"Gonna get me a shotgun and kill all the trannies I see..."

Burke meets up with Shepherd, who's practically foaming at the mouth at the prospect of the open road and "men being men." Burke says they do have to make one quick stop—which turns out to be the hospital, to pick up Webber. It's Webber's first-ever camping trip, as we can tell from his silly-ass hat. But then the caravan also ends up stopping at Meredith's place to pick up George. And then to pick up bartender Joe and his boyfriend, Walter. And then to pick up Alex. So much for Shepherd's plan to get some space roaming in the open pasture.

Dr. Webber: Eddie Bauer Edition®

All this means that it's officially Estrogen Day at the hospital—aside from Sloan, who admittedly is no great repository of testosterone. Deprived of his customary minion Alex, Sloan requests that Meredith tag along with him instead. Bailey consents, then sends Izzie off to spend the day with a counselor, because she's dying to get Cristina alone so she can sink her sassy-revenge claws into her.

Even though there are many exciting procedures on the board, Bailey assigns Cristina to some snivelly little kid who ate a bunch of Monopoly pieces and is a dead ringer for Christina Ricci. Anyway, the kid ate like two dozen pieces—houses, hotels, the racecar, even the damn thimble—to spite his older brother, who wasn't letting him play. Cristina's task is to keep track of all the pieces and examine the toilet every time the kid takes a crap to make sure the Scotty dog or the top hat aren't still stuck all up in his business.

When Cristina implies that she's too good to waste a day combing through shit, Bailey smacks her down and says she's not getting any surgeries until she explains why she erased her name from the surgery board. Cristina replies that she has "no comment." Who really says that in actual conversation? Honestly. This isn't Geraldo.

In the elevator, Sloan puts the moves on Meredith, despite the anti-flirting ground rules she lays down with firm, anorexic conviction. He really is slimy, though once again I'm baffled as to why Seattle's Most Eligible Bachelors® are all falling over each other's asses for someone who amounts to Twiggy without the charisma or googly eyes.

"The best thing for grief is to snort Ritalin ALL DAY!!!"

Izzie, meanwhile, discovers that her counselor for the day is none other than Dr. Sydney Heron, who if you'll recall from last year was the insane bubbly resident assigned to oversee the interns while Bailey was out on maternity leave. FYI, we love this bitch. Anyway, Dr. Heron hugs Izzie aggressively, scaring the shit out of her.

Sloan continues to ask whether Meredith and Shepherd are together. She says they're taking some space, since there's "a lot of water under the thing, or something... whatever." Nice to see our girl has such firm command of metaphors.

Anyway, Sloan leads Meredith over to his patient, a mannish woman named Donna. Turns out Donna is indeed a man who's halfway through the process of becoming a woman. I believe that's called a "transman," but I'm not really up-to-the-minute on my gender categorizations. Anyway, Donna is having some penis issues, and Meredith is having some issues coping with the realization that Donna in fact used to be a man called Daniel. She handles the situation with the sensitivity you'd expect from, say, Donald Rumsfeld.