Twelfth place? Twelfth?! We can’t believe it, and neither can the doctors of Seattle Grace when our favorite hospital winds up ranked number 12 in the country. The Chief takes the ranking extremely personally and, after steaming for a good long while, starts to think about how to get SGH back on track. We can’t have patients going to Mercy West!
Now that Meredith and Derek are back together, she keeps dreaming that he's dead, which is pretty odd, Mer. She decides to ask him to move in with her and he accepts. Derek’s still got a little issue with a bitter and jealous Nurse Rose, who refuses to transfer out of his department and is making all of his surgeries a nightmare.