Alex and Hahn arrive with the heart. Denny is wheeled away with Nursyphilis still hand-pumping him. Izzie looks down at Denny before he's wheeled into the OR. Exhausted, Bailey stares at Izzie and silently takes over the hand-pumping. Izzie smiles at Denny and lets go of his hand. The OR doors close, leaving Izzie forlorn on the other side.
Burke is gently laid down on his surgical bed. Not sure whose gentle arms those are. Could be McWeenie. Burke calls McWeenie over. "I'm sure you'll return the favor one day," McWeenie smiles behind his mask. I love that you can read their expressions even though half their faces are covered. Burke smiles and says, "I was going to say, please try not to kill me." Webber and McWeenie snort. McWeenie will do his best. Burke is put under.
Hahn removes Denny's heart and marvels over how fucked up it is. "He wouldn't have lasted another hour with this heart," Bailey comments. The heart goes into a metal mixing bowl.
McWeenie removes the aneurysm from Burke's nerve cluster. Burke's NAPs drop and his arterial pressure is down fifty percent. "Did you cut the nerve route?" Webber demands. McWeenie doesn't see any discontinuity of the nerves, but he wants to do a reflex test on Burke's hand. In an uncomfortably graphic shot for me, McWeenie does something with something sharp in something cut open. Ew! Ew! Ew! The reflex test doesn't work. McWeenie mutters that he would know if he'd severed the nerve. "Derek," Webber asks, seriously, "is the arm paralyzed?" McWeenie says they have to wake Burke up, because he's the only one who can help them determine if McWeenie damaged the nerve relay or not. "He's been through a lot of trauma today," Webber reminds him. "I'm trying to prevent the trauma he's going to feel if I have to tell him he's paralyzed," McWeenie responds.
The interns sit on the floor in a hallway. "Bailey's treating us like we're children," George bitches. "We're not children! We shouldn't have to sit out here like we're in a time-out, or something." Maybe if you weren't sitting on the floor it wouldn't seem like you were on a time-out, dude. Meredith says they deserve a big time-out for what they did. Cristina points out that they could all get kicked out for this. Izzie insists that she did it, not them. She adds, "You're probably right. I probably should run but I'd rather be running towards someone than running away." Aside from woogie-hunting, what does Denny do for a living? Could he support the two of them on his own? Webber comes to get Cristina for Burke's surgery. She insists she's on a time-out and can't come. "Time-out's over. Right now!" Webber orders. Izzie continues to obsess over whether Denny said "marry me" to her. "It really happened," George states, a bit bored. "It really did," Meredith states, a bit tired. Izzie screws the time-out and goes to check on Denny. Burke's surgery. They start to bring Burke around. McWeenie explains that Burke will be disoriented when he wakes up and will probably fight the intubation. Well, wouldn't you? Big ol' thick pipe shoved down your throat and lungs! McWeenie says they can't numb his sliced-open arm because they need him to move his fingers, so Burke will be in additional big amounts of lots of severe pain. They want Cristina to keep Burke focused. They wake him up.