In this episode, it seems as if Derek is ready to move his relationship with Meredith forward, yet a phone call from his ex might complicate the matter. Derek can't help but squeal to Mark about his plans to propose. Meredith believes Derek's odd behavior stems from her desire to have children in the future. Derek sets up a romantic proposal scene, rose petals and all, and right as the moment of romance is set in place, Addison emergently calls Derek for help.
A ghost-free Izzie sets out to discover what is ultimately happening to her. She is attempting to draw her own blood when the interns arrive. Surprisingly enough, George is more concerned with berating her for using expensive medical equipment against protocol than her suspicious condition.
Bailey has a job in general surgery waiting for her if she wants it, and it would get her away from all the sick kids she's been treating recently. But the inescapable fact is, Bailey is good with those kids. She knows how to talk to them. She tells Arizona that what happened to Tuck makes her too connected to kids' cases to deal, but Arizona sets her straight: that particular experience makes her uniquely qualified for the job.
Dr. Dixon still works at Seattle Grace, which means the board gave her that better offer she wanted. She, Bailey, and Cristina end up working on the same case, which makes for three very interesting personalities all in one room. But it has two memorable moments: one when Bailey tells Cristina to "get over here and hug on Dr. Dixon," the other when Cristina is able to use her comforting abilities to calm Owen down after he spots a mystery woman in the hallway.