Daisy is taking the offending spot off of Izzie's back and cheerfully tells her that she was right to have it checked but doesn't think it looks too suspicious. Izzie dully asks what it means if she also has high LDH levels. Daisy remains optimistic and cheerful, saying that could be due to anything. But when Izzie mentions neurological episodes and hallucinations, Daisy's façade cracks for just a moment. Izzie can't see her as she puts some gauze over the wound, and Daisy has composed herself in a moment to remind Izzie that they see patients like this every day, but that as doctors their job is to not worry until there is medical proof. Why, by this time tomorrow she'll be laughing about it! Izzie is clearly not convinced.
Addie pulls out the tiny newborn and hands him to Arizona, and they comment that he looks strong. As she cuts the cord, Jen flatlines, and Derek pulls off his headpiece and shuffles out of the OR. Stupid show. Always killing the patients I actually like.
Rob is shaking -- clearly they have broken the news. He seems to not be hearing them as they explain that the steroids they used helped the baby's lungs, and the 3 days Derek postponed surgery gave him more time to get stronger. She's hopeful that the baby will survive, but Rob is thinking of Jen right now. He stutters that he doesn't understand. "She just died?" All Derek can say is he's sorry. Rob, with a hint of anger, says that Derek said that, but he's asking how Jen died. Mere explains that Jen's high blood pressure burst the bypass, which caused bleeding and swelling, and there was too much damage to her brain, so they delivered the baby. Rob then recaps for all of us at home. That she had her first surgery, there were complications, then they were fixed, but then the baby got sick and Jen got sick again, but Derek said he fixed that too. "And now she's dead?" Maddeningly, Derek again apologizes and Rob flips out, yelling at him to stop saying he's sorry. "You killed her. You're a murderer. A murderer." He then, horribly, starts asking for his wife as the sad doctors all look on helplessly.