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The episode opens at a party for the Chief of surgery, Dr. Derek Shepherd, played by Patrick Dempsey. Dr. Owen Hunt, Kevin McKidd, approaches Dr. Christina Yang, Sandra Oh, and asks her to move in with him. She willingly agrees but warns that she is a bit drunk and her judgment is impaired. Meredith is skeptical that there is something going on between Owen and Teddy. One of the surgical residents, Dr. Reed Adamson, played by Nora Zehetner, wants to sleep with plastic surgeon Dr. Mark Sloan, Eric Dane. She approaches him at the party and they begin talking and get drinks. It then switches to Dr. Miranda Bailey, Chandra Wilson, with her boyfriend Dr. Ben Warren, Jason George. Bailey sets rules for how they are to act around each other at work. She does not believe in PDA in the workplace and does not want everyone to know they are in a relationship. Dr. Teddy Altman, Kim Raver, is coming home and walks in on her nonexclusive boyfriend Mark sleeping with Reed. The next day, An elderly woman named Betty is brought into the Emergency Room and is in need of surgery on her arm for broken bones she received from a car accident. Across the ER, an older man named Alan is brought in for abdominal injuries he received from passing out. The doctors diagnose him with an irregular heart rhythm. Alan recognizes Betty from across the room. They are old friends who have not seen each other in many years. They begin to talk and reminisce, but have to part to get tests done. Bailey is acting extra cheerful and Derek and Mark notice this in the elevator. She is humming a song and being very friendly. After she leaves the elevator, Ben enters humming the same song. He, too, is very happy. Derek and Mark infer that they are dating and had spent the night together. Dr. Alex Karev, Justin Chambers, treats a young patient named Hayley, played by Demi Lovato; she was recently diagnosed with schizophrenia. Her parents brought her in because she was trying to claw her eyes out. When she heard she was being committed to the psychiatric center, she yelled "I'm not crazy" and threatened to kill herself with a syringe. Lexie helped Karev find a book that will help diagnose Hayley. He then ran a final test on her which proved his theory right. Hayley had a small hole in her inner ear which caused her to be overly sensitive to sound; she could hear everything going on inside her body. Bailey saw Ben in the hallway and he seemed to be flirting with a nurse. She was very upset with him and left without giving him time to explain himself. The burn victim Amanda has an infection in her hand which means she has to get 3 fingers cut off resulting in the postponing of her hair restoration surgery. This upset her but her good friend Trish, who also is a burn victim, tries to comfort her. Betty and Alan are put in the same room so that they can continue talking and catching up. Alan asks Betty to move in with him but she says she got over him and moved on with her life. Amanda is in her surgery and Mark decides to go on with the hair restoration surgery because her infection looks contained. After her surgery, Amanda is upset about the scar the hair restoration surgery left and Trish tells her to be happy that she is alive. Amanda yells at Trish saying she is too happy all the time, then Trish finally shows how she is just bitter about her situation as Amanda is. http://vitemo.com/tv/greys-anatomy-season-6-episode-22-recap-and-review-shiny-happy-people/page-2.html/ref> Lexie admits to Dr. Callie Torres, Sara Ramirez during surgery that she is jealous that Reed slept with Mark even though she says she is over him. Meredith yells at Owen and says Christina loves him and she hates him. She says she knows he tried to get Teddy fired and she thinks it is because he has feelings for her. She demands that he tell Christina. Callie tells Mark that he should talk to Lexie because she knows they are still in love with each other. Owen brings Christina to the stair well and tells her about Teddy. Christina asks what is going on between them. He says he doesn't know and doesn't have to explain himself. He says Teddy is a trigger for his PTSD. A pager goes off and reveals that Teddy was in the stair well and heard everything they said. Alan is in cardiac arrest and Betty is very scared for him. They bring him back and right away, Betty agrees to move in with him. He then proposes to her. Hayley wakes up after surgery and is so excited and shocked to hear normally again. Bailey yells at Ben for flirting with the nurse. He explains that she is mean to everyone but, because he flirts, she is nice to him and it makes his life easier. He says he uses his good flirting on Bailey because he really cares for her. She said she does not have time to play games because she has a child, a full time job, and is going through a divorce. He reassures her that his feelings are real and he is not playing games. Mark tells Lexie that he is still in love with her. She says, "I have a boyfriend" and he replies, "I'm just saying, you could have a husband". http://www.imdb.com/title/tt1631568/synopsis?ref_=tt_stry_pl/ref> Callie and Dr. Arizona Robbins, Jessica Capshaw start kissing in the elevator even though they are fighting and have not talked in a while. That night, Christina tells Meredith that she is not moving in with Owen and Meredith says Christina gets her won room in the house her and Derek are building in the woods. http://www.imdb.com/title/tt1631568/synopsis?ref_=ttpl_pl_syn/ref>