A plethora of fat jokes, and not very good ones, throughout this show.
The episode focused on an overweight patient's struggle to do the right thing and Derek facing possible charges over how he handled a case a while back. Webber needs to be the Chief again, it's just the role James Pickens was meant to play. Derek is better as the surgeon full-time.
The episode was not bad, but nothing really stood out for me, and that has been the problem with a lot of recent installments of this show. No "OMG" moments, as Gossip Girl calls them, and just nothing to get people to talk about the program at the water coolers.