Derek Shepherd: Executioner, Surgeon, Doctor or God?

Just something I noticed while watching the promo for next week's episode. 

Remember the promo for 5x13 "Stairway To Heaven"? Here's something to jog your memory

"Am I an executioner, or am I a surgeon?"

Interesting question. Now watch the promo for next week's episode.

"Doctor... Or God?"

That Derek Shepherd, you never know what he'll be next.

My guess? 

Doctor... Or Gigolo?

-Ashley