Meredith is completely broken because Derek choose Addison and Cristina and Izzie have a plan to make her happy because they stole one of the wierdest cases in the history of medicine - a pregnant guy. They thought that it was in his head but he took a pregnancy test and it was positive.
Kimberly has to have a fourth open heart surgery and her heart caught on fire. She treats her husband like dirt but he found a way to leave her.
Nicole needs to have surgery but her parents don't want her too. Alex shows his brighter side and talks with her and she wants to have it at the end.
I really didn't like a lot of characters in this episode. A lot of them went on my nerves, but this episode is as good as any other Anatomy !