In a final attempt to save Erica's life, Amelia arrives at Seattle Grace to beg Derek for help with the gliosarcoma case; Cristina and Owen engage in heated arguments during marriage counseling; Alex realizes that in order to be a good doctor, he'll need to improve his people skills; and Meredith is given a chance to shine when a man enters the ER after getting his hand stuck in meat grinder. Meanwhile, the residents continue to study for their upcoming oral boards.moreless
Frankie and Mike's romantic anniversary get-away is ruined by various family matters, including Brick being sick, Sue being lovesick, Axl just getting his learner's permit, and two psychotic aunts and their dog.
When Mona suggests that she and Ross send out a holiday card as a couple, Ross tells her he doesn't think they're "there yet". For Mona, it brings up the question of where their relationship is headed. Chandler's newly-divorced, obnoxious boss invites Chandler and Monica to dinner. When Monica tells Chandler she's not going, he covers up by saying they've split up. Meanwhile, Rachel, in her fourth month of pregnancy and with hormones raging, wants to sleep with just about every guy she sees.moreless