Izzie (Katherine Heigl) tries again to get to know the "real" George (T.R. Knight), with minimal success. Derek (Patrick Dempsey) has a revealing discussion with divorce attorney Gwen Graber (Jayne Brooks). Addison (Kate Walsh) treats a staunchly Catholic woman (Rose Ward) who, after bearing seven children, has decided to secretly have her tubes tied--only to look on in horror as the ever-tactless Alex (Justin Chambers) spills the beans to the woman's family. And Burke (Isaiah Washington) attempts to talk sense to his idol, concert violinist Eugene Foote (Albert Hall), who demands that his pacemaker be removed immediately. ~ Hal Erickson, Rovi