Mere is pretending to be a patient for Alex. She says it hurts "here, and here, and here." Alex: "Any chance you got hit by a truck?" Hee. Mere tells him he's judged on bedside manner, and she wouldn't be surprised if that's why he failed the last time. Alex says it's not like he even asked for her help in the first place, neener neener, et cetera. Mere's like, "Enough with the ego, you big baby! I gave up a surgery for this! Now. Like I said, it hurts here, and here, and back here. Oh, and this morning? I noticed my poop was a funny greyish color." Alex gives her a nasty look, and also wonders why she's using that crazy Boston accent.

Bailey and George are in surgery with the gastric perforation. The guy apparently had gastric bypass surgery, and then ate too much. Bailey says eating is what he lives for, and they should just put him out of his misery. George tries to make a funny: "Paging Dr. Karevian, heh heh heh." Bailey lays into him. She holds up her scalpel: "You see this, O'Malley? I make one mistake with this scalpel, this man's dead. My husband? He makes mistakes at his job all the time. As far as I know he's never killed anyone, but I have. And YOU WILL. And Alex did. He made a math mistake, and a man died for it. Run that past your accountant; see how he'd feel if, every mistake he made, someone ended up dead." Aaaaaaaaawesome. Bailey's not done yet, though: she tells George he doesn't have to like Alex, but he damn well has to be on his side. George is stunned into silence, as he should be in the presence of such greatness.

Tim's surgery. Izzie goes on and on about what a great family Tim has, with their Hanumas and Christmakkah and how cute are those kids and blah blah blah vomit-cakes. McDreamy is finally like, "Really, Dr. Stevens. Christmakkah?" Izzie thinks it's sweet, of course. McDreamy shuts her down, saying brain injuries pile up around the holidays every year, with people falling off their roofs stringing up lights, or skating for the first time in a decade. "And every year, people drive through blizzards to get to parties where they kiss germ-infected strangers under poisonous mistletoe, and then they get so drunk that they smash their heads through their windshield on their way home." Well. Merry Christmas! It does get Izzie to shut up, so that's something.