When we return, Bailey is presenting the twins' case to the combined team of the Chief, Derek, and Mark. They apparently came in for a separation procedure six months earlier but decided not to go forward due to the risk. The twins are Jacob and Peter, by the way -- conveniently, Jacob wears glasses and Peter does not. Jacob accuses Peter of having chickened out at the last minute, and Peter defends himself by pointing out that he didn't really want to risk dying, even if it meant staying connected to Jacob. The bickering is very realistic, which is probably due to the fact that the actors playing the twins are obviously twins. Alex tells them that they picked the right time to come back, because "New York's top plastic surgeon" just joined the staff. Isn't anyone on this show just an average surgeon? Mark introduces himself, and tells the twins that he and Derek used to work together as a team. Derek: "We worked together. We were never actually a team." George steps forward and asks the twins why they decided to go ahead with the procedure if they thought it was too risky six months earlier. And the answer is revealed as a pretty young blonde woman walks in the room. She's a bit awed by the number of doctors in the room and starts to leave, but Jacob calls her in and introduces her as "the love of [his] life, Elena." In an entirely unsubtle bit of foreshadowing, Peter looks pained to hear Elena described this way. Elena tells the doctors that she told them not to get separated on her account, "because Pete tells me they could end up paralyzed, they could end up dead." Jacob is angry with Peter for telling Elena things like that. Peter: "I wasn't telling her, I was telling you. She just happens to be the only one who listens to me." Derek notes that it is a very risky procedure, and Jacob starts complaining about how awful it is to have to be stuck with the same person all the time for every minute of every day. Derek asks how Pete feels, and he responds, "I think, 'Why would I want to be attached to someone who doesn't want to be attached to me?'" If only Addison had been as smart as Pete at the beginning of Season 2.
Bailey and the interns walk out of the room, and the interns immediately begin fighting over who gets the case. After a bit, Bailey lets them off the hook by telling them that they'll all be assigned to it. But she reminds Izzie that she's still on probation, and Izzie promises not to touch, speak, or breathe near a patient. Mark walks out, and Bailey tells him to pick an intern. Mark: "How 'bout I take the one who doesn't touch or speak or breathe." Izzie rolls her eyes, but walks off after Mark as he walks away.