Without her husband by her side, Bailey refuses to have the baby. Addison strongly disagrees that baby has to come out, and Addison would much rather have Bailey's cooperation on this. George works with Addison to convince Bailey to have the baby, and it's George who finally gets through to her. Richard isn't doing so well, though, with the stress, and he suffers an anxiety attack that lures Adele to the hospital.
Burke and Meredith successfully remove the explosive device from the body and hand it off to Dylan, but not before Dylan has a bit of a spark with Meredith. Meredith goes out to say something to him anything, maybe just a "thank you" but she doesn't have a moment. The device explodes killing Dylan right in front of Meredith. Izzie and Cristina wind up in the shower with Meredith for real, cleaning Dylan bits off of her. Derek comes to visit Meredith at the house, to see how she's doing. There Meredith admits she can't even remember the last time they kissed. But Derek does. In excruciating detail. And then he goes.