -- how long was Bailey doing this before now?) and she finally points out that the Chief doesn't read Twitter, so how would he even know? Bailey tries to hold firm but Lexie picks up where April leaves off, telling Bailey she's had 3,000 residents following her up until now, and does she really want to let them down? Bailey's no match for them and finally concedes that Richard wouldn't know, which of course means it's a sure thing that he's going to find out somehow. But she can't resist, and away they go.
Mark finds Derek working away on his research, already a bit beaten down by the emotional punch Alzheimer's can pack. Mark's the man for taking his mind off things, and announces that Callie is having his baby. Mark is over the moon, and insists that he really wants the baby but he's also looking for advice since he doesn't want to lose Lexie over this. Of course, this news isn't exactly what Derek wants to hear since he and Meredith have been trying for months with no success, and he tells Mark he's the poster child for failing up. He's saved from having to come up with any solutions to Mark's problems because Mark gets a page and sprints out of the room.
He runs back to the exam room and arrives at the same time Arizona to see Callie and Lucy in a standoff -- Lucy is sure the baby is okay but Callie still isn't convinced. It turns out Lucy was the one who paged them because Callie hadn't yet left the exam room two hours after the appointment. Callie just starts throwing out various possible complications and doesn't want to take any chances. Lucy is understandably frustrated, even though she's trying to stay nice, and finally Mark jumps in as referee and suggests that since she's there, why don't they just do a culture? Lucy agrees, but seems to be silently judging them to be a pack of lunatics.
Rose watches Daniel and Victoria cuddle and fiddles with her wedding ring as she tells Alex all about how they met in college 40 years before. After watching her husband and his faux-wife for a while she turns to Alex, tears in her eyes, and pleads with him to give Daniel the drug. Alex insists that it's totally random and not up to them but she insists that they could change it if they wanted to. She cries that she can live with sharing her husband with Victoria, but she can't live with losing him all the way. It's completely heartbreaking, and Alex is visibly shaken by the exchange.
He goes to Meredith to unload but she's not as sympathetic as he'd hoped, reminding him that he was the one who wanted in on this trial. He's already yearning for pediatrics where things are more straightforward with a sick kid and worried parents. Here, he points out, the patients don't always even know they are sick. Meredith finally relents a little bit and tells him a story about how she was visiting her mom one time when Ellis started talking about how she might have herpes. That's got to be in the Top 5 Conversations You Never Want To Have With Mom, with the likes of "It's been over four hours and I think something might be wrong with your father," and "Well, I'm not totally sure since I was 'friends' with a lot of young men when I found out I was having you." Meredith realized that her mom thought that Meredith was her best friend from med school and that it was 30 years earlier, and she sat there for two long hours and talked with her about her possible herpes. As she explains to Alex, while she couldn't cure her Alzheimer's she could give her mother what she needed at that moment.
Cristina goes to Martha's room and finds her looking at pictures of her family, her doubts about the surgery growing. As she looks at the pictures she tells Cristina that a friend had surgery and wound up in a nursing home, which was hard on her kids, and she gets more and more agitated and cries that she can't become a burden to her children. Cristina hears her out but reminds her that without surgery, she will have a few months, and her family will always be afraid that she's about to go. With the surgery, she could go to her grandchild's wedding. Sincerely, she says, "Don't give up on yourself. Let us help you." Despite all of her jockeying for position all day, this comes off as totally genuine, as Cristina herself almost gave up and had others that helped her. Martha thinks about it, and after Cristina promises that she will be there, Martha agrees to do it, scared but sure. Cristina turns and sees Jackson watching, and when she walks out of the room he bitches that she can't win the surgery just because the patient requests her. Cristina just tells him that not everything she does is because of competition. He doesn't believe her but in this case, I do. But let's be clear that I also believe she's not above using that to her advantage as well.
Mark is walking across the bridge when his pager beeps yet again, and as dramatic drums start to pound he turns and sprints down the hall. But as opposed to being the emergency it seemed, when he gets to Callie he reads her the riot act for paging him 911 when nothing was actually wrong. Lucy just keeps her head down and does paperwork while Callie sobs that something could be wrong, and that she's a "hormone casserole" and can't handle being yelled at. She cries that she has a gut feeling something is wrong and at this, Lucy discreetly hands over a box of Kleenex, possibly starting to sympathize a little. Callie cries that she's not sure she believes that Arizona is really in this with her but by this point, even Mark knows she's being crazy and he tells her that he believes Arizona isn't going anywhere. This line of fretting mercifully shut down, Callie changes direction and asks him what he's going to do about Lexie, and in doing so works herself up again, yelling that everything in her life is a disaster. She doesn't want the baby to be one too, and she's terrified that she's going to screw something up. Mark realizes they've finally gotten to the actual heart of the matter and he gives her a hug while Lucy looks on.
