Inside, Leah and Stephanie are hollering at each other about whose fault it is that they nearly killed a patient while trying to one-up each other. Cristina comes up and lectures them that she understands competition, but they also have to learn how to work together and they are off her service. Owen comes up behind her to sweeten the deal -- he bans them from the OR until further notice. It's a very dramatic way of telling them that they are on probation. Cristina thanks him; Stephanie is resigned to it while Leah is horrified. Steph turns to her but she just stalks off. Like what, she thinks this is a grave injustice? Leah is quickly making Princess Jo far from the most idiotic and annoying intern of this batch.
Smash then finds April about to embark on her second day of lumps and bumps and proudly reports that the lady's disgusting butt growth turned out to be malignant but it looks like they caught it in time. She thinks someone put him up to being there and refuses to believe him when he tells her he's just fulfilling his promise to help finish up all of the lumpy and bumpy patients. He finally tells her about winning a spot on Derek's case and tells her that it was because of what she taught him. April gives this some thought as he tells her that he's grateful for his job and that he's going to "glove up" and help her finish these patients; by the time he's done, she can't help herself and is wearing a big smile. She gives him the nastiest case on their list but he's grinning with joy at getting to be a surgeon and she seems calmer and happier than she has in a while. I am sure that being embarrassed and defensive about not passing her boards has been wearing her down, not to mention her breakup on top of all that, so this really is quite an emotional release.
Stephanie stops by the NICU to say goodbye to Laura and explain that she's off of Cristina's service; as they talk Laura sees Noah looking sad and gazing down at Reece and she excuses herself and walks over to him. She asks if he is okay and he admits he's worried that Reece might still reject the heart. She takes his hand and tells him with confidence that that won't happen, and Stephanie watches and ponders.
Heather heads downstairs and comes upon Mere and Derek arguing; Derek wastes no time in pulling her back into the middle of things by asking if she shut things down with his sisters. Mere yells at him for getting her involved but he points out that she actually did it first by asking her to make calls. They both were selfish and stupid, let's move on. The gist of their argument is, he is way too proud to want his family's help since he loves having been the de facto head of it for most of his life, while Mere thinks he's wasting time and this is his best chance to really fix his hand. Heather finally cuts them off and points out basically that: a live nerve is his best option and that must be obvious because even she knows that and she's a lowly intern. But she also tells Mere she put her in an awkward position by throwing her to the wolves -- not that she's calling his sisters wolves -- and she was told a number of stories about them both which she cannot unhear. As she tells them that fights make her uncomfortable, Neve Campbell walks up and guesses (correctly) that Heather's parents had a messy divorce and put her in the middle. This, as it turns out, is Lizzie, "One of the wolves." She then tells Mere with a bit of an edge that she needs to see some baby pictures, STAT, because she didn't rush to Seattle merely to give a nerve to her brother. All three of the adults here look a little bit tense through their smiles, which surely means good times are ahead.