Alex and Jo. Talkin' sick babies to parents who mirror their romantic situation. The parents are faced with your typical surgery-or-no-surgery decision. Either option has a risk of the baby dying. The mom freaks out at having to make such a terrible decision, so the dad like grabs her by the shoulders and tells her that he's scared too, but she's the most hellacious ice-queen bitch he knows, and if anyone can power through this, it's her. So she pulls together and they decide on the non-surgical option. Then she asks for a maxi-pad "for my girlfriend here." Okay, dumb storyline, but I laughed at that.
Oh, no. What have you people done to the glorious Derek Shepherd posters? Whited-out eyes, a devil goatee, and the word "SELLOUT" in big bold letters? Derek is bitching all the more to Cahill. This is a nightmare. She says they'll have this one taken down. "I want them ALL taken down," he says, before turning around to find Dr. Webber, who swears he didn't do it.
Elsewhere, Cristina corners Owen as asks him the $50,000 question: does he really believe what he's saying? That Pegasus is the path for a brighter tomorrow? He starts to equivocate, but she tells him it's just them right now. Just the two of them. He finally admits that he doesn't believe it. It's a bitter pill, he says, and they just have to swallow it, but honestly, he's not even sure if the sale will make them better or worse. But it's their only shot. "What if it's not?" Cristina asks. "What if it's not all on you?" He cuts her off and says it IS all on him. "I put you all on that plane!" That's the crux of it, isn't it? He gets a call from Cahill: the sale is going down TODAY. He's so relieved that it's almost over. Meanwhile, Cristina knows there's a ticking clock now.
Elsewhere, Meredith and Derek are planning a very silly operation in order to get their hands on the financial statements. He brings Meredith in to meet the board members, and she knocks a thermos of water onto their papers, and there's a scramble to clean up.
Arizona and Bailey are breaking the news to AJ's father that the genome mapping wasn't approved. Which leaves them with the risky surgical option that no one's happy about. The dad asks if that's their only choice now, and Arizona says it is, but Bailey's like, "No, it's not." She says his other option is to check AJ out of Seattle Grace and go looking for another hospital that will give him the care he needs. "He won't get that here," she says, her voice wavering. This is kind of a moment. All the doctors are having this moment this week, at least the ones contemplating the sale, but Bailey IS Seattle Grace in many ways, and to watch her lose faith all at once like this is heartbreaking. And the significance is not lost on Arizona either. "Leave Seattle Grace and go someplace else, fast," she tells him. Miranda Bailey just broke up with Seattle Grace.