The page was from Olivia, letting him know that the family is there. Saving someone's life seems to have stiffened his spine and he tells Olivia that the problem isn't Alex or the syphilis, but that there is someone else with whom none of that would matter to him. Wow, that's...horribly awkward. But honest, which is good. "I like you, Olivia...I just don't like you enough." Well, so his delivery and word choice need some work, but it's a step in the right direction. And she seems to know that too, saying she gave it a shot, and at least he's honest. He kisses her forehead, and she then asks if he knows what he's going to say to the family. "Why do we hump" -- again, with the humping! Word choice! -- "on every dead or dying patient that comes through those doors?" She guesses, "Experience," not remembering he already lost points for that wrong answer. He answers, "So we can tell their family that we did everything we could." She then watches through the glass as he goes to break the awful news to a very nice-looking family of extras.
Derek is on his Blackberry -- a recurring theme of its own this hour -- when Addison joins him. She asks if he told Meredith what happened with them, and he confirms it. He then asks what she told Meredith, and she repeats, "Sometimes people do desperate things to attract attention." He's aghast and can't believe that her side of the story is that he didn't pay her enough attention. Yeah, you act horrified now, but it's going to be even worse when you change your tune and give this relationship another try. Ouch, sometimes it hurts to know what's coming. When he asks if that's what she thought when she got naked with his best friend, she says that was just scratching an itch, not thinking. She then says that she and Derek got busy and lazy and didn't even fight anymore, and then Mark was there. She claims that she's sorry but at least she's talking to him. But he leaves the elevator and closes the circle of the episode and the day, announcing, "I'm a sink with an open drain, Addie!"