That seems to have spurred Meredith to visit her mother, but she's greeted instead with an empty bed. George is so dead, and he knows it when he walks in and is faced with a missing patient and an angry daughter.
Sure enough, Samuel's scan shows Alex that there's a bullet lodged right in his noggin. He and the tech gape at it awhile until Ellis, who has appeared at the (still open) door, announces it's a bullet and asks them if they'll leave it there or get the guy into surgery.
A few moments later, she's showing Alex certain things on the scan and explaining how the surgery will work when McDreamy is brought in and calmly introduces himself as her neuro consult. Behind him, George calls to her with an empty wheelchair in front of him and says that she's needed upstairs. She calmly gets in while George takes a moment to gawk at the scan. Richard arrives -- this room is getting to be more of a social hub than Central Perk ever was on Friends -- and he asks George if he can't handle his job. George mumbles that he can handle a lot of things, which is really a good way to portray confidence. Way to be strong, George.
Addison is talking to Jeremiah, giving him her surgery recommendation with Bailey behind her to answer questions. It boils down to the fact that it's a long, hard surgery and his lungs don't do well with anesthesia, but on the other hand he's at a risk for multi-system organ failure. Bailey tells him there are no guarantees, which he knows, and his response is, "Yeah, but I'm me." She repeats, "But you're you," with the teeniest of cracks in her strong veneer while Meredith watches it all quietly. He sums up, "So if we don't operate, I die. And if we do operate, I may die." That's the gist, so he decides to go for it, thinking he'll either get lucky, or he can at least know he lasted 26 years, which is "awesome." He takes Bailey's hand and tells her, "It's been sweet." She orders, "It's gonna stay sweet." He (and Cristina, Meredith, Derek, and Addison) isn't the only one staying afloat via denial.
Derek tells Samuel they'll have to do a psych evaluation, and his wife protests that he wasn't trying to kill himself. The two of them bicker (that's just as much a theme this week as denial) until Derek finally has a thought other than about his two-woman problem and asks where she was when the accident occurred. She and Samuel sort of trip over themselves to tell the story, and Derek tells her that she'll have to give her report to the police, which unnerves them both. Alex explains that this is the law, to report gunshot wounds. The wife looks stunned, and Samuel looks woozy.