Naomi, who should never sing, is singing a cheesy song not worth transcribing to Archer, while Addie, embarrassed, tries to get her to shut up in front of Mere. Ah, this must be the famous song that Derek wrote for his former love. Mark comes in and happily greets them, taking credit for writing the line that rhymed "gross anatomy class" with "Addison's fine ass." He then sees Mere and calls, "My bad," but she assures him its fine, and that it sounds like a fine song. The subject turns to Archer's surgery, which he's still not sold on having though Addison insists he is doing it. Archer doesn't like surgery, especially brain surgery. Really? Because I thought it sounded like a day at Disneyland. Talk about stupid lines. I guess he's a neurologist, and Mark comments that he's probably seen patients post-brain surgery with scrambled eggs for brains. Addie tries to shut him up since they are trying to talk Archer into it, but Derek walks in and announces that surgery "is not an option." Derek explains that Archer has eight cysts in his brain, and Derek can't get through all of them without rupturing one. Addison plays dumb and asks what this means, and Archer tells her, "You're in a room full of doctor's Addison. We're all being very quiet right now. I'm going to die. That's what it means." She starts to crumble and a dramatic musical crescendo takes us to a commercial.
Izzie has all of the interns in a room full of medical dummies on gurneys. She tells them that in their envelopes is the name of a surgery, and they are to drape their dummy for that surgery. Once they're done and correct, they'll be given a new envelope with a new task. Sadie looks totally confused, and then decides to copy what Lexie is doing. Izzie then goes up to Ryan and begins to yell in a fake voice that her mother could drape better than he can. He's practically immobilized with fear and she has to explain that she's trash talking, just for fun. It loses a whole lot of its punch once she's got to do that, and she sends George a pleading look to join in, so he gives a weak "Woo!" Lexie is done and correct, so she gets a new envelope, so Sadie calls that she is done as well. George takes one look and tells her that a whipple is for pancreatic cancer -- was she planning to go in through the mouth? She's got to start over again.