George finds Derek and stutters out the story about the organ donor's brain stem still being alive. The two of them book it over to the transplant team, where Derek introduces himself. Practically rolling his eyes at the nuisance, the transplant doctor tells Derek that of course they'll wait until she's dead to harvest her organs. There's a lot of back-and-forth and it turns out they're just going on the word of the doctor at the other hospital, rather than on printed test results, and Derek wants to run his own tests. Burke finally hears a commotion and comes over, acting the big man and asking what's up. I won't give Isaiah Washington much these days, but he's doing a good job showing just how much Burke gets off on playing Chief of Surgery. After a moment's hesitation where it looks like he might not give the patient to Derek solely out of spite, he declares that the patient is his, much to the annoyance of the transplant team. George follows him to assist, and Meredith and Cristina stare after their exes. This is where personal experience comes in, because Burke was such a jerk and is acting like such a blowhard in general that I can't understand why Cristina is mooning over him. But then again, people in glass houses, and all that -- I'm not really in a position, like most women if they're being honest, to deride someone for mooning about an inappropriate ex. I suppose if you really want to nitpick, there's also the matter of her carrying his child. Details! Pish.
Izzie finds Alex and Scott outside. Scott asks Alex about what happens if his dad hits his mom again, but Alex insists he can't make his decision out of anger. Scott just seems so scared, defeated, and angry that I want to give him a hug. But I think this was also when Alex really demonstrated that he wasn't just a one-dimensional jerky man-whore and he's just what Scott needs. When Izzie catches up and chastises them for being outside, Alex lays into her, and she retreats against a wall a ways away. Alex kneels and tells Scott about how he became a wrestler, and then used his new strength to beat up his dad the next time he hit his mom. His dad then left and never came back. But he also admits now that he wishes he hadn't done it and that they could have worked it out. It's sad because it hints at the same wishful thinking that Scott's mom clings to, that things might turn out okay. I don't have any snark about this scene -- abuse is bad. That's all there is to it. They then begin to walk back, and Izzie apologizes to them but explains that Burke needs a decision now.