(Annie Connors room, Burke and Alex are there. (Derek arrives and parks next to Meredith)
Meredith: Crap. (Woman is lying in bed with an extremely large tumor.) Cristina: He reamed her out in front of Bailey. I'll check back with you later. Meredith: Dr. Shepherd. Mr. Levangie, the Parkinson's patient, is he a good candidate for DBS? Of course. Ok.
(George is in Annie Connor's room, prepping her for surgery)
George: We just need to recheck your labs and get an EKG, so I just need to take a little blood. Patient: No.
Plan: A: Alex; Q: Who gains the trust of Annie? A: a nervous patient; Q: What kind of patient is Annie? A: an extraordinarily large tumor; Q: What does Annie have? A: Meredith; Q: Who does Derek choose to assist with an elderly Parkinson's patient? A: surgery; Q: What does the elderly Parkinson's patient need? A: Bailey; Q: Who disapproves of Meredith and Derek's relationship? A: tensions; Q: What escalates between Burke and Shepherd? Summary: Alex gains the trust of Annie, a nervous patient with an extraordinarily large tumor, only to humiliate himself in front of her later. Meanwhile Derek chooses Meredith to assist with an elderly Parkinson's patient who may need surgery -- but Bailey disapproves of their relationship and is determined to make Meredith suffer -- and tensions escalate between Burke and Shepherd.