McDreamy tells Tim he's going to need another surgery. He says the frontal lobe is difficult, and he should be prepared for the possibility that things could get worse. Tim growls, "Great. That's just great. I'm so glad we came to this hospital so I could be treated by a bunch of QUACKS who don't know their ASSES from the inside of my SKULL!" Tim's wife starts to cry, and follows McDreamy out of the room. She tells him this is not her husband; he doesn't speak to anyone this way. McDreamy says he knows it's difficult, but the important thing right now is that they stop the bleeding. Tim's wife says he's the love of her life, and she knows he has a lot of other patients, but...and here she starts really breaking down. "I need your word that you'll treat this change in my husband's personality as seriously as you would a fatal cancer, because that's the way this feels to me and my kids. We were happy. We were a happy family!" You were a crazy family, Tim's wife, but I do feel a little sorry for you. McDreamy says he's going to do everything he can.

Cristina eavesdrops on Father Mike telling Justin he doesn't have to feel guilty that he got another person's heart. "God wants you to live. That's why he sent you the heart." Justin says he's not stupid, okay? God didn't send him the heart, and there's no such thing as God, and he knows his first heart didn't come from anywhere magical. "My mom told me the heart came from Santa. I thought elves made it in their factory, or whatever. But that's not true, is it?" Father Mike says no, it isn't. Justin says he knows that, because where it really came from is some other kid who had to die so he could live. He also knows that his mom has been praying for the last two years, since the heart started to fail, for some other kid to die so he could live. Oh, tears! Mom starts to cry, but Justin isn't done. "I know that kid died so I could live. That's what you prayed for all the time, isn't it, Mom?" Mom hangs her head and weeps. Justin starts to fade, but hangs on long enough to say, "That's what she prays for, Father. How does God feel about that?" He crashes. Cristina rushes in and tries to revive him as Mom freaks out and begs her son to wake up. Cristina yells for someone to shut her up; she charges the defibrillator, which I think I might also need right about now, and Justin's heart starts beating again. Commercials.