Spoiler: Grey's Anatomy - It may now be time to deal with the truth

I do not have any overall thoughts so I am just going to jump into a rundown of some of what happened, at least the highlights, on last night's episode.

- The chief is still bitter toward Bailey for choosing to specialize in pediatric surgery. While in surgery together, he yells at her and embarrasses her in front of her residents. Bailey then calls in the chief's wife to make him apologize to her. Before she leaves the hospital, Adelle tells Bailey to stop gloating because she should not have called her to tattle on the chief in the first place. Before the end of the episode they seem to settle their problem, but we'll have to see if they can remain civil in the coming weeks.
- A high school band member with epilepsy comes into the hospital and because she keeps coding, Alex is told to stay with her and make sure she is OK. Alex notices that she is coding before she starts having a seizure and argues with the other doctors saying she is not epileptic. The test to prove his theory would kill her if he was not correct, but he stands up for his decision and ends up being right. He saved the girls' life and the doctors later tell him that he has the potential to run the hospital one day, that he is the resident to watch.
- After killing the pregnant woman in the last episode, Derek is a wreck. Izzy says he is "taking stock" - something huge happened in his life and he is planning his next move. Derek goes into the hospital to meet with lawyers who show him all of the charts of the patients he has killed compared to the number of patients he has saved. The killed pile is much larger. Meredith tries to point out to him that many patients who come to him are terminally ill and he is their last chance; Meredith says he often takes on the impossible cases, but Derek only sees it as killing. The chief sees Derek and orders him back to work, but Derek just walks out. Later in the episode, the chief puts it on Meredith to get Derek to come back to work.
- Meredith goes home to find that Derek has moved out. She goes to his trailer and he is there, hitting baseballs into the woods. Meredith tells him he should not be hiding and he yells back that he does not want to operate anymore. Derek picks a more personal fight with Meredith and says mean things to her (at this point it is obvious that he is drunk), before telling her to leave. She tells him that she knows about the ring - that he was planning to propose to her - and his response is to take the ring out of his pocket and hit it with the baseball bat. He again tells her to leave and before he can slam the door in his face, she reminds him that they are in this together.
- Izzy has the interns working on Patient X, who is actually her, throughout the show. When the interns come to the conclusion that there is nothing wrong with the patient, Izzy yells at them, "She's not fine," since she knows there is something wrong with her Once they are back on track and figure out what is really wrong with the patient, we find out Izzy's diagnosis is BAD. With the type of cancer she has there is only a 5 percent survival rate, and she only has a few months to live even if she receives chemo and radiation treatment. At the end of the episode, Izzy calls on Cristina, with whom she does not have a good relationship, and tells her about her diagnosis because Izzy believes Cristina is a robot and can take the information.

On a more broad note, George has no role on recent episodes, it is like he isn't even there. He has no storylines and is always just in the background. I like his character so this makes me sad, even though it has been speculated and I know he is most likely being written off. Speaking of being written off, Izzy spent much of this episode, the time not with the interns learning her fate, smiling a bit too much. She kept talking about how she sees the others in 10 or 50 years as if she is saying her goodbyes to them, which is depressing. But on the other hand, I truly feel like she is refusing to deal with her problem and I do not feel sympathetic with her.

And as for Meredith and Derek, is anyone heartbroken that they seem to be on the rocks at the moment? What about tonight's episode as a whole? Did you like it? Are you still watching? At this point, I almost don't want to watch anymore. I have to admit that I am much more interested in Private Practice.