And sure enough, when Richard and Lexie walk out to see Sharon in the waiting area, they are wearing their sad, serious faces and Sharon realizes she's about to get the worst news of her life. She starts to cry as Richard tells her he's so sorry, but Charlie died.

Bailey and Meredith are rooting around in Janell's insides and are joined by a new doc, Dr. Thompson, who seems to be the gynecological surgeon? It feels maybe like we're supposed to have met her before but I think I would have remembered the quite pregnant new surgeon if we had seen her before now. Her role is to be the killjoy as Meredith and Bailey try to find their microscopic teratoma, and she really thinks she should be the one to actually remove the first ovary. Meredith just informs her that she can't trust her third-year hands, and Bailey backs her up, so Dr. Thompson sighs heavily while being reduced to nothing more than a bystander in scrubs. Their plan is to take out Righty and then send her off to the lab to see if their teratoma is indeed there. Bailey asks Mere if she ever thought she'd be hoping so badly to find a tumor.

While Karla is good and ready to get as far away from Terri as possible, Nico is having a tantrum and refusing to leave. Alex comes over and interrupts their fight, telling Nico conspiratorially that he's kind of embarrassed for him right now, since his mom is right and he's kind of too big for this behavior. But our little Romeo doesn't care; he is worried that if he's not there when Clem wakes up, she will think he doesn't love her. The adults share a glance but to their credit they go along with this, and Alex offers to be there when Clem wakes up and to give her any message Nico wants. He finally agrees, but warns Alex that he's going to need a pen and paper for the message. Alex could probably take some pointers from this little guy when it comes to dealing with love.

While they wait for the results, Mere and Bailey play tic-tac-toe on one of the sheets covering Janell while Dr. Thompson stands by and judges them harshly. To their dismay, when they get the call from pathology they are told that the ovary they removed was totally clean. Dr. Thompson reminds them that the other could be too, but Bailey snips at her that she doesn't think she has a good personality. Meredith just ignores her, sure that the teratoma has to be on the other one based on their tests. Bailey points out that if not, they will have just sterilized a young woman for nothing, but they get back to work and take that chance. As they pointed out to Randy, she'll be sterile but still having seizures until her brain dies so they are probably making the right call to see it through.