- A man with Alzheimer's crashes into a pregnant woman; Meredith worries about Derek cheating on her and the state of their marriage.
- A patient's condition sparks a conversation between Richard and Maggie about Alzheimer's disease; April and Jackson struggle to return to their normal lives and Arizona is faced with the reality that Callie is moving on. Meanwhile, Meredith reveals her biggest fears about Derek.
- Meredith still wants to know who the woman is answering Derek's phone. April, meanwhile, is really -- really -- excited to be back at work, and shows it by pulling Jackson into a supply closet to get busy. But he kills the mood by mentioning that they haven't had sex since they lost the baby. Hunt and Amelia are getting busy in an on-call room but get interrupted when Hunt gets a page. Callie is wrapping up a first date in the hospital lobby with a passionate kiss -- and Arizona sees it.
Meredith tells Alex and Pierce that a woman answered Derek's phone, and they try to convince her that he's not cheating on her. There's awkwardness in the elevator between Callie and Arizona. They are in to work on two victims of an accident in which a car crashed into their house. The couple has a touching moment while the husband, Tom, is being wheeled to the O.R. Afterward, the driver is brought in and appears to be drunk. He's asking for his keys and, despite being strapped to a gurney, swings and punches Pierce near her left eye. She falls to the floor, unconscious.
Pierce comes to while Webber is telling the man that they'll treat him like an animal if he continues to act like one. The man's wife shows up and clears up the confusion by explaining that her husband has Alzheimer's. She was taking a shower when he apparently grabbed the car keys and took off. The police want to question her, and her husband is going to need some exploratory surgery because he has blood in his stomach.
Pierce tells Webber she's fine, but when she stands up she pauses for a moment and blinks hard a couple of times.
In surgery, Callie won't stop talking about why she shouldn't have to feel bad about Arizona seeing the kiss. Meredith stops it when she reminds Callie that Arizona was "seeing other people" while they were still married. Pierce, in the other surgery, is going on and on about how the wife of the man with Alzheimer's should be charged with criminal negligence. Webber tells her that he lost his wife to Alzheimer's and she's immediately apologetic. Jo and Arizona are talking to the young, pregnant wife of the punk rock musician who was injured in the accident. She has a head injury and seems fine -- until she suffers a seizure.
April is struggling through her first day back. She's yelling at a patient. Jackson pulls her into an on-call room and April rips her shirt off to have sex. She tells Jackson she's tired of being treated like she's delicate and breakable.
The wife of the punk rocker dies quickly after her seizure, shocking all the doctors -- especially Jo. After the shock wears off, the doctors start pumping the woman's chest and pumping into into her lungs in an effort to keep the baby alive until they can deliver.
The driver in the accident, the man with Alzheimer's, is suddenly lucid and reciting a poem he'd recited to his wife when he proposed. She's convinced he's cured of his Alzheimer's. Webber and Pierce have no idea what happened.
The doctors get the baby out and stop CPR. Jo has tears in her eyes as she watches Alex try to save him. He does, and Jo breaks down crying. She leaves the room and Bailey congratulates Arizona on the "nice save."
The Alzheimer's patient is getting caught up on things he missed over the past five years. He feels like he stepped into a time machine, and his wife tells him she's missed him so much. He asks about the victims of the car crash and Webber cuts Pierce off as she starts to tell him about their injuries and the death.
Callie tells Arizona it's not her business who she kisses.
When Hunt tells Stephanie the punk rocker might not make it through the night, Stephanie is concerned about whose patient he is because it could end Meredith's streak -- which is at 89. Meredith says this has nothing to do with her, but Hunt tells her not to kid herself.
Amelia looks at scans of the Alzheimer's patient's brain and she thinks she has figured out what happened to cause his condition, which is not actually Alzheimer's but fluid that had been pressing on his brain but was released in the accident. She thinks she can insert a shunt to stop it from happening again.
Jo is having trouble coping with the fact that the baby's mother is already dead. She doesn't understand how they're supposed to deal with all this death.
Martin, the man they thought had Alzheimer's but really just had fluid applying pressure to his brain, is crushed when he learns that his accident killed a pregnant mother and injured her husband. He says he doesn't want the shunt Amelia is proposing because he doesn't want to live with the memory of being a murderer. His wife cries, but insists that she should just let him go, put him in a home and let him rot. Ben doesn't want Webber to let Martin stick with the decision, but Webber says they have to honor his wishes.
Outside the hospital that night, April tells Jackson she just wants to be herself again, and he says of course he wants to have sex with his wife. She reminds him she's right there. So they have sex in their car.
Callie and Alex are going through the possibilities of what could have happened with Derek's phone. Meredith reminds them -- and Pierce -- that Derek has done this before: moved to a new city when his marriage was in trouble, met "a girl" (her), and cheated." She gets a page and Meredith says, "The streak is over."
They go to the punk rocker and try to resuscitate him. Meredith lets Stephanie work the paddles and they successfully get his heart beating again. Stephanie starts to say she thought the streak was over, but Meredith tells her to keep an eye on the man and keep him alive.
Arizona talks to Callie about the woman she saw her kissing -- Heather. She calls her "steak knives," because she previously dated Heather and reminds Callie that "steak knives" wanted them to get matching tattoos after their first date, and she attacked Arizona with steak knives when she declined the tattoos offer.
Bailey and Alex give Jo a pep talk. Amelia finds Hunt in an on-call room and they start kissing again. They both get paged again and have to leave.
Martin is reciting the poem to his wife again, but starts to forget some of the lines. Webber and Pierce are watching this, and Webber tells Pierce about Ellis Grey also having Alzheimer's. Pierce gets light headed and Webber helps her sit down. She admits she was dizzy after taking the punch and that she might have a concussion. She then tells Webber she had a full genetic history done when she was 12, and knows she has a genetic predisposition for Alzheimer's. She knew she had it, but didn't where it came from.
Meredith is sitting home alone at night and the door rattles. It's Derek. He tells her he left his keys because he took off on the first flight out. He acknowledges that she called him and a woman answered his phone. And that's all.
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