The two McDoctors arrive back at the same time; Bailey lets them know that the fourth climber was brought in. McDreamy asks why they haven't yet performed a head CT, asking if there was head trauma. Bailey says that there is, without giving any details, and just escorts them in the room so they can see the ice axe protruding from his skull. Mark asks, "What the hell happened up on that mountain?" It's a great clichéd Dramatic Line -- I mean, "a great question."
In Adele's room, the Chief is in a panic wondering if it's uterine cancer. Addison has to stop him, and admits that Adele was in the hospital earlier, which understandably upsets Richard. She claims it was doctor/patient confidentiality, but he counters that they're still married and there might be decisions to be made. She stuns him into silence when she breaks in to admit that Adele might be having a miscarriage.
Burke is with Waverly and is trying to pinpoint when her chest pains started, telling her it's important that she be as exact as possible. From a patient's point of view, he's acting kind of scary and urgent, but when Waverly asks what's going on, he says he'll explain everything; first they need to get her to the surgical floor. I certainly hope he at intends to tell her before he cuts her open, at least. She's more worried about the fact that this means the babies will need to be delivered, and she's near tears over the fact that it's too soon and she hasn't decided yet who will be the parents. Joe takes her hand and assures her that it's not important at the moment and that she just needs to make sure she's okay. They're the absolute anti-couple to the Los Angeles adoptive parents that Addison dealt with, and I have to imagine and hope that this caring convinces her that they'll be the right parents for her twins.
The interns arrive at the hospital, and Cristina sees Burke. He explains that his surgery won't take more than four or five hours and he'll be at the church on time. She offers to scrub in, but Addison interrupts to ask about Waverly. He apparently has time to explain it to a fellow doctor, if not his patient, and it turns out her aorta is about to blow. Exposition, blah blah blah, basically it needs to be fixed within the next 12 hours or she'll die, so Addie needs to be there to deliver the babies. Cristina is all excited about the surgery, but Burke misreads it as her being nervous about him getting to the wedding in time, and reassures her before he runs off. Bailey has shown up and assigns George to the McDocs, Izzie to Burke, and Alex to Addison, and shoos them away. She then tells Meredith in a quiet voice that she's going to be with the Chief's wife, who might be pregnant. "Yes, I did say 'pregnant.' I recommend that you lose the shocked look and try for something a little more…dignified." Meredith snaps on her Dignity Face and runs off. Cristina asks for something to do but Bailey orders her to actually take the day off that she's been given and go home to sleep; her wedding is in less than 12 hours. It's very much like Beverly Hills, 90210 when Kelly was at work the day before her ill-fated wedding to Brandon. If only Cristina had spent a little bit more time watching repeats of 90210 and less time being a phenomenal student, she might have predicted that the chances of the wedding actually happening were slim. She tries arguing with Bailey, pointing out that Burke gets to operate. Bailey: "There's only one Preston Burke." Ouch. Cristina squeaks, "There's only one Cristina Yang!" But Bailey just orders her home and leaves as she asks the rhetorical question, "What would you rather be doing, prepping a patient or prepping for your wedding? Go home!" I wonder if Bailey has ever actually met Cristina, if she needs to ask that question. Cristina just stands at the station as she walks away, looking sad, small, and a bit lost.