- The doctors work together to operate on two sisters joined at the head; Cristina travels to Zurich where she deals with a blast from her past; Richard voices his concern over the hospital's allegiance with the Harper Avery Foundation.
- Richard voices his feelings about the Avery Foundation and that they should act. Christina gets an invite to speak at an institute in Zurich, she goes and meets someone she knows who makes her an unusual offer. Amelia helps Derek when he prepares to operate on conjoined twin sisters who are attached at the head. Bailey avoids seeing her patient because she used an unauthorized treatment.—rcs0411@yahoo.com
- Cristina gets an invitation to speak at the Cleveland Clinic, and a hospital in Zurich wants her to speak there. Cristina just wants to get a board meeting over with. Webber rushes to get the meeting started and announces that Dr. Russell is leaving the hospital because he's heard that no one from the hospital will ever win a Harper Avery Foundation award. They discuss appealing the decision because they won't be able to attract talent because of this. Cristina walks out, saying she doesn't want to hear about the Harper Avery award anymore. Meredith tracks her down and tries to convince Cristina to go to Zurich to give her speech.
Meanwhile, Jackson and April get confirmation that April is pregnant, but they both seemed stressed by the news.
Derek brings a group of residents to Annie and Liz, conjoined twins who are attached at the head. His sister is also on the case. They have their pediatrician with them, even though they are 25. He is basically the only family they have, since their mother died.
Alex drops Jo off at the hospital before heading to his private practice.
Derek and the other doctors all run trough how they're going to do each of their parts to "turn one brain into two with the least amount of deficit," as Derek puts it.
Braden's parents are proud of how well their child is doing since they refused to allow Dr. Bailey to inject him with her experimental, genetically altered HIV virus.
Cristina finds Ivy, Frankie and Lincoln's mother and tells her she's discharging them all. She says they need to heal and can't do that in the hospital.
We next see Cristina checking in for her flight to Zurich.
Cristina leaves Meredith a long voice mail about how much she loves Zurich.
Meredith checks on the twins, and Annie is starting to worry about what life is going to be like without being attached to her sister, Liz. This catches Meredith's attention. Annie is worried because their mother always said it was too dangerous to separate them. Meredith says their bodies now can't support each other much longer.
Bailey is happy that Braden is doing better and tells Jo that Braden can have whatever he wants to eat. Just as Jo is heading to Braden's room, Hunt and Arizona both give her new tasks to complete. Jo seems overwhelmed.
Derek's sister, Amy, is getting bothered when Derek refers to her as "Amy" instead of "Dr. Shepherd." He corrects himself, but Amy later tells Meredith that she's "Twin B," which makes her the incompetent one.
Arizona shares with April her strategy of suggesting bad baby names to Callie, who keeps shooting down the cute ones. April seems jealous that Arizona and Callie seem so excited about their baby, which isn't even conceived yet, while she and Jackson are having issues around the one they have on the way.
At the conference in Zurich, Cristina is answering questions about her 3D-printed heart conduit when she recognizes the voice of the questioner who quizzes her on some of the findings of her research. The question-and-answer with the questioner continues for a moment before he steps out into the aisle and she sees it's Preston Burke.
After the talk, Cristina answers more questions while Burke waits a while. Cristina realizes that Burke was the one who set up the invitation to have her come speak there. It's his hospital and he gets to decide who comes. He asks her to scrub in on a surgery if she can, but she says she has to make a phone call. Burke says he'll wait, then asks her to tell Meredith hi for him.
Back in Seattle, Meredith listens to a voicemail from Cristina and is updating Hunt, who is eating with her, as she listens to the message. It's the standard, "speech went well" kind of stuff until Cristina's voice on the message says, "Burke is here." Meredith can't contain her surprised reaction, but plays it off for Hunt.
At another table, Leah is practicing drilling into a model skull for the big surgery.
Jackson and April have another awkward conversation about their baby. Webber walks into the cafeteria and Jackson confronts him about having called a board meeting without him. Webber says they had to discuss the foundation, then proceeds to tell Jackson that they "got in bed" with the foundation too fast and calls it "a doomed marriage." April overhears all this and is obviously worried about the same applying to her personal situation with Jackson.
Jo is doing a routine catheter installation on an elderly woman when it goes wrong and the woman starts screaming in pain.
In Zurich, Cristina is listening to a voicemail from Meredith warning her to not do anything rash with Burke. Cristina puts the phone away when he walks up. He convinces her to join in on the surgery, which he says is unlike anything she's seen.
Meredith tells the pediatrician, because he asked, that Liz is Twin A, and if anything goes badly, they'll put all their resources toward her. He gives them a goodbye on their into surgery.
Leah does her burr holes successfully.
Jo calls Alex for help, but he is in the middle of something and can't respond. Arizona comes and pressures Jo about something she asked her to do.
Derek and Amy run into a blood clot while working to separate Annie and Liz's brains, and they have to move fast to save them.
