Alana keeps her fingers in the guy's artery all the way to the OR and Owen tells her that as soon as they find another surgeon they will switch her out. But being a trained surgeon herself -- a point that's very easy to forget with her current position -- she tells Owen she's got it and points out that with injuries such as this it's better to just have one person plugging the neck with a finger as it lowers the chance of the victim stroking out. Owen seems to have doubts about her being there but knows she's right, so he orders the staff to get a gown on her.

Derek and April are wriggling like puppies as they walk down the hall planning their presentation. Unfortunately, April is a numbers geek so that's all she wants to talk about. Derek realizes this is not the right approach and they decide that she'll be Vanna White to his Pat Sajak and will hold up the charts when he needs them. Just as they finalize this plan, though, he gets a page to go consult on Chainsaw Logger, so he tells April she'll have to start without him. She's under no illusions and reminds him desperately that no one likes her, but Derek orders her to forget the numbers and talk from the heart, confident she can do it. Or at least, he says that to her in hopes that she believes it.

Dr. Darryl finishes up a video on something called The Varner Technique and proudly tells them it took him years to develop this. Wouldn't it be called the Dr. Darryl technique, then? If this thought has crossed his mind it's not bothering him as he excitedly drones on about the mighty hernia. But Richard isn't on board and raises his hand, telling Dr. D nicely that this is all well and good, but he's developed his own technique and he's going to go ahead and keep using that. Dr. D has just a mildly patronizing tone as he says that they all need to use the new method so that they are, "Quick. Clean. Efficient." Bailey turns around and mocks Richard for being an old dog who can't learn new tricks. Dr. D then announces that they will run a competition -- first one to 20 perfect hernia repairs wins a Seattle Grace Mercy West hoodie. Mere can't help but make some fun but Bailey is in it to win it, sure that what they are actually winning is job security. She then declares, "Tributes, may the odds be ever in your favor." She's been doing some quality reading on her nights when Ben is in California; I applaud her great taste.

Alex goes in to talk to Simmi and from the moment mocks his trying to get her to take her earbuds out you can tell she's even surlier than the average teen. He tells her she has to get out of bed and if she doesn't her hips won't heal right, but she haughtily declares she doesn't care. When he has the nerve to tell her that her life isn't over at 13, she snarls her life story to him: she was an elite gymnast whose mom worked double shifts to support her training, and the year before she came in first at the Future Stars Nationals. She was basically all lined up to go to the Rio Olympics. Her hips started hurting and she trained through it which, given where she is now, seems to have made whatever it was worse. Now, she declares, she has nothing to live for. When Alex insists this isn't the case, she gets even nastier with him and finally tells him he might understand her feelings if he had ever been the best at something. She's pretty much getting off on her righteous anger and finally says that all she has left to do is to wait to die. Defeated, Alex finally trudges out of the room.