Bailey's in the elevator, and Derek gets in and begins to whine and question why she's trying to drive him crazy. Bailey pulls the emergency stop, to give herself some more time to deliver a richly-deserved perspective-giving butt-kicking. "You think this has something to do with you? You think I'm even thinking about your romantic problems? I'm trying to help a patient very near and dear to my heart. And if consulting with your wife...your ex...your mistress, whatever it is that she becomes, if that's the thing I have to do to save my patient then I'm damn well gonna do it!" I know, patients first in a hospital. It's the work sensation that's sweeping the nation. Properly chastised as to the fact that not every single event in this hospital is about his love life, Derek shuts up. For a second. But when he starts to speak again, she shuts him up for good by announcing, "You have put yourself between two very fiiine women and you're looking for an easy way out. You want to use me, the hospital...somebody to make the decision for you and it's not gonna happen."

True confessions: I gripe because I love. The two of them are one of the pairs I love to see together, and I adore their interaction and relationship. My heart is not actually entirely made of tar. Just mostly.

Burke and Izzie are talking to Kalpana, and she ends up busting Cristina in absentia. Burke is stunned yet amused, and orders an echo. Kalpana is quick to ask about other tests and why they wouldn't perform them too. There's a lot of technical speak that boils down to the fact that even if something bigger is going on, they need these results no matter what. Burke leaves with a charming smile. Izzie says confusedly that she thought Kalpana's doctorate was in neuropharmacology and not medicine. Kalpana is quick to tell her that it is, and Izzie leaves, still looking doubtful.