Izzie gives Ava an ultrasound and shows her that her uterus is empty, but Ava just calmly makes excuses about how it's too early to be able to see the baby. Alex comes in and demands to know what Izzie is doing and she quietly but angrily reminds him that she paged him twenty minutes earlier. She then holds up an image of what a fetus should look like at six weeks, and compares it to Ava's empty uterus. Alex orders Izzie out. She hands over Ava's chart and shows him that Sloane requested a psych consult but Alex just hollers at her to get out again. Alex tells Ava that there isn't a baby. She asks if she lost the baby, and he explains to her that there never was one. She crumbles, clearly not really understanding him, and apologizes for losing their baby. He finally seems to realize that something is incredibly wrong as she repeatedly apologizes for losing their baby, and he pulls her to him in a hug.
Derek and Mere are doing Greta's brain injection, and this time they seem able to stay in sync without looking into each other's eyes meaningfully. But alarms start ringing as her brain pressure increases. A nurse comes in and whispers something to Meredith -- is anyone actually surprised at this point that Andre has actually arrived? I guess Meredith might need to rethink her holier-than-though cynicism a wee bit.
George is still trying to qualify for the Olympic chart-hold-and-sprint. When he races into Tapley's room, the elder doc asks him if he runs everywhere or if George is just scared of him. George tells him he's trying to stay on top of everything, and Tapley responds sincerely that he's doing a fine job. "Very impressive work." With naked yearning, George asks if he would tell the Chief that, given that he was held back. Tapley tells him that he's sure Richard made the decision for a reason (I'm not sure it was that so much as George failed the test, but we'll let that slide for this Very Important Lesson) and that learning is like healing, it happens over time. He tells George to keep running, "Not because you want to cut corners, but because it makes you a better doctor." Richard comes in and mock-yells at him for talking, and Tapley just tells him that they're marveling at the fact that Richard hasn't killed him yet. Richard gives George some instructions so George heads out. Outside, he pauses a moment, and then runs down the hall.
Cristina is sitting in the hallway oozing "bitch" from every pore when Lexie walks by. After thinking a moment, she turns to ask her if she's okay. Cristina cuts her off snottily, and then decides to tear Lexie apart, spitting that Lexie makes her sick, that she needs to have fire. Wow, this is the pot calling the kettle a wallflower. She tells Lexie to be a force of nature, better than anyone else, and not to give a damn what others think. She also tells her there are no teams and no buddies, that she's on her own and needs to be on her own. Oh yeah, she and the others never bailed one another out or stood up for each other. This is so revisionist and hypocritical I can barely stand it. Lexie turns to leave but thinks better of it and turns back to announce that she just got to scrub in and watch Walter Tapley's heart surgery from about three inches away while Cristina sat and did charts. So whatever crap she wants to hurl at Lexie she can just go ahead, because she can't take that surgery away. I can't tell if Cristina realizes she just had a valid argument thrown in her face or if she is just trying to get Lexie to leave when she says, "Yeah, okay." Lexie replies, "Okay, then," and leaves.