We find out that Anna is having an affair with Sarabeth's husband Michael. She confides in Meredith about it, of course, planting the seed of doubt in Meredith that living a happily ever after with the love of your life might not be possible after all. Meredith then whines to Izzie and Cristina about whether people who stay together for 40 years end up dead inside and cheating on their spouses with their best friends' husbands. Cristina, rolling her eyes, tells her to please talk about anything but Derek because she doesn't think that MerDer will make it. Izzie, on the other hand, says that you just need to marry a good guy. A good guy, like Alex. And see, Alex is a good guy because he finds out that Michael's insurance expires that night at midnight, so he promises Sarabeth that he'll do what he can to make sure they won't have to pay out of pocket for his multiple surgeries. He spends time trying to decipher the insurance codes, leading Meredith to make a comment about Alex's softer side. Alex bristles when he thinks that Izzie has been blabbing to everyone about how he cried in last season's Grey's Anatomy season finale. He gets mad and storms off.

Derek and Callie looks at Anna's husband, Phil, who has sustained severe injuries to his legs. His prognosis doesn't look promising, but Major McHottie jumps in and tells him about a special procedure that can save his legs. Derek doesn't appreciate that Major McHottie jump in and give his patient false hope. Not to mention that Major McHottie is sporting his own leg injury. He has a big gash on his thigh, which he brushes over as just a flesh wound. Richard orders Cristina to take care of him. Taking care of him basically entails watching and cringing as Major McHottie staples his own wound shut without any anesthesia. I guess this is Shonda Rhimes' idea of what a manly man is like.

Lexie asks Mark to be nicer to George because he's been treating George like a moron, but then Mark figures out Lexie's undying love for George and begins torturing her about it.

Cristina has scrubbed in on Betty's husband Vincent's abdominal surgery with Richard and Hahn, but she is struggling to perform a stitch and nearly kills Vincent. Hahn scolds her for spending so much time in cardiothoracic that she has compromised her knowledge of general surgery.


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