Derek faces a lawsuit on his first day as interim chief when a patient awakens from anesthesia during surgery; Mark refuses to speak to Lexie.
After learning about Richard's drinking problem, Derek confronts him; Izzie returns, hoping to reconcile with Alex; tensions run high for Teddy, Cristina and Owen in the aftermath of Cristina's startling confession.
The doctors treat dozens of people when the roof of a romantic restaurant collapses on Valentine's Day; Meredith struggles with her new duties as the chief's wife.
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