Cristina is updating Teddy on Martha when Jackson runs up, and Teddy steels herself for more bickering. They want to know who's going to assist but Teddy points out that their patient care is the best it's ever been, and if she tells them now one of them will just run off and sulk. Jackson, who is just doesn't play in the same league as Cristina, is just about ready to do that anyway; he's obviously wiped out by keeping up this competition and brats that he's the obvious choice since he's been practicing this procedure in the lab for a month. Cristina just counters that she doesn't need practice, and Jackson is left having to admit that yes, she has more experience. But then, as he's fatigued and there's only a few seconds left in the game, he makes a clumsy rookie mistake and earns himself a technical foul by shooting back that Cristina hasn't exactly logged a lot of hours in the OR these past couple of months, has she? Cristina thinks a moment, and then just turns and marches away. Teddy asks if he is really so insecure that he had to go there, and Jackson slumps and says he's not insecure, he's an idiot. Oh, I think there's plenty of insecurity tossed in there too. He obviously regrets it the second it's out of his mouth but still, there you have it -- he just as obviously totally lost the game for himself on his own dumb mistake.
The Chief has his glasses on, all the better to make him look old and confused while he tries to find Bailey's Twitter page. Owen makes his single appearance of the day (Kevin McKidd directed this episode, so Owen conveniently had the day off) to offer some help. And he does in fact give Richard the most important help he would receive all day: when Richard murmurs that he's trying to locate Bailey's "teats" on the internet, Owen knows that he means "tweets" and tries to make clear just how important it is that Richard figure out the correct lingo in this case. As Owen takes over finding the page Richard gripes that Twitter was made for gossip, not medicine. But Owen plays devil's advocate and points out that GPS was originally a military tool used to track troops but now it's in everyone's car. They had no idea that one day that advanced technology would help all of us find each and every one of the 87 Starbucks in any given neighborhood at any time. Owen pulls up the page and notes that Bailey's tweeting a surgery right now, and Richard hits the roof.
Bailey is explaining something for Lexie to tweet when Richard runs in yelling a reminder that he told her specifically not to tweet until he'd looked into it. Bailey plays dumb and pretends to have misunderstood him, but he knows that's bull. He then hears the beep of Lexie's phone and yells at her to put it away, but the patient conveniently starts to hemorrhage and as the alarms ring and Bailey and Richard are distracted by the surgery, Lexie keeps tweeting away.
After some discussion about having to remove the guy's pancreas, Richard realizes what Lexie is doing and again yells at her to stop; even Bailey finally calls her name as a warning. But lo! Lexie saves herself and the surgery by reading out a tweet from someone at Walter Reed suggesting a particular procedure. Richard doesn't think it can be done in trauma cases but it starts a conversation about it, and how it uses certain cells. Bailey thinks it could work but Richard points out they don't have the right machine for harvesting said cells. Saved by the tweet yet again, Lexie announces that Northwestern has the machine. Richard is amazed that this tiny gossip machine is actually helping out in his surgery, but Northwestern is too far away. Thankfully, there are many more hospitals following this surgery and they realize they can get what they need in Tacoma. Bailey has Lexie tell the hospital that she's on her way, says she'll be back in 90 minutes and has Richard hold down the fort while she's gone.
Jackson finds Meredith and rushes her to the locker room, where it seems that Cristina has once again unraveled. Cristina, head in her hands, cries that she wants Owen, and Meredith sends Jackson to find him. Once he's gone, though, Cristina jumps up triumphantly and begins to eat an apple with as much sass as she's ever had, pointing out that Owen's at the dentist, which is going to make him hard to find. Meredith is genuinely appalled but at the same time can't help but break into a grin to find Cristina doing so well that she's back to her underhanded tricks.
Either because she was moved by Callie's tears or because she desperately wanted her exam room freed up, Lucy wheels in the mother of all machines with the highest resolution possible. She warns that even with this it's still hard to find the heartbeat, and pointedly adds that she doesn't have most mothers come in until after the eighth week because when they don't hear a heartbeat, they freak out. Callie has calmed down enough that she totally picks up on the emphasis there and looks the tiniest bit sheepish. But since she's there, Lucy says it can't hurt to have one more look.
Richard, Lexie and the others are just hanging out in the OR, waiting for Bailey, which gives the perfect opportunity to expose Richard further to the world of Twitter. Lexie asks a question that someone sent but then puts on her Bambi eyes and says that they aren't tweeting, so she'll ignore it. Of course Richard goes ahead and gives her the answer, and then another. Then a former resident sends a hello message, and Richard is totally charmed to hear it. He seems to be coming around that there might be something to this tweeter nonsense after all.
