Sean Moran

Meredith and Dr. Shepherd have to use more than medicine when a young woman's traditionalist, religious father forbids her to have a life-saving operation. Meanwhile, George and Alex are forced to perform surgery under less than ideal conditions in an attempt to save a patient’s life, and its decision time for Derek and the two women in his life.

Tori discovers that her friends have been secretly going to a fancy restaurant instead of playing in an annual ping pong tournament.

Sabrina becomes the unknowing star of an Other Realm TV show.

Addison fights to save the lives of a pregnant woman in a coma and her unborn child.

Brandon is given the chance to play an extra on the teen soap, "Keep it Together," where he beriends the show's star, Lydia Leeds. Meanwhile, Brenda takes over for Brandon at the Peach Pit.

Caroline promises Earl that she will drop his tax return in the mail, but when she learns that Max has never filed her taxes, she gets sidetracked trying to help Max. Recurring guest star JENNIFER COOLIDGE appears as Sophie.