As they rush the kid to the ER Cristina explains how they are going to try a bloodless surgery, which involves recirculating his blood and lots of some fancy-sounding saline solution. Leah is indignant that Cristina would consider something so crazy and then scoffs when Cristina says that if they use blood, they could be arrested for assault and battery. Unfortunately, Cristina's being totally serious and says that there are protocols in place for people who won't or can't take blood. She reminds Leah that they do bloodless surgeries all the time but Leah snaps back that they don't do it for really major cardiac procedures. She doesn't seem too worried about the breaking the law part and still seems incredulous that they really aren't going to use any blood.
Callie and Arizona walk back to pediatrics and are shocked to see Alex at the computer and Simmi still sulking in bed. He warns them that she is so dark she turned him into a suicide risk; Callie thinks he's being ridiculous and decides to go in and force her. She and Arizona argue AGAIN about her approach and then this dissolves back into an argument about Sofia and her tights. Alex finally tells them he's going to go lie down.
When Cristina gets Rich into the OR she shouts instructions and demands various supplies, but when she finally gets the scalpel in her hand, she decides that cutting will cause him to lose too much blood. She decides on another way to do the repair and then orders everyone to reconfigure the ER for that as fast as possible.
Back in the skills lab, Bailey is still trash talking while Richard is swearing as he fumbles with the new procedure. Dr. D couldn't be more patronizing if he patted the two of them on the head while assuring them that they will get it, and a whopping twelve other hospitals in the country have already started using this standardized approach and a few more might be considering it. With stats like those, who needs an individual, thought-out approach? He compliments Mere on a job well done but when he checks Bailey's work he tells her she's not quite there and she should look to Meredith's awesome job. Meredith gives Bailey a smug smile and continues her work while Bailey pouts.
Leah comes out from the OR to update the family, but first she runs into Unnamed Friend and reports that Rich is touch-and-go, and they are taking him back to the CCU. Are you really allowed to tell non-family even that much? Well, Leah has already shown that she's not actually that familiar with protocol and it's not that damning of an update, so we'll let it slide. Unnamed Friend (IMDB tells me his name is Brock, but damned if they ever actually said it on-camera) (also: Brock? His role is not nearly soapy enough for a splendid moniker like that) gestures to a huge group that is praying and tells Leah that is Rich's family. He then voices his concern that in all of their time working at the skate shop and flirting with death on their skateboards, Rich never once mentioned that he was a Jehovah's Witness. He asks Leah, if she believed in something so hard she would die for it, wouldn't she tell her friends? Leah manages to pack a lot of defiance into a couple of words when she agrees that she would. Brock decides he can't take waiting there anymore and gives Leah his number so that she can call him with an update, conveniently leaving her as the only doubting Thomas in the hospital.