This episode brought me back. I'm an old man, but I have watched almost 250 episodes in the past year. It is also the TV I watch. It hurt when George left. It hurt when Derek left. Bug the quality of the show remained rather good (other stories, cases, well directed and acted). But nothing jarring, in my opinion, until "The Room Where It Happens.." I loved the static set (the OR). I found the acting incredible, among the best of the entire series, and the use of flashbacks and imagery especially well directed. Kudos to the program for making this episode, taking us away from some of the monotony of the soap opera stories in the series. If you are moved to tears in the last ten minutes, you have no heart. None.