Meanwhile, Alana is really starting to get into her surgery and when she comes up with a solution to fix the artery, Owen has her do it. Jackson and Stephanie come in so that he can get to work on what's left of the guy's nose, but his headlamp isn't where it usually is and this starts him on a sarcastic tirade against Alana and her methods since now he's just actually wasted time trying to find something. As he rants that it feels like they are working in a fast-food restaurant, Alana is starting to look uncomfortable behind her surgical mask and finally Stephanie notices that she is there. Both she and Owen keep trying to gently get Jackson to stop, but he rants about Alana's lack of OR experience, saying he can tell she hasn't been in one in years. Finally, she speaks up: "Until today." As Owen glares at him, Jackson catches himself and tells them brightly that he can repair the nose post-op, so he'll just be on his way. He and Stephanie then flee the OR, and Owen apologizes to her. She takes it fairly well in stride and says that people need a bad guy when things like this happen and she's used to it being her. And while he's upset about the ER and the docs are upset about everything, this is how the hospital will survive and in her heart, she'll know she's the one who saved it. She does sound like she's fishing for a kind word, though, when she tells him she's saved a dozen hospitals before this one and no one thanked her then, either. Boo hoo.
Leah is still in a fury over the blood ban on Rich, because he's not doing well at all. When Cristina calmly tells her that they have to respect his wishes, she has a fit because of what Brock said; Cristina snaps back that buddies don't usually talk about their religion at the skate park. Leah just asks how he can know what he believes at age 19, saying she was a completely different person at 19. She also is someone who has clearly never been religious in any way -- I get why she's upset, and it would be so hard as a doctor to do this, but she still needs to back off about the kid's faith. She's so worked up that she actually cops attitude with Cristina, horrified that she's fine with it. Cristina tells her that it doesn't matter what they think since his alert was clear, and it's not for them to have an opinion. But she does tell Leah they will try to talk to the family, and Bob wishes them luck from above as they leave.
It's Callie's turn to try and get Simmi out of bed, and she just orders the girl to do it. But the girl out-sasses her and declares that she doesn't give Callie permission to touch her, and she'll scream. Callie decides to try another approach -- the "Fine, do it, see if I care when your hip rots and you can't walk again" approach. Simmi is not impressed and finally sneers at Callie as she talks about how much it would suck for her if she did all she could to fix Simmi, training hard to be a surgeon, doing the operation perfectly, and then it didn't help anyway. Dramatic piano starts up so we know that she's getting to Callie as she gripes that it doesn't matter how hard someone tries, or how much they want something, because everything is out of their control. Once she has Callie good and defeated, she gloats.