The psychiatrist feels Meredith isn’t being completely honest. The guy’s onto something. See, Meredith has yet to tell Derek she had a miscarriage. When Meredith catches Cristina flipping through a magazine during Derek’s impossible tumor surgery, she realizes they’re not better yet. During her therapy session, Cristina says, “I think you’re either born simple or you’re born me.” She longs to be simple because no one holds a gun to the head of a simple girl.
Derek’s tumor patient experiences massive postoperative pain. He says this is where the fight begins. This is healing pain. This is victory pain. Later, Derek is caught speeding down the highway and tossed in jail again. Meredith pops by, but doesn’t bail him out. Derek needs to learn a lesson and she needs the ring he’s holding so her best friend can get married.