Derek was the one who paged Richard, and he did it just to whine about Hunt: "Rambo's completely out of control." Richard's slow on the draw and asks what Derek is talking about, so Derek pouts that Hunt, "kicked [him] out of [his] own ER." Your ER, huh Derek? I would bet there's a few doctors that might raise their eyebrows at that -- guess that article is keeping you quite warm at night these days. When Richard establishes that Hunt hasn't killed anyone, he leaves to go back to the meeting, telling Derek only to call him if Hunt does in fact kill a patient. He explains that he's got a bunch of bickering doctors, and Mere playing with a doll. Derek smiles and asks, "Anatomy Jane?" Richard gripes that Mere dragged Jane all over the hospital when she was five, and that it was much cuter in a child.
Mere is still fiddling with the doll when Richard gets back, and he finds that they haven't come up with any sort of solution. Hahn continues to not only be unhelpful but to berate his decision to bring the girl here, informing him that she knows he's desperate to be #1 but that he can't take in every "charity case" since it's only a waste of resources. Isn't someone world-class supposed to be up for a challenge? Richard finally snaps at Mere to put Anatomy Jane away, telling her it's not playtime. She defends that she's thinking, not playing, and asks if they could take out each organ where the tumor interferes with its blood supply. Hahn shoots that down as too dangerous, so Mere suggests taking them out one by one. Hahn snots that they don't have the time, but Richard asks, "Well, what about if we made the time?" Hahn sighs at the idea that they might be able to save the life of a child, but Richard tells Bailey to start putting some stuff up on the board behind them.
Alex does his job and determines that his patient has a subdural hematoma, so he asks Hunt if he should book an OR. Hunt wants to know what he'll do even before that to stop the bleeding. Alex would normally page Derek, but Hunt points out that he isn't there, and wants to know how he will handle it using just what he has in the room. He shoots down Alex's tentative guess of staples, pointing out that then his patient would look like Frankenstein. Alex settles on skin glue, which Hunt approves, so Hunt tells him to seal and clean the guy's head and then put a dressing on. He then goes to see Izzie and her patient. She's giving the guy a tetanus shot, and Hunt asks her who they have to thank for the vaccine. She's silent, so he supplies that it was developed in experiments done on horses. Izzie's super pissed but he leaves before she can say anything -- instead she just pouts in front of her patient like a consummate professional.