Richard is trying to schedule surgeries and his mood clearly has not improved as he keeps yelling at the poor nurse doing the writing. He's got a craniotomy and demands to know where Shepherd is but Mark walks up and says that the Chief can't rely on Shepherd, but can Mark do anything? Richard just gripes about how Derek is missing, he has no Chief of Cardio, and he's got, "general surgeons quitting on me left and right." Well, you've only got one as far as we've seen, but okay. [Well, there was Faye Dunaway who got fired/quit recently too, but since she never really did any surgeries, that doesn't seem like too much of a loss. -- Angel] Mark says that this then is a bad time for him to admit that he still can't operate. When the Chief gives him a death stare, though, Mark changes his mind and promises that Richard can count on him. Then, a short balding surgeon -- the anti-Derek, if you will -- says that he can do the craniotomy. After a somewhat rude hesitation, Richard then assigns this Dr. Nelson to the craniotomy and mumbles, "Appreciate it, John." Meekly, Nelson corrects, "It's Jim." Mark then welcomes him to the hospital, figuring he is new, and Nelson has to correct that he's been there for ten years and was the interim neuro chief, "Before Shepherd in his red cape swooped in here from New York." Mark takes a different tack and introduces himself, but Nelson points out that they've met each other three times. I'm not sure if you noticed, but he's forgettable. There will be plenty to make sure you don't forget just how unforgettable he is, though, don't you worry.

The two livid members of the Seizure Patrol are waiting in Beth's room and Ms. S.P. bitches that she doesn't know why their advisor even let Beth join, adding scathingly, "It's not like she's a master flautist." Ah, band insults. Alex gets sick of the bitching (especially as if Beth isn't RIGHT THERE) and sends them out; when they protest that they are supposed to stay he yells that he's the seizure patrol now. He then tells Beth her friends are jerks and she quickly explains that they aren't her friends. "Once you spaz out in front of the whole school friends are kind of hard to come by." Almost every day I have a little reminder as to why I'm so happy to have my school days behind me and that I'm an adult, and this is that moment for me today. Alex points out that she can't help the seizures, but no one forced her to join the band. "It's like spreading nerd on nerd." She doesn't take offense but instead fights back that she likes it and she's good at it. When she finds out he was a wrestler in high school she gives as good as she gets, asking if he's got on tights under his lab coat. Alex tells her that was before, and he's a surgeon now, so she puts it into terms he understands and asks how he'd feel if he seized every time he went into the OR. It does the trick, and he understands her a bit more.