Minutes later, Derek's on an elevator that quickly empties of everyone but himself...and Bailey. The doors close and she glares at him. "Miranda," he says by way of greeting. "ExCUSE me?" she snaps. Derek's all, um, that's your name, right? I mean, it's on your jacket. She continues to glare at him until he finally says that he'll just call her Bailey. She's had enough. "You think you're charming in that talented, neurotic, overly-moussed-hair sort of way. Good for you. But if you think I'm going to stand back and watch while you favor her... " "I don't favor her," he says lamely. "She's good." "I'm sure she is," sneers Bailey, clearly not meaning Meredith's medical skills. Bailey goes to leave the elevator and Derek meekly points out that, technically, he's her boss. "You don't scare me," she says. "Look. I'm not gonna advertise your extracurricular activities with my intern. However, the next time I see you favoring Meredith Grey in any way, I'll make sure she doesn't see the inside of an OR for a month." Ouch. Snap. The elevator shuts on Derek's over-inflated sense of self-worth. Heh.
Down in the CT scan room, Annie's ready to go through the tube. Alex is gently telling her about the microphone inside the tube and how she can yell for help if she needs it but that it'd be best if she just remains still because if she doesn't, they'll have to do this all over again and that would suck. Keep that part about the microphone in mind; it'll be important here in a minute. Annie bravely says she'll be fine and Alex heads off to the observation room as Annie slowly slides into the CT scan tube.
Alex enters the observation room and asks the tech if he has any batteries for his beeper, but the tech is too awed by the size of Annie's tumor to really respond. He says he's never seen anything like it. Alex responds that he doesn't understand how a person lets it get that bad. "I mean, man, that is a whole lot of nasty!" Alex apparently smokes a lot of weed because his short term memory is so bad that he doesn't remember telling Annie TWO SECONDS AGO that there's a damn microphone in the tube! The tech sweetly suggests that Annie might be afraid of doctors and expresses sympathy for her. But Alex isn't going the sympathy route. "'Poor thing'? Please. If you're afraid of doctors, you take a pill. She's just sick, like, warped, you know? Seriously, I don't know how she lives with herself." As Alex says all of these horrible things that, admittedly, we might very well be thinking ourselves, we get glimpses of Annie's face as she hears them. Sad.