"Skin doesn't matter to a surgeon. They'll cut right through it. Go inside, find out the secrets underneath." Richard and Hunt are already waiting outside and everyone else joins them. Mere asks Alex if he got Izzie's message that she sent divorce papers, and Alex tells her he will have to find them and then will sign them, acting like it's totally no big deal whatsoever. It's a bigger deal to Lexie, whose ears perk up and she awkwardly congratulates him on this step. Meredith rolls her eyes heavenward at the palpable awkwardness while Alex just looks confused yet disdainful, and when Lexie runs off he asks what's up. VO: "It takes delicacy and sensitivity." Real Mere tells him that Lexie cares about him and when Alex says she doesn't because they don't have a Thing, Mere warns him to make it a Thing or to end it. It's good that someone said it, and Alex doesn't have time to argue with the advice because an ambulance rolls up... and then right past, followed by a truck and a whole parade of emergency vehicles. Bailey turns and reminds them sternly to remember what they were just taught or else, as the firefighters pull down the back of the truck and when Cristina asks if the circus came to town, Avery sees a GIANT dude hanging out in a bed in the back of the truck and quips, no, just the elephant! He's immediately thrown off the case, and it can't make him happy that the patient himself, Bobby, starts making jokes at his own expense as he calls to the assembled doctors, "We're gonna need a bigger hospital!"
Once they get Bobby in bed in an exam room, the doctors all go to work on him and it's clear that he's a personal and jovial guy with no problem cracking jokes -- he points out that he's using up all the doctors and wonders if there isn't someone else dying somewhere. But due Bailey's training earlier, they all remain stonefaced as they work. Meredith comments to Cristina that now she understands the training and Cristina agrees and adds, "No fat jokes." Bailey promptly kicks her off too, despite her arguing that she didn't actually make any joke at all. As he answers questions about the stomach pains he's been having, a super cute, petite woman runs in asking Bobby if he's okay; the whole gang has to remind themselves to control their facial expressions when he introduces her as his wife Melissa. He tells them that she worries, making mountains out of molehills, "And I'm already a mountain!" They are the only two that laugh and he finally comments that they're a tough crowd. Richard tells him they have to turn him over again but as they get ready, Alex lifts his stomach and sees that all of the skin in the fold is covered in red, raw sores. Bobby laughs and asks if they are popping the hood because he certainly can't see what they are looking at, and apparently also can't smell yet what the other doctors can as they once again try to maintain their poker faces.