Soulful surgery montage! Alex and Derek prep Daniel for surgery while Teddy and Cristina work away on Martha. Jackson finally runs in, late and ticked off after his fruitless search for Owen, and he realizes he was played. Richard is now totally caught up in the fun of answering questions over Twitter and is giving Lexie information faster than she can even type. Bailey then runs in with a cooler containing the cells they need, and they all get back to work while Lexie keeps the world updated on their progress.
Up in Callie's room, just as she's sure that they aren't going to see anything because it's too early, Lucy picks up on something and they hear the gurgly thump of a heartbeat. Everyone grins and Callie's eyes fill with tears, but happy ones this time.
It's the moment of truth for Daniel, and Alex and Derek open up the medicine and the envelope. Upon seeing that he's getting just the placebo, Derek manages to stay professionally neutral but Alex is obviously disappointed and shakes his head.
Daniel wakes up from his surgery, reaches out, and Rose takes his hand. As he comes to she asks how he is feeling and he says he just has a minor headache. When he finally turns to her, though, he is confused and asks for Victoria. Rose stands up and starts to walk out but Alex goes to her and assures her that Daniel just woke up, and this confusion doesn't mean that the surgery won't work. He says that even though this doesn't seem like her husband, he's someone who needs whatever help she's able to give him. It does the truck, and after Rose considers this a moment she takes a deep breath and tells Daniel that she's going to call Victoria and get her here as soon as she can. He's still obviously confused, but thanks her. Honestly, I can't even imagine what that would be like.
Outside, Derek compliments Alex on how he handled the situation but Alex used up everything he had doing it, and he tells Derek that he's quitting the trial. He admits that Meredith told him what to do and advises that Derek needs to get over just looking at her as his wife, "Because your wife? Is the only person twisted enough to handle this crap." Not to be totally selfless, though, he asks Derek to put in a good word for him with the Chief, letting him know that Alex put patient needs over his personal gain, which will help in the Chief Resident race. So, actually, he still managed to get a little bit of personal gain out of the whole thing.
Jackson is glowering as Cristina talks to Martha and her husband post-surgery. When she walks out of the room they stare each other down and as she leaves, she throws up her arms in victory. Poor Jackson just whispers, "Bite me, Yang." I think he's a better doctor than he realizes, and he just somehow needs to find some confidence and his own way of doing things because if he just tries to out-Cristina Cristina, he's going to fall on his face every time.
Bailey goes in to Richard's office to update him on their patient, who is doing well after their Twitter-inspired procedure. He's too busy combing through Ellis' journals to really pay attention, and he doesn't notice her hanging around until she finally starts to tell him about an amazing robotic surgery she has scheduled for the day and how she'd like to tweet it. Before she even finishes her question he gives her the okay and then finds what he was looking for and orders her to tweet some surgical trick that Ellis once taught him. Bailey's a little confused but she's not one to question it when she's gotten her wish and so she heads out before he can change his mind.
Callie is finally home, reading a book and drinking tea when Arizona comes in, dragging some boxes from across the hall. Callie tries to stop her and says she hasn't decided yet if they are moving back in together but Callie stops her and points out that they love each other. She also informs Callie that if she sleeps with anyone else ever again she'll kick her butt, but for now she's to take it easy because she doesn't want anything happening to her baby. Callie is totally charmed by her taking possession of the egglet and Arizona corrects herself to call it, "our baby." Arizona reaches towards her and they have a schmoopy we're-having-a-baby kiss that leads to schmoopsy we're-having-a-baby clothing removal.
Sadly, Mark is not to have the same type of happy ending with Lexie. She's totally bubbly while she cooks dinner but Mark looks like he's about to barf and finally blurts out that Callie is having a baby. Lexie is thrilled at first but as she talks she starts asking how they did it and working out the timeline in her head. Her voice trails off and she looks at Mark, who is hunched over and giving her sad, guilty puppy-dog eyes. Her face falls, totally betrayed. Mark hopefully tells her that he saw the heartbeat, and that this child is a part of him, but she doesn't want to hear it. She cuts off Mark as he asks if there's a way to make it work and just demands to know how on earth he got her into this position not once, but twice. She grabs her coat and heads out, slamming the door behind her. I adore these two together but I'm not sure a relationship can survive two surprise infants.
Meredith's end-of-day voiceover is fairly short, as she concludes that doctors practice their worst deception on themselves. Meredith is still sulking when Derek finds her and nonchalantly tells her to put her name on the board for his surgery. She grins as her voiceover concludes that sometimes it takes a while to realize the truth has been in front of you the whole time.