While Nick is readied for transport, he tells Lexie he didn't plan to die this way, and she protests that he's not going to die. But that was his point -- that he thinks people have a feeling that they're going to die, and he didn't have it. So he can't die, right? Oh, Nick, did you ever think that voicing that out loud might have been a jinx? Lexie tries to smile at him, but just then he mumbles that he doesn't feel well, and blood starts to soak the bandage on his neck once again. Cristina jumps to examine him and determines that he probably had a stroke, and orders that they get him to the OR immediately. Lexie starts to crumble but Cristina orders, "You can't cry, Lexie, this isn't over. You can't cry." Lexie tries to compose herself and they wheel the bed out of the room, leaving a giant pool of blood on the floor behind them.
It feels like it's been all day already, but Meredith is still outside preparing to do the procedure on Ray. Richard calls instructions to her and she feels around until she gets to the right spot. He hands her the needle, and Ray notes warily that it's a big one. She apologizes as Richard calls more instructions. But just as she's ready, Ray panics. He keeps stopping her right before she's about to stick him, and he asks Meredith to tell Sarah he's sorry he couldn't save Ray. Meredith, also borrowing from the Big Book of Accident Clichés, replies, "Tell her yourself." Ray stops her again as she's about to plunge in the needle, and she pleads with him that they're running out of time. Richard yells in to ask what's going on, and Ray cries that he's trying not to be scared since he doesn't want to die scared. Richard tells him firmly that it's good to be scared. "It means you still have something to lose." Ray asks Meredith if she's scared and she admits, "All the time," with the tone of one who has had a Great Realization. Ray then tells her that he's ready, but says to just do it and not count down, so she plunges the needle right in and he begins to shake.