Doris' face may look as ill as a person can look, but she's got some sassy, fire-engine-red fingernails. Alex goes in to help roll her over and the two exchange more biting insults, but as she moans about suing them and all of her piles of money, Alex has an idea. She's highly skeptical when he pulls up a chair and announces that she could donate her money to a good cause. He tells her about his plan to bring over the kids from Africa but when he mentions needing at least $100,000, she scoffs at him and tells "Sally Struthers" to get lost. Unfortunately her rant causes her to start coughing and Alex gets the oxygen mask and helps hold it to her face so she can breathe and live another day to keep insulting him.
Meredith and Derek are discussing Adele, whose score on the Alzheimer's test is much lower than last time. Derek points out that the upside is that she can now be in the trial, but Mere is worried at just how fast she is declining. She suggests slipping Adele some of the medicine on the side but Derek is adamant that he doesn't want to do anything that could jeopardize the trial and additionally, their careers. He tries to console her a bit by admitting that the thought had already crossed his mind.
If all the lung cancer and Alzheimer's wasn't depressing enough, now Sofia is suffering from heart failure and she needs surgery ASAP. Arizona has been trying all of the hospitals but no one is available, and Stark tells her that while he is fully aware she doesn't like him, he's her only real option and he at least has done the procedure before. He then tells her that she's not technically related so Sofia, and her hackles go right up until he finishes his thought, which is that there is no ethical objection to her being in the operating room to observe. She's shocked but totally touched, and April quietly smiles to herself that people are seeing that somewhere, deep down, Stark has some gooey insides. Well, semi-soft, at least. I don't know if I'd go so far as to call it full goo. Sadly he's still not feeling quite so charitable about her and when she asks about prepping the baby, gripes that he's stuck with her.