Proving that no one in this hospital can make a decision without someone else's opinion and/or approval, Derek reports to Mark about the baby comment and concludes that Meredith is ready. Richard joins them and asks what's up, so Mark blurts out that Derek is proposing. Derek is peeved but the Chief lights up like a Christmas tree. Hunt shows up too and after Mark lets him in on the secret, Derek asks if he's going to tell everyone. Mark defends that Derek needs advice. He then asks Hunt if he has proposed to anyone, and Hunt just replies that he's not the type to ask. Let's all keep this in mind for a later date, shall we? Mere walks by the boys so they all start fake-hearty-laughing, which totally weirds her out. Derek then turns to Mark and orders him to keep quiet, accusing, "I thought I could trust you." Mark is all serious as he assures Derek that he can, and then he stares meaningfully after his best friend as he walks away.

While Mr. Kramer cools his... er, heels on a gurney, the interns are all gathered and making, "short end of the stick" jokes. Two tells them to stop laughing, "We're gonna get reamed!" which of course makes things worse. Alex comes up to admonish them but when he tells them, "Enough wisecracks," Two can't control his inner 12-year-old and blurts, "Cracks!" I would like to judge them more harshly but I know that I can't resist a crack joke myself and I'd probably be one of them right now. The Chief walks up and puts a stop to it, telling them that they can watch him act like a professional. He goes up to Mr. Kramer and very technically tells him basically that films showed something was suck, and that they're going to get it out. Mr. Kramer is incredibly relieved to hear it.

After all that big talk about how much the clinic sucks, Sadie can't even seem to stick a patient correctly. After hearing the woman yell, Izzie comes up and asks them if they hadn't all practiced this on each other? She has a very good point, but Sadie's ineptitude turns out to be to Izzie's advantage. Iz pulls up her sleeve and has Sadie try it once on her before she goes back to her poor patient, and then as nonchalantly as she can tells Sadie to run her results as well. With this little light bulb over her head, she makes an announcement that all the interns should see her before they run any tests.