Meredith’s mom is suddenly lucid after five years of Alzheimer’s. And a couple of Seattle Grace’s top docs tie the knot in Vegas. Care to guess who got hitched?

Ellis Grey’s Alzheimer’s condition is in temporary abeyance. When Meredith breaks the news to her now-lucid mom about her illness, Ellis collapses. She’s admitted to Seattle Grace with heart arrhythmia. As Ellis recovers in her hospital room, Meredith tells her mom that she’s happy. This is the wrong thing to say to Mama Grey. Ellis didn’t raise her daughter to be “happy.” Ellis sees Meredith as “ordinary” and “unfocused.” Her speech is filled with so much venom. The look on Meredith’s face has us almost as devastated as she is.

Ellis demands a neuro consult. Paging Dr. Shepherd! Once Ellis realizes Derek and Meredith are together, the fangs come out again. She accuses Derek of taking advantage of her daughter. Cristina tells Ellis she needs surgery for her heart condition. Ellis refuses. But it’s ultimately Meredith’s call. Mer tells her mom she hates being the one in charge but she has no choice. Ellis alienated everyone else in her life.

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