Derek, meanwhile, is walking through Izzie's surgery in the empty OR. He's very solemn, and his movements are punctuated by a lot of very dramatic sighs.
Alex marches into the Chief's office and puts down a bag with a very conveniently placed green label to hide his contents, announcing that the cup is all filled up. The Chief is eating and fairly grossed out by all of the potential Alex that is sitting within a fork's length. Alex adds, "It's fine. I washed my hands." It had never occurred to me that this wouldn't be the case, so now I'm doubly glad to hear that. Richard asks if he spoke to Izzie about all this yet, since they are basically conceiving a child, but Alex just yells that he asked for his contribution, and here it is. He leaves with a patented, "Whatever," and the Chief tries to push the bag a little ways away so he can eat.
Out with the little people, George is eating in the cafeteria when Mere sits down and asks how Izzie is doing. George doesn't know, and when Cristina and Alex sit down Mere realizes that none of them have been to see her. They look at an empty chair, which is very clearly judging them all for being shitty friends.
Izzie, meanwhile, is holding a finished scarf when Bailey walks in. She's amazed that Izzie finished and Izzie lets out a sarcastic laugh about all the free time she had. Bailey guesses correctly that no one has been to seen her but Izzie tries to defend them, saying she wouldn't want to be in that room either. Now, I'm not the president of the Izzie Fan Club but even I know that's totally not true, and as long as there was no "intense hallucination" with whom she was having sex, she'd be the first one there taking care of her people. She tells Bailey that she doesn't have to keep checking up on her and Bailey says that she does... but then finishes that she has to give Izzie a pre-surgery IV and wanted to let her know how her colectomy went.
While Izzie lays in bed, Callie is spread out on a pew in the chapel. As Arizona watches her worriedly, Callie admits that she wished Izzie would die, and kept wishing it for a really long time. She's horrified at herself for not only that, but for wishing that when as a doctor she knows shit happens. Arizona, however, points out that Callie is the good person we know her to be by asking if she's currently praying for Izzie to die. Of course she isn't -- she's now praying desperately for her to live.
Joyce is flatlinging once again, and once again her family is all hoping for this to be The One. Alex finally yells at them to get out, and then pleads, "Come on Joyce, you old bag, don't give them the satisfaction." He charges again and gets a pulse, so then orders Lexie to make sure the family stays out. "Give her a break from all the love." Joyce, though, is there for a reason -- she grabs Alex's arm and tells him no. She croaks that they are impatient because it's been a long time, but that they always come to be with her. "They're my people. People keep you going. People are better than no people." And there we have the baseball bat to the head that Alex needed.