Mere checks on Running Guy. She tells him that McDreamy removed his tumor without any complications. Running Guy thanks Mere for sticking with him, then adds, "Maybe when I get out of here, we could..." Mere, having learned her lesson, is all, "I don't think so. You know, when I saw you at Joe's, I was just looking for a replacement. Looking for something to make me feel better. You deserve better than that." Her pager goes off, as does George's, and we hear over the intercom, "Dr. Bailey, Dr. Burke to OR 1." Mere tells Running Guy she has to go.
Cut to Cristina and Burke, adorably asleep on the floor of her apartment. Aw, he accepted her squalid ways! Their pagers go off, and they both bolt upright. "The quints."
Addison is wheeling Dory into surgery. Izzie runs up and tells her that everyone answered their page except Dr. Karev. Addison's like, "Well, go find him, fool!" And fool she is, because guess where she finds him? That's right, doing the nasty with Nurse Olivia. Izzie just gives him a disgusted look, and says, "It's time for the quints. We need you."
Surgery. A team of about ten thousand doctors dress out and scrub in. Five incubators are prepared for the babies. A sweet song starts playing as Addison gets to work. When the first baby is delivered and handed off to Burke, Mere voice-overs, "How do you know how much is too much? Too much too soon?" Izzie stands ready for the next baby, while Dory's husband kneels at her side and comforts her. Tears! The next baby is delivered to Bailey; Mere: "Too much information?" Bailey works on putting the tiny little organs back inside the tiny little body. Babies three and four come. MereVO: "Too much fun? Too much love? Too much to ask?" McDreamy gets his baby, the fifth, and we pull back to an overhead shot of the bustling room, then to a close-up shot of Dory. Mere finishes up, "And when is it all just too much to bear?" The babies are all wheeled away in their incubators, and Dory gets a quick glimpse of them as they go. Tears fill her eyes, and we hear the sound of a baby crying over the credits. Good work, you guys!