Billy wakes up from his surgery and is told by Derek that it went well, and he'll be back to about 70% of what he was before, which is good considering his injuries. He leaves, and Billy jokes to Lexie that he guesses now he'll only steal 70% as much stuff. I have to wonder if it will be as easy for him given that he likes to brag about all of his burgling, and he seems like a pretty easy catch for the police, but I am also not a criminal so maybe I've got this whole thing wrong? Lexie just opens up April's notebook to point out the splotches inside, which she realized were tears. She was crying and scared when she wrote it, and those sayings make her feel better, but they took that comfort away from her. She tells him that they are taking things from people and leaving them at 70%. He looks like he just learned A Lesson, though I'm not sure why this would now sink in as he seemed wholly unconcerned with being left at 70% himself.
Sara has just gotten the news from Bailey and is crying, pointing out that Bailey promised her nieces that she would get a kidney. Bailey apologizes repeatedly and promises to make it right and find her a new kidney. Sara's phone then rings and when she sees it is her sister, asks what she should tell her. This scene feels kind of shoehorned in, like we have known Sara longer than we actually have and should care more, but I realized later it was necessary for Bailey to make a little trip on down to Santa Monica later. Outside the room, Izzie is waiting when she gets paged. When she sees who it is, she heaves a sigh and trudges off.
April is getting her stuff from her locker when Lexie comes in with the notebook; when she hands it over April snatches it and stuffs it into her bag. Lexie apologizes and says that it must be hard being new. But, she warns, it's not an excuse for being a bitch. Well, she stops right before she says that outright but I have no problem finishing the sentence. She tells April she doesn't like her, and April lets out a rueful chuckle. Honey, you didn't give her any reason to like you, don't try to take the high ground here. Lexie says that while that's the case, what she did was over the line, and after she goes, April looks thoughtful at Lexie actually admitting that.
Izzie walks into Richard's office to find him and Missy waiting for her. She thinks for a moment that the page was mistaken, but when he introduces Missy, she connects the dots and starts to panic. She immediately tells them that they can't fire her because she has cancer, that's illegal. She gets yelly pretty quickly but he tells her it's not the cancer. And here we have my favorite part: she guesses (correctly) that this is about what happened with Sara, and tries to defend that doctors make mistakes every day. Richard tries to reply but she cuts him off by reminding him that she didn't even get fired when she cut the LVAD wire. Yes, ladies and gentlemen, she tries to defend her job by bringing up the time she broke rules and laws all over the map, essentially stole an organ from a deserving donor, and managed to stay employed. That said, no wonder she thought she was invincible! He tells her that this is a different era. Yes, an era where doctors actually need to be accountable for their actions and not run willy-nilly playing God. A new day has come!