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Meredith has her first heart surgery, during which she fears that she has accidentally damaged the patient's heart. Burke treats his college buddy Bill, whose medical diagnosis raises some questions regarding his wife's actions.

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Meanwhile, Cristina and Burke's secret relationship gets more complicated, and when no one else can be reached, Izzie has to perform a major procedure on her own. Now that Bailey knows about Meredith and Derek's affair, their jobs are in jeopardy, and she strongly advises Meredith to end it.

Success Rate Every 8 min. Meanwhile, George suspects an anesthesiologist of drinking on the job, Alex treats a former competitor who now finds honor in self-mutilation, Izzie has to deal with a patient who won't let his girlfriend go, literally, and Cristina battles a case of what seems to be the flu.

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Meanwhile, Alex treats a patient whose religious beliefs jeopardize her chances for recovery, and Izzie contemplates reconnecting with her estranged mother.

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