Princess sees Kimmy and her mom at the elevator and it must be exhaustion that keeps her from cluing in right away to what is going on. Kimmy's mom gets all shifty and tries to cut off any conversation while she repeatedly hits the button and pleads with the lift to arrive already. Eventually Princess realizes that something is amiss and Kimmy admits that she's not coming back, and has no interest in the baby since, "He's all messed up." It's awful but you can at least see it coming from a young teen -- what's worse is Kimmy's mom who is just happy to go along with this without even having a conversation about what a big decision this really is. The Princess is appalled and tries to block them from getting into the elevator; when the mom threatens her they wind up fighting and Princess pins her to the wall until Alex runs over and literally pulls her off. As the doors close she screams that Kimmy can't abandon her baby and then she runs off with Alex in slow pursuit.
He finds her sitting outside by the dumpsters again, and asks the obvious question which is why isn't she hanging out in the tunnels like interns usually do? She doesn't give an answer, which is a shame because I'm very curious why. I'm all for making your own traditions, but I feel like most people don't want to make their own traditions somewhere that smells like garbage. He then tells her that unfortunately, she can't go around insulting the patients. Let's all pause for a moment and think of how far Alex has come to be the one dishing out that advice, shall we? She argues with him and he calls her Princess, so she finally snaps and gives him the nutshell version of her life story: her mom abandoned her at a fire station when she was 2 weeks old, she lived in various foster homes until she turned 16 and then started living out of her car. She slept near school so that she could sneak in and use the showers, and a nice teacher let her do her laundry for free. She worked hard, got into good colleges, and that teacher Mrs. Schmidt was the one person who was there when she graduated. That's also who gave her the watch, and she got it because her son works for the company. When Alex finally says something it's to compliment the watch; she thanks him and they both sit in silence amidst the smell of fish. And if there was any doubt that these two are being set up as a potential couple this just cleared the last of it, because we know from experience that Alex has a thing for Troubled Women.