Owen and Derek are looking at a bunch of scans and while Owen says he can't approve whatever Derek is asking, Derek replies that he's not asking -- he's just giving Owen a courtesy heads-up. Owen leaves for a board meeting and Lexie walks in to find Derek with a proud smirk on his face. The scans all show various awful brain afflictions, and Derek explains to Lexie that he's looking for patients who have been told their cases are helpless, and he's going to tell them that yes, he'll try to fix them. In other words, his latest career move is to play God. Lexie thinks this is awesome; even more so when he tells her that she's going to help him with all these things. But when he realizes that Justine is about to check herself out of the hospital against medical advice he snaps at Lexie that if she can't get the woman to say yes to a simple life-saving surgery, she's obviously not ready for things like the big amorphous white blob he's pointing at. He tells her that once he gets Justine to say yes to surgery, she can help him out with the great blobs of the world. He's happy when she agrees -- so I guess he likes Lexie now too and finds her talented, much like how he's suddenly in love with Mere again. And one butterfly tumor was all it took to have him change from thinking she's inept to thinking she's a great assistant for impossible, medical-history-defying cases. I'm getting whiplash from all of these immediate changes of heart.
Jackson is moaning to April about his romantic problems but she's not really paying attention and just says what he wants to hear. Well, until she reminds him that Lexie did hit Mark's girlfriend with a softball, so he really might have a problem on his hands. He decides he has to think about things and can't work with Mark but April refuses to change the schedule around just because he's acting like a scorned teenager. Alex then comes in complaining about losing all of his surgeries to Polly Preston, and April has a minor orgasm upon hearing that her "number one peer role model" is in the hospital. Her hair is extra bouncy today and she's got a lot of sass -- could she be taking Mama Avery's advice these days? Anyhoo, Jackson offers Alex the nerve graft with Mark and he happily accepts, so April grudgingly switches their schedules around.