As the Averys, Meredith and Mark get ready for surgery, Catherine compliments Meredith and asks about her specialization; Mere is smoother than I expected when she says that she was thinking about neuro but it now making a change. Mark, now 100% the proud mentor, brags that Jackson had a chance to go into neuro but turned it down for plastics. Unfortunately, this has the same reaction as if he told her that Jackson turned down Harvard for Partytown Technical Night School. She admonishes Jackson for turning down an opportunity to work with Derek Shepherd in favor of plastics and adds, "Who raised you when I wasn't looking?" Seriously, you'd think he just announced his dream of becoming the underwater basket weaving champion of Seattle. Even Mark yelps, "I'm standing right here!" Everyone is saved when Ryan is wheeled up and Catherine goes from irate mother to gentle surgeon. Chad is told that this is as far as he can go, so the brothers have a touching goodbye in which Chad tells Ryan he's going to take him to test out his new functionality at a strip club. Ryan stops him there, tired of always talking about his anatomy rather than talking about, say, basketball. He asks Catherine to promise this will go well so that he gets his brother back. Catherine tells him it will work and then merrily heads off to "harvest the donor organ." The boys opt not to think about that too hard (sorry, couldn't resist) and Ryan just warns Chad that once this is done, they are never to discuss his johnson ever again. Chad happily makes that promise and then they have a really sincere hug before doing the manly back-clapping and nod that says, "Don't worry, we weren't that into that hug, we're dudes." Chad watches them take Ryan away and instead of looking sad or worried like most family members, just raises his hands in victory for his little brother.

Case in point when it comes to the poor decision making in brining Zola to Seattle Grace: Alex is looking at her scans when Derek walks up to look at some of his own, and can't help but remark on what a nasty bowel obstruction Alex has up on the screen. He asks if Alex is on his own with the case and Alex quickly tells him that Arizona is helping, then snatches the film down and flees. He can't help but hesitate for one second before leaving the room, but ultimately he keeps his mouth shut.