A woman from HR, Missy, is meeting with Richard in his office and gives him a speech to use for any future layoffs. "While performance has been evaluated, the largest considerations have been budgetary." She warns him not to deviate from those words, but he puffs out his chest and says he won't use that and doesn't need a chaperone. To the cats I said out loud, "Yes, because you hide behind email." It's time for Missy to pull out the big guns, and she asks if he remembers Intern Megan. Chief does, she's married to Steve, and he fired her. Missy reminds him that he fired her using an email, and she's now suing the hospital for wrongful termination, saying she was fired for being pregnant. (And while the email was clearly a mistake from the beginning -- and not related to Megan suing because she's pregnant -- since the email technically came from HR aren't they at least partially to blame for that crappy decision?) Richard finally listens to her once she mentions a lawsuit and she repeats that this is the speech, and he's not to deviate.
Lexie is showing Billy's spine films to Derek and they show something painful-sounding called a "burst fracture." She explains how she knows this from the films and gets all technical, so Billy asks if he's got a broken back. Derek assures him he'll have a full life and be able to walk and burgle again, then asks Lexie for treatment ideas. She has some sort of awesome answer that goes totally over my head, and April admiringly says she might be out of her league. Derek happily says Lexie has a photographic memory, so they are ALL out of their league. April then very sweetly says she was there thinking they could use some other procedure, and practically has her hands in her pockets, rocking back and forth while exclaiming, "Aw, golly!" Derek looks at the films again and as April adds that she thought it was a good idea, but maybe not -- all while batting her big doe eyes -- and Derek finally decides it's a good idea and they will try it. He assigns Lexie the pre-op and tells April to let him know the lab results, and she smirks while Lexie looks understandably put out.
A girl runs into the ER, then sees Frank and runs to him to shower him with kisses and call him "Honey." Don rips back the curtain around his gurney and yells at Frank to get off of her. I guess this must be his little girl! He picks up a hammer that's lying on the stand next to him, because hammers are always left around in emergency rooms, and goes after Frank. Frank grabs his jewels, but before Don can finish what he started earlier, Avery tackles him from behind. As Cristina looks on, enraged, everyone starts applauding and Hunt walks in and admiringly tells him it was nice work.