In the OR proper, Mr. Arnold can't stop talking nervously. He asks if they're looking at his heart, as Richard walks into the gallery above to observe. Hahn tells him that better than looking, they're fixing his heart. He looks back up and again sees the huge crowd in the observation deck, and asks if they're looking at it too. Izzie tells him they are. I think I would have requested to have the crowd not watching, since I would be awake and stuck staring at them the whole time. But that would be far less dramatic, wouldn't it? Mr. Arnold can't seem to take it anymore, and starts to panic about being cold. Izzie tells him they'll get him blankets to cover his legs, but this sends him completely over the edge, and he begins screaming manically about all the people watching and demands they cover up his heart and stop the surgery. For all the commotion, the people watching him just continue to stare blandly.
Hahn tries to get him to calm down since the machines are all beeping like crazy, which we know means things are really bad. Izzie then walks around the table and grabs Mr. Arnold's head, forcing him to pay attention to what she's saying, and to look at the observation deck and pretend that the people are birds he's watching. He's convinced he can't do it, but she orders him to focus on one particular woman and to tell her what kind of bird the woman is. I can see the request now when they were casting this extra -- "looking for someone with unusually long neck to be compared to bird in medical drama." Stuttering, he finally manages to say that with her long neck, she's an ibis. Nice for her ego that he called her that and not an ostrich. It's calmed him down a bit, and he turns and looks at Cristina, or rather the woman doing the "dance with her fingers." He calls her a purple sandpiper and adds, "Those are tough little birds. Those are survivors." I'm surprised he didn't just go ahead and add, "They can get through challenges thrown at them by their tough bird overlords." Derek's moping with his chin in his hand, and Mr. Arnold calls him a black-headed nightingale thrush. Then he turns to Richard, who is standing up, and rather reverently says, "The tall one, standing there, watching over everything, over everyone. He doesn't miss a thing. He's a great blue heron." Richard nods, probably at something in the surgery, but it looks like he's agreeing with the assessment. Since Mr. Arnold's calmed down, Hahn resumes her work.