Meredith and Callie are in surgery, and Mere is seriously grossed out by the pork smell on these severed digits. Up in the gallery, Alex is watching it all, amused that Mere is going to have, while Alex tries to study his file. Lexie and Amelia arrive for the show, and as Alex bitches about losing his only competent intern for the day because she's pregnant, Lexie immediately wonders how Morgan is doing. Because yes, everybody knows Morgan is the pregnant intern but Alex. Avery gets beeped out to surgery, as Alex explains that he was tasked with calling the boyfriend, but after calling four times, he hasn't heard back. Lexie's like, "Yeah, but he's a fourth year at the Cleveland Clinic, so..." Because Alex seems to be the only one who hasn't noticed that the only thing more inescapable than horrible tragedy at Seattle Grace Mercy West is how everybody is all up in each other's personal business. Amelia, meanwhile, is rapt by Meredith trying to reattach the fingers rather than simply amputate. "That's going to be so much harder" she sighs. Also harder? Lexie's brainstorm to go through the carotid artery in their procedure. Amelia says it'd be harder, but would give them better control than going through the femoral artery. The two women bolt, leaving Alex to stare at Meredith alone, hoping she pukes.
Avery and Sloan are removing lymph nodes from Carrie's ... wherever you remove lymph nodes from. Avery almost drops one, causing him to let out a small "oops!" From the back of the room, tiny little Miranda Bailey jumps all over the "oops!" Sloan passive-aggressively invites her to step up and better observe their every move. She starts second-guessing like crazy, and Avery is obviously distracted by her presence.
Lexie finds Derek and makes another case for him to consider surgery. She says it's only what he's been teaching her -- to keep looking for a solution until she finds one. Derek says the key difference is that he knows Lexie can handle it if they lose the patient. He doesn't think Amelia can. Lexie shoots back that it's Derek who is too emotionally involved. If it were any other doctor coming to him with this patient, he'd be all up in it. It's only because he's too worried about Amelia falling apart that he's not. Derek's inability to find a retort to that means Lexie wins.