The truth is in short supply as Meredith and Cristina lie to each other about the status of their relationships. Cristina is angry with Derek since he has Meredith calling him McDreamy again. Cristina 'kinda' moves in with Burke. George is given the unpleasant task of discharging an elderly patient who refuses to leave the hospital despite no longer being sick. A competitive eater is presented with a tear in the lining of her esophagus. Alex is so nervous about the results of his exam that he eventually asks Izzie to open them for him (he passes).