Meredith then joins Bailey and Ben in the OR as they open up Jimmy Barrett and the ladies try to figure out what's wrong with him. They are marveling over how screwed up his innards are and seem delighted at the challenge, while Ben sulks and makes sarcastic comments about Bailey having all of the time in the world to try and figure it out. I know this is Bailey, and he loves her for who she is, but I do get where he's coming from when the two of them had a single, rare day to spend together. He gripes again about the crossword, but Bailey is content to miss it one week. Seriously, Mere pulls out a chunk of meat from Jimmy's stomach that is kind of rectangular with black spots and for one second I thought it was a Hot Wheels that Jimmy had ingested in some sort of kinky honeymoon play. However, it turns out to be organic. They ignore Ben's griping and continue to work happily.
Richard finds Alex to ask how the call went and Alex, in a shocking moment, actually pulls him into an empty room to talk rather than acting like the world is their soundproof bubble like most people do in this hospital. Alex is really unsure of what to do and told Keith he needed a day or two to think about it; he can't stop thinking about how he already made a commitment to Arizona. Richard asks him what kind of package they are giving him and while the salary is competitive, he's completely dismayed when he realizes Alex didn't ask for anything else like moving expenses and loan repayment. He also thinks Alex should ask for an international rotation. Alex thinks he has no leverage since these are two of the best programs in the country but Richard thinks the very opposite because they both want him so badly. He instructs Alex to call Keith back and tell him what he wants, and then to tell Owen whatever Hopkins is offering to see if he can match it. When Alex points out that Hunt might not have the money, Richard lets him in on a Chiefly secret called the Incidentals and Overhead Fund. He tells Alex that when Owen tells him he doesn't have the money, Alex is to mention the fund and then the world will be his oyster.
Derek runs into Mark in the elevator and asks him if he's impregnated Julia yet; Mark is an agitated mess as he admits he was going to until Lexie told him she was in love with him. Derek seems genuinely surprised so I assume Lexie hadn't told him she really pulled the trigger on that. Derek is extremely interested but turns appalled when Mark tells him that his response was, "Thank you for your candor." I thought he just gaped at her like a fish out of water and then left with Julia, but maybe he said that after the scene we saw ended. Derek thinks a more appropriate response would be to kiss her, but Mark says that Julia is at a conference and he's not a cheater. Derek pointedly raises his eyebrows at his but Mark seems to mean, "Anymore." Also, this is totally stupid because his response couldn't have been to kiss her because JULIA WAS STANDING RIGHT THERE. She may be out of town now but when this declaration actually happened, she was very certainly in Seattle and that's why Mark didn't really have a choice.