(Addison leaves the building)
MVO: But as tough as wanting something can be...(Addison pauses in front of the hospital)...the people who suffer the most...(Addison turns and looks back at the hospital)...are those who don't know what they want. (Bailey and Richard are walking through the hall)
Richard: The other board members have a say in who gets to be chief but Larry...he's the one who really decides. (Cristina walks up to Callie)
Cristina: Dr. Torres, Dr. Burke and I are trying to choose a wedding cake and there are some samples in the conference room. (He shoves cake in her mouth)
Izzie: (Mumbling with her mouth full)
(Callie is standing outside the window watching George and Izzie giggle and have fun together)
George: Good? (There is blood/fluid on the pillow)
Bailey: That come out of his nose? A minute later Alex walks out and they bump into each other.) Addison: I have never seen you so attentive with a patient. Am I the only one? And I'm just...I'm his wife. Are you studying with the wife's cards? Ava: Alex, tell her no. Ava: She is? But there is an argument to be made for female surgeons sticking together. Callie: Which is. Can I talk to you for a second? Cristina: The candiru is attracted to blood and urine. Derek: It presented as a cold, Miranda. He said he spent the day in the clinic when he spent it doing God knows what with Izzie Stevens. How does that happen? I saw her talking to the ortho resident. I will give the cards to George, I am sure he will share. I'm trying to study for the most important test of my intern career. In his...in his...wow! Learn to delegate. Meredith: He sleeps with his assistant and a carnivorous fish lodges itself in his pen1s. Richard: Miranda, we're talking the Chairman of the Board of Seattle Grace Hospital. Richard: There was a fish in a man's pen1s. See that? She has legendary flash cards. That's...that's wonderful. They're taking him soon. This is a candiru fish. You might have to wait it out. You need to spend every available minute studying for them.
Plan: A: Seattle Grace Hospital; Q: What is the name of the hospital? A: their upcoming exam; Q: What are the interns studying for? A: Cristina; Q: Who is jealous of George? A: Callie; Q: Who does George study with? A: whose learning cards; Q: What has become legendary? A: Izzie; Q: Who does George tell he is considering transferring to a different hospital? A: feelings; Q: What does George and Izzie have for each other? A: The attending physicians; Q: Who vie for the Chief position? A: a patient; Q: What is the chairman of the hospital board? A: a fish; Q: What was found in the chairman's urinary tract? A: his wife; Q: Who asks for a divorce? A: his secretary; Q: Who was the chairman having an affair with? A: a recurring cold; Q: What does Izzie treat in the clinic? A: his early fifties; Q: Webber starts to question his decision to retire as he believes that there is a lot more he can do as a surgeon and cannot be done with his career in what age? A: Burke; Q: Who is trying to pressure Cristina into choosing a flavor for their wedding cake? A: Ava's baby; Q: Who does Addison and Alex deliver a baby for? A: an effort; Q: What does Derek feel he is the only one putting into his relationship with Meredith? Summary: The interns of Seattle Grace Hospital start to use every free minute to study for their upcoming exam which will determine their entire residency in the surgical field. Cristina is jealous of George who can study with Callie, whose learning cards have become legendary. After the realization that George and Izzie might have feelings for each other, Callie decides to give the cards to Cristina. The attending physicians vie for the Chief position by tending to the chairman of the hospital board, after he is admitted as a patient. They soon learn that there is a fish in his urinary tract and learn that his wife has been aware of his affair with his secretary. She eventually resigns and leaves him, and his wife asks for divorce. In the clinic, Izzie treats a patient with a recurring cold, which turns out to be a symptom of something worse. Webber starts to question his decision to retire as he believes that there is a lot more he can do as a surgeon and cannot be done with his career in his early fifties. Cristina gets annoyed at Burke as he tries pressuring her into choosing a flavor for their wedding cake while she is trying to study. Addison and Alex deliver Ava's baby, through a cesarian-section, before sleeping together, but afterwards Alex tells her to make sure that it never happens again. Derek starts to question his relationship with Meredith, feeling that he is the only one putting an effort for it to work out. George tells Izzie that he is considering transferring to a different hospital.