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“Grey’s Anatomy” recap (11.9): Too pretty for prison

Previously on Grey’s Anatomy, Callie decided to end her relationship with Arizona, thus plunging a scalpel into the hearts of loyal Calzona shippers. During a routine ultrasound on her ex-boyfriend’s new wife, Stephanie discovered that April and Jackson’s baby was likely suffering from a rare and often fatal bone condition. Arizona set out, behind Dr. Herman’s back, to save her grumpy ass life with the help of Amelia Shepherd. Bailey continued to be underused and awesome. Karev stopped being Dr. Butthole Jr. and became Meredith’s substitute person, something that has put a strain on his relationship with Jo. New heart surgeon Maggie Pierce came to town and-surprise!-she’s Meredith’s sister (Richard’s daughter). Derek moped and lashed out because he really wanted to be one of the President’s men, but Meredith remembered that he isn’t the sun and refused to move to DC. Owen was around, doing stuff. And that’s what you missed on Grey’s Anatomy.

When we return, Derek is angrily packing his suitcase and moving to DC without his wife and kids. As he leaves, he glances at “The Post It” which hangs above their bed-the one where they promised never to run and always love each other. Later on, as Meredith tucks Zola into bed, she too sees “The Post It” and remembers their vows-then promptly tosses it into the trash.

Elsewhere, Amelia and Arizona get all space-agey in the lab with swirling pics of Dr. Herman’s tumor floating past in all different angles and dimensions. Jackson finds April and has to break the news about their little boy.

Since Meredith has become a single mom overnight, she auditions a possible nanny who even offers to chill in the waiting room while Meredith deals with some incoming traumas. Already this nanny knows the score. The trauma is a multi-car accident caused by a mother of two who drove off a bridge with her kids strapped in the back. When Callie finds out about Meredith’s new nanny, she’s excited-well, until Mer causally tells Callie that Derek left, so it’s kind of a necessity.

Stephanie and Jo prep for incoming traumas and Stephanie can’t believe that a mother could harm her kids. Jo points out that men and women are both capable of terrible deeds, including harming their children. Just then April walks by and yells at them for dawdling, and Jo feels terrible for talking about dead kids. They decide that April couldn’t possibly know yet because, if she did, there’s no way she’s be at work.

The woman’s two children, blessedly, have manageable injuries, but the mother is seriously injured. Everyone has their own theories about why a mother would hurt her children, but Meredith cautions not to jump to conclusions. They rush the woman into surgery. Just then, the woman’s husband comes in and Owen has to explain that his wife caused the accident.

As Amelia geeks out about Dr. Herman’s tumor, Arizona is nervous as hell. She hasn’t told Dr. Herman that she stole her scans and broke HIPAA laws left and right, which is punishable by prison time. She’s simply “too pretty for prison,” though, and is hesitant to take that leap. (You may want to reconsider, Arizona. You may find your very own Alex Vause in the big house.)

Amelia assures Arizona that once Dr. Herman knows, she will be toooootally cool with it. They walk into the x-ray room to find a furious Dr. Herman staring at her charts. Dr. Herman feels violated that Arizona went behind her back, but Amelia steps up and says she can remove the tumor. Despite Amelia’s enthusiasm, Dr. Herman walks out.

Jackson seeks out Owen to tell him that April is taking a personal day, but Owen assures him that she is at the hospital and in the middle of a surgery. Jackson takes it upon himself to tell Owen that April shouldn’t be working. And guess what? Owen blindly listens and tries to pull an angry and reluctant April out of the OR. It causes quite a scene. Meredith is surprised that Owen would do such a thing, and when he cites “personal issues,” she mentions that Derek left. He didn’t even email Owen to let him know. Sad Owen. She then calls Owen out on his casual sexism, by taking the word of April’s husband, over his own trusted, capable doctor. Stephanie then spill the beans about April’s baby.

Karev and Bailey work on a set of brothers who were injured in the bridge accident. The older one was driving, but can’t be more than 14. Even though they call each other “ass face” and whatnot, the bro-code is strong with these too. They both refuse to tell the doctors who their parents are.

In a daze, April enters the trauma room where she sees Jackson and police questioning the driver’s children. She can barely contain her fury, and pulls Jackson aside. She’s just a ball of anger and grief, lashing out at Jackson for deciding what’s best for her, and the mother who would do such a heinous thing to her children and innocent people. “You go to Owen, and then two men decide what they think is best for the little lady, like I’m some helpless idiot. Then I suddenly find myself standing outside of my OR. That is not helping!” Jackson begs her to share her feelings, but she’s not at that point yet and there are people who need her help. Richard finds Jackson crying, unable to process his own grief.

While the brothers refuse to break about their parents, Alex gets the older boy’s chart and decides he needs to investigate a little further with a laparoscopy. Bailey suggests that they should open the kid up but Alex points out that the patient is his, not hers. “You don’t tell me what I’m doing and not doing. You’re a kid,” she snaps at him. Alex refuses, and decides he has the last word since the patient is Peds and he’s the Peds attending. He does task her with getting the little brother to give up the good on their parents. Bailey is not pleased.

Maggie and April work together on a patient and, once again, Maggie manages to say the exact wrong thing unintentionally. She asks April the sex of the baby, and April barely holds it together. When Stephanie pops her head in, April pulls her aside and lays into Steph about telling everyone one but her about the baby. All Stephanie can do is quietly apologize.

Owen can’t get over the fact that Derek would not only leave his post at the hospital, but his wife and kids. Meredith tells him that if he’s looking for someone to blame, blame her. She told him to leave. The tox screen on the driver is back and it’s completely clean. Meredith is convinced that there has to be some reason why this mother did this: “You want to believe she didn’t have a choice.” Owen turns the topic to Cristina and Meredith admits that their weekly Friday calls have been getting fewer and farther between. Apparently, Cristina’s words about the world not revolving around Derek, really affected her and she desperately did not want to believe she was right-hence the avoidance.