In Zurich, Cristina is initially unimpressed with the procedure Burke wanted her to help on: a transcatheder aortic valve replacement. They talk about the Harper Avery and Burke says she shouldn't feel too bad about losing. He can say that because he won one, but he says he rode the high from the win for a long time, then it faded and he crashed hard. He left and found a billionaire who "wanted to put his name on something," so the financier bankrolled the whole hospital in Zurich and Burke was able to hire whoever he wanted. He then shows her the real innovation in the surgery: He's created a completely accurate hologram representation of the heart they're operating on, which eliminates the need for blind entries. Cristina agrees it was worth staying for.
Derek and Amy split the twins and he tells Amy he trusts her to work on Annie. He's going to try to remove as much of the clot in Liz's brain as possible.
In Zurich, Burke shows Cristina his hospital's 49 3D printers. She tells him she doesn't know what's next with her research. He tells her he knows her work is valid, then she realizes she knows what's next and says "it's big." He knows she's afraid she can't get support after losing the award. She says she wants to print a function, beating human heart. He tells her they can do it in Zurich.
"It's not impossible," he says. "All you have to do is say yes."
Surrounded by interns and residents in the gallery, Webber is surprised when Meredith tells him that Cristina is visiting a hospital in Switzerland. He's worried she's looking for another job and he yells at Jackson that they're "going to lose the good ones" and says they're going to leave because of Jackson and his mother. April jumps in and defends Jackson, saying that he deserves Webber's respect. Jackson says nothing and walks out.
Jo is flailing. Hunt has taken the elderly woman to surgery and Jo has to hand off Bailey's request about Braden to Stephanie.
Derek comes into Amy's O.R. and asks how it's going with Annie and whether she needs an extra set of hands. She says no and he leaves. Leah wonders aloud whether Derek fixed Liz already and Amy says, "He didn't fix her."
Jo finds Hunt, who yells at her for making the elderly woman's problem worse.
In Zurich, Cristina walks into Burke's office, which is peppered with awards. She asks him if his effort to get her there is to get her back into his life, and says she's not interested. He shows her photos of his wife and two children, and says they are his "world." He tells her he doesn't want her, and that his wife trained as a surgeon and now wants to stay home and raise their children. He tells Cristina that what each of them needs is a partner who's willing to do that so they can pursue everything they want to do in the medical field. She tells him he doesn't know her anymore. She says her life has moved on. He tells her she's right, but he knows she's "become a magnificent surgeon -- you've become everything I dreamed you'd be." And he tells her to consider working in Zurich, because it's the kind of place where she should be.
Cristina is leaving Meredith another message about everything Burke is offering her. She says everything she's ever wanted is there, except Burke is also there. She asks Meredith what she should do.
Annie has decided to withdraw care on Liz. She cries when she sees Liz unconscious.
Meredith finds Webber and reminds her that they were scrambling to come up with the money to save the hospital. He tells Meredith about the night her mother Ellis won the award, which he called their "gold standard." He says Catherine Avery's move cheapened the goal and the memories. Hunt comes and asks Webber if he has a minute.
Stephanie brings Bailey the results for Braden's tests and tells Bailey she thinks Bailey administered the modified T cells, and Bailey snaps, "And it works!" Stephanie tells Bailey she's amazing. Bailey feigns ignorance and says, "I don't know what you're talking about!"
Webber and Hunt walk out of a meeting, agreeing that "this resident" is not cut out to be a surgeon. Jo overhears this. Later, she sits at the bar with Stephanie, Leah and Shane and they all worry that it's them. Alex shows up and says he had a great day. Jo says the next round of drinks is on him.
Cristina comes to thank Burke for the offer, but she can't take it. He says it doesn't make any sense. She gives him an impassioned speech about how she never wanted to work for him, she wanted to "be" him. She says the best thing that ever happened to both of them was him leaving her at the altar -- they're both better for it. So, she asks, why bring her there and offer her a job she can't resist? After a dramatic pause, he says he doesn't want her to work for him because it would destroy his marriage and his life. He tells her the way he loved her "was consuming" and he'd only end up chasing her. He says he has a life he wants. He doesn't want her to work for him, he wants her to take over for him. His wife's parents live in Milan and she wants to be closer to them. He's been wanting to do this for a while, but hadn't found anyone he trusted with it. Cristina doesn't believe it, saying he's offering it like he's Willy Wonka handing her a chocolate factory.
Burke laughs and says, "Cheer up, Charlie."
She realizes he's serious, and he tells her the place is hers if she wants it.
"Do you?" he asks.
Back in Seattle, Jackson finds April in the hospital chapel. He sits down and tells her he'll go to church with her, as long as they can go get waffles after.
Derek has a beer with his sister and tells her he's recommended her to work with Callie on her project. She reminds him she doesn't live in Seattle, but he suggests that she should.
Meredith waits at the airport for Cristina, who shows up with Swiss chocolate -- even though she ate some. Cristina says nothing else and Meredith says it all.
"You're leaving."
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