In this episode of Greys Anatomy the following happens. During surgery Rose "accidently" hands Derek a scalpel the wrong way which leads to him, cutting his hand. Meredith fixes his hand for him. Meredith tells Derek that she is unsure if they should move in together. Derek simply asks her if she wants to get married. Alas this is another cruel joke. The chief has a go at Meredith, after a patient dies. Luckily Derek steps in. Rose switches to Peds, so she won't have to see Derek any more. Christina has the icicle removed and she's fine. The Chief offers Officer Hunt (Army man) a job, but he turns it down as he is soon going back on tour. At the end of the scene we see him and Christina kissing. At the end of the episode Izzie seeing Alex kissing a girl in his bedroom. She then remembers her and Denny and we see him meeting her at the lift and they walk off together. She then sees Alex closing the door and walks away. We see Meredith and Derek in the trailer and them both packing up Derek's things. At the very end of the episode the Chief gives a speech to everyone on the surgical team. He them all that they have all failed and that they will now all have to practice general surgery and not just one type.