Secrets, lies and a really old guy jump-start the day at Seattle Grace. Toss in a very chatty woman who may lose her tongue, two top docs in over their heads and more than a few shocking revelations and you’ll find that even the best doctors have no cure when the truth stings.

Meredith and Derek are enjoying their secret affair. But the secret’s out when Cristina catches them acting all gooey in the elevator. Cristina thinks Meredith didn’t tell her about “doin’ McDreamy” because she’s still reeling from the Burke breakup. She’s not. Still, Cristina acts depressed so Meredith will show pity and slide her some surgeries. It’s either inspired or horrifying. We can’t decide.

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