Bailey has finally gotten the hang of the hernia repairs; Dr. D compliments her on a job well done and then blathers on about how much he loves hernias and executing things perfectly. Bailey is gloating when Mere takes a deep breath and pulls off her gloves, and quickly she realizes that something is wrong. Mere tries to play it off but she's obviously upset, and she runs out. Bailey, totally serious now, follows her into the hall where she finds Mere pacing, holding her stomach, and theorizing that she got too happy and complacent and now the universe is smacking her down again. Just when we think she's gone, Dark and Twisty Meredith rises up from the deep and rears her head. Bailey makes her stop and explain what's going on, but when Mere says it's a flutter, Bailey puts her hand on Mere's stomach. Gently, she tells her what's going on is actually a really, really good thing -- the baby is kicking. They both break out in grins.
Cristina explains to Rich's parents that he's lost at least half of his blood volume, and his mom breaks down in scared tears at the news. But even though she and Rich's dad are heartbroken and terrified, they are very firm in their beliefs and maintain that he not be given more blood. They explain that they believe life is a gift from God, and you don't try to sustain it by taking in blood. Cristina tells them, gently but bluntly, that Rich is in critical condition and that without blood, his organs will shut down and that will basically be the end. As his surgeon, she implores them to give him a chance. But they are adamant and his mom says that they have seen miracles through prayer before, and if it's God's will that he live... Leah finally freaks out and starts yelling at them, but Cristina shuts her up quickly. Rich's dad doesn't get mad, because he knows that they are doing all they can, but explains that giving him blood would condemn him and he knows that it would be better for Rich to die without it than live with it. Cristina tells them that they understand and will do everything they can to keep the boy alive. Leah glares at them for a while, but finally turns and follows Cristina.
When April comes back to Derek with a report on her presentations, she admits she was basically yelled at by everyone and totally failed. Derek pretty quickly realizes that she did actually go into the numbers with everyone, and says that he'll try and fix what she did. He then sees one doc from dermatology and runs after him, making conversation about their kids in daycare. He talks about how Zola is at the age where she tries to swallow magnets, LEGOs, and any other choking hazard she can find, so this is what that doc has to look forward to soon. He then comments happily that it's a relief that there is an ER just downstairs in case anything ever happens. The other doc agrees and then stops and asks, hang on a second, isn't that closing? With that, Derek smoothly works into his suggestions about what they might cut to save the ER. April follows behind them, hopefully soaking up some of the personable magic.