Mark walks up and proudly tells the Chief about the three surgeries he managed but Richard isn't listening since he's too busy glaring at the board. Nelson is watching him from his other side, wearing scrubs. Richard asks Mark if he heard from Derek, which of course he hasn't. The way Nelson is hovering with no one noticing, I'm expecting him to come back and shoot up the place in a psychotic rage in a couple of episodes or something so that people will notice him. But for now he waits. Bailey walks up and immediately begins to tell the Chief that she tried to not take things personally and knows he's under pressure, but that the way he yelled at her in front of her residents wasn't acceptable. She tells them that they need to find a way to work together and he responds... by walking away and ignoring her. She gapes after him and calls, "Real mature!" Oh Bailey, it's really mature. REALLY. You are better than bad grammar!

Lexie is speaking on behalf of the interns, and they have a diagnosis: Metastatic melanoma that has spread to the liver, skin and brain. Izzie's face drops just enough that I think she really didn't know, but the interns all look really proud. With chemo and radiation, the diagnosis is that X has a few months to live but Ryan adds dismissively that's a best case scenario. "Girl's pretty much toast." Stinky adds that there's only a 5% survival rate, entirely dependent on how talks go between Heigl's people and the network. Okay, that last part was my own. The interns start to chatter about how they'd spend their last few months and then Graciella asks happily what their prize is for getting it right. Izzie loses her cool and yells angrily that their prize is that they didn't screw up and that they got to be doctors, while dramatic music emphasizes her words to the ungrateful little wretches.

Out in the hall, Richard is stunned to see a very angry Adele arrive and order him into the conference room while Bailey smirks. Adele then orders her in too, and she happily grabs her coffee and skips in.