1. Medical Metaphor of the Week - the chairman of the board of Seattle Grace shows up as a patient. Turns out his trip to the Amazon left him with one more souvenir than he wanted: a candiru fish lodged in his nether regions. Before that diagnosis is made, we learn that his assistant fears she may have what he has, as she doubles as his girlfriend. Also showing concern is the chairman's wife, who shows up later.
All of this winds up being a shadow play about George's cheating on Callie with Izzy, as by the end of the show the chairman loses both his assistant and his wife (who knew about the assistant's, uh, "other duties as assigned"). Faced with the fact that he can't keep working with Callie and Izzy, George plans a transfer to Mercy West.
2. At least it wasn't a slap bet... though she may like that - we're about halfway through the no sex bet between Addison and Sloan, which would mean something if Addison hadn't already decided she didn't want Sloan. Her thoughts turn to Karev, and after an OR session where he makes the difference in Ava delivering her baby early, Addison jumps him (OK, it may have been more of a bipartisan jumping, but I say she started it). Karev later learns from Ava that Addison sees him as being the solid guy she wants. He disagrees, and later blows off Addison by noting she's not his girlfriend. Addison then leaves the hospital, turning to give a sad look to the building. It's almost like she's going to leave and take a new job somewhere else... that would never happen, right?
3. Bailey can't stop working - Bailey is assigned to the candiru case (along with almost every other surgeon at SGH), but also scrubs in when a regular clinic patient is found not to have a cold, but spinal fluid leaking from his skull. This freaks her out and drives her to work harder, which the Chief warns her about given how things have turned out for him. She just keeps working.
4. Get her some floaties already - Meredith tries to repair the damage caused when she told Derek he was hovering by being overly-communicative. He is still hung up on the Chief's talk from last week where he learned he could be Chief or with Meredith, not both. He's also still trying to get past Meredith's almost drowning, saying that he feels like he's still breathing for her (as he did after pulling her out of the water).
5. Please just get married and end this plot line, please! - Burke wants Yang to pick a cake with him. She doesn't care. He sees this as further proof of her disinterest in their impending marriage and life together. The whole SGH crew gets to taste cakes, and during this Izzy confides in Burke that she slept with George. He'd rather have not known that. Izzy tells him the red velvet is the best, which Yang also says later on. Burke takes this as proof that Yang cares; I see it as proof that Izzy told Yang what to say.
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