Meredith tries to keep Derek from reporting that Richard is drinking on the job. "McDreamy is being a McAss," she tells him. She thinks he wants the Chief's job for himself, but he says he's simply doing his duty. She calls "Post-it," invoking the "laws" of their marriage, which supersede anything else. "Fine, I won't tell," he promises her. But when he offers Richard help, and Richard instead decides to start operating again, Derek feels he needs to act. Derek gives Meredith a choice: If he goes to the board, he'll end up with Richard's job and then he can give Izzie her job back. After seeing Izzie so happy about her PET scans, she tells Derek he can go to the board.

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