Lexie is giving her patient Mitch a prescription for migraine meds before she releases him. (Fun factoid: Mitch is played by Jeffrey Doornbos who used to be a Blue Man with Blue Man Group in New York. Somewhere, Tobias Fünke is filled with jealous awe.) His girlfriend, Gia, proves she's every bit the bitch Lexie had mentioned earlier by giving Mitch a guilt trip that they're missing their anniversary dinner just because he had a headache. She reminds him that it was really hard to get reservations, but Mitch seems more annoyed than guilty and tells her he's sorry but his head really hurts. Lexie, meanwhile, is trying not to stare at the woman though she's obviously judging her harshly.
Meredith pulls back a curtain to greet her next patient and is shocked to see that it's none other than Adele Webber holding her wrist. She tries to tell Meredith it's not a big deal but that when she got home from work she slipped off of a stepladder and landed on her wrist. Despite what she says she can't move without wincing, and Meredith doesn't agree when Adele assures her that she can wait while Mere sees more pressing patients. Mere replies that as the Chief's wife Adele herself is her most pressing patient but Adele looks over Meredith's shoulder and asks, "Are you sure about that?" Meredith turns to see two incredibly drunk guys walk in, arguing with each other. One of them then turns to face the room and asks if anyone can do something about "this." "This" being a giant knife buried up to the handle in his skull, just over his ear.
So it turns out that Adele was right that a dude with a knife in his skull takes precedence over even the Chief's wife. Derek's in brain surgery but Mere goes in to tell him what's up and to ask for him to consult when he's done. Avery's pretty stoked at the idea of a human knife block but tries to act concerned when Derek and Meredith glare at him for his callous cry of joy, and Derek sends him off to get a CT. He then reminds Meredith that they have a date at 6:30. He might want to close up the dude's head in front of him, then, since it's 6:13 according to the OR clock.