Stephanie sits down with the driver’s husband, and tries to get his wife’s medical history and her state of mind before the accident. The husband is beside himself, thinking that his spouse felt so desperate and he was blind to it.

Arizona and Dr. Herman run into each other in the scrub room before their surgery, and they have a blow out fight. What Dr. Herman is most pissed off about isn’t that Arizona betrayed her trust, or broke the law, but that she tried to offer a glimmer of hope. Dr. Herman has already had numerous treatments, and each time her hopes were dashed. She can’t handle another disappointment. There will be nothing left of her.

Stephanie gives Meredith and Owen the scoop on the driver’s overall condition prior to the accident. Her stress, exhaustion, forgetfulness and low blood sugar cause Meredith to determine that perhaps something is affecting her pancreas. Insulinoma would explain many of her behaviors, and could have caused the accident.

Bailey tries to bribe the younger brother with a juice box, but this kid is Liam Neeson levels of tough. At first she tries to be the nice guy, but his refusal to cooperate really gets her goat. She tries to scare him that his parents will be so angry, the longer he waits. Nope. “I’m a brick wall,” he tells her. Even the threat of CPS doesn’t phase him.

Meanwhile, Karev and Jo exchange tales of juvenile delinquency as they work on the older brother. When he starts to bleed out, they realize his injuries are indeed severe and they will have to end up opening him up anyway.

April finds Callie, popping shoulders back into place in the ER. April snaps at Callie, so Callie knows that something is up. She asks April what’s wrong, and when April denies anything is, Callie knows she’s lying. “No you’re not, and I know because I’m the queen of taking my personal crap out on other people, especially you. It looks like this.” Ooo, self aware Callie, I like you. April loses it a little.

April: You can’t have a baby.

Callie: Excuse me?

April: And it’s what you want. All you want is to have a baby, and love that baby, and nurture that baby, and raise that baby. And this woman-this woman, throws her perfectly healthy kids off of a bridge. Doesn’t that just enrage you?

Callie: April

April: How are you not screaming right now at what she’s done to her kids? To all of these people. How is any of this fair!

Callie attempts to calm her, but April runs off before Callie can even get a word in. (Sarah Drew completely knocked this scene out of the park, btw.)

The driver’s husband is inconsolable as he asks Jackson about the scars his daughter might have from the accident. He doesn’t want it to be a daily reminder of this awful event. He then breaks down again because he simply didn’t see the warning signs, and the guilt is crushing him.Jackson then goes to Arizona who is in fetal surgery with Dr. Herman. He asks if when she is done, if she can tell both him and April what to expect. She of course agrees. When Dr. Herman cautions her not to give the couple any of that insidious “hope”, Arizona storms out of the OR.

Back in Meredith and Owen’s OR, the initial tests for insulinoma come back negative, and Owen tries to get her to give up the search. However, when Meredith believes in something, she doesn’t give up easily. She finds a tiny tumor on the back of the pancreas. She was right.

When Bailey finds the little brother with a cell phone, the jig is up. By now, Bailey is angry as hell. She tells him that his brother is in danger, and doesn’t hold back with the ugly truth of it. He could die and his parents wouldn’t be there. The little boy starts to cry and hands over his phone.

The driver is out of surgery, and Meredith and Owen explain to the husband that she never meant to hurt the kids and it was because of the over-production of insulin. The husband is beyond relieved. As they leave, Owen tells Meredith that he knows what it feels like to have to let someone go. He did that same thing for Cristina.

Dr. Herman confronts Arizona about walking out of the OR, but Arizona comes right back at her. “You have a shot. You have a chance and it may be small and it may be risky, but you have a chance! A chance that my friends would give anything to have and you’re ignoring it. You’re wasting it!” Arizona turns her back on Dr. Herman and walks away. Dr. Herman locks herself in the bathroom to deal with the overwhelming possibly of taking a chance on hope.

Meredith, being Meredith, forgot all about poor Lynn the nanny. Lynn is cool about it though; she’s worked with doctors before. She gets Meredith to sit down and say what she needs. This is where Meredith finally starts to crumble. She needs someone who gets the demands of being a surgeon, and can be adaptable. Most of all though, she needs a person. Lynn gets it, and hugs Meredith warmly.

Dr. Herman approaches Amelia and Arizona and is ready to hear what they have to say. It’s a tricky bitch of a surgery, but Amelia is confident that she can do it. Because there is a possibility of both death and serious impairment, Dr. Herman only agrees to the surgery if it happens at the last possible moment-right before the tumor compromises the optic nerve.

The brothers’ parents finally arrive, and Karev takes a moment to tell Bailey that she’s a great mom. Bailey’s not so sure, though. She misses out on so much of Tuck’s life, and that guilt really weights on her sometimes.

After a long day in the ER, April has managed to treat everyone who came in. Jackson takes her aside and tells her that now they know what they are dealing with, they can try to prepare. April already spent all night researching Osteogenesis imperfecta and the news is not good. When she finds out that the driver didn’t mean to hurt her kids, she just walks out of the building. This day has made her question everything, including her faith. Why would God do this? Jackson doesn’t have the answers, but he can offer his love and support.

When Meredith gets home, she calls Derek. He’s boarding the plane, but they both apologize for walking away from each other. He offers to come back home, but she give him her blessing this time and they promise to make it work. Meredith picks “The Post It” out of the garbage, and hangs it in its rightful place above the bed. It’s going to take a hell of a lot more to break MerDer apart.

Here are our favorite #GreysGays tweets from “Where Do We Do From Here.”

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