Richard is working with Meredith when April brings Adele to the gallery. It might have been a good idea had she not been so fixated on the memory of Ellis; when she sees Meredith she mistakes her for her mom and begins yelling that she needs to leave, and Richard is her husband, not Ellis'. At a loss, April turns on the intercom so that they can talk to Richard, and he's shocked to look up and see his wife. His shock turns to dismay when he realizes she's having an emotional meltdown. He tells April to leave the intercom on and tries to talk to Adele, but she just continues screaming at "Ellis" to get out. Mere offers to scrub out but Richard needs her help and, already exhausted, he calls up to Adele an assurance that he isn't leaving her. Mere then quietly suggests that he bring up a happy memory to try and ground Adele, which is something that worked for her mom. As Adele sobs uncontrollably Richard thinks a moment and then begins singing "My Funny Valentine" while she begs him to come home to her. April can barely watch, it's so heartbreaking, but finally after a few moments Adele realizes what is going on and eventually, she starts to sing along. A smile breaks out on her face as she transforms into a giggly, wide-eyed girl. The two of them sing together and while Adele is still crying, she seems happy. She then takes over and sings the rest of the song herself, finally clamming down. Richard reminds her sweetly that that was the song they first danced to at their wedding, and how beautiful she was. She giggles and adds that it's because they are getting married on Valentine's Day. She's off in another time, but she's happy and in love. Richard tells her that he loves her and then turns to Meredith and quietly asks her to tell Bailey to cancel the party. Upstairs, April puts her hands on Adele's shoulders as she looks around, still kind of confused at her surroundings.
Derek is still having Lexie walk him through the surgery but they reach a point where he shoots down every suggestion she makes by pointing out each will leave him paralyzed or dead. This isn't to say it is Lexie's fault, but just that the tumor is that nasty. Finally, over her protests, he tells her they have to just close him up. She argues that they can't do that and that they have a 5% chance, but he tells her that they don't even have that any more. As a last resort, she holds her hands out over the incision so that Derek can't do anything and blurts out that Wes knows he has a tumor, adding that he's known all along. Well, he's known since the last doctor, it sounds like, but the point is that he knows. She feels awful since she promised Wes they would try their best. Derek isn't getting any joy out of this but he knows what has to be done, and he orders Lexie out of the OR so that he can go ahead and finish.