Over at Mercy West, Burke is informed that there are actually two hearts -- two brothers tried to pass a semi on a double yellow and came out on the losing end of it. Wait, didn't that just happen on Supernatural? Shout-out to my girl Drunken Bee! Both hearts are a match for Denny. Alex thinks that means they get their pick, but Burke says it doesn't work like that; UNOS has already assigned who gets which donor. Alex asks who's retrieving the other heart, and a voice calls from across the room, "Took you long enough, Preston. Why is Junior here, your ego get too big for one man to carry?" The owner of the voice is a very tiny, very snarky-looking lady doctor. I love her instantly. Burke laughs, and tells Alex that Dr. Hahn here graduated second in their class at Johns Hopkins. "Ask her who graduated first?"
Addison tells McDreamy that Kendra's fetus is twelve weeks along. He ignores her and continues to scrub in. Addie's all, "Did you hear me, Derek?" He heard her, he says, but he clearly didn't hear the agony in her heart. Wake up, stupid dreamy doctor! Addie asks if he's going to tell her what's going on between him and Meredith. McDreamy says there's nothing to tell. George opens the door and announces the arrival of Kendra's parents. McDreamy tells him to have them sign the consent forms and then scrub in. And that's it; he leaves without another word to Addison, who watches him go with tears in her eyes.
Back at Mercy West, Burke's donor has gone into V-fib. Burke and Alex try compressions and shocking him, but he's asystolic, a word I love for no good reason at all. Alex doesn't understand why they can't use the heart anyway. Burke says it's dying with the rest of the guy, and the heart is useless. Burke waits a beat, standing over the body, then takes OFF. He sprints from his OR into Dr. Hahn's, and holds out his hand in a commanding gesture. "Stop right there. Don't move that scalpel. Not even a single slice." My notes on this part of the episode just say "awesome," and I have to tell you...well, that'll do. There is no better word for the beauty of Burke. Commercials.