Bailey’s pager goes off and they all rush to the rooftop helipad to unload a teen pageant contestant suffering from life threatening seizures. Bailey barks orders to the interns and assigns the patient to Meredith. Izzie asks, “What about me?” and Bailey assigns her to rectal exams. We told you she’s tough. She doesn’t put up with whining or ass-kissing.

Pageant Girl’s parents want answers but Meredith doesn’t have them. She turns to Bailey but she just directs her to the new attending covering the case—Dr. Shepherd. Meredith looks across the room. It’s Derek! How mortifying? Your one night stand is your new boss. Really? Meredith runs to avoid him but Derek catches up to her and of course wants to talk about last night. She just wants to act like none of it ever happened.

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