ABC 'Grey's Anatomy' Season 10 Episode 20 Review

Last week, Cristina's Harper Avery Award nomination pushed everyone in the hospital to prove themselves as surgeons, even Cristina herself.  This week, the award ceremony has Cristina 's stomach in knots and her once confident, can-do attitude wears down as self-doubt takes over.

Owen, who Cristina seems to be back on with again, is excited for Cristina's nomination and wants to go with her to the ceremony.  He even got his hair cut, but Cristina pushes him away.  She says he should stay at the hospital, that her schedule is tight and he shouldn't worry about it.  What she doesn't want to say is that she's afraid and doesn't want anyone to see her fail.  This has been Cristina's trait all along and it surely is more evident than ever with the ceremony approaching.  She only has Meredith as her guest because if there's been one thing solid these past 10 seasons, it's that Meredith and Cristina are each other's person.

Derek, the other topnotch doctor in the hospital, is overwhelmed between his project with the president, operating, teaching at the hospital, and being a father.  Meredith and him are both juggling being parents while they try and make names for themselves in their surgical specialties.  

Though he is supposed to pick up their children from the daycare center, he has Callie and Arizona take them but forgets to tell Meredith which leaves her in a panic while she operates.  Meredith freaks out on him for forgetting to tell her where their children were, but in his defence the only ball he dropped that day was calling her to let her know their kids were safe...  So she should get over it, right?  

Meanwhile, Bailey has been manipulating a string of HIV to rebuild a young boy's immune system.  She has rewired the virus to do the opposite of what it naturally does (severely weaken a person's immune system), which should theoretically cure her patients immune deficiency.  Harper Avery material, that's for sure.

Meredith ends up having to bail on Cristina's ceremony because she gets swamped in work.  This leaves Cristina having to find a replacement date, she even stooped so low to almost ask April.  Unfortunately, when her patients parents break out in a screaming match, she post-pones her flight and plays Jenga with the children.  A milestone for Cristina, whose bedside manner always has left more to be desired.  Though she seems to be becoming a better caregiver, she does so in avoiding the Harper Avery Award ceremony.

Speaking of Averys, Jackson and April end up having more differences than they realized.  When a deaf child whose parents refuse to have her get a cochlear implant, the parenting decision makes them divided.  If it were their child: April would consider the deafness a blessing and would immerse their child in a deaf community.  Jackson, however, would have had the child fitted for the implant years ago.  This disagreement turns into a battle of parenting strategies.

April and Jackson then get into a blow-out fight because she thinks Jackson thinks she is ridiculous with her religious beliefs.  She says, "Replace cochlear implant with christening, bible study, prayer."  About religion, she goes onto saying, "This defines me...  You don't accept who I am...  You tolerate it."  

This outrages Jackson and he can't believe she wants to raise their hypothetical children as Christians.  He doesn't believe in God or religion, he believes in science.  About April's God and if he really does think she's ridiculous, he says, "Yes, because it is...  It's not real."

April, offended on a number of levels, she tells him that she feels sorry for him.  She says she gets to experience life in an entirely different way than him, that she is enlightened from her religion, and she wants her children to feel the same way.  Jackson, flabbergasted, says, "You pity me?"

To which she responds, "I do.  I really do."

On the topic of children, Callie and Arizona face a new problem: Who will be the new mom?  Arizona, who at a time never wanted to have kids, now has announced that she expected it would be her turn.  The couple then decides that the only way they'll figure out who will be the new mom is a coin flip.  As the coin goes in the air, Arizona knows her decision: she doesn't want to be the pregnant mom.  This is completely fine, as Callie was fine with being the pregnant one again anyway.

In the midst of Calli and Arizona's happy moment, April shows up at their doorstep visibly upset and the two women take her into their home.

Back at the hospital, Cristina admits to Owen that she thinks she's going to lose and that is why she doesn't want Owen to go.  She goes off to the ceremony and during the cocktail hour, all of the guests come up to her and sing her praises.  Everyone in attendance is extremely impressed by her, which should make her feel better but it doesn't.  When everyone is called to their tables for the ceremony, she panics and called Meredith.  She says she wishes Meredith was there so that they could both be drunk off tequila or that Owen were there to at least hold her purse for her.  Meredith tells her to calm down and that she should go to her table, that everything was going to be fine.

Luckily for Cristina, Owen and Meredith are both waiting for her at the table.

Unfortunately, a Dr. Ronald Myers from John Hopkins Hospital wins the award.