So we finally see what is behind Owen's PTSD. The helicopters coming in with wounded reminded me of M*A*S*H, which happens to be my favorite show. Only unlike M*A*S*H, there was nothing funny about the situation Owen found himself in trying to keep a man alive with only his hand.
As much as I dislike her, it was believable that Derek would get so busy with the chiefness that he wouldn't have time to share in Meredith's surgery milestones. They're a couple that are all about surgery. Derek was having trouble adapting to his responsibilities and duties of being chief but still getting to do what he loves which is surgery. So he stole Meredith's.
Awkward scene at lunch with the Chief standing there waiting to be asked to sit down. So why didn't they ask him to sit down? Too weird to eat with the guy who used to be your boss and is now kinda your equal. I guess I can get that. But manners still dictate that they ask him to sit down. And though it was funny to hear him try some locker room talk with the boys before surgery, it felt a little out of place. Like the writers were trying to cram too much into this episode.
I think we saw another step towards the end for Callie and Arizona which just makes me so sad. The baby thing is not going to go away. Nor is it something that you can compromise on. Not if one person wants a baby and one doesn't.
Mark and Teddy get it on. No surprise.
I'm not ashamed to admit that I shed more than a few tears at the end when the husband gave his wife the pills that would kill her. (Why can I never remember the names of the patients on this show?) That story was fantastic.
P.S. In case you haven't heard, Izzie will not be coming back to Seattle Grace.