Meredith Grey, who is so put out by the therapists past comments from the last episode, goes into the office to demand her file. The therapist tells her she's quitting just like everything else in her life that she's been quitting on. Shortly after she sees Derek Shepard about the next clinical trial patient and he suggests that if she's overwhelmed she can take a break. "I'm not a quitter! I don't need you rescuing me, lets just do this."

Rose walks up to Shepard saying, "Okay, the sex, I thought it was mind-blowing myself, but I get the impression that you had a really bad time. . . Why are you avoiding me?" He tries to blow it off, but the fact remains that he hasn't called her since then.

Back in the patient's room, Derek and Meredith are asked if they can hold off the surgery until 3pm when the patient says that the love of her life, Andre is to arrive. But later in the hallway, the patient's sister tells the two that she thinks it's a delusion. The patient has never really found love before, no one has ever seen him or know anything about him, but still the patient has a "Fairy tale" type story of how the two met. She lost her shoe on the way back on the cruise ship and left it behind for fear of missing the ship. The mysterious Andre brings it to her and they had an amazing time together. Now she's considering canceling the surgery to spend her last few months with him. Meredith isn't buying this stuff and when she asks Derek if he's talked to the patient yet, she is upset that he's giving her until 3pm to wait for her mystery man. After all "She found a way to have real love," according to Derek. Meredith assures him, "Of course she did because that's where love exists - in delusional fantasies. Real love isn't like that." "Good to know," answers Derek before walking away.

In the midst of it all, Meredith is still trying to get her file away from the therapist. She even follows her to the bathroom, but while they're arguing over "quitting" Lexie Grey barges in. "I forgive you. I forgive you for treating me like crap and I forgive you for letting your friend treat me like crap. I don't know how you get up in the morning, I honestly don't. Our dad abandoned you and your mom by all accounts was the meanest person ever and you can't let Derek love you and it all really, really sucks, but ever since I knew you existed I had this fantasy about my big sister and you have failed on every occasion to live up to that fantasy, but I still love you whether you're capable of letting me or not, so I forgive you." And she's gone as quick as she came, but of course the therapist heard the whole thing. They agree to meet at 2 o'clock for a session.

Again the therapy session ends with Meredith upset. She questions why the therapist would think she is suicidal and when she will give up on that idea. The therapist tells her "When you start acting like you want to be alive . . .You seem to stand on [the line between life and death] and wait for a strong wind to sway you one way or the other. You're careless with your life. . .probably because your mother told you you were a waste of space on this planet. The problem is you believe her." "Don't you ever talk about my mother." Meredith storms out. . . again.

Back with the patient, Derek and Meredith are waiting for the love of her life to arrive. Three o'clock comes and goes, four. . .five and still no sign of him. So they finally go into surgery. Of course, then in the middle of the surgery, Meredith is informed by a nurse that he just arrived. The injection is already done, the patient goes into distress, resulting in swelling of the brain. Derek now has the bad news to inform the loved ones that the patient will never wake up again. Its too much for Meredith, she begins to cry and quietly leaves the room.

Derek meets up with Rose, who is upset with him. "Derek, we spent the night together," she tells him," and then you vanished. Now I wish that I was secure enough to handle that without a bruised ego and a lot of processed sugar, but I'm not." "Wait!" he tells her, "Can't we just make this easier. . .I've done complicated. i don't want to do that again. Can't this just be easy. . . Fun. We don't need that 'fairy tale' thing right now. We just need happy." That seems to work for her and they leave hand-in-hand. It appears that Meredith is not the only one to change expectations to make it work.

Finally Meredith steps into the therapists office after she's been crying and hesitantly says, "My mother tried to kill herself when I was a kid. After the love of her life disappeared. I never told that to anyone before. You think I'm broken, fix me because I'm no quitter. Let's go." And so it ends with a new round of growing for Meredith next week.

more from this episode. . .