Meredith is sitting at a desk when Derek finds her and asks if she's gone home or eaten. She hasn't, nor has she cried. Derek tells her she should but she cuts him off and tells him that his just being there and saying nothing helps. She asks him how he is doing but doesn't have a chance to hear the answer as Alex comes and says that they need her and she runs out. Together they wheel Izzie into George's room. Amanda has been with him and has a hand on his arm while she sobs how sorry she is before she shuffles out. Izzie, meanwhile, is in shock with her hand over her mouth. She leans forward and tentatively takes his hand before she starts to cry, and Alex turns away clearly worried for her and not wanting to watch. Meredith waits as well, her own eyes still dry.
Arizona is back with Pam and Andy and tells them that these really could be growing pains, especially as Andy had mild scoliosis which could have been aggravated. She is planning to send him home for a couple of weeks with pain meds and if things aren't better, they'll do the test. Pam understandably wants to know why they don't do them now, but when Arizona points out they involve thinks like sticking needles in Andy's spine, he quickly says it all sounds good. Pam asks if she's sure, and an honest Arizona admits that she's not but she's going to give him some muscle relaxants and will be at the hospital if they need her. While it sounds kind of horrible, I really do appreciate her honesty as I've been to the doctor where they try and make up an answer to what's wrong, and that's almost worse when then it turns out not really to be the problem.
Derek finds Richard gazing into an OR from above, and when Richard runs off to see if there has been a decision made about George's organs Derek stops him so they can talk. He acknowledges that it's not the best time but tells Richard that the Board is planning a coup, that they want to oust Richard because they think it's his fault the hospital's ranking is low, and they want Derek's support and for him to be Richard's successor. Rather than be grateful for the heads up, Richard is pissed, especially when Derek adds that he told them he'd think about it. Derek points out that he bought the Chief time but that he needs to come up with a plan. But, rather than thank his friend and take it all into consideration, he flees the second he is paged about George's organs. Yes, it's an important and time-sensitive issue. No, he doesn't need to treat it like an escape. I like the Chief but he's not doing much to prove that he isn't a failure with behavior like this.