Crush is in the OR, and Alex is with her, there to watch out for the baby. He smiles and asks, "So?" She answers, "Call me Ava." I can't do that; she'll always be Crush to me.
Mark and Mere scrub for surgery, and she calls him out on using her to make himself look good. "You're using the memory of my dead mother to win points with the chief. It's despicable. I'm not gonna play." Despite talking tough, she's picked up her mask as if she's about to head in and get to work, so it takes a bit of the threat out of her words. But Mark shoots back that Richard had been looking at her like a beaten puppy, and if she's successful, he'll look at her like a surgeon. He leaves it up to her and heads inside as she gazes through the window.
Cristina is helping escort her patient to the OR for his footectomy, trying to make him feel better by talking about advances in prosthetics, but he's just quiet. She finally adds, "This doesn't mean your life is over." She sees Burke preparing for his interview and tells them she'll meet up with them in the OR and goes to see her maybe-fiancÃ©e. Because all this has taught her that Burke is her foot. Or, wait, that a wedding is the foot. Or that she cares about having or not having a foot more than a wedding. Or Burke. The symbolism this hour certainly is clumsy, that's for sure. She approaches Burke and tells him that it was always the original plan for him to be chief, and that he's still that guy. She's thrown for a curve, though, when he tells her that he's not that guy, he's changed and wants to be a better person. "I want to move forward. I'm not interested in going back." He's called in, and she realizes it's wedding or nothing. With an amputated foot. Or something like that.
Montage time! Meredith starts in on her bone harvest while Derek and Richard watch from the gallery, Derek looking grim. In Mrs. R's surgery, things are going badly and the bleeding won't stop. They have to open her up, because even though that will kill her, so will not doing anything. Nina is busying herself with the dollhouse in her mom's hospital room, and as the buzzers seem to indicate a flatline, her hand slips and she drops a tiny window, which shatters on the floor. Cristina works on Mr. Kendry, and when it's over, Bailey scoops up his foot and the other waste and compliments her on a job well done. Also well done is Meredith's procedure, and she and Derek smile at each other through the glass.
Later on, Mark is in his meeting while the other attendings hover in the hallway. Addison has actually resorted to pressing her ear to the door, as Derek marvels at the laughing coming from inside, presuming it must be at Mark and not with Mark. Bailey catches them red-handed and they're properly shamed in her presence. The door opens and Mark comes out, shaking hands and leading the board members on a tour to the clinic. When Richard comes through the door, he's happy, and he explains that they all could learn something from Mark, who presented a Right Now Plan. Bailey starts when he hears this, and Mark has the good grace to let a flicker of guilt into his eyes as he looks at her. But she smiles, appreciating wiles in another doctor and seems secretly pleased, and he smiles back at her. Addison smiles with resignation. Charming is what Mark does, clearly. And in a suit? Hubba-hubba, consider me quite charmed.