Ivy

The inmates campaign along racial lines for positions on a prisoners council, but Piper tries to stay above the increasingly raucous competition.

Joe the bartender finds himself in the need of a very expensive standstill surgery that there is no way he'll be able to afford. Much to Meredith's discomfort, Addison requests her as her intern for the day. Still recovering from surgery, Dr. Webber asks George to be his "eyes and ears", but George finds it difficult to pass on any information. Cristina tells Meredith that she is pregnant without revealing the father. When Preston breaks off their relationship, she decides not to tell him either. Izzie and Alex's personal bond grows closer as he shows a more emotional side of himself.

Izzie plans a party for her old boyfriend, while Meredith believes she may be in trouble when something goes wrong during a procedure. At the party, Bailey spots Shepherd and Meredith together. Cristina and Burke have sex in an on-call room.

Nathan comes clean with Haley about his past relationship with Taylor, but Haley continues to email Chris without telling Nathan and Taylor finds out. Lucas and Karen remain at odds over his refusal to take the HCM test. Keith proposes to Jules. Brooke fights for better working conditions at her new job. Lucas decides to take the HCM test with Keith. This episode is named after a song by Shane Mills.

Ruth sets ground rules for a new live-in apprentice Arthur; Brenda returns to apologize to Nate; David encounters a face from his past.

In New York City, an estranged couple who witness a murder are relocated to small-town Wyoming as part of a witness-protection program.

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A woman walks through an orchard and picks a "fruit" from a tree. The "fruit" is actually a rubber band ball, which she then takes to her work office space. Once there, her work space is transformed into a beautiful wonderland with birds and trees and flowers everywhere. (Lyrics) There's a place I dream about Where the sun never goes out And the sky is deep and blue Won't you take me there with you Life is Beautiful Work Can Be Too OfficeMax