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.
Scott has gone back to the nervous rhythmic pounding of the arm of his wheelchair, as his mom and the doctors all stare at him. Leah pleadingly says his name and he looks to Alex for a moment before answering. He says okay, and his mom breathes her first real breath since they came to the hospital. Burke starts to give orders but Scott interrupts that he has conditions. To his shocked mom, he says that she has to tell the cops the truth about the car accident. She opens her mouth as if to protest, but he continues that when they get home from the hospital, they're moving out. She clearly wants to argue, but he announces, "Enough is enough." Hear, hear! Let's hope that others remember his example when it comes to their own toxic relationships. (...She says, shiftily eyeing most all of the doctors and interns.)
Cristina is just disgusted, sure that Leah will go back to him afterward. Burke says they don't know that, and she interrupts him to take the words out of his mouth: "It's not our call." He pauses and finally awkwardly asks if they could talk. When she pins him down as to what he's trying to say, he asks if she's okay. She pauses and asks her own question: "Can I scrub in?" After a moment, he nods. "Then yes, Dr. Burke, I'm okay." He's definitely got her thinking like a surgeon, whether he likes it or not.
Derek and George are looking at their patient's tumor on an MRI. George thinks it looks bad, and Derek asks him if he's ever had a really crappy day. But it's not what you think -- this one is going to be a better day! He tells the transplant team to go home, announcing he'll be the only one doing surgery that day. "Our friend here has a viable brain." Personally, this five-minute story is one of the most disturbing I can remember in recent viewings. I feel like affixing a Post-It to my driver's license, right next to my donor sticker, saying, "As long as I'm really brain-dead!" with, like, a little smiley face. I don't want to offend the team of doctors about to cut up my body, and I'm happy as a clam to give up my organs, but only if they're 100% sure I really don't need them anymore. This 90-something-percent business that seems to be unfolding is skeeving me out. To their credit, the transplant team all nod and leave without a peep, so it does seem like they meant it that they didn't want to just reach in and pull the beating heart from a living body. Derek explains to George that she has a viable chance at recovery once they get the tumor out, and then gets up to leave. On his way out, he turns and tells George to look out for Meredith before he walks away. George then gets paged. Hello, guys? Your patient is still hanging out in the MRI machine, and you all just left. Hello? Anyone? Care to get a girl out of the giant claustrophobic tube?