Bailey is knocking out hernia repairs left and right and sings that Richard should go ahead and swallow his poison berries now because she is the girl on FIRE. I'd like to see Bailey in the Hunger Games. I think she'd kick some serious ass. Richard then calls over Dr. D to check his work and he's at first impressed and then put out because Richard didn't use his method. Richard cheerfully says that he wanted Dr. D to see his method and how well it could work, and Dr. D has to try and control his temper as he tries to smile and remind Richard that this method won't be used there anymore. I would think as long as they have material to do sutures it wouldn't make a difference -- if Richard's method works for him, it actually uses fewer supplies than the other. Richard also gets pretty ticked off as he mocks this new mindset, which just turns the hospital into an assembly line. Dr. D thinks all patients deserve the same standard of care but Richard demands to know what standard that is if the doctors are just trying to shuffle them in and out as fast as possible. Bailey looks uncomfortable, like she wants Richard to save himself and stop making a scene, but as Richard goes on Dr. D finally loses his cool and screams, "You're missing the point; the patients don't matter!" He pretty immediately tries to smile and backtrack but by now all of the surgeons are staring at him and Bailey is glaring skeptically. She doesn't even gloat when he tells Richard he should follow her lead.
Leah gets to the door of Rich's his room and watches as Cristina and a team repeatedly shock him and do compressions. Cristina is grasping for other ideas but sad music starts to play which tells us this is the end for the poor kid. He is also completely grey, which is another good indicator that it's all over. Cristina finally calls time of death. After everyone files out Leah says that he didn't have to die, he just needed his family to allow him some blood, but Cristina points out that patients who get blood die all the time too, so they don't know for sure how he would have turned out. She plans to give Leah a very long lecture about how horribly wrong her actions were, but she says sadly that first she has to go notify his family. She then looks up at the camera and tells Bob that the show is over, he can change the channel.