Cristina and Izzie are with the car-wreck head-trauma patient. He groggily asks where his wife is. Izzie asks if she was in the accident with him. All he can say is that she was supposed to be there. Izzie says they'll find her, and McDreamy rushes in asking what they've got. Izzie reports that the patient is Tucker Jones, age 35, who lost control of his car and hit a guard rail. Cristina interrupts to say that Tucker's CT shows a skull fracture and our old friend, the epidural hematoma. McDreamy tells Tucker that he's going to examine him, and asks if he's okay. Tucker slurs that his phone is ringing; he wants someone to answer it, because it's his wife. Izzie goes to answer his phone just as Tucker starts seizing. Izzie answers, "Hello? George? It's me. Izzie. No, I don't have Bailey's husband's phone! I think I'd know if I had Bailey's husband's phone, George." Oh, shit! Izzie turns around in horror as they're wheeling Tucker to the OR. "What's Bailey's husband's name?" I can't be completely sure, but I think it's "Tucker Jones."
OR of Sucking Chest Wounds and Christina Ricci. She's in remarkably good spirits for having her hand stuck inside someone else's chest. Mere tells her that once Burke scrubs in and gets ready to operate, he'll have her remove her hand and she can go. Hannah says that's good, because it's her second week as a paramedic. "Talk about on-the-job training, huh?" Aw. Mere assures her that she hasn't been a doctor for that long, either.
Outside in the scrub room, McDreamy and Burke meet up and address each other as "Doctor." Heh. Addison walks in. "You've got Dr. Bailey's husband on the table?" McDreamy confirms this, and says not to tell Bailey anything until he gets in there and can see how bad the damage is. Addison agrees that there's no use in upsetting her until they know something concrete. As she's leaving, Addison looks over at Burke and says, "Hey Preston." Burke: "Good to see you, Addison!" McDreamy glares at Burke. "She gets to call you by your first name, and I don't?" Burke says he likes her. McDreamy is shocked. "And you don't like me?" Burke: "Nah." Oh, McDreamy, I do love you, but you totally deserve to be faced so damn hard right now.
McDreamy heads into surgery, where the anesthesiologist is just about to put Tucker under. Tucker calls out for McDreamy, and tries to speak plainly. "You're...Shepherd, right? Miranda...she really likes you." Oh, hello, my good friend Tears! McDreamy tells Tucker he likes her, too. Tucker tells McDreamy that they're having a baby. McDreamy says he knows, and he's going to get him back to Bailey, safe and sound.
Hot Man Nurse and Alex discuss the screamer. They agree to drug her until she's calm. It's then that Screamer decides to start talking. She says she's going to kill her stupid husband just as soon as he gets out of surgery. Another man runs up calling for her. He asks how "James" is doing. Screamer says he's bleeding all over the place, then calls him a moron. Wow, she's really sweet. She goes on to yell about the two of them being idiots, playing like eight-year-olds, with their stupid costumes and idiot toys. The man says they don't play, they re-enact. They re-enact World War II, is what they do. Screamer screams some more. Shut up, Screamer. Alex asks what happens, and Screamer meanly tells him that James and his moron best friend built a replica of a World War II bazooka. Then, they put on their stupid costumes, went out into the back yard, and tried to shoot the thing off. Unfortunately, it didn't work. Ooh, here come the drum beats again. I learned from Shonda Rhimes what they signify, but the entry's really good, so I'm going to have to ask you to go read it for yourself. Screamer says James is so dumb, he had to go stand in front of the thing to see what was wrong. Drum beat. "That's when the stupid toy starts working." Yeah, so James shot himself with a bazooka, and the ammo is still inside his chest. Alex can't believe it. He asks Moron if there was an explosion. Moron says no. Drum beat! Drum beat! Alex yells, "Oh crap!" and takes off running.
Run, Alex, run! McDreamy starts up his bone saw. "If Bailey asks, I'm not the one that did this." Drum beats! Bailey stands alone in her room, and looks at her cell phone. She flips it open to call Tucker. Alex sprints down a corridor. Burke tells everyone he's ready, and asks for the scalpel. Alex! Run! Back in Bailey's room, she leaves a voice message that becomes increasingly urgent as her contraction gets worse. "Uh, Tucker Jones. You better be lying in the street somewhere dead, Mister, because when I get my hands on you I AM HAVING YOUR BABY HERE, MISTER!" Aaaaaaaagh! Alex takes the stairs two at a time. Burke positions his scalpel over James's chest. Drums! Alex flings open the door of the OR. "Dr. Burke. I need to speak with you." Burke grits that he's in surgery, Dr. KAREV. Alex doesn't move. "You want to talk to me, sir." Drum beat. Again. Burke puts down the scalpel and goes over to Alex, all mad. "If you ever interrupt me again in my OR..." Alex asks if the wound on James was a through-and-through. Burke says no, just an entry wound, why? Alex starts talking to Burke as we pull back inside the OR. Hannah comments that Alex is cute. Mere ignores this and looks with interest and then with alarm over at Burke and Alex. I swear to God this is giving me heart palpitations. Everyone looks at Burke and Alex with these CRAZY EYES, their faces obscured by their masks. Burke turns around and asks Hannah what she feels inside the patient. "Is your hand touching anything hard, like metal?" Hannah says she doesn't know. Mere asks what's going on. Burke nearly jumps out of his skin when Hannah starts moving around. "DON'T...move your hand, just tell me what you feel." Hannah says her fingertips are definitely touching something hard. The anesthesiologist, named Milton, suddenly understands and is all, "OH MY GOD." Hannah asks anxiously what's wrong. Burke tells Hannah not to move -- not her hand, not her body, not an inch. Hannah says he should know he's starting to scare her. Burke tells her quietly, in his awesome Burke way, not to be scared