The nurse comes back into the room where Alex is trying to treat the baby, and drums of doom pound in the background. Alex reads the tox screen results and then quietly orders the nurse not to leave Dave alone with the baby while he runs off.
In the OR, the Chief mentions to Cristina that he thought he saw Mama Burke outside. She feigns surprise, and he doesn't pick up on her discomfort because he's happily musing about the best part of his job -- giving good people second chances. I know Grey's isn't known for its subtlety, but this week's theme and story is really getting kind of heavy-handed.
George is talking to Clark, babbling on about himself, of course. You can realize that you're going down the wrong path, it's good to learn from it, blah blah projecting his own feelings onto his patient. He then tells Clark that he can handle this, but when he turns back around, he finds that Clark's handled it by coding.
Alex walks into the ER to notify the Chief that Brian the baby is strung out on meth. Everyone is stunned to learn it wasn't so much a gas leak as an exploded home methamphetamine lab.
George shocks Clark, and his eyes fly open with a gasp. It's a well done act-out, but with no real point other than to convey Everyone's! Surprise! About! Meth!
The surgeons are much less fulfilled by their work once they realize they're operating on a drug dealer. Derek gripes, "Ah yes, the joys of surgeondom. Saving the lives of those who deserve it the most." Richard instructs Alex to have Callie to take care of the situation. When Alex leaves, Derek asks if he wouldn't rather take care of it himself. He insists he has to delegate, as he's trying to get back together with his wife, and that Callie can handle it. I have to ask, though -- by the time something like this happens, isn't it his job to handle things? Once you've got drug dealers, a baby on meth, and the police coming in, shouldn't you be there to lead? It seems like it.
It seems Alex has just told Callie, and she's confused and appalled at the idea that they'd give their baby meth. Alex explains that as you cook it, the fumes get everywhere and can be soaked in through the skin, which is what happened here. It's a convenient exposition tool for Alex to tell it, and just continues to make Callie look like a moron, because wouldn't she already know this if Alex does? She's also rather overwhelmed, but gathers herself up and tells Alex to call the police and social services, saying she'll alert the staff. When Alex asks what to do about Dave, she repeats her order and says they will take care of the dad, and Alex's job is to take care of the baby. She then grabs Sloane to tell him what's up.