Meredith and Derek are acting like interns and making out in an on-call room but Mere does actually want to talk about important adult business. Derek finally heaves a sigh and tells her he's not sure why he should bother with the surgery at all since he's wanted more time to fish and even bought Zola her own pink fishing pole. That's the best he could come up with? "I'm scared." It takes some practice but becomes pretty easy to say. Mere presses him and he finally gives a real answer which is that all of the solutions presented so far are only half-fixes and he might not even keep the function he has. Mere just insists that there will be a surgery that will work and they just have to find it; he is shocked that his once dark and twisty wife has turned into such a legitimate optimist and seems a little bummed that she won't just let him slide into a life of fishing.
Cristina is teaching Stephanie a procedure on a surgical dummy when Smash and Bailey storm in and raise hell about Stephanie actually doing part of the procedure. Bailey is too attached to the guy to allow an intern to work on him -- she points out that he's been waiting for a liver for so long that he was married to a woman when he first got on the list. Cristina finally agrees and teases Bailey about becoming such a romantic; she then turns around and admonishes Stephanie for looking outright sulky about having her procedure taken away.
Arizona is checking out a kid who is stone-faced and silent and very un-kid-like as she tries to be her usual chatty self. She finally gives up and heads out of the room; when she does, Alex hands the boy $10. The kid is decidedly not quiet or shy and calls Alex out on having promised $20. When Alex makes an excuse the kid says that he'll just tell Arizona that Alex didn't want him to say anything about her leg. Alex miraculously finds some more cash and hands it over with a sneer at the savvy little dude.
Out at the nurses station Arizona asks if the kid is always that quiet and Alex brushes off that he's just weird. They get a call from April downstairs asking for a consult on her horse-riding accident kid; both are going to go but Arizona convinces Alex to go ahead since she's moving a little bit slowly. As she makes her way down the hall Heather and her squeaky chair follow and Arizona finally notices that she's got a high-pitched, whiny shadow. When Arizona turns on her, Heather lies that she got lost, turns and pushes the chair the other way down the hall.