1. It's a bad month to be a Grey mommy - Susan Grey turns up in the clinic with hiccups caused by acid reflux. When drugs don't work she gets an outpatient procedure done on her esophagus. Meredith and her dad joke that Susan is making up symptoms in order to get them to talk; if true, it's working. At least until Susan returns to the hospital with complications, which turns out to be sepsis, which kills her. Thatcher isn't ready for this turn of events and slaps Meredith when she tells him, so I don't think they'll be talking much in the near future. Derek tries to console her, but Meredith finds more comfort commiserating with Izzie and Alex over some tequila.
2. Yang wishes they were Grey mommies - Yang is awoken one Saturday morning by the cackling of two older women: her mom and Burke's mom. Turns out they've been talking, and they've come to Seattle to help with wedding planning. Yang gets a little freaked out about this becoming a big wedding rather than a trip to city hall, but Burke wants a big wedding, so she sucks it up. She also asks Callie to be a bridesmaid, leading to more awkward interaction between her and Izzie during dress shopping.
3. No reason why it'd be awkward - Izzie and George wind up playing tonsil hockey on the elevator after lamenting about his planned transfer to Mercy West. They manage to stop before the elevator opens - with Callie waiting there, naturally.
4. Pre- and post-wedding cold feet - in a funny scene, both George and Burke go to Bailey for marriage advice. As they're taking up valuable clinic space and her time, she put them together to talk things out. Burke at least has the werewithal to not mention to George that he knows about him and Izzie.
5. Three languages, no waiting - the Ava plot line continues with the discovery that she's bleeding into her brain, and to fix it she needs to be awake during the operation. Sheppard takes the occasion to do some brain mapping, and we learn that Ava can speak French, Spanish, and German. That's all we learn before they have to stop the bleeding. The slim chance that she'd regain memories after the operation doesn't pan out. Alex takes her for a trip around the hospital grounds to give her new memories of simple things like feeling the wind